Katswiri wa rheumatologist - ndani uyu? Kodi rheumatologist ifunika liti?

Rheumatologist - ndi ndani ndipo amachita chiyani? Ameneyu ndi dokotala wodziwika bwino pa matendawa, kuchipatala ndi kupewa matenda okhudza ziwalo ndi mawonekedwe othandizira. Matenda akulu omwe amachititsa ndi matenda a nyamakazi, osteoarthritis, rheumatism ndi gout. Nkhani yathu imadziwika pafunso ili: "Rheumatologist - ndani uyu ndi zomwe amachichitira?"

Ndani angakhale dokotala wotero?

Katswiri woteroyo angakhale wodwala wodziwa bwino kwambiri amene amaphunzira pa rheumatology. Dokotala ayenera kudziwa momwe matenda a rheumatic alili bwino, adziwe njira zothandizira ndi ma diagnostics, azindikire zatsopano mu malo a immunology, orthopedics, neurology, ndipo nthawi zonse amasinthe ziyeneretso zawo.

Ndiyenera kulankhulana ndi liti?

Ambiri akukhudzidwa ndi funso la mtundu wanji wa zizindikiro zomwe muyenera kupita kukaonana ndi katswiri woteroyo. Chifukwa chokhalira pa rheumatologist ndikumva kupweteka m'magulu osiyanasiyana ndi kumverera kovuta kumadera awo. Chifukwa chakuti katswiri uyu amachita ndi matenda opweteka ndi oopsa omwe amakhudza ziwalo ndi mawonekedwe othandizira, zifukwa zina zingathe kuwonjezeredwa kuzinthu zomwe zafotokozedwa pamwambapa.

Ngati munthu ali ndi matenda opatsirana osiyanasiyana kapena kuti nthawi zambiri amapezeka ndi angina, ichi ndi chifukwa chabwino choyendera kwa rheumatologist. Ndikofunika kuti tcheru khutu kumalumikizidwe kapena kutupa mkati mwawo ndi msana - ndi chifukwa chofunsira kwa katswiri uyu.

Kodi matenda a rheumatic amapezeka pa msinkhu wotani?

Matenda ofanana omwewo angawonekere mwa munthu wa msinkhu uliwonse. Komabe, nthawi zambiri matendawa amapezeka kwa anthu pambuyo pa zaka 45. Mitundu ina ya matenda a rheumatic sichipezeka kwa achinyamata. Kuonjezera apo, pali matenda omwe mu 95% amamayi okha kapena abambo amatha kuvutika.

Rheumatology ndi Orthopedics

Madera awiriwa akuphatikizana kwambiri. Monga mukudziwira, mafupa amachitidwe opaleshoni yomwe imayambitsa matenda opatsirana ndi minofu. Zambiri mwa zizindikiro zomwe anthu amapita ku rheumatologist zimagwirizanitsidwa ndi zobadwa zosawuka, komanso zotsatira za kuvulazidwa kapena matenda oyamba. Zikatero, rheumatologist imaphatikizaponso akatswiri ena, monga dokotala wa opaleshoni ndi wamagulu a zamagetsi, pa chithandizo.

Rheumatologist amagwirizana kwambiri ndi madokotala otchulidwa pamwambapa, monga ena mwa odwala ake amafunikira mankhwala ovuta. M'mabungwe akuluakulu azachipatala, pali madokotala osiyanasiyana, mwachitsanzo, a rheumatologist a mafupa, omwe ziyeneretso zawo ndi chidziwitso zimamulola kuchita ntchito za akatswiri angapo nthawi yomweyo.

Mbali za ntchitoyi ndi matenda akuluakulu a chifuwa chachikulu

Rheumatologist - ndani uyu? Zingamveke kuti izi ndizopapatiza, koma zedi n'zovuta. Rheumatologist ndi dokotala yemwe amadwala matenda a ziwalo ndi mawonekedwe ogwirizana. Monga tanenera kale, katswiriyu amagwirizana kwambiri ndi ena ambiri kuti athe kugwiritsa ntchito mankhwalawa. Kuwonjezera pa mafupa a mafupa, nyamakazi imakhala ndi ntchito yofunikira pano. Izi ndizopapapatiza, omwe amawagwiritsa ntchito opaleshoni. M'magulu amakono, madokotala akufunidwa kwambiri, omwe angathe kugwiritsa ntchito njira zochiritsira komanso zopaleshoni imodzimodzimodzi. Iwo amatchedwa rheumatologists arthrologists.

Tidzafufuza matenda akuluakulu, omwe rheumatologist amachitira nawo:

• Rheumatism ndi matenda osokoneza thupi, omwe amachititsanso chipolopolo cha mtima. Zingakhudze khungu, impso, mapapo, chiwindi ndi mantha. Kawirikawiri matendawa amayamba chifukwa cha matenda a chiwopsezo chofiira kapena angina opatsirana: streptococcus yomwe imayambitsa khosi, imayambitsa ziwalo zina.
• Matenda a kutupa nyamakazi ndi kutupa kwa ziwalo. Pali mitundu yambiri ya mitundu yake. Chifukwa chake nthawi zina zimakhala zowawa, psoriasis, gout.
• Osteoarthritis ndi matenda ofala kwambiri. Zimakhudza 15 peresenti ya anthu padziko lapansi. Ndi mankhwala osakanikirana a mafupa, matumbo ndi matenda ozungulira. Pamene matendawa akuyamba, ziwalozo zimataya pang'ono kuyenda.

Pofuna kudziwa zomwe zimayambitsa matendawa, dokotala amaphunzira njira zomwe zimayambitsa matenda m'thupi ndipo zimadziwika kuti foi. Nthawi zina, kupweteka m'magulu kungayambitsidwe ndi matenda a ziwalo zamkati, mapazi apansi, kunenepa kwambiri komanso matenda opatsirana.

Kodi rheumatologist imapita kuti? Ndikhoza kupita kuti?

Dokotala uyu amagwira ntchito muzipatala zonse ndi zipatala, komanso muzipatala zamaphunziro. Pogwira ntchitoyi, makhalidwe ofunikira ndi ofanana, udindo, kudzipereka kwa kudzikonda komanso nzeru zabwino. Kudzidalira ndi zochita ndi chifundo kwa odwala ndizophindu.

Kodi munthu wodwala matenda a rheumatologist amachiza chiyani?

Rheumatologist - ndani uyu? Monga tafotokozera kale, uyu ndi katswiri wokhudzana ndi matenda a ziwalo ndi mawonekedwe othandizira. Mbiri yake ndi yayikulu mokwanira. Matenda omwe tatchulidwa pamwambawa ndi ofanana kwambiri. Ndipo alipo oposa mazana awiri a iwo, ndipo amapezeka ndi anthu asanu alionse okhala pano padziko lapansi. Matenda a chifuwa cha mphuno amaphatikizidwa ndi ena ambiri, momwe zizindikiro zowonongeka zimasonyezedwa ngati kuwonongeka kwa minofu, ziwalo, mafupa ndi msana. Ndipo ngati matendawa amakhudza minofu yowonongeka, ndiye kuti imayesedwa.

Matenda a chifuwa chachikulu amachepetsa kwambiri moyo wa munthu. Nthawi zina, chifukwa cha kuchepa kwa ziwalozo, wodwalayo angatayike ntchito, chifukwa sangathe kugwira ntchito yake. Nthawi zina, matenda a rheumatic amachititsa kulemala. Nthawi zambiri munthu wodwala sagoneka pabedi ndipo amakhala pansi pa mpando. Zonsezi zimakhudza maganizo a wodwalayo ndipo zikuwonetseredwa m'moyo wa banja lake. Mu 70%, matenda a rheumatic ndi aakulu, nthawi zambiri amawonjezeka.

Katswiri wa rheumatologist ndi dokotala yemwe amachititsa matenda omwe ali m'magulu awiriwa: magawo amodzi ndi othandizira. Tsopano taonani iwo mwatsatanetsatane.

Matenda osiyanasiyana

Choyamba, ganizirani za matendawa:

• Osteoarthritis.
• Matenda a nyamakazi.
• Matenda a nyamakazi.
• Matenda a nyamakazi.
• Matenda a khunyu (Matenda a Reiter).
• Kudwalabe.
• Matenda a Bechterew.
• Gout ndi pseudogout.
• Matenda a nyamakazi, omwe amayamba chifukwa cha matenda a m'mimba.

Matenda opatsirana:

• Scleroderma.
• Mapulaneti lupus erythematosus.

Palinso matenda ena omwe amalumikiza mafupa, minofu, mafupa, ziwiya ndi ziwalo. Iwo amathandizidwanso ndi rheumatologist. Izi zikuphatikizapo:

• Rheumatic fever ( mawonekedwe ovuta ).
• Matenda a Behcet.
• Fibromyalgia.
• Polychondritis yatsopano.
• Rheumatic polymyalgia.
• Osteoporosis ndi ena ena.

Gulu losiyana limaphatikizapo vasculopathies ndi mavuto otsatirawa:

• Arteritis wa Horton.
• Matenda a Kawasaki.
• Nonspecific aortoarteriitis.
• Nodular polyarteritis.
• Cryofibrinogenemia vasculopathy.
• Microscopic vasculitis.
• Cryoglobulinematic vasculitis.
• Purple Shenlaine-Genocha.
• Hypereosinophilic angiitis.
• Matenda a antiphospholipid ndi ena.

Udindo wa Dokotala

Katswiri wa rheumatologist - ndani uyu? Uyu ndi katswiri yemwe amachitira matenda ozungulirana. Pomwe amalandira kachipatala, anthu nthawi zambiri samagwa, koma motsogoleredwa ndi madokotala ena: mwachitsanzo, kuchokera kwa dokotala wa opaleshoni kapena wodwala. Pamene wodwala abwera ku phwando, dokotala amamvetsera madandaulo ake onse, ndipo amasangalala ndi matenda akale, kudwala ndi kuvulala. Amadzifunsanso za moyo wa wodwala komanso matenda a achibale ake omwe angalandire.

Popeza kuti rheumatology ikugwirizana kwambiri ndi madokotala ena, n'zosadabwitsa kuti matenda omwe adokotala amadziwika nawo ndi ofanana ndi matenda osiyanasiyana, matenda, hematological ndi matenda ena.

Zowonongeka nthawi zambiri zimagwirizanitsa matenda amafunika kulumikiza mwachindunji. Zochita zoterezi zimachitidwa ndi katswiri wamagetsi. Amayendetsa ntchito, amajambulira m'thumba, ndi zina zotero. Pomwe wodwalayo asintha kusintha kwake (kuyika mapeto), wodwalayo wamagetsi amayamba kale kuchita izi.

Zofufuza

Maziko a kukhazikitsa chidziwitso chachikulu ndi njira ya radiography. M'mawu ena, fano lachilendo la X-ray lapangidwa. Malingana ndi zotsatira, dokotala amapanga kuyankhulana kwakukulu. Nthawi zina, rheumatologist ingagwiritse ntchito njira zina zowunikira, koma mafilimu ndi njira yophweka komanso yophunzitsira.

Zithunzizo, kujambula kwa maginito (MRI) ndi computed tomography (CT) zikhoza kusiyanitsidwa. MRI imathandizira kudziŵa momwe zimakhalira minofu yofewa ya wodwalayo, ma disvertebral discs, zipsinjo za mitsempha ndi mitsempha yambiri. Kuti mudziwe zambiri za mafupa, CT imagwiritsidwa ntchito.

Njira yatsopano

Posachedwa, njira yatsopano yodziwiritsira - densitometry - ikupeza kutchuka. Phunziroli liri mu phunziro la minofu. Matenda oterewa ndi ofunika kwambiri pa matenda a mitsempha.

Komanso, rheumatologist imayesa kuyesa magazi ambiri (KLA). Zimakuthandizani kuti muzindikire kutupa thupi komanso zizindikiro zina zomwe zingakuthandizeni kuti mudziwe bwinobwino.

Dokotala wa ana

Kawirikawiri chinthu choyambira ndi chokhazikika. Ngati tikukamba za matenda omwe ali okhudzana ndi makanda, ndiye kuti ayenera kuchiritsidwa ndi dokotala woyenera. Pankhaniyi, ndi rheumatologist ya ana. Izi zikhoza kufotokozedwa ndi zaka zapadera za matenda a rheumatic, kusiyana kwakukulu m'zinthu zina, komanso njira zamankhwala.

Angina, onse omwe ali mwana ndi akuluakulu, ndi omwe amachititsa kuti matenda a rheumatic akule bwino. Ngati mwana wavutika ndi matenda a mphuno, ndiye kuti ikhoza kuthandizira kukula kwa mtima m'tsogolomu. Pa chifukwa chimenechi, mankhwalawa amatha popanda kugwiritsa ntchito mankhwala opha tizilombo.

Mankhwalawa, omwe amachitidwa ndi mwana wa rheumatologist, amachokera ku zinthu zosiyanasiyana ndipo amaganizira kuti ana sayenera kugwiritsa ntchito mankhwala omwe akuluakulu amachiritsira. Ndipo mlingo wa mankhwala ololedwa amasankhidwa mosamala, kuchokera pa thupi lonse la mwanayo ndi kulemera kwake.

Tsopano wowerenga amadziwa yankho la funso lakuti: "Rheumatologist - ndi ndani uyu?" Uyu ndi dokotala yemwe amachititsa matenda a ziwalo ndi mawonekedwe othandizira. Mapulogalamu a rheumatologist akufunikira kwambiri pakalipano. Izi sizosadabwitsa, chifukwa kuwonongeka kwa zachilengedwe, moyo ndi kusowa kwa zakudya m'thupi zimapangitsa kuchepa kwa chitetezo. Matenda a chifuwa chachikulu amatha kupezeka mwa munthu aliyense wachisanu.

Monga tanenera kale, lero akatswiri oyenerera amafunikira. Mu bungwe lalikulu lachipatala mungapeze katswiri wa mafupa a mafupa a mafupa a mafupa, otchuka komanso arthrologist-rheumatologist. Malingaliro ochokera kwa odwala omwe ndi oyenerera kwambiri amalandira amalandira zabwino kwambiri.

Mwamwayi, mu rheumatology mulibe zizindikiro zomwe zimachitika mwamsanga kapena mwamsanga. Kawirikawiri matenda ngati amenewa amatembenukira ku matenda aakulu ndikuzunza munthu m'moyo wake wonse, nthawi ndi nthawi akukula ndi kuwonjezereka. Izi zikutanthauza kuti anthu amakakamizidwa kukachezera a rheumatologist kwa zaka makumi angapo.

Kodi izi zikutanthauza kuti ntchito ya dokotala uyu ndi yopanda chiyembekezo? Ayi, si choncho. Ndi rheumatologist yomwe imapangitsa anthu odwala kumverera bwino, amachepetsa mavuto ndikubwezeretsanso chimwemwe cha moyo. Pamene wodwalayo amakula bwino, dokotala amamuthandiza kupeŵa kuchulukitsa kwapadera. Ichi ndi ntchito yaikulu yapadera iyi.