ʻO ka Nephrology ka loea lapaʻau e pili ana i ka pale ʻana, ʻike a me ka mālama ʻana i nā maʻi puʻupaʻa.

ʻO nā puʻupaʻa (ʻelua mau kino o ke kino) kānana ma kahi o 200 liters o ke koko koko i kēlā me kēia lā. Hoʻopili lākou i nā mea make a me nā ʻōpala metabolic i ka mimi, a laila hoʻihoʻi i nā mea kūpono no ka hana kūpono o ke kino i ke koko. I ke kiʻi, e ʻōlelo mākou he pāʻani lākou no ka hoʻomaʻemaʻe hoʻomaʻemaʻe e kānana i ka wai hoʻowahāwahā o kahi kūlanakauhale. 

Pono nā pathologies he nui e kūkākūkā me kahi nephrologist. Pākuʻi ʻia kēia mau mea:

• a nā mālamalama maikaʻi ʻole huʻi a mau paha;
• o ka colic hōʻeuʻeu ;
• proteinuria (ke kū ʻana o ka protein i ka mimi);
• hematuria (ke kū ʻana o ke koko i ka mimi);
• maʻi nephritic;
• glomerulonephritis;
• a i ʻole nā ​​maʻi maʻi urinary hou.

ʻOi aku ka makaʻu o kekahi poʻe i ka maʻi maʻi kōpaʻa. Eia kekahi mau mea i ʻike ʻia e hoʻonui i ka makaʻu:

• mimikō;
• ke koko kiʻekiʻe;
• puhipaka;
• aiʻole ka momona (3).

ʻO ka nephrologist ka loea o ka hakuʻala. Hana ʻo ia i ka haukapila a mālama ʻo ia i ke ʻano olakino, akā ʻaʻole ka mea ʻoki (ʻo ia ka urologist nāna e hana i nā hana ʻokiʻoki ma nā puʻupaʻa a i ʻole ka maʻi urinary). No kēia, hana ʻo ia i nā hana lapaʻau he nui.

• nīnau mua ʻo ia i kāna mea hoʻomanawanui, ma ke kikoʻī e kiʻi i ka ʻike e pili ana i kekahi ʻohana a i ʻole ka mōʻaukala moʻolelo;
• hana ʻo ia i kahi hoʻokolokolo koʻikoʻi koʻikoʻi;
• hiki iā ia ke hana a kauoha paha i nā hoʻokolokolo ʻana, e like me ka ultrasound o nā puʻupaʻa a me nā wahi urinary, kahi CT scan, kahi scintigraphy renal, kahi biopsy renal, an angiogram;
• hāhai ʻo ia i nā mea maʻi dialysis, mālama i nā hopena ma hope o ka hana o ke kuʻi kolo;
• kēnā ʻo ia i nā lāʻau lapaʻau, a hāʻawi i ka ʻōlelo aʻo papaʻai.

ʻO ke kūkākūkā ʻana me ka nephrologist ʻaʻole pili i kekahi mau pilikia no ka mea maʻi.

Hoʻomaʻamaʻa e lilo i nephrologist ma Palani

I lilo i nephrologist, pono i ka haumāna e loaʻa kahi palapala diploma o nā noiʻi kūikawā (DES) i nephrology.

• ma hope o kāna baccalaureate, pono ʻo ia e ukali mua i 6 mau makahiki ma ke kumu o ka lāʻau.
• i ka hopena o ka makahiki 6, lawe nā haumāna i nā hoʻokolohua hoʻokaʻawale aupuni e komo i ke kula kau. Ma muli o kā lākou hoʻohālikelike ʻana, hiki iā lākou ke koho i kā lākou loea a me kā lākou wahi o ka hoʻomaʻamaʻa. ʻO ka internship i nephrology he 4 mau makahiki a hoʻopau me ka loaʻa ʻana o ka DES i nephrology.

ʻO ka hope, i hiki ke hoʻomaʻamaʻa ma ke ʻano nephrologist a hāpai i ke poʻo o ke kauka, pono nō hoʻi ka haumāna e pale aku i kahi palapala noiʻi.

Hoʻomaʻamaʻa e lilo i nephrologist ma Quebec

Ma hope o ke aʻo ʻana i ke koleke, pono ka haumāna e:

• ukali i ka doctorate i ka lāʻau lapaʻau, mau makahiki 1 a 4 paha (me ka ʻole o ka makahiki hoʻomākaukau no ka lāʻau no nā haumāna i ʻae ʻia me ke koleke a i ʻole ke aʻo ʻana i ke kula i manaʻo ʻia ʻaʻole lawa i nā ʻepekema biolo maoli);
• a laila loea e ka ukali ʻana i nā makahiki 3 o ka lāʻau i loko a me 2 mau makahiki o ka noho ʻana i nephrology.

E hoʻomākaukau i ke kipa

Ma mua o ka hele ʻana i ke kau me kahi nephrologist, he mea nui ka lawe ʻana i nā kauā hou, nā kukuna x, nā scans a i ʻole nā ​​MRI i hana ʻia.

E ʻike i kahi nephrologist:

• i Quebec, hiki iā ʻoe ke nīnau i ka pūnaewele ʻo “Quebec Médecin” (4);
• ma Palani, ma o ka pūnaewele o ka Ordre des médecins (5).

Ke kuhikuhi ʻia ke kūkākūkā ʻana me ka nephrologist e kekahi kauka e hele nei, uhi ʻia e ka Insurance Insurance (France) a i ʻole Régie de lʻassurance maladie du Québec.