Okuqukethwe
I-Otorhinolaryngology
Yini i-otolaryngology?
I-Otolaryngology, noma i-ENT, ubuchwepheshe obukhethekile bezokwelapha obuzinikele ezifweni nasekuphazamisweni kwe- "ENT sphere", okungukuthi:
- indlebe (ngaphandle, maphakathi nangaphakathi);
- ikhala nezinsimbi;
- umphimbo nentamo (umlomo, ulimi, umphimbo, uqhoqhoqho);
- izindlala zamathe.
Ngakho-ke i-ENT inentshisekelo yokuzwa, izwi, ukuphefumula, iphunga nokunambitha, ibhalansi, nobuhle bobuso (3). Kubandakanya ukuhlinzwa kwe-cervico-facial.
Izimo eziningi nokungajwayelekile kungalawulwa yi-otolaryngologist, ngoba zonke izitho zomkhakha we-ENT zingathinteka ku:
- ukukhubazeka kokuzalwa;
- izimila;
- izifo noma ukuvuvukala;
- ukuhlukumezeka noma ukulimala;
- ukonakala (ikakhulukazi ukungezwa);
- ukukhubazeka (ebusweni, laryngeal);
- kepha futhi, izinkomba zokuhlinzwa kwepulasitiki nobuhle ebusweni nasentanyeni.
Uxhumana nini ne-ENT?
I-otolaryngologist (noma i-otolaryngologist) ibandakanyeka ekwelapheni izifo eziningi. Nalu uhlu olungaphelelanga lwezinkinga ezinganakekelwa ku-ENT:
- emlonyeni:
- ukususwa (ukukhishwa) kwamathoni, adenoid adenoids;
- izimila zezindlala noma izifo;
- izimila zomlomo, ulimi.
- ekhaleni:
- isiminyaminya esingamahlalakhona;
- snoring et apnea ;
- i-sinusitis ;
- i-rhinoplasty (ukuhlinzekela “ukwenza kabusha” ikhala);
- ukuphazamiseka kwephunga.
- izifo zendlebe phinda;
- ukulahlekelwa ukuzwa noma ukungezwa;
- indlebe (ubuhlungu bendlebe);
- tinnitus ;
- ibhalansi ukuphazamiseka, isiyezi.
- izifo zezwi;
- i-stridor (umsindo lapho uphefumula);
- Izinkinga ze-thyroid (ngokubambisana ne-endocrinologist);
- i-reflux gastro-laryngé;
- umdlavuza we-laryngeal, uquqaba lomlomo wesibeletho
- ezingeni lezindlebe:
- emphinjeni:
Yize i-pathologies emkhakheni we-ENT ingathinta wonke umuntu, kunezici ezithile zobungozi ezaziwayo, phakathi kokunye:
- ukubhema;
- ukuphuza ngokweqile;
- ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile (ukuhogela, i-apnea…);
- iminyaka yobudala: izingane zithambekele kakhulu ekungenweni yizindlebe nezinye izifo ze-ENT kunabantu abadala.
Wenzani u-ENT?
Ukufika ekuxilongweni nasekuboneni umsuka wezifo, i-otolaryngologist:
- ubuza isiguli sakhe ukuthola ubunjalo bezinkinga, usuku lwazo lokuqala kanye nemodi yazo yokuzibangela, izinga lokungazizwa okuzwayo;
- yenza ukuhlolwa komtholampilo kwezitho ezibuzwayo, isebenzisa izinsimbi ezifanele ikhala, izindlebe noma umphimbo (ama-spatula, i-otoscope, njll.);
- ingahle ibhekane nokuhlolwa okwengeziwe (isibonelo, i-radiography).
Ngokuya ngenkinga kanye nokwelashwa okuzonikezwa, i-otolaryngologist ingasebenzisa:
- ezidakamizweni ezahlukahlukene;
- kuma-fibroscopies noma ama-endoscopy, ukubona ngeso lengqondo ingaphakathi lepheshana lokuphefumula ngokwesibonelo;
- ukungenelela kokuhlinzwa (i-ENT kuyinto ekhethekile yokuhlinzwa), noma ngabe kuyisilonda, ukuzivuselela noma ukungenelela kokwakha kabusha;
- okufakelwa noma okufakelwa;
- ukuvuselelwa.
Ziyini izingozi ngesikhathi sokubonisana kwe-ENT?
Ukubonisana nodokotela we-otolaryngologist akubandakanyi izingozi ezithile zesiguli.
Ungaba kanjani i-ENT?
Yiba yi-ENT eFrance
Ukuze ube yi-otolaryngologist, umfundi kufanele athole idiploma yezifundo ezikhethekile (i-DES) ku-ENT nokuhlinzwa kwekhanda nentamo:
- kumele aqale ngokulandela, ngemuva kwe-baccalaureate yakhe, unyaka wokuqala ezifundweni zezempilo. Qaphela ukuthi isilinganiso sabafundi abangaphansi kwama-20% bayakwazi ukuwela leli qophamlando;
- ekupheleni konyaka wesithupha, abafundi bathatha izivivinyo zokuhlukanisa izwe ukuze bangene esikoleni okuhlalwa kuso. Ngokuya ngezigaba zabo, bazokwazi ukukhetha okukhethekile kanye nendawo yabo yokusebenza. I-otolaryngology internship ihlala iminyaka engu-6 (ama-semesters ayi-5, kufaka phakathi i-10 ku-ENT nokuhlinzwa kwekhanda nentamo kanye ne-6 kokunye okukhethekile, kufaka phakathi okungenani i-4 ekuhlinzweni).
Ekugcineni, ukuze akwazi ukuziqeqesha njengodokotela wezingane futhi abambe isihloko sobudokotela, umfundi kumele futhi avikele ithisisi yocwaningo.
Yiba yi-ENT eQuebec
Ngemuva kwezifundo zasekolishi, umfundi kumele aqedele ubudokotela kwezokwelapha. Lesi sigaba sokuqala sithatha iminyaka eyi-1 noma eyi-4 (unyaka wokulungiselela noma ongenawo wezokwelapha wabafundi abavunyelwe ukuqeqeshwa ekolishi noma eyunivesithi okubhekwa njengokwanele kwizayensi eyisisekelo yezinto eziphilayo). Ngemuva kwalokho, umfundi kuzofanele agxile ngokulandela ukuhlala e-otolaryngology nasekuhlinzweni kwekhanda nentamo (iminyaka emi-5).
Lungiselela ukuvakasha kwakho
Ngaphambi kokuya kwi-aphoyintimenti ne-ENT, kubalulekile ukuthatha noma yiziphi izivivinyo zokucabanga noma zebhayoloji esivele zenziwe.
Kubalulekile ukuqaphela izici zobuhlungu (ubude besikhathi, ukuqala, imvamisa, njll.), Ukubuza ngomlando womndeni wakho nokuletha imiyalelo eyahlukahlukene.
Ukuthola udokotela we-ENT:
- eQuebec, ungathinta iwebhusayithi ye-Association d'oto-rhino-laryngologie et deirurgie cervico-faciale du Quebec4, enikezela umkhombandlela wamalungu abo.
- eFrance, ngewebhusayithi ye-Ordre des médecinsâ ?? µ noma i-Syndicat national des médecins ekhethekile ku-ENT nokuhlinzwa kwe-cervico-facial6, okunikeza umkhombandlela.
Ukubonisana nodokotela we-otolaryngologist kumbozwe yi-Health Insurance (France) noma iRégie de l'assurance maladie du Québec.