Ke pilikia nei ʻoe me kou ʻōpū a i ʻole kou naʻau? E kamaʻilio kākou e pili ana i kahi gastroenterologist!

I kekahi manawa loaʻa iā mākou nā ʻano pilikia ʻōpū like ʻole. ʻEha ka ʻōpū, pehu mākou, manaʻo mākou ʻaʻole hiki iā mākou ke hoʻoheheʻe i ka meaʻai ... He mea hoʻonāukiuki maoli ia ke hana mau ʻia nā mea e like me kēia, ʻeā? No laila, ua ʻike anei ʻoe aia kekahi kauka loea i nā maʻi e pili ana i ka ʻōnaehana hoʻoheheʻe? Ua kapa ʻia kēlā kauka he gastroenterologist . E kamaʻilio kākou e pili ana i kēia lā me nā kikoʻī hou aku.

ʻO wai ka mea he gastroenterologist?

I ka ʻōlelo maʻalahi, he kauka gastroenterologist i loea i nā maʻi o kāu ʻōnaehana hoʻoheheʻe - ʻo ia hoʻi, nā ʻōpū āpau e pili ana i ka hoʻoheheʻe ʻana. Hoʻomaʻamaʻa mua lākou ma ke ʻano he kauka lapaʻau maʻamau. Ma hope o ʻekolu mau makahiki o ke kula lapaʻau, loaʻa iā lākou ka ʻike i ka mālama ʻana i nā ʻano maʻi āpau. A laila, i mea e lilo ai i gastroenterologist, pono lākou e aʻo kūikawā no ʻekolu mau makahiki hou e pili ana i nā maʻi o ka ʻōnaehana hoʻoheheʻe. ʻO ka hope loa, loaʻa iā lākou kahi palapala hōʻoia kūikawā "palapala hōʻoia". ʻO kēia ka mea e ʻōlelo nei he poʻe loea lākou i nā maʻi o ka ʻōnaehana hoʻoheheʻe. Eia kekahi, loaʻa iā lākou nā hōʻoia kūikawā e hana i kekahi mau hoʻokolohua a me nā lāʻau lapaʻau ʻaʻole hana ʻia e nā kauka maʻamau, a e hoʻomaopopo i nā hopena o lākou.

Aia kekahi loea i ka ʻōnaehana hoʻoheheʻe o nā keiki ʻōpio? (Pediatric Gastroenterologist)

ʻAe, aia maoli nō. Kāhea mākou iā lākou he `(Pediatric Gastroenterologist)`. Hoʻomaʻamaʻa mua ʻia kēia mau kauka ma ke ʻano he `(Pediatrician)`. A laila loaʻa iā lākou ma kahi o ʻekolu mau makahiki o ke aʻo kūikawā i ka ʻōnaehana hoʻoheheʻe. Hoʻoikaika nui lākou i nā maʻi o ka ʻōnaehana hoʻoheheʻe a me ke akepaʻa o nā pēpē, nā kamaliʻi liʻiliʻi, a me nā keiki liʻiliʻi . Hopohopo nui lākou i ka meaʻai o nā keiki. Hoʻomaʻamaʻa kūikawā ʻia kēia poʻe e ʻike i nā hōʻailona o nā keiki a e nānā i loko o ko lākou kino liʻiliʻi.

He aha nā ʻāpana o ke kino e nānā ai ka gastroenterologist?

Ke lohe ʻoe i kēia inoa - (Gastroenterologist) - ʻo 'Gastro' ke ʻano o ka ʻōpū , ʻo 'entero' ke ʻano o nā ʻōpū . ʻO 'ologist' ke ʻano o ka loea. No laila, ʻo ka ʻōpū a me nā ʻōpū nui. Akā, ʻoi aku ka nui o kā mākou ʻōnaehana hoʻoheheʻe ma mua o kēlā.

E noʻonoʻo e pili ana i ia mea, hoʻomaka kēia ʻōnaehana mai ka waha mai i ka wā e ʻai ai kākou.

ʻO ka mea aʻe , no ia ka ʻāʻī, ka esophagus, ka ʻōpū , ka ʻōpū liʻiliʻi , a me ka ʻōpū nui .

ʻAʻole wale kēlā, akā pili pū nā ʻōpū e hana ana i ka bile a me nā enzyme digestive e kōkua ana i ka hoʻoheheʻe ʻana i ka meaʻai. ʻO lākou kēia:

• Ake
• ʻO ka ʻōpū gall (kahi e hōʻiliʻili ʻia ai ka bile mai ke akepaʻa a mālama ʻia)
• ʻO ka pancreas
• Nā ʻauwai bile (nā ʻauwai e lawe ana i ka bile)

No laila, ke nānā nei kahi gastroenterologist i nā maʻi e kū nei i kēia mau ʻōpū āpau .

No ke aha mākou e pono ai e ʻike i kahi gastroenterologist?

He nīnau maikaʻi. Loaʻa paha iā ʻoe nā hōʻailona o ka ʻōpū (e.g., ʻeha ʻōpū, diarrhea, constipation), akā ʻaʻole hiki i kāu kauka ʻohana maʻamau ke ʻike iā ia, a i ʻole ʻaʻole paha e pono nā lāʻau lapaʻau a lākou e kuhikuhi ai. I kēlā hihia, he manaʻo maikaʻi e ʻike i kahi loea.

A i ʻole, inā ua ʻike mua ʻoe he maʻi ʻōpū koʻikoʻi kou (e like me IBD), ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi loea e loaʻa ai ka lāʻau maikaʻi loa no ia.

Ma muli o ka hoʻomau ʻana o kēia mau kauka loea i ka noiʻi, ka noiʻi ʻana, a me ka hoʻāʻo ʻana no kēia ʻano maʻi, ʻoi aku ka maikaʻi o ko lākou hiki ke ʻike pololei a wikiwiki i ka maʻi, a mālama iā ia me nā pilikia liʻiliʻi .

He aha nā maʻi nui a ka gastroenterologist e mālama ai?

Nui nā maʻi . E nānā kākou i kekahi o nā mea nui.

Nā maʻi ʻōpū:

• ʻO ka Irritable Bowel Syndrome (IBS), kahi maʻi e hoʻoulu ai i ka maʻi diarrhea pinepine a i ʻole ka constipation
• ʻO ka maʻi ʻōpū mumū (IBD) (ʻo ia hoʻi ka maʻi a Crohn a me ka Ulcerative Colitis)
• ʻO ka maʻi Celiac , kahi maʻi allergy i ka gluten protein i loaʻa i ka palaoa huita
• Ka ulu nui ʻana o ka bacteria liʻiliʻi o ka ʻōpū (SIBO)
• Nā maʻi ʻaleka meaʻai a me nā intolerances i nā meaʻai like ʻole
• Nā ʻōpū ʻeha
• ʻO Diverticulitis ( nā ʻeke liʻiliʻi e hana ʻia i loko o ka ʻōpū nui a lilo i maʻi )
• ʻO ka Appendicitis (pono pinepine kēia i ke ʻoki ʻana)
• Nā ulu liʻiliʻi ma ka ʻōpū nui i kapa ʻia ʻo "Colorectal polyps" (he mea nui e wehe i kēia mau mea no ka mea hiki iā lākou ke lilo i ka maʻi kanesa)
• Nā ʻōpū hemorrhoids

Nā maʻi ʻōpū:

• Nā pilikia ale ʻana
• ʻO ka maʻi Gastroesophageal Reflux Disease (GERD) kahi maʻi i hoʻokumu ʻia e ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka esophagus (kapa mākou i kēia acid reflux).
• ʻO ka ʻōpū
• ʻO nā hernias hiatal ( ʻāpana o ka ʻōpū e puka ana i loko o ka umauma )

Nā maʻi o ke akepaʻa:

• ʻO ka maʻi hepatitis viral (e.g. hepatitis B, C)
• Ka hōʻino ʻana o ke akepaʻa ma muli o nā mea ʻawahia (Hepatitis ʻawahia)
• Maʻi ake momona
• ʻO ka Cirrhosis ( paʻakikī o ke akepaʻa )

Nā maʻi o ka ʻōpū, ka ʻōpū biliary a me ka gallbladder:

• Nā pōhaku ʻōpū
• ʻO ke kōleʻa koko
• ʻO ka maʻi pancreatitis

He aha nā hōʻailona āu e pono ai e haʻi aku i kahi gastroenterologist?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui loa ia e haʻi aku i kahi loea:

• ʻEha ʻōpū
• ʻŌpū pehu
• Nā pilikia ʻōpū, indigestion
• ʻEha kinoea a me ke kinoea
• Ka luaʻi a me ka luaʻi
• Ke kahe koko ʻana o ka rectal (hiki ke ʻulaʻula a ʻeleʻele paha kēia)
• Ka maʻi kahe (ka neʻe pinepine ʻana o ka ʻōpū)
• Ka paʻa ʻana o ka ʻōpū a i ʻole ka paʻakikī o ka poop
• ʻO ka pohō kaumaha a i ʻole ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia
• ʻO ka ʻāʻī (e like me GERD)
• Melemele o ka ʻili a me nā maka (Jaundice)

He aha ka hana a kahi Gastroenterologist?

ʻO ka mea mua, e nānā kino ke kauka iā ʻoe. E pā lākou i kou ʻōpū, e hoʻolohe me kahi paipu, a e hoʻokomo paha i kahi manamana lima i loko o kou rectum (digital rectal exam).

A laila, hiki iā lākou ke kauoha i nā hoʻāʻo koko , nā hoʻāʻo ʻana i ka noho , a i ʻole nā ​​​​hoʻāʻo kiʻi waho e like me nā X-ray e loaʻa ai ka ʻike hou aku.

Eia nō naʻe, inā ʻaʻole hiki i kēia mau hoʻokolohua wale nō ke hōʻoia pololei i ka maʻi, ua hoʻomaʻamaʻa kūikawā ʻia nā gastroenterologists e hana i nā kaʻina hana endoscopic .

He aha ka endoscopy?

I ka ʻōlelo maʻalahi, pili kēia i ke komo ʻana i kahi ʻōmole lōʻihi, lahilahi, a palupalu (i kapa ʻia he endoscope) me kahi kāmela i hoʻopili ʻia i loko o ke kino a nānā pololei i nā ʻōpū o loko. Hiki i kēia ke hāʻawi i ka ʻike nui.

Aia kekahi mau ʻano nui o nā hoʻāʻo endoscopy:

• ʻO ka endoscopy kiʻekiʻe (EGD): Pili kēia i ka nānā ʻana i ka esophagus, ka ʻōpū, a me ka hapa mua o ka ʻōpū liʻiliʻi (duodenum) me kahi paipu i hoʻokomo ʻia ma ka waha.
• ʻO ka endoscopy ʻōpū liʻiliʻi (`Enteroscopy`): Hoʻohana ʻia kēia e nānā i ka ʻōpū liʻiliʻi holoʻokoʻa.
• Colonoscopy: Ua lohe ka poʻe he nui i kēia. Hoʻokomo ʻia kahi ʻōmole ma o ka anus a nānā ʻia ka ʻōpū nui holoʻokoʻa (colon).
• ʻO ka ultrasound Endoscopic: Hoʻopili ʻia kahi ʻāpana liʻiliʻi o kahi mīkini ultrasound i ka hopena o ka endoscope a nānā ʻia nā ʻiʻo hohonu o nā ʻōpū o loko (ʻoi aku ka gallbladder a me ka pancreas).
• ERCP (Endoscopic Retrograde Cholangiopancreatography): He hoʻāʻo paʻakikī iki kēia. Hana ʻia ia e like me ka endoscopy luna, a hoʻokomo ʻia kahi mea kūikawā i loko o nā ʻauwai bile a me nā ʻauwai pancreatic a lawe ʻia kahi X-ray.
• Polypectomy: Wehe ʻana i nā ulu liʻiliʻi (polyps) i loko o ka ʻōpū a i ʻole nā ​​​​​​ʻōpū i ka wā o ka endoscopy.

ʻAʻole wale nā ​​hoʻāʻo Endoscopy e kōkua i ka ʻike pololei ʻana i ke ʻano o ka maʻi, akā he mau pono ʻē aʻe ko lākou. Hiki i ke kauka ke hoʻouna i nā mea hana liʻiliʻi ma o ka endoscope a lawe i nā laʻana ʻiʻo (biopsies) a hoʻouna iā lākou i ka hale hana. Hiki iā lākou ke hana i nā lāʻau lapaʻau liʻiliʻi . No ka laʻana, hiki iā lākou ke hoʻonui i kahi wahi i paʻa, hoʻōki i ke kahe koko, a wehe paha i nā puʻupuʻu liʻiliʻi ma mua o ke ʻoki ʻana. I nā hihia he nui, hiki ke hana koke ʻia.

Hoʻōla pū nā gastroenterologists i ka maʻi kanesa?

ʻAe, i ka hapanui o ka manawa, ʻo ka gastroenterologist ka mea mua e ʻike i ke kanesa i loko o ka ʻōnaehana hoʻoheheʻe (e like me ka ʻōpū, nā ʻōpū, esophagus, akepaʻa, pancreas, gallbladder). Hiki iā lākou ke hoʻohana i ka endoscopy a me ka biopsy e ʻike i nā ulu ʻana o ke kanesa a lawe i nā laʻana e hōʻoia i ka hōʻailona.

Inā ua hōʻoia ʻia ka maʻi kanesa, hiki ke hana ʻia nā hoʻokolohua endoscopic hou aʻe e ʻike i ka mamao o kona laha ʻana (i kapa ʻia ʻo 'staging').

I kekahi mau hihia, hiki i nā gastroenterologists ke wehe i kekahi mau ʻano maʻi kanesa ma o ka endoscope (dissecting) a luku paha iā lākou me nā lasers.

ʻO nā ʻano maʻi kanesa e pili nui ana iā lākou:

• Ka maʻi ʻōpū
• Ka maʻi ʻaʻai colorectal
• Ka maʻi ʻaʻai ʻōpū
• Ka maʻi ʻaʻai ate
• Ka maʻi ʻaʻai pancreatic
• Ka maʻi ʻaʻai ʻōpū
• Ka maʻi ʻaʻai ʻauwai bile

ʻAʻole wale ia, akā, pono paha i kekahi kanaka me kekahi ʻano maʻi kanesa ʻē aʻe ke kōkua o kahi gastroenterologist e ʻike inā ua laha ka maʻi kanesa i ka ʻōnaehana hoʻoheheʻe ʻana, a i ʻole e hoʻokele i nā hopena ʻaoʻao o nā lāʻau lapaʻau kanesa (e.g., `(Chemotherapy)`, `(Radiation therapy)`) e hoʻopilikia ana i ka ʻōnaehana hoʻoheheʻe ʻana (e.g., nā ʻeha waha/ʻōpū `(Mucositis)`, `(Radiation enteritis)`, nausea, luaʻi, diarrhea, constipation, nā hemahema meaʻai).

He aha ka ʻokoʻa ma waena o kahi Gastroenterologist a me kahi Proctologist?

He nīnau maikaʻi. ʻAʻole hoʻohana pinepine ʻia ka huaʻōlelo "proctologist" i kēia mau lā. Akā, ʻoi aku ka lohe pinepine ʻia o ka huaʻōlelo "colorectal surgeon ".

I ka ʻōlelo maʻalahi, he "Proctologist" a i ʻole "Colorectal surgeon" he mau kauka ʻoki kino . Ua hoʻomaʻamaʻa kūikawā ʻia lākou e hana i ke ʻoki kino ma nā maʻi o ka colon, rectum, a me ka anus. Hoʻolilo lākou ma kahi o ʻelima mau makahiki ma ke ʻoki kino maʻamau ma hope o ke kula lapaʻau, a laila loaʻa iā lākou ke aʻo kūikawā ma ka ʻāpana colorectal.

Eia nō naʻe, he loea lapaʻau ka gastroenterologist, ʻaʻole he kauka ʻoki . ʻO kāna hana nui ka ʻike ʻana i nā maʻi, mālama iā lākou me nā lāʻau lapaʻau, a hana i nā hoʻokolohua e like me ka endoscopy.

Hiki i kahi gastroenterologist ke haʻi iā ʻoe inā pono ʻoe i ke ʻoki kino a i ʻole. Akā, ʻaʻole ʻo ia e hana i ke ʻoki kino. Kuhikuhi ʻo ia iā ʻoe i kahi kauka ʻoki kino colorectal. ʻO kēia ka ʻokoʻa nui.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He ʻōnaehana paʻakikī a pili pū ko kākou ʻōnaehana hoʻoheheʻe ʻana o nā kino. He hana mau ia o ka wāwahi ʻana i ka meaʻai a kākou e ʻai ai, ka omo ʻana i nā meaolaola a kākou e pono ai, a me ka hoʻokuke ʻana aku i nā mea ʻōpala. No laila, inā hewa kekahi mea me kēia ʻōnaehana, e ʻike ko kākou kino.

He mea maʻamau ka ʻeha o ka ʻōpū a me nā pilikia o ka ʻōpū. Akā, ʻaʻole maʻalahi ka ʻike pono i ke kumu o ia mau mea. ʻO ia ka manawa e pono ai ke kōkua o kahi loea. Hiki i kahi gastroenterologist ke hoʻomaopopo i ke ʻano o ka hana pū ʻana o kēia mau ʻōkana āpau, e ʻike pono i ka mea hewa me kāu ʻōnaehana ʻōpū, a hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai.

No laila, inā loaʻa iā ʻoe ka ʻeha mau o ka ʻōpū a i ʻole nā ​​pilikia o ka ʻōpū, mai makaʻu e ʻike i kahi gastroenterologist. Hiki iā ia ke hāʻawi iā ʻoe i ka hōʻoluʻolu nui.

ʻŌnaehana hoʻoheheʻe, gastroenterologist, maʻi ʻōpū, endoscopy, colonoscopy, akepaʻa, ʻōpū