Loaʻa pinepine iā ʻoe nā pilikia ʻōpū? Ke pilikia nei hoʻi ʻoe i nā pilikia e like me ka piha ʻana, ke kinoea, ka ʻōpū ʻole, a me ka ʻāʻī? Inā hoʻomau kēia mau pilikia me ka lawe ʻana i ka lāʻau lapaʻau mai ke kauka maʻamau, hiki paha i ka manawa e ʻike ai ʻoe i ke kauka loea i kēia. ʻO kēlā loea ka mea a mākou e kapa nei he 'Gastroenterologist'. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia kauka, kāna hana, a me ka wā e pono ai ʻoe e ʻike iā ia.
I ka ʻōlelo maʻalahi, ʻo wai kēia Gastroenterologist?
ʻO ke kauka Gastroenterologist he kauka loea i nā maʻi e hoʻopilikia ana i kā mākou ʻōnaehana hoʻoheheʻe . E noʻonoʻo, hoʻomaʻamaʻa mua lākou ma ke ʻano he kauka laulā. Ma hope o ko lākou kekelē MBBS, hana lākou ma ke ʻano he kauka laulā no kahi o ʻekolu mau makahiki, e loaʻa ana ka ʻike i nā ʻano maʻi āpau. Ma hope o kēlā, kālele wale lākou i ka ʻōnaehana hoʻoheheʻe, a laila e hana hou i ʻekolu mau makahiki o ke aʻo kūikawā .
Ma hope wale nō o kēia hoʻomaʻamaʻa kūikawā e loaʻa ai iā lākou ka palapala hōʻoia ma ke ʻano he loea ma kēia kahua. ʻAe kēia iā lākou e hana i nā hoʻokolohua kūikawā (e like me ka endoscopy) ʻaʻole hiki i ke kauka maʻamau ke hana, a e kālailai pololei i kēlā mau hōʻike hoʻāʻo e ʻike pololei i ka maʻi.
Aia kekahi mau kauka loea no nā kamaliʻi ʻōpio?
ʻAe, ʻoiaʻiʻo nō. Kāhea mākou iā lākou he 'Pediatric Gastroenterologist'. Hoʻomaʻamaʻa mua kēia mau kauka ma ke ʻano he Pediatrics. A laila, e like me ka mea i ʻōlelo ʻia ma mua, e hele hou lākou i ʻekolu mau makahiki o ke aʻo kūikawā ʻana i nā maʻi o ka ʻōnaehana hoʻoheheʻe a me ke akepaʻa o nā keiki ʻōpio, mai nā pēpē a hiki i nā mākua ʻōpio.
I ka ulu ʻana o ke kino o nā keiki, nānā pono kēia mau kauka i kā lākou meaʻai. ʻAʻole ʻike kahi keiki liʻiliʻi pehea e hōʻike pono ai i kona mau pilikia. No laila, he hiki kūikawā ko kēia mau kauka e hoʻomaopopo pono i nā hōʻailona o kēlā mau keiki a nānā i ko lākou mau kino liʻiliʻi.
He aha nā ʻāpana o ke kino a kēia mau kauka e nānā ai?
Ke lohe ʻoe i ka inoa, manaʻo wale ʻoe i ka ʻōpū (ʻōpū) a me nā naʻau, ʻeā? ʻO 'Gastro' ke ʻano o ka ʻōpū, ʻo 'entero' ke ʻano o nā naʻau. Akā, ke nānā nei kēia poʻe loea i nā ʻāpana he nui aʻe ma mua o kēlā. I ka ʻōlelo maʻalahi, ʻo ka ʻōnaehana holoʻokoʻa, mai kahi a mākou e hoʻokomo ai i ka meaʻai i loko o ko mākou waha a hiki i kahi e hoʻokuʻu ʻia ai ka ʻōpala, hāʻule ia ma lalo o kā lākou mana.
ʻO ia hoʻi:
- Waha a me ka esophagus (Esophagus)
- ʻōpū
- Nā ʻōpū liʻiliʻi a me nā ʻōpū nui
- Ake
- ʻŌpū Gall
- ʻO ka pancreas
- Nā ʻauwai bile
Hoʻōla lākou i nā maʻi e hoʻopilikia ana i kēia mau ʻōkana a pau.
No ke aha lā mākou e pono ai e ʻike i ia ʻano loea?
E noʻonoʻo he ʻeha mau kou ʻōpū. Ua lawe ʻoe i ka lāʻau lapaʻau mai ke kauka lapaʻau maʻamau, akā ʻaʻole lawa. I kēlā mau hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kēlā ʻano loea. A i ʻole, inā ua ʻike mua ʻoe he maʻi ʻōpū koʻikoʻi kou (e like me ka 'Inflammatory Bowel Disease'), ʻoi aku ka maikaʻi o ka ʻike ʻana i kēlā ʻano loea e loaʻa ai ka lāʻau maikaʻi loa.
ʻO ka pōmaikaʻi o ka ʻike ʻana i kahi loea, ʻo ia ka hana ʻana i nā noiʻi hou aku, hana i nā hoʻokolohua hou aku, a ʻoi aku ka ʻike ma kēia kahua ma mua o nā kauka ʻē aʻe. No laila, hiki iā lākou ke ʻike koke a pololei i ka maʻi, a mālama iā ia me nā pilikia liʻiliʻi.
He aha nā maʻi maʻamau a kēia mau kauka e mālama ai?
Nui nā maʻi a ke kauka gastroenterologist e mālama ai. E hoʻokaʻawale kākou iā lākou i nā ʻano.
| Māhele maʻi | Nā Laʻana |
|---|---|
| Nā maʻi ʻōpū a me nā ʻōpū |
|
| Nā maʻi e pili ana i ka pharyngitis | |
| Nā maʻi ate | |
| ʻO nā maʻi e pili ana i ka pancreas, gallbladder, a me nā ʻāpana bile |
He aha nā hōʻailona e pono iaʻu e haʻi aku i ke kauka ?
Inā ʻoe e hele ana e ʻike i kahi loea e like me kēia, he mea nui loa ia e wehewehe pono i nā pilikia āpau āu e loaʻa nei. ʻOiai kahi mea liʻiliʻi hiki ke lilo i mea kōkua nui i ka ʻike ʻana i ka maʻi.
| Nā hōʻailona maʻamau paha i loaʻa iā ʻoe |
|---|
|
He aha nā hoʻokolohua e hana ai kahi gastroenterologist?
ʻO ka mea mua, e nānā kino ke kauka iā ʻoe. E pā lākou i kou ʻōpū a hoʻolohe i kou umauma me kahi stethoscope. Hiki iā lākou ke hoʻokomo i kahi manamana lima i loko o kou rectum e nānā i kou rectum. A laila, hiki iā lākou ke kauoha i nā hoʻokolohua e like me nā hoʻokolohua koko, nā hoʻokolohua ʻōpala, a i ʻole nā X-ray.
Eia nō naʻe, inā ʻaʻole hāʻawi kēia mau hoʻokolohua i kahi kiʻi maopopo o ka maʻi, e hana lākou i kahi hoʻokolohua kūikawā i kapa ʻia ʻo endoscopy .
He aha kēia ʻano endoscopic?
I ka ʻōlelo maʻalahi, pili kēia i ke kau ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela liʻiliʻi i hoʻopili ʻia i loko o ke kino, e ʻae ana i ke kauka e ʻike i nā ʻōpū i loko ma kahi monitor me nā maka ʻelua. ʻAʻole kēia he ʻoki kino.
Aia kekahi mau hoʻāʻo nui i hana ʻia me ka hoʻohana ʻana i kēia ʻano hana:
- ʻO ka Endoscopy Kiʻekiʻe (EGD): ʻO ke komo ʻana i kahi ʻōmole ma o ka waha e nānā i ka esophagus, ka ʻōpū, a me ka hapa mua o ka ʻōpū liʻiliʻi.
- Colonoscopy: Ma kēia, hoʻokomo ʻia kahi ʻōmole ma o ka rectum a nānā ʻia ke kolona holoʻokoʻa.
- ʻO ka Endoscopic Ultrasound: Hoʻopili ʻia kahi scanner ultrasound i ka hopena o ka ʻōmole endoscope a nānā ʻia nā ʻōpū a puni e like me ke akepaʻa a me ka gallbladder.
- Polypectomy:Inā ʻike ʻia kahi polyp ma ka kolona i ka wā o ka hoʻokolokolo ʻana, ʻoki ʻia a wehe ʻia me kahi mea liʻiliʻi i hoʻokomo ʻia ma o ka ʻōmole.
ʻAʻole hiki i kēia mau hoʻokolohua ke kuhikuhi wale i kahi kikoʻī o ka maʻi, akā inā pono , hiki ke wehe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) a hoʻouna ʻia no ka hoʻāʻo ʻana. Eia kekahi, hiki ke hoʻohana ʻia kēia ʻano hana e hana i nā lāʻau lapaʻau liʻiliʻi, e like me ke kāohi ʻana i ke kahe ʻana o ke koko a i ʻole ka wehe ʻana i kahi wahi i paʻa.
Ke mālama nei kēia mau kauka i ka maʻi kanesa?
ʻAe. Inā loaʻa iā ʻoe ka maʻi kanesa i loko o ka ʻōnaehana hoʻoheheʻe, ʻo ia ka mea hiki ke ʻike mua ʻia e kahi Gastroenterologist. Hiki iā lākou ke hoʻohana i ka endoscopy a me ka biopsy e ʻike i nā puʻupuʻu kanesa, wehe iā lākou, a hoʻoholo i ke ʻano o ke kanesa.
Inā ua hōʻoia ʻia ka maʻi kanesa, hiki iā lākou ke kōkua i ka hoʻoholo ʻana i ka mamao o kona laha ʻana (ka 'kahua'). Hiki ke wehe loa ʻia kekahi mau maʻi kanesa mua ma o ka 'endoscopy' me ke ʻoki ʻole ʻana.
He mea koʻikoʻi loa ke kuleana o kēia mau loea i ka ʻike ʻana a me ka mālama ʻana i nā maʻi e like me ke kanesa ʻōpū, ke kanesa kolona, ke kanesa akepaʻa, a me ke kanesa pancreatic.
Leka Lawe-Home
- He kauka lapaʻau ka gastroenterologist i loea i nā maʻi o kāu ʻōnaehana hoʻoheheʻe holoʻokoʻa (mai kou waha a i kou anus).
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha mau o ka ʻōpū, ke kinoea, ka paʻa ʻana o ka ʻōpū, ka maʻi kahe, a i ʻole ka ʻeha o ka umauma i hoʻomaikaʻi ʻole ʻia me nā lāʻau lapaʻau maʻamau, he mea nui e ʻike i kekahi loea e like me kēia.
- ʻAʻole he mau hana ʻoki kino ka Endoscopy a me ka colonoscopy. He mau hoʻokolohua koʻikoʻi loa ia i hoʻohana ʻia no ka ʻike ʻana i nā maʻi a i kekahi manawa hana i nā lāʻau lapaʻau liʻiliʻi.
- Inā loaʻa iā ʻoe kekahi mau pilikia ʻōpū, mai hoʻowahāwahā iā lākou. ʻO ka ʻimi ʻana i ka ʻōlelo aʻo a kahi loea kūpono i ka manawa kūpono e hiki ke kōkua i ka pale ʻana i nā maʻi koʻikoʻi.
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