Koj puas muaj teeb meem nrog koj lub plab lossis txoj hnyuv? Cia peb tham txog tus kws kho mob plab!

Qee zaum peb muaj ntau yam teeb meem plab. Mob plab, peb xav tias o, peb xav tias peb tsis tuaj yeem zom zaub mov ... Nws yog qhov ntxhov siab heev thaum tej yam zoo li no tshwm sim, puas yog? Yog li, koj puas paub tias muaj ib tug kws kho mob uas tshwj xeeb hauv cov kab mob ntsig txog lub cev zom zaub mov? Tus kws kho mob ntawd hu ua kws kho mob plab hnyuv . Cia peb tham txog nws kom ntxaws ntxiv hnub no.

Leej twg yog tus kws kho mob plab hnyuv?

Hais yooj yim xwb, tus kws kho mob plab hnyuv yog tus kws kho mob uas tshwj xeeb hauv cov kab mob ntawm koj lub cev zom zaub mov - uas yog, txhua lub cev uas koom nrog kev zom zaub mov. Lawv xub kawm ua cov kws kho mob dav dav. Tom qab peb xyoos ntawm tsev kawm ntawv kho mob, lawv tau txais kev paub txog kev kho txhua yam kab mob. Tom qab ntawd, kom dhau los ua tus kws kho mob plab hnyuv, lawv yuav tsum kawm tshwj xeeb rau peb xyoos ntxiv txog cov kab mob ntawm lub cev zom zaub mov. Thaum kawg, lawv tau txais daim ntawv pov thawj tshwj xeeb "daim ntawv pov thawj". Qhov no yog qhov hais tias lawv yog cov kws tshwj xeeb hauv cov kab mob ntawm lub cev zom zaub mov. Tsis tas li ntawd, lawv muaj kev tsim nyog tshwj xeeb los ua qee qhov kev kuaj mob thiab kev kho mob uas cov kws kho mob dav dav tsis ua, thiab nkag siab txog cov txiaj ntsig ntawm lawv.

Puas muaj ib tug kws tshwj xeeb hauv kev zom zaub mov ntawm cov menyuam yaus? (Kws kho mob plab hnyuv rau menyuam yaus)

Yog, muaj tiag. Peb hu lawv ua '(Kws Kho Mob Plab Hnyuv Me Nyuam)'. Cov kws kho mob no tau kawm ua '(Kws Kho Mob Me Nyuam)'. Tom qab ntawd lawv tau txais kev cob qhia tshwj xeeb txog peb xyoos ntxiv hauv kev zom zaub mov. Lawv tsom mus rau cov kab mob ntawm kev zom zaub mov thiab daim siab ntawm cov menyuam mos, cov menyuam yaus me, thiab cov menyuam yaus . Lawv txhawj xeeb tshwj xeeb txog kev noj zaub mov ntawm cov menyuam yaus. Cov neeg no tau kawm tshwj xeeb los paub txog cov tsos mob ntawm cov menyuam yaus thiab los tshuaj xyuas sab hauv ntawm lawv lub cev me.

Tus kws kho mob plab hnyuv tsom mus rau qhov twg ntawm lub cev?

Thaum koj hnov ​​lub npe no - (Gastroenterologist) - 'Gastro' txhais tau tias lub plab , 'entero' txhais tau tias txoj hnyuv . 'ologist' txhais tau tias kws tshwj xeeb. Yog li, feem ntau yog lub plab thiab txoj hnyuv. Tab sis, peb lub cev zom zaub mov loj dua li ntawd.

Xav txog nws, lub kaw lus no pib ntawm lub qhov ncauj thaum peb noj mov.

Tom ntej no , lub caj pas, txoj hlab pas, lub plab , txoj hnyuv me , thiab txoj hnyuv loj yog nws li.

Tsis yog li ntawd xwb, tab sis cov kab mob uas tsim cov kua tsib thiab cov enzymes zom zaub mov uas pab zom zaub mov kuj koom nrog. Lawv yog:

• Siab
• Lub zais zis (qhov chaw uas cov kua tsib los ntawm lub siab raug sau thiab khaws cia)
• Pancreas
• Cov kav dej kua tsib (cov raj uas nqa cov kua tsib)

Yog li tus kws kho mob gastroenterologist nrhiav cov kab mob uas tshwm sim hauv txhua lub cev no .

Vim li cas peb thiaj yuav tsum mus ntsib kws kho mob gastroenterologist?

Lo lus nug zoo. Tej zaum koj muaj cov tsos mob ntawm kev zom zaub mov (piv txwv li, mob plab, raws plab, cem quav), tab sis koj tus kws kho mob tsev neeg ib txwm yuav tsis tuaj yeem kuaj mob, lossis cov tshuaj uas lawv sau rau yuav tsis zoo. Yog li ntawd, nws yog ib lub tswv yim zoo kom mus ntsib kws kho mob tshwj xeeb.

Los yog, yog tias koj twb paub lawm tias koj muaj mob plab hnyuv loj heev (xws li IBD), nws yog qhov zoo tshaj plaws mus ntsib kws kho mob tshwj xeeb kom tau txais kev kho mob zoo tshaj plaws rau nws.

Vim tias cov kws kho mob tshwj xeeb no yeej ib txwm tshawb nrhiav, tshawb nrhiav, thiab kuaj cov kab mob no, lawv thiaj li kuaj tau tus kab mob kom raug thiab sai dua, thiab kho nws kom tsis muaj teeb meem ntau .

Cov kab mob tseem ceeb uas tus kws kho mob gastroenterologist kho yog dab tsi?

Muaj ntau yam kab mob . Cia peb saib qee yam tseem ceeb.

Cov kab mob plab hnyuv:

• Kab mob plab hnyuv tsis zoo (IBS), ib yam kab mob uas ua rau raws plab lossis cem quav ntau zaus
• Kab mob plab hnyuv (IBD) (qhov no suav nrog kab mob Crohn thiab kab mob Ulcerative Colitis)
• Kab mob Celiac , kev ua xua rau cov protein gluten pom muaj nyob rau hauv hmoov nplej
• Kev loj hlob ntawm cov kab mob me me hauv plab hnyuv (SIBO)
• Kev ua xua rau zaub mov thiab kev tsis haum rau ntau yam khoom noj
• Mob plab
• Diverticulitis ( cov hnab me me uas tsim nyob rau hauv txoj hnyuv loj thiab kis kab mob )
• Kab mob Appendicitis (qhov no feem ntau yuav tsum tau phais)
• Cov qog me me hauv cov hnyuv loj hu ua "Colorectal polyps" (nws yog ib qho tseem ceeb uas yuav tsum tshem tawm cov no vim tias lawv tuaj yeem hloov mus ua mob qog noj ntshav)
• Mob ntshav tawm

Cov kab mob ntawm txoj hlab pas:

• Teeb meem nqos
• Kab mob Gastroesophageal Reflux (GERD) yog ib yam mob uas tshwm sim los ntawm cov kua qaub hauv plab nce mus rau hauv txoj hlab pas (peb kuj hu qhov no ua kua qaub rov qab).
• Kab mob ntawm txoj hlab pas
• Hiatal hernias ( ib feem ntawm lub plab tawm mus rau hauv lub hauv siab )

Cov kab mob siab:

• Kab mob siab kis thoob plaws (piv txwv li kab mob siab B, C)
• Kev puas tsuaj rau daim siab vim yog cov tshuaj lom (Toxic hepatitis)
• Kab mob siab rog
• Kab mob cirrhosis ( mob siab tawv )

Cov kab mob ntawm lub pancreas, biliary thiab gallbladder:

• Pob zeb hauv lub zais zis
• Mob cholecystitis
• Mob Pancreatitis

Cov tsos mob twg uas koj yuav tsum qhia rau tus kws kho mob plab (gastroenterologist)?

Yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau tus kws kho mob tshwj xeeb:

• Mob plab
• Lub plab o
• Teeb meem zom zaub mov, mob plab zom mov tsis zoo
• Mob roj thiab roj
• Xeev siab thiab ntuav
• Kev los ntshav ntawm qhov quav (qhov no yuav yog xim liab lossis dub)
• Mob raws plab (mob plab ntau zaus)
• Cem quav los yog nyuaj rau tso zis
• Qhov hnyav poob lossis nce tsis tau piav qhia
• Mob plab (zoo li hauv GERD)
• Tawv nqaij thiab qhov muag daj (Jaundice)

Tus kws kho mob Gastroenterologist ua dab tsi?

Ua ntej, tus kws kho mob yuav kuaj koj lub cev . Lawv yuav xuas koj lub plab, mloog nrog ib lub raj, thiab tej zaum yuav ntxig ib tug ntiv tes rau hauv koj lub qhov quav (kev kuaj lub qhov quav siv digital).

Tom qab ntawd, lawv yuav hais kom kuaj ntshav , kuaj quav , lossis kuaj duab sab nraud xws li X-rays kom tau cov ntaub ntawv ntxiv.

Txawm li cas los xij, yog tias cov kev kuaj no ib leeg tsis tuaj yeem kuaj pom tus kab mob tau zoo, cov kws kho mob plab hnyuv tau kawm tshwj xeeb los ua cov txheej txheem endoscopic .

Endoscopy yog dab tsi?

Hais yooj yim xwb, qhov no yog kev ntxig ib lub raj ntev, nyias, thiab yoog tau (hu ua endoscope) nrog lub koob yees duab txuas rau hauv lub cev thiab saib ncaj qha rau cov kab mob sab hauv. Qhov no tuaj yeem muab ntau cov ntaub ntawv.

Muaj ntau hom kev kuaj endoscopy tseem ceeb:

• Kev kuaj mob sab saud (EGD): Qhov no suav nrog kev kuaj xyuas txoj hlab pas, plab, thiab thawj feem ntawm txoj hnyuv me (duodenum) nrog ib lub raj ntxig los ntawm lub qhov ncauj.
• Kev kuaj mob plab hnyuv me ('Enteroscopy'): Qhov no yog siv los saib tag nrho plab hnyuv me.
• Kev Tshawb Xyuas Txoj Hnyuv Loj: Muaj coob tus neeg tau hnov ​​txog qhov no. Ib lub raj raug ntxig los ntawm lub qhov quav thiab kuaj tag nrho txoj hnyuv loj (txoj hnyuv loj).
• Kev siv tshuab ultrasound hauv lub qhov quav (endoscopic ultrasound): Ib feem me me ntawm lub tshuab ultrasound raug txuas rau qhov kawg ntawm lub tshuab endoscope thiab cov nqaij sib sib zog nqus ntawm cov kabmob sab hauv (tshwj xeeb tshaj yog lub zais zis thiab lub txiav) raug kuaj xyuas.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Qhov no yog ib qho kev kuaj mob uas nyuaj me ntsis. Nws ua zoo li kev siv endoscopy sab saud, thiab ib yam khoom tshwj xeeb raug ntxig rau hauv cov kav dej ntawm cov kua tsib thiab cov kav dej ntawm cov txiav thiab thaij duab X-ray.
• Polypectomy: Tshem tawm cov qog me me (polyps) hauv plab lossis txoj hnyuv thaum lub sijhawm endoscopy.

Kev kuaj mob endoscopy tsis yog tsuas yog pab kom pom tseeb tias tus kab mob yog dab tsi xwb, tab sis lawv kuj muaj lwm yam txiaj ntsig. Tus kws kho mob tuaj yeem muab cov cuab yeej me me los ntawm endoscope thiab coj cov qauv ntaub so ntswg (biopsies) thiab xa mus rau chav kuaj mob. Lawv kuj tuaj yeem ua cov kev kho mob me me . Piv txwv li, lawv tuaj yeem nthuav qhov chaw uas raug thaiv, tso tseg kev los ntshav, lossis tshem tawm cov qog me me ua ntej phais. Hauv ntau kis, lawv tuaj yeem ua tau tam sim ntawd.

Cov kws kho mob plab puas kho mob qog noj ntshav thiab?

Yog lawm, feem ntau, tus kws kho mob plab hnyuv yog thawj tus kuaj mob qog noj ntshav hauv lub cev zom zaub mov (xws li lub plab, txoj hnyuv, txoj hlab pas, siab, lub txiav, lub zais zis). Lawv tuaj yeem siv endoscopy thiab biopsy los nrhiav cov qog nqaij hlav thiab coj cov qauv los paub meej tias kuaj mob.

Yog tias mob qog noj ntshav tau kuaj pom tseeb lawm, yuav muaj kev kuaj endoscopic ntxiv kom pom tias nws tau kis mus deb npaum li cas (hu ua 'staging').

Muaj tej lub sij hawm, cov kws kho mob plab hnyuv tuaj yeem tshem tawm qee hom mob qog noj ntshav los ntawm kev siv lub tshuab endoscope (kev txiav) lossis rhuav tshem lawv nrog lasers.

Cov hom mob qog noj ntshav uas lawv feem ntau cuam tshuam nrog yog:

• Mob qog noj ntshav hauv plab
• Mob qog nqaij hlav ntawm txoj hnyuv
• Mob qog nqaij hlav ntawm txoj hlab pas
• Mob qog nqaij hlav
• Mob qog nqaij hlav pancreatic
• Mob qog nqaij hlav ntawm lub zais zis
• Mob qog nqaij hlav ntawm cov kua tsib

Tsis yog li ntawd xwb, tab sis ib tug neeg uas muaj lwm hom mob qog noj ntshav kuj tseem yuav xav tau kev pab los ntawm kws kho mob plab hnyuv kom pom tias mob qog noj ntshav tau kis mus rau lub cev zom zaub mov, lossis los tswj cov kev mob tshwm sim ntawm kev kho mob qog noj ntshav (piv txwv li, '(Chemotherapy)', '(Radiation therapy)') uas cuam tshuam rau lub cev zom zaub mov (piv txwv li, qhov ncauj/plab hnyuv '(Mucositis)', '(Radiation enteritis)', xeev siab, ntuav, raws plab, cem quav, tsis muaj zaub mov zoo).

Qhov txawv ntawm tus kws kho mob gastroenterologist thiab tus kws kho mob proctologist yog dab tsi?

Lo lus nug zoo. Lo lus "proctologist" tsis tshua siv niaj hnub no. Hloov chaw, lo lus "colorectal surgeon " feem ntau hnov ​​​​​​ntau dua.

Hais yooj yim xwb, "tus kws kho mob plab hnyuv" lossis "kws phais mob plab hnyuv loj" yog cov kws phais mob . Lawv tau kawm tshwj xeeb los phais cov kab mob ntawm txoj hnyuv loj, qhov quav, thiab qhov quav. Lawv siv sijhawm li tsib xyoos hauv kev phais mob dav dav tom qab kawm tiav tsev kawm ntawv kho mob, thiab tom qab ntawd lawv tau txais kev cob qhia tshwj xeeb hauv thaj chaw plab hnyuv loj.

Txawm li cas los xij, tus kws kho mob plab hnyuv yog ib tus kws kho mob tshwj xeeb, tsis yog ib tus kws phais . Nws txoj haujlwm tseem ceeb yog kuaj mob, kho lawv nrog tshuaj, thiab ua cov kev kuaj mob xws li endoscopy.

Tus kws kho mob plab hnyuv tuaj yeem qhia koj seb koj puas xav tau phais lossis tsis xav tau. Tab sis nws tsis ua qhov phais. Nws xa koj mus rau tus kws phais mob plab hnyuv. Qhov no yog qhov sib txawv tseem ceeb.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Peb lub cev zom zaub mov yog ib lub cev uas muaj ntau yam sib txuas ua ke. Nws yog ib qho txheej txheem tas li uas peb zom cov zaub mov uas peb noj, nqus cov as-ham uas peb xav tau, thiab tso cov khib nyiab tawm. Yog li, yog tias muaj qee yam tsis raug nrog lub cev no, peb lub cev yuav hnov ​​​​​​nws.

Mob plab thiab teeb meem zom zaub mov yog ib qho uas tshwm sim ntau heev. Tab sis nws tsis yooj yim nrhiav seb yog dab tsi ua rau lawv. Thaum ntawd koj xav tau kev pab los ntawm ib tug kws tshwj xeeb. Ib tug kws kho mob plab hnyuv tuaj yeem nkag siab tias tag nrho cov kab mob no ua haujlwm ua ke li cas, nrhiav seb muaj dab tsi tsis zoo rau koj lub cev zom zaub mov, thiab muab kev kho mob uas koj xav tau rau koj.

Yog li ntawd, yog tias koj mob plab tas li lossis muaj teeb meem zom zaub mov, tsis txhob ntshai mus ntsib kws kho mob plab hnyuv. Nws tuaj yeem pab koj zoo heev.

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