Koj tus me nyuam puas mob plab tas li? Cia peb kawm txog tus kws kho mob plab menyuam yaus!

Koj tus menyuam puas feem ntau hais tias, "Niam, kuv lub plab mob"? Nws puas ntuav tom qab haus mis? Los yog nws yeej tsis xav noj mov tiag? Ua ib tug niam txiv, thaum ib tug menyuam yaus mob plab, tej zaum koj yuav tu siab thiab ntshai heev. Yog li hnub no peb yuav tham txog ib tug kws kho mob uas tshwj xeeb hauv koj tus menyuam txoj kev zom zaub mov, uas yog, mob plab. Cov kws kho mob no yog cov uas peb hu ua Pediatric Gastroenterologists .

Tus kws kho mob plab hnyuv rau menyuam yaus no yog leej twg? (Leej twg yog tus kws kho mob plab hnyuv rau menyuam yaus?)

Hais yooj yim xwb, tus kws kho mob no yog ib tug kws kho mob uas tau txais kev cob qhia tshwj xeeb hauv kev kho cov teeb meem plab rau cov menyuam yaus, uas yog, teeb meem nrog lub cev zom zaub mov. Ib yam li cov kws kho mob uas kho cov teeb meem plab rau cov neeg laus, tab sis cov kws kho mob no tshwj xeeb kho cov teeb meem zoo li no rau cov menyuam mos, cov menyuam yaus me, thiab cov hluas.

Koj tus menyuam lub cev zom zaub mov muaj xws li:

• Qhov ncauj
• Esophagus (lub raj uas nqa zaub mov mus rau hauv caj pas)
• Plab (qhov chaw uas cov khoom noj peb noj khaws cia)
• Txoj hnyuv me
• Txoj hnyuv loj

(Qhov no yog qhov peb feem ntau hu ua txoj hnyuv zom zaub mov lossis "Gastrointestinal lossis GI tract.")

• Thiab tseem yog lub pancreas.
• Siab
• Lub zais zis
• Txoj hlab zis

Cov kws kho mob tshwj xeeb no kuaj mob thiab kho cov teeb meem hauv txhua qhov chaw no. Xav txog seb, qee zaum tus menyuam mob plab me me xwb, thiab nws yuav zoo dua li ob lossis peb hnub. Tab sis qee zaum cov teeb meem no yuav loj heev , thiab yuav tsum tau kho kom cawm tau txoj sia. Muaj qee yam kab mob uas kav ntev mus ib txhis, tab sis nrog kev kho mob zoo thiab ua haujlwm nrog tus kws kho mob, tus menyuam tuaj yeem nyob tau zoo li qub nrog tus kab mob ntawd. Thaum kawg, cov kws kho mob no lub hom phiaj yog muab lub neej zoo thiab zoo siab rau koj tus menyuam (`(lub neej zoo)`).

Txij thaum ib tug me nyuam nqos zaub mov, zom nws, thiab thaum kawg tawm quav, txhua yam uas tshwm sim yeej nyuaj heev. Cov kws kho mob tshwj xeeb no paub txog tag nrho cov txheej txheem no zoo heev. Yog li ntawd, lawv tuaj yeem kuaj thiab kho koj tus menyuam raws li txoj kev uas haum rau koj. Lawv kuj tseem tuaj yeem pab koj nkag siab txog koj tus menyuam tus mob thiab yam uas yuav tshwm sim yav tom ntej.

Cov kws kho mob no ua dab tsi tiag? (Cov kws kho mob plab hnyuv menyuam yaus ua dab tsi?)

Cov kws kho mob plab hnyuv rau menyuam yaus ua txhua yam uas cov kws kho mob plab hnyuv laus ua. Qhov txawv yog tias cov kev pabcuam no yog muab rau cov menyuam mos, cov menyuam yaus me, thiab cov menyuam yaus me. Lawv txoj haujlwm txhua hnub yuav suav nrog:

• Lawv nrog cov niam txiv tham thiab nug txog tus menyuam cov tsos mob thiab keeb kwm kev kho mob.Lawv yuav nug koj cov lus nug xws li, "Tus me nyuam mob plab no ntev npaum li cas lawm?", "Nws puas ntuav?", "Nws puas poob phaus?"
• Lawv yuav xa koj mus kuaj duab tshwj xeeb kom paub tseeb tias tus kab mob yog dab tsi, lossis lawv yuav ua qee yam kev kho mob lawv tus kheej.
• Tus kab mob uas kuaj pom tias muaj mob ces kho tau. Tej zaum yuav siv tshuaj kho mob, lossis lwm yam kev kho mob.
• Kev tshawb fawb ntxiv tab tom ua rau cov menyuam yaus muaj kab mob plab hnyuv .
• Yav tom ntej, cov kws kho mob yuav qhia thiab coj lwm tus.

Cov kws kho mob no ua cov kev kuaj mob thiab kev kho mob dab tsi? (Cov txheej txheem uas tus kws kho mob plab hnyuv menyuam yaus ua tau)

Cov kws kho mob tshwj xeeb no tuaj yeem ua ntau yam kev kuaj mob thiab kev kho mob. Piv txwv li, lawv tau kawm tshwj xeeb los ua qhov kev kuaj mob hu ua endoscopy .

Hais yooj yim xwb, kev kuaj mob hauv plab yog ib txoj kev kho mob uas muab ib lub raj ntev, nyias thiab muaj lub koob yees duab txuas rau hauv tus menyuam lub cev kom saib sab hauv kom paub seb muaj cov tsos mob dab tsi. Qhov chaw ntawm lub raj yog txiav txim siab los ntawm tus menyuam cov tsos mob thiab yam uas tus kws kho mob xav pom.

Nov yog qee hom '(Endoscopy)':

• Kev kuaj mob sab saud: Qhov no suav nrog kev ntxig ib lub raj los ntawm qhov ncauj. Nws tso cai rau tus menyuam pom lub raj xa zaub mov, lub plab, thiab sab saud ntawm txoj hnyuv me (duodenum).
• Kev kuaj mob plab hnyuv loj (colonoscopy): Qhov no suav nrog kev ntxig ib lub raj hla lub qhov quav (mus rau hauv lub qhov quav) los kuaj xyuas tag nrho cov hnyuv loj (colon).
• Kev kuaj mob plab me me: Qhov no txawv me ntsis. Tus me nyuam nqos ib lub koob yees duab me me, uas zoo li lub tshuaj vitamin. Lub koob yees duab thaij duab ntawm txoj hnyuv me me thaum nws txav mus los hauv lub cev.

Cov kev kuaj mob '(Endoscopy)' no yog ib qho kev pab zoo heev rau kev kuaj mob. Vim tias lawv tuaj yeem saib sab hauv cov kabmob ntawm tus menyuam lub cev zom zaub mov. Qee zaum thaum lub sijhawm kuaj mob no, yuav muab cov qauv nqaij me me ('biopsy)' coj mus kuaj ntxiv. Tsis tas li ntawd, qee zaum '(Endoscopy)' tuaj yeem siv los kho tus kab mob.

Ntxiv rau, cov kws kho mob plab hnyuv menyuam yaus kuj tuaj yeem ua tej yam xws li:

• Kev kuaj mob siab yog ib txoj kev kho mob los muab ib daim me me ntawm lub siab los saib seb puas muaj kab mob siab, ua rau muaj dab tsi, thiab puas tsuaj ntau npaum li cas.
• Yog tias tus me nyuam muaj teeb meem noj mov, yuav muab ib lub raj pub mov ("(feeding tube)") ntxig rau hauv kom muab cov khoom noj khoom haus uas tsim nyog, lossis muab cov khoom noj khoom haus los ntawm kev ntxig lub raj xa dej rau hauv cov hlab ntsha ("(IV catheter)").
• Ua cov kev ntsuam xyuas tshwj xeeb ('kev ntsuam xyuas kev txav mus los') kom pom tias cov leeg nqaij thiab cov hlab ntsha hauv txoj hnyuv ntawm koj tus menyuam puas ua haujlwm zoo.

Thaum twg yuav xa ib tug me nyuam mus rau kws kho mob plab hnyuv? (Vim li cas thiaj yuav xa ib tug me nyuam mus rau kws kho mob plab hnyuv?)

Tej zaum koj tus menyuam yuav tsum tau mus ntsib ib tus kws tshwj xeeb zoo li no kom kuaj lossis kho. Nov yog qee cov lus nug uas cov kws kho mob no tuaj yeem pab tau:

• Thaum tus me nyuam muaj cov tsos mob ntsig txog lub cev zom zaub mov ('(Cov tsos mob ntawm GI)') . (piv txwv li mob plab tas li, ntuav, raws plab, cem quav).
• Hauv cov rooj plaub uas tus menyuam tsis nqus cov as-ham los ntawm cov khoom noj uas lawv noj.
• Yog tias tus kab mob tsis raug kho kom zoo , lwm yam teeb meem yuav tshwm sim .
• Qee zaum nyob rau hauv cov xwm txheej uas lub neej muaj kev pheej hmoo .

Qhov tseem ceeb, cov kws kho mob menyuam yaus feem ntau xa cov menyuam mus rau kws kho mob plab hnyuv rau qhov mob plab. Yog tias koj tus menyuam mob plab ntau zaus uas ua rau lawv tsis tuaj kawm ntawv lossis ua si, nws tuaj yeem yog qhov teeb meem loj rau lawv cov dej num txhua hnub. Muaj ntau yam ua rau mob plab no. Tus kws kho mob plab hnyuv tuaj yeem ua qhov kev kuaj mob kom paub seb muaj dab tsi tshwm sim tiag tiag.

Cov kws kho mob no kho cov kab mob dab tsi? (Piv txwv li cov mob uas cov kws kho mob plab hnyuv kuaj mob thiab kho)

Cov kws kho mob gastroenterologists kho ntau yam mob, suav nrog:

• Kab mob Celiac: Qhov no yog kev ua xua rau cov protein hu ua gluten (pom muaj nyob rau hauv cov nplej thiab barley).
• Cyclic vomiting syndrome: Ntws tau ntau hnub tsis muaj laj thawj pom tseeb.
• Eosinophilic esophagitis (EOE): o ntawm txoj hlab pas (cov yeeb nkab noj mov) uas tshwm sim los ntawm kev ua xua.
• Kev ua xua rau zaub mov lossis kev tsis kam noj zaub mov: Tus menyuam yaus tsis kam noj qee yam zaub mov.
• Kab mob gastroesophageal reflux (GERD): Qhov no yog qhov uas cov khoom hauv plab rov qab mus rau hauv txoj hlab pas (zoo ib yam li mob gastritis).
• Kev los ntshav ntawm txoj hnyuv zom zaub mov (GI los ntshav) .
• Kev loj hlob qeeb/tsis nce phaus .
• Kab mob plab hnyuv (IBD): Qhov no suav nrog cov mob plab hnyuv uas mob ntev hu ua Crohn's disease thiab ulcerative colitis.
• Kab mob plab hnyuv tsis ua haujlwm (IBS): Ib qho mob uas cov hnyuv ua rau rhiab heev thiab ua rau mob plab, raws plab, lossis cem quav.
• Kab mob siab .
• Teeb meem kev txav mus los ntawm txoj hnyuv GI: Khoom noj tsis txav mus los zoo hauv txoj hnyuv.
• Kab mob pancreatic .
• Kev tsis noj zaub mov zoo .
• Rog dhau thiab rog dhau.
• Kab mob plab hnyuv luv: Ib qho mob uas tshwm sim rau cov menyuam yaus uas tau muab ib feem ntawm lawv txoj hnyuv me tshem tawm.

Cov kws kho mob no muaj kev txawj ntse thiab kev cob qhia dab tsi? (Cov kws kho mob plab hnyuv rau menyuam yaus tshwj xeeb ua dab tsi?)

Ua ib tug kws kho mob plab hnyuv rau menyuam yaus tsis yooj yim. Lawv yuav tsum tau kawm thiab cob qhia ntev heev:

• Ua ntej, daim ntawv kawm tiav qib siab (kwv yees li 4 xyoos).
• Tom qab ntawd mus kawm ntawv kho mob thiab tau txais daim ntawv pov thawj doctorate (kwv yees li 4 xyoos).
• Tom ntej no yog kev cob qhia tshwj xeeb hauv kev kho mob menyuam yaus (`(kev pab cuam nyob hauv kev kho mob menyuam yaus)`) (kwv yees li 3 xyoos).
• Tsuas yog tom qab ntawd xwb thiaj li muaj kev kawm txog kev kho mob plab hnyuv menyuam yaus (kwv yees li 3 xyoos).
• Muaj ib txhia tau txais kev cob qhia ntxiv , piv txwv li hauv cov cheeb tsam xws li kev hloov pauv kab mob siab, kev kho mob hlwb, lossis kev kho mob rog dhau.

Tom qab ua tiav tag nrho cov no, lawv yuav tsum xeem dhau thiab tau txais daim ntawv pov thawj los ntawm pawg thawj coj hauv kev kho mob menyuam yaus thiab cov kab mob plab hnyuv rau menyuam yaus .

Muaj ib txhia kws kho mob plab hnyuv rau menyuam yaus xaiv ua haujlwm tshwj xeeb hauv lwm qhov chaw thiab kawm paub ntxiv txog lawv. Piv txwv li:

• Kab mob siab rau menyuam yaus thiab kev hloov siab.
• Kab mob plab hnyuv.
• Kev noj haus.

Koj tuaj yeem xav txog cov kws kho mob no ua "kws kho mob menyuam yaus uas muaj hwj chim loj heev." Ib yam li cov kws kho mob menyuam yaus ib txwm, lawv zoo heev ntawm kev tham nrog cov menyuam yaus, ua kom lawv muaj kev nyab xeeb, thiab ua rau lawv xis nyob. Lawv lub hwj chim tshwj xeeb yog lawv txoj kev paub tob txog cov teeb meem plab thiab cov teeb meem ntawm lub plab ntawm cov menyuam yaus. Lawv tuaj yeem daws txhua yam los ntawm kev mob plab tas li mus rau kev los ntshav uas tsis paub meej.

Cov kws kho mob tshwj xeeb no yeej npaj txhij pab koj thiab. Nws yog ib qho ib txwm uas koj yuav ntshai thiab tsis paub tseeb tias yuav muaj dab tsi tshwm sim thaum koj tus menyuam mob plab. Lawv yuav piav qhia rau koj txog yam uas tab tom tshwm sim hauv koj tus menyuam lub cev thiab qhia rau koj txhua kauj ruam ntawm txoj kev.

Tej yam uas peb yuav tsum nco ntsoov los ntawm zaj dab neeg no (Cov Lus Qhia Txog Kev Mus Tsev)

Zoo, yog li peb tau tham txog ntau yam hnub no. Xaus lus, ntawm no yog cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov:

• Cov kws kho mob plab hnyuv rau menyuam yaus yog cov kws kho mob uas tshwj xeeb hauv kev kho cov kab mob hauv lub plab rau cov menyuam mos, cov menyuam yaus me, thiab cov menyuam yaus me.
• Yog tias koj tus menyuam mob plab ntau zaus, muaj teeb meem zom zaub mov, lossis muaj teeb meem kev loj hlob, tsis txhob xav ob zaug txog kev mus ntsib kws kho mob tshwj xeeb zoo li no.
• Cov kws kho mob no tuaj yeemKuaj mob kom raug, muab kev kho mob kom raug, thiab pab tus me nyuam kom muaj lub neej zoo.
• Tsis tas li ntawd xwb, lawv zoo siab nrog cov menyuam yaus thiab txhawb nqa lawv niam lawv txiv heev.

Yog li ntawd, thaum nws los txog rau koj tus menyuam txoj kev noj qab haus huv, nws tsim nyog nrhiav kev pab los ntawm tus kws kho mob uas muaj kev txawj ntse zoo li no.

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