I pum emaw, i chhungril emaw-ah harsatna i nei em? Gastroenterologist chungchang hi han sawi ila!

A chang chuan pum lam harsatna chi hrang hrang kan nei thin. Pum a na a, kan pum a puar a, ei tur kan ei thei lo ang maiin kan inhria... Hetiang thil a thleng zel hian a ti thinrim tak zet a ni lawm ni? Chuvangin, chaw ei kawng nena inzawm natna hrang hranga thiam doctor a awm tih i hria em? Chu doctor chu gastroenterologist an ti a . Vawiin hian chipchiar zawkin sawi ila.

Gastroenterologist chu tu nge ni?

A awlsam zawngin, gastroenterologist chu i chaw ei kawng natna – chu chu chaw ei kawnga inrawlh zawng zawng tihna doctor a ni. General practitioner angin an training hmasa thin. Kum thum vel medical school an zir hnuah natna chi hrang hrang enkawlna kawngah tawnhriat an nei ta a ni. Tichuan, gastroenterologist ni tur chuan kum thum dang a bik takin an zir leh a ngai a ni. A tawp berah chuan certificate bik an dawng ta a ni. Hei hian chaw ei kawng natna hrang hranga specialist an nih thu a sawi a ni. Tin, general doctor-te tih loh test leh enkawlna thenkhat tih theihna tur leh chu test leh enkawlna result hriatthiam theihna tur qualification bik an nei bawk.

Naupang tê tête chaw ei (digestive system) lama mithiam bik an awm em? (Naupang chaw kawng lam doctor) .

Ni e, a awm tak zet a ni. `(Pediatric Gastroenterologist)` kan ti a. Heng Doctor te hi `(Pediatrician)` anga training hmasa ber an ni. Tichuan, kum thum vel zet chu chaw ei kawng (digestive system) lama special training an dawng leh a ni. Naute, naupang tê tê, leh naupang tê tête chaw ei leh pai lama natnate an ngaihtuah ber a ni . A bik takin naupangte ei leh in lam an ngaihtuah ber a ni. Heng mite hi naupang natna lan chhuah dan hre chiang tur leh an taksa te tak te chhungril lam enfiah turin a bik takin an zirtir a ni.

Gastroenterologist hian taksa peng engte nge a ngaih pawimawh ber?

He hming hi i hriat chuan – (Gastroenterologist) – ‘Gastro’ tih awmzia chu pum , ‘entero’ tih awmzia chu intestines tihna a ni. ‘ologist’ tih awmzia chu specialist tihna a ni. Chuvangin, a bik takin pum leh intestines. Mahse, kan digestive system hi chu aia lian zawk a ni.

Ngaihtuah teh, he system hi kan ei hian ka atanga tan a ni.

Next , ril, esophagus, stomach , small intestine, leh large intestine te chu a ta a ni.

Chu mai pawh ni lovin, bile siamtu taksa peng hrang hrang leh ei tur chawhpawlh tura puitu digestive enzymes te pawh an tel ve bawk. Anni chu:

• Thin
• Gallbladder (liver atanga bile lakkhawm leh dahkhawmna hmun) .
• Pancreas a ni
• Bile ducts (bile phurtu tube) 1.1.

Chuvangin gastroenterologist chuan heng taksa peng zawng zawnga natna awm te hi a zawng thin .

Engvangin nge gastroenterologist kan hmuh a ngaih?

Zawhna tha tak a ni. Digestive symptoms (e.g., pum na, ril\am, constipation) i nei mai thei a, mahse i chhungkaw doctor pangngai chuan a hre thei lo mai thei a, a nih loh leh damdawi an pekte pawh a hlawhtling lo mai thei bawk. Chutiang a nih chuan specialist pan a tha.

A nih loh leh, chaw ei lama natna khirh tak (IBD ang chi) i nei tih i hriat tawh chuan, a enkawlna tha ber dawng turin specialist pan a tha ber.

Hêng specialist doctor-te hian heng natna chi hrang hrangte hi an zirchian reng a, an zirchiang reng a, an test reng bawk a, chuvang chuan natna chu dik tak leh rang takin an hmuchhuak thei zawk a, harsatna tlem zawk nen an enkawl thei bawk

Gastroenterologist-in a enkawl natna ber berte chu engte nge ni?

Natna tam tak a awm a . A bulpui thenkhat han thlir ila.

Gastrointestinal natna hrang hrang: 1.1.

• Irritable Bowel Syndrome (IBS), natna chi khat, ril\am emaw, ril\am emaw thlen \hin
• Inflammatory Bowel Disease (IBD) (hei hian Crohn natna leh Ulcerative Colitis te pawh a huam tel) .
• Celiac disease , buhfai chi hrang hranga protein gluten awmte allergy a ni
• Small Intestinal Bacterial Overgrowth (SIBO) te hi a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo.
• Food allergy leh ei tur chi hrang hrang tuar theih lohna
• Pum chhunga ulcer awm
• Diverticulitis ( pouche te tak te te chu intestine lianah a lo awm a ) .
• Appendicitis (hei hian operation a ngai fo) .
• Colon chhunga thil te te ``Colorectal polyps`` an tih (hengte hi cancer ah a chantir theih avangin paih chhuah a pawimawh)
• Hemorrhoid natna (Hemorrhoid) a awm

Esophageal lama harsatna awm thei: 1.1.

• Swallowing harsatna
• Gastroesophageal Reflux Disease (GERD) hi chaw kawng chhunga acid lo lut (hei hi acid reflux kan ti bawk) avanga lo awm a ni.
• Esophagitis natna (esophagitis) a ni
• Hiatal hernias ( pum chhung hmun thenkhat chu rilru chhunga chhuak ) .

Liver natna hrang hrang: 1.1.

• Viral hepatitis (e.g. hepatitis B, C) natna hrik natna (e.g. hepatitis B, C) .
• Toxin avanga thin (Toxic hepatitis) avanga thin a chhiat .
• Fatty liver natna a ni
• Cirrhosis ( thin a khauh ) .

Pancreatic, biliary leh gallbladder natna hrang hrang:

• Gallstones a awm
• Cholecystitis natna a ni
• Pancreatitis natna a ni

Gastroenterologist hnena i hrilh tur symptoms te chu engte nge ni?

Heng symptoms te hi i neih chuan specialist hnenah i hrilh a pawimawh hle:

• Pum natna
• Pum a puak chhuak
• Chaw ei lama harsatna, chaw ei chak lohna
• Gas leh gas natna
• Nausea leh luak chhuak
• Rectal bleeding (hei hi a sen emaw, a dum emaw pawh a ni thei) .
• Diarrhea (rilru chhuak fo) .
• Constipation emaw pooping harsatna emaw
• Sawifiah loha taksa rihna tlahniam emaw, taksa rihna tihpun emaw
• Lung lam natna (GERD-a ang chi) .
• Vun leh mit sen (Jaundice) .

Gastroenterologist hian eng nge a tih?

A hmasa berin doctor chuan taksain a enfiah ang che. I pum an palpate ang a, tube hmangin an ngaithla ang a, i rectum chhungah kut zungtang pawh an dah thei bawk (digital rectal exam).

Tichuan, thu belhchian dawl zawk hmuh theih nân thisen test , stool test , a nih loh leh X-ray ang chi pawn lam imaging test an order thei a ni.

Mahse, heng test-te chauh hian natna hi dik taka a hriat theih loh chuan gastroenterologist-te chu endoscopic procedure ti turin a bik takin an zirtir a ni.

Endoscopy tih hi eng nge ni?

A awlsam zawngin, hei hian taksa chhunga camera dahna tube sei tak, te tak te, flexible tak (endoscope an tih) dah luh a , chhungril lam taksa pengte direct-a en a huam a ni. Hei hian thu tam tak a pe thei a ni.

Endoscopy test chi hrang hrang a awm a, chungte chu:

• Upper endoscopy (EGD): Hei hi ka chhunga tube dahin chaw kawng, pum leh small intestine (duodenum) hmun hmasa ber enfiah a ni.
• Small bowel endoscopy (`Enteroscopy`): Hei hi small intestine pumpui en nan hman a ni.
• Colonoscopy: Hei hi mi tam takin an hre tawh a. Anus kaltlangin tube dahin large intestine (colon) pumpui enfiah a ni.
• Endoscopic ultrasound: Ultrasound machine atanga a tlem ber chu endoscope tawp lamah an dah a, chhungril taksa peng thuk tak tak (a bik takin gallbladder leh pancreas) te chu an enfiah thin.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Hei hi test buaithlak deuh a ni. Upper endoscopy ang maia tih a ni a, bile duct leh pancreatic duct-ah thil bik dahin X-ray lak a ni.
• Polypectomy: Endoscopy neih laiin pum emaw, intestines-a thil lian te te (polyps) te paih chhuah.

Endoscopy test hian natna chu eng nge a nih chiang taka hriat theih nan a pui mai bakah hlawkna dang a nei bawk. Doctor chuan endoscope kaltlangin instrument te te a pass thei a, tissue sample (biopsies) a la thei a, laboratory-ah a thawn thei bawk. Treatment tenau te pawh an ti thei bawk . Entirnan, hmun khar chu an tizau thei a, thisen chhuah an titawp thei a, operation hmain tumor te te an paih thei bawk. Thil tam takah chuan tih nghal theih a ni.

Gastroenterologist te pawhin cancer hi an enkawl ve em?

Ni e, a tam zawkah chuan gastroenterologist hi chaw ei kawng (ril, intestine, esophagus, liver, pancreas, gallbladder ang chi)-a cancer hmuhchhuah hmasa ber a ni . Endoscopy leh biopsy hmangin cancer natna lian tham tak tak an hmu thei a, sample an la thei bawk a, an natna hmuhchhuah chu an nemnghet thei bawk.

Cancer hi finfiah a nih chuan eng chen nge a darh tawh tih hriat nan endoscopic test dang neih belh theih a ni (`staging` an ti).

A then phei chuan gastroenterologist te hian cancer chi thenkhat chu endoscope (dissecting) hmangin an paih chhuak thei a, laser hmangin an tichhia thei bawk.

Cancer chi hrang hrang an kaihhnawih ber chu:

• Pum cancer a ni
• Colorectal cancer a ni
• Chaw ei kawng cancer a ni
• Liver cancer a ni
• Pancreatic cancer natna a ni
• Gallbladder cancer a ni
• Bile duct cancer a ni

Chu mai pawh ni lovin, cancer chi dang nei tu emaw chuan chaw ei kawngah cancer a darh tawh em tih en turin gastroenterologist puihna a mamawh thei bawk a, a nih loh leh cancer enkawlna (e.g., `(Chemotherapy)`, `(Radiation therapy)`) ei leh in lama nghawng nei (e.g., hmui/intestinal ulcers `(Mucositis)`, `(Radiation enteritis)`, luak chhuak, luak chhuak, luak chhuak, chaw ei kham, ei leh in lama harsatna nei).

Gastroenterologist leh Proctologist te hi eng nge an danglamna?

Zawhna tha tak a ni. Tunlai hian ``proctologist'' tih hi hman a ni tlem hle. Chu ai chuan ``colorectal surgeon '' tih thumal hi hriat a ni zawk.

A awlsam zawngin ``Proctologist'' emaw ``Colorectal surgeon'' emaw chu surgeon an ni . A bik takin colon, rectum leh anus natna te surgery ti tura zirtir an ni. Medical school an zawh hnuah kum nga vel general surgery-ah an awm a, chutah chuan colorectal area-ah specialized training an dawng leh a ni.

Mahse, gastroenterologist chu medical specialist a ni a, surgeon a ni lo . A hna ber chu natna hriatchhuah te, damdawi hmanga enkawl te, endoscopy ang chi test te tih te a ni.

Gastroenterologist chuan operation i mamawh leh mamawh loh a hrilh thei che a ni. Mahse, a surgery chu a ti lo. Colorectal surgeon hnenah a refer che a ni. Hei hi a danglamna ber a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Kan chaw ei (digestive system) hi taksa peng hrang hrang inzawmkhawm (complex, interconnected system) a ni. Kan ei tur kan tihchhiat a, kan mamawh nutrients te kan hip lut a, bawlhhlawh te kan paih chhuak fo thin. Chuvangin, he system-ah hian thil dik lo a awm a nih chuan kan taksa hian a hre mai ang.

Pum natna leh chaw ei lama harsatna nei hi a tam hle. Mahse, eng thil nge an thlen tih chiang taka hriat chu thil awlsam a ni lo. Chutih lai chuan specialist puihna i mamawh a ni. Gastroenterologist chuan heng taksa peng zawng zawngte hi engtin nge an thawh dun tih a hrethiam thei a, i chaw ei leh in lama thil dik lo awm chu chiang takin a hmu thei a, i mamawh enkawlna a pe thei bawk.

Chuvangin, pum na reng reng emaw, chaw ei lama harsatna i neih chuan gastroenterologist pan hlau suh. Thlamuanna nasa tak a pe thei che a ni.

` Digestive system, gastroenterologist, pum natna, endoscopy, colonoscopy, thin, pum