I fa te hian, "Mommy, ka pum a na" tiin a tap fo em? Chaw ei hi a dik lo em ni? A kum a zirin beisei angin taksa rihna tihpun hi a ni lo em ni? Nu leh pa i nih angin hetiang thil hi i ngaihtuah nasa hle ngei ang. A tam zawkah chuan heng harsatna hnuaiah hian naupang chaw ei kawngah harsatna engemaw zat a awm thin. Chuvangin vawiin hian hetiang hun lai hian nang leh i fate tanpui theitu doctor bik tak chungchang kan sawi dawn a ni. Chu chu pediatric gastroenterologist a ni.
He Pediatric Gastroenterologist hi tu nge ni?
A awlsam zawngin sawi ila, hei hi kan fate chaw ei kawng nena inzawm natna, nau piang thar atanga naupang tê tê thlenga hriatna leh training bik nei doctor a ni.
Digestive system kan sawi hian taksa peng tam tak a huam a ni. Ngaihtuah teh, kan chaw ei hian kan ka atanga a chhuah atanga, a hmin atanga kan taksa atanga a chhuah thlengin, he thil thlengah hian thil tam tak a inrawlh a ni. Heng specialist doctor te hian naupangte zingah he system peng tinreng hi hriatna thuk tak an nei a ni.
Chumi awmzia chu:
- Kawng, chaw kawng, pum, ril, leh ril lian (hei hi chaw kawng (gastrointestinal system) kan tih tlangpui - `Gastrointestinal` emaw `GI tract` emaw a ni).
- Pancreas, liver, gallbladder leh bile duct te a awm bawk.
A châng chuan naupangte pum natna ang chi thil hi a tenau thei a, ni rei lo têah a ṭha leh thei bawk. Mahse damdawi lam dinhmun thenkhat chu a na zawk thei. Ṭhenkhat chu dam chhung zawng a ni thei. Mahse, hriat reng tur chu, enkawlna dik tak leh he specialist team te nena thawhhona tha tak nei hian naupang chuan chutiang dinhmun chu a thunun thei a, a nitin nun pangngaiin a kal thei a, nun tha tak a hmang thei bawk
Heng specialist te hian eng nge an tih tak tak?
Heng doctor te hi puitling enkawltu gastroenterologist ang chiah an ni. A danglamna chu naute, naupang tê, leh naupang tê tête hnênah heng rawngbawlnate hi an pe a ni. Chuvang chuan naupang taksa, an rilru put hmang, leh an enkawl dan bik an mamawh dante an hrethiam hle a ni.
An nitin hnathawhnaah hian hetiang hi a tel thei a:
- Nang leh i fate nen kan inbia ang a, i fate natna lan chhuah dan leh i chhungte natna eng pawh chipchiar takin kan zawt ang.
- Natna chu eng nge a nih chiah tih hriat tumin imaging test-ah an refer che a ni.
- A dinhmun enkawl nan a tul anga enkawlna pek a ni.
- Nakin lawkah doctor ten he thupui chungchangah hian midangte an zirtir ang a, an zirtir bawk ang.
A pawimawh ber chu heng Doctor te hian naupang taksa chauh ni lo, nu leh pa i nih angin i rilru pawh thlamuanna pek an tum hi a ni. Naupang damlo tih kan hriat hian engtiang chiahin nge kan hlauh thin? Chuvangin engkim an hrethiam a, nang pawh zirtirna pein hna an thawk bawk.
Endoscopy ang chi test bik te
Heng specialist te hian specialized test leh treatment an tih theih tam tak a awm a. Chung zinga pawimawh ber pakhat chu endoscopy tih examination hi a ni .
He hming i hriat hian i hlau deuh mai thei. Mahse hei hi test him tak a ni a, naupangin natna a neih loh nan anesthesia hmanga tih a ni. Thil thleng chu naupang taksaah hian tube te tak te, flexible tak (endoscope) (endoscope) te tak te, camera te tak te inbun chu a lut a, digestive system chhung lam chu screen-ah a en a ni. He tube dahna hmun hi a natna lan chhuah dan azirin a inang lo.
| Endoscopy chi hrang hrang | Taksa peng hrang hrang enfiah mek a ni |
|---|---|
| Upper endoscopy hmanga enfiah a ni | Tube hi ka kaltlangin dahin chaw kawng, pum leh small intestine bul tanna te enfiah a ni. |
| Colonoscopy hmanga enfiah a ni | Tube chu rectum kaltlangin dahin colon pumpui enfiah a ni. |
| Capsule endoscopy hmanga enfiah a ni | Hei hian a chhunga camera awmna capsule te tak te ei a huam a ni. Intestine a kal kual laiin thlalak a la a, kan hnenah a thawn thin. Hei hian small intestine chu chipchiar takin kan enfiah thei a ni. |
Heng endoscopic examination te hian natna dik tak hriatchhuahna kawngah a pui hle. Tin, a tul chuan enfiah laiin tissue te tak te (biopsy) lak theih a ni a, test belh turin thawn theih a ni bawk. A châng chuan he hmanrua hi enkawlna atan pawh hman theih a ni.
Tin, heng specialist te hian:
- Liver natna nia rinhlelh a nih chuan liver hmun te tak te lak a, enfiah (liver biopsy) a ni.
- Naupangin a ei \ha thei lo a nih chuan chaw pekna tube (feeding tube) dahin a \ul anga ei tur pek theih a ni.
- Digestive system-a muscle leh nerve-te hnathawh danah harsatna a awm leh awm loh enfiah nan special test (Motility testing) an nei thin.
Chutiang thil pawh i ti thei bawk.
Engvangin nge naupang chu hetiang hian specialist hnenah refer a nih ang?
Vawi tam tak chu i chhungkaw naupang enkawltuin i fa chu specialist hnena a refer chhan ber chu i fain a pum a na fo thin vang a ni. Hei hi ``Functional abdominal pain'' an ti bawk. Hetianga pum natna awm reng hian i fate sikul hnathawh leh inkhelh a tibuai thei a ni. A chhan tam tak a awm theih avangin heng specialist te hian a chhan dik tak zawng turin an pui thei che a ni.
Chumi piah lamah chuan heng doctor te hian damdawi lam natna dang hrang hrang hriatchhuah leh enkawl kawngah an pui thin. A tlangpui thenkhat han thlir ila.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Celiac natna a ni | Taksa hian protein pakhat gluten an tih chu allergy a nei a, chu chu wheat flour ang chi thilah a awm a ni. |
| Gastroesophageal reflux natna (GERD) a ni a, a chhuak leh ta a ni. | Stomach acid hi esophagus-ah a rawn chhuak a. Hei hian thinlung natna leh bawnghnute riltam ang chi thil a thlen thei a ni. |
| Inflammatory bowel natna (IBD) a awm thei lo. | Hei hian intestine chhungah inflammation a siam thin. Crohn natna leh ulcerative colitis hi he natna chi hnih a ni. |
| Food allergy emaw intolerance emaw a awm thei | Chaw thenkhat tuar theih lohna. Entirnan, bawnghnutea awm lactose ei theih lohna. |
| Growth a tlahniam zel | Naupang rit leh san zawng hi an kum a zirin a pung lo. |
| GI thisen chhuak | Digestive system khawi emaw lai atanga thisen chhuak. Thisen chhuah emaw, ek chhunga thisen kal emaw. |
| Irritable bowel syndrome (IBS) natna hi a awm thei lo. | Alternating symptoms te chu pum na, pum na, chaw ei kham, emaw riltam emaw te hi a ni. |
He doctor hnen atanga nang leh i fain tanpuina i dawn tur chu
Heng specialist te hi ‘special powers’ nei naupang enkawltu angin i ngaihtuah thei ang. Naupangte biak thiam tak, rilru hahdam taka dah thiam tak an ni a, naupang enkawltu pangngai ang bawkin. An ‘special power’ chu ei leh in lama harsatna khirh tak eng pawh an hmuchhuak thei a, an enkawl thei bawk.
A pawimawh ber chu heng doctor te hi i tan an awm reng a ni. Nu leh pa kan nih angin kan fa damlo tih kan hriat hian kan hlauthawng hle a, kan lungkham hle bawk. A hnua thil thleng tur chu kan ngaihtuah thiam lo. Heng doctor-te hian i fa taksa chhunga thil thlengte chu thumal awlsam takin an hrilhfiah ang che. Anni chuan hriattirna pe che an tum fo thin a, i rilru chu i kalna apiangah hahdam taka dah an tum fo thin.
Take-Home Thuchah a ni
- Pediatric gastroenterologist chu nausen leh naupangte chaw ei kawng natna enkawlna lama training bik nei doctor a ni.
- I fain a pum na a complain reng a, ei leh in a ei tha lo a, a thau lo a nih chuan i chhungkaw naupang enkawltu doctor pan hmasa phawt ang che. A tul chuan specialist hnenah a refer ang che.
- Endoscopy ang chi test hi hlau suh. Hrisel takin, anesthesia hnuaiah, naupang tan natna engmah awm lovin an ti thin.
- Heng specialist te hian naupang an enkawl mai bakah nangmah, nu leh pa te chu an zirtir a, emotional support an pe bawk. I zawhna zawh leh i rinhlelhnate tichiang turin hlau ngai suh.
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