I fate hian a pum a ti na fo em? Pediatric Gastroenterologist chungchang i zir dawn teh ang!

I fa hian, "Mommy, ka pum a na" a ti fo em? Bawnghnute a in hnuah a luak chhuak em? Nge a ei duh lo tak tak em? Nu leh pa i nih angin naupang tê têin pum na a neih chuan i lungngai hle a, i hlauthawng hle mai thei. Chuvangin vawiin hian i fate chaw ei dan, chu chu pum natna (stomachaches) lama tui doctor chungchang kan sawi dawn a ni. Heng doctor te hi Pediatric Gastroenterologist kan tih te hi an ni .

He Pediatric Gastroenterologist hi tu nge ni? (Pediatric Gastroenterologist chu tu nge ni?)

A awlsam zawngin sawi ila, hei hi naupang enkawltu doctor a ni a, naupangte ei leh in lama harsatna nei enkawlna lama training bik nei doctor a ni. Puitling enkawltu naupang enkawltu ang mai a ni a, mahse heng doctor te hian naute, naupang tê leh tleirawlte harsatna chu a bik takin an enkawl a ni.

I fate chaw ei danah hian:

• Ka
• Esophagus (rilru hnuai lama ei tur phurtu tube) .
• Pum (kan ei tur dahkhawmna hmun) .
• Intestine te tak te
• Intestine lian tak a ni

(Hei hi chaw ei kawng emaw ``Gastrointestinal emaw GI tract'' kan tih tlangpui chu a ni.)

• Tin, pancreas pawh a ni.
• Thin
• Gallbladder a ni
• Biliary tract a ni

Heng specialist doctor te hian heng zawng zawngah hian harsatna awmte chu an hmuchhuak a, an enkawl bawk. Ngaihtuah teh, a chang chuan naupang pum na hi a tenau a ni thei a, ni hnih emaw ni thum emaw hnuah a dam leh mai ang. Mahse, a châng chuan heng harsatnate hi a na hle thei a , nunna chhanhim thei enkawlna a ngai thei bawk. Natna \henkhat chu damchhunga awm thei a awm a, mahse enkawl \ha leh Doctor nena thawhhona \ha a awm chuan chu natna nen chuan naupang chu a pangngaiin a khawsa thei a ni. A tawpah chuan heng doctor-te thawhrimna chu i fa chu nun tha, hlim tak (`(good quality of life)`) pek hi a ni.

Naupangin chaw a ei a, a ei a, a tawpah a poop atang khan thil thleng zawng zawng hi a buaithlak hle. Heng specialist doctor te hian he thil kalphung zawng zawng hi an hre chiang hle. Chuvangin i fa chu i tana tha tur zawngin an test thei a, an enkawl thei bawk. Tin, i fa damlohna leh nakin huna i beisei turte hriatthiamna atan an pui thei bawk che a ni.

Heng doctor-te hian eng nge an tih tak tak? (Pediatric Gastroenterologist te hian eng nge an tih?)

Pediatric gastroenterologist te hian puitling gastroenterologist te tih ang zawng zawng hi an ti vek a. A danglamna chu heng service te hi naute, naupang tê, leh naupang tê tête tâna pek a ni. An nitin hnathawhnaah hian:

• Nu leh pa te nen an inbia a, naupang natna lan chhuah dan leh damdawi lam chanchin te an zawt thin.Zawhna an zawt ang che, "Naute hian eng chen nge he pum na hi a neih?", "A luak chhuak em?", "A thau a tlahniam em?"
• Natna chu eng nge a nih chiah tih hriat tumin special imaging test nei turin an refer thei che a , anmahni pawhin procedure thenkhat an ti thei bawk.
• Natna hmuhchhuah chu enkawl a ni. Damdawi nen a ni thei a, enkawlna dang pawh a ni thei bawk.
• Naupang chaw kawng lam harsatna chungchangah zirchianna dang neih mek a ni .
• Nakinah chuan Doctor ten midangte an zirtir ang a, an kaihruai ang.

Heng doctor-te hian eng ang test leh treatment nge an tih? (Pediatric Gastroenterologist-in a tih theih dan tur)

Heng specialist doctor te hian test leh enkawlna hrang hrang an ti thei a ni. Entîr nân, endoscopy tih test ti tûrin a bîk takin an zirtîr a ni.

A awlsam zawngin sawi ila, endoscopy chu naupang taksaah hian tube sei tak, te tak te, camera inbun chu dahin a chhung lam enin a natna lan chhuah chhan hriat theihna a ni. Tube awmna hmun hi naupang natna lan chhuah dan leh doctor-in a hmuh duh dan a zirin a innghat a ni.

`(Endoscopy)` chi thenkhat chu hetiang hi a ni:

• Upper endoscopy: Hei hi ka chhunga tube dah luh a ni. Naupang chu chaw kawng, pum, leh small intestine (duodenum) chunglam te a hmu thei a ni.
• Colonoscopy: Hei hi hnute kawng (anus hnuai lam) kaltlangin tube dahin intestine lian (colon) zawng zawng enfiah a ni.
• Capsule endoscopy: Hei hi a danglam deuh hlek a. Naupang chuan camera te tak te a ei a, chu chu vitamin capsule ang mai a ni. Camera hian taksa chhunga small intestine a kal lai thlalak a la a.

Heng `(Endoscopy)` test te hian natna hriatchhuahna kawngah nasa takin a pui a ni. A chhan chu naupang chaw ei kawng chhungril lam an en thei a ni. A chang chuan he test chhung hian tissue sample te tak te (`(biopsy)`) lak a, test dang neih belh tura thawn theih a ni . Tin, a chang chuan `(Endoscopy)` hmangin natna enkawl theih a ni bawk.

Chu bakah, pediatric gastroenterologist te pawhin hetiang hi an ti thei bawk:

• Liver biopsy hi thin natna a awm leh awm loh, a chhan leh a chhiatna engzat nge a awm tih hriat nan liver hmun te tak te lak a ni .
• Naupangin ei harsatna a neih chuan chaw pekna tube (`(feeding tube)`) dahin a mamawh ei tur pek theih a ni a , a nih loh leh thisen kalna kawng (`(IV catheter)`) hmangin ei tur pek theih a ni bawk.
• I fa chaw ei kawng chhunga thau leh nerve smooth te hian hna a thawk tha em tih hriat nan special test (`motility testing`) ti thin ang che.

Engtikah nge naupang chu gastroenterologist hnenah refer a nih ang? (Engvangin nge naupang chu gastroenterologist hnenah refer a nih ang?)

I fa hian test emaw, enkawlna emaw atan hetiang specialist hi a pan a ngai mai thei. Heng doctor-te hian an puih theih zawhna thenkhat chu hetiang hi a ni:

• Naupangin digestive system symptoms (`(GI symptoms)`) a neih chuan . (e.g. pum na reng reng, luak chhuak, luak chhuak, chaw ei kham).
• Naupangin an ei tur atanga nutrients a lakluh loh hunah.
• Natna hi enkawl tha a nih loh chuan harsatna dang a awm thei bawk .
• A châng chuan nunna hlauhawmna hmunah .

Pawimawh tak chu naupang enkawltu doctor-te chuan naupangte chu functional abdominal pain an neih avangin gastroenterologist hnenah an refer fo thin. I fa chu sikul kal emaw, inkhelh emaw tikhawtlai thei khawpa pum na a neih fo chuan an nitin hnathawhnaah daltu lian tak a ni thei. Heng pum na hi chhan tam tak a awm thei. Gastroenterologist chuan eng nge thleng tak tak tih hriat tumin test a nei thei a ni.

Naupang gastroenterologist-te’n an enkawl ṭhin natna ṭhenkhat chu engte nge ni? (Paediatric gastroenterologist-te’n an hmuhchhuah leh an enkawl dan entirnan)

Pediatric gastroenterologist-te hian natna chi hrang hrang an enkawl a, chung zingah chuan:

• Celiac disease: Hei hi protein pakhat gluten (wheat leh barley-a awm) allergy a ni.
• Cyclic vomiting syndrome: Ni tam tak chhung chu a chhan hriat lohvin a chhuak thin.
• Eosinophilic esophagitis (EOE): Allergy avanga chaw kawng (food pipe) a natna.
• Food allergy emaw intolerances: Naupangin ei tur thenkhat a tuar theih lohna.
• Gastroesophageal reflux disease (GERD): Pum chhunga thil awmte chu chaw kawng (gastritis nen a inang)-ah a lut leh thin.
• Chaw ei kawng atanga thisen chhuak (GI bleeding) .
• Growth faltering/thau lutuk lo .
• Inflammatory bowel disease (IBD): Hei hian intestine-a natna khirh tak tak, Crohn’s disease an tih leh ulcerative colitis te a huam a ni.
• Irritable bowel syndrome (IBS): Intestines a sensitive a, pum na, riltam emaw, chaw ei kham emaw a thlen thin.
• Liver natna .
• GI tract-a motility issues: Chaw ei tur chu intestine kaltlangin a kal tha lo.
• Pancreatic natna a ni .
• Ei leh in lama harsatna (malnutrition ) .
• Thau lutuk leh thau lutuk.
• Short bowel syndrome: Naupang, an rilru natna (small intestine) thenkhat lakchhuah tawhte zingah a awm thin.

Heng doctor-te thiamna leh training hi eng nge ni? (Paediatric gastroenterologist-te hian eng thilah nge an specialise?)

Naupang gastroenterologist nih hi thil awlsam a ni lo. Zirna leh training hun rei tak an paltlang a ngai a ni:

• Pakhatnaah chuan bachelor degree (kum 4 vel) a ni.
• Tichuan medical school kal la , doctorate (kum 4 vel) la rawh.
• A dawtah chuan naupang enkawlna lama special training (`(residency program in pediatrics)`) (kum 3 vel) a ni.
• Chumi hnuah chauh chuan pediatric gastroenterology (kum 3 vel)-ah fellowship a awm thin.
• Ṭhenkhat chuan training sâng zâwk an dawng , entîr nân, transplant hepatology, neurogastroenterology, a nih loh leh obesity medicine ang chi lamahte.

Heng zawng zawng an tih zawh hnu hian exam an pass a ngai a, naupang leh naupang chaw kawng natnaah board-certified an ni tur a ni .

Naupang gastroenterologist thenkhat chuan kawng dangah specialise an thlang a, chu chu an zir belh zel bawk. Entirnan:

• Naupang thin natna leh thin thlak dan.
• Inflammatory bowel natna a ni.
• Ei leh in.

Heng doctor te hi "naupang enkawltu superpower nei" angin i ngaihtuah thei ang. Naupang enkawltu pangngai ang bawkin naupangte nena inbiakna te, him taka vawn that te, an rilru hahdamna te an thiam hle. An thiltihtheihna bik chu naupang pum lam harsatna leh ei leh in lama harsatna an neihte an hriatna thuk tak hi a ni. Pum natna awm reng atanga sawifiah theih loh thisen chhuah thlengin engkim an chinfel thei.

Heng specialist doctor te hi i tan pawh an awm reng a ni. I fain pum na a neih hian hlauhna leh beisei tur hriat chian loh hi thil pangngai a ni. I fa taksa chhunga thil thlengte chu an hrilhfiah ang che a, i kalna apiangah an hriattir zel ang che.

He thawnthu atang hian kan hriat reng tur thil (Take-Home Message) .

Okay, chuvang chuan vawiinah hian kan sawi tam ta hle mai. Thutawp atan chuan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Pediatric Gastroenterologist te hi naute, naupang tê leh naupang tête chaw ei kawng natna enkawlna lama tui tak doctor an ni.
• I fa hian a pum a na fo thin a, chaw ei kawngah harsatna a nei fo a, a hmasawnna lama harsatna a nei fo a nih chuan hetiang specialist hmuh hi ngaihtuah nawn leh suh.
• Heng doctor te hian an ti theiNatna chu dik taka hriatchhuah a, enkawlna dik tak pe la, naupang chu nun \ha tak nei tura \anpui rawh.
• Tin, naupangte nen pawh an inngaitlawm hle a, an nu leh pate pawh an thlawp hle bawk.

Chuvangin, i fa hriselna chungchang sawi dawn chuan hetiang thiamna nei doctor tanpuina lak a phu hle.

` Pediatric Gastroenterology, Pediatric Gastroenterologist, Naupang Pum Natna, Chaw ei, Endoscopy, Colonoscopy, Naupang hriselna