He raruraru tō puku, tō whekau rānei? Me kōrero tātou mō tētahi tohunga puku!

I ētahi wā ka pā mai ngā momo raruraru puku ki a tātou. Mamae te puku, pupuhi te puku, kāore e taea te nakunaku kai... He tino whakarihariha ina pēnei tonu te puta, kāore? Nō reira, i mōhio koe he tākuta kei reira e tohunga ana ki ngā mate e pā ana ki te pūnaha nakunaku? Ko te ingoa o taua tākuta he gastroenterologist . Me kōrero taipitopito tātou mō tēnei i tēnei rā.

Ko wai te tohunga gastroenterologist?

He māmā noa iho, he tākuta tohunga puku he tākuta e tohunga ana ki ngā mate o tō pūnaha nakunaku – arā, ngā whekau katoa e uru ana ki te nakunaku. Ka whakangungu tuatahi rātou hei tākuta whānui. Whai muri i te toru tau o te kura hauora, ka whiwhi rātou i te wheako ki te rongoā i ngā momo mate katoa. Kātahi, hei tākuta tohunga puku, me ako motuhake rātou mō ētahi atu tau e toru. Hei whakamutunga, ka whiwhi rātou i tētahi tiwhikete motuhake. Koinei te mea e kī ana he tohunga rātou ki ngā mate o te pūnaha nakunaku. Waihoki, he tohu motuhake ā rātou ki te mahi i ētahi whakamātautau me ngā maimoatanga kāore e mahia e ngā tākuta whānui, me te mārama ki ngā hua o aua whakamātautau me ngā maimoatanga.

He tohunga kei te pūnaha nakunaku o ngā tamariki nohinohi? (Tangata rongoā tamariki)

Āe, he tino tika. Ka karangatia rātou e mātou ko '(Tangata Hauora Tamariki)'. Ka whakangungua tuatahitia ēnei tākuta hei '(Tangata Hauora Tamariki)'. Kātahi ka whiwhi rātou i ētahi atu tau e toru o te whakangungu motuhake i roto i te pūnaha nakunaku. Ko tā rātou arotahi nui ko ngā mate o te pūnaha nakunaku me te ate o ngā pēpi, ngā tamariki nohinohi, me ngā tamariki nohinohi . Ko tā rātou e aro nui ana ki te kai a ngā tamariki. He mea whakangungu motuhake ēnei tāngata ki te kite i ngā tohu o ngā tamariki me te tirotiro i roto i ō rātou tinana nohinohi.

Ko ēhea ngā wāhanga o te tinana e arohia ana e te tohunga puku?

Ina rongo koe i tēnei ingoa – (Gastroenterologist) – ko te tikanga o 'Gastro' he puku , ko te tikanga o 'entero' he whekau . Ko te tikanga o 'ologist' he tohunga. Nō reira, ko te puku me ngā whekau te nuinga. Engari, he nui ake i tērā tō tātou pūnaha nakunaku .

Whakaarohia, ka tīmata tēnei pūnaha i te waha tonu ina kai tātou.

Muri iho , nō reira te korokoro, te korokoro, te puku , te whekau iti , me te whekau nui .

Ehara i te mea koinā anake, engari kei roto hoki ngā whekau e whakaputa ana i te au me ngā whākōkī nakunaku e āwhina ana ki te nakunaku kai. Ko ēnei:

• Ate
• Te pūkahukahu (te wāhi e kohia ai, e rongoatia ai hoki te au mai i te ate)
• Pancreas
• Ngā awaawa au (ngā ngongo e kawe ana i te au)

Nō reira, ka rapu te tākuta puku i ngā mate e pā ana ki ēnei whekau katoa .

He aha tātou me toro atu ai ki tētahi tohunga puku?

He pātai pai tēnei. Tērā pea kei a koe ngā tohumate nakunaku (hei tauira, te mamae o te puku, te korere, te mate kōroke), engari kāore pea e taea e tō tākuta whānau te tautuhi i tēnei mate, kāore rānei e whai hua ngā rongoā e tohua ana e rātou. Mēnā koinei te āhua, he mea pai kia kite koe i tētahi tohunga.

Ki te mōhio kē koe he mate puku kino tōu (pēnei i te IBD), he pai ake te toro atu ki tētahi tohunga kia whiwhi ai i te maimoatanga pai rawa atu mōna.

Nā te mea kei te rangahau tonu, kei te whakamātau, kei te whakamātau tonu ēnei tākuta tohunga i ēnei momo mate, ka pai ake tā rātou tautuhi tika me te tere i te mate, ā, ka iti ake ngā raruraru ka pā mai .

He aha ngā mate matua e rongoatia ana e te gastroenterologist?

He maha ngā mate . Me titiro tātou ki ētahi o ngā mea matua.

Ngā mate o te puku:

• Te Mate Puku Whakararuraru (IBS), he mate e puta ai te mate korere, te mate kōroke rānei
• Te Mate Puku Mumura (IBD) (tae atu ki te mate a Crohn me te Ulcerative Colitis)
• Te mate celiac , he mate pāwera ki te pūmua gluten e kitea ana i roto i te paraoa witi
• Te Tupu Nui o te Huakita o te Puku Iti (SIBO)
• Ngā mate pāwera kai me ngā kore e manawanui ki ngā momo kai
• Ngā mate puku
• Te diverticulitis ( ngā putea iti e puta ana i roto i te whekau nui ka pangia )
• Te āpuku (he maha ngā wā ka hiahiatia he pokanga)
• He tipu iti i roto i te koroni e kiia nei ko ngā "polyps o te repe taihemahema" (he mea nui kia tangohia ēnei nā te mea ka huri hei mate pukupuku)
• Ngā pukupuku

Ngā mate o te korokoro:

• Ngā uauatanga horomi
• Ko te Mate Reflux Gastroesophageal (GERD) he mate e puta mai ana i te pikinga o te waikawa o te puku ki roto i te esophagus (e kiia ana hoki tēnei he reflux waikawa).
• Te mate pāwera o te korokoro
• Ngā hernia hiatal ( tetahi wāhanga o te puku e puta ana ki roto i te uma )

Ngā mate ate:

• Te mate ate ate (hei tauira, te mate ate ate B, C)
• Te kino o te ate nā ngā paitini (Hepatitis paitini)
• Mate ate momona
• Te whakapakeketanga o te ate (cirrhosis)

Ngā mate o te pancreas, te biliary me te gallbladder:

• Ngā kōhatu o te pūhā
• Kore-tūroro
• Te mate pāwera

He aha ngā tohu e tika ana kia kōrero koe ki te gastroenterologist?

Mena kei a koe tētahi o ēnei tohu, he mea nui kia kōrero koe ki tētahi tohunga:

• Mamae puku
• Puku pupuhi
• Ngā raruraru nakunaku, te koretake o te kai
• Te mamae o te hau me te hau
• Whakapairuaki me te ruaki
• Te toto o te rectum (tērā pea he whero, he mangu rānei)
• Te korere (te nekenekehanga pinepine o te puku)
• Te koretake o te puku , te uaua rānei ki te tūtae
• Te whakahekenga taumaha, te pikinga taumaha rānei kāore i te whakamāramatia
• Te mamae o te uma (pērā i te GERD)
• Te kōwhai o te kiri me ngā kanohi (Jaundice)

He aha te mahi a te tohunga Gastroenterologist?

Tuatahi, ka tirotirohia koe e te tākuta. Ka pākia tō puku, ka whakarongo ki te ngongo, ā, ka whakaurua pea he maihao ki roto i tō pūkahukahu (whakamātautau matihiko pūkahukahu).

Kātahi ka tonoa pea he whakamātautau toto , he whakamātautau tūtae , he whakamātautau whakaahua o waho rānei pērā i te hihi-X hei tiki atu i ētahi atu kōrero.

Heoi, ki te kore e taea e ēnei whakamātautau anake te tautuhi tika i te mate, ka whakangungua motuhake ngā tohunga puku ki te mahi i ngā tikanga endoscopic .

He aha te endoscope?

Hei whakarāpopototanga, ko te whakaurunga o tētahi ngongo roa, angiangi, ngāwari (e kiia ana he endoscope) me tētahi kāmera e piri ana ki roto i te tinana, ka titiro tika atu ki ngā whekau o roto. Ka taea e tēnei te whakarato i te nui o ngā mōhiotanga.

He maha ngā momo matua o ngā whakamātautau endoscopy:

• Te tirotiro i te endoscopy o runga (EGD): Kei roto i tēnei ko te tirotiro i te korokoro, te puku, me te wāhanga tuatahi o te whekau iti (duodenum) me te ngongo e whakaurua ana mā te waha.
• Te tirotiro i te whekau iti ('Enteroscopy'): Ka whakamahia tēnei hei tirotiro i te whekau iti katoa.
• Kōronokopi: He tokomaha kua rongo mō tēnei. Ka whakauruhia he ngongo mā roto i te nono, ā, ka tirotirohia te whekau nui katoa (kōroni).
• Ultrasound Endoskopiko: Ka tāpirihia he wāhanga iti o te mīhini ultrasound ki te pito o te endoscope, ā, ka tirohia ngā kiko hohonu o ngā whekau o roto (ina koa te pūkahukahu me te pancreas).
• ERCP (Endoscopic Retrograde Cholangiopancreatography): He whakamātautau uaua ake tēnei. Ka mahia pērā i te endoscopy o runga, ā, ka whakaurua he rauemi motuhake ki roto i ngā awaawa au me ngā awaawa repeure, kātahi ka tangohia he hihi-X.
• Polypectomy: Te tango i ngā tipu iti (polyps) i roto i te puku, i ngā whekau rānei i te wā o te endoscopy.

Ehara i te mea ka āwhina noa ngā whakamātautau endoscopy ki te kite tika i te mate, engari he maha atu anō hoki ngā painga. Ka taea e te tākuta te tuku i ngā taputapu iti mā roto i te endoscope, ka tango i ngā tauira kiko (biopsies) ka tukuna ki te taiwhanga. Ka taea hoki e rātou te mahi i ngā maimoatanga iti . Hei tauira, ka taea e rātou te whakawhānui i tētahi wāhi kua āraia, te whakamutu i te toto, te tango rānei i ngā pukupuku iti i mua i te pokanga. I roto i te nuinga o ngā wā, ka taea tonu te mahi i ēnei.

Ka rongoatia hoki e ngā tākuta puku te mate pukupuku?

Ae, i te nuinga o te wā, ko te tākuta puku te tuatahi ki te tātari i te mate pukupuku i roto i te pūnaha nakunaku (pērā i te puku, ngā whekau, te korokoro, te ate, te repe taiaki, te pūkahukahu). Ka taea e rātou te whakamahi i te tirotiro endoskopiko me te koiora hei kimi i ngā tipu mate pukupuku, me te tango tauira hei whakaū i te tātaritanga.

Mena ka whakaūtia te mate pukupuku, ka whakahaerehia pea ētahi atu whakamātautau endoscopic hei tirotiro i te tawhiti o tōna horapa (e kiia ana ko te 'staging').

I ētahi wā, ka taea e ngā tākuta puku te tango i ētahi momo matepukupuku mā te endoscope (te wetewete) me te whakangaro rānei i a rātou mā te whakamahi i ngā laser.

Ko ngā momo mate pukupuku e tino pā ana ki a rātou ko:

• Matepukupuku puku
• Matepukupuku repeure
• Matepukupuku korokoro
• Matepukupuku ate
• Matepukupuku repeure
• Matepukupuku o te pūkahukahu
• Matepukupuku o te awaawa au

Ehara i te mea koinā anake, engari ko te tangata he momo matepukupuku kē atu, me āwhina pea e te tākuta puku kia kite ai mēnā kua horapa te matepukupuku ki te pūnaha nakunaku, kia whakahaere rānei i ngā pānga taha o ngā maimoatanga matepukupuku (hei tauira, `(Chemotherapy)`, `(Radiation therapy)`) e pā ana ki te pūnaha nakunaku (hei tauira, ngā mate pukupuku waha/whekau `(Mucositis)`, `(Radiation enteritis)`, whakapairuaki, ruaki, korere, mate kōroke, kore kai).

He aha te rerekētanga i waenga i te tohunga gastroenterologist me te tohunga proctologist?

He pātai pai tēnei. Kāore i te maha te whakamahinga o te kupu "proctologist" i ēnei rā. Engari, he maha ake te whakamahinga o te kupu "colorectal surgeon ".

He kupu ngāwari noa iho, he taote pokanga te "Taonga Proctologist" me te "Taonga Colorectal". He mea whakangungu motuhake rātou ki te mahi pokanga i ngā mate o te koroni, te rectum, me te nono. E rima tau pea te roa o tā rātou mahi pokanga whānui i muri i te kura hauora, kātahi ka whiwhi whakangungu motuhake i te rohe colorectal.

Heoi, he tohunga hauora te tohunga puku, ehara i te taote pokanga . Ko tana mahi matua he tātaritanga mate, he rongoā i aua mate, me te mahi whakamātautau pēnei i te endoscopy.

Ka taea e te tākuta puku te kī atu mēnā me pokanga koe, kāore rānei. Engari kāore ia e mahi i te pokanga. Ka tukuna koe e ia ki te tākuta puku. Koinei te rerekētanga matua.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He pūnaha uaua, he pūnaha honohono o ngā whekau tō tātou pūnaha nakunaku. He tukanga tonu tēnei mō te wawahi i te kai e kainga ana e tātou, te mimiti i ngā matūkai e hiahiatia ana e tātou, me te pana i ngā para. Nō reira, ki te he tetahi mea ki tēnei pūnaha, ka rongohia e ō tātou tinana.

He mea tino noa te mamae o te puku me ngā raruraru nakunaku. Engari ehara i te mea ngāwari ki te kimi i te take o ēnei raruraru. Koinei te wā e hiahia ana koe ki te āwhina a tētahi tohunga. Ka taea e te tākuta gastroenterologist te mārama ki te mahi tahi a ēnei okana katoa, te kimi i te he o tō pūnaha nakunaku, me te hoatu i te maimoatanga e hiahiatia ana e koe.

Nō reira, ki te mamae tonu tō puku, ki te raru rānei tō pūnaha nakunaku, kaua e wehi ki te toro atu ki tētahi tohunga puku. Ka taea e ia te whakaora i a koe.

Pūnaha nakunaku , tohunga puku, mate puku, tirotiro mata, tirotiro koroni, ate, puku