Kodi muli ndi vuto la m'mimba kapena m'matumbo anu? Tiyeni tikambirane za dokotala wa matenda a m'mimba!

Nthawi zina timakumana ndi mavuto osiyanasiyana a m'mimba. M'mimba timapweteka, timadzimbidwa, timamva ngati sitingathe kugaya chakudya... Zimakhumudwitsa kwambiri zinthu ngati izi zikapitirira kuchitika, sichoncho? Ndiye kodi mumadziwa kuti pali dokotala amene amaona za matenda okhudzana ndi kugaya chakudya? Dokotala ameneyo amatchedwa gastroenterologist . Tiyeni tikambirane za izi mwatsatanetsatane lero.

Kodi katswiri wa matenda a m'mimba ndi ndani?

Mwachidule, gastroenterologist ndi dokotala yemwe ndi katswiri pa matenda a m'mimba mwanu - kutanthauza ziwalo zonse zomwe zimakhudzidwa ndi kugaya chakudya. Choyamba amaphunzitsidwa ngati akatswiri odziwa bwino ntchito zachipatala. Pambuyo pa zaka zitatu za sukulu ya zamankhwala, amapeza chidziwitso chochiza matenda osiyanasiyana. Kenako, kuti akhale katswiri wa gastroenterologist, ayenera kuphunzira makamaka kwa zaka zina zitatu. Pomaliza, amalandira satifiketi yapadera. Izi zikutanthauza kuti ndi akatswiri pa matenda a m'mimba. Komanso, ali ndi ziyeneretso zapadera zochitira mayeso ndi chithandizo china chomwe madokotala wamba sachita, komanso kumvetsetsa zotsatira za mayeso ndi chithandizo chimenecho.

Kodi pali katswiri wa m'mimba mwa ana aang'ono? (Katswiri wa matenda a m'mimba mwa ana)

Inde, alipodi. Timawatcha kuti `(Patient Gastroenterologist)`. Madokotala awa amayamba kuphunzitsidwa ngati `(Patient Doctor)`. Kenako amalandira maphunziro ena atatu apadera m'thupi. Amayang'ana kwambiri matenda am'mimba ndi chiwindi cha makanda, ana aang'ono, ndi ana aang'ono . Amasamala kwambiri za zakudya za ana. Anthu awa amaphunzitsidwa mwapadera kuzindikira zizindikiro za ana ndikuwunika mkati mwa matupi awo ang'onoang'ono.

Ndi ziwalo ziti za thupi zomwe dokotala wa gastroenterologist amaika patsogolo?

Mukamva dzina ili – (Gastroenterologist) – 'Gastro' amatanthauza m'mimba , 'entero' amatanthauza matumbo . 'katswiri' amatanthauza katswiri. Chifukwa chake, makamaka m'mimba ndi m'matumbo. Koma, dongosolo lathu logaya chakudya ndi lalikulu kwambiri kuposa pamenepo.

Taganizirani izi, dongosololi limayambira pakamwa pomwe tikudya.

Kenako , pakhosi, m'mero, m'mimba , m'matumbo ang'onoang'ono , ndi m'matumbo akulu ndi gawo lake.

Si zokhazo, komanso ziwalo zomwe zimapanga ndulu ndi ma enzyme ogaya chakudya omwe amathandiza kugaya chakudya nawonso amakhudzidwa.

• Chiwindi
• Chikhodzodzo cha ndulu (malo omwe ndulu yochokera ku chiwindi imasonkhanitsidwa ndikusungidwa)
• Pancreas
• Machubu onyamula ndulu (machubu omwe amanyamula ndulu)

Choncho dokotala wa matenda a m'mimba amafufuza matenda omwe amapezeka m'ziwalo zonsezi .

Nchifukwa chiyani tiyenera kupita kwa dokotala wa gastroenterologist?

Funso labwino. Mwina muli ndi zizindikiro za m'mimba (monga kupweteka m'mimba, kutsegula m'mimba, kudzimbidwa), koma dokotala wanu wamba sangakwanitse kuzindikira vutoli, kapena mankhwala omwe amakupatsa sangakhale othandiza. Zikatero, ndi bwino kuonana ndi katswiri.

Kapena, ngati mukudziwa kale kuti muli ndi vuto lalikulu la m'mimba (monga IBD), ndi bwino kuonana ndi katswiri kuti akupatseni chithandizo chabwino kwambiri.

Popeza madokotala odziwa bwino ntchito imeneyi nthawi zonse amafufuza, kufufuza, ndi kuyesa matenda amtunduwu, amatha kuzindikira matendawa molondola komanso mwachangu, ndipo amatha kuwachiza popanda mavuto ambiri .

Kodi matenda akuluakulu omwe dokotala wa gastroenterologist amawachiza ndi ati?

Pali matenda ambiri. Tiyeni tione ena mwa matenda akuluakulu.

Matenda a m'mimba:

• Matenda a m'mimba okwiya (IBS), matenda omwe amayambitsa kutsegula m'mimba kapena kudzimbidwa pafupipafupi
• Matenda a m'mimba otupa (IBD) (kuphatikizapo matenda a Crohn ndi Ulcerative Colitis)
• Matenda a Celiac , vuto la kusowa kwa mapuloteni a gluten omwe amapezeka mu ufa wa tirigu
• Kukula Kwambiri kwa Mabakiteriya Ang'onoang'ono a M'mimba (SIBO)
• Matenda a ziwengo ndi kusalolera zakudya zosiyanasiyana
• Zilonda zam'mimba
• Diverticulitis ( matumba ang'onoang'ono omwe amapangika m'matumbo akulu ndipo amadwala )
• Appendicitis (nthawi zambiri izi zimafuna opaleshoni)
• Zomera zazing'ono m'matumbo otchedwa ``Colorectal polyps`` (ndikofunikira kuzichotsa chifukwa zimatha kusanduka khansa)
• Ma hemorrhoids

Matenda a m'mero:

• Kumeza mavuto
• Matenda a Gastroesophageal Reflux Disease (GERD) ndi matenda omwe amayamba chifukwa cha asidi m'mimba kulowa m'mimba (timatchanso kuti acid reflux).
• Kutupa kwa m'mimba
• Ma hernia a hiatal ( mbali ina ya mimba yomwe imatuluka pachifuwa )

Matenda a chiwindi:

• Matenda a chiwindi (monga matenda a chiwindi B, C)
• Kuwonongeka kwa chiwindi chifukwa cha poizoni (Toxic hepatitis)
• Matenda a chiwindi chamafuta
• Cirrhosis ( kuuma kwa chiwindi )

Matenda a pancreatic, biliary ndi ndulu:

• Miyala ya m'matumbo
• Cholecystitis
• Pancreatitis

Kodi ndi zizindikiro ziti zomwe muyenera kuuza dokotala wa gastroenterologist?

Ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kuuza katswiri:

• Kupweteka m'mimba
• Mimba yotupa
• Mavuto a m'mimba, kusagaya bwino chakudya
• Kupweteka kwa mpweya ndi mpweya
• Kusanza ndi kusanza
• Kutuluka magazi m'thupi (izi zitha kukhala zofiira kapena zakuda)
• Kutsegula m'mimba (kutuluka m'mimba pafupipafupi)
• Kudzimbidwa kapena kuvutika kutuluka m'mimba
• Kuchepetsa thupi kosayembekezereka kapena kuwonjezeka thupi
• Kutentha pamtima (monga momwe zilili ndi GERD)
• Kutuluka kwachikasu pakhungu ndi maso (Jaundice)

Kodi dokotala wa gastroenterologist amachita chiyani?

Choyamba, dokotala adzakuyesani thupi . Adzakukhudzani pamimba, kumvetsera ndi chubu, ndipo angalowetse chala chanu mu rectum (mayeso a digito a rectum).

Kenako, angapemphe mayeso a magazi , mayeso a ndowe , kapena mayeso akunja monga X-ray kuti apeze zambiri.

Komabe, ngati mayeso okhawa sangathe kuzindikira matendawa molondola, madokotala a gastroenterologists amaphunzitsidwa mwapadera kuti achite opaleshoni ya endoscopic .

Kodi endoscopy ndi chiyani?

Mwachidule, izi zimaphatikizapo kuyika chubu chachitali, chopyapyala, komanso chosinthasintha (chotchedwa endoscope) chokhala ndi kamera yolumikizidwa m'thupi ndikuyang'ana ziwalo zamkati mwachindunji. Izi zingapereke chidziwitso chambiri.

Pali mitundu ikuluikulu ya mayeso a endoscopy:

• Upper endoscopy (EGD): Izi zimaphatikizapo kufufuza m'mero, m'mimba, ndi gawo loyamba la matumbo ang'onoang'ono (duodenum) ndi chubu cholowetsedwa kudzera pakamwa.
• Endoscopy ya m'matumbo ang'onoang'ono (`Enteroscopy`): Iyi imagwiritsidwa ntchito poyang'ana matumbo onse ang'onoang'ono.
• Colonoscopy: Anthu ambiri amvapo izi. Chubu chimayikidwa kudzera mu anus ndipo matumbo onse akuluakulu (colon) amawunikidwa.
• Endoscopic ultrasound: Gawo laling'ono la makina a ultrasound limalumikizidwa kumapeto kwa endoscope ndipo minofu yakuya ya ziwalo zamkati (makamaka ndulu ndi kapamba) imafufuzidwa.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Iyi ndi njira yovuta pang'ono yoyezera. Imachitika ngati upper endoscopy, ndipo chinthu chapadera chimayikidwa mu ducts za bile ndi pancreatic ducts ndipo X-ray imatengedwa.
• Kuchotsa ziwalo zotupa m'mimba kapena m'matumbo: Kuchotsa ziwalo zotupa m'mimba kapena m'matumbo panthawi ya endoscopy.

Mayeso a Endoscopy samangothandiza kuona matenda enieni, komanso ali ndi ubwino wina. Dokotala amatha kupereka zida zazing'ono kudzera mu endoscope ndikutenga zitsanzo za minofu (biopsy) ndikuzitumiza ku labotale. Angathenso kuchita mankhwala ang'onoang'ono . Mwachitsanzo, amatha kukulitsa malo otsekedwa, kuletsa kutuluka magazi, kapena kuchotsa zotupa zazing'ono musanachite opaleshoni. Nthawi zambiri, zimatha kuchitika nthawi yomweyo.

Kodi madokotala a m'mimba nawonso amachiritsa khansa?

Inde, nthawi zambiri, dokotala wa matenda a m'mimba ndiye woyamba kuzindikira khansa m'mimba (monga m'mimba, m'matumbo, m'mero, m'chiwindi, kapamba, ndulu). Angagwiritse ntchito endoscopy ndi biopsy kuti apeze zotupa za khansa ndikutenga zitsanzo kuti atsimikizire matendawa.

Ngati khansa yatsimikizika, mayeso ena a endoscopic angachitike kuti awone momwe yafalikira (yotchedwa `staging`).

Nthawi zina, madokotala a matenda a m'mimba amatha kuchotsa mitundu ina ya khansa kudzera mu endoscope (kuduladula) kapena kuiwononga ndi laser.

Mitundu ya khansa yomwe imagwirizanitsidwa kwambiri ndi iyi:

• Khansa ya m'mimba
• Khansa ya m'matumbo
• Khansa ya m'mero
• Khansa ya chiwindi
• Khansa ya kapamba
• Khansa ya ndulu
• Khansa ya ndulu

Si zokhazo, komanso munthu amene ali ndi khansa yamtundu wina angafunike thandizo la dokotala wa m'mimba kuti akaone ngati khansayo yafalikira m'thupi, kapena kuti athetse mavuto ena a mankhwala a khansa (monga `(Chemotherapy)`, `(Radiation therapy)`) omwe amakhudza kugaya chakudya (monga zilonda zam'kamwa/m'mimba `(Mucositis)`, `(Radiation enteritis)`, nseru, kusanza, kutsegula m'mimba, kudzimbidwa, kusowa zakudya m'thupi).

Kodi pali kusiyana kotani pakati pa Proctologist ndi Gastroenterologist?

Funso labwino. Mawu akuti "proctologist" sagwiritsidwa ntchito kawirikawiri masiku ano. M'malo mwake, mawu akuti " dokotala wa opaleshoni ya matumbo" ndi omwe amamveka kwambiri.

Mwachidule, "Proctologist" kapena "Dokotala wa opaleshoni ya m'matumbo" ndi madokotala ochita opaleshoni . Amaphunzitsidwa mwapadera kuchita opaleshoni ya matenda a m'matumbo, m'matumbo, ndi m'mako. Amakhala zaka pafupifupi zisanu akuchita opaleshoni yonse atamaliza maphunziro azachipatala, kenako amalandira maphunziro apadera m'dera la m'matumbo.

Komabe, dokotala wa matenda a m'mimba ndi katswiri wa zachipatala, osati dokotala wa opaleshoni . Ntchito yake yaikulu ndi kupeza matenda, kuwachiza ndi mankhwala, komanso kuchita mayeso monga endoscopy.

Dokotala wa matenda a m'mimba angakuuzeni ngati mukufunikira opaleshoni kapena ayi. Koma sachita opaleshoniyo. Amakutumizani kwa dokotala wa opaleshoni ya m'matumbo. Ichi ndiye kusiyana kwakukulu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Thupi lathu logaya chakudya ndi lovuta komanso logwirizana la ziwalo. Ndi njira yosalekeza yogaya chakudya chomwe timadya, kuyamwa michere yomwe timafunikira, ndikutulutsa zinyalala. Chifukwa chake, ngati china chake chalakwika ndi dongosololi, matupi athu adzamva.

Mavuto a m'mimba ndi kugaya chakudya ndi ofala kwambiri. Koma sikophweka kudziwa chomwe chimayambitsa matendawa. Pamenepo ndi pomwe mungafunike thandizo la katswiri. Dokotala wa matenda a m'mimba amatha kumvetsetsa momwe ziwalo zonsezi zimagwirira ntchito limodzi, kudziwa chomwe chikuvuta ndi dongosolo lanu la m'mimba, ndikukupatsani chithandizo chomwe mukufuna.

Choncho, ngati muli ndi ululu wa m'mimba nthawi zonse kapena mavuto a m'mimba, musaope kupita kwa dokotala wa gastroenterologist. Izi zingakuthandizeni kupeza mpumulo waukulu.

` Matenda am'mimba, gastroenterologist, matenda am'mimba, endoscopy, colonoscopy, chiwindi, m'mimba