Kodi nthawi zambiri mumakhala ndi mavuto am'mimba? Kodi mumakumananso ndi mavuto monga kumva kukhuta, kutulutsa mpweya, kugaya chakudya, komanso kutentha pamtima? Ngati mavutowa akupitirira ngakhale mutamwa mankhwala kuchokera kwa dokotala wamba, mwina nthawi yakwana yoti mukaone dokotala yemwe ndi katswiri pa izi. Katswiri ameneyo ndi amene timamutcha 'Gastroenterologist'. Lero, tiyeni tikambirane za dokotala ameneyu, zomwe amachita, komanso nthawi yomwe muyenera kumuwona.
Mwachidule, kodi Dokotala wa Gastroenter uyu ndi ndani?
Dokotala wa matenda a m'mimba ndi dokotala amene amaphunzira matenda omwe amakhudza kugaya chakudya . Tangoganizirani, amayamba kuphunzira ngati dokotala wamba. Akamaliza digiri ya MBBS, amagwira ntchito ngati dokotala wamba kwa zaka pafupifupi zitatu, akupeza chidziwitso pa matenda osiyanasiyana. Pambuyo pake, amangoyang'ana kwambiri kugaya chakudya, kenako amaphunziranso zaka zina zitatu zapadera .
Pambuyo pa maphunziro apaderawa, amalandira satifiketi ngati katswiri pankhaniyi. Izi zimawathandiza kuchita mayeso apadera (monga endoscopy) omwe dokotala wamba sangathe kuchita, komanso kusanthula molondola malipoti a mayesowo kuti adziwe matendawa molondola.
Kodi pali madokotala odziwa bwino ntchito ngati amenewa a ana aang'ono?
Inde, ndithudi. Timawatcha kuti 'Pediatric Gastroenterologist'. Madokotala awa amayamba maphunziro a Ana. Kenako, monga tanenera kale, amalandira maphunziro ena apadera a zaka zitatu pa matenda am'mimba ndi chiwindi cha ana aang'ono, kuyambira makanda mpaka achinyamata.
Pamene matupi a ana akukula, madokotala awa amasamala kwambiri zakudya zawo. Mwana wamng'ono sadziwa momwe angafotokozere bwino mavuto ake. Choncho, madokotala awa ali ndi luso lapadera lomvetsa bwino zizindikiro za anawo ndikuwunika matupi awo ang'onoang'ono.
Ndi ziwalo ziti za thupi zomwe madokotala awa amayang'ana?
Mukamva dzinalo, mumaganiza za m'mimba ndi m'matumbo okha, sichoncho? `Gastro` amatanthauza m'mimba, `entero` amatanthauza m'matumbo. Koma akatswiriwa amayang'ana kwambiri ziwalo zina zambiri kuposa pamenepo. Mwachidule, dongosolo lonse, kuyambira pamene timayika chakudya mkamwa mwathu mpaka pamene zinyalala zimatuluka, limagwera pansi pa ulamuliro wawo.
Izi zikutanthauza:
- Pakamwa ndi m'mero (Esophagus)
- Mimba
- Matumbo Ang'onoang'ono ndi Aakulu
- Chiwindi
- Chikhodzodzo cha ndulu
- Pancreas
- Ma ducts a ndulu
Amachiritsa matenda omwe amakhudza ziwalo zonsezi.
N’chifukwa chiyani tiyenera kuonana ndi katswiri wotere?
Tangoganizirani kuti mukudwala m'mimba mosalekeza. Mwamwa mankhwala kuchokera kwa dokotala wamba, koma osakwanira. Pazochitika zotere, dokotala wanu angakutumizireni kwa katswiri wotere. Kapena, ngati mukudziwa kale kuti muli ndi vuto lalikulu la m'mimba (monga `Matenda Otupa a M'mimba`), ndi bwino kuonana ndi katswiri wotere kuti mupeze chithandizo chabwino kwambiri.
Ubwino wokaonana ndi katswiri ndi wakuti amachita kafukufuku wambiri, amachita mayeso ambiri, komanso ali ndi chidziwitso chochuluka pankhaniyi kuposa madokotala ena. Chifukwa chake, amatha kuzindikira matendawa mwachangu komanso molondola, ndikuchiza popanda zovuta zambiri.
Kodi ndi matenda otani omwe madokotalawa amachiritsa?
Pali matenda ambiri omwe dokotala wa matenda a m'mimba amachiritsa. Tiyeni tiwagaŵanitse m'magulu.
| Gulu la matenda | Zitsanzo |
|---|---|
| Matenda a m'mimba ndi m'mimba |
|
| Matenda okhudzana ndi pharyngitis | |
| Matenda a chiwindi | |
| Matenda okhudzana ndi kapamba, ndulu, ndi ndulu |
Ndi zizindikiro ziti zomwe ndiyenera kuuza dokotala ?
Ngati mukufuna kupita kwa katswiri ngati uyu, ndikofunikira kwambiri kufotokoza momveka bwino mavuto onse omwe mukukumana nawo. Ngakhale chinthu chaching'ono chingathandize kwambiri kuzindikira matendawa.
| Zizindikiro zodziwika bwino zomwe mungakhale nazo |
|---|
|
Kodi gastroenterologist amachita mayeso otani?
Choyamba, dokotala adzakuyesani mwakuthupi. Adzakukhudzani pamimba ndikumvetsera chifuwa chanu pogwiritsa ntchito stethoscope. Akhozanso kuyika chala mu rectum yanu kuti ayesere rectum yanu. Kenako, angafune kuyezetsa magazi, ndowe, kapena X-ray.
Komabe, ngati mayesowa sapereka chithunzi chomveka bwino cha matendawa, adzachita mayeso apadera otchedwa endoscopy .
Kodi endoscopy iyi ndi chiyani?
Mwachidule, izi zikutanthauza kuyika chubu chopyapyala komanso chosinthasintha chokhala ndi kamera kakang'ono komwe kamalumikizidwa m'thupi, zomwe zimathandiza dokotala kuwona ziwalo mkati pogwiritsa ntchito chowunikira ndi maso onse awiri. Imeneyi si opaleshoni.
Pali mayeso akuluakulu angapo omwe amachitidwa pogwiritsa ntchito njira iyi:
- Upper Endoscopy (EGD): Izi zimaphatikizapo kulowetsa chubu kudzera pakamwa kuti muwone m'mero, m'mimba, ndi gawo loyamba la matumbo ang'onoang'ono.
- Colonoscopy: Mu izi, chubu chimayikidwa kudzera mu rectum ndipo m'mimba wonse umafufuzidwa.
- Endoscopic Ultrasound: Chojambulira cha ultrasound chimalumikizidwa kumapeto kwa chubu cha endoscope ndipo ziwalo zozungulira, monga chiwindi ndi ndulu, zimayesedwa.
- Kuchotsa opaleshoni ya polypectomy:Ngati polyp ikuwoneka m'matumbo panthawi yowunika, imadulidwa ndikuchotsedwa ndi chida chaching'ono chomwe chimadutsa mu chubu.
Mayeso amenewa samangosonyeza malo enieni omwe matendawa ali, komanso ngati pakufunika , chidutswa chaching'ono cha minofu chingachotsedwe (biopsy) ndikutumizidwa kukayezetsa. Kuphatikiza apo, njira iyi ingagwiritsidwenso ntchito pochiza matenda ang'onoang'ono, monga kuletsa kutuluka magazi kapena kutsegula malo otsekedwa.
Kodi madokotala awa amathandizanso khansa?
Inde. Ngati muli ndi khansa m'mimba, n'zotheka kuti dokotala wa m'mimba adzayamba kuizindikira. Angagwiritse ntchito endoscopy ndi biopsy kuti apeze zotupa za khansa, kuzichotsa, ndikuzindikira mtundu wa khansayo.
Ngati khansa yatsimikizika, ingathandizenso kudziwa momwe yafalikira ('siteji'). Ma khansa ena oyambirira amatha kuchotsedwa kwathunthu kudzera mu 'endoscopy' popanda opaleshoni.
Udindo wa akatswiriwa ndi wofunika kwambiri pozindikira ndi kuchiza matenda monga khansa ya m'mimba, khansa ya m'matumbo, khansa ya chiwindi, ndi khansa ya kapamba.
Uthenga Wopita Nawo Kunyumba
- Katswiri wa matenda a m'mimba ndi dokotala amene amagwira ntchito yokhudza matenda onse a m'mimba (kuyambira pakamwa panu mpaka ku anus).
- Ngati muli ndi zizindikiro monga kupweteka m'mimba kosalekeza, mpweya woipa, kudzimbidwa, kutsegula m'mimba, kapena kupweteka pachifuwa zomwe sizikuchira ndi chithandizo chanthawi zonse, ndikofunikira kuwona katswiri ngati uyu.
- Endoscopy ndi colonoscopy si opaleshoni. Ndi mayeso ofunikira kwambiri omwe amagwiritsidwa ntchito pozindikira matenda ndipo nthawi zina amachita chithandizo chaching'ono.
- Ngati muli ndi vuto lililonse la m'mimba, musawanyalanyaze. Kufunafuna upangiri kwa katswiri wodziwa bwino ntchito yake kungathandize kupewa matenda aakulu.











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