Dzimwe nguva tinosangana nematambudziko akasiyana-siyana emudumbu. Dumbu rinorwadziwa, tinonzwa kuzvimba, tinonzwa sekunge hatigone kugaya chikafu... Zvinonetsa chaizvo kana zvinhu zvakadai zvikaramba zvichiitika, handiti? Saka, waizviziva here kuti kune chiremba ane hunyanzvi muzvirwere zvine chekuita nekugaya chikafu? Chiremba iyeye anonzi gastroenterologist . Ngatitaurei nezvazvo zvakadzama nhasi.
Ndiani chiremba wezvekudya?
Zvichitaurwa zviri nyore, gastroenterologist chiremba ane hunyanzvi muzvirwere zvemudumbu mako - kureva nhengo dzese dzinobatanidzwa mukugaya chikafu. Vanotanga kudzidziswa senyanzvi dzekurapa. Mushure memakore angangoita matatu echikoro chekurapa, vanowana ruzivo rwekurapa marudzi ese ezvirwere. Zvadaro, kuti vave nyanzvi yekugaya chikafu, vanofanirwa kudzidza kwemamwe makore matatu. Pakupedzisira, vanowana chitupa chakakosha. Izvi ndizvo zvinoreva kuti inyanzvi muzvirwere zvemudumbu. Zvakare, vane hunyanzvi hwekuita mimwe miedzo nekurapwa kusingaitwe navanachiremba, uye kunzwisisa mhedzisiro yemiedzo nekurapwa ikoko.
Pane nyanzvi here mugadziriro yekugaya chikafu yevana vadiki? (Pediatric Gastroenterologist)
Ehe, variko zvechokwadi. Tinovadaidza kuti `(Pediatric Gastroenterologist)`. Vanachiremba ava vanotanga kudzidziswa sa`(Pediatrician)`. Zvadaro vanowana mamwe makore matatu ekudzidziswa kwakakosha mugadziriro yekugaya. Vanonyanya kutarisa zvirwere zvegadziriro yekugaya nechiropa chevacheche, vacheche, nevana vadiki . Vanonyanya kufunga nezvekudya kwevana. Vanhu ava vakanyatsodzidziswa kuziva zviratidzo zvevana uye kuongorora mukati memiviri yavo midiki.
Ndedzipi nhengo dzemuviri dzinonyanya kutariswa nachiremba wezvekudya?
Kana ukanzwa zita iri – (Gastroenterologist) – 'Gastro' zvinoreva dumbu , 'entero' zvinoreva ura . 'nyanzvi' zvinoreva nyanzvi. Saka, kunyanya dumbu neura. Asi, sisitimu yedu yekugaya chikafu yakakura kupfuura izvozvo.
Funga nezvazvo, nzira iyi inotangira pamuromo chaipo patinodya.
Tevere , huro, gurokuro, dumbu , ura diki , uye ura hukuru ndezvayo.
Kwete izvozvo chete, asi nhengo dzinogadzira bile nema enzymes ekugaya chikafu anobatsira kugaya chikafu anobatanidzwawo.
- Chiropa
- Dundira (nzvimbo inounganidzwa uye inochengetwa bile kubva muchiropa)
- Pancreas
- Machubhu anotakura bile (machubhu anotakura bile)
Saka chiremba wezvekudya anotsvaga zvirwere zvinowanikwa munhengo dzese idzi .
Sei tichifanira kuona chiremba wezvekudya?
Mubvunzo wakanaka. Pamwe une zviratidzo zvekugaya chikafu (semuenzaniso, kurwadziwa nemudumbu, manyoka, kuvimbiwa), asi chiremba wemhuri yako anogona kusakwanisa kuzviongorora, kana kuti mishonga yavanokupa inogona kusashanda. Kana zvakadaro, zvakanaka kuona nyanzvi.
Kana, kana uchitoziva kuti une chirwere chakakomba chekugaya (chakadai seIBD), zvakanaka kuona nyanzvi kuti uwane kurapwa kwakanakisisa.
Nekuti vanachiremba ava vane hunyanzvi vanogara vachiferefeta, vachiferefeta, uye vachiyedza mhando idzi dzezvirwere, vanokwanisa kuona chirwere ichi nemazvo uye nekukurumidza, uye vachichirapa nematambudziko mashoma .
Ndezvipi zvirwere zvikuru zvinorapwa nachiremba wezvekudya?
Kune zvirwere zvakawanda. Ngatitarisei zvimwe zvezvirwere zvikuru.
Zvirwere zvemudumbu:
- Irritable Bowel Syndrome (IBS), chirwere chinokonzera manyoka kana kuvimbiwa nguva nenguva
- Chirwere cheInflammatory Bowel Disease (IBD) (izvi zvinosanganisira chirwere cheCrohn neUlcerative Colitis)
- Chirwere cheCeliac , chirwere chinokonzerwa nekusawirirana kweprotein ine gluten inowanikwa muupfu hwegorosi
- Kukura Kwebhakitiriya Mudumbu Madiki (SIBO)
- Kurwara nechikafu uye kusawirirana nezvikafu zvakasiyana-siyana
- Maronda emudumbu
- Diverticulitis ( tubhegi tudiki tunoumbwa muura hukuru uye tunobatwa nechirwere )
- Appendicitis (izvi zvinowanzoda kuvhiyiwa)
- Matumbu madiki muura anonzi ``Colorectal polyps`` (zvakakosha kubvisa aya nekuti anogona kushanduka kuita kenza)
- Mamota
Matambudziko edumbu:
- Kumedza matambudziko
- Chirwere cheGastroesophageal Reflux Disease (GERD) chirwere chinokonzerwa neacid yemudumbu inokwira mugumbo (tinodaidzawo kuti acid reflux).
- Kuvhiyiwa kwegurokuro
- Hernias yemudumbu ( chikamu chedumbu chinobuda muchipfuva )
Zvirwere zvechiropa:
- Chiropa chinotapukira (semuenzaniso hepatitis B, C)
- Kukuvara kwechiropa kunokonzerwa nehupfu (Toxic hepatitis)
- Chirwere chechiropa chine mafuta
- Cirrhosis ( kuoma kwechiropa )
Zvirwere zvepancreatic, biliary uye gallbladder:
- Matombo eGallstone
- Cholecystitis
- Chipembenene
Ndezvipi zviratidzo zvaunofanira kuudza chiremba wezvekudya?
Kana uine chimwe chezviratidzo izvi, zvakakosha kuudza nyanzvi:
- Kurwadziwa kwemudumbu
- Dumbu rakazvimba
- Matambudziko ekugaya chikafu, kusagadzikana kwekugaya chikafu
- Kurwadziwa negasi negasi
- Kusvotwa nekurutsa
- Kubuda ropa mudumbu (kungave kutsvuku kana kutema)
- Manyoka (kufamba-famba kwetsvina kakawanda)
- Kuzvimbirwa kana kuoma kubuda tsvina
- Kudzikira kwehuremu kana kuwedzera huremu zvisina kutsanangurwa
- Chirungurira (sezvakaita muGERD)
- Kutsvuka kweganda nemaziso (Jaundice)
Chii chinoitwa nechiremba wezvedumbu?
Kutanga, chiremba achakuongorora panyama . Vachabata dumbu rako, voteerera nechubhu, uye vanogona kutoisa chigunwe murectum yako (digital rectal exam).
Zvadaro, vanogona kuraira kuongororwa kweropa , kuongororwa kwechituru , kana bvunzo dzekunze dzakadai seX -rays kuti vawane rumwe ruzivo.
Zvisinei, kana bvunzo idzi dzoga dzisingagoni kunyatsoongorora chirwere chacho, vanachiremba vezvekudya vanodzidziswa zvakanyanya kuita maendoscopy .
Chii chinonzi endoscopy?
Zvichitaurwa zviri nyore, izvi zvinosanganisira kuisa chubhu refu, yakatetepa, inochinjika (inonzi endoscope) ine kamera yakabatanidzwa mumuviri uye kutarisa zvakananga nhengo dzemukati. Izvi zvinogona kupa ruzivo rwakawanda.
Kune mhando dzakasiyana-siyana dzebvunzo dze endoscopy:
- Endoscopy yepamusoro (EGD): Izvi zvinosanganisira kuongorora gumbo, dumbu, uye chikamu chekutanga cheura hudiki (duodenum) nechubhu inopinzwa nemuromo.
- Endoscopy yedumbu diki (`Enteroscopy`): Iyi inoshandiswa kutarisa ura hwese hudiki.
- Colonoscopy: Vanhu vazhinji vakanzwa nezvazvo. Chubhu inopinzwa nepaburi remudumbu uye ura hwese hukuru (colon) hunoongororwa.
- Ultrasound yeEndoscopic: Chikamu chidiki chemuchina weultrasound chakabatanidzwa kumagumo eendoscope uye nyama dzakadzika dzenhengo dzemukati (kunyanya gallbladder nepancreas) dzinoongororwa.
- ERCP (Endoscopic Retrograde Cholangiopancreatography): Iyi bvunzo yakaoma zvishoma. Inoitwa se upper endoscopy, uye chinhu chakakosha chinoiswa muma ducts e bile nepancreas ducts uye X-ray inotorwa.
- Kubviswa kwemasero madiki (polyps) mudumbu kana muura panguva ye endoscopy.
Kuongororwa kweEndoscopy hakungobatsiri chete kuona kuti chirwere chacho chii chaizvo, asi kune zvimwe zvakanakira. Chiremba anogona kupinza zvishandiso zvidiki kuburikidza ne endoscope otora sampuli dzenyama (biopsy) ozvitumira kurabhoritari. Vanogonawo kuita kurapa kudiki . Semuenzaniso, vanogona kuwedzera nzvimbo yakavharika, kumisa kubuda ropa, kana kubvisa bundu diki vasati vavhiyiwa. Muzviitiko zvakawanda, zvinogona kuitwa ipapo ipapo.
Ko vanachiremba vezvekudya vanorapawo kenza here?
Ehe, kazhinji, chiremba wezvekudya ndiye anotanga kuona kenza mudumbu (senge mudumbu, ura, gumbo, chiropa, pancreas, gallbladder). Vanogona kushandisa endoscopy ne biopsy kuti vaone kenza uye kutora masampuli kuti vasimbise chirwere chacho.
Kana kenza ikasimbiswa, kuongororwa kwe endoscopic kunogona kuitwa kuti vaone kuti yapararira kusvika papi (inonzi `staging`).
Mune zvimwe zviitiko, vanachiremba vezvekudya vanogona kubvisa mamwe marudzi ekenza kuburikidza ne endoscope (dissecting) kana kuaparadza ne lasers.
Mhando dzegomarara dzavanonyanya kubatwa nadzo ndedzinotevera:
- Kenza yemudumbu
- Kenza yemudumbu
- Kenza yemudumbu
- Kenza yechiropa
- Kenza yepancreatic
- Kenza yenyongo
- Kenza yemudumbu webhinzi
Kwete izvozvo chete, asi munhu ane rumwe rudzi rwekenza angadawo rubatsiro rwechiremba wezvekudya kuti aone kana kenza yapararira mudumbu, kana kuti agadzirise migumisiro yekurapwa nekenza (semuenzaniso, `(Chemotherapy)`, `(Radiation therapy)`) inokanganisa dumbu (semuenzaniso, maronda emuromo/mudumbu `(Mucositis)`, `(Radiation enteritis)`, kuda kurutsa, manyoka, kuvimbiwa, kushomeka kwekudya kunovaka muviri).
Ndeupi musiyano uripo pakati peGastroenterologist neProctologist?
Mubvunzo wakanaka. Izwi rekuti "proctologist" harichanyanyi kushandiswa mazuva ano. Asi, izwi rekuti " chiremba wemazino" ndiro rinonyanya kunzwika.
Zvichitaurwa zviri nyore, "Proctologist" kana "Colorectal surgeon" vavhiyi . Vakadzidziswa zvakanyanya kuvhiya zvirwere zvemuura, rectum, uye anus. Vanopedza makore angangoita mashanu vachivhiya mushure mechikoro chekurapa, uye vobva vadzidziswa zvakanyanya munharaunda ye colorectal.
Zvisinei, chiremba wezvekudya inyanzvi yezvekurapa, kwete chiremba wekuvhiya . Basa rake guru nderekuongorora zvirwere, kuzvirapa nemishonga, uye kuita bvunzo dzakadai se endoscopy.
Chiremba wezvekudya anogona kukuudza kana uchida kuvhiyiwa kana kwete. Asi haakuiti kuvhiyiwa. Anokutumira kuna chiremba wezvekudya zvemukati. Uyu ndiwo musiyano mukuru.
Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)
Sisitimu yedu yekugaya chikafu isystem yakaoma uye yakabatana yenhengo dzemuviri. Inzira inogara ichiitwa yekupwanya chikafu chatinodya, kutora zvinovaka muviri zvatinoda, uye kuburitsa tsvina. Saka, kana chimwe chinhu chikakanganisika nesystem iyi, miviri yedu ichainzwa.
Matambudziko emudumbu nekugaya chikafu anowanzoitika. Asi hazvisi nyore kuziva kuti chii chiri kukonzera izvi. Ndipo paunoda rubatsiro rwenyanzvi. Chiremba wezvekudya anogona kunzwisisa mashandiro anoita nhengo idzi dzese, kuona kuti chii chiri kunetsa mukugaya chikafu chako, uye kukupa kurapwa kwaunoda.
Saka, kana uine kurwadziwa kwemudumbu nguva dzose kana matambudziko ekugaya chikafu, usatya kuona chiremba wezvekudya. Izvi zvinogona kukupa zororo guru.
` Sistimu yekugaya chikafu, gastroenterologist, zvirwere zvemudumbu, endoscopy, colonoscopy, chiropa, dumbu
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