Unowanzova nematambudziko emudumbu here? Unewo matambudziko akadai sekunzwa kuguta, gasi, kugaya chikafu, uye chirungurira here? Kana matambudziko aya akaramba aripo pasinei nekutora mishonga kubva kuna chiremba wenguva dzose, inguva yekuti uone chiremba ane hunyanzvi mune izvi. Nyanzvi iyoyo ndiyo yatinodaidza kuti 'Gastroenterologist'. Nhasi, ngatitaurei nezvekuti chiremba uyu ndiani, zvaanoita, uye kuti unofanira kumuona riini.
Zvichitaurwa zviri nyore, ndiani uyu chiremba wezvematumbu?
`Nyanzvi yeGastroenterologist` chiremba anonyanya kubata zvirwere zvinokanganisa sisitimu yedu yekugaya chikafu . Fungidzira, vanotanga kudzidzira sachiremba mukuru. Mushure medhigirii ravo reMBBS, vanoshanda sachiremba mukuru kwemakore angangoita matatu, vachiwana ruzivo muzvirwere zvakasiyana-siyana. Mushure meizvozvo, vanongotarisa sisitimu yekugaya chikafu chete, vozodzidziswa mamwe makore matatu .
Mushure mekudzidziswa uku kwakakosha ndipo pavanowana chitupa senyanzvi munyaya iyi. Izvi zvinovabvumira kuita bvunzo dzakakosha (dzakadai se endoscopy) dzisingakwanise kuitwa nachiremba wenguva dzose, uye kuongorora mishumo iyoyo nemazvo kuti vaone chirwere nemazvo.
Kune vanachiremba vane hunyanzvi hwakadai here vevana vadiki?
Ehe, zvechokwadi. Tinovadaidza kuti 'Pediatric Gastroenterologist'. Vanachiremba ava vanotanga kudzidziswa savanachiremba vevana. Zvadaro, sezvambotaurwa, vanowana mamwe makore matatu ekudzidziswa kwakakosha muzvirwere zvemudumbu nechiropa chevana vadiki, kubva kuvacheche kusvika kuvakuru vechidiki.
Sezvo miviri yevana ichikura, vanachiremba ava vanoisa pfungwa dzavo pakudya kwavo. Mwana mudiki haazive kunyatsotaura matambudziko ake. Saka, vanachiremba ava vane hunyanzvi hwakasiyana hwekunzwisisa zviratidzo zvevana ivavo uye kuongorora miviri yavo midiki.
Vanachiremba ava vanoongorora nhengo dzipi dzemuviri?
Paunonzwa zita racho, unofunga nezvedumbu (dumbu) nematumbu chete, handiti? `Gastro` zvinoreva dumbu, `entero` zvinoreva ura. Asi nyanzvi idzi dzinonyanya kutarisa nhengo dzakawanda kupfuura izvozvo. Zvichitaurwa zviri nyore, hurongwa hwese, kubva patinoisa chikafu mumuromo medu kusvika panoburitswa tsvina, hunowira pasi pesimba ravo.
Izvi zvinoreva:
- Muromo negurokuro (Esophagus)
- Dumbu
- Matumbu Madiki neMakuru
- Chiropa
- Dundira
- Pancreas
- Mapaipi e bile
Vanorapa zvirwere zvinokanganisa nhengo dzese idzi.
Sei tichifanira kuona nyanzvi yakadaro?
Fungidzira uchirwadziwa nemudumbu nguva dzose. Watora mushonga kubva kuna chiremba mukuru, asi hazvina kukwana. Muzviitiko zvakadaro, chiremba wako anogona kukutumira kuna chiremba akadaro. Kana, kana uchitoziva kuti une chirwere chakakomba chemudumbu (chakadai se'Inflammatory Bowel Disease'), zvakanaka kuona nyanzvi yakadaro kuti uwane kurapwa kwakanakisisa.
Chakanakira kuona nyanzvi ndechekuti vanoita tsvakurudzo yakawanda, vanoita bvunzo dzakawanda, uye vane ruzivo rwakawanda mubasa iri kupfuura vamwe vanachiremba. Nokudaro, vanogona kuona chirwere ichi nekukurumidza uye nemazvo, uye kuchirapa pasina matambudziko akawanda.
Ndezvipi zvirwere zvinowanzo rapa vanachiremba ava?
Kune zvirwere zvakawanda zvinorapwa nachiremba wezvekudya. Ngatizviparadzanisei muzvikamu.
| Rudzi rwezvirwere | Mienzaniso |
|---|---|
| Zvirwere zvemudumbu nedumbu |
|
| Zvirwere zvine chekuita ne pharyngitis | |
| Zvirwere zvechiropa | |
| Zvirwere zvine chekuita nepancreas, gallbladder, uye bile ducts |
Ndezvipi zviratidzo zvandinofanira kuudza chiremba ?
Kana uchizoenda kunoona nyanzvi yakaita seiyi, zvakakosha kuti utsanangure zvakajeka matambudziko ese auri kusangana nawo. Kunyangwe chinhu chidiki chinogona kubatsira zvikuru pakuongorora chirwere chacho.
| Zviratidzo zvakajairika zvaungave nazvo |
|---|
|
Ndedzipi mhando dzebvunzo dzinoitwa nachiremba wezvekudya?
Kutanga, chiremba achakuongorora panyama. Vachabata dumbu rako nekuteerera chipfuva chako ne stethoscope. Vanogonawo kuisa munwe mu rectum kuti vaongorore rectum yako. Zvadaro, vanogona kuraira kuongororwa kwakadai sekuongororwa kweropa, kuongororwa kwetsvina, kana X-ray.
Zvisinei, kana bvunzo idzi dzikasaratidza zvakajeka chirwere ichi, dzichaita bvunzo yakakosha inonzi endoscopy .
Chii chinonzi endoscopy iyi?
Zvichitaurwa zviri nyore, izvi zvinosanganisira kuisa chubhu yakatetepa, inochinjika ine kamera diki yakabatanidzwa mumuviri, zvichiita kuti chiremba akwanise kuona nhengo dziri mukati achishandisa monitor nemaziso ese ari maviri. Uku hakusi kuvhiyiwa.
Kune bvunzo huru dzinoverengeka dzinoitwa uchishandisa nzira iyi:
- Upper Endoscopy (EGD): Izvi zvinosanganisira kuisa chubhu nemuromo kuti uongorore gumbo, dumbu, uye chikamu chekutanga cheura hudiki.
- Colonoscopy: Muizvi, chubhu inopinzwa nepamusana pedumbu uye ura hwese hunoongororwa.
- Endoscopic Ultrasound: Chinoskena che ultrasound chinosungirirwa kumagumo kwechubhu ye endoscope uye nhengo dzakapoteredza, dzakadai sechiropa negallbladder, dzinoongororwa.
- Kuvhiyiwa kwePolypectomy:Kana polyp ikaonekwa muura panguva yekuongorora, inochekwa yobviswa nechinhu chidiki chinopfuudzwa nemuchubhu.
Miedzo iyi haingogone chete kuratidza nzvimbo chaiyo yechirwere, asi kana zvichidikanwa , chidimbu chidiki chenyama chinogona kubviswa (biopsy) choendeswa kunoongororwa. Pamusoro pezvo, nzira iyi inogonawo kushandiswa kuita mishonga midiki, yakadai sekumisa kubuda ropa kana kuvhura nzvimbo yakavharika.
Vanachiremba ava vanorapawo kenza here?
Ehe. Kana uine kenza mudumbu, zvingangoita kuti chiremba weGastroenterologist ndiye achatanga aiongorora. Vanogona kushandisa endoscopy ne biopsy kuti vawane bundu rekenza, vabvise, uye vaone kuti kenza yacho ndeyerudzii.
Kana kenza ikasimbiswa, inogonawo kubatsira kuona kuti yapararira kusvika papi ('danho'). Mamwe magomarara ekutanga anogona kubviswa zvachose kuburikidza ne 'endoscopy' pasina kuvhiyiwa.
Basa renyanzvi idzi rakakosha zvikuru mukuongorora nekurapa zvirwere zvakaita sekenza yemudumbu, kenza yemuura, kenza yechiropa, uye kenza yepancreas.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wezvekudya chiremba ane hunyanzvi mukurapa zvirwere zvemudumbu wako wese (kubva pamuromo wako kusvika kuhuro).
- Kana uine zviratidzo zvakaita sekurwadziwa mudumbu nguva dzose, gasi, kuvimbiwa, manyoka, kana kurwadziwa muchipfuva zvisingavandudzike nekurapwa nguva dzose, zvakakosha kuona nyanzvi yakaita seiyi.
- Endoscopy necolonoscopy hazvisi zvekuvhiya. Izvi zviedzo zvakakosha zvinoshandiswa kuongorora zvirwere uye dzimwe nguva zvinorapa zvidiki.
- Kana uine matambudziko ekugaya chikafu, usazviregeredza. Kutsvaga mazano kubva kuna chiremba ane hunyanzvi panguva yakakodzera kunogona kubatsira kudzivirira zvirwere zvakakomba.
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