Mwana wenyu mudiki anowanzo rwara mudumbu here? Ngatidzidzei nezvechiremba wezvekudya zvevana!

Mwana wenyu anowanzo taura here kuti, "Amai, mudumbu mangu munorwadza"? Anorutsa here mushure mekunwa mukaka? Kana kuti haadi kudya zvechokwadi? Semubereki, kana mwana mudiki aine mudumbu, pamwe unonzwa kusuruvara uye kutya. Saka nhasi tichataura nezvachiremba ane hunyanzvi mukugaya kwemwana wako, kureva, mudumbu. Vanachiremba ava ndivo vatinodaidza kuti Pediatric Gastroenterologists .

Ndiani chiremba wezvekudya zvevana uyu? (Ndiani chiremba wezvekudya zvevana uyu?)

Zvichitaurwa zviri nyore, uyu chiremba wevana, chiremba akadzidza zvakanyanya kurapa matambudziko ekugaya chikafu muvana. Zvakafanana nachiremba wevana anobata vakuru, asi vanachiremba ava vanobata matambudziko evacheche, vadiki, uye vechidiki.

Sisitimu yemwana wako yekugaya chikafu inosanganisira:

• Muromo
• Esophagus (chubhu inotakura chikafu pasi pahuro)
• Dumbu (kwakachengeterwa chikafu chatinodya)
• Ura hudiki
• Ura hukuru

(Izvi ndizvo zvatinowanzodaidza kuti nzira yekugaya kana kuti "Nzira yekugaya kana yeGI".)

• Uye zvakare pancreas.
• Chiropa
• Dundira
• Nzira yenyongo

Vanachiremba ava vane hunyanzvi vanoongorora uye vanorapa matambudziko munzvimbo idzi dzese. Ingofungai, dzimwe nguva kurwadziwa kwemudumbu kwemwana kungave kudiki, uye kuchapora mumazuva maviri kana matatu. Asi dzimwe nguva matambudziko aya anogona kuva akakomba , uye kurapwa kunoponesa hupenyu kunogona kudiwa. Kune zvimwe zvirwere zvinorarama kweupenyu hwese, asi nekurapwa kwakanaka uye kushanda pamwe chete nachiremba, mwana anogona kurarama nechirwere ichocho zvakanaka. Pakupedzisira, kuedza kwevanachiremba ava kupa mwana wako hupenyu hwakanaka, hunofadza (`(hupenyu hwakanaka)`).

Kubva panguva iyo mwana anomedza chikafu, ochigaya, uye obva aita tsvina, zvese zvinoitika zvakaoma. Vanachiremba ava vane hunyanzvi vanoziva maitiro ese aya zvakanaka. Saka, vanogona kuyedza nekurapa mwana wako nenzira yakakunakira. Vanogonawo kukubatsira kunzwisisa kurwara kwemwana wako uye zvekutarisira mune ramangwana.

Vanachiremba ava vanoitei chaizvo? (Vanachiremba veGastroenterologists vanoitei?)

Vanachiremba vezvekudya zvevana vanoita zvese zvinoitwa nevakuru vezvekudya zvevakuru. Musiyano ndewekuti mabasa aya anopiwa vacheche, vadiki, nevana vadiki. Basa ravo rezuva nezuva rinogona kusanganisira:

• Vanotaura nevabereki vavo vobvunza nezvezviratidzo zvemwana pamwe nenhoroondo yake yehutano.Vachakubvunza mibvunzo yakaita sekuti, "Mwana ava nenguva yakareba sei achirwadziwa nemudumbu?", "Ari kurutsa here?", "Ari kudzikira uremu here?"
• Vanogona kukutumira kuti upinzwe mifananidzo kuti vaone kuti chirwere chacho chii chaizvo, kana kuti vanogona kuzviitira mamwe maitiro ekurapa.
• Chirwere chinowanikwa chinorapwa. Chinogona kunge chiri nemishonga, kana kuti zvimwewo zvirwere.
• Kumwe kutsvagurudza kuri kuitwa pamusoro pezvirwere zvemudumbu zvevana .
• Mune ramangwana, vanachiremba vachadzidzisa uye vachatungamirira vamwe.

Vanachiremba ava vanoongorora sei uye vanorapa? (Maitiro anogona kuitwa nachiremba wezvekudya zvevana)

Vanachiremba ava vane hunyanzvi vanogona kuita bvunzo dzakasiyana-siyana uye kurapwa. Semuenzaniso, vakadzidziswa zvakanyanya kuita bvunzo inonzi endoscopy .

Zvichitaurwa zviri nyore, endoscopy inzira iyo chubhu refu, yakatetepa ine kamera yakabatanidzwa pairi inopinzwa mumuviri wemwana kuti ionekwe mukati kuti ione chikonzero chezviratidzo. Nzvimbo yechubhu inoenderana nezviratidzo zvemwana uye zvinodiwa nachiremba .

Heano mamwe marudzi e `(Endoscopy)`:

• Endoscopy yepamusoro: Izvi zvinosanganisira kuisa chubhu nemuromo. Zvinobvumira mwana kuona gurokuro, dumbu, nechikamu chepamusoro cheura hudiki (duodenum).
• Colonoscopy: Izvi zvinosanganisira kuisa chubhu nepamusana pemusana (pasi pemusana) kuti uongorore ura hwese hukuru (musana).
• Kapisiyumu endoscopy: Izvi zvakasiyana zvishoma. Mwana anomedza kamera diki, inotaridzika sekapisiyumu yevhitamini. Kamera inotora mifananidzo yeura hudiki pahunofamba mumuviri wese.

Miedzo iyi ye `(Endoscopy)` inobatsira zvikuru pakuongorora zvirwere. Nekuti inogona kutarisa mukati menhengo dzemuviri wemwana. Dzimwe nguva panguva yekuyedzwa uku, sampuro diki yenyama (`(biopsy)`) inogona kutorwa kuti iendeswe kune dzimwe bvunzo. Zvakare, dzimwe nguva `(Endoscopy)` inogona kushandiswa kurapa chirwere chacho.

Uye zvakare, vanachiremba vezvekudya zvevana vanogonawo kuita zvinhu zvakaita se:

• Kuongororwa kwechiropa (liver biopsy) inzira yekutora chidimbu chidiki chechiropa kuti uone kana paine chirwere chechiropa, kuti chii chinokonzera, uye kuti kukuvara kwacho kwakawanda sei.
• Kana mwana achinetseka nekudya, chubhu yekudyisa (`(chubhu yekudyisa)`) inogona kuiswa kuti ipe chikafu chinodiwa, kana kuti chikafu chinogona kupihwa kuburikidza necatheter inopinzwa mutsinga (`(catheter yeIV)`).
• Ita bvunzo dzakakosha (`motility testing`) kuti uone kana tsandanyama dzakatsetseka uye tsinga dziri mudumbu remwana wako dziri kushanda nemazvo.

Mwana angatumirwa riini kuna chiremba wezvekudya? (Sei mwana angatumirwa kuna chiremba wezvekudya?)

Mwana wako angangoda kuona nyanzvi yakaita seiyi kuti iongororwe kana kurapwa. Heano mimwe mibvunzo iyo vanachiremba ava vanogona kubatsira nayo:

• Kana mwana akaratidza zviratidzo zvemudumbu (`(zviratidzo zveGI)`) . (semuenzaniso kurwadziwa mudumbu nguva dzose, kurutsa, manyoka, kuvimbiwa).
• Kana mwana asingatore zvinovaka muviri kubva muchikafu chaanodya.
• Kana chirwere chacho chikasarapwa zvakanaka , mamwe matambudziko anogona kuitika .
• Dzimwe nguva mumamiriro ezvinhu apo hupenyu huri panjodzi .

Zvakakosha kuti vanachiremba vevana vanowanzo tumira vana kuna chiremba wezvekudya kana kuti gastroenterologist kuti vaone kurwadziwa kwemudumbu. Kana mwana wako achirwadziwa mudumbu nguva nenguva izvo zviri kumutadzisa kuenda kuchikoro kana kutamba, zvinogona kuva chipingamupinyi chikuru kumabasa ake ezuva nezuva. Panogona kuva nezvikonzero zvakawanda zvekurwadziwa kwemudumbu uku. Chiremba wezvekudya anogona kuita bvunzo kuti aone zviri kuitika chaizvo.

Ndezvipi zvimwe zvezvirwere zvinorapwa nevana vanoongorora gastroenterologists? (Mienzaniso yezvirwere zvinoongororwa uye zvinorapwa nevana vanoongorora gastroenterologists)

Vanachiremba vezvekudya vanorapa zvirwere zvakasiyana-siyana, zvinosanganisira:

• Chirwere cheCeliac: Ichi chirwere chinokonzerwa nekusawirirana neprotein inonzi gluten (inowanikwa mugorosi nebhari).
• Cyclic vomiting syndrome: Kurutsa kwemazuva akawanda pasina chikonzero chakajeka.
• Eosinophilic esophagitis (EOE): Kuzvimba kwegurokuro (chikafu chinoyerera) kunokonzerwa nekurwara.
• Kusawirirana nechikafu kana kusawirirana nechimwe: Kusawirirana kwemwana nezvimwe zvekudya.
• Chirwere cheGastroesophageal Reflux (GERD): Kudzoka kwezviri mudumbu mugumbo (zvakafanana negastritis).
• Kubuda ropa kubva mudumbu (GI bleeding) .
• Kukura kushoma/kutadza kuwedzera uremu .
• Chirwere chemudumbu chinozvimba (IBD): Izvi zvinosanganisira zvirwere zvemudumbu zvinogara kwenguva refu zvinonzi chirwere cheCrohn uye ulcerative colitis.
• Chirwere chemudumbu chinotsamwisa (IBS): Chirwere chekuti ura hunotanga kunzwa kurwadza uye chinokonzera kurwadziwa mudumbu, manyoka, kana kuvimbiwa.
• Chirwere chechiropa .
• Matambudziko ekufamba kwemudumbu: Chikafu hachifambi zvakanaka nemudumbu.
• Chirwere chepancreatic .
• Kushaya chikafu chinovaka muviri .
• Kufuta zvakanyanya uye kufuta.
• Chirwere chemudumbu mupfupi: Chirwere chinoitika kuvana vakabviswa chikamu chemudumbu madiki.

Unyanzvi nekudzidziswa kwevanachiremba ava chii? (Vanachiremba vezvekudya vanoongorora vana vane hunyanzvi papi?)

Kuva chiremba wezvekudya zvevana hakusi nyore. Vanofanira kudzidziswa kwenguva yakareba:

• Kutanga, dhigirii reBachelor (makore angangoita mana).
• Wobva waenda kuchikoro chekurapa wowana dhigirii rechiremba (makore angangoita mana).
• Chinotevera kudzidziswa kwakakosha mukurapa vana (`(chirongwa chekugara mukurapa vana)`) (anenge makore matatu).
• Mushure meizvozvo ndipo panobva paitwa fundo yezvekudya zvevana (inenge makore matatu).
• Vamwe vanowana kudzidziswa kwakanyanya , semuenzaniso munzvimbo dzakadai sekurapa kwehepatology yekuisirwa nhengo dzemuviri, neurogastroenterology, kana mushonga wekufutisa.

Mushure mekunge zvese izvi zvaitwa, vanofanirwa kupasa bvunzo uye kuve nesitifiketi yebhodhi muzvirwere zvevana nezvirwere zvemudumbu zvevana .

Vamwe vanachiremba vezvekudya zvevana vanosarudza kunyanya kudzidza nezvemamwe mabasa uye kudzidza zvakawanda nezvawo. Mienzaniso:

• Chirwere chechiropa chevana uye kuisirwa chiropa.
• Chirwere chekuzvimba kwemudumbu.
• Kudya kunovaka muviri.

Unogona kufunga nezvevanachiremba ava se "vanachiremba vevana vane simba guru." Kufanana nevanachiremba vevana vanogara vachirapa, vane hunyanzvi hwekutaura nevana, kuvachengetedza, uye kuvaita kuti vanzwe vakasununguka. Simba ravo rakakosha ruzivo rwavo rwakadzama nezvematambudziko emudumbu evana nematambudziko ekugaya chikafu. Vanogona kugadzirisa chero chinhu kubva pakurwadziwa kwemudumbu nguva dzose kusvika pakubuda ropa kusingatsananguriki.

Vanachiremba ava vane hunyanzvi varipowo kuti vakubatsire. Zvakajairika kuti unzwe kutya uye usingazive zvekutarisira kana mwana wako aine mudumbu. Vachakutsanangurira zviri kuitika mumuviri wemwana wako uye vachakuzivisa nhanho imwe neimwe yerwendo rwako.

Zvinhu zvatinofanira kurangarira kubva munyaya iyi (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nhasi. Mukupedzisa, hezvino zvinhu zvakakosha zvaunofanira kurangarira:

• Vanachiremba vezvekudya zvevana vanachiremba vane hunyanzvi mukurapa zvirwere zvemudumbu muvacheche, vadiki, nevana vadiki.
• Kana mwana wako achigara achinetseka nemudumbu, achinetseka nezvekugaya chikafu, kana kuti achinetseka nekukura, usafunge kaviri nezvekuona nyanzvi yakaita seiyi.
• Vanachiremba ava vanogonaOngorora chirwere nemazvo, ipai kurapwa kwakakodzera, uye batsirai mwana kurarama hupenyu hwakanaka.
• Uyewo, vane hushamwari nevana uye vanotsigira vabereki vavo zvikuru.

Saka, kana zvasvika pahutano hwemwana wako, zvakakosha kutsvaga rubatsiro kuna chiremba ane hunyanzvi hwakadaro.

` Chiremba weGastroenterology wevana, Chiremba weGastroenterologist wevana, Zvirwere zveDumbu revana, Kugayiwa kwezvokudya, Endoscopy, Colonoscopy, Hutano hwevana