Ngaba umntwana wakho usoloko enengxaki yesisu? Masifunde ngoGqirha wezifo zesisu zabantwana!

Ngaba umntwana wakho udla ngokuthi, "Mama, isisu sam sibuhlungu"? Ngaba uyahlanza emva kokusela ubisi? Okanye ngaba akafuni ukutya? Njengomzali, xa umntwana omncinci ebuhlungu esiswini, mhlawumbi uziva ulusizi kwaye uyoyika. Ngoko ke namhlanje siza kuthetha ngogqirha ogxile kwinkqubo yokugaya ukutya yomntwana wakho, oko kukuthi, iintlungu zesisu. Aba gqirha ngabo sibabiza ngokuba ziiPediatric Gastroenterologists .

Ngubani lo gqirha wezifo zabantwana? (Ngubani ugqirha wezifo zabantwana?)

Ngamafutshane, lo ngugqirha wabantwana, ugqirha ofumene uqeqesho olukhethekileyo ekunyangeni iingxaki zokugaya ukutya ebantwaneni. Kufana nogqirha wabantwana onyanga abantu abadala, kodwa aba gqirha banyanga ngokukodwa iingxaki kwiintsana, abantwana abancinci, kunye nabakwishumi elivisayo.

Inkqubo yokwetyisa yomntwana wakho iquka:

• Umlomo
• I-Esophagus (umbhobho othwala ukutya emqaleni)
• Isisu (apho ukutya esikutyayo kugcinwa khona)
• Ndibonise uthando
• Amathumbu amakhulu

(Oku kubizwa ngokuba yindlela yokugaya ukutya okanye "Indlela yesisu okanye indlela ye-GI".)

• Kwaye kwakhona i-pancreas.
• Isibindi
• Inyongo
• Indlela yenyongo

Aba gqirha baziingcali baxilonga baze banyange iingxaki kuzo zonke ezi ndawo. Khawucinge nje, ngamanye amaxesha isisu somntwana sinokuba sincinci, kwaye siya kuba ngcono kwiintsuku ezimbini okanye ezintathu. Kodwa ngamanye amaxesha ezi ngxaki zinokuba nkulu , kwaye unyango olusindisa ubomi lunokufuneka. Kukho ezinye izifo ezihlala ubomi bonke, kodwa ngonyango olufanelekileyo kunye nokusebenzisana nogqirha, umntwana unokuphila ngokuqhelekileyo neso sifo. Ekugqibeleni, umzamo waba gqirha kukunika umntwana wakho ubomi obuhle, obonwabisayo (`(umgangatho wobomi)`).

Ukususela kwangoko umntwana eginya ukutya, ekugaya, aze ekugqibeleni akhuphe indle, yonke into eyenzekayo inzima kakhulu. Aba gqirha abaziingcali bayayazi kakuhle le nkqubo. Ngenxa yoko, banokuvavanya baze banyange umntwana wakho ngendlela efanelekileyo kuwe. Banokukunceda uqonde ukugula komntwana wakho kunye noko unokukulindela kwixesha elizayo.

Yintoni kanye kanye eyenziwa ngaba gqirha? (Yintoni eyenziwa ziingcali ze-Pediatric Gastroenterologists?)

Iingcali zesifo sentliziyo zabantwana zenza yonke into eyenziwa ziingcali zesifo sentliziyo zabantu abadala. Umahluko kukuba ezi nkonzo zinikezelwa kwiintsana, abantwana abancinci, kunye nabantwana abancinci. Umsebenzi wabo wemihla ngemihla ungabandakanya:

• Bathetha nabazali baze babuze ngeempawu zomntwana kunye nembali yakhe yezonyango.Baza kukubuza imibuzo efana nale, "Umntwana unexesha elingakanani enesifo sesisu?", "Ingaba uyahlanza?", "Ingaba uyehla umzimba?"
• Banokukuthumela kwiimvavanyo ezikhethekileyo zomfanekiso ukuze bafumane ukuba siyintoni kanye kanye esi sifo, okanye banokwenza ezinye iinkqubo ngokwabo.
• Isifo esifunyanisiweyo siyanyangwa. Sisenokuba ngamayeza, okanye ezinye iindlela zonyango.
• Kuqhutywa uphando olongezelelekileyo malunga neengxaki zesisu sabantwana .
• Kwixesha elizayo, oogqirha baza kufundisa baze bakhokele abanye.

Loluphi uhlobo lovavanyo kunye nonyango oluqhutywa ngaba gqirha? (Iinkqubo ezinokwenziwa yingcali yezifo zesisu zabantwana)

Aba gqirha abaziingcali banokwenza uluhlu olubanzi lovavanyo kunye nonyango. Umzekelo, baqeqeshwe ngokukodwa ukwenza uvavanyo olubizwa ngokuba yi-endoscopy .

Ngamafutshane, i-endoscopy yinkqubo apho kufakwa ityhubhu ende, ebhityileyo enekhamera eqhotyoshelwe kuyo emzimbeni womntwana ukuze ijonge ngaphakathi ukuze kufunyaniswe unobangela weempawu. Indawo ekuyo ityhubhu imiselwa ziimpawu zomntwana kunye noko ugqirha afuna ukukubona.

Nazi ezinye iintlobo ze-`(Endoscopy)`:

• I-Upper endoscopy: Oku kubandakanya ukufaka ityhubhu ngomlomo. Ivumela umntwana ukuba abone umphimbo, isisu, kunye nenxalenye engentla yamathumbu amancinci (i-duodenum).
• I-Colonoscopy: Oku kuquka ukufaka ityhubhu nge-anus (ezantsi kwi-anus) ukuze kuhlolwe amathumbu amakhulu onke (i-colon).
• I-Capsule endoscopy: Oku kwahlukile kancinci. Umntwana uginya ikhamera encinci, ebonakala ngathi yi-vitamin capsule. Ikhamera ithatha imifanekiso yamathumbu amancinci njengoko ehamba emzimbeni.

Olu vavanyo lwe-`(Endoscopy)` luluncedo kakhulu ekuchongeni izifo. Kuba lunokujonga ngaphakathi kwamalungu enkqubo yokugaya ukutya komntwana. Ngamanye amaxesha ngeli xesha lovavanyo, isampuli encinci yezicubu (`(biopsy)`) ingathathwa ukuze ithunyelwe kwiimvavanyo ezongezelelweyo. Kwakhona, ngamanye amaxesha i-`(Endoscopy)` ingasetyenziselwa ukunyanga isifo.

Ukongeza, iingcali ze-gastroenterologists zabantwana zinokwenza izinto ezifana nezi:

• I-biopsy yesibindi yinkqubo yokuthatha iqhekeza elincinci lesibindi ukuze kubonwe ukuba kukho isifo sesibindi na, yintoni unobangela, kwaye ungakanani umonakalo owenziweyo.
• Ukuba umntwana unengxaki yokutya, unokufakwa ityhubhu yokondla (`(ityhubhu yokondla)`) ukuze afumane isondlo esifunekayo, okanye isondlo sinokunikwa nge-catheter efakwa kwimithambo yegazi (`(i-catheter ye-IV)`).
• Yenza uvavanyo olukhethekileyo (`uvavanyo lokuhamba`) ukuze ubone ukuba izihlunu ezigudileyo kunye nemithambo-luvo kwindlela yokugaya yomntwana wakho zisebenza kakuhle na.

Umntwana angathunyelwa nini kwi-gastroenterologist? (Kutheni umntwana angathunyelwa kwi-gastroenterologist?)

Umntwana wakho usenokufuna ukubona ingcali efana nale ukuze avavanywe okanye anyangwe. Nazi ezinye zemibuzo aba gqirha abanokunceda ngayo:

• Xa umntwana ebonisa iimpawu zenkqubo yokugaya ukutya (`(iimpawu ze-GI)`) . (umz. iintlungu zesisu ezingapheliyo, ukuhlanza, urhudo, ukuqhina).
• Kwimeko apho umntwana engafumani izondlo ekutyeni akutyayo.
• Ukuba isifo asinyangwanga kakuhle , ezinye iingxaki zinokubakho .
• Ngamanye amaxesha kwiimeko apho ubomi busemngciphekweni .

Okubalulekileyo kukuba, oogqirha babantwana badla ngokuthumela abantwana kwi-gastroenterologist ngenxa yeentlungu zesisu ezisebenzayo. Ukuba umntwana wakho unentlungu yesisu ehlala isenzeka ebathintela ukuba baye esikolweni okanye badlale, oko kunokuba ngumqobo omkhulu kwimisebenzi yabo yemihla ngemihla. Kunokubakho izizathu ezininzi zezi ntlungu zesisu. I-gastroenterologist ingenza uvavanyo ukuze ifumanise ukuba kwenzeka ntoni ngokwenene.

Ziziphi ezinye zeemeko ezinyangwa ziingcali zezifo zesisu zabantwana? (Imizekelo yeemeko ezichongwa ziingcali zezifo zesisu zabantwana kwaye zinyangwa)

Iingcali ze-gastroenterologists zabantwana zinyanga iimeko ezininzi, kuquka:

• Isifo seCeliac: Esi sisifo sokunganyamezelani neproteni ebizwa ngokuba yigluten (efumaneka kwingqolowa nerhasi).
• I-Cyclic vomitation syndrome: Ukugabha iintsuku ezininzi ngaphandle kwesizathu esicacileyo.
• I-Eosinophilic esophagitis (EOE): Ukudumba komqala (umbhobho wokutya) okubangelwa kukwalana komzimba.
• Ukunganyamezelani nokutya: Ukunganyamezelani komntwana ukutya okuthile.
• Isifo se-Gastroesophageal Reflux (GERD): Ukubuyela kwakhona komxholo wesisu kwi-esophagus (okufana ne-gastritis).
• Ukopha okuvela kwindlela yokugaya ukutya (ukopha kwi-GI) .
• Ukukhula kuyawohloka/ukungaphumeleli ukutyeba .
• Isifo samathumbu esidumbileyo (IBD): Oku kuquka izifo ezingapheliyo zokudumba kwamathumbu ezibizwa ngokuba sisifo sikaCrohn kunye ne-ulcerative colitis.
• I-irritable bowel syndrome (IBS): Imeko apho amathumbu aba nobuthathaka aze abangele iintlungu zesisu, urhudo, okanye ukuqhina.
• Isifo sesibindi .
• Iingxaki zokunyakaza kwendlela yokugaya ukutya: Ukutya akuhambi kakuhle emathunjini.
• Isifo sePancreatic .
• Ukungondleki kakuhle .
• Ukutyeba kakhulu kunye nokutyeba kakhulu.
• Isifo samathumbu amafutshane: Yimeko eyenzeka kubantwana abasuswe inxalenye yamathumbu abo amancinci.

Luluphi ulwazi noqeqesho lwaba gqirha? (Iingcali ze-gastroenterologists zabantwana zigxile kweziphi?)

Ukuba yingcali yezifo zesisu zabantwana akulula. Kufuneka badlule kwixesha elide lemfundo noqeqesho:

• Okokuqala, isidanga se-bachelor (malunga neminyaka emi-4).
• Emva koko yiya kwisikolo sezonyango uze ufumane isidanga sobugqirha (malunga neminyaka emi-4).
• Okulandelayo luqeqesho olukhethekileyo kwi-pediatrics (`(inkqubo yokuhlala kwi-pediatrics)`) (malunga neminyaka emi-3).
• Kuphela emva koko apho udliwano-ndlebe kwi-gastroenterology yabantwana (malunga neminyaka emi-3) lwenzeka khona.
• Abanye bafumana uqeqesho oluphucukileyo ngakumbi, umzekelo kwiindawo ezifana ne-hepatology yokufakelwa, i-neurogastroenterology, okanye amayeza okutyeba kakhulu.

Emva kokuba konke oku kwenziwe, kufuneka baphumelele iimviwo baze babe nesiqinisekiso sebhodi kwizifo zabantwana kunye nezifo zesisu sabantwana .

Abanye oogqirha bezifo zesisu zabantwana bakhetha ukugxininisa kwezinye iindawo baze bafunde ngakumbi ngazo. Imizekelo:

• Izifo zesibindi zabantwana kunye nokufakelwa kwesibindi.
• Isifo samathumbu esidumbileyo.
• Isondlo.

Ungacinga ngaba gqirha "njengoogqirha bezingane abanezakhono ezinamandla." Njengoogqirha bezingane abaqhelekileyo, banobuchule kakhulu ekuthetheni nabantwana, babagcine bekhuselekile, kwaye babenze bazive bekhululekile. Amandla abo akhethekileyo lulwazi lwabo olunzulu ngeengxaki zesisu sabantwana kunye neengxaki zenkqubo yokugaya ukutya. Banokusombulula nantoni na ukusuka kwintlungu yesisu engapheliyo ukuya ekuphumeni kwegazi okungachazwanga.

Aba gqirha abaziingcali bakhona nawe. Kuqhelekile ukuba uzive usoyika kwaye ungaqinisekanga ngento omawuyilindele xa umntwana wakho enesifo sesisu. Baza kukuchazela okwenzekayo emzimbeni womntwana wakho baze bakugcine unolwazi ngalo lonke ixesha.

Izinto esifanele sizikhumbule kweli bali (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoko ke sithethe kakhulu namhlanje. Ukuqukumbela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• Iingcali zeGastroenterologists zabantwana ngoogqirha abaziingcali ekunyangeni izifo zenkqubo yokugaya ukutya kwiintsana, abantwana abancinci, kunye nabantwana abancinci.
• Ukuba umntwana wakho usoloko enengxaki yesisu, iingxaki zokugaya ukutya, okanye iingxaki zokukhula, musa ukucinga kabini ngokubona ingcali efana nale.
• Aba gqirha banokwenzaUkuchonga isifo ngokuchanekileyo, unikeze unyango olufanelekileyo, kwaye uncede umntwana aphile ubomi obuhle.
• Kwakhona, banobuhlobo kakhulu nabantwana kwaye bayabaxhasa kakhulu abazali babo.

Ngoko ke, xa kufikwa kwimpilo yomntwana wakho, kufanelekile ukufuna uncedo kugqirha onolwazi olunjalo.

I- Gastroenterology yabantwana, Ingcali ye-Gastroenterology yabantwana, Izifo zesisu sabantwana, Ukugaya ukutya, i-Endoscopy, i-Colonoscopy, Impilo yabantwana