Ubani udokotela wezifo zamathumbu?

Ingabe uvame ukuba nezinkinga zesisu? Ingabe ubhekene nezinkinga ezifana nokuzizwa ugcwele, ukuhlanza, ukungagayi kahle ukudla, kanye nesilungulela? Uma lezi zinkinga ziqhubeka naphezu kokuthatha imithi evela kudokotela ojwayelekile, kungase kube yisikhathi sokuba ubonane nodokotela ochwepheshe kulokhu. Lowo chwepheshe yilokho esikubiza ngokuthi 'udokotela wezifo zamathumbu'. Namuhla, ake sixoxe ngokuthi ungubani lo dokotela, wenzani, nokuthi kufanele umbone nini.

Kalula nje, ubani lo dokotela wezifo zamathumbu?

Isazi Sezifo Zesisu ungudokotela ogxile ezifweni ezithinta uhlelo lwethu lokugaya ukudla . Cabanga nje, baqala ngokuqeqeshwa njengodokotela ojwayelekile. Ngemva kweziqu zabo ze-MBBS, basebenza njengodokotela ojwayelekile iminyaka engaba mithathu, bethola ulwazi kuzo zonke izinhlobo zezifo. Ngemva kwalokho, bagxila kuphela ohlelweni lokugaya ukudla, bese bedlula eminye iminyaka emithathu yokuqeqeshwa okukhethekile .

Kungemva kwalolu qeqesho olukhethekile kuphela lapho bethola khona isitifiketi njengochwepheshe kulo mkhakha. Lokhu kubavumela ukuthi benze izivivinyo ezikhethekile (njenge-endoscopy) udokotela ojwayelekile angeke akwazi ukuzenza, futhi bahlaziye ngokunembile leyo mibiko yokuhlolwa ukuze baxilonge ngokunembile lesi sifo.

Ingabe bakhona odokotela abangochwepheshe abanjalo bezingane ezincane?

Yebo, impela. Sibabiza ngokuthi 'i-Pediatric Gastroenterologist'. Laba odokotela baqala ngokuqeqeshwa njengoDokotela Wezingane. Bese kuthi, njengoba kushiwo ngaphambili, bathole eminye iminyaka emithathu yokuqeqeshwa okukhethekile ezifweni zesimiso sokugaya ukudla kanye nesibindi sezingane ezincane, kusukela ezinsaneni kuya kubantu abadala abasebasha.

Njengoba imizimba yezingane ikhula, laba odokotela banaka kakhulu ukudla kwabo. Ingane encane ayikwazi ukuveza izinkinga zayo kahle. Ngakho-ke, laba odokotela banekhono elikhethekile lokuqonda ngokunembile izimpawu zalabo bantwana nokuhlola imizimba yabo emincane.

Yiziphi izingxenye zomzimba ezibhekwa yilaba odokotela?

Uma uzwa igama, ucabanga ngesisu (isisu) namathumbu kuphela, akunjalo? I-Gastro isho isisu, i-entero isho amathumbu. Kodwa laba ochwepheshe bagxila ezithweni eziningi kakhulu kunalokho. Kalula nje, lonke uhlelo, kusukela lapho sifaka khona ukudla emilonyeni yethu kuze kube yilapho imfucuza ikhishwa khona, luwela ngaphansi kwamandla abo.

Lokho kusho ukuthi:

• Umlomo kanye ne-esophagus (i-Esophagus)
• Isisu
• Amathumbu Amancane Namakhulu
• Isibindi
• Inyongo
• I-Pancreas
• Amapayipi enyongo

Zelapha izifo ezithinta zonke lezi zitho zomzimba.

Kungani sidinga ukubona uchwepheshe onjalo?

Ake sithi unesifo esibuhlungu esiswini esingapheli. Uthathe umuthi kudokotela ojwayelekile, kodwa akwanele. Ezimweni ezinjalo, udokotela wakho angakudlulisela kuchwepheshe onjalo. Noma, uma usuvele wazi ukuthi unesifo samathumbu esibi (njenge-'Inflammatory Bowel Disease'), kungcono ukubona uchwepheshe onjalo ukuze uthole ukwelashwa okungcono kakhulu.

Inzuzo yokubona uchwepheshe ukuthi benza ucwaningo oluningi, benza izivivinyo eziningi, futhi banolwazi oluningi kulo mkhakha kunabanye odokotela. Ngakho-ke, bangakwazi ukuxilonga lesi sifo ngokushesha nangokunembile, futhi baselaphe ngezinkinga ezimbalwa.

Yiziphi izifo ezivamile eziphathwa yilaba odokotela?

Kunezifo eziningi eziphathwa yi-gastroenterologist. Ake sizihlukanise ngezigaba.

Yiziphi izimpawu okufanele ngizitshele udokotela ?

Uma uzobona uchwepheshe onjengalona, ​​kubaluleke kakhulu ukuchaza ngokucacile zonke izinkinga onazo. Ngisho nento encane ingaba usizo olukhulu ekuxilongeni lesi sifo.

Hlobo luni lokuhlolwa okwenziwa yi-gastroenterologist?

Okokuqala, udokotela uzokuxilonga ngokomzimba. Bazokuthinta isisu sakho balalele isifuba sakho nge-stethoscope. Bangase bafake nomunwe e-rectum yakho ukuze baxilonge i-rectum yakho. Ngemuva kwalokho, bangase ba-ode ukuhlolwa okufana nokuhlolwa kwegazi, ukuhlolwa kwendle, noma ama-X-ray.

Kodwa-ke, uma lezi zivivinyo zinganikezi isithombe esicacile salesi sifo, zizokwenza ukuhlolwa okukhethekile okubizwa ngokuthi i-endoscopy .

Iyini le endoscopy?

Kalula nje, lokhu kuhilela ukufaka ipayipi elincane neliguquguqukayo elinekhamera encane enamathiselwe emzimbeni, okuvumela udokotela ukuthi abone izitho ngaphakathi eskrinini ngamehlo womabili. Lokhu akusikho ukuhlinzwa.

Kunezivivinyo eziningana eziyinhloko ezenziwa kusetshenziswa le ndlela:

• I-Upper Endoscopy (EGD): Lokhu kuhilela ukufaka ipayipi emlonyeni ukuhlola umphimbo, isisu, kanye nengxenye yokuqala yamathumbu amancane.
• I-Colonoscopy: Kulokhu, kufakwa ipayipi nge-rectum bese kuhlolwa lonke ikholoni.
• I-Endoscopic Ultrasound: Isithwebuli se-ultrasound sinamathiselwe ekugcineni kwepayipi le-endoscope futhi izitho ezizungezile, njengesibindi kanye ne-gallbladder, ziyahlolwa.
• Ukususwa kwe-polypectomy:Uma kubonakala i-polyp kumathumbu amakhulu ngesikhathi sokuhlolwa, iyasikwa bese isuswa ngethuluzi elincane elidluliswa ngepayipi.

Lezi zivivinyo azikwazi nje ukukhomba indawo eqondile yesifo, kodwa uma kudingeka , ingxenye encane yezicubu ingasuswa (i-biopsy) bese ithunyelwa ukuze ihlolwe. Ngaphezu kwalokho, le ndlela ingasetshenziswa futhi ukwenza ukwelashwa okuncane, njengokuvimba ukopha noma ukuvula indawo evinjiwe.

Ingabe laba odokotela nabo bayayelapha umdlavuza?

Yebo. Uma unomdlavuza ohlelweni lokugaya ukudla, kungenzeka kakhulu ukuthi udokotela we-Gastroenterologist uzowuhlola kuqala. Bangasebenzisa i-endoscopy kanye ne-biopsy ukuthola izimila ezinomdlavuza, bazisuse, futhi banqume ukuthi hlobo luni lomdlavuza.

Uma umdlavuza uqinisekiswa, ungasiza futhi ekunqumeni ukuthi ususakazeke kangakanani ('isigaba'). Eminye imidlavuza yesigaba sokuqala ingasuswa ngokuphelele nge-'endoscopy' ngaphandle kokuhlinzwa.

Indima yalaba ochwepheshe ibaluleke kakhulu ekuxilongeni nasekwelapheni izifo ezifana nomdlavuza wesisu, umdlavuza wamathumbu amakhulu, umdlavuza wesibindi, kanye nomdlavuza we-pancreatic.