Ingabe ingane yakho encane ihlala ikhala ithi, "Mama, isisu sami sibuhlungu"? Ayidli kahle? Ingabe ayikhuluphali njengoba kulindelekile ngenxa yobudala bayo? Njengomzali, kumelwe ukuthi ukhathazeke kakhulu ngezinto ezinjengalezi. Isikhathi esiningi, kunenkinga ethile ngohlelo lokugaya ukudla lwengane ngemuva kwalezi zinkinga. Ngakho-ke namuhla sizokhuluma ngodokotela okhethekile kakhulu ongakusiza wena nengane yakho ngesikhathi esinjengalesi. Lowo ngudokotela wezifo zamathumbu ezinganeni.
Ubani lo dokotela wezifo zesisu ezinganeni?
Kalula nje, lo udokotela onolwazi olukhethekile nokuqeqeshwa ezifweni ezihlobene nohlelo lokugaya ukudla lwezingane zethu, kusukela ezinsaneni ezisanda kuzalwa kuya ezinganeni ezincane.
Uma sikhuluma ngohlelo lokugaya ukudla, luhilela izitho eziningi zomzimba. Cabanga nje, kusukela ngesikhathi ukudla esikudlayo kuphuma emlonyeni wethu, kuze kube yisikhathi sokugaywa kanye nesikhathi sokukhishwa emzimbeni wethu, kunezinto eziningi ezihilelekile kule nqubo. Laba odokotela abangochwepheshe banolwazi olujulile ngazo zonke izingxenye zalolu hlelo ezinganeni.
Lokho kusho ukuthi:
- Umlomo, umphimbo, isisu, amathumbu amancane, kanye namathumbu amakhulu (lokhu yilokho esivame ukukubiza ngokuthi uhlelo lokugaya ukudla - `Isisu` noma `Indlela ye-GI`).
- I-pancreas, isibindi, i-gallbladder, kanye ne-bile ducts.
Ngezinye izikhathi, izinto ezifana nokuphazamiseka kwesisu ezinganeni zingaba zincane futhi zibe ngcono ezinsukwini ezimbalwa. Kodwa ezinye izimo zezokwelapha zingaba zimbi kakhulu. Ezinye zingaba impilo yonke. Kodwa kubalulekile ukukhumbula ukuthi ngokwelashwa okufanele kanye nokusebenza naleli thimba lochwepheshe, ingane ingakwazi ukulawula lezo zimo futhi iqhubeke nokuphila kwayo kwansuku zonke ngendlela evamile futhi iphile impilo enhle .
Yini ngempela eyenziwa yilaba ochwepheshe?
Laba odokotela bafana nje nodokotela bezifo zamathumbu abaphatha abantu abadala. Umehluko ukuthi banikeza lezi zinsizakalo ezinganeni ezincane, ezincane, kanye nezingane ezincane. Ngakho-ke, bayaqonda kahle imizimba yezingane, indlela ezicabanga ngayo, kanye nendlela ekhethekile okudingeka ziphathwe ngayo.
Imisebenzi yabo yansuku zonke ingafaka izinto ezifana nalezi:
- Sizoxoxa nawe kanye nengane yakho futhi sibuze ngokuningiliziwe ngezimpawu zengane yakho kanye nanoma yiziphi izifo umndeni wakho ongase ube nazo.
- Bakudlulisela ezivivinyweni zezithombe ukuze bathole ukuthi siyini ngempela lesi sifo.
- Kunikezwa ukwelashwa okudingekayo ukuze kulawulwe lesi simo.
- Esikhathini esizayo, odokotela bazofundisa futhi baqeqeshe abanye ngale ndaba.
Into ebaluleke kakhulu ukuthi laba odokotela bazame ukunikeza induduzo hhayi emzimbeni wengane kuphela, kodwa nasengqondweni yakho njengomzali. Sesaba kangakanani uma sizwa ukuthi ingane iyagula? Ngakho bayaqonda konke futhi basebenza ngokukufundisa nawe.
Ukuhlolwa okukhethekile njenge-endoscopy
Kunezinhlobo eziningi zokuhlolwa okukhethekile kanye nokwelashwa okwenziwa yilaba ochwepheshe. Enye yezinto ezibaluleke kakhulu kulokhu ukuhlolwa okubizwa ngokuthi i-endoscopy .
Ungase wesabe kancane uma uzwa leli gama. Kodwa lokhu kuhlolwa okuphephile kakhulu okwenziwa ngaphansi kwe-anesthesia ukuze ingane ingazizwa ubuhlungu. Okwenzekayo ukuthi ithubhu elincane, eliguquguqukayo (i-endoscope) elinekhamera encane kakhulu lidluliselwe emzimbeni wengane bese ingaphakathi lesistimu yokugaya ukudla libukwa esikrinini. Indawo lapho kufakwa khona leli thubhu iyahlukahluka kuye ngezimpawu.
| Uhlobo lwe-endoscopy | Izingxenye zomzimba ziyahlolwa |
|---|---|
| I-endoscopy ephezulu | Ipayipi lifakwa ngomlomo bese kuhlolwa umphimbo, isisu, bese kuhlolwa ukuqala kwamathumbu amancane. |
| I-Colonoscopy | Ipayipi lifakwa nge-rectum bese kuhlolwa lonke ikholoni. |
| I-endoscopy ye-Capsule | Lokhu kuhilela ukugwinya i-capsule encane enekhamera ngaphakathi. Ithatha izithombe njengoba ihamba emathunjini bese izithumela kithi. Lokhu kusenza sikwazi ukuhlola amathumbu amancane ngokuningiliziwe. |
Lokhu kuhlolwa kwe-endoscopic kuyasiza kakhulu ekuxilongeni izifo ngokunembile. Futhi, uma kudingeka, ingxenye encane yezicubu (i-biopsy) ingathathwa ngesikhathi sokuhlolwa bese ithunyelwa ukuze ihlolwe okwengeziwe. Ngezinye izikhathi, ukwelashwa kungenziwa kusetshenziswa le ndlela.
Ngaphezu kwalokho, laba ochwepheshe:
- Uma kusolwa ukuthi kunesifo sesibindi, kuthathwa ingxenye encane yesibindi bese ihlolwa (i-liver biopsy).
- Uma ingane ingakwazi ukudla kahle, kungafakwa ipayipi lokuncelisa ukuze inikeze ukudla okunomsoco okudingekayo.
- Ukuhlolwa okukhethekile (ukuhlolwa kokunyakaza) kwenziwa ukuze kubonakale ukuthi kunenkinga yini ngendlela imisipha nemizwa esebenza ngayo ohlelweni lokugaya ukudla.
Ungenza nezinto ezifana nalezi.
Kungani ingane ingathunyelwa kuchwepheshe onjengalona?
Ngokuvamile, isizathu esiyinhloko sokuthi udokotela wezingane womndeni wakho adlulisele ingane yakho kuchwepheshe ukuthi ingane yakho ikhala ngobuhlungu besisu obuvamile. Lokhu kubizwa nangokuthi "ubuhlungu besisu obusebenzayo". Lobuhlungu besisu obuqhubekayo bungaphazamisa umsebenzi wesikole wengane yakho kanye nokudlala kwayo. Njengoba kungaba nezimbangela eziningi, laba ochwepheshe bangakusiza ukuthola imbangela eqondile.
Ngaphandle kwalokho, laba odokotela bayasiza ekuxilongeni nasekuphatheni ezinye izimo zezokwelapha ezahlukahlukene. Ake sibheke ezinye zezifo ezivamile.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Isifo se-Celiac | Umzimba une-allergy kuphrotheni ebizwa ngokuthi i-gluten, etholakala ezintweni ezifana nofulawa kakolweni. |
| Isifo se-gastroesophageal reflux (GERD) | I-asidi yesisu ikhuphuka emphinjeni. Lokhu kungabangela izinto ezifana nesilungulela nokuhlanza ubisi. |
| Isifo samathumbu esivuvukalayo (IBD) | Lokhu kubangela ukuvuvukala ngaphakathi kwamathumbu. Isifo sikaCrohn kanye nesifo sofuba esiswini kuyizinhlobo ezimbili zalesi sifo. |
| Ukungezwani nokudla noma ukungabekezelelani | Ukungabekezelelani nokudla okuthile. Isibonelo, ukungakwazi ukugaya i-lactose, etholakala obisini. |
| Ukukhula kuyawohloka | Isisindo nokuphakama kwengane akukhuphuki ngokulingana neminyaka yayo. |
| Ukopha kwe-GI | Ukopha okuvela endaweni ethile ohlelweni lokugaya ukudla. Ukuhlanza igazi noma ukuphuma kwegazi esitulweni. |
| I-irritable bowel syndrome (IBS) | Izimpawu ezishintshashintshayo njengobuhlungu besisu, ukuqunjelwa, ukuqunjelwa, noma uhudo. |
Ukusekelwa wena nomntwana wakho enizokuthola kulo dokotela
Ungacabanga ngalaba ochwepheshe njengodokotela bezingane 'abanamandla akhethekile'. Banekhono elikhulu lokukhuluma nezingane, bezenza zizizwe zikhululekile, njengodokotela bezingane abavamile. 'Amandla abo akhethekile' ukuthi bangakwazi ukuxilonga nokwelapha noma iyiphi inkinga yokugaya ukudla eyinkimbinkimbi.
Into ebaluleke kakhulu ukuthi laba odokotela bakhona ukuze bakusize. Njengabazali, lapho sizwa ukuthi ingane yethu iyagula, siyesaba kakhulu futhi sikhathazeke. Asikwazi ukucabanga ukuthi kuzokwenzekani ngokulandelayo. Laba odokotela bazochaza kuwe ngamazwi alula ukuthi kwenzekani emzimbeni wengane yakho. Bahlala bezama ukukugcina unolwazi futhi bakwenze uzizwe ukhululekile kuzo zonke izinyathelo.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela wezifo zesisu ezinganeni udokotela othole ukuqeqeshwa okukhethekile ekwelapheni izifo zesimiso sokugaya ukudla kwezinsana nezingane.
- Uma ingane yakho ihlala ikhala ngobuhlungu besisu, ingadli kahle, noma ingakhuli kahle, qala ngokubona udokotela wezingane womndeni wakho. Uzokudlulisela kudokotela ochwepheshe uma kudingeka.
- Ungesabi ukuhlolwa okufana ne-endoscopy. Kwenziwa ngokuphephile kakhulu, ngaphansi kwe-anesthesia, futhi ngaphandle kobuhlungu enganeni.
- Laba ochwepheshe abagcini nje ngokwelapha izingane, kodwa futhi bafundisa futhi banikeze ukwesekwa ngokomzwelo kuwe, mzali. Ungesabi ukubuza imibuzo yakho nokucacisa ukungabaza kwakho.
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