Ingabe ingane yakho ivame ukuhlushwa yisisu? Ake sifunde ngodokotela wezifo zesisu ezinganeni!

Ingabe ingane yakho ivame ukuthi, "Mama, isisu sami sibuhlungu"? Ingabe iyahlanza ngemva kokuphuza ubisi? Noma ingabe ayifuni ngempela ukudla? Njengomzali, lapho ingane encane ihlushwa yisisu, cishe uzizwa udabuke kakhulu futhi wesaba. Ngakho-ke namuhla sizokhuluma ngodokotela ochwepheshe ohlelweni lokugaya ukudla lwengane yakho, okungukuthi, izinhlungu zesisu. Laba odokotela yilokho esikubiza ngokuthi odokotela bezingane abangochwepheshe bezifo zesisu .

Ubani lo dokotela wezifo zamathumbu ezinganeni? (Ubani udokotela wezifo zamathumbu ezinganeni?)

Kalula nje, lo udokotela wezingane, udokotela othole ukuqeqeshwa okukhethekile ekwelapheni izinkinga zokugaya ukudla ezinganeni. Kufana nodokotela wezingane ophatha abantu abadala, kodwa laba odokotela baphatha ngqo izinkinga ezinganeni, ezinganeni ezincane, kanye nasebasha.

Uhlelo lokugaya ukudla lwengane yakho luhlanganisa:

• Umlomo
• I-Esophagus (ipayipi elithwala ukudla emphinjeni)
• Isisu (lapho kugcinwa khona ukudla esikudlayo)
• Amathumbu amancane
• Amathumbu amakhulu

(Yilokhu esivame ukukubiza ngokuthi umgudu wokugaya ukudla noma "Umgudu wesisu noma we-GI".)

• Futhi futhi ama-pancreas.
• Isibindi
• Inyongo
• Umgudu we-Biliary

Laba odokotela abangochwepheshe baxilonga futhi belapha izinkinga kuzo zonke lezi zindawo. Cabanga nje, ngezinye izikhathi ubuhlungu besisu sengane bungaba buncane, futhi buzolulama ezinsukwini ezimbili noma ezintathu. Kodwa ngezinye izikhathi lezi zinkinga zingaba zimbi kakhulu , futhi kungase kudingeke ukwelashwa okusindisa impilo. Kunezinye izifo ezihlala isikhathi eside, kodwa ngokwelashwa okuhle kanye nokusebenzisana nodokotela, ingane ingaphila kahle naleso sifo. Ekugcineni, umzamo walaba odokotela ukunikeza ingane yakho impilo enhle nejabulisayo (`(ikhwalithi enhle yokuphila)`).

Kusukela ngesikhathi ingane igwinya ukudla, ikugaye, bese ekugcineni ikhipha indle, konke okwenzekayo kuyinkimbinkimbi kakhulu. Laba odokotela abangochwepheshe bayayazi yonke le nqubo. Ngakho-ke, bangayihlola futhi bayiphathe ngendlela efanele ingane yakho. Bangakusiza futhi ukuthi uqonde ukugula kwengane yakho nokuthi yini ongayilindela esikhathini esizayo.

Yini ngempela eyenziwa yilaba odokotela? (Yini eyenziwa yi-Pediatric Gastroenterologists?)

Odokotela bezifo zesisu bezingane benza konke okwenziwa odokotela bezifo zesisu abadala. Umehluko ukuthi lezi zinsizakalo zinikezwa izinsana, izingane ezincane kanye nezingane ezincane. Umsebenzi wabo wansuku zonke ungafaka:

• Baxoxa nabazali futhi babuze ngezimpawu zengane kanye nomlando wezokwelapha.Bazokubuza imibuzo efana nokuthi, "Sekuyisikhathi esingakanani ingane ihlushwa yisisu?", "Ingabe iyahlanza?", "Ingabe yehlisa isisindo?"
• Bangase bakuthumelele ukuhlolwa okukhethekile kwezithombe ukuze bathole ukuthi siyini ngempela lesi sifo, noma bangase benze ezinye izinqubo ngokwabo.
• Isifo esitholakele siyalashwa. Kungase kube ngemithi, noma kungaba ngezinye izindlela zokwelapha.
• Ucwaningo olwengeziwe luqhutshwa ngezinkinga zesisu zezingane .
• Esikhathini esizayo, odokotela bazofundisa futhi baqondise abanye.

Hlobo luni lokuhlolwa kanye nokwelashwa okwenziwa yilaba odokotela? (Izinqubo ezingenziwa yi-Pediatric Gastroenterologist)

Laba odokotela abangochwepheshe bangenza izinhlobo eziningi zokuhlolwa kanye nokwelashwa. Isibonelo, baqeqeshwe ngokukhethekile ukwenza ukuhlolwa okubizwa ngokuthi i-endoscopy .

Kalula nje, i-endoscopy inqubo lapho kufakwa khona ithubhu elide, elincane elinekhamera elinamathiselwe kulo emzimbeni wengane ukuze libheke ngaphakathi ukuze kutholakale imbangela yezimpawu. Indawo yethubhu inqunywa yizimpawu zengane kanye nalokho udokotela afuna ukukubona.

Nazi ezinye izinhlobo ze-`(Endoscopy)`:

• I-endoscopy ephezulu: Lokhu kuhilela ukufaka ipayipi emlonyeni. Kuvumela ingane ukuthi ibone umphimbo, isisu, kanye nengxenye engenhla yamathumbu amancane (i-duodenum).
• I-Colonoscopy: Lokhu kuhilela ukufaka ipayipi nge-anus (phansi kwe-anus) ukuze kuhlolwe wonke amathumbu amakhulu (ikholoni).
• I-Capsule endoscopy: Lokhu kuhlukile kancane. Ingane igwinya ikhamera encane, ebukeka njenge-vitamin capsule. Ikhamera ithatha izithombe zamathumbu amancane njengoba ehamba emzimbeni.

Lezi zivivinyo ze-`(Endoscopy)` ziwusizo olukhulu ekuxilongeni izifo. Ngoba zingabheka ngaphakathi kwezitho zohlelo lokugaya ukudla kwengane. Ngezinye izikhathi phakathi nalolu vivinyo, kungathathwa isampula encane yezicubu (`(biopsy)`) ukuze kuthunyelwe ukuhlolwa okwengeziwe. Futhi, ngezinye izikhathi i-`(Endoscopy)` ingasetshenziswa ukwelapha lesi sifo.

Ngaphezu kwalokho, odokotela bezifo zesisu zezingane bangenza nezinto ezifana nalezi:

• Ukuhlolwa kwesibindi yinqubo yokuthathwa kwengxenye encane yesibindi ukuze kubonakale ukuthi kukhona yini isifo sesibindi, ukuthi siyini imbangela, nokuthi umonakalo ongakanani owenzekile.
• Uma ingane inenkinga yokudla, ipayipi lokuncelisa (`(ipayipi lokuncelisa)`) lingafakwa ukuze linikeze ukudla okunomsoco okudingekayo, noma ukudla okunomsoco kunganikezwa nge-catheter efakwa emthanjeni (`(i-catheter ye-IV)`).
• Yenza izivivinyo ezikhethekile (`ukuhlolwa kokunyakaza`) ukuze ubone ukuthi imisipha ebushelelezi kanye nemizwa endleleni yokugaya ukudla yengane yakho isebenza kahle yini.

Ingane ingathunyelwa nini kudokotela wezifo zamathumbu? (Kungani ingane ingathunyelwa kudokotela wezifo zamathumbu?)

Ingane yakho ingadinga ukubona uchwepheshe onjengalona ukuze ahlolwe noma athole ukwelashwa. Nazi ezinye zemibuzo odokotela abangasiza ngazo:

• Uma ingane ibonisa izimpawu zesistimu yokugaya ukudla (`(izimpawu ze-GI)`) . (isib. ubuhlungu obuqhubekayo besisu, ukuhlanza, uhudo, ukuqunjelwa).
• Ezimweni lapho ingane ingamunci izakhamzimba ekudleni ekudlayo.
• Uma lesi sifo singelashwa kahle , kungase kube nezinye izinkinga .
• Ngezinye izikhathi ezimweni lapho impilo isengozini .

Okubalulekile, odokotela bezingane bavame ukudlulisela izingane kudokotela wezifo zamathumbu ngenxa yobuhlungu besisu obusebenzayo. Uma ingane yakho inezinhlungu zesisu ezivame ukuyivimbela ukuya esikoleni noma ukudlala, kungaba yisithiyo esikhulu emisebenzini yayo yansuku zonke. Kungaba nezizathu eziningi zalezi zinhlungu zesisu. Udokotela wezifo zamathumbu angenza izivivinyo ukuze athole ukuthi kwenzekani ngempela.

Yiziphi ezinye zezimo eziphathwa ngodokotela bezifo zamathumbu ezingane? (Izibonelo zezimo ezitholwa futhi ziphathwe ngodokotela bezifo zamathumbu ezingane)

Odokotela bezifo zesisu bezingane baphatha izimo eziningana, okuhlanganisa:

• Isifo se-Celiac: Lokhu kuwukungezwani komzimba neprotheni ebizwa ngokuthi i-gluten (etholakala kukolweni nebhali).
• I-Cyclic vomitation syndrome: Ukuhlanza izinsuku eziningi ngaphandle kwesizathu esibonakalayo.
• I-Eosinophilic esophagitis (EOE): Ukuvuvukala komsipha (ipayipi lokudla) okubangelwa ukungezwani komzimba.
• Ukungezwani nokudla noma ukungabekezelelani: Ukungabekezelelani kwengane ukudla okuthile.
• Isifo se-Gastroesophageal Reflux (GERD): Ukubuyela emuva kokuqukethwe esiswini ku-esophagus (okufana ne-gastritis).
• Ukopha okuvela emgudwini wokugaya ukudla (ukopha kwe-GI) .
• Ukukhula kuyantengantenga/ukwehluleka ukukhuluphala .
• Isifo samathumbu esivuvukalayo (IBD): Lokhu kuhlanganisa izimo zokuvuvukala kwamathumbu ezingapheli ezibizwa ngokuthi isifo sikaCrohn kanye ne-ulcerative colitis.
• I-Irritable Bowel Syndrome (IBS): Isimo lapho amathumbu eba nomuzwa wokuzwela futhi abangele ukuqaqamba kwesisu, uhudo, noma ukuqunjelwa.
• Isifo sesibindi .
• Izinkinga zokunyakaza kwe-GI tract: Ukudla akuhambi kahle emathunjini.
• Isifo se-pancreatic .
• Ukungondleki kahle .
• Ukukhuluphala ngokweqile kanye nokukhuluphala ngokweqile.
• I-Short Bowel Syndrome: Isimo esenzeka ezinganeni ezikhishwe ingxenye yamathumbu azo amancane.

Buyini ubuchwepheshe nokuqeqeshwa kwalaba odokotela? (Odokotela bezifo zesisu zezingane bangochwepheshe bani?)

Ukuba ngudokotela wezifo zamathumbu ezinganeni akulula. Kumelwe badlule esikhathini eside semfundo nokuqeqeshwa:

• Okokuqala, iziqu ze-bachelor's (cishe iminyaka emi-4).
• Bese uya esikoleni sezokwelapha bese uthola iziqu zobudokotela (cishe iminyaka emi-4).
• Okulandelayo ukuqeqeshwa okukhethekile kwezokwelapha izingane (`(uhlelo lokuhlala kwezokwelapha izingane)`) (cishe iminyaka emi-3).
• Kungemva kwalokho kuphela lapho kwenzeka khona ubungcweti kwezokwelapha izifo zabantwana (cishe iminyaka emi-3).
• Abanye bathola ukuqeqeshwa okuthuthukile nakakhulu, isibonelo ezindaweni ezifana ne-hepatology yokufakelwa, i-neurogastroenterology, noma imithi yokukhuluphala ngokweqile.

Ngemva kokuthi konke lokhu sekuqediwe, kumele baphumelele izivivinyo futhi babe yizitifiketi zebhodi kwezokwelapha izingane kanye nezifo zesisu zezingane .

Abanye odokotela bezifo zesisu ezingane bakhetha ukugxila kwezinye izindawo futhi bafunde kabanzi ngazo. Izibonelo:

• Isifo sesibindi sezingane kanye nokufakelwa kwesibindi.
• Isifo sokuvuvukala kwamathumbu.
• Ukudla okunempilo.

Ungacabanga ngalaba odokotela "njengodokotela bezingane abanezikhwepha ezinamandla." Njengodokotela bezingane abavamile, banekhono elikhulu lokukhuluma nezingane, bazigcine ziphephile, futhi bazenze zizizwe zikhululekile. Amandla abo akhethekile ulwazi lwabo olujulile ngezinkinga zesisu zezingane nezinkinga zesistimu yokugaya ukudla. Bangaxazulula noma yini kusukela ekuhluphekeni kwesisu okungapheli kuya ekuphumeni kwegazi okungachazeki.

Laba odokotela abangochwepheshe bakhona futhi ukuze bakusize. Kuvamile ukuzizwa wesaba futhi ungaqiniseki ukuthi yini ongayilindela uma ingane yakho ihlushwa yisisu. Bazokuchazela ukuthi kwenzekani emzimbeni wengane yakho futhi bakugcine unolwazi ngazo zonke izinyathelo zendlela.

Izinto okufanele sizikhumbule kule ndaba (Umyalezo Ohamba Nawo Ekhaya)

Kulungile, ngakho-ke sikhulume kakhulu namuhla. Ekuphetheni, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:

• Odokotela bezifo zesisu bezingane odokotela abangochwepheshe ekwelapheni izifo zesimiso sokugaya ukudla ezinganeni, ezincane kanye nezingane ezincane.
• Uma ingane yakho ivame ukuhlushwa yisisu, izinkinga zokugaya ukudla, noma izinkinga zokukhula, ungacabangi kabili ngokubona uchwepheshe onjengalona.
• Laba odokotela bangakwaziHlonza lesi sifo ngendlela efanele, unikeze ukwelashwa okufanele, futhi usize ingane iphile impilo enhle.
• Futhi, banobungane kakhulu nezingane futhi bayabasekela kakhulu abazali babo.

Ngakho-ke, uma kukhulunywa ngempilo yengane yakho, kufanelekile ukufuna usizo kudokotela onolwazi olunjalo.

I- Gastroenterology Yezingane, Udokotela Wezifo Zesisu Zezingane, Izifo Zesisu Sezingane, Ukugaya Ukudla, I-Endoscopy, I-Colonoscopy, Impilo Yezingane