Dab tsi ua rau tus kws kho plab hnyuv tws thiab kab mob dab tsi pab tshem tawm? Lo lus nug no yog cov neeg nyiam thawj tus kws kho mob pom. Gastroenterology, raws li kev faib cov tshuaj, muaj ntau qhov kev txiav txim siab. Tag nrho lawv, ib txoj kev los sis lwm qhov, muaj feem xyuam rau cov qauv thiab kev ua haujlwm ntawm tib neeg txoj hnyuv. Tag nrho cov plab hnyuv siab raum yog subordinate rau ib tus kws kho mob tshwj xeeb hauv daim teb no.
Dab tsi yog gastroenterology?
Qee cov kws kho mob tau mob digestive hauv keeb kwm yav dhau los, tiam sis gastroenterology ua ib qho kev kho mob cais tau tsim ua nyuam qhuav, thaum pib ntawm lub xyoo pua puv 19. Lub npe ntawm lub tswvyim muaj peb lo lus Kilis lus: "lub plab", "lub siab tawv" thiab "kev qhia." Gastroenterology yog ib qho kev faib kev faib tshuaj uas kawm txog txoj hnyuv thiab txoj kev ua haujlwm hauv lub cev. Nyob ntawm seb lub cev muaj mob licas, muaj qee tus kws tshaj lij uas tawm tswv yim txog qee yam teeb meem:
- Hepatologist - tib yam gastroenterologist, specializing nyob rau hauv cov kab mob ntawm daim siab, biliary ib ntsuj av.
- Tus kws kho mob yog kawm cov anus thiab lub qhov quav.
- Tag nrho cov seem ntawm cov nyuv yog subordinate rau coloproctology . Feem ntau ob lub specialties tau koom ua ib qho.
- Tus kws kho plawv (qee zaus yog li abbreviated raws li ib tug kws kho mob gastroenterologist) ua rau muaj mob plab.
Tus kws kho mob Gastroenterist - leej twg yog tus zoo li cas thiab zoo li cas?
Tus kws kho mob (kws kho mob), tus kws kho mob lossis tus kws qhia noj zaubmov tuaj yeem xa mus rau tus kws kho mob ntawm tus kws khomob tshwjxeeb no rau qhov kev pabcuam uas lawv tsis muaj peevxwm. Tab sis cov neeg mob tseem muaj lus nug: leej twg yog tus kws kho mob thiab nws kho li cas? Hnub no txoj hauj lwm no yog xav tau. Raws li kev txheeb cais, cov prevalence ntawm digestive kab mob yog nce, mus txog 95% ntawm lub ntiaj teb cov pejxeem xav pom tus kws kho mob, tau txais ob qho tib si rau cov me nyuam thiab cov laus los ntawm cov hluas mus rau cov laus. Tus kws kho mob hauv tsev kho mob yog dab tsi? Cov no yog cov kab mob txuam nrog:
- plab ( polyps , gastritis , peptic ulcer, thiab lwm yam);
- gall zais zis, nrog rau cholecystitis ;
- spleen (hlav thiab hlwv);
- hnyuv (dysbacteriosis, mob plab , ntxeem tau, thiab lwm yam);
- txiav ( pancreatitis ).
Thaum twg thiaj li hu tau tus kws kho mob hnyuv?
Feem ntau cov teeb meem digestive tau kuaj pom ntawm ib tus kws kho mob hauv kev kho mob hauv chaw kho mob. Tab sis paub tias nws raug kho los ntawm tus kws kho mob hauv plab, ib tus kws kho mob tau tuaj yeem xa ib tus neeg mob rau nws tus uas tau pom zoo ua txhaum ntawm txoj hnyuv. Kev nyuab siab ntev, tsis xis nyob, mob mob nrog digestive processes - rooj plaub thaum twg koj xav tau hu rau tus kws kho mob hnyav. Tshwm sim rau cov tsos mob muaj xws li:
- mob hauv plab thiab hnyuv;
- quav tsis haum;
- ntuav;
- xeev siab;
- daim tawv nqaij ua pob;
- nquag kub siab, thiab lwm yam.
Txais tos ntawm tus kws kho mob hauv plab
Cov kab mob ntawm txoj hlab plab yog cov neeg ntawm txhua tus neeg, yog li ntawd tus kws kho mob tuaj yeem yog tus neeg laus (tus me nyuam) thiab tus me nyuam - nws pab daws cov kab mob dysbacteriosis thiab spasms hauv cov me nyuam mos, cov pathologies ntawm plab zom cov me nyuam loj zog. Qhov ua ntej nws tsis tas yuav tsum tau xuas cov kev soj ntsuam, txhua yam uas tsim nyog, tus kws tshawb fawb yuav paub thiab yuav qhia tawm cov kev taw qhia txog kev soj ntsuam kev tsim nyog. Rau txhua tus neeg mob tus kws kho mob yuav mus raws tus kheej. Cov txheej txheem txheem ntawm gastroenterology muaj xws li:
- qhov ncauj hais lus ntawm tus neeg mob (anamnesis);
- kev tshuaj ntsuam xyuas;
- tom qab kuaj.
Txais tos ntawm ib tug kws kho mob gastroenterologist - kev npaj
Raws li txoj cai, koj tsis tas yuav npaj rau tus kws kho mob hnyav. Tab sis qee qhov chaw kho mob hais kom koj ua raws li cov lus pom zoo: yog tias ua tau, tsis txhob noj zaub mov thiab dej, tsis txhob txhuam cov txheej dawb, vim tias nws tau txais los ntawm tus kws kho mob rau kev tshuaj xyuas. Yog tias koj npaj yuav ua kev tshawb fawb ntawm plab, ploj lossis duodenal ulcers, kws kho mob ua ntej thiab ua ntej yuav qhia koj yuav npaj li cas rau qhov kev kuaj xyuas: seb puas yuav tsum tau zaum ntawm cov khoom noj ua ntej, noj tshuaj los yog ua ib qho kua tshuaj. Hauv so tus kws kho mob-kws kho plawv yuav txais cov neeg tau txais kev pab los ntawm cov cai dav dav.
Yuav kuaj li cas nrog tus kws kho mob gastroenterologist?
Nyob rau ntawm thawj lub rooj sablaj, tus kws kho mob tau mloog cov lus tsis txaus siab, pom cov kev ua rau tus mob thiab nrhiav kom paub txog qhov teeb meem ntawm qhov tshwm sim. Rau kev kuaj xyuas pathologies, kev siv lub cev txoj kev ntsuam xyuas yog siv, qhov tseem ceeb tshaj plaws yog palpation, palpation ntawm lub plab kom paub qhov chaw ntawm qhov mob. Thaum nrhiav tau qhov chaw nyob, tus kws kho mob tuaj yeem sau ntau cov kev tshawb fawb ntxiv uas yog tshawb pom los yog rov qab soj ntsuam dua. Lwm txoj hauv kev ntsuam xyuas ntawm tus kws kho mob gastroenterologist: percussion (percussion) thiab auscultation (siv lub ncauj pob zeb).
Cov kev ntsuam xyuas twg yog raug taw los sis xaiv los ntawm tus kws kho mob hauv chaw kuaj mob?
Cov kab mob uas ntsuam xyuas thiab kho tus kws kho mob yuav tsum tau tshawb xyuas ntxiv. Txhawm rau txheeb xyuas cov kab mob ntau yam
- ultrasound;
- rectomanoscopy;
- kuaj txoj hnyuv ;
- Fibrogastroduodenoscopy.
Cov kev ntsuam xyuas no raug xaiv los sis raug xaiv los ntawm tus kws kho mob hauv plab ntxiv rau nws los yog qhov no? Feem ntau, kws kho rau cov neeg laus thiab cov menyuam yaus: soj ntsuam cov zis thiab quav, cov ntshav thiab cov ntshav biochemical. Tsis tas li ntawd, ib qho kev tiv thaiv kab mob enzyme immunoassay kuj yuav tsum muaj (kom pom cov Helicobacter pylori).
Kev sab laj ntawm ib tus kws kho mob gastroenterology
Tus kws kho mob gastroenterolog yog tus kws tshaj lij ntawm txoj kev mob plab, tab sis nws qhov kev sab laj yuav raug tseev kom muaj rau tus neeg noj qab haus huv uas muaj feem yuav muaj qee yam mob. Cov teeb meem plab zom zom cov zaub mov tsis zoo, kev tsim txom ntawm cov khoom noj ceev, kev siv tshuaj ntev, cov kev siv cov tshuaj tua kab mob thiab cov kws kho mob. Ua ib qho kev tiv thaiv, nws raug pom zoo kom mus ntsib tus kws kho mob no txhua 2-3 xyoo.
Councils ntawm cov kws kho mob
Tus kws kho mob nkag siab nkag siab txog qhov ua metabolic tshwm sim nyob rau hauv lub cev, yuav ua li cas lub plab hnyuv siab raum ntawm plab hnyuv thiab kev ua dab tsi ua rau pathologies. Yog tias cov kab mob zoo li no nyob rau hauv tus neeg mob, kev tsis zoo ntawm kev sib zog yuav pab ua raws li qee cov cai. Txog kev noj qab haus huv thiab kev noj zaub mov kom zoo thiab tshem tawm cov kev mob nkeeg yuav qhia rau tus kws kho mob kom zoo. Lawv mloog los ntawm cov neeg uas saib xyuas lawv kev noj qab haus huv thiab cov neeg uas xav kom tsis txhob ua rau lawv cov teeb meem vim muaj teeb meem ntawm GI.
Council ntawm tus kws kho mob hauv plab noj haus
Lub tswv yim tseem ceeb ntawm tus kws kho mob hauv no tshwj xeeb yog hais txog kev noj zaub mov zoo.
Txhawm rau kom muaj kev noj qab haus huv thiab tsis txhob ua kom muaj tus mob pathology, cov tswv yim nram no yuav tsum ua raws li:
- Txhob haus cawv. Nws catalyzes 80% ntawm daim siab kab mob.
- Xaiv cov khoom tshiab. Qhov kev noj haus yuav tsum tau hloov nrog zaub, txiv hmab txiv ntoo, nqaij, ntses, lwm yam zoo li
- Txwv kev noj cov khoom noj khoom haus thiab qab zib. Cov koom haum ntawm cov me nyuam tus kws kho mob kuj tuaj yeem txwv citrus, carbonated carbon, chocolate.
- Saib xyuas kev noj haus cov tshuaj noj thiab tsev tshuaj.
- Txhua yam khoom noj yuav tsum tau pom zoo nrog tus kws kho mob. Qee hom kev yoo mov ua rau lub raum pob zeb ua tau.
- Nws yog ib qho tsim nyog kom ua raws li noj cov zaub mov noj, muaj tsawg, tab sis feem ntau (4-5 zaug ib hnub - hom phiaj).
Lub tswv yim gastroenterologist rau gastritis
Tiv thaiv nrog gastritis, ib qho kab mob ntawm cov tub ntxhais hluas thiab cov dej num, yuav pab tau tus kws kho mob gastroenterologist. Kev tsis zoo ntawm lub neej (atherosclerosis disturbance, khoom noj khoom haus kuv tsis khiav) thiab kev noj haus tsis zoo los ua cov kws khomob. Tus kws kho mob pom zoo kom tshem tawm cov cwj pwm phem: overeating, haus dej cawv, nquag mus xyuas cov chaw ua khoom noj ceev. Yog tias koj kho gastritis kev kho mob thiab tseem pheej ua tsis raws cai, qhov teeb meem yuav tsis daws.
Nws tsim nyog mloog cov lus qhia nram qab no:
- Hloov lub hwj chim hom. Noj me ntsis, 3-4 zaug ib hnub twg.
- Khoom noj khoom haus yuav tsum yog los ntawm cov khoom xyaw yooj yim uas zoo dua absorbed. Nws yog ib qho tseem ceeb uas yuav tsum tau ua kom haum (lean meat with vegetables).
- Nws yog ib qho tsim nyog kom sov so khoom noj ua ntej txais tos. Nws yuav tsum tau sov thiab muag, nws yog pub rau qee cov tais diav hauv rab hlau.
- Khaws cov kaus poom, cov zaub mov kib, cov zom zom, cov ncauj lus ntsim.
- Saib xyuas cov dej tshuav (1-2 liters ib hnub).
- Tsis txhob hnov qab txog cov vitamins.
Councils ntawm gastroenterologist nrog constipation
Teeb meem nrog lub rooj zaum cuam tshuam cov neeg ntawm tag nrho cov hnub nyoog. Qee zaum ntawm kev kho mob thiab lwm yam teeb meem muaj cem quav. Cov no muaj xws li ib qho tsawg tshaj plaws defecation, dhau li tsawg ntawm nws, ib obstruction ntawm intestine. Txhawm rau kho qhov teeb meem kev noj haus ntawm tus mob hnyuv yuav pab, cov kws kho mob ntawm cov kws kho mob tau xeeb tub.
Tus kws kho mob cov lus pom zoo muaj raws li nram no:
- Ua kom cov khoom noj muaj zog hauv fiber ntau.
- Haus dej ntau dhau (dej dawb, kua zaub, kua txiv).
- Tsis tu ncua.
- Muab cov khoom noj kom zoo.
- Tsis txhob ntxhov siab thiab ua siab ntev.
Ntau tus neeg xav paub txog lo lus nug: qhov kev kho mob ntawm tus kws kho plab yog dab tsi? Tus kws kho mob tshwj xeeb no pab tau thaum muaj teeb meem ntau ntawm txoj hnyuv, nws tsis paub yuav ua li cas rau kev kuaj mob, tab sis kuj yuav kho tau sai. Pab tswv yim pab tswv yim rau tus kws kho mob tau qhia txog kev tiv thaiv kab mob, feem ntau yog cov cem quav thiab gastritis. Nrog rau cov teeb meem no, cov neeg ntawm txhua lub hnub nyoog hais txog tus kws kho mob, thiab tag nrho cov kws kho mob sim pab tom qab kuaj thiab xeem.