Matenda am'mimba

Matenda am'mimba ndimavuto am'mimba, omwe nthawi zina amatchedwa thirakiti la m'mimba (GI).

Pazakudya, chakudya ndi zakumwa zimagawika m'magawo ang'onoang'ono (otchedwa michere) omwe thupi limatha kuyamwa ndikugwiritsa ntchito ngati mphamvu ndi zomangira maselo.

Magawo am'mimba amapangidwa ndi khosi (chubu chakudya), m'mimba, matumbo akulu ndi ang'ono, chiwindi, kapamba, ndi ndulu.

Chizindikiro choyamba pamavuto am'mimba nthawi zambiri chimakhala chimodzi kapena zingapo mwa izi:

• Magazi
• Kuphulika
• Kudzimbidwa
• Kutsekula m'mimba
• Kutentha pa chifuwa
• Kusadziletsa
• Nseru ndi kusanza
• Ululu m'mimba
• Kumeza mavuto
• Kulemera kapena kutayika

Matenda am'mimba ndimavuto amtundu uliwonse am'mimba. Zinthu zitha kukhala zochepa mpaka zochepa. Mavuto ena omwe amapezeka ndi monga kutentha pa chifuwa, khansa, matumbo opweteka, komanso kusagwirizana kwa lactose.

Matenda ena am'mimba ndi awa:

• Miyala, cholecystitis, ndi cholangitis
• Mavuto obwera, monga fissure anal, hemorrhoids, proctitis, ndi rectal prolapse
• Mavuto otupa m'mimba, monga kupsinjika (kuchepa) ndi achalasia ndi esophagitis
• Mavuto am'mimba, kuphatikiza gastritis, zilonda zam'mimba zomwe zimayambitsidwa ndi Helicobacter pylori matenda ndi khansa
  
• Mavuto a chiwindi, monga hepatitis B kapena hepatitis C, cirrhosis, kulephera kwa chiwindi, komanso matenda a chiwindi amadzimadzi okhaokha
• Pancreatitis ndi pseudocyst ya kapamba
• Matenda am'mimba, monga ma polyps ndi khansa, matenda, matenda a celiac, matenda a Crohn, ulcerative colitis, diverticulitis, malabsorption, matumbo amfupi, komanso matumbo a ischemia
• Matenda a reflux a Gastroesophageal (GERD), matenda a zilonda zam'mimba, ndi nthenda yobereka

Kuyesa kwamavuto am'mimba kumatha kuphatikiza colonoscopy, chapamwamba cha GI endoscopy, kapisozi endoscopy, endoscopic retrograde cholangiopancreatography (ERCP), ndi endoscopic ultrasound.

Njira zambiri zopangira opaleshoni zimachitidwa m'mimba. Izi zikuphatikiza njira zomwe zimagwiritsidwa ntchito pogwiritsa ntchito endoscopy, laparoscopy, komanso opaleshoni yotseguka. Kuika thupi kumatha kuchitidwa pachiwindi, kapamba, ndi m'matumbo ang'ono.

Opereka chithandizo chamankhwala ambiri amatha kuthandiza kuzindikira ndikuthandizira mavuto am'mimba. Gastroenterologist ndi katswiri wazachipatala yemwe walandila maphunziro owonjezera pakuzindikira komanso kuchiza zovuta zam'mimba. Othandizira ena omwe amathandizira pakuchiza matenda am'mimba ndi awa:

• Ogwira ntchito namwino (NPs) kapena othandizira adotolo (PAs)
• Akatswiri azakudya kapena odyetsa
• Madokotala oyang'anira pulayimale
• Akatswiri a Radiologists
• Madokotala ochita opaleshoni

• Thupi labwinobwino la m'mimba

Högenauer C, Hammer HF. Maldigestion ndi malabsorption. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 104.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Matenda am'mimba. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 123.

Mtsogoleri EA. Ntchito zovuta zam'mimba: matumbo opweteka, dyspepsia, kupweteka pachifuwa, ndi kutentha pa chifuwa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 128.