Zvirwere zvekudya

Zvirwere zvekudya zvinokanganisa nzira yekugaya, iyo dzimwe nguva inonzi gastrointestinal (GI) turakiti.

Mukugaya, chikafu nekumwa zvakaputswa kuita zvidimbu zvidiki (zvinodaidzwa kuti zvinovaka muviri) izvo muviri unogona kutora nekushandisa sesimba uye mabhuroko ekuvakisa maseru.

Iyo yekugaya nzira inoumbwa nesophagus (chikafu chubhu), dumbu, hombe uye diki ura, chiropa, rwatata, uye nduru.

Chiratidzo chekutanga chematambudziko munzira yekugaya chinowanzo sanganisira chimwe kana zvimwe zvezviratidzo zvinotevera:

• Kubuda ropa
• Bloating
• Kuzvimbirwa
• Manyoka
• Kushungurudza
• Kusazvidzora
• Kusvotwa uye kurutsa
• Marwadzo mudumbu
• Kumedza matambudziko
• Kurera kana kurasikirwa

Chirwere chekugaya chero dambudziko rehutano rinoitika mune yekugaya nzira. Mamiriro ezvinhu anogona kutangira pane zvinyoro kusvika kune zvakakomba Mamwe matambudziko akajairika anosanganisira kuora moyo, gomarara, kutsamwa kwehurwere chirwere, uye kusagadzikana kwerazisi.

Zvimwe zvirwere zvekudya zvinosanganisira:

• Gallstones, cholecystitis, uye cholangitis
• Matambudziko anoona, senge anal fissure, mamorrhoids, proctitis, uye rectal prolapse
• Matambudziko esophagus, senge kuomesa (kudzikira) uye achalasia uye esophagitis
• Matambudziko edumbu, kusanganisira gastritis, gastric ulcers inowanzo kukonzerwa ne Helicobacter pylori hutachiona nekenza
  
• Zvinetso zvechiropa, zvakadai sehepatitis B kana hepatitis C, cirrhosis, kukundikana kwechiropa, uye autoimmune uye chidhakwa hepatitis
• Pancreatitis uye pancreatic pseudocyst
• Zvinetso zvemukati, senge polyps uye cancer, hutachiona, chirwere checeliac, chirwere cheCrohn, ulcerative colitis, diverticulitis, malabsorption, pfupi bowel syndrome, uye ura hwemukati.
• Gastroesophageal Reflux chirwere (GERD), peptic ulcer chirwere, uye hiatal hernia

Kuyedzwa kwezvinetso zvekugaya kunogona kusanganisira colonoscopy, yepamusoro GI endoscopy, capsule endoscopy, endoscopic retrograde cholangiopancreatography (ERCP), uye endoscopic ultrasound.

Maitiro mazhinji ekuvhiya anoitwa pane yekugaya turakiti. Izvi zvinosanganisira maitiro anoitwa uchishandisa endoscopy, laparoscopy, uye kuvhura kwakavhurika. Kuiswa kwemuviri kunogona kuitwa pachiropa, rwatata, uye mudumbu.

Vazhinji vanopa hutano vanogona kubatsira kuongorora uye kurapa matambudziko ekugaya. Gastroenterologist chiremba wezvechiremba uyo akagamuchira imwe dzidziso mukuongororwa uye kurapwa kwezvinetso zvekudya. Vamwe vatapi vanobatanidzwa mukurapa kwezvirwere zvekudya zvinosanganisira:

• Mukoti varapi (NPs) kana vanachiremba vanobatsira (PAs)
• Nutritionists kana vezvekudya
• Vanachiremba vekutanga
• Radiologists
• Vanachiremba vanovhiya

• Akajairika mudumbu anatomy

Högenauer C, Nyundo HF. Maldigestion uye malabsorption. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 104.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Digestive system kusagadzikana. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 123.

Mayer EA. Kushanda kwepamuviri kusagadzikana: inokanganisa bowel syndrome, dyspepsia, esophageal chest pain, uye chirungurira. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsuwa 128.