Gastroenterology yog kev kho mob tshwj xeeb uas tsom mus rau kev kawm txog kev zom zaub mov, nws qhov tsis zoo thiab qhov txawv txav, thiab lawv kho. Kev qhuab qhia yog li ntawd txaus siab rau cov kabmob sib txawv (txoj hlab pas, txoj hnyuv me, txoj hnyuv, lub qhov quav, qhov quav), tab sis kuj tseem nyob hauv cov qog zom zaws (lub siab, cov kua tsib, cov txiav).

Nws yuav tsum tau sau tseg tias kev mob plab zom mov suav nrog ob lub ntsiab tshwj xeeb tshwj xeeb (uas qee tus kws kho mob tau ua tshwj xeeb): kab mob siab (uas txhawj xeeb txog kab mob ntawm lub siab) thiab cov kws kho mob (leej twg txaus siab rau pathologies ntawm lub qhov quav thiab qhov quav).

Tus kws kho mob plab feem ntau tham nrog rau:

• ntawm lub mob plab (gastroesophageal reflux);
• a cem quav ;
• ntawm lub tsam plab ;
• ntawm lub raws plab ;
• lossis mob plab. 

Ntau yam kab mob tuaj yeem ua rau lub plab zom zaub mov tsis zoo thiab xav tau kev mus ntsib kws kho mob plab zom mov. Cov muaj xws li:

• ntawm lub lub qog ;
• a ob leeg hnyuv ;
• ntawm lub hemorrhoids ;
• a mob ntsws ;
• la Crohn tus kab mob (mob plab hnyuv ntev);
• mob ntawm lub qhov quav (proctitis), txiav txiav (pancreatitis), daim ntawv ntxiv (appendicitis), daim siab (kab mob siab), thiab lwm yam;
• mob plab lossis duodenal;
• ntawm lub hnyuv polyps ;
• kab mob celiac;
• un chim siab plob tsis so tswj syndrome ;
• lossis rau cov qog nqaij hlav (benign lossis malignant) ntawm lub plab, daim siab, txoj hlab pas, txoj hnyuv, thiab lwm yam.

Nco ntsoov tias yog tias qhov mob hnyav thiab mob hnyav, nws tau pom zoo kom tham nrog sai.

Cov kab mob ntawm cov txheej txheem zom zaub mov yuav cuam tshuam rau txhua tus, tab sis muaj qee qhov lees paub tias muaj feem cuam tshuam, suav nrog:

• haus luam yeeb, haus cawv ntau dhau;
• hnub nyoog (rau qee yam mob qog noj ntshav, xws li cov hnyuv me);
• lossis kev noj zaub mov muaj roj ntau.

Kev sab laj nrog kws kho mob plab zom mov tsis cuam tshuam txog qhov txaus ntshai tshwj xeeb rau tus neeg mob. Nws yog nyob rau hauv txhua rooj plaub lub luag haujlwm ntawm tus kws kho mob kom piav qhia meej txog tus qauv, qhov ua tau nyuaj lossis txawm tias muaj kev phom sij cuam tshuam nrog cov txheej txheem, kev tshuaj xyuas thiab kev kho mob uas nws yuav tsum tau ua.

Nco tseg tias qee qhov kev kuaj mob los ntawm tus kws kho mob plab tsis yooj yim. Txawm tias ntau dua thaum nws los txog rau hauv qhov quav. Hauv qhov xwm txheej tshwj xeeb no, nws yog ib qho tseem ceeb los tsim kev sib tham ntawm kev ntseeg siab ntawm tus kws kho mob thiab nws tus neeg mob.

Kev cob qhia raws li kws kho mob plab zom mov hauv Fabkis

Txhawm rau dhau los ua tus kws kho mob plab zom mov, tus tub ntxhais kawm yuav tsum tau txais daim ntawv pov thawj ntawm kev kawm tshwj xeeb (DES) hauv hepato-gastroenterology:

• nws yuav tsum xub ua raws 6 xyoo ntawm kws qhia tshuaj, tom qab nws kawm tiav baccalaureate;
• thaum kawg ntawm xyoo thib 6, cov tub ntxhais kawm xeem cov ntawv xeem sib txawv hauv tebchaws kom nkag mus rau hauv tsev kawm ntawv nce tsev. Nyob ntawm lawv qhov kev faib tawm, lawv yuav tuaj yeem xaiv lawv qhov tshwj xeeb thiab lawv qhov chaw ua haujlwm. Kev xyaum ua haujlwm yog 4 xyoos thiab xaus nrog kev tau txais DES hauv hepato-gastroenterology.

Thaum kawg, kom muaj peev xwm xyaum thiab nqa lub npe kws kho mob, tus tub ntxhais kawm yuav tsum tiv thaiv kev tshawb fawb thesis.

Kev cob qhia ua kws kho mob plab zom mov hauv Quebec

Tom qab kawm ntawv qib siab, tus tub ntxhais kawm yuav tsum:

• ua raws li daim ntawv pov thawj tshuaj, nyob ntev 1 lossis 4 xyoos (nrog lossis tsis muaj xyoo npaj rau tshuaj rau cov tub ntxhais kawm tau lees paub nrog tsev kawm qib siab lossis tsev kawm qib siab pom tias tsis txaus hauv kev tshawb fawb keeb kwm keeb kwm);
• tom qab ntawd tshwj xeeb los ntawm kev ua raws qhov chaw nyob hauv txoj hnyuv plab rau 5 xyoos.

Ua ntej mus rau lub sijhawm teem nrog kws kho mob plab zom mov, nws yog ib qho tseem ceeb kom nqa daim ntawv sau tshuaj tsis ntev los no, nrog rau kev tshuaj xyuas lossis kuaj kab mob hauv lub cev uas twb tau ua tiav lawm.

Txhawm rau nrhiav tus kws kho mob plab zom mov:

• hauv Quebec, koj tuaj yeem sab laj lub vev xaib ntawm Association des gastro-enterologues du Quebec (3);
• hauv Fab Kis, ntawm lub vev xaib ntawm National Council of the Order of Physicians (4).

Thaum kev sab laj tau hais los ntawm tus kws kho mob tuaj koom, nws tau them los ntawm Health Insurance (Fabkis) lossis Régie de l'assurance maladie du Québec.