So wote yaw nso wɔ wo yafunu nifa so bere a woadi awie no? Ebetumi ayɛ (Biliary Dyskinesia)!

So ɛtɔ mmere bi a, wote ɛyaw a ano yɛ den nka wɔ wo yafunu atifi nifa so bere a woadi akyi, titiriw aduan a srade wom? So wote nka sɛ wo ho yɛ wo yaw anaasɛ wote nka sɛ wobɛfe? Nnipa pii susuw sɛ eyi fi akisikuru. Nanso ɛnyɛ bere nyinaa na ɛte saa. Ɛnnɛ yɛrebɛka akisikuru ho haw foforo a ɛde sɛnkyerɛnne a ɛte saa ara ba, nanso ɛnyɛ abo na ɛde ba no ho asɛm. Ɛno yɛ tebea bi a wɔfrɛ no Biliary Dyskinesia .

Dɛn ne Biliary Dyskinesia? Momma yɛnte ase kɛkɛ!

Okay, di kan ma yɛnhwɛ nea Biliary Dyskinesia yɛ. Sɛ yɛbɛka no tiawa a, ɛyɛ ɔhaw wɔ ɔkwan a wo gallbladder fa so yɛ adwuma no ho. Ɛtɔ mmere bi a, ebetumi aka sphincter, ntini ketewaa bi a ɛhwɛ bile a ɛkɔ dwensɔtwaa mu no dwumadi nso. Nea ɛkɔ so wɔ ha ne sɛ akisikuru no ntumi nyɛ adwuma yiye. Ɛne sɛ, ɛnyɛ sɛ akisikuru bi akɔda akisikuru no mu, na mmom ɛyɛ ɔhaw wɔ ɔkwan a akisikuru no fa so yɛ adwuma no ho.

So wunim sɛ yɛn akisikuru no adwuma titiriw ne sɛ ɛbɛkora bile a mmerɛbo no na ɛyɛ no so, na afei ɛde akɔ dwensɔtwaa ketewa no mu ma aboa ma yɛayam aduan bere a yɛredi no. Sɛ yedidi a, hormone ahorow a efi dwensɔtwaa ketewa no mu no de sɛnkyerɛnne bi kɔ akisikuru no mu, na ɛka sɛ, "Ɛyɛ, fa bile no kɔ mprempren." Afei akisikuru no twetwe, a ɛkyerɛ sɛ ɛtew, na ɛde bile no fa bile ntini no mu kɔ dwensɔtwaa ketewa no mu.

Wɔ biliary dyskinesia mu no, ɔhaw bi wɔ baabi wɔ saa adeyɛ yi mu. Ebetumi ayɛ ɔhaw a ɛfa hormone sɛnkyerɛnne no ho, anaasɛ ebetumi ayɛ ɔhaw wɔ ntini ahorow a egye sɛnkyerɛnne no ho, anaasɛ ebetumi ayɛ mmerɛwyɛ wɔ ntini ahorow a wɔkyerɛ sɛ ɛyɛ adwuma wɔ sɛnkyerɛnne no so no mu. Nnuruyɛfo ntumi nka nea ɛde eyi ba ankasa ntɛm ara, nanso wɔte ase sɛ akisikuru no ntumi nnyae bile a ɛdɔɔso.

Dɛn na ɛba nipadua no so esiane Biliary Dyskinesia nti?

Afei, dɛn na ɛba bere a akisikuru no ntumi nyi ne mogya mu nsu mu yiye no? Saa bile no boaboa ano wɔ akisikuru no mu, na ɛma ɛtrɛw na ɛho ahonhon. Eyi te sɛ nea ɛba bere a akisikuru bi akɔhyɛ akisikuru no mu no. Saa ahurututu ne bile a ɛboaboa ano yi betumi ama obi anya ɔyare mmoawa, akisikuru a ɛyɛ hyew (cholecystitis), ne ɛyaw.

Ebia ɛtɔ mmere bi a wobɛte ɛyaw wɔ wo yafunu nifa so atifi. Ɛba na ɛkɔ. Mpɛn pii no, ɛyaw yi de akisikuru ka ho, titiriw bere a akisikuru no twetwe bere a wɔadi awie no. Wɔfrɛ eyi biliary colic . Nea ɛka ho no, ebia dwensɔtwaa no rennya bile a ɛdɔɔso, na ebetumi ama obi ho ayɛ no yaw, ne ho ayɛ no yaw, afe, na ayɛ den sɛ ɔbɛyam aduan, titiriw bere a ɔredi nnuan a srade wom no.

Wogye di fi bere tenten sɛ ɛkame ayɛ sɛ bere nyinaa na ɛyaw a ɛba nsu mu no fi akisikuru mu abo (cholelithiasis). Nanso seesei nnuruyɛfo rehu sɛ ɛnyɛ bere nyinaa na ɛte saa. Nokwarem no, mprempren wɔrehu tebea bi a wɔfrɛ no biliary dyskinesia sɛ ade titiriw a ɛde akisikuru ba. Ɛka mmofra a wɔanyinyin ne mpanyimfo nyinaa .

Hena na ɛda adi sɛ obenya Biliary Dyskinesia?

Nnansa yi, akisikuru a ɛma akisikuru yɛ adwuma no ayɛ asɛm a wɔka ho asɛm kɛse nnansa yi, titiriw wɔ aman te sɛ United States mu. Wonnya nhuu sɛ ebia tebea no renya nkɔanim ankasa anaasɛ mprempren ara na wɔrehu. Ɛnyɛ nea ɛda adi nso sɛ hena na ɛda adi kɛse sɛ obenya bi. Nanso, wosusuw sɛ ebia nnipa a wɔayɛ kɛse mmoroso ne asikreyare wɔ asiane mu kɛse.

Sɛnea wunim no, kɛseyɛ mmoroso nya yɛn nipadua mu nneɛma a ɛsakra no so nkɛntɛnso ahorow. Ebetumi ama srade aboaboa ano wɔ yɛn akwaa mu, na ebetumi nso ama yɛn ho ayɛ hyew a enni sabea. Saa nneɛma abien yi nyinaa ka sɛnea akisikuru no keka ne ho. Sɛ bile a ɛwɔ akisikuru no mu tra baabi biako a, ebetumi ayɛ den na ayɛ nsõ. Eyi na ɛde akisikuru ba. Kɛse mmoroso yɛ ade titiriw a ɛde asiane ba ma akisikuru mu abo. Nanso, akisikuru nso betumi aba wɔ tebea bi a wɔfrɛ no Biliary Dyskinesia akyi.

Ɔkwan bɛn so na saa akisikuru a ɛnyɛ adwuma yi te nka?

Nnipa dodow no ara te akisikuru yaw nka wɔ baabi a akisikuru no wɔ no pɛɛ - wɔ yafunu no atifi nifa so, wɔ nifa mpampam no ase pɛɛ. Nanso nnipa binom te nka wɔ yafunu mfinimfini, na afoforo nso te nka wɔ mmati nifa anaa akyi. Ɛba bere ne bere mu na ɛnyɛ bere nyinaa. Nanso sɛ ɛba a, ebetumi atra hɔ nnɔnhwerew pii. Ɛyaw no kɔ soro nkakrankakra wɔ simma 20 a edi kan no mu, afei ɛso tew nkakrankakra.

Saa ɛyaw ahorow yi ba na ɛkɔ, ɛnyɛ bere nyinaa. Mpɛn pii no, ɛba bere a wɔadi akyi, titiriw bere a wɔadi aduan a emu yɛ duru na srade wom akyi. Eyi ne bere a akisikuru no twetwe na ɛsɛ sɛ ɛma mogya kɔ dwensɔtwaa no mu. Mpɛn pii no, ɛyaw no mu yɛ den, na ɛdɔɔso sɛ ebetwa wo da biara da dwumadi ahorow mu, akanyan wo anadwo, anaasɛ ebehia mpo sɛ wutu kwan kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu. Akisikuru ne ɔfe nso abu so.

Dɛn ne Biliary Dyskinesia ho sɛnkyerɛnne ahorow?

Obi a ɔwɔ Biliary Dyskinesia betumi anya saa sɛnkyerɛnne ahorow yi mpɛn pii:

• Ɛyaw a ɛba yafunu no fã a ɛwɔ soro nifa so.
• Ɛyaw a ɛba bere ne bere mu no, ɛkɔ soro na afei ɛbrɛ ase.
• Yafunu a ɛhyɛ ma, a ɛyɛ wo yafunu.
• Akisikuru ne ɔfe.
• Mu duru a wɔtew so a wɔanhyɛ da.

Nnipa binom nso bɔ sɛnkyerɛnne afoforo ho amanneɛ:

• Tipaeɛ.
• Ɔbrɛ a enni sabea, ɔbrɛ.
• Acid a ɛsan kɔ nipadua no mu a enni sabea.
• Nnuan a wɔmfa nni dwuma yiye ne/anaasɛ (IBS - Irritable Bowel Syndrome).
• Dadwen ne/anaasɛ Adwenemhaw.

Dɛn ne nneɛma a ɛde Biliary Dyskinesia ba?

Nokwarem no, nnuruyɛfo da so ara nnim nea ɛde saa ntini a ɛma obi tumi keka ne ho yi ba ankasa. Ɛtɔ mmere bi a, ntini pɔtee bi te sɛ vagus ntini no betumi aka ho. Nanso mpɛn pii no, ɛyɛ den sɛ wobɛkyerɛ baabi pɔtee a ɔhaw no wɔ. Ɛtɔ mmere bi a, nipadua mu nneɛma a ɛsakra no nyinaa mu yare anaasɛ dwensɔtwaa mu ntini a ɛma obi keka ne ho no betumi aka sɛnea akisikuru anaa bile duct no ntini a ɛto mu, biliary sphincter no kankan.

Ɔkwan bɛn so na wohu Biliary Dyskinesia?

Wɔnam anammɔn pii so hu biliary dyskinesia. Ɛsɛ sɛ nnuruyɛfo si nea edidi so yi so dua:

1. So wo sɛnkyerɛnne ahorow no kyerɛ sɛ wowɔ biliary yaw anaa yafunu mu yaw foforo?

2. Wunni akisikuru mu yare pɔtee biara te sɛ akisikuru mu abo.

3. Wo gallbladder no ntumi nnya bile a ɛdɔɔso.

4. Wo sɛnkyerɛnne ahorow no ba bere a akisikuru no twetwe no.

5. Nnuru a wonom anaa nneɛma afoforo nnya akisikuru no kankan.

Nsɛnkyerɛnne a wɔde hwɛ

Nea edi kan no, oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne na wahwɛ sɛ wowɔ sɛnkyerɛnne pɔtee bi a ɛfa biliary colic ho anaa. Wobesusuw saa gyinapɛn ahorow yi ho:

• Ɛyaw no ba yafunu no atifi, mpɛn pii no wɔ nifa so.
• Ɛyaw no san ba bere ne bere mu na anyɛ yiye koraa no ɛtra hɔ simma 30.
• Ɛyaw no kɔ soro nkakrankakra, edu baabi a ɛfata anaa emu yɛ den, na afei ɛyɛ den.
• Ɛyaw a ɛnyɛ nea ɛnsɛe denam ɔfe, nsu a wɔtow, gyinabea a wɔsakra, anaa nnuru a ekum asikre a wɔnom so.
• Anyɛ yiye koraa no, ɛyaw tebea horow yi aba daa asram abiɛsa ni.

Ayaresa mu tebea afoforo a wɔayi afi mu

Bere a wo duruyɛfo asi so dua sɛ wo sɛnkyerɛnne ahorow no fata saa gyinapɛn ahorow yi akyi no, ɔbɛbɔ mmɔden sɛ obeyi nneɛma afoforo a ɛtaa de akisikuru mu yaw ba no afi hɔ. Ebia eyi bi ne:

• Mogya mu nhwehwɛmu: Wɔhwɛ sɛnea dwensɔtwaa mu enzyme ne mmerɛbo mu enzyme dodow te. Sɛ enzyme dodow dɔɔso a, ebetumi ayɛ ɔhaw bi ho sɛnkyerɛnne wɔ saa akwaa yi ho anaasɛ bile a ɛdɔɔso (titiriw bilirubin a ɛdɔɔso).
• Yafunu mu ultrasound: Eyi hwehwɛ akisikuru ne ntini a ɛma mogya tu no mu. Ɛhwehwɛ nneɛma a ɛde ba wɔ nhyehyɛe mu te sɛ akisikuru mu abo, akisikuru no fasu a ɛyɛ den, anaasɛ ntini a ɛma mogya tu no trɛw.

Nhwehwɛmu a wɔyɛ wɔ gallbladder dwumadi mu

Sɛ wo mogya mu nhwehwɛmu ne ultrasound scan yɛ nea ɛfata a, ade a edi hɔ ne sɛ wobɛhwɛ sɛnea wo gallbladder no yɛ adwuma. Nnuruyɛfo de nuklea aduruyɛ ho mfoniniyɛ ho sɔhwɛ titiriw bi a wɔfrɛ no HIDA scan na ɛyɛ eyi . Wɔ sɔhwɛ yi mu no, mfiridwumayɛfo bi de radioactive isotope (a ɛyɛ tracer) gu wo ntini mu. Bere a tracer no fa wo gallbladder mu no, kɔmputa so scanner kenkan na ɛyɛ mfonini ahorow wɔ screen so.

Nea ɛbɛyɛ na nnuruyɛfo ahwɛ sɛnea akisikuru no yɛ adwuma no, wɔde anammɔn foforo ka nhwehwɛmu yi ho. Wɔfrɛ no cholecystokinin nhwehwɛmu . Cholecystokinin yɛ hormone bi a ɛka kyerɛ akisikuru no sɛ ɛtwetwe mogya na ɛkɔ ntini a ɛma mogya tu no mu. Mfiridwumayɛfo no de cholecystokinin gu wo ntini mu na ɔtwe mfonini foforo toatoa so bere a akisikuru no twetwe no. Wɔhwɛ so na wɔsusuw nneɛma.

Wo duruyɛfo bebisa wo sɛ ebia wote ɛyaw a ɛwɔ wo akisikuru mu a woadi kan aka ho asɛm bere a wo akisikuru no twetwe no nka anaa. Wɔbɛsusu wo gallbladder no "ejection fraction" nso. Eyi ne sɛnea bile dodow a ɛba bere a wo gallbladder no twetwe no. Sɛ wo ejection fraction no nnu 40%, na worennom nnuru foforo anaa hormone ayaresa a ɛma wo gallbladder no tu brɛoo a, wɔbɛkyerɛ sɛ wowɔ biliary dyskinesia.

Fa no sɛ ɛyɛ "fitness test" ma gallbladder. Ɛsusuw sɛnea akisikuru no reyɛ n’adwuma yiye.

Ɛntaa mma koraa sɛ oduruyɛfo betumi ayɛ nhwehwɛmu pɔtee bi a ɛkyerɛ sɛnea Oddi, ntini a ɛwɔ baabi a mogya ntini ne dwensɔtwaa no hyia no mu ntini no bue yiye de bue nsɛnkyerɛnne a efi nipadua no mu. Wobetumi ayɛ sɔhwɛ yi wɔ mmeae titiriw nkutoo. Oduruyɛfo no bɛma wo akisikuru na ɔde endoscope soronko bi afa w’anom, a ɛte sɛ endoscopy a ɛwɔ soro anaa EGD. Afei, wɔde endoscope no kɔ wo dwensɔtwaa ketewa no fã a edi kan no mu na ɛsusuw sɛnea wo Oddi sphincter no ahomegye no.

Mpɛn pii no, nnuruyɛfo tumi hu sɛ sphincter of Oddi dysfunction bere a wɔapow nneɛma afoforo a ɛde biliary motility disorders ba nyinaa akyi nkutoo. Ɛtɔ mmere bi a, wohu saa yare yi bere a ɔyarefo bi yare no ho sɛnkyerɛnne ntumi nkɔ yiye bere a wɔayi akisikuru no mpo akyi no.

(Biliary Dyskinesia) So ɛbɛyɛ yiye wɔ n’ankasa mu?

Adanse biara nni hɔ a ɛkyerɛ sɛ biliary dyskinesia no ankasa bɛtu mpɔn. Mpɛn pii no, wohu biliary dyskinesia bere a anyɛ yiye koraa no woanya yare no ho sɛnkyerɛnne asram abiɛsa akyi. Saa bere no, obiara mpɛ sɛ ɔbɛtwɛn kɛkɛ ma ayɛ yiye. Sɛ n’ankasa tu mpɔn a, ebia ɛnyɛ dwumadi mu haw ankasa, na mmom ɛyɛ kankyee mu ɔhaw soronko a bere tiaa mu nneɛma na ɛde ba.

Ɔkwan bɛn so na wɔsa Biliary Dyskinesia?

Ayaresa biako pɛ a edi mu a wɔde sa biliary dyskinesia ne cholecystectomy . Wɔtaa yɛ eyi sɛ adeyɛ a ɛnyɛ nea wɔde hyɛ nipadua mu (oprehyɛn a wɔde laparoscopic yɛ). Eyi kyerɛ sɛ wɔnam ntwitwiridii nketenkete kakraa bi so na ɛyɛ oprehyɛn no. Wubetumi akɔ fie da koro no ara. Oprehyɛn a wɔde laparoscopic yɛ no sa ntɛmntɛm, ɛnyɛ akuru pii, na ɛnyɛ yaw kɛse. Wubetumi atra ase yiye a wunni akisikuru. Afei wo mmerɛbo no de bile kɔ dwensɔtwaa ketewa no mu tẽẽ.

Nanso, sɛ oduruyɛfo no hu sɛ sphincter ntini no na ɛde kankyee mu ɔhaw no ba a, wobetumi de endoscopic kwan a wɔfa so trɛw ntini no mu anaasɛ wobue mu. Mpɛn pii no, sɛ yare no ho sɛnkyerɛnne kɔ so wɔ bere a wɔayi akisikuru no akyi a, wɔyɛ eyi. Nokwarem no, ɛyɛ den sɛ wobehu sɛ sphincter no ntumi nyɛ adwuma yiye, na ɛntaa nsi koraa sɛ kankyee mu ɔhaw no bɛba saa ntini no nkutoo so. Mpɛn pii no, ɛka akisikuru no nso.

Dɛn na ebetumi asi bere a wɔayɛ oprehyɛn a wɔde yi akisikuru (cholecystectomy) akyi?

Egye adapɛn kakraa bi ansa na wo aduan mu nhyehyɛe no ayɛ nsakrae wɔ wo gallbladder a enni hɔ no ho. Saa bere yi mu no, ebia ɛbɛyɛ den ama wo sɛ wobɛyam srade. Nnuruyɛfo pii kamfo kyerɛ sɛ sesa w’aduan bere tiaa bi na amma woantumi anyɛ aduan. Kwati nnuan a wɔayam ne srade wom mfiase no. Afei nso, fa w’adwene si nnuan a ahoɔdennuru pii wom so. Fa nkakrankakra fa aburow a wɔayam, nhabannuru, ne atoko san ka w’aduan ho. Eyi bɛboa ma wɔasiw ahurututu ne mframa a ɛbɔ no ano.

Tebea no te dɛn wɔ Biliary Dyskinesia ayaresa akyi?

Wɔn a wodu gyinapɛn ahorow a wɔde hu yare no nyinaa ho no, cholecystectomy yɛ nea etu mpɔn 90% wɔ biliary dyskinesia ayaresa mu. Nanso, ɛnyɛ obiara na odu saa gyinapɛn ahorow yi nyinaa ho. Ɛsɛ sɛ wɔyɛ nnipa a wɔte saa no mu nhwehwɛmu foforo ansa na wɔayɛ wɔn oprehyɛn, efisɛ ebia wɔwɔ tebea foforo a ɛhyɛ wɔn ase. Sɛ wontumi nhu sɛnea wɔahu yare no a, ɛnyɛ nea ɛho nhia sɛ woyi akisikuru no bɛma yare no ho sɛnkyerɛnne no atu mpɔn.

Ɛyaw a ɛba akisikuru mu no wɔ sɛnkyerɛnne pɔtee bi. Sɛ wubetumi ahu tebea no (Biliary Colic) a, ebia wo ne wo duruyɛfo bedi kan asusuw sɛ abo wɔ akisikuru mu. Ɛno nyɛ bɔne. Nanso sɛ wɔanhu sɛ akisikuru na ɛde wo yare no ho sɛnkyerɛnne ahorow ba nso ɛ? Afei ebia wowɔ akisikuru a ɛyɛ adwuma (Biliary Dyskinesia). Biliary Dyskinesia a wobehu no yɛ adeyɛ a wɔyɛ. Nanso sɛ nea wɔahu no teɛ a, ɛda adi sɛ ayaresa no bɛyɛ yiye.

Kae ade a ɛho hia sen biara (Take-Home Message) .

Sɛ wo nso wote ɛyaw a ɛkɔ so tra wo yafunu no atifi nifa so bere a woadi akyi, titiriw bere a woadi nnuan a srade wom akyi, ne sɛnkyerɛnne te sɛ akisikuru ne ɔfe a, mmu no sɛ ɛyɛ yafunu mu yare kɛkɛ. Ebetumi ayɛ akisikuru, anaasɛ ebetumi ayɛ tebea te sɛ nea yɛkaa ho asɛm nnɛ no (Biliary Dyskinesia).

Kae sɛ ɛnyɛ yafunu mu yaw nyinaa na ɛyɛ pɛ. Hwɛ wo yare no ho sɛnkyerɛnne ahorow no yiye. Ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ nea ɛde ba ankasa. Sɛ wohu yare no yiye na wɔsa wo yare yiye a, wubetumi ayi saa ɔhaw yi afi hɔ. Mma wo ho nnpopo, di wo duruyɛfo afotu akyi.

Nnuan a srade ne srade wom a wubedi ano hye na woakura mu duru a ɛfata mu no betumi akɔ so abɔ wo ho ban afi tebea horow yi ho. Nea ɛsen ne nyinaa no, tie wo nipadua.

`Gallbladder, Biliary Dyskinesia, Bile, Yafunu mu yaw, Cholecystectomy, HIDA scan, Nnuan a wɔyam