Shin kana jin zafi a gefen dama na cikinka bayan cin abinci? Zai iya zama (Biliary Dyskinesia)!

Shin wani lokacin kana jin zafi mai tsanani a gefen dama na cikinka bayan ka ci abinci, musamman ma idan ka ci abinci mai kitse? Shin kana jin tashin zuciya ko kuma kana jin amai? Mutane da yawa suna tunanin cewa hakan ya faru ne saboda duwatsun ciki. Amma ba haka lamarin yake ba koyaushe. A yau za mu yi magana game da wata matsalar gallbladder wadda ke haifar da irin waɗannan alamu, amma ba duwatsu ne ke haifar da su ba. Wannan wata cuta ce da ake kira Biliary Dyskinesia .

Menene Biliary Dyskinesia? Bari mu fahimce shi a taƙaice!

To, da farko bari mu kalli menene Biliary Dyskinesia. A taƙaice dai, matsala ce da yadda gallbladder ɗinka ke aiki. Wani lokaci, yana iya shafar aikin sphincter, ƙaramin tsoka da ke sarrafa kwararar bile zuwa cikin hanji. Abin da ke faruwa a nan shi ne gallbladder ba ya aiki yadda ya kamata. Wato, ba kamar akwai gallstone da ya makale a cikin gallbladder ba ne, amma matsala ce da yadda gallbladder ke aiki.

Shin kun san cewa babban aikin gallbladder ɗinmu shine adana bile, wanda hanta ke yi, sannan a aika shi zuwa ƙaramin hanji don taimakawa wajen narke abinci lokacin da muke ci. Idan muka ci abinci, hormones daga ƙaramin hanji suna aika sigina zuwa gallbladder, suna cewa, "To, aika bile yanzu." Sannan gallbladder ɗin yana tari, ma'ana yana raguwa, kuma yana aika bile ta hanyar bututun bile zuwa ƙaramin hanji.

A cikin matsalar biliary dyskinesia, akwai matsala a wani wuri a cikin wannan tsari. Yana iya zama matsala tare da siginar hormone, ko kuma yana iya zama matsala tare da jijiyoyin da ke karɓar siginar, ko kuma yana iya zama rauni a cikin tsokoki waɗanda ake tsammanin za su yi aiki akan siginar. Likitoci ba za su iya faɗi ainihin abin da ke haifar da hakan nan take ba, amma sun fahimci cewa gallbladder ba ya fitar da isasshen bile.

Me ke faruwa da jiki sakamakon biliary dyskinesia?

To, me zai faru idan gallbladder ba zai iya zubar da bile ɗinsa yadda ya kamata ba? Wannan bile ɗin yana taruwa a cikin gallbladder, yana sa shi ya faɗi ya kumbura. Wannan yayi kama da abin da ke faruwa lokacin da gallbladder ya makale a cikin gallbladder. Wannan kumburi da tarin bile na iya haifar da cututtuka, kumburin gallbladder (cholecystitis), da ciwo.

A wasu lokutan za ka iya jin zafi a saman gefen dama na cikinka. Yana zuwa yana tafiya. Wannan ciwon sau da yawa yana tare da tashin zuciya, musamman lokacin da gallbladder ke ƙaruwa bayan cin abinci. Wannan ana kiransa biliary colic . Bugu da ƙari, hanji ba zai iya samun isasshen bile ba, wanda zai iya haifar da kumburi, tashin zuciya, amai, da wahalar narkewar abinci, musamman lokacin cin abinci mai mai.

An daɗe ana yi imani da cewa ciwon biliary kusan koyaushe yana faruwa ne sakamakon duwatsun gallstone (cholelithiasis). Amma likitoci yanzu sun fahimci cewa ba koyaushe haka lamarin yake ba. A zahiri, wata cuta da ake kira biliary dyskinesia yanzu ana gane ta a matsayin babban abin da ke haifar da cutar gallbladder. Yana shafar yara da manya .

Wanene ya fi kamuwa da cutar Biliary Dyskinesia?

Matsalolin gallbladder na aiki sun zama ruwan dare gama gari a kwanan nan, musamman a ƙasashe kamar Amurka. Har yanzu ba a fayyace ko cutar tana ƙaruwa ba ko kuma yanzu ana gane ta. Haka kuma ba a fayyace wanda ya fi kamuwa da ita ba. Duk da haka, ana tsammanin mutanen da ke da kiba da ciwon suga na iya fuskantar ƙarin haɗari.

Kamar yadda kuka sani, kiba tana da tasiri daban-daban akan metabolism na jikinmu. Tana iya sa kitse ya taru a cikin gabobinmu, kuma tana iya haifar da kumburi na yau da kullun. Duk waɗannan abubuwa biyu suna shafar motsin gallbladder. Lokacin da bile a cikin gallbladder ya zauna a wuri ɗaya, yana iya zama mai kauri da ƙazanta. Wannan shine abin da ke haifar da gallbladder. Kiba babban abin da ke haifar da gallbladder ne. Duk da haka, gallbladder kuma na iya tasowa bayan wata cuta da ake kira Biliary Dyskinesia.

Yaya wannan matsalar gallbladder take ji?

Yawancin mutane suna jin ciwon gallbladder a daidai inda gallbladder yake - a saman gefen dama na ciki, a ƙasan haƙarƙarin dama. Amma wasu mutane suna jin sa a tsakiyar ciki, wasu kuma a kafada ta dama ko baya. Yana zuwa lokaci-lokaci kuma ba ya canzawa. Amma idan ya zo, yana iya ɗaukar awanni. Ciwon yana ƙaruwa a hankali a cikin mintuna 20 na farko, sannan a hankali yana raguwa.

Waɗannan ciwon suna zuwa suna fita, ba koyaushe ba. Yawanci suna faruwa ne bayan cin abinci, musamman bayan cin abinci mai nauyi da mai. Wannan shine lokacin da mafitsara ke taruwa kuma yana buƙatar sakin bile cikin hanji. Ciwon yawanci yana da tsanani, wanda ya isa ya katse ayyukanka na yau da kullun, ya tashe ka da daddare, ko ma ya buƙaci tafiya zuwa ɗakin gaggawa. Tashin zuciya da amai suma suna da yawa.

Mene ne alamun cutar biliary dyskinesia?

Mutane da ke fama da dyskinesia na biliary yawanci suna fuskantar waɗannan alamun:

• Jin zafi a saman dama na ciki.
• Ciwon da ke faruwa lokaci zuwa lokaci, yana tashi sannan ya ragu.
• Cike ciki, kumburi.
• Tashin zuciya da amai.
• Rage nauyi ba da gangan ba.

Wasu mutane kuma suna ba da rahoton wasu alamu:

• Ciwon kai.
• Gajiya mai ɗorewa, gajiya.
• Rashin acid na yau da kullun.
• Rashin narkewar abinci a jiki da/ko (IBS - Ciwon hanji mai ban haushi).
• Damuwa da/ko Damuwa.

Mene ne ke haifar da dyskinesia na biliary?

A gaskiya ma, likitoci har yanzu ba su san ainihin abin da ke haifar da waɗannan matsalolin motsi ba. Wani lokaci, takamaiman jijiyoyi, kamar jijiyar vagus, na iya shiga ciki. Amma a lokuta da yawa, yana da wuya a gano ainihin inda matsalar take. Wani lokaci, matsalar metabolism gabaɗaya ko matsalar motsi na hanji na iya shafar motsi na gallbladder ko tsokoki na rufe bututun bile, wato biliary sphincter.

Ta yaya ake gano dyskinesia na biliary?

Ana gano cutar biliary dyskinesia ta matakai da dama. Likitoci suna buƙatar tabbatar da waɗannan:

1. Shin alamun ciwon ciki suna nuna ciwon biliary ko wani ciwon ciki?

2. Ba ka da wata takamaiman cutar gallbladder, kamar gallstones.

3. Ciwon ciki ba ya samar da isasshen bile.

4. Alamomin ciwon suna faruwa ne lokacin da mafitsara ta yi ƙarfi.

5. Magungunan da kake sha ko wasu abubuwa ba sa shafar motsin gallbladder.

Duba alamun cutar

Da farko, likita zai tambaye ka game da alamomin cutar sannan ya duba ko kana da wasu takamaiman alamu da suka shafi ciwon biliary colic. Za su yi la'akari da waɗannan sharuɗɗan:

• Ciwon yana faruwa ne a saman ciki, yawanci a gefen dama.
• Ciwon yana sake dawowa lokaci-lokaci kuma yana ɗaukar akalla mintuna 30.
• Ciwon yana ƙaruwa a hankali, yana kaiwa matsakaicin matsayi ko mai tsanani, sannan ya daidaita.
• Ciwon da ba a rage shi ba ta hanyar amai, bayan gida, canza matsayi, ko shan magungunan rage kiba.
• Waɗannan yanayin ciwo suna faruwa akai-akai tsawon akalla watanni uku.

Ware wasu yanayin lafiya

Bayan tabbatar da cewa alamun sun dace da waɗannan sharuɗɗan, likitanka zai yi ƙoƙarin kawar da wasu abubuwan da ke haifar da ciwon gallbladder. Wannan na iya haɗawa da:

• Gwajin jini: Ana duba matakin enzyme na pancreas da kuma enzyme na hanta. Idan matakan enzyme sun yi yawa, yana iya zama alamar matsala tare da waɗannan gabobin ko tarin bile (musamman yawan bilirubin).
• Hoton duban dan tayi na ciki: Wannan yana duba gallbladder da hanyoyin bile. Yana neman abubuwan da suka shafi tsarin jiki kamar duwatsun bile, kauri na bangon gallbladder, ko fadada hanyoyin bile.

Duba aikin gallbladder

Idan gwaje-gwajen jininka da na'urar daukar hoton ultrasound sun zama ruwan dare, mataki na gaba shine duba aikin gallbladder ɗinka. Likitoci suna yin hakan ta hanyar gwajin hoton magungunan nukiliya na musamman da ake kira HIDA scan . A cikin wannan gwajin, wani ma'aikacin fasaha zai saka wani isotope na rediyoaktif (tracer) a cikin jijiyoyinka. Yayin da mai binciken ke tafiya ta cikin gallbladder ɗinka, na'urar daukar hoton kwamfuta tana karanta shi kuma tana ƙirƙirar hotuna a kan allo.

Domin duba aikin gallbladder, likitoci sun ƙara wani mataki ga wannan gwajin. Ana kiransa da gwajin cholecystokinin . Cholecystokinin wani hormone ne da ke gaya wa gallbladder ya ƙunƙura ya saki bile a cikin bututun bile. Mai fasaha yana allurar cholecystokinin a cikin jijiyarka kuma yana ɗaukar wasu hotuna yayin da gallbladder ke ƙunƙura. Suna sa ido a kansa kuma suna ɗaukar ma'auni.

Likitanka zai tambaye ka ko kana jin zafi a cikin gallbladder ɗinka kamar yadda ka ambata a baya lokacin da gallbladder ɗinka ya yi ƙunci. Haka kuma za su auna "ƙashi na fitar da gallbladder ɗinka." Wannan shine adadin bile da ake fitarwa lokacin da gallbladder ɗinka ya yi ƙunci. Idan ɓangaren fitar da gallbladder ɗinka bai kai kashi 40% ba, kuma ba ka shan wasu magunguna ko magungunan hormones waɗanda ke rage motsin gallbladder ɗinka, za su gano kana da dyskinesia na biliary.

Ka yi tunanin hakan kamar "gwajin motsa jiki" ga gallbladder. Yana auna yadda gallbladder ke gudanar da aikinsa yadda ya kamata.

Ba kasafai ake samun likita zai iya yin wani gwaji na musamman wanda zai auna yadda sphincter na Oddi, tsokar da ke mahadar hanyar bile da hanji, ke buɗewa don amsa sigina daga jiki ba. Ana iya yin wannan gwajin ne kawai a cibiyoyin musamman. Likitan zai yi maka sabulun wanka sannan ya saka endoscope na musamman ta bakinka, kamar na sama ko EGD. Sannan, ana tura endoscope zuwa sashin farko na ƙaramin hanjinka kuma yana auna sassauta sphincter na Oddi.

Sau da yawa, likitoci za su iya gano matsalar rashin aikin Oddi ne kawai bayan sun kawar da duk wasu abubuwan da ke haifar da matsalar motsi na biliary. Wani lokaci, ana yin wannan ganewar ne lokacin da alamun majiyyaci ba su inganta ba ko da bayan an cire gallbladder.

(Biliary Dyskinesia) Shin zai inganta da kansa?

Babu wata shaida da ke nuna cewa ciwon biliary dyskinesia zai inganta da kansa. Yawanci, ana gano ciwon biliary dyskinesia bayan kun sami alamun cutar na tsawon akalla watanni uku. A wannan lokacin, babu wanda yake son jira kawai ya warke. Idan ya inganta da kansa, ƙila ba a zahiri yana da matsalar aiki ba, amma wani nau'in matsalar motsi ne daban da ke faruwa sakamakon abubuwan da suka faru na ɗan lokaci.

Yadda ake magance biliary dyskinesia?

Maganin da ya fi nasara wajen magance matsalar biliary dyskinesia shine cholecystectomy . Yawanci ana yin wannan ne a matsayin tiyatar da ba ta da wani tasiri (tiyatar laparoscopic). Wannan yana nufin cewa ana yin tiyatar ta hanyar ƴan ƙananan yanke-yanke. Za ku iya komawa gida a rana ɗaya. Tiyatar laparoscopic tana warkewa da sauri, tana barin tabo kaɗan, kuma ba ta da zafi sosai. Za ku iya rayuwa mai kyau ba tare da gallbladder ba. Sannan hantarku tana tura bile kai tsaye zuwa ƙaramin hanji.

Duk da haka, idan likita ya gano cewa tsokar sphincter ce ke haifar da matsalar motsi, ana iya faɗaɗa ko buɗe tsokar ta amfani da hanyar endoscopic. Yawanci ana yin hakan idan alamun suka ci gaba bayan an cire gallbladder. A gaskiya ma, yana da wuya a gano matsalar sphincter, kuma yana da wuya a iyakance matsalar motsi ga wannan tsoka. Sau da yawa, gallbladder ma yana shafar.

Me zai iya faruwa bayan tiyatar cire gallbladder (cholecystectomy)?

Zai ɗauki makonni kaɗan kafin tsarin narkewar abinci ya daidaita da rashin gallbladder. A wannan lokacin, ƙila za ku sami matsala wajen narke kitse. Likitoci da yawa suna ba da shawarar canza abincinku na ɗan lokaci don guje wa rashin narkewar abinci. Ku guji abinci mai soyayye da mai da farko. Haka kuma, ku mai da hankali kan abinci mai yawan fiber. A hankali ku ƙara hatsi, kayan lambu, da wake a cikin abincinku. Wannan zai taimaka wajen hana kumburi da iskar gas.

Yaya yanayin yake bayan maganin biliary dyskinesia?

Ga waɗanda suka cika dukkan sharuɗɗan ganewar asali, tiyatar cholecystectomy tana da tasiri kashi 90% wajen magance matsalar biliary dyskinesia. Duk da haka, ba kowa ne ya cika dukkan waɗannan sharuɗɗan ba. Ya kamata irin waɗannan mutanen su yi ƙarin gwaji kafin a yi musu tiyata, domin suna iya samun wata matsala ta asali. Idan ganewar ba ta da tabbas, cire mafitsara ba lallai ba ne zai inganta alamun cutar.

Ciwon mafitsara yana da takamaiman alamomi. Idan za ku iya gano yanayin (Biliary Colic), ku da likitan ku za ku iya fara zargin duwatsun mafitsara. Wannan ba laifi ba ne. Amma idan ba a gano cewa duwatsun mafitsara ne ke haifar da alamun ba fa? To, kuna iya samun matsalar gallbladder mai aiki (Biliary Dyskinesia). Gano cutar Biliary Dyskinesia tsari ne. Amma idan ganewar asali daidai ne, magani zai fi samun nasara.

Ka tuna da abu mafi mahimmanci (Saƙon Ɗauka Gida)

Idan kuma kana jin zafi mai ɗorewa a gefen dama na cikinka bayan cin abinci, musamman bayan cin abinci mai kitse, tare da alamun kamar tashin zuciya da amai, kada ka yi watsi da shi a matsayin gastritis kawai. Yana iya zama duwatsun ciki, ko kuma yana iya zama kamar wanda muka yi magana a kai a yau (Biliary Dyskinesia).

Ka tuna, ba dukkan ciwon ciki iri ɗaya bane. Ka kula sosai da alamun cutar. Yana da mahimmanci ka ga likita domin gano ainihin dalilin. Da ganewar asali da kuma maganin da ya dace, za ka iya kawar da wannan rashin jin daɗi. Kada ka firgita, ka bi shawarar likitanka.

Rage cin abinci mai mai da mai da kuma kiyaye nauyin jiki mai kyau na iya taimakawa wajen kare kanka daga waɗannan yanayi. Fiye da komai, saurari jikinka.

`Mafitsara, Ciwon Hanta, Ciwon Hanta, Ciwon Ciki, Kolejin Ciki, Hoton HIDA, Narkewar Abinci