Shin har yanzu kina jin ciwon ciki bayan cire gallbladder? Wannan yana iya faruwa ne saboda matsalar Sphincter of Oddi!

Wataƙila ka daɗe kana fama da ciwon ciki saboda duwatsun ciki. Lokacin da aka yi maka tiyata don cire mafitsara, wataƙila ka yi tunanin cewa ka warke gaba ɗaya daga wannan ciwon. Amma idan har yanzu kana da irin wannan ciwon ciki mai tsanani bayan tiyatar? Abin yana da ban haushi ƙwarai. Mutane da yawa suna fuskantar irin wannan yanayin. Don haka a yau za mu yi magana game da wata cuta da za ta iya haifar da wannan ciwon ciki mai ban mamaki ko da bayan an cire mafitsara. Wannan shine Sphincter of Oddi Dysfunction .

A taƙaice dai, menene Sphincter of Oddi Dysfunction?

Domin fahimtar wannan, bari mu fara duba tsarin narkewar abinci. Abu ne mai sauƙi. Idan muka ci abinci, jikinmu yana samar da ruwan 'ya'yan itace guda biyu na musamman waɗanda ke taimakawa wajen narke shi.

1. Ciwon hanta: Wannan yana faruwa ne ta hanyar hanta. Ana adana shi a cikin mafitsara. Yana taimakawa wajen narkewar kitse.

2. Ruwan Pancreatic: Pancreatic ne ke yin wannan. Enzymes da ke cikinsa suna taimakawa wajen narke furotin da carbohydrates a cikin abinci.

Duk waɗannan ruwan 'ya'yan itace suna tafiya zuwa ƙaramin hanjinmu, inda suke haɗuwa da abinci don kammala aikin narkewar abinci.

Yanzu ga muhimmin abu. Inda waɗannan ruwan 'ya'yan itace guda biyu suka shiga ƙaramin hanji, akwai ɗan ƙaramin nama wanda yake kama da ƙofar . Yana kama da bawul. Wannan shine abin da muke kira Sphincter of Oddi . Yawanci, idan kuna buƙatar narke abinci, wannan ƙofar tana buɗewa, ruwan 'ya'yan itacen yana shiga, sannan ya sake rufewa.

Ciwon ƙashi na Oddi yana faruwa ne lokacin da wannan ƙofar ba ta aiki yadda ya kamata. Wato, wannan yanki na naman ba ya buɗewa lokacin da ya kamata kuma ya yi tauri. Sannan bile daga hanta da ruwan da ke fitowa daga pancreas ba zai iya shiga ƙaramin hanji ba ya makale. Yana kama da cunkoson ababen hawa. Idan ruwan ya makale haka, matsin lamba a kan hanyoyin da waɗannan ruwan ke fitowa yana ƙaruwa, yana haifar da mummunan ciwon ciki.

Sau da yawa ana ganin wannan yanayin a cikin mutanen da aka cire musu mafitsara ta hanyar tiyata. Saboda haka, wani lokacin ana kiransa da ciwon bayan-cholecystectomy .

Waɗanne manyan nau'ikan wannan yanayin ne?

Sphincter of Oddi Dysfunction zai iya shafar ku ta hanyoyi biyu.

• Ciwon Biliary Dyskinesia: Wannan yanayi ne da bututun bile ke toshewa. Matsalar tana cikin yadda bile ke gudana.
• Ciwon Pancreatitis: Wannan shine lokacin da ruwan pancreas ya toshe, wanda ke haifar da kumburi da kumburi.

Bugu da ƙari, likitoci sun raba cutar zuwa rukuni uku (Rukunin I, II, da III). Wannan yana da matuƙar muhimmanci domin ana ƙayyade magani bisa ga wannan rukuni.

Menene manyan alamomin wannan cuta?

Babban kuma mafi yawan alamun cutar shine tsananin ciwon ciki, wanda yayi kama da ciwon da ake samu da duwatsun ciki.

• Ciwon yana farawa ne daga saman gefen dama na ciki.
• Wani lokaci wannan ciwon yana tafiya zuwa kafada ta dama ko baya .
• Ciwon ba ya tsayawa ko'ina. Yana tafiya da kansa bayan kimanin mintuna 30 ko awa ɗaya. Sannan zai iya dawowa cikin kwana ɗaya ko mako guda.
• A wasu kwanaki ciwon yana da sauƙi, yayin da a wasu kwanakin kuma ba za a iya jurewa ba.

Baya ga wannan babban ciwon, waɗannan alamun na iya faruwa:

• Tashin zuciya da amai
• Zazzabi da sanyi
• Gudawa

Wa ke cikin haɗarin kamuwa da wannan yanayin?

Ba a gano ainihin dalilin hakan ba tukuna, amma wasu dalilai suna ƙara haɗarin wannan yanayin.

Ta yaya ake gane cutar?

Idan likitanka ya yi zargin haka bayan ya ji labarin alamun cutar, abu na farko da zai yi shi ne ya tabbatar babu wani mummunan dalili na ciwon ciki. Wannan kuwa saboda wasu cututtuka kamar ciwon ciki (ulcers na peptic), duwatsun gallstone, da ciwon daji na pancreas ko bile duct suma suna iya haifar da irin waɗannan alamun. Wani lokaci, ciwon zuciya (angina) kuma yana iya jin kamar ciwon ciki.

Bayan tabbatar da cewa waɗannan abubuwan ba su nan, ana iya yin gwaje-gwaje masu zuwa don duba rashin aikin Sphincter of Oddi:

• Gwaje-gwajen jini:Duba ko akwai ƙaruwar matakan enzymes na hanta da na pancreas.
• Scans: Ana amfani da scans kamar na ciki, CT scan, da MRCP don duba ko bututun bile ko bututun pancreas ya kumbura/ya faɗaɗa.
• Endoscopy: Ana saka bututu mai kyamara ta baki don duba ciki da ƙaramin hanji.

Gwajin ERCP

A wasu lokuta, musamman idan ana zargin nau'in I ko II, ana yin gwaji na musamman mai suna ERCP (Endoscopic Retrograde Cholangiopancreatography) . A cikin wannan, ana saka bututun kyamara, kamar endoscope, a cikin sphincter na Oddi, sannan a saka ƙaramin bututu don auna matsin lamba a cikin wannan tsoka (manometry). Wannan zai iya tantance ko yana buɗewa ko rufewa yadda ya kamata.

Yaya ake yi masa magani?

Zaɓuɓɓukan magani sun dogara ne akan nau'in (nau'in) Sphincter of Oddi Dysfunction da kake da shi.

• Ga Nau'i na III: Wannan yana da wahalar ganewa, don haka yawanci ba a ba da shawarar yin tiyata ba. Likita zai rubuta magungunan rage radadi da magungunan rage radadi don magance ciwon.
• Ga Nau'i na I da na II: Idan ciwon yana da tsanani kuma yana da wahalar shawo kansa da magani, likitanka zai iya ba da shawarar maganin da ake kira sphincterotomy tare da ERCP .

Mene ne wannan sphincterotomy?

Wannan ya ƙunshi yanke wani ƙaramin yanki na nama da ake kira Sphincter of Oddi da ƙaramin kayan aiki wanda aka ratsa ta bututun kyamara yayin gwajin ERCP. Sannan, buɗewar da ta matse ta kasance a buɗe har abada. Sannan, ruwan narkewar abinci yana kwarara zuwa cikin ƙaramin hanji ba tare da wani cikas ba. Wannan kusan yana kawar da ciwon gaba ɗaya.

Amma wannan magani ne da ke ɗauke da wasu haɗari. Akwai kuma haɗarin kamuwa da cutar pancreatitis. Saboda haka, ana amfani da wannan maganin ne idan wasu magunguna ba su samar da sakamako mai kyau ba.