Yu kin gɛt pen bak na di rayt say na yu bɛlɛ afta yu dɔn it? I kin bi (Biliary Dyskinesia)!

Sɔntɛnde yu kin fil shap pen na di ɔp rayt say na yu bɛlɛ afta yu dɔn it, mɔ we yu it it we gɛt fat? Yu kin fil lɛk yu nɔs ɔ yu kin fil lɛk fɔ vɔmit? Bɔku pipul dɛn kin tink se dis na bikɔs ɔf galston. Bɔt nɔto so i kin bi ɔltɛm. Tide wi go tɔk bɔt ɔda gal blad prɔblɛm we kin mek pɔsin gɛt di sem kayn sayn, bɔt nɔto ston kin kam wit am. Dat na wan sik we dɛn kɔl Biliary Dyskinesia .

Wetin na Biliary Dyskinesia? Lɛ wi ɔndastand am simpul wan!

Okay, fɔs lɛ wi luk wetin na Biliary Dyskinesia. Fɔ tɔk am simpul wan, na prɔblɛm wit di we aw yu gal blad de wok. sכmtεm, i kin afekt bak di wok we di sphincter, we na wan sכmכl mכsul we de kכntro di fכ fכlכ di bayl insay di intestines. Wetin kin apin ya na dat di gal blad nɔ de wok fayn. dat min se i nכ lεk se gal ston de stכp na di gal blad, bכt na prכblεm wit di we aw di gal blad de wok.

Yu no se di men wok we wi gal blad de du na fɔ kip bayl, we di liva de mek, ɛn afta dat i de sɛn am to di smɔl intestin fɔ ɛp fɔ dayjɛst it we wi de it. we wi de it, di כmon dεm we de kכmכt na di sכmכl intestin de sεnd signal to di gal blad, se, "Okay, sεnd di bayl naw." afta dat di gal blad de kכntrakt, we min se i de shrink, εn i de sεnd di bayl tru di bayl dakt dεm to di sכmכl intestin.

Insay biliary dyskinesia, prɔblɛm de sɔmsay na dis prɔses. I kin bi prɔblɛm wit di ɔmon signal, ɔ i kin bi prɔblɛm wit di nɛv dɛn we de gɛt di signal, ɔ i kin bi we di mɔsul dɛn we dɛn se de wok pan di signal wik. Dɔktɔ dɛn nɔ kin ebul fɔ tɔk wantɛm wantɛm wetin kin mek dis apin, bɔt dɛn ɔndastand se di gal blad nɔ de pul inof bayl.

Wetin kin apin to di bɔdi bikɔs ɔf Biliary Dyskinesia?

Naw, wetin kin apin we di gal blad nɔ ebul fɔ ɛmti in bayl fayn fayn wan? Da bayl de kin gɛda insay di gal blad, ɛn dis kin mek i opin ɛn swel. Dis tan lɛk wetin kin apin we gal ston stɔp na di gal blad. Dis swel ɛn di bayl we kin gɛda kin mek yu gɛt infɛkshɔn, inflamɛns na di gal blad (kɔlesistaytis), ɛn i kin mek yu fil pen.

Wan wan tɛm yu kin gɛt pen na di ɔp rayt say na yu bɛlɛ. I kin kam ɛn go. Bɔku tɛm dis pen kin kam wit nɔys, mɔ we di gal blad kin kɔntrakt afta yu dɔn it. Dɛn kɔl dis biliary colic . Apat frɔm dat, di intestinal nɔ kin gɛt inof bayl, we kin mek i blo, nɔs, vɔmit, ɛn i nɔ kin izi fɔ digest it, mɔ we i de it tin dɛn we gɛt fat.

Fɔ lɔng tɛm naw, pipul dɛn dɔn biliv se na di gal ston (cholelithiasis) kin mek pɔsin fil pen na di biliary. Bɔt dɔktɔ dɛn dɔn no naw se nɔto ɔltɛm dis kin bi. Infakt, dɛn dɔn no naw se wan sik we dɛn kɔl biliary dyskinesia na di men tin we kin mek pɔsin gɛt gal blad sik. I kin afɛkt pikin dɛn we dɔn big ɛn big pipul dɛn .

Udat kin gɛt di sik we dɛn kɔl Biliary Dyskinesia?

Functional gallbladder disorders dɔn bi wan tin wae dɛn kin tɔk bɔt dis biɛn tɛm, mɔ na kɔntri dɛm lɛk Amɛrika. I nɔ klia yet if di sik de rili bɔku ɔ if dɛn jɔs de no am naw. I nɔ klia bak udat kin gɛt am mɔ. Bɔt dɛn kin tink se pipul dɛn we fat ɛn gɛt dayabitis kin gɛt mɔ prɔblɛm.

As yu no, we pɔsin fat kin gɛt difrɛn tin dɛn we kin apin to di we aw wi bɔdi de wok. I kin mek fat gɛda na wi ɔgan dɛn, ɛn i kin mek bak wi gɛt inflamɛns we nɔ de dɔn. Dɛn tu tin ya kin afɛkt di we aw di gal blad de muv. we di bayl we de na di gal blad sidɔm na wan ples, i kin tik ɛn slɔd. Dis na wetin kin mek pɔsin gɛt galston. Fɔ fat na wan big tin we kin mek pɔsin gɛt gal ston. Bɔt di gal ston kin kam bak afta wan sik we dɛn kɔl Biliary Dyskinesia.

Aw dis gal blad we nɔ de wok fayn kin fil?

כl di pipul dεm kin fil pen na di gal blad rayt usay di gal blad de - na di כp rayt say na di bכdi, jכs dכn di rayt rib kεj. Bɔt sɔm pipul dɛn kin fil am na di midul pat na dɛn bɛlɛ, ɛn ɔda wan dɛn kin fil am na dɛn rayt sholda ɔ bak. I kin kam wan wan tɛm ɛn i nɔ kin de ɔltɛm. Bɔt we i kam, i kin las fɔ lɔng lɔng tɛm. Di pen kin go ɔp smɔl smɔl insay di fɔs 20 minit, dɔn i kin stɔp smɔl smɔl.

Dɛn pen ya kin kam ɛn go, nɔto ɔltɛm. Dɛn kin apin afta yu dɔn it, mɔ afta yu it it we gɛt ebi ebi fat. dis na we di gal blad de kכntrakt εn nid fכ rilis bayl insay di intestinal dεm. Bɔrku tɛm, de pen kin tranga, ɛn dis kin mek yu nɔr de du tin wae yu de du ɛvride, e kin wek yu na nɛt, ɔr kin ivin nid fɔ go na di imejensi rum. Nɔs ɛn vɔmit kin apin bak.

Wetin na di sayn dɛm wae de sho se yu gɛt Biliary Dyskinesia?

Pɔrsin wae gɛt Biliary Dyskinesia kin gɛt dɛn kayn sik ya:

• Pen na di ɔp rayt pat na di bɛlɛ.
• Pen wae kin kam wan wan tɛm, kin rich pasmak ɛn afta dat i kin stɔp.
• Fɔ ful-ɔp di bɛlɛ, fɔ blo.
• Nɔs ɛn vɔmit.
• We yu nɔ bin want fɔ lɔs yu wet.

Sɔm pipul dɛn kin ripɔt ɔda sayn dɛm bak:

• Ed de at.
• Taya we nɔ de dɔn, we pɔsin taya.
• Kronik asid riflɔks.
• Fכnshכnal indijεshכn εn/כ (IBS - Irritable Bowel Syndrome).
• Wɔri ɛn/ɔ Pwɛl hat.

Wetin na de tin wae kin mek pɔrsin gɛt Biliary Dyskinesia?

Infakt, dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dɛn gɛt dɛn kayn prɔblɛm ya we kin mek pɔsin nɔ ebul fɔ muv. Sɔntɛnde, sɔm patikyula nɛv dɛn lɛk di vagus nɛv kin de insay. Bɔt bɔku tɛm, i nɔ kin izi fɔ no usay di prɔblɛm de. sכmtεm, wan jεnarכl mεtabolik dizכrd כ intestinal mכtiliti dizכrd kin afekt di muvmεnt fכ di gal blad כ di bayl dakt in kכlozin mכsul, di biliary sphincter.

Aw dɛn kin no bɔt di sik we dɛn kɔl Biliary Dyskinesia?

Dɛn kin no bɔt biliary dyskinesia insay sɔm step dɛm. Dɔktɔ dɛn nid fɔ kɔnfirm dɛn tin ya:

1. Yu simptom dɛm de sho se yu gɛt biliary pen ɔ ɔda bɛlɛ pen?

2. Yu nɔ gɛt ɛni ɔda patikyula gal blad sik, lɛk gal ston.

3. Yu gal blad nɔ de prodyuz inof bayl.

4. Yu simptom dεm kin apin we di gal blad kin kכntrakt.

5. Di mεdikeshכn dεm we yu de tek כ כda tin dεm nכ de afekt di muvmεnt fכ di gal blad.

Chɛk di simptom dɛn

Fɔs, di dɔktɔ go aks yu bɔt yu sik ɛn si if yu gɛt ɛni patikyula sayn we gɛt fɔ du wit biliary colic. Dɛn go tink bɔt dɛn tin ya:

• Di pen kin apin na di ɔp pat na di bɛlɛ, bɔku tɛm na di rayt say.
• Di pen kin kam bak wan wan tɛm ɛn i kin las fɔ at le 30 minit.
• Di pen kin go ɔp smɔl smɔl, i kin rich smɔl ɔ i kin rili bad, dɔn i kin stebul.
• Pen we nɔ de kɔmɔt bay we yu vɔmit, defecate, chenj pozishɔn, ɔ tek antasid.
• Dɛn pen kɔndishɔn ya dɔn de apin ɔltɛm fɔ at le tri mɔnt.

Nɔ gɛt ɔda mɛrɛsin dɛn we dɛn kin gɛt

Afta yu dɔn kɔnfyus se yu sik dɛn fit dɛn krayteria ya, yu dɔktɔ go tray fɔ pul ɔda tin dɛn we kin mek yu gɛt pen na yu gal blad. Dis kin inklud:

• Blɔd tɛst: Dɛn kin chɛk di pankrias ɛnzaym lɛvɛl ɛn di liva ɛnzaym lɛvɛl. if di εnzym lεvεl dεm hכy, i kin bi sayn fכ prכblεm wit dεn כgan dεm ya כ bayl bכlכp (especially hכy bilirubin).
• כltra saund na di bכdi: Dis de egzamin di gal blad εn di bayl dakt dεm. i de luk fכ strכkchכral kכz dεm lεk gal ston, di gal blad wכl tik, כ di bayl dakt dεm we de dilay.

Fɔ chɛk aw di gal blad de wok

If yu blɔd tɛst ɛn ɔltra saund skan nɔmal, di nɛks tin we yu fɔ du na fɔ chɛk aw yu gal blad de wok. Dɔktɔ dɛn kin du dis wit wan spɛshal nyuklia mɛrɛsin imej tɛst we dɛn kɔl HIDA skan . Insay dis tɛst, wan tɛknishian kin injɛkt wan redioaktiv aysɔtop (wan traysa) insay yu vein. As di traysa de travul tru yu gal blad, wan kɔmpyuta skan de rid am ɛn mek pikchɔ dɛn na wan skrin.

Fɔ chɛk aw di gal blad de wok, dɔktɔ dɛn kin ad ɔda tin to dis tɛst. Dɛn kɔl am kɔlesistɔkinin chɛk . Cholecystokinin na כmon we de tεl di gal blad fכ kכntrakt εn rilis bayl insay di bayl dakt dεm. di tεknishכn de injεkt kכlesistokinin insay yu vein εn tek כda siriכs imej dεm as di gal blad de kכntrakt. Dɛn kin wach am ɛn tek mɛzhɔmɛnt.

Yu dɔktɔ go aks yu if yu fil di pen na yu gal blad we yu bin dɔn tɔk bɔt we yu gal blad kɔntrakt. dεn go mεzj yu gal blad in "ejection fraction" bak. dis na aw bכku bayl de kכmכt we yu gal blad kכntrakt. If yu ejection fraction nɔ rich 40%, ɛn yu nɔ de tek ɔda mɛrɛsin ɔ ɔmon tritmɛnt we de slo yu gal blad in muvmɛnt, dɛn go no se yu gɛt biliary dyskinesia.

Tink bɔt am lɛk "fitnɛs tɛst" fɔ di gal blad. I de mɛzhɔ aw di gal blad de du in wok fayn fayn wan.

Na sכm tεm we dכkta kin du wan rili spεsifi k tεst we de mכsu aw di sphincter fכ Oddi, di mכsul we de na di jכnkshכn bitwin di bayl dakt εn di intestin, de opin fכ ansa to signal dεm we de kכmכt na di bכdi. Dis tɛst kin jɔs bi na spɛshal sɛnta dɛn. Di dɔktɔ go anestez yu ɛn put spɛshal ɛndoskɔp tru yu mɔt, we fiba di ɔpa ɛndoskɔpi ɔ EGD. afta dat, dεn de pas di εndoskop dכn to di fכs pat pan yu sכmכl intestin εn i de mכsu di rilaks fכ yu sfinkt כf Oddi.

Bɔku tɛm, dɔktɔ dɛn kin no se di sphincter of Oddi dysfunction nɔmɔ afta dɛn dɔn rul ɔl di ɔda tin dɛn we kin mek pɔsin gɛt biliary motility disorder. Sɔntɛnde, dɛn kin no dis sik we di sikman in sik nɔ kin bɛtɛ ivin afta dɛn dɔn pul di gal blad.

(Biliary Dyskinesia) I go bɛtɛ fɔ insɛf?

Nɔ pruf nɔ de fɔ se biliary dyskinesia go impɔtant fɔ insɛf. Bɔrku tɛm, dɛn kin no bɔt biliary dyskinesia afta yu dɔn gɛt di sik fɔ at le tri mɔnt. Da tɛm de, nɔbɔdi nɔ want fɔ jɔs wet fɔ mek i bɛtɛ. If i impɔtant fɔ insɛf, i nɔ kin rili bi wan sik we de mek pɔsin nɔ ebul fɔ du sɔntin, bɔt i kin bi difrɛn kayn prɔblɛm we kin mek pɔsin muv we kin apin fɔ sɔm tɛm.

Aw dɛn kin trit di Biliary Dyskinesia?

di onli tritmεnt fכ biliary dyskinesia we kin wok fayn na we dεn kכl kכlesεktכmi . dis kin kכmכt lεk aw dεn kin du am sכmtεm (laparoskopik כpεrayshכn). Dis min se dɛn kin du di ɔpreshɔn tru sɔm smɔl smɔl say dɛn we dɛn kɔt. Yu kin go na os di sem de. Laparoskɔpik ɔpreshɔn kin wɛl kwik, i nɔ kin lɛf skata, ɛn i nɔ kin mek i fil pen. Yu kin liv fayn if yu nɔ gɛt gal blad. Dɔn yu liva de pɔmp bayl dairekt insay di smɔl intestin.

Bɔt if di dɔktɔ no se na di sfinktɔ mɔsul na in de mek di muvmɛnt prɔblɛm, dɛn kin yuz ɛndoskopik we fɔ mek di mɔsul big ɔ opin am. Dɛn kin du dis if di sayn dɛn stil de afta dɛn dɔn pul di gal blad. Infakt, i nɔ kin izi fɔ no se di sfinkta nɔ de wok fayn, ɛn i nɔ kin izi fɔ mek di muvmɛnt prɔblɛm de nɔmɔ na da mɔsul de. Bɔku tɛm, di gal blad sɛf kin afɛkt.

Wetin kin apin afta dɛn dɔn du ɔpreshɔn fɔ pul di gal blad (cholecystectomy)?

I go tek sɔm wiks fɔ mek yu dijestiv sistɛm ajɔst to di absɛns ɔf yu gal blad. Insay dis tɛm, yu kin gɛt prɔblɛm fɔ digest di fat. Bɔku dɔktɔ dɛn kin se yu fɔ chenj di tin dɛn we yu de it fɔ sɔm tɛm so dat yu nɔ go it fayn. Fɔs, nɔ it tin dɛn we dɛn dɔn frɛsh ɛn we gɛt fat. Dɔn bak, pe atɛnshɔn pan it dɛn we gɛt bɔku fayv. Smɔl smɔl, ad ɔl gren, vɛjitebul, ɛn ligɛm bak insay yu it. Dis go ɛp fɔ mek yu nɔ blo ɛn mek yu nɔ gɛt gas.

Aw de sik kin bi afta dɛn dɔn trit am fɔ Biliary Dyskinesia?

fכ dεn wan dεm we mit כl di krayteria fכ no di sik, kolεsistekt כmi de 90% ifektiv fכ trit biliary dyskinesia. Bɔt nɔto ɔlman mit ɔl dɛn tin ya. Dɛn kayn pipul ya fɔ gɛt ɔda tɛst bifo dɛn du ɔpreshɔn, bikɔs dɛn kin gɛt ɔda sik we de ɔnda dɛn. If dɛn nɔ shɔ bɔt di sik, if dɛn pul di gal blad, dat nɔ go rili mek di sik bɛtɛ.

Di pen na di gal blad gɛt sɔm patikyula sayn dɛn. If yu kin no di sik (Biliary Colic), yu ɛn yu dɔktɔ kin fɔs saspek se yu gɛt galston. Dat nɔto bad tin. Bɔt wetin yu go du if dɛn nɔ si se na gal ston de mek yu gɛt di sik? Dɔn yu kin gɛt wan sik we de wok na di gal blad (Biliary Dyskinesia). Fɔ no if yu gɛt Biliary Dyskinesia na wan prɔses. Bɔt if di tin we dɛn no bɔt di sik kɔrɛkt, i go mɔs bi se di tritmɛnt go wok fayn.

Mɛmba di tin we impɔtant pas ɔl (Take-Home Message) .

If yu gɛt pen bak we de kɔntinyu fɔ de na di ɔp rayt say na yu bɛlɛ afta yu dɔn it, mɔ afta yu it tin dɛn we gɛt fat, wit di sayn dɛn lɛk nɔs ɛn vɔmit, nɔ jɔs dismis am as gastritis. I kin bi galston, ɔr kin bi wan kɔndishɔn lɛk di wan we wi tɔk bɔt tide (Biliary Dyskinesia).

Mɛmba se nɔto ɔl di bɛlɛ pen na di sem. Pe atɛnshɔn gud wan to di sayn dɛn we yu de gɛt. I impɔtant fɔ go to dɔktɔ fɔ no di rayt rizin. If yu no di rayt tritmɛnt ɛn di rayt tritmɛnt, yu kin pul dis prɔblɛm we de mek yu nɔ fil fayn. Nɔ panik, fala yu dɔktɔ in advays.

If yu nɔ it bɔku tin dɛn we gɛt ɔyl ɛn fat ɛn mek yu gɛt wɛl bɔdi, dat kin ɛp yu fɔ protɛkt yusɛf frɔm dɛn tin ya. Di tin we pas ɔl na fɔ lisin to yu bɔdi.

`Galblad, Biliary Dyskinesia, Bile, Bεlε pen, Kכlesεktכmi, HIDA skan, Dijeshכn