Chaw ei zawhah i pum dinglamah natna i nei bawk em? (Biliary Dyskinesia) pawh a ni thei!

Chaw ei zawhah i pum dinglam sir chunglam, a bik takin chaw thau tak ei zawhah natna nasa tak i nei fo thin em? I rilru a na emaw, i luak duh emaw? Mi tam tak chuan hei hi gallstone vang niin an ngai. Mahse chutiang chu a ni reng reng lo. Vawiin hian gallbladder problem dang, symptoms ang chi, mahse lung avanga lo awm lo chungchang kan sawi dawn a ni. Chu chu Biliary Dyskinesia an tih natna a ni .

Biliary Dyskinesia hi eng nge ni? A awlsam zawngin i hrethiam ang u!

Okay, a hmasain Biliary Dyskinesia hi eng nge a nih kan en ang. A awlsam zawngin i gallbladder hnathawh danah harsatna a ni. A châng chuan, intestines-a bile luang chhuak control tu ruh te tak te, sphincter hnathawh pawh a nghawng thei bawk. Heta thil thleng chu gallbladder hian hna a thawk tha lo a ni. Chu chu, gallbladder-a gallstone awm ang mai a ni lo va, gallbladder hnathawh danah harsatna a ni zawk.

Kan gallbladder hnathawh ber chu bile, liver siam a ni a, chu chu small intestine-ah thawn a, kan ei laiin ei tur a hmin theih nan a pui tih i hria em. Kan ei hian small intestine atanga hormone te hian gallbladder ah signal an thawn a, "Okay, tunah hian bile thawn rawh," an ti thin. Tichuan gallbladder chu a inzawm khawm a, chu chu a tlahniam tihna a ni a, bile chu bile duct kaltlangin small intestine-ah a thawn chhuak ta a ni.

Biliary dyskinesia-ah hian khawi emaw laiah hetiang kalphung hi harsatna a awm a. Hormone signal-a harsatna a ni thei a, signal dawngtu nerve-te harsatna a ni thei a, signal-a thawk tur muscle-te chak lohna a ni thei bawk. Doctor-te chuan hei hi eng thil nge a thlen tih chiang takin an sawi thei lo a, mahse gallbladder hian bile a chhuah tlem hle tih an hrethiam.

Biliary Dyskinesia vangin taksaah eng nge thleng?

Tunah chuan gallbladder hian a bile a empty tha thei lo a nih chuan eng nge thleng? Chu bile chu gallbladder chhungah a lo awm khawm a, chu chuan a tizau a, a ti hring bawk. Hei hi gallstone pakhat gallbladder-a a tlakbuak huna thil thleng nen a inang hle. Hetianga a hring leh bile a pungkhawm hian natna hrik a thlen thei a, gallbladder a ti na thei (cholecystitis), leh natna a thlen thei bawk.

I pum dinglam chunglam chu a chang chuan na i nei thei bawk. A lo kal a, a kal zel bawk. He natna hi natna nen a inzawm fo thin a, a bik takin ei zawh hnua gallbladder a inzawm khawm hian a awm fo thin. Hei hi biliary colic an ti a . Tin, intestines hian bile a hmu tlem thei a, chu chuan bloating, nausea, vomiting, leh ei tur ei harsa a ti thei a, a bik takin ei tur thau ei hian.

Hun rei tak atang tawh khan biliary pain hi gallstones (cholelithiasis) vang a ni deuh ber tih an lo ring tawh a. Mahse tunah chuan hetiang hi a ni ngai lo tih doctor-te chuan an hrechhuak ta a ni. Dik tak chuan tunah chuan biliary dyskinesia an tih hi gallbladder natna thlentu lian ber nia hriat a ni ta a ni. Naupang kum upa zawk leh puitling pawh a nghawng .

Tute nge Biliary Dyskinesia vei tam zawk?

Tun hnaiah hian functional gallbladder disorder hi sawi a hlawh hle a, a bik takin United States ang ramah chuan sawiho a hlawh hle. He dinhmun hi a pung tak tak em tih leh tunah chauh hriat chhuah a ni em tih erawh hriat chian a la ni lo. Tuin nge a nei tam zawk tih pawh a chiang lo. Mahse, thau lutuk leh zunthlum vei te chu an hlauhawmna a sang zawk mai thei niin an ngai.

I hriat angin thau lutuk hian kan taksa metabolism-ah nghawng hrang hrang a nei a. Kan taksa peng hrang hrangah thau a khawlkhawm thei a, chronic inflammation a thlen thei bawk. Heng thil pahnih hian gallbladder motility a nghawng a ni. Gallbladder chhunga bile chu hmun khatah a thut chuan a thim thei a, a hnim thei bawk. Hei hi gallstones thlentu a ni. Obesity hi gallstones awm theihna tur risk factor lian tak a ni. Mahse, Biliary Dyskinesia an tih natna hnuah pawh gallstone hi a lo awm thei bawk.

He gallbladder dysfunction hi engtin nge a awm?

Mi tam zawk chuan gallbladder awmna hmunah ngei hian gallbladder natna an nei thin - pum dinglam chunglam, dinglam rib cage hnuai lam chiah. Mahse mi thenkhat chuan pum lai takah an hria a, thenkhat chuan ke dinglam emaw hnungzang emaw ah an hre bawk. A rawn on a, a awm reng lo. Mahse a lo thlen chuan darkar tam tak a daih thei. Minute 20 hmasa berah natna hi a pung zauh zauh a, chutah chuan a tlahniam zauh zauh bawk.

Heng natnate hi a lo thleng a, a kal zel a, a awm reng reng lo. Chaw ei zawhah an lo awm tlangpui a, a bik takin chaw rit leh thau tak ei hnuah an awm tlangpui. Hei hi gallbladder a contract a, intestines-ah bile a chhuah a ngai a ni. A natna hi a na tlangpui a, nitin hnathawh titawp thei tur khawpin, zanah a kaitho thei che a, emergency room-a zin pawh a ngai thei bawk. Nausea leh luak chhuak pawh a tam hle.

Biliary Dyskinesia natna lan chhuah dan chu engte nge ni?

Biliary Dyskinesia vei chuan a tlangpuiin heng symptoms te hi a nei thei a:

• Pum dinglam chunglam a na.
• Natna chu a hun hunah a lo awm a, a sang ber a, a reh leh thin.
• Pum a khat, a pum a puak.
• Nausea leh luak chhuak.
• Tum loh vanga taksa rihna tihtlem.

Mi thenkhat chuan symptom dang an nei bawk:

• Lu na.
• Chauhna rei tak, hahna.
• Acid reflux rei tak a awm thin.
• Functional indigestion leh/ emaw (IBS - Irritable Bowel Syndrome) te pawh a awm thei.
• Lungkhamna leh/ emaw Depression nei.

Biliary Dyskinesia hi engte nge ni?

Dik tak chuan doctor-te chuan heng motility disorder te hi eng nge a thlen tih chiang takin an la hre lo. A châng chuan, nerve bik, vagus nerve ang chi te pawh a inrawlh thei bawk. Mahse, thil tam takah chuan buaina chu khawiah nge a awm tih chiang taka hriat a harsa hle. A châng chuan, general metabolic disorder emaw, intestinal motility disorder emaw hian gallbladder emaw bile duct-a khar muscle, biliary sphincter-te chetna a tichhe thei a ni.

Engtin nge Biliary Dyskinesia hi hriat theih?

Biliary dyskinesia hi step hrang hranga hriat theih a ni. Doctor-te chuan a hnuaia mite hi an nemnghet a ngai a ni:

1. I symptoms hian biliary pain emaw, pum natna dang emaw a lantir em?

2. Gallbladder natna bik dang, gallstones ang chi i nei lo.

3. I gallbladder hian bile a siam chhuak tawk lo.

4. I symptoms hi gallbladder a contract hian a awm thin.

5. Damdawi i ei emaw thil dang emaw hian gallbladder chetna a tichhe lo.

Symptom te enfiah thin

A hmasain doctor chuan i symptoms te a zawt ang che a, biliary colic nena inzawm symptoms bik i neih leh neih loh a en ang. Heng tehfungte hi an ngaihtuah ang:

• Natna hi pum chunglam a ni a, a tlangpuiin dinglam a ni.
• A natna hi a chang chuan a lo lang leh a, minute 30 tal a awm thin.
• Natna chu a pung zauh zauh a, a hniam emaw, a na emaw a thleng a, chutah chuan a nghet leh ta a ni.
• Natna chu luak chhuak, ek chhuah, dinhmun thlak danglam, antacids ei avanga tihziaawm loh.
• Heng natna te hi thla thum tal chu a lo awm fo tawh a ni.

Damdawi lam thil dang tih loh

I symptoms te hi heng criteria te nen hian a inmil tih a finfiah hnuah i doctor chuan gallbladder natna thlentu tlanglawn dangte chu paih chhuah a tum ang. Hei hian a huam thei ang:

• Thisen test: Pancreatic enzyme leh liver enzyme level te enfiah thin a ni. Enzyme level a san chuan heng taksa peng hrang hranga harsatna awm emaw, bile buildup (a bik takin bilirubin sang) emaw a ni thei.
• Abdominal ultrasound: Hei hian gallbladder leh bile duct te a enfiah thin. Structural causes, gallstones, gallbladder wall thickening, bile ducts dilation te a zawng thin.

Gallbladder hnathawh dan enfiah

I thisen test leh ultrasound scan te chu a pangngai a nih chuan a dawt leh tur chu i gallbladder hnathawh dan enfiah a ni. Doctor te chuan hei hi nuclear medicine imaging test bik HIDA scan an tih hmangin an ti thin . He test-ah hian technician pakhat chuan i vein-ah radioactive isotope (tracer) a inject a. Tracer hian i gallbladder a kal lai hian computer scanner chuan a chhiar a, screen-ah thlalak a siam a.

Gallbladder hnathawh dan enfiah nan doctor-te chuan he test-ah hian step dang an belh leh thin. Chu chu cholecystokinin check an ti a . Cholecystokinin hi hormone a ni a, gallbladder chu a contract a, bile ducts-ah bile chhuah tir a ni. Technician chuan i vein-ah cholecystokinin a inject a, gallbladder a contract angin image series dang a la leh bawk. An vil reng a, tehna pawh an la thin.

I doctor chuan i gallbladder a contract a, a hmaa i sawi tawh ang khan i gallbladder natna chu i hre em tih a zawt ang che. I gallbladder "ejection fraction" pawh an teh bawk ang. Hei hi i gallbladder a inzawm chuan bile a chhuah zat a ni. I ejection fraction 40% aia tlem a nih chuan, i gallbladder chetna tikhawtlai thei damdawi dang emaw hormone treatment emaw i ei loh chuan biliary dyskinesia i nei tih an hmuchhuak ang che.

Gallbladder tan "fitness test" ang maiin ngaihtuah rawh. Gallbladder hian a hna a thawh that dan a teh thin.

A tlem hle a, doctor chuan taksa atanga signal lo lutte chhanna atan bile duct leh intestine inzawmna hmuna muscle Oddi sphincter chu engtiang chiahin nge a inhawng tih tehna test chiang tak a ti thei a ni. He test hi specialized center-ah chauh tih theih a ni. Doctor chuan anesthetize ang che a, i hmuiah endoscope bik a dah ang che, upper endoscopy emaw EGD ang chiah a ni. Tichuan, endoscope chu i small intestine part hmasa berah a kal thla a, i sphincter of Oddi relaxation chu a teh thin.

Vawi tam tak chu doctor-te chuan biliary motility disorder awm chhan dang zawng zawng an paih chhuah hnuah chauh sphincter of Oddi dysfunction an hmuchhuak thei a ni. A châng chuan, he diagnosis hi damlo pakhatin gallbladder an lak chhuah hnuah pawh a natna lan chhuah dan a ṭhat loh chuan siam a ni.

(Biliary Dyskinesia) Amah chauhin a dam leh dawn em ni?

Biliary dyskinesia hi a mah chauhin a ṭhat phah dawn tih finfiahna a awm lo. A tlangpuiin, biliary dyskinesia hi thla thum tal i symptoms i neih hnuah hriat theih a ni. Chutih hunah chuan tumahin a dam leh hun nghah mai mai chu an duh lo. Amah chauha a ṭhat chuan a takah chuan functional disorder a ni lo mai thei a, mahse hun eng emaw chen avanga lo awm movement disorder chi danglam tak a ni thei.

Biliary Dyskinesia hi engtin nge enkawl a nih?

Biliary dyskinesia enkawlna hlawhtling awmchhun chu cholecystectomy a ni . Hei hi a tlangpuiin minimally invasive procedure (laparoscopic surgery) anga tih a ni. Hei hian surgery chu incision tenau tlemte hmanga tih a ni tihna a ni. Chumi ni vek chuan i haw thei bawk. Laparoscopic surgery hian a dam rang zawk a, hliam a awm tlem a, a na lo zawk bawk. Gallbladder tel lo pawhin i nung tha thei. Chumi hnuah i liver chuan bile chu small intestine ah direct in a pump lut leh thin.

Mahse, doctor-in sphincter muscle hi movement disorder a nih thu a hriat chuan endoscopic procedure hmangin muscle chu a zau emaw, hawn emaw theih a ni. Hei hi gallbladder lakchhuah hnuah pawh symptoms a awm reng chuan tih thin a ni. Dik tak chuan sphincter dysfunction hi hriat a harsa a, chu muscle-ah chauh chuan movement disorder hi a awm lo hle. Vawi tam tak chu gallbladder pawh a nghawng thin.

Gallbladder lakchhuahna operation (cholecystectomy) hnuah eng nge thleng thei?

I digestive system chu i gallbladder awm lohnaah a insiamrem theih nan kar tlemte a la ngai dawn a ni. Hemi chhung hian thau ei harsa i ti thei. Doctor tam tak chuan chaw ei kham loh nan hun eng emaw chen chu i ei leh in thlak danglam turin an rawt a ni. A tir lamah chuan fried leh fatty foods ei loh tur. Tin, fiber tamna ei tur te pawh ngaihtuah tel bawk ang che. Zawi zawiin whole grains, thlai leh legumes te chu i eitur ah dah leh rawh. Hei hian bloating leh gas a veng thei dawn a ni.

Biliary Dyskinesia enkawl hnuah engtin nge a awm?

Diagnosis criteria zawng zawng tlin tan chuan cholecystectomy hi biliary dyskinesia enkawlnaah 90% in a hlawk a ni. Mahse, mi zawng zawng hian heng tehfung zawng zawng hi an tlin vek lo. Chutiang mite chuan operation an neih hmain test dang an neih leh hmasak phawt a ngai a, a chhan chu an underlying condition dang an nei thei a ni. Diagnosis a chiang lo a nih chuan gallbladder lakchhuah hian symptoms a ti tha hauh lo.

Gallbladder natna hian symptom bik a nei a. A natna (Biliary Colic) i hriat theih chuan nang leh i doctor chuan gallstones in rinhlelh hmasa thei ang. Chu chu a pawi lo. Mahse, gallstones hian i symptoms a thlen tih hmuhchhuah a nih loh chuan engtin nge ni ang? Tichuan, functional gallbladder disorder (Biliary Dyskinesia) i nei thei bawk. Biliary Dyskinesia hmuhchhuah hi a kalphung a ni. Mahse diagnosis a dik a nih chuan enkawlna a hlawhtling zawk a ni.

Thil pawimawh ber (Take-Home Message) hre reng ang che .

Chaw ei zawhah i pum dinglam sir chunglam pawh na reng reng i neih chuan, a bik takin ei tur thau tak tak i ei hnuah, chubakah natna leh riltam ang chi symptoms i neih chuan gastritis tih mai mai suh. Gallstones a ni thei a, vawiin a kan sawi tawh ang chi condition (Biliary Dyskinesia) pawh a ni thei bawk.

Pum natna zawng zawng hi a inang vek lo tih hre reng ang che. I symptoms te kha uluk takin ngaihven rawh. A chhan dik tak hriat tumin doctor pan a pawimawh. Diagnosis dik leh enkawl dan dik tak chuan he natna hi i paih chhuak thei ang. Hlauthawng suh, i doctor thurawn zawm rawh.

Chaw thau leh thau tam tak ei tlem leh taksa rihna hrisel tak neih hian heng natna laka invenna kawngah kawng engemaw takah a pui thei a ni. A chung berah chuan i taksa thu hi ngaithla rawh.

`Gallbladder, Biliary Dyskinesia, Bile, Pum na, Cholecystectomy, HIDA scan, Chaw ei dan