Gallbladder lakchhuah hnuah pawh pum na i la nei em? Hei hi Sphincter of Oddi Dysfunction vang pawh a ni thei!

Gallstone vangin hun rei tak chhung chu pum na i tuar tawh mai thei. A tawpah i gallbladder lakchhuahna tur operation i neih khan he natna atang hian i fihlim vek tawh niin i ngai mai thei. Mahse, operation hnuah pawh chutiang bawka pum natna nasa tak i la neih chuan engtin nge ni ang? A ti thinrim tak zet. Mi tam tak chuan hetiang thil tawn hi an hmachhawn a ni. Chuvangin vawiin hian gallbladder lakchhuah a nih hnuah pawh he pum na mak tak hi thlen thei dinhmun kan sawi dawn a ni. Chu chu Sphincter of Oddi Dysfunction a ni.

A awlsam zawngin, Sphincter of Oddi Dysfunction hi eng nge ni?

Hei hi hrethiam tur chuan kan chaw ei dan hi han thlir hmasa ila. A awlsam khawp mai. Chaw kan ei hian kan taksa hian tui bik pahnih a siam chhuak a, chu chuan a ei theih nan a pui thin.

1. Bile: Hei hi thin (liver) siam a ni. Gallbladder-ah dah a ni. Thau ei chhuahna kawngah a pui a ni.

2. Pancreatic juice: Hei hi pancreas atanga siam a ni. A chhunga enzyme te hian ei tur a protein leh carbohydrates te chu a digest thei a ni.

Heng juice pahnih hi kan small intestine-ah an kal a, chutah chuan ei tur nen an inzawm khawm a, digestion process chu an ti zo vek a ni.

Tunah chuan hei hi a pawimawh ber a ni. Heng tui pahnih hi small intestine-a an luhna hmunah hian sa tlemte gate ang mai a awm a . Valve ang mai a ni. Hei hi Sphincter of Oddi kan tih chu a ni . A tlangpuiin ei tur i digest a ngaih hunah he gate hi a inhawng a, juices te chu a lut a, chutah chuan a khar leh thin.

Sphincter of Oddi Dysfunction hi he gate hian hna a thawk tha lo a nih chuan a ni. Chu chu he sa chi hi a inhawng tur hunah a inhawng lo va, a tight ta tihna a ni. Tichuan liver atanga bile leh pancreas atanga tui lo chhuak chu small intestine ah a lut thei lo va, a tang ta a ni. Traffic jam ang mai a ni. Hetianga tui a tlakbuak chuan chu tui lo chhuahna kawngpui dunga pressure a sang a, chu chuan pum a ti na hle.

Hetiang dinhmun hi mi, an gallbladder surgery hmanga lakchhuah tawhte zingah hmuh tur a awm fo. Chuvangin, a then chuan post-cholecystectomy syndrome .

Hetiang dinhmun hi eng chi hrang hrang nge ni ber?

Sphincter of Oddi Dysfunction hian kawng lian pahnih a nghawng thei che a ni.

• Biliary Dyskinesia: Hei hi bile ducts a inkharkhip thinna a ni. Buaina chu bile luang danah a ni.
• Pancreatitis: Hei hi pancreatic tui a block a, chu chuan pancreas a ti hring a, a ti na a ni.

Tin, doctor-te chuan natna hi chi thum (Categories I, II, leh III)-ah an ṭhen bawk. Hei hi a pawimawh hle a, a chhan chu he category atanga enkawl dan tur an ruat a ni.

He natna lan chhuah dan berte chu engte nge ni?

A lan chhuah dan ber leh langsar ber chu pum natna nasa tak a ni a, hei hi gallstone-a natna tawn ang chiah a ni.

• A natna hi pum dinglam chunglam atanga tan a ni.
• A chang chuan he natna hi ke dinglam emaw hnungzang emaw thlengin a kal thin .
• Natna chu a awm reng lo. Minute 30 vel emaw darkar khat emaw vel hnuah a mah chauhin a bo thin. Tichuan ni khat emaw, kar khat emaw hnuah a rawn let leh thei a ni.
• Ni \henkhatah chuan a na hi a na lo hle a, ni \henkhatah chuan tuar theih loh khawpin a na thei bawk.

He natna ber bakah hian a hnuaia symptoms te hi a awm thei bawk:

• Nausea leh luak chhuak
• Khawsik leh khawsik
• Kawthalo

Hetiang dinhmun hi tute nge hlauhawm zawk?

Hei hi a chhan dik tak hi hriat chian a la ni lo a, mahse thil thenkhat chuan he natna hi a thlen theihna a tipung a ni.

Engtin nge natna hi hriat chhuah a nih?

I natna lan chhuah dan a hriat hnua i doctor-in a rinhlelh chuan a tih hmasak ber tur chu i pum na chhan lian tham dang a awm loh nan a enfiah tur a ni. Hei hi a chhan chu natna dang, pum ulcer (peptic ulcer), gallstone, leh pancreatic emaw bile duct cancer te pawhin hetiang chiah hian a thlen thei a ni. A chang chuan lung natna (angina) na hi pum na ang maiin a awm thei bawk.

Heng thilte hi a awm lo tih finfiah hnuah a hnuaia test te hi Sphincter of Oddi Dysfunction enfiah nan tih theih a ni:

• Thisen test dan: 1.1.Liver leh pancreatic enzyme level sang leh sang loh enfiah thin ang che.
• Scans: Scan, abdominal ultrasound, CT scan, leh MRCP te hmangin bile duct emaw pancreatic duct emaw a hring/dilated em tih enfiah thin a ni.
• Endoscopy: Camera nei tube chu ka chhungah dahin pum leh ril te te enfiah a ni.

ERCP test a ni

Thil engemaw takah chuan a bik takin type I emaw II emaw rinhlelh a nih chuan test bik ERCP (Endoscopic Retrograde Cholangiopancreatography) an tih chu an ti thin. Hetah hian camera tube, endoscope ang chi, Oddi sphincter-ah dah a ni a, chu muscle chhunga pressure tehna tur tube te tak te dah a ni (manometry). Chu chuan a hawn leh khar dik leh dik loh a hriat chian thei a ni.

Engtin nge enkawl a nih?

Enkawl dan tur chu Sphincter of Oddi Dysfunction chi (category) i neih danah a innghat.

• Category III tan: Hei hi hriat a harsa a, chuvangin operation tih hi a tha lo tlangpui. Doctor chuan a natna control nan painkiller leh spasm relieving damdawi a pe ang.
• Category I & II tan: Natna a nasat em avangin damdawi hmanga control harsa a nih chuan i doctor chuan ERCP nen sphincterotomy tih damdawi a rawn rawt thei ang.

He Sphincterotomy hi eng nge ni?

Hei hian ERCP endik laiin camera tube kaltlangin hmanraw te tak te hmanga tissue te tak te, Sphincter of Oddi an tih chu tan a ngai a ni. Tichuan, tight opening chu a nghetin a inhawng ta a ni. Tichuan, chaw ei tui (digestive juices) te chu engmah tibuai lovin small intestine-ah a luang lut ta a ni. Hei hian natna chu a ti bo vek tawh mai.

Mahse hei hi enkawlna a ni bawk a, risk engemaw zat a keng tel bawk. Pancreatitis vei theihna a awm bawk. Chuvangin, enkawlna dangin hlawhtlinna a chhuah loh chuan he enkawlna hi hman a ni.