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

I gallbladder lakchhuah nan operation i nei tawh em? I pum dinglam chunglam ah hian a chang chuan natna nasa tak i la nei em? Gallstone atanga i natna ang kha a ni em? Mi tam tak chuan an gallbladder an lakchhuah hnuah an pum natna chu a bo vek tawh niin an ngai. Mahse a chang chuan he hrehawmna thlentu hi kan ngaihdan ni lovin, thil dang a ni. Chu chu vawiinah kan sawi dawn a ni.

A awlsam zawngin, Oddi-a Sphincter chu eng nge ni?

Hei hi hrethiam tur chuan kan taksaa chaw ei dan (digestive process) hi han thlir hmasa ila. Thil buaithlak tak, mak tak a ni. Kan taksa peng tam tak, kan thin leh pancreas te hian kan ei tur chu chakna ah an chantir thin.

• Liver: Hei hi bile an tih chemical siam chhuahna hmun a ni. Hun engemaw chen chu gallbladder-ah dah a ni.
• Pancreas: He gland hian ei tur digest thei tur enzyme a siam chhuak a.

Liver atanga bile leh pancreas atanga enzyme te hi kan small intestine ah hian a luang khawm vek tur a ni. Chu zinkawng thununtu taksa peng te tak te, kawngkhar ang maia thawk chu Sphincter of Oddi .

A hnathawh that chuan he ruh, Sphincter of Oddi tia koh hi a hun takah a inhawng a, chu chuan bile leh enzyme te chu small intestine ah a kal thei a ni. Tichuan a khar leh ta a.

Chuti a nih chuan Sphincter of Oddi Dysfunction (SOD) hi eng nge ni?

A awlsam zawngin, Sphincter of Oddi Dysfunction chu chu gate kan sawi tawh, Sphincter of Oddi an tih muscle chu a inhawng tur hunah a inhawng tha lo a nih chuan a ni. Chuti a nih chuan eng nge thleng? Chu bile leh pancreatic enzyme te chu small intestine ah an lut thei lo va, chu tube ah chuan an tang thei lo. Hetianga a tlakbuak hian pum na nasa tak a thlen a, chu chu gallstone i neih huna thil thleng ang chiah a ni.

Hetiang dinhmun hi an gallbladder lakchhuah (cholecystectomy) tawhte zingah a lang tam ber. Hemi avang hian a chang chuan "post-cholecystectomy syndrome" an ti bawk.

He natna chi hrang hrang leh chi hrang hrangte chu engte nge ni?

He dinhmun hi chi hnih leh chi thum-ah then theih a ni. Hei hi hriat a pawimawh a, a chhan chu enkawlna hi hetiang chiah hian a innghat a ni.

He natna lan chhuah dan engte nge ni?

Hetiang natna lan chhuah dan ber leh langsar ber chu pum natna nasa tak a ni a, chu chu gallstones a lo awm huna natna ang chiah a ni.

• Khawi atanga natna lo chhuak nge: Pum dinglam chunglam atanga kang natna intan.
• Natna darh zel: A chang chuan he natna hi ke dinglam emaw, hnungzang dinglam emaw pan ang maiin a awm thei.
• Natna hun chhung: A natna hi minute 30 atanga darkar khat vel hnuah a reh tlangpui. Mahse, ni khat chu a rawn let leh thei.

He natna ber bakah hian natna dang engemaw zat hmuh tur a awm thei bawk:

• Nausea leh luak chhuak
• Khawsik
• Chills a awm
• Kawthalo

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Hei hi chhan pakhat mah a awm lo. A châng chuan bile duct-a hliam emaw, inflammation emaw hian bile kalna a tikhawlo thei bawk. A chang chuan blockage awm lovin Oddi muscle ngeia sphincter-a harsatna awm vang a ni thei bawk.

Mahse he natna vei theihna sang zawk pawl engemaw zat an awm.

• A tam ber: Hmeichhia kum 20-50 inkar, an gallbladder surgery hmanga lakchhuah tawh.
• Risk factor dangte chu:
• Mite chu an taksa rihna tihtlem surgery (Gastric bypass surgery) nei tawhte.
• Mite chu recurrent pancreatitis vei te.
• Mihring gallstone nei te.
• Liver transplant nei tawhte.
• Thyroid chak lo (Hypothyroidism) nei te.
• Irritable Bowel Syndrome (IBS) natna vei te.
• Zu in tam lutuk te.
• Painkiller thenkhat (a bik takin opiate) hmang thinte.

Enkawl loh chuan a hlauhawm thei ang em?

Hei hi nunna atana hlauhawm tak a ni lo va, harsatna lian tham tak tak pawh a awm tlem hle. Mahse, a natna nasa tak chu i hnathawh dan pangngaia i hnathawh theihna tur daltu lian tak a ni thei.

Mahse enkawl loha a chhunzawm zel chuan a hnuaia dinhmunte hi a awm tlem thei hle:

• Chronic pancreatitis: Inflammation chhunzawm zel avanga pancreas tihchhiatna tihdanglam theih loh.
• Jaundice: Taksa chhunga bile peng pakhat bilirubin a awm khawm avanga vun leh mit var a lo awm thin.

He natna hi Doctor hian engtin nge a hriat chian?

Heng symptoms te hi i neih chuan i doctor-in a tih hmasak ber tur chu i pum natna thlentu tur thil dang a awm leh awm loh enfiah hmasa phawt ang, a chhan chu he natna chi hi natna dang tam tak avanga lo awm thei a ni.

Entirnan, peptic ulcer natna, choledocholithiasis, pancreatic emaw bile duct cancer ang chi natna khirh tak tak a awm loh nan i enfiah a ngai a ni. Mak tak maiin thinlung natna thenkhat (angina ang chi) natna pawh hi pum na ang maiin a awm thei bawk.

Heng zawng zawng hi a hnawl hnuah i doctor chuan heng test te hi tihsak turin a ti mai thei che a ni:

• Thisen test: Liver leh pancreatic enzyme level sang leh sang loh enfiah thin ang che.
• Imaging test hrang hrang:Oddi muscle emaw duct emaw sphincter-a thil dik lo awm leh awm loh enfiah rawh. Hei hian Abdominal Ultrasound, CT scan, Endoscopic Ultrasound (EUS), Upper Endoscopy, leh Magnetic Resonance Cholangiopancreatography (MRCP) ang chi test te pawh a huam thei a ni.

Test bik: ERCP leh Manometry

A châng chuan, heng test zawng zawng hi a dik lo a nih chuan, doctor chuan test bik Endoscopic Retrograde Cholangiopancreatography (ERCP) with manometry -ah a hruai thei che a ni.

Hei hian endoscope hmanga Sphincter of Oddi-a kal a, plastic tube te tak te tak te dah luh a, chu ruh chu engtiang chiahin nge a inzawm khawm leh a zauh tih hriat tumin pressure teh a ngai a ni.

Hei hi eng enkawlna nge ni?

Enkawl dan chu i natna lan chhuah dan nasat dan leh eng category-ah nge i awm tih a innghat a ni.

1. Natna a na lutuk loh chuan (a bik takin category III tan):

Doctor chuan painkiller (non-opioid) leh muscle relaxants a pe ang che.

2. Natna a nasat chuan (category I leh II tan):

Damdawi hmanga thunun a harsat chuan doctor chuan ERCP with sphincterotomy tih damdawiah a hruai thei che a ni. Hei hi anesthesia hnuaiah emaw, anesthesia hnuaiah emaw tih a ni. Surgeon chuan endoscope hmangin Sphincter of Oddi-ah a kal a, a taksa ruh inzawm tlemte chu a tan a, a tizau ta a ni. Chutih rual chuan bile duct-a lung awm leh awm loh an enfiah bawk.

Sphincterotomy enkawlna avanga hlauhawmna

He enkawlna hian category I leh II nei damlo tam zawkte natna tihziaawmna a pui a ni. Mahse, risk engemaw zat neia kalphung buaithlak tak a ni bawk.

• Damlo 10% - 15% vel hian pancreatitis ang chi harsatna an nei thei a ni.
• He inflammation hi a na lo fo nachungin, a chang chuan a na hle thei a, nunna pawh a tichhe thei bawk.
• Chutiang hunah chuan damdawi inah inenkawlna atan rei tak i awm a ngai mai thei.

Chuvangin, damdawi dang hmanga thunun theih a nih loh chuan doctor-te chuan he damdawi hi an hmang chauh a ni.