Kodi mumamvanso kupweteka m'mimba mwanu mukatha kudya? Zingakhale (Biliary Dyskinesia)!

Kodi nthawi zina mumamva kupweteka kwambiri kumtunda kwa kumanja kwa m'mimba mwanu mukatha kudya, makamaka chakudya chonenepa? Kodi mumamva nseru kapena mukufuna kusanza? Anthu ambiri amaganiza kuti izi zimachitika chifukwa cha miyala ya m'ndulu. Koma sizili choncho nthawi zonse. Lero tikambirana za vuto lina la ndulu lomwe limayambitsa zizindikiro zofanana, koma silimayambitsidwa ndi miyala. Imeneyi ndi vuto lotchedwa Biliary Dyskinesia .

Kodi Biliary Dyskinesia ndi chiyani? Tiyeni timvetse mosavuta!

Chabwino, choyamba tiyeni tiwone chomwe Biliary Dyskinesia ndi. Mwachidule, ndi vuto ndi momwe ndulu yanu imagwirira ntchito. Nthawi zina, zimathanso kukhudza ntchito ya sphincter, minofu yaying'ono yomwe imayang'anira kuyenda kwa ndulu m'matumbo. Chomwe chimachitika apa ndichakuti ndulu sigwira ntchito bwino. Izi zikutanthauza kuti, sizili ngati pali mwala wa ndulu womwe wakodwa mu ndulu, koma vuto ndi momwe ndulu imagwirira ntchito.

Kodi mukudziwa kuti ntchito yaikulu ya ndulu yathu ndikusunga ndulu, yomwe imapangidwa ndi chiwindi, kenako nkuitumiza kumatumbo ang'onoang'ono kuti ithandize kugaya chakudya tikamadya? Tikamadya, mahomoni ochokera kumatumbo ang'onoang'ono amatumiza chizindikiro ku ndulu, nati, "Chabwino, tumizani ndulu tsopano." Kenako ndulu imachepa, kutanthauza kuti imachepa, ndikutumiza ndulu kudzera m'mitsempha ya ndulu kupita kumatumbo ang'onoang'ono.

Mu vuto la biliary dyskinesia, pali vuto kwinakwake mu ndondomekoyi. Likhoza kukhala vuto ndi chizindikiro cha mahomoni, kapena vuto ndi mitsempha yomwe imalandira chizindikirocho, kapena kufooka kwa minofu yomwe ikuyenera kuchitapo kanthu pa chizindikirocho. Madokotala sanganene nthawi yomweyo chomwe chimayambitsa izi, koma akumvetsa kuti ndulu siimatulutsa ndulu yokwanira.

Kodi chimachitika ndi chiyani m'thupi chifukwa cha Biliary Dyskinesia?

Tsopano, chimachitika ndi chiyani ndulu ikalephera kutulutsa bwino ndulu yake? Ndudu imeneyo imaunjikana mkati mwa ndulu, zomwe zimapangitsa kuti itukumuke ndikutupa. Izi zikufanana ndi zomwe zimachitika ndulu ikamatirira mu ndulu. Kutupa ndi kudzikundikira kwa ndulu kumeneku kungayambitse matenda, kutupa kwa ndulu (cholecystitis), ndi kupweteka.

Nthawi zina mungamve kupweteka kumtunda kwa mimba yanu. Kumabwera ndikutha. Kupweteka kumeneku nthawi zambiri kumayenderana ndi nseru, makamaka pamene ndulu ikugwa mutadya. Izi zimatchedwa biliary colic . Kuphatikiza apo, matumbo sangalandire ndulu yokwanira, zomwe zingayambitse kutupa, nseru, kusanza, komanso kuvutika kugaya chakudya, makamaka mukadya zakudya zonenepa.

Kwa nthawi yaitali anthu akhala akukhulupirira kuti kupweteka kwa ndulu nthawi zambiri kumachitika chifukwa cha miyala ya ndulu (cholelithiasis). Koma madokotala tsopano akudziwa kuti sizili choncho nthawi zonse. Ndipotu, vuto lotchedwa biliary dyskinesia tsopano likudziwika kuti ndi lomwe limayambitsa matenda a ndulu. Limakhudza ana okalamba komanso akuluakulu .

Ndani amene ali ndi mwayi waukulu wopeza Biliary Dyskinesia?

Matenda a ndulu omwe amagwira ntchito akhala akukambidwa kwambiri posachedwapa, makamaka m'maiko ngati United States. Sizikudziwika bwino ngati vutoli likukulirakulira kapena ngati langoyamba kumene kuzindikirika. Sizikudziwikanso kuti ndani amene ali ndi mwayi waukulu woti adwale matendawa. Komabe, akuganiza kuti anthu onenepa kwambiri komanso matenda a shuga akhoza kukhala pachiwopsezo chachikulu.

Monga mukudziwa, kunenepa kwambiri kumakhudza kagayidwe ka thupi m'thupi lathu. Kungayambitse mafuta kusonkhana m'ziwalo zathu, komanso kungayambitse kutupa kosatha. Zonsezi zimakhudza kuyenda kwa ndulu. Ngati ndulu mu ndulu ikakhala pamalo amodzi, imatha kukhala yokhuthala komanso yonyowa. Ichi ndi chomwe chimayambitsa miyala ya ndulu. Kunenepa kwambiri ndi chinthu chachikulu chomwe chimayambitsa miyala ya ndulu. Komabe, miyala ya ndulu imathanso kukula pambuyo pa vuto lotchedwa Biliary Dyskinesia.

Kodi vuto la ndulu limeneli limamveka bwanji?

Anthu ambiri amamva kupweteka kwa ndulu komwe kuli ndulu - kumtunda kwa mimba, pansi pa nthiti zakumanja. Koma ena amamva kupweteka pakati pa mimba, ndipo ena m'phewa lamanja kapena kumbuyo. Kumabwera nthawi ndi nthawi ndipo sikusinthasintha. Koma kukabwera, kumatha kwa maola ambiri. Ululuwo umawonjezeka pang'onopang'ono pa mphindi 20 zoyambirira, kenako umachepa pang'onopang'ono.

Ululu umenewu umabwera ndi kutha, osati nthawi zonse. Nthawi zambiri umachitika munthu akadya, makamaka akadya chakudya cholemera komanso chonenepa. Apa ndi pamene ndulu imakoka ndipo imafunika kutulutsa ndulu m'matumbo. Ululu nthawi zambiri umakhala waukulu, wokwanira kusokoneza zochita zanu za tsiku ndi tsiku, kukudzutsani usiku, kapena kufunikira kupita kuchipatala chadzidzidzi. Kusanza ndi kusanza ndizofalanso.

Kodi zizindikiro za Biliary Dyskinesia ndi ziti?

Munthu amene ali ndi Biliary Dyskinesia nthawi zambiri amakhala ndi zizindikiro izi:

• Ululu m'mimba pamwamba kumanja.
• Ululu womwe umachitika nthawi ndi nthawi, umafika pachimake kenako umachepa.
• Kudzaza m'mimba, kutupa.
• Kusanza ndi kusanza.
• Kuchepetsa thupi mosadziwa.

Anthu ena amanenanso zizindikiro zina:

• Mutu.
• Kutopa kosatha, kutopa.
• Kubwerera m'mbuyo kwa asidi kosatha.
• Kusagwira bwino ntchito kwa m'mimba ndi/kapena (IBS - Irritable Bowel Syndrome).
• Nkhawa ndi/kapena Kuvutika maganizo.

Kodi ndi zifukwa ziti zomwe zimayambitsa dyskinesia ya biliary?

Ndipotu, madokotala sakudziwabe chomwe chimayambitsa matenda oyenda awa. Nthawi zina, mitsempha inayake, monga vagus nerve, ingakhalepo. Koma nthawi zambiri, zimakhala zovuta kudziwa komwe vutoli lili. Nthawi zina, vuto la kagayidwe kachakudya kapena vuto la kuyenda kwa m'mimba lingakhudze kayendedwe ka minofu yotseka ndulu kapena bile duct, yomwe ndi biliary sphincter.

Kodi dyskinesia ya biliary imachiritsidwa bwanji?

Matenda a biliary dyskinesia amapezeka m'njira zingapo. Madokotala ayenera kutsimikizira izi:

1. Kodi zizindikiro zanu zimasonyeza kupweteka kwa ndulu kapena kupweteka kwina kwa m'mimba?

2. Mulibe matenda enaake enieni a ndulu, monga miyala ya ndulu.

3. Chidendene chanu sichikutulutsa ndulu yokwanira.

4. Zizindikiro zanu zimachitika ndulu ikakokana.

5. Mankhwala omwe mumamwa kapena zinthu zina sizimakhudza kayendedwe ka ndulu.

Kuwunika zizindikiro

Choyamba, dokotala adzakufunsani za zizindikiro zanu ndikuwona ngati muli ndi zizindikiro zinazake zokhudzana ndi biliary colic. Adzaganizira izi:

• Ululu umachitika m'mimba chapamwamba, nthawi zambiri mbali yakumanja.
• Ululuwu umabwereranso nthawi zina ndipo umatenga mphindi zosachepera 30.
• Ululu umawonjezeka pang'onopang'ono, umafika pamlingo wocheperako kapena wovuta kwambiri, kenako umakhazikika.
• Ululu womwe sutha chifukwa cha kusanza, kutsuka chimbudzi, kusintha malo, kapena kumwa mankhwala oletsa asidi.
• Matendawa akhala akuchitika pafupipafupi kwa miyezi itatu kapena kuposerapo.

Kuchotsa matenda ena

Dokotala wanu akatsimikizira kuti zizindikiro zanu zikugwirizana ndi izi, adzayesa kuchotsa zifukwa zina zomwe zimayambitsa kupweteka kwa ndulu. Izi zingaphatikizepo:

• Mayeso a magazi: Kuchuluka kwa enzyme ya Pancreatic ndi enzyme ya chiwindi kumayesedwa. Ngati kuchuluka kwa enzyme kuli kokwera, kungakhale chizindikiro cha vuto ndi ziwalo izi kapena ndulu yowunjikana (makamaka bilirubin yochuluka).
• Ultrasound ya m'mimba: Iyi imafufuza ndulu ndi ndulu. Imafufuza zomwe zimayambitsa kapangidwe kake monga miyala ya ndulu, kukhuthala kwa khoma la ndulu, kapena kukulitsa ndulu.

Kuyang'ana ntchito ya ndulu

Ngati mayeso anu a magazi ndi ultrasound scan ndi abwinobwino, sitepe yotsatira ndikuyang'ana momwe ndulu yanu imagwirira ntchito. Madokotala amachita izi ndi mayeso apadera owunikira mankhwala a nyukiliya otchedwa HIDA scan . Mu mayesowa, katswiri amaika isotope ya radioactive (tracer) mumtsempha wanu. Pamene tracer ikuyenda mu ndulu yanu, scanner ya pakompyuta imaiwerenga ndikupanga zithunzi pazenera.

Kuti aone momwe ndulu imagwirira ntchito, madokotala amawonjezera gawo lina pa mayesowa. Amatchedwa cholecystokinin check . Cholecystokinin ndi mahomoni omwe amauza ndulu kuti ikokere ndikutulutsa ndulu m'mitsempha ya ndulu. Katswiriyo amabaya cholecystokinin m'mitsempha yanu ndikujambula zithunzi zina pamene ndulu ikukokera. Amayiyang'anira ndikuyesa.

Dokotala wanu adzakufunsani ngati mukumva kupweteka kwa ndulu yanu komwe mudatchula kale pamene ndulu yanu yagwa. Adzayesanso "gawo lotulutsa ndulu" lanu. Umu ndi kuchuluka kwa ndulu komwe kumatulutsidwa ndulu yanu ikagwa. Ngati gawo lanu lotulutsa ndulu lili pansi pa 40%, ndipo simukumwa mankhwala ena kapena mankhwala a mahomoni omwe akuchedwetsa kuyenda kwa ndulu yanu, adzakudziwitsani kuti muli ndi vuto la biliary dyskinesia.

Taganizirani izi ngati "kuyesa kulimbitsa thupi" kwa ndulu. Zimayesa momwe ndulu ikuchitira bwino ntchito yake.

Kawirikawiri, dokotala angachite mayeso enieni omwe amayesa momwe sphincter ya Oddi, minofu yomwe ili pakati pa ndulu ndi matumbo, imatsegukira poyankha zizindikiro kuchokera m'thupi. Mayesowa angachitike m'malo apadera okha. Dokotala adzakugonetsani ndi kuyika endoscope yapadera kudzera pakamwa panu, mofanana ndi upper endoscopy kapena EGD. Kenako, endoscope imaperekedwa ku gawo loyamba la matumbo anu ang'onoang'ono ndikuyesa kumasuka kwa sphincter yanu ya Oddi.

Kawirikawiri, madokotala amatha kuzindikira vuto la kulephera kugwira ntchito kwa sphincter ya Oddi pokhapokha atachotsa zina zonse zomwe zimayambitsa matenda oyenda m'mimba mwa biliary. Nthawi zina, matendawa amapezeka pamene zizindikiro za wodwalayo sizikusintha ngakhale ndulu itachotsedwa.

(Biliary Dyskinesia) Kodi idzakhala bwino yokha?

Palibe umboni wosonyeza kuti biliary dyskinesia imangochira yokha. Nthawi zambiri, biliary dyskinesia imapezeka mutakhala ndi zizindikiro kwa miyezi itatu kapena kuposerapo. Pa nthawi imeneyo, palibe amene amafuna kungoyembekezera kuti ichoke. Ngati ichokekha, sichingakhale vuto la magwiridwe antchito, koma mtundu wina wa vuto la kuyenda lomwe limayamba chifukwa cha zinthu zakanthawi kochepa.

Kodi dyskinesia ya biliary imachiritsidwa bwanji?

Chithandizo chokhacho chopambana cha dyskinesia ya biliary ndi cholecystectomy . Izi nthawi zambiri zimachitika ngati njira yochepetsera kufalikira kwa khansa (opaleshoni ya laparoscopic). Izi zikutanthauza kuti opaleshoniyi imachitika kudzera m'mabala ang'onoang'ono. Mutha kupita kunyumba tsiku lomwelo. Opaleshoni ya laparoscopic imachira mwachangu, imasiya zipsera zochepa, ndipo siipweteka kwambiri. Mutha kukhala bwino popanda ndulu. Kenako chiwindi chanu chimapopera ndulu mwachindunji m'matumbo ang'onoang'ono.

Komabe, ngati dokotala atsimikiza kuti minofu ya sphincter ndiyo imayambitsa vuto la kuyenda, minofuyo imatha kukulitsidwa kapena kutsegulidwa pogwiritsa ntchito njira ya endoscopic. Izi nthawi zambiri zimachitika ngati zizindikiro zikupitirira pambuyo poti ndulu yachotsedwa. Ndipotu, zimakhala zovuta kuzindikira vuto la sphincter, ndipo nthawi zambiri vuto la kuyenda limakhala pa minofuyo yokha. Nthawi zambiri, nduluyo imakhudzidwanso.

Kodi chingachitike ndi chiyani pambuyo pa opaleshoni yochotsa ndulu (cholecystectomy)?

Zimatenga milungu ingapo kuti kugaya chakudya kwanu kuzolowere kusakhalapo kwa ndulu yanu. Panthawiyi, mungakhale ndi vuto logaya mafuta. Madokotala ambiri amalimbikitsa kusintha zakudya zanu kwakanthawi kuti mupewe kusagaya bwino chakudya. Pewani zakudya zokazinga ndi zamafuta poyamba. Komanso, yang'anani kwambiri zakudya zokhala ndi ulusi wambiri. Pang'onopang'ono onjezerani tirigu wonse, ndiwo zamasamba, ndi nyemba muzakudya zanu. Izi zithandiza kupewa kutupa ndi mpweya.

Kodi vuto la Biliary Dyskinesia limakhala bwanji pambuyo pochiza matenda a chiwindi?

Kwa iwo omwe akukwaniritsa zofunikira zonse zodziwira matenda, cholecystectomy ndi yothandiza 90% pochiza dyskinesia ya biliary. Komabe, si aliyense amene akukwaniritsa zofunikira zonsezi. Anthu otere ayenera kuyesedwanso asanachite opaleshoni, chifukwa akhoza kukhala ndi vuto lina loyambitsa matendawa. Ngati matendawa sakudziwika, kuchotsa ndulu sikungathandize kuti zizindikiro zake ziwonjezeke.

Kupweteka kwa ndulu kumakhala ndi zizindikiro zinazake. Ngati mungathe kuzindikira vuto (Biliary Colic), inu ndi dokotala wanu mungayambe mwaganiza kuti muli ndi miyala ya ndulu. Sizolakwika. Koma bwanji ngati miyala ya ndulu siikupezeka kuti ikuyambitsa zizindikiro zanu? Ndiye kuti mwina muli ndi vuto la ndulu (Biliary Dyskinesia). Kuzindikira Biliary Dyskinesia ndi njira. Koma ngati matendawo ndi olondola, chithandizo chingakhale chopambana.

Kumbukirani chinthu chofunika kwambiri (Uthenga Wopita Nawo Kunyumba)

Ngati mukumvanso kupweteka kosalekeza kumtunda kwa mimba yanu mukatha kudya, makamaka mukatha kudya zakudya zonenepa, komanso zizindikiro monga nseru ndi kusanza, musamangoganizira kuti ndi gastritis. Ikhoza kukhala miyala ya ndulu, kapena ikhoza kukhala vuto lofanana ndi lomwe takambirana lero (Biliary Dyskinesia).

Kumbukirani, si ululu wonse wa m'mimba womwe umakhala wofanana. Yang'anirani bwino zizindikiro zanu. Ndikofunikira kupita kwa dokotala kuti mudziwe chomwe chimayambitsa vutoli. Mukapeza matenda oyenera komanso chithandizo choyenera, mutha kuchotsa vutoli. Musachite mantha, tsatirani malangizo a dokotala wanu.

Kuchepetsa kudya zakudya zamafuta ndi mafuta komanso kukhala ndi thupi labwino kungakuthandizeni kudziteteza ku matenda amenewa. Koposa zonse, mverani thupi lanu.

'Chikhodzodzo cha ndulu, Kusayenda bwino kwa ndulu, Nthenda ya ndulu, Kupweteka m'mimba, Kuchotsedwa kwa cholecyst, Kujambula kwa HIDA, Kugaya chakudya