Kodi mukumvabe kupweteka m'mimba mukachotsa ndulu? Izi zitha kukhala chifukwa cha Sphincter of Oddi Dysfunction!

Mwina mwakhala mukuvutika ndi ululu wa m'mimba kwa nthawi yayitali chifukwa cha miyala ya m'mimba. Pamene munachitidwa opaleshoni yochotsa ndulu yanu, mwina munaganiza kuti mwamasuka ku ululuwu. Koma bwanji ngati mukadali ndi ululu womwewo wa m'mimba mutachita opaleshoni? N'zosasangalatsa kwenikweni. Anthu ambiri amakumana ndi vuto lamtunduwu. Lero tikambirana za vuto lomwe lingayambitse ululu wachilendo wa m'mimba ngakhale ndulu itachotsedwa. Umenewo ndi Sphincter wa Oddi Dysfunction .

Mwachidule, kodi Sphincter wa Oddi Dysfunction ndi chiyani?

Kuti timvetse izi, choyamba tiyeni tiwone momwe kugaya chakudya kumagwirira ntchito. N'kosavuta kwambiri. Tikamadya chakudya, matupi athu amapanga madzi awiri apadera omwe amathandiza kuchigaya.

1. Ndulu: Izi zimapangidwa ndi chiwindi. Zimasungidwa mu ndulu. Zimathandiza kugaya mafuta.

2. Madzi a Pancreatic: Izi zimapangidwa ndi kapamba. Ma enzyme omwe ali mmenemo amathandiza kugaya mapuloteni ndi chakudya.

Madzi onsewa amapita kumatumbo athu ang'onoang'ono, komwe amasakanikirana ndi chakudya kuti amalize kugaya chakudya.

Tsopano nayi mfundo yofunika. Pamene madzi awiriwa amalowa m'matumbo ang'onoang'ono, pali chidutswa cha nyama chomwe chili ngati chipata . Chili ngati valavu. Ichi ndi chomwe timachitcha kuti Sphincter of Oddi . Kawirikawiri, mukafuna kugaya chakudya, chipata ichi chimatseguka, madziwo amalowa, kenako chimatsekanso.

Kulephera kugwira ntchito kwa Sphincter of Oddi ndi pamene chipata ichi sichikugwira ntchito bwino. Ndiko kuti, chidutswa cha nyama ichi sichimatseguka nthawi yoyenera ndipo chimakhala cholimba. Kenako ndulu yochokera ku chiwindi ndi madzi ochokera ku kapamba sizingadutse kupita kumatumbo ang'onoang'ono ndipo zimamatirira. Zimakhala ngati kuchuluka kwa magalimoto. Madziwo akamatirira motere, kuthamanga kwa magazi m'misewu komwe madziwo amachokera kumawonjezeka, zomwe zimapangitsa kupweteka kwambiri m'mimba.

Vutoli nthawi zambiri limapezeka mwa anthu omwe adachitidwa opaleshoni yochotsa ndulu yawo. Chifukwa chake, nthawi zina limatchedwa post-cholecystectomy syndrome .

Kodi mitundu ikuluikulu ya vutoli ndi iti?

Kulephera kwa Sphincter of Oddi kungakhudzeni m'njira ziwiri zazikulu.

• Kusokonezeka kwa ndulu: Iyi ndi vuto lomwe njira zotulutsira ndulu zimatsekeka. Vuto ndi momwe ndulu imayendera.
• Pancreatitis: Apa ndi pamene madzi a kapamba amatsekeka, zomwe zimapangitsa kuti kapamba adzipe ndikutupa.

Kuphatikiza apo, madokotala amagawa matendawa m'magulu atatu (Magulu I, II, ndi III). Izi ndizofunikira kwambiri chifukwa chithandizo chimatsimikiziridwa kutengera gululi.

Kodi zizindikiro zazikulu za matendawa ndi ziti?

Chizindikiro chachikulu komanso chofala kwambiri ndi kupweteka kwambiri m'mimba, komwe kumafanana ndi kupweteka komwe kumachitika ndi miyala ya ndulu.

• Ululu umayamba kumtunda kumanja kwa mimba.
• Nthawi zina ululu uwu umapitanso ku phewa lamanja kapena kumbuyo .
• Ululu si wokhazikika. Umatha wokha patatha mphindi 30 kapena ola limodzi. Kenako umatha kubwereranso pakatha tsiku limodzi kapena sabata imodzi.
• Masiku ena ululu umakhala wochepa, pomwe masiku ena umakhala wosapiririka.

Kuwonjezera pa ululu waukulu uwu, zizindikiro zotsatirazi zingachitikenso:

• Kusanza ndi kusanza
• Malungo ndi kuzizira
• Kutsegula m'mimba

Ndani ali pachiwopsezo chachikulu cha matendawa?

Choyambitsa chenicheni cha izi sichinapezekebe, koma zinthu zina zimawonjezera chiopsezo cha vutoli.

Kodi matendawa amapezeka bwanji?

Ngati dokotala wanu akukayikira izi atamva za zizindikiro zanu, chinthu choyamba chomwe angachite ndikuwonetsetsa kuti palibe chifukwa china chachikulu chomwe chimayambitsa kupweteka kwa m'mimba mwanu. Izi zili choncho chifukwa matenda ena monga zilonda zam'mimba (zilonda zam'mimba), miyala ya m'ndulu, ndi khansa ya kapamba kapena bile duct zingayambitsenso zizindikiro zofanana. Nthawi zina, kupweteka kwa matenda a mtima (angina) kumathanso kumveka ngati kupweteka m'mimba.

Pambuyo potsimikizira kuti zinthuzi sizilipo, mayeso otsatirawa angachitike kuti aone ngati Sphincter of Oddi Dysfunction ili ndi vuto:

• Mayeso a magazi:Yang'anani kuchuluka kwa ma enzyme a chiwindi ndi pancreatic.
• Ma Scan: Ma scan monga abdominal ultrasound, CT scan, ndi MRCP amagwiritsidwa ntchito pofufuza ngati ndulu kapena pancreatic duct yatupa/yatambasuka.
• Endoscopy: Chubu chokhala ndi kamera chimayikidwa kudzera pakamwa kuti chione m'mimba ndi matumbo ang'onoang'ono.

Mayeso a ERCP

Nthawi zina, makamaka ngati mukukayikira mtundu woyamba kapena wachiwiri, mayeso apadera otchedwa ERCP (Endoscopic Retrograde Cholangiopancreatography) amachitidwa. Mu izi, chubu cha kamera chimayikidwa, chofanana ndi endoscope, mu sphincter ya Oddi, ndipo chubu chaching'ono chimayikidwa kuti chiyese kuthamanga kwa minofuyo (manometry). Izi zimatha kudziwa ngati ikutseguka kapena kutseka bwino.

Kodi chimachiritsidwa bwanji?

Njira zochiritsira zimadalira mtundu (gulu) wa Sphincter of Oddi Dysfunction yomwe muli nayo.

• Pa Gulu Lachitatu: Izi n'zovuta kuzizindikira, kotero opaleshoni nthawi zambiri siilimbikitsidwa. Dokotala adzakupatsani mankhwala ochepetsa ululu ndi mankhwala ochepetsa kupweteka kuti achepetse ululu.
• Kwa Gulu I ndi II: Ngati ululu uli woopsa komanso wovuta kuuthetsa ndi mankhwala, dokotala wanu angakupatseni chithandizo chotchedwa sphincterotomy pamodzi ndi ERCP .

Kodi Sphincterotomy iyi ndi chiyani?

Izi zimaphatikizapo kudula chidutswa chaching'ono cha minofu chotchedwa Sphincter of Oddi ndi chida chaching'ono chomwe chimadutsa mu chubu cha kamera panthawi yoyezetsa ERCP. Kenako, kutsegula kolimba kumatsegulidwa kosatha. Kenako, madzi otuluka m'mimba amalowa m'matumbo ang'onoang'ono popanda choletsa chilichonse. Izi zimachotsa ululu wonse.

Koma iyi ndi njira yochizira yomwe ili ndi chiopsezo china. Palinso chiopsezo cha kapamba. Chifukwa chake, njira yochizira iyi imagwiritsidwa ntchito pamene njira zina sizinaphule kanthu.