Unonzwawo kurwadziwa mudumbu rako rekurudyi mushure mekudya here? Zvingave (Biliary Dyskinesia)!

Dzimwe nguva unonzwa kurwadziwa kwakanyanya mudumbu rako rekumusoro kurudyi mushure mekudya, kunyanya chikafu chine mafuta akawanda here? Unonzwa kuda kurutsa here kana kuti kuda kurutsa? Vanhu vazhinji vanofunga kuti izvi zvinokonzerwa nematombo emunduru. Asi handizvo zvinoitika nguva dzose. Nhasi tichataura nezverimwe dambudziko remunduru rinokonzera zviratidzo zvakafanana, asi risingakonzerwi nematombo. Iro chirwere chinonzi Biliary Dyskinesia .

Chii chinonzi Biliary Dyskinesia? Ngatizvinzwisise zviri nyore!

Zvakanaka, ngatitangei tatarisa kuti Biliary Dyskinesia chii. Zvichitaurwa zviri nyore, idambudziko nemashandiro anoita gallbladder yako. Dzimwe nguva, zvinogonawo kukanganisa mashandiro e sphincter, tsandanyama diki inodzora kuyerera kwe bile muura. Chinoitika pano ndechekuti gallbladder haishande nemazvo. Kureva kuti, hazvina kuita sekuti pane dombo renduru rakanamira mugallbladder, asi dambudziko nemashandiro anoita gallbladder.

Waizviziva here kuti basa guru renduru yedu nderekuchengetedza nduru, iyo inogadzirwa nechiropa, uye yozoitumira kuura hudiki kuti ibatsire kugaya chikafu patinodya? Patinodya, mahormone anobva muura hudiki anotumira chiratidzo kunduru, achiti, "Zvakanaka, tumira nduru izvozvi." Ipapo nduru inogumira, zvichireva kuti inodzikira, yotumira nduru kuburikidza neducts dzenduru kuenda kuura hudiki.

Muchirwere che biliary dyskinesia, pane dambudziko pane imwe nzvimbo mukuita uku. Rinogona kunge riri dambudziko nechiratidzo chemahormone, kana kuti rinogona kunge riri dambudziko netsinga dzinogamuchira chiratidzo, kana kuti rinogona kunge riri kusasimba mutsandanyama dzinofanirwa kushanda pane chiratidzo. Vanachiremba havagone kutaura pakarepo kuti chii chinokonzera izvi, asi vanonzwisisa kuti gallbladder haisi kuburitsa bile rakakwana.

Chii chinoitika kumuviri nekuda kweBiliary Dyskinesia?

Zvino, chii chinoitika kana nduru ikasakwanisa kubvisa nduru zvakanaka? Dumbu iroro rinoungana mukati menduru, zvichiita kuti rizvimbe uye rizvimbe. Izvi zvakafanana nezvinoitika kana dombo renduru ranamatira munduru. Kuzvimba uku nekuungana kwenduru kunogona kutungamira kuhutachiona, kuzvimba kwenduru (cholecystitis), uye kurwadziwa.

Dzimwe nguva unogona kunzwa kurwadziwa mudumbu rako rekumusoro kurudyi. Kunouya kwozopera. Kurwadziwa uku kunowanzoenderana nekurutsa, kunyanya kana gallbladder yazvimba mushure mekudya. Izvi zvinonzi biliary colic . Pamusoro pezvo, ura hunogona kusava nenyongo yakakwana, izvo zvinogona kukonzera kuzvimba, kuda kurutsa, kurutsa, uye kuoma kugaya chikafu, kunyanya kana uchidya chikafu chine mafuta.

Zvagara zvichitendwa kuti kurwadziwa kwenyongori kunowanzo kukonzerwa nematombo emunduru (cholelithiasis). Asi vanachiremba vava kuona kuti izvi hazvisirizvo nguva dzose. Kutaura zvazviri, chirwere chinonzi biliary dyskinesia chave kuzivikanwa sechikonzero chikuru chechirwere chenyongori. Chinokanganisa vana vakuru nevakuru .

Ndiani ane mukana mukuru wekuwana Biliary Dyskinesia?

Matambudziko emudumbu anowanzo shandiswa ave ari nyaya huru munguva pfupi yapfuura, kunyanya munyika dzakadai seUnited States. Hazvisati zvanyatsojeka kuti chirwere ichi chiri kuwedzera here kana kuti chiri kuzivikanwa pari zvino here. Hazvisati zvanyatsojeka kuti ndiani angangochibata. Zvisinei, zvinofungidzirwa kuti vanhu vane kufuta zvakanyanya uye chirwere cheshuga vanogona kunge vari panjodzi huru.

Sezvamunoziva, kufuta kunokanganisa zvakasiyana-siyana pakugadzirwa kwemuviri wedu. Kunogona kukonzera mafuta kuungana munhengo dzedu, uye kunogonawo kukonzera kuzvimba kwenguva refu. Zvese izvi zvinokanganisa kufamba kwegallbladder. Kana bile riri mugallbladder rikagara panzvimbo imwe, rinogona kuita gobvu uye dema. Izvi ndizvo zvinokonzera matombo emugallbladder. Kufutisa chinhu chikuru chinokonzera matombo emugallbladder. Zvisinei, matombo emugallbladder anogonawo kukura mushure mechirwere chinonzi Biliary Dyskinesia.

Kusashanda zvakanaka kwegallbladder uku kunonzwa sei?

Vanhu vazhinji vanonzwa kurwadziwa kwenyongo panzvimbo chaipo penyongo - kumusoro kurudyi kwedumbu, pasi pembabvu yekurudyi. Asi vamwe vanonzwa kurwadziwa pakati pedumbu, uye vamwe pafudzi rekurudyi kana kumusana. Kunouya nguva nenguva, uye hakugari kwenguva refu. Asi kana kwasvika, kunogona kugara kwemaawa akawanda. Kurwadziwa kunowedzera zvishoma nezvishoma mumaminitsi makumi maviri ekutanga, kwozoderera zvishoma nezvishoma.

Marwadzo aya anouya oenda, kwete nguva dzese. Anowanzoitika mushure mekudya, kunyanya mushure mekudya chikafu chakawanda chine mafuta. Apa ndipo apo gallbladder rinogumira uye rinoda kuburitsa bile muura. Marwadzo anowanzo kuve akakomba, zvekuti anokukanganisa mabasa ako ezuva nezuva, anokumutsa husiku, kana kutoda kuenda kuchipatara. Kusvotwa nekurutsa zvinowanzoitikawo.

Ndezvipi zviratidzo zveBiliary Dyskinesia?

Munhu ane Biliary Dyskinesia anowanzoona zviratidzo zvinotevera:

• Kurwadziwa mudumbu rekumusoro kurudyi.
• Marwadzo anoitika nguva nenguva, anokwira uye obva aderera.
• Kuzadza dumbu, kuzvimba.
• Kusvotwa nekurutsa.
• Kuderedza uremu usingazive.

Vamwe vanhu vanotaurawo zvimwe zviratidzo:

• Musoro.
• Kuneta kwenguva refu, kuneta.
• Kurwara kwenguva refu kweacid reflux.
• Kusagadzikana kwekugaya chikafu uye/kana (IBS - Irritable Bowel Syndrome).
• Kuzvidya mwoyo uye/kana Kuora mwoyo.

Ndezvipi zvikonzero zveBiliary Dyskinesia?

Kutaura zvazviri, vanachiremba havasati vaziva kuti chii chinokonzera matambudziko aya ekufamba. Dzimwe nguva, tsinga dzakati, dzakadai semutsinga wevagus, dzinogona kunge dziripo. Asi kazhinji, zvakaoma kuziva kuti dambudziko riri papi chaizvo. Dzimwe nguva, chirwere chemetabolic chinowanzoitika kana chirwere chekufamba kwemudumbu chinogona kukanganisa kufamba kwetsandanyama inovhara gallbladder kana bile duct, biliary sphincter.

Biliary Dyskinesia inoonekwa sei?

Biliary dyskinesia inoonekwa nematanho akati wandei. Vanachiremba vanofanirwa kusimbisa zvinotevera:

1. Zviratidzo zvako zvinoratidza kurwadziwa kwechiropa here kana mamwe marwadzo emudumbu?

2. Hauna chimwe chirwere chenduru, chakadai sematombo emudumbu.

3. Dumbu rako harisi kugadzira nyongo yakakwana.

4. Zviratidzo zvako zvinoitika kana gallbladder yabata.

5. Mishonga yaunotora kana zvimwe zvinhu hazvikanganisi kufamba kwenyongo.

Kuongorora zviratidzo

Kutanga, chiremba achakubvunza nezvezviratidzo zvako uye achaona kana uine zviratidzo zvakananga zvine chekuita ne biliary colic. Vachafunga nezvezvinhu zvinotevera:

• Kurwadziwa kunoitika mudumbu repamusoro, kazhinji kudivi rekurudyi.
• Marwadzo acho anodzoka dzimwe nguva uye anogara kwemaminitsi makumi matatu.
• Marwadzo anowedzera zvishoma nezvishoma, anosvika padanho riri pakati nepakati kana rakakomba, uye anobva agadzikana.
• Marwadzo asingaderedzi kurutsa, kubvisa tsvina, kuchinja chimiro, kana kutora mishonga inorwisa asidhi.
• Marwadzo aya ave achiitika nguva nenguva kwemwedzi mitatu.

Kusabatanidzwa kwemamwe mamiriro ehutano

Mushure mekusimbisa kuti zviratidzo zvako zvinoenderana nezvinodiwa izvi, chiremba wako achaedza kubvisa zvimwe zvinokonzera kurwadziwa kwenyongo. Izvi zvinogona kusanganisira:

• Kuongororwa kweropa: Ma enzyme epancreatic uye enzyme yechiropa zvinoongororwa. Kana mazinga ema enzyme akakwira, zvinogona kuva chiratidzo chedambudziko nenhengo idzi kana kuunganidzwa kwe bile (kunyanya bilirubin yakakwira).
• Ultrasound yedumbu: Iyi inoongorora nduru nenzimbo dzenyongo. Inotsvaga zvikonzero zvakaita sematombo enyongo, kukora kwemadziro enyongo, kana kukura kwenzimbo dzenyongo.

Kuongorora mashandiro enyongo

Kana bvunzo dzeropa rako uye ultrasound scan yako zviri zvakanaka, danho rinotevera nderekutarisa mashandiro egallbladder yako. Vanachiremba vanoita izvi nekuyedzwa kwekuongorora kwemishonga yenyukireya kunonzi HIDA scan . Mukuyedzwa uku, nyanzvi inobaya isotope yeradioactive (tracer) mutsinga yako. Sezvo tracer ichifamba negallbladder yako, computer scanner inoiverenga uye inogadzira mifananidzo pachiratidziro.

Kuti vaongorore mashandiro egallbladder, vanachiremba vanowedzera rimwe danho pabvunzo iyi. Inonzi cholecystokinin check . Cholecystokinin ihormone inoudza gallbladder kuti ivhare uye ibudise bile mumigero yebile. Nyanzvi inobaya cholecystokinin mutsinga yako uye inotora mimwe mifananidzo yakawanda sezvo gallbladder ichivharira. Vanoitarisa uye vanotora zviyero.

Chiremba wako achakubvunza kana uchinzwa kurwadziwa mugallbladder yako kwawakataura kare kana gallbladder yako yadonha. Vachayerawo "ejection fraction" yegallbladder yako. Uku ndiko kuburitswa kwenyongo yakawanda kana gallbladder yako yadonha. Kana fraction yako yekubuda iri pasi pe40%, uye usiri kutora mimwe mishonga kana mahormone ari kunonotsa kufamba kwegallbladder yako, vachakuongorora kuti une biliary dyskinesia.

Funga nezvazvo se "bvunzo yekusimba kwemuviri" wenduru. Inoyera kuti nduru iri kuita basa rayo nemazvo sei.

Kashoma, chiremba anogona kuita bvunzo chaiyo inoyera kuti sphincter yeOddi, tsandanyama iri panosangana bile duct neura, inovhurika zvakanaka sei zvichienderana nezviratidzo zvinobva mumuviri. Bvunzo iyi inogona kuitwa chete munzvimbo dzakagadzirwa. Chiremba achakunyaradza uye achakuisa endoscope yakakosha kuburikidza nemuromo wako, yakafanana ne upper endoscopy kana EGD. Zvadaro, endoscope inopfuudzwa kuchikamu chekutanga cheura hwako hudiki uye inoyera zororo re sphincter yako yeOddi.

Kazhinji, vanachiremba vanogona kuona kana sphincter isina kushanda zvakanaka yeOddi mushure mekunge vabvisa zvimwe zvikonzero zvese zvezvirwere zvemudumbu. Dzimwe nguva, kuongororwa uku kunoitika kana zviratidzo zvemurwere zvisingavandudzike kunyangwe mushure mekunge gallbladder yabviswa.

(Biliary Dyskinesia) Zvichapora zvega here?

Hapana humbowo hunoratidza kuti biliary dyskinesia inongozvigadzirisa yoga. Kazhinji, biliary dyskinesia inoonekwa mushure mekunge wava nezviratidzo kwemwedzi mitatu. Panguva iyoyo, hapana anoda kungomirira kuti iite zviri nani. Kana ikavandudzika yoga, inogona kunge isiri functional disorder, asi rudzi rwakasiyana rwekufamba kunokonzerwa nezvinhu zvenguva pfupi.

Biliary Dyskinesia inorapwa sei?

Kurapa chete kunobudirira kwe biliary dyskinesia ndeye cholecystectomy . Izvi zvinowanzoitwa senzira isinganyanyi kupindira mumuviri (laparoscopic surgery). Izvi zvinoreva kuti kuvhiyiwa kunoitwa nekucheka kudiki. Unogona kuenda kumba zuva rimwe chete. Kuvhiyiwa kweLaparoscopic kunoporesa nekukurumidza, kunosiya mavanga mashoma, uye hakunyanyi kurwadza. Unogona kurarama zvakanaka usina gallbladder. Chiropa chako chinopomba bile zvakananga muura hudiki.

Zvisinei, kana chiremba akaona kuti tsandanyama ye sphincter ndiyo inokonzera kusagadzikana kwekufamba, tsandanyama inogona kuwedzerwa kana kuvhurwa uchishandisa nzira ye endoscopic. Izvi zvinowanzoitwa kana zviratidzo zvikaramba zviripo mushure mekunge gallbladder yabviswa. Kutaura zvazviri, zvakaoma kuona kusagadzikana kwe sphincter, uye hazviwanzoitiki kuti kusagadzikana kwekufamba kuve chete kune tsandanyama iyoyo. Kazhinji, gallbladder inobatwawo.

Chii chingaitika mushure mekuvhiyiwa kwekubvisa gallbladder (cholecystectomy)?

Zvinotora mavhiki mashoma kuti kugaya kwako kugayiwe kuti kusavapo kwenyongo yako. Munguva iyi, ungave nematambudziko ekugaya mafuta. Vanachiremba vazhinji vanokurudzira kuchinja kudya kwako kwenguva pfupi kuti usagayiwe. Dzivisa chikafu chakakangwa uye chine mafuta pakutanga. Uyewo, tarisa chikafu chine fiber yakawanda. Wedzera zviyo zvese, miriwo, nenyemba zvishoma nezvishoma mukudya kwako. Izvi zvichabatsira kudzivirira kuzvimba uye gasi.

Ko mamiriro ezvinhu akaita sei mushure mekurapwa kweBiliary Dyskinesia?

Kune avo vanozadzisa zvese zvinodiwa kuti vaongororwe chirwere ichi, cholecystectomy inoshanda ne90% mukurapa biliary dyskinesia. Zvisinei, havasi vese vanozadzisa zvese zvinodiwa izvi. Vanhu vakadaro vanofanira kuongororwazve vasati vavhiyiwa, sezvo vangave vaine chimwe chirwere chiripo. Kana chirwere chacho chisina chokwadi, kubvisa nduru hazvizogadzirise zviratidzo.

Kurwadziwa kwenyongo kune zviratidzo chaizvo. Kana ukakwanisa kuziva chirwere chacho (Biliary Colic), iwe nachiremba wako munogona kutanga mafungidzira kuti mune matombo enyongo. Hazvina kuipa. Asi ko kana matombo enyongo asingawanikwe achikonzera zviratidzo zvako? Saka unogona kunge uine chirwere chenyongo (Biliary Dyskinesia). Kuongorora Biliary Dyskinesia inzira. Asi kana kuongororwa kwacho kuri kwechokwadi, kurapwa kunobudirira.

Yeuka chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Kana uchinzwawo kurwadziwa kusingaperi mudumbu mushure mekudya, kunyanya mushure mekudya chikafu chine mafuta, pamwe chete nezviratidzo zvakaita sekusvotwa nekurutsa, usazvitore sechirwere chegastritis. Chinogona kunge chiri matombo emudumbu, kana kuti chingave chirwere chakafanana nechatataura nezvacho nhasi (Biliary Dyskinesia).

Yeuka kuti, marwadzo ese emudumbu akafanana. Nyatsoteerera zviratidzo zvako. Zvakakosha kuona chiremba kuti uwane chikonzero chaicho. Kana ukaongororwa zvakanaka uye ukarapwa zvakanaka, unogona kubvisa kusagadzikana uku. Usavhunduke, tevera zano rachiremba wako.

Kuderedza kudya kwako chikafu chine mafuta nemafuta uye kuchengetedza huremu hwakanaka kunogona kubatsira pakudzivirira kubva kuzvirwere izvi. Kupfuura zvose, teerera muviri wako.

'Dundira, Kusashanda zvakanaka kweBiliary, Dundira, Marwadzo emudumbu, Cholecystectomy, HIDA scan, Kugaya