Ngaba nawe ukhe uzive iintlungu kwicala lasekunene lesisu sakho emva kokutya? Isenokuba yi (Biliary Dyskinesia) !

Ngaba ngamanye amaxesha uziva intlungu ebukhali kwicala eliphezulu lasekunene lesisu sakho emva kokutya, ingakumbi ukutya okunamafutha? Ngaba uziva unesicaphucaphu okanye ufuna ukuhlanza? Abantu abaninzi bacinga ukuba oku kungenxa yamatye enyongo. Kodwa oko akusoloko kunjalo. Namhlanje siza kuthetha ngenye ingxaki yenyongo ebangela iimpawu ezifanayo, kodwa engabangelwanga ngamatye. Leyo yimeko ebizwa ngokuba yiBiliary Dyskinesia .

Yintoni iBiliary Dyskinesia? Masiyiqonde ngokulula!

Kulungile, masiqale sijonge ukuba yintoni iBiliary Dyskinesia. Ngamafutshane, yingxaki kwindlela esebenza ngayo inyongo yakho. Ngamanye amaxesha, inokuchaphazela nokusebenza kwe-sphincter, umsipha omncinci olawula ukuhamba kwenyongo ukuya emathunjini. Okwenzekayo apha kukuba inyongo ayisebenzi kakuhle. Oko kukuthi, akufani nokuba kukho ilitye lenyongo elibambeke kwinyongo, kodwa yingxaki kwindlela esebenza ngayo inyongo.

Ubusazi na ukuba umsebenzi ophambili wenyongo yethu kukugcina inyongo, eyenziwa sisibindi, size siyithumele emathunjini amancinci ukuze incede ekugayeni ukutya xa sisitya? Xa sisitya, iihomoni ezivela emathunjini amancinci zithumela umqondiso kwinyongo, zisithi, "Kulungile, thumela inyongo ngoku." Emva koko inyongo iyafinyela, oko kuthetha ukuba iyancipha, ize ithumele inyongo ngemibhobho yenyongo iye emathunjini amancinci.

Kwi-biliary dyskinesia, kukho ingxaki kwenye indawo kule nkqubo. Isenokuba yingxaki ngesignali yehomoni, okanye ingaba yingxaki ngemithambo-luvo efumana isignali, okanye ingaba bubuthathaka kwimisipha ekufanele ukuba isebenze kwisignali. Oogqirha abanakutsho ngoko nangoko ukuba yintoni ebangela oku, kodwa bayaqonda ukuba inyongo ayikhuphi inyongo eyaneleyo.

Kwenzeka ntoni emzimbeni ngenxa ye-Biliary Dyskinesia?

Ngoku, kwenzeka ntoni xa inyongo ingakwazi ukukhupha inyongo yayo ngokufanelekileyo? Loo nyongo iqokelelana ngaphakathi kwinyongo, nto leyo ebangela ukuba ivuvuke kwaye idumbe. Oku kufana noko kwenzekayo xa ilitye lenyongo libhajwa kwinyongo. Oku kuvuvuka kunye nokuqokelelana kwenyongo kunokukhokelela kwiintsholongwane, ukudumba kwenyongo (cholecystitis), kunye nentlungu.

Ngamanye amaxesha usenokuba neentlungu kwicala eliphezulu lasekunene lesisu sakho. Ziyafika ziphele. Le ntlungu idla ngokuhamba nesicaphucaphu, ingakumbi xa inyongo ifinyela emva kokutya. Oku kubizwa ngokuba yi -biliary colic . Ukongeza, amathumbu asenokungafumani nyongo yaneleyo, nto leyo enokubangela ukudumba, isicaphucaphu, ukuhlanza, kunye nobunzima bokugaya ukutya, ingakumbi xa usitya ukutya okunamafutha.

Kudala kukholelwa ukuba iintlungu zenyongo zihlala zibangelwa ngamatye enyongo (i-cholelithiasis). Kodwa oogqirha ngoku bayaqonda ukuba oku akusoloko kunjalo. Enyanisweni, imeko ebizwa ngokuba yi-biliary dyskinesia ngoku ibonwa njengeyona nto iphambili yesifo senyongo. Ichaphazela abantwana abadala kunye nabantu abadala .

Ngubani onokuba nethuba elikhulu lokufumana i-Biliary Dyskinesia?

Ingxaki ye-functional gallbladder ibingumxholo oshushu oxoxwa ngawo kutshanje, ingakumbi kumazwe afana ne-United States. Akukacaci nokuba le meko iyanda okanye isandul' ukuqatshelwa. Akukacaci nokuba ngubani onokuba nayo. Nangona kunjalo, kucingelwa ukuba abantu abatyebe kakhulu kunye nesifo seswekile banokuba semngciphekweni omkhulu.

Njengoko nisazi, ukutyeba kakhulu kunemiphumo eyahlukeneyo kwindlela umzimba wethu osebenza ngayo. Kunokubangela ukuba amafutha aqokeleleke kwizitho zethu zomzimba, kwaye kunokubangela ukudumba okungapheliyo. Zombini ezi zinto zichaphazela ukuhamba kwenyongo. Xa inyongo kwinyongo ihleli kwindawo enye, inokuba nkulu kwaye ibe ludaka. Yiyo le nto ibangela amatye enyongo. Ukutyeba kakhulu yeyona nto ibangela amatye enyongo. Nangona kunjalo, amatye enyongo anokuvela emva kwemeko ebizwa ngokuba yiBiliary Dyskinesia.

Ivakalelwa njani le ngxaki ye-gallbladder?

Uninzi lwabantu luva iintlungu zenyongo kanye apho inyongo ikhoyo khona - kwicala eliphezulu lasekunene lesisu, ngaphantsi nje kwembambo yasekunene. Kodwa abanye abantu baziva ziphakathi kwesisu, abanye egxalabeni lasekunene okanye emqolo. Zivela ngamaxesha athile, kwaye azihlali zihleli. Kodwa xa zifika, zinokuhlala iiyure ezininzi. Iintlungu ziyanda kancinci kancinci kwimizuzu engama-20 yokuqala, emva koko ziyancipha kancinci kancinci.

Ezi ntlungu ziyafika zidlule, hayi ngamaxesha onke. Zihlala zisenzeka emva kokutya, ingakumbi emva kokutya isidlo esinzima nesinamafutha. Kulapho inyongo ifinyela khona kwaye kufuneka ikhuphe inyongo emathunjini. Intlungu idla ngokuba nkulu, yanele ukuphazamisa imisebenzi yakho yemihla ngemihla, ikuvuse ebusuku, okanye ifune ukuya kwigumbi likaxakeka. Ukucaphuka nokuhlanza nazo ziqhelekile.

Ziziphi iimpawu zeBiliary Dyskinesia?

Umntu one-Biliary Dyskinesia unokufumana ezi mpawu zilandelayo:

• Intlungu kwinxalenye ephezulu ngasekunene yesisu.
• Intlungu eyenzeka ngamanye amaxesha, ifikelela kwinqanaba eliphezulu ize inciphe.
• Ukuzalisa isisu, ukudumba.
• Isicaphucaphu nokuhlanza.
• Ukunciphisa umzimba ngengozi.

Abanye abantu baxela nezinye iimpawu:

• Intloko ebuhlungu.
• Ukudinwa okungapheliyo, ukudinwa.
• Ukubuyela kwe-asidi okungapheliyo.
• Ukungagayi kakuhle kokutya okusebenzayo kunye/okanye (IBS - Irritable Bowel Syndrome).
• Ixhala kunye/okanye ukudakumba.

Zithini izizathu zeBiliary Dyskinesia?

Enyanisweni, oogqirha abakayazi kakuhle into ebangela ezi ngxaki zokunyakaza. Ngamanye amaxesha, imithambo-luvo ethile, efana ne-vagus nerve, inokuba negalelo. Kodwa kwiimeko ezininzi, kunzima ukukhomba ngqo apho ingxaki ikhoyo. Ngamanye amaxesha, ukuphazamiseka kwe-metabolic okanye ukuphazamiseka kokuhamba kwamathumbu kunokuchaphazela intshukumo yemisipha yokuvala i-gallbladder okanye i-bile duct, i-biliary sphincter.

Ifunyanwa njani i-Biliary Dyskinesia?

I-Biliary dyskinesia ifunyanwa ngamanyathelo aliqela. Oogqirha kufuneka baqinisekise oku kulandelayo:

1. Ngaba iimpawu zakho zibonisa intlungu yenyongo okanye ezinye iintlungu zesisu?

2. Awunaso esinye isifo senyongo, esifana namatye enyongo.

3. Inyongo yakho ayivelisi nyongo yaneleyo.

4. Iimpawu zakho zenzeka xa inyongo ifinyela.

5. Amayeza owasebenzisayo okanye ezinye izinto azichaphazeli intshukumo yenyongo.

Ukuhlolwa kweempawu

Okokuqala, ugqirha uza kukubuza ngeempawu zakho aze abone ukuba unazo na iimpawu ezithile ezinxulumene ne-biliary colic. Baza kuqwalasela ezi ndlela zilandelayo:

• Intlungu yenzeka kwisisu esingaphezulu, ngokuqhelekileyo kwicala lasekunene.
• Intlungu iphinda ivele ngamanye amaxesha kwaye ihlala ubuncinane imizuzu engama-30.
• Intlungu iyanda kancinci kancinci, ifikelele kwinqanaba eliphakathi okanye eliqatha, ize ihlale izinzile.
• Intlungu engapheliswayo kukuhlanza, ukukhupha indle, ukutshintsha indawo, okanye ukuthatha amayeza alwa ne-asidi.
• Ezi meko zentlungu bezisoloko zisenzeka ubuncinane iinyanga ezintathu.

Ukungabandakanywa kwezinye iimeko zonyango

Emva kokuqinisekisa ukuba iimpawu zakho ziyahambelana nezi mpawu, ugqirha wakho uya kuzama ukuthintela ezinye izizathu eziqhelekileyo zentlungu yenyongo. Oku kungabandakanya:

• Uvavanyo lwegazi: Kujongwa amanqanaba e-enzyme ye-pancreatic kunye ne-enzyme yesibindi. Ukuba amanqanaba e-enzyme aphezulu, oko kungaba luphawu lwengxaki ngala malungu okanye ukwakheka kwe-bile (ingakumbi i-bilirubin ephezulu).
• I-ultrasound yesisu: Le ihlola i-gallbladder kunye ne-bile ducts. Ikhangela izizathu zesakhiwo ezifana namatye e-gallbladder, ukuqina kodonga lwe-gallbladder, okanye ukwandiswa kwe-bile ducts.

Ukujonga ukusebenza kwenyongo

Ukuba uvavanyo lwakho lwegazi kunye ne-ultrasound scan ziqhelekile, inyathelo elilandelayo kukujonga ukusebenza kwenyongo yakho. Oogqirha benza oku ngovavanyo olukhethekileyo lokujonga amayeza enyukliya olubizwa ngokuba yi-HIDA scan . Kolu vavanyo, ingcali ifaka i-isotope ye-radioactive (i-tracer) emthanjeni wakho. Njengoko i-tracer ihamba kwinyongo yakho, i-computer scanner iyayifunda ize yenze imifanekiso kwiscreen.

Ukujonga ukusebenza kwenyongo, oogqirha bongeza elinye inyathelo kolu vavanyo. Lubizwa ngokuba yi-cholecystokinin check . I-Cholecystokinin yi-hormone exelela inyongo ukuba inciphe kwaye ikhuphe inyongo kwimibhobho yenyongo. Ingcali ifaka i-cholecystokinin emthanjeni wakho ize ithathe olunye uthotho lwemifanekiso njengoko inyongo incipha. Bayayijonga baze bathathe imilinganiselo.

Ugqirha wakho uza kukubuza ukuba uyayiva na intlungu kwinyongo yakho oyikhankanyileyo ngaphambili xa inyongo yakho iqhawuka. Baza kulinganisa ne- "ejection fraction" yenyongo yakho. Le yindlela ekhutshwa ngayo inyongo xa inyongo yakho iqhawuka. Ukuba i-ejection fraction yakho ingaphantsi kwama-40%, kwaye awusebenzisi amanye amayeza okanye unyango lweehomoni olucothisa intshukumo yenyongo yakho, baza kukufumanisa ukuba une-biliary dyskinesia.

Cinga ngayo njengovavanyo "lokujima" lwenyongo. Ilinganisa indlela inyongo ewenza ngayo umsebenzi wayo ngempumelelo.

Kunqabile kakhulu, ugqirha angenza uvavanyo oluthile olulinganisa indlela i-sphincter ye-Oddi, umsipha ophakathi kwe-bile duct kunye namathumbu, evuleka ngayo xa kuphendulwa imiqondiso evela emzimbeni. Olu vavanyo lunokwenziwa kuphela kwiindawo ezikhethekileyo. Ugqirha uza kukwenza uzive ulambile aze afake i-endoscope ekhethekileyo ngomlomo wakho, efana ne-endoscopy ephezulu okanye i-EGD. Emva koko, i-endoscope idluliselwa kwinxalenye yokuqala yamathumbu akho amancinci kwaye ilinganise ukuphumla kwe-sphincter ye-Oddi yakho.

Amaxesha amaninzi, oogqirha banokuxilonga ukungasebenzi kakuhle kwe-Oddi kwi-sphincter kuphela emva kokuba bengazifumani zonke ezinye izizathu zeengxaki zokunyakaza kwenyongo. Ngamanye amaxesha, olu xilongo lwenziwa xa iimpawu zesigulana zingaphucuki nasemva kokuba inyongo isusiwe.

(I-Biliary Dyskinesia) Ngaba iya kuba ngcono ngokwayo?

Akukho bungqina bokuba i-biliary dyskinesia iza kuphucuka ngokwayo. Ngokwesiqhelo, i-biliary dyskinesia ifunyaniswa emva kokuba uneempawu ubuncinane iinyanga ezintathu. Ngelo xesha, akukho mntu ufuna ukulinda nje ukuba iphucuke. Ukuba iyaphucuka ngokwayo, isenokungabi yingxaki yokusebenza, kodwa luhlobo olwahlukileyo lokuphazamiseka kokuhamba okubangelwa zizinto zexeshana.

Iphathwa njani i-Biliary Dyskinesia?

Unyango olulodwa oluphumelelayo lwe-biliary dyskinesia yi -cholecystectomy . Oku kudla ngokwenziwa njengenkqubo engaphantsi kakhulu (utyando lwe-laparoscopic). Oku kuthetha ukuba utyando lwenziwa ngokusikwa okuncinci okumbalwa. Ungaya ekhaya ngaloo mini. Utyando lwe-laparoscopic luphola ngokukhawuleza, lushiya amanxeba amancinci, kwaye alunabuhlungu kakhulu. Ungaphila kakuhle ngaphandle kwenyongo. Isibindi sakho emva koko sipompa inyongo ngqo emathunjini amancinci.

Nangona kunjalo, ukuba ugqirha ufumanisa ukuba umsipha we-sphincter ngunobangela wokuphazamiseka kokunyakaza, umsipha ungandiswa okanye uvulwe kusetyenziswa inkqubo ye-endoscopic. Oku kudla ngokwenziwa ukuba iimpawu ziyaqhubeka emva kokuba i-gallbladder isusiwe. Enyanisweni, kunzima ukufumanisa ukungasebenzi kakuhle kwe-sphincter, kwaye kunqabile kakhulu ukuba ukuphazamiseka kokunyakaza kuthintelwe kuloo msipha. Rhoqo, i-gallbladder nayo iyachaphazeleka.

Yintoni enokwenzeka emva kotyando lokususa inyongo (i-cholecystectomy)?

Kuza kuthatha iiveki ezimbalwa ukuba inkqubo yakho yokugaya ukutya iqhele ukungabikho kwenyongo yakho. Ngeli xesha, unokuba nobunzima bokugaya amafutha. Oogqirha abaninzi bacebisa ukutshintsha ukutya kwakho okwethutyana ukuze uphephe ukugaywa kokutya. Kuphephe ukutya okuqhotsiweyo nokunamafutha ekuqaleni. Kwakhona, gxila ekutyeni okunefayibha eninzi. Yongeza kancinci kancinci iinkozo ezipheleleyo, imifuno, kunye neembotyi ekutyeni kwakho. Oku kuya kunceda ukuthintela ukudumba kunye negesi.

Injani imeko emva konyango lweBiliary Dyskinesia?

Kwabo bahlangabezana nazo zonke iimfuneko zokuxilonga, i-cholecystectomy isebenza kakuhle nge-90% ekunyangeni i-biliary dyskinesia. Nangona kunjalo, ayinguye wonke umntu ohlangabezana nazo zonke ezi mfuno. Abantu abanjalo kufuneka bavavanywe ngakumbi ngaphambi kokuba benze utyando, njengoko banokuba nenye imeko efihlakeleyo. Ukuba ukuxilongwa akuqinisekanga, ukususa i-gallbladder akuyi kuziphucula iimpawu.

Iintlungu zenyongo zineempawu ezithile. Ukuba unokuchonga imeko (i-Biliary Colic), wena nogqirha wakho nisenokuqala nikrokre ukuba kukho amatye enyongo. Oko akuphosakelanga. Kodwa kuthekani ukuba amatye enyongo akafumaneki ebangela iimpawu zakho? Emva koko usenokuba nengxaki yokusebenza kwenyongo (i-Biliary Dyskinesia). Ukuchonga i-Biliary Dyskinesia yinkqubo. Kodwa ukuba ukuxilongwa ngokuchanekileyo, unyango lunokuba yimpumelelo.

Khumbula eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Ukuba ufumana iintlungu ezingapheliyo kwicala eliphezulu lasekunene lesisu sakho emva kokutya, ingakumbi emva kokutya ukutya okunamafutha, kunye neempawu ezifana nokucaphuka nokuhlanza, musa ukuyithatha njengento nje yokugabha. Isenokuba yi-gallstones, okanye isenokuba yimeko efana nale sithethe ngayo namhlanje (Biliary Dyskinesia).

Khumbula, ayizizo zonke iintlungu zesisu ezifanayo. Nika ingqalelo kwiimpawu zakho. Kubalulekile ukubona ugqirha ukuze ufumane unobangela ochanekileyo. Ngokuchongwa ngokuchanekileyo kunye nonyango olufanelekileyo, unokuphelisa oku kungakhululeki. Musa ukoyika, landela icebiso likagqirha wakho.

Ukunciphisa ukutya okunamafutha namafutha kunye nokugcina ubunzima obusempilweni kunokunceda ekukhuselekeni kwezi meko. Ngaphezu kwako konke, mamela umzimba wakho.

"Inyongo, I-Biliary Dyskinesia, Inyongo, Intlungu yesisu, I-Cholecystectomy, I-HIDA scan, Ukugaya ukutya