Kusenokwenzeka ukuba ubunentlungu yesisu ixesha elide ngenxa yamatye enyongo. Xa ekugqibeleni wenza utyando lokususa inyongo yakho, mhlawumbi ubucinga ukuba ukhululekile ngokupheleleyo kule ntlungu. Kodwa kuthekani ukuba usenentlungu efanayo yesisu emva kotyando? Kuyacaphukisa kakhulu. Abantu abaninzi bajongana namava alolu hlobo. Ngoko ke namhlanje siza kuthetha ngemeko enokubangela le ntlungu yesisu ingaqhelekanga nasemva kokuba inyongo isusiwe. Loo nto yiSphincter of Oddi Dysfunction .
Ngamafutshane, yintoni iSphincter of Oddi Dysfunction?
Ukuze sikuqonde oku, masiqale sijonge inkqubo yokwetyisa kwethu. Kulula kakhulu. Xa sisitya ukutya, imizimba yethu ivelisa iijusi ezimbini ezikhethekileyo ezinceda ekukwetyiseni.
1. Inyongo: Le yenziwa sisibindi. Igcinwa kwinyongo. Inceda ekugayweni kwamafutha.
2. Ijusi yePancreatic: Le yenziwa yipancreas. Iienzymes ezikuyo zinceda ekugayeni iiproteni kunye neecarbohydrates ekutyeni.
Zombini ezi jusi ziya emathunjini ethu amancinci, apho zidibana khona nokutya ukuze kugqitywe inkqubo yokugaya ukutya.
Nantsi into ebalulekileyo. Apho la majisi mabini angena khona emathunjini amancinci, kukho iqhekeza elincinci lenyama elifana nesango . Lifana nevalvu. Le yinto esiyibiza ngokuba yiSphincter of Oddi . Ngokwesiqhelo, xa ufuna ukugaya ukutya, eli sango liyavuleka, la majisi angene, aze aphinde avaleke.
I-Sphincter ye-Oddi Dysfunction iyenzeka xa eli sango lingasebenzi kakuhle. Oko kukuthi, eli qhekeza lenyama alivuli ngexesha elifanelekileyo kwaye liqina. Emva koko inyongo evela kwisibindi kunye nejusi evela kwi-pancreas azikwazi ukungena emathunjini amancinci kwaye zibambeke. Kufana nokuxinana kwezithuthi. Xa ijusi ibambeke ngolu hlobo, uxinzelelo oluhamba ezindleleni oluvela kuzo ezo jusi luyanda, nto leyo ebangela iintlungu zesisu ezinzima.
Le meko idla ngokubonakala kubantu abaye basuswa inyongo ngotyando. Ngenxa yoko, ngamanye amaxesha ibizwa ngokuba yi-post-cholecystectomy syndrome .
Ziziphi iintlobo eziphambili zale meko?
I-Sphincter of Oddi Dysfunction inokukuchaphazela ngeendlela ezimbini eziphambili.
- I-Biliary Dyskinesia: Le yimeko apho imibhobho yenyongo ivaleka khona. Ingxaki ikwindlela ehamba ngayo inyongo.
- I-Pancreatitis: Oku kwenzeka xa ijusi ye-pancreatic ivalekile, nto leyo ebangela ukuba i-pancreas idumbe ize ivuvuke.
Ukongeza, oogqirha bahlula isifo sibe ziindidi ezintathu (iindidi I, II, kunye ne-III). Oku kubaluleke kakhulu kuba unyango lumiselwa ngokusekelwe kolu didi.
| Uhlobo lwesifo | Inkcazo |
|---|---|
| Udidi I | Isigulana sinesifo sesisu. Ukongeza, kukho ubungqina obucacileyo bale ngxaki kwiimvavanyo zegazi kunye neeskeni (i-ultrasound) . (umz., ii-enzymes zesibindi eziphezulu, imibhobho ye-bile evulekileyo). |
| Udidi II | Isigulana sibuhlungu esiswini, kwaye uvavanyo lwegazi okanye iskeni esinye kuphela esibonisa ukungaqhelekanga. |
| Udidi III | Olu lolona hlobo lunzima ukulufumanisa. Isigulana sibuhlungu esiswini, kodwa akukho vavanyo lwegazi okanye iskeni enokufumana into engalunganga. Ubungqina kuphela yintlungu esivayo isigulana. |
Ziziphi iimpawu eziphambili zesi sifo?
Uphawu oluphambili noluqhelekileyo ziintlungu zesisu eziqatha, ezifana nentlungu eyenzeka xa kukho amatye enyongo.
- Intlungu iqala kwicala eliphezulu lasekunene lesisu.
- Ngamanye amaxesha le ntlungu idlulela egxalabeni lasekunene okanye emqolo .
- Intlungu ayihlali ihleli. Iphela yodwa emva kwemizuzu engama-30 okanye iyure. Emva koko ingabuya kwakhona emva kosuku okanye iveki.
- Ngezinye iintsuku iintlungu azibalulekanga kangako, ngoxa kwezinye iintsuku zinganyamezeleki.
Ukongeza kule ntlungu iphambili, ezi mpawu zilandelayo zinokuvela:
- Isicaphucaphu nokuhlanza
- Umkhuhlane kunye nokubanda
- Urhudo
Into ebalulekileyo kukuba ezi mpawu azisoloko zikhona. Zihlala zifika zidlule.
Ngubani osengozini enkulu yokuba nale meko?
Isizathu esichanekileyo soku asikafunyanwa, kodwa izinto ezithile ziyandisa umngcipheko wale meko.
| Into enobungozi | Inkcazo |
|---|---|
| Ukususwa kwenyongo | Le yeyona nto iphambili neyona ixhaphakileyo yomngcipheko. |
| Ubudala kunye nesini | Le meko ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-20 ukuya kwengama-50 ubudala. |
| Ezinye iindlela zotyando | Utyando lokunciphisa umzimba (umz. utyando lwesisu), ukufakelwa kwesibindi, njl. |
| Ezinye iimeko zonyango | Iimeko ezifana ne-recurrent pancreatitis, i-hypothyroidism, kunye ne-irritable bowel syndrome (IBS). |
| Amanye amayeza | Ukusetyenziswa ixesha elide kwee-painkillers ezithile (ingakumbi ii-opiates). |
Ifunyanwa njani le sifo?
Ukuba ugqirha wakho ukrokrela oku emva kokuva ngeempawu zakho, into yokuqala aza kuyenza kukuqinisekisa ukuba akukho sizathu sibalulekileyo sentlungu yesisu sakho. Oku kungenxa yokuba ezinye iimeko ezifana nezilonda zesisu (izilonda ze-peptic), amatye enyongo, kunye nomhlaza we-pancreatic okanye i-bile duct nazo zinokubangela iimpawu ezifanayo. Ngamanye amaxesha, intlungu yesifo sentliziyo (i-angina) inokuziva ngathi yintlungu yesisu.
Emva kokuqinisekisa ukuba ezi zinto azikho, kunokwenziwa ezi mvavanyo zilandelayo ukujonga ukungasebenzi kakuhle kweSphincter of Oddi:
- Uvavanyo lwegazi:Jonga amanqanaba aphezulu esibindi kunye neeenzyme zepancreas.
- Iiskeni: Iiskeni ezifana ne-abdominal ultrasound, i-CT scan, kunye ne-MRCP zisetyenziselwa ukujonga ukuba i-bile duct okanye i-pancreatic duct idumbile/ivulekile na.
- I-Endoscopy: Ityhubhu enekhamera ifakwa ngomlomo ukuze kuhlolwe isisu kunye namathumbu amancinci.
Uvavanyo lwe-ERCP
Kwezinye iimeko, ingakumbi ukuba kukho urhanelwa kohlobo I okanye II, kwenziwa uvavanyo olukhethekileyo olubizwa ngokuba yi -ERCP (Endoscopic Retrograde Cholangiopancreatography) . Kule meko, kufakwa ityhubhu yekhamera, efana ne-endoscope, kwi-sphincter ka-Oddi, kwaye kufakwa ityhubhu encinci ukulinganisa uxinzelelo kuloo msipha (manometry). Oku kunokumisela ngokuchanekileyo ukuba ivuleka okanye ivala ngokufanelekileyo na.
Nangona kunjalo, olu vavanyo lwe-ERCP luvavanyo oluncinci lomngcipheko. Ipesenti encinci yabantu abanalo banokuba ne-pancreatitis emva kovavanyo. Ke ngoko, ugqirha ucebisa olu vavanyo emva kokuvavanya ngononophelo imfuneko kunye nomngcipheko.
Iphathwa njani?
Iindlela zonyango zixhomekeke kuhlobo (udidi) lweSphincter of Oddi Dysfunction onayo.
- KwiCandelo lesiThathu: Kunzima ukuxilonga oku, ngoko ke utyando alukhuthazwa. Ugqirha uza kunika amayeza okuthomalalisa iintlungu kunye namayeza okunciphisa ukuqaqamba kwemisipha ukulawula iintlungu.
- KwiCandelo I kunye nelesiBini: Ukuba iintlungu zinzima kwaye kunzima ukuzilawula ngamayeza, ugqirha wakho unokucebisa unyango olubizwa ngokuba yi -sphincterotomy kunye ne-ERCP .
Yintoni le Sphincterotomy?
Oku kuquka ukusika iqhekeza elincinci lesicwili elibizwa ngokuba yiSphincter of Oddi ngesixhobo esincinci esidluliselwa kwityhubhu yekhamera ngexesha lovavanyo lwe-ERCP. Emva koko, ukuvulwa okuqinileyo kuyavulwa ngokusisigxina. Emva koko, iijusi zokugaya zingena emathunjini amancinci ngaphandle kokuphazamiseka. Oku kuphelisa phantse ngokupheleleyo iintlungu.
Kodwa olu lunyango olunomngcipheko othile. Kukwakho nomngcipheko we-pancreatitis. Ke ngoko, olu nyango lusetyenziswa xa ezinye iindlela zonyango zingaphumeleli.
Umyalezo Wokuya Ekhaya
- Ukuba usenentlungu esiswini emva kokuba inyongo yakho isusiwe, musa ukuyityeshela. Isenokuba yi-Sphincter ye-Oddi Dysfunction.
- Nangona le meko ingasongeli ubomi, intlungu inokuba yingxaki enkulu kubomi bakho bemihla ngemihla.
- Iimpawu azisoloko zikhona, yindlela esi sifo esifika sibuye sidlule ngayo ngamanye amaxesha.
- Ugqirha wakho uza kugqiba ukuba loluphi uhlobo (I, II, okanye III) lwesifo onaso ngovavanyo kwaye uza kubonelela ngonyango olufanelekileyo.
- Abanye abantu banokuzilawula iintlungu zabo ngamayeza kuphela. Abanye banokufuna unyango olufana notyando lwe-sphincterotomy.
- Ngaphambi kokuba ufumane naluphi na unyango, thetha ngokukhululekileyo nogqirha wakho malunga nezinto ezilungileyo nezingalunganga.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho