Ingabe nawe uzwa ubuhlungu ohlangothini lwesokudla lwesisu sakho ngemva kokudla? Kungenzeka kube yi-(Biliary Dyskinesia)!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu engxenyeni ephezulu kwesokudla yesisu sakho ngemva kokudla, ikakhulukazi ukudla okunamafutha? Ingabe uzizwa unesicanucanu noma uzizwa sengathi uhlanza? Abantu abaningi bacabanga ukuthi lokhu kungenxa yamatshe enyongo. Kodwa lokho akunjalo ngaso sonke isikhathi. Namuhla sizokhuluma ngenye inkinga yenyongo ebangela izimpawu ezifanayo, kodwa engabangelwa amatshe. Leso yisimo esibizwa ngokuthi i-Biliary Dyskinesia .

Kuyini i-Biliary Dyskinesia? Masiqonde kalula!

Kulungile, ake siqale sibheke ukuthi iyini i-Biliary Dyskinesia. Kalula nje, kuyinkinga ngendlela esebenza ngayo i-gallbladder yakho. Ngezinye izikhathi, kungathinta nokusebenza kwe-sphincter, umsipha omncane olawula ukugeleza kwe-bile emathunjini. Okwenzekayo lapha ukuthi i-gallbladder ayisebenzi kahle. Okusho ukuthi, akufani nokuthi kukhona itshe le-gallstone elibhajwe e-gallbladder, kodwa kuyinkinga ngendlela i-gallbladder esebenza ngayo.

Ubuwazi ukuthi umsebenzi oyinhloko wenyongo yethu ukugcina inyongo, eyenziwa yisibindi, bese siyithumela emathunjini amancane ukuze isize ekugayeni ukudla lapho sidla. Uma sidla, ama-hormone avela emathunjini amancane athumela isignali enyongweni, ethi, "Kulungile, thumela inyongo manje." Bese inyongo iyafinyela, okusho ukuthi iyafinyela, bese ithumela inyongo ngemibhobho yenyongo iye emathunjini amancane.

Ku-biliary dyskinesia, kunenkinga ndawana thize kule nqubo. Kungaba inkinga ngesignali ye-hormone, noma kungaba inkinga ngemizwa ethola isignali, noma kungaba ubuthakathaka emisipheni okufanele isebenze ngesignali. Odokotela abakwazi ukusho ngokushesha ukuthi yini ebangela lokhu, kodwa bayaqonda ukuthi inyongo ayikhiphi inyongo eyanele.

Kwenzekani emzimbeni ngenxa ye-Biliary Dyskinesia?

Manje, kwenzekani uma inyongo ingakwazi ukukhipha inyongo yayo kahle? Leyo nyongo inqwabelana ngaphakathi kwenyongo, okubangela ukuba ivuvuke futhi ivuvuke. Lokhu kufana nalokho okwenzekayo lapho itshe lenyongo libhajwa enyongweni. Lokhu kuvuvukala nokuqongelela kwenyongo kungaholela ezifweni, ukuvuvukala kwenyongo (i-cholecystitis), kanye nobuhlungu.

Ngezinye izikhathi ungase uzwe ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu sakho. Buyabuya buphele. Lobuhlungu buvame ukuhambisana nesicanucanu, ikakhulukazi lapho inyongo iqina ngemva kokudla. Lokhu kubizwa ngokuthi i-biliary colic . Ngaphezu kwalokho, amathumbu angase angatholi inyongo eyanele, okungabangela ukuqunjelwa, isicanucanu, ukuhlanza, kanye nobunzima bokugaya ukudla, ikakhulukazi lapho udla ukudla okunamafutha.

Sekuyisikhathi eside kukholelwa ukuthi ubuhlungu benyongo cishe buvame ukubangelwa amatshe enyongo (i-cholelithiasis). Kodwa odokotela manje sebeyaqaphela ukuthi lokhu akunjalo ngaso sonke isikhathi. Eqinisweni, isimo esibizwa ngokuthi i-biliary dyskinesia manje sesibhekwa njengembangela enkulu yesifo senyongo. Sithinta kokubili izingane ezindala kanye nabantu abadala .

Ubani onamathuba amaningi okuthuthukisa i-Biliary Dyskinesia?

Izinkinga zenyongo ezisebenzayo zibe yindaba exoxwa kakhulu muva nje, ikakhulukazi emazweni afana ne-United States. Akukacaci ukuthi lesi simo siyanda ngempela noma sisanda kuqashelwa. Akukacaci nokuthi ubani ongase abe naso. Kodwa-ke, kucatshangwa ukuthi abantu abanokukhuluphala ngokweqile nesifo sikashukela bangase babe sengozini enkulu.

Njengoba wazi, ukukhuluphala kunemiphumela ehlukahlukene ekusebenzeni komzimba wethu. Kungabangela ukuthi amafutha aqongeleleke ezithweni zethu, futhi kungabangela nokuvuvukala okungapheli. Zombili lezi zinto zithinta ukunyakaza kwenyongo. Uma inyongo enyongweni ihlala endaweni eyodwa, ingaba nkulu futhi ibe mdaka. Yilokhu okubangela amatshe enyongo. Ukukhuluphala kuyinkinga enkulu ebangela amatshe enyongo. Kodwa-ke, amatshe enyongo angavela futhi ngemva kwesimo esibizwa ngokuthi i-Biliary Dyskinesia.

Kuzwakala kanjani lokhu kungasebenzi kahle kwenyongo?

Iningi labantu lizwa ubuhlungu benyongo lapho inyongo ikhona khona - ohlangothini oluphezulu kwesokudla lwesisu, ngaphansi nje kwesikhala sezimbambo kwesokudla. Kodwa abanye abantu babuzwa phakathi kwesisu, kanti abanye ehlombe noma emhlane kwesokudla. Bufika ngezikhathi ezithile, futhi abuhlali njalo. Kodwa uma bufika, bungathatha amahora amaningi. Ubuhlungu buyanda kancane kancane phakathi nemizuzu yokuqala engama-20, bese buncipha kancane kancane.

Lezi zinhlungu ziyafika zidlule, hhayi ngaso sonke isikhathi. Ngokuvamile zenzeka ngemva kokudla, ikakhulukazi ngemva kokudla ukudla okunzima nokunamafutha. Yilapho inyongo ifinyela khona futhi idinga ukukhipha inyongo emathunjini. Ubuhlungu buvame ukuba bukhulu, okwanele ukuphazamisa imisebenzi yakho yansuku zonke, ukukuvusa ebusuku, noma ngisho nokudinga ukuya ekamelweni eliphuthumayo. Ukucasuka nokuhlanza nakho kuvamile.

Ziyini izimpawu ze-Biliary Dyskinesia?

Umuntu one-Biliary Dyskinesia angase abe nalezi zimpawu ezilandelayo:

• Ubuhlungu engxenyeni ephezulu kwesokudla yesisu.
• Ubuhlungu obuvela ngezikhathi ezithile, bufika phezulu bese buncipha.
• Ukugcwalisa isisu, ukuqunjelwa.
• Isicanucanu nokuhlanza.
• Ukwehlisa isisindo ngokungahlosile.

Abanye abantu babika nezinye izimpawu:

• Ikhanda elibuhlungu.
• Ukukhathala okungapheli, ukukhathala.
• Ukuvuvukala kwe-acid okungapheli.
• Ukungagayeki kahle kokudla kanye/noma (IBS - Irritable Bowel Syndrome).
• Ukukhathazeka kanye/noma ukucindezeleka.

Yiziphi izimbangela ze-Biliary Dyskinesia?

Eqinisweni, odokotela abasazi kahle ukuthi yini ebangela lezi zinkinga zokunyakaza. Ngezinye izikhathi, imizwa ethile, njenge-vagus nerve, ingase ihileleke. Kodwa ezimweni eziningi, kunzima ukukhomba ngqo ukuthi inkinga ikuphi. Ngezinye izikhathi, ukuphazamiseka okuvamile kwe-metabolic noma ukuphazamiseka kokunyakaza kwamathumbu kungathinta ukunyakaza kwemisipha evalayo yenyongo noma i-bile duct, i-biliary sphincter.

I-Biliary Dyskinesia itholakala kanjani?

I-Biliary dyskinesia itholakala ngezinyathelo eziningana. Odokotela badinga ukuqinisekisa okulandelayo:

1. Ingabe izimpawu zakho zibonisa ubuhlungu benyongo noma obunye ubuhlungu besisu?

2. Awunaso esinye isifo esithile senyongo, njengamatshe enyongo.

3. Inyongo yakho ayikhiqizi inyongo eyanele.

4. Izimpawu zakho zenzeka lapho inyongo ifinyela.

5. Imithi oyiphuzayo noma ezinye izinto azithinti ukunyakaza kwenyongo.

Ukuhlolwa kwezimpawu

Okokuqala, udokotela uzokubuza ngezimpawu zakho bese ebona ukuthi unazo yini izimpawu ezithile ezihlobene ne-biliary colic. Bazocabangela lezi zindlela:

• Ubuhlungu buvela esiswini esingaphezulu, ngokuvamile ohlangothini lwesokudla.
• Ubuhlungu buphinde buvele ngezikhathi ezithile futhi buhlala okungenani imizuzu engama-30.
• Ubuhlungu buyanda kancane kancane, bufinyelele ezingeni eliphakathi noma elinzima, bese buzinza.
• Ubuhlungu obungaqedwa ukuhlanza, ukukhipha indle, ukushintsha indawo, noma ukuthatha imithi yokunciphisa i-asidi.
• Lezi zimo zobuhlungu bezilokhu zenzeka njalo okungenani izinyanga ezintathu.

Ukukhishwa kwezinye izimo zezokwelapha

Ngemva kokuqinisekisa ukuthi izimpawu zakho ziyahambisana nalezi zindlela, udokotela wakho uzozama ukugwema ezinye izimbangela ezivamile zobuhlungu benyongo. Lokhu kungafaka:

• Ukuhlolwa kwegazi: Kuhlolwa amazinga e-enzyme ye-pancreatic kanye ne-enzyme yesibindi. Uma amazinga e-enzyme ephezulu, kungaba uphawu lwenkinga ngalezi zitho noma ukunqwabelana kwe-bile (ikakhulukazi i-bilirubin ephezulu).
• I-ultrasound yesisu: Lokhu kuhlola i-gallbladder kanye ne-bile ducts. Kubheka izimbangela zesakhiwo ezifana namatshe enyongo, ukuqina kodonga lwenyongo, noma ukunwebeka kwe-bile ducts.

Ukuhlola ukusebenza kwenyongo

Uma ukuhlolwa kwegazi lakho kanye nokuskena kwe-ultrasound kujwayelekile, isinyathelo esilandelayo ukuhlola ukusebenza kwe-gallbladder yakho. Odokotela benza lokhu ngokuhlolwa okukhethekile kokuhlolwa kwemithi yenuzi okubizwa ngokuthi i-HIDA scan . Kulokhu kuhlolwa, uchwepheshe ufaka i-isotope enemisebe (i-tracer) emthanjeni wakho. Njengoba i-tracer ihamba nge-gallbladder yakho, i-computer scanner iyayifunda bese idala izithombe esikrinini.

Ukuze bahlole ukusebenza kwenyongo, odokotela banezela esinye isinyathelo kulolu vivinyo. Kubizwa ngokuthi ukuhlolwa kwe-cholecystokinin . I-Cholecystokinin iyi-hormone etshela inyongo ukuthi inciphe futhi ikhulule inyongo emigudwini yenyongo. Uchwepheshe ufaka i-cholecystokinin emthanjeni wakho bese ethatha olunye uchungechunge lwezithombe njengoba inyongo incipha. Bayayiqapha futhi bathathe izilinganiso.

Udokotela wakho uzokubuza ukuthi uyabuzwa yini ubuhlungu enyongweni yakho obukhulume ngayo ekuqaleni lapho inyongo yakho igoqeka. Bazophinde balinganise "ingxenye yokukhipha inyongo" yenyongo yakho. Lokhu kusho ukuthi ingakanani inyongo ekhishwayo lapho inyongo yakho igoqeka. Uma ingxenye yakho yokukhipha inyongo ingaphansi kuka-40%, futhi ungasebenzisi eminye imithi noma ukwelashwa kwamahomoni okunciphisa ukunyakaza kwenyongo yakho, bazokuthola ukuthi une-biliary dyskinesia.

Cabanga ngakho "njengokuhlolwa kokufaneleka" kwenyongo. Kulinganisa ukuthi inyongo yenza umsebenzi wayo ngempumelelo kangakanani.

Akuvamile kakhulu, udokotela angenza ukuhlolwa okuqondile kakhulu okukala ukuthi i-sphincter ye-Oddi, umsipha ohlangana phakathi kwe-bile duct namathumbu, ivuleka kahle kangakanani ngenxa yezibonakaliso ezivela emzimbeni. Lokhu kuhlolwa kungenziwa kuphela ezikhungweni ezikhethekile. Udokotela uzokuthobisa bese efaka i-endoscope ekhethekile ngomlomo wakho, efana ne-endoscopy ephezulu noma i-EGD. Ngemuva kwalokho, i-endoscope idluliselwa engxenyeni yokuqala yamathumbu akho amancane bese ilinganisa ukukhululeka kwe-sphincter ye-Oddi yakho.

Ngokuvamile, odokotela bangakwazi ukuthola ukungasebenzi kahle kwe-Oddi ku-sphincter kuphela ngemva kokukhipha zonke ezinye izimbangela zezinkinga zokunyakaza kwe-biliary. Ngezinye izikhathi, lokhu kuxilongwa kwenziwa lapho izimpawu zesiguli zingathuthuki ngisho nangemva kokususwa kwenyongo.

(I-Biliary Dyskinesia) Ingabe izolulama ngokwayo?

Akukho bufakazi bokuthi i-biliary dyskinesia izothuthuka ngokwayo. Ngokuvamile, i-biliary dyskinesia itholakala ngemva kokuba unezimpawu okungenani izinyanga ezintathu. Ngaleso sikhathi, akekho ofuna ukulinda nje ukuthi ibe ngcono. Uma ithuthuka ngokwayo, kungenzeka ukuthi empeleni akuyona inkinga yokusebenza, kodwa uhlobo oluhlukile lokuphazamiseka kokunyakaza okubangelwa yizici zesikhashana.

Iphathwa kanjani i-Biliary Dyskinesia?

Ukwelashwa okuwukuphela okuphumelelayo kwe-biliary dyskinesia yi -cholecystectomy . Lokhu kuvame ukwenziwa njengenqubo engangenisi kakhulu (ukuhlinzwa kwe-laparoscopic). Lokhu kusho ukuthi ukuhlinzwa kwenziwa ngokusikwa okuncane. Ungaya ekhaya ngalolo suku. Ukuhlinzwa kwe-laparoscopic kuphola ngokushesha, kushiya izibazi ezimbalwa, futhi akubuhlungu kakhulu. Ungaphila kahle ngaphandle kwenyongo. Isibindi sakho bese sipompa inyongo ngqo emathunjini amancane.

Kodwa-ke, uma udokotela enquma ukuthi imisipha ye-sphincter iyimbangela yokuphazamiseka kokunyakaza, imisipha ingandiswa noma ivulwe kusetshenziswa inqubo ye-endoscopic. Lokhu kuvame ukwenziwa uma izimpawu ziqhubeka ngemva kokuba i-gallbladder isusiwe. Eqinisweni, kunzima ukuthola ukungasebenzi kahle kwe-sphincter, futhi akuvamile kakhulu ukuthi ukuphazamiseka kokunyakaza kukhawulelwe kuleyo misipha. Ngokuvamile, i-gallbladder nayo iyathinteka.

Yini engenzeka ngemva kokuhlinzwa kokususwa kwenyongo (i-cholecystectomy)?

Kuzothatha amasonto ambalwa ukuthi uhlelo lwakho lokugaya ukudla lujwayele ukungabikho kwenyongo yakho. Phakathi nalesi sikhathi, ungase ube nobunzima bokugaya amafutha. Odokotela abaningi batusa ukushintsha ukudla kwakho okwesikhashana ukuze ugweme ukugayeka kokudla. Gwema ukudla okuthosiwe nokunamafutha ekuqaleni. Futhi, gxila ekudleni okune-fiber eningi. Faka kancane kancane okusanhlamvu okuphelele, imifino, kanye nemifino ekudleni kwakho. Lokhu kuzosiza ekuvimbeleni ukuqunjelwa kanye negesi.

Sinjani isimo ngemva kokwelashwa kwe-Biliary Dyskinesia?

Kulabo abahlangabezana nazo zonke izidingo zokuxilonga, i-cholecystectomy isebenza kahle ngo-90% ekwelapheni i-biliary dyskinesia. Kodwa-ke, akuwona wonke umuntu ohlangabezana nazo zonke lezi zidingo. Abantu abanjalo kufanele bahlolwe kabanzi ngaphambi kokuhlinzwa, njengoba bangase babe nesinye isimo esiyisisekelo. Uma ukuxilongwa kungaqiniseki, ukususa inyongo ngeke kuthuthukise izimpawu.

Ubuhlungu benyongo bunezimpawu ezithile. Uma ukwazi ukubona isimo (i-Biliary Colic), wena nodokotela wakho ningaqale nisole ukuthi kukhona amatshe enyongo. Lokho akukubi. Kodwa kuthiwani uma amatshe enyongo engatholakali ebangela izimpawu zakho? Khona-ke ungase ube nesifo senyongo esingasebenzi kahle (i-Biliary Dyskinesia). Ukuxilonga i-Biliary Dyskinesia kuyinqubo. Kodwa uma ukuxilongwa kunembile, ukwelashwa kungenzeka kuphumelele.

Khumbula into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Uma uzwa nobuhlungu obuqhubekayo ohlangothini olungaphezulu kwesokudla lwesisu sakho ngemva kokudla, ikakhulukazi ngemva kokudla ukudla okunamafutha, kanye nezimpawu ezifana nokucanuzela kwenhliziyo nokuhlanza, ungamane nje ucabange ukuthi yi-gastritis. Kungaba amatshe enyongo, noma kungaba yisimo esifana nalesi esikhulume ngaso namuhla (Biliary Dyskinesia).

Khumbula, akuzona zonke izinhlungu zesisu ezifanayo. Nakisisa izimpawu zakho. Kubalulekile ukubona udokotela ukuze uthole imbangela eqondile. Ngokuthola isifo esifanele kanye nokwelashwa okufanele, ungakuqeda lokhu kungakhululeki. Ungesabi, landela iseluleko sikadokotela wakho.

Ukunciphisa ukudla okunamafutha nokunamafutha nokugcina isisindo esinempilo kungasiza kakhulu ekuzivikeleni kulezi zimo. Ngaphezu kwakho konke, lalela umzimba wakho.

'Inyongo, I-Biliary Dyskinesia, Inyongo, Ubuhlungu besisu, I-Cholecystectomy, I-HIDA scan, Ukugaya