Nakuba i- syndrome evuthayo isifo esiyinhloko ngokuyinhloko isifo somathumbu omkhulu , ngoba i-IBS ayinikezi isiqiniseko sokuthi lonke uhlelo lwakho lokugaya lusebenza ngokuphelele. Isitho esisodwa esibaluleke kakhulu ohlelweni lokugaya is gallbladder; izinkinga zalesi sitho zingase zibe nezimpawu zakho ze-IBS.
Sibutsetelo
Ingulube yakho iyisitho esincane, esinjenge-sac-like esifakwe ngakwesokudla kwesisu sakho esingenhla, sihlushwa ngaphansi kwesibindi sakho.
Umsebenzi omkhulu we-gallbladder ukugcina i-bile, okudingekayo ukugaya ukudla esikudlayo. Ibhili liqala ukukhiqizwa yisibindi bese ligcinwa ku-gallbladder. Uma sidla ukudla okunamafutha kuwo, i-gallbladder ifihla ubulu emathunjini amancane. Lapho i-bile ihlehlisa phansi amafutha, okuvumela ukuba ingene emzimbeni wethu wegazi.
Izimpawu
Nakuba ezinye izinkinga zezinkinga ezihlanganisa izigulane zingathuthuka ngaphandle kwanoma yiziphi izimpawu ezibonakalayo, izimpawu ezilandelayo zingase zibonise isifo se-gallbladder:
- Ukuvimbela emva kokudla, ukudla okukhethekile nge-fat fat content
- Uhudo olungapheliyo
- Ukuzithoba
- Nausea emva kokudla
- Ubuhlungu ophakathi noma kwesokudla kwesisu sakho
Ezinye izimo ze-gallbladder zimemezela ukuba khona kwazo ngokusebenzisa lokho okuvame ukubizwa ngokuthi ukuhlasela kwe-gallbladder, emitholampilo eyaziwa njenge-coli biliary. Ukuhlaselwa okunjalo kungase kwenzeke emahoreni ambalwa bedla ukudla okukhulu noma okunamafutha. Ungase ubuzwe ubuhlungu esiswini sakho sokunene kwesokudla futhi lobu buhlungu bungase bubuyele emhlane wangaphambilini, phakathi kwamahlombe akho ehlombe, ngaphansi kwehlombe lakho lokunene, noma ngemuva kwesifuba sakho sebele.
Ezinye ukuhlaselwa kwe-gallbladder kubangela isicanucanu nokuhlanza. Ngokujwayelekile, lokhu kuhlaselwa kugcina kuphela ihora noma ngaphezulu. Ukuhlaselwa okunjalo kufanele kubikwe kudokotela wakho, ngisho noma izimpawu zingaphansi.
Uma uhlangabezana nezimpawu ezilandelayo, funa ukunakekelwa okusheshayo:
- Izitembu ezimibalabala
- I-fever ne-chills eceleni kwesicanucanu nokuhlanza
- Izimpawu ze- jaundice
- Ubuhlungu obukhulu futhi obuphikisanayo esiswini sakho sokunene kwesokudla
Izivivinyo zokuxilonga
Emva kokutshela udokotela wakho ukuthi ubhekene nezimpawu ezingavamile zokugaya, udokotela wakho uzokwenza ukuhlolwa okungokwenyama futhi ancoma ukuhlolwa kwegazi. Ukuhlolwa okwengeziwe kungabandakanya:
- I-ultrasound engakwazi ukukhomba indawo nobukhulu be-gallstones
- Izithombe ze-X-ray ezivela kumshini wokuhlola we-tomography ongase ukhombise ukubonakala kwezingqungquthela, futhi ubonise noma yikuphi ukuvuvukala noma ukulimala ku-gallbladder ne-bile ducts
- I-cholescintigraphy (i-HIDA scan) efaka umjovo we-substanceactive radio ukuze usize ukuhlola ukuthi i-gallbladder yakho isebenza kanjani futhi ihlolisise ukutholakala kokutheleleka kwe-gallbladder nokuvinjelwa emideni ye-bile
- I-endoscopic retrograde ye-cholangiopancreatography-isebenzisa i- endoscope , noma yimaphi amatshe e-bile duct angabonwa futhi asuswe ngale nqubo engavamile
Ukwelapha
Amanye ama-gallstones amancane angasuswa ngaphandle kokuhlinzwa ngokusebenzisa ukusetshenziswa kwe-ERCP. Kukhona ezinye izindlela zokungaboni kahle kwe-gallstones, kodwa lezi zindlela zisetshenziswa kuphela ezimweni ezingavamile.
Indlela evame kakhulu yokwelapha izinkinga ze-gallbladder ukususa i-gallbladder, inqubo eyaziwa njenge-cholecystectomy.
Inqubo ivame ukuqhutshwa i-laparoscopically, okusho ukuthi i-gallbladder isuswe ngokusebenzisa ukucubungula okuncane kakhulu.
Izinkinga ze-IBS ne-Gallbladder
Ngokungafani nezinye izinkinga zempilo , kubonakala sengathi abukho ubufakazi bokuthi iziguli ze-IBS cishe zihlushwa isifo se-gallbladder kunabanye abantu.
Enye yezindlela ezithakazelisayo zocwaningo zihlola ukuthi ngabe i-gallbladder motility ingabangela yini izimpawu ze-IBS . Izifundo ngale ndaba zimbalwa futhi zenze imiphumela ehlanganisiwe kakhulu. Isibonelo, isifundo esisodwa asifumananga umehluko emazingeni wezinkinga ze-gallbladder phakathi kweziguli ze-IBS nezifundo zokulawula okunempilo.
Olunye ucwaningo lwathola amanani okusheshayo kunalindelekile ezigulini ezihlukunyezwa yi -IBS (IBS-C) kanye nezinga eliphansi kunalindeleke kulabo abahlukunyezwa yi -IBS (IBS-D). Ucwaningo olwengeziwe alutholanga umehluko phakathi kweziguli ze-IBS nokulawulwa okunempilo ngokwezinga le-gallbladder contraction amabili ngemva kokudla kodwa uthole umehluko omkhulu ngemva kwamahora amathathu emva kokudla.
Njengamanje, ucwaningo olusemtholampilo mayelana nokuxhumana phakathi kwe-IBS nezinkinga zezinkinga eziqhubekayo zihlala zingavumelani.
Ingabe I-IBS noma i-Gallbladder?
Ngenxa yokuthi i-IBS iyinkinga yokusebenza , abantu abaningi abane-IBS abanakho ukuqiniseka okugcwele ekuxilongweni kwabo, bebuza ukuthi ngabe ezinye izifo zokugaya zingase zibe khona. Ngenxa yokuthi abanye abantu abane-IBS bahlushwa isicuphoso futhi ngenxa yokuthi ubuhlungu besisu buyakhanya, kunengqondo ukuzibuza ukuthi kungenzeka yini ukuthi unenkinga yokungena.
Indawo engcono kakhulu yokubhekana nokukhathazeka okunjalo kungenxa yengxoxo nodokotela wakho, ongakwazi ukuhlola izimpawu zakho futhi ahlele izivivinyo ezifanele zokuhlola.
Imithombo
- "Ama-Gallstones" I- National Digestive Clearinghouse Information Clearinghouse (NDDIC) .
- "Ama-gallstones nesifo se-gallbladder - Izimpawu" I- University of Maryland Medical Center .
- "Ama-gallstones nesifo se-gallbladder - Ukwelapha" Isikhungo sezokwelapha sase-University of Maryland .
- Guclu, M., et.al. "Ukuhlolwa kwe-Ultrasonographic yemisebenzi ye-gallbladder kwiziguli ezine-syndrome ezicasulayo" Journal of Gastroenterology and Hepatology 2006 21: 1309-1312.
- Lee, O. "Izifundo ze-Asia Motility e-Irritable Bowel Syndrome" Journal of Neurogastroenterology and Motility 210 16: 120-130.
- Misra, S., et.al. "I-Gallbladder Dynamics kwiziguli ezine-Irritable Bowel Syndrome ne-Essential Dyspepsia" Journal of Clinical Gastroenterology 1991 13: 65-68.
- I-Sood, G., et.al. "I-Gallbladder engavamile ukusebenza kumagulane anesi-Irritable Bowel Syndrome." I-American Journal of Gastroenterology 1993 88: 1387-1390.