Abanye abantu abaye basusa izinyathelo zabo - inqubo eyaziwa ngokuthi i-cholecystectomy - zizithola zibhekene nezinkinga eziqhubekayo zokugaya ukudla. Ngokuvamile, lezi zimpawu zifaka ubuhlungu noma isidingo esiphuthumayo sokugijima endlini yokugezela ngemuva kokudla. Lapha uzothola ukuthi kungani lokhu kungase kwenzeke nokuthi yini ongayenza ngakho.
Ukuphila Ngaphandle Kokungena Kwegallbladder Yakho
Kuphephile ukuhlala ngaphandle kwe-gallbladder, okuyisinye sezizathu zokususwa kwe-gallbladder ngokujwayelekile ukwelashwa okunconyelwe ngezinkinga ze-gallbladder .
Umsebenzi wakho oyinhloko we-gallbladder ukugcina i-bile (into edingekayo yokugaya amafutha) nokufaka i-bile ngaphakathi emathunjini akho amancane ngokuphendula ukungenisa ukudla okunamafutha.
Ngaphandle kwe-gallbladder yakho, isibindi sakho siyaqhubeka nokukhiqiza i-bile, kepha esikhundleni salokho sithunyelwa ku-gallbladder yokugcina i-bile ibhekiselwa "emzimbeni wakho we-bile" bese ubeka emathunjini akho amancane.
Yini Engabangela Ukususwa Kwe-Gallbladder?
Kubantu abaningi, umzimba uguqukela ekulahlekelweni kwe-gallbladder. Noma kunjalo, kunezinkinga ezimbalwa ezingenzeka abantu abangase bazizwe ngemuva kokususwa kwe-gallbladder. Qiniseka nakuba-eziningi zinezixazululo ezithatha izinyathelo.
1. I-Postcholecystectomy Diarrhea
Cishe amaphesenti angama-20 abantu abaye abanjiswa isifo sabo sengculazi bazobhekana nezinkinga eziphindaphindiwe ngehudo , isimo esaziwa ngokuthi i-postcholecystectomy isifo sohudo.
Le nkinga ibangelwa ukuthi ngaphandle kwe-gallbladder, akukho lutho lokulawula inani le-bile elidlulela emathunjini amancane kanti inani eliphakeme le-bile lingakha izitshalo ezinamanzi kanye nokuningi.
Ngenhlanhla, iningi labo bantu, le nkinga izozixazulula ngokwedlula isikhathi.
2. I-Sphincter ye-Oddi Dysfunction
Uma ubhekene nobuhlungu obungaphezulu obuqhubekayo besisu ngemuva kokususwa kwe-gallbladder, ungase ufune ukukhuluma nodokotela wakho mayelana nenkinga kungenzeka nge- sphincter yakho ye-Oddi .
"I-sphincter ye-Oddi" (SO) i-valve etholakala ngaphakathi emathunjini amancane alawula ukugeleza kwe-bile ne-pancreatic juices.
Inombolo encane kakhulu yabantu ingase ihlangane "ne- sphincter ye-Oddi ukungasebenzi " (i-SOD), isifo sokusebenza kwamathumbu (FGD). Ku-SOD, i-sphincter ayiphumuli ngendlela efanele, ivimbela i-bile ne-pancreatic ijusi ukungena emathunjini amancane.
I-III III yokuqondisa i-SOD ichaza izimpawu zayo njenge "iziqephu zokulinganisela ukuba zibe nobuhlungu obunzima" ezindaweni eziphakathi nendawo eziphezulu zesisu esisenza okungenani imizuzu engama-30. Lolu hlobo lobuhlungu ngokuvamile luba khona isikhathi esifushane ngemva kokudla. Abanye abantu babika i-nausea nokuhlanza. Izimpawu zobuhlungu be-SOD zicatshangwa ukuthi ziwumphumela wokuqongelela ngokweqile kwamajusi emideni.
I-SOD ivame ukubonwa ngeziguli ze-postcholecystectomy noma kulabo abane-pancreatitis. Nakuba amaphesenti angama-20 e-postcholecystectomy iziguli azobika ubuhlungu obuqhubekayo besisu esiswini, kuphela amaphesenti amancane azoba ne-SOD. I-SOD ingaphathwa ngemithi noma inqubo eyaziwa ngokuthi endoscopic retrograde cholangiopancreatography (ERCP) .
I-IBS Ilandela ukususwa kwe-Gallbladder
Nakuba ngingazizwa ngizizwele izindaba eziningi ezivela ezigulini ze-IBS ezibika ukuthi i-IBS yazo yabonisa ngemuva kokususwa kwe-gallbladder yabo, ayikho iningi locwaningo lwezokwelapha ngale ndaba.
Kodwa-ke, abacwaningi sebeqale ukubheka isimo esibizwa ngokuthi i- bile acid malabsorption (BAM) kanye nobuhlobo bayo nesifo sohudo esingapheli.
Abantu abaye basuswa ezintweni zabo bangase babe engozini ye- BAM , isimo lapho kukhona ukungasebenzi khona ukuthi i-bile acids iqhutshwa kanjani emzimbeni. Ucwaningo ngalesi sihloko luselula, ngakho-ke kungcono ukusebenza nodokotela wakho ukuxilonga nokuxazulula le nkinga.
Yini Engingayenza Ukuphatha Izimpawu?
Uma ubhekene nemfiva, izikhukhula, noma izimpawu zokuphelelwa amandla kwamanzi, kufanele uxhumane nodokotela wakho ngokushesha.
Uma uhlangabezana nezinkinga eziqhubekayo nobuhlungu besisu kanye / noma isifo sohudo, kufanele usebenze nodokotela wakho ukuze uthole ukuxilongwa okunembile.
Ububanzi bezinkinga zezinkinga zakho eziqhubekayo zihlukahluka kakhulu:
- I-bony ejwayelekile ye-duct ngamatshe
- I-pancreatitis engapheli
- Dyspepsia
- I-IBS
- Umdlavuza we-Pancreatic
- I-SOD
Ukuxilongwa okunembile kungaholela ohlelweni lokuphatha kahle. Kwezinye izimo, isifo sohudo esilandelayo esilandelayo ngemuva kokususwa kwe-gallbladder kusizwa iklasi lemithi eyaziwa ngokuthi "i-bile acid yokubopha amanxeba," kufaka phakathi:
- I-Cholestyramine (i-Questran)
- I-Colesevelam (i-WelChol)
- I-Colestipol (i-Colestid)
Yini Engingayidla Ukulawula Izimpawu?
Ngaphandle kokuba i-gallbladder yakho ibambe iqhaza ohlelweni lokugaya, kungadingeka ushintshe imikhuba yakho yokudla. Uma i-gallbladder yakho isuswe nje maduzane nje, ungase ufune ukudla ukudla okudliwa kuze kube yilapho izimpawu zakho zokuhuda ziqala ukulula. Ngezinkinga eziqhubekayo, kunokudla okunye ongayidla kanye nabanye okufanele ugweme uma ungenayo i-gallbladder.
Nakuba kukhona isayensi elukhuni kulezi zincomo, ungase uthole amathiphu alandelayo ukuthi awusizo:
- Yidla ukudla okuncane njalo phakathi nosuku lwakho.
- Zama i- probiotic .
- Zama i- enzyme yokugaya .
Khumbula, nakuba ukubhekana nezimpawu akujabulisi, kunezici ezimbalwa (njengokudla kwakho) ezikulawulayo.
> Imithombo:
> Barkun, A. "Ama-malabsorption ama-acid e-diarrhea engavamile: I-Pathophysiology kanye nokwelapha" I- Canadian Journal of Gastroenterology 2013 27: 653-659.
> Behar, J. "I-Gallbladder esebenzayo kanye ne-Sphincter ye-Oddi Disorders" I- Gastroenterology 2006 130: 1498-1509.
> "Ama-Gallstones" I- National Digestive Information Clearinghouse (NDDIC).
> Wilcox, C. "Ukuhlukunyezwa kwe-Oddi Uhlobo lwe-III: Ucwaningo olusha lubonisa izindlela ezintsha ezidingekayo." I- World Journal of Gastroenterology 2015 21: 5755-5761.