"Habba Syndrome" yigama elihlanganiswe nguSaad F. Habba, MD uDkt. Habba uye wafaka inkolelo yokuthi ukuhudoza-i- IBS-D kanye ne- diarrhea esebenzayo iyabanjwa -yonke imigomo yezinye izimo zezokwelapha ezibonakalayo. Ngokusho kukaDkt. Habba, okunye okubangelwa yizibonakaliso zokuhuda kuzoba yilezi zindlebe eziqinile kodwa ezingasebenzi.
Yilokho ukungasebenzi okubhaliwe abhale ngokuthi "i-Habba Syndrome."
Kubalulekile ukuqaphela ukuthi "i-Habba Syndrome" ayibonakali njengesifo, kodwa kuphela incazelo yokubona kukaDkt. Habba ngokwakhe.
Ngubani uDkt Habba?
Ngokusho kwewebhusayithi kaDkt. Habba, ungumuntu we- gastroenterologist oneminyaka engaphezu kwamashumi amathathu okuhlangenwe nakho njengodokotela kanye nomgogorenterologist. Njengamanje ugcina umkhuba wangasese eNew Jersey, ukhonza njengoProfesa Wemsizi weMitholampilo eNtabeni iSinayi School of Medicine futhi ungumdokotela oya e-Overlook Medical Center eNew Jersey.
Ucwaningo
UDkt. Habba wasekela inkolelo yakhe ngesifundo esisodwa esenza lapho ebheka khona iziguli ngendlela yakhe. Ucwaningo lubandakanya iziguli ezingama-303 ezazitholakale ezine-IBS-D noma uhudo olusebenzayo futhi obhekene nezimpawu zabo ngqo ngemva kokudla ( postprandial ). Uphetha ngokuthi amaphesenti angu-98 alaba bantu abe nesimo sokuxilongwa ngaphandle kwe-IBS.
Kuleli qembu, u-41% walezi ziguli wabiza uHabba Syndrome, kanti amanye ama-23% abhekana nezimpawu ngemuva kokususwa kwe-gallbladders yabo. Okunye ukuxilongwa kwakuhlanganisa ukubekezelelana kwe-lactose , ubuhlungu be-colitis kanye nesifo se-celiac .
Ucwaningo oluqhubekayo
Kuvela ukuthi uDkt. Habba kungenzeka ukuthi ubelokhu ekhona.
Abacwaningi baye babheka isimo esibizwa ngokuthi i- bile acid diarrhea (i-BAD), okunye okubizwa ngokuthi i-bile acid malabsorption (BAM), okubonakala sengathi yinto engasebenzi ngayo uDkt. Habba. Izifundo zibonise ukuthi i-BAM ingaba yikho okwezinye izimo ze-IBS-D. Lezi zifundo zilinganisela ukuthi cishe ingxenye eyodwa kwezintathu zabantu abane-IBS-D bangase babe ne-BAD. Nakuba uDkt. Habba eveza izimpawu ekusebenziseni ukungasebenzi komzimba, abacwaningi babheka izici ezithile ezingase zidale izinkinga nge-bile acid.
Futhi, kufanele kuboniswe ukuthi ngenkathi ucwaningo luye lwabona indima ye-bile acids kwezinye izimo ze-IBS-D, ayikho ucwaningo lokusikisela ukuthi "i-Habba Syndrome" empeleni isifo sezokwelapha ngempela.
Izimpawu
Inkolelo kaDkt. Habba ichaza izimpawu ze "Habba Syndrome" njengoba ihlanganisa isifo sohudo esingapheli esenzeka ngemva kokudla. Izimpawu kumele zibe khona okungenani izinyanga ezintathu. I-diarrhea ivame ukuphuthumayo, ukuqhuma, futhi ingabangela ukungahambisani . Encwadini kaDkt. Habba mayelana nesifo, isifo sohudo asivami ukuba kwenzeke ebusuku.
Ukuxilongwa
UDkt. Habba uncoma ukuphawula okugcwele ukulawula ezinye izifo zokugaya . Khona-ke uncoma i-hepatobiliary scintigraphy, ukuhlolwa kwemithi yenuzi, ukunquma izinga lokusebenza le-gallbladder, njengoba kuqhathaniswa nesilinganiso esibizwa ngokuthi i-fraction ejection.
Indlela kaDkt. Habba iyahlukahluka kulokho okunconyelwe ukuhlola i-BAD. Kucatshangwa ukuthi isilinganiso esihle kakhulu sokuba khona kwe-BAD into okuthiwa i-75SeHCAT scan. Ngeshwa, le vivinyo ayitholakali e-United States. Ngakho-ke abanye odokotela basebenzisa isilingo sesigaba esithile semithi ebizwa ngokuthi "i-bile acid sequestrants" noma "i-bile acid ezibophezelayo." Uma imithi iphumelela ezimpawu, kuthiwa kuthiwa ikhona i-BAD.
Ukwelapha
UDkt. Habba usebenzise lezi zinto ezibalulwe ngenhla ye-bile acid ezibophezelayo ukuze aphathe lokho akubona njengokungasebenzi komzimba we-gallbladder. Lokhu empeleni kuvumelana nalokho okunconywe ngabacwaningi be-BAD.
Imithi kuleli klasi ihlanganisa:
- I-Cholestyramine (i-Questran)
- I-Colesevelam (i-WelChol)
- I-Colestipol (i-Colestid)
Izwi kusuka
Kuyadumisa ukuthi uDkt. Habba wayengomunye wezidakamizwa zokuqala ukuqaphela indima yokuthi i-bile acids ingase idlale kwezinye izimo ze-IBS-D. Futhi kuyakhuthaza ukuthi izinkolelo zakhe nezincomo zokwelapha zisekelwa ucwaningo olulandelayo. Ngeshwa yena, igama lakhe elithi "Habba Syndrome" cishe lizofakwa esikhundleni sokuxilongwa okubandakanyeka kwe-bile acid isifo sohudo (BAD). Ngethemba ukuthi ukucwaninga okuqhubekayo mayelana nendima ye-BAD izoqhutshwa ukuqinisekisa ukuphepha nokusebenza kohlelo lukaDkt. Habba ekwelapheni izimpawu ze-IBS-D kanye nesifo sohudo. Njengoba kunikezwa ukuthi i-BAD icatshangwa yizinyanga, uma izimpawu ze-"Habba Syndrome" zizwakala njengezakho, kungase kuzuze isikhathi sakho ukuba uxoxe nodokotela wakho nge-BAD.
> Imithombo:
> I-DiBaise JK, i-Islam RS " I-Acile Acids: Isizathu Esingaqondakali Nokungaqinisekisiwe Sokuhuda Kwesifo Esingahleliwe " I- Gastroenterology Esebenzayo 2012 36 (10): 32-44
> Habba, S. "I-Diarrhea I-Irritable Bowel Syndrome (i-IBS-D) Eyinkimbinkimbi (i-IBS-D): Amaqiniso noma amanga" Ama- Medical Hypotheses 2011 76: 97-99.