"Habba Syndrome" ndi mawu omwe adalembedwa ndi Saad F. Habba, MD Dr. Habba adayambitsa chiphunzitso chakuti kutsekula m'mimba-kwakukulukulu kwa IBS-D ndi kutsekula m'mimba kumagwiritsidwa ntchito-mawu onse ochiritsira. Malingana ndi Dr. Habba, vuto lina la zizindikiro zotsekula m'mimba ndilo ndulu yomwe imakhala yovuta koma yosavomerezeka.
Ndiyi vutoli lomwe limatchedwa "Habba Syndrome".
Ndikofunika kuzindikira kuti "Habba Syndrome" sichidziwika ngati matenda, koma ndondomeko chabe ya zochitika za Dr. Habba mwiniwake.
Kodi Dr. Dr. Habba ndi ndani?
Malinga ndi webusaiti ya Dr. Habba, iye ndi gastroenterologist ali ndi zaka zoposa makumi atatu monga dokotala ndi gastroenterologist. Iye pakalipano akugwira ntchito yapayekha ku New Jersey, ali ngati Pulofesa Wothandizira Pachipatala ku Mount Sinai School of Medicine ndipo akupita kuchipatala ku Overlook Medical Center ku New Jersey.
Kafukufuku
Dr. Habba adagwiritsa ntchito mfundo zake pa phunziro lina lomwe adapanga kuti adayang'anitsitsa odwala mwazochita zake. Kafukufukuyu anaphatikizapo odwala 303 omwe anapezeka ndi IBS-D kapena kutsegula m'mimba komanso amene anadwala matendawa pambuyo pa kudya ( postprandial ). Anatsimikizira kuti 98 peresenti ya odwalawa anali ndi matenda osagwirizana ndi IBS.
Pa gululi, adatchula 41% mwa odwalawa kukhala ndi Habba Syndrome, pamene 23% adawona zizindikiro pambuyo pochotseratu magulu awo. Matenda ena anaphatikizapo kusagwirizana kwa lactose , matenda osakanikirana ndi matenda a leliac .
Kafukufuku Wotsatira
Izi zikutanthauza kuti Dr. Habba ayenera kuti wapita ku chinachake.
Ofufuza akhala akuyang'ana mkhalidwe wotchedwa bile acid diarrhea (BAD), omwe amadziwika kuti bile acid malabsorption (BAM), omwe amawoneka ngati ofanana ndi omwe Dr. Habba adadziwika. Kafukufuku wasonyeza kuti BAM ikhoza kukhala chomwe chimayambitsa zina za IBS-D. Maphunzirowa akulingalira kuti pafupifupi gawo limodzi mwa atatu mwa anthu omwe ali ndi IBS-D angathe kukhala ndi BAD. Ngakhale Dr. Habba akuonetsa zizindikiro kuti matendawa amatha kupweteka, akatswiri akufufuza zinthu zomwe zingayambitse mavuto ndi bile acids.
Apanso, ziyenera kufotokozedwa kuti ngakhale kafukufuku atulukira kuti ntchito ya bile acid nthawi zina za IBS-D, palibe kafukufuku wosonyeza kuti "Habba Syndrome" kwenikweni ndi matenda enieni.
Zizindikiro
Nthano ya Dr. Habba ikufotokoza zizindikiro za "Habba Syndrome" zomwe zimakhala ndi matenda otsekula m'mimba omwe amapezeka makamaka akamadya. Zizindikiro ziyenera kukhalapo kwa miyezi itatu. Kutsekula m'mimba nthawi zambiri kumakhala kofulumira, kukuphulika, ndipo kungayambitse kusadziletsa . Mu Dr. Habba kufotokoza za matenda, kutsekula m'mimba sikungokhalako usiku.
Kudziwa
Dr. Habba amalimbikitsa kugwedeza kwathunthu kuti awononge matenda ena osokoneza ubongo . Pambuyo pake amalimbikitsa matenda a nyukiliya, mankhwala a nyukiliya, kuti azindikire kuchuluka kwake kwa ndulu, monga momwe amadziŵira ndi chiyero chotchedwa kachigawo kakang'ono ka ejection.
Njira ya Dr. Habba ikusiyana ndi zomwe zinapangidwira kuti mupeze BAD. Zikuganiziridwa kuti kukhalapo kwa BAD ndikutchedwa kusanthula 75SeHCAT. Tsoka ilo, mayesowa sapezeka ku United States. Choncho madokotala ena amagwiritsa ntchito mayesero a mankhwala ena omwe amatchedwa "bile acid sequestrants" kapena "bile acid binding agents". Ngati mankhwalawa ali othandiza pa zizindikiro, ndiye kuti BAD ilipo.
Chithandizo
Dr. Habba amagwiritsa ntchito zida zogwiritsira ntchito ndondomeko za bile zomwe zimadziwika kuti ndizovuta kuzimitsa. Izi zikugwirizana ndi zomwe akatswiri a BAD amalimbikitsa.
Mankhwala m'kalasi ili ndi awa:
- Cholestyramine (Questran)
- Colesevelam (WelChol)
- Colestipol (Oyang'anira Colestid)
Mawu ochokera
Ndiyamikirika kuti Dr. Habba anali mmodzi mwa madokotala oyamba kuzindikira udindo umene bile acid acid akhoza kusewera nthawi zina za IBS-D. Ndipo n'zolimbikitsa kuti malingaliro ake ndi ndondomeko zamankhwala zikuthandizidwa ndi kufufuza komweku. Mwamwayi, dzina lake "Habba Syndrome" lidzaloledwa m'malo mwake ndi kuwonjezereka kwambiri kwa bile acid m'mimba (BAD). Tikukhulupirira, kupitiriza kufufuza kuti ntchito ya BAD idzachitidwa poonetsetsa kuti chitetezo ndi mphamvu za njira ya Dr. Habba zothandizira zizindikiro za IBS-D ndi kutsegula m'mimba. Popeza kuti akuganiza kuti BAD sichidziwika ndi madokotala, ngati zizindikiro za otchedwa "Habba Syndrome" zimamveka ngati zanu, zingakhale zabwino kuti mukambirane ndi dokotala wanu za BAD.
> Zotsatira:
> DiBaise JK, Islam RS " Zomwe Zili M'thupi: Chodziwika ndi Chosavomerezeka Chifukwa cha Kutsekula Kwambiri Kutsekula Kumimba " Practical Gastroenterology 2012 36 (10): 32-44
> Habba, S. "Kutsekula m'mimba Kwambiri (Irstable Bowel Syndrome) (IBS-D): Zoona kapena zongopeka" Medical Hypotheses 2011 76: 97-99.