Zitsulo zoyera, zoyera, kapena zimawoneka ngati dothi kapena putty zikhoza kukhala chifukwa cha kusowa kwa bile kapena chifukwa cha kutsekedwa kwa mankhwala. Zitsulo zomwe ziri zobiriwira kapena zimawoneka ngati dongo zingathe kuchitanso pambuyo pa mayeso mu coloni yomwe imagwiritsa ntchito barium (monga barium enema ), chifukwa barium ikhoza kupitidwa mu chopondapo.
Pokhapokha ngati palibe mayesero oterewa, zidole zingathe kukhala chifukwa cha chinthu china chomwe chikuchitika m'magazi.
Kulephera kwa kayendedwe kabwino ka mchere kumatulutsa mafuta moyenera kungapangitsenso malo owala (achikasu mpaka imvi) ndi omwe amawoneka obiriwira. Dzina lachipatala "acholic" limagwiritsiridwa ntchito kutanthauzira zitsulo zowala zomwe zimabwera chifukwa cha kusowa kwa bile.
Kodi Mbalame Zakale Zimakhala Ndi Vuto Liti?
Kukhala ndi chovala choyera kapena kamodzi kamodzi kokha, kapena kawirikawiri, sikumakhala kovuta, koma ngati mtundu uli wochepa kwambiri, ndi chinthu chomwe chiyenera kukambirana ndi dokotala.
Zitsamba zathanzi zimakhala ndi kukula kwakukulu, maonekedwe, ndi mitundu. Pankhani ya kuchuluka kwa momwe mumasunthira matumbo anu kapena momwe nkhope yanu ikuwonekera, munthu aliyense ndi wosiyana ndipo pali "zambiri," osati malamulo enaake. Pali nthawi zina, pamene zomwe mukuwona mu chipinda chakumbudzi zimakhala kunja kwa zomwe zingaganizidwe moyenera ndipo ziyenera kufufuzidwa ndi dokotala. Nthawi zonse pamene mukudandaula za kukula, mawonekedwe, kapena mtundu wa zitsulo, funsani dokotala.
Zifukwa za Pale Stools
Njira ya biliary ndiyo dongosolo la ndulu, chiwindi , ndi zikondamoyo. Kuwomba kumapangika m'chiwindi, kusungidwa mu ndulu, ndipo kumatulutsidwa mu gawo loyamba la intestine yaing'ono (duodenum) pamene chakudya chikudutsa. Chophimba ndi chimene chimapereka mtundu wake wofiirira, kotero ngati bile sikupangidwa kapena ngati mankhwalawa atsekedwa, ndipo bile ikulowa m'matumbo aang'ono, zotsatira zake zikhoza kukhala zowonongeka.
Zotsatira zachipatala za chotupa chomwe chiri chotupa kapena chodothi chadothi nthawi zambiri zimakhala ndi chiwindi ndi biliary issues monga:
- Kachilombo ka shuga: Matenda a chiwindi omwe amapezeka pambuyo powawonjezera mowa
- Matenda a biliary: Chiwindi cha matenda a chiwindi kumene mazira a bongo akuwonongeka
- Chilema chobadwa: Kubadwa ndi vuto mu biliary system
- Mphepete: Chimake chingatsekereretse njira ya bile
- Mitsempha : Izi calcium deposits mu gallbladder zingakhoze kuletsa bile ducts
- Matenda a Chiwindi A, B, kapena C : Matenda a chiwindi omwe amachititsa kuti asakhale ndi bile
- Kutenga: Matenda ena amatha kusintha bliyary system
- Sclerosing cholangitis : Matenda omwe angayambitse kusowa kwa bile kapena kutsekedwa mu ntchentche
- Zotsatirapo za mankhwala: Kugwiritsa ntchito mankhwala ena mopitirira muyeso kungayambitse matenda opatsirana pogwiritsa ntchito mankhwala osokoneza bongo, kuphatikizapo omwe steroidal anti-inflammatories, maambukidwe obereka mahomoni, ndi maantibayotiki ena
- Zizindikiro : Kutsekeka kwa m'matumbo kungalepheretse kutuluka kwa bile
- Kutupa: Chotupa chingalepheretse kutuluka kwa bile
Apanso, ngati muwona chophimba chadothi mumadzi anu amodzi kamodzi, mwina si chifukwa chodera nkhawa. Ngati mukuwona nthawi zonse, muyenera kuonana ndi dokotala ndikugwira ntchito limodzi kuti muchepetse chifukwa.
Zizindikiro Zogwirizana ndi Chophimba Chamtengo Wapatali
Chotupa cha mtundu wachikuda chimene chimayambitsidwa ndi matenda ena amatha kukhala limodzi ndi chikasu choyera kutuluka khungu ndi maso ( jaundice ) kapena mkodzo wakuda. Ngati zizindikiro za jaundice zimachitika, dokotala ayenera kufunsidwa mwamsanga.
Kukhalapo kwa jaundice pamodzi ndi zidole zotsekedwa kungatanthauze kuti pali chilepheretsedwe mu ndondomeko ya bile kapena kuti pali matenda m'chiwindi. Zonsezi zingakhale zoopsa ndipo ziyenera kukambirana ndi dokotala kuti athe kulandira chithandizo mwamsanga.
Kusanthula Chikhalidwe Chachidule
Pofuna kuthana ndi zida zotsekemera, chomwe chimayambitsa vutoli choyamba chiyenera kupezeka.
Kuwonjezera pa mbiri yakale ya zamankhwala, mayesero ena omwe angagwiritsidwe ntchito kuti apeze matendawa ndi awa:
- Kuyesera kwa chiwindi: Kuyesedwa kwa chiwindi kumathandiza kudziwa ngati pali chikhalidwe chomwe chimachititsa chiwindi chomwe chikuchititsa ziboda zotumbululuka.
- Mimba yamadzimadzi : Imayeso yosautsa yomwe imagwiritsa ntchito mafunde amphamvu kuti awone zomwe ziri mkati mwa thupi ndipo zingathandize dokotala kuwona mkati mwazinthu monga ndulu.
- Magazi amagwira ntchito kuti ayese matenda : Kuyezetsa magazi kosiyanasiyana kungathe kuchitidwa ndipo pamene sangathe kudziwa vuto, angagwiritsidwe ntchito kuthandizira kuchepetsa vutoli.
- Mapuloteni osakanikirana oterewa (ERCP) : Kawirikawiri, mtundu wa endoscopy umene ungagwiritsidwe ntchito kuti uziwone mkati mwa mphukira ndi ndudu za bile.
Kuchiza Chopondapo Chachikulu
Chithandizo chidzadalira chifukwa choyambitsa. Ngati chifukwa chake ndi mafuta, kusintha kwa zakudya ndi mavitamini owonjezera kungapangidwe. Pankhani ya blocked bile ducts, mungafunike opaleshoni kuti mutsegule ducts. Ngati ziwalozo ndi chizindikiro cha vuto linalake, monga chiwindi cha chiwindi, chifukwa choyambitsa chiyenera kuchiritsidwa.
Mawu Ochokera
Anthu omwe asanakhale ndi barium enema kapena swallowum amagwiritsa ntchito dokotala ayenera kuwona dokotala wokhudzana ndi zitsime zakuda. Izi ndi zoona makamaka ngati zizindikiro zina zikuchitika pamodzi ndi izo, makamaka za jaundice kapena ululu. Dokotala angafunike kuyesa mayesero ena ndikuwone zomwe zingayambitse chotupa chofiira. Ngati pali zizindikiro zilizonse zomwe zikuvutitsa, monga kupweteka koopsa kapena chifuwa, kufunafuna chithandizo nthawi yomweyo n'kofunika.
Ndizomveka kuti simumasuka kulankhula ndi munthu wina za chiopsezo chanu, koma dokotala akufuna kudziwa zambiri kuti athe kukuthandizani. Poyambirira mumakhala ndi zokambirana, zomwe mungalandire bwino.
> Zotsatira:
> Dugdale DC. "Zitsulo - zofiira kapena zadongo." MedlinePlus. 22 Jul 2016.
> Picco MF. "Mtoto wautoto: Nthawi yoti mudandaule." Kliniki ya Mayo 6 Oct 2016.
> S. Mark Taper Foundation Imaging Center. "Barium Swallow." Mikungudza-Sinai 2013.