Ngakhale matenda opwetekedwa ndi matumbo ndiwo makamaka matenda a m'matumbo akulu , pokhala ndi IBS mwachiwonekere sichikutsimikizira kuti dongosolo lanu lonse lakumimba limagwira ntchito mwangwiro. Chiwalo chimodzi chofunika kwambiri pakupanga chimbudzi ndi ndulu; mavuto omwe ali ndi chiwalo ichi akhoza kukhala ndi zizindikiro za IBS.
Mwachidule
Gulu lanu ndi chiwalo chaching'ono chomwe chimakhala kumbali yakumanja ya m'mimba mwanu, pansi pa chiwindi.
Ntchito yaikulu ya ndulu ndiyo kusunga bile, zomwe ndizofunika kuti muchepetse zakudya zomwe timadya. Chotsitsa chimayambitsidwa ndi chiwindi ndikusungidwa mu ndulu. Tikamadya zakudya zomwe zimakhala ndi mafuta, ndulu imabweretsa ubongo m'matumbo aang'ono. Kumeneko mankhwalawa amatsitsa mafuta, kuti alowe m'magazi athu.
Zizindikiro
Ngakhale mavuto ena a ndulu kuphatikizapo ziphuphu zingapangitse popanda zizindikilo zodziwika, zizindikiro zotsatirazi zikhoza kusonyeza nthendayi:
- Kuphika pambuyo pa chakudya, chakudya chapadera ndi mafuta ambiri
- Kutsegula m'mimba
- Kudzikuza
- Nausea pambuyo chakudya
- Ululu pakati kapena kumanja kwa mimba yanu
Zilonda zina zimalengeza kupezeka kwawo mwa zomwe zimatchulidwa kuti ndondomeko ya ndulu, yomwe imatchedwa biliary colic. Kuukira kotereku kumachitika maola angapo odya chakudya chambiri kapena chambiri. Mutha kumva ululu m'mimba mwakachetechete komanso kupweteka kumeneku kumapangidwanso kumbuyo, pakati pa mapewa anu, pansi pa dzanja lanu lamanja, kapena kumbuyo kwa bere lanu.
Zilonda zina zimayambitsa kunyoza ndi kusanza. Kawirikawiri, kuzunzidwa kumeneku kumangokhala ora limodzi kapena kuposa. Kuukira koteroko kuyenera kuuzidwa kwa dokotala, ngakhale zizindikiro zikugonjetsedwa.
Ngati mukupeza zizindikiro zotsatirazi, funsani chithandizo chamankhwala mwamsanga:
- Zojambulazo
- Chiwopsezo ndi zipsera pambali pa mseru ndi kusanza
- Zizindikiro za jaundice
- Kupweteka koopsa komanso kosalekeza m'mimba mwanu
Mayesero Opatsirana
Mutatha kuuza dokotala kuti mukudwala zizindikiro zosavomerezeka, dokotala wanu adzafufuza ndikuwonetsetsa kuyesedwa kwa magazi. Kuyesedwa kwina kungaphatikizepo:
- An ultrasound yomwe imatha kudziwa malo ndi kukula kwa gallstones
- Zithunzi za X-ray kuchokera ku kompyuta ya tomography yomwe ingasonyeze kukhalapo kwa gallstones, komanso kusonyeza kutupa kapena kuvulala kwa ndulu ndi bile.
- Cholescintigraphy (HIDA scan) yomwe imaphatikizapo jekeseni wa mankhwala othandizira ma radio kuti athandizidwe momwe ndondomeko yanu ikugwiritsira ntchito ndi kuyesa kupezeka kwa matenda a ndulu komanso kutsekemera m'matope.
- Chokhachokha chokhachokha-chogwiritsira ntchito endoscope , miyala iliyonse mu ndondomeko ya bile ingathe kudziwika ndi kuchotsedwa mwa njirayi
Kuchiza
Zitsulo zina zing'onozing'ono zingachotsedwe osati opaleshoni pogwiritsa ntchito ERCP. Palinso njira zina zopanda kuvuta opaleshoni, koma njirazi zimangogwiritsidwa ntchito mosavuta.
Njira yowonjezera yothetsera vuto la ndulu ndi kuchotsa ndulu, njira yotchedwa cholecystectomy.
Ndondomekoyi imachitika kawirikawiri, kutanthauza kuti ndulu imachotsedwa pogwiritsa ntchito zochepa zomwe zimawonekera.
Mavuto a IBS ndi Gallbladder
Mosiyana ndi mavuto ena azaumoyo , zikuoneka kuti palibe umboni uliwonse wakuti odwala IBS amavutika kwambiri ndi nthendayi kusiyana ndi anthu ena.
Kafukufuku wina wochititsa chidwi amafufuza ngati ndulu ya motility ingapangitse zizindikiro za IBS . Maphunziro pa nkhaniyi ndi ochepa ndipo athandizidwa kwambiri. Mwachitsanzo, kafukufuku wina sanapeze kusiyana kwa mapiritsi a galasi pakati pa ogwira ntchito a IBS ndi maphunziro abwino.
Kafukufuku wina anapeza mitengo yofulumira kuposa momwe angayang'anire kwa odwala omwe amavutika chifukwa chodzimbidwa kwambiri ndi IBS (IBS-C) komanso pang'onopang'ono kusiyana ndi zomwe zingayembekezere anthu omwe ali ndi matenda otsekula m'mimba-omwe ndi ofunika kwambiri ku IBS (IBS-D). Kafukufuku wowonjezera sanapeze kusiyana pakati pa odwala a IBS ndi kulamulira kwabwino kwa ndondomeko ya ndondomeko yotsutsana ndi maola awiri atatha kudya koma anapeza kusiyana kwakukulu maola atatu atatha kudya.
Pakalipano, kafukufuku wa chipatala chokhudza kugwirizana pakati pa IBS ndi mavuto a ndulu amakhalabe wosakwanira.
Kodi ndi IBS kapena Gallbladder?
Chifukwa IBS ndi matenda osokoneza bongo , anthu ambiri omwe ali ndi IBS sakhala ndi chidaliro chonse kuti apeza ngati akudwala matenda ena osokoneza bongo . Chifukwa chakuti anthu ena omwe ali ndi IBS amakumana ndi miseche komanso chifukwa chakuti ululu wa m'mimba ukhoza kuyamwa, ndizomveka kudabwa ngati mungakhale ndi vuto la ndulu.
Malo abwino kwambiri othetsera vutoli ndi kudzera ndi dokotala, yemwe angayang'ane zizindikiro zanu ndikukonzekera mayeso oyenerera opatsirana.
Zotsatira
- "Magalasi" Magulu a National Digestive Diseases Clearinghouse (NDDIC) .
- "Magalasi ndi matenda a ndulu - Zizindikiro" University of Maryland Medical Center .
- "Magalasi ndi ndulu - Matenda" University of Maryland Medical Center .
- Guclu, M., et.al. "Ultrasonographic kuyesa ndulu kumagwira ntchito kwa odwala omwe amatha kupweteka matumbo" Journal of Gastroenterology ndi Hepatology 2006 21: 1309-1312.
- Lee, O. "Maphunziro a ku Asia Motility mu Irritable Bowel Syndrome" Journal of Neurogastroenterology ndi Motility 210 16: 120-130.
- Misra, S., et.al. "Gallbladder Dynamics kwa Odwala ndi Irritable Bowel Syndrome ndi Essential Dyspepsia" Journal of Clinical Gastroenterology 1991 13: 65-68.
- Sood, G., et.al. "Gallbladder Yachilendo Imathandiza Odwala Omwe Amakhala ndi Irritable Bowel Syndrome." American Journal of Gastroenterology 1993 88: 1387-1390.