Anthu ena omwe atulutsidwa ndi ndulu zawo - njira yotchedwa cholecystectomy - imadzipanikiza ndi mavuto opatsirana. Kawirikawiri, zizindikirozi zimaphatikizapo kupweteka kapena kufunika kofulumira kuthamangira kuchimbudzi mukatha kudya. Pano inu mudzapeza chifukwa chake izo zikhoza kuchitika ndi zomwe mungachite pa izo.
Moyo Wopanda Ndi Wopanda Wanu
Ndibwino kukhala ndi moyo popanda ndulu, yomwe ndi imodzi mwa zifukwa zomwe zimayambira ndondomeko yotulutsa ndondomekoyi ndizochidziwitso chithandizo choyambitsa matenda a gallbladder .
Ntchito yanu yaikulu ya ndulu ndiyo kusunga bile (chinthu chofunika kuti mupeze mafuta) ndikusungunula bile mumatumbo anu aang'ono chifukwa cha kumeza zakudya zomwe zili ndi mafuta.
Popanda ndulu yanu, chiwindi chanu chikupitirizabe kubala bile, koma mmalo mwake chimatumizidwa ku ndulu yosungiramo bile imatumizidwa mu "njira yamba yomwe mumakhala nayo" kenako imalowa mkati mwa m'mimba mwanu.
Kodi Chotsani Kuchokera ku Gallbladder Kuchotsa?
Kwa anthu ambiri, thupi limasintha mpaka kutaya ndulu. Komabe, pali mavuto angapo amene anthu angakumane nawo atachotsa ndulu. Khalani otsimikiza ngakhale-ambiri ali ndi njira zothetsera vuto.
1. Postcholecystectomy m'mimba
Pafupifupi 20 peresenti ya anthu amene atulutsidwa ndi matendawa amatha kupeza mavuto omwe amabwera chifukwa cha kutsekula m'mimba , matenda otsegula m'mimba otchedwa postcholecystectomy.
Vutoli limachokera ku mfundo yakuti popanda ndulu, palibe kanthu koyesa kuchuluka kwa bile kamene kamadutsa m'mimba mwaching'ono ndipo kuchuluka kwa bile kungapangitse malo okhala madzi komanso mobwerezabwereza.
Mwamwayi, kwa ambiri a anthuwa, vutoli lidzathetsa pang'onopang'ono pakapita nthawi.
2. Sphincter Oddi Dysfunction
Ngati mukukumana ndi kupweteka kwa m'mimba kumapeto kwa ndulu, mutha kuyankhula ndi adokotala za vuto lanu ndi Oddi wanu .
"Sphincter ya Oddi" (SO) ndi valve yomwe imapezeka mkati mwa matumbo aang'ono omwe amayendetsa kutuluka kwa bile ndi pancreatic juisi.
Chiwerengero chochepa cha anthu chikhoza kukhala ndi " sphincter ya Oddi kutayika " (SOD), matenda okhudza m'mimba (FGD). Mu SOD, sphincter samasuka monga momwe ziyenera kukhalira, kuteteza bile ndi pancreatic madzi kuti asalowe m'mimba.
Njira ya III III ya SOD imalongosola zizindikiro zake ngati "zigawo zosautsa kwambiri" m'madera ozungulira ndi apamwamba a mimba omwe amatha mphindi 30. Mavuto oterewa amapezeka kanthawi kochepa mutatha kudya. Anthu ena amanena kuti kudana ndi kusanza ndi kusanza. Zizindikiro za kupweteka kwa SOD zimaganiziridwa kuti ndizo chifukwa cha kuchulukitsidwa kwakukulu kwa timadziti m'matope.
SOD imapezeka nthawi zambiri m'magulu otchedwa postcholecystectomy odwala kapena omwe ali ndi chifuwa chachikulu. Ngakhale kuti oposa 20 peresenti ya odwala postcholecystectomy adzalengeza kuti kupweteka kwa m'mimba kumapitirirabe, pokhapokha peresenti yokhala ndi SOD. SOD ikhoza kuchiritsidwa ndi mankhwala kapena njira yotchedwa endoscopic retrograde cholangiopancreatography (ERCP) .
IBS Yotsatira Gallbladder Kuchotsedwa
Ngakhale kuti sindinayambe ndamvapo nkhani zambiri zochokera kwa odwala a IBS omwe amafotokoza kuti IBS yawo ikutsatidwa kuchotsa ndulu yawo, palibe kafukufuku wochuluka pa nkhaniyi.
Komabe, ofufuza ayamba kuyang'ana mkhalidwe wotchedwa bile acid malabsorption (BAM) ndi ubale wake ndi matenda otsekula m'mimba.
Anthu amene atulutsidwa ndi zida zawo akhoza kukhala pangozi ya BAM , vuto lomwe lilibe vutoli momwe momwe bile acid amachitira mkati mwa thupi. Kafukufuku wokhudza nkhaniyi akadali wofewa, choncho ndi bwino kugwira ntchito ndi dokotala kuti mupeze yankho ndikukhazikitsa.
Kodi Ndingatani Kuti Ndizisamalira Zizindikiro?
Ngati muli ndi malungo, zilonda, kapena zizindikiro zowonongeka, muyenera kuonana ndi dokotala mwamsanga.
Ngati mukuvutikabe ndi ululu m'mimba ndi / kapena kutsekula m'mimba, muyenera kugwira ntchito ndi dokotala kuti mupeze yankho lolondola.
Zambiri mwazovuta za mavuto omwe mukukumana nawo ndi osiyanasiyana:
- Common bile duct miyala
- Kuperewera kwapang'onopang'ono
- Dyspepsia
- IBS
- Khansara yapancreatic
- SOD
Kuzindikira molondola kungapangitse dongosolo labwino la mankhwala. Nthaŵi zina, kutsegula m'mimba kumene kumabwera pambuyo pochotsa ndulu kumathandizidwa ndi gulu la mankhwala otchedwa "acid acid binding agents," kuphatikizapo:
- Cholestyramine (Questran)
- Colesevelam (WelChol)
- Colestipol (Oyang'anira Colestid)
Kodi Ndingadye Bwanji Kusamalira Zizindikiro?
Popanda ndulu yanu ikugwira nawo ntchito yopanga chimbudzi, mungafunikire kusintha zakudya zanu. Ngati ndulu yanu idachotsedwa posachedwapa, mukhoza kudya zakudya zamtunduwu mpaka zizindikiro zanu zotsekula m'mimba zimayamba kuchepa. Pa mavuto omwe alipo, pali zakudya zina zomwe mungadye ndi zina zomwe muyenera kuzipewa pamene mulibe ndulu.
Ngakhale kuti pali sayansi yowuma kumbuyo kwa malingaliro awa, mungapeze malangizo awa othandizira:
- Idya zakudya zazing'ono nthawi zambiri tsiku lonse.
- Yesani ma probiotic .
- Yesani mavitamini a m'mimba .
Kumbukirani, ngakhale kulimbana ndi zizindikiro sizosangalatsa, pali zinthu zingapo (monga zakudya zanu) zimene zili m'manja mwanu.
> Zotsatira:
> Barkun, A. "Mafuta a malabsorption omwe ali ndi matenda otsekula m'mimba: Matenda ndi mankhwala" Canadian Journal of Gastroenterology 2013 27: 653-659.
> Behar, J. "Ntchito Yowona Gallbladder ndi Sphincter ya Oddi Disorders" Gastroenterology 2006 130: 1498-1509.
> "Magalasi" National Disease Information Clearinghouse (NDDIC).
> Wilcox, C. "Odd of Oddi dysfunction Mtundu Wachitatu: Kafukufuku watsopano akusonyeza kuti njira zatsopano zimayendera." World Journal of Gastroenterology 2015 21: 5755-5761.