Nangona isifo sengqondo sesifo esiswini sisisifo esiyinambuzane enkulu , ekubeni i-IBS ayiboneli ngokuqinisekileyo ukuba yonke inkqubo yakho yokugaya isebenza ngokugqibeleleyo. Elinye iqela elibaluleke kakhulu kwinkqubo yokugaya i-gallbladder; Iingxaki zeli qumrhu zinokugqithisa iimpawu zakho ze-IBS.
Sibanzi
I-gallbladder yakho iyilungu elincinci, elinjenge-sac-like located kwicala lasekunene lesisu sakho esisentla, sithwele phantsi kwesibindi sakho.
Umsebenzi omkhulu we-gallbladder ukugcina ibhilidi, okuyimfuneko yokutya ukutya esikudlayo. Ibhili iqala ukuveliswa ngesibindi kwaye igcinwe kwi-gallbladder. Xa sidla ukutya okunamafutha kuwo, i-gallbladder ifihla ibhodlela emathunjini amancinci. Kukho i-bile ibhula amanqatha, ivumela ukuba ifakwe kwigazi lethu.
Iimpawu
Nangona ezinye iingxaki zentlanzi eziquka i-gallstones zingakhula ngaphandle kweempawu ezibonakalayo, iimpawu ezilandelayo zingabonakalisa isifo se-gallbladder:
- Ukuqhawula emva kokutya, ukutya okuthe ngqo nge-fat fat content
- Isifo sohudo
- Ukunyanzelisa
- Ukuxhamla emva kokutya
- Ubuhlungu phakathi okanye kwicala lasekunene lesisu sakho
Ezinye izimo zengqungquthela zivakalisa ubukho bazo ngokubhekiselele ekuthiwa yi-gallbladder attack, ekliniki ebizwa ngokuba yi-coliary colic. Ukuhlaselwa okunjalo kungenzeka kwiiyure ezimbalwa zokutya isidlo esikhulu okanye esinamafutha. Unokuba neentlungu kwisisu sakho sasekunene kwaye le ntlungu inokugqithisa kumqolo ophezulu, phakathi kwamagxa akho emagxeni, phantsi kwesigxina sakho sokunene, okanye emva kwesifuba sakho.
Ezinye izihlaselo ze-gallbladder zibangelwa isicupunu kunye nokuhlanza. Ngokuqhelekileyo, ezi hlaselo ziphela nje ngeyure okanye njalo. Uhlaselo olunjalo kufuneka luxelelwe ugqirha wakho, nangona ukuba iimpawu ziyaphula.
Ukuba unamava alandelayo, khangela uncedo lwangonyango ngokukhawuleza:
- Izigqoko ezinemibala
- I-Fever kunye ne-chills kunye ne-nausea kunye nokuhlanza
- Iimpawu ze- jaundice
- Intlungu ephilileyo neyoqhubekayo kwisisu sakho sokunene sasekunene
Uvavanyo lweNgcaciso
Emva kokuba uxelele ugqirha wakho ukuba ufumana iimpawu ezingavamile zokugaya, ugqirha wakho uya kwenza uvavanyo lwenyama kwaye uphakamise iimvavanyo zegazi. Uvavanyo oluqhubekayo luquka:
- I-ultrasound engakwazi ukuchonga indawo kunye nobukhulu be-gallstones
- Iifoto ze-X-ray ezivela kwikhompyutha ye-tomography ebonisa ukubonakala kwezinto ezinjengama-gallstones, kunye nokubonisa ukuvutha okanye ukulimala kwindidi ye-gallbladder kunye ne-bile
- I-cholescintigraphy (i-HIDA scan) equka ukungena kwezinto ezinokusasaza ukusiza ukuhlola indlela i-gallbladder yakho isebenza ngayo nokuvavanya ubukho bentsholongwane ye-gallbladder kunye nokukhuselwa kwi-bin ducts
- I-endoscopic retrograde ye-cholangiopancreatography-usebenzisa i- endoscope , nayiphi na amatye kwi-buct buct ingaqatshelwa kwaye isuswe ngolu hlobo lwenkqubo
Unyango
Amanye ama-gallstones amancinci angasuswa ngaphandle kokuhlinzwa ngokusetyenziswa kwe-ERCP. Kukho ezinye iindlela zokungcoliswa kwamagqabhagqabha angagqirha, kodwa ezi ndlela zisetyenziselwa kwiimeko ezingaqhelekanga.
Indlela eqhelekileyo yokuphatha iingxaki ze-gallbladder ukususa i-gallbladder, inkqubo ebizwa ngokuba yi-cholecystectomy.
Inkqubo idla ngokuphindaphindiweyo i-laparoscopically, oku kuthetha ukuba i-gallbladder isuswa ngokusetyenziswa kwezinto ezincinci kuphela.
IBS kunye neGallbladder iingxaki
Ngokungafani nezinye iingxaki zempilo , kubonakala kungekho naluphi na ubungqina bokuba izigulane ze-IBS zinokuthi zihlupheke ngenxa yesifo se-gallbladder kunabanye abantu.
Enye into enomdla yophando ihlola ukuba i-gallbladder motility ingaba negalelo kwiimpawu ze-IBS . Izifundo malunga nomxholo zimbalwa kwaye zenze iziphumo ezixutywe kakhulu. Ngokomzekelo, uphando oluthile alufumani nantlukwano kwimilinganiselo ye-gallbladder contractions phakathi kwezilwanyana ze-IBS kunye nezifundo zokulawula impilo.
Olunye uphando lufumene irhafu ngokukhawuleza kunokuba kulindeleke kwizigulane ezithwaxwa yi -IBS (i-IBS-C) kunye neendleko ezincitshisiweyo kunokuba zikulindelwe kulabo abanesifo sohudo-ebaluleke kakhulu kwi-IBS- IBS-D. Uphando olongezelelweyo alufumananga umahluko phakathi kwezigulane ze-IBS kunye nokulawula okunempilo ngokwemigangatho ye-gallbladder yokuqhawulwa kweeyure ezimbini emva kokutya kodwa ufumene umehluko omkhulu emva kweeyure ezintathu emva kokutya.
Okwangoku, uphando lwekliniki malunga nokubambisana phakathi kwe-IBS kunye neengxaki ze-gallbladder zihlala zingenakwenzeka.
Ngaba i-IBS okanye i-Gallbladder?
Ngenxa yokuba i-IBS iyinkathazo yokusebenza , abantu abaninzi abane-IBS abanakho ukuzithemba ngokupheleleyo kwi-diagnostic yabo, bebuza ukuba ngaba ezinye iingxaki zokugaya zingase zibe khona. Ngenxa yokuba abanye abantu abane-IBS bafumana isicupunu kunye nokuba ubuhlungu besisu buya kukhanya, kunengqiqo ukubuza ukuba unokuba neengxaki ze-gallbladder.
Indawo efanelekileyo yokujongana nokuxhalabisa okunjalo kukuthetha ngogqirha wakho, ngubani onokuhlola iimpawu zakho kunye nokulungisa iimvavanyo ezifanelekileyo zokuxilongwa.
Imithombo
- "AmaGallstones" I- National Digestive Diseases Information Clearinghouse (NDDIC) .
- "Iigallstones kunye nesifo se-gallbladder - Iimpawu" IYunivesithi yaseMary Medical Centre .
- "Iigallstones kunye nesifo se-gallbladder - unyango" i- University of Maryland Medical Centre .
- Guclu, M., et.al. "Ukuhlolwa kwe-ultrasonographic yemisebenzi ye-gallbladder kwizigulane ezinezifo zesifo seengqondo" "I- Journal of Gastroenterology kunye neHepatology 2006 21: 1309-1312.
- U-Lee, O. "Izifundo ze-Asia Motility kwi-Irritable Bowel Syndrome" I- Journal ye-Neurogastroenterology kunye ne-Motility 210 16: 120-130.
- Misra, S., et.al. "I-Gallbladder Dynamics kwizigulane nge-Irritable Bowel Syndrome kunye ne-Essential Dyspepsia" Journal of Clinical Gastroenterology 1991 13: 65-68.
- Sood, G., et.al. "I-Gallbladder engaqhelekanga Umsebenzi kwizigulane nge-Irritable Bowel Syndrome." I-American Journal yeGastroenterology 1993 88: 1387-1390.