Abanye abantu abaye basusa i-gallbladders - inkqubo eyaziwa ngokuba yi-cholecystectomy-zifumana zijongene neengxaki eziqhubekayo zokugaya ukutya. Ngokuqhelekileyo, ezi zimpawu ziquka intlungu okanye isidingo esiphuthumayo sokugibela kwindawo yokuhlambela emva kokutya. Apha uya kufumanisa ukuba kutheni kwenzeka oko kunye nento ongayenza ngayo.
Ubomi Nge-Without Gallbladder yakho
Kukhuselekile ukuhlala ngaphandle kwe-gallbladder, yenye yezona zizathu zokususa i-gallbladder ngokuqhelekileyo unyango olucebisiweyo lweengxaki ze-gallbladder .
Umsebenzi wakho oyintloko wokugcina i-bile (into efunekayo yokugaya amafutha) kunye nokwenza i-secrete bile kwi-intestine yakho encinci ngokuphendula ukutya kokutya okunamafutha.
Ngaphandle kwe-gallbladder yakho, isibindi sakho siyaqhubeka nokuvelisa i-bile, kodwa esikhundleni sayo sithunyelwa kwi-gallbladder yokugcina i-bile ithunyelwa "kwi-buct" yakho kwaye uyenze indlela yayo emathunjini akho amancinci.
Yintoni enokubangela ukususa kwiGallbladder Removal?
Kwabaninzi abantu, umzimba uphendulela ekulahlekeni kwe-gallbladder. Nangona kunjalo, kukho iingxaki ezimbalwa abantu abanokuhlangabezana nazo emva kokususwa kwe-gallbladder. Qiniseka ukuba kunjalo-ezininzi zinokwenza izisombululo.
1. I-Postcholecystectomy Diarrhea
Phantse ama-20 ekhulwini labantu abaye banqunyulwa i-gallbladders baya kuba neengxaki eziphindaphindiweyo ngehudo , imeko eyaziwa njenge-postcholecystectomy yesifo sohudo.
Le ngxaki ibangelwa ekubeni ngaphandle kwe-gallbladder, akukho nto yokulawula i-bile ye-bile ehamba emathunjini amancinci kwaye inani eliphakamileyo le-bile lingenza izithambiso ezinamanzi kwaye zidla rhoqo.
Ngenhlanhla, ngenxa yabantu abaninzi, le ngxaki iza kuzixazulula ngokwedlula ixesha.
2. I-Sphincter ye-Oddi Dysfunction
Ukuba ufumana ubunzima obuqhubekayo besisu esisemva kwe-gallbladder ukususwa, unokufuna ukuthetha nodokotela wakho malunga neengxaki ezinokwenzeka nge- sphincter yakho ye-Oddi .
"I-sphincter ye-Oddi" (SO) i-valve efunyenwe ngaphakathi emathunjini amancinci alawula ukuqhuma kwe-bile kunye ne-pancreatic juices.
Inani elincinci labantu lingafumana "i- sphincter ye-Oddi i-dysfunction " (i-SOD), i- disorder functional disorder (FGD). Kwi-SOD, i-sphincter ayiphumuli njengoko kufanelekile, ukukhusela i-bile ne-pancreatic ijusi yokungena emathunjini amancinci.
Imilinganiselo ye-III III ye-SOD ichaza iimpawu zayo njenge "iziqendu zokulinganisela ukuba zenzeke iintlungu ezinzulu" kwimimandla ephakathi nendawo ephezulu yesisu esisigxina imizuzu engama-30. Olu hlobo lentlungu ngokuqhelekileyo luba khona ixesha elifutshane emva kokutya. Abanye abantu babika inkcaso kunye nokuhlanza. Iimpawu zeentlungu ze-SOD zicingelwa ukuba zibangelwa ukuqokelelwa ngokweqile kweentshisi kumadada.
I-SOD idla ngokubonakalayo kwizigulane ze postcholecystectomy okanye kulabo abane-pancreatitis. Nangona ukuya kwi-20 yeepesentilecystectomy izigulane ziza kubika intlungu eqhubekayo yesisu, kuphela ipesenteji ziza kuba ne-SOD. I-SOD inokuphathwa ngamachiza okanye inkqubo eyaziwa njenge- endoscopic retrograde cholangiopancreatographyography (ERCP) .
IBS Ilandela i-Gallbladder Ukususwa
Nangona i-anecdotally ndivele amabali amaninzi avela kwizigulane ze-IBS ezichaza ukuba i-IBS yazo yaboniswa emva kokususwa kwe-gallbladder yabo, akukho nkqubela yophando lwekliniki kulo mbandela.
Nangona kunjalo, abaphandi baye baqala ukujonga imeko ebizwa ngokuba yi- bile acid malabsorption (BAM) kunye nolwalamano lwayo kunye nesifo sohudo olungapheliyo.
Abantu abaye basuswa kwi-gallbladders bangasengozini ye- BAM , imeko apho kukho ukungasebenzi khona ngendlela i-bile acids iqhutyelwa ngayo ngaphakathi komzimba. Uphando ngalesi sihloko luya kukhanya, ngoko kulunge ukusebenza kunye nodokotela wakho ukuze uhlalutye kwaye uphendule le ngxaki.
Yintoni Ndingayenza Ukulawula Iimpawu?
Ukuba ufumana imfiva, ukubola, okanye iimpawu zokungcoliswa kwamanzi, kufuneka uqhagamshelane nodokotela wakho ngokukhawuleza.
Ukuba unengxaki eqhubekayo kunye nentlungu yesisu kunye / okanye urhudo, kufuneka usebenze kunye nogqirha wakho ukuze ufumane ukuxilongwa ngokuchanekileyo.
Uluhlu lwezinto ezinokuthi iingxaki zakho eziqhubekayo ziyahlukahluka:
- Amatye aqhelekileyo e-bile duct
- I-pancreatitis engapheliyo
- Dyspepsia
- IBS
- Umhlaza wePancretic
- SOD
Ukuxilongwa ngokuchanekileyo kunokukhokelela kwiplani yokwenza unyango. Kwezinye iimeko, i-diarrhea eqhubekayo emva kokususwa kwe-gallbladder incediswa kwiklasi leyeza eyaziwa ngokuba yi-"acid acid binding agents" equka:
- Cholestyramine (Questran)
- Colesevelam (WelChol)
- Colestipol (iColestid)
Yintoni Ndingayidla Ukulawula Iimpawu?
Ngaphandle kokuba i-gallbladder yakho ithathe inxaxheba kwinkqubo yokugaya, ungadinga ukutshintsha indlela odla ngayo. Ukuba i-gallbladder yakho isuswe nje kutshanje, ungadinga ukutya ukutya kwe-bland de iimpawu zokurhuqa ziqala ukukhulula. Ngeengxaki eziqhubekayo, kukho ukutya okunokuthi ungadla kunye nabanye omele ukuphephe xa ungenayo i-gallbladder.
Nangona kukho inzululwazi emva kwezi ziphakamiso, unokufumana ezi ngcebiso zilandelayo:
- Yidla ukutya okuncinci rhoqo kwimini yakho.
- Zama i probiotiki .
- Zama i- enzyme yokutya .
Khumbula, nangona ukujamelana neempawu akukho mnandi, kukho izinto ezimbalwa (ezifana nokutya kwakho) ezilawulayo.
> Imithombo:
> Barkun, A. "I-malabhuorption ye-acid ye-acid kwi-diarrhea engapheliyo: I-Pathophysiology kunye nonyango" I- Canadian Journal of Gastroenterology 2013 27: 653-659.
> Behar, J. "I-Functional Gallbladder kunye neSphincter ye-Oddi Disorders" I- Gastroenterology 2006 130: 1498-1509.
> "AmaGallstones" I- National Digestive Diseases Information Clearinghouse (NDDIC).
> Wilcox, C. "I-Odph dysfunction Uhlobo lwe-III: Uphando olutsha lubonisa iindlela ezintsha ezifunekayo." I- World Journal yeGastroenterology 2015 21: 5755-5761.