"I-Habba Syndrome" ligama eliqulunqwe nguSaad F. Habba, MD uDkt. Habba uye wachaza inkolelo yokuba urhudo-ebaluleke kakhulu kwi-IBS (IBS-D) kunye nohudo olusebenzayo lubanjwa -yonke imimiselo yezinye iimeko zonyango ezibonakalayo. Ngokutsho kukaDkt. Habba, enye into ebangela ukuba le mpawu yehudo ibe yinto ye-gallbladder ephilileyo kodwa engasebenzi.
Yiyo le ntlukwano eyenziwa ngu-Habba Syndrome.
Kubalulekile ukuba uqaphele ukuba "iHabba Syndrome" ayibonakali njengesifo, kodwa kuphela inkcazo yemibono kaDkt. Habba ngokwakhe.
Ngubani uDkt Habba?
Ngokutsho kwewebhusayithi kaDkt. Habba, ungumgastroenterologist oneminyaka engama-30 ubudala njengogqirha kunye ne-gastroenterologist. Okwangoku ugcina isesebenzi sa bucala eNew Jersey, ukhonza njengoNjingalwazi oNcedisayo kwiKliniki yaseSinayi School of Medicine kwaye ungumgqirha oya kwi-Overlook Medical Centre e-New Jersey.
Uphando
UDkt. Habba usekelwe kwingcamango yakhe kweso sifundo ayenzileyo apho wajonga khona izigulane ngendlela yakhe. Olu pho nonongo lubandakanya izigulane ezingama-303 ezifunyaniswe ne-IBS-D okanye i-diarrhea esebenzayo kunye nabaye bafumana iimpawu zabo ngqo emva kokutya ( postprandial ). Wagqiba ekubeni i-98% yezi zi gulane zineimeko zokuxilongwa ngaphandle kwe-IBS.
Kule qela, wachonga i-41% yezi zi gulane njenge-Habba Syndrome, ngelixa elinye i-23% yabona iimpawu emva kokususwa kwe-gallbladders yazo. Ezinye izifo ziquka ukunyamezela kwe-lactose , i- microscopic colitis kunye nesifo se-celiac .
Uphando oluthile
Kuye kwenzeka ukuba uDkt. Habba kungenzeka ukuba uye kwizinto ezithile.
Abaphandi baye bajonga imeko ebizwa ngokuthi i- bile acid isifo sohudo (BAD), okunye okubizwa ngokuba yi-bile acid malabsorption (BAM), ebonakala ngathi yinto engasebenzi ngayo uDkt. Habba. Uphononongo lubonise ukuba i-BAM ingaba yiyiphi imeko emva kwezinye iimeko ze-IBS-D. Ezi zifundo ziqikelela ukuba malunga neyesithathu kwabantu abane-IBS-D banokuthi babe neBAD. Nangona uDkt. Habba ubonisa iimpawu kwi-gallbladder ukungasebenzi, abaphandi bajonga izinto ezinokubangela iingxaki nge-bile acid.
Kwakhona, kufuneka kubonakaliswe ukuba ngelixa uphando lufumene indima ye-bile acids kwezinye iimeko ze-IBS-D, akukho phando lokubonisa ukuba "iHabba Syndrome", ngokwenene, isifo sengonyango.
Iimpawu
Ingqungquthela kaDkt Habba ichaza iimpawu ze "Habba Syndrome" njengoko ziqukethe isifo sohudo esingapheli esenzeka emva kokutya. Iimpawu kufuneka zibe khona ubuncinane kwiinyanga ezintathu. I-diarrhea idla ngokukhawuleza, ixhaphaze, kwaye ingabangela ukungabikho . Ngokwechaza kukaDkt. Habba ngesifo, isifo sohudo asifaneki ukuba senzeke ebusuku.
Ukuxilongwa
UDkt. Habba uncoma ukukhutshwa ngokutsha kokuxilonga ukulawula ezinye izifo zokugula . Emva koko ucebisa i-hepatobiliary scintigraphy, ukuvavanywa kwamachiza enyukliya, ukuchonga izinga lokusebenza le-gallbladder, njengoko kuqhathaniswa nomlinganiselo obizwa ngeqhekeza ejection.
Indlela kaDkt. Habba eyahlukileyo kwindlela ekhuthazwayo yokufumanisa i-BAD. Kucingelwa ukuba umlinganiselo omhle wobukho be-BAD yinto ebizwa ngokuba yi-75SeHCAT scan. Ngelishwa, olu vavanyo alufumaneki eUnited States. Ngenxa yoko abanye oogqirha basebenzisa isilingo seqela elithile lonyango elithi "i-bile acid sequestrants" okanye "i-bile acid". Ukuba loo mayeza asebenzayo kwiimpawu, oko kucingelwa ukuba i-BAD ikhoyo.
Unyango
UDkt. Habba usebenzisa i-acidi ye-bile ebophezelayo ekubambeni oko akufumanisayo njengento ekhethiweyo ye-gallbladder dysfunction. Oku okunene kuhambelana noko kukhuthazwa ngabaphandi be-BAD.
Amachiza kule klasi abandakanya:
- Cholestyramine (Questran)
- Colesevelam (WelChol)
- Colestipol (iColestid)
ILizwi
Kuyancomeka ukuba uDkt. Habba ungomnye wezilwanyana zokuqala ukuqaphela indima yokuba i-bile acids ingadlala kwezinye iimeko ze-IBS-D. Kwaye kuyakhuthaza ukuba iingcamango zakhe kunye neengcebiso zonyango ziyaxhaswa ngophando olulandelayo. Ngelishwa kuye, igama lakhe elithi "Habba Syndrome" mhlawumbi liya kutshintshwa ngokuxilongwa okubandakanyekayo kwe-bile acid isifo sohudo (BAD). Ngethemba, uphando oluqhubekayo malunga nendima ye-BAD iya kwenziwa ukuze kuqinisekiswe ukhuseleko kunye nokusebenza kwendlela kaDkt Habba yokunyanga kweempawu ze-IBS-D kunye ne-diarrhea esebenzayo. Ngenxa yokuba i-BAD icingelwa ukuba ingaxilongwa ngabagqirha, ukuba iimpawu ze-"Habba Syndrome" zizwakala ngathi zakho, kungenokuba kukufanelekile ukuba ufumane ingxoxo kunye nodokotela wakho ngeBAD.
> Imithombo:
> I-DiBaise JK, i-Islam RS " I-Acile Acids: I-Critical and Underappreciated Cause of Diarrhea Isifo esingapheliyo " I- Gastroenterology esebenzayo 2012 36 (10): 32-44
> Habba, S. "I-Diarrhea I-Irritable Bowel Syndrome (i-IBS-D): Inyaniso okanye inyaniso" Iingcamango zonyango 2011 76: 97-99.