Kunyange zvazvo kushungurudza chirwere chepachiropa chinonyanya kuora mwoyo kwemukumbo mukuru , sezvo IBS iri pachena kuti haipei chivimbo chekuti yese yezvokudya kwako inoshanda zvakakwana. Chimwe chimwe chinonyanya kukosha mukugadzirwa kwekudya ndiko gallbladder; Zvinetso nechirongwa ichi zvinogona kuwedzera zviratidzo zvako zveBS.
Overview
Huru yako yeganda inhengo duku, se-sac-like inowanikwa kuruboshwe rwomukati wako, kumusoro kwechiropa chako.
Basa guru re gallbladder nderekuchengetedza bile, izvo zvakakosha kugadzira zvokudya zvatinodya. Bhiri inotanga kubudiswa nechiropa uye inochengetwa mu gallbladder. Apo patinodya zvokudya zvine mafuta mukati mazvo, chirwere chinopinza b bile mumukati muduku. Iko bile inoputsa mafuta, ichibvumira kuti inopindira muropa redu.
Zviratidzo
Kunyange zvazvo mamwe matambudziko emaruva anosanganisira mazamu akaoma angakura pasina zviratidzo zvisingaoneki, zviratidzo zvinotevera zvinogona kuratidzira chirwere chenduru:
- Kuvhara shure kwekudya, kudya kwakasiyana-siyana nehuwandu hwemafuta
- Kuramba kwezuva
- Indigestion
- Nausea mushure mekudya
- Pain iri pakati kana kurudyi kwemuviri wako
Mamwe mamiriro ezvinhu ane simba anozivisa kuvepo kwavo kuburikidza neicho chinowanzonzi chirwere chinonzi gallbladder, chipatori chinonzi biliary colic. Kurwisa kwakadaro kunogona kuitika mumaawa mashomanana ekudya kudya kukuru kana mafuta. Iwe unogona kurwadziwa mumimba yako yepamusoro uye mudumbu uhwu unogonawo kubuda kumucheto wepamusoro, pakati pefudzi rako rebandauko, pasi pebandauko rako rorudyi, kana shure kwepfupa rako.
Zvimwe zvinorwisana zvinoputika zvinokonzera kushungurudza uye kurutsa. Kazhinji, kurwisa uku kunongogara kweawa kana kupfuura. Kurwisa kwakadaro kunofanira kuudzwa kune chiremba wako, kunyange kana zviratidzo zvinopera.
Kana iwe uine zviratidzo zvinotevera, tsvaga kurapwa kwekurumidza:
- Mifananidzo yakatsvuka
- Fever uye chills pamwe chete neyeusea uye kurutsa
- Zviratidzo zve jaundice
- Kutambudzika kwakasimba uye kunoramba kuripo mukati mako kumimba
Miedzo yekuongorora
Mushure mekunge maudza chiremba wenyu kuti mune zviratidzo zvekudya zvisina kujairika, chiremba wenyu achaita kuongorora kwemuviri uye anokurudzira kuongorora ropa. Kuwedzerwa kuedzwa kunogona kusanganisira:
- An ultrasound iyo inogona kuziva nzvimbo uye ukuru hwemapuranga
- X-ray mifananidzo kubva kumakomyuta e-tomography scan angaratidza kuvapo kwezvinyorwa, uye kuratidza chero kupisa kana kukuvadza kune gallbladder uye bile ducts
- A cholescintigraphy (HIDA scan) iyo inosanganisira kujowa kwezvinhu zvinoshandiswa nehutachiona kuti zvibatsire kuongororwa kwekuti marara ako ari kushanda sei uye kuongororwa kwehupo hwehutachiona hwehutachiona nekudzivirirwa mubiya ducts
- Kugadziriswa kwekugadziriswa kwechilangiopancreatography-kushandisa endoscope , mabwe ose ari mu bile duct anogona kuonekwa uye kubviswa kuburikidza nekugadzirisa uku
Mishonga
Zvimwe zviduku zviduku zvinogona kubviswa zvisina kuvhiyiwa kuburikidza nekushandiswa kwe ERCP. Kune dzimwe nzira dzekusagadzikana kweguruva maitiro, asi nzira idzi dzinoshandiswa chete mumamiriro asingaoneki.
Nzira yakakurumbira yekurapa zvinetso zveganda ndeyokubvisa gorovladder, iyo inonzi inozivikanwa se cholecystectomy.
Nzira yacho inowanzoitwa laparoscopically, zvinoreva kuti ganda rinobviswa kuburikidza nekushandiswa kwemadiki mashoma.
IBS uye Gallbladder Matambudziko
Kusiyana nedzimwe dambudziko rehutano , hakuratiki kuti hakuna humwe uchapupu hwokuti varwere veBS vanowanzove vachitambura nehosha yeguru kupfuura vamwe vanhu.
Imwe nzira inonakidza yekutsvakurudza inoongorora kana gallbladder motility inogona kupa zviratidzo zveBS . Dzidzo pamusoro pehurukuro yacho shomanana uye yakabereka migumisiro yakawanda kwazvo. Semuenzaniso, kumwe kuongorora kwakawana kuti hapana kusiyana kwehuwandu hwehutachiona hwemagetsi pakati pevarwere veBS uye hutano hwehutano hwakanaka.
Chimwe chidzidzo chakawana zvakanyanya kukurumidza kupfuura zvingatarisirwa kune varwere vanotambura nekuvharirwa-zvakanyanya zvikuru IBS (IBS-C) uye zvishoma nezvishoma kupfuura zvingatarisirwa kune avo vanotambura nehurwere-inonyanya kukosha IBS (IBS-D). Chimwe chidzidzo chakawana kuti hapana misiyano pakati pevarwere veBS uye hutano hwakanaka muhutano hwegurubladder contraction rates maawa maviri mushure mekudya asi vakawana musiyano mukuru maawa matatu mushure mekudya.
Parizvino, kutsvakurudza kwekliniki pamusoro pekubatana pakati peBIB nematambudziko ehururu zvinoramba zvisina kukwana.
Icho IBS kana Gallbladder?
Nemhaka yokuti IBS chirwere chinoshanda , vanhu vakawanda vane IBS havana chivimbo chakakwana pakuziva kwavo, vachibvunza kana zvimwe zvinetso zvekudya zvinogona kuvapo. Nokuti vamwe vanhu vane IBS vane ruzivo rwekushushikana uye nekuti kurwadziwa mumimba kunogona kupenya, zvine musoro kushamisika kana iwe unogonawo kuva nematambudziko emvura.
Nzvimbo yakanakisisa yekugadzirisa nyaya yakadaro ndeyekutaurirana nachiremba wako, uyo anogona kutsvaga zviratidzo zvako uye kuronga zvakakodzera kuongororwa mutsva.
Sources
- "Gallstones" National Digestive Diseases Information Clearinghouse (NDDIC) .
- "Gallstones uye gallbladder chirwere - Zviratidzo" University of Maryland Medical Center .
- "Gallstones uye gallbladder matenda - Kurapa" University of Maryland Medical Center .
- Guclu, M., et.al. "Ultrasonographic tsvangira ye gallbladder mabasa muvarwere vane shungu dzehuwel syndrome" Journal of Gastroenterology uye Hepatology 2006 21: 1309-1312.
- Lee, O. "Asian Motility Studies mu Irritable Bowel Syndrome" Journal of Neurogastroenterology uye Motility 210 16: 120-130.
- Misra, S., et.al. "Gallbladder Dynamics muVirwere neIrritable Bowel Syndrome uye Essential Dyspepsia" Journal of Clinical Gastroenterology 1991 13: 65-68.
- Sood, G., et.al. "Kusakanganiswa Gallbladder Basa Muvarwere neIrritable Bowel Syndrome." American Journal of Gastroenterology 1993 88: 1387-1390.