"Habba Syndrome" iri izwi rakagadzirwa naSaad F. Habba, MD Dr. Habba akaisa pfungwa yokuti chirwere-chinonyanya kuve IBS (IBS-D) uye chirwere chekuita chinoshandiswa -mazwi ose emamwe mararamiro anozivikanwa. Maererano naDkt. Habba, chimwe chikonzero chinokonzera zviratidzo izvi zvekurambana ndizvo zvaizova zveguruva rakashata asi risina basa.
Icho chinhu chinoratidzika chisina kumira chaakanyora se "Habba Syndrome."
Zvakakosha kuziva kuti "Habba Syndrome" haina kuzivikanwa sechirwere, asi kungotsanangurwa kwekucherechedza kwaDkt. Habba pachake.
Ndiani Dr Dr. Habba?
Maererano newebhuku raDha. Habba, iye gastroenterologist ane makore anopfuura makumi matatu ezvakaitika sechiremba uye gastroenterologist. Iye zvino anochengeta tsika yega yega muNew Jersey, anoshumira seChilical Assistant Purofesa paGomo Sinai Sinai reMedicine uye ari chiremba achienda kune Overlook Medical Center muNew Jersey.
Kutsvakurudza
Dr. Habba akashandisa nheyo yake pane imwe yongororo yaakaitisa iyo yaakatora kuongorora zvakare varwere pane zvaanoita. Chidzidzo chacho chaisanganisira vanhu vanenge 303 vese vakaonekwa kuti vane IBS-D kana chirwere chinoshanda uye vakaona zviratidzo zvavo mushure mekudya ( postprandial ). Akagumisa kuti 98 muzana yevarwere ava vane chirwere chekuongororwa kunze kweBS.
Pakati peboka iri, akacherechedza 41% yevarwere ava sevari neHabba Syndrome, asi vamwe 23% vakaona zviratidzo shure kwekubviswa kwevarume vavo. Zvimwe zvirwere zvinosanganisira kuora mwoyo kwelasise , kukura kwechirwere uye chirwere checliac .
Kutsvakurudza Kwapfuura
Zvinosvika kuti Dr. Habba angave akave pane chimwe chinhu.
Vatsvakurudzi vave vachitarisa mamiriro ezvinhu anonzi bile acid diarrhea (BAD), zvichida inozivikanwa se bile acid malabsorption (BAM), iyo inoratidzika seyo kusashanda kwakafanana kwakaitwa naHabba. Zvidzidzo zvakaratidza kuti BAM inogona kunge iri shure kwezviitiko zveBS-D. Izvi zvidzidzo zviri kuenzanisa kuti inenge chikamu chetatu chevanhu vane IBS-D vanogona kunge vane BAD. Kunyange zvazvo Dr. Habba anopa zviratidzo kuurwere hwekushaya simba, vatsvakurudzi vari kutarisa mune zvimwe zvikonzero zvingave zviri kukonzera matambudziko ne bile acids.
Zvakare, inofanira kurehwa kuti apo kutsvakurudza kwave kuchiona basa re bile bile mune dzimwe nguva dzeBS-D, hapana tsvakurudzo inoratidza kuti "Habba Syndrome" iri, chaizvoizvo, chirwere chaicho chekurapa.
Zviratidzo
Dhaurirano yaDha. Habba inotsanangura zviratidzo zve "Habba Syndrome" seine chirwere chisingaperi chisingararamiki chinowanzoitika mushure mekudya. Zviratidzo zvinofanira kuvapo kwemwedzi mitatu. Dhairrhea inowanzokurumidzira, inoputika, uye inogona kuita kuti kusava nehanya . Mutsanangudzo yaDkt. Habba yehutachiona, chirwere hachina kuitika usiku.
Kuziva
Dr. Habba anokurudzira kunyatsoongorora kushandiswa kutonga zvimwe zvirwere zvekudya . Iye zvino anorumbidza hepatobiliary scintigraphy, nuclear nuclear test, kuti aone kushanda kwehuwandu hweguruva, sezvinoshandiswa nechiyero chinonzi fraction ejection.
Dhiyabhorosi Habba nzira yake yakasiyana neyo yakakurudzirwa kuongororwa neBAD. Inofungidzirwa kuti chiyero chakanaka chekuvapo kweBAD chimwe chinhu chinonzi 75SeHCAT scan. Zvinosuruvarisa, iyi muedzo haisi kuUnited States. Nokudaro vamwe vanachiremba vanoshandisa muedzo weimwe boka remishonga inonzi "bile acid sequestrants" kana "bile acid binding agents". Kana mishonga ichibudirira pane zviratidzo, inofungidzirwa kuti BAD iripo.
Kurapa
Dr. Habba anoshandisa iyo inotaurwa pamusoro apa bile asiya anosunga maitiro kuti aite izvo zvaanoona sezvinoratidzwa gallbladder dysfunction. Izvi chaizvoizvo zviri maererano nezvinodiwa nevanotsvakurudza veBAD.
Mishonga iyi mukirasi inosanganisira:
- Cholestyramine (Questran)
- Colesevelam (WelChol)
- Colestipol (Colestid)
Shoko kubva
Zvinorumbidzwa kuti Dr. Habba aiva mumwe wevanachiremba vokutanga kuziva kuti basa iro bile acid ringatamba mune dzimwe mamiriro eBS-D. Uye zvinokurudzira kuti mazano ake uye mazano ekurapa ari kutsigirwa nekutsvakurudza kwakatevera. Zvinosuruvarisa kwaari, kuzvitumidza zita rake "Habba Syndrome" zvichida kunotsiviwa nekuwedzera kuongororwa kwe bile acid diarrhea (BAD). Tarisiro, kutsvakurudza kwakaenderera mberi pamusoro pebasa reBAD richaitwa kuti rive nechokwadi chekuchengetedza nekubudirira kwehutano hwaHabba hwekurapa kwezviratidzo zveBS-D uye chirwere chinoshanda. Tichifunga kuti BAD inofungidzirwa kuti haina kunyatsozivikanwa nevanachiremba, kana zviratidzo zvezvinonzi "Habba Syndrome" zvinonzwika sezvenyu, zvingave zvakakosha nguva yako yekukurukura nachiremba wako pamusoro peBAD.
> Sources:
> DiBaise JK, Islam RS " Bile Acids: Chinhu Chisinganzwisisiki uye Chisinganzwisisiki Chokurwara Kwirwere Dzakaipa " Practical Gastroenterology 2012 36 (10): 32-44
> Habba, S. "Diarrhea Predominant Irritable Bowel Syndrome (IBS-D): Chokwadi kana chinyorwa" Medical Hypotheses 2011 76: 97-99.