Vamwe vanhu vakave vachibvisa vhudzi ravo-chirongwa chinonzi cholecystectomy - vanozviwana vachitarisana nematambudziko anoramba achidya. Kazhinji, zviratidzo izvi zvinosanganisira kurwadziwa kana kudiwa kwakakurumidza kumhanyira kuchivanze mushure mekudya. Pano iwe uchawana kuti nei izvi zvingave zvichiitika uye zvaunogona kuita nezvazvo.
Upenyu Nazvo Pasina Gallbladder yako
Zvakachengeteka kurarama pasina nduru, iyo ndeimwe yezvikonzero zvinoita kuti gallbladder isuswe ndiyo inowanzorapa kurapa kwezvinetso zvebongo .
Basa renyu rekugadzirisa doro nderekuchengetedza bile (chinhu chinodikanwa pakutsvaira mafuta) uye kuchengetedza bile mumatumbo ako maduku mukupindura kuisa zvokudya zvine mafuta.
Pasina nheyo yako, chiropa chako chinoramba chichibudisa bhati, asi pane icho chiri kutumirwa ku gallbladder kuchengetedza bile iyo inotumirwa mu "common bile duct" yako uye inoita nzira yayo mumutsipa wako muduku.
Chii chinogona kuguma kubva kuGallbladder Removal?
Kune vanhu vakawanda, mutumbi unofananidzwa kusvika pakurasikirwa kweguruvladder. Zvisinei, pane zvishoma zvingaita zvinetso izvo vanhu vanogona kuwana mushure mekutsvaira gorofu. Iva nechokwadi chekuti--kakava nemhinduro dzakagadziriswa.
1. Postcholecystectomy Diarrhea
Vanenge makumi maviri kubva muzana yevanhu avo vakave vachiita kuti vhudzi ravo ribviswe vachabva vachinetseka nezvinetso zvekare nehurwere , chirwere chinonzi postcholecystectomy diarrhea.
Dambudziko iri rinokonzerwa nekuti pasina ganda, hakuna chinhu chekutonga kuwanda kwebii iyo inopinda mumukati muduku uye yakareba yebivha inogona kugadzira zvigadziri zvinonwiwa uye zvinowanzoitika.
Nenzira, kune vakawanda vevanhu ava, dambudziko iri richazvigadzirisa pachedu pane nguva.
2. Sphincter yeOdidi Dysfunction
Kana uri kutarisana nekurwadziwa kwepamuviri kunotevera mushure mekudzingwa, iwe unogona kutaura nechiremba wako pamusoro pechinetso chinogona kuitika ne sphincter yako yeOdidi .
I "sphincter yeOdidi" (SO) ivhavha inowanikwa mukati memukati kaduku inodzora kubuda kwe bile uye pancreatic juisi.
Nhamba shomanana yevanhu inogona kuonekwa " sphincter yeOdidi dysfunction " (SOD), chirwere chinoshanda chepachiviri (FGD). MuSOD, s sphincter haifaniri kusununguka sezvinofanira, kudzivirira bile uye pancreatic juisi kupinda mukati mudumbu.
IRoma III inoratidzirwa yeSOD inotsanangura zviratidzo zvayo se "zvikamu zvekuenzanisa nekurwadziwa zvakanyanya" munzvimbo dziri pakati nepamusoro dzechepa dzinotora kwemaminitsi makumi matatu. Izvozvo zvinorwadza zvinowanzoitika nguva pfupi mushure mekudya. Vamwe vanhu vanorondedzera kushungurudza uye kurutsa. Zviratidzo zvinorwadza zveSOD zvinofungidzirwa kuti ndizvo zvakakonzerwa nekuwedzera kwekuwedzera kwejisi mumatope.
SOD inonyanya kuonekwa mu postcholecystectomy varwere kana kune avo vane pancreatitis. Kunyange zvazvo kusvika ku20 muzana ye postcholecystectomy varwere vacharondedzera kupfuurira kunowedzera kurwadziwa kwepamuviri, asi shoma shoma chete ichava neSOD. SOD inogona kurapwa nemishonga kana nzira inonzi endoscopic retrograde cholangiopancreatography (ERCP) .
IBS Kutevera Gallbladder Removal
Kunyangwe nehutachiona ndakanzwa nyaya dzakawanda kubva kuvarwere veBS vanotaura kuti IBS yavo yakaratidza mushure mokubviswa kweguruva yavo, hakusi zvakawanda zvekuongorora kwechiremba panyaya iyi.
Zvisinei, vatsvakurudzi vakatanga kutarisa mumamiriro ezvinhu anonzi bile acid malabsorption (BAM) uye ukama hwayo nekugara kwenguva refu matambudziko.
Vanhu vakave vachibvisa vhudzi ravo vangava pangozi yeBAM , mamiriro ezvinhu umo kusina kushanda sekushandiswa kwokuti bile acid achirwa sei mukati memuviri. Kutsvakurudza panyaya iyi kuchiri chiedza, saka zvakanakisisa kushanda nachiremba wako kuti aongorore uye agadzirise nyaya iyi.
Ndingaitei Kuti Ndichengetedze Zviratidzo?
Kana uri kutarisana nefivha, chills, kana zviratidzo zvekupera mvura, unofanira kufonera chiremba wako pakarepo.
Kana uri kutarisana nezvinetso zviripo nemarwadzo emimba uye / kana chirwere, iwe unofanirwa kushanda nachiremba wako kuti uwane zvakajeka kuongororwa.
Uwandu hwemikana yehutano hwako huripo hwakasiyana zvakasiyana:
- Common bile duct stone
- Chronic pancreatitis
- Dyspepsia
- IBS
- Kenza yepancreatic
- SOD
Kunyatsoongorora kunogona kutungamirira kune zvakanakisisa chirongwa chekurapa. Mune zvimwe zviitiko, chirwere chinoramba chichienderera mberi mushure mekudzingwa kunobatsira nekirasi yemishonga inonzi "bile acid binding agents," kusanganisira:
- Cholestyramine (Questran)
- Colesevelam (WelChol)
- Colestipol (Colestid)
Chii Chandingaita Kudya Kuchengeta Zviratidzo?
Pasina nharo yako inobatanidzwa mukugadzirwa kwekudya, ungada kuchinja tsika dzako. Kana chirwere chako chakanga chabviswa munguva pfupi yapfuura, ungada kudya kudya kwebland kusvikira zviratidzo zvako zvekurara zvatanga kutonhora. Nokuda kwezvinetso zvinoramba zvichiripo, kune zvimwe zvokudya zvekudya zvaunogona kudya uye zvimwe zvaunofanira kudzivisa kana usina gorofu.
Kunyange zvazvo kune soro rakaoma shure kwezvikurudziro, unogona kuwana mazano anotevera anoshanda:
- Idya zviduku zvishoma nguva dzose muzuva rako.
- Edza mushonga webirobioti .
- Edzai inzyme yokudya .
Yeuka, kunyange kutarisana nezviratidzo hakusi kufara, kune zvimwe zvishoma (zvakadai sekudya kwako) zviri mukutonga kwako.
> Sources:
> Barkun, A. "Bile acid malabsorption muzvirwere zvisingaperi: Pathophysiology uye kurapa" Canadian Journal of Gastroenterology 2013 27: 653-659.
> Behar, J. "Functional Gallbladder uye Sphincter yeOdidi Disorders" Gastroenterology 2006 130: 1498-1509.
> "Gallstones" National Digestive Diseases Information Clearinghouse (NDDIC).
> Wilcox, C. "Sphincter ye Oddi Dysfunction Type III: Zvidzidzo zvitsva zvinoratidza kuti nzira itsva dzinodiwa." World Journal of Gastroenterology 2015 21: 5755-5761.