Bayaninku na Oddi (SO) wani abu ne wanda ba za ku taba ba da tunani ba - sai dai idan har ya ci gaba. Your SO shi ne kwakwalwar ƙwayar jiki wadda ta keɓance ɓoyewa daga gallbladder da kwancenka cikin ƙananan hanji. Lokacin da wannan bawul ɗin ba ya aiki kamar yadda ya kamata, an gano alamar Odys Dysfunction (SOD).
SOD ne wata lafiyar lafiyar jiki.
A cikin SOD, ƙwayar sphincter muscle ne, yana sa shi ya kasance a rufe. Wannan zai iya haifar da madadin bile da pancreatic enzymes a cikin ɗakunan su. Wannan madadin zai iya haifar da kumburi na hanta da / ko pancreas.
SOD ya kasu kashi-iri:
- Rubuta Na SOD: Zubar da ciwo, karamin ƙwayar bile, da kuma hawan hanta da / ko pancreatic enzyme matakan.
- Nau'in II SOD: Zubar da ciwo, tare da wani karamin girma ko ƙananan matakan enzyme, amma ba duka biyu ba.
- Nau'in III SOD: Sanin ciwo, amma babu wani abu da ake gani ta hanyar duban dan tayi ko aikin jini.
Nau'in III SOD za'a iya kira shi SOD. Wannan za a iya kara karya cikin aikin biliary SOD da aikin pancreatic SOD.
Dalili na Hadarin ga SOD
Yawancin lokuta na SOD yana faruwa bayan gallbladder kaucewa ko yin haɗuwa da tiyata . Don waɗannan lokuta da ke faruwa a bayan cirewa gallbladder, SOD yana da yawa a cikin mata fiye da maza, amma yana da muhimmanci a lura cewa SOD kawai yana rinjayar ƙananan yawan mutane.
Bayyanar cututtuka na SOD
Babban alama na SOD shine matsanancin ciwo a tsakiyar tsakiyar dama na ɓangaren ciki. Cikin baƙin ciki zai iya yadawa a kafada ko a fadin kirji. Bayanai na baƙin ciki zai iya zama taƙaitaccen ko karshe da yawa. Matakan lahani za su iya bambanta daga ɓangaren shafi zuwa matakan, kuma yana da iyaka daga ƙananan sauƙi don rashin aiki.
Wadannan cututtuka sun haɗa da hasara na ci, tashin zuciya, da asarar nauyi. Funa, zubar da jaundice na iya faruwa. (Ka tuna, bayyanar cututtuka kamar irin waɗannan suna buƙatar gaggawa.)
Sanin asali na SOD
Akwai gwaje-gwaje daban-daban don SOD. Manufar gwajin gwaji shine don samun cikakken ganewar asali game da abin da zai haifar da alamar cutar ta ciki. Ga wasu zaɓin bincike:
Ayyukan jini: Wannan shi ne yawan gwajin farko da aka yi. Dole likitanku na neman hawan hawan da aka hawan ko hawan enzymes.
Hoto: Kwararrenka na iya so ka yi kokarin samun hoton game da abin da ke faruwa a cikinka, musamman majin kuran bile, hanta da pancreas. Ana iya yin wannan ta hanyar hasken X, duban dan tayi, CT scan ko MRI.
MRCP: Maɗaukakin hanzari na cholangio-pancreatography yana amfani da dye da kuma ma'adanai don samun hoton bile da pancreatic ducts.
ERCP: Endoscopic retrograde cholangio-pancreatography yana amfani da ƙarewa, dye da radiyo X don bincika bile da pancreatic ducts. ERCP yana da kishi kuma sabili da haka ne kawai aka ba da shawarar ga marasa lafiya na I ko na II. Hakanan za'a iya amfani da maniyyi a lokacin ERCP don auna matsin da tsokoki na sphincter kuma ana dauka don bayar da ganewar asali na SOD.
Jiyya na SOD
Jiyya na SOD ya dogara da tsananin bayyanar cututtuka. Don rashin lafiya, likitanku na iya ƙayyade maƙarai na muscle, antispasmodics da / ko wasu nau'i na mai zafi.
A cikin wani mummunar yanayi, an cire SO a lokacin ERCP, hanyar da ake kira sphincterotomy. Anyi wannan ne don cire duk wani duwatsu wanda zai iya jingina a cikin ducts ko don inganta ikon da za'a iya yi. Wannan aikin ne kawai idan Sakonan yana nuna cewa akwai hawan matsa lamba a cikin SO kuma ana zaton zai kawo gagarumin taimako na zafi ga kimanin kashi 50% na marasa lafiya. Duk da haka, akwai hadarin gaske ga wannan hanya.
Mafi muni shine haɗari ga ci gaban pancreatitis. Wata mawuyacin haɗari shine cewa hanya na iya haifar da sauƙaƙe kuma ta haka ne dawowar alamar cututtuka.
Sources:
Behar, J., et.al. "Gallbladder aiki da Sphincter of Oddi Disorders" Gastroenterology 2006 130: 1498-1509.
"Sphincter of Oddi Dysfunction" Jami'ar Maryland Cibiyar Kiwon Lafiya An shiga Yuli 22, 2105.
"Sphincter of Oddi Dysfunction" Jami'ar Rochester Health Encyclopedia Accessed Yuli 22, 2015.