Ua nānā anei ʻoe i loko o ke aniani a ʻike ʻoe he melemele iki ke keʻokeʻo o kou mau maka a me kou ʻili? A i ʻole ua haʻi aku kekahi hoaaloha a ʻohana paha iā ʻoe i kekahi mea e like me ia? ʻO kēia kūlana ka mea a mākou e kapa nei he jaundice i ka ʻepekema lapaʻau. ʻAʻole kēia he mea ʻē aʻe, akā he hōʻailona koʻikoʻi e hōʻike mai iā mākou e pili ana i kekahi pilikia i loko o ko mākou kino. No laila, he mea nui loa ka makaʻala i kēia a ʻaʻole e makaʻu iā ia.
He aha maoli ka jaundice? No ke aha e melemele ai ke kino?
I mea e hoʻomaopopo ai i kēia, e komo iki kākou i loko o ko kākou mau kino. He mea maʻalahi loa ia.
He ola ko nā hunaola koko ʻulaʻula i loko o ko kākou kino. Hoʻopau mau ʻia kēia mau hunaola koko ʻulaʻula kahiko a hoʻololi ʻia e nā mea hou. He hana kēia e hana mau ʻia i loko o ke kino o ke kanaka olakino.
E noʻonoʻo, i ka wā e haki ai kēia mau hunaola koko ʻulaʻula kahiko, hana ʻia kahi pigment melemele i kapa ʻia ʻo bilirubin . ʻAʻole kēia he mea e pono ai ko mākou kino. No laila, ʻo ke akepaʻa, kahi ʻōkana kupaianaha i loko o ko mākou kino, lawe i kēia bilirubin, hoʻomaʻemaʻe iā ia, a hoʻomākaukau iā ia no ka hoʻokuʻu ʻia ʻana ma ka hoʻohui ʻana me ka bile, kahi wai hoʻoheheʻe.
Hiki mai ka jaundice ke hewa kēia kaʻina hana. Nui loa ka bilirubin i hana ʻia no ka mea ua nui loa ka wāwahi ʻia ʻana o nā hunaola koko ʻulaʻula, a i ʻole ʻaʻole hiki i ke akepaʻa ke hoʻomaʻemaʻe pono a wehe i kēia bilirubin ma muli o kekahi maʻi.
ʻO kēia bilirubin keu i hiki ʻole i ke akepaʻa ke hoʻomaʻemaʻe, ua hōʻiliʻili ʻia i loko o ko kākou koko. Kāhea mākou i kēia he "Hyperbilirubinemia". Ke piʻi ka pae bilirubin i loko o ke koko, e kahe mālie ana ia i loko o ko kākou mau ʻiʻo, ʻoiai ka ʻili a me nā keʻokeʻo o nā maka. ʻO ia ke kumu e ʻike ai mākou i kēia kala melemele. Maopopo iā ʻoe?
He aha nā kumu nui o ka jaundice?
Hiki ke loaʻa ka jaundice inā he pilikia ma kekahi wahi o ke ala bilirubin a mākou i kūkākūkā ai ma mua. No laila, ua māhele mākou i nā kumu o kēia i ʻekolu mau ʻāpana nui. ʻOiai he ʻano lapaʻau iki kēia, e hoʻāʻo kākou e hoʻomaopopo maʻalahi.
| ʻAno kumu | I ka ʻōlelo maʻalahi... | Nā Laʻana |
|---|---|---|
| Nā kumu pre-hepatic | Nā pilikia e kū mai ana ma mua o ka hiki ʻana o ka bilirubin i ke ake. ʻO ia hoʻi, ʻo ka haki nui ʻana o nā hunaola koko ʻulaʻula ke kumu o ka hōʻiliʻili ʻana o ka bilirubin ma mua o ka hiki i ke ake ke hoʻomaʻemaʻe. |
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| Nā kumu o ka ate | ʻO ke kumu maʻamau ka maʻi o ke akepaʻa e pale ai iā ia mai ka hoʻomaʻemaʻe ʻana i ka bilirubin. |
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| Nā kumu ma hope o ka ate | Aia paha kekahi ālai ʻana i nā ʻauwai bile, ʻo ia nā ala e hoʻomaʻemaʻe ai ke akepaʻa i ka bilirubin a hoʻokuʻu aku me ka bile. |
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He aha nā hōʻailona ʻē aʻe e hele mai me ka jaundice?
Ma waho aʻe o ka melemele ʻana, hiki iā ʻoe ke loaʻa i kēia mau hōʻailona. Aia kēia i ke kumu kumu o ka jaundice.
- Mimi ʻeleʻele: Mimi i like ke kala me ka wai tī.
- Nā noho palale: Nā noho he lepo ke kala, palale ke kala, ma mua o ke kala ʻeleʻele maʻamau.
- Maniʻo: Hiki iā ʻoe ke maneʻo nui ma kou kino holoʻokoʻa.
- Kuni a me ke anu.
- ʻeha ka ʻōpū.
- Luhi, luhi, a me ka huikau o ka noʻonoʻo.
- Ka pohō nui o ka makemake ʻole a me ka pohō kaumaha.
- Ka luaʻi ʻana a me ka nausea.
Inā loaʻa iā ʻoe ka jaundice me kekahi a ʻoi aku paha o kēia mau hōʻailona, he mea nui loa e ʻimi koke i ke kōkua lapaʻau .
Pehea lā e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe i kahi nīnau kikoʻī e pili ana i kāu mau hōʻailona. A laila e hana ʻo ia i kahi hoʻokolokolo kino, ʻoiai ke pā ʻana i kou ake (ka ʻaoʻao ʻākau o luna o kou ʻōpū).
Eia kekahi, hiki ke hana i nā hoʻokolohua e like me kēia e ʻike ai i ke kumu kūpono:
- Nā hoʻāʻo koko: Hiki i kēia ke nānā i ke kiʻekiʻe o ka bilirubin i loko o ke koko, ke ʻano o ia (conjugated a unconjugated paha), a me ke kūlana o nā enzymes o ke ake.
- Nā Kiʻi Kiʻi: Hiki ke hana ʻia kahi ultrasound scan a i ʻole CT scan e nānā i ke kūlana o ke akepaʻa, ka gallbladder, a me nā ʻōpū a puni.
- Biopsy o ke akepaʻa: I kekahi mau hihia, lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo akepaʻa mai ke akepaʻa me ka hoʻohana ʻana i kahi nila liʻiliʻi loa e ʻike pololei ai i ka maʻi akepaʻa. Mai hopohopo, hana ʻia kēia inā pono loa.
Pehea e mālama ʻia ai? Hiki ke pale ʻia?
ʻO ka mea nui ma ʻaneʻi, ʻaʻole maʻi ka jaundice, akā he hōʻailona .
ʻO ke ʻano kēia, ʻaʻole mālama nā kauka i ka jaundice ponoʻī, akā, ʻo ka maʻi kumu i hoʻokumu i ka jaundice. Ke mālama ʻia ke kumu, e hoʻomaikaʻi koke ʻia ka jaundice.
ʻo kahi laʻana:
- Inā ʻo ke kumu o ka jaundice nā gallstones, pono e wehe ʻia kēlā mau pōhaku.
- Inā ʻo ke kumu o ia maʻi he hepatitis, pono e hāʻawi ʻia ka lāʻau kūpono.
- Inā ua hōʻino ʻia kou akepaʻa e ka waiʻona, pono ʻoe e hoʻōki loa i ka inu ʻana i ka waiʻona.
No nā ʻeha e like me ka maneʻo, e kuhikuhi ke kauka i nā lāʻau lapaʻau ʻokoʻa.
Hiki ke pale ʻia?
ʻOiai he nui nā kumu o ka jaundice, he paʻakikī ke pale aku iā ia ma kekahi ʻano. Eia nō naʻe, hiki i kēia mau mea ke kōkua i ka mālama ʻana i kou akepaʻa:
- E loaʻa i ka lāʻau pale no ka maʻi hepatitis. Aia nā lāʻau pale kūikawā no ka Hepatitis A a me B.
- E hōʻemi a hoʻōki loa paha i ka inu ʻana i ka waiʻona .
- E mālama i ke kaumaha olakino.
- E kāohi i kāu mau pae cholesterol .
- E mālama i ka maʻemaʻe. ʻO nā mea e like me ka holoi pono ʻana i kou mau lima me ke kopa e hiki ke kōkua i ka pale ʻana iā ʻoe mai nā maʻi e like me ka maʻi hepatitis A.
- Mai lawe i kekahi lāʻau lapaʻau, ʻoiai nā huahana Ayurvedic a i ʻole nā hua lāʻau lapaʻau, me ka ʻole o ke aʻo ʻana a ke kauka. Hiki i kekahi o lākou ke hōʻeha i ke akepaʻa.
Loaʻa i nā keiki ʻōpio ka jaundice?
ʻAe, he mea maʻamau ka jaundice i waena o nā pēpē hānau hou. ʻO kēia no ka mea ʻaʻole i ulu piha ko lākou mau akepaʻa a ʻaʻole hiki ke hoʻopau pono i ka bilirubin. ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi kēia iā ia iho i loko o kekahi mau lā. I kekahi manawa, pono kahi lāʻau māmā i kapa ʻia ʻo phototherapy .
Leka Lawe-Home
- ʻAʻole he maʻi ka jaundice, akā he hōʻailona ia he pilikia i loko o kou kino (ʻoi aku ka pili i ke akepaʻa).
- ʻO nā hōʻailona nui ka melemele o ka ʻili a me nā maka, ka mimi ʻeleʻele, a me nā ʻōpala melemele.
- Inā loaʻa iā ʻoe a i ʻole kekahi mea āu i ʻike ai i kēia mau hōʻailona, mai mālama ʻoe iā ʻoe iho a e ʻike pono i ke kauka.
- Hoʻokumu ʻia ka lāʻau lapaʻau ma ke ʻano o ke kumu o ka jaundice.
- He mea nui loa ka pale ʻana i kou akepaʻa ma o kahi nohona olakino (e pale i ka waiʻona, ka ʻai kaulike).
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