Pono anei mākou e ʻike pono e pili ana i nā ʻauwai bile i loko o ko mākou kino?

Ua ʻai maikaʻi anei ʻoe a laila ua ʻeha ʻoe ma ka ʻaoʻao ʻākau o luna o kou ʻōpū? I kekahi manawa hiki ke hana ʻia kēia e kahi pilikia me kahi ʻōnaehana duct liʻiliʻi, akā koʻikoʻi loa, i loko o ko mākou kino a mākou e kamaʻilio nui ʻole ai. I kēia lā ke kamaʻilio nei mākou e pili ana i ka ʻōnaehana bile duct, he mea nui ia no kā mākou ʻai ʻana.

I ka ʻōlelo maʻalahi, he aha kēia ʻauwai bile?

E noʻonoʻo iā ia e like me kahi ʻōnaehana o nā kahawai liʻiliʻi i loko o ko kākou kino. ʻO nā ʻauwai bile kekahi o ia ʻōnaehana. He pūnaewele kēia o nā paipu liʻiliʻi (paipu) e hoʻopili ana i kekahi mau ʻōkana nui i loko o kā kākou ʻōnaehana hoʻoheheʻe. ʻO kā lākou hana nui ka lawe ʻana i kahi wai i kapa ʻia ʻo "bile" mai kekahi wahi a i kekahi wahi.

Hoʻopili nui ʻia kā mākou ʻōnaehana biliary i ʻekolu mau ʻōkana:

1. ʻAkepaʻa: Hoʻopuka ʻia ka ʻaila ma ʻaneʻi.

2. ʻŌpū Gall: He ʻeke liʻiliʻi e mālama ai i ka bile i hana ʻia e ke akepaʻa a hiki i ka wā e pono ai.

3. ʻŌpū Liʻiliʻi: Ma kahi e hana ʻia ai ka ʻāpana koʻikoʻi loa o ke kaʻina hana hoʻoheheʻe.

He wai melemele-ʻōmaʻomaʻo ka bile a ko kākou akepaʻa e hana ai. Loaʻa iā ia nā waikawa ikaika e kōkua i ka hoʻoheheʻe ʻana i nā momona a me nā protein . No laila, pono mākou i kahi ala palekana e lawe ai i kēia bile i kahi e pono ai, i ka wā e pono ai. ʻO ia ka hana a kēia mau ʻauwai bile.

Pehea e pili ai kēia mau ʻōkana a pau?

He ʻōnaehana kēia e like me ka lāʻau e lālā ana. E nānā kākou mai kinohi mai.

• Hoʻomaka ia i loko o ke akepaʻa: Hoʻomaka kēia huakaʻi i loko o nā ʻauwai bile liʻiliʻi loa i loko o ke akepaʻa, aia ma ka ʻaoʻao ʻākau o luna o ko kākou ʻōpū. Ke hana ke akepaʻa i ka bile, hōʻiliʻili ia i kēlā bile ma o kēia mau ʻauwai liʻiliʻi.
• Ka hoʻokumu ʻia ʻana o nā ducts nui: Ua hui pū kēia mau tausani o nā ducts liʻiliʻi i loko o ke akepaʻa e hana i ʻelua mau ducts nui iki aʻe, nā ducts hepatic ʻākau a me ka hema.
• ʻAla bile maʻamau: Ma hope o ka puka ʻana o kēia mau ala ʻelua mai ke akepaʻa, hui pū lākou e hana i ke ala hepatic maʻamau .
• Pili i ka ʻōpū gallbladder: Hoʻopili ʻia kēia ʻauwai hepatic maʻamau i ka ʻauwai cystic, ka mea e puka mai ana mai ko kākou ʻōpū gallbladder. ʻO ka ʻauwai nui a nui loa i hana ʻia i ka wā e hui ai kēia mau mea ʻelua ua kapa ʻia ʻo ka ʻauwai bile maʻamau .

I kēia manawa, e nānā, ma kahi o ka hapalua o ka bile e puka mai ana mai ke akepaʻa e hele pololei ana i lalo o kēia ala bile maʻamau. ʻO ka hapalua ʻē aʻe e hele ana i loko o ka gallbladder a mālama ʻia no kekahi manawa.

Ke ʻai kākou i kahi ʻāpana iʻa momona a i ʻole kahi mea kanu me ka ʻaila me ka laiki, noi ko kākou ʻōpū liʻiliʻi i ke kōkua i ka hoʻoheheʻe ʻana i kēia momona. I kēlā manawa, ʻūlū ka ʻōpū e like me ka huʻa, a hoʻouna i ka bile i mālama ʻia ma o ke ala bile maʻamau i loko o ka ʻōpū liʻiliʻi. Penei ka hoʻohui ʻia ʻana o ka bile i kā kākou kaʻina hana hoʻoheheʻe.

He aha nā pilikia nui e hiki ke kū mai me nā ʻāpana bile?

ʻOiai i loko o kēia ʻōnaehana paipu liʻiliʻi, hiki ke kū mai nā pilikia koʻikoʻi. E nānā kākou i nā pilikia nui.

He aha ka mea e hana ai inā ua ālai ʻia kahi ʻauwai bile?

He kūlana weliweli loa paha kēia.

• Ka hōʻino ʻana i nā kino: Hiki i ka bile e hoʻopiha ʻia ke hoʻi hou a hoʻomaka e hōʻino i ka gallbladder (cholecystitis), pancreas (gallstone pancreatitis), a me ke ake.
• Nā maʻi:Ke kū ka bile (cholestasis), ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi bacteria. Inā komo kēia mau maʻi i ke koko, hiki iā lākou ke laha ma ke kino a hoʻoulu i kahi maʻi hoʻoweliweli i ke ola i kapa ʻia ʻo `sepsis'.
• Jaundice: Ke hoʻomaka ka ʻili e hōʻiliʻili i loko o ke koko, hoʻomaka ke keʻokeʻo o nā maka a me ka ʻili e melemele. ʻO kēia ka mea a mākou e kapa nei he jaundice.
• ʻO nā hōʻailona ʻē aʻe e pili ana i ka nausea a me ka ʻānai nui o ka ʻili.
• Nā pilikia hoʻoheheʻe: No ka mea, ʻaʻole komo ka bile i loko o ka ʻōpū liʻiliʻi, ua pilikia ka hoʻoheheʻe ʻana o nā momona a me ka omo ʻana o nā huaora momona-soluble (A, D, E, K).

Pehea ʻoe e ʻike ai inā he pilikia kou me ka ʻōpū bile?

I kēia, hiki iā mākou ke nānā aku i ʻelua mau hōʻailona nui.

1. ʻEha ʻōpū (Biliary Colic):

ʻAʻole kēia e like me ka ʻeha ʻōpū maʻamau.

• Hoʻohā pinepine ʻia ma hope o ka ʻai ʻana i ka ʻaila a momona paha.
• Loaʻa ka ʻeha mai ka ʻaoʻao ʻākau o luna o ka ʻōpū.
• Hoʻonui mālie ka ʻeha, piʻi aʻe no hoʻokahi hola, a laila emi mālie i nā hola ʻelua a ʻekolu e hiki mai ana.
• Hiki paha i kēia ke hana i ka nausea a i ʻole ka luaʻi ʻana.

2. ʻŌuliuli:

• Melemele o nā maka a me ka ʻili.
• Mimi melemele ʻeleʻele a ʻeleʻele paha.
• Nā noho palupalu a hina paha.

Pehea e hoʻōla ai i kahi ala bile i ālai ʻia?

Hoʻohana nā kauka i nā ʻano hana like ʻole e wehe ai i kēia mau mea ālai. ʻO ke ʻano hana maikaʻi loa e pili ana i kou kūlana.

• ERCP (Endoscopic Retrograde Cholangiopancreatography): ʻAʻole kēia he ʻoki kino. Hoʻokomo ʻia kahi kāmela (endoscope) i hoʻopili ʻia i kahi paipu lōʻihi ma o ka waha, i lalo o ka ʻōpū, a i loko o nā ʻauwai bile. A laila hiki i ke kauka ke hoʻokomo i nā mea hana liʻiliʻi ma o kēia paipu e wehe i nā pōhaku i paʻa.
• ʻOki kino: I kekahi manawa pono ke ʻoki kino. I kēia mau lā, ʻo ka hapa nui o ka manawa, hana ʻia ia ma o kahi ʻoki liʻiliʻi, me ka hoʻohana ʻana i kahi kāmela a me nā mea hana (i kapa ʻia ʻo ke ʻoki laparoscopic). Inā pilikia ka pilikia e nā pōhaku gall, wehe pinepine ʻia ka gallbladder i ka manawa like.
• Ke kau ʻana o ka stent: Inā ua haiki ke aʻa ma muli o ka ʻōpala ma loko, ua hoʻokomo ʻia kahi ʻōmole liʻiliʻi e like me ka mesh (stent) e wehe mau ai.

Pehea lā e mālama ai i ke olakino o ko kākou mau ʻauwai?

Hiki i nā hoʻololi liʻiliʻi i ko kākou nohona ke hōʻemi nui i kēia pilikia.

• Kaohi i ka cholesterol: ʻO ke kumu nui o ka hoʻokumu ʻia ʻana o nā pōhaku gall, ʻo ia ke kiʻekiʻe o ka cholesterol i loko o ke koko. Hōʻiliʻili ka cholesterol keu i loko o ka bile a hana i nā pōhaku. No laila, he mea nui loa ka ʻai ʻana i nā mea e like me ka ʻaila, ka wai niu, ka meaʻai wikiwiki, a me ka meaʻai i hana ʻia me ka lawa pono.
• E mālama i kou ake: Hiki i nā maʻi ake ke hōʻino i kou mau ʻauwai bile. No laila, hiki iā ʻoe ke mālama i kou ake ma ka pale ʻana i ka waiʻona, ka pale ʻana i nā lāʻau lapaʻau pono ʻole, a me ka hoʻoikaika kino mau .

ʻOiai he ʻāpana liʻiliʻi ka ʻōpū o ko kākou kino, he nui loa ka lawelawe āna e hāʻawi ai. No laila, ʻo ko kākou kuleana ke mālama pū iā ia.