Ua loaʻa anei iā ʻoe kahi ʻeha ʻōpū nui loa, ma lalo pono o kou mau iwi ʻaoʻao o luna, ma hope koke iho o ka ʻai ʻana i kahi meaʻai momona? Malia paha me ka nausea, ua nui loa ia a ʻaʻole hiki iā ʻoe ke neʻe. ʻO kēia ka mea a ka poʻe he nui e kapa nei he 'ʻeha gallstone.' Ma ke ʻano lapaʻau, kapa mākou i kēia ʻano he Biliary Colic. ʻAʻole ia he maʻi maoli, akā he hōʻailona o kahi maʻi ma lalo. No laila i kēia lā, e kamaʻilio kākou e pili ana.
He aha ka Biliary Colic?
I ka ʻōlelo maʻalahi, ʻo Biliary Colic kahi ʻeha ʻōpū koʻikoʻi no ka manawa pōkole i hoʻokumu ʻia e kahi mea e ālai ana i kou ala biliary - ʻo ia hoʻi, kou gallbladder a me nā ala bile. E noʻonoʻo i kahi pōhaku liʻiliʻi i paʻa i loko o kahi paipu wai. Ke hoʻohuli mākou i ka faucet, piʻi ke kaomi wai a hana i ka nui o ke kaomi ma hope o ka ālai ʻana, ʻeā? ʻO ia ka mea e hana nei ma ʻaneʻi.
ʻO ka Bile, kahi wai i hana ʻia e ko kākou akepaʻa, ua mālama ʻia no kekahi manawa i loko o ka gallbladder. Ke ʻai kākou i ka meaʻai, ʻoi aku hoʻi nā meaʻai momona, hele ia ma o nā ʻauwai bile a komo i loko o ka ʻōpū liʻiliʻi. Kōkua kēia i ka ʻeli ʻana o nā momona. ʻO nā pōhaku gall ke kumu nui o kēia. Ke paʻa kahi pōhaku i loko o ke auwai bile a i ʻole kahi e puka mai ai mai loko mai o ka gallbladder, piʻi ke kaomi i ka wā e ʻaelike ai ka gallbladder, e hōʻeha nui ana.
He aha ke ʻano a me kahi o kēia ʻeha?
He ʻokoʻa iki ka ʻeha o ke kolik biliary mai nā ʻeha ʻōpū ʻē aʻe. He nui kona mau ʻano.
| ʻAno o ka ʻeha | He wehewehe wale nō |
|---|---|
| ʻEpisode | Hoʻomaka koke ka ʻeha, piʻi aʻe, a laila nalo loa i loko o kekahi mau hola. ʻAʻole ia e mau no nā lā i ka manawa. |
| Hoʻomau | ʻO ke ʻano kēia, ʻaʻole e hele mai a hele ka ʻeha ma nā nalu. Ke hoʻomaka ka ʻeha, e mau ana ia no kekahi mau hola me ka ʻole o ka hoʻonui ʻana a i ʻole ka emi ʻana. |
| ʻOi aku ka paʻakikī | Ua wehewehe ka poʻe he nui he ʻeha ʻoi a hou, e like me ka pahi, ka wili ʻana, a i ʻole he ʻeha ʻoi. Manaʻo kekahi poʻe he koʻikoʻi loa ia a ʻaʻole hiki iā lākou ke kū pololei. |
Ma hea ʻoe e manaʻo ai i ka ʻeha?
ʻO ka hapa nui o ka manawa, ʻike ʻia ka ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ma lalo pono o nā iwi ʻaoʻao. ʻO ia kahi e loaʻa ai ka ʻōpū. I kekahi manawa, hiki i ka ʻeha ke pālahalaha i ka poʻohiwi ʻākau a i ʻole ke kua.
Nā hōʻailona ʻē aʻe e hele pū me ka ʻū
Hiki i ka colic biliary ke hele pū me nā hōʻailona e hiki mai ana:
- Ka luaʻi a me ka luaʻi
- ʻO ka palupalu o ka ʻōpū
- Ka hou nui ʻana (Sweating)
ʻO ka ʻokoʻa ma waena o ka Biliary Colic a me nā kūlana koʻikoʻi ʻē aʻe
Inā ʻaʻole e emi ka ʻeha o ka biliary colic i loko o kekahi mau hola, hiki ke lilo i maʻi koʻikoʻi e like me ka cholecystitis (ka mumū o ka gallbladder) a i ʻole cholangitis (ka mumū o nā ʻauwai bile). He mea nui e ʻike i ka ʻokoʻa ma waena o kēia mau mea.
| Kūlana | Nā hiʻohiʻona nui | Nā mea nui |
|---|---|---|
| ʻO ke kōkō biliary | ʻEha nui (e hōʻemi ana i loko o kekahi mau hola), nausea. | ʻAʻohe kuni. He manawa pōkole wale nō ka ʻeha. |
| ʻO Cholecystitis (ka mumū o ka gallbladder) | ʻEha nui mau, kuni , a me ka wikiwiki o ka puʻuwai. | Hiki paha kēia ma muli o ka maʻi ʻōpū. Pono koke ke kōkua lapaʻau. |
| Cholangitis (ka mumū o nā ʻāpana bile) | ʻEha ʻōpū ʻākau, kuni, a me ka jaundice - ʻo ia hoʻi ka melemele o nā maka a me ka ʻili. | He maʻi kēia o nā ʻauwai bile. He kūlana koʻikoʻi a wikiwiki loa ia. |
ʻO ka mea nui loa, inā ʻoi aku ka mau o kou ʻeha ma mua o 5-6 mau hola, a inā he mau hōʻailona kou e like me ke kuni, ke anu, a me ka melemele o nā maka, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
He aha ke kumu o kēia?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui nā pōhaku gallstones , akā hiki ke loaʻa nā kumu ʻē aʻe.
- Nā Pōhaku ʻAʻa: ʻO kēia ke kumu ma 90% o nā hihia. Hoʻopaʻa ʻia kahi pōhaku i loko o kahi ʻaʻa bile no kekahi manawa, e hoʻonui ai i ke kaomi a me ka ʻeha. Nalo ka ʻeha ke neʻe ka pōhaku a puni a i ʻole ke pau ka ʻūlū ʻana o ka ʻaʻa gallbladder.
- ʻO ke koʻikoʻi o Biliary: Inā paha mai kahi hana mua a i ʻole kahi maʻi mumū lōʻihi, hiki i nā ʻāpana bile ke lilo i ʻeha a me ka wili, e ālai ana i ke kahe o ka bile.
- ʻO Biliary Dyskinesia: I kekahi manawa ʻaʻole e ʻūlū pono ka gallbladder, a ʻaʻole paha e wehe pono ka sphincter o Oddi. Hiki i kēia mau pilikia ke hana i ka hōʻiliʻili ʻana o ka bile a hoʻonui i ke kaomi.
He aha nā lāʻau lapaʻau no kēia?
Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a hana i nā hoʻokolohua, e like me ka ultrasound scan, e hoʻoholo ai i ke kumu pololei. E hilinaʻi ʻia ka lāʻau lapaʻau ma ke kumu a me ke koʻikoʻi o ke kūlana.
1. Nā lāʻau hoʻopau ʻeha: Hāʻawi ʻia nā lāʻau hoʻopau ʻeha e like me NSAID (Nonsteroidal anti-inflammatory drugs) e kāohi i ka ʻeha.
2. Papahana ʻAi: He mea nui loa ka pale ʻana i nā meaʻai kiʻekiʻe i ka ʻaila a me ka momona (nā meaʻai palai, nā ʻiʻo momona, nā meaʻai waiū, ka tīhi, ka pata) . No ka mea, hoʻoulu kēia mau meaʻai i ka ʻōpū e ʻūlū. Ma ka hōʻemi ʻana i kēia mau mea, hiki ke kāohi ʻia ka hoʻi hou ʻana o ka ʻeha i kahi nui.
3. Nā lāʻau hoʻoheheʻe pōhaku: Hāʻawi ʻia nā lāʻau lapaʻau e like me ka Ursodeoxycholic acid e hoʻoheheʻe i kekahi mau pōhaku cholesterol liʻiliʻi. Eia naʻe, ʻaʻole kūpono kēia no nā mea āpau.
4. Endoscopy/ERCP: Inā paʻa kahi pōhaku i loko o kahi ʻauwai bile, hiki ke hoʻohana ʻia kahi kaʻina hana i kapa ʻia ʻo ERCP (Endoscopic Retrograde Cholangiopancreatography) e wehe i ka pōhaku ma ke hoʻokomo ʻana i kahi ʻōmole me kahi kāmela ma o ka waha a me ka hoʻouna ʻana i nā mea hana kūikawā ma o ia mea.
5. ʻO ke ʻoki kino: Inā ʻo ke kumu nui o ka biliary colic he gallstones, a hoʻi hou kēia kūlana, ʻo ka hopena maikaʻi loa a mau loaCholecystectomy. Hana pinepine ʻia kēia i kēia manawa ma o kahi ʻoki puka kī i kapa ʻia ʻo ke ʻoki laparoscopic. ʻO ka hopena o kēia, ʻaʻole ia he pilikia ke ola maʻamau me ka ʻole o kahi gallbladder.
Leka Lawe-Home
- He ʻeha nui a paʻa mau ka Biliary Colic ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. Hoʻomaka pinepine ia ma hope o ka ʻai ʻana i nā meaʻai momona.
- He hōʻailona kēia no kahi maʻi maʻi, e like me nā gallstones, no laila mai hoʻowahāwahā iā ia.
- Inā hoʻomau ka ʻeha no nā hola he nui, a inā paha e ulu ana nā hōʻailona e like me ke kuni a i ʻole ka jaundice, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- ʻOiai inā e emi ana ka ʻeha, e ʻike pono i ke kauka e ʻike i ke kumu a loaʻa ka lāʻau kūpono.
- Me ka mālama pono ʻana, hiki ke ho'ōla loa ʻia kēia maʻi a hiki ke pale ʻia nā pilikia koʻikoʻi.
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