Ke ʻike nei hoʻi ʻoe i ka ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū ma hope o ka ʻai ʻana? Hiki paha (Biliary Dyskinesia) !

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū ma hope o ka ʻai ʻana, ʻoiai kahi ʻai momona? Ke manaʻo nei ʻoe ua nausea a makemake paha e luaʻi? Manaʻo ka poʻe he nui kēia ma muli o nā pōhaku gall. Akā, ʻaʻole ia ka hihia mau. I kēia lā, e kamaʻilio mākou e pili ana i kahi pilikia gallbladder ʻē aʻe e hoʻoulu ai i nā hōʻailona like, akā ʻaʻole i hoʻokumu ʻia e nā pōhaku. He ʻano ia i kapa ʻia ʻo Biliary Dyskinesia .

He aha ka Biliary Dyskinesia? E hoʻomaopopo maʻalahi kākou!

ʻAe, e nānā mua kākou i ke ʻano o ka Biliary Dyskinesia. I ka ʻōlelo maʻalahi, he pilikia ia me ke ʻano o ka hana ʻana o kāu gallbladder. I kekahi manawa, hiki iā ia ke hoʻopilikia i ka hana o ka sphincter, kahi ʻiʻo liʻiliʻi e kāohi ana i ke kahe ʻana o ka bile i loko o nā ʻōpū. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole hana pono ka gallbladder. ʻO ia hoʻi, ʻaʻole ia he pōhaku gall i paʻa i loko o ka gallbladder, akā he pilikia me ke ʻano o ka hana ʻana o ka gallbladder.

Ua ʻike anei ʻoe ʻo ka hana nui o ko kākou ʻōpū ʻaʻai ka mālama ʻana i ka bile, ka mea i hana ʻia e ke akepaʻa, a laila hoʻouna aku i ka ʻōpū liʻiliʻi e kōkua i ka ʻeli ʻana i ka meaʻai i ka wā e ʻai ai kākou. Ke ʻai kākou, hoʻouna nā hormones mai ka ʻōpū liʻiliʻi i kahi hōʻailona i ka ʻōpū ʻaʻai, me ka ʻōlelo ʻana, "ʻAe, e hoʻouna i ka bile i kēia manawa." A laila ʻuʻuku ka ʻōpū ʻaʻai, ʻo ia hoʻi, e emi ana ia, a hoʻouna i ka bile ma o nā ʻaʻa bile i ka ʻōpū liʻiliʻi.

I loko o ka dyskinesia biliary, aia kahi pilikia ma kekahi wahi o kēia kaʻina hana. Hiki ke lilo i pilikia me ka hōʻailona hormone, a i ʻole he pilikia paha me nā aʻalolo e loaʻa ana ka hōʻailona, ​​a i ʻole he nāwaliwali i nā ʻiʻo i manaʻo ʻia e hana ma ka hōʻailona. ʻAʻole hiki i nā kauka ke ʻōlelo koke i ke kumu o kēia, akā maopopo iā lākou ʻaʻole e hoʻokuʻu ana ka gallbladder i ka bile lawa.

He aha ka mea e hana ʻia i ke kino ma muli o ka biliary dyskinesia?

I kēia manawa, he aha ka mea e hana ʻia ke hiki ʻole i ka ʻōpū ke hoʻokahe pono i kona bile? Hōʻiliʻili kēlā bile i loko o ka gallbladder, e hoʻonui ai a pehu. Ua like kēia me ka mea e hana ʻia ke paʻa kahi pōhaku gall i loko o ka gallbladder. Hiki i kēia pehu a me ka hōʻiliʻili ʻana o ka bile ke alakaʻi i nā maʻi, ka mumū o ka gallbladder (cholecystitis), a me ka ʻeha.

Hiki iā ʻoe ke ʻike i kekahi manawa i ka ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū. Hele mai a hele aku. Hoʻopili pinepine ʻia kēia ʻeha me ka nausea, ʻoiai ke ʻūlū ka gallbladder ma hope o ka ʻai ʻana. Ua kapa ʻia kēia he biliary colic . Eia kekahi, ʻaʻole paha e loaʻa i nā ʻōpū ka lawa o ka bile, hiki ke hoʻoulu i ka pehu ʻana, ka nausea, ka luaʻi ʻana, a me ka paʻakikī i ka ʻeli ʻana i ka meaʻai, ʻoiai ke ʻai ʻana i nā meaʻai momona.

Ua lōʻihi ka manaʻoʻiʻo ʻia ʻo ka ʻeha biliary kokoke i nā manawa a pau i hana ʻia e nā gallstones (cholelithiasis). Akā ke ʻike nei nā kauka i kēia manawa ʻaʻole kēia ka hihia mau. ʻO ka ʻoiaʻiʻo, ʻo kahi kūlana i kapa ʻia ʻo biliary dyskinesia ke ʻike ʻia nei i kēia manawa ʻo ia ke kumu nui o ka maʻi gallbladder. Hoʻopilikia ia i nā keiki makua a me nā pākeke .

ʻO wai ka mea e ʻoi aku ka nui o ka loaʻa ʻana o ka Biliary Dyskinesia?

ʻO nā maʻi hana o ka ʻōpū hana he kumuhana kūkākūkā wela ia i kēia mau lā, ʻoiai ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa. ʻAʻole maopopo inā e piʻi maoli ana ke kūlana a i ʻole ke ʻike ʻia nei i kēia manawa. ʻAʻole maopopo hoʻi ʻo wai ka mea e loaʻa ai. Eia nō naʻe, ua manaʻo ʻia he nui ka pilikia o ka poʻe me ka momona a me ka maʻi diabetes .

E like me kou ʻike, he nui nā hopena o ka momona i ka metabolism o ko kākou kino. Hiki iā ia ke hōʻiliʻili i ka momona i loko o ko kākou mau kino, a hiki nō hoʻi ke hoʻoulu i ka mumū mau loa. Hoʻopilikia kēia mau mea ʻelua i ka neʻe ʻana o ka gallbladder. Ke noho ka bile i loko o ka gallbladder ma kahi hoʻokahi, hiki iā ia ke lilo i mānoanoa a lepo. ʻO kēia ke kumu o nā pōhaku gall. ʻO ka momona kahi kumu nui o ka pilikia no nā pōhaku gall. Eia nō naʻe, hiki i nā pōhaku gall ke ulu ma hope o kahi maʻi i kapa ʻia ʻo Biliary Dyskinesia.

Pehea ka manaʻo o kēia hana ʻino o ka gallbladder?

ʻO ka hapa nui o ka poʻe e ʻeha ana i ka ʻōpū ma kahi o ka ʻōpū - ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ma lalo pono o ka iwi ʻaoʻao ʻākau. Akā, ʻike kekahi poʻe ma waenakonu o ka ʻōpū, a ʻo kekahi ma ka poʻohiwi ʻākau a i ʻole ke kua. Hoʻomaka pinepine ia a ʻaʻole mau. Akā i ka wā e hiki mai ai, hiki ke mau no nā hola. Hoʻonui mālie ka ʻeha i nā minuke 20 mua, a laila emi mālie.

Hele mai kēia mau ʻeha a hele aku, ʻaʻole i nā manawa a pau. Loaʻa pinepine lākou ma hope o ka ʻai ʻana, ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai momona a kaumaha. ʻO kēia ka manawa e ʻūlū ai ka gallbladder a pono e hoʻokuʻu i ka bile i loko o nā ʻōpū. ʻOi aku ka nui o ka ʻeha, lawa ia e hoʻopilikia ai i kāu mau hana o kēlā me kēia lā, e hoʻāla iā ʻoe i ka pō, a i ʻole e koi ʻia e hele i ka lumi pilikia. He mea maʻamau nō hoʻi ka nausea a me ka luaʻi .

He aha nā hōʻailona o ka biliary dyskinesia?

ʻO ka maʻamau, hiki i kekahi kanaka me ka Biliary Dyskinesia ke ʻike i kēia mau hōʻailona:

• ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
• ʻO ka ʻeha e kū mai ana i kēlā me kēia manawa, piʻi aʻe a laila emi iho.
• Hoʻopiha i ka ʻōpū, pehu.
• Ka luaʻi a me ka luaʻi.
• Ka pohō kaumaha i manaʻo ʻole ʻia.

Hōʻike pū kekahi poʻe i nā hōʻailona ʻē aʻe:

• ʻEha poʻo.
• Luhi mau, ʻeha loa.
• ʻO ka reflux waikawa mau loa.
• ʻO ka ʻōpū hana a/a i ʻole (IBS - Irritable Bowel Syndrome).
• Hopohopo a me/a i ʻole Kaumaha.

He aha nā kumu o ka Biliary Dyskinesia?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā kauka ke kumu o kēia mau maʻi neʻe. I kekahi manawa, pili paha nā aʻalolo kikoʻī, e like me ke aʻalolo vagus. Akā i nā hihia he nui, paʻakikī ke kuhikuhi pololei i kahi o ka pilikia. I kekahi manawa, hiki i kahi maʻi metabolic maʻamau a i ʻole ka maʻi neʻe ʻōpū ke hoʻopilikia i ka neʻe ʻana o ka gallbladder a i ʻole ka ʻiʻo pani o ka bile duct, ʻo ia hoʻi ka biliary sphincter.

Pehea e ʻike ʻia ai ka biliary dyskinesia?

Hoʻomaopopo ʻia ka biliary dyskinesia ma kekahi mau ʻanuʻu. Pono nā kauka e hōʻoia i kēia mau mea:

1. He hōʻailona anei kāu mau hōʻailona no ka ʻeha biliary a i ʻole nā ​​ʻeha ʻōpū ʻē aʻe?

2. ʻAʻohe ou maʻi ʻē aʻe o ka ʻōpū puʻuwai, e like me nā pōhaku puʻuwai.

3. ʻAʻole lawa ka bile o kāu ʻōpū.

4. Hōʻike ʻia kāu mau hōʻailona ke ʻūlū ka ʻōpū.

5. ʻAʻole pili nā lāʻau lapaʻau āu e lawe ai a i ʻole nā ​​​​kumu ʻē aʻe i ka neʻe ʻana o ka gallbladder.

Nānā i nā hōʻailona

ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a ʻike inā he mau hōʻailona kikoʻī kāu e pili ana i ka biliary colic. E noʻonoʻo lākou i kēia mau pae hoʻohālikelike:

• Loaʻa ka ʻeha ma ka ʻōpū o luna, maʻamau ma ka ʻaoʻao ʻākau.
• Hoʻi hou ka ʻeha i kekahi manawa a mau no 30 mau minuke ma ka liʻiliʻi.
• Hoʻonui mālie ka ʻeha, hiki i kahi pae waena a koʻikoʻi paha, a laila paʻa.
• ʻEha i hōʻoluʻolu ʻole ʻia e ka luaʻi ʻana, ka ʻōpala ʻana, ka hoʻololi ʻana i ke kūlana, a i ʻole ka lawe ʻana i nā antacids.
• Ua loaʻa mau kēia mau ʻeha no ʻekolu mahina ma ka liʻiliʻi.

Ke kāpae ʻia ʻana o nā kūlana olakino ʻē aʻe

Ma hope o ka hōʻoia ʻana ua kūpono kāu mau hōʻailona i kēia mau pae hoʻohālikelike, e hoʻāʻo kāu kauka e kāpae i nā kumu maʻamau ʻē aʻe o ka ʻeha o ka gallbladder. Hiki i kēia ke komo pū me:

• Nā hoʻāʻo koko: Nānā ʻia nā pae enzyme pancreatic a me nā pae enzyme ate. Inā kiʻekiʻe nā pae enzyme, he hōʻailona paha ia o kahi pilikia me kēia mau ʻōpū a i ʻole ka hōʻiliʻili ʻana o ka bile (ʻoi aku ka bilirubin kiʻekiʻe).
• ʻŌmole ultrasound: Nānā kēia i ka gallbladder a me nā ʻauwai bile. Nānā ia i nā kumu kūkulu e like me nā pōhaku gallstone, ka mānoanoa o ka paia o ka gallbladder, a i ʻole ka hoʻonui ʻana o nā ʻauwai bile.

Ke nānā ʻana i ka hana o ka gallbladder

Inā maʻamau kāu mau hoʻāʻo koko a me ke scan ultrasound, ʻo ka hana aʻe e nānā i ka hana o kāu gallbladder. Hana nā kauka i kēia me kahi hoʻāʻo kiʻi lāʻau lapaʻau nukelea kūikawā i kapa ʻia ʻo HIDA scan . Ma kēia hoʻāʻo, hoʻokomo kahi loea i kahi isotope radioactive (he tracer) i loko o kou aa. I ka hele ʻana o ka tracer ma o kou gallbladder, heluhelu kahi scanner kamepiula a hana i nā kiʻi ma kahi pale.

No ka nānā ʻana i ka hana o ka gallbladder, hoʻohui nā kauka i kahi ʻanuʻu ʻē aʻe i kēia hoʻāʻo. Ua kapa ʻia ʻo ia he nānā cholecystokinin . ʻO Cholecystokinin kahi hormone e haʻi aku i ka gallbladder e ʻūlū a hoʻokuʻu i ka bile i loko o nā ʻauwai bile. Hoʻokomo ke loea i ka cholecystokinin i loko o kou aa a lawe i kekahi mau kiʻi ʻē aʻe i ka wā e ʻūlū ai ka gallbladder. Nānā lākou iā ia a lawe i nā ana.

E nīnau aku kāu kauka iā ʻoe inā ʻoe e ʻike i ka ʻeha i loko o kou gallbladder āu i ʻōlelo ai ma mua i ka wā e ʻaelike ai kou gallbladder. E ana pū lākou i ka "ejection fraction" o kou gallbladder. ʻO kēia ka nui o ka bile i hoʻokuʻu ʻia i ka wā e ʻaelike ai kou gallbladder. Inā emi kāu ejection fraction ma mua o 40%, a ʻaʻole ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā ​​​​lāʻau lapaʻau hormone e hoʻolohi nei i ka neʻe ʻana o kou gallbladder, e hōʻoia lākou iā ʻoe me ka biliary dyskinesia.

E noʻonoʻo iā ia e like me kahi "hoʻāʻo kūpono" no ka ʻōpū. Ke ana ia i ka maikaʻi o ka hana ʻana o ka ʻōpū i kāna hana.

He mea kākaʻikahi loa, hiki i ke kauka ke hana i kahi hoʻokolohua kikoʻī loa e ana i ka maikaʻi o ka wehe ʻana o ka sphincter o Oddi, ka ʻiʻo ma ka hui ʻana ma waena o ke ala bile a me ka ʻōpū, i ka pane ʻana i nā hōʻailona mai ke kino. Hiki ke hana ʻia kēia hoʻokolohua ma nā kikowaena kūikawā wale nō. E hoʻomaʻamaʻa ke kauka iā ʻoe a hoʻokomo i kahi endoscope kūikawā ma kou waha, e like me ka endoscopy luna a i ʻole EGD. A laila, hoʻoili ʻia ka endoscope i ka ʻāpana mua o kou ʻōpū liʻiliʻi a ana i ka hoʻomaha ʻana o kāu sphincter o Oddi.

I ka manawa pinepine, hiki i nā kauka ke ʻike i ka hana ʻino o ka sphincter o Oddi ma hope o ka hoʻopau ʻana i nā kumu ʻē aʻe o nā maʻi neʻe biliary. I kekahi manawa, hana ʻia kēia ʻike ke ʻole e hoʻomaikaʻi nā hōʻailona o ka mea maʻi ma hope o ka wehe ʻia ʻana o ka gallbladder.

(Biliary Dyskinesia) E hoʻomaikaʻi anei ia ma kāna iho?

ʻAʻohe hōʻike e hoʻomaikaʻi wale ka biliary dyskinesia. ʻO ka maʻamau, ʻike ʻia ka biliary dyskinesia ma hope o kou loaʻa ʻana o nā hōʻailona no ʻekolu mahina ma ka liʻiliʻi. I kēlā manawa, ʻaʻohe mea makemake e kali wale no ka hoʻomaikaʻi ʻana. Inā hoʻomaikaʻi ia ma kāna iho, ʻaʻole paha ia he maʻi hana, akā he ʻano maʻi neʻe ʻokoʻa i hoʻokumu ʻia e nā kumu manawa pōkole.

Pehea e mālama ai i ka Biliary Dyskinesia?

ʻO ka lāʻau lapaʻau kūleʻa wale nō no ka biliary dyskinesia ʻo ia ka cholecystectomy . Hana pinepine ʻia kēia ma ke ʻano he kaʻina hana minimally invasive (laparoscopic surgery). ʻO ke ʻano kēia, hana ʻia ke ʻoki ʻana ma o kekahi mau ʻoki liʻiliʻi. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Hoʻōla wikiwiki ke ʻoki laparoscopic, waiho i ka liʻiliʻi o ka ʻeha, a ʻaʻole ʻeha. Hiki iā ʻoe ke ola maikaʻi me ka ʻole o ka gallbladder. A laila hoʻopuka pololei kou akepaʻa i ka bile i loko o ka ʻōpū liʻiliʻi.

Eia nō naʻe, inā hoʻoholo ke kauka ʻo ka ʻiʻo sphincter ke kumu o ka maʻi neʻe, hiki ke hoʻonui ʻia a wehe ʻia paha ka ʻiʻo me ka hoʻohana ʻana i kahi kaʻina hana endoscopic. Hana pinepine ʻia kēia inā hoʻomau nā hōʻailona ma hope o ka wehe ʻia ʻana o ka gallbladder. ʻO ka ʻoiaʻiʻo, he paʻakikī ke ʻike i ka hana ʻino o ka sphincter, a he mea kakaikahi loa ka maʻi neʻe e kaupalena ʻia i kēlā ʻiʻo. I ka manawa pinepine, ua hoʻopilikia ʻia hoʻi ka gallbladder.

He aha nā mea e hiki ke hana ma hope o ke ʻoki ʻana i ka gallbladder (cholecystectomy)?

E hala ana kekahi mau pule no kāu ʻōnaehana hoʻoheheʻe e hoʻomaʻamaʻa i ka nele o kāu gallbladder. I loko o kēia manawa, pilikia paha ʻoe i ka hoʻoheheʻe ʻana i nā momona. Manaʻo ka nui o nā kauka e hoʻololi i kāu papaʻai no ka manawa pōkole e pale aku i ka indigestion. E pale i nā meaʻai palai a me nā mea momona i ka wā mua. Eia kekahi, e kālele i nā meaʻai kiʻekiʻe i ka fiber. E hoʻohui mālie i nā palaoa piha, nā mea kanu, a me nā legumes i kāu papaʻai. E kōkua kēia i ka pale ʻana i ka pehu a me ke kinoea.

Pehea ke ʻano o ka ʻōpū ma hope o ka mālama ʻana no ka biliary dyskinesia?

No ka poʻe i hoʻokō i nā kūlana āpau no ka hōʻoia ʻana, he 90% ka maikaʻi o ka cholecystectomy i ka mālama ʻana i ka biliary dyskinesia. Eia naʻe, ʻaʻole i hoʻokō nā kānaka a pau i kēia mau kūlana āpau. Pono kēlā poʻe e hana i nā hoʻāʻo hou aʻe ma mua o ke ʻoki ʻana, no ka mea, aia paha iā lākou kekahi maʻi ʻē aʻe. Inā ʻaʻole maopopo ka hōʻoia ʻana, ʻaʻole pono ka wehe ʻana i ka gallbladder e hoʻomaikaʻi i nā hōʻailona.

Loaʻa i ka ʻeha o ka ʻōpū gall nā hōʻailona kikoʻī. Inā hiki iā ʻoe ke ʻike i ke kūlana (Biliary Colic), hiki iā ʻoe a me kāu kauka ke kānalua mua i nā pōhaku gall. ʻAʻole hewa kēlā. Akā pehea inā ʻaʻole i ʻike ʻia nā pōhaku gall ke kumu o kāu mau hōʻailona? A laila loaʻa paha iā ʻoe kahi maʻi gallbladder hana (Biliary Dyskinesia). He hana ka ʻike ʻana i ka Biliary Dyskinesia. Akā inā pololei ka ʻike ʻana, ʻoi aku ka maikaʻi o ka mālama ʻana.

E hoʻomanaʻo i ka mea nui loa (Leka Lawe-Home)

Inā ʻike pū ʻoe i ka ʻeha mau ma ka ʻaoʻao ʻākau o luna o kou ʻōpū ma hope o ka ʻai ʻana, ʻoiai ma hope o ka ʻai ʻana i nā meaʻai momona, me nā hōʻailona e like me ka nausea a me ka luaʻi ʻana, mai hoʻokuʻu wale iā ia he gastritis. Hiki paha he gallstones, a i ʻole he ʻano like me ka mea a mākou i kamaʻilio ai i kēia lā (Biliary Dyskinesia).

E hoʻomanaʻo, ʻaʻole like nā ʻeha ʻōpū a pau. E makaʻala pono i kāu mau hōʻailona. He mea nui e ʻike i ke kauka e ʻike i ke kumu pololei. Me ka ʻike kūpono a me ka mālama kūpono, hiki iā ʻoe ke hoʻopau i kēia ʻeha. Mai hopohopo, e hahai i ka ʻōlelo aʻo a kāu kauka.

ʻO ka hoʻēmi ʻana i kāu ʻai ʻana i nā meaʻai ʻaila a momona a me ka mālama ʻana i ke kaumaha olakino hiki ke kōkua i ka pale ʻana iā ʻoe iho mai kēia mau maʻi. Ma luna o nā mea a pau, e hoʻolohe i kou kino.

Gallbladder, Biliary Dyskinesia, Bile, ʻEha ʻōpū, Cholecystectomy, HIDA scan, Digestion