Ua noʻonoʻo paha ʻoe pehea mākou e hoʻoheheʻe ai i ka meaʻai ʻaila a mākou e ʻai ai, ka sambol niu a mākou e ʻai ai me ka laiki, a i ʻole ka iʻa kirikos i hoʻomākaukau ʻia i loko o ko mākou kino? He ʻōnaehana kupaianaha i loko o ko mākou kino e kōkua i kēia hana. Ua like kēia ʻōnaehana me kahi lāʻau me nā lālā i hohola ʻia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻōnaehana biliary (Biliary Tree), he mea pono loa ia no kā mākou kaʻina hana hoʻoheheʻe a hana maikaʻi hoʻi i ka wehe ʻana i nā ʻōpala mai ko mākou kino.
I ka ʻōlelo maʻalahi, he aha ka lāʻau biliary?
ʻO ka ʻōnaehana biliary kahi pūnaewele o nā ʻōkana a me nā ducts e hana, mālama, a lawe i ka bile i loko o ko kākou kino. Ua kapa ʻia hoʻi ʻo ia ʻo "Biliary Tract" a i ʻole "Biliary System" ma ka ʻōlelo Pelekania. Ua kapa ʻia ʻo "Biliary Tree" no ka mea ua like ia me kahi lāʻau. Ua kapa ʻia nā lālā liʻiliʻi o kēia lāʻau he bile ducts. ʻO nā ʻōkana nui o kēia ʻōnaehana:
- ʻAkepaʻa: ʻO kēia ka hale hana nui e hana ai i ka bile.
- Gallbladder: He ʻeke liʻiliʻi kēia e mālama ai i kekahi o ka bile i hana ʻia e ke akepaʻa.
- ʻŌpū liʻiliʻi: Hōʻea mai ka ʻaila a hōʻiliʻili ma ʻaneʻi.
Hāʻawi kēia mau mea a pau i ke kākoʻo nui i kā mākou kaʻina hana hoʻoheheʻe.
He aha nā ʻāpana o kēia ʻōnaehana a me kā lākou mau hana?
E noʻonoʻo iā ia e like me kahi ʻōnaehana wai no ke kūlanakauhale. He hana kūikawā ko kēlā me kēia ʻāpana. E nānā kākou i kēlā me kēia ʻāpana pākahi.
| ʻŌkana / ʻāpana | He maʻalahi ka hana. |
|---|---|
| Ake | ʻO kēia kahi nui e hana ʻia ai ka bile. Hōʻiliʻili pū ia i nā huahana ʻōpala, ka cholesterol makemake ʻole ʻia, a me ka bilirubin mai ke koko i loko o ka bile. Hana pū ke akepaʻa i nā waikawa bile, e kōkua iā mākou e hoʻoheheʻe i ka meaʻai a mākou e ʻai ai. |
| Nā ʻauwai bile | ʻO kēia nā ʻōmole liʻiliʻi e like me nā lālā o kahi lāʻau. ʻO ka bile i hana ʻia i loko o ke akepaʻa e hōʻiliʻili ʻia a lawe ʻia i ka gallbladder a me ka ʻōpū liʻiliʻi ma o kēia mau ducts. Hoʻohui pū ka nui o kēia mau ducts liʻiliʻi e hana i ke duct bile maʻamau. ʻO ia ke kumu o ka lāʻau. |
| ʻŌpū Gall | Ua like kēia me kahi pahu mālama liʻiliʻi. Mālama ʻia kekahi o ka bile e puka mai ana mai ke akepaʻa ma ʻaneʻi. Ke ʻai mākou i kahi meaʻai momona, pono mākou i ka bile hou aʻe e hoʻoheheʻe iā ia. I kēlā manawa, ʻūlū ka gallbladder a hoʻokuʻu i ka bile i mālama ʻia i loko o ke kahawai bile nui. |
| ʻO ka pancreas | ʻOiai ʻaʻole ia he ʻāpana pololei o ka ʻōnaehana biliary, ua pili ia iā ia a hana pū me ia. Hoʻokuʻu ka pancreas i nā enzymes e pono ai ke hoʻoheheʻe i ka meaʻai. ʻO ke kahawai e hele mai ai kēia mau enzymes ua kapa ʻia ʻo ka pancreatic duct, kahi e hui pū ai me ke kahawai bile nui a wehe i loko o ka ʻōpū liʻiliʻi. |
| ʻōpū liʻiliʻi | I ka hopena, hōʻea nā enzymes bile a me ka pancreatic ma ʻaneʻi. ʻO kēia kahi e wāwahi pono ʻia ai nā momona (nā ʻaila) i loko o ka meaʻai a hoʻoheheʻe ʻia. ʻO kēia kahi e komo ai nā meaola i hoʻoheheʻe ʻia i loko o ke kino. |
He aha nā maʻi a me nā pilikia maʻamau e hoʻopilikia ai i ka gallbladder?
Ma muli o ka pili ʻana o nā ʻāpana a pau o kēia ʻōnaehana, inā loaʻa kahi pilikia ma kekahi ʻāpana, hiki iā ia ke hoʻopilikia i nā ʻāpana ʻē aʻe. E like me ka paʻa ʻana o kekahi ʻāpana o kahi ʻōnaehana paipu wai, e pau ke kahe ʻana o ka wai i loko o ka ʻōnaehana holoʻokoʻa.
ʻO ka mea nui, inā he ālai ʻia i loko o kēia ʻōnaehana, e pau ke kahe ʻana o ka bile. A laila hiki i kēlā bile ke hoʻi hou a hōʻiliʻili i loko o ke koko. Hiki i kēia ke hana i nā pilikia olakino koʻikoʻi.
Eia kekahi o nā pilikia maʻamau:
- Nā Pōhaku ʻAʻa: He kūlana maʻamau kēia i lohe ʻia e ka poʻe he nui. ʻO nā mea e like me ka cholesterol i loko o ka bile e paʻakikī i nā pōhaku liʻiliʻi. Inā paʻa kēia mau pōhaku i loko o nā ʻauwai bile, hiki iā lākou ke ālai i ke kahe ʻana o ka bile, e hōʻeha nui ai, ka maʻi, a me nā pilikia ʻē aʻe.
- Cholestasis: ʻO kēia ka manawa e lohi loa ai ke kahe ʻana o ka bile a i ʻole e pau loa. Hiki ke loaʻa kēia ʻano i kekahi manawa i ka wā hāpai.
- ʻO ke koʻikoʻi o ka biliary:Hiki i kahi maʻi, ka maʻi ʻaʻai, a i ʻole kekahi ʻano maʻi ʻē aʻe ke hana i ka ʻiʻo ʻeha i loko o ke kahawai bile, e ālai ana i ke kahawai. ʻO kēia ka mea e paʻakikī ai ke kahe ʻana o ka bile.
- Maʻi akepaʻa: Hoʻopilikia ʻia ka hana akepaʻa ma muli o ka hōʻino ʻia o ke akepaʻa i ka hala ʻana o ka manawa. ʻO ka hopena kēia i ka hiki ʻole ke hana pono i ka bile.
Ma waho aʻe o kēia mau mea, hiki i nā maʻi kanesa (ka maʻi ʻaʻai Bile duct, ka maʻi ʻaʻai Gallbladder, ka maʻi ʻaʻai Pancreatic) a me nā kūlana olakino kikoʻī ʻē aʻe ke hoʻopilikia i ka ʻōnaehana biliary.
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia pilikia? He aha nā hōʻailona?
Inā he pilikia me kāu ʻōnaehana bile, e hāʻawi kou kino iā ʻoe i nā hōʻailona like ʻole e pili ana i ia mea. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, he mea nui loa ia e ʻike i ke kauka no ka ʻōlelo aʻo.
| Hōʻailona | Ua wehewehe maʻalahi ʻia |
|---|---|
| ʻĀʻī | Melemele nā keʻokeʻo o nā maka a me ka ʻili. ʻO kēia no ka mea ʻaʻole i hoʻokuʻu pono ʻia ka bile, a hōʻiliʻili ka pigment melemele bilirubin i loko o ia mea i loko o ke koko. |
| ʻEha ʻōpū o luna | ʻEha ma ka ʻaoʻao ʻākau o ka ʻōpū, ma lalo o nā iwi ʻaoʻao. Hiki ke hana ʻia kēia ʻeha e ke akepaʻa, ka ʻōpū palahēhē, a i ʻole nā ʻauwai bile. |
| ʻEha nui o ka ʻōpū (Biliary colic) | ʻAʻole kēia he ʻeha ʻōpū maʻamau. He ʻeha koke ia, hiki ʻole ke hoʻomanawanui ʻia ke paʻa kahi pōhaku ʻōpū i loko o ka ʻōpū. Hiki ke hele pū me ka nausea a me ka luaʻi. |
| ʻAila, ʻeleʻele nā ʻōpala (Steatorrhea) | Ke hiki ʻole ka bile i ka ʻōpū liʻiliʻi me ke kūpono, ʻaʻole i hoʻoheheʻe ʻia nā momona i loko o ka meaʻai. Hiki i kēia ke hana i nā ʻōpala e maeʻele, ʻaila, a lana i loko o ka wai. |
Nā hōʻailona ʻē aʻe
- ʻO ka mimi ʻeleʻele (e like me ka wai tī)
- Ke ʻōniʻoniʻo ʻana i ka ʻili
- Luhi loa.
- ʻO ka pohō kaumaha me ke kumu ʻole
- kuni
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka .
Pehea e ʻike ai nā kauka i kēia mau kūlana?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona a nānā iā ʻoe. A laila e kauoha paha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.
- Nā hoʻāʻo koko: Hiki i kēia ke nānā i nā pae o nā enzymes i loko o ke ake a me ka pancreas e hoʻoholo ai inā he pōʻino i kēlā mau ʻōpū.
- Nā hoʻāʻo kiʻi:
- ʻO ke nānā ʻana i ka ultrasound: Hiki i kēia ke ʻike maʻalahi i nā mea e like me nā gallstones a me ka pehu ʻana.
- CT scan: Hiki i kēia ke hāʻawi i kahi kiʻi maopopo o loko o ke kino.
- Nā hoʻokolohua kūikawā:
- MRCP (Magnetic Resonance Cholangiopancreatography): He ʻano MRI scan kēia. Hoʻohana ʻia ia e kiʻi i nā kiʻi kikoʻī o nā ʻauwai bile a me nā ʻauwai pancreatic.
- ERCP (Endoscopic Retrograde Cholangiopancreatography): He hoʻāʻo a he lāʻau lapaʻau kēia. Hoʻokomo ʻia kahi endoscope (kahi ʻōmole me ke kāmela i hoʻopili ʻia) ma o ka waha, hoʻokomo ʻia kahi kala i loko o nā ʻauwai bile, a lawe ʻia nā kukuna X. Inā paʻa kahi mea e like me ka pōhaku i kēia manawa, hiki ke wehe ʻia.
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
Aia ka lāʻau lapaʻau i kou kūlana olakino.
- Ka hoʻokahe ʻana o ka biliary: Inā ua ālai ʻia ke ala bile, i kekahi manawa ua hoʻokomo ʻia kahi paipu liʻiliʻi ma o ka ʻōpū e hoʻokahe i ka bile keu i hōʻiliʻili ʻia.
- Lapaʻau Endoscopic: I ka wā o ka ERCP, hiki ke hoʻokomo ʻia kahi paipu liʻiliʻi (stent) e wehe i kahi mea i hoʻopaʻa ʻia, lawe i kahi hāpana ʻiʻo (biopsy), a i ʻole e wehe i ka duct.
- ʻO ke ʻoki kino: Inā he mau pōhaku gallstone kou, ʻo ka lāʻau maʻamau ka wehe ʻana i ka gallbladder.
No laila, ʻaʻole wale kāu ʻōnaehana bile he ʻōnaehana e hoʻoneʻe i ka bile a puni. He ʻōnaehana koʻikoʻi ia e kōkua iā ʻoe e hoʻoheheʻe i ka meaʻai, hoʻopili i nā meaolaola, a hoʻomaʻemaʻe i kou koko.
Inā ʻaʻole hana pono kēia ʻōnaehana, hiki iā ia ke hoʻopilikia i kou olakino holoʻokoʻa, no laila he mea nui loa ka mālama ʻana iā ia.
Leka Lawe-Home
- He pūnaewele koʻikoʻi ka lāʻau biliary o nā ʻōkana e kōkua i ko mākou kino e ʻeli i ka meaʻai a hoʻopau i ka ʻōpala.
- Inā e melemele ana kou ʻili a maka paha (jaundice), loaʻa iā ʻoe ka ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, a ua loli paha ke kala o kou mau ʻōpala, he hōʻailona paha ia o kahi pilikia me ka ʻōnaehana bile.
- Mai hoʻowahāwahā i kēia mau hōʻailona. He mau hōʻailona paha kēia o kahi maʻi koʻikoʻi, no laila e ʻike koke i kāu kauka no ka ʻōlelo aʻo lapaʻau.
- Hiki iā ʻoe ke kōkua i ka mālama ʻana i ke olakino o kāu ʻōnaehana bile ma ka mālama ʻana i kahi papaʻai olakino a me ka kaohi ʻana i ke kaumaha o kou kino.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo