Ua ʻike anei ʻoe ua melemele nā keʻokeʻo o kou mau maka a i ʻole nā maka o kekahi āu i ʻike ai? I kekahi manawa, lilo lākou i ʻano melemele. ʻO kēia ka mea a mākou e kapa nei he jaundice. ʻAʻole ia he mea e makaʻu ai, akā ʻaʻole hoʻi he manaʻo maikaʻi e hoʻowahāwahā iā ia. No ka mea, ʻo ka melemele ʻana o nā maka he hōʻailona ia o kekahi mea ʻē aʻe e hana nei i loko o ko mākou kino. No laila, e kamaʻilio kākou e pili ana i kēia i kēia lā.
No ke aha e melemele maoli ai nā maka?
I mea e hoʻomaopopo ai i kēia, pono mua kākou e hoʻomaopopo i kahi hana liʻiliʻi e hana ʻia ana i loko o ko kākou kino. Hoʻopau nā hunaola koko ʻulaʻula i loko o ko kākou koko i ka hala ʻana o ka manawa. Ke hoʻopau kēia mau mea, hoʻokumu ʻia kahi kemika melemele i kapa ʻia ʻo bilirubin .
ʻO ka maʻamau, hana ko kākou akepaʻa e like me ke kānana, e kānana ana i kēia bilirubin mai ke koko a hoʻohana iā ia e hana i kahi wai i kapa ʻia ʻo bile. A laila hele kēia bile ma o nā ʻauwai bile i loko o kā mākou ʻōnaehana hoʻoheheʻe a hoʻokuʻu ʻia mai ke kino me ka feces.
I ka ʻōlelo maʻalahi, he "ʻōpala" melemele ka bilirubin i hana ʻia i loko o ke kino. ʻO ke akepaʻa ka "hale hana" e wehe i kēia ʻōpala.
Eia nō naʻe, inā no kekahi kumu, nui ka bilirubin e hōʻiliʻili i loko o ke kino, a inā ʻaʻole hiki i ke akepaʻa ke hoʻopau pono iā ia, hōʻiliʻili kēia mea melemele i loko o ko kākou koko. Ke hōʻiliʻili kēia, hoʻomaka ke keʻokeʻo o ko kākou mau maka, a i kekahi manawa ka ʻili, e nānā melemele. Ua kapa ʻia kēia he jaundice.
He aha nā kumu nui o nā maka melemele?
ʻAʻole hoʻokahi wale nō kumu e melemele ai nā maka, hiki ke nui. E nānā kākou i nā mea nui.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Hepatitis | ʻO kēia ka manawa e pehu ai ke akepaʻa. Hiki ke hana ʻia kēia e nā maʻi (e like me ka Hepatitis A, B, a me C), kekahi mau lāʻau lapaʻau, a me ka inu nui ʻana i ka waiʻona. Ke hōʻino ʻia ke akepaʻa, ʻaʻole ia e kānana pono i ka bilirubin. |
| Nā pōhaku ʻōpū | Hiki i nā pōhaku i hana ʻia i loko o ka gallbladder, aia ma lalo o ke akepaʻa, ke ālai i nā ʻauwai bile. Ua like ia me kahi paʻa i loko o ka paipu wai. Hōʻiliʻili ʻia ka Bilirubin i loko o ke koko. |
| ʻO ka inu nui ʻana | Hiki i nā makahiki o ka inu nui ʻana ke hōʻeha nui i ke akepaʻa. Ua luku ʻia nā hunaola akepaʻa a ua pani ʻia me nā ʻiʻo ʻeha. Ua kapa ʻia kēia maʻi he cirrhosis . ʻAʻole hiki i ke akepaʻa ke hana pono. |
| Kekahi mau lāʻau lapaʻau | Hiki i ka jaundice ke lilo i hopena ʻaoʻao o kekahi mau lāʻau lapaʻau. ʻO nā laʻana: ka lawe ʻana i ka nui o ka acetaminophen/paracetamol, penicillins (Amoxicillin/clavulanate), nā pila hoʻomalu hānau, kekahi mau lāʻau lapaʻau noʻonoʻo, a me nā steroids. |
| Ka maʻi ʻaʻai | ʻO nā mea e like me ke kanesa o ke ake a me ke kanesa pancreatic hiki ke hana i ka poloka ʻana o ke ala bile a me ka jaundice. |
| Kekahi mau maʻi koko | I nā kūlana e like me ka anemia hemolytic, haki nā hunaola koko ʻulaʻula ma mua o ka maʻamau. A laila ʻaʻole hiki i ke akepaʻa ke kāohi i ka nui o ka bilirubin i hana ʻia. ʻO ka anemia cell sickle kekahi ʻano maʻi like. |
Eia kekahi, ʻo nā maʻi kakaikahi loa e like me ka malaria, nā maʻi parasitic ʻē aʻe o ke akepaʻa, a me ke kūlana genetic Gilbert syndrome hiki ke hana i nā maka melemele.
E aʻo hou aʻe kākou e pili ana i nā maka melemele i nā pēpē hānau hou.
He nui nā pēpē hānau hou e loaʻa i ka jaundice i loko o kekahi mau lā o ka hānau ʻana. He mea maʻamau kēia i ka hapa nui o nā hihia. No ka mea, ʻaʻole i ulu piha ke akepaʻa o ke pēpē, hiki ke hōʻiliʻili kekahi bilirubin.
Hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:
- E hoʻomaka ana me ka maka, e melemele nā maka a me ka ʻili.
- Ua emi ka hoʻohana ʻana i ka waiū.
- Ke hōʻike nei i ka hiamoe nui aʻe ma mua o ka maʻamau.
Akā ʻoiai he mea maʻamau kēia, mai hoʻowahāwahā iā ia. No ka mea, inā piʻi nui ka pae bilirubin, hiki iā ia ke hōʻino i ka lolo o ka pēpē. No laila, inā ʻike ʻoe he melemele nā maka o kāu pēpē, he mea nui e ʻike koke i ke kauka a ʻimi i ka ʻōlelo aʻo.
I ka hapa nui o ka manawa, ke hānai maikaʻi ʻia ka pēpē, hoʻokuʻu ʻia ka bilirubin keu mai ke kino ma o ka ʻōpala. I kekahi manawa paipai nā kauka e kau i ka pēpē ma lalo o kahi kukui kūikawā (phototherapy) e hoʻohaʻahaʻa i ka pae bilirubin. Kāhea mākou ia he "light therapy."
Pehea e hoʻopau ai i nā maka melemele?
He pilikia kēia i loaʻa i nā poʻe he nui. E hoʻomanaʻo, he hōʻailona wale nō nā maka melemele. No ka hoʻopau ʻana, pono ʻoe e mālama i ke kūlana kumu i hoʻokumu ai.
- Inā he mau pōhaku gallstones ke kumu, pono paha e mālama ʻia me ka lāʻau lapaʻau a i ʻole e wehe ʻia me ke ʻoki ʻana.
- Inā he maʻi viral e like me ka hepatitis, e kuhikuhi ke kauka i ka lāʻau lapaʻau e pono ai.
- Inā ʻo ka inu ʻana i ka waiʻona ke kumu o ke kūlana, pono ʻoe e hoʻōki loa i ka inu ʻana i ka waiʻona.
- Inā kumu ʻia e kekahi lāʻau lapaʻau, e hoʻōki ke kauka i kēlā lāʻau lapaʻau a hāʻawi iā ʻoe i kahi koho ʻē aʻe.
No laila, inā ʻike ʻoe he melemele kou mau maka, e ʻoluʻolu e ʻike i ke kauka e ʻike i ke kumu pololei a loaʻa i ka lāʻau kūpono, ma mua o ka hoʻāʻo ʻana e mālama iā ʻoe iho ma ka nānā ʻana i nā mea ma ka pūnaewele.
Leka Lawe-Home
- ʻAʻole maʻi ka jaundice, a i ʻole ka melemele o nā maka, akā he hōʻailona ia o kahi pilikia ʻē aʻe i ke kino.
- ʻO kēia ke kumu o ka hōʻiliʻili nui ʻana o kahi mea melemele i kapa ʻia ʻo bilirubin i loko o ke koko.
- ʻO nā maʻi ate (hepatitis, cirrhosis), nā pōhaku gallstone, kekahi mau maʻi ʻaʻai, a me nā maʻi koko ke kumu nui o kēia.
- Mai hoʻowahāwahā i nā maka melemele. E ʻike pono i ke kauka e ʻike i ke kumu.
- ʻOiai he mea maʻamau ka jaundice i nā pēpē hānau hou, he mea nui nō hoʻi e ʻimi i ke kōkua lapaʻau.
- Hoʻopili ʻia ka lāʻau lapaʻau ma ke kumu nui o ka melemele o nā maka, no laila he mea nui ka ʻike pololei.
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