Ua paʻa pū anei kou mau pōhaku ʻōpū i loko o ke auwai bile maʻamau? (Choldocholithiasis) E aʻo kākou e pili ana i ia mea!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū ma hope o ka ʻai ʻana? Ke manaʻo nei ʻoe i ka luaʻi a i ʻole makemake e luaʻi? Ke manaʻo nei ʻoe i kekahi manawa e melemele ana kou mau maka a me kou ʻili? ʻAʻole kēia he mau hōʻailona maikaʻi e hoʻowahāwahā wale ʻia. Hiki i kēia mau mea ke hōʻike ua paʻa kahi pōhaku i loko o kāu 'Common Bile Duct' . I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo 'Choledocholithiasis'.

I ka ʻōlelo maʻalahi, he aha kēia (choledocholithiasis)?

ʻO Choledocholithiasis kahi kūlana kahi i paʻa ai kekahi a ʻoi aku paha nā pōhaku i loko o kāu ʻauwai bile maʻamau . ʻO "Choldocho" ka inoa Latina no ke ʻauwai bile maʻamau. ʻO "Lithiasis" ke ʻano he pōhaku. He mau ʻāpana bile paʻakikī, e like me ka ʻiliʻili nā pōhaku Gallstones. Hiki i kēia mau pōhaku ke hana ʻia ma nā wahi a pau o ko mākou kino kahi e kahe ai ka bile.

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia bile a me ke ʻano o nā ducts bile. He mea maʻalahi loa ia. Hoʻopuka ko kākou ake i kēia bile. Kōkua kēia bile iā kākou e hoʻoheheʻe i ka meaʻai a kākou e ʻai ai, ʻoiai nā momona. Hōʻiliʻili kēia bile i loko o ka gallbladder. Mai laila mai, hele ia ma o kahi paipu liʻiliʻi i ke duct bile maʻamau, a laila e hui pū me ka ʻōpū liʻiliʻi. No laila, inā e hana ʻia kahi pōhaku ma kekahi wahi ma kēia huakaʻi, ʻo ka pilikia.

No laila, ʻelua mau mea ʻokoʻa (Choldocholithiasis) a me (Cholelithiasis)?

ʻAe, aia kahi ʻokoʻa iki. Ua lohe paha ʻoe i ka huaʻōlelo 'cholelithiasis'. ʻO ia hoʻi, he mau pōhaku i loko o ka gallbladder . Hiki i nā pōhaku Gall ke hana ʻia i loko o ka gallbladder ponoʻī, i loko o nā ʻauwai bile, a i ʻole i nā mea ʻelua. ʻOiai kahi pōhaku i hana ʻia i loko o ka gallbladder hiki ke neʻe ma hope i loko o ka ʻauwai bile maʻamau.

I ka ʻōlelo maʻalahi, ʻo 'Cholelithiasis' ke ʻano o nā pōhaku gall. ʻO 'Choldocholithiasis' ke ʻano o nā pōhaku (hoʻokahi a ʻoi aku paha) i puka mai loko mai o ka gallbladder a paʻa i loko o ke kahawai bile maʻamau. Ua maopopo iā ʻoe?

He aha ka ʻokoʻa ma waena o ka choledocholithiasis a me ka biliary colic?

Inā loaʻa iā ʻoe ka choledocholithiasis, ʻo ia hoʻi he pōhaku hoʻokahi kou ma kou ʻauwai bile maʻamau. Inā liʻiliʻi loa ka pōhaku, ʻaʻohe ou pilikia. Hiki paha iā ia ke hele ma waena o kou ʻōpū a puka i waho o kou kino. Akā inā nui ka pōhaku a ālai i ke auwai bile maʻamau, hiki iā ʻoe ke ʻeha nui a mau loa ka ʻōpū a me ka jaundice.

ʻO ke kolik biliary kahi maʻi e kū mai ana i ka wā e paʻa ai kahi pōhaku i loko o ka ʻōnaehana biliary. ʻO ia ka mea maʻamau i nā poʻe me nā pōhaku gall. Eia nō naʻe, inā paʻa kahi pōhaku i loko o ke auwai bile maʻamau a ālai i ke auwai, hiki i ke kanaka me choledocholithiasis ke loaʻa i ka kolik biliary. E noʻonoʻo iā ia e like me ka pōhaku i paʻa i loko o kahi paipu wai, i kekahi manawa kahe ka wai, i kekahi manawa ʻaʻole.

He pilikia anei kēia? Pono anei au i ka lāʻau lapaʻau koke?

ʻAʻole ia he pilikia mau ka loaʻa ʻana o kahi pōhaku a i ʻole nā ​​​​pōhaku i loko o ke auwai bile maʻamau. Eia nō naʻe, aia kahi pilikia . E like me ka mea i ʻōlelo ʻia ma mua, hiki i nā pōhaku liʻiliʻi ke puka i waho o ke kino. Eia nō naʻe, ʻo ka pilikia, hiki i nā pōhaku ke paʻa ma laila, ulu nui aʻe i ka hala ʻana o ka manawa, a ālai loa i ke auwai.

Ma muli o kēia pilikia, mālama pinepine nā kauka i nā pōhaku ʻauwai bile maʻamau i ka wā e loaʻa ai. Paipai pinepine lākou i ka hoʻohana ʻana i kahi endoscopy e nānā a wehe i nā pōhaku. ʻO ke ʻano kēia, hoʻohana kahi gastroenterologist i kahi paipu liʻiliʻi (catheter) i hoʻokomo ʻia i lalo o kou puʻu e hiki ai i nā ʻauwai bile a wehe i nā pōhaku. Mai hopohopo, hana ʻia kēia ma lalo o ka anesthesia, no laila ʻaʻole ʻoe e ʻoluʻolu nui.

He aha ka mea e hana ai inā lilo kēia maʻi (choledocholithiasis) i mea koʻikoʻi?

Inā paʻa kahi pōhaku i loko o ke ala bile maʻamau a hoʻōki i ke kahe ʻana o ka bile, hoʻopilikia ia i ka ʻōnaehana biliary holoʻokoʻa. ʻO ia hoʻi, nā ʻōpū a me nā ala ʻē aʻe a pau e kahe ai ka bile. Hiki i kēia ke hana i ka mumū, nā maʻi , a me nā pilikia e hoʻoweliweli ai i ke ola.

ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona e like me kēia, me ka hoʻowahāwahā ʻole iā lākou.

Pehea ka maʻamau o kēia ʻano?

Ma ka awelika, ma kahi o 10 o 100 poʻe he mau pōhaku gall. Eia nō naʻe, ʻo ka hapa nui o kēlā mau pōhaku e hana ʻia i loko o ka gallbladder. Ma kahi o 15% o ka poʻe me nā pōhaku gall e hoʻomohala i nā pōhaku i loko o ke kahawai bile maʻamau. ʻAʻole loaʻa i ka hapa nui o ka poʻe kekahi pilikia me kēia mau pōhaku. Ma kahi o 20% wale nō o ka poʻe me nā pōhaku gall e hoʻomohala i nā pilikia e pono ai ka mālama ʻana.

He aha nā hōʻailona o ka choledocholithiasis?

ʻAʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. Inā ʻaʻole i ālai ʻia kou gallbladder e nā gallstones, ʻaʻole paha ʻoe e ʻike he loaʻa iā ʻoe. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​ʻo ia hoʻi ua ālai ʻia kāu duct bile maʻamau e kahi pōhaku. ʻO nā hōʻailona mua e kū mai ana i ka wā e ālai ʻia ai ke duct ua kapa ʻia ʻo biliary colic. ʻO lākou:

• ʻEha ʻōpū: Hiki mai kēia ʻeha ma hope o ka ʻai ʻana. Hiki ke mau mai hoʻokahi a i kekahi mau hola. He ikaika ka ʻeha no nā minuke 20 mua, a laila e emi mālie ana. Manaʻo ka hapa nui o ka poʻe ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. Akā i kekahi manawa hiki i ka ʻeha ke pālahalaha i ka ʻaoʻao ʻākau a i ʻole ka poʻohiwi.
• Ka luaʻi a me ka luaʻi: ​​He mea maʻamau ka loaʻa ʻana o ka luaʻi a me ka luaʻi me ka biliary colic. Eia nō naʻe, e ʻike ʻoe, ʻaʻole e like me kekahi mau migraines, ʻaʻole e nalowale ka ʻeha ma hope o ka luaʻi ʻana. Inā ʻaʻole koʻikoʻi ka biliary colic, hiki iā ʻoe ke manaʻo i ka nalowale o ka makemake.
• ʻĀʻī:Ke kahe pono ʻole ka bile a hoʻi i luna i loko o ke koko, e melemele paha kou ʻili a me nā keʻokeʻo o kou mau maka. Hiki nō hoʻi ke ʻeleʻele kou mimi. ʻO ka jaundice, e like me ka biliary colic, hele mai a hele. Akā hiki ke hele mai a hele a hiki i ka wehe ʻia ʻana o ka mea i paʻa i loko o ke kahawai.
• Kuni: Inā loaʻa iā ʻoe ka mumū nui i loko o ka ʻōnaehana biliary, hiki iā ʻoe ke loaʻa i ke kuni. Hiki i ke kuni ke lilo i hōʻailona o kahi maʻi. Ke ālai ʻia nā ala bile, ʻaʻole hiki i ka bacteria ke haʻalele pono i ke kino, e maʻalahi ai ka ulu ʻana o nā maʻi.

He aha nā pilikia ʻē aʻe e hiki ai i kēia ke hana?

ʻO ka pōhaku e ālai ana i ke auwai bile maʻamau ke kumu o ka piʻi ʻana o ka bile. Hiki i kēia ke hoʻopilikia i nā auwai ʻē aʻe e pili ana iā ia, a me nā ʻōpū e like me ka gallbladder, pancreas, a me ke akepaʻa. Hiki i kēia ke hana i ka mumū, ka maʻi, a me ka hōʻino ʻana i nā ʻiʻo no ka manawa lōʻihi. ʻO nā pilikia e hiki mai ana:

• Maʻi: He wahi maʻalahi kahi ala bile i paʻa ʻia no ke komo ʻana o nā maʻi bacteria. He mea weliweli loa ka maʻi i loko o ka ʻōnaehana biliary. Hiki iā ia ke laha i ke akepaʻa a me ke koko. Inā laha ka maʻi i ke koko (septicemia), hiki iā ia ke alakaʻi i kahi maʻi koʻikoʻi a hoʻoweliweli i ke ola (sepsis).
• ʻO Cholangitis: ʻO ke kumu nui o ka mumū a me ka maʻi o ke kahawai bile maʻamau ʻo ia ka 'Choledocholithiasis'. Pehu ka kahawai bile ma muli o ka hōʻiliʻili ʻana o ka bile i hope, a lilo ke kahe o ka bile i mea lohi. Hiki i kēia mumū a me ka maʻi ke laha mai ke kahawai bile maʻamau i nā lālā ʻē aʻe, ʻo ia hoʻi, i nā kahawai e hele ana ma ke akepaʻa. Hiki i kēia ke hoʻoulu i ka pehu ʻana o ke akepaʻa.
• Cholecystitis: He mumū kēia o ka gallbladder. Ke piʻi hou ka bile i loko o ka gallbladder, pehu ia. He mea ʻeha kēia. Hiki iā ia ke hoʻopilikia i ka hana o ka gallbladder a, i ka hala ʻana o ka manawa, e hōʻino iā ia. ʻO kēia ke kumu nui o ka maʻi gallbladder.
• ʻO ka Gallstone Pancreatitis: ʻO kou ʻauwai bile a me ka pancreas e wehe ʻia i loko o ka ʻōpū liʻiliʻi (ʻōpū liʻiliʻi). Inā ālai ʻia kēia ala maʻamau e nā pōhaku gall, hiki i nā mea huna pancreatic ke oki i ka neʻe ʻana. Loaʻa i kēia mau mea huna nā enzymes ikaika loa, hiki ke hoʻi hou i loko o ka pancreas, e hoʻoulu ai i ka mumū nui a me ka hōʻino ʻana o nā ʻōkana. Ua kapa ʻia kēia ʻo pancreatitis. ʻO nā pōhaku gall ke kumu nui o ka pancreatitis non-alcoholic.

No ke aha e hana ai kēia (choledocholithiasis)?

Hana ko kākou akepaʻa i ka bile mai nā mea i kānana ʻia mai ko kākou koko. ʻO kēia mau mea e komo pū ana me ka cholesterol, bilirubin, nā paʻakai bile, a me ka lecithin. Hoʻokumu ʻia nā pōhaku gall ke nui loa kekahi o kēia mau mea - ʻo ia hoʻi ka cholesterol, i kekahi manawa bilirubin. A laila, hōʻiliʻili kēia mau mea keu e like me ka sludge.

Hōʻiliʻili kēia mea e like me ka lepo ma lalo o ka gallbladder a i ʻole i loko o ke kahawai bile maʻamau a paʻakikī mālie. I ka nui ʻana o ka lepo e kahe ana ma luna ona, ulu mālie kēia mau pōhaku i ka nui. Hiki i kēia ke hala i nā makahiki. Hoʻokumu ʻia ka hapa nui o nā pōhaku gall i loko o ka gallbladder. A laila hele lākou i lalo i ke kahawai bile a hiki i ke kahawai bile maʻamau.

He aha nā kumu pilikia e hoʻopilikia ai i kēia?

Hiki paha iā ʻoe ke hoʻomohala i nā pōhaku bile maʻamau no nā kumu i lalo:

• ʻO ka loaʻa ʻana o ka cholangitis mau loa: ʻO Choledocholithiasis ke kumu nui o ka cholangitis. Akā hiki nō hoʻi ke hana ma ke ʻano ʻē aʻe. Inā pehu kou mau ʻauwai bile no kekahi kumu ʻē aʻe, hiki i ke kahe ʻana o ka bile ke lohi, e hana ana i nā pōhaku i loko o nā ʻauwai bile.
• Nā pōhaku ʻōpū ma mua: ʻAʻole pilikia ka hapa nui o ka poʻe me nā pōhaku ʻōpū. Eia nō naʻe, ʻoi aku ka nui o ka poʻe i loaʻa nā pōhaku ʻōpū ma mua e ulu hou iā lākou. ʻOiai inā e wehe ʻia kou gallbladder ma ke ʻano he lāʻau lapaʻau no nā pōhaku ʻōpū, i nā hihia kakaikahi, hiki ke hana ʻia nā pōhaku hou i loko o kāu mau ʻauwai bile.

ʻO nā kumu pilikia ʻē aʻe e kōkua pinepine i ke kūkulu ʻia ʻana o nā gallstones:

• Nā Pae Kolesterol Kiʻekiʻe: ʻO ka hapa nui (ma kahi o 75%) nā pōhaku gall i hoʻokumu ʻia mai ka cholesterol keu i loko o ke koko. ʻO nā ʻāpana ʻē aʻe o ka bile (nā paʻakai bile a me ka lecithin) i manaʻo ʻia e hoʻoheheʻe i kēia cholesterol. Akā inā he kaulike ʻole ma waena o kēia mau mea, ʻaʻole ia e hana pono.
• Nā hormones wahine: Hoʻonui ka Estrogen i ka cholesterol. Hoʻemi ka Progesterone i nā ʻūlū o ka gallbladder a hoʻonui i ke kahe ʻana o ka bile. Hoʻokiʻekiʻe ʻia kēia mau hormones ʻelua i kekahi manawa i ka wā hānau o nā wahine. Hiki i ka lāʻau hoʻololi hormone ke hoʻonui i nā pae cholesterol.

Pehea e ʻike ʻia ai kēia maʻi (choledocholithiasis)?

ʻIke pinepine ʻia nā pōhaku ʻauwai bile ma hope o ka ulu ʻana o nā hōʻailona. Inā ʻoe e ʻimi i ke kōkua lapaʻau no nā hōʻailona e like me ka biliary colic a i ʻole ka jaundice, e hana kāu kauka i nā hoʻokolohua koko a me nā hoʻokolohua kiʻi . Hiki i nā hoʻokolohua koko ke hōʻike i ka nui o ka bile i hōʻiliʻili ʻia. Hiki i nā hoʻokolohua kiʻi ke kōkua i ka hoʻoholo ʻana i kahi o ka paʻa.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

Nā hoʻāʻo koko:

• Helu koko piha (CBC)
• Hoʻāʻo Bilirubin
• Nā hoʻāʻo hana pancreas
• Nā hoʻāʻo hana ate

Ma ke ʻano he mau hoʻokolohua kiʻi:

• ʻO ke kani ʻana o ka ʻōpū:He hoʻāʻo maʻalahi kēia a ʻeha ʻole. Hiki iā ia ke hāʻawi iā ʻoe i kahi manaʻo mua o kou kūlana. Hiki iā ia ke hōʻike inā he mau pōhaku i loko o kou gallbladder. ʻOiai ʻaʻole ia e hōʻike maopopo i ke ala bile maʻamau, hiki iā ia ke hōʻike inā ua hoʻonui ʻia ke ala. Hōʻike kēia he paʻa. Hiki ke like ke paʻa me ke aka.
• ʻO ka ultrasound Endoscopic: Hoʻohui kēia hoʻāʻo i ka ʻenehana ultrasound me kahi endoscopy luna e hana i nā kiʻi maopopo o nā ʻauwai bile. Pili kēia i ke komo ʻana i kahi ʻōmole liʻiliʻi i lako me ke kāmela (endoscope) i lalo o kou ʻāʻī a i loko o kou ʻōpū a me ka ʻōpū liʻiliʻi o luna. Hoʻohana ka mea ultrasound ma ka hopena o ka endoscope i nā nalu kani e hana i nā kiʻi o ka ʻōnaehana biliary.
• MRCP (Magnetic Resonance Cholangiopancreatography): He ʻano MRI (Magnetic Resonance Imaging) kēia. Lawe pono ia i nā kiʻi o nā ʻauwai bile. ʻAʻole ia he mea ʻino i ke kino. Hiki iā ia ke lawe i nā kiʻi maopopo loa o ka ʻōnaehana biliary holoʻokoʻa, me ke ʻauwai bile maʻamau. Hiki i ke kauka ke hana mua i kēia hoʻāʻo inā manaʻo ʻo ia he pōhaku i loko o ke ʻauwai bile maʻamau. Eia nō naʻe, inā he kiʻekiʻe ka hiki ke loaʻa he pōhaku, hiki iā ia ke hele pololei i kahi ERCP.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): ʻOi aku ka invasive o kēia hoʻāʻo ma mua o nā mea ʻē aʻe. Akā he mea pono loa ia no ka loaʻa ʻana o nā gallstones. Hiki iā ia ke wehe i nā pōhaku. Hoʻohana ia i nā X-ray a me ka endoscopy. Ke piʻi aʻe ka endoscope i loko o ka ʻōpū liʻiliʻi, hoʻokomo ke loea i kahi paipu liʻiliʻi ʻē aʻe ma o ia mea a alakaʻi iā ia i loko o nā ʻauwai bile. A laila, hoʻokomo ʻia kahi wai kūikawā (dye) ma o ka ʻauwai, a lawe ʻia nā wikiō X-ray (fluoroscopy) i ka wā e hele ai ka dye ma o nā ʻauwai. Inā loaʻa nā pōhaku, hiki ke mālama ʻia.

Pehea e wehe ai nā kauka i nā pōhaku i loko o ke kahawai bile maʻamau?

Hoʻoneʻe pinepine ʻia kēia mau pōhaku i ka wā o ke kaʻina hana ERCP. Hiki i nā kauka ke hoʻohana i nā mea hana kūikawā i hoʻopili ʻia i ka hopena o ka endoscope e wāwahi a wehe i nā pōhaku ke loaʻa. I kekahi manawa, hana ʻia kahi ʻoki liʻiliʻi i loko o ka ʻiʻo o ke kahawai (sphincterotomy) e hoʻonui i ke kahawai a ʻae i ka pōhaku e hele ma waena.

He mea pono anei ke ʻoki kino no ka Choledocholithiasis?

ʻAʻole pono ka Endoscopic retrograde cholangiopancreatography (ERCP) i kahi ʻoki ʻōpū e komo ai i nā ʻauwai bile. Eia nō naʻe, ma hope o ka wehe ʻana i nā pōhaku mai nā ʻauwai bile, ʻōlelo pinepine nā kauka i ke ʻoki wehe ʻana i ka gallbladder . ʻO ke kumu o kēia, ʻo ia ka pale ʻana i nā pōhaku mai ka puka hou ʻana mai o ka gallbladder a me ke kumu o ka choledocholithiasis.

E pono anei iaʻu nā lāʻau lapaʻau ʻē aʻe?

Ma muli o kou kūlana, pono paha ʻoe i nā lāʻau lapaʻau ʻē aʻe ma mua o ka wehe ʻia ʻana o kāu mau pōhaku gall. Eia kekahi laʻana:

• Inā loaʻa kahi maʻi , ua kuhikuhi ʻia nā antibiotics .
• Nā ʻano hoʻokahe biliary e wehe ai i ka bile i hōʻiliʻili ʻia.

He aha nā pilikia e hiki ke kū mai ma hope o ka mālama ʻana?

Hiki i nā pilikia aʻe ke kū mai i ka wā pōkole ma hope o ka wehe ʻana o ka pōhaku endoscopic:

• Ke kahe ʻana o ke koko
• Maʻi
• ʻO ka maʻi pancreatitis

Hiki ke hana ʻia kēia mau mea i ka wā lōʻihi ma hope o ka mālama ʻana:

• Ka hoʻi hou ʻana o ka pōhaku ʻaʻa: ʻOiai inā e wehe ʻia nā pōhaku āpau i loko o nā ʻaʻa bile, hiki ke hana ʻia nā pōhaku hou ma hope. ʻOi aku ka nui o ka poʻe i loaʻa nā pōhaku ma mua e loaʻa hou iā lākou.
• ʻO ka fibrosis o ke ala bile: Hiki ke hana ʻia nā ʻiʻo ʻeha ke ʻoki ʻia ke ala bile. I kekahi manawa hiki i kēia ʻiʻo ʻeha ke hoʻohaiki i ke ala (biliary stricture). Hiki i kēia ke hana i kahi ʻano ʻokoʻa o ka paʻa ʻana i ke ala bile maʻamau. Pono paha ia i kahi lāʻau lapaʻau ʻokoʻa.

Hiki ke pale ʻia ka hoʻomohala ʻana o ka choledocholithiasis?

ʻO ka hapa nui o nā pōhaku gall i hoʻokumu ʻia e ka cholesterol, a hiki iā ʻoe ke hoʻohaʻahaʻa i kou pae cholesterol koko ma ka hoʻololi ʻana i kāu meaʻai a me kou nohona. Hiki i kēia ke kōkua i ka hōʻemi ʻana i kou pilikia. ʻŌlelo nā kauka e pale i ka ʻai "yo-yo", ʻo ia hoʻi ka hōʻemi ʻana i ke kaumaha i ka manawa hoʻokahi a laila hoʻihoʻi hou. Inā hōʻemi ʻoe i ke kaumaha, e hana mālie . ʻO ka hōʻemi ʻana i ke kaumaha nui i ka manawa hoʻokahi e hoʻonui ai i kou pilikia o ka loaʻa ʻana o nā pōhaku gall.

Pehea ke kūlana ma hope o ka mālama ʻana?

No ka hapa nui o nā kānaka, he maʻalahi a holomua ka mālama ʻana. I ka hihia kakaikahi e loaʻa ai i kekahi nā pilikia ma hope o ka mālama ʻana, hiki ke mālama ʻia kēlā mau pilikia. Ma loko o 10 a 20 mau makahiki, ma waena o 5 a me 25 mau kānaka i loko o 100 e loaʻa nā pōhaku hou i loko o nā ʻauwai bile. ʻOi aku ka haʻahaʻa o kēia pilikia inā ua wehe ʻia ka gallbladder.

Hiki i ka hōʻeha ʻana o ka gallstone ke lilo i mea ʻeha a weliweli loa, ʻoiai inā ʻaʻole ʻoe i ʻike he mau pōhaku kou ma mua. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻo ka wikiwiki o kou ʻoluʻolu. ʻO ka biliary colic, ʻoiai inā e hele mai a hele aku, a ʻaʻole hoʻi i ʻoi loa ka koʻikoʻi, ʻaʻole pono e hoʻowahāwahā ʻia. E lilo wale ia i mea ʻino a hiki i ka wehe ʻia ʻana o ke ālai ʻana i loko o ka bile duct.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka 'choledocholithiasis' a mākou i kamaʻilio ai i kēia lā.

ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ka nausea, ka luaʻi ʻana, a me ka melemele o nā maka, mai hoʻowahāwahā wale a e ʻike koke i ke kauka.

Aia nā lāʻau lapaʻau maikaʻi no kēia ʻano. Inā ʻike mua ʻia, hiki ke ho'ōla ʻia ma mua o ka puka ʻana mai o nā pilikia koʻikoʻi. Mai hopohopo, e hahai i nā ʻōlelo aʻoaʻo a kāu kauka. E mālama pū i kāu ʻai a me kou nohona. A laila hiki iā ʻoe ke palekana nui mai ia mau pilikia.

Nā pōhaku ʻōpū, ke aʻa bile maʻamau, choledocholithiasis, jaundice, ʻeha ʻōpū, endoscopy, ERCP