Ua ʻike mākou a pau he ʻeleʻele ko mākou ʻōpala. Akā i kekahi manawa hiki i ka mea āu e ʻike ai i loko o ke pola lua ke hoʻopilikia iki. E noʻonoʻo inā ʻike ʻoe i kou ʻōpala he keʻokeʻo, hina, a i ʻole he lepo? He mea weliweli iki ia. Akā inā hana ʻia i hoʻokahi a ʻelua paha manawa, ʻaʻohe mea e hopohopo ai. Eia nō naʻe, inā mau ka palupalu o kou ʻōpala, ʻaʻole ia he mea āu e hoʻowahāwahā ai. No ka mea, he hōʻailona paha ia o kahi pilikia olakino koʻikoʻi i loko o kou kino.
No ke aha i keʻokeʻo ai ka ʻōpala? He aha nā kumu nui?
I ka ʻōlelo maʻalahi, loaʻa i ko mākou mau ʻōpala ko lākou kala ʻeleʻele maʻamau ma muli o ka bile i hana ʻia e ko mākou ake. Loaʻa i kēia bile kahi kemika i kapa ʻia ʻo bilirubin . ʻO kēia bilirubin ka mea e hāʻawi i ke kala i ka ʻōpala i ka wā o ke kaʻina hana ʻai.
No laila, inā no kekahi kumu ʻaʻole i hana ʻia kēia wai bile e like me ka mea e pono ai, a inā paha he mea keʻakeʻa a i ʻole ka paʻa ʻana i nā ala bile e lawe ana i ke wai mai ke akepaʻa a i nā ʻōpū, ʻaʻole e kala ʻia ka ʻōpala. ʻO ka hopena he ʻōpala keʻokeʻo, hina, a i ʻole ka lepo.
ʻO ka mea nui, ʻo ia ke kumu pinepine ʻia o kēia e kekahi maʻi olakino ʻē aʻe, no laila he mea nui e makaʻala i kēia hōʻailona.
Aia ma ka papa ma lalo nei kekahi o nā kūlana olakino nui e hiki ke hoʻopilikia i kēia.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Hepatitis | ʻO ka mumū o ke akepaʻa i hoʻokumu ʻia e nā maʻi, nā mea ʻawahia, a i ʻole ka inu nui ʻana i ka waiʻona. |
| ʻO ka maʻi ʻōpū | Ma muli o ka hōʻino lōʻihi ʻana o ke akepaʻa, lilo ia i ʻoʻoleʻa a nalowale loa kāna hana. |
| Nā pōhaku ʻōpū | Hiki i nā pōhaku gall i hana ʻia i loko o ka gallbladder ke hoʻopaʻa ʻia i loko o nā ʻauwai bile, e ālai ana i ke kahe o ka bile. |
| Nā ʻūlū biliary | Ka hoʻohaiki ʻana o nā ʻauwai bile a i ʻole ka paʻa ʻana ma muli o nā kumu ʻē aʻe. |
| ʻO ka atresia biliary | He kūlana kēia e hoʻopilikia nui ana i nā pēpē ʻōpio. ʻAʻole i ulu pono nā ala bile a i ʻole ua ālai ʻia mai ka wā hānau. |
| Nā puʻupuʻu | Ka maʻi ʻaʻai a i ʻole nā puʻupuʻu ʻē aʻe o ke akepaʻa, ka ʻōpū palahēhē, nā ʻauwai bile, a i ʻole ka pancreas. |
| ʻO ka maʻi pancreatitis | Ka mumū ʻana o ka pancreas. |
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, nā ʻano ʻai, a me nā kūlana olakino i hala. A laila e hana ʻo ia i kahi hoʻokolokolo kino.
No ka ʻike ʻana i ke kumu pololei, hiki ke ʻōlelo ʻia e hana i hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe.
| Hoʻāʻo | He aha kāu e ʻike ai ma kēia? |
|---|---|
| Nā hoʻāʻo koko | E aʻo e pili ana i nā maʻi lele i loko o ke kino a ʻoi aku hoʻi ka hana o ke akepaʻa. |
| ʻO ka ultrasound ʻōpū | E nānā inā he pehu, nā pōhaku, a i ʻole nā mea e ālai ana i nā ʻōpū e like me ke akepaʻa a me ka gallbladder. |
| ʻO ke kiʻi CT a i ʻole MRI | E kiʻi i kahi kiʻi maopopo a kikoʻī hoʻi o nā mea i ālai ʻia, nā pōhaku, a i ʻole nā puʻupuʻu. |
| Hoʻāʻo ERCP (Endoscopic retrograde cholangiopancreatography) | Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (endoscope) ma o ka waha e nānā i nā ʻauwai bile a me nā ʻauwai pancreatic. Hiki ke hoʻohana ʻia kēia e hana i nā lāʻau lapaʻau, e like me ka wehe ʻana i kekahi mau mea i ālai ʻia. |
He aha nā lāʻau lapaʻau no kēia?
Aia wale nō ka lāʻau lapaʻau ma ke kumu nui o kou mau ʻōpala keʻokeʻo. Ke hana kāu kauka i kahi hōʻailona, e hoʻolālā ʻo ia i ka lāʻau lapaʻau e pili ana i kēlā hōʻailona.
- Nā hoʻololi ʻana i ka meaʻai: No ka laʻana, ka hoʻōki ʻana i ka inu ʻona a me ka hōʻemi ʻana i nā meaʻai momona.
- ʻO ke ʻoki kino: Pono paha ke ʻoki kino e wehe i nā poloka i loko o nā ʻauwai bile a i ʻole e wehe i ka gallbladder ponoʻī.
- Nā lāʻau lapaʻau: No nā maʻi viral e like me ka hepatitis, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hōʻemi i ka mumū o ke akepaʻa a i ʻole e hoʻoheheʻe i nā pōhaku gall.
- ʻO ke ʻoki ʻana i ke akepaʻa: ʻAʻole pono kēia i ka hapanui o nā hihia, akā hiki ke noʻonoʻo ʻia i kekahi mau hihia koʻikoʻi.
Hiki iā kākou ke pale aku i kēia kūlana mai ka hanana ʻana?
ʻO kaʻoiaʻiʻo, aia kekahi mau mea e hiki ai iā mākou ke hana e hōʻemi i ka pilikia o kekahi o nā kūlana e hoʻoulu ai i nā ʻōpala palale.
- ʻAi momona: E ʻai i ka ʻai kaulike e komo pū ana me ka protein lean, ka fiber, nā momona olakino, a me nā palaoa holoʻokoʻa.
- E mālama i ke kaumaha olakino: Hoʻonui ka momona i ka pilikia o nā maʻi akepaʻa.
- Ka palekana mai ka maʻi hepatitis viral: Loaʻa nā lāʻau pale no ka hepatitis A a me ka hepatitis B. He mea nui hoʻi e pale i ka kaʻana like ʻana i nā nila a e hana i ka moekolohe palekana.
- E kaupalena i ka waiʻona: ʻO ka inu nui ʻana i ka waiʻona hiki ke hōʻino nui i kou ake.
He aha ka manawa kūpono loa e ʻike ai i ke kauka?
Inā hoʻomau ka maeʻele o kou mau ʻōpala no kekahi mau lā, e ʻoluʻolu e ʻike koke i ke kauka. Mai hoʻowahāwahā iā ia.
ʻO ke ʻano kūikawā, pono ʻoe e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona penei:
- Nā noho lepo keʻokeʻo
- NāuMelemele o ka ʻili a me nā maka (jaundice)
- Mimi ʻeleʻele (ʻano tī)
ʻO ka loaʻa ʻana o kēia mau hōʻailona ʻekolu i ka hui pū ʻana he hōʻailona ia o kahi pilikia koʻikoʻi me ke akepaʻa a i ʻole ka ʻōnaehana biliary, no laila he mea nui e ʻike koke i ke kauka.
Leka Lawe-Home
- Mai hopohopo inā e maeʻele kou ʻōpala i hoʻokahi a ʻelua paha. Akā inā hoʻomau kēia ʻano, ʻaʻole ia he mea maʻamau.
- ʻO ka ʻōpala palupalu he hōʻailona pinepine ia o kahi maʻi e pili ana i ke ake, ka gallbladder, a i ʻole ka pancreas.
- ʻO ka ʻaila ka mea e hāʻawi ai i ka ʻōpala i kona kala ʻeleʻele. Inā pau ke kahe ʻana o ka ʻaila, e maeʻele ka ʻōpala.
- Mai hoʻowahāwahā i nā hōʻailona o ka ʻōpala maeʻele, ka melemele o ka ʻili (jaundice) a me ka mimi ʻeleʻele. Hiki ke lilo i maʻi koʻikoʻi, no laila e ʻike koke i kāu kauka.
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