I kekahi manawa hilahila mākou i ka hanu ʻino a mākou e loaʻa ai ke kamaʻilio mākou. Inā ʻaʻole e nalowale ke ʻala ʻoiai pehea ka palaki ʻana o ko mākou niho, hoʻohana i ka holoi waha, a hana i nā mea āpau e hiki ai iā mākou ke hoʻopau iā ia, ʻaʻole paha ia he mea maʻamau. ʻOiai inā he ʻala ʻē kou hanu e ʻono iki, e like me nā hua pala, a i ʻole nā hua pala, he hōʻailona paha ia o kahi pilikia nui o ke akepaʻa. Ma ka ʻōlelo lapaʻau, kapa mākou i kēia maʻi ʻo Fetor Hepaticus . I kēia lā, e kamaʻilio maʻalahi mākou e pili ana iā ia.
He aha ka Fetor Hepaticus?
I ka ʻōlelo maʻalahi, ʻo Fetor Hepaticus kahi ʻala kūikawā e puka mai ana mai kou hanu ke hana pono ʻole kou akepaʻa ma muli o kahi maʻi. ʻO ke akepaʻa ke kānana nui i loko o ko mākou kino. Kānana ia i nā mea ʻawahia mai ke koko, e like me ka meaʻai a mākou e ʻai ai a me nā lāʻau lapaʻau a mākou e lawe ai.
Akā i ka wā e maʻi ai ke akepaʻa, ʻaʻole hana pono kēia kaʻina kānana. A laila, hōʻiliʻili kekahi mau kemika ʻawahia e pono e wehe ʻia mai ke koko i loko o ke koko ma kahi o ka wehe ʻia ʻana. A laila puka mai kēia mau mea ʻawahia i hōʻiliʻili ʻia me ko kākou hanu. I kekahi manawa hiki ke puka mai kēia ʻala mai kou hou a me ka mimi.
ʻO ka mea nui, ʻaʻole kēia he hanu ʻino wale nō i hoʻokumu ʻia e ka maʻemaʻe waha maikaʻi ʻole. He hōʻailona koʻikoʻi loa kēia o kahi maʻi koʻikoʻi i loko o kou kino.
Pehea ke ʻano o kēia ʻala? Pehea kona ʻokoʻa mai nā ʻala ʻē aʻe?
Hiki ke paʻakikī iki ke ʻike i kēia ʻala, no ka mea, hiki ke ʻokoʻa ka manaʻo o kēlā me kēia kanaka i kona ʻano. Akā eia ke ʻano o ka wehewehe ʻana o nā kauka:
- He ʻala ia e like me ka ʻōpala.
- He ʻono ʻē kona.
- I kekahi manawa hiki ke honi e like me ka feces.
- He ʻala i hui pū ʻia me nā hua moa pala a me ke kālika.
- Ke ʻala o ka mauʻu i ʻoki hou ʻia.
Hiki i nā maʻi ʻē aʻe ke hoʻoulu i ka hanu ʻino, akā ʻokoʻa ʻo Fetor Hepaticus. E hoʻomaopopo pono kākou i kēia ʻokoʻa.
| ʻO ke ʻano o ke ʻala | Ka wehewehe a me ke kūlana olakino pili |
|---|---|
| ʻAla ʻāʻī | He ʻala ʻawaʻawa, ʻono, hua moa pala/ʻakaʻakai. ʻO kēiaPili pū me nā maʻi akepaʻa koʻikoʻi. |
| ʻO Trimethylaminuria (ʻala iʻa) | He ʻala iʻa. He ʻano maʻi metabolic ʻē aʻe kēia. |
| ʻO ka Uremic Fetor (ʻala ammonia) | He ʻala e like me ka ammonia a i ʻole ka bleach. He hōʻailona kēia o ka hāʻule ʻana o nā puʻupaʻa . |
| Hanu Keto (ʻAla Hua) | He ʻala acetone, e like me ka mea hoʻohemo hua a i ʻole ka mea hoʻohemo pena kui. Hiki ke hana kēia i ka ketoacidosis diabetic. |
No ke aha i like ai kona ʻala me kēia?
ʻO ke kumu nui o kēia ʻala kūikawā, ʻo ia nā kemika i hana ʻia i loko o ko kākou kino i kapa ʻia ʻo 'Dimethyl sulfide' (ʻala kālika) a me 'methyl mercaptan' (ʻala hua pala/kāpeti). Ua kapa ʻia kēia mau mea ʻo 'Volatile Organic Compounds' (VOC).
ʻO ka maʻamau, he mau huahana ʻaoʻao kēia o kā mākou metabolism. Hele lākou ma ke koko i ke akepaʻa, kahi e kānana ʻia ai a lawe ʻia aku ai. Akā i ka wā e maʻi ai ke akepaʻa, ʻaʻole hiki iā lākou ke kānana iā lākou a piʻi aʻe ko lākou pae i loko o ke koko. ʻO ia ka manawa e hoʻomaka ai kēia ʻala e puka mai i waho o ka hanu.
Hiki i ʻelua mau kumu nui no kēia:
1. Ka Holo ʻole ʻana o ke Ake: Ua hōʻino ʻia nā hunaola ake (e.g. ma muli o ka cirrhosis) a ʻaʻole hiki i ke ake ke hana pono i kāna hana kānana.
2. Ka Loaʻa ʻana o kahi Portosystemic Shunt: ʻO ka vein portal ka vein nui e lawe i ke koko mai kā mākou ʻōnaehana hoʻoheheʻe i ke akepaʻa. I kekahi manawa, hiki ke kāpae ʻia kēia vein a hiki i ke koko ʻawahia ke kahe pololei i loko o ke kahe maʻamau o ke kino. ʻO kēia no ka mea hana ke kino i kahi shunt e pale ai i ke koko mai ka hele ʻana ma o ke akepaʻa.
He aha nā hōʻailona ʻē aʻe e hele pū me ka Fetor Hepaticus?
Inā loaʻa iā ʻoe ʻo Fetor Hepaticus, hiki ke loaʻa nā hōʻailona ʻē aʻe ma muli o ka maʻi akepaʻa a i ʻole Portal Hypertension. He mea nui e makaʻala i kēia mau hōʻailona.
| Nā hōʻailona ʻē aʻe e makaʻala ai | |
|---|---|
| Nā hōʻailona maʻamau o ka hāʻule ʻana o ke akepaʻa | |
| Melemele o ka ʻili a me nā maka (Jaundice) | Melemele o ka ʻili a me nā keʻokeʻo o nā maka. |
| ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū | ʻEha ma kahi o ke akepaʻa. |
| Nā loli i ka mimi a me ka ʻōpala | ʻO ka mimi ʻeleʻele (e like me ke kī) a me nā ʻōpala māmā (e like me ka lepo). |
| ʻIli ʻāʻī | Ka maneʻo a puni ke kino me ka ʻole o nā kiko ʻike ʻia a i ʻole ka ʻulaʻula. |
| Ke kahe koko a me ka ʻeha | Ke kahe koko ʻana ʻaʻole e pau maʻalahi mai kahi ʻeha liʻiliʻi a ua palapū ke kino me ke kumu ʻole. |
| Nā Hōʻailona o ke Hypertension Portal | |
| Ka pehu ʻana o ka ʻōpū a me nā wāwae | Ka hoʻonui ʻana o ka ʻōpū (ka hōʻiliʻili ʻana o ka wai o ka ʻōpū) a me ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae. |
| Ka luaʻi ʻana i ke koko a i ʻole ke kahe ʻana o ke koko i loko o ka ʻōpala | He kūlana wikiwiki a koʻikoʻi loa kēia. |
| Nā loli hoʻomanaʻo a me ke ʻano | Ka huikau, ka hiamoe, a me ka nalowale o ka ʻike i hoʻokumu ʻia e nā hopena ʻawahia ma ka lolo. (Hepatic Encephalopathy) |
He hōʻailona kēia e pono ai ʻoe e ʻike koke i ke kauka?
ʻAe, ʻoiaʻiʻo nō! He hōʻailona koʻikoʻi loa ka Fetor Hepaticus e pono ai ke koi koke ʻia e ke kauka, inā paha ua ʻike mua ʻoe he maʻi akepaʻa kou a ʻaʻole paha.
Hōʻike kēia hōʻailona e ʻoi aku ka ʻino o ke ʻano o kou ake. Ke hōʻea nei nā mea ʻawahia e hōʻiliʻili ana i loko o kou koko i kahi e hoʻokuʻu ʻia ai lākou, ʻo ia hoʻi, ua hoʻomaka paha kēlā mau mea ʻawahia e hoʻopilikia i kou lolo a me ka ʻōnaehana nerve.
Inā ʻaʻole mālama ʻia, hiki i kēia maʻi ke alakaʻi i nā pilikia koʻikoʻi loa.
- Ke kahe koko hiki ʻole ke kaohi ʻia mai ka ʻōpū ʻai.
- Ka hāʻule ʻana o nā puʻupaʻa (Hepatorenal syndrome).
- Ka hāʻule ʻana o ka hanu (Hepatopulmonary syndrome).
- Ka hana o ka lolo i hoʻopilikia ʻia (Hepatic encephalopathy).
I ka wā ma mua, ua kapa ʻia kēia ʻano he "hanu o ka poʻe make." Hōʻike kēlā i ke ʻano hoʻoweliweli o kēia i ke ola. Akā, mai makaʻu. I kēia lā, ua holomua loa ka lāʻau lapaʻau. Aia nā lāʻau lapaʻau e like me ke kāpili ʻana i ke akepaʻa a me nā lāʻau lapaʻau maikaʻi loa e kāohi i nā hōʻailona.
ʻO ka mea nui loa, ʻo ia ke ʻike koke i kāu kauka ke ʻike ʻoe i kekahi o kēia mau hōʻailona. E nānā ʻo ia iā ʻoe, e hana i nā hoʻokolohua e pono ai, a e kuhikuhi i ka lāʻau kūpono loa nāu.
Leka Lawe-Home
- He ʻala ʻono a ʻala palapū ko Fetor Hepaticus mai ka hanu mai. He hōʻailona ia o ka maʻi akepaʻa koʻikoʻi.
- ʻAʻole kēia he hanu ʻino maʻamau i hoʻokumu ʻia e ka maʻemaʻe waha maikaʻi ʻole.
- Inā loaʻa iā ʻoe a i ʻole kekahi mea āu i ʻike ai i kēia hōʻailona, e noʻonoʻo he mea hōʻike koʻikoʻi loa ia.
- E ʻoluʻolu e ʻike koke i kāu kauka me ka hoʻokaʻulua ʻole.
- ʻOiai inā ua ʻike mua ʻia ʻoe me ka maʻi akepaʻa, he mea nui e ʻimi hou i ke kōkua lapaʻau, no ka mea, ʻo kēia hōʻailona hou e hōʻike ana e hoʻonui ana kou kūlana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha nā ʻōpū pehu?
ʻAʻole kēia he mea maʻamau! ʻO kēia ka wā e lilo koke ai kekahi a i ʻole nā 'Testicles/Scrotum' ʻelua o ke kāne i mea nui/pehu (pehu ʻana o ka Scrotal), i kekahi manawa me ka ʻeha hiki ʻole ke hoʻomanawanui (i kekahi manawa ʻaʻohe ʻeha). He hōʻailona nui kēia o ka hernia, ka hōʻiliʻili ʻana o ka wai, a i ʻole ka hōʻino ʻino/kanser i loko o ka scrotum.
💬 He aha nā kumu nui e pehu/hoʻonui koke ai nā testicles o ke kāne?
Aia kekahi mau kumu nui no kēia: 1) 'Hydrocele' - he ʻeke piha wai a puni ka testicle e hoʻonui ʻia (ʻaʻohe ʻeha). 2) Inguinal Hernia - he disc herniated i loko o ka scrotum. 3) 'Epididymitis' - he maʻi urinary tract/STI e hoʻoulu ai i ka testicle e pala (ʻeha me ke kuni). 4) ʻO ke kumu weliweli loa: Inā ʻike ʻia kahi puʻupuʻu liʻiliʻi a paʻakikī e like me ka pōhaku me ka ʻole o ka ʻeha, ʻo ia nō ka 'Testicular Cancer'!
💬 He aha ka 'Testicular Torsion', he pilikia e hoʻoweliweli ana i ke ola e kū mai ana me ka pehu ʻana o ka testicular? No ke aha ʻoe e pono ai e wikiwiki i ka haukapila?
ʻO ka pōʻino nui loa a koʻikoʻi loa ʻo ia ka 'Testicular Torsion'! ʻO ia hoʻi, ʻoiai ʻoe e hiamoe/pāʻani ana, wili koke ke kīʻaha koko i loko o ka testicle a nakinaki ʻia. A laila, no kekahi kekona, aia ka ʻeha/pehu hiki ʻole ke hoʻomanawanui! Inā hana ʻia kēia, e hele i ka haukapila i loko o 6 mau hola a hana i ke ʻoki e wehe i ke kīʻaha, e ʻeleʻele ka testicle, pala loa a pono e ʻoki ʻia no ka wā pau ʻole (Gangrene/Loss of testicle)!
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