Loaʻa iā ʻoe kekahi mau pilikia o ka ʻōpū palahēhē? (Ka maʻi ʻōpū palahēhē) E ʻike pono kākou e pili ana i kēia!

Ua ʻike anei ʻoe i kahi ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ma lalo o kou iwi ʻaoʻao ʻākau? A i ʻole ke manaʻo nei ʻoe i ka maʻi i kou ʻōpū a i ʻole ka luaʻi ma hope o ka ʻai ʻana i kahi meaʻai momona? He mau hōʻailona paha kēia o kahi pilikia me kou gallbladder . No laila i kēia lā, e kamaʻilio kākou e pili ana i ka maʻi gallbladder.

He aha ka maʻi Gallbladder?

I ka ʻōlelo maʻalahi, ʻo ka maʻi gallbladder kekahi ʻano e hoʻopilikia ai i ke olakino o kou gallbladder. Ua ʻike anei ʻoe he ʻōkana liʻiliʻi ka gallbladder i loko o kā mākou ʻōnaehana hoʻoheheʻe ? Ua like ia me kahi ʻeke liʻiliʻi. ʻO kāna hana nui ka mālama ʻana i kekahi o ka bile i hana ʻia e ko mākou akepaʻa a laila, ma hope o kā mākou ʻai ʻana, e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai a mākou e ʻai ai, ma ka hoʻouna mālie ʻana i kēlā bile i ka ʻōpū liʻiliʻi . Hana ʻia kēia ma o kahi ʻōnaehana o nā ʻauwai bile e like me nā paipu wai.

E noʻonoʻo wale, inā he maʻi a he paʻa paha i loko o ka gallbladder a i ʻole nā ​​​​​​auwai bile e pili ana iā ia, hiki iā ia ke hoʻopilikia i ka gallbladder. No ka mea, ua pili ka gallbladder i nā ʻōpū ʻē aʻe he nui, e like me ke akepaʻa a me ka pancreas, ma o kēia mau ʻauwai bile. No laila, inā he maʻi i loko o ka gallbladder, hiki iā ia ke hoʻopilikia i nā ʻōpū ʻē aʻe.

He aha nā pilikia olakino nui e hoʻopilikia ai i ka gallbladder?

Aia kekahi mau kūlana olakino e hiki ke hoʻopilikia i ka ʻōpū. E nānā kākou i nā mea nui.

1. Nā pōhaku ʻōpū (Gallstones / Cholelithiasis)

ʻO kēia ke kūlana maʻamau o ka gallbladder. Akā, ʻaʻole pilikia nā kānaka a pau me nā pōhaku gall. Hoʻokumu ʻia nā pōhaku gall i ka wā e hōʻiliʻili ai nā mea i loko o ka bile, ʻoiai ka cholesterol, i loko o ka gallbladder a hana i nā puʻupuʻu liʻiliʻi. Hiki i kēia mau puʻupuʻu ke nui a nui aʻe i ka hala ʻana o ka manawa. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona a ʻaʻole paha lākou i ʻike he pōhaku gall ko lākou. Eia nō naʻe, hoʻomaka nā pilikia i ka wā e ālai ai kēia mau pōhaku i ke kahe o ka bile i loko o ka gallbladder a i ʻole nā ​​​​​​auwai bile.

E noʻonoʻo e like me ka pōhaku e paʻa ana i loko o ka paipu wai. A laila, ʻaʻole e kahe ka wai. Pēlā nō, ke hiki ʻole i ka ʻōpū mimi ke neʻe, hoʻomaka ka ʻeha a me nā hōʻailona ʻē aʻe e ʻike ʻia.

2. Ka mumū o ka ʻōpū gallbladder (Cholecystitis)

ʻO ka mumū o ka gallbladder, a i ʻole cholecystitis, kekahi hōʻailona maʻamau o ka maʻi gallbladder. He hōʻailona kēia e hiki ai ke alakaʻi i nā pilikia ʻē aʻe. Hiki ke hana ʻia ka Cholecystitis e kahi maʻi gallbladder, nā pōhaku gall, ka hana ʻole o ka gallbladder, a i ʻole, he mea kākaʻikahi loa, ke kanesa. I ka hapanui o nā hihia, ʻo ke kumu he mau pōhaku gall e ālai ana i ke kahe o ka bile.Inā hoʻomau ka mumū no ka manawa lōʻihi, hiki ke loaʻa ka ʻeha o ka ʻiʻo o ka gallbladder, a laila e alakaʻi ai i ka make ʻana o nā ʻiʻo (gangrene), a malia paha he perforation o ka gallbladder.

3. ʻO ka dyskinesia biliary

Ua kapa ʻia hoʻi kēia he `(Functional gallbladder disorder)`. ʻO `(Biliary dyskinesia)` he pilikia me ka neʻe ʻana o ka gallbladder, a i ʻole ka hiki ke hoʻokuke i ka bile i waho a i loko o nā ʻauwai bile. I ka pololei, hiki ke hana ʻia kēia e kekahi pilikia mechanical me nā ʻiʻo a i ʻole nā ​​​​aʻalolo o ka gallbladder. Ua like kēia me ka mea e hana ʻia ke paʻa kahi gallstone. ʻAʻole haʻalele ka bile i ka gallbladder a hōʻiliʻili, e hoʻoulu ai i ka gallbladder e pehu a lilo i mumū i ka hala ʻana o ka manawa.

4. Ka make ʻana o ka ʻiʻo gallbladder (Gangrene)

He pilikia koʻikoʻi ka gangrene o ka cholecystitis mau loa. Ke hoʻomau ka pehu ʻana o ka gallbladder a lilo i mea nui, e hōʻino ʻia ka ʻiʻo a hoʻomaka e make. ʻOi aku ka nui o ka haki ʻana o kēia ʻiʻo make. Inā haki ka paia o ka gallbladder, hiki i ka maʻi ke laha i nā ʻāpana ʻē aʻe o ka lua ʻōpū, e hana ana i kahi maʻi weliweli i kapa ʻia ʻo peritonitis . ʻO ia ke kumu ʻaʻole mākou e lawe māmā i ka cholecystitis.

5. Ka maʻi ʻaʻai ʻōpū

He maʻi laha ʻole akā koʻikoʻi ka maʻi ʻaʻai ʻōpū. ʻAʻole ʻike pinepine ʻia nā hōʻailona o ka maʻi ʻaʻai ʻōpū a hiki i ka laha ʻana o ka maʻi, no laila e hana nā kauka i nā hana e mālama ai inā he liʻiliʻi ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai ʻōpū. ʻO ka hapa nui o nā polyps i loko o ka gallbladder he mea ʻino ʻole. Eia nō naʻe, inā he polyp nui aʻe kou i loko o kou gallbladder, hiki i kāu kauka ke ʻōlelo aku e wehe iā ia i mea e palekana ai.

6. Nā maʻi o nā ʻauwai bile (Cholangiopathy)

ʻO ke ʻano o ka "Cholangiopathy" i kekahi maʻi e kū mai ana i loko o nā ʻauwai bile. Hoʻomaka pinepine ia me ka mumū o nā ʻauwai bile (Cholangitis). Hiki i ke kumu ke lilo i maʻi manawa pōkole, ka pale ʻana, a i ʻole kahi maʻi autoimmune e like me "(Primary biliary cholangitis"). Inā hoʻomau ka mumū o nā ʻauwai bile no ka manawa lōʻihi, hiki i nā ʻauwai bile ke lilo i ʻeha a haiki (Biliary stricture). A laila, ʻaʻole e kahe pono ka bile, a hoʻomaka ia e hoʻi i luna i loko o ka gallbladder a me ke ake.

Pehea ka maʻamau o ka maʻi gallbladder?

Ua ʻōlelo ʻia ua hoʻopilikia nā pōhaku gallstones i kahi 15% o ka heluna kanaka. Eia nō naʻe, he 20% wale nō o ka poʻe me kēia mau pōhaku e loaʻa nā pilikia a i ʻole nā ​​​​hōʻailona. ʻO nā maʻi gallbladder ʻē aʻe i pili ʻole i nā pōhaku gall he mea maʻamau ʻole ia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka maʻi gallbladder? (Nā kumu pilikia)

Inā he mau pōhaku gallstone kou, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi gallbladder. E nānā kākou i nā kumu pilikia nui:

• ʻAi cholesterol kiʻekiʻe:Hoʻokumu ʻia ka hapa nui o nā pōhaku gall mai ka cholesterol keu e hōʻiliʻili ana i loko o ka gallbladder. No laila, ʻoi aku ka nui o ka pilikia o ka poʻe e ʻai pinepine ana i nā meaʻai kiʻekiʻe i ka ʻaila a me ka momona.
• Ke kaumaha nui a me ka momona: Ke piʻi aʻe kou kaumaha, hoʻonui ke kino i ka cholesterol, ʻoiai inā ʻoi aku ka nui o kāu helu helu kino (BMI) ma mua o 30.
• Ma luna o 60 mau makahiki: Piʻi ka pilikia o ka loaʻa ʻana o nā pōhaku gall me ka ʻelemakule. Malia paha kēia no ka mea he nui ka manawa e hōʻiliʻili ai nā mea keu i loko o ka bile i ka hala ʻana o ka manawa.
• ʻOiai he wahine: ʻOi aku ka nui o ka hiki i nā wahine ke loaʻa nā pōhaku gall ma mua o nā kāne. ʻO ka nui o ka estrogen i loko o ke kino (ʻoi aku hoʻi i ka wā hāpai) e hoʻonui i nā pae cholesterol a hoʻolohi i ka hoʻokahe ʻana o ka gallbladder.
• Moʻolelo ʻohana o ka maʻi ʻōpū: Ma kahi o 25% o nā hihia maʻi ʻōpū he mea hoʻoilina paha. Ua ʻike nā kānaka ʻepekema ma kahi o 12 mau genes e pili ana i kēia.
• ʻOiai he ʻōiwi ʻAmelika ʻĪnia a he ʻAmelika Mekiko paha: Loaʻa i ka poʻe o kēia mau lāhui he 30% a 70% ka manawa e loaʻa ai nā pōhaku ʻaʻa. Hiki i nā meaʻai a me nā mea hoʻoilina ke kōkua i kēia.
• Maʻi diabetes: ʻO ka poʻe me ka maʻi diabetes he ʻelua a ʻekolu paha manawa ka nui o ka loaʻa ʻana o nā pōhaku gall. Ma muli paha kēia o ka piʻi ʻana o nā pae waikawa momona.
• ʻO ka maʻi o Crohn: ʻO ka poʻe me ka maʻi o Crohn ʻelua ka nui o ka hoʻomohala ʻana i nā gallstones no ka mea ʻaʻole hiki i ko lākou gallbladder ke omo i nā paʻakai bile, kahi e kōkua ai i ka hoʻoheheʻe ʻana i ka cholesterol.
• ʻO ka Cirrhosis o ke akepaʻa: ʻO kēia ke kahua hope loa o ka maʻi akepaʻa. I kēia kūlana, lohi ke kahe ʻana o ka bile mai ke akepaʻa a i ka gallbladder, a hiki ke hōʻiliʻili ka bile.
• ʻO ka maʻi cell sickle: ʻO kēia kūlana ke kumu o ka hōʻiliʻili ʻana o ka bilirubin i loko o ka gallbladder, e alakaʻi ana i ke kūkulu ʻia ʻana o nā gallstones pigmented, kahi i ʻike pinepine ʻole ʻia.
• ʻO ka meaʻai parenteral holoʻokoʻa: No ka poʻe i hāʻawi ʻia i ka meaʻai wai ma o kahi aa koko ma muli o kekahi mau kūlana olakino, aia kahi pilikia o ka hōʻiliʻili ʻana o ka bile i loko o ka gallbladder ma muli o ka emi ʻana o ka hana ʻai.
• ʻO kekahi mau lāʻau hoʻohaʻahaʻa cholesterol: ʻOiai ke hōʻemi nei kēia mau lāʻau i ka cholesterol koko, ke kumu pū lākou i ka hōʻiliʻili ʻana o ka cholesterol i loko o ka gallbladder.

He aha nā "5 Fs" o ka maʻi gallbladder?

ʻO nā "5 Fs" kahi ala pōkole i hoʻohana ʻia e nā kauka e hoʻomanaʻo i nā kumu pilikia maʻamau no ka maʻi ʻōpū. ʻO nā F ʻelima ke kū nei no: ʻIli maikaʻi (keʻokeʻo), Wahine (wahine), Momona (momona), Fertile (nā wahine o ka makahiki hānau keiki), a me Kanahā (kanaha makahiki).ʻOiai ua hoʻokumu ʻia kēia mau mea ma nā helu helu, aia ka hoʻopaʻapaʻa e pili ana i kēia i kēia lā. No ka mea, ua like kēia me ke kau ʻana i kahi pahu i loko o kekahi ʻano. Inā ʻimi nā kauka i kahi ʻano a me nā hōʻailona i ka wā e ʻike ai i kahi maʻi gallbladder, e nalo paha lākou i nā maʻi i kūpono ʻole iā ia, a e nalo paha lākou i nā maʻi ʻē aʻe i nā maʻi i kūpono iā ia.

Eia naʻe, ʻo nā mea i ʻōlelo ʻia ma kēia mau "5 Fs" he mau mea pilikia maʻamau ia.

• Ua hoʻokumu ʻia ka "Fair" ma ka ʻoiaʻiʻo he ʻoi aku ka nui o ka poʻe keʻokeʻo e loaʻa i ka maʻi gallstone. Hiki paha kēia ma muli o nā mana genetic a me ka ʻai Komohana.
• ʻO ke ʻano o "Wahine" ʻo ia hoʻi "wahine" no ka mea ʻelua ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine.
• ʻO "Momona" kahi huaʻōlelo maʻamau no ka poʻe e ʻai ana i nā meaʻai kiʻekiʻe i ka cholesterol a loaʻa paha i ka maʻi diabetes.
• ʻO ke kumu o ka "Fertile" no ka mea, ʻoi aku ka nui o ka hopena o nā wāhine i hāpai a i ʻole e hāpai ana i ka hormone estrogen.
• ʻO ke ʻano o "kanahā" e piʻi aʻe ka pilikia me ka makahiki, no laila ʻoi aku ka nui o ka poʻe ma luna o kanahā mau makahiki e loaʻa i kēia maʻi.

Pehea ka hopena o ka maʻi gallbladder i kou kino?

Ke hiki ʻole i ka ʻōpū gallbladder ke hana pono i kāna hana, hoʻomaka ka bile e hōʻiliʻili i loko o ke koko ma kahi o ka hele ʻana i ka ʻōpū liʻiliʻi e kōkua i ka ʻeli ʻana i ka meaʻai. No ka mea he mea nui ka bile i loko o ka ʻōpū liʻiliʻi no ka ʻeli ʻana i nā momona, hiki iā ʻoe ke paʻakikī i ka ʻeli ʻana i ka meaʻai , ʻoiai nā meaʻai momona. Eia kekahi, no ka mea kōkua ka bile i ka wehe ʻana i nā mea ʻawahia mai ke akepaʻa, ke hōʻiliʻili ka bile i loko o ke koko, hiki iā ʻoe ke maʻi. Hiki i kahi gallbladder maʻi ke hana i ka ʻeha nui .

Hiki ke mālama ʻia nā maʻi he nui o ka ʻōpū puʻuwai me ke ʻoki kino. Hiki ke wehe ʻia nā pōhaku ʻōpū puʻuwai, a i ʻole e wehe ʻia ka ʻōpū puʻuwai. Hoʻopili pololei nā kauka ʻoki i nā ʻauwai bile mai ke akepaʻa a i ka ʻōpū liʻiliʻi, e pale ana i ka ʻōpū puʻuwai. Ma kēia ʻano, hiki iā ʻoe ke hoʻomau i ka ʻeli ʻana i ka meaʻai ma ke ʻano maʻamau a ola maikaʻi me ka ʻole o ka ʻōpū puʻuwai. Eia nō naʻe, ʻo ka pōʻino e hiki ai i ka maʻi ʻōpū puʻuwai ke hana i nā ʻāpana ʻē aʻe o ke kino ke loaʻa nā hopena lōʻihi inā ʻaʻole i ʻike ʻia a mālama ʻia i ka wā mua.

He aha nā pilikia e hiki ke loaʻa mai ka maʻi gallbladder?

Hiki i ka maʻi Gallbladder ke hoʻopili i kāu mau ʻāpana bile, ate, a i ʻole pancreas.

1. ʻO ke kōkō

Hiki i ka maʻi ʻōpū ke hoʻoulu i ka mumū, ka maʻi, a/a i ʻole ke ālai ʻia ʻana o nā ʻauwai bile (cholangitis). Hiki ke hana ʻia kēia inā neʻe kahi pōhaku ʻōpū mai ka ʻauwai gallbladder i loko o nā ʻauwai bile. Ke hana ʻia kekahi mea, e hahai mai ana nā mea ʻē aʻe. I ka hala ʻana o ka manawa, hiki i kēia ke hana i ka ʻeha o nā ʻauwai bile, e hoʻohaiki ana iā lākou, a me nā pilikia lōʻihi me ke kahe ʻana o ka bile.

2. ʻO ka maʻi ʻaʻai o ke akepaʻa

Inā piʻi hou ka bile i loko o ke akepaʻa ma muli o nā pilikia me ka gallbladder, nā ʻauwai bile, a i ʻole nā ​​mea ʻelua, hiki iā ia ke hoʻoulu i ke akepaʻa e pehu a me ka hopena he ʻeha. Ua kapa ʻia kēia he cirrhosis . Hiki i kēia ke hōʻino i ka hana o ke akepaʻa no ka manawa lōʻihi. Hiki i ka Cirrhosis ke hoʻoulu i nā pilikia ma nā ʻōpū ʻē aʻe.

3. ʻO ka maʻi pankreatitis

Inā hele kahi pōhaku ʻaʻa mai ka ʻaʻa gallbladder i lalo i ke ala bile a paʻa i kahi e hoʻomaka ai ke ala pancreatic, hiki iā ia ke hoʻihoʻi i ka bile i loko o ke ala pancreatic a me ka pancreas. He kumu maʻamau kēia o ka pancreatitis . Inā koʻikoʻi a lōʻihi paha ka pancreatitis, hiki iā ia ke hōʻeha i ka pancreas i ka wā lōʻihi.

He aha nā hōʻailona o ka maʻi gallbladder?

Hiki ke hoʻokaʻawale ʻia nā hōʻailona o ka maʻi gallbladder i kekahi mau ʻano.

1. ʻEha ʻōpū (Biliary colic)

He ʻeha kēia e puka mai ana mai loko mai o ka ʻōpū, ʻo ia hoʻi, `(Biliary colic)`. ʻO ka maʻamau, ʻo ia ka hōʻailona mua e ʻike ʻia inā he pilikia me ka gallbladder. Hōʻike ka inoa ponoʻī ua pili pū nā ʻauwai bile. ʻO ka ʻoiaʻiʻo, pili lākou, inā pololei a ʻaʻole pololei paha. Inā he paʻa i loko o ka gallbladder a i ʻole nā ​​ʻauwai bile, piʻi ke kaomi ma nā mea ʻelua. ʻO ke kumu pinepine he pōhaku gallstone. Eia naʻe, ʻo ka pehu ʻana ma muli o ka maʻi, ka haiki ʻana o nā ʻauwai bile `(Biliary stricture)`, a i ʻole kahi pilikia me ke kaʻina hana hoʻokahe o ka gallbladder, hiki ke piʻi ke kaomi. Ua kūlike ka ʻeha me kēia kaomi.

• Hiki ke hoʻomaka mua me he ʻeha palupalu a ʻehaʻeha e hele mai a hele aku , ʻoiai ma hope o ka ʻai ʻana i ka wā e ʻaelike ai ka ʻōpū o ka ʻōpū.
• Ke ʻike nei ʻoe i kēia ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ma lalo o kou pā iwi ʻākau , kahi i loaʻa ai kou ʻōpū.
• Hiki ke ʻike ʻia ma waenakonu o ka ʻōpū, a i ʻole e pālahalaha paha ka ʻeha i ka poʻohiwi ʻākau.
• He mea maʻamau ka hele pū ʻana o kēia ʻeha me ka nausea a me ka luaʻi ʻana .
• ʻO ka maʻamau, mau kēia ʻeha no kekahi mau hola. ʻAʻole ia e hana mau ʻia, akā hana ʻia i kēlā me kēia manawa. Pili kēia i kahi paʻa e hana ʻia i ka wā e ʻūlū ai ka gallbladder a emi iho i ka wā e hoʻomaha ai ka gallbladder, akā ʻaʻole i piha a hana ʻia i kekahi manawa.

2. ʻO ka cholecystitis koʻikoʻi

ʻO ka cholecystitis koʻikoʻi, hiki ke hana ʻia e ka poloka mau, ka maʻi, a i ʻole kahi puʻupuʻu i loko o ka gallbladder, hiki ke ʻoi aku ka ʻino ma mua o ka ʻeha o ka colic biliary.

• Hiki ke hele pū ka luaʻi a me ke kuni a me ke anu .
• He mau ka ʻeha, i kekahi manawa ua nui loa e pono ai ke hele i ka lumi pilikia .
• I ka wā e ʻūmiʻi ai ka ʻōpū o ka ʻōpū, e like me ma hope o ka ʻai ʻana, piʻi aʻe paha ka helu o ka puʻuwai a hāʻule koke paha ke koko.
• Ke hoʻomaka ka ʻohi ʻana o ka bile i loko o ke koko, e ʻike ʻia nā hōʻailona waho e like me ka jaundice (melemele o nā maka a me ka ʻili), ka mimi ʻeleʻele, a me nā ʻōpala mae .

3. ʻO ka cholecystitis mau loa

ʻO nā hōʻailona mau, ʻo ia hoʻi ka lōʻihi, ʻoi aku ka liʻiliʻi o ka ʻino ma mua o nā hōʻailona koʻikoʻi. ʻAʻole paha lākou e ʻike ʻia no ka manawa lōʻihi. Hiki iā ʻoe ke ʻike i ka ʻeha o ka ʻōpū. Eia kekahi laʻana, ka pehu ʻana, ka manaʻo piha ma hope o ka ʻai ʻana, ke kinoea mau, ka nausea, a i ʻole ka maʻi pākī.Nā mea e like me ia. ʻOiai he nui nā kumu ʻē aʻe no kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he pilikia gallbladder. ʻOiai me ke kanesa gallbladder, hiki ke loaʻa ka mumū lōʻihi me ka jaundice iki me ka ʻole o ka ʻeha. Ma muli o ke ʻano maopopo ʻole o kēia mau hōʻailona, ​​​​a me ka nele o ka ʻeha nui, hiki i ka cholecystitis mau ke hele ʻole ma ka ʻike ʻole ʻia a hōʻeha i ka pōʻino lōʻihi.

He aha nā kumu o ka maʻi gallbladder?

ʻO nā pōhaku ʻōpū ke kumu maʻamau o nā pilikia o ka ʻōpū. Eia naʻe, ʻaʻole lākou e hoʻoulu mau i nā pilikia. Ke hana lākou, ʻo ia hoʻi no ka mea ke ālai nei lākou i ke kahe o ka bile i loko o ka ʻōpū, nā ʻauwai bile, a i ʻole nā ​​mea ʻelua. Eia kekahi, kakaikahi ka manawa, hiki i ka bile ke hōʻiliʻili i loko o nā ʻauwai bile no ka mea lohi ka ʻōpū e hoʻokahe, a i ʻole ma muli o kekahi maʻi ʻē aʻe. ʻO kēia kahe hope o ka bile ke kumu maʻamau o ka cholecystitis. Akā i kekahi manawa, hiki ke hana ʻia ka mumū e kahi maʻi ʻokoʻa. Hoʻoulu ka mumū i ka pehu ʻana o ka ʻōpū, e hoʻonui ana i ke kaomi i loko. Hiki i kēia ke hoʻoulu i ka bile e hoʻihoʻi ma ke ʻano he hopena lua.

Pehea e hōʻike ai i nā maʻi gallbladder?

E like me nā maʻi ʻē aʻe, e nīnau mua kāu kauka e pili ana i kou mōʻaukala olakino a me nā hōʻailona . E nānā lākou i kāu mau hōʻailona koʻikoʻi (ka helu o ka puʻuwai, ke koko, ka mahana o ke kino - aia ke kuni, a pēlā aku). A laila e hana lākou i kahi hoʻokolokolo kino, e nānā ana i nā hōʻailona o ka jaundice a me ka pehu ʻana i loko o ka ʻōpū. Hiki iā lākou ke palpate i kahi i loaʻa ai ka gallbladder. Inā manaʻo ka gallbladder he palupalu, he hōʻailona ia o ka pehu ʻana. Inā he ʻeha ke hoʻopā ʻoe i ka wahi hiki ke kōkua i ka hoʻokaʻawale ʻana ma waena o ka mumū koʻikoʻi e pili ana i nā gallstones a me ka mumū mau e pili ana i ka maʻi ʻaʻai. A laila e kauoha lākou i nā hoʻāʻo koko a me nā hoʻāʻo kiʻi.

He aha nā hoʻokolohua diagnostics?

• Helu koko piha: Nānā kēia i ka pae o nā hunaola koko keʻokeʻo. Inā kiʻekiʻe lākou, hōʻike ia i kahi maʻi a i ʻole ka mumū.
• Nā hoʻāʻo hana ate: Kōkua kēia mau hoʻāʻo koko i ka ʻike ʻana i nā poloka i loko o nā ʻāpana bile.
• Nā hoʻāʻo hana pancreatic: Kōkua kēia mau hoʻāʻo koko i ka ʻike ʻana i ke ālai ʻana o ka ʻauwai pancreatic.
• ʻO ka ultrasound ʻōpū: He hoʻāʻo ʻeha ʻole kēia, he hoʻāʻo kiʻi waho e hiki ke ʻike i nā mea e like me ka pehu ʻana, nā poloka, a i ʻole nā ​​​​​​pūpū i loko o ka gallbladder a i ʻole nā ​​​​​​ʻāpana bile.
• HIDA scan (HIDA scan / Cholescintigraphy scan): Ke ana kēia hoʻāʻo kiʻi i ka hoʻokahe ʻana o ka bile mai ka gallbladder i loko o ka ʻōpū liʻiliʻi a me ke kahe ʻana o ka bile ma o nā ʻauwai bile.
• ʻO ka Endoscopic Retrograde Cholangiopancreatography (ERCP):He hoʻāʻo kēia e hoʻohui i ka endoscopy (kahi ʻōmole lahilahi me kahi kāmela) me nā kukuna X. Hiki ke hoʻohana ʻia ka endoscope, i hoʻokomo ʻia i lalo o ka ʻāʻī, e nānā i nā ʻōpū i loko o ka ʻōpū. Hiki i nā kukuna X kūikawā (kukui fluoroscopic X) ke hōʻike maopopo i nā ʻauwai bile. Inā loaʻa kahi poloka i ka wā o ka hoʻāʻo ʻana, hiki paha i ke kauka ke mālama iā ia ma ka hoʻouna ʻana i nā mea hana liʻiliʻi ma o ka endoscope.
• ʻO Endoscopic Ultrasound (EUS): Hoʻohui pū kēia i ka ʻenehana ultrasound me ka endoscopy. Hoʻopili ʻia kahi mea ultrasound i ka piko o ka endoscope. Hoʻokomo ʻia kēia ma o ka ʻāʻī a hiki i nā ʻōpū o ka ʻōpū, ʻoiai nā ʻāpana bile, pancreas, gallbladder, a me ke akepaʻa, ke ʻike maopopo ʻia. Inā ʻike ʻia kekahi mau mea ʻē aʻe, pono paha nā hoʻokolohua a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

Pehea e mālama ʻia ai nā maʻi gallbladder?

• Nā lāʻau hoʻopau ʻeha: I nā hihia o ka ʻeha koʻikoʻi e like me ka "Biliary colic", ʻo ia hoʻi "gallbladder attack", pono paha nā lāʻau hoʻopau ʻeha i kuhikuhi ʻia e ke kauka e kāohi i ka ʻeha. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa e pili ana i kou mōʻaukala olakino a me nā hōʻailona.
• Nā lāʻau lapaʻau: Inā loaʻa iā ʻoe kahi maʻi, e kuhikuhi kāu kauka i nā lāʻau lapaʻau e mālama iā ia. He lāʻau lapaʻau mua kēia ma mua o ke ʻoki ʻana.
• Ke komo ʻana o ka endoscopic: Ma mua o ke ʻoki ʻana, hiki paha i kāu kauka ke mālama i nā pilikia liʻiliʻi o ka gallbladder me ka hoʻohana ʻana i kahi endoscope. Hiki i kahi endoscopic retrograde cholangiopancreatography (ERCP) a/a i ʻole kahi endoscopic ultrasound (EUS) ke kōkua i ka ʻike ʻana i nā mea i ālai ʻia, nā ʻōpū, a me nā pōhaku. I loko o kēia mau hoʻokolohua, hiki ke hoʻohana ʻia nā mea hana ma ka hopena o ka endoscope e wehe i nā gallstones, e kau i nā stents e mālama i nā ʻāpana bile e wehe, a lawe i nā laʻana ʻiʻo (biopsies).
• ʻO ke ʻoki kino: ʻO ka hopena mau loa a maikaʻi loa no ka maʻi gallbladder mau loa ʻo ia ka cholecystectomy . He lāʻau lapaʻau maʻamau kēia. Hiki iā ʻoe ke ola maikaʻi me ka ʻole o ka gallbladder. Hiki i nā poʻe he nui ke wehe ʻia ko lākou gallbladder ma o ke ʻoki laparoscopic ( kahi ʻoki kino i hana ʻia ma o kekahi mau ʻoki liʻiliʻi). I nā hihia paʻakikī, e like me ka maʻi a i ʻole ke kanesa gallbladder, pono paha ke ʻoki kino hāmama.

Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia o ka loaʻa ʻana o ka maʻi gallstone?

ʻAʻole hiki iā mākou ke kāohi i nā kumu pilikia āpau. Eia nō naʻe, hiki iā ʻoe ke mālama i kou gallbladder olakino ma ka mālama ʻana i kahi ʻai a me ke ʻano ola olakino . ʻO ka ʻai Komohana o kēia lā he kiʻekiʻe i ka momona a me ka cholesterol, a haʻahaʻa i ka fiber, e kōkua ana i ka wehe ʻana i ka momona keu mai ke kino. E ho'āʻo e ʻai i nā huaʻai a me nā mea kanu i waiwai i ka fiber, a e hōʻemi i nā meaʻai momona a hana ʻia . He mea nui nō hoʻi ka hoʻoikaika kino mau .Kōkua ia i ka hoʻēmi ʻana i ka pilikia no ka mea hoʻomaikaʻi ia i ka neʻe ʻana - ʻo ia hoʻi, nā ʻūlū maʻamau - o nā ʻōpū i loko o kāu ʻōnaehana hoʻoheheʻe.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka maʻi gallbladder?

ʻO ka hapa nui o nā pilikia o ka gallbladder e pau i ka hana ʻoki kino (ka wehe ʻana i ka gallbladder). Akā inā hana ʻia kēlā, ʻaʻole ʻoe hoʻokahi, nui ka poʻe e hele i kēia. Hoʻōla koke ka hapa nui o ka poʻe a ʻaʻohe hopena lōʻihi ma hope o ke ʻoki kino . Hiki iā ʻoe ke loaʻa i kahi ʻeha ʻōpū manawa pōkole i kou hoʻōla ʻana. ʻOiai ʻaʻole kou kino i loko o ka gallbladder, pono paha ʻoe e hōʻemi i kāu ʻai ʻana i nā meaʻai momona no kekahi manawa a hiki i kou kino ke hoʻomaʻamaʻa iā ia. Ma hope o kekahi mau mahina, hiki i ka hapa nui o ka poʻe ke hoʻi i kahi papaʻai maʻamau, akā olakino.

Hiki i ka maʻi ʻōpū ke koʻikoʻi me ka ʻike ʻole ʻoe. I ka manawa e loaʻa ai iā ʻoe nā hōʻailona, ​​​​​​ua koʻikoʻi paha. ʻO ka mea pōmaikaʻi, hiki ke mālama maʻalahi ʻia ka hapa nui o nā pōhaku gall me kahi hana liʻiliʻi. ʻO ka mea nui loa, ʻo ia ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau, ʻoiai inā ʻaʻole koʻikoʻi nā hōʻailona. Loaʻa paha iā ʻoe ka ʻeha biliary liʻiliʻi a me he mea lā e nalo wale ana. Akā hiki ke lilo i pilikia mau a holomua. Mai kali a loaʻa iā ʻoe nā hōʻailona hōʻailona koʻikoʻi o ka cholecystitis koʻikoʻi a i ʻole ka hōʻino lōʻihi mai ka cholecystitis mau. Hiki i kāu kauka ke loaʻa a wehe paha i nā pōhaku gall pilikia i ka wā o nā hoʻokolohua outpatient maʻamau.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He mea e makaʻala ai ka maʻi ʻōpū. Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, ʻoiai inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū ma hope o ka ʻai ʻana i nā meaʻai momona a i ʻole ka ʻeha mau ma ka ʻōpū ʻākau o luna, pono ʻoe e ʻike i ke kauka . Inā ʻike mua ʻia, ʻoi aku ka maʻalahi o ka mālama ʻana a hiki ke pale ʻia nā pilikia. ʻO ka mālama ʻana i kahi meaʻai olakino a me kahi nohona hana nā ala maikaʻi loa e pale aku ai iā ʻoe iho mai ia mau maʻi.

ʻŌpū ʻōpū, pōhaku ʻōpū, cholecystitis, cholesterol, jaundice, ʻai ʻana, ʻoki kino