Ua loaʻa koke anei iā ʻoe kahi ʻeha ʻoi a hou ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ma lalo pono o kou mau iwi ʻaoʻao? I kekahi manawa, ke pālahalaha nei kēia ʻeha i kou kua a me kou poʻohiwi ʻākau? ʻAʻole anei e emi kēia ʻeha ma hope o ka ʻai ʻana a i ʻole ka hele ʻana i ka lua? No laila, he mea nui loa iā ʻoe e makaʻala i ka ʻeha o ka ʻōpū a mākou e kamaʻilio nei i kēia lā.
ʻO ka mea mua, e nānā kākou, he aha kēia ʻōpū?
I ka ʻōlelo maʻalahi, he ʻano ʻeke liʻiliʻi ka ʻōpū o ka ʻōpū ma lalo o ko kākou akepaʻa, ma ka ʻaoʻao ʻākau o luna o ko kākou ʻōpū. ʻO kāna hana nui ka mālama ʻana i ka ʻōpū o ka ʻōpū no kekahi manawa, ka mea i hana ʻia e ko kākou akepaʻa. Ke ʻai kākou i nā meaʻai momona, pono kākou i kēia ʻōpū e hoʻoheheʻe (hoʻoheheʻe) i ka momona. A laila, ʻuʻuku ka ʻōpū o ka ʻōpū a hoʻouna i kēia ʻōpū o ka ʻōpū i loko o ko kākou ʻōpū liʻiliʻi ma o nā ʻauwai o ka ʻōpū. ʻO kēia kāna hana maʻamau.
He aha ke ʻano o ka ʻeha o ka gallbladder?
ʻAʻole like ka ʻeha o ka ʻōpū me ka ʻeha ʻōpū maʻamau. He ʻoi aku ka koʻikoʻi o kēia.
- ʻEha ʻoi koke: He ʻeha ʻoi koke a koʻikoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. Hiki i kekahi poʻe ke manaʻo i kēia ʻeha ma waenakonu o ka ʻōpū.
- ʻEha mau: He ʻeha mau kēia. ʻOiai inā e neʻe mākou a hoʻololi paha i nā kūlana, ʻaʻole e emi ka ʻeha.
- Hoʻonui ʻia ka ʻeha i ka hanu ʻana: Hiki ke ʻoi aku ka ʻino o ka ʻeha ke hanu hohonu ʻoe.
- Ka hohola ʻana i ka ʻeha: I kekahi manawa hiki i kēia ʻeha ke pālahalaha i ka poʻohiwi ʻākau a me ke kua.
- Nā hōʻailona ʻē aʻe: Me kēia ʻeha nui, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka nausea a me ka luaʻi ʻana , ke kuni, a me ke anu .
ʻOi loa ka ʻeha o kēia ʻeha a hopohopo kekahi poʻe a manaʻo he hōʻeha puʻuwai ia. Eia kekahi, inā ʻoi aku ka lōʻihi o kēia ʻeha ma mua o kekahi mau hola, he hōʻailona paha ia o kahi maʻi koʻikoʻi. I ia mau hihia, pono ʻoe e ʻike koke i ke kauka, a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
No ke aha e loaʻa ai kēia ʻano ʻeha? He aha nā kumu nui?
ʻO ke kumu nui a maʻamau o ka ʻeha o ka ʻōpū, ʻo ia nā pōhaku ʻōpū . Kāhea mākou i kēia mau mea ma nā huaʻōlelo lapaʻau ʻo "(Cholelithiasis). Ua like kēia me nā pōhaku e hana ʻia i loko o ko mākou ʻōpū. Hoʻokumu ʻia lākou e nā waihona cholesterol. Hiki i kēia mau pōhaku ke liʻiliʻi e like me ka hua paʻakai a i ʻole ka nui e like me ka pōpō kolepa.
Ma waho aʻe o kēia kumu nui, aia kekahi mau kumu ʻē aʻe.
Nā Pōhaku ʻAuwai Bile
Hiki i kahi pōhaku ʻōpū ke haki a paʻa i loko o ke ala bile maʻamau, ke ala bile nui. He kūlana koʻikoʻi kēia ma mua o nā pōhaku ʻōpū. Hiki iā ia ke alakaʻi i nā pilikia ʻē aʻe, e like me ka pancreatitis.
ʻO ke kōleʻa koko
Ke ālai ka pōhaku ʻāʻī i ke aʻa bile, ua paʻa ia i loko. ʻAe kēia i ka bacteria e hōʻiliʻili a hoʻopili i ka gallbladder, e pehu ai. ʻO kēia ka mea a mākou e kapa nei he cholecystitis.
ʻO nā maʻi Gallbladder ʻē aʻe
Hiki i kēia ke komo pū me kekahi kūlana e hoʻopilikia ai i ka gallbladder a i ʻole nā auwai bile. No ka laʻana, ka biliary dyskinesia, ka mumū o nā ʻauwai bile (cholangitis), a pēlā aku.
Ka maʻi ʻaʻai Gallbladder
He ʻano maʻi laha ʻole kēia, akā hiki ke hana ʻia kēia ʻano ʻeha e ka ulu ʻana o nā hunaola kanesa i loko o ka ʻōpū.
Nā lāʻau lapaʻau home a me nā lāʻau lapaʻau no ka ʻeha
He kakaikahi loa nā mea hiki iā ʻoe ke hana ma ka home ke loaʻa iā ʻoe ka ʻeha o ka ʻōpū. ʻO ke kau ʻana i kahi ʻōmole wai wela ma kahi o ka ʻeha e hāʻawi paha i kahi hōʻoluʻolu. Akā, he mau hopena manawa pōkole wale nō kēia.
ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā hoʻomau ka ʻeha a i ʻole he koʻikoʻi. Mai mālama ponoʻī.
Ke ʻike ʻoe i ke kauka, e hoʻoholo lākou i ka lāʻau lapaʻau e pili ana i kou kūlana.
- Nā lāʻau hoʻopau ʻeha: Inā mau ka ʻeha, e kuhikuhi ke kauka i nā lāʻau hoʻopau ʻeha e kāohi iā ia.
- Nā lāʻau antibiotic: Inā loaʻa kahi maʻi, hāʻawi ʻia nā lāʻau antibiotic.
- ʻO Endoscopic Retrograde Cholangiopancreatography (ERCP): ʻO kēia kaʻina hana e pili ana i ka hoʻokomo ʻana i kahi paipu me kahi kāmela ma o ka waha e wehe i nā pōhaku liʻiliʻi i hoʻopaʻa ʻia i loko o nā ʻāpana bile, hoʻonui i ke ʻāpana, a lawe paha i kahi laʻana o ka ʻiʻo no ka hoʻokolokolo ʻana.
- Ka wehe ʻana i ka ʻōpū gallbladder (Cholecystectomy): Inā he mau pilikia mau nā pōhaku gallstones iā ʻoe, ʻo ka hopena maikaʻi loa a mau loa hoʻi, ʻo ia ka wehe ʻana i ka ʻōpū gallbladder ma ke ʻoki ʻana. ʻAʻole he ʻōkana koʻikoʻi ka gallbladder no ke ola. Ma hope o ka wehe ʻia ʻana, hiki iā ʻoe ke ola i ke ola maʻamau.
Hana ʻia kēia hana ma nā ʻano nui ʻelua:
1. Laparoscopic Cholecystectomy: ʻO kēia ke ʻano hana i hoʻohana nui ʻia. Ua kapa ʻia hoʻi ʻo "keyhole surgery." Hoʻoneʻe ʻia ka gallbladder ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū me ka hoʻohana ʻana i kahi kāmela. ʻOi aku ka wikiwiki o ka manawa hoʻōla o kēia ʻano hana a emi iho ka ʻeha.
2. Hāmama Cholecystectomy: Inā pehu nui ka gallbladder, aia nā pilikia, a i ʻole ke kānalua ʻia nei ke kanesa, hana ʻia kēia ʻoki ma o kahi ʻoki nui iki ma ka ʻōpū.
Aia kekahi mau maʻi ʻē aʻe e like me ka ʻeha o ka gallbladder?
ʻAe. No ka mea, aia kekahi mau ʻāpana koʻikoʻi ʻē aʻe ma ka ʻaoʻao ʻākau o ka ʻōpū, i kekahi manawa hiki ke like ka ʻeha o nā maʻi ʻē aʻe me ka ʻeha o ka ʻōpū. No laila he mea nui e ʻike i ka ʻokoʻa ma waena o kēia mau mea.
| Kūlana olakino | Pehea e ʻokoʻa ai mai ka ʻeha o ka gallbladder |
|---|---|
| ʻApendisitis | ʻO ka maʻamau, ʻike ʻia ka ʻeha ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū. Aia ka ʻeha o ka ʻōpū gaʻa ma ka ʻaoʻao luna. |
| Nā Pōhaku Puʻupaʻa | Me ka ʻeha nui, e ʻike paha ʻoe i nā loli i kou mimi (ʻulaʻula, poni, ʻala pilau). |
| ʻO ka maʻi pancreatitis | Ma waho aʻe o ka ʻeha, ʻike pinepine ʻia nā hōʻailona e like me ka nausea, ka luaʻi ʻana, a me ka pohō kaumaha. |
| Nā ʻōpū ʻeha | ʻOi aku ka maʻamau o nā hōʻailona e like me ka pehu ʻana, ka ʻeha o ka ʻōpū, a me ka maʻi kahe ma mua o ka ʻeha o ka ʻōpū. |
Hiki ke pale ʻia kēia kūlana?
ʻO ke ala maikaʻi loa e pale ai i ke kūkulu ʻia ʻana o ka gallstone a me ka ʻeha e pili ana, ʻo ia ka mālama ʻana i ka ʻai a me ke ʻano o ka nohona olakino .
Nā meaʻai e pale aku ai:
- Nā meaʻai kiʻekiʻe i nā momona saturated (ʻaila, pata, tīhi, ʻiʻo ʻulaʻula)
- Kiʻekiʻe ke kō a me ka sodium (paʻakai)
- Nā meaʻai palai
- ʻO ka ʻai nui ʻana i nā kalapona i hoʻomaʻemaʻe ʻia e like me ka berena a me ka laiki
Nā mea e hoʻohui i kāu meaʻai:
- ʻIʻo a me ka iʻa momona
- Nā mea kanu a me nā huaʻai
- Nā meaʻai kiʻekiʻe i ka fiber
- Nā mea kanu a me nā palaoa holoʻokoʻa
- Nā huahana waiū momona haʻahaʻa
Kahi mea hou aʻe,ʻO ka ʻai ʻana i ka manawa kūpono, ka hoʻāʻo ʻole e hoʻēmi koke i ke kaumaha, a me ka hoʻoikaika kino mau e kōkua nui i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o nā pōhaku ʻaʻa.
Leka Lawe-Home
- ʻO ka ʻeha ʻōpū Gall he ʻeha koke, koʻikoʻi, a mau hoʻi e hoʻomaka ana ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
- ʻO ke kumu nui o kēia ka hoʻokumu ʻia ʻana o nā gallstones.
- Inā ʻoi aku ka lōʻihi o ka ʻeha ma mua o kekahi mau hola, a i ʻole e hele pū ʻia me nā hōʻailona e like me ke kuni a me ka luaʻi ʻana, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
- Hiki i ka ʻai olakino a me ka hoʻoikaika kino mau ke hōʻemi i ka pilikia o kēia maʻi.
- He hana maʻamau ka wehe ʻana i ka ʻōpū gaʻa, a hiki iā ʻoe ke ola i kahi ola maʻamau ma hope. No laila, ʻaʻohe pono e makaʻu.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau ikaika loa nā papa Flecainide (Tambocor) i hoʻohana ʻia no ka maʻi hea?
ʻAʻole kēia he pila koko maʻamau! ʻO ia kekahi o nā lāʻau ikaika loa (Class 1C Antiarrhythmic) a nā kauka e hoʻohana ai e hoʻihoʻi i ka puʻuwai i kahi 'rhythm maʻamau' ke kuʻi koke nā keʻena o luna a i ʻole lalo o ka puʻuwai o ka mea maʻi me ka wikiwiki/wikiwiki e hoʻoweliweli ai i ke ola (Atrial Fibrillation / SVT / Ventricular Arrhythmias)!
💬 Ke kuʻi nei ka puʻuwai me he pupule lā, pehea ʻoe e hoʻoponopono ai i ke kuʻina o ka puʻuwai ma ka hāʻawi ʻana i kēia lāʻau lapaʻau (Flecainide)?
Kuʻi wikiwiki ka puʻuwai ma muli o nā hōʻailona uila (Nā Mana Hana)! No ke kuʻi mua ʻana, pono nā ʻāpana 'Sodium' e komo mai e hoʻouka i nā cell. Ke komo kēia pila i loko o ka puʻuwai, ua ālai ʻia nā puka āpau e ʻae ai i ka sodium e komo (koʻikoʻi loa) 100%, a noho pani ʻia a laka ʻia no ka manawa lōʻihi (Marked Phase 0 depression/Slow unbinding). ʻOiai ʻaʻole komo iki ka sodium, lōʻihi ka manawa no nā cell e hoʻouka. A laila ʻaʻole hiki i ka puʻuwai ke kuʻi wikiwiki a hoʻi i kona mele maʻamau.
💬 He aha ka 'Black Box Warning' e pono ai i ka poʻe e lawe ana i kēia lāʻau lapaʻau (Tambocor) ke ʻike?
ʻO ia ka pōʻino nui loa a me ke kūlana make! Inā ua loaʻa iā ʻoe kahi 'hōʻeha puʻuwai' ma mua a i ʻole (Structural heart disease/LV dysfunction), ma hope o ka lawe ʻana i kēia pila, hiki ke loaʻa kahi 'new deadly heart rhythm (Proarrhythmic effect)' a hiki i ka mea maʻi ke make koke (ua hōʻoia ʻia kēia e ka Cast Trial)! No laila, ʻaʻole i kuhikuhi maʻalahi ʻia kēia ke ʻole he kūlana hoʻoweliweli ola i kēlā me kēia manawa.











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