Malia paha ua loaʻa iā ʻoe kahi scan ultrasound no kekahi pilikia ʻōpū ʻē aʻe a ʻōlelo ka hōʻike "Gallbladder Polyp" a ua hopohopo iki ʻoe. A i ʻole ua lohe wale paha ʻoe i ka inoa. He aha kēia mau ulu ʻana i loko o ka gallbladder? He mea weliweli anei lākou e like me ke kani ʻana? Hiki iā lākou ke lilo i maʻi kanesa? E wehewehe kākou i kāu mau nīnau a pau e pili ana i kēia i kēia lā.
ʻO ka mea mua, e nānā kākou, he aha kēia ʻōpū?
Ma mua o ko kākou kamaʻilio ʻana e pili ana i kēia mau nati, e hoʻomaopopo iki kākou e pili ana i kahi e hana ʻia ai kēia mau nati, ʻo ia hoʻi, ka ʻōpū o ka ʻōpū. E noʻonoʻo ua like ko kākou kino me kahi hale hana nui. ʻO ke akepaʻa i loko o kēia hale hana ka mea e hana ai i kahi wai i kapa ʻia ʻo bile. He mea nui loa kēia bile no kākou e hoʻoheheʻe i nā meaʻai momona a kākou e ʻai ai.
I kēia manawa, ʻaʻole hele pololei ka bile i hana ʻia e ke akepaʻa i nā ʻōpū. Mālama ʻia ia i loko o kahi ʻano liʻiliʻi e like me ke ʻeke. ʻO ia ka mea a mākou e kapa nei he gallbladder . He ʻano liʻiliʻi ia e like me ke ʻano o ka fiku, aia ma lalo o ke ake. Mālama ka gallbladder i kekahi bile, omo i ka wai i loko, a hoʻomānoanoa iā ia. Ke ʻai mākou i nā meaʻai momona, ʻūlū ka gallbladder a hoʻouna i kēia bile mānoanoa i nā ʻōpū. I ka ʻōlelo maʻalahi, ʻo ka gallbladder ka 'hale kūʻai bile' i loko o ko mākou kino.
No laila he aha kēia mau polyps gallbladder?
ʻAe, i kēia manawa ua ʻike mākou i ke ʻano o ka gallbladder. ʻO nā polyps Gallbladder he mau ulu ʻana o nā ʻiʻo maʻamau e hana ʻia ma ka ʻili mucous o ka gallbladder. E noʻonoʻo iā lākou e like me nā warts ma ko mākou ʻili e ulu ana i loko o ka gallbladder. Hiki ke hana ʻia e nā mea like ʻole.
ʻO ka mea nui , ʻo ka hapa nui o kēia mau cysts he mea ʻino ʻole a ʻino ʻole . Eia naʻe, he mea kakaikahi loa, hiki iā lākou ke hoʻoulu i ka mumū o ka gallbladder. Eia kekahi, he kakaikahi loa o lākou, ma kahi o 5%, ka hiki ke lilo i maʻi kanesa.
Ua hōʻike ʻia nā noiʻi ma waena o 4% a me 7% o nā pākeke e loaʻa ana nā ʻōpū o ka ʻōpū. Eia nō naʻe, he 5% wale nō o kēia mau ʻōpū he maʻi kanesa. No laila, ʻaʻohe pono e hopohopo ke lohe ʻoe i ka inoa.
Ehia mau ʻano o kēia mau nati?
ʻAe, ʻaʻole like kēia mau pōhaku ʻōpū. Hiki ke hoʻokaʻawale ʻia i kekahi mau ʻano nui. E nānā kākou i ke ʻano o lākou.
| ʻAno Polyp | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā Pseudopolyps | ʻO kēia nā mea maʻamau (ma kahi o 60%-90%). ʻAʻole kēia he mau puʻupuʻu maoli. Hoʻokumu ʻia lākou i ka wā e waiho ʻia ai ka cholesterol keu i loko o ko mākou kino i loko o ka paia o ka gallbladder. Ua kapa ʻia hoʻi kēia mau puʻupuʻu cholesterol. ʻAʻole kēia he maʻi kanesa. |
| Nā Polyps mumū | ʻIke ʻia kēia mau mea ma kahi o 5%-10% o nā hihia. ʻO kēia nā ʻiʻo e like me ka ʻeha e hana ʻia i ka wā e mumū pinepine ai ka gallbladder (cholecystitis), ʻo ia hoʻi ke pehu. ʻAʻole hoʻi kēia he maʻi ʻaʻai. |
| Nā Adenomas | Ua manaʻo ʻia kēia he mau puʻupuʻu maikaʻi ʻole. ʻAʻole lākou he maʻi kanesa. Eia nō naʻe, he hapa liʻiliʻi loa (ma kahi o 0.5%) o kēia mau ʻano puʻupuʻu e loaʻa ka pilikia o ka lilo ʻana i maʻi kanesa. |
| Nā Polyps ʻino | ʻO kēia nā ʻano weliweli loa. Akā, he mea kākaʻikahi loa lākou. ʻO ia kekahi ʻano maʻi kanesa i kapa ʻia ʻo adenocarcinoma . |
Hiki i nā ʻōpū gallbladder ke hoʻoulu i ka ʻeha? He aha nā hōʻailona?
He pilikia nō hoʻi kēia no nā kānaka he nui. ʻO ka mea kupanaha, ʻaʻole hōʻike ka 99% o nā cysts gallbladder i kekahi mau hōʻailona . ʻO ka hapa nui o ka manawa, ʻike ʻia lākou i ka wā o ka ultrasound scan i hana ʻia no kekahi kumu ʻē aʻe.
Eia nō naʻe, he mea kākaʻikahi loa, hiki ke ʻike ʻia nā hōʻailona inā ua ālai ʻia kahi ʻauwai cystic a i ʻole ka ʻauwai bile. Hiki i kēia ke hana i ka ʻauwai bile e hōʻiliʻili i loko o ka gallbladder, e hoʻoulu ai i ka pehu ʻana o ka gallbladder. I kēia mau hihia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
- Kuni.
- Ka luaʻi a me ka luaʻi.
- Melemele o ka ʻili a me nā maka (Jaundice).
Akā e hoʻomanaʻo, ʻoi aku ka nui o kēia mau hōʻailona i hoʻokumu ʻia e nā pōhaku gall ma mua o nā tumors. No laila, mai manaʻo ʻoe ʻo ka tumor ke kumu no ka mea wale nō he mau hōʻailona kāu.
No ke aha e like ai kēia ʻano me nā puʻupuʻu? Aia kekahi mau mea pilikia?
ʻAʻole maopopo i nā kānaka ʻepekema ke kumu o ko lākou hoʻokumu ʻia ʻana, e like me nā puʻupuʻu maoli. He mau ulu kūpono ʻole ia i loko o nā ʻāpana o ke kino.
Eia nō naʻe, ʻo nā ʻano ʻelua i maʻamau ʻia, ʻo ia hoʻi nā polyp cholesterol a me nā polyp mumū, a mākou i kūkākūkā ai ma mua, hana ʻia ma ke ʻano he hopena ʻaoʻao o nā maʻi lapaʻau ʻē aʻe. Hoʻokumu ʻia lākou e nā pae cholesterol kiʻekiʻe a me ka mumū pinepine o ka gallbladder (cholecystitis).
Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i nā ʻōpū gallbladder:
- Loaʻa nā pōhaku gallstones.
- ʻO ka pehu pinepine ʻana o ka gallbladder (Cholecystitis).
- Ka mumū ʻana o nā ʻauwai bile (Cholangitis).
- Ka maʻi Hepatitis B.
- Kekahi mau kūlana hoʻoilina (e.g. Familial Adenomatous Polyposis - FAP).
- Hoʻonui ʻia ka nui o ka cholesterol i loko o ke kino.
- Ma luna o 50 mau makahiki.
ʻO ka nīnau nui loa ma ka noʻonoʻo o kēlā me kēia kanaka: Hiki paha i kēia ke lilo i maʻi kanesa?
ʻAe, e hele kākou i ka mea nui loa. Inā ʻōlelo kāu hōʻike scan 'gallbladder polyp', ʻo ka nīnau mua e hiki mai ana i kou manaʻo, "Auē, he maʻi kanesa paha kēia?"
ʻO ka ʻoiaʻiʻo, ʻaʻole hiki i ke kauka ke ʻōlelo me ka maopopo 100% mai kahi scan inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha. ʻO ke ala wale nō e ʻike pono ai, ʻo ia ke wehe ʻoki ʻana i ka gallbladder a hoʻouna i ka puʻupuʻu i kahi lab no ka hoʻāʻo ʻana (biopsy).
Akā, ʻaʻole i wehe ʻia ka ʻōpū o ka ʻōpū i nā kānaka a pau me ka puʻupuʻu, ʻeā? ʻO ia ke kumu e loiloi ai nā kauka i ka pilikia o ka lilo ʻana o ka puʻupuʻu i maʻi kanesa. No ka hana ʻana i kēia, noʻonoʻo nui lākou i kekahi mau mea:
1. Ka nui o ka puʻupuʻu: ʻO kēia ka mea nui loa. ʻO nā puʻupuʻu ʻaʻole maʻi kanesa he liʻiliʻi ka nui. ʻOi aku ka nui o nā puʻupuʻu kanesa.
Ma ke ʻano he kānāwai maʻamau, inā ʻoi aku ka nui o ka puʻupuʻu ma mua o 1 kenimika (10 millimeters) , ua manaʻo ʻia he kiʻekiʻe ka pilikia o ka lilo ʻana i maʻi kanesa. I ia mau hihia, ʻōlelo pinepine nā kauka e wehe i ka gallbladder.
2. Ka wikiwiki o ka ulu ʻana: Ma hope o kou ʻike ʻana he puʻupuʻu kou, e noi paha kāu kauka iā ʻoe e hana i kahi scan ultrasound i kēlā me kēia makahiki a i ʻole e ʻike i ka wikiwiki o ka ulu ʻana o ka puʻupuʻu. ʻO ka maʻamau, ulu ka puʻupuʻu benign ma lalo o 2 millimeters i kēlā me kēia makahiki. Eia nō naʻe, hiki i kahi puʻupuʻu maʻi kanesa ke ulu wikiwiki.
3. Nā Hōʻailona:Inā he mau hōʻailona e like me ka ʻeha a me ke kuni, e noʻonoʻo ʻia nō hoʻi kēlā.
4. Makahiki o ka mea maʻi: Hoʻonui ʻia ka nānā ʻana i nā puʻupuʻu e kū mai ana i nā poʻe ma luna o 50 mau makahiki.
No laila, e nānā kāu kauka i kēia mau mea a pau a hoʻoholo inā pono ʻoe i ka lāʻau lapaʻau, a i ʻole inā lawa kahi scan.
He aha nā lāʻau lapaʻau no nā ʻōpū gallbladder?
ʻElua mau ʻano nui o ka mālama ʻana i nā ʻōpū o ka gallbladder.
1. Nānā ʻana
ʻO kēia ka mea e hana pinepine ʻia. Inā he liʻiliʻi kou puʻupuʻu (ʻaʻole iʻoi aku ma mua o 1 cm), ʻaʻohe ona hōʻailona, a ʻaʻohe ona kumu pilikia ʻē aʻe, e haʻi aku kāu kauka iā ʻoe ʻaʻohe mea hiki iā ʻoe ke hana i kēia manawa, a e nānā wale mākou iā ia. ʻO ke ʻano kēia e loaʻa iā ʻoe kahi scan ultrasound i kēlā me kēia 6 mahina a i ʻole hoʻokahi makahiki e ʻike ai inā e loli ana ka nui o ka puʻupuʻu. Inā ʻaʻohe loli, e hoʻomau ʻia ka nānā ʻia ʻana iā ʻoe.
2. ʻOki kino - Cholecystectomy
Inā he kānalua paha he maʻi kanesa kou puʻupuʻu, ʻo ka lāʻau maikaʻi loa a hoʻokahi wale nō ka wehe ʻana i ka gallbladder holoʻokoʻa ma o ke ʻoki ʻana. ʻAʻole hiki iā ʻoe ke wehe wale i ka puʻupuʻu mai ka gallbladder. Pono ʻoe e wehe i ka gallbladder ponoʻī.
Nā hihia i ʻōlelo ʻia ai ke ʻoki kino:
- Inā ʻoi aku ka nui o ka puʻupuʻu ma mua o 1 cm.
- Inā ulu wikiwiki ka puʻupuʻu.
- Inā he mau pōhaku gall me ka puʻupuʻu.
- Inā hoʻoulu ka puʻupuʻu i nā hōʻailona koʻikoʻi.
Hana ʻia kēia ʻoki kino ma nā ʻano nui ʻelua.
| ʻAno o ke ʻoki kino | Pehea e hana ai a me nā pōmaikaʻi |
|---|---|
| ʻO ke kaʻina hana laparoskopika Cholecystectomy | Ua kapa ʻia hoʻi kēia he "ʻoki puka kī." Ma kahi o ka hana ʻana i kahi ʻoki nui ma ka ʻōpū, hana ʻia he 3 a 4 mau ʻoki liʻiliʻi loa , hoʻokomo ʻia kahi kāmela (laparoscope) ma o kekahi o nā ʻoki, a hoʻokomo ʻia nā mea hana maikaʻi ma o nā ʻoki ʻē aʻe, a wehe ʻia ka gallbladder ma lalo o ka maka makaʻala o kahi monitor. ʻO nā pono o kēia: emi ka ʻeha, emi ka noho ʻana ma ka haukapila, wikiwiki ka hoʻōla ʻana (ma kahi o 2 mau pule), a me nā ʻeha liʻiliʻi loa. ʻO kēia ke ʻano maʻamau i hoʻohana ʻia i kēia manawa. |
| ʻO ka Cholecystectomy hāmama | ʻO kēia ke ʻoki ʻana i kahi ʻoki nui iki ma lalo o nā iwi ʻaoʻao ma ka ʻaoʻao ʻākau, ka wehe ʻana i ka ʻōpū, a me ka wehe ʻana i ka ʻōpū. Hoʻohana ʻia kēia ʻano hana inā he kānalua no ka maʻi ʻaʻai a inā pono e wehe ʻia nā ʻiʻo a puni. He manawa iki kēia e ho'ōla ai (ma kahi o 6-8 mau pule). Nui ka ʻeha a me ka ʻōpala. |
He paʻakikī ke ola ma hope o ka wehe ʻana i kou ʻōpū?
He mea kēia a ka poʻe he nui e makaʻu nei. Manaʻo lākou, "Auē, inā wau e wehe i kahi ʻāpana mai koʻu kino mai, e loaʻa ana kahi pilikia, ʻeā?"
ʻOiaʻiʻo, ʻaʻole ka ʻōpū he ʻōkana hiki ʻole iā kākou ke ola me ka ʻole. Ma hope o ka wehe ʻia ʻana, hiki iā ʻoe ke ola i kahi ola maʻamau. Ke wehe ʻia ka ʻōpū, ʻaʻole mālama ka bile i hana ʻia i loko o ke akepaʻa, akā e kahe pololei ana i loko o nā ʻōpū liʻiliʻi.
Ma hope o ke ʻoki ʻana, hiki i kekahi poʻe ke loaʻa i kahi ʻeha ʻōpū a i ʻole ka pehu ʻana ma hope o ka ʻai ʻana i nā meaʻai momona. ʻO ia ke kumu e haʻi aku ai kāu kauka iā ʻoe e hōʻemi i nā meaʻai palai a me nā ʻaila no nā pule mua. Akā ma hope o kekahi manawa, e maʻa kou kino i kēia ʻano ʻai hou. Ma hope o kēlā, hiki i ka hapa nui o ka poʻe ke ʻai maʻamau i kekahi meaʻai me ka ʻole o nā pilikia.
Leka Lawe-Home
- Mai makaʻu i ka lohe ʻana i ka inoa ʻo gallbladder polyps. ʻO ka hapa nui o kēia mau mea he mau ulu ʻino ʻole i hoʻokumu ʻia e nā waihona cholesterol.
- ʻO ka hapa nui o ka manawa, ʻaʻole kēia e hōʻike i kekahi mau hōʻailona. Ua ʻike ʻia lākou ma ka ulia.
- He haʻahaʻa loa ka pilikia o kēia i ka lilo ʻana i maʻi ʻaʻai (emi ma mua o 5%).
- E nānā kāu kauka i ka nui a me ka ulu ʻana o kēia mau ʻōpū ma o ke kaha kiʻi ʻana i ka ultrasound.
- ʻOiai inā pono ʻoe e hana i ke ʻoki kino e wehe i kou gallbladder, mai hopohopo. Hiki iā ʻoe ke ola i kahi ola olakino a maʻamau me ka ʻole o kahi gallbladder .
- Inā he mau nīnau a kānalua paha kāu e pili ana i kāu hōʻike scan a i ʻole ka lāʻau lapaʻau, e ʻoluʻolu e nīnau i kāu kauka. Mai makaʻu pono ʻole i ka heluhelu ʻana i nā mea ma ka pūnaewele.
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