Ke ʻike nei hoʻi ʻoe i ka ʻeha nui ma ka ʻaoʻao ʻākau o kou ʻōpū, ma lalo o kou mau iwi ʻaoʻao, me ka nausea a me ka luaʻi? ʻO ka hapa nui o ka manawa, manaʻo mākou he gastritis ia, akā hiki ke lilo i mea ʻoi aku ka koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i ʻike ʻole ʻia e ka poʻe he nui, akā he mea nui loa ia e ʻike. ʻO ia ka mumū o ka gallbladder, a i ʻole ma nā ʻōlelo lapaʻau, cholecystitis.
He aha kēia ʻōpū puʻuwai? He aha kēia mumū?
I ka ʻōlelo maʻalahi, he ʻano ʻeke liʻiliʻi e like me ka pea ka gallbladder ma lalo o ko kākou ake. ʻO kāna hana nui ka mālama ʻana i kahi wai i kapa ʻia ʻo "bile" i hana ʻia e ke ake. Ke ʻai mākou i kahi meaʻai momona a ʻaila paha, hoʻokuʻu ka gallbladder i kekahi bile i loko o ko mākou ʻōpū liʻiliʻi e kōkua i ka hoʻoheheʻe ʻana. Hele kēia bile ma o kahi ʻōnaehana o nā paipu liʻiliʻi e like me nā paipu wai. Kāhea nā kauka i kēia mau "bile ducts."
I kēia manawa, e noʻonoʻo, he aha ka mea e hana ai inā e ālai ʻia kekahi o kēia mau ala bile no kekahi kumu, a inā paha e loaʻa ka maʻi i ka gallbladder? ʻO ia ka manawa e pehu ai ka gallbladder a lilo i ʻeha a mumū. Kāhea mākou i kēia maʻi ʻo cholecystitis .
Aia kekahi mau ʻano nui o ka mumū o ka gallbladder?
ʻAe, hiki iā mākou ke ʻike i kēia kūlana ma nā ʻano nui ʻelua.
1. Cholecystitis ʻākiu: He maʻi koʻikoʻi kēia e hoʻomaka koke ana. He ʻeha nui loa.
2. Cholecystitis Mau Loa: ʻAʻole kēia he kūlana koke . He kūlana ia e nāwaliwali ai ka gallbladder i ka hala ʻana o ka manawa, e hoʻoulu ai i ka ʻeha manawa ʻole e emi iho ana.
Eia kekahi, ua hoʻokaʻawale ʻia hoʻi e like me ke kumu. Inā hoʻokumu ʻia e nā pōhaku gall, ua kapa ʻia ʻo "Calculous cholecystitis". Inā hoʻokumu ʻia e nā kumu ʻē aʻe me ka ʻole o nā pōhaku, ua kapa ʻia ʻo "Acalculous cholecystitis". Eia nō naʻe, he mea nui e hoʻomanaʻo i kahi o 95% o nā hihia, ʻo ke kumu he mau pōhaku gall .
He aha nā hōʻailona o ka mumū o ka gallbladder?
He mea nui loa ka ʻike pololei ʻana i kēia mau hōʻailona, i hiki iā ʻoe ke ʻimi koke i ke kōkua lapaʻau.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha nui ma ka ʻaoʻao ʻākau o luna o ka ʻōpū | ʻO kēia ka hōʻailona nui. Hoʻonui koke ka ʻeha a hiki i kahi kiʻekiʻe. Manaʻo paha kekahi poʻe i kēia ʻeha e neʻe ana i ka poʻohiwi ʻākau a i ʻole ke kua. Hoʻonui paha ka ʻeha i ka wā e hanu hohonu ai. Kuhihewa kekahi poʻe i kēia no ka ʻeha umauma a i ʻole ka hōʻeha puʻuwai. |
| Ka luaʻi a me ka luaʻi | He mea maʻamau loa ka ʻeha nui o ka ʻōpū me ka nausea a me ka luaʻi. |
| kuni | Hiki i kekahi poʻe ke loaʻa i ke kuni ma luna o 100 degere Fahrenheit. ʻO ke kuni paha ke ʻano he maʻi a mumū paha i ʻoi aku ka koʻikoʻi. Eia nō naʻe, ʻaʻole nui ka loaʻa ʻana o ke kuni i ka poʻe ʻelemakule. |
| Nā hiʻohiʻona ʻē aʻe | Hiki ke ʻike ʻia nā hōʻailona e like me ka pehu ʻana, ka ʻeha i ka wā e pā ai i ka ʻōpū, ka palaualelo, a me ka nalowale o ka makemake e ʻai, ʻoiai hoʻi i ka poʻe ʻelemakule. |
ʻO ka mea nui, i loko o kahi maʻi maʻi, ʻaʻole paha e koʻikoʻi loa kēia mau hōʻailona. Ma hope o ka ʻai ʻana i kahi meaʻai momona loa, hiki iā ʻoe ke ʻeha i ka ʻōpū a me ka luaʻi no kekahi mau hola a laila e nalo aku.
No ke aha e loaʻa ai kēia mumū o ka gallbladder?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui a maʻamau ka gallstones . Hoʻokumu ʻia kēia mau mea i ka wā e hōʻiliʻili ai nā mea like ʻole i loko o ka bile a paʻakikī i ka hala ʻana o ka manawa, e like me nā ʻiliʻili. Inā paʻa kēia mau pōhaku i loko o ka gallbladder a i ʻole i loko o kahi ʻauwai bile, ʻaʻole hiki i ka bile ke kahe i waho a hōʻiliʻili i loko o ka gallbladder. A laila pehu ka gallbladder, mumū, a hiki ke loaʻa i ka maʻi bacteria.
Akā, ʻaʻole wale nā pōhaku, aia kekahi mau kumu ʻē aʻe.
- ʻO ke koʻikoʻi o ka biliary: Hiki i nā maʻi ʻē aʻe ke hana i ka ʻeha o nā ʻāpana bile a hoʻohaiki iā lākou.
- ʻO ka dyskinesia biliary: ʻAʻole i ʻaelike pono nā ʻiʻo i loko o ka gallbladder, e pale ana i ka hoʻokuʻu ʻia ʻana o ka bile.
- Ka maʻi ʻaʻai Gallbladder: He mea kākaʻikahi loa, hiki i ke kanesa o ka gallbladder a i ʻole nā auwai bile ke hana i ka ālai ʻana o nā auwai bile.
- Hoʻemi ʻia ke koko (Ischemia): Inā emi ka nui o ke koko i hoʻolako ʻia i ka gallbladder no kekahi kumu, hiki ke hana i ka mumū.
- Nā maʻi:ʻOiai me ka ʻole o nā pōhaku gall, ʻaʻole hiki i ka gallbladder ke loaʻa pinepine ka maʻi ma muli o nā maʻi bacteria.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻO ka poʻe i ʻoi aku ka nui o ka loaʻa ʻana o nā pōhaku gall, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia mumū. ʻO lākou kēia:
- Nā wahine
- Nā makuahine hāpai
- Ka momona (kaumaha nui)
- Nā kānaka me ka maʻi diabetes
- Nā kānaka me nā pae cholesterol koko kiʻekiʻe
- ʻO ka poʻe i emi koke ke kaumaha
- Nā kānaka ma luna o 40 mau makahiki
He kūlana koʻikoʻi anei kēia? He aha nā pilikia e hiki mai ana?
ʻAe, ʻaʻole kēia he kūlana e lawe māmā ʻia . I kahi kūlana koʻikoʻi, ua ālai ʻia ke aʻa bile, e hoʻihoʻi ana i ka bile i loko o ke koko. Hiki i kēia ke hoʻoluhi i ke kino holoʻokoʻa.
ʻO kekahi o nā pilikia koʻikoʻi e hiki ke kū mai inā ʻaʻole mālama ʻia:
- Gangrene: Hiki i ka pehu nui ke ʻoki i ke kahe koko i ka gallbladder a make ai ke kino.
- Ka perforation o ka ʻōpū gall: Ma hope o ka make ʻana o nā ʻiʻo, lilo ka paia o ka gallbladder i perforated, e ʻae ana i ka bile a me nā toxins e lele i loko o ka ʻōpū.
- Peritonitis: Ke kahe ka bile i loko o ka ʻōpū, hiki i nā germs ke komo i loko o ka uhi palupalu o ka ʻōpū a hoʻoulu i kahi maʻi koʻikoʻi.
- Septicemia: Inā pālahalaha kēia maʻi i ke koko, hiki ke hoʻoweliweli i ke ola.
- Pancreatitis: Ma muli o ka wahi o ka pōhaku, hiki ke hoʻopilikia ʻia ka pancreas.
No laila, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka , ma mua o ka noho ʻana ma ka home a me ka noʻonoʻo "he gastritis paha."
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e nānā ʻo ia iā ʻoe. Aia kahi hoʻāʻo kaulana e nānā i ka mumū o ka ʻōpū. Ma loko o ia mea, e kaomi ke kauka ma ka ʻaoʻao ʻākau o luna o kou ʻōpū a noi iā ʻoe e hanu hohonu. Inā ʻoe e ʻeha nui, ʻo ia ka hōʻailona koʻikoʻi o ka mumū o ka ʻōpū (`Murphy's sign`).
Ma hope o kēlā, hiki iā ʻoe ke kuhikuhi i nā hoʻokolohua aʻe e hōʻoia i ka maʻi:
- Nā hoʻāʻo koko: Helu koko piha (CBC) a me nā hoʻāʻo hana ate.
- ʻO ka ultrasound ʻōpū: Hiki i kēia ke ʻike maopopo i nā mea e like me nā gallstones a me ka pehu ʻana.
- CT scan: Hana ʻia kēia inā pono kahi kiʻi maopopo aʻe.
- HIDA scan: Hiki i kēia ke hoʻoholo pololei i ka hana maikaʻi o ka gallbladder a inā paha he poloka i nā ʻāpana bile.
Pehea e mālama ʻia ai? Hiki ke ho'ōla ʻia kēia?
ʻAe, ʻoiaʻiʻo nō. Inā ua ʻike ʻia ʻoe me ka mumū o ka ʻōpū, e hoʻokomo ʻia ʻoe i ka haukapila a e hoʻomaka ka mālama ʻana.
Ka lāʻau lapaʻau mua:
- Saline (nā wai IV): He hoʻokomo wai kēia e hāʻawi i kou kino me nā wai e pono ai ʻoiai e hoʻomaha ana i kāu ʻōnaehana hoʻoheheʻe.
- IV antibiotics: Hāʻawi ʻia nā antibiotics ma o kahi vein e pale ai a mālama paha i ka maʻi inā loaʻa.
- Hoʻomaha ʻeha IV: Hāʻawi ʻia nā mea hōʻeha ʻeha ikaika e kāohi i ka ʻeha nui.
ʻO ka lāʻau lapaʻau nui a mau loa:
ʻO ka lāʻau lapaʻau mau loa a maikaʻi loa no nā pōhaku gall, ʻo ia ka wehe ʻana i ka gallbladder (`Cholecystectomy`) . ʻO ka hapa nui o ka manawa, ʻo ke kumu o kēia mau pilikia āpau, ʻo ia ka gallbladder a me nā pōhaku i loko, a ʻo ka wehe ʻana iā ia e hoʻoponopono loa i ka pilikia.
Mai makaʻu i ka "ʻauē, ʻoki kino!" He ʻoki kino maʻamau loa kēia, haʻahaʻa ka pilikia i kēia manawa. ʻO ka hapa nui o ka manawa, hana ʻia ia ma ke ʻano laparoscopic . ʻO ke ʻano kēia, ua wehe ʻia ka gallbladder me ka hoʻohana ʻana i kahi kāmela ma kahi o kahi ʻoki nui ma ka ʻōpū. Hiki i kēia ke kōkua iā ʻoe e hoʻōla wikiwiki a hōʻemi i kou noho ʻana ma ka haukapila. Eia nō naʻe, i kekahi mau hihia paʻakikī, pono paha ke ʻoki kino hāmama.
Aia kekahi mau koho ʻē aʻe no ka poʻe hiki ʻole ke hana ʻoki kino?
I kekahi manawa, ʻaʻole hiki i kekahi me nā maʻi koʻikoʻi ʻē aʻe ke hana koke i ke ʻoki kino. I ia mau hihia, hiki ke hoʻohana ʻia kahi hana manawa pōkole i kapa ʻia ʻo ka drainage e hōʻoluʻolu i ke kaomi ma ka gallbladder. A i ʻole, hiki ke hoʻohana ʻia kahi hana i kapa ʻia ʻo endoscopic retrograde cholangiopancreatography (ERCP) e wehe i nā pōhaku mai nā ʻauwai bile. Eia nō naʻe, he mau hopena manawa pōkole kēia. ʻO ka hopena, ʻo ka hopena maikaʻi loa ka wehe ʻana i ka gallbladder.
ʻAʻohe pilikia ma hope o ka wehe ʻana i ka gallbladder?
He nīnau kēia a ka poʻe he nui. Hiki anei ke ola me ka ʻole o ka gallbladder? ʻAe nō. ʻO ka hana wale nō a ka gallbladder ka mālama ʻana i ka bile. Ke wehe ʻia, hele pololei ka bile mai ke akepaʻa i loko o ka ʻōpū liʻiliʻi.
Hiki ke hala kekahi mau pule a i ʻole mau mahina no ke kino e hoʻomaʻamaʻa i kēia ʻōnaehana hou. I loko o ia manawa, hiki i kekahi poʻe ke loaʻa i ka ʻoluʻolu ʻole no ka manawa pōkole, e like me:
- He mea paʻakikī iki ke hoʻoheheʻe i nā meaʻai ʻaila a me nā mea momona.
- Loaʻa i kekahi poʻe nā hōʻailona e like me ka maʻi pākī.
Akā i ka hala ʻana o ka manawa, e hoʻomaʻamaʻa kou kino i kēia. E aʻo aku kāu kauka iā ʻoe i kahi papaʻai kūpono.
Leka Lawe-Home
- ʻO ka ʻeha nui ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ka luaʻi, a me ke kuni he mau hōʻailona ia o ka mumū o ka ʻōpū. Mai hoʻowahāwahā iā ia, me ka manaʻo he "gastritis" ia.
- ʻO ke kumu nui o kēia, he mau pōhaku gallstones.
- Inā haʻalele ʻia me ka mālama ʻole ʻia, hiki i kēia ke lilo i mea koʻikoʻi e hiki ai ke alakaʻi i ka haki ʻana o ka gallbladder, nā maʻi ʻōpū, a me nā pilikia e hoʻoweliweli ai i ke ola.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- ʻO ka wehe ʻana i ka ʻōpū gallbladder ke ʻano lapaʻau mau loa a palekana loa. ʻAʻohe mea keakea i ke ola maʻamau me ka ʻole o ka ʻōpū gallbladder.
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