ʻEha pū kekahi kou ʻaoʻao ʻākau o kou ʻōpū? E aʻo kākou e pili ana i ka cholecystitis!

Ua loaʻa anei iā ʻoe ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui, ʻoiai ka ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, me ka nausea a me ka luaʻi? A i ʻole ua loaʻa i kekahi āu i ʻike ai kēia? Hiki i kēia mau mea ke lilo i mau hōʻailona o kahi maʻi i kapa ʻia ʻo cholecystitis. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka cholecystitis , ke kumu e hana ai, a me nā mea hiki ke hana ʻia e pili ana i ia mea.

He aha ka cholecystitis?

I ka ʻōlelo maʻalahi, ʻo ka cholecystitis kahi mumū a i ʻole ka pehu ʻana o kou gallbladder . E noʻonoʻo iā ia e like me kahi ʻeke liʻiliʻi e like me ka pea ma lalo o kou ake . Mālama ka gallbladder i ka bile no kekahi manawa, kahi wai i hana ʻia e ke ake. Ma hope o kā mākou ʻai ʻana, ʻoi aku hoʻi nā meaʻai momona, hoʻouna ʻia kēia bile i ka ʻōpū liʻiliʻi e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai. Hele kēia bile ma o nā ala liʻiliʻi e like me ka paipu i kapa ʻia ʻo nā ducts bile . No laila, inā he maʻi a i ʻole kahi paʻa i loko o ka gallbladder a i ʻole nā ​​​​ducts bile e pili ana iā ia, e loaʻa ka mumū, ka ʻeha, a me ka pehu.

Aia kekahi mau ʻano like ʻole o ka cholecystitis?

ʻAe, hiki ke hoʻokaʻawale ʻia kēia i kekahi mau ʻano nui:

• ʻO ka mumū koʻikoʻi: He ʻano koke a koʻikoʻi kēia.
• ʻO ka mumū mau loa: He ʻano kēia e ulu mālie ana i ka hala ʻana o ka manawa a ʻaʻole i koʻikoʻi akā hoʻomau.
• ʻO ka mumū calculus: ʻO kēia ke ʻano mumū maʻamau. He mumū ia i hoʻokumu ʻia e nā pōhaku gall.
• ʻO ka mumū Acalculous: ʻO kēia ka mumū e kū mai ana ma muli o nā kumu ʻē aʻe ma mua o nā gallstones.

E noʻonoʻo e pili ana i ia mea, inā pehu koke ka ʻōpū ma muli o kahi pilikia nui, he mumū koʻikoʻi ia. A i ʻole, inā pehu iki ka ʻōpū ma muli o nā pilikia liʻiliʻi i ka manawa lōʻihi, he mumū mau ia. I ka hapanui o nā hihia, ʻo ke kumu o kēia mau mea ʻelua he mau pōhaku ʻōpū. ʻO ia ke kumu e hoʻokaʻawale ai nā kauka inā he mau pōhaku ia a ʻaʻole paha.

Pehea ka maʻamau o kēia ʻano?

Ua ʻōlelo ʻia he 15% o ka heluna kanaka o ka honua e loaʻa ana nā pōhaku gall. Ma kahi o 20% o lākou e loaʻa nā pilikia ma muli o nā pōhaku gall, e like me ka cholecystitis . Mai kahaha, 95% o nā hihia cholecystitis i hoʻokumu ʻia e nā pōhaku gall!

He aha nā hōʻailona o ka cholecystitis?

Hiki ke ʻokoʻa iki kēia mau hōʻailona ma muli o ke ʻano o ka mumū.

Nā hōʻailona o ka mumū nui:

• ʻEha nui ma ka ʻōpū o luna, ʻoiai ma ka ʻaoʻao ʻākau:Hiki i kēia ʻeha ke piʻi koke a lilo i mea hiki ʻole ke hoʻomanawanui. I kekahi manawa hiki i kēia ʻeha ke pālahalaha i ka poʻohiwi ʻākau a i ʻole ke kua. Hiki i ka ʻeha ke like me ke kui ʻana o ke kui, ka ʻeha palupalu, a i ʻole ka wili ʻana o nā ʻiʻo o ka ʻōpū. Hiki nō hoʻi ke piʻi aʻe ka ʻeha ke hanu hohonu ʻoe. Kuhihewa kekahi poʻe i kēia no ka ʻeha umauma a i ʻole ka hōʻeha puʻuwai . Ua kapa ʻia kēia ʻeha koke he " Gallbladder Attack."
• Ka luaʻi a me ka luaʻi : ​​He hōʻailona maʻamau kēia e hele pū pinepine me ka "hoʻouka ʻana o ka gallbladder."
• Kuni: ʻO ke kuni ma luna o 100 degere Fahrenheit (37.8 Celsius) hiki ke hōʻike i kahi maʻi a i ʻole ka mumū nui.

Mea nui: He ʻokoʻa iki paha kēia mau hōʻailona no ka poʻe ʻelemakule. Loaʻa paha iā lākou ka nalowale o ka makemake e ʻai a me ka palaualelo iki. ʻAʻole maʻamau ka wela i waena o ka poʻe ʻelemakule.

Nā hiʻohiʻona ʻē aʻe:

• ʻŌhū a me ka palupalu .
• ʻOʻoleʻa nā ʻiʻo ma ka ʻaoʻao ʻākau o ka ʻōpū.
• Ka nāwaliwali a me ka luhi , ʻoi aku hoʻi i ka poʻe ʻelemakule.

Nā hōʻailona o ka mumū mau loa:

ʻOi aku ka liʻiliʻi o nā hōʻailona ma mua o nā kūlana koʻikoʻi a hele pinepine mai a hele aku. Hiki iā ʻoe ke ʻike i ka ʻeha o ka ʻōpū a me ka nausea i kapa ʻia ʻo "biliary colic" ma hope o ka ʻai ʻana i kahi meaʻai momona a kaumaha. ʻO kēia no ka mea pono nā meaʻai momona i ka bile hou aʻe e hoʻoheheʻe. A laila hōʻailona kāu ʻōnaehana hoʻoheheʻe i ka gallbladder e hoʻokuʻu i ka bile hou aʻe. ʻO kēia ke kumu o ka paʻakikī o ka gallbladder, e hoʻonui ana i ke kaomi i loko. Hiki i kēia ʻeha ke mau no kekahi mau hola.

He aha ke kumu nui o kēia?

I ka hapanui o nā hihia, ʻo ka mumū ʻoi a me ka mumū mau loa ke kumu o nā pōhaku gall e ālai ana i nā ʻauwai bile . ʻO nā pōhaku gall he mau mea paʻa i loko o ka bile i hōʻiliʻili ʻia i ka hala ʻana o ka manawa a lilo i mau pōhaku. Hoʻokumu pinepine lākou ma lalo o ka gallbladder, akā hiki iā lākou ke neʻe a puni i kekahi manawa. I ko lākou neʻe ʻana, ua paʻa lākou i loko o kahi ʻauwai bile a i ʻole ma ka waha o ka gallbladder. ʻO kēia ke kumu o ka bile e hoʻihoʻi i luna i loko o ka gallbladder, hiki ke alakaʻi i ka maʻi.

• Ka mumū koʻikoʻi:Hana ʻia kēia ke ālai loa ʻia ke kahe ʻana o ka bile mai ka gallbladder e kahi pōhaku. Piʻi aʻe ka pehu ʻana o ka gallbladder a ʻoi aku ka ʻino o ke kūlana.
• ʻO ka mumū mau loa: I kekahi manawa, ʻaʻole paha e ālai loa ka pōhaku i ke kahawai, akā hiki ke paʻa no kekahi manawa a laila hemo hou. No ka laʻana, hiki iā ʻoe ke ʻeha wale nō ke ʻūlū ka gallbladder ma hope o ka ʻai ʻana i kahi meaʻai nui. ʻO kēia ke kumu o ka mumū mau loa .

He aha nā kumu ʻē aʻe ma waho aʻe o nā gallstones?

ʻOiai ʻo ke kumu maʻamau ka paʻa ʻana o nā ala bile e nā pōhaku gall, hiki i nā kumu ʻē aʻe ke hoʻoulu i ka pehu ʻana o ka gallbladder a ālai i ke kahe ʻana o ka bile. Eia kekahi mau laʻana:

• ʻO ke koʻikoʻi o ka biliary : ʻO ka mumū mau loa o nā ʻauwai bile e hiki ai ke hana i nā ʻiʻo ʻeha a hoʻohaiki i nā ʻauwai, e ālai ana i ke kahe o ka bile.
• ʻO Biliary Dyskinesia: He kūlana kēia e hoʻopilikia ai i ka hana o nā ʻiʻo i loko o ka gallbladder . ʻO ke kikoʻī, ʻaʻole e ʻūlū maikaʻi ka gallbladder e like me ka mea e pono ai, no laila ʻaʻole kahe ka bile i waho.
• Ke kūpaʻa o ka Bile: Hiki ke hoʻopilikia ʻia ke kahe ʻana o ka Bile ma muli o ka maʻi akepaʻa mau a i ʻole ka hānai parenteral (IV) lōʻihi. E hoʻomanaʻo, i ka wā ʻaʻole ʻoe e lawe ana i ka meaʻai ma ka waha akā e hānai ʻia ana ʻoe i ka IV, ʻaʻole pono ʻoe i ka bile.
• Kanesa: ʻOiai he mea kakaikahi, hiki i kahi puʻupuʻu kanesa i loko o ka gallbladder a i ʻole nā ​​​​​​auwai bile ke ālai i ke kahe o ka bile.

ʻO ka maʻamau, ulu mālie kēia mau kūlana, e alakaʻi ana i ka cholecystitis acalculous mau loa . Eia nō naʻe, hiki iā lākou ke holomua i ka cholecystitis acalculous koʻikoʻi . ʻO nā kumu ʻē aʻe e hiki ke komo pū me:

• Ischemia: Ke emi ka lako koko i ka gallbladder, hiki iā ia ke alakaʻi i ka mumū ʻoi a mau paha, ma muli o ke koʻikoʻi. Hiki ke hana pinepine kēia ma muli o kahi maʻi koʻikoʻi a ulia paha. Hiki ke hana ʻia e ka poloka ʻana o ke kīʻaha koko (vascular occlusion) a i ʻole vasculitis .
• Maʻi: Hiki ke loaʻa kahi maʻi bacteria i loko o ka gallbladder a i ʻole nā ​​​​​​auwai bile, ʻoiai me ka ʻole o kahi ālai. He mea kākaʻikahi kēia. ʻOi aku ka maʻalahi o kēia i ka poʻe me ka ʻōnaehana pale nāwaliwali. Hiki i ka maʻi ke hōʻino i ka ʻiʻo gallbladder.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

Inā loaʻa iā ʻoe nā pōhaku gall, ʻoi aku ka nui o ka loaʻa ʻana o ka cholecystitis. ʻO ka poʻe i ʻoi aku ka nui o ka loaʻa ʻana o nā pōhaku gall:

• No nā wāhine
• No nā wahine hāpai
• No ka poʻe momona
• No ka poʻe me ka maʻi diabetes
• No nā poʻe me ke cholesterol kiʻekiʻe
• No ka poʻe i emi koke ke kaumaha a wikiwiki hoʻi (Rapid Weight Loss)
• No nā poʻe ma luna o 40 mau makahiki
• (Hiki i kekahi mau mana genetic a me ke ʻano o ka nohona ke pāʻani i kahi kuleana)

Pehea ke koʻikoʻi o kēia cholecystitis?

ʻO ka maʻamau, ʻo ka cholecystitis acute ka mea i hoʻopilikia ʻia e ka paʻa ʻana o ke kahe ʻana o ka bile. ʻAʻole ia e hoʻopilikia wale i ka gallbladder. Hiki iā ia ke hoʻopilikia i kāu ʻōnaehana biliary holoʻokoʻa - ka ʻōnaehana o nā ʻōpū e lawe ana i ka bile ma o nā ʻāpana bile - a hoʻoulu i ka mumū a me ka maʻi. Hiki i ka bile i hōʻiliʻili ʻia ke kahe i loko o ke koko a hoʻomaʻi iā ʻoe. Pale pū ia i kāu ʻōnaehana hoʻoheheʻe mai ka loaʻa ʻana o ka bile e pono ai. Hiki i ka mumū nui a me ka pehu ke make ai nā ʻiʻo (gangrene) . Inā hana ʻia kēia, hiki i ke kino ke haki a lilo paha i perforated. Ua kapa ʻia kēia he gangrenous cholecystitis . ʻO ka mumū mau loa he mea liʻiliʻi ʻole ia, akā hiki i ka mumū lōʻihi ke hana i ka hōʻino nui. Hiki ke hana ʻia nā ʻiʻo ʻeha i loko o kāu gallbladder a pale iā ia mai ka ʻaelike pono ʻana. Hiki i kēia ke ālai i ke kahe ʻana o ka bile.

Nā pilikia o ka Cholecystitis:

• Ka hōʻino ʻana i kou ake, nā ʻauwai bile, a i ʻole ka pancreas (e.g., pancreatitis ).
• Ka hoʻopilikia ʻia ʻana o ka ʻai ʻana a me ka omo ʻana o nā meaola i loko o ka ʻōpū liʻiliʻi.
• ʻO ka mumū lōʻihi ke kumu o ka ʻeha o ka gallbladder (Gallbladder Fibrosis) a me ka hana ʻino.
• ʻO ka make ʻana o nā ʻiʻo ma muli o ka pehu ʻana (necrosis) a me ka gangrenous cholecystitis .
• ʻO ka puka ʻana o ka ʻōpū gall , e hopena ana i ka maʻi o ka lua ʻōpū (peritonitis).
• Hiki i ka peritonitis ke alakaʻi i kahi abscess a i ʻole ka lāʻau make koko ('Septicemia').

ʻAʻole kēia he mea e hoʻolei wale ʻia, no ka mea, ua nui loa ka pōʻino e hiki mai ana.

Pehea e ʻike ʻia ai kēia?

E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona. Inā manaʻo lākou he cholecystitis , e noi lākou iā ʻoe e hanu hohonu a kaomi ma ka ʻaoʻao ʻākau o luna o kou ʻōpū. Inā ʻoe e ʻeha, he hōʻailona kaulana kēia o ke kūlana ( Hōʻailona Murphy ). A laila e hana lākou i nā hoʻokolohua, e like me nā hoʻokolohua kiʻi e nānā i kāu gallbladder a me nā ʻāpana bile, a me nā hoʻokolohua koko e ʻike i nā ʻike ʻē aʻe. ʻO kekahi o nā hoʻokolohua i hana ʻia no kēia:

• Helu Koko Piha (CBC)
• Nā Hoʻāʻo Hana Ake
• Ultrasound ʻōpū
• ʻO ka Ultrasound Endoskopika
• ʻO ka CT Scan (CT Scan - Computed Tomography Scan)
• HIDA Scan (HIDA Scan - Hepatobiliary Iminodiacetic Acid Scan)

E hoʻōla anei kēia cholecystitis iā ia iho?

ʻAʻole. Pono nā kumu āpau o ka cholecystitis i ka mālama ʻana. I kekahi manawa, hiki i kahi pōhaku e ālai ana i ka gallbladder a i ʻole ka bile duct ke hele wale aku a e nalo aku kāu mau hōʻailona. Akā, ʻo ka kali ʻana i kēlā mea ʻaʻole ia he manaʻo maikaʻi - he mea ʻeha a he mea weliweli hoʻi. ʻOiai pēlā, ʻaʻole ia e hoʻoponopono i kāu mau pilikia. Hiki ke paʻa hou ka pōhaku like a i ʻole kekahi pōhaku ʻē aʻe.

He aha ka lāʻau lapaʻau no kēia?

Hoʻōla koke ʻia ka Cholecystitis ma ka haukapila. Hoʻomaka ka lāʻau lapaʻau me kēia mau mea:

• ʻO ka hāʻawi ʻana i nā wai IV ʻoiai e hoʻomaha ana i kāu ʻōnaehana hoʻoheheʻe.
• ʻO ka hāʻawi ʻana i nā lāʻau antibiotic intravenous (IV antibiotics) e pale aku ai a mālama paha i nā maʻi.
• Ke hāʻawi nei i ka hoʻomaha ʻeha IV, kahi mea e pono ai nā poʻe he nui.

ʻO ka lāʻau lapaʻau mau loa no kēia, ʻo ia ke ʻoki ʻana e wehe i ka gallbladder (cholecystectomy) . Nui nā mea e hoʻoulu ai i ka cholecystitis, e like me nā gallstones, e hoʻomaka i loko o ka gallbladder. I kekahi manawa, inā ʻo ke kumu o kou cholecystitis kahi mea hiki ke mālama ʻia ma kahi ʻokoʻa mai nā gallstones (e like me kahi maʻi), ʻaʻole pono paha ke ʻoki ʻana. Eia kekahi, ma muli o kou mau kūlana olakino ʻē aʻe, makemake paha ʻoe e hoʻopanee a ʻaʻole paha e hana i ke ʻoki ʻana. Inā ʻoe e hoʻopanee ana a ʻaʻole paha e hana i ke ʻoki ʻana, hiki iā ʻoe ke hana i kēia mau mea:

• Ke hoʻokahe ʻana i ka wai mai ka gallbladder a me ka hoʻomaha ʻana i ke kaomi: Hiki i ke kauka ke hana i kahi ʻoki liʻiliʻi i loko o kou ʻōpū a hoʻokomo i kahi paipu hoʻokahe i loko o kou gallbladder. A i ʻole, hiki iā lākou ke hoʻohana i kahi ultrasound endoscopic e alakaʻi i kahi paipu ma kou waha e hoʻokahe i ka wai mai kou gallbladder i loko o kāu ʻōnaehana digestive.
• Ka Wehe ʻana i ka Gallstone Endoscopic: ʻO ka ERCP (Endoscopic Retrograde Cholangiopancreatography) kahi hana e hoʻohana ana i kahi endoscope ma kou waha e nānā i kāu ʻōnaehana biliary me ka hoʻohana ʻana i ka ʻenehana X-ray. ʻAe kēia i nā mea hana liʻiliʻi e hoʻokomo ʻia ma o ka endoscope e wehe i nā pōhaku i paʻa i loko o nā ʻauwai bile. Hiki i kēia ke hōʻoluʻolu i kāu mau hōʻailona koke.

ʻO ke ʻoki kino (Cholecystectomy)

ʻOiai inā ua hoʻopau ʻia kāu cholecystitis o kēia manawa - ʻo ia hoʻi, ʻaʻole i paʻa hou ka pōhaku i paʻa, a ʻaʻole i loaʻa hou nā hōʻailona i alakaʻi ai i kou kipa ʻana i ka haukapila - maʻi a me ka ʻoiHiki i nā ʻano ʻelua o ka cholecystitis ke hoʻi hou mai. ʻO nā pōhaku gall i hoʻoulu i kahi flare-up i hoʻokahi manawa, ʻoi aku ka nui o ka hana hou ʻana. Hiki i nā flare-up pinepine ke alakaʻi i ka mumū mau loa, a hiki i nā mea ʻelua ke hana i ka pōʻino lōʻihi. I mea e pale ai i nā hopena o ka cholecystitis hou, ʻōlelo nā kauka i ke ʻoki ʻana e wehe i ka gallbladder (cholecystectomy) . He hana maʻamau kēia, he hana liʻiliʻi me nā hopena ʻaoʻao liʻiliʻi. No nā poʻe he nui, hiki ke hana ʻia kēia ma ke ʻano laparoscopically - ma o kekahi mau ʻoki liʻiliʻi, i ʻike ʻia hoʻi ʻo "keyhole surgery." I nā hihia paʻakikī, pono paha ke ʻoki wehe.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Hiki i kāu ʻōnaehana biliary a me ka ʻōnaehana hoʻoheheʻe ke hana maikaʻi me ka ʻole o kāu gallbladder. ʻO ka gallbladder he wahi mālama wale nō ia no ka bile, i hana ʻia e ke akepaʻa. Ke wehe ke kauka lapaʻau i kāu gallbladder, hoʻololi hou ʻo ia i nā ala bile i kahe pololei ai ka bile mai kou akepaʻa i loko o kou ʻōpū liʻiliʻi. Hiki ke hala kekahi mau pule a i ʻole mau mahina no kou kino e hoʻomaʻamaʻa i kēia loli. I loko o kēia manawa, hiki iā ʻoe ke ʻike i nā hōʻailona manawa pōkole e like me:

• Ke kaumaha a ʻeha paha i loko o ka ʻōnaehana biliary ma muli o ke kahe lohi o ka bile.
• He paʻakikī ke ʻeli ʻana i nā meaʻai momona, e hoʻoulu ai i ka maʻi pākī i kekahi poʻe.

He aha ka manaʻolana no kekahi kanaka me ka cholecystitis?

ʻOiai ke ʻano a i ʻole ke kumu, pono ka cholecystitis i ka mālama ʻana ma ka haukapila. E hāʻawi koke ka haukapila iā ʻoe i ka hōʻoluʻolu ʻeha a e ʻimi i ke kumu. ʻO ka maʻamau he gallstone ia, ʻoiai ʻaʻole mau. I ka hapanui o nā hihia, paipai nā kauka i kahi lāʻau mau loa ma o ke ʻoki ʻana. He nui ka poʻe i loaʻa nā hopena maikaʻi loa. Inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia weliweli.

He pilikia olakino mau ka ʻeha nui o ka ʻōpū. Inā hōʻike ia i nā hōʻailona o ka ʻeha o ka ʻōpū - ʻo ia hoʻi, inā e hele koke mai a koʻikoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, me ka hele pū ʻana me ka nausea - he mea naʻauao ke hele pololei i ka lumi pilikia o ka haukapila.

ʻOiai inā he liʻiliʻi kou ʻōpū gallbladder, hiki i kāu ʻōnaehana biliary holoʻokoʻa ke pilikia inā kau ʻia ke kaomi ma luna. Hiki ke nalowale nā ​​​​hōʻailona o ka cholecystitis, akā ke mau nei ke kumu. Hiki ke hoʻi mai nā hōʻailona, ​​a e hoʻomau ka cholecystitis i ka hōʻino ʻana i kou gallbladder a hiki i kou loaʻa ʻana o ka lāʻau lapaʻau e pono ai.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

No laila, ʻo ka hopena, ʻaʻole pono e hoʻokaʻawale ʻia ka cholecystitis .

• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ka nausea, ka luaʻi, a me ke kuni, pono ʻoe e ʻike i ke kauka. Mai hoʻokaʻulua.
• ʻO ka hapa pinepine, ʻo kēia ke kumu o nā gallstones, akā aia kekahi mau kumu ʻē aʻe.
• Me ka mālama kūpono, hiki ke ho'ōla loa ʻia kēia maʻi. ʻO ka pinepine, ʻo ka wehe ʻana i ka gallbladder ka hopena maikaʻi loa.
• Inā ʻaʻole mālama ʻia , hiki ke loaʻa nā pilikia koʻikoʻi e hiki ke hoʻoweliweli i ke ola .

No laila, inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, ​​mai kānalua e ʻimi i ke aʻo lapaʻau. ʻO ka noho olakino ka mea nui loa!