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Loaʻa iā ʻoe kekahi ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū? E aʻo kākou e pili ana i nā pōhaku gall.

Loaʻa iā ʻoe kekahi ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū? E aʻo kākou e pili ana i nā pōhaku gall.
E noʻonoʻo ʻoe e ʻai ana i kahi meaʻai ʻono a laila ʻike koke ʻoe i kahi ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū. I kekahi manawa ua like ia me ka nausea a hiki paha iā ʻoe ke luaʻi. Hiki paha kēia ma muli o nā pōhaku gall, i hoʻokumu ʻia i loko o kou gallbladder. ʻAʻole ʻike ka poʻe he nui i kēia. No laila e kamaʻilio kākou e pili ana i nā pōhaku gall me nā kikoʻī hou aku i kēia lā, ʻae?

He aha kēia mau pōhaku ʻaʻai?

I ka ʻōlelo maʻalahi, he mau ʻāpana paʻakikī, e like me ka pōhaku o ka bile e hana ʻia i loko o kou gallbladder a i ʻole nā ​​​​​​auwai bile. ʻO "Gall" ke ʻano o ka bile. No laila, ʻo "Gallstones" he "gallstones." Ua like kou gallbladder me kahi ʻeke liʻiliʻi e hōʻiliʻili a mālama i ka bile. Mālama ia i ka bile no ka hoʻohana ʻana ma hope. Hana ko mākou ake i kēia bile, a laila hele ia ma o nā ducts bile i nā ʻōpū i loko o kā mākou ʻōnaehana biliary. I kekahi manawa kapa nā kauka i kēia maʻi ʻo "cholelithiasis." ʻO "Chole" ke ʻano o ka bile, a ʻo "lithiasis" ke ʻano o ka hoʻokumu ʻana o ka pōhaku. Hoʻokumu ʻia kēia mau gallstones i ka wā e hōʻiliʻili ai kekahi mau mea i loko o ka bile a paʻakikī i ka hala ʻana o ka manawa. Hana pinepine kēia i ka wā e hoʻohui ʻia ai ka nui o kekahi o nā mea nui i loko o ka paila.

Pehea ke koʻikoʻi o kēia mau pōhaku ʻaʻa?

ʻAʻole pono ka loaʻa ʻana o nā pōhaku gall (cholelithiasis) e hoʻopilikia iā ʻoe. He nui ka poʻe i loaʻa iā lākou a ʻaʻole lākou i ʻike. Akā inā hoʻomaka kēia mau pōhaku e hele ma o kou mau ʻauwai bile a paʻa i kahi, hiki iā lākou ke lilo i mea weliweli. Inā hana lākou, hiki iā lākou ke ālai i kou mau ʻauwai bile, e hōʻeha nui ana a me nā pilikia koʻikoʻi. ʻO ka pilikia, ʻo ia ka nui o kēia mau pōhaku. Hoʻomaka lākou ma ke ʻano he mau hua one, a i ka hoʻomau ʻana o ka bile e kahe ma luna o lākou, ʻoi aku ka nui o nā mea i waiho ʻia, e hoʻonui ai i ka pōhaku. I kekahi manawa hiki i kēia mau pōhaku ke nui aʻe e ālai i ke kahe o ka bile, ʻoiai inā paʻa lākou i kahi haiki e like me ka ʻauwai bile.

Pehea ka maʻamau o kēia mau mea?

Ua manaʻo ʻia he 10% o nā pākeke ma ʻAmelika Hui Pū ʻIa he mau pōhaku ʻōpū, a he 75% o lākou he mau wahine. Eia nō naʻe, he 20% wale nō o ka poʻe i ʻike ʻia me kēia maʻi e loaʻa nā hōʻailona a pono paha e mālama ʻia. Hiki ke ʻike ʻia kēia kūlana i kahi nui a liʻiliʻi paha ma ko mākou ʻāina, ʻo Sri Lanka.

He aha nā hōʻailona o nā pōhaku gallstones?

ʻAʻole pinepine nā pōhaku gall e hōʻike i nā hōʻailona a hiki i ko lākou paʻa ʻana i loko o ka gallbladder a hana i kahi paʻa. ʻO kēia paʻa ke kumu o nā hōʻailona. ʻO nā hōʻailona maʻamau ka ʻeha o ka ʻōpū o luna a me ka nausea. Hiki ke hele mai kēia mau mea a hele aku, a i ʻole e mau ana paha. Inā koʻikoʻi ka paʻa a mau paha no ka manawa lōʻihi, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe, e like me:

He aha ke ʻano o ka ʻeha mai nā pōhaku gallstones?

ʻO ka ʻeha o kahi pōhaku gallstone maʻamau he ʻeha koke a koʻikoʻi. Hiki iā ia ke manaʻo e like me kou ʻōpū e pahū ana. Ua kapa ʻia hoʻi kēia he "gallstone attack" a i ʻole "gallbladder attack." Hiki iā ʻoe ke manaʻo i kēia ʻeha ma hope o ka ʻai ʻana. ʻO kēia no ka mea ke ʻūlū nei kou gallbladder, e kau ana i ke kaomi hou aku ma kāu ʻōnaehana biliary. I kekahi manawa e ala paha ʻoe mai ka hiamoe me kēia ʻeha. ʻO ka ʻeha e piʻi mālie ana, hiki i ka piko, a laila emi mālie iho ua kapa ʻia ʻo "biliary colic." Hiki mai ia i kekahi manawa. Hiki ke mau mai nā minuke a i nā hola. ʻO ka maʻamau, nalowale ka ʻeha ke neʻe ka pōhaku a i ʻole ke emi ʻana o ke kaomi. ʻO ka poʻe e ʻeha nei i kēia ʻeha e ʻōlelo nei he ikaika loa ia, e ʻō ana, e ʻū ana, a e ʻū ana paha . Hiki ke koʻikoʻi loa a hiki ʻole iā ʻoe ke kū mālie.

Aia i hea ka ʻeha o nā pōhaku ʻōpū?

Aia kou ʻāpana biliary ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ma lalo pono o kou iwi ʻaoʻao ʻākau. Manaʻo ka hapa nui o ka poʻe i ka ʻeha o nā pōhaku gall ma aneʻi. Akā i kekahi manawa hiki ke laha ka ʻeha i nā wahi ʻē aʻe. Manaʻo kekahi poʻe i ka ʻeha ma ko lākou lima ʻākau, poʻohiwi, a i ʻole ke kua ma waena o nā ʻaoʻao poʻohiwi. Manaʻo kekahi poʻe i ka ʻeha o nā pōhaku gall ma waenakonu o ko lākou ʻōpū a umauma paha. Hiki ke huikau iki kēia, no ka mea, hiki ke like ka ʻeha me nā kūlana ʻē aʻe. Kuhihewa kekahi poʻe i ka ʻeha gallstone no ka gastritis a i ʻole ka heartburn. Manaʻo paha kekahi he hōʻeha puʻuwai, he pilikia olakino ia.

He ʻokoʻa anei nā hōʻailona o ka gallstone i nā wahine?

ʻAʻole, ua like like nā hōʻailona. Akā, ʻoi aku ka nui o ka loaʻa ʻana o ka "ʻeha i kuhikuhi ʻia" i nā wāhine - ʻo ia hoʻi, ka ʻeha i ʻike ʻia ma kahi ʻē aʻe ma mua o kahi i hoʻomaka ai. No laila, ʻoi aku ka nui o ko lākou manaʻo i ka ʻeha o nā pōhaku gall ma ka lima, poʻohiwi, umauma a i ʻole ke kua. ʻOi aku ka nui o ka loaʻa ʻana o ka ʻeha mau i nā wāhine. No laila, ʻaʻole paha lākou e nānā nui i ka ʻeha e hele mai a hele aku, e like me ka "biliary colic". ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka inā loaʻa iā ʻoe ka ʻeha nui a i ʻole ka ʻeha hou, ʻoiai inā e nalo ana. Inā ua loaʻa iā ʻoe kahi "gallstone attack" i hoʻokahi manawa, ʻoi aku ka nui o kou loaʻa ʻana i kekahi.

He aha ke kumu o kēia ʻeha gallstone?

ʻO ka ʻeha o ka pōhaku ʻaʻa ka wā e paʻa ai ka pōhaku ʻaʻa i loko o kou ʻaʻa bile, e hana ana i kahi paʻa. Inā he paʻa nui ia, e ʻike koke ʻoe. Inā he paʻa liʻiliʻi ia, piha i ka pus, ʻaʻole paha ʻoe e ʻike a hiki i ka wā e ʻūlū ʻia ai kou gallbladder a kau i ke kaomi hou aku ma luna o ka ʻōnaehana. Hoʻokumu ʻia kēia ʻūlū ʻana e ka ʻai ʻana, ʻoiai kahi meaʻai kaumaha a momona .Ke ʻai ʻoe, ʻūmiʻi paʻa ka ʻōpū o ka ʻōpū. E noʻonoʻo inā ʻoe e ʻai i kahi biryani maikaʻi, ka laiki palai, a i ʻole kahi pāʻina laiki me ka mea ʻala chili i hana ʻia me ka ʻaila, a laila ʻike ko mākou ʻōpū liʻiliʻi i ka nui o ka ʻaila i loko o kēlā meaʻai a haʻi i ka ʻōpū o ka ʻōpū i ka nui o ka bile e pono ai e kōkua i ka hoʻoheheʻe ʻana. I ka pane ʻana, ʻomi ka ʻōpū o ka ʻōpū i ka nui o ka bile e pono ai a hoʻouna iā ia i nā ʻauwai bile. ʻO ia ka manawa e puka mai ai ka ʻeha mai kēlā pōhaku i paʻa.

He aha nā hōʻailona koʻikoʻi o nā pōhaku gallstones?

ʻO "Biliary Colic" paha ka hōʻailona hōʻike wale nō āu e loaʻa ai. Hana ʻia ia ke ālai ʻia ke ala bile e kahi pōhaku gall no kekahi manawa, a laila neʻe a puni a hoʻomaka hou e kahe. ʻOiai inā e pau ka ʻeha, he mea nui e ʻike i kēia mau hōʻailona hōʻike.
Inā ua ālai kahi pōhaku gallstone i kāu ʻōnaehana biliary i hoʻokahi manawa, ʻoi aku ka nui o ka hiki ke hana hou ʻia.
Malia paha e neʻe ana ka pōhaku ma kahi hoʻokahi i paʻa ai, e ulu nui ana. A i ʻole he nui aku paha nā pōhaku ʻōpū. I kekahi lā, hiki i kahi pōhaku ʻōpū ke paʻa a noho paʻa ma laila. He pilikia paha kēlā.

He aha nā pilikia e hiki ke loaʻa mai nā gallstones?

Inā ālai kahi pōhaku ʻāʻī i ke kahe ʻana o ka bile ma o ka ʻōnaehana biliary, hiki iā ia ke hoʻopilikia i kekahi ʻōkana i loko o ia ʻōnaehana. Hiki i ka bile i hiki ʻole ke kahe ke piʻi hou i loko o nā ʻāpana bile a me nā ʻōkana, e hoʻoulu ai i ka mumū koʻikoʻi a me nā maʻi bacteria . Hiki i kēia mau kūlana ke hoʻoweliweli i ke ola inā lilo lākou i mea koʻikoʻi. Hiki i nā pilikia ke komo pū me:

Ke kumu nei anei nā pōhaku gall i ka luhi a me ka poniuniu?

ʻO ka poniuniu a me ka luhi nā hōʻailona o ke koko haʻahaʻa. ʻAʻole kēia he mau hōʻailona maʻamau o nā pōhaku gall. Eia nō naʻe, hiki ke loaʻa ke koko haʻahaʻa ma ke ʻano he hopena ʻaoʻao o nā pilikia i hoʻokumu ʻia e nā pōhaku gall. Inā loaʻa iā ʻoe ka mumū nui a i ʻole ka maʻi i loko o kāu ʻōnaehana biliary, e piʻi aʻe paha kou puʻuwai a e emi paha kou koko.

He aha nā kumu o nā pōhaku gallstones?

Hoʻokumu ʻia nā pōhaku gall i ka wā e nui loa ai kekahi o nā ʻāpana nui o ka bile. Hoʻopaʻa kēia ʻāpana keu i loko o ka gallbladder a i ʻole nā ​​​​​​auwai bile, e paʻakikī mālie ana i nā pōhaku. ʻO nā pōhaku cholesterol ke ʻano maʻamau. ʻO kekahi ʻano he mau pōhaku "pigment", ʻo ia hoʻi nā pōhaku bilirubin. Hiki i nā kumu like ʻole ke hoʻopilikia i kēia kaʻina hana, me:
  • Loaʻa ka nui o ka cholesterol: Lawe kou ake i ka cholesterol mai kou koko e hana i ka bile. Inā nui kou cholesterol i loko o kou koko, loli ka lakio o nā mea i loko o kou bile. Pono ke kaulike ma waena o nā lipids a me nā waikawa e hoʻopaʻa i nā mea āpau i loko o kāu bile. Inā nui kāu o kekahi mea, waiho ʻia ia.
  • ʻO ka bilirubin kiʻekiʻe: ʻO Bilirubin kahi hopena o ka haki ʻana o nā hunaola koko ʻulaʻula kahiko. Inā loaʻa iā ʻoe kahi maʻi koko (kahi e luku nui ai i nā hunaola koko ʻulaʻula), a inā ua hōʻino ʻia kou akepaʻa a paʻakikī ke hoʻololi i nā nui maʻamau o ka bilirubin i loko o ka bile, loaʻa paha iā ʻoe nā pae kiʻekiʻe o ka bilirubin i loko o kou kino.
  • ʻAʻole lawa nā waikawa bile (i kapa ʻia hoʻi he paʻakai bile): ʻO kekahi mau maʻi ke kumu o ka komo maikaʻi ʻole ʻana o nā waikawa bile e ke kino (bile acid malabsorption) a hoʻokuʻu ʻia i loko o ka ʻōpala. Inā nui ka nalowale ʻana o ka waikawa bile, ʻaʻole lawa nā waikawa bile o ke akepaʻa e hana i ka bile. Ke lawa ʻole nā ​​​​waikawa bile, piʻi ka nui o nā lipids (cholesterol) i loko o ka bile.
  • ʻO Cholestasis a i ʻole ka stasis o ka gallbladder: ʻO "Stasis" ke ʻano o ka hana ʻole. Inā ʻaʻole e hoʻoneʻe pono ana kāu mau ʻauwai bile a i ʻole ka gallbladder i ka bile ma o ka ʻōnaehana biliary, ʻoi aku ka nui o ka bile e kūkulu a hana i nā pōhaku. Hiki i kēia ke lilo i pilikia me nā ʻiʻo a i ʻole nā ​​​​hōʻailona kemika e haʻi iā lākou e hana.

He aha nā mea e hoʻopilikia ai i ka hoʻomohala ʻana o nā gallstones (cholelithiasis)?

Hiki i nā maʻi a me nā kūlana like ʻole ke hoʻopilikia i kāu kahe bile a i ʻole kou cholesterol, bilirubin, a me nā pae bile acid. Akā, ʻaʻole nā ​​​​kānaka a pau i loaʻa nā gallstones i loaʻa kahi maʻi olakino. ʻO kekahi o nā mea pilikia maʻamau he mea maʻamau, e like me kou makahiki, genetics, pae hormone, a me nā loli kaumaha. ʻO nā mea pilikia:
  • Makahiki: He manawa ka lōʻihi no ka hoʻokumu ʻana o nā pōhaku ʻōpū a lilo i mea nui e hiki ai ke pani ʻia. ʻOi aku ka nui o nā kāne e loaʻa iā lākou ma hope o 60 mau makahiki. ʻOi aku ka nui o nā wahine e loaʻa iā lākou i ko lākou mau makahiki momona, ma waena o 20 a me 50 mau makahiki.
  • Nā Hormone: ʻEkolu manawa ka nui o ka loaʻa ʻana o nā pōhaku gall i nā wahine. Hoʻonui a emi kēia pilikia me ko lākou pae o nā hormones estrogen a me progesterone. Hoʻonui ka Estrogen i nā pae cholesterol, a hoʻopaneʻe ka progesterone i ka hoʻokahe ʻana o ka bile mai ka gallbladder.
  • Kaumaha:I ka piʻi ʻana o ka momona o ke kino, piʻi pū ka hana ʻana o ka estrogen, kahi e hoʻonui ai i nā pae estrogen a me nā pae cholesterol. Ma ka ʻaoʻao ʻē aʻe, hiki i ka pohō kaumaha koke, no ka laʻana ma hope o ke ʻoki pohō kaumaha, ke hana i nā pōhaku gall. Ke emi koke ka momona o ke kino, hōʻiliʻili ka nui o ka cholesterol i loko o ka bile.
  • ʻIke Hoʻoilina: Inā he (Native American) a (Mexican) paha ʻoe, hiki i kou ʻano hoʻoilina ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā pōhaku gall ma muli o ke kiʻekiʻe o ka cholesterol i loko o kou bile. Inā ua loaʻa i kekahi o kou ʻohana nā pōhaku gall, ʻoi aku ka nui o kou loaʻa ʻana iā lākou, me ka nānā ʻole i kou lāhui.

Pehea e ʻike ai inā he mau gallstones kou?

Inā loaʻa iā ʻoe nā hōʻailona o nā pōhaku gall, e kauoha kāu kauka i nā hoʻokolohua koko a me nā hoʻokolohua kiʻi. Hiki i nā hoʻokolohua koko ke ʻike i ka mumū, ka maʻi, a i ʻole ka jaundice, a hiki ke hāʻawi iā ʻoe i kahi hōʻailona e pili ana i nā ʻōpū i hoʻopilikia ʻia. Hiki i nā hoʻokolohua kiʻi ke kōkua i ka hoʻoholo ʻana i kahi o kāu ʻōnaehana biliary ka paʻa.

He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i nā gallstones?

ʻO ka mea mua, e hana kāu kauka i kahi ultrasound ʻōpū. He hoʻāʻo wikiwiki a maʻalahi hoʻi ia ʻaʻole pono i kekahi hoʻomākaukau kūikawā. Hiki i kahi ultrasound ke ʻike i ka hapa nui o nā pōhaku gall i loko a puni ka gallbladder. Eia nō naʻe, inā paʻa kahi pōhaku gall ma kahi ʻē aʻe i loko o ka ʻōnaehana biliary, pono kahi ʻano hoʻāʻo ʻē aʻe e ʻike ai. ʻO nā hoʻāʻo ʻē aʻe e hiki ke hana ʻia:
  • MRCP (Māmāneki Resonance Cholangiopancreatography)
  • Nānā HIDA `(nānā HIDA)`
  • ʻO ka ultrasound endoscopic
  • ʻO ka ERCP (endoscopic retrograde cholangiopancreatography)

He aha nā lāʻau lapaʻau no nā gallstones?

Inā ʻaʻole ʻoe i loaʻa i kahi pilikia me nā pōhaku gall, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau no lākou. Akā inā e ālai ana nā pōhaku gall i kou ʻauwai bile, e hoʻāʻo kāu kauka e wehe iā lākou—ʻaʻole wale ka mea e ālai ana, akā ʻo lākou āpau. No ka mea, i ka wā e loaʻa ai iā ʻoe kahi mea e ālai ana i ka pōhaku gall, ʻoi aku ka nui o kou loaʻa hou ʻana. ʻO ka hapa nui o ka poʻe e pono ai ka lāʻau lapaʻau no nā pōhaku gall e hana ʻia ke ʻoki ʻana e wehe iā lākou. ʻO ke ʻoki ʻana wale nō ke ala e hōʻoia ai ʻaʻole e hoʻoulu hou nā pōhaku gall i nā pilikia. Akā inā ʻaʻole hiki iā ʻoe a makemake ʻole paha e hana ʻoki ʻia, aia kekahi mau lāʻau lapaʻau ʻē aʻe hiki iā ʻoe ke hoʻāʻo, me nā lāʻau lapaʻau a me nā kaʻina hana ʻē aʻe.

ʻO ke ʻoki kino no nā pōhaku gallstones

ʻO Cholecystectomy wale nō ka hopena hilinaʻi a lōʻihi hoʻi no nā pōhaku gallstone.He hana maʻamau kēia ma ka honua holoʻokoʻa, hana pinepine ʻia ma ke ʻano laparoscopically (ma o kekahi mau ʻoki liʻiliʻi a me kahi kāmela). Hiki iā ʻoe ke ola maikaʻi me ka ʻole o ka gallbladder. ʻO kēia ka manawa e hele pololei ai ka bile mai ke akepaʻa i loko o kou ʻōpū liʻiliʻi. I kekahi manawa, ʻaʻole paha i lawa ke olakino o kekahi poʻe e pono ai ka mālama ʻana no nā pōhaku gall e hana i kahi ʻoki e wehe i ko lākou gallbladder. I ia mau hihia, he koho kahi "cholecystostomy". He hana liʻiliʻi kēia e pili ana i ka hoʻokomo ʻana i kahi catheter i loko o ka gallbladder a me ka wehe ʻana i ka bile a me nā pōhaku.

Lapaʻau lapaʻau (lāʻau lapaʻau) no nā pōhaku gallstones

ʻAʻole pinepine nā kauka e kuhikuhi i nā lāʻau lapaʻau no nā pōhaku gallstone no ka mea ʻaʻole lākou i maikaʻi loa. Hana wale nā ​​​​lāʻau lapaʻau e like me Ursodiol lāua ʻo Chenodiol no nā pōhaku cholesterol liʻiliʻi a maʻalahi hoʻi. Hiki iā lākou ke hala i nā mahina a i nā makahiki e hoʻoheheʻe ai, a hiki nō hoʻi iā lākou ke hana hou. ʻAʻole kēia he ala kūpono e mālama ai i nā pōhaku gallstone no ka hapa nui o ka poʻe. Eia nō naʻe, i kekahi mau hihia palena, hiki i nā lāʻau lapaʻau ke kōkua ma ke ʻano he hana manawa pōkole a pale paha. Inā ʻaʻole ʻoe he moho maikaʻi no ke ʻoki ʻana i ka gallstone, e kūkākūkā kāu kauka i kā lākou mau ʻōlelo aʻoaʻo me ʻoe.

Pehea lā koʻu kūlana ma hope o ka mālama ʻana no nā gallstones (Cholelithiasis)?

Ma hope o ke ʻoki ʻana, ʻaʻole pono ka hapa nui o ka poʻe e mālama hou ʻia nā pōhaku gall. He mea kākaʻikahi nā pilikia, akā hiki i kekahi poʻe ke loaʻa i nā maʻi e like me ka maʻi diarrhea mau loa. ʻO kēia no ka mea ke kahe mau nei ka bile i loko o nā ʻōpū, ʻaʻole wale i ka wā e pono ai. Hiki ke mālama ʻia kēia me nā lāʻau lapaʻau i kapa ʻia ʻo "bile acid binders."

Pehea e hiki ai iaʻu ke pale aku i nā gallstones?

ʻAʻohe ala maopopo e pale loa ai i nā pōhaku gall. Akā hiki iā ʻoe ke hana i kekahi mau hana e hōʻemi i kou pilikia holoʻokoʻa. No ka laʻana, hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ke ʻano maʻamau o ka pōhaku cholesterol ma ka hōʻemi ʻana i ka nui o ka cholesterol i kāu meaʻai. Eia naʻe, ʻaʻole kēia e pale i ka hoʻokumu ʻia ʻana o nā pōhaku "pigment". Inā he kaumaha nui a momona paha ʻoe, hiki i ka lilo ʻana o ke kaumaha ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i nā pōhaku cholesterol. Eia naʻe, hiki i ka lilo koke ʻana o ke kaumaha ke hoʻonui i kou pilikia. Inā ʻoe e manaʻolana nei e lilo koke ke kaumaha ma o kahi ʻano hana a i ʻole ka lāʻau lapaʻau, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i ka lāʻau lapaʻau e pale aku i nā pōhaku gall ma mua.

E nalowale anei nā pōhaku gallstones ma o lākou iho?

ʻAʻole e nalowale nā ​​pōhaku gall me ka ʻole o ka lāʻau lapaʻau. I kekahi manawa hiki i nā pōhaku gall ke puka i waho o kou kino me kou ʻōpala, akā ʻaʻole nā ​​​​mea āpau. ʻOiai inā wehe kāu kauka i kahi pōhaku gall mai kekahi o kāu mau auwai bile, aia nō paha nā pōhaku i koe, a hiki iā ʻoe ke loaʻa nā mea hou. ʻO ka wehe ʻana i kāu gallbladder ke ala wale nō e pale mau ai iā lākou mai ka hoʻokumu ʻana.

Pehea e puka ai nā pōhaku gall me ka ʻōpala?

ʻO kahi pōhaku ʻōpū i komo i loko o ke kahawai bile maʻamau, inā ʻaʻole i ālai ʻia, hiki ke komo i loko o nā ʻōpū a puka pū me ka ʻōpala. He mea pōmaikaʻi kēlā, akā ʻaʻole e hana pēlā nā pōhaku ʻōpū a pau, a ʻaʻole hiki iā ʻoe ke koi iā ia e hana pēlā. ʻAʻohe ala e koi ai i kāu mau pōhaku ʻōpū i loko o ke kahawai bile maʻamau, a ʻaʻohe hōʻoia e hele palekana lākou i loko o nā ʻōpū. Hiki iā lākou ke noho i loko o ke kahawai a ulu nui. Ma keʻano laulā, he mea weliweli ka loaʻa ʻana o nā pōhaku ʻōpū i loko o ke kahawai bile maʻamau ma kahi mua.

Pehea ka manaʻo i ka wā e hele ai kahi pōhaku ʻaʻa?

ʻAʻole paha ʻoe e manaʻo i kahi pōhaku ʻaʻa e hele ana ma kou kino. Pono ka pōhaku ʻaʻa e liʻiliʻi ma mua o 5 milimita e hele ai ma ke ala bile maʻamau. ʻAʻole lawa kēlā nui no ʻoe e manaʻo ai i loko o kou ʻōpū, akā hiki iā ʻoe ke manaʻo i kahi ʻeha i kona hele ʻana ma ke ala bile maʻamau.

Pehea e ʻike ʻia ai nā pōhaku gallstones i loko o ka lua?

ʻO kahi pōhaku ʻāʻī liʻiliʻi e hiki ke hele ma ke ala bile maʻamau, ʻaʻole paha ia e ʻike ʻia i loko o kou ʻōpala, ʻoiai inā ʻoe e ʻimi. Akā inā ʻike ʻoe i kahi pōhaku ʻāʻī i loko o ka lua, e like ia me kahi ʻiliʻili liʻiliʻi. He ʻano ʻē paha kona ʻano, he kihi iki. He melemele ka hapa nui, akā hiki i kekahi ke ʻeleʻele.

Hiki ke hoʻokuʻu ʻia nā pōhaku gall me ka mimi?

ʻAʻole hiki iā ʻoe ke hoʻokahe i nā pōhaku gall i loko o kou mimi no ka mea ʻaʻohe ala o nā pōhaku gall e hiki ai i kou ala mimi. Ua kapa ʻia nā pōhaku i loko o ke ala mimi he mau pōhaku puʻupaʻa. Ua like nā pōhaku gall a me nā pōhaku puʻupaʻa, akā hele lākou ma nā ʻano like ʻole. ʻO ka mimi ʻeha he hōʻailona ia o nā pōhaku puʻupaʻa, ʻaʻole nā ​​​​pōhaku gall.

Āhea wau e ʻike ai i ke kauka e pili ana i nā gallstones?

Inā ʻoe e manaʻo koke i ka ʻeha ʻoi ma kou ʻōpū ʻākau a i ʻole poʻohiwi, ʻoi aku hoʻi ma hope o ka ʻai ʻana, he hōʻeha paha ia o ka gallbladder. E ʻimi koke i ke kōkua lapaʻau. Mai kali a nalo, no ka mea, ʻaʻole paha. Hiki i ke kauka ke kōkua iā ʻoe e hoʻoholo i ke kumu o kou ʻeha a me ka hoʻomaha ʻana. Inā manaʻo ʻoe ua loaʻa iā ʻoe kahi hanana mua o ka colic biliary, ʻoiai inā ua nalo, e ʻike i ke kauka. Hiki iā lākou ke hana i kahi scan o kāu ʻōnaehana biliary e nānā i nā pōhaku gall. Inā pēlā, hiki iā lākou ke ʻōlelo aku e mālama iā lākou ma mua o ko lākou hoʻoulu ʻana i nā pilikia hou aʻe. Me ka ʻole o ka lāʻau lapaʻau, hiki i nā pōhaku gall ke hoʻomau i ke kūkulu ʻana a me ka ulu ʻana. He mea maʻamau nā pōhaku gall, a ʻaʻohe pilikia o ka hapa nui o ka poʻe me lākou. Inā aia lākou ma kahi hoʻokahi, ʻaʻole paha ʻoe e ʻike aia lākou ma laila. Akā i ka wā e hoʻomaka ai lākou e neʻe a puni, lilo lākou i mea weliweli. Hiki i kēia mau mea liʻiliʻi, e like me ka ʻiliʻili ke hana i ka pōʻino nui inā paʻa lākou i nā wahi paʻa o kāu ʻōnaehana biliary palupalu.
ʻO ke kali ʻana i kahi "hoʻouka kaua gallstone" e haʻi iā ʻoe he mau gallstones kou hiki ke lilo i mea ʻoluʻolu ʻole loa. Hiki paha iā ʻoe ke hopohopo hou aʻe ke ʻike ʻoe ʻo ke ʻoki ʻana ka lāʻau lapaʻau i ʻōlelo ʻia. Eia nō naʻe, he hana maʻamau ka ʻoki ʻana i ka gallbladder me nā hopena maikaʻi loa. Hiki ke pau kou pilikia holoʻokoʻa i loko o kekahi mau hola o nā hōʻailona mua.

E lawe i ka leka i ka home

No laila, he mea hiki ke mālama mālie ʻia nā pōhaku gall, akā inā hoʻomaka lākou e hoʻopilikia iā ʻoe, hiki iā lākou ke ʻeha loa. ʻO ka mea nui loa, inā ʻike ʻoe i ka ʻeha koʻikoʻi ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ka nausea, a i ʻole nā ​​​​hōʻailona ʻē aʻe, mai hoʻowahāwahā iā lākou. ʻOiai inā hele mai lākou ma hope o ka ʻai ʻana i kahi meaʻai momona, e ʻike pono i ke kauka no ka ʻōlelo aʻo. Hiki i ka ʻike mua ke pale i nā pilikia nui. E noho olakino!
nā pōhaku gallstone, cholelithiasis, biliary colic, gallbladder attack, cholecystitis, pancreatitis, nā hōʻailona gallstone, ka mālama ʻana i ka gallstone, cholecystectomy, gallstones, gallstones, ʻeha ʻōpū
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Loaʻa iā ʻoe kekahi ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū? E aʻo kākou e pili ana i nā pōhaku gall.
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Loaʻa iā ʻoe kekahi ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū? E aʻo kākou e pili ana i nā pōhaku gall.

E noʻonoʻo ʻoe e ʻai ana i kahi meaʻai ʻono a laila ʻike koke ʻoe i kahi ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū. I kekahi manawa ua like ia me ka nausea a hiki paha iā ʻoe ke luaʻi. Hiki paha kēia ma muli o nā pōhaku gall, i hoʻokumu ʻia i loko o kou gallbladder. ʻAʻole ʻike ka poʻe he nui i kēia. No laila e kamaʻilio kākou e pili ana i nā pōhaku gall me nā kikoʻī hou aku i kēia lā, ʻae?

He aha kēia mau pōhaku ʻaʻai?

I ka ʻōlelo maʻalahi, he mau ʻāpana paʻakikī, e like me ka pōhaku o ka bile e hana ʻia i loko o kou gallbladder a i ʻole nā ​​​​​​auwai bile. ʻO "Gall" ke ʻano o ka bile. No laila, ʻo "Gallstones" he "gallstones." Ua like kou gallbladder me kahi ʻeke liʻiliʻi e hōʻiliʻili a mālama i ka bile. Mālama ia i ka bile no ka hoʻohana ʻana ma hope. Hana ko mākou ake i kēia bile, a laila hele ia ma o nā ducts bile i nā ʻōpū i loko o kā mākou ʻōnaehana biliary. I kekahi manawa kapa nā kauka i kēia maʻi ʻo "cholelithiasis." ʻO "Chole" ke ʻano o ka bile, a ʻo "lithiasis" ke ʻano o ka hoʻokumu ʻana o ka pōhaku. Hoʻokumu ʻia kēia mau gallstones i ka wā e hōʻiliʻili ai kekahi mau mea i loko o ka bile a paʻakikī i ka hala ʻana o ka manawa. Hana pinepine kēia i ka wā e hoʻohui ʻia ai ka nui o kekahi o nā mea nui i loko o ka paila.

Pehea ke koʻikoʻi o kēia mau pōhaku ʻaʻa?

ʻAʻole pono ka loaʻa ʻana o nā pōhaku gall (cholelithiasis) e hoʻopilikia iā ʻoe. He nui ka poʻe i loaʻa iā lākou a ʻaʻole lākou i ʻike. Akā inā hoʻomaka kēia mau pōhaku e hele ma o kou mau ʻauwai bile a paʻa i kahi, hiki iā lākou ke lilo i mea weliweli. Inā hana lākou, hiki iā lākou ke ālai i kou mau ʻauwai bile, e hōʻeha nui ana a me nā pilikia koʻikoʻi. ʻO ka pilikia, ʻo ia ka nui o kēia mau pōhaku. Hoʻomaka lākou ma ke ʻano he mau hua one, a i ka hoʻomau ʻana o ka bile e kahe ma luna o lākou, ʻoi aku ka nui o nā mea i waiho ʻia, e hoʻonui ai i ka pōhaku. I kekahi manawa hiki i kēia mau pōhaku ke nui aʻe e ālai i ke kahe o ka bile, ʻoiai inā paʻa lākou i kahi haiki e like me ka ʻauwai bile.

Pehea ka maʻamau o kēia mau mea?

Ua manaʻo ʻia he 10% o nā pākeke ma ʻAmelika Hui Pū ʻIa he mau pōhaku ʻōpū, a he 75% o lākou he mau wahine. Eia nō naʻe, he 20% wale nō o ka poʻe i ʻike ʻia me kēia maʻi e loaʻa nā hōʻailona a pono paha e mālama ʻia. Hiki ke ʻike ʻia kēia kūlana i kahi nui a liʻiliʻi paha ma ko mākou ʻāina, ʻo Sri Lanka.

He aha nā hōʻailona o nā pōhaku gallstones?

ʻAʻole pinepine nā pōhaku gall e hōʻike i nā hōʻailona a hiki i ko lākou paʻa ʻana i loko o ka gallbladder a hana i kahi paʻa. ʻO kēia paʻa ke kumu o nā hōʻailona. ʻO nā hōʻailona maʻamau ka ʻeha o ka ʻōpū o luna a me ka nausea. Hiki ke hele mai kēia mau mea a hele aku, a i ʻole e mau ana paha. Inā koʻikoʻi ka paʻa a mau paha no ka manawa lōʻihi, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe, e like me:

He aha ke ʻano o ka ʻeha mai nā pōhaku gallstones?

ʻO ka ʻeha o kahi pōhaku gallstone maʻamau he ʻeha koke a koʻikoʻi. Hiki iā ia ke manaʻo e like me kou ʻōpū e pahū ana. Ua kapa ʻia hoʻi kēia he "gallstone attack" a i ʻole "gallbladder attack." Hiki iā ʻoe ke manaʻo i kēia ʻeha ma hope o ka ʻai ʻana. ʻO kēia no ka mea ke ʻūlū nei kou gallbladder, e kau ana i ke kaomi hou aku ma kāu ʻōnaehana biliary. I kekahi manawa e ala paha ʻoe mai ka hiamoe me kēia ʻeha. ʻO ka ʻeha e piʻi mālie ana, hiki i ka piko, a laila emi mālie iho ua kapa ʻia ʻo "biliary colic." Hiki mai ia i kekahi manawa. Hiki ke mau mai nā minuke a i nā hola. ʻO ka maʻamau, nalowale ka ʻeha ke neʻe ka pōhaku a i ʻole ke emi ʻana o ke kaomi. ʻO ka poʻe e ʻeha nei i kēia ʻeha e ʻōlelo nei he ikaika loa ia, e ʻō ana, e ʻū ana, a e ʻū ana paha . Hiki ke koʻikoʻi loa a hiki ʻole iā ʻoe ke kū mālie.

Aia i hea ka ʻeha o nā pōhaku ʻōpū?

Aia kou ʻāpana biliary ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ma lalo pono o kou iwi ʻaoʻao ʻākau. Manaʻo ka hapa nui o ka poʻe i ka ʻeha o nā pōhaku gall ma aneʻi. Akā i kekahi manawa hiki ke laha ka ʻeha i nā wahi ʻē aʻe. Manaʻo kekahi poʻe i ka ʻeha ma ko lākou lima ʻākau, poʻohiwi, a i ʻole ke kua ma waena o nā ʻaoʻao poʻohiwi. Manaʻo kekahi poʻe i ka ʻeha o nā pōhaku gall ma waenakonu o ko lākou ʻōpū a umauma paha. Hiki ke huikau iki kēia, no ka mea, hiki ke like ka ʻeha me nā kūlana ʻē aʻe. Kuhihewa kekahi poʻe i ka ʻeha gallstone no ka gastritis a i ʻole ka heartburn. Manaʻo paha kekahi he hōʻeha puʻuwai, he pilikia olakino ia.

He ʻokoʻa anei nā hōʻailona o ka gallstone i nā wahine?

ʻAʻole, ua like like nā hōʻailona. Akā, ʻoi aku ka nui o ka loaʻa ʻana o ka "ʻeha i kuhikuhi ʻia" i nā wāhine - ʻo ia hoʻi, ka ʻeha i ʻike ʻia ma kahi ʻē aʻe ma mua o kahi i hoʻomaka ai. No laila, ʻoi aku ka nui o ko lākou manaʻo i ka ʻeha o nā pōhaku gall ma ka lima, poʻohiwi, umauma a i ʻole ke kua. ʻOi aku ka nui o ka loaʻa ʻana o ka ʻeha mau i nā wāhine. No laila, ʻaʻole paha lākou e nānā nui i ka ʻeha e hele mai a hele aku, e like me ka "biliary colic". ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka inā loaʻa iā ʻoe ka ʻeha nui a i ʻole ka ʻeha hou, ʻoiai inā e nalo ana. Inā ua loaʻa iā ʻoe kahi "gallstone attack" i hoʻokahi manawa, ʻoi aku ka nui o kou loaʻa ʻana i kekahi.

He aha ke kumu o kēia ʻeha gallstone?

ʻO ka ʻeha o ka pōhaku ʻaʻa ka wā e paʻa ai ka pōhaku ʻaʻa i loko o kou ʻaʻa bile, e hana ana i kahi paʻa. Inā he paʻa nui ia, e ʻike koke ʻoe. Inā he paʻa liʻiliʻi ia, piha i ka pus, ʻaʻole paha ʻoe e ʻike a hiki i ka wā e ʻūlū ʻia ai kou gallbladder a kau i ke kaomi hou aku ma luna o ka ʻōnaehana. Hoʻokumu ʻia kēia ʻūlū ʻana e ka ʻai ʻana, ʻoiai kahi meaʻai kaumaha a momona .Ke ʻai ʻoe, ʻūmiʻi paʻa ka ʻōpū o ka ʻōpū. E noʻonoʻo inā ʻoe e ʻai i kahi biryani maikaʻi, ka laiki palai, a i ʻole kahi pāʻina laiki me ka mea ʻala chili i hana ʻia me ka ʻaila, a laila ʻike ko mākou ʻōpū liʻiliʻi i ka nui o ka ʻaila i loko o kēlā meaʻai a haʻi i ka ʻōpū o ka ʻōpū i ka nui o ka bile e pono ai e kōkua i ka hoʻoheheʻe ʻana. I ka pane ʻana, ʻomi ka ʻōpū o ka ʻōpū i ka nui o ka bile e pono ai a hoʻouna iā ia i nā ʻauwai bile. ʻO ia ka manawa e puka mai ai ka ʻeha mai kēlā pōhaku i paʻa.

He aha nā hōʻailona koʻikoʻi o nā pōhaku gallstones?

ʻO "Biliary Colic" paha ka hōʻailona hōʻike wale nō āu e loaʻa ai. Hana ʻia ia ke ālai ʻia ke ala bile e kahi pōhaku gall no kekahi manawa, a laila neʻe a puni a hoʻomaka hou e kahe. ʻOiai inā e pau ka ʻeha, he mea nui e ʻike i kēia mau hōʻailona hōʻike.
Inā ua ālai kahi pōhaku gallstone i kāu ʻōnaehana biliary i hoʻokahi manawa, ʻoi aku ka nui o ka hiki ke hana hou ʻia.
Malia paha e neʻe ana ka pōhaku ma kahi hoʻokahi i paʻa ai, e ulu nui ana. A i ʻole he nui aku paha nā pōhaku ʻōpū. I kekahi lā, hiki i kahi pōhaku ʻōpū ke paʻa a noho paʻa ma laila. He pilikia paha kēlā.

He aha nā pilikia e hiki ke loaʻa mai nā gallstones?

Inā ālai kahi pōhaku ʻāʻī i ke kahe ʻana o ka bile ma o ka ʻōnaehana biliary, hiki iā ia ke hoʻopilikia i kekahi ʻōkana i loko o ia ʻōnaehana. Hiki i ka bile i hiki ʻole ke kahe ke piʻi hou i loko o nā ʻāpana bile a me nā ʻōkana, e hoʻoulu ai i ka mumū koʻikoʻi a me nā maʻi bacteria . Hiki i kēia mau kūlana ke hoʻoweliweli i ke ola inā lilo lākou i mea koʻikoʻi. Hiki i nā pilikia ke komo pū me:

Ke kumu nei anei nā pōhaku gall i ka luhi a me ka poniuniu?

ʻO ka poniuniu a me ka luhi nā hōʻailona o ke koko haʻahaʻa. ʻAʻole kēia he mau hōʻailona maʻamau o nā pōhaku gall. Eia nō naʻe, hiki ke loaʻa ke koko haʻahaʻa ma ke ʻano he hopena ʻaoʻao o nā pilikia i hoʻokumu ʻia e nā pōhaku gall. Inā loaʻa iā ʻoe ka mumū nui a i ʻole ka maʻi i loko o kāu ʻōnaehana biliary, e piʻi aʻe paha kou puʻuwai a e emi paha kou koko.

He aha nā kumu o nā pōhaku gallstones?

Hoʻokumu ʻia nā pōhaku gall i ka wā e nui loa ai kekahi o nā ʻāpana nui o ka bile. Hoʻopaʻa kēia ʻāpana keu i loko o ka gallbladder a i ʻole nā ​​​​​​auwai bile, e paʻakikī mālie ana i nā pōhaku. ʻO nā pōhaku cholesterol ke ʻano maʻamau. ʻO kekahi ʻano he mau pōhaku "pigment", ʻo ia hoʻi nā pōhaku bilirubin. Hiki i nā kumu like ʻole ke hoʻopilikia i kēia kaʻina hana, me:
  • Loaʻa ka nui o ka cholesterol: Lawe kou ake i ka cholesterol mai kou koko e hana i ka bile. Inā nui kou cholesterol i loko o kou koko, loli ka lakio o nā mea i loko o kou bile. Pono ke kaulike ma waena o nā lipids a me nā waikawa e hoʻopaʻa i nā mea āpau i loko o kāu bile. Inā nui kāu o kekahi mea, waiho ʻia ia.
  • ʻO ka bilirubin kiʻekiʻe: ʻO Bilirubin kahi hopena o ka haki ʻana o nā hunaola koko ʻulaʻula kahiko. Inā loaʻa iā ʻoe kahi maʻi koko (kahi e luku nui ai i nā hunaola koko ʻulaʻula), a inā ua hōʻino ʻia kou akepaʻa a paʻakikī ke hoʻololi i nā nui maʻamau o ka bilirubin i loko o ka bile, loaʻa paha iā ʻoe nā pae kiʻekiʻe o ka bilirubin i loko o kou kino.
  • ʻAʻole lawa nā waikawa bile (i kapa ʻia hoʻi he paʻakai bile): ʻO kekahi mau maʻi ke kumu o ka komo maikaʻi ʻole ʻana o nā waikawa bile e ke kino (bile acid malabsorption) a hoʻokuʻu ʻia i loko o ka ʻōpala. Inā nui ka nalowale ʻana o ka waikawa bile, ʻaʻole lawa nā waikawa bile o ke akepaʻa e hana i ka bile. Ke lawa ʻole nā ​​​​waikawa bile, piʻi ka nui o nā lipids (cholesterol) i loko o ka bile.
  • ʻO Cholestasis a i ʻole ka stasis o ka gallbladder: ʻO "Stasis" ke ʻano o ka hana ʻole. Inā ʻaʻole e hoʻoneʻe pono ana kāu mau ʻauwai bile a i ʻole ka gallbladder i ka bile ma o ka ʻōnaehana biliary, ʻoi aku ka nui o ka bile e kūkulu a hana i nā pōhaku. Hiki i kēia ke lilo i pilikia me nā ʻiʻo a i ʻole nā ​​​​hōʻailona kemika e haʻi iā lākou e hana.

He aha nā mea e hoʻopilikia ai i ka hoʻomohala ʻana o nā gallstones (cholelithiasis)?

Hiki i nā maʻi a me nā kūlana like ʻole ke hoʻopilikia i kāu kahe bile a i ʻole kou cholesterol, bilirubin, a me nā pae bile acid. Akā, ʻaʻole nā ​​​​kānaka a pau i loaʻa nā gallstones i loaʻa kahi maʻi olakino. ʻO kekahi o nā mea pilikia maʻamau he mea maʻamau, e like me kou makahiki, genetics, pae hormone, a me nā loli kaumaha. ʻO nā mea pilikia:
  • Makahiki: He manawa ka lōʻihi no ka hoʻokumu ʻana o nā pōhaku ʻōpū a lilo i mea nui e hiki ai ke pani ʻia. ʻOi aku ka nui o nā kāne e loaʻa iā lākou ma hope o 60 mau makahiki. ʻOi aku ka nui o nā wahine e loaʻa iā lākou i ko lākou mau makahiki momona, ma waena o 20 a me 50 mau makahiki.
  • Nā Hormone: ʻEkolu manawa ka nui o ka loaʻa ʻana o nā pōhaku gall i nā wahine. Hoʻonui a emi kēia pilikia me ko lākou pae o nā hormones estrogen a me progesterone. Hoʻonui ka Estrogen i nā pae cholesterol, a hoʻopaneʻe ka progesterone i ka hoʻokahe ʻana o ka bile mai ka gallbladder.
  • Kaumaha:I ka piʻi ʻana o ka momona o ke kino, piʻi pū ka hana ʻana o ka estrogen, kahi e hoʻonui ai i nā pae estrogen a me nā pae cholesterol. Ma ka ʻaoʻao ʻē aʻe, hiki i ka pohō kaumaha koke, no ka laʻana ma hope o ke ʻoki pohō kaumaha, ke hana i nā pōhaku gall. Ke emi koke ka momona o ke kino, hōʻiliʻili ka nui o ka cholesterol i loko o ka bile.
  • ʻIke Hoʻoilina: Inā he (Native American) a (Mexican) paha ʻoe, hiki i kou ʻano hoʻoilina ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā pōhaku gall ma muli o ke kiʻekiʻe o ka cholesterol i loko o kou bile. Inā ua loaʻa i kekahi o kou ʻohana nā pōhaku gall, ʻoi aku ka nui o kou loaʻa ʻana iā lākou, me ka nānā ʻole i kou lāhui.

Pehea e ʻike ai inā he mau gallstones kou?

Inā loaʻa iā ʻoe nā hōʻailona o nā pōhaku gall, e kauoha kāu kauka i nā hoʻokolohua koko a me nā hoʻokolohua kiʻi. Hiki i nā hoʻokolohua koko ke ʻike i ka mumū, ka maʻi, a i ʻole ka jaundice, a hiki ke hāʻawi iā ʻoe i kahi hōʻailona e pili ana i nā ʻōpū i hoʻopilikia ʻia. Hiki i nā hoʻokolohua kiʻi ke kōkua i ka hoʻoholo ʻana i kahi o kāu ʻōnaehana biliary ka paʻa.

He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i nā gallstones?

ʻO ka mea mua, e hana kāu kauka i kahi ultrasound ʻōpū. He hoʻāʻo wikiwiki a maʻalahi hoʻi ia ʻaʻole pono i kekahi hoʻomākaukau kūikawā. Hiki i kahi ultrasound ke ʻike i ka hapa nui o nā pōhaku gall i loko a puni ka gallbladder. Eia nō naʻe, inā paʻa kahi pōhaku gall ma kahi ʻē aʻe i loko o ka ʻōnaehana biliary, pono kahi ʻano hoʻāʻo ʻē aʻe e ʻike ai. ʻO nā hoʻāʻo ʻē aʻe e hiki ke hana ʻia:
  • MRCP (Māmāneki Resonance Cholangiopancreatography)
  • Nānā HIDA `(nānā HIDA)`
  • ʻO ka ultrasound endoscopic
  • ʻO ka ERCP (endoscopic retrograde cholangiopancreatography)

He aha nā lāʻau lapaʻau no nā gallstones?

Inā ʻaʻole ʻoe i loaʻa i kahi pilikia me nā pōhaku gall, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau no lākou. Akā inā e ālai ana nā pōhaku gall i kou ʻauwai bile, e hoʻāʻo kāu kauka e wehe iā lākou—ʻaʻole wale ka mea e ālai ana, akā ʻo lākou āpau. No ka mea, i ka wā e loaʻa ai iā ʻoe kahi mea e ālai ana i ka pōhaku gall, ʻoi aku ka nui o kou loaʻa hou ʻana. ʻO ka hapa nui o ka poʻe e pono ai ka lāʻau lapaʻau no nā pōhaku gall e hana ʻia ke ʻoki ʻana e wehe iā lākou. ʻO ke ʻoki ʻana wale nō ke ala e hōʻoia ai ʻaʻole e hoʻoulu hou nā pōhaku gall i nā pilikia. Akā inā ʻaʻole hiki iā ʻoe a makemake ʻole paha e hana ʻoki ʻia, aia kekahi mau lāʻau lapaʻau ʻē aʻe hiki iā ʻoe ke hoʻāʻo, me nā lāʻau lapaʻau a me nā kaʻina hana ʻē aʻe.

ʻO ke ʻoki kino no nā pōhaku gallstones

ʻO Cholecystectomy wale nō ka hopena hilinaʻi a lōʻihi hoʻi no nā pōhaku gallstone.He hana maʻamau kēia ma ka honua holoʻokoʻa, hana pinepine ʻia ma ke ʻano laparoscopically (ma o kekahi mau ʻoki liʻiliʻi a me kahi kāmela). Hiki iā ʻoe ke ola maikaʻi me ka ʻole o ka gallbladder. ʻO kēia ka manawa e hele pololei ai ka bile mai ke akepaʻa i loko o kou ʻōpū liʻiliʻi. I kekahi manawa, ʻaʻole paha i lawa ke olakino o kekahi poʻe e pono ai ka mālama ʻana no nā pōhaku gall e hana i kahi ʻoki e wehe i ko lākou gallbladder. I ia mau hihia, he koho kahi "cholecystostomy". He hana liʻiliʻi kēia e pili ana i ka hoʻokomo ʻana i kahi catheter i loko o ka gallbladder a me ka wehe ʻana i ka bile a me nā pōhaku.

Lapaʻau lapaʻau (lāʻau lapaʻau) no nā pōhaku gallstones

ʻAʻole pinepine nā kauka e kuhikuhi i nā lāʻau lapaʻau no nā pōhaku gallstone no ka mea ʻaʻole lākou i maikaʻi loa. Hana wale nā ​​​​lāʻau lapaʻau e like me Ursodiol lāua ʻo Chenodiol no nā pōhaku cholesterol liʻiliʻi a maʻalahi hoʻi. Hiki iā lākou ke hala i nā mahina a i nā makahiki e hoʻoheheʻe ai, a hiki nō hoʻi iā lākou ke hana hou. ʻAʻole kēia he ala kūpono e mālama ai i nā pōhaku gallstone no ka hapa nui o ka poʻe. Eia nō naʻe, i kekahi mau hihia palena, hiki i nā lāʻau lapaʻau ke kōkua ma ke ʻano he hana manawa pōkole a pale paha. Inā ʻaʻole ʻoe he moho maikaʻi no ke ʻoki ʻana i ka gallstone, e kūkākūkā kāu kauka i kā lākou mau ʻōlelo aʻoaʻo me ʻoe.

Pehea lā koʻu kūlana ma hope o ka mālama ʻana no nā gallstones (Cholelithiasis)?

Ma hope o ke ʻoki ʻana, ʻaʻole pono ka hapa nui o ka poʻe e mālama hou ʻia nā pōhaku gall. He mea kākaʻikahi nā pilikia, akā hiki i kekahi poʻe ke loaʻa i nā maʻi e like me ka maʻi diarrhea mau loa. ʻO kēia no ka mea ke kahe mau nei ka bile i loko o nā ʻōpū, ʻaʻole wale i ka wā e pono ai. Hiki ke mālama ʻia kēia me nā lāʻau lapaʻau i kapa ʻia ʻo "bile acid binders."

Pehea e hiki ai iaʻu ke pale aku i nā gallstones?

ʻAʻohe ala maopopo e pale loa ai i nā pōhaku gall. Akā hiki iā ʻoe ke hana i kekahi mau hana e hōʻemi i kou pilikia holoʻokoʻa. No ka laʻana, hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ke ʻano maʻamau o ka pōhaku cholesterol ma ka hōʻemi ʻana i ka nui o ka cholesterol i kāu meaʻai. Eia naʻe, ʻaʻole kēia e pale i ka hoʻokumu ʻia ʻana o nā pōhaku "pigment". Inā he kaumaha nui a momona paha ʻoe, hiki i ka lilo ʻana o ke kaumaha ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i nā pōhaku cholesterol. Eia naʻe, hiki i ka lilo koke ʻana o ke kaumaha ke hoʻonui i kou pilikia. Inā ʻoe e manaʻolana nei e lilo koke ke kaumaha ma o kahi ʻano hana a i ʻole ka lāʻau lapaʻau, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i ka lāʻau lapaʻau e pale aku i nā pōhaku gall ma mua.

E nalowale anei nā pōhaku gallstones ma o lākou iho?

ʻAʻole e nalowale nā ​​pōhaku gall me ka ʻole o ka lāʻau lapaʻau. I kekahi manawa hiki i nā pōhaku gall ke puka i waho o kou kino me kou ʻōpala, akā ʻaʻole nā ​​​​mea āpau. ʻOiai inā wehe kāu kauka i kahi pōhaku gall mai kekahi o kāu mau auwai bile, aia nō paha nā pōhaku i koe, a hiki iā ʻoe ke loaʻa nā mea hou. ʻO ka wehe ʻana i kāu gallbladder ke ala wale nō e pale mau ai iā lākou mai ka hoʻokumu ʻana.

Pehea e puka ai nā pōhaku gall me ka ʻōpala?

ʻO kahi pōhaku ʻōpū i komo i loko o ke kahawai bile maʻamau, inā ʻaʻole i ālai ʻia, hiki ke komo i loko o nā ʻōpū a puka pū me ka ʻōpala. He mea pōmaikaʻi kēlā, akā ʻaʻole e hana pēlā nā pōhaku ʻōpū a pau, a ʻaʻole hiki iā ʻoe ke koi iā ia e hana pēlā. ʻAʻohe ala e koi ai i kāu mau pōhaku ʻōpū i loko o ke kahawai bile maʻamau, a ʻaʻohe hōʻoia e hele palekana lākou i loko o nā ʻōpū. Hiki iā lākou ke noho i loko o ke kahawai a ulu nui. Ma keʻano laulā, he mea weliweli ka loaʻa ʻana o nā pōhaku ʻōpū i loko o ke kahawai bile maʻamau ma kahi mua.

Pehea ka manaʻo i ka wā e hele ai kahi pōhaku ʻaʻa?

ʻAʻole paha ʻoe e manaʻo i kahi pōhaku ʻaʻa e hele ana ma kou kino. Pono ka pōhaku ʻaʻa e liʻiliʻi ma mua o 5 milimita e hele ai ma ke ala bile maʻamau. ʻAʻole lawa kēlā nui no ʻoe e manaʻo ai i loko o kou ʻōpū, akā hiki iā ʻoe ke manaʻo i kahi ʻeha i kona hele ʻana ma ke ala bile maʻamau.

Pehea e ʻike ʻia ai nā pōhaku gallstones i loko o ka lua?

ʻO kahi pōhaku ʻāʻī liʻiliʻi e hiki ke hele ma ke ala bile maʻamau, ʻaʻole paha ia e ʻike ʻia i loko o kou ʻōpala, ʻoiai inā ʻoe e ʻimi. Akā inā ʻike ʻoe i kahi pōhaku ʻāʻī i loko o ka lua, e like ia me kahi ʻiliʻili liʻiliʻi. He ʻano ʻē paha kona ʻano, he kihi iki. He melemele ka hapa nui, akā hiki i kekahi ke ʻeleʻele.

Hiki ke hoʻokuʻu ʻia nā pōhaku gall me ka mimi?

ʻAʻole hiki iā ʻoe ke hoʻokahe i nā pōhaku gall i loko o kou mimi no ka mea ʻaʻohe ala o nā pōhaku gall e hiki ai i kou ala mimi. Ua kapa ʻia nā pōhaku i loko o ke ala mimi he mau pōhaku puʻupaʻa. Ua like nā pōhaku gall a me nā pōhaku puʻupaʻa, akā hele lākou ma nā ʻano like ʻole. ʻO ka mimi ʻeha he hōʻailona ia o nā pōhaku puʻupaʻa, ʻaʻole nā ​​​​pōhaku gall.

Āhea wau e ʻike ai i ke kauka e pili ana i nā gallstones?

Inā ʻoe e manaʻo koke i ka ʻeha ʻoi ma kou ʻōpū ʻākau a i ʻole poʻohiwi, ʻoi aku hoʻi ma hope o ka ʻai ʻana, he hōʻeha paha ia o ka gallbladder. E ʻimi koke i ke kōkua lapaʻau. Mai kali a nalo, no ka mea, ʻaʻole paha. Hiki i ke kauka ke kōkua iā ʻoe e hoʻoholo i ke kumu o kou ʻeha a me ka hoʻomaha ʻana. Inā manaʻo ʻoe ua loaʻa iā ʻoe kahi hanana mua o ka colic biliary, ʻoiai inā ua nalo, e ʻike i ke kauka. Hiki iā lākou ke hana i kahi scan o kāu ʻōnaehana biliary e nānā i nā pōhaku gall. Inā pēlā, hiki iā lākou ke ʻōlelo aku e mālama iā lākou ma mua o ko lākou hoʻoulu ʻana i nā pilikia hou aʻe. Me ka ʻole o ka lāʻau lapaʻau, hiki i nā pōhaku gall ke hoʻomau i ke kūkulu ʻana a me ka ulu ʻana. He mea maʻamau nā pōhaku gall, a ʻaʻohe pilikia o ka hapa nui o ka poʻe me lākou. Inā aia lākou ma kahi hoʻokahi, ʻaʻole paha ʻoe e ʻike aia lākou ma laila. Akā i ka wā e hoʻomaka ai lākou e neʻe a puni, lilo lākou i mea weliweli. Hiki i kēia mau mea liʻiliʻi, e like me ka ʻiliʻili ke hana i ka pōʻino nui inā paʻa lākou i nā wahi paʻa o kāu ʻōnaehana biliary palupalu.
ʻO ke kali ʻana i kahi "hoʻouka kaua gallstone" e haʻi iā ʻoe he mau gallstones kou hiki ke lilo i mea ʻoluʻolu ʻole loa. Hiki paha iā ʻoe ke hopohopo hou aʻe ke ʻike ʻoe ʻo ke ʻoki ʻana ka lāʻau lapaʻau i ʻōlelo ʻia. Eia nō naʻe, he hana maʻamau ka ʻoki ʻana i ka gallbladder me nā hopena maikaʻi loa. Hiki ke pau kou pilikia holoʻokoʻa i loko o kekahi mau hola o nā hōʻailona mua.

E lawe i ka leka i ka home

No laila, he mea hiki ke mālama mālie ʻia nā pōhaku gall, akā inā hoʻomaka lākou e hoʻopilikia iā ʻoe, hiki iā lākou ke ʻeha loa. ʻO ka mea nui loa, inā ʻike ʻoe i ka ʻeha koʻikoʻi ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ka nausea, a i ʻole nā ​​​​hōʻailona ʻē aʻe, mai hoʻowahāwahā iā lākou. ʻOiai inā hele mai lākou ma hope o ka ʻai ʻana i kahi meaʻai momona, e ʻike pono i ke kauka no ka ʻōlelo aʻo. Hiki i ka ʻike mua ke pale i nā pilikia nui. E noho olakino!
nā pōhaku gallstone, cholelithiasis, biliary colic, gallbladder attack, cholecystitis, pancreatitis, nā hōʻailona gallstone, ka mālama ʻana i ka gallstone, cholecystectomy, gallstones, gallstones, ʻeha ʻōpū
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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