E aʻo hou kākou e pili ana i nā pōhaku gall. Pono ʻoe e ʻike i kēia mau mea.

Ua lohe paha ʻoe i nā "gallstones"? Malia paha ua loaʻa i kekahi o kou ʻohana a i ʻole he hoaaloha kēia maʻi. I ka pōkole, he mau ʻāpana paʻakikī kēia, e like me ka pōhaku e hana ʻia ana i loko o kou gallbladder, kahi ʻōkana liʻiliʻi ma lalo pono o kou ake. Hiki i kāu kauka ke kapa i kēia maʻi he "cholelithiasis."

Ka hana o ka gallbladder a pehea e hana ʻia ai nā pōhaku

ʻAe, e nānā mua kākou i ka mea e hana ʻia ana i ka gallbladder. ʻO ka hana nui o ka gallbladder ka mālama ʻana i ka 'bile' no kekahi manawa, a i ʻole ka wai a mākou e kapa nei he `(bile), ka mea e kōkua iā mākou e hoʻoheheʻe i ka meaʻai a mākou e ʻai ai, ʻoiai nā meaʻai momona. Hana ʻia kēia `bile` i loko o ke akepaʻa. Ma waho aʻe o ke kōkua ʻana iā mākou e hoʻoheheʻe i ka meaʻai, hoʻohana ʻia kēia `bile` e wehe i nā huahana ʻōpala e like me ka cholesterol keu a me ka bilirubin mai ke kino.

No laila, inā no kekahi kumu e piʻi aʻe ka nui o ka cholesterol a i ʻole bilirubin i loko o kēia 'bile', a i ʻole inā nalowale ke kaulike o nā kemika i loko o 'bile', hōʻiliʻili lākou a paʻakikī i loko o nā pōhaku. ʻO ia ka mea a mākou e kapa nei he gallstones. Hiki i kēia mau pōhaku ke liʻiliʻi e like me kahi hua one, a i ʻole ka nui e like me ka pōpō kolepa. Loaʻa paha i kekahi poʻe hoʻokahi pōhaku nui, aʻo kekahi poʻe he mau haneli o nā pōhaku liʻiliʻi.

ʻO nā ʻano nui o nā gallstones

Hiki ke hoʻokaʻawale ʻia nā Gallstones i ʻelua mau ʻano nui.

Pehea ʻoe e ʻike ai inā he mau pōhaku gallstone kou? (Nā hōʻailona)

E like me kaʻu i ʻōlelo ai ma mua, he nui ka poʻe i loaʻa nā pōhaku akā ʻaʻole hōʻike i kekahi mau hōʻailona. Loaʻa wale nā ​​​​hōʻailona inā ālai kahi pōhaku i ke ala bile e lawe ana i ka bile i waho o ka gallbladder. Ua kapa ʻia kēia he "gallbladder attack" a i ʻole "biliary colic". Hiki i nā hōʻailona ke komo pū me:

• ʻEha koke a koʻikoʻi hoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ma lalo o nā iwi ʻaoʻao.
• ʻEha ʻōpū e pālahalaha ana i ka poʻohiwi ʻākau a i ʻole ka waena kua.
• Ka luaʻi a me ka luaʻi.
• ʻO nā pilikia ʻē aʻe o ka ʻōnaehana hoʻoheheʻe e like me ka ʻōpū, ka indigestion, ka ʻōpū, a me ka flatulence.

He aha ke ʻano o kēia ʻeha?

Hiki ke koʻikoʻi loa ka ʻeha o ka pōhaku ʻaʻa. Wahi a kekahi ua like ia me ka pahi e hou ana iā lākou. ʻOi loa ka ʻeha a manaʻo kekahi poʻe he hāʻule puʻuwai ia.

• Hoʻomaka pinepine ka ʻeha ma hope o ka ʻai ʻana i ka mea momona.
• I kekahi manawa hiki i ka ʻeha ke koʻikoʻi e hoʻāla iā ʻoe i ka pō.
• Hiki i ka ʻeha ke mau mai 15 mau minuke a i kekahi mau hola.
• Ke wehe ʻia ka pōhaku mai kahi i paʻa ai, e nalo koke aku ka ʻeha.

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

ʻOi aku ka nui o ka loaʻa ʻana o nā pōhaku gall i kekahi poʻe ma mua o kekahi. Eia kekahi o nā kumu pilikia:

• ʻOiai he wahine: ʻOi aku ka nui o ka loaʻa ʻana o nā pōhaku i nā wahine ma mua o nā kāne.
• ʻOiai ma luna o 40 mau makahiki.
• Momona: ʻOi aku ka nui o ka pilikia o ka poʻe momona.
• Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana nā pōhaku gallstones, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
• Hāpai: Hiki ke hoʻonui iki ʻia ka pilikia ma muli o nā hormones i hūnā ʻia i ka wā hāpai.
• ʻO ka pohō kaumaha wikiwiki: ʻO ka pohō nui ʻana o ke kaumaha i kahi manawa pōkole kekahi kumu.
• ʻO kekahi mau maʻi: Diabetes, ka maʻi Crohn, ka cirrhosis o ke ake, a pēlā aku.
• ʻAi: ʻAi ʻana i ka meaʻai kiʻekiʻe i ka ʻaila, ka cholesterol, a haʻahaʻa i ka fiber.
• Kekahi mau lāʻau lapaʻau: No ka poʻe e lawe ana i nā pila hoʻomalu hānau a i ʻole ka lāʻau hoʻololi hormone.

Pehea e hiki ai i ke kauka ke hōʻoia he pōhaku ʻōpū kēia?

Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona a nānā iā ʻoe, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.

• ʻŌpū Ultrasound: ʻO kēia ka hoʻāʻo maʻamau a maʻalahi hoʻi e hana. Hiki iā ia ke ʻike maopopo inā he mau pōhaku i loko o kou gallbladder a me nā ʻauwai bile.
• Nā hoʻāʻo koko: Hiki i kēia ke kōkua i ka nānā ʻana i nā maʻi, ka poloka ʻana o ka bile duct, a i ʻole nā ​​​​pilikia ʻē aʻe.
• Nā scan ʻē aʻe: I kekahi mau hihia, hiki ke kuhikuhi ʻia ʻoe no nā scan kūikawā e like me ka scan `CT`, `MRCP` (Magnetic Resonance Cholangiopancreatography), a me ka scan `HIDA`.

He aha nā lāʻau lapaʻau no nā gallstones?

Aia ka lāʻau lapaʻau i ka loaʻa ʻana o nā hōʻailona a i ʻole.

Eia nō naʻe, inā ʻike ʻoe i ka ʻeha a me nā hōʻailona ʻē aʻe, pono paha ʻoe i ka lāʻau lapaʻau. ʻO ka lāʻau lapaʻau maʻamau ka ʻoki ʻana e wehe loa i ka gallbladder.

Ka wehe ʻana i ka gallbladder ma ke ʻoki kino (Cholecystectomy)

Ke noʻonoʻo nei paha ʻoe, "ʻAuē, hiki iā ʻoe ke ola me ka wehe ʻia ʻana o kou gallbladder?"ʻAe, hiki iā ʻoe me ka ʻole o nā pilikia. Ke pau ka ʻōpū o ka ʻōpū, kahe pololei ka bile i hana ʻia i loko o ke akepaʻa i loko o ka ʻōpū liʻiliʻi. Maʻa ke kino i kēia ma hope o kekahi manawa.

Hana ʻia ke ʻoki kino ma nā ʻano nui ʻelua:

1. Laparoscopic Cholecystectomy: ʻO kēia ke kaʻina hana maʻamau i kēia lā. Hana ʻia kekahi mau ʻoki liʻiliʻi i loko o ka ʻōpū, hoʻokomo ʻia kahi kāmela a me nā mea hana kūikawā, a wehe ʻia ka gallbladder. Hiki ke hana koke ʻia kēia kaʻina hana, a ʻo ka noho ʻana ma ka haukapila he pōkole ia e like me hoʻokahi lā.

2. Open Cholecystectomy: He hana kēia kahi e wehe ʻia ai ka gallbladder ma o kahi ʻoki nui aʻe ma ka ʻōpū. Hana ʻia kēia inā he maʻi koʻikoʻi a i ʻole nā ​​​​pilikia ʻē aʻe. He manawa pōkole e hoʻōla ai.

Nā lāʻau lapaʻau e hiki ke hana me ka ʻole o ke ʻoki ʻana

No kekahi kanaka i loaʻa i nā kūlana olakino ʻē aʻe e hiki ʻole ai ke ʻoki ʻana, hiki ke noʻonoʻo ʻia nā koho lapaʻau ʻē aʻe.

• Nā lāʻau lapaʻau: Aia nā lāʻau lapaʻau e hiki ke hoʻoheheʻe i nā pōhaku cholesterol. Akā hoʻohana wale ʻia kēia mau mea no nā pōhaku liʻiliʻi loa. A hiki i ka mālama ʻana ke hala i nā mahina, a hiki i nā makahiki. Ke hoʻōki ʻia ka mālama ʻana, hiki ke hoʻi hou mai nā pōhaku.
• Ke ʻano ERCP: Hoʻohana ʻia kahi ʻano i kapa ʻia ʻo Endoscopic Retrograde Cholangiopancreatography (ERCP) e wehe i nā pōhaku i paʻa i loko o nā ʻauwai bile.

Hiki ke pale ʻia nā pōhaku gallstones?

ʻOiai ʻaʻole hiki iā mākou ke hoʻololi i kekahi mau mea pilikia (e like me ka makahiki a me ka mōʻaukala ʻohana), hiki iā mākou ke hōʻemi i kēia pilikia ma ka hoʻololi ʻana i ko mākou nohona.

• E mālama i ke kaumaha olakino: ʻO ka momona nui kahi kumu pilikia nui. Eia naʻe, mai hōʻemi nui i ke kaumaha i ka manawa hoʻokahi. E hōʻemi mālie i ke kaumaha, ma ke ʻano olakino.
• E ʻai i ka ʻai kaulike: E hōʻemi i nā meaʻai wikiwiki a me nā meaʻai i hana ʻia i kiʻekiʻe i ka ʻaila, ka momona, a me ke kō. E hoʻokomo i nā meaʻai waiwai i ka fiber e like me nā mea kanu, nā huaʻai, a me nā palaoa piha i kāu papaʻai.
• E hoʻoikaika kino mau: E hana i nā hoʻoikaika kino, e like me ka hele wāwae, no ka liʻiliʻi he 30 mau minuke i ka lā.
• Mai hōʻalo i nā meaʻai: ʻO ka hoʻokē ʻai ʻana no nā hola i ka manawa hiki ke hoʻonui i ka pilikia o ka hōʻiliʻili ʻana o ka bile i loko o ka gallbladder a me ka hana ʻana i nā pōhaku. No laila, mai hōʻalo i kāu mau meaʻai nui.