Ua ʻike pono anei ʻoe i ke ʻano o kēia mau aʻa koko hepatic i loko o kou ake? E kamaʻilio kāua!

He mau mea kupaianaha ko kākou a pau e hana nei i loko o ko kākou kino, ʻeā? ʻO kekahi mau mea a kākou e noʻonoʻo ʻole ai i kēlā me kēia lā, akā, ʻaʻole hiki iā kākou ke ola me ka ʻole o lākou. Eia kekahi, ʻo kahi ʻōnaehana o nā kīʻaha koko e hana ana i kahi hana koʻikoʻi loa i loko o ko kākou kino ua kapa ʻia ʻo nā aʻa koko hepatic. I ka ʻōlelo maʻalahi, he ʻano aʻa koko kēia e lawe ana i ke koko mai ko kākou akepaʻa. E kamaʻilio hou aku kākou e pili ana i kēia?

He aha nā aʻa koko hepatic? Aia ma hea lākou?

ʻAe, e noʻonoʻo e pili ana i kēia ʻano. He ʻōkana kupaianaha kou akepaʻa. Hana nui ia i ka hana. No laila, ma hope o ka pau ʻana o ka hana i loko o ke akepaʻa, pono e hoʻihoʻi ʻia ke koko i hoʻomaʻemaʻe ʻia, akā nele i ka oxygen i ka puʻuwai. Kāhea mākou i nā aa koko hepatic, he hui o nā aa koko e kōkua ana i kēlā hana.

Ua pili pono kēia aa koko i ka Inferior Vena Cava (IVC), he aa koko nui e hōʻiliʻili i ke koko mai ka ʻaoʻao haʻahaʻa o ko mākou kino a lawe iā ia i ka puʻuwai. A laila hele ke koko ma o kēia IVC i ke keʻena luna ma ka ʻaoʻao ʻākau o ka puʻuwai, ʻo ia hoʻi ka atrium ʻākau.

ʻEkolu mau ʻano nui o nā aʻa koko hepatic:

• ʻAʻa koko hepatic ʻākau
• ʻAʻa koko hepatic hema
• ʻAʻa koko hepatic waena

Aia kēia mau aa koko i loko o kou ake. Holo lākou ma waena o ʻewalu lobes o ke ake a kōkua i ka hōʻailona ʻana i nā palena o ʻehā mau ʻāpana nui o ke ake. Kapa nā kauka i kēia mau ʻāpana ʻehā ʻo ka ʻākau mua, ka ʻākau hope, ka hema waena, a me ka hema ʻaoʻao. I loko o ke ake, loaʻa i kēia mau aa koko hepatic ke koko mai nā aa koko waena. ʻO kēia mau aa koko waena he mau aa koko liʻiliʻi e hōʻiliʻili i ke koko mai nā capillaries liʻiliʻi ma loko o ke ake.

Puka mai nā aʻa koko hepatic mai ke kua o ke akepaʻa a hui pololei i loko o ka vena cava haʻahaʻa (IVC). Hoʻohui kēia ma kahi kokoke i ka iwi kuamoʻo, ma lalo pono o ka diaphragm. ʻO ka maʻamau, hoʻohui wale ka aʻa koko hepatic ʻākau i ka IVC, ʻoiai hoʻohui nā aʻa koko hepatic waena a me hema e hana i kahi kumu like a hoʻohui i ka IVC. Eia naʻe, ʻaʻole like kēia no nā kānaka a pau, a aia paha kekahi ʻano like ʻole.

He aha ka hana a kēia mau aa koko?

I ka ʻōlelo maʻalahi, he ʻāpana koʻikoʻi loa nā aʻa koko hepatic o kā mākou ʻōnaehana kahe koko. ʻO kā lākou hana nui ka hōʻiliʻili ʻana i ke koko deoxygenated mai ke akepaʻa a lawe iā ia i ka vena cava inferior (IVC). A laila hele kēia koko ma o ka puʻuwai a hiki i nā māmā, kahi i hoʻopiha ʻia ai ka oxygen, a laila hoʻihoʻi ʻia i ka puʻuwai ma ke kino holoʻokoʻa. No laila, hiki iā ʻoe ke ʻike i ke koʻikoʻi o kēia ʻōnaehana venous, ʻeā?

Ua like nā aa koko hepatic me kahi ʻōnaehana paipu e lawe aku ana i ka wai i hoʻohana ʻia mai ke akepaʻa a hoʻihoʻi i ke kino e hoʻomaʻemaʻe ʻia.

Ua like anei nā aa koko o kēlā me kēia kanaka? A i ʻole he ʻokoʻa paha?

He mea hoihoi loa kēia. ʻAʻole like ke ʻano o nā aʻa koko hepatic o kēlā me kēia kanaka.Aia paha he mau ʻokoʻa iki i loko o lākou, akā ʻaʻole lākou e hōʻeha. Eia nō naʻe, he mea nui loa i nā kauka ʻoki ke makaʻala i kēia mau ʻokoʻa, ʻoi aku hoʻi i nā ʻoki e like me ke kāpili ʻana o ke ake a i ʻole ka ʻoki ʻana i ke ake.

He aha kēia mau loli hiki ke hana ʻia? E nānā kākou i kekahi mau mea:

• ʻAʻa koko hepatic ʻākau haʻahaʻa: Ma waho aʻe o nā aʻa koko hepatic nui ʻekolu, hiki i kekahi aʻa koko ʻē aʻe ke hui pū me ka IVC ma kahi pae haʻahaʻa.
• ʻElua mau aʻa koko ʻākau: Hiki i kēia mau aʻa koko ʻelua ke hana i kahi kumu like ma mua o ka hui ʻana i ka `(IVC)`, a i ʻole e hui pū paha lāua ma kahi kaʻawale.
• He māhele wikiwiki ʻana o ka aʻa hepatic ʻākau: Ke kokoke e hui pū ka aʻa hepatic ʻākau i ka (IVC), hiki i kahi aʻa lālā liʻiliʻi ke hui pū me ia.
• Hoʻohui kaʻawale nā ​​aʻa koko hepatic waena a me ka hema i loko o ka `(IVC)`: Hiki nō hoʻi i kēia mau aʻa koko ʻelua ke hoʻohui kaʻawale i loko o ka `(IVC)` me ka ʻole o ka hana ʻana i kahi kumu like.

No laila, ʻike ʻoe, ʻeā? He mea maʻamau nā loli liʻiliʻi e like me kēia.

ʻO ke anawaena o kahi aa koko hepatic ma kahi o 15 milimita.

He aha nā maʻi e hoʻopilikia ai i nā aʻa koko hepatic?

ʻO ka mea pōʻino, hiki i kēia mau aʻa koko ke hoʻomohala i kekahi mau maʻi. ʻO kekahi o nā mea koʻikoʻi o kēia he maʻi i kapa ʻia ʻo Budd-Chiari Syndrome .

I ka ʻōlelo maʻalahi, ʻo ia ka wā e hana ai nā ʻōpū koko i loko o nā aʻa koko hepatic. Hoʻohaiki kēia mau ʻōpū koko i nā aʻa koko, a i ʻole hiki ke ālai loa iā lākou. He aha ka mea e hana ʻia? Kūpaʻa ke koko i loko o ke ake. Hoʻopilikia pū kēia ʻōpū i ka ʻōnaehana aʻa koko a puni ke ake.

ʻO kekahi o nā pilikia e hiki mai ana ma muli o ka Budd-Chiari Syndrome:

• Portal Hypertension: Hoʻonui ʻia ke kaomi i loko o ke aʻa portal e lawe ana i ke koko i ke akepaʻa.
• Nā ʻano ʻē o ka esophagus: Pehu ʻana a me ka pilikia o ka haki ʻana o nā aʻa koko i loko o ka esophagus.
• Ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū (Ascites)
• ʻO ka Cirrhosis o ke akepaʻa: ka paʻakikī a me ka emi ʻana o ka hana o ke akepaʻa.

He aha kēia mau hōʻailona?

Hiki ke ʻokoʻa nā hōʻailona o ka Budd-Chiari Syndrome a me nā pilikia e pili ana mai kēlā kanaka a kēia kanaka, akā eia kekahi mau hōʻailona maʻamau:

• Ke kahe ʻana o ke koko me ka ʻōpala.
• Nā pilikia ʻōnaehana e like me ka anorexia, ka bloating, a me ka constipation.
• Ka luhi pinepine a me ka nāwaliwali.
• ʻEha ma ka ʻōpū luna.
• ʻŌpū pehu a me ka piʻi wikiwiki ʻana o ke kaumaha.
• Paʻakikī ka hanu ʻana.
• Ka pehu ʻana o nā wāwae a i ʻole nā ​​kuʻekuʻe wāwae (Edema).
• Ke luaʻi ʻana i ke koko.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi koke i ke kōkua lapaʻau.

Pehea e ʻike ai nā kauka i kahi kūlana e like me kēia?

E hahai ke kauka i kekahi mau ʻanuʻu e hoʻoholo ai inā he pilikia me kēia mau aʻa koko hepatic.

1. Hoʻokolokolo kino: ʻO ka mea mua, e hoʻokolokolo ʻia ʻoe.

2. Nā hoʻāʻo koko: Hana ʻia nā hoʻāʻo koko e nānā i ka hana o ke akepaʻa.

3. Nā hoʻokolohua ʻē aʻe: Eia kekahi, hiki ke hana ʻia kekahi a ʻoi aku paha o kēia mau hoʻokolohua:

• Hoʻāʻo ʻana o ka ultrasound scan `(Ultrasound)`.
• Hoʻāʻo CT scan (Computed Tomography - CT scan).
• Hoʻāʻo MRI scan (Magnetic Resonance Imaging - MRI).
• Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ke akepaʻa no ka hoʻokolokolo ʻana (Liver Biopsy).

Hana ke kauka i ka hōʻoia pololei ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua.

He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?

Aia nā koho lapaʻau i kou kūlana a me kona koʻikoʻi. Hāʻawi pinepine ʻia ka lāʻau thrombolytic e hoʻoheheʻe i nā ʻōpū koko. Aia kekahi mau kaʻina hana like ʻole e hoʻihoʻi i ke kahe koko. E kūkākūkā kāu kauka i ke koho lapaʻau kūpono loa iā ʻoe me ʻoe.

He aha kā kākou e hana ai e mālama i ke olakino o ko kākou mau aa koko hepatic?

"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, aia kekahi mau mea hiki iā mākou ke hana e mālama ʻaʻole wale i ko mākou mau aʻa hepatic, akā, i ko mākou ʻōnaehana vascular holoʻokoʻa.

• E kaupalena i kāu inu ʻana i ka waiʻona: ʻO ka inu nui ʻana i ka waiʻona he mea hōʻino loa ia i ka puʻuwai, nā kīʻaha koko, a me ke ake. Inā ʻoe e inu i ka waiʻona, e kaupalena iā ia i ka nui kūpono.
• E pale i nā huahana paka: Hōʻino ka puhipaka i nā kīʻaha koko a he kumu nui ia no ka maʻi puʻuwai.
• E hoʻokele i nā kūlana olakino ʻē aʻe: Inā loaʻa iā ʻoe nā kūlana olakino ʻē aʻe, e like me ke koko kiʻekiʻe a i ʻole ka metabolic syndrome, e kamaʻilio me kāu kauka e pili ana i ka hoʻokele ʻana iā lākou. Hiki i kekahi mau kūlana ke hōʻino i nā kīʻaha koko i ka hala ʻana o ka manawa.
• E ʻai i ka meaʻai olakino no ka puʻuwai: Ua ʻike ʻia ka ʻai Mediterranean e kōkua i ka hōʻemi ʻana i ka maʻi o ka puʻuwai.
• Hoʻoikaika Kino: E nīnau i kāu kauka e pili ana i nā hoʻoikaika kino palekana a kūpono hoʻi nāu. Hoʻomaikaʻi ka hoʻoneʻe ʻana i kou kino i ke kahe koko.
• E hele i nā hoʻokolohua lapaʻau makahiki: E nānā ke kauka i kāu mau hōʻailona koʻikoʻi a, inā pono, e hana i nā hoʻokolohua ʻē aʻe e kōkua i ka ʻike a me ka mālama koke ʻana i nā pilikia.

Ua like anei ke aʻa koko hepatic a me ke aʻa koko portal?

ʻAʻole, ʻaʻole like kēia mau mea ʻelua. ʻO nā aʻa koko Hepatic a me nā aʻa Portal ʻelua ʻano o nā kīʻaha koko e hana ana i nā hana kū'ē.

• ʻAʻa puka: I kekahi manawa i kapa ʻia ʻo ka ʻaʻa puka hepatic. ʻO kēia ka meaKe lawe mai nei i ke koko i ke akepaʻa. Hele mai kēia koko mai nā ʻōkana like ʻole o ka ʻōpū. ʻO ia hoʻi, lawe mai ia i ke koko e pono ai ke hana ʻia ke kaʻina hana hoʻomaʻemaʻe o ke akepaʻa.
• Nā aa koko ʻāʻī: Lawe kēia i ke koko mai loko mai o ke ake. ʻO ia hoʻi, ma hope o ke kaʻina hana hoʻomaʻemaʻe ʻana i loko o ke ake, hele ke koko deoxygenated ma o kēia mau aa koko i ka inferior vena cava (IVC), mai laila mai e hele ai i ka puʻuwai.

I ka ʻōlelo maʻalahi, lawe ka vein portal i nā "mea maka" i ke akepaʻa, ʻoiai lawe nā vein hepatic i ka "huahana i pau" (ʻo ia hoʻi, ke koko i hoʻomaʻemaʻe ʻia).

No ka ʻōnaehana venous portal ka aʻa portal. He pūnaewele ia o nā aʻa e lawe ana i ke koko mai nā ʻōpū o ka ʻōpū a i ke akepaʻa. Eia naʻe, ʻaʻole no kēia ʻōnaehana nā aʻa hepatic.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

No laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i nā aʻa koko hepatic. He pilina koʻikoʻi kēia ma waena o ko kākou akepaʻa a me ka puʻuwai. Kōkua kēia mau aʻa koko i ka lawe ʻana i ke koko i hoʻomaʻemaʻe ʻia e ke akepaʻa, akā haʻahaʻa ka oxygen, hoʻi i ka puʻuwai.

Inā he mau hopohopo a nīnau paha kāu e pili ana i ke olakino o kou akepaʻa a i ʻole nā ​​kīʻaha koko e hoʻopili ai iā ia, e ʻoluʻolu e ʻike i ke kauka. E hauʻoli lākou e haʻi hou aku iā ʻoe e pili ana i kēia a e aʻo iā ʻoe i nā hoʻololi nohona hiki iā ʻoe ke hana e mālama i ke olakino o kāu ʻōnaehana kahe koko.

I mea e ola kino ai, he mea nui loa ka makaʻala i kēia mau ʻāpana liʻiliʻi akā koʻikoʻi o ko kākou kino, ʻeā?

ʻAke , Nā kīʻaha koko, Nā aʻa koko ʻāʻī, Kaʻapuni koko, Budd-Chiari Syndrome, Nā aʻa koko ʻāʻī