Ua haʻi aku anei kāu kauka iā ʻoe, "E hele ana mākou e ʻike i kahi loea akepaʻa"? A i ʻole ua makaʻu iki paha ʻoe a hopohopo paha i kou ʻike ʻana ua piʻi iki nā enzymes o kou akepaʻa i kahi hoʻāʻo koko? A laila manaʻo ʻoe, "ʻO wai kēia loea akepaʻa?" ʻO ia ka pane i kēlā nīnau a mākou e kūkākūkā ai ma kēia ʻatikala i kēia lā. ʻAʻohe kumu e makaʻu ai, e hoʻomaopopo maʻalahi kākou i kēia mau mea.
ʻO wai kēia hepatologist?
I ka ʻōlelo maʻalahi, he kauka hepatologist kahi kauka i loaʻa ka ʻike hohonu i nā maʻi e pili ana i kou ake, gallbladder, bile ducts, a me ka pancreas.
ʻOi aku ka maʻalahi o ka wehewehe ʻana i kēia huaʻōlelo. ʻO "Hepato" ke ʻano o "akepaʻa" ma ka ʻōlelo Helene. ʻO "-ologist" ke ʻano o ka loea i kahi kumuhana. No laila, ke hoʻohui ʻoe i nā mea ʻelua, ʻo "hepatologist" ke ʻano o ka loea i ke akepaʻa. Akā, ʻaʻole ʻo ia e nānā wale i ke akepaʻa, loaʻa iā ia ka ʻike maikaʻi o nā ʻāpana ʻē aʻe e pili ana i ke akepaʻa.
E noʻonoʻo i kēia ʻano, ua like kēia mau ʻōkana i loko o ko kākou kino me kahi ʻōnaehana e hana pū ana. E like me ka ʻōnaehana paipu i loko o kahi hale. Inā he pilikia ma kekahi wahi, hiki iā ia ke hoʻopilikia i nā wahi ʻē aʻe. Ma ke ʻano like, hiki i ka maʻi ate ke hoʻopilikia i ka gallbladder a i ʻole ka pancreas. No laila, pono ʻoe i kahi mea i ʻike e pili ana i kēia ʻōnaehana holoʻokoʻa.
No laila, he kanaka like anei ka gastroenterologist a me ka hepatologist?
He wahi kēia e huikau ai nā kānaka he nui. He nīnau maikaʻi loa ia.
He kauka loea ka gastroenterologist i loea i kā mākou ʻōnaehana hoʻoheheʻe holoʻokoʻa. ʻO ia hoʻi, he ʻike kona e pili ana i nā mea āpau mai ka waha a i ka anus, me ka esophagus, ka ʻōpū, ka ʻōpū liʻiliʻi, ka ʻōpū nui, ke akepaʻa, ka gallbladder, a me ka pancreas.
ʻO ka hepatologist he gastroenterologist i loaʻa i ka hoʻomaʻamaʻa hou a me ka hoʻonaʻauao ʻana e lilo i loea nui i ke akepaʻa a me nā maʻi pili.
I ka ʻōlelo maʻalahi, e noʻonoʻo he gastroenterologist kēlā me kēia hepatologist, akā ʻaʻole he hepatologist kēlā me kēia gastroenterologist. E like me kēlā me kēia kauka lapaʻau puʻuwai he kauka lapaʻau laulā, akā ʻaʻole he kauka lapaʻau puʻuwai kēlā me kēia kauka lapaʻau laulā.
ʻO ka maʻamau, hiki ke mālama ʻia nā maʻi akepaʻa maʻalahi e kahi gastroenterologist. Eia nō naʻe, inā ʻoi aku ka paʻakikī o ke ʻano, no ka laʻana, nā maʻi koʻikoʻi e like me ka cirrhosis, ka maʻi ʻaʻai akepaʻa, a i ʻole ka hoʻoili ʻana i ke akepaʻa, pono maoli ka ʻike loea o kahi hepatologist.
Ke kuhikuhi aku kāu kauka iā ʻoe i kahi hepatologist, ke hoʻāʻo nei ʻo ia e hāʻawi iā ʻoe i ke kiʻekiʻe loa o ka mālama kūikawā hiki, no laila mai makaʻu e nīnau.
No ke aha e kuhikuhi aku ai ke kauka iā ʻoe i kahi hepatologist?
ʻO ka maʻamau, e ʻike mua ʻoe i kāu kauka mālama mua (PCP). Inā loaʻa iā ʻoe nā hōʻailona, e like me ka melemele o nā maka, ka ʻōpū pehu, a i ʻole ka luhi nui, a inā he mau hoʻokolohua hana ate maʻamau ʻole (LFTs) ma kahi panela koko, hiki iā ia ke kānalua i kahi pilikia ate.
I ia hihia, hiki iā ia ke kuhikuhi iā ʻoe i kahi hepatologist no ka hōʻoia pololei a me ka lāʻau lapaʻau.
I kekahi manawa, inā manaʻo kāu gastroenterologist o kēia manawa ua holomua kou kūlana i kahi e pono ai ʻo ia i ka ʻike loea ma mua o kāna iho, e kuhikuhi ʻo ia iā ʻoe i kahi hepatologist. ʻO kēia ke ala lapaʻau kūpono loa.
He aha nā maʻi e mālama ai ke hepatologist?
He ākea loa ke ʻano o nā maʻi a nā kauka hepatology e mālama ai. E māhele kākou i ʻelua ʻāpana.
| ʻO nā maʻi akepaʻa nui | |
|---|---|
| Inoa o ka maʻi | He wehewehe maʻalahi |
| Hepatitis viral | ʻO ka mumū o ke akepaʻa i hoʻoulu ʻia e nā maʻi e like me ka hepatitis B a me C. |
| Maʻi akepaʻa i hoʻoulu ʻia e ka waiʻona | Ka hōʻino ʻia o ke akepaʻa ma muli o ka inu nui ʻana i ka waiʻona. |
| Maʻi ʻAke Momona | ʻO nā waihona momona o ke akepaʻa, ʻoiai i loko o ka poʻe inu ʻole i ka waiʻona, he mea maʻamau loa ia ma ko mākou ʻāina i kēia manawa. |
| Hepatitis Autoimmune | Ke hoʻouka nei ka ʻōnaehana pale ponoʻī o ke kino i ke akepaʻa. |
| ka maʻi o Wilson | Ka hōʻino ʻia o ke akepaʻa ma muli o ka hōʻiliʻili nui ʻana o ke keleawe i loko o ke kino. |
| ʻO ka Cirrhosis o ke akepaʻa | ʻO ka maʻi akepaʻa mau ke kumu o ka ʻuʻuku o ke akepaʻa, lilo i ʻōpala, a nalowale kāna hana. |
| Ka hāʻule ʻana o ke akepaʻa | Ka pau koke ʻana a mālie paha o ka hana o ke akepaʻa. |
| Ka maʻi ʻaʻai ate mua | Nā maʻi ʻaʻai e kū mai ana i loko o ke akepaʻa. |
| Nā Maʻi ʻAla Biliary | |
|---|---|
| Kolestasis | Ka ālai ʻana i ke kahe o ka bile i hana ʻia e ke akepaʻa. |
| ʻO ke koʻikoʻi o ka biliary | Ka hoʻohaiki ʻana a i ʻole ka pale ʻana o nā ʻauwai bile. |
| ʻO ka Cholangitis Biliary mua | He maʻi autoimmune e hōʻino ai i nā ʻauwai bile. |
| Ka maʻi ʻaʻai o ka ʻauwai bile | Nā maʻi ʻaʻai e kū mai ana i loko o nā ʻaʻa bile. |
ʻO wai kēia Kauka Hepatope Hoʻololi?
He ʻoihana kūikawā kiʻekiʻe kēia. He kauka Transplant Hepatologist i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā maʻi me ka maʻi akepaʻa hope loa ma mua a ma hope o ke ʻoki hoʻoili akepaʻa.
Hana kēia mau kauka ma nā haukapila nui e hana ana i nā ʻoki hoʻoili ake. Loaʻa iā lākou ka ʻike hohonu o nā mea āpau mai ka hoʻoholo ʻana inā ʻo ka hoʻoili ake ka koho maikaʻi loa no ka mea maʻi, ka hoʻomākaukau ʻana i ka mea maʻi no ia mea, a me ka mālama ʻana i nā pilikia ma hope o ke ʻoki ʻana.
He paʻakikī loa ke olakino o ka mea maʻi i nā pae hope loa o ka hāʻule ʻana o ke akepaʻa. Hiki ke kū mai nā pilikia he nui i ka manawa hoʻokahi. Hoʻokele kahi hepatologist hoʻololi i kēia mau mea āpau.
He aha nā pilikia a lākou e mālama ai?
ʻO kekahi o kā lākou mau hana nui, ʻo ia ka mālama ʻana i nā pilikia e kū mai ana ma mua a ma hope o ka hoʻoili ʻana i ke ake.
- ʻO ke koko kiʻekiʻe ma ka puka o ke akepaʻa: Hoʻonui ʻia ke kaomi i loko o nā kīʻaha koko e lawe mai i ke koko i ke akepaʻa.
- Ascites: Ua kapa pinepine ʻia kēia ʻo ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū.
- Nā ʻano ʻokoʻa o ka esophagus: Hiki i kēia ke poha a kahe ke koko.
- ʻO ka Encephalopathy Hepatic: Hoʻopilikia ʻia ka hana o ka lolo no ka mea ʻaʻole hiki i ke akepaʻa ke kānana i nā mea ʻawahia. Hiki i ka mea maʻi ke nalowale i ka hoʻomanaʻo.
- ʻO ka maʻi Hepatorenal: Nā pilikia o ke akepaʻa e hoʻopilikia ana i nā puʻupaʻa.
Kū mai nā pilikia hou ma hope o ka hoʻoili ʻana o ke akepaʻa, ʻoiai pono ke kino e hoʻomau i ka lawe ʻana i nā immunosuppressants e pale aku i ka hōʻole ʻia ʻana o ke akepaʻa i hoʻoili hou ʻia. Hiki i kēia mau lāʻau lapaʻau ke hana i nā pilikia ʻē aʻe.
- Nā maʻi pinepine.
- Ke koko kiʻekiʻe (Hypertension).
- Maʻi diabetes (Maʻi diabetes ʻAno 2).
- Ka lahilahi o nā iwi (Osteoporosis).
- Ka hoʻi hou ʻana o ka maʻi akepaʻa.
He kuleana ia o kahi hepatologist hoʻoili koko e makaʻala i kēia mau mea a pau a mālama i ke olakino o ka mea maʻi.
ʻO wai ke kauka Hepatologist Pediatric?
E like me ka inoa e hōʻike nei, he kauka Pediatric Hepatologist i loea i nā maʻi o ke akepaʻa a me ka ʻōnaehana hoʻoheheʻe o nā pēpē, nā kamaliʻi liʻiliʻi, a me nā kamaliʻi ʻōpio.
ʻAʻole like ke kino o nā keiki me ke kino o nā kānaka liʻiliʻi. He ʻokoʻa ko lākou mau maʻi, he ʻokoʻa kā lākou pane ʻana i nā maʻi, a he ʻokoʻa hoʻi nā nui o nā lāʻau lapaʻau i hāʻawi ʻia. No laila, no ka mālama ʻana i nā keiki, pono ʻoe i kekahi i loaʻa i ke aʻo kūikawā i nā keiki.
ʻO ka hepatologist pediatric e lilo mua i pediatrician, a laila loaʻa iā ia ke aʻo kūikawā ma ka gastroenterology pediatric, a laila loaʻa iā ia ke aʻo kūikawā hou aʻe ma ke akepaʻa. Mālama pū kēia mau loea i nā hihia paʻakikī e like me nā hoʻoili akepaʻa i nā keiki.
ʻO ke akepaʻa kekahi o nā ʻōkana nui loa o ko kākou kino. A he nui loa nō hoʻi kāna hana. Hana ke akepaʻa i nā hana he nui, e like me ke kānana ʻana i nā mea ʻawahia mai ke kino, ka mālama ʻana i ka ikehu, a me ke kōkua ʻana i ka hoʻoheheʻe ʻana i ka meaʻai. No laila, inā maʻi ke akepaʻa, hoʻopilikia ia i ke kino holoʻokoʻa.
ʻAʻole he huakaʻi maʻalahi ka lilo ʻana i hepatologist. Pono ia i ka nui o ka hoʻolaʻa, ka ʻike, a me ke aʻo ʻana. Eia kekahi, pono ʻoe e ikaika i ka noʻonoʻo me nā maʻi a me ko lākou mau ʻohana. Akā i ka hopena o nā mea āpau, hoʻopakele lākou i nā ola he nui. ʻO ia ka ʻoluʻolu nui loa a lākou e loaʻa ai.
Leka Lawe-Home
- He kauka hepatologist ka mea i loaʻa ka ʻike loea kiʻekiʻe loa i nā maʻi e pili ana i ke akepaʻa a me nā ʻōpū e pili ana (gallbladder, pancreas).
- He gastroenterologist kēlā me kēia hepatologist, akā ua aʻo hohonu lākou i ke akepaʻa.
- Inā kuhikuhi kāu kauka ʻohana a i ʻole kekahi loea ʻē aʻe iā ʻoe i kahi hepatologist, mai makaʻu. ʻO ia hoʻi ke hoʻāʻo nei lākou e hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa.
- Hoʻōla lākou i nā mea āpau mai nā maʻi maʻamau e like me ka hepatitis a me ka maʻi momona o ke akepaʻa a hiki i nā kūlana paʻakikī e like me ka cirrhosis, ke kanesa o ke ake, a me nā hoʻoili ʻana o ke ake.
- Inā he mau hopohopo a nīnau paha kāu e pili ana i kou akepaʻa, e kamaʻilio mua me kāu kauka. Inā pono, e kuhikuhi ʻo ia iā ʻoe i ke kauka loea kūpono.
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