He ʻōkana koʻikoʻi a koʻikoʻi loa ke akepaʻa i loko o ko kākou kino. Ua like ia me kahi kānana i loko o ko kākou kino. Hana ke akepaʻa i nā hana koʻikoʻi he nui, e like me ke kānana ʻana a me ka wehe ʻana i nā mea ʻawahia mai ke koko a me ka kaohi ʻana i nā pae cholesterol. Eia nō naʻe, inā no kekahi kumu e pehu ai kou akepaʻa ma mua o ka maʻamau, ʻo ia hoʻi, inā lilo ia i mea nui, kapa mākou ia he pehu akepaʻa, a i ʻole ma ke ʻano lapaʻau ʻo `(Hepatomegaly)`. He hōʻailona pinepine kēia o kekahi maʻi lapaʻau ʻē aʻe.
He koʻikoʻi anei ka pehu ʻana o ke akepaʻa?
ʻOiaʻiʻo, ʻaʻole kēia he mea e pono ai kākou e lawe māmā. Akā, pili kona koʻikoʻi i ke kumu o kēia pehu. I kekahi manawa hiki ke lilo i pilikia. I kekahi manawa, hiki ke lilo i hōʻailona hōʻailona o kekahi maʻi. No laila, ʻaʻole hiki iā mākou ke ʻōlelo maopopo a hiki i kāu kauka ke hana i nā hoʻokolohua e pono ai.
I kekahi manawa, pehu ke akepaʻa i ka pane ʻana i kahi kūlana pōkole, e like me ka maʻi, a laila hoʻi i ka maʻamau ke ho'ōla ʻia ke kūlana. Eia nō naʻe, i kekahi manawa, hiki i ke akepaʻa ke hōʻino mālie ʻia e kahi maʻi lōʻihi.
He aha nā hōʻailona o kēia maʻi?
ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe e ʻike i kahi ake pehu ma kāu iho. Eia nō naʻe, i nā hihia koʻikoʻi, hiki iā ʻoe ke manaʻo i ka piha , ka nausea , a i ʻole ka ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū, kahi i loaʻa ai ke ake.
Eia nō naʻe, ʻike pinepine ʻia kēia ke nānā aku kāu kauka iā ʻoe. Inā manaʻo ʻo ia i kahi loli i loko o kou akepaʻa i kona wā e pā ai i kou ʻōpū, kānalua paha ʻoe.
Inā he hōʻailona o ka maʻi akepaʻa ka pehu ʻana o ke akepaʻa, hiki ke ʻike ʻia nā hōʻailona pili ʻē aʻe.
| Hōʻailona | Wehewehena |
|---|---|
| Luhi | Manaʻo luhi loa me ke kumu ʻole. |
| Ka luaʻi a me ka nalowale o ka makemake | Manaʻo e luaʻi a nalowale nā makemake āpau e ʻai. |
| ʻĀʻī | Melemele o ka ʻili a me nā keʻokeʻo o nā maka. |
| Nā loli i ka mimi a me ka ʻōpala | ʻO ka mimi ʻeleʻele (e like me ke kī) a me nā ʻōpala keʻokeʻo (e like me ka lepo). |
| ʻIli ʻāʻī (Pruritus) | Ka ʻūhū a puni ke kino me ke kumu ʻole. |
| ʻO ka splenomegaly | Ka hoʻonui ʻia ʻana o ka spleen, aia ma ka ʻaoʻao hema o luna o ka ʻōpū. |
He aha nā kumu nui o ka pehu ʻana o ke akepaʻa?
I ka ʻōlelo maʻalahi, ʻehā mau ala nui e hiki ai i kou akepaʻa ke mumū:
1. Ka mumū: Ka pehu ʻana i ka wā e pili ana ke akepaʻa i kahi maʻi a i ʻole ka nui o nā mea ʻawahia (e like me ka waiʻona) e hiki ʻole ke lawelawe.
2. Momona: Ka hōʻiliʻili nui ʻana o ka momona i loko o ke akepaʻa.
3. Koko: Ke ālai ʻia ʻana o ke koko i loko o nā kīʻaha koko e hele ana ma ke akepaʻa.
4. Nā ulu ʻana: ʻO ke ʻano o nā puʻupuʻu, inā he maʻi ʻaʻai a ʻaʻole paha.
Aia kekahi mau kumu maʻamau a kākaʻikahi hoʻi e hoʻopilikia ai i kēia.
Nā kumu maʻamau
- ʻO ka maʻi hepatitis e pili ana i ka waiʻona: ʻO ka hōʻino ʻia o ke akepaʻa i hana ʻia e ka inu nui ʻana i ka waiʻona.
- ʻO ka maʻi hepatitis ʻawahia: Hiki ke hana ʻia kēia e nā kumu e like me ka lawe ʻana i kahi overdose o kekahi mau lāʻau lapaʻau. Inā ua lawe kekahi i kahi overdose, pono e lawe koke ʻia lākou i ka Emergency Department (ETU) o ka haukapila kokoke loa. Inā pono, e ʻimi nā kauka i ka ʻōlelo aʻoaʻo mai ke National Poisons Information Centre ma ka Colombo National Hospital .
- Hepatitis viral: Ka maʻi ʻana me nā virus e like me ka hepatitis A, B, a i ʻole C.
- Maʻi akepaʻa: Hiki ke hana ʻia e ka hoʻohana ʻana i ka waiʻona a i ʻole nā pilikia metabolic e like me ka maʻi diabetes a me ka momona.
- ʻO ka mononucleosis: He maʻi viral maʻamau.
Nā kumu kakaikahi
ʻAʻole i maʻamau kēia mau mea, akā hiki ke hoʻoulu i ka pehu ʻana o ke akepaʻa.
| Māhele kumu | Nā Laʻana |
|---|---|
| Nā maʻi hoʻoilina | ʻO nā kūlana e like me ka hemochromatosis, ka maʻi o Wilson, a me ka maʻi Gaucher. |
| Nā puʻupuʻu ate | Nā cysts ate, nā puʻupuʻu maikaʻi ʻole, ka maʻi ʻaʻai ate. |
| Nā ʻano maʻi ʻē aʻe | Nā maʻi ʻaʻai koko e like me ka leukemia a me ka lymphoma. |
| Nā maʻi o ka gallbladder a me nā ʻāpana bile | Ka pale ʻana a i ʻole ka mumū ʻana o nā ʻauwai bile. |
| Maʻi puʻuwai a me nā pilikia o ke kīʻaha koko | ʻO nā kūlana e like me ka hāʻule ʻana o ka puʻuwai congestive a me ka maʻi Budd-Chiari. |
Pehea e mālama ʻia ai kēia?
E ho'āʻo mua kāu kauka e ʻike pono i ke kumu o ka pehu ʻana o ke akepaʻa. Hiki i kēia ke komo pū me nā hoʻāʻo koko a me nā scan (e like me ka ultrasound scan). I kekahi manawa, inā manaʻo ʻia he ʻoi aku ka koʻikoʻi o ke kūlana, hiki iā lākou ke paipai i kahi biopsy akepaʻa, ʻo ia hoʻi ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke akepaʻa a nānā iā ia.
ʻO ka mea nui, ʻaʻohe lāʻau lapaʻau kūikawā no ka pehu ʻana o ke akepaʻa. Kuhikuhi ʻia ka lāʻau lapaʻau i ke kūlana kumu i hoʻokumu ai i ka pehu.
Ke loaʻa ke kumu, e wehewehe kāu kauka i nā ʻano lapaʻau kūpono iā ʻoe.
Hiki ke hoʻohuli ʻia ka pehu ʻana o ke akepaʻa?
ʻAe, i kekahi mau hihia hiki. He hiki kupaianaha ko ke akepaʻa e hana hou iā ia iho. Akā no kēlā mea e hiki ai, pono e lawa ka nui o nā ʻiʻo akepaʻa olakino i koe.
Inā pehu ke akepaʻa ma muli o kahi maʻi koke, ʻo ka mālama ʻana i ke kumu e hāʻawi i ke akepaʻa i kahi manawa e ho'ōla ai.
Eia kekahi, inā i hoʻokumu ʻia kēia maʻi e ka maʻi akepaʻa lōʻihi, hiki i nā loli o ke ʻano o ka nohona ke kōkua i ka kaohi ʻana i ke ʻano, a i kekahi manawa e ho'ōla loa iā ia.
- Inā ʻoe e ʻona ana i ka waiʻona, e ʻimi i ke kōkua lapaʻau a kōkua koke e hoʻopau iā ia.
- Inā loaʻa iā ʻoe ka maʻi momona ʻaʻohe waiʻona, e kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i kahi kaumaha olakino kūpono iā ʻoe.
- E kāohi i ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, a me nā pae kō koko kiʻekiʻe.
- ʻOiai e ʻai ana i nā meaʻai momona , e hoʻoikaika kino i kēlā me kēia lā.
Āhea wau e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi pehu, nausea , a ʻeha paha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, e ʻike pono i ke kauka. Eia kekahi, e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona koʻikoʻi a ʻano ʻē paha:
- Ke kuni mau.
- Ka huikau a i ʻole ka ʻike ʻole.
- Ke manaʻo nei i ka nāwaliwali loa a me ka poniuniu.
- Melemele o nā maka a i ʻole ka ʻili.
- He loli maopopo i ke kala o ka mimi a i ʻole ka ʻōpala.
ʻO ka pehu ʻana o ke akepaʻa he hōʻailona ia o nā maʻi he nui. ʻOiai ʻaʻole nā mea āpau he pilikia, pono lākou āpau i ka mālama lapaʻau. No laila, inā kānalua ʻoe i kahi hōʻailona e like me kēia, ʻaʻole i lohi loa e nānā.
Leka Lawe-Home
- ʻAʻole maʻi ka Hepatomegaly, he hōʻailona ia o kahi maʻi ʻē aʻe.
- ʻO ka mea nui, ʻo ia ke kuhikuhi pono i ke kumu o kēia ʻano pehu a mālama iā ia.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū, ka pehu ʻana, a me ka melemele o nā maka.
- Nā hoʻololi o ke ʻano o ka nohona, e like me ka hoʻōki ʻana i ka hoʻohana ʻana i ka waiʻona, ka ʻai olakino, a me ka hoʻoikaika kinoHiki iā ia ke mālama i ke olakino o ke akepaʻa.
- Inā he kānalua a he mau hōʻailona paha kāu, mai kānalua e nīnau i kāu kauka no ka ʻōlelo aʻo.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi i kuhikuhi ʻia ai nā papa Lovastatin (Lovastatin / Mevacor)?
ʻO kēia ka lāʻau lapaʻau 'High Cholesterol/Hyperlipidemia' (Statin) mua loa i ʻike ʻia ma ka honua! Hoʻemi kēia i ka 'cholesterol maikaʻi ʻole (LDL)' a pale i nā maʻi puʻuwai a me ka hōʻeha puʻuwai/hahau (Cardiovascular Events). Hana ʻia kēia mai kahi fungus kūikawā i kapa ʻia ʻo (Aspergillus), a ʻoiai ua kahiko kēia lāʻau lapaʻau, hoʻohana mau ʻia ia e nā kauka i kēia lā me ka holomua nui.
💬 Pehea e hoʻoheheʻe ai kēia pila kolesterol mua (Lovastatin) i ka kolesterol maikaʻi ʻole ke komo i loko o ko kākou kino?
ʻO ka mīkini nui e hana ana i ka cholesterol i loko o ke akepaʻa o ko kākou kino ua kapa ʻia ʻo 'HMG-CoA Reductase'. Ke komo kēia pila i loko o ke kino, hoʻololi ʻia ia i loko o kekahi kemika ʻē aʻe (Active Metabolite) a hele i ko kākou akepaʻa. Hoʻopaʻa/pani a laka ia i kēlā mīkini cholesterol 100%. Ke pio ka mīkini, ʻaʻohe koho ʻē aʻe o ke akepaʻa akā e omo a luku i ka cholesterol maikaʻi ʻole/LDL i loko o ko kākou koko.
💬 He aha nā 'pōʻino make' (mimi ʻeleʻele) e pono ai ʻoe e ʻike i ka wā e lawe ai i kēia pila cholesterol (Lovastatin)?
ʻO ka pōʻino weliweli loa mai kēia ʻo ia ka 'Myopathy/Rhabdomyolysis'! Inā loaʻa iā ʻoe ka ʻeha/nāwaliwali o nā ʻiʻo a me ka mimi ʻeleʻele, e hele koke i ka haukapila, a i ʻole e make paha ʻoe i ka hāʻule ʻana o nā puʻupaʻa! Eia kekahi, inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe (e like me Clarithromycin) a inu paha i ka 'Grapefruit/Grapefruit water', hiki i kēia lāʻau lapaʻau ke 100% ʻawahia i ke kino a hiki ke make.
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