Ua noʻonoʻo paha ʻoe i kou akepaʻa? ʻOiai ke kamaʻilio pinepine nei mākou e pili ana i nā mea e like me ka puʻuwai a me ka lolo, he ʻōkana kupaianaha nō hoʻi ke akepaʻa e hana mālie ana akā pono e hana i kahi hana nui i loko o ko mākou kino. Ua like ia me kahi mea hana leo ʻole i loko o ko mākou kino. No laila, i kēia lā e kamaʻilio mākou me nā kikoʻī hou aku e pili ana i ko mākou hoaaloha ke akepaʻa, ka hana āna e hana ai, nā pilikia hiki iā ia ke hana, a pehea e mālama ai, ʻae?
He aha maoli ke akepaʻa?
I ka ʻōlelo maʻalahi, he ʻōkana koʻikoʻi loa ke akepaʻa i loko o ko kākou kino a he gland hoʻi . ʻO ia hoʻi, hana ia ma ke ʻano he ʻōkana a he gland hoʻi e hana i nā mea e like me nā protein a me nā hormones e pono ai ke kino.
E noʻonoʻo ʻoe ua like ke akepaʻa me ka huʻahuʻa, he ʻano wedge, he ʻulaʻula-ʻeleʻele, a ua like ka nui me ka pōpeku . Eia nō naʻe, hiki ke ʻokoʻa kēia nui ma muli o kou kiʻekiʻe a me kou kaumaha. ʻO ke kaumaha o ke akepaʻa o kahi pākeke ma kahi o 1.3 kilokani, ʻo ia ka ʻōkana nui loa i loko o ko kākou kino.
ʻO ka hapa nui o ka manawa, aia ke akepaʻa ma ka ʻaoʻao ʻākau o ko kākou kino, ma lalo pono o nā iwi ʻaoʻao. Eia nō naʻe, aia kahi maʻi kakaikahi loa i kapa ʻia ʻo `(Situs Inversus)`, kahi e hiki ai ke loaʻa ke akepaʻa o kekahi poʻe ma ka ʻaoʻao hema.
I ka lāʻau lapaʻau, kapa mākou i nā maʻi e pili ana i ke akepaʻa he mau kūlana 'hepatic'. Kāhea mākou i nā kauka loea i ke akepaʻa he 'hepatologists'.
No laila, he aha ka lawelawe a kēia akepaʻa e hāʻawi ai i ko kākou kino?
Auē! He mau haneli o nā hana a ke akepaʻa e hana ai. Akā, e kamaʻilio kākou e pili ana i kekahi o nā hana koʻikoʻi loa no ke ola :
- Hoʻomaʻemaʻe i ke koko: ʻO kēlā me kēia mea ʻawahia e hōʻiliʻili ana i loko o ko kākou kokoʻO ka hana nui o ke akepaʻa, ʻo ia ka wehe ʻana i nā mea ʻawahia, ʻo ia hoʻi, nā mea ʻino i ke kino, a hoʻomaʻemaʻe i ke koko. Ua like ia me kahi kānana nui i loko o ko kākou kino.
- Wehe i nā hunaola koko ʻulaʻula kahiko: Ke ʻelemakule nā hunaola koko ʻulaʻula i loko o ko kākou koko, wehe ke akepaʻa iā lākou.
- Hoʻopuka ʻia ka Bile e ke akepaʻa: Hoʻopuka pū ke akepaʻa i kahi wai i kapa ʻia ʻo bile e kōkua iā mākou e hoʻoheheʻe i ka meaʻai a mākou e ʻai ai. Kōkua kēia bile iā mākou e hoʻoheheʻe i nā meaʻai momona.
- Hoʻoponopono i nā meaola: ʻO kekahi hana koʻikoʻi o ke akepaʻa, ʻo ia ka "metabolize" i nā protein, nā carbohydrates, a me nā momona a mākou e loaʻa ai mai ka meaʻai a mākou e ʻai ai i hiki i ko mākou kino ke hoʻohana iā lākou.
- Kōkua i ke kāpili ʻana o ke koko: Hana pū ke akepaʻa i kekahi mau mea e kōkua ai i ke kāpili ʻana o ke koko, kahi e kōkua ai i ka hoʻōki ʻana i ke kahe ʻana o ke koko ke loaʻa kahi ʻeha ma kekahi wahi.
- Hoʻomalu i ka nui o ke koko: Kōkua pū ke akepaʻa i ka kaohi ʻana i ka nui o ke koko i loko o ko mākou kino.
- Mālama i ka ikehu a me nā wikamina: Mālama ke kino i ka ikehu (mālama ʻia kēia ma ke ʻano he glycogen) a me nā wikamina (e.g. nā wikamina A , D, E, K, B12) no ka hoʻohana ʻana ma hope i loko o ke akepaʻa.
I kēia manawa ua maopopo iā ʻoe, ʻeā? ʻAʻole he kanaka liʻiliʻi ke akepaʻa. ʻO kēia wale nō kekahi o nā hana nui. Eia kekahi, hana mālie ke akepaʻa i nā haneli o nā hana ʻē aʻe.
He aha nā ʻāpana o ke akepaʻa?
ʻO ka hapa nui o ke akepaʻa he ʻelua lobes nui : ka lobe ʻākau a me ka lobe hema.
He nui nā kīʻaha koko i loko o kēia ʻōkana. Hele ke koko i loko o ko kākou kino ma o kēia mau aa koko i ke akepaʻa, kahi e hoʻomaʻemaʻe ʻia ai. ʻO ke akepaʻa, i ka pololei, hana ia e like me kahi ʻōnaehana kānana nui , e wehe ana i nā mea ʻawahia a me nā ʻōpala pono ʻole mai ke koko. A laila hoʻokuʻu ʻia kēia mau mea i lawe ʻia mai ke kino me ka mimi a me nā feces.
Eia kekahi, aia i loko o kēia mau ducts nui nā tausani o nā ducts liʻiliʻi i kapa ʻia ʻo lobules. Hoʻopili ʻia kēia mau lobules i nā ʻōmole liʻiliʻi he nui i kapa ʻia ʻo bile ducts e lawe ana i ka bile i hana ʻia i loko o ke akepaʻa i ka ʻōpū liʻiliʻi.
He aha nā maʻi e hiki ke hoʻopilikia i ke akepaʻa?
ʻO ka mea pōʻino, aia kekahi mau kūlana a me nā maʻi e hiki ke hōʻino i ko kākou akepaʻa makamae, ʻo ia hoʻi, ke kumu o ka maʻi akepaʻa. ʻO kekahi o lākou:
| Māhele maʻi | Nā Laʻana |
|---|---|
| Nā maʻi i hoʻokumu ʻia e nā toxins | Maʻi akepaʻa i hoʻokumu ʻia e ka inu nui ʻana i ka waiʻona, akepaʻa momona. |
| Nā maʻi hoʻoilina | ʻO ka maʻi o Wilson, ka maʻi hemochromatosis. |
| Ka maʻi ʻaʻai | Ka maʻi ʻaʻai o ke ake (Hepatocellular carcinoma). |
| Nā pilikia o ka ʻōnaehana pale | ʻO ka maʻi hepatitis Autoimmune, ka cholangitis biliary mua. |
| Nā maʻi viral | Hepatitis A, B, C. |
Hiki i nā maʻi he nui ke hōʻino i ke akepaʻa i ka hala ʻana o ka manawa, ʻo ia hoʻi ka ʻeha o ke akepaʻa, e alakaʻi ana i kahi maʻi weliweli i kapa ʻia ʻo cirrhosis . ʻO Cirrhosis kahi maʻi i hōʻino nui ʻia ai ka hana o ke akepaʻa.
Inā he pilikia ke akepaʻa, he aha nā hōʻailona a mākou e ʻike ai?
ʻAe, i kēia manawa e nānā kākou pehea e hōʻike ai ko kākou kino iā kākou inā he hewa a he pilikia paha me ke akepaʻa. He aha kēlā mau hōʻailona?
ʻO kekahi o nā hōʻailona koʻikoʻi a maʻamau hoʻi, ʻo ia ka jaundice . Ua ʻike paha ʻoe i kekahi poʻe i melemele ko lākou ʻili a me ke keʻokeʻo o ko lākou mau maka. ʻO ia ke ʻano o ka jaundice. ʻO ke kumu o kēia, ʻo ia ka hoʻonui ʻia ʻana o kahi mea melemele i kapa ʻia ʻo bilirubin i loko o ke koko. ʻO kēia bilirubin kahi mea i hana ʻia i ka wā e wāwahi ai ke akepaʻa i nā hunaola koko ʻulaʻula kahiko. No laila, ʻo ke kiʻekiʻe o ka bilirubin i loko o ke koko he hōʻailona ia he hewa paha kekahi mea me ke akepaʻa.
Ma waho aʻe o ka jaundice, aia kekahi mau hōʻailona ʻē aʻe:
- Hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū (kapa nā kauka i kēia "ascites"). Ke nānā aku nei ka ʻōpū i ka pehu.
- He maʻalahi ke ʻeha o ke kino. Inā paha e pā ʻia ʻoe e kahi mea liʻiliʻi, e polū nō ʻoe.
- Ka ʻili ʻana o ka ʻili.
- Ke koko haʻahaʻa .
- ʻEha ka ʻōpū, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
- Ka pehu ʻana ma nā wahi e like me nā wāwae a me nā kuʻekuʻe wāwae.
- Ka nāwaliwali o ke kino, ka nele o ka ikaika, ke kaumaha i ka hele wāwae ʻana, ka luhi mau.
- ʻO ka huikau ke ʻano o ka huikau iki, e poina ana i kou wahi a me ka manawa hea.
Pehea e hiki ai iaʻu ke mālama i koʻu akepaʻa i ke olakino a me ke olakino?
No ka mea, he ʻōkana waiwai nui ko kākou akepaʻa a he ʻōkana hana pono hoʻi, he mea nui loa ia e mālama pono iā ia . Pono kākou a pau e mālama i ko kākou akepaʻa me ke aloha. No laila, eia kekahi mau mea maʻalahi akā koʻikoʻi loa hiki iā ʻoe ke hana e mālama pono i kou akepaʻa:
- E noho mamao aku mai nā mea ʻawahia: E noho mamao aku mai nā mea ʻino e like me nā kemika (e like me nā pesticides, herbicides), ka puhipaka, a me nā lāʻau lapaʻau ʻole i ka hiki.
- E mālama i kou olakino pilikino: Mai kaʻana like i kāu mau mea pilikino e like me nā nila, nā ʻumiʻumi, a me nā pulupulu niho me nā poʻe ʻē aʻe.
- E kaupalena i ka inu ʻana i ka waiʻona: Inā he kanaka ʻoe e inu ana i ka waiʻona, e hana pēlā ma nā nui liʻiliʻi loa a pinepine ʻole .
- E hahai i nā ʻōlelo aʻoaʻo lapaʻau e pili ana i ka lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i kauoha ʻia e ke kauka e like me ke kauoha, ka nui i kauoha ʻia, a i ka manawa i kauoha ʻia.
- E mālama i ke kaumaha o ke kino olakino: E ʻai i ka ʻai kaulike a momona hoʻi. E hoʻoikaika kino mau.
- E hoʻomaʻamaʻa i ka moekolohe palekana: E pale iā ʻoe iho mai nā maʻi e like me ka maʻi hepatitis B a me C.
- E kiʻi i nā lāʻau pale hepatitis: Aia nā lāʻau pale no ka hepatitis A a me B.
- E holoi pono i kou mau lima: E holoi mau i kou mau lima me ke kopa a me ka wai ma mua o ka ʻai ʻana a ma hope o ka hoʻohana ʻana i ka lua.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
No laila, ua maopopo paha iā ʻoe i kēia manawa ke waiwai nui a koʻikoʻi o ke akepaʻa i ko mākou kino. Ua like ia me kahi koa leo ʻole i loko o ko mākou kino. ʻO ka hapa nui o ka manawa, ʻaʻole mākou e noʻonoʻo nui e pili ana i ia mea, akā ʻaʻole hiki iā mākou ke ola me ka ʻole o ia mea. Hiki i nā maʻi like ʻole a me kā mākou mau ʻano maikaʻi ʻole ke hōʻino i ke akepaʻa. Akā ʻo ka mea maikaʻi loa, he nui nā mea hiki iā mākou ke hana e pale aku i ko mākou akepaʻa . ʻO ke ala maikaʻi loa e hana ai i kēlā, ʻo ia ke hahai i kahi nohona olakino.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo