He ʻano ʻaila loa kou ʻōpala? E kamaʻilio kākou e pili ana i kēia (Steatorrhea)

He mea maʻamau ka loli iki ʻana o ko kākou neʻe ʻana o ka ʻōpū ma muli o ka mea a kākou e ʻai ai. Akā, ua ʻike anei ʻoe he ʻano ʻaila a momona paha kou mau ʻōpala? Ke lana nei lākou i ka wai, he keʻokeʻo ke kala, a he ʻala ʻino hoʻi? Inā ʻaʻole kēia e hana no hoʻokahi a ʻelua paha lā, akā e hoʻomau, he hōʻailona paha ia he hewa kekahi mea i ko kākou kino. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻano i kapa ʻia ʻo 'oily stools' a i ʻole 'steatorrhea' ma ke ʻano lapaʻau.

I ka ʻōlelo maʻalahi, he aha ka Steatorrhea?

ʻO Steatorrhea ka wā e loaʻa ai ka momona nui loa i loko o kou ʻōpala. I ka pōkole, ke ʻole i hoʻoheheʻe pono ʻia a omo ʻia ka momona i loko o ka meaʻai āu e ʻai ai e ke kino, e hoʻokuʻu ʻia ka momona i omo ʻole ʻia i loko o ka ʻōpala. Ua kapa ʻia kēia ʻano he fat malabsorption .

Eia nā hiʻohiʻona maʻamau o kēia ʻano noho:

• Ke hoʻonui nei i ka nui .
• He ʻano wai a palupalu hoʻi.
• He ʻaila a momona paha ke ʻano.
• Malia paha he huʻa.
• Ke maeʻele nei e like me ka lepo.
• He ʻala ʻino loa, hiki ʻole ke hoʻomanawanui .
• Ke lana nei i loko o ka wai o ke pola lua .
• Paʻakikī i ka holoi ʻana (ʻano pipili o ke pola lua).

Hiki ke hana ʻia kēia inā ʻoe e ʻai i kahi meaʻai momona i kekahi manawa. Akā inā hoʻomau kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā iā lākou.

No ke aha e ʻike ʻia ai ka momona i loko o ko kākou ʻōpala? He aha ka mea e hana ʻia i ka wā e ʻai ai?

E noʻonoʻo i ka hoʻoheheʻe ʻana o ka momona ma ke ʻano he haʻuki hui. ʻEkolu mau mea pāʻani nui ma kēia pāʻani: ke akepaʻa, ka pancreas, a me ka ʻōpū liʻiliʻi.

1. ʻAkepaʻa: Hoʻopuka ke akepaʻa i kahi wai i kapa ʻia ʻo "bile." Hoʻokaʻawale kēia bile i nā ʻāpana momona nui i nā mea liʻiliʻi.

2. Pancreas: Hoʻopuka ka pancreas i nā enzymes kūikawā e pono ai no ka hoʻoheheʻe ʻana i ka momona.

3. ʻōpū liʻiliʻi: Hōʻiliʻili ka ʻōpū mai ke akepaʻa a me nā enzyme mai ka pancreas i loko o ka ʻōpū liʻiliʻi. Maanei kahi e wāwahi loa ʻia ai ka momona a komo i loko o ke kino.

Loaʻa ka Steatorrhea inā hewa kekahi mea i kēia kaʻina hana.

• Inā ʻaʻole hiki i ka pancreas ke hana i nā enzymes lawa .
• Inā ʻaʻole hiki i ke akepaʻa ke hana i ka bile lawa .
• ʻOiai inā hana ʻia kēia mau mea, inā ʻaʻole hiki ke hoʻouna ʻia i ka ʻōpū liʻiliʻi ma muli o nā ālai ʻana i nā ducts.
• A i ʻole, aia kekahi pōʻino i ka ʻōpū liʻiliʻi ponoʻī.Inā ʻaʻole hiki iā ʻoe ke omo i ka momona.

He aha nā kumu nui o ka steatorrhea?

Aia kekahi mau kūlana olakino e hiki ai ke hoʻoulu i kēia kūlana. He mea maʻalahi ke hoʻomaopopo iā lākou ma ka hoʻokaʻawale ʻana iā lākou e like me ke kino i pili.

Pehea e ʻike ai ke kauka i ke kumu o kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike pono i ke kauka.E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. Hiki iā ia ke hana i kekahi mau hoʻokolohua e hoʻoholo ai i ke kumu pololei.

• Ka nānā ʻana i ka momona fecal: Pili kēia i ka hōʻiliʻili ʻana i kahi laʻana o kāu ʻōpala i loko o hoʻokahi a ʻekolu mau lā a me ke ana ʻana i ka nui o ka momona i loko. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka nui o ka momona āu i omo ai mai nā meaʻai āu i ʻai ai a me ka nui o ka mea i hoʻokuʻu ʻia i loko o kāu ʻōpala.
• Hoʻāʻo D-xylose: Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā aia ka pilikia ma ka ʻōpū liʻiliʻi a i ʻole ka pancreas/akepaʻa. Inu ʻoe i kahi wai i loaʻa ke kō i kapa ʻia ʻo D-xylose, a laila hoʻāʻo ʻia kahi hāpana o kāu mimi (a i ʻole ke koko paha) i kekahi mau hola ma hope. Inā loaʻa kēia kō i loko o ka mimi, ʻo ia hoʻi ua omo maikaʻi ʻia e nā ʻōpū. No laila, aia paha ka pilikia ma ka pancreas a i ʻole ke akepaʻa. Akā inā ʻaʻohe kō i loko o ka mimi, hiki i ke kauka ke ʻike he pilikia ia ma muli o ka omo maikaʻi ʻole ʻana i loko o nā ʻōpū.

Eia kekahi, hiki ke kauoha ʻia ka endoscopy, scans, a i ʻole nā ​​​​hoʻāʻo koko ʻē aʻe ma muli o ke kumu.

Pehea ke ʻano o ka lāʻau lapaʻau a me ka ʻai?

ʻO ka mālama ʻana i ka steatorrhea ʻo ia hoʻi ka mālama ʻana i ke kūlana kumu e hoʻoulu ai. Eia kekahi laʻana:

• Inā ʻaʻole lawa nā enzyme pancreatic, hāʻawi ʻia nā enzymes i kapa ʻia ʻo Pancreatic Enzyme Replacement Therapy (PERT) ma ke ʻano o nā pila.
• Inā he pilikia me ka hana ʻana o ka bile, hāʻawi ʻia nā lāʻau lapaʻau kūpono (e like me ka Ursodeoxycholic acid).

Eia kekahi, pono e mālama ʻia nā pilikia e kū mai ana mai ka malabsorption momona. ʻO ka mea nui, ʻo ia ka nele o nā huaora . Ke malabsorption ka momona, ʻaʻole e omo ʻia nā huaora hiki ke hoʻoheheʻe ʻia i ka momona e like me nā huaora A, D, E, a me K. No laila, hiki i ke kauka ke ʻōlelo aku e lawe i kēia mau huaora ma ke ʻano he mea hoʻohui.

Pehea e pono ai ʻoe e mālama i ka meaʻai?

ʻO nā hoʻololi kikoʻī e pono ai ʻoe e hana e pili ana i ke kumu o kou steatorrhea. ʻOi aku ka maikaʻi o ke kūkākūkā ʻana i kēia me kāu kauka.

• Inā loaʻa pinepine ia (ma muli o ka ʻai nui ʻana i ka meaʻai momona): E hōʻemi i nā mea e like me ka pata, nā ʻaila kaumaha, ka ʻaila niu, ka ʻaila pama, ka ʻiʻo ʻulaʻula, a me nā meaʻai i hana ʻia.
• Inā ma muli o ka pilikia me ka omo ʻana o ka momona (Malabsorption): Maanei he ʻokoʻa iki ka moʻolelo. Pono ke kino i ka momona e loaʻa ai ka ikehu e pono ai. No laila, hiki i ke kauka ke aʻo iā ʻoe e hoʻohui i nā meaʻai hou aʻe i loaʻa nā momona olakino (nā momona unsaturated) ma kahi o nā momona maikaʻi ʻole. Nā laʻana:
• ʻO ka iʻa ʻaila e like me ka salmon, tuna, a me ka mackerel
• ʻAvokado
• ʻAila ʻoliva
• Nā pata nati
• Nā meaʻai waiwai i nā wikamina momona-soluble:
• ʻO ka Wikamina A: ka ʻaila iʻa, ka pata, nā hua manu, nā kāloti
• ʻO ka wikamina D: iʻa ʻaila, nā halo, ka ʻike ʻana o ka lā
• Wikamina E: Nā hua pua nānālā, nā ʻalemona
• Wikamina K: Nā mea kanu ʻōmaʻomaʻo ʻeleʻele e like me ka spinach a me ka kale