ʻAi mākou a pau i ka meaʻai. Akā, ua noʻonoʻo paha ʻoe pehea e wāwahi ʻia ai ka meaʻai a mākou e ʻai ai, ʻoiai nā meaʻai momona, i mau ʻāpana liʻiliʻi i hiki i ko mākou kino ke omo iā ia? I kēia lā, e kamaʻilio mākou e pili ana i kahi wai koʻikoʻi a ko mākou kino e hana ai e kōkua ai i kēlā. Kāhea mākou i kēia "bile". Ua lohe paha ʻoe iā ia i kapa ʻia ʻo `(Bile)`.
He aha ka bile? He aha kāna hana maoli?
I ka ʻōlelo maʻalahi, he wai mānoanoa, pipili, melemele ʻōmaʻomaʻo ka bile i hana ʻia e ko kākou ake. He melemele kona kala. ʻO kāna hana nui ke kōkua i ka ʻeli ʻana i ka meaʻai a kākou e ʻai ai. ʻO ka mea kūikawā, he hiki kupaianaha ko ka bile e wāwahi i nā momona i loko o nā meaʻai a kākou e ʻai ai.
E noʻonoʻo e ʻai ana kākou i kahi meaʻai momona, e like me ka laiki palai a i ʻole ka meaʻai palai. A laila, hoʻouna kekahi mau hormones i loko o ko kākou kino i kahi hōʻailona i ko kākou ʻōpū , e ʻōlelo ana, "ʻAe, e hoʻokuʻu i kahi bile i waho." He ʻāpana liʻiliʻi e like me ka ʻeke ka ʻōpū ma lalo o ke akepaʻa, kahi e mālama ʻia ai ka bile.
No laila, ke hiki mai kēia hōʻailona, ʻuʻuku ka gallbladder a hoʻokuʻu i ka bile i loko o ka ʻāpana mua o ko mākou ʻōpū liʻiliʻi, ʻo ia ka duodenum . ʻO nā paʻakai bile i loko o ka bile (ʻo ia nā mea nui loa i loko o ka bile) e wāwahi i nā kulu aila nui i loko o ka meaʻai i mau ʻāpana liʻiliʻi. Kāhea mākou i kēia he emulsification . Ua like ia me ka hoʻohana ʻana i ke kopa e kāwili i ka wai a me ka aila.
E noʻonoʻo, aia kahi pōpō momona nui, paʻakikī ke ʻeli. Hele mai nā paʻakai bile a wāwahi i kēlā pōpō momona i loko o kahi puʻu o nā kulu liʻiliʻi. A laila hiki i nā enzymes digestive ʻē aʻe i loko o ko mākou kino ke ʻeli maʻalahi i kēia mau ʻāpana momona liʻiliʻi. A laila ua komo kēia mau waikawa momona i loko o ko mākou koko a hoʻohana ʻia e ke kino e loaʻa ai ka ikehu e pono ai.
Ma waho aʻe o ke kōkua ʻana i ka hoʻoheheʻe ʻana i nā momona, he hana koʻikoʻi ko ka bile. ʻO ia hoʻi, kōkua ia i ka wehe ʻana i nā huahana ʻōpala i makemake ʻole ʻia mai ko mākou kino, e like me ka bilirubin. ʻO Bilirubin kahi huahana o ka haki maʻamau o ko mākou mau hunaola koko ʻulaʻula. Hana ʻo Bile ma ke ʻano he mea lawe e lawe ana i kēia bilirubin mai ke akepaʻa ma o nā ʻōpū a i waho o ke kino me nā feces.
Ma hea i hana ʻia ai ka ʻaila? Ma hea i mālama ʻia ai?
Hoʻopuka ʻia ka bile e ko kākou akepaʻa . Hoʻopuka ke akepaʻa ma waena o 800 a me 1000 milliliters (ʻo ia hoʻi ma waena o 27 a me 34 fluid auneke) o ka bile i kēlā me kēia lā. E noʻonoʻo i ka nui o ia mea!
Ma hope o ka hana ʻia ʻana o ka bile e ke akepaʻa, hele ia ma waena o nā ʻāpana bile a mālama ʻia i loko o ka gallbladder.Ua like ka ʻōpū me kahi pahu liʻiliʻi kokoke i ke akepaʻa e mālama ana i ka bile a hiki i ka wā e pono ai. Hiki i ka ʻōpū ke paʻa ma waena o 30 a me 80 milliliters o ka wai (ʻo ia hoʻi ma waena o 1 a me 2.7 auneke wai).
He aha ka mea i loko o ka bile?
Hana ʻia ka Bile i nā hui like ʻole. ʻO nā mea nui:
- Kolesterol
- Nā paʻakai bile a i ʻole nā waikawa bile: ʻO kēia nā mea nui e kōkua i ka wāwahi ʻana i nā momona.
- Wai
- Nā Phospholipids: He ʻano momona paʻakikī kēia i loaʻa ka phosphorus.
- ʻO Bilirubin: He pigment i hana ʻia e ka haki ʻana o nā hunaola koko ʻulaʻula.
- Nā paʻakai kino: No ka laʻana, ka potassium a me ka sodium.
- Keleawe a me nā metala ʻē aʻe.
He mea nui ka loaʻa ʻana o kēia mau mea a pau i ka nui kūpono no ka hana pono o ka ʻōpū.
He aha nā kūlana maʻamau e hiki ke hana e pili ana i ka bile?
I kekahi manawa, inā he mea keakea i ka hana ʻana a i ʻole ke kahe ʻana o ka bile, hiki ke loaʻa nā pilikia o ka gallbladder. Eia kekahi mau kūlana:
- Nā pōhaku ʻōpū: He mau ʻano paʻakikī kēia, e like me ka pōhaku e hana ʻia ana i loko o ka ʻōpū. Hana nui ʻia lākou e ka cholesterol, bilirubin, a i ʻole nā mea ʻelua.
- Cholecystitis: He mumū kēia o ka gallbladder. Hana pinepine ʻia kēia ke ālai nā pōhaku gall i nā ducts bile.
- ʻO Cholangitis: He maʻi kēia e kū mai ana i loko o nā ʻauwai bile . Hiki ke hana ʻia kēia ke paʻa nā pōhaku gall i loko o ka gallbladder i loko o nā ʻauwai bile a ālai ʻia.
- Choledocholithiasis: ʻO kēia ke kūkulu ʻia ʻana o nā pōhaku i loko o ke kahawai bile maʻamau, ke kahawai bile nui e lawe ana i ka bile mai ke ake a me ka gallbladder i ka ʻōpū liʻiliʻi.
- Ke ālai ʻia ʻana o ke ala bile: Hiki ke ālai ʻia nā ala bile ma muli o nā pōhaku gall, nā ʻiʻo scar, nā tumors, a i ʻole nā kumu ʻē aʻe. Pale kēia i ke kahe pono ʻana o ka bile, e hoʻopilikia ana i ka ʻai ʻana a me ka omo ʻana i nā meaʻai.
He aha nā hōʻailona o nā pilikia bile?
Hiki i nā pilikia o ka ʻōpū gaʻa ke hana i nā ʻano hōʻailona like ʻole. Eia naʻe, eia kekahi o nā mea maʻamau:
- ʻEha ma ka ʻākau luna a i ʻole waena o kou ʻōpū (ʻōpū): ʻO kēia ka hōʻailona mua o nā pilikia gallbladder. Hiki ke ʻoi a palupalu paha ka ʻeha. Hiki ke hele mai a hele aku. Hiki ke ʻino loa kēia ʻeha ma hope o ka ʻai ʻana i nā meaʻai momona. Hiki ke pālahalaha aku ka ʻeha i kou kua a i ʻole ka poʻohiwi ʻākau.
- Ka luaʻi a me ka luaʻi: He mau hōʻailona maʻamau kēia o nā pilikia o ka ʻōpū. Hiki ke hele pū me ka ʻeha o ka ʻōpū.
- ʻAʻai ʻole:Hiki paha iā ʻoe ke ʻike i ka ʻeha o ka umauma, kahi manaʻo o ka piha ma hope o ka ʻai ʻana, a me ka ʻeha ʻole ma ka ʻōpū o luna.
- Kuni a me ke anu: Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi. Hiki ke loaʻa nā maʻi me nā kūlana e like me ka cholecystitis.
- Jaundice: ʻO kēia ka wā e melemele ai kou ʻili a me nā keʻokeʻo o kou mau maka. Hana ʻia kēia i ka wā e piʻi ai ka nui o ka bilirubin i loko o kou koko. ʻO ke ʻano kēia, ua ālai ʻia paha kahi ʻauwai bile.
- E hoʻololi i ke kala o ka ʻōpala: Ke ālai ʻia kahi ala bile, e lilo paha kou ʻōpala i māmā a i ʻole ke kala lepo.
ʻO ka mea nui loa, ʻo ia ka hoʻomanaʻo ʻana hiki ke hana ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe. Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoiai inā he koʻikoʻi a mau paha, e ʻike pono i ke kauka e loaʻa kahi hōʻailona kūpono a kūkākūkā i ka lāʻau lapaʻau.
He aha nā hoʻokolohua e hana ʻia e hoʻoholo ai i ke olakino o kā mākou ʻōnaehana hoʻoheheʻe?
Hiki i nā kauka ke hoʻohana i nā hoʻāʻo koko e like me kēia e nānā ai i kekahi mau mea e pili ana i kāu bile:
- Nā hoʻāʻo hana ate: Nānā kēia i nā pae o nā enzymes ate, nā protein, a me ka bilirubin i loko o kou koko. Hiki i nā pae maʻamau ʻole ke hōʻike i nā pilikia me kou ate, gallbladder, a i ʻole nā auwai bile.
- Hoʻāʻo Bilirubin: Ke ana pono nei kēia i ka pae o ka bilirubin i loko o kou koko. Hiki i nā pae bilirubin kiʻekiʻe ke lilo i hōʻailona o ka paʻa ʻana o ka ʻauwai bile a i ʻole nā pilikia ʻē aʻe.
Eia kekahi, inā pono, hiki ke hana ʻia nā mea e like me ka "Ultrasound scan" a me ka "CT scan".
He aha nā lāʻau lapaʻau no nā pilikia bile?
ʻOkoʻa ka mālama ʻana no nā kūlana e pili ana i ka bile ma muli o ka pilikia. ʻO kekahi mau lāʻau lapaʻau maʻamau:
- Nā lāʻau lapaʻau antibiotics: Inā loaʻa iā ʻoe ka pehu ma muli o kahi maʻi, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e mālama iā ia.
- Cholecystectomy: ʻO kēia ka lāʻau lapaʻau maʻamau no nā pōhaku gallstones a me ka cholecystitis. Pili ia i ke ʻoki ʻana e wehe i ka gallbladder . Hana pinepine ʻia ia ma ke ʻano he kaʻina hana laparoscopic. ʻO ke ʻano kēia, ua hoʻokomo ʻia nā mea hana ma o kekahi mau ʻoki liʻiliʻi , ma mua o kahi ʻoki nui.
- ʻO ka Endoscopic retrograde cholangiopancreatography (ERCP): He kaʻina hana kēia i hoʻohana ʻia no ka ʻike ʻana a me ka mālama ʻana i nā pilikia me ke akepaʻa, ka gallbladder, nā ʻauwai bile, a me ka pancreas. No ka laʻana, hiki i kēia kaʻina hana ke wehe i nā pōhaku mai nā ʻauwai bile me ka ʻole o ke ʻoki ʻana, me ka hoʻohana ʻana i kahi kāmela kūikawā (scope).
- ʻO ke ʻoki kino:I nā hihia koʻikoʻi, pono paha ke ʻoki ʻana e hoʻoponopono i ke kumu o kahi ālai ʻana a i ʻole ka pehu ʻana.
He aha kā mākou e hana ai e mālama i ke olakino o ko mākou ʻili?
Eia kekahi mau ʻōlelo aʻoaʻo e kōkua i ka mālama ʻana i kou bile i ke olakino:
- E mālama i ke kaumaha olakino nou: ʻO ka momona nui kahi mea pilikia no nā pōhaku gall. ʻO ka hōʻemi mālie ʻana i ke kaumaha hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o nā pilikia e hiki mai ana. Akā e hoʻomanaʻo, ʻo ka hōʻemi wikiwiki ʻana i ke kaumaha i ka manawa hoʻokahi he mea pilikia nō hoʻi ia no nā pōhaku gall.
- ʻAi momona haʻahaʻa: ʻO ka ʻai ʻana i kahi meaʻai haʻahaʻa i ka momona momona, ʻoi aku ka momona momona, hiki ke kōkua i ka pale ʻana i nā pōhaku gall. He mea maikaʻi kēia ma hope o ka mālama ʻana.
- ʻO ka fiber dietary: ʻO ka hoʻohui ʻana i ka lawa o ka fiber i kāu meaʻai e hiki ke kōkua i ka hoʻoulu ʻana i ka ʻōnaehana hoʻoheheʻe olakino a kōkua i ka kaohi ʻana i nā pae cholesterol.
I kou hana ʻana i ke ao, ʻaʻole paha ʻoe e noʻonoʻo nui i ke ʻano o ka hoʻoheheʻe ʻana o kou kino i ka momona āu i loaʻa ai i kāu ʻaina kakahiaka. Mālama ko mākou kino i nā mea he nui no mākou. Akā i ka wā e kū mai ai nā pilikia o ka ʻōpū, ʻoiai nā mea e pili ana i ka bile, hiki iā lākou ke loaʻa ka hopena nui i ko mākou olakino a me ke ola. Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, e like me ka ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, ka nausea, a me ka luaʻi, pono ʻoe e ʻike i ke kauka. ʻOiai hiki ke hana ʻia kēia mau hōʻailona e nā kūlana ʻē aʻe, he mea nui e loaʻa kahi hōʻailona kūpono a me ka lāʻau lapaʻau e mālama i ke olakino o kāu bile a me ka ʻōnaehana ʻōpū.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He ʻōkana leo ʻole ka bile, akā he ʻōkana koʻikoʻi loa ia i loko o ko kākou kino. Inā ʻaʻole ia, ʻaʻole hiki iā kākou ke hoʻoheheʻe pono i nā meaʻai momona a hoʻopau paha i kekahi o nā huahana ʻōpala e hōʻiliʻili ana i loko o ko kākou kino.
- E mālama i kāu papaʻai: E ʻai i kahi papaʻai kaulike e haʻahaʻa ana i ka momona a kiʻekiʻe i ka fiber.
- E mālama i ke kaumaha olakino: ʻO ka momona nui ke alakaʻi i nā pilikia e like me nā gallstones.
- Mai hoʻowahāwahā i nā hōʻailona ʻē: Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ka jaundice, e ʻimi koke i ke kōkua lapaʻau.
E hoʻomanaʻo, he mea nui ka ʻōnaehana hoʻoheheʻe olakino no ke ola olakino. He mea nui loa nō hoʻi ka ʻōpū puʻuwai olakino no kēlā!
ʻAila , ʻai ʻana, ʻōpū paʻa, akepaʻa, pōhaku paʻa, jaundice











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