He aukati tō awaawa aukume? (Ārai i te awaawa aukume) - Kia mōhio tātou ki tēnei!

Ka pāngia koe e te mamae nui o te puku o runga i ētahi wā, te kōwhai o ngā kanohi, me te kōwhai o te kiri? Kua mārama rānei te tae o ō tūtae, ā, kua pōuri tō mimi? Ehara ēnei i te tohu hei wareware. He tohu pea ēnei kei te āraihia ō awaawa au.

He aha te aukati i te awa au?

Ki te kī māmā noa, ko te aukati i te awaawa o te au he āhuatanga e mau ai tetahi mea ki roto i ō awaawa o te au, e kore ai e rere te au mā roto.

Inaianei kei te whakaaro pea koe he aha te au, me ngā awa au, tika? Āe, me whakamārama anō hoki.

He wai te au e āwhina ana i a tātou ki te nakunaku i ngā ngako i roto i ngā kai e kainga ana e tātou. Ka hangaia i roto i tō tātou ate. Ko tēnei au, e hangaia ana e te ate, ka rongoatia ki roto i te pūkahukahu. Ina kai tātou, ka tukuna tēnei au mai i te pūkahukahu ka haere ki te whekau iti hei āwhina i te nakunaku kai. He mea anō kei roto i tēnei au, arā, he para e kiia nei ko te bilirubin . Ka hangaia tēnei bilirubin ina pakaru ngā pūtau toto whero i roto i ō tātou toto. Ka tangohia e te ate tēnei bilirubin mai i te tinana mā te au.

He rite ngā awaawa au ki tētahi pūnaha o ngā paipa iti. Whakaarohia rātou he paipa iti e kawe ana i te wai. Ka kawe ēnei paipa i te au, e hangaia ana i roto i te ate, ki te pūkahukahu, kātahi ki te whekau iti. Ka āwhina hoki rātou ki te kawe i te bilirubin ki waho i te ate.

Nō reira, ki te mau tetahi mea ki roto i ēnei awaawa au, ka āraia ngā awaawa au, ā, ka tīmata te au ki te hoki ki roto i te ate. Ka pā mai he mamae nui, ā, ki te kore e rongoatia tika, ka arahi pea ki ngā raruraru hauora nui .

He pēhea te noa o tēnei āhuatanga?

Ina hoki, ko te raruraru tino noa e pā ana ki ngā awaawa au ko ngā aukati . Whakaarohia, tata ki te 5 i roto i te 1,000 tāngata ka pāngia e ngā kōhatu au, ka taea te aukati i ngā awaawa au. Ko ngā kōhatu au he momo kōhatu ka puta ina kohia, ka whakapakeketia hoki ngā matū i roto i te au. Ko ngā kōhatu au te tino take o ngā aukati i ngā awaawa au.

He aha ngā tohu o te aukati i te awaawa o te ate?

He rite tonu ngā tohu ki ngā tohu o te kōhatu pūkahukahu me te jaundice. Ko ngā tohu o te jaundice he tohu kei te nui rawa te bilirubin i roto i tō toto.

Kia tino aro ki ēnei āhuatanga:

• Mamae puku o runga: Tērā pea ka rite ki te mamae āta haere, ka wero, ka puhoi. Ka piki haere i roto i ētahi meneti.
• Te kōwhai o te kiri, te kōwhai rānei o te mā o ngā kanohi:Koinei te mea e kīia ana e tātou he jaundice.
• Ngā tūtae tae-pūngoi me te mimi pouri: Ina kore e tukuna tika te au ki roto i ngā whekau, ka huri te tae o te tūtae. Waihoki, ka pouri te mimi nā te mea he nui ake te bilirubin e tukuna ana i roto i te mimi.
• Te kirika me te makariri.
• Whakapairuaki me te ruaki.
• Kiri mākūkū (pruritus): Tērā pea nā te tote au e whakatakotoria ana ki te kiri te take.
• Kāore he reka o te kai.
• Te hiroki noa iho, kāore he take.
• Te tino ngenge (te ngenge nui).

He aha te take e aukati ai te awaawa o te ate?

He maha ngā take pea e āraia ai te awaawa o te ate. Me titiro tātou ki ngā mea matua:

• Ngā kōhatu pūkahukahu e ārai ana i ō awaawa au: Koinei te tino take.
• Ngā pūwero choledochal: He mate onge tēnei, he mate whānau mai. Ka whakaroahia te rere o te au o ēnei pūwero.
• Ngā whāititanga o te awaawa au: He whaititanga rerekē tēnei o te awaawa au. Tērā pea ka puta tēnei i tētahi mate hauora, i tētahi whara rānei i muri i te pokanga.

He maha ngā take o te whakawhāiti i ngā awaawa au (he matepukupuku, he matepukupuku hoki). Hei tauira, ka puta mai i te whara i muri i te pokanga tango i te auawa au (cholecystectomy).

Anei ētahi atu take o te aukati i te awaawa o te ate:

• Matepukupuku: Te matepukupuku repeure, te matepukupuku awaawa, te matepukupuku ate, me te matepukupuku horapa.
• Ngā āhuatanga whānau: Hei tauira, ko ngā āhuatanga pēnei i te `(Biliary atresia)` me te `(Alagille syndrome)`.
• Te mumura mau tonu o ngā awaawa kōhatu: Ngā mate pēnei i te `(Primary biliary cholangitis)` me te `(primary sclerosing cholangitis)`.
• Te pancreatitis ā-aunoa me te pancreatitis noa.
• Te mumura i puta mai i te whara, te mate kitakita, te pirinoa rānei.
• He āhuatanga e kiia nei ko te 'Mirizzi syndrome'.
• Te pokanga tango i te pūkahukahu (Cholecystectomy).
• Te rongoā irahiko.

He aha ngā raruraru ka pā mai i te aukati i te awaawa o te ate?

E ai ki tā mātou i kōrero ai i mua ake nei, ka taea e tēnei aukati te whakaemi i te au o te ate. Ka taea e tēnei te whakararu i te mumura nui, ā, ki te kore e rongoatia, ka puta he mate morearea.Ka taea hoki e ia te whakararu i te ate, ka arahi pea ki te mate e kiia nei ko te '(cirrhosis of the liver)'. Ki te kore e tika te whakahaere, ka arahi pea tēnei ki te ngoikore o te ate.

Whakaarohia, ki te mau te au o te ate ki roto i ngā awaawa e tata ana ki tō pūkahukahu, ka pāngia koe e te mate pūkahukahu (cholecystitis).

Waihoki, ki te kore e nui te au o te wai, kāore e taea e tō whekau iti te nakunaku i ngā ngako. Ka arahi pea tēnei ki te kore kai pai .

Me pēhea te mōhio mēnā he aukati tō awaawa au?

Ina haere koe ki te tākuta, ka pātai ia mō tō hītori hauora, tae atu ki ō tohu me ngā rongoā e tangohia ana e koe. Kātahi ka tirotirohia e ia te tinana hei tirotiro i ngā tohu aukati, pērā i te mamae o te puku, te pupuhi rānei.

Kia maumahara, ki te puta mai ēnei tohu i a koe, he mea nui kia tere tonu te toro atu ki te tākuta.

Kātahi ka hiahiatia he whakamātautau toto me ngā whakamātautau whakaahua motuhake hei whakaū i te aukati me te kimi i te take o te aukati.

Ngā whakamātautau toto

Ka taea e ngā whakamātautau toto te whakaatu i ngā tohu o te aukati. Tērā pea ka tonoa e tō tākuta ngā whakamātautau pēnei i ēnei:

• Te tatau toto katoa (CBC): Ka taea e te tatau toto katoa (CBC) te hoatu he whakaaro ki a koe mo to hauora whānui.
• Ngā whakamātautau mahi ate: Mena he teitei te taumata bilirubin i roto i tō toto, he tohu pea tēnei kua aukatia. Waihoki, mena he teitei ake i te tikanga ngā whākōkī ate pēnei i te alkaline phosphatase (ALP) me te gamma-glutamyltransferase (GGT), tera pea kāore te ate e mahi tika ana nā te aukati.
• Ngā whakamātautau toto o te repeure: Mena ka piki ake ngā whākōkī repeure pēnei i te ``(Amylase)`` me te ``(lipase)``, he tohu pea tēnei nō te raruraru repeure e pā ana ki te aukati i te awaawa au.

Ngā whakamātautau whakaahua

Mena kei te whakaatuhia e ngā hua o te whakamātautau toto he aukati, me whai whakamātautau whakaahua pea koe. Tērā pea ka mahia tētahi, ētahi rānei o ēnei whakamātautau:

• Ultrasound: Ka whakamahia e te ultrasound ngā ngaru oro hei hanga whakaahua o roto o tō tinana. Ka āwhina tēnei ki te tautuhi i ngā āhuatanga rerekē e tohu ana i te aukati. Tērā pea me whai ultrasound endoscopic koe, ultrasound puku, ultrasound ate rānei.
• Tomography rorohiko puku (scan CT): Ka whakamahia e te scan CT ngā hihi-X me te rorohiko hei hanga whakaahua taipitopito. Ka taea hoki e ia te whakakore i ētahi atu take o ō tohumate kāore pea e kitea i te ultrasound.
• Endoscopic retrograde cholangiopancreatography (ERCP): Mā te whakamātautau e kīia nei ko te ERCP ka āwhina i te kimi i te pūtake o te aukati me te rongoā. I roto i tēnei whakamātautau, ka whakauruhia e tō tākuta he ngongo ngāwari (endoscope) me te rama me te kāmera e piri ana ki roto i ō awa waikura. Ka taea te whakamahi i ngā taputapu hei tango tauira kiko (biopsy) hei whakatika rānei i te aukati. Ka whakamoea koe i tēnei whakamātautau.
• Ko te cholangiopancreatography aukume (MRCP): He whakamātautau MRI matatau tēnei. Ka werohia he tae motuhake ki roto i ō awaawa aukume ina tukuna mā roto. Pērā i te ERCP, ka taea e ia te whakaatu i te take o te aukati, pērā i ngā kōhatu aukume, i ngā strictures rānei. Heoi, he iti ake te whakaekenga atu i te ERCP.
• Matawai waikawa iminodiacetic hepatobiliary (HIDA): I roto i te matawai HIDA, ka whakamahia he tohu irahiko hei hanga whakaahua i a ia e haere ana i roto i ō awaawa au. Ka taea e tēnei te whakaatu i te take o te aukati, pērā i ngā raruraru o te pūkahukahu, ngā mate whānau rānei e whakawhāiti ana i ngā awaawa.
• Ko te cholangiography transhepatic percutaneous (PTC): I roto i te whakamātautau "PTC", ka whakamahia te ultrasound, te hihi-X rānei hei tango pikitia o tētahi tae motuhake ka tukuna mā roto i ō awaawa aukume kia tae rā anō ki tō whekau iti. Ka whakaatuhia e te tae ngā aukati i roto i ngā awaawa.

Me pēhea te rongoā i tēnei aukati o te awaawa o te ate?

Ko te maimoatanga mō te aukati i te awaawa ate ka whakawhirinaki ki te tere o te maimoatanga me te take i aukati ai.

He maha ngā tikanga maimoatanga:

• ERCP (Endoscopic retrograde cholangiopancreatography): I te wā o te ERCP, ka taea e te tākuta te tango i ngā kōhatu i roto i te pūhā. Ka taea te kuru i ngā kōhatu me te tango mā te whakamahi i ngā taputapu kei roto i te ngongo kua whakahuatia ake nei (endoscope).
• Pokanga tango i te pūkahukahu: Mena he maha ngā kōhatu pūkahukahu e aukati ana i ō awaawa pūkahukahu, me tango pea tō pūkahukahu. He maha ngā wā ka mahia tēnei mā te pokanga iti rawa te whakaekenga e kiia nei ko te laparoscopy. Ka taea e koe te noho ora me te kore he pūkahukahu.
• Ngā Tātaritanga: Tērā pea ka whakaurua e tō tākuta he ngongo iti i hangaia ki te konganuku, ki te kirihou rānei, e kiia nei ko te "stent," ki roto i tō awaawa wai hei whakawhanui, hei pupuri rānei kia tuwhera. Mena nā te aukati i puta ai, me whakauru pea he "stent."
• Ngā maimoatanga matepukupuku:Mena he pukupuku te take o te aukati, me mahi pokanga pea koe, me ētahi atu maimoatanga matepukupuku pēnei i te chemotherapy me te radiation.

He aha ngā tūponotanga o te whakaoranga i muri i tēnei āhuatanga?

Ko tō matapae ka whakawhirinaki ki te pūtake o te aukati. Hei tauira, mēnā ko ngā kōhatu o te pūkahukahu te pūtake, mā te tātaritanga wawe me te maimoatanga ka āwhina i te ārai i ngā raruraru. Mā te maimoatanga, ka ora katoa te nuinga o te tangata.

Heoi, he uaua ake te whakahaere i ngā aukati o te awaawa au i puta mai i te mate pukupuku, i te mate ate mau tonu rānei.

Kāore e rite te āhua o te katoa. Mā tō tākuta koe e whakamārama he aha ngā mea ka taea e koe te tumanako mai i te maimoatanga i runga i te take o te aukati me tōna pānga ki tō hauora.

Ka taea te ārai i ngā aukati o te awaawa o te ate?

Kāore e taea te ārai i te aukati o te awaawa ate i ngā wā katoa.

Heoi, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i ngā kōhatu pūkahukahu, koinei te tino take , mā te whakaiti i te nui o te cholesterol i roto i tō kai. Ka taea hoki e koe te whakaiti i tō tupono ki ētahi mate ate ka puta ai ngā uauatanga:

• Te whiwhi i te nui o te korikori tinana.
• Te kai i ngā kai totika he iti te ngako kukū.
• Te pupuri i te taumaha hauora e tika ana mōu.
• Te karo i te inu waipiro, te inu rānei i te waipiro i roto i ngā rahinga iti noa iho.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te aukati i te awaawa au, me toro atu ki te tākuta . He maha ngā tohu noa, pērā i te mamae o te puku, te whakapairuaki, me te ruaki, ka puta mai i ngā āhuatanga maha. Nō reira, he mea nui kia tere te whakatau mena he aukati te raruraru - i mua i te puta mai o ngā raruraru nā te kohikohinga o te au.

He āhuatanga ohorere te aukati o te awaawa au?

Āe, he āhuatanga ohorere pea tēnei. Ina koa mēnā ka puta te mumura nui me te mate i te reflux au. Ko te mea pai ko te toro atu ki te tākuta i te wā tonu ka kite koe i ngā tohu hei ārai i tēnei mea.

He mea nui te au o te ate kia pai ai te rere o ngā awa au, hei āwhina i ō tātou tinana ki te nakunaku i te kai me te tango i te bilirubin (he para). Koia te mea nui kia hangaia ēnei aukati. Me rere te au o te ate ki roto i tō whekau iti hei wawahi i ngā ngako. Me wehe atu hoki te bilirubin i tō ate hei ārai i ngā raruraru pēnei i te mate ate, te mate pāwera rānei. Mena he aukati tōu, ka taea e tō tākuta te kī atu ki a koe he aha ngā huarahi pai hei tango atu.

Hei whakamutunga, ko ngā mea tino nui hei maumahara

Āe, kua maha ā tātou kōrero mō te aukati i te awaawa au. Anei ngā mea matua hei maumahara māu mai i tēnei kōrero:

• He āhuatanga e tika ana kia arohia te aukati o te awaawa ate. Mena kei a koe ngā tohu pēnei i te mamae o te puku o runga, te kōwhai o ngā kanohi, te rerekētanga rānei o te tae o te tūtae , me toro atu ki te tākuta, kaua e moumou taima.
• I te nuinga o te wā, ka puta mai tēnei i ngā kohatu o te pūkahukahu , engari tera pea ētahi atu take nui, pērā i te mate pukupuku.
• Mena ka kitea wawe te mate, ā, ka rongoatia tika, he maha ngā wā ka taea te ora katoa.
• Mā te pupuri i tētahi momo noho hauora (kai hauora, whakakori tinana, whakahaere waipiro) ka taea te whakaiti i ētahi o ngā āhuatanga mōrearea.
• Ki te mea he ruarua, he pātai rānei āu, kaua e whakamā ki te pātai ki tō tākuta. Kei reira rātou hei āwhina i a koe.

He mea nui rawa tō hauora ki a koe. Nō reira, tiakina. Kaua e manukanuka, he otinga kei reira mō ngā raruraru katoa!

` Te Ārai i te Puku Au, Ngā Kōhatu Au, Te Waikura, Te Ate, Te Puku Au, Te Ārai i te Puku Au, Te Waikura