Kua pāngia koe e te mamae puku kino rawa atu, i raro tonu i ō rara o runga, i muri tata i te kai i tētahi kai momona? Tērā pea i haere tahi mai me te whakapairuaki, ā, i tino kino rawa atu, kāore e taea te neke. Koinei te mea e kiia ana e te tini ko te 'mamae kohatu o te au.' I roto i te rongoā, ka kiia tēnei mate ko te Biliary Colic. Ehara i te mea he mate, engari he tohu nō tētahi mate kei raro. Nō reira, i tēnei rā, me kōrero tātou mō tēnei.
He aha te mate kōroke o te biliary colic?
Ki te kī māmā noa, ko te Biliary Colic he mamae puku nui, he wā poto noa iho, nā te mea e aukati ana i tō ara biliary - arā, tō pūkahukahu me ngā awa wai. Whakaarohia he kōhatu iti e mau ana i roto i te paipa wai. Ina tahuri tātou i te taputapu, ka piki ake te pēhanga wai, ā, ka nui te pēhanga kei muri i te aukati, tika? Koinei te mea e tupu ana i konei.
Ko te wai au, he wai e hangaia ana e tō tātou ate, ka rongoatia mō te wā poto ki roto i te pūkahukahu. Ina kai tātou i te kai, inā koa ngā kai momona, ka haere mā roto i ngā awa au ka tomo ki te whekau iti. Ka āwhina tēnei i te nakunaku o ngā ngako. Ko ngā kōhatu pūkahukahu te tino take o tēnei. Ina mau te kōhatu ki roto i te awa au , ki te wāhi rānei e puta mai ana i te pūkahukahu, ka piki ake te pēhanga i te wā e kōpiri ana te pūkahukahu, ka puta he mamae nui.
He aha te āhua me te wāhi o tēnei mamae?
He rerekē te mamae o te kōroke biliary i ētahi atu mamae puku. He maha ngā āhuatanga o tēnei mamae.
| Te āhua o te mamae | He whakaahuatanga noa iho |
|---|---|
| Wāhanga-ā-wā | Ka tīmata ohorere te mamae, ka tino kaha, kātahi ka memeha haere i roto i ētahi haora. Kāore e roa mō ngā rā. |
| Pūmau | Ko te tikanga o tēnei, kāore te mamae e haere mai, e haere atu rānei i roto i ngā ngaru. Kia tīmata te mamae, ka noho tonu mō ētahi haora, kāore e piki ake, e heke iho rānei. |
| Tino kino | He tokomaha e whakaahua ana i tēnei mamae he mamae koi, he mamae wero, he mamae e rite ana ki te maripi, ki te takahurihuri, ki te mamae koi rānei. Ki ētahi he tino kino rawa atu, kāore e taea e rātou te tū tika. |
Kei hea koe e rongo ana i te mamae?
I te nuinga o te wā, ka pā te mamae ki te taha matau o runga o te puku, i raro noa iho i ngā rara. Koinei te wāhi kei reira te pūkahukahu. I ētahi wā, ka horapa te mamae ki te pakihiwi matau, ki te tuara rānei.
Ētahi atu tohu e haere tahi ana me te maremare
Ka taea e te mamae o te puku biliary te haere tahi me nga tohu e whai ake nei:
- Whakapairuaki me te ruaki
- Te ngawari o te puku
- Te werawera nui (Sweating)
Te rerekētanga i waenga i te Biliary Colic me ētahi atu mate kino
Ki te kore te mamae o te kōroke biliary e memeha i roto i ētahi haora, tera pea he mate kino ake pērā i te cholecystitis (mumura o te gallbladder) te cholangitis rānei (mumura o ngā awaawa bile). He mea nui kia mōhio ki te rerekētanga i waenga i ēnei.
| Tūnga | Ngā āhuatanga matua | Ngā kōrero nui |
|---|---|---|
| Te Korokoro o te Piri | Mamae nui (ka heke i roto i ētahi haora), whakapairuaki. | Kāore he kirika. He mamae rangitahi noa iho. |
| Cholecystitis (mumura o te gallbladder) | Te mamae nui tonu, te kirika , me te tere o te ngakau. | Tērā pea nā te mate pūkahukahu tēnei. Me rapu awhina hauora tonu. |
| Cholangitis (mumura o ngā awaawa o te ate) | Mamae puku matau, kirika, me te jaundice - arā, ko te kōwhai o ngā kanohi me te kiri. | He mate pāwera tēnei o ngā awaawa o te ate. He mate tino whāiti, he mate kino hoki. |
Ko te mea nui, ki te roa ake tō mamae i te 5-6 hāora, ki te pā mai rānei ngā tohu pēnei i te kirika, te makariri, me te kōwhai o ngā kanohi, me haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU).
He aha te take o tēnei?
E ai ki tā mātou i kōrero ai i mua, ko ngā kohatu o te pūkahukahu te take matua, engari tera pea ētahi atu take.
- Ngā kōhatu o te pūkahukahu: Koinei te take i roto i te 90% o ngā take. Ka mau te kōhatu ki roto i te awaawa pūkahukahu mō te wā poto, ka piki ake te pēhanga me te mamae. Ka memeha te mamae ina neke te kōhatu, ina mutu rānei te kōhatu te pupuhi o te pūkahukahu.
- Te Whakatōtōtanga o te Pīni Au: Ahakoa i ahu mai i tētahi pokanga o mua, i tētahi mate mumura roa rānei, ka taea e ngā awa au te whakakōpikopiko me te whaiti, ka aukati i te rere o te au.
- Te Tākirikiri o te Puku Wai: I ētahi wā, kāore te pūkahukahu e kōpiri tika, kāore rānei te pūkahukahu o Oddi e tuwhera tika. Ka taea hoki e ēnei raruraru te whakapūpū i te pūkahukahu, te whakanui ake i te pēhanga.
He aha ngā maimoatanga mō tēnei?
Ina kite koe i tētahi tākuta, ka tirotirohia koe e ia, ka whakahaerehia hoki he whakamātautau pēnei i te matawai ultrasound hei whakatau i te tino take. Ka whakawhirinaki te maimoatanga ki te take me te kaha o te mate.
1. Ngā rongoā mamae: Ka hoatu ngā rongoā mamae pēnei i te NSAID (ngā rongoā anti-inflammatory kore-steroidal) hei whakahaere i te mamae.
2. Mahere Kai: He mea tino nui kia karohia ngā kai he nui te hinu me te ngako (ngā kai parai, ngā mīti momona, ngā kai miraka, te tiihi, te pata) . Nā te mea ka whakaoho ēnei kai i te pūkahukahu kia kōpiri. Mā te whakaiti i ēnei, ka taea te whakahaere i te hokinga mai o te mamae ki te whānuitanga nui.
3. Ngā rongoā whakarewa kōhatu: Ka hoatu ngā rongoā pēnei i te waikawa Ursodeoxycholic hei whakarewa i ētahi kōhatu cholesterol iti. Heoi, kāore tēnei e pai mō te katoa.
4. Endoscopy/ERCP: Mena ka mau te kōhatu ki roto i te awa au, ka taea te whakamahi i tētahi tikanga e kiia nei ko te ERCP (Endoscopic Retrograde Cholangiopancreatography) hei tango i te kōhatu mā te whakauru i tētahi ngongo me te kāmera mā roto i te waha, me te tuku i ngā taputapu motuhake mā roto.
5. Pokanga: Mena ko ngā kōhatu o te puku te tino take o te mate pukupuku biliary, ā, ka hoki mai anō tēnei āhuatanga, ko te otinga pai rawa atu, ko te otinga pumau rawa atuCholecystectomy. Ināianei, ka mahia tēnei mā te pokanga poka kī e kiia nei ko te pokanga laparoscopic. Ka iti ake te kiripaka, ka tere ake te whakaora. Ehara i te mea uaua te noho noa me te kore he pūkahukahu.
Karere Tangohia ki te Kāinga
- Ko te Biliary Colic he mamae nui, ā, ka puta pōturi i te taha matau o runga o te puku. He maha ngā wā ka puta i muri i te kai i ngā kai momona.
- He tohu whakatūpato tēnei mō tētahi mate kei roto, pērā i te kōhatu i roto i te pūkahukahu, nō reira kaua e warewaretia.
- Mena ka roa ake te mamae i ngā haora ruarua, ka puta rānei ngā tohu pēnei i te kirika, te jaundice rānei, haere tonu ki te Tari Ohotata o te hōhipera (ETU).
- Ahakoa ka iti haere te mamae, me toro atu ki te tākuta kia kitea ai te take, kia whiwhi ai hoki i te maimoatanga tika.
- Mā te maimoatanga tika, ka taea te whakaora katoa i tēnei mate, ā, ka taea hoki te ārai i ngā raruraru nui.
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