He mamae anō hoki tō taha matau o tō puku? Me ako tātou mō ngā kōhatu pūkahukahu.

Whakaarohia kei te kai koe i tētahi kai reka, ā, kātahi ka pāngia koe e te mamae nui i te taha matau o runga o tō puku. I ētahi wā ka rite ki te whakapairuaki me te ruaki. Tērā pea nā ngā kōhatu i roto i tō puku au te take. He tokomaha te hunga kāore i te mōhio ki tēnei. Nō reira, me kōrero tātou mō ngā kōhatu i tēnei rā, āe?

He aha ēnei kōhatu pūkahukahu?

He whakarāpopototanga noa iho, ko ngā kōhatu pūkahukahu he kōhatu pakari, he rite ki te kōhatu o te au e puta mai ana i roto i tō pūkahukahu, i ngā awaawa pūkahukahu rānei. Ko te tikanga o "Au" he au. Nō reira, ko ngā "Kōhatu Pūkahukahu" he "kōhatu pūkahukahu." He rite tō pūkahukahu ki tētahi putea iti e kohi ana, e penapena ana hoki i te au. E rongoa ana i te au mō te whakamahinga a muri ake nei. Mā tō tātou ate tēnei au e hanga, kātahi ka haere mā roto i ngā awaawa pūkahukahu ki ngā whekau o roto i tō tātou pūnaha pūkahukahu. I ētahi wā ka karangahia tēnei mate e ngā tākuta ko te "cholelithiasis." Ko te tikanga o "Chole" he au, ā, ko te tikanga o "lithiasis" he hanganga kōhatu. Ka puta ēnei kōhatu pūkahukahu ina kohia ētahi mea i roto i te au, ā, ka whakapakeke i roto i te wā. He maha ngā wā ka puta tēnei ina nui rawa te tāpiri o tētahi o ngā kai matua o te paraoa pokepoke.

Kia pēhea te kino o ēnei kohatu pūkahukahu?

Kāore e tino pāngia koe e te mate kōhatu (cholelithiasis). He tokomaha te hunga e pāngia ana e ēnei kōhatu, ā, kāore rātou e mōhio. Engari, ki te tīmata ēnei kōhatu ki te haere mā roto i ō awaawa au, ā, ka piri ki tētahi wāhi, ka tūpono he mea morearea. Ki te pērā, ka ārai i ō awaawa au, ka puta he mamae nui, he raruraru nui hoki. Ko te raruraru, ka nui haere ēnei kōhatu. Ka tīmata hei kirikiri, ā, i te rere tonu o te au ki runga, ka nui haere te rauemi ka whakatakotoria, ka nui haere te kōhatu. I ētahi wā, ka nui haere ēnei kōhatu hei ārai i te rere o te au, inā koa ka piri ki tētahi wāhi whaiti pērā i te awaawa au.

E hia te noa o ēnei?

E ai ki te whakatau tata ki te 10% o ngā pakeke i te Hononga o Amerika he kōhatu tākihi kei roto i te pūkahukahu, ā, 75% o rātou he wāhine. Heoi, 20% anake o te hunga kua kitea he mate nei ka puta ngā tohu, ka hiahia rānei ki te rongoā. Ka kitea pea tēnei āhuatanga i roto i tō tātou whenua, i Sri Lanka, i ētahi wā, i ētahi wā.

He aha ngā tohu o te kōhatu waikura?

Kāore ngā kōhatu pūkahukahu e puta ai ngā tohu tae noa ki te wā e noho pū ai ki roto i te pūkahukahu, ā, ka āraia. Ko tēnei ārai te take o ngā tohu. Ko ngā tohu tino kitea ko te mamae o te puku o runga me te whakapairuaki. Tērā pea ka haere mai, ka ngaro atu rānei, ka mau tonu rānei. Mena he kino te ārai, he roa rānei te wā e mau ana, tērā pea ka pāngia koe e ētahi atu tohu, pēnei i:

• Te werawera .
• Te āhua kirika.
• Te pikinga o te tere o te ngakau .
• Te pupuhi me te mamae ina pāngia.
• Te kōwhai o tō kiri me ō kanohi ( jaundice ))`.
• He mimi pouri me he tūtae mārama.

He aha te āhua o te mamae o te kōhatu pūkahukahu?

Ko te mamae o te kōhatu pūkahukahu noa he mamae ohorere, he mamae nui. Ka rite ki te mea kua tata pahū tō puku. Ka kiia hoki tēnei he "whakaeke kōhatu pūkahukahu" he "whakaeke pūkahukahu rānei." Tērā pea ka tino pāngia koe e tēnei mamae i muri i te kai. Nā te mea kei te kōpeke tō pūkahukahu, ka nui ake te pēhanga ki tō pūnaha biliary. I ētahi wā ka ara ake koe i te moe me tēnei mamae. Ko te mamae e piki haere ana, ka tae ki tōna taumata, kātahi ka heke haere ka kiia ko te "biliary colic." Ka puta mai i ētahi wā. Ka roa pea mai i ngā meneti ki ngā hāora. Ko te nuinga o te wā ka memeha te mamae ina neke te kōhatu, ina heke rānei te pēhanga. Ko te hunga e pāngia ana e tēnei mamae e kī ana he tino kaha, he wero, he kōpiri, he kōpiri rānei . Ka tino kaha rawa atu, kāore e taea e koe te tū tonu.

Kei hea te mamae o ngā kōhatu o te pūkahukahu?

Kei te taha matau o runga o tō puku tō ara biliary, i raro noa i tō rara matau. He maha ngā tāngata e rongo ana i te mamae o ngā kōhatu pūkahukahu i konei. Engari i ētahi wā ka horapa te mamae ki ētahi atu wāhi. Ko ētahi tāngata e rongo ana i te mamae o ō rātou ringa matau, pakihiwi, tuara rānei i waenganui i ngā mata o te pakihiwi. Ko ētahi tāngata e rongo ana i te mamae o ngā kōhatu pūkahukahu i waenganui o ō rātou puku, o ō rātou uma rānei. He ahua pōhēhē tēnei, nā te mea he rite te mamae ki ētahi atu mate. Ko ētahi tāngata e whakaaro ana he gastritis, he heartburn rānei te mamae o te kōhatu pūkahukahu. Ko ētahi pea e whakaaro ana he mate manawa, he āhuatanga ohorere hauora tēnei.

He rerekē ngā tohu o te kohatu whatukuhu mō ngā wāhine?

Kāo, he rite tonu ngā tohu. Engari he nui ake te tūponotanga o ngā wāhine ki te pāngia e te "mamae whakawhiti" - arā, te mamae e pāngia ana e tētahi wāhi ehara i te wāhi i tīmata ai. Nō reira, he nui ake te tūponotanga ka pāngia rātou e te mamae o ngā kōhatu pūkahukahu i te ringa, i te pakihiwi, i te uma, i te tuara rānei. He nui ake hoki te tūponotanga o ngā wāhine ki te pāngia e te mamae mau tonu. Nō reira, kāore pea rātou e aro nui ki te mamae e haere mai ana, e haere atu ana, pērā i te "biliary colic". Ko te mea nui ko te toro atu ki te tākuta mēnā he mamae nui, he mamae tonu rānei tōu, ahakoa kua memeha. Mēnā kua pāngia koe e te "whakaeke kōhatu pūkahukahu" i tētahi wā, he nui ake te tūponotanga ka pāngia anō koe e tētahi atu.

He aha te take o tēnei mamae o te kōhatu o te pūkahukahu?

Ko te mamae o te kōhatu pūkahukahu ko te wā e mau ana te kōhatu pūkahukahu ki roto i tō awaawa pūkahukahu, ka puta he aukati. Mena he aukati nui, ka rongo tonu koe. Mena he aukati iti, kī tonu i te pūkahukahu, kāore pea koe e kite tae noa ki te wā e whakawhāitihia ana tō pūkahukahu, ā, ka nui ake te pēhanga ki te pūnaha. Ka puta tēnei whakawhāititanga i te kai, inā koa he kai taumaha, he kai momona .Ina kai koe, ka piri te pūkahukahu. Whakaarohia mēnā ka kai koe i tētahi biryani pai, i tētahi raihi parai, i tētahi kai raihi rānei me te ranu tiri i hangaia ki te hinu, ka kitea e tō tātou whekau iti te nui o te hinu i roto i taua kai, ā, ka kī atu ki te pūkahukahu te nui o te pūkahukahu e hiahiatia ana hei āwhina i te nakunaku. Hei whakautu, ka pēhia e te pūkahukahu te nui o te pūkahukahu e hiahiatia ana, ka tukuna atu ki ngā awa pūkahukahu. Ko te wā tēnā e puta mai ai te mamae mai i taua kōhatu piri.

He aha ngā tohu whakatūpato nui o te mate kōhatu i roto i te pūkahukahu?

Ko te "Biliary Colic" pea te tohu whakatūpato anake ka kitea e koe. Ka puta mai tēnei ina āraia te awaawa au e te kohatu au mō te wā poto, kātahi ka neke haere, ka tīmata anō te rere. Ahakoa ka memeha haere te mamae, he mea nui kia mōhio ki ēnei tohu whakatūpato.

Mena kua āraia tō pūnaha biliary e te kohatu pūkahukahu, he nui ake te tūponotanga ka puta anō.

Tērā pea kei te neke haere te kōhatu i te wāhi kotahi e piri ana, e nui haere ana, e rahi haere ana. Tērā pea he maha atu ngā kōhatu i roto i te pūkahukahu. I tētahi rā, ka piri pea te kōhatu i roto i te pūkahukahu, ā, ka noho tonu ki reira. He āhuatanga ohorere pea tēnā.

He aha ngā raruraru ka pā mai i te mate kōhatu i roto i te pūkahukahu?

Ki te aukatia te rere o te au i roto i te pūnaha au i te kōhatu au, ka pā ki tētahi okana o taua pūnaha. Ka taea e te au e kore e rere te hoki ki roto i ngā awa au me ngā okana, ka puta te mumura nui me ngā mate kitakita . Ka taea e ēnei āhuatanga te whakararu i te ora mēnā ka kino rawa atu. Ko ētahi o ngā raruraru ko:

• Cholecystitis : Te mumura o te gallbladder.
• Pancreatitis : Te mumura o te repeure .
• Cholangitis: Te mumura o ngā awaawa o te ate .
• Hepatitis: Te mumura o te ate.
• Te kiri mākūkū: te kohikohinga o te au i roto i te toto (te kōwhai o te kiri).
• Septicemia: Ngā huakita e uru ana ki roto i te toto.

Ka puta te ngenge me te pōuri i ngā kōhatu pūkahukahu?

He tohu te whanoke me te ngenge o te toto toto iti. Ehara ēnei i te tohu noa o ngā kohatu pūkahukahu. Heoi, ka puta pea te toto toto iti hei pānga taha o ngā raruraru i puta mai i ngā kohatu pūkahukahu. Mena he mumura nui, he mate rānei kei roto i tō pūnaha biliary, ka piki ake pea tō tere o te ngakau, ā, ka heke pea tō toto toto.

He aha ngā take o ngā kōhatu o te pūhā?

Ka puta ngā kōhatu pūkahukahu ina nui rawa te nui o tētahi o ngā wāhanga matua o te au. Ka tau tēnei wāhanga taikaha ki roto i te pūkahukahu, ki ngā awa au rānei, ka mārō haere hei kōhatu. Ko ngā kōhatu cholesterol te momo tino kitea. Ko tētahi atu momo ko ngā kōhatu "pigment", arā, ko ngā kōhatu bilirubin. He maha ngā āhuatanga ka pā ki tēnei tukanga, tae atu ki:

• He nui rawa te cholesterol: Ka tangohia e tō ate te cholesterol mai i ō toto hei hanga au. Mēnā he nui rawa te cholesterol i roto i ō toto, ka rerekē te ōwehenga o ngā wāhanga o roto i tō au. Me taurite te lipids me ngā waikawa hei pupuri i ngā mea katoa i roto i tō au. Mēnā he nui rawa te cholesterol, ka tāpaetia.
• Te bilirubin teitei: Ko te bilirubin he hua o te pakaru o ngā toto whero tawhito. Mena he mate toto tōu (e tino whakangaro ana i ngā toto whero), mena kua pakaru tō ate, ā, he uaua ki te huri i ngā nui noa o te bilirubin ki te au, tera pea he nui ngā taumata o te bilirubin i roto i tō tinana.
• Kāore i te rawaka ngā waikawa au (e kiia ana ko ngā tote au): Ko ētahi mate ka kore e mimiti pai ngā waikawa au e te tinana (he ngoikore te mimiti o te waikawa au) ā, ka tukuna ki roto i te tūtae. Mēnā he nui rawa te ngaronga o te waikawa au, kāore e ranea ngā waikawa au i te ate hei hanga au. Mēnā kāore i te rawaka ngā waikawa au, ka piki ake te nui o ngā lipids (cholesterol) i roto i te au.
• Te koretake o te kōroke, te koretake rānei o te pūkahukahu: Ko te tikanga o te kupu "Stasis" he āhua kore mahi. Mēnā kāore ō awa kōroke, tō pūkahukahu rānei e neke tika ana i te kōroke mā roto i te pūnaha kōroke, ka nui ake te tūponotanga ka puea ake te kōhatu o te kōroke. He raruraru pea tēnei ki ngā uaua, ki ngā tohu matū rānei e kī ana kia mahi rātou.

He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o ngā kohatu o te puku (Cholelithiasis)?

Ka pā pea ngā mate me ngā āhuatanga ki te rere o tō au, ki tō taumata cholesterol, bilirubin, me te waikawa au. Engari ehara i te mea ko te hunga katoa he kohatu au he mate hauora kei a rātou. Ko ētahi o ngā āhuatanga mōrearea e tino kitea ana he mea noa, pērā i tō tau, ira, taumata homoni, me ngā huringa taumaha. Ko ngā āhuatanga mōrearea ko:

• Tau: Ka roa te wā e hangaia ai ngā kōhatu pūkahukahu, ā, ka nui rawa atu, ka ārai i te pūnaha ure. He nui ake te tūponotanga ka pāngia ngā tāne e ēnei kōhatu i muri i te 60 tau. He nui ake te tūponotanga ka pāngia ngā wāhine e ēnei kōhatu i roto i ō rātou tau momona, i waenganui i te 20 me te 50 tau.
• Ngā homoni: E toru ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e ngā kōhatu pūkahukahu. Ka piki ake, ka heke iho hoki tēnei mōrearea me te nui o ngā homoni estrogen me te progesterone i roto i ā rātou. Ka whakanui ake te estrogen i ngā taumata cholesterol, ā, ka whakaroa te progesterone i te tukunga o te au mai i te pūkahukahu.
• Taumaha:I te pikinga o te ngako o te tinana, ka piki ake hoki te hanga o te estrogen, ka piki ake ai ngā taumata estrogen me ngā taumata cholesterol. I tētahi atu taha, ko te whakahekenga taumaha ohorere, hei tauira i muri i te pokanga whakaheke taumaha, ka puta hoki ngā kohatu o te puku. Ina heke ohorere te ngako o te tinana, ka kohia te nui o te cholesterol ki roto i te au.
• Ira: Mena he uri (Native American) , (Mexican) koe , ka nui ake pea te tūponotanga o te whakawhanake i ngā kōhatu pūkahukahu nā te nui o te cholesterol i roto i tō au. Mena kua pāngia tētahi o tō whānau e ngā kōhatu pūkahukahu, ka nui ake te tūponotanga ka pāngia koe e ēnei, ahakoa tō iwi.

Me pēhea te kimi mēnā he kōhatu kei roto i tō puku?

Mena kei a koe ngā tohu o te kōhatu pūkahukahu, ka whakahau tō tākuta i ngā whakamātautau toto me ngā whakamātautau whakaahua. Ka taea e ngā whakamātautau toto te kite i te mumura, te mate, te jaundice rānei, ā, ka taea hoki te hoatu he tohu ki a koe mō ngā whekau e pāngia ana. Ka taea e ngā whakamātautau whakaahua te āwhina ki te whakatau kei hea te aukati i roto i tō pūnaha biliary.

He aha ngā whakamātautau e whakamahia ana hei tautuhi i te mate pukupuku?

Tuatahi, ka whakahaerehia e tō tākuta he tirotiro ā-orooro i te puku. He whakamātautau tere, ngāwari hoki tēnei, kāore e hiahiatia he whakaritenga motuhake. Ka kitea e te tirotiro ā-orooro te nuinga o ngā kōhatu i roto, i te taha hoki o te pūkahukahu. Heoi, ki te mau te kōhatu i tētahi wāhi kē atu i roto i te pūnaha biliary, me whakamahi i tētahi atu momo whakamātautau hei kimi. Ko ētahi atu whakamātautau ka taea te mahi ko:

• MRCP (Kolangiopancreatography Āhua Aukume)
• Matawai HIDA `(Matawai HIDA)`
• Te oro-whakaata endoscopic
• ERCP (endoscopic retrograde cholangiopancreatography)

He aha ngā maimoatanga mō ngā kōhatu o te puku?

Mena kāore anō kia pāngia koe e te raruraru o ngā kohatu pūkahukahu, kāore pea koe e hiahia ki te rongoā mō aua mea. Engari, ki te mea kei te aukati ngā kohatu pūkahukahu i tō awaawa au, ka ngana tō tākuta ki te tango i aua mea—ehara i te mea ko te aukati anake, engari ko ngā mea katoa. Nā te mea, ina pāngia koe e te aukati kohatu pūkahukahu, ka nui ake te tūponotanga ka pā anō koe. Ko te nuinga o te hunga e hiahia ana ki te rongoā mō ngā kohatu pūkahukahu ka pokangahia hei tango i aua mea. Ko te pokanga anake te huarahi hei whakarite kia kore e puta anō ngā raruraru o ngā kohatu pūkahukahu. Engari, ki te kore e taea e koe, kāore rānei e hiahia ki te pokanga, tera atu ētahi atu maimoatanga ka taea e koe te whakamātau, tae atu ki ngā rongoā me ētahi atu tikanga.

Te pokanga mō ngā kōhatu au

Ko te tango i ngā kōhatu i roto i te pūkahukahu te rongoā pono, roa hoki anake mō te wā roa.He pokanga noa tēnei puta noa i te ao, e mahia ana mā te laparoscopy (mā roto i ētahi tapahi iti me te kāmera). Ka taea e koe te ora pai me te kore he pūkahukahu. Koinei te wā ka haere tika te pūkahukahu mai i te ate ki roto i tō whekau iti. I ētahi wā, ko ētahi tāngata e hiahia ana ki te maimoatanga mō ngā kōhatu pūkahukahu kāore pea i te tino hauora ki te pokanga hei tango i tō rātou pūkahukahu. I roto i ēnei take, he kōwhiringa te "cholecystostomy". He tikanga iti tēnei e uru ana ki te whakauru i tētahi catheter ki roto i te pūkahukahu me te tango i te pūkahukahu me ngā kōhatu.

Te rongoā (rongoā) mō ngā kōhatu o te pūhā

Kāore i te maha ngā tākuta e tohu rongoā mō ngā kōhatu pūkahukahu nā te mea kāore i te tino whai hua. Ko ngā rongoā pēnei i a Ursodiol me Chenodiol ka mahi anake mō ngā kōhatu cholesterol iti, kāore he uaua. Ka roa pea ngā marama ki ngā tau ka memeha, ā, ka taea hoki te hoki mai. Ehara tēnei i te huarahi whai hua hei rongoā i ngā kōhatu pūkahukahu mō te nuinga o te tangata. Heoi, i ētahi wā iti, ka whai hua pea ngā rongoā hei mahi rangitahi, hei mahi ārai rānei. Mena ehara koe i te kaitono pai mō te pokanga kōhatu pūkahukahu, ka kōrero tō tākuta ki a koe mō ā rātou taunakitanga.

Ka pēhea te āhua o tōku āhua i muri i te maimoatanga mō ngā kōhatu o te pūhā (Cholelithiasis)?

I muri i te pokanga, kāore te nuinga o te tangata e hiahia kia rongoatia anō ngā kōhatu o te pūkahukahu. He onge ngā raruraru, engari ka pāngia pea ētahi e ngā mate pēnei i te mate korere mau tonu. Nā te mea kei te rere tonu te au ki roto i ngā whekau, ehara i te mea i te wā e hiahiatia ana anake. Ka taea te rongoā i tēnei mā te whakamahi i ngā rongoā e kiia nei ko ngā "bile acid binders".

Me pēhea te ārai i ngā kōhatu kapia?

Kāore he huarahi tino tika hei ārai i ngā kōhatu pūkahukahu. Engari ka taea e koe te mahi i ētahi mahi hei whakaiti i tō mōrearea whānui. Hei tauira, ka taea e koe te whakaiti i tō mōrearea ki te whakawhanake i te momo kōhatu cholesterol tino noa mā te whakaiti i te nui o te cholesterol i roto i tō kai. Heoi, e kore tēnei e aukati i te hanganga o ngā kōhatu "tae". Mena he taumaha rawa koe, he momona rānei, mā te whakaiti i te taumaha ka taea te whakaiti i tō mōrearea ki te whakawhanake i ngā kōhatu cholesterol. Heoi, mā te whakaiti ohorere i te taumaha ka taea te whakanui ake i tō mōrearea. Mena kei te tumanako koe kia tere te whakaiti i te taumaha mā te tikanga, mā te maimoatanga rānei, ka tūtohu pea tō tākuta kia tango koe i te rongoā hei ārai i ngā kōhatu pūkahukahu i mua i te wā.

Ka memeha haere ngā kōhatu pūkahukahu?

Kāore e memeha ngā kōhatu pūkahukahu me te kore he rongoā. I ētahi wā ka puta ngā kōhatu pūkahukahu i roto i tō tinana me tō tūtae, engari kāore e memeha katoa. Ahakoa ka tangohia e tō tākuta tētahi kōhatu pūkahukahu mai i tētahi o ō awaawa pūkahukahu, tera pea kei te toe tonu ētahi kōhatu, ā, tera pea ka puta mai ētahi mea hou . Ko te tango i tō pūkahukahu te huarahi anake hei aukati i te hanganga o aua kōhatu.

Me pēhea te puta o ngā kōhatu i roto i te pūkahukahu me te tūtae?

Ki te kore e āraia te kōhatu pūkahukahu kua uru ki te awaawa pūkahukahu noa, ka taea e ia te uru ki roto i ngā whekau, ka tukuna atu me te paru. He waimarie tēnā, engari kāore e taea e ngā kōhatu pūkahukahu katoa te pera, ā, kāore e taea e koe te akiaki kia pera. Kāore he huarahi hei akiaki i ō kōhatu pūkahukahu ki roto i te awaawa pūkahukahu noa, ā, kāore he taurangi ka uru haumaru atu rātou ki roto i ngā whekau. Tērā pea ka noho tonu rātou ki roto i te awaawa, ka nui haere. I te nuinga o te wā, he morearea te whai kōhatu pūkahukahu i roto i te awaawa pūkahukahu noa i te tuatahi.

He aha te āhua o te putanga mai o te kohatu pūkahukahu?

Kāore pea koe e rongo i te kōhatu au e haere ana i roto i tō tinana. Me iti iho i te 5 mirimita te kōhatu au kia taea ai e ia te haere mā roto i te awa au noa. Kāore i te nui kia taea ai e koe te rongo i roto i ō whekau, engari tera pea ka mamae koe i a ia e haere ana mā roto i te awa au noa.

He aha te āhua o ngā kōhatu i roto i te wharepaku?

Ahakoa te iti o te kōhatu au e taea ai te haere mā roto i te awa au noa, tera pea he iti rawa, kāore e kitea i roto i tō tūtae. Engari, ki te kite koe i te kōhatu au i roto i te wharepaku, ka rite ki te kirikiri iti. Tērā pea he āhua koretake, he koki pakupaku. He kōwhai te nuinga, engari ko ētahi he parauri.

Ka taea te whakaputa i ngā kōhatu pūkahukahu me te mimi?

Kāore e taea e koe te whakaputa i ngā kōhatu i roto i tō mimi nā te mea kāore he ara mō ngā kōhatu ki te uru atu ki tō ara mimi. Ko ngā kōhatu i roto i te ara mimi e kiia ana ko ngā kōhatu tākihi. He rite tonu ngā kōhatu tākihi me ngā kōhatu tākihi, engari he rerekē ngā huarahi e haere ai rāua. Ko te mimi mamae he tohu nō ngā kōhatu tākihi, ehara i te kōhatu tākihi.

Āhea ahau me toro atu ki te tākuta mō ngā kohatu o te puku?

Ki te pāngia koe e te mamae wero i tō puku matau o runga, i tō pakihiwi rānei, inā koa i muri i te kai, tera pea he whakaekenga o te pūkahukahu. Rapua tonutia he awhina hauora. Kaua e tatari kia ngaro, nā te mea kāore pea. Ka taea e te tākuta te āwhina i a koe ki te whakatau i te take o tō mamae, me te whakaora anō hoki. Ki te whakaaro koe kua pāngia koe e te kōroke biliary i mua, ahakoa kua ngaro, tirohia he tākuta. Ka taea e rātou te tirotiro i tō pūnaha biliary hei tirotiro i ngā kōhatu pūkahukahu. Mena kei te pērā, ka tūtohu pea rātou kia rongoatia i mua i te puta ake o ngā raruraru. Ki te kore he maimoatanga, ka taea tonu te hanga me te tipu o ngā kōhatu pūkahukahu. He mea noa ngā kōhatu pūkahukahu, ā, kāore te nuinga o te tangata e pāngia e ngā raruraru. Mena kei te kotahi te wāhi, kāore pea koe e mōhio kei reira rātou. Engari ina tīmata te neke haere, ka noho morearea. Ka taea e ēnei mea iti, rite ki te kirikiri te whakararu nui mena ka mau ki ngā wāhi piri o tō pūnaha biliary ngawari.

He tino kino te tatari kia kī mai he "whakaekenga kohatu pūkahukahu" kei a koe he kohatu pūkahukahu. Tērā pea ka nui ake tō manukanuka ina mōhio koe ko te pokanga te maimoatanga kua tūtohutia. Heoi, he tikanga noa te pokanga tango pūkahukahu me ngā hua tino pai. Tērā pea ka mutu tō whakamātautau katoa i roto i ētahi haora i muri i ngā tohu tuatahi.

Karere ki te kāinga

Nō reira, he mea ka taea te huna i ngā kōhatu pūkahukahu, engari ki te tīmata te whakararuraru i a koe, ka tino mamae. Ko te mea nui, ki te pāngia koe e te mamae rerekē, te mamae nui i te taha matau o runga o tō puku, te whakapairuaki, ētahi atu tohu rānei, kaua e warewarehia. Ina koa ka puta mai i muri i te kai i te kai momona, me toro atu ki te tākuta mō ētahi tohutohu. Mā te kitenga wawe ka ārai i ngā raruraru nui. Kia ora tonu!

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