Cholecystitis huehue

ʻO ka cholecystitis huehue ka pehu koke a me ka ukiuki o ka huahuā. Hoʻopilikia ʻia ka ʻeha o ka ʻōpū.

ʻO ka gallbladder kahi mea e noho ma lalo o ke ake. Mālama ʻo ia i ka bile, i hana ʻia i ke ake. Hoʻohana kou kino i ka bile e hōʻiliʻili i nā momona i loko o ka ʻōpū liʻiliʻi.

Kūpono ka cholecystitis huehue i ka wā e paʻa ai ka bile i loko o ka pahu hānai. Hana pinepine kēia no ka mea he pōhaku e ālai i ke kaʻi cystic, ka paipu kahi e holo ai ka pā i loko a ma waho o ka gallbladder. Ke pale aku kahi pōhaku i kēia lepe, kūkulu ka bile, e hoʻonāukiuki a me ke kaomi o ka gallbladder. Hiki i kēia ke alakaʻi i ka pehu a me ka maʻi.

Nā kumu ʻē aʻe e:

• Nā maʻi nui, e like me HIV a i ʻole diabetes
• Nā Tumors o ka gallbladder (laha ʻole)

ʻOi aku ka makaʻu o kekahi poʻe no nā pōhaku ʻaʻa. ʻO nā kumu pilikia me:

• ʻO ka wahine
• Hapai keiki
• Hoʻoikaika Hormone
• Makahiki
• ʻOiai he ʻōiwi ʻAmelika a i ʻole Hispanic
• Ka momona
• Ka lilo a me ka loaʻa wikiwiki ʻana o ke kaumaha
• Diabetes

I kekahi manawa, lilo ke kaula o ka bile i wahi paʻa. Ke hana pinepine ʻia kēia, hiki iā ia ke alakaʻi i ka cholecystitis lōʻihi (lōʻihi). ʻO kēia ka pehu a me ka huhū e hoʻomau mau ana i ka manawa. I ka hopena, lilo ka paepae i mānoanoa a paʻakikī. ʻAʻole mālama a hoʻokuʻu i ka bile e like me ia.

ʻO ka hōʻailona nui ka ʻeha ma ka ʻaoʻao ʻākau ma luna a ma waena o kou ʻōpū e mau ana ma 30 mau minuke. Manaʻo paha ʻoe:

• ʻĀ ʻū, ʻūlū, a ʻehaʻeha paha
• ʻEha paʻa
• ʻO ka ʻeha e pālahalaha i kou kua a i ʻole ma lalo o ka pahi poʻohiwi ʻākau

ʻO nā ʻōuli ʻē aʻe e kū pū paha me:

• Nā noho waihoʻoluʻu pālolo
• Fiva
• ʻO Nusea a me ka luaʻi
• Yellowing o ka ʻili a me nā keʻokeʻo o nā maka (jaundice)

E hana i kāu mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona. I ka wā o ka hoʻāʻo kino, e loaʻa paha iā ʻoe ka ʻeha ke hoʻopā ka mea hāʻawi i kou ʻōpū.

E kauoha paha kāu mea hāʻawi i nā hoʻokolohua koko aʻe:

• Amylase a me lipase
• Bilirubin
• Helu piha koko (CBC)
• Nā hoʻāʻo hana ate

Hiki i nā hoʻokolohua kiʻi ke hōʻike i nā gallstones a i ʻole ka mumū. Loaʻa iā ʻoe hoʻokahi a ʻoi paha o kēia mau hoʻāʻo.

• ʻO ke ultrasound ʻōpū
• Scanner CT ʻōpū a i ʻole scan MRI
• Hihi x ʻōpū
• ʻO cholecystogram waha
• ʻO ke kiʻi ʻana o Gallbladder radionuclide scan

Inā ʻeha kou ʻōpū ʻeha, e ʻimi koke i ka lāʻau.

I ka lumi pilikia, e hāʻawi ʻia ʻoe i nā wai ma o kahi aa koko. Hāʻawi ʻia iā ʻoe i nā antibiotic e kaua i ka maʻi.

E hoʻomaʻemaʻe paha ʻo Cholecystitis iā ia iho. Eia nō naʻe, inā he mau pōhaku kou, pono paha ʻoe i ke ʻoki e wehe i kāu gallbladder.

Hoʻokomo ʻia ka lawelawe nonsurgical:

• Nā Antibiotics āu e lawe ai i ka home e hakakā i ka maʻi
• Kaʻai momona momona (inā hiki iā ʻoe ke ʻai)
• Nā lāʻau ʻeha

Pono ʻoe i kahi ʻoki pōpilikia inā loaʻa iā ʻoe nā pilikia e like me:

• ʻO Gangrene (make make) o ka gallbladder
• Perforation (kahi puka e hana ai i ka paia o ka gallbladder)
• Pancreatitis (inflamed pancreas)
• Ka paʻa paʻa paʻa paʻa paʻa
• ʻO ka hoʻowahāwahā o ke kahena o ka bile maʻamau

Inā maʻi loa ʻoe, waiho ʻia kahi paipu ma loko o kou ʻōpū i loko o kāu gallbladder e hoʻokahe iā ia. I ka manawa e maikaʻi ai kou manaʻo, hiki i kāu mea hāʻawi ke paipai iā ʻoe he ʻoki kāu.

ʻO ka hapanui o ka poʻe i loaʻa i kahi ʻoki e wehe i kā lākou gallbladder e ola hou loa.

ʻAʻole mālama ʻia, cholecystitis hiki ke alakaʻi i kekahi o nā pilikia olakino e hiki mai ana:

• Empyema (kaʻi i loko o ka gallbladder)
• ʻO Gangrene
• Ka hōʻeha i nā aʻa o ka bile e hoʻokahe ana i ke ake (hiki mai paha ma hope o ke kaha ʻana o ka gallbladder)
• ʻO Pancreatitis
• Perforation
• Peritonitis (liʻu o ka pale o ka ʻōpū)

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻEhaʻeha ʻōpū nui ʻole e hele
• Hoʻi hou nā ʻōuli o cholecystitis

ʻO ka hemo ʻana o ka hake a me nā pōhaku e pale i nā hoʻouka hou ʻana.

Cholecystitis - huʻi; Gallstones - cholecystitis huehue

• Wehe i ka gallbladder - laparoscopic - hoʻokuʻu
• Wehe i ka gallbladder - wehe - hoʻokuʻu
• Gallstones - hoʻokuʻu

• ʻŌnaehana Digestive
• ʻO Cholecystitis, CT scan
• Cholecystitis - cholangiogram
• ʻO Cholecystolithiasis
• Gallstones, cholangiogram
• Wehe i ka gallbladder - Pūʻulu

ʻO Glasgow RE, Mulvihill SJ. Hoʻomaʻo i ka maʻi o ka gallstone. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 66.

Jackson PG, Evans SRT. ʻŌnaehana Biliary. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 54.

Wang DQ-H, Afdhal NH. ʻO ka maʻi Gallstone. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 65.