Nā noho - pale a kala ʻeleʻele paha

ʻO nā ʻōpū pale, palolo, a i ʻole putty-colour paha ma muli o nā pilikia i ka ʻōnaehana biliary. ʻO ka ʻōnaehana biliary ka ʻōnaehana hoʻokahe o ka gallbladder, ate, a me nā pancreas.

Hoʻokuʻu ke akepaʻa i nā paʻakai bile i loko o ka pahu, e hāʻawi iā ia i ke kala ʻalani maʻamau. Loaʻa paha iā ʻoe nā noho pā kala-ʻeleʻele inā loaʻa ʻoe i ka maʻi akepaʻa e hōʻemi ana i ka hana bile, a i ʻole ke ālai ʻia ke kahe o ka iwi mai loko mai o ke ake.

Kū pinepine ka ʻili melemele (jaundice) me nā noho pālolo pālolo. Pili paha kēia i ke kūkulu ʻia ʻana o nā kemikala bile i loko o ke kino.

ʻO nā kumu kūpono no nā noho palahalaha me nā:

• ʻO ka hepatitis ʻalekohola
• Cirrhosis Biliary
• Ka maʻi ʻaʻai a i ʻole noncancerous (benign) o ke akepaʻa, ʻōnaehana biliary, a i ʻole pancreas
• Nā cist o nā aʻa bili
• Nā Pohaku
• ʻO kekahi mau lāʻau
• Ka hoʻopili ʻana o nā dile bile (nā koʻikoʻi biliary)
• Sclerosing cholangitis
• Nā pilikia pili i ke kino i ka ʻōnaehana biliary e kū nei mai ka hānau ʻana (congenital)
• Hepatema Viral

Aia paha kekahi kumu ʻē aʻe i helu ʻole ʻia ma aneʻi.

Kāhea i kāu mea mālama ola inā ʻaʻole kāu stools i ke kala ʻeleʻele maʻamau no kekahi mau lā.

E hana ka mea hāʻawi i kahi hoʻokolohua kino. E nīnau lākou i nā nīnau e pili ana i kāu mōʻaukala olakino a me nā hōʻailona. Hiki i nā nīnau ke komo pū me:

• I ka manawa hea i kū mua ai ka ʻōuli?
• Hoʻololi ʻia anei kēlā me kēia pahu?
• He aha nā lāʻau e lawe ai?
• He aha nā hōʻailona ʻē aʻe āu?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO nā hoʻāʻo ʻana o ke koko, me nā hoʻāʻo e nānā i ka hana o ke ake a no nā mea ʻino e hoʻopili i ke ake
• Endoscopic retrograde cholangiopancreatography (ERCP)
• ʻO nā haʻawina kiʻi, e like me ka ultrasound ʻōpū, CT scan, a i ʻole MRI o nā ake a me nā aʻa o ka bile

• Anatomia digestive lalo

Korenblat KM, Berk PD. E hoʻokokoke i ka mea maʻi me ka jaundice a i ʻole nā ​​hoʻokolohua ate ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 138.

Lidofsky SD. ʻO Jaundice. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 21.

Marks RA, Sakena R. Nā maʻi akepaa o ka wā kamaliʻi. I: Saxena R, ed. ʻO ke ʻano Hepatic Pathology: kahi ala diagnostic. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 5.