ʻO ka moʻomeheu bili

ʻO ka moʻomeheu bile kahi hoʻokolohua keʻena hoʻokolohua e ʻike ai i nā maʻi kūlohelohe (nā koʻohune, nā maʻi, a i ʻole nā ​​fungi) i loko o ka ʻōnaehana biliary.

Pono kahi laʻana o ka bile. Hiki ke hana i kēia me ka hoʻohana ʻana i nā ʻano like ʻole, e like me ke kaha ʻana o ka gallbladder a i ʻole ke kaʻina hana i kapa ʻia endoscopic retrograde cholangiopancreatography (ERCP).

Hoʻouna ʻia ka laʻa bile i kahi lab. Ma laila, waiho ʻia i loko o kahi kīʻaha kūikawā i kapa ʻia he moʻomeheu moʻomeheu e ʻike inā ulu ka bacteria, nā mea hoʻomaʻi, a me nā fungi ma kahi hāpana.

Aia ka hoʻomākaukau i ke ʻano kikoʻī i hoʻohana ʻia e kiʻi i ka hāpana bile. E hāhai pololei i nā kuhikuhi a kāu lawelawe mālama ola.

Inā lawe ʻia ka bile i ka wā o ke kaha ʻana o ka gallbladder, ʻaʻole ʻoe e ʻehaʻeha no ka mea hiamoe ʻoe.

Inā lawe ʻia ka bile i ka wā o ERCP, e loaʻa iā ʻoe ka lāʻau e hoʻomaha ai iā ʻoe. Hiki paha iā ʻoe ke hōʻoluʻolu ke hele ka endoscope ma kou waha, ʻāʻī, a iho i ka esophagus. E hala koke kēia manaʻo. Hāʻawi ʻia ʻoe i ka lāʻau (anesthesia) i mea e hiamoe māmā ai ʻoe no kēia hōʻike. Inā hiamoe ʻoe, ʻaʻole ʻoe e ʻike i kahi pilikia.

Hana ʻia kēia hōʻike e ʻike i ka maʻi ma loko o ka ʻōnaehana biliary. Hoʻokumu ka ʻōnaehana biliary, neʻe, mālama, a hoʻokuʻu i ka bile e kōkua ai i ka digestion.

He maʻamau ka hopena o ka hoʻāʻo inā ʻaʻohe bacteria, virus, a fungus paha i ulu aʻe i loko o ka pā laboratory.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO kahi hopena maʻamau ke kumu o ka bacteria, fungus, a me kahi maʻi i ulu i loko o ka pā lumi lumi. He hōʻailona paha kēia o ka maʻi.

Pili nā pilikia i ke ʻano i hoʻohana ʻia e lawe i kahi laʻana o ka bile. Hiki i kāu mea hāʻawi ke wehewehe i kēia mau pilikia.

Moʻomeheu - bile

• ʻO ka moʻomeheu bili
• ERCP

ʻO Hall GS, Woods GL. ʻO ka maʻi bacteriology. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 58.

ʻO Kim AY, ʻo Chung RT. ʻO nā maʻi koʻohune, parasite, a me nā fungal o ke ake, me nā abscesses o ke ake. 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 84.