Hū ke akepau (hepatomegaly): he aha ia, nā ʻōuli a pehea e mālama ai

Anter

• Pehea e hana ai i ka lāʻau
• Nā hōʻailona nui
• Nā kumu kūpono o ke akepaʻa

ʻO ke ake ākea, ʻo ia hoʻi ʻo hepatomegaly, ʻike ʻia e ka hoʻonui ʻana i ka nui o ke ake, i hiki ke palpated ma lalo o ka iwi ʻaoʻao ma ka ʻaoʻao ʻākau.

Hiki ke ulu ke akepaʻa ma muli o nā ʻano he nui, e like me ka cirrhosis, ka ate momona, ka puʻuwai puʻuwai puʻuwai a me ka liʻiliʻi, ka maʻi ʻaʻai.

Hepatomegaly maʻamau ʻaʻole kumu o nā ʻōuli a hana ʻia ka mālama ʻana e like me ia. I ke kumu o ka hoʻonui ākea ma muli o ka steatosis hepatic, ʻo kahi laʻana, ʻo ka hoʻomaʻamaʻa ka hana ʻana i nā hana kino a me ka lawe ʻana i kahi papaʻai kūpono. E aʻo pehea e ʻai ai i ka momona o ke ake.

Pehea e hana ai i ka lāʻau

Hoʻomaopopo ka lāʻau no ke ake e ʻike a hoʻopau i ke kumu a pono e hana ʻia e like me nā ʻōlelo lapaʻau. ʻO kekahi mau ʻōlelo aʻoaʻo nui i ka mālama ʻia ʻana no ke ake akepau ʻo:

• Lawe i kahi nohona olakino, ka mālama ʻana i ke kaupaona kūpono;
• Hana i nā hoʻoikaika kino i kēlā me kēia lā;
• Mai ʻai i nā mea inu ʻona;
• Lawe i kahi papaʻai waiwai i nā huaʻai, nā lau, nā lau a me nā wholegrains;
• Mai lawe i ka lāʻau me ka ʻole o ka ʻōlelo aʻoaʻo.
• Mai puhi.

ʻO ka hoʻohana ʻana i nā lāʻau e hana wale ʻia ma lalo o ke alakaʻi olakino. E nānā i nā koho home no nā pilikia o ke ake.

Nā hōʻailona nui

ʻAʻole hana ke akepaʻa puhū i mau ʻōuli, akā ke hiki ke ʻike i ke ake, he mea nui e hele i ke kauka.

Ke loaʻa ʻo ka hepatomegaly i ka maʻi o ke ake, no ka laʻana, loaʻa paha i ka ʻeha o ka ʻōpū, ka ʻole o ka makemake, kaho, ka luaʻi, ka luhi a me ka ʻili melemele a me nā maka. Inā kū koke ka pehu, ʻeha ke kanaka i ka palpation. ʻO ka maʻamau ke hoʻoholo ke kauka i ka nui a me ke ʻano o ke akepaʻa ma o ka palpating ʻana ia ma o ka paia o ka ʻōpū, hiki, mai laila, e wānana i ke ʻano o ka maʻi i loaʻa i ke kanaka.

I ke kumu o ka maʻi hepitis huehue, ʻo ka hepatomegaly ka mea maʻamau me ka ʻeha a he wahi laumania a me ka laumā, ʻoiai ʻo ka hepatitis mau loa e paʻakikī a paʻa hoʻi i ka cirrhosis, ke hele a kaulike ʻole ka ʻilikai. Eia hou, i ka puʻuwai puʻuwai congestive, ʻeha ke akepaʻa a hoʻonui ʻia ka ʻula ʻākau, ʻoiai i ka schistosomiasis ʻoi aku ka pehu o ka ate ma ka ʻaoʻao hema.

ʻO ke kuhi o ka hepatomegaly i hana ʻia e ka hepatologist a i ʻole ka mea hana maʻamau ma o ka loiloi ʻana i ke kino a me nā hoʻokolohua kiʻi, e like me ka ultrasound a me ka ʻōpū o ka ʻōpū, me nā hoʻokolohua koko. E ʻike i nā hōʻike hea e loiloi ai i ka hana ate.

Inā manaʻo ʻoe he pilikia kou ake, e nānā i nā ʻōuli āu.

1. 1. ʻIke ʻoe i ka ʻeha a i ʻole hōʻoluʻolu ʻole i ka ʻaoʻao ʻākau i luna o kou ʻōpū?
2. 2. Ke maʻi nei a i ʻole ʻoliʻoli pinepine paha ʻoe?
3. 3. He ʻeha poʻo poʻo pinepine paha kou?
4. 4. Ua maʻalahi ʻoe i ka luhi?
5. 5. He mau kiko poni paha kou ma kou ʻili?
6. 6. melemele kou mau maka a ʻili paha?
7. 7. ʻEleʻele paha kou mimi?
8. 8. Ua ʻike anei ʻoe i ka nele o ka makemake?
9. 9. He melemele, hina a keʻokeʻo paha kou mau noho?
10. 10. Ke manaʻo nei ʻoe ua pehu kou ʻōpū?
11. 11. ʻIke ʻoe i ka ʻeha ma kou kino holoʻokoʻa?

Nā kumu kūpono o ke akepaʻa

ʻO ke kumu nui o ka hepatomegaly hepatic steatosis, ʻo ia hoʻi, ka hōʻiliʻili ʻana o ka momona i ke akepaʻa e hiki ai ke alakaʻi i ka mumū o ka meaola, a ʻo ka hopena, ka pehu ʻana. ʻO nā kumu kūpono ʻē aʻe o ka hepatomegaly:

• Ka ʻai nui ʻana i nā mea inu ʻona;
• ʻAi momona i nā momona, nā mea ʻai kēpau, nā mea inu momona a me nā meaʻai palai;
• Nā maʻi puʻuwai;
• Hepatitis;
• Cirrhosis;
• Leukemia;
• Ka lawa ʻole o ka cardiac;
• ʻO nā hemahema kūpono, e like me marasmus a me kwashiorkor, no ka laʻana;
• Maʻi Niemann-Koho;
• Nā maʻi āpau e nā parasite a i ʻole nā ​​koʻohune, no ka laʻana;
• Ke kū nei o ka momona i ke akepaʻa ma muli o ka maʻi kō, ka momona a me nā triglycerides kiʻekiʻe.

ʻO kahi kumu liʻiliʻi o ke ake ākea ka helehelena o kahi tumo i ke ake, i hiki ke ʻike ʻia ma o nā hōʻike kiʻi ʻana e like me ka tomography ʻōpū a me ultrasound.