He aha e hana ai inā loaʻa iā ʻoe kahi hoʻouka lāʻau

Anter

• Ke hoʻouka nei paha wau i ka gallbladder?
• He aha ka gallbladder?
• Hiki iā ia nā pōhaku ʻalā?
• He aha e pili ana i nā pilikia gallbladder ʻē aʻe e hōʻeha ai i ka ʻeha?
• Nā ʻōuli o ka hoʻouka gallbladder
• Ka wā e ʻike ai i ke kauka
• Hoʻomaʻo no ka hoʻouka gallbladder
• Laau Lapaʻau
• ʻOki kino
• Kāohi ʻana i nā hoʻouka hou aku
• He aha ke kuanaʻike?

Ke hoʻouka nei paha wau i ka gallbladder?

Kāhea ʻia kahi hōʻeha gallbladder he hoʻouka pōhaku, cholecystitis huehue, a i ʻole biliary colic. Inā loaʻa iā ʻoe ka ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, pili paha ia i kāu gallbladder. E hoʻomanaʻo aia kekahi mau kumu ʻē aʻe o ka ʻeha ma kēia wahi pū kekahi. Pākuʻi ʻia kēia mau mea:

• puʻuwai puʻuwai (GERD)
• pākuʻi
• hepatitis (hānai hānai)
• peptic (ʻōpū) ulcer
• pulumonia
• hernia hiatal
• maʻi ʻaʻai
• pōhaku kīhāpai
• naʻau abscess
• pancreatitis (pancreas li nui)
• maʻi kīnā
• paʻa paʻa

He aha ka gallbladder?

ʻO ka gallbladder kahi ʻeke liʻiliʻi ma ka ʻōpū ʻākau ma luna, ma lalo o kou ake. He peʻa ʻaoʻao paha ke nānā aku. ʻO kāna hana nui ka mālama ʻana ma kahi o 50 pākēneka o ka bile (gall) i hana ʻia e ke ake.

Pono kou kino i ka bile e kōkua ai e haki i nā momona. Kōkua kēia wai iā ʻoe e omo i kekahi mau wikamina mai nā meaʻai. Ke ʻai ʻoe i nā meaʻai momona, hoʻokuʻu ʻia ka bile mai ka pā o ka hue a me ke akepaʻa i loko o nā ʻōpū. Hoʻomaʻemaʻe nui ʻia ka meaʻai i nā ʻōpū.

Hiki iā ia nā pōhaku ʻalā?

ʻO nā pōhaku he mea liʻiliʻi, "ʻiliʻili" paʻakikī i hana ʻia mai nā momona, nā protein, a me nā minelala i kou kino. Kū pinepine kahi hoʻouka gallbladder i ka wā e ālai ai nā gallstones i ke kahena a me ka paipu. Ke hiki kēia, kūkulu ka bile i ka pā o ka hue.

ʻO ka palaka a me ka pehu e ʻeha ai ka ʻeha. Kū ka hopena i ka neʻe ʻana o nā gallstones a hiki i ka bile ke kahe i waho.

ʻElua ʻano nui o nā pōhaku ʻelua:

• ʻO nā gallstones Cholesterol. ʻO kēia mau mea ke ʻano o nā gallstones maʻamau. Nānā keʻokeʻo a melemele paha lākou no ka mea ua hana ʻia lākou i loko o ke kōkō a momona paha.
• Nā Pohaku Pigment. Hana ʻia kēia mau pōhaku i ka nui o kāu bilirubin. ʻEleʻele lākou a ʻeleʻele paha i ke kala. ʻO Bilirubin ka pigment a i ʻole ke kala e ʻulaʻula ai ke koko ʻula.

Hiki iā ʻoe ke loaʻa nā pōhaku he nui me ka ʻole o ka hoʻouka ʻana o ka gallbladder. Ma ʻAmelika Hui Pū ʻIa, ma kahi o 9 ka pākēneka o nā wahine a me 6 pākēneka o nā kāne he mau pōhaku ʻaʻohe nā hōʻailona. ʻO nā gallstones ʻaʻole e ālai i ke kahena o ka bile ʻaʻole ia ka hopena o nā ʻōuli.

He aha e pili ana i nā pilikia gallbladder ʻē aʻe e hōʻeha ai i ka ʻeha?

ʻO nā pilikia ʻē aʻe o ka gallbladder i kumu e ʻeha ai:

• cholangitis (bile duct inflammation)
• blockbudder sludge blockage
• nahaha gallbladder
• maʻi acalculous gallbladder a i ʻole gallbladder dyskinesia
• nā polyps gallbladder
• maʻi ʻaʻai gallbladder

Nā ʻōuli o ka hoʻouka gallbladder

Kū pinepine kahi hoʻouka gallbladder ma hope o kou ʻai ʻana i kahi pāʻina nui. Hana ʻia kēia ma muli o ka hana ʻana o kou kino i ka bile ke ʻai ʻoe i nā meaʻai momona. Hiki paha iā ʻoe ke hoʻouka i ke ahiahi.

Inā loaʻa iā ʻoe kahi hoʻouka gallbladder, aia ʻoe i ka makaʻu kiʻekiʻe loa i ka loaʻa ʻana o kekahi. ʻOkoʻa ka ʻeha mai ka lāʻau gallbladder mai nā ʻano ʻeha o ka ʻōpū. Loaʻa iā ʻoe:

• ʻeha me ka ʻeha a ʻoi loa e mau ana no nā minuke i nā hola
• ʻeha a palapū paha i ka ʻeha e hōʻino koke i ka ʻaoʻao ʻākau luna o kou ʻōpū
• ʻeha ʻoi ma waena o kou ʻōpū, ma lalo pono o ka umauma
• ʻeha nui e paʻakikī ai e noho mālie
• ʻeha e hōʻino ʻole a loli paha ke neʻe ʻoe
• palupalu ʻōpū

E pāhola paha ka ʻeha mai ka ʻōpū mai ka ʻōpū mai:

• hoʻi ma waena o kou mau poʻohiwi
• poʻohiwi ʻākau

Loaʻa paha iā ʻoe nā ʻōuli ʻē aʻe o kahi hoʻouka gallbladder, e like me:

• nausea
• ka luaʻi
• fiva
• haʻalulu
• melemele ka ʻili a me ka maka
• mimi ʻeleʻele a i ʻole kī kī
• nā neʻe māmā a i ʻole nā ​​pālolo kala ʻia

Hiki i kahi hōʻeha gallbladder ke alakaʻi i nā pilikia ʻē aʻe, kahi e kumu ai nā ʻōuli ʻē aʻe. ʻO kahi laʻana, hiki ke hoʻonāukiuki i nā pilikia o ke ake. Hana ʻia kēia no ka mea hiki i kahi blockage i ke duct ke hoʻihoʻi i ka bile i ke ake. Hiki paha i kēia ke haʻalele i ka jaundice - melemele o kou ʻili a me nā keʻokeʻo o kou mau maka.

I kekahi manawa hiki i nā gallstones ke pale i ke ala i ka pancreas. Hana pū ka pancreas i nā wai digestive e kōkua iā ʻoe e wāwahi i ka meaʻai. Hiki i kahi paʻa ke alakaʻi i kahi pilikia i kapa ʻia ʻo ka gallreat pancreatitis. Kū like nā ʻōuli me kahi hoʻouka lāʻau. Hiki paha iā ʻoe ke ʻeha ma ka ʻōpū hema hema.

Ka wā e ʻike ai i ke kauka

Ma kahi o ka hapakolu o ka poʻe me nā pōhaku e loaʻa i ka lāʻau ʻākena a i ʻole nā ​​hōʻailona koʻikoʻi. ʻO ka hoʻouka gallbladder kahi pilikia olakino e pono ai ka mālama koke. Pono ʻoe i ka lāʻau e pale ai i nā pilikia.

Mai nānā i ka ʻeha, a mai hoʻāʻo e hoʻōla ponoʻī iā ia iho me nā painkillers over-the-counter. E ʻimi koke i ke kōkua mai ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o ka hoʻouka ʻana o ka gallbladder:

• ʻeha nui
• wela wela
• haʻalulu
• melemele ka ʻili
• melemele o nā keʻokeʻo o kou mau maka

Hoʻomaʻo no ka hoʻouka gallbladder

I ka mua, hāʻawi kahi kauka iā ʻoe i ka lāʻau ʻeha e kōkua ai i ka ʻeha. Hāʻawi ʻia ʻoe i nā lāʻau anti-nausea e kōkua i ka hōʻoluʻolu ʻana i nā ʻōuli.Inā hoʻoholo ke kauka hiki iā ʻoe ke hoʻi i ka home me ka ʻole o ka hoʻomaʻamaʻa hou ʻana, makemake paha ʻoe e hoʻāʻo i nā ʻano hana ʻeha kūlohelohe pū kekahi.

Hele paha kāu hōʻeha gallbladder ma kāna iho. Hiki i kēia ke hana inā hala palekana nā gallstones a mai hana i nā pilikia. Pono ʻoe e kipa hou me kāu kauka.

Hiki paha iā ʻoe ke nānā a me nā hoʻokolohua e hōʻoia ai ka ʻeha mai kahi hoʻouka gallbladder. Pākuʻi ʻia kēia mau mea:

• ultrasound
• ʻōiwi X-ray
• CT scan
• ate hoʻāʻo koko
• Nānā HIDA

ʻO kahi ultrasound ʻōpū ka ala maʻamau a wikiwiki hoʻi e ʻike ai ke kauka inā he mau koʻohuna kou.

Laau Lapaʻau

ʻO kahi lāʻau lapaʻau waha i kapa ʻia ʻo ursodeoxycholic acid, i kapa ʻia hoʻi he ursodiol (Actigall, Urso), kōkua i ka hoʻopau ʻana i nā gallstones kolesterol. Kūpono paha ia iā ʻoe inā e hele kou ʻeha ma ona iho a i ʻole ʻaʻohe ou mau ʻōuli. Hana ia ma kahi helu liʻiliʻi o nā gallstones ʻo 2 a 3 millimeter wale nō ka nui.

Hiki i kēia lāʻau ke hana i mau mahina e hana ai, a pono paha ʻoe e lawe ia a ʻelua mau makahiki paha. Hiki i nā Gallstones ke hoʻi hou ke pau kāu lawe ʻana i ka lāʻau.

ʻOki kino

Pono ʻoe i ke ʻoki inā ʻaʻole ʻoluʻolu ka ʻeha a i ʻole he ʻeha hou kāu. ʻO nā hana ʻoki lāʻau no ka hoʻouka ʻana o ka gallbladder:

Cholecystectomy. Lawe kēia ʻōpala i ka gallbladder holoʻokoʻa. Pale ia iā ʻoe mai ka hoʻouka hou ʻana i nā pōhaku a i ʻole he lele hou. E hiamoe ʻoe no ke kaʻina hana. Pono ʻoe i kekahi mau lā i kekahi mau pule e ola hou mai ke kaha.

Hiki ke hana i ke kaha o Gallbladder me ke kī ʻana o keyhole (laparoscope) a i ʻole ke ʻoki wehe.

Endoscopic retrograde cholangiopancreatography (ERCP). I ka ERCP, e hiamoe ana ʻoe ma lalo o ka anesthesia. E hele ana kāu kauka i kahi ākea lahilahi, maʻalahi me kahi kāmela ma luna o ia ma o kou waha a hiki i ka wehe ʻana o ke kaila bili.

Hiki ke hoʻohana i kēia kaʻina hana e loaʻa a hemo i nā gallstones i ke duct. ʻAʻole hiki iā ia ke hemo i nā pōhaku i loko o ka pahu hānai. Pono ʻoe i kahi manawa hoʻōla hou loa no ka mea ʻaʻohe ʻoki loa ma ERCP.

Paukū cholecystostomy paukū. ʻO kēia kahi kaʻina hana hoʻoheheʻe wai no ka gallbladder. ʻOiai ʻoe ma lalo o ka anesthesia laulā, hoʻokomo ʻia kahi paipu i loko o kāu gallbladder ma o kahi ʻoki liʻiliʻi i loko o kou ʻōpū. Kōkua nā kiʻi Ultrasound a i ʻole X-ray i ke alakaʻi o ke kauka. Pili ka paipu i kahi ʻeke. Hoʻopau i nā gallstones a me nā bile keu i loko o ka ʻeke.

Kāohi ʻana i nā hoʻouka hou aku

Hiki i nā pākana he genetic. Eia nō naʻe, hiki iā ʻoe ke hoʻololi i kekahi ʻano nohona e hoʻohaʻahaʻa ai i kou makaʻu i ka loaʻa ʻana o nā gallstones a me ka hoʻouka ʻana o ka gallbladder.

• Lilo kaupaona. ʻO ka momona a keu paha ka hoʻonui i kou makaʻi. ʻO kēia no ka mea hiki ke hoʻonui i kāu bili i ka kolesterol.
• Hoʻomaʻamaʻa a neʻe. ʻO kahi nohona hana ʻole a hoʻolilo i ka manawa nui i ka noho ʻana e hāpai i kāu makaʻikaʻi.
• E hoʻokō lohi i kahi nohona kaulike. ʻO ka lilo ʻana o ke kaupaona me ka wikiwiki e hoʻonui ai i kāu pōpilikia o nā gallstones. Hana ʻia kēia no ka mea ʻo ka hōʻemi wikiwiki ka mea e hoʻonui ai i ka ate i kou ake. Hōʻalo i ka hoʻāʻo ʻana i nā papaʻai, haʻalele i ka ʻai, a me ka lawe ʻana i nā mea hoʻoliʻiliʻi kaumaha.

Hoʻopili i kahi papaʻai olakino i kēlā me kēia lā a me ka hoʻoikaika mau e hoʻemi palekana i ka palekana. ʻO kahi papaʻai e kōkua ai i ka pale ʻana i nā gallstones me ka hōʻalo ʻana i nā momona maikaʻi ʻole a me nā meaʻai kō a i ʻole nā ​​starchy. E ʻai i nā meaʻai hou aʻe e kōkua i ka hoʻohaʻahaʻa ʻana i ke kō. Hoʻopili kēia i nā meaʻai fiber kiʻekiʻe, e like me:

• nā mea kanu hou a paʻahau hoʻi
• nā huaʻai hou, paʻahau, a me nā hua maloʻo
• palaoa-palaoa a pau a me ka pasta
• laiki palaunu
• ʻāpala
• pīni
• quinoa
• hoahānau

He aha ke kuanaʻike?

Inā loaʻa iā ʻoe kahi hōʻeha gallbladder, e kamaʻilio me kāu kauka e pili ana i nā ala e pale aku ai i ka loaʻa ʻana o kekahi mea ʻē aʻe. Hiki paha iā ʻoe ke hana i ka ʻokiʻoki gallbladder. Hiki iā ʻoe ke loaʻa ka digestion olakino maʻamau me ka ʻole o ka gallbladder.

E makaʻala hiki iā ʻoe ke kiʻi i nā pōhaku ʻaole inā ʻoe e ʻai i kahi papaʻai olakino, kaulike a hoʻoikaika i ka hoʻoikaika kino. ʻAʻole hiki iā ʻoe ke kaohi i nā kumu e like me:

• nā genetics (holo nā gallstones i ka ʻohana)
• ʻo ka wahine (hoʻonui ka estrogen i ka cholesterol i ka bile)
• ʻoi aku ma mua o 40 mau makahiki (hoʻonui ka cholesterol me ka makahiki)
• ʻo ka loaʻa ʻana o ka hoʻoilina ʻōiwi ʻAmelika a me Mekiko paha (ʻo kekahi mau lāhui a me nā lāhui i maʻalahi i nā pōhaku)

Nā kūlana e hiki ai ke hāpai i kāu makaʻu i ka hoʻouka gallbladder:

• ʻano diabetes 1
• ʻano 2 diabetes
• Maʻi ʻo Crohn

E kamaʻilio me kāu kauka inā loaʻa iā ʻoe ka moʻolelo o ka ʻohana o nā gallstones a i ʻole inā he hoʻokahi a ʻoi paha nā mea pilikia. Hiki i kahi ultrasound ke kōkua e ʻike inā he mau pōhaku kou. Inā loaʻa iā ʻoe kahi hoʻouka gallbladder, e ʻike i kāu kauka no nā koho hope loa, ʻoiai inā ʻaʻole ʻoe e pono i ka lāʻau.