ʻO ka maʻi ʻo Gallbladder

Anter

• He aha nā ʻano o ka maʻi o ka gallbladder?
• Nā Pohaku
• Cholecystitis
• ʻO Choledocholithiasis
• ʻO ka maʻi gallbladder Acalculous
• ʻO dyskinesia biliary
• Sclerosing cholangitis
• Maʻi ʻaʻai Gallbladder
• Nā polyps Gallbladder
• ʻO Gangrene o ka gallbladder
• Loaʻa o ka gallbladder
• Pehea e ʻike ʻia ai ka maʻi gallbladder?
• Moʻolelo mōʻaukala kikoʻī
• Hōʻike kino
• X-ray ka umauma
• Kukuna ultrasound
• Nānā HIDA
• Nā hoʻāʻo ʻē aʻe
• Pehea e mālama ʻia ai ka maʻi o ka gallbladder?
• Hoʻololi ka nohona
• Lapaʻau ola
• ʻOki kino
• ʻO nā pilikia lōʻihi loa o ka maʻi gallbladder
• Hiki ke pale ʻia ka maʻi o ka gallbladder?

Overview o ka maʻi gallbladder

Hoʻohana ʻia ka maʻi ʻo gallbladder no kekahi ʻano o nā ʻano i hiki ke hoʻopili i kāu gallbladder.

ʻO ka gallbladder kahi ʻeke peʻa liʻiliʻi e waiho ana ma lalo o kou ake. ʻO ka hana nui a kāu gallbladder ka mālama ʻana i ka bile i hana ʻia e kou akepaʻa a hele aʻe ma o kahi leʻa e waiho ana i loko o ka ʻōpū liʻiliʻi. Kōkua ʻo Bile iā ʻoe e ʻānai i nā momona i loko o kāu ʻōpū liʻiliʻi.

Hoʻopilikia ka mumū i ka hapa nui o nā maʻi o ka gallbladder ma muli o ka hoʻonāukiuki ʻana i nā paia gallbladder, i kapa ʻia ʻo cholecystitis. Kū pinepine kēia mumū ma muli o nā pākana e ālai ana i nā aʻa e hiki ai i ka ʻōpū liʻiliʻi a hoʻokumu i ka bile. Hiki iā ia ke alakaʻi i ka nerosis (hoʻoneoneo i nā aʻa) a i ʻole ka gangrene.

He aha nā ʻano o ka maʻi o ka gallbladder?

Nui a hewahewa nā ʻano maʻi like ʻole o ka gallbladder.

Nā Pohaku

Hoʻomohala ʻia nā Gallstones ke hana nā mea i loko o ka bile (e like me ka cholesterol, nā paʻakai bile, a me ka calcium) a i ʻole nā ​​mea mai ke koko (e like me bilirubin) i nā ʻāpana paʻakikī e ālai i nā passageways i ka gallbladder a me nā dile bile.

Hoʻokumu pū kekahi ʻo Gallstones i ka hana ʻana inā ʻaʻole e hakahaka ka gallbladder a i ʻole pinepine ka lawa. Hiki iā lākou ke liʻiliʻi e like me ka palaoa o ke one a i ʻole ka nui e like me ka pōpō kolepa.

Hāʻawi nā kumu he nui i kāu makaʻu i nā gallstones. Pākuʻi ʻia kēia mau mea:

• ke kaumaha a momona paha
• loaʻa diabetes
• he 60 a ʻoi paha makahiki
• lawe i nā lāʻau i loaʻa ka estrogen
• ka loaʻa ʻana o ka moʻohelu ʻohana o nā pōhaku ʻeho
• he wahine
• ka loaʻa ʻana o ka maʻi o Crohn a me nā kūlana ʻē aʻe e pili ana i ke komo ʻana o nā meaola
• loaʻa i ka cirrhosis a i ʻole nā ​​maʻi ate

Cholecystitis

ʻO Cholecystitis ka ʻano maʻamau o ka maʻi o ka gallbladder. Hōʻike ia iā ia iho ma ke ʻano he kūpikipiki a kūpilikiʻi paha o ka gallbladder.

Cholecystitis huehue

Hoʻokumu pinepine ʻia ka cholecystitis huehue e nā gallstones. Akā he hopena paha ia o nā tumors a i ʻole nā ​​ʻano maʻi ʻē aʻe.

Hiki ke hōʻike ʻia me ka ʻeha ma ka ʻaoʻao ʻākau luna a i ʻole ka ʻaoʻao waena luna o ka ʻōpū. Kūpono ka ʻeha ma hope pono o ka pāʻina ʻana a me nā pae mai nā ʻūlū ʻoiʻoi i nā ʻeha puʻupuʻu hiki ke hoʻomālamalama i kou poʻohiwi ʻākau. Hiki i ke cholecystitis huʻi ke kumu:

• fiva
• nausea
• ka luaʻi
• ʻōmaʻomaʻo ʻōiwi

Cholecystitis maʻi

Ma hope o kekahi mau hoʻouka ʻana o cholecystitis maha, hiki i ka gallbladder ke emi a nalowale i kona hiki ke mālama a hoʻokuʻu i ka bile. ʻO ka ʻeha o ka ʻōpū, kahoho, a me ka luaʻi. ʻO ke keʻoki pinepine ka lāʻau e pono ai no ka cholecystitis mau.

ʻO Choledocholithiasis

Hiki i nā gallstones ke waiho i ka ʻāʻī o ka gallbladder a i ʻole nā ​​aʻa aʻa. Ke hoʻopili ʻia ka gallbladder i kēia ala, ʻaʻole hiki i ka bile ke puka. Hiki i kēia ke alakaʻi i ka gallbladder e lilo i wela a i ʻole distad.

E pale aku nā kī ʻoi i hoʻopili ʻia i ka bile mai ka huakaʻi ʻana mai ke ake a i nā ʻōpū. Hiki i Choledocholithiasis ke kumu:

• ʻeha loa i ka waena o kou ʻōpū luna
• fiva
• haʻalulu
• nausea
• ka luaʻi
• ʻōmaʻomaʻo ʻōiwi
• noho humuhumu keʻokeʻo a i ʻole pālolo

ʻO ka maʻi gallbladder Acalculous

ʻO ka maʻi o ka gallbladder Acalculous ka mumū o ka gallbladder e kū nei me ka loaʻa ʻole o nā gallstones. Ua loaʻa kahi maʻi maʻi koʻikoʻi a i ʻole ke olakino olakino e hōʻike ʻia kahi hanana.

ʻO nā ʻōuli e like me ka cholecystitis huehue me nā ʻōpala. ʻO kekahi mau kumu pilikia no ka maʻi me:

• hōʻeha kino nui
• ʻoki kino puʻuwai
• ʻoki ʻōpū
• ʻaʻā wela
• nā kūlana autoimmune e like me ka lupus
• nā maʻi maʻi kahe o ke koko
• ka loaʻa ʻana o ka meaʻai kūpono (IV)
• nā maʻi koʻohune a viral paha

ʻO dyskinesia biliary

Hana ʻia ʻo Biliary dyskinesia ke hana ka gallbladder i kahi hana haʻahaʻa ma mua o ka maʻamau. Pili paha kēia ʻano i ka pehu o ka gallbladder.

Hiki i nā ʻōuli ke hoʻopili i ka ʻeha o ka ʻōpū o luna ma hope o ka ʻai ʻana, nausea, bloating, a me ka indigestion. ʻO ka ʻai ʻana i ka meaʻai momona ka mea e hoʻomaka ai nā ʻōuli. ʻAʻohe maʻamau nā gallstones i loko o ka gallbladder me ka biliary dyskinesia.

Pono paha kāu kauka e hoʻohana i kahi hoʻokolohua i kapa ʻia ʻo HIDA scan e kōkua ai i ka hōʻoia ʻana i kēia maʻi. Ana kēia hana i ka hana o ka gallbladder. Inā hiki i ka gallbladder ke hoʻokuʻu wale i 35 a 40 pākēneka o kāna ʻike a i ʻole ka liʻiliʻi, a laila ʻike pinepine ʻia ka biliary dyskinesia.

Sclerosing cholangitis

ʻO ka hoʻoulu mau ʻana a me ka hōʻino ʻana i ka ʻōnaehana bile duct hiki ke alakaʻi i ka scarring. Kuhi ʻia kēia ʻano ma ke ʻano he sclerosing cholangitis. Eia nō naʻe, ʻaʻole maopopo i ke kumu o kēia maʻi.

Ma kahi kokoke i ka hapalua o ka poʻe me kēia ʻano ʻaʻohe o lākou mau ʻōuli. Inā kū nā hōʻailona, ​​hiki iā lākou ke hoʻopili:

• fiva
• ʻōmaʻomaʻo ʻōiwi
• ʻūlili
• hōʻoluʻolu o ka ʻōpū o luna.

Ma kahi o ka poʻe me kēia ʻano he ulcerative colitis kekahi. ʻO ka loaʻa ʻana o kēia ʻano e hoʻonui ai i ka makaʻu o ka maʻi ʻaʻai pū kekahi. I kēia manawa, ʻo ka hoʻōla ate wale nō ka mea i ʻike ʻia.

ʻO nā lāʻau e kaomi i ka ʻōnaehana paleʻea a me nā mea e kōkua i ka haki ʻana i ka bile mānoanoa hiki ke kōkua i ka mālama ʻana i nā ʻōuli.

Maʻi ʻaʻai Gallbladder

ʻO ka maʻi ʻaʻai o ka gallbladder kahi maʻi ʻano laha ʻole. Aia kekahi mau ʻano o nā maʻi ʻaʻai gallbladder. Hiki iā lākou ke paʻakikī e mālama no ka mea ʻaʻole lākou i ʻike pinepine ʻia a hiki i ka hopena o ka holo ʻana o ka maʻi. ʻO ka Gallstones kahi kumu pilikia maʻamau no ka maʻi ʻaʻai gallbladder.

Hiki ke pālahalaha ka maʻi ʻaʻai Gallbladder mai nā paia o loko o ka gallbladder i nā papa o waho a laila a i ke ake, nā lymph node, a me nā mea ʻē aʻe. ʻO nā ʻōuli o ka maʻi ʻaʻai gallbladder e like paha me nā cholecystitis huehue, akā ʻaʻohe paha ʻōuli.

Nā polyps Gallbladder

ʻO nā polyps gallbladder he mau liona a i ʻole nā ​​ulu ulu i loko o ka gallbladder. Maʻamau lākou a ʻaʻohe hōʻailona. Eia naʻe, paipai pinepine ʻia e hemo i ka gallbladder no nā polyps i ʻoi aku ma mua o 1 kenimika. Loaʻa iā lākou ka manawa kūpono e lilo i maʻi ʻaʻai.

ʻO Gangrene o ka gallbladder

Hiki ke hana ʻia ʻo Gangrene ke hoʻomohala ka gallbladder i ka lawa ʻole o ke kahe o ke koko. ʻO kēia kahi o nā pilikia koʻikoʻi o ka cholecystitis koʻikoʻi. Nā mea e hoʻonui ai i ka makaʻu o kēia komplication me:

• he kāne a ma luna o 45 mau makahiki
• loaʻa diabetes

Hiki i nā ʻōuli o ka gallrladder gangrene ke hoʻopili pū i:

• ʻeha puʻupuʻu i ka pae o ka gallbladder
• fiva
• nausea a luaʻi paha
• disorientation
• haʻahaʻa haʻahaʻa haʻahaʻa

Loaʻa o ka gallbladder

Loaʻa ka hopena o ka gallbladder i ka wā e wela ai ka pāhū me ka pā. ʻO Pus ka hōʻiliʻili o nā hunaola keokeo, nā mea make, a me nā bacteria. Pākuʻi ʻia paha nā ʻōuli me ka ʻaoʻao ʻaoʻao ʻākau ma luna o ka ʻōpū me ka wela a me ka haʻalulu.

Hiki i kēia ʻano ke hana i ka wā cholecystitis koʻikoʻi ke papani ʻia kahi gallstone i ka gallbladder, e ʻae ana i ka gallbladder e hoʻopiha me ka pā. ʻOi aku ka maʻamau i ka poʻe me ka maʻi diabetes a me ka maʻi puʻuwai.

Pehea e ʻike ʻia ai ka maʻi gallbladder?

No ke kuhi ʻana i ka maʻi o ka gallbladder, e nīnau aku kāu kauka iā ʻoe e pili ana i kāu mōʻaukala olakino a hana i kahi hoʻokolohua ʻōpū. E hoʻopili kēia i ka nānā ʻana i ka ʻeha o ka ʻōpū. Hoʻokahi a ʻoi paha o nā hōʻike aʻe a me nā kaʻina hana i hiki ke hoʻohana ʻia.

Moʻolelo mōʻaukala kikoʻī

He papa inoa o nā ʻōuli āu e ʻike nei a me nā moʻolelo pilikino a ʻohana paha o ka maʻi gallbladder nui. E mālama ʻia paha kahi loiloi olakino laulā e hoʻoholo ai inā aia kekahi hōʻailona o ka maʻi lōʻihi lōʻihi.

Hōʻike kino

Hiki paha i kāu kauka ke hana i kahi maneuver kūikawā i ka wā o ka hōʻike ʻōpū e nānā i ka mea i kapa ʻia ʻo "Murphy's sign."

I loko o kēia maneuver, kau kau kauka i ko lākou mau lima ma luna o kou ʻōpū ma luna o ka wahi o ka gallbladder. A laila e noi lākou iā ʻoe e lawe i ka hanu i ka nānā ʻana a ʻike i ka wahi. Inā ʻeha ʻoe i ka ʻeha nui, hōʻike ia iā ʻoe e loaʻa i ka maʻi pākī.

X-ray ka umauma

E hōʻike nā cholecystitis hōʻailona i nā pōhaku ma nā kukuna X o ka ʻōpū inā loaʻa ka calcium i nā pōhaku. Hōʻike kahi X-ray o ka umauma i ka pleurisy a i ʻole ka niumonia.

Eia nō naʻe, ʻaʻole ʻo nā kukuna X ka hōʻike maikaʻi loa no ka ʻike ʻana i ka maʻi o ka gallbladder. Hoʻohana pinepine ʻia lākou e kāpae i nā kumu kūpono ʻē aʻe o ka ʻeha e pili ʻole ana i nā gallstones, ka gallbladder, a i ʻole ke ake.

Kukuna ultrasound

Hoʻohana kahi ultrasound i nā nalu kani e hana i nā kiʻi i loko o kou kino. ʻO kēia hōʻoia kekahi o nā hana nui a kāu kauka e hoʻohana ai e hana i kahi hōʻailona o ka maʻi o ka gallbladder. Hiki i kahi ultrasound ke loiloi i ka gallbladder no ke kū ʻana o nā gallstones, nā paia mānoanoa, nā polyps, a me nā lehulehu. Hiki iā ia ke hoʻomaopopo i nā pilikia i loko o kou ake.

Nānā HIDA

Nānā kahi scan HIDA i ka ʻōnaehana duct i loko o ka gallbladder a me ke ake. Hoʻohana pinepine ia inā loaʻa i kekahi kanaka nā ʻōuli o ka gallbladder akā ʻaʻole hōʻike ka ultrasound i kahi kumu no nā ʻōuli. Hiki ke hoʻohana ʻia kahi kānana HIDA no ka loiloi piha o ka ʻōnaehana bile.

Hiki i kēia ho'āʻo ke loiloi i ka hana o ka gallbladder me ka hoʻohana ʻana i kahi lāʻau radioactless harmless. Hoʻokomo ʻia ka mea i loko o kahi aa a laila nānā ʻia ke neʻe i loko o ka pahu hānai. Hoʻokomo pū ʻia kekahi kemika e kumu i ka hoʻokuʻu ʻana o ka gallbladder i ka lāʻau.

Hōʻike kahi kaha HIDA i ka neʻe ʻana o ka gallbladder i loko o ka ʻōnaehana bile. Hiki iā ia ke ana i ke ana o ka bile ke neʻe nei i waho o ka gallbladder. ʻIke ʻia kēia ma ka ʻāpana eject. Kuhi ʻia kahi ʻāpana puʻupuʻu maʻamau no ka gallbladder ma waena o 35 a 65 pakeneka.

Nā hoʻāʻo ʻē aʻe

ʻO nā hoʻokolohua kiʻi ʻē aʻe, e like me CT a me MRI scan, hiki ke hoʻohana pū ʻia. Hana ʻia hoʻi nā hoʻokolohua koko e nānā no ka hoʻonui ʻia o ka helu o ke koko keʻokeʻo a me ka hana ate ʻole.

ʻO ka endoscopic retrograde cholangiopancreatography (ERCP) kahi hoʻokolohua hoʻouka hou akā pono. Hoʻokomo ʻia kahi kāmela maʻalahi i ka waha a iho i ka ʻōpū i loko o ka ʻōpū liʻiliʻi. Hoʻokomo ʻia ka pena kala e hōʻike i ka ʻōnaehana bile duct me kahi X-ray kūikawā.

He hōʻoia maikaʻi loa ka ERCP inā manaʻo ʻia kahi ālai ʻia ma muli o nā gallstones. ʻO kēlā me kēia pōhaku e hoʻomaka ana i ka paʻa hiki ke hemo pinepine i kēia kaʻina hana.

Pehea e mālama ʻia ai ka maʻi o ka gallbladder?

Hoʻololi ka nohona

Ma muli o ka hoʻonui ʻana o kekahi ʻano olakino i ka pilikia o ke kūkulu ʻana o ka pōhaku, hiki i nā loli i ke ʻano o ke ola ke kōkua i ka mālama ʻana i ka maʻi o ka gallbladder i ka poʻe me nā ʻōuli ʻole. ʻO ka momona a me ka loaʻa ʻana i ka maʻi kō e hoʻonui ai i ka likelike o nā gallstones. ʻO ka lilo ʻana o ke kaupaona a me ka mālama pono ʻana i ka maʻi kō e kōkua ai i ka hoʻohaʻahaʻa ʻana i kou makaʻi.

Eia nō naʻe, hiki i ka pohō kaumaha wikiwiki ke hoʻoulu i ka hoʻokumu ʻana i ka pōhaku. E kamaʻilio me kāu kauka e pili ana i nā ala palekana e lilo ai ka kaumaha.

ʻO ka hoʻonui ʻana i ka hana kino hoʻi e hoʻoliʻiliʻi i ka hana o ka gallstone me ka hoʻohaʻahaʻa ʻana i nā triglycerides kiʻekiʻe, kahi ʻano momona i loko o ke koko. Paipai pinepine ʻia e haʻalele i ka puhi paka ʻana a e kaupalena ʻia ka lawe ʻana i ka ʻalekohola pū kekahi.

Lapaʻau ola

Hoʻomaʻamaʻa pinepine ʻia ka mahele mua o ka mumū gallbladder me nā lāʻau ʻeha. Ma muli o ka ʻeha o ka ʻeha pinepine, pono nā lāʻau lapaʻau. Kau kauka paha i kau kauka me codeine a i ʻole hydrocodone. Hiki ke kuhikuhi ʻia i nā lāʻau anti-inflammatories IV, a i ʻole nā ​​lāʻau ʻeha e like me morphine.

ʻAʻole hiki ke hoʻohana pinepine ʻia nā lāʻau ʻoi loa e like me ibuprofen (Advil) a me naproxen (Aleve) ma muli o ka hoʻonui ʻia o ka pilikia o ka nausea a me ka luaʻi. Inā make wai ʻoe, make paha nā lāʻau anti-inflammatory i nā pilikia ʻiʻo koʻikoʻi.

He paʻakikī ka hapanui o ka poʻe i ka mālama ʻana i ka ʻeha a me nā hōʻailona me ka home. E kamaʻilio me kāu kauka e kūkākūkā e pili ana i ka lāʻau maikaʻi loa nāu.

Ke nānā nei i ka noiʻi hoʻomau i ka hoʻohana ʻana o ka lāʻau ezetimibe a me kāna kuleana i ka hoʻemi ʻana i ka hoʻokumu ʻia ʻana o nā gallstones kolesterol. Hoʻololi kēia lāʻau i ka omo ʻana o ke kino i ke kōkōhō mai ka ʻōpū mai o ka ʻōpū.

ʻOki kino

E noi ʻia ka hana ʻoki e wehe i kāu gallbladder inā ua ʻike ʻoe i nā ʻāpana he nui o ka mumū. Ke hoʻomau nei ke kīpē Gallbladder i ke ʻano kūpono loa no ka mālama ʻana i ka maʻi gallbladder.

Hiki ke hana i ke kahakaha ma ka wehe ʻana i kou ʻōpū me kahi incision, a i ʻole laparoscopically. Hoʻopili kēia i ka hana ʻana i nā puka poke ma o ka paia o ka ʻōpū a hoʻokomo i kahi kāmela. ʻO ka ʻoki laparoscopic e ʻae ai i ka hoʻihoʻi wikiwiki ʻana. ʻOi aku ka maikaʻi o kēia hana no ka poʻe i loaʻa ʻole nā ​​pilikia o ka maʻi nui o ka gallbladder.

Ma hope o ke kaha ʻana o ka gallbladder e kēlā me kēia ʻano, ʻaʻole ia he mea maʻamau ke ʻike ka poʻe i kekahi pākī. Wahi a ka Mayo Clinic, hiki i ka 3 mai ka 10 poʻe ke loaʻa i ka maʻi diarrhea ma hope o ke kaha ʻana o ka gallbladder.

No ka hapanui o ka poʻe, he mau pule wale ka lōʻihi o ka maʻi kō. Akā i kekahi mau hihia, hiki ke hala i mau makahiki. Inā hoʻomau ka maʻi palahē ma hope o ke kaha ʻana ma mua o ʻelua mau pule, e kamaʻilio me kāu kauka. Kaukaʻi ʻia i nā ʻōuli ʻē aʻe, koi paha ʻoe i ka hoʻokolohua ukali.

ʻO nā pilikia lōʻihi loa o ka maʻi gallbladder

Hiki paha i ka gallbladder ke hana i kahi passageway abnormal, a i ʻole fistula, ma waena o ka gallbladder a me ka ʻōpū e kōkua ai i ka hana ʻana i ka paila o ke ake. ʻO kēia ka hopena pinepine o ka hoʻohaunaele mau e pili ana i nā gallstones.

Hiki i nā pilikia ʻē aʻe ke komo pū me:

• keakea o ka ʻōpū
• pehu a me ka scarring
• perforation (kahi puka i loko o ka gallbladder)
• hoʻohaunaele bacteria o ka ʻōpū, i kapa ʻia he peritonitis
• hoʻololi malignant (ʻo nā loli hoʻololi e lilo i tumo maʻi ʻaʻai)

Hiki ke pale ʻia ka maʻi o ka gallbladder?

ʻAʻole hiki ke loli i kekahi mau pilikia no ka maʻi o ka gallbladder, e like me ka moekolohe a me ka makahiki. Eia nō naʻe, he mea nui paha kāu papaʻai i ka hoʻomohala ʻana i nā gallstones. Wahi a ka National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), nā meaʻai i kiʻekiʻe i ka fiber a me nā momona momona e hiki ke pale aku i nā gallstones.

Hoʻomaʻamaʻa ʻia nā huaʻai (loaʻa i nā cereala kō a me ka laiki keʻokeʻo, ka berena, a me ka pasta) a me nā meaʻono momona me ka nui o ka makaʻu o ka maʻi o ka gallbladder. ʻO nā hua a pau e like me ka laiki ʻeleʻele a me ka palaoa a pau a me nā momona o nā iʻa a me nā aila ʻoliva e paipai ʻia.

ʻIke ʻia a mālama ʻia nā pilikia o ka gallbladder ma mua, e kū ana nā pilikia nui liʻiliʻi. He mea nui e kamaʻilio me kāu kauka inā ʻike ʻoe i nā hōʻailona a i ʻole nā ​​hōʻailona o ka maʻi o ka gallbladder.