Nā Pohaku

Anter

• Nānā no

Kūkulu nā pōhaku i ka wā e paʻakikī ai nā mea i ka bile i loko o nā ʻāpana liʻiliʻi, e like me ka ʻiliʻili i ka gallbladder. Hana ʻia ka hapa nui o nā ʻāʻī me ka cholesterol paʻakikī. Inā ʻoi aku ka nui o ka cholesterol i loko o ka wai bile, a i ʻole ʻaʻole i hoʻokahe ʻia ka gallbladder a lawa pinepine paha, hiki ke hana ʻia nā ʻāʻī.

ʻO wai ka pilikia?

ʻOi aku ka nui o ka loaʻa ʻana o nā pōhaku ʻōpū i nā wahine ma mua o nā kāne. Hāpai ka wahine estrogen wahine i nā kiʻekiʻe kolesterol i ka bile a lohi i ka neʻe o ka gallbladder. ʻOi aku ka hopena ma ka hāpai ʻana i ka piʻi ʻana o ka pae estrogen. Kōkua kēia i ka wehewehe ʻana i ke kumu e ulu ai ka nui o nā wahine i nā pōhaku ʻōpū i ka wā hāpai a ma hope paha o ka hānau keiki. Pēlā nō, inā e lawe ʻoe i nā lāʻau hoʻomalu hānau a i ʻole ka lāʻau lapaʻau menopausal hormone, ʻoi aku ka nui o kou manawa e hoʻomohala ai i nā pōhaku ʻōpū.

Loaʻa paha iā ʻoe nā pōhaku inā ʻoe:

• loaʻa i ka moʻolelo ʻohana o nā pōhaku ʻōpū
• ke kaumaha nui
• ʻai i ka momona momona, momona momona
• ua lilo ka nui o ke kaupaona me ka wikiwiki
• ʻoi aku ma mua o 60
• he ʻAmelika ʻAmelika a he ʻAmelika Mekiko paha
• lawe i nā lāʻau hoʻohaʻahaʻa kolesterol
• loaʻa i ka maʻi diabetes

Nā ʻōuli

I kekahi manawa ʻaʻohe hōʻailona o ka gallstones a ʻaʻole pono e mālama ʻia. Akā inā neʻe nā pōhaku i loko o nā kahena e lawe i ka bile mai ka gallbladder a i ʻole ke akepaʻa i ka ʻōpū liʻiliʻi, hiki iā lākou ke kumu i ka "hoʻouka" ʻana o ka gallbladder. ʻO ka hoʻouka ʻana e lawe mai i ka ʻeha mau ma ka ʻōpū ʻākau o luna, ma lalo o ka poʻohiwi ʻākau, a i ʻole ma waena o nā ʻūhā poʻohiwi. ʻOiai ke hala pinepine nei ka hoʻouka ʻana i ka neʻe ʻana o nā ʻōpū i mua, i kekahi manawa hiki ke hoʻokomo ʻia ka pōhaku i loko o ke kahawai bile. Hiki i ke kēpau i ālai ʻia ke hōʻeha a hōʻeha loa paha.

ʻO nā hōʻailona hōʻailona o kahi aʻa bile paʻa

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o ka ʻawaʻa bile paʻa, e ʻike koke i kāu kauka:

* ʻeha ʻoi aku ma mua o 5 hola

* nausea a me ka luaʻi

* kuni

* ili melemele a maka paha

* noho pā kalai

Lapaʻau

Inā loaʻa iā ʻoe nā gallstones me nā hōʻailona ʻole, ʻaʻole pono ʻoe e mālama. Inā ʻoe e hoʻouka pinepine ana i ka gallbladder, e paipai paha kāu kauka iā ʻoe e lawe aku i kāu gallbladder-kahi hana i kapa ʻia he cholecystectomy.

ʻOki kino

ʻO ka ʻoki ʻana no ka wehe ʻana i ka gallbladder-he mea pono ʻole-ʻo ia kekahi o nā hana maʻamau i hana ʻia i nā pākeke ma ʻAmelika Hui Pū ʻIa.

Ma kahi kokoke i nā cholecystectomies āpau e hana ʻia me ka laparoscopy. Ma hope o ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau e hōʻoluʻolu iā ʻoe, hana ke kauka lapaʻau i nā ʻoki liʻiliʻi i loko o ka ʻōpū a hoʻokomo i kahi laparoscope a me kahi pahu pahu wikiō liʻiliʻi. Hoʻouna ka mea paʻi kiʻi i kahi kiʻi hoʻonui ʻia mai loko o ke kino i kahi nānā wikiō, e hāʻawi ana i ka kaukipō i kahi ʻike kokoke o nā meaola a me nā meaola. ʻOiai e kiaʻi ana i ka mea nānā, hoʻohana ka mea hoʻopuka i nā mea kani e hoʻokaʻawale pono i ka gallbladder mai ke ake, nā aʻa aʻa, a me nā hanana ʻē aʻe. A laila ʻoki ke kauka i ka ʻōpū cystic a wehe i ka gallbladder ma o kekahi o nā ʻoki liʻiliʻi.

ʻO ka hoʻōla hou ʻana ma hope o ke kaha ʻana o ka laparoscopic e pili ana i hoʻokahi pō wale nō i ka haukapila, a hiki ke hoʻomaka hou ka hana maʻamau ma hope o kekahi mau lā ma ka home. Ma muli o ka ʻoki ʻole ʻia o nā mākala o ka ʻōpū i ka wā o ke kāpili laparoscopic, ua liʻiliʻi ka maʻi a me ka liʻiliʻi o nā pilikia ma mua o ka hana ma hope o ka "hāmama" ʻana, kahi e pono ai ka ʻokiʻoki 5- a 8 ʻīniha ma ʻō a ʻō.

Inā hōʻike nā hoʻokolohua he nui ka pehu o ka gallbladder, maʻi, a i ʻole ka scarring mai nā hana ʻē aʻe, hiki i ke kaukipoki ke hana i kahi ʻoki ākea e wehe i ka ʻōpala. I kekahi mau hihia, hoʻolālā ʻia ka ʻoki hāmama; Eia nō naʻe, i kekahi manawa ʻike ʻia kēia mau pilikia i ka wā o ka laparoscopy a pono e hana ka mea lapaʻau i kahi ʻoki nui aʻe. ʻO ka hoʻōla hou ʻana mai kahi ʻoki hāmama e koi pinepine iā 3 a 5 mau lā i ka haukapila a me kekahi mau pule ma ka home. Pono ke kīpē hamama ma kahi o 5 pakeneka o nā hana o ka gallbladder.

ʻO ka hoʻopiʻi maʻamau i ka ʻoki ʻana i ka gallbladder, ʻo ia ka hōʻeha ʻana i nā ducts bile. Hiki ke hoʻokahe i ka bile ma kahi ʻeha maʻamau a hoʻoulu i kahi maʻi ʻeha a weliweli. Hiki ke mālama ʻia nā ʻeha maʻalahi i kekahi manawa me ka ʻole o ka hana ʻana. ʻO ka ʻeha nui, akā, ʻoi aku ka koʻikoʻi a koi ʻia i kahi ʻoki hou.

Inā loaʻa nā gallstones i nā kahakaha o ka bile, hiki i ke kauka-ʻo ka maʻamau he gastroenterologist-ke hoʻohana iā ERCP e ʻimi a hemo iā lākou ma mua a i ʻole ka wā o ke kahakaha gallbladder. I kekahi manawa, ʻike ʻia kahi kanaka i loaʻa i ka cholecystectomy me ka pōhaku ʻōpū i loko o nā auwai bile he mau pule, mahina, a i ʻole mau makahiki ma hope o ke ʻoki ʻana. ʻO ke kaʻina hana ERCP ka mea maʻamau i ka wehe ʻana i ka pōhaku i kēia mau hihia.

Lapaʻau nonsurgical

Hoʻohana ʻia nā ala nonsurgical i nā kūlana kūikawā wale nō-e like me ka loaʻa ʻana o kahi maʻi maʻi koʻikoʻi e pale ana i ka ʻoki ʻana-a no nā pōhaku cholesterol wale nō. Hoʻi hou nā pōhaku i loko o 5 mau makahiki i nā maʻi i mālama ʻole ʻia.

• ʻ dissollelo hoʻoheheʻe waha. Hoʻohana ʻia nā lāʻau i hana ʻia mai ka bile acid e hoʻonā i nā gallstones. Hana maikaʻi nā lāʻau ursodiol (Actigall) a me chenodiol (Chenix) no nā pōhaku kolesterol liʻiliʻi. Mahina he mau mahina a mau makahiki paha o ka mālama ʻana ma mua o ka hemo ʻana o nā pōhaku a pau. Hiki i nā lāʻau ʻelua ke hoʻonā i ka maʻi hanu ʻino, a hiki i ka chenodiol ke hāpai iki i nā kiʻekiʻe o ke koko kolesterol a me ka transaminase enzyme ate.
  
• Hoʻokaʻaʻike dissolution therapy. ʻO kēia kaʻina hana hoʻokolohua e hoʻokomo pololei i kahi lāʻau i loko o ka gallbladder e hoʻopau i nā pōhaku cholesterol. Hiki i ka lāʻau-methyl tert-butyl ether-ke hoʻopau i kekahi mau pōhaku i 1 a 3 mau lā, akā ke kumu ia o ka huhū a ua hōʻike ʻia kekahi mau pilikia. Ke ho'āʻoʻia nei ke kaʻina hana i nā maʻi hōʻailona me nā pōhaku liʻiliʻi.

Kāohi

Eia kekahi mau ʻanuʻu e hiki ai iā ʻoe ke hana no ka pale ʻana i ka gallstones:

• E mālama i ke kaumaha olakino.
• Inā pono ʻoe e lilo i ka paona, hana mālie-ʻaʻole ʻoi aku ma mua o ½ a 2 mau paona i ka pule.
• E ʻai i ka meaʻai haʻahaʻa momona, haʻahaʻa cholesterol.

Nānā no