Nā pōhaku Gallstones: ʻO ka mea e pono ai ʻoe e ʻike

Hiki i ka ʻike ʻana i nā pōhaku ʻōpū maoli ke lilo i mea hoʻohoka, akā he hōʻike kino ia o ka mea a kou kino e hoʻāʻo nei e haʻi iā ʻoe ma o ka ʻeha. Ma mua o ka hopohopo e hoʻoluhi iā ʻoe, ke paipai aku nei au iā ʻoe e hoʻokuʻu i ke koʻikoʻi ma kou ʻāʻī; ʻo ka hoʻomaopopo ʻana i ka pilikia ka hapalua o ka hopena.

Ma lalo o ke alakaʻi akamai a Kauka Jorge Delgado, e ʻimi mākou i ke ʻano o kēia mau pōhaku a no ke aha he mea nui ka wehe ʻana iā lākou no ka hoʻihoʻi ʻana i kou ola maikaʻi. ʻAʻole lākou he mau pōhaku wale nō; ʻo kou olakino ke hoʻi hou nei i ke ala kūpono.

Ma hope o kēia hoʻolauna pōkole, e komo mai, e ka hoa hoʻohana pūnaewele, i ka blog olakino digestive. E hele pololei kākou i ke kumuhana o kēia lā: he maʻi maʻamau nā pōhaku gall e hoʻopilikia ana i nā miliona o ka poʻe ma ka honua holoʻokoʻa.

Hiki iā lākou ke hōʻeha nui a me ka ʻoluʻolu ʻole, a inā ʻaʻole mālama ʻia, alakaʻi pinepine ia i nā pilikia koʻikoʻi. ʻO kēia ʻatikala piha , i kākau ʻia e nā kānaka no nā kānaka, e hāʻawi iā ʻoe i nā mea āpau e pono ai ʻoe e ʻike e pili ana i nā pōhaku gallstones, me ko lākou mau kumu, ka ʻoluʻolu ʻole, ka hōʻailona, ​​​​a me nā koho lapaʻau.

E kūkākūkā pū mākou pehea e pale ai i ke kūkulu ʻia ʻana o ka gallstone. Inā ʻoe e ʻike nei i nā hōʻailona a makemake wale paha e aʻo hou e pili ana i kēia kūlana no kou hoʻomohala pilikino, no ʻoe kēia ʻatikala. No laila e luʻu kākou i loko me ka hauʻoli ʻana i kahi kīʻaha kī ʻōmaʻomaʻo a aʻo e pili ana i nā gallstones!

Nā pōhaku ʻōpū aliʻi

ʻO nā pōhaku gallstones, i ʻike ʻia hoʻi he biliary calculi, he pilikia olakino maʻamau e hoʻopilikia ana i nā kānaka he nui ma ka honua holoʻokoʻa. Wahi a nā helu helu hou, ua manaʻo ʻia ma waena o 10% a me 15% o ka heluna kanaka e loaʻa i kēia maʻi i ko lākou ola.

Hiki i nā kumu ke ʻano like ʻole mai nā kumu hoʻoilina a i nā ʻano ʻai maikaʻi ʻole, a ʻo nā hōʻailona e komo pū me ka ʻeha o ka ʻōpū a me ka ʻeha o ka ʻōpū. He mea nui e hoʻomaopopo ʻia e pili ana i nā pilikia hiki ke kū mai, no ka mea, hiki ke kū mai kēia mau mea inā ʻaʻole mālama pono ʻia ke kūlana a me ka wikiwiki.

Nā pōhaku ʻōpū

ʻO nā waihona paʻa o ka bile i hana mua ʻia he biliary sludge , i kapa ʻia hoʻi he biliary mud , a i ka hala ʻana o ka manawa, me ka ʻike ʻana i nā hana ʻai maikaʻi ʻole, e hana ʻia nā gallstones a i ʻole nā ​​​​pōhaku maoli i loko o ka gallbladder, hiki ke ʻokoʻa ka nui a me ke ʻano.

Ua haku ʻia kēia mau ʻano ʻiliʻili me ka cholesterol, bilirubin, a me nā paʻakai calcium, a hiki ke ʻike ʻole ʻia a i ʻole ke kumu o ka ʻeha waena a koʻikoʻi a me ka ʻoluʻolu ʻole nui.

I nā hihia koʻikoʻi, hiki ke loaʻa nā pilikia koʻikoʻi, e like me ka mumū o ka gallbladder a i ʻole ke ālai ʻia ʻana o nā aʻa bile. I mea e pale aku ai i kēia mau pilikia, he mea nui e hoʻomaopopo pehea e hana ʻia ai nā pōhaku gallstones a me ko lākou mau kumu.

ʻO ke kūkulu ʻia ʻana o nā pōhaku gall he hana paʻakikī e pili ana i kahi kūlike ʻole kemika mau loa o ka bile, kahi wai i hana ʻia e ke akepaʻa e maʻalahi ai ka ʻai ʻana.

Ke loaʻa ka nui o ka cholesterol i loko o ka bile a nele i nā mea e wāwahi ai iā ia, hiki i ka cholesterol ke paʻa a hana i nā pōhaku gall ʻōkole a ʻeleʻele paha, 1 a 3 cm ke anawaena a ʻano ʻē.

Eia kekahi, ʻo ka momona, ka nohona noho maʻamau, ka ʻai momona kiʻekiʻe, a me nā kūlana olakino e like me ka maʻi diabetes a me ka maʻi Crohn hiki ke kōkua i ke kūkulu ʻia ʻana o nā gallstones.

ʻO ka hoʻomaopopo ʻana i nā kumu e hiki ai ke alakaʻi i ka hoʻokumu ʻia ʻana o nā gallstones e kōkua pinepine i ka hoʻomohala pilikino a mālama i kahi ʻano proactive, e ʻae ana i nā hana pale e hōʻemi i ka pilikia o nā gallstones.

Nā kumu o nā pōhaku gallstones

He miliona miliona o ka poʻe ma ka honua holoʻokoʻa e pilikia ana i nā pilikia o ka gallbladder, a ʻo kekahi o nā mea maʻamau ka hoʻokumu ʻia ʻana o ka gallstone. ʻO ke kumu maʻamau he kaulike ʻole kemika i loko o ka bile i hana ʻia e ke akepaʻa, kahi i hōʻike ʻia i kēlā me kēia lā i nā ʻano ʻai maikaʻi ʻole. ʻO kēia kaulike ʻole ka hopena i ka bile e loaʻa ana ka nui o ka cholesterol a nele i nā mea pono e hoʻoheheʻe iā ia.

ʻO kekahi kumu o nā pōhaku gall he gallbladder lohi, palaualelo, a palaualelo i hoʻokahe pono ʻole ma muli o ka atony gallbladder , kahi e alakaʻi ai i ka nui o ka bile a me ka hoʻokumu ʻia ʻana o nā pōhaku ma hope.

Aia kahi maʻi ʻōpū gallbladder lahilahi acalculous kakaikahi , me ka ʻoluʻolu ʻole like, pono e noʻonoʻo ʻia no ka ʻike ʻokoʻa ma muli o ka ʻeha nui i loaʻa mai ka hoʻonui nui ʻana.

Nui nā kumu pilikia e pili ana i ka ulu ʻana o nā pōhaku gall. ʻO ka hāpai ʻana a i ʻole ka hāpai ʻana i nā ukana kaumaha a i ʻole ka momona i kēlā me kēia lā e alakaʻi pinepine ai i ka hoʻokumu ʻia ʻana o nā pōhaku gall, no ka mea, ʻoi aku ka nui o ka cholesterol i loko o ka bile.

ʻOi aku ka nui o ka loaʻa ʻana o nā pōhaku gallstones i nā wahine ma mua o nā kāne, ʻoiai inā hāpai lākou a lawe paha i nā lāʻau hoʻomalu hānau; ʻo ka momona a me ka wahine ma luna o 40 mau kumu e hoʻonui ai i ka manawa e hana ʻia ai nā pōhaku gallstones.

ʻO ka makahiki, ka mōʻaukala ʻohana o nā pōhaku gallstones, a me kekahi mau kūlana olakino, e like me ka maʻi diabetes a me ka maʻi ate, he mea kōkua pū kekahi i kēia.

ʻO ka ʻai ʻana i nā momona trans a me ka haʻahaʻa o ka fiber dietary hiki ke alakaʻi i ka hoʻonui ʻia o ka cholesterol i loko o ka bile a me ke kūkulu ʻia ʻana o nā pōhaku gall. I ka ʻaoʻao ʻē aʻe, ʻo ka ʻai ʻana i waiwai i ka wai, ka fiber, a me ka haʻahaʻa o ka momona saturated e hana ma ke ʻano he hana pale.

ʻO ka pohō kaumaha wikiwiki a i ʻole ka hoʻokē ʻai lōʻihi e hiki ai i ke akepaʻa ke hoʻokuʻu i ka cholesterol hou aʻe i loko o ka bile i mea e uku ai, e hana ana i nā pōhaku gallstone weliweli.

Nā hōʻailona o ka maʻi gallstone

ʻO ka biliary colic, kahi hōʻailona maʻamau o ka maʻi gallstone, hiki ke hoʻoulu i ka ʻeha nui ma ka ʻōpū ʻākau o luna. Hiki i kēia ʻeha ke hoʻomau a hiki i hoʻokahi hola ma hope o ka ʻai ʻana a hiki ke hele pū me ka nausea, ka luaʻi ʻana, a me ka ʻeha e pālahalaha ana i ke kua a i ʻole nā ​​​​​​ʻūhā poʻohiwi.

ʻO nā hōʻailona ʻē aʻe e ʻoi aku ka palupalu, ʻo ia ka ʻai ʻole ʻana, ka pehu ʻana, a me ka ʻōpū. Pono e ʻimi i ke kōkua lapaʻau inā loaʻa kekahi o kēia mau hōʻailona, ​​​​no ka mea, hiki iā lākou ke hōʻike i kahi maʻi koʻikoʻi.

ʻO ka jaundice kekahi hōʻailona o ka maʻi gallstone, i hōʻike ʻia e ka melemele o ka ʻili a me nā keʻokeʻo o nā maka, me ka ʻānai nui. Hana ʻia ia i ka wā e ālai ʻia ai nā ala bile, e alakaʻi ana i ka hōʻiliʻili ʻana o ka bilirubin i loko o ke kino.

ʻO nā hōʻailona ʻē aʻe o ka jaundice e komo pū ana me ka mimi palupalu a me nā ʻōpala palupalu i nele i ke kala melemele ʻano like me ka bilirubin a me ka cholesterol. Inā ʻike ʻia kekahi o kēia mau hōʻailona, ​​​​pono e ʻimi koke i ke kōkua lapaʻau kūloko , no ka mea, hiki iā lākou ke hōʻike i kahi pilikia olakino koʻikoʻi, e like me ka maʻi ate a i ʻole ke kanesa o ke poʻo o ka pancreas, a hiki ke kumu o ka melemele ākea o ka ʻili.

ʻIke ʻia o nā pōhaku gallstones

Hiki ke paʻakikī ka hoʻoholo ʻana i nā pilikia o ke ala biliary, no ka mea, ua like nā hōʻailona me nā maʻi ʻōnaehana ʻē aʻe. No ka hoʻomaka ʻana i ka hōʻailona, ​​​​hana ʻia kahi hoʻokolokolo kino e ʻike i nā ʻano ʻē i nā keʻokeʻo o nā maka a me ka ʻili , e like me ka jaundice.

Hiki ke hoʻohana ʻia nā hoʻāʻo koko e ʻike i nā pae kiʻekiʻe o ka bilirubin a me nā enzyme o ke ake , hiki ke hōʻike i nā pilikia o ke ake a i ʻole ka ʻauwai bile, a, ma ka helu koko piha, ka nānā ʻana i nā keʻena koko keʻokeʻo i loaʻa ma muli o ka mumū a me ka maʻi gallbladder.

No ka hōʻoia ʻana i ke alo o nā pōhaku gall, ua kauoha pinepine ʻia nā hoʻokolohua kiʻi e like me ka ultrasound ʻōpū a i ʻole ka computed tomography (CT) scan . Kōkua pū kēia mau hoʻokolohua i ka ʻike ʻana i ka nui a me ke kūlana o nā pōhaku, a me nā pilikia lua i nā ʻiʻo a puni, e like me ka huhū a i ʻole ka maʻi.

I kekahi mau hihia kakaikahi a paʻakikī paha, pono paha nā loiloi hou aʻe e kāpae i nā kumu ʻē aʻe o nā hōʻailona. Hiki i kēia ke komo pū me ka endoscopic retrograde cholangiopancreatography (ERCP) e nānā i nā ʻauwai bile, a i ʻole ka magnetic resonance cholangiopancreatography (MRCP) e kiʻi i nā kiʻi kikoʻī o ke ala biliary a me nā ʻauwai bile.

Me ka hōʻoia pololei, hiki ke hoʻomohala ʻia kahi hoʻolālā lapaʻau pilikino a me ka manawa kūpono no ka poʻe e ʻeha nei i nā pōhaku gallstones weliweli, i mea e hoʻolālā ai i ke komo ʻana o ke ʻoki kino, ʻoi aku ka maikaʻi o ka minimally invasive.

Ka mālama ʻana i nā pōhaku gallstones

I ka wā e pili ana i ka biliary colic, aia kekahi mau koho lapaʻau ma muli o ke koʻikoʻi o ka ʻeha. No ka poʻe e ʻike nei i ka ʻeha iki, hiki ke ʻōlelo ʻia nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-nausea a i ʻole anti-vomiting.

Hoʻomaha ʻōpū: mai ʻai i nā meaʻai e hoʻoulu ai i ka ʻeha colicky ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.

Eia nō naʻe, inā hoʻomau ka ʻeha, hōʻike ia i kahi pōhaku gall i hoʻopaʻa ʻia i loko o ka cystic duct i hoʻopau ʻole ʻia me ka ʻole o nā analgesics a me nā anti-inflammatories, a inā paha e ulu ana ke kuni. I ia mau hihia, pono paha nā antibiotics a me ke ʻoki ʻana; ʻo ka mea hope loa ke koho kūpono loa a maikaʻi loa. ʻO Cholecystectomy ke kaʻina hana ʻoki maʻamau no nā pōhaku gall.

Hana pinepine ʻia kēia kaʻina hana laparoscopically , kahi mea i emi iki ka invasive a hopena i kahi manawa hoʻōla pōkole. Hiki ke noʻonoʻo ʻia nā ʻano lāʻau like ʻole, e like me ka shockwave therapy a i ʻole ka lāʻau lapaʻau, akā ʻaʻole lākou e pono mau a ʻaʻole pale i ka hoʻi hou ʻana o nā hōʻailona.

He mea nui e kūkākūkā ʻoe i nā mea hiki a pau me kāu kauka kūloko e hoʻoholo ai i ke kaʻina hana kūpono loa no kāu hihia.

Ma waho aʻe o ka mālama ʻana i nā hōʻailona o nā pōhaku gall, he mea nui e hoʻoponopono i nā kumu kumu e pale aku ai i nā hanana e hiki mai ana. Hiki i kēia ke komo pū me nā hoʻololi ʻana i ke ʻano o ka nohona, e like me ka mālama ʻana i ke kaumaha olakino, ka pale ʻana i nā meaʻai kiʻekiʻe i ka momona a me ka cholesterol, a me ka hoʻonui ʻana i ka hana kino maʻamau.

Ua hōʻike pū kekahi mau noiʻi e hiki i kekahi mau mea hoʻohui meaʻai a i ʻole nā ​​​​lāʻau lapaʻau ke kōkua i ka pale ʻana i ka hoʻokumu ʻia ʻana o ka gallstone. Eia nō naʻe, he mea nui e kūkākūkā me kahi loea mālama ola i hōʻoia ʻia ma mua o ka hoʻomaka ʻana i kekahi mea hoʻohui a lāʻau lapaʻau hou.

Me ka mālama pono ʻana a me ka pale ʻana , hiki i ka poʻe e ʻeha nei i nā gallstones ke kāohi i ko lākou kūlana a alakaʻi i kahi ola olakino, me ka ʻeha ʻole ma ka ʻōpū ʻākau o luna.

Ke pale ʻana i nā pōhaku gallstones

I mea e mālama ai i ke olakino maikaʻi loa, he mea nui e makaʻala i nā pōhaku ʻaʻa. ʻO ka mea mua, ʻo ka mālama ʻana i ke kaumaha o ke kino olakino e hōʻemi ana i ka nāwaliwali i kēia maʻi.

ʻO ka momona kekahi kumu nui i ka ulu ʻana o nā pōhaku gall, no laila he mea nui e hahai i kahi papaʻai kaulike a me ka hoʻoikaika kino no 45 a 60 mau minuke, e like me ka hele wāwae, ka holo wikiwiki, ka ʻauʻau ʻana a i ʻole ke kaʻa paikikala, 3 a 4 mau lā o ka pule, me ka hoihoi, e hoʻolilo ia i mea maʻamau.

Hiki ke kōkua i ke koho ʻana i nā meaʻai haʻahaʻa i ka momona a kiʻekiʻe i ka fiber , e like me nā huaʻai, nā mea kanu hou, nā palaoa piha, a me nā protein lean. Eia kekahi, pono e pale ʻia nā ʻai wikiwiki a me ka pohō kaumaha wikiwiki, no ka mea, hiki i kēia ke hoʻonui i ka pilikia o nā pōhaku gall.

Eia kekahi, ʻo ka lawa ʻana o ka wai he mea nui ia e pale aku ai i nā pōhaku gall. Manaʻo ʻia e inu kahi kanaka 70 kg i 3500 ml o ka wai i kēlā me kēia lā a ʻoi aku paha e pale aku ai i ka paʻa ʻana o ka bile kaumaha.

Eia kekahi, ua ʻōlelo ʻia e hoʻohaʻahaʻa a hōʻole paha i ka inu ʻana i ka waiʻona, no ka mea, ʻo kona ʻano e hoʻoulu ai i ka maloʻo a me ka hōʻino ʻana i ke akepaʻa , nā mea e hiki ai ke hoʻonui i ka hiki ke loaʻa nā pōhaku gall. ʻO ka hahai ʻana i kēia mau hana pale e hiki ke hōʻemi i ka hiki ke loaʻa nā pōhaku gall a kōkua i ka hoʻokō ʻana i ke olakino maikaʻi loa.

Ka loiloi waiwai

He pilikia olakino koʻikoʻi a maʻamau nā pōhaku gall i hiki ke loaʻa nā hopena koʻikoʻi no ka poʻe i hoʻopilikia ʻia. Ua wehewehe ʻo Kauka Delgado, he loea i nā maʻi gallbladder, he ʻokoʻa loa ka nui a me ke kala o kēia mau pōhaku gall, mai nā granules liʻiliʻi o "one biliary a sludge" a hiki i nā pōhaku i ka nui o ka pōpō kolepa.

Hōʻike ka loiloi o ke kūlana ʻo ke ala maikaʻi loa e pale aku ai i nā pōhaku gall ma o ka ʻai ʻana a me nā hoʻololi ʻana i ke ʻano o ka nohona. ʻO ka nānā ʻana i ka ʻai ʻana i nā meaʻai olakino a me ka pale ʻana i ka ʻai nui ʻana i nā meaʻai momona a me nā meaʻai i hana ʻia e kōkua i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o nā pōhaku gall.

ʻO ka mea pōʻino, no kekahi poʻe, ʻaʻole lawa paha kēia mau hoʻololi. I nā hihia koʻikoʻi, pono paha ke ʻoki kino inā loaʻa ka ʻeha a i ʻole nā ​​pilikia olakino ʻē aʻe i nā pōhaku gall. ʻO ka ʻoiaʻiʻo, i ka wā e pili ana i nā pilikia gallbladder, he mea nui ka ʻike mua a me ka mālama ʻana no ke olakino lōʻihi a me ka pono.

Mea Hoʻokaʻawale Kūikawā:

ʻOiai paha e ʻike ʻia nā pōhaku "maoli" a paʻa, hoʻopoina pinepine nā mea maʻi i ka pōʻino huna e peʻe ana i nā maʻi o ke ala biliary: ka hiki ke hōʻino nā pōhaku gall nui i ka paia o ka gallbladder a e ālai nā pōhaku liʻiliʻi i nā ala bile.

ʻO kēia kahi e komo mai ai ʻo Kauka Delgado, he loea i ke ʻoki kino minimally invasive. Ke hoʻoikaika nei ʻo Kauka Delgado a me nā kauka ʻokiʻoki digestive ma ka honua holoʻokoʻa, ʻoiai hiki iā mākou ke ʻike i ko lākou nui, he hapa wale nō kēia o ka pilikia; hiki i nā pōhaku gall ke hana i ka ʻeha nui a me ka hoʻopilikia ʻana ma ke ālai ʻana i nā hana koʻikoʻi e like me ka ʻai ʻana.

Ma ka hoʻohana ʻana i nā ʻano hana Value Analysis e hoʻohālikelike i nā ʻano hana ʻoki like ʻole, ua hoʻonoho ʻo Kauka Delgado iā ia iho ma ke ʻano he kauka ʻoki e hoʻopau i ke kumu o kēia mau pilikia. ʻAʻole wale kāna ʻano e hoʻohiki i ka maluhia o ka noʻonoʻo i nā mea maʻi ma ka hoʻoponopono ʻana i kā lākou mau hōʻailona akā hāʻawi pū iā lākou i ka hōʻoluʻolu koke ma o ka wehe ʻana i nā pōhaku.

ka hopena

Ua hōʻea mākou i ka hopena hope loa: hiki i nā pōhaku gall ke hoʻoulu i ka ʻoluʻolu ʻole a me ka ʻeha nui no ka poʻe e ʻeha nei iā lākou. ʻOiai ʻaʻole maikaʻi mau ka mālama ʻana i nā lāʻau lapaʻau a me ka shockwave therapy i ka hoʻoheheʻe ʻana i nā pōhaku gall, aia kekahi mau koho no ka mālama ʻana i ka ʻoluʻolu ʻole, e like me nā mea hōʻoluʻolu ʻeha, nā antiemetics, a me nā antibiotics, a ʻo ka mea hope loa, ʻo ke koho maikaʻi loa: ke ʻoki kino.

Eia kekahi, ʻo ka mālama ʻana i kahi meaʻai olakino a me ke ʻano o ka nohona e hiki ke kōkua i ka pale ʻana i ka hoʻokumu ʻia ʻana o ka gallstone. He mea nui e ʻike i ke kauka inā manaʻo ʻoe he ʻeha iki paha ia ma muli o nā gallstones, no ka mea, ʻo ka ʻike mua a me ka mālama ʻana e kōkua i ka pale ʻana i nā pilikia a hoʻomaikaʻi i kou ʻano ola holoʻokoʻa.

I kēia manawa, e pane mākou i nā nīnau a nā mea maʻi a me ko lākou mau ʻohana e nīnau pinepine mai ai iā mākou i nā kauka ma ke keʻena o ke kauka a i ʻole ma nā lumi pilikia o ka haukapila:

Nā Nīnau i Nīnau Pinepine ʻia - Nā Pōhaku Maoli

Ua hiki i ka manawa e hoʻohana ai i ka manawa kūpono e kaʻana like i kēia ma nā pāpili kaiapili i hiki ai i nā pono ke hōʻea i nā poʻe hou aku, a mahalo iā ʻoe no ka waiho ʻana i kāu manaʻo ma ka blog. A hiki i ka manawa aʻe!

Kauka Jorge Delgado, Kauka Lapaʻau. Nā pōhaku ʻōpū i loko o ka ʻōpū ʻōpū.

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