ʻO ka gallbladder Sclerotic: nā pilikia a me ke ʻoki ʻana

Welina mai, e ke hoa pūnaewele. Aia ʻoe i kēia manawa i kahi wahi kūikawā i hoʻolālā ʻia "e nā kānaka no nā kānaka ." ʻO ka huaʻōlelo sclerotic gallbladder e wehewehe ana i kahi ʻōkana i hiki i kona palena ma hope o nā makahiki o ke kaua ʻana i ka mumū.

ʻAʻole ia he ʻōpū puʻuwai wale nō me nā pōhaku (calculi a i ʻole gallstones); he ʻōkana ia i hoʻololi i kona ʻano, e lilo ana i mea liʻiliʻi a paʻa. Ma mua o ko mākou luʻu hohonu ʻana, ke kono aku nei au iā ʻoe e hana i kahi hoʻolōʻihi ʻāʻī a me ka poʻohiwi; ʻo ka hoʻokuʻu ʻana i ke koʻikoʻi kino e kōkua iā ʻoe e hana maikaʻi i ka ʻike koʻikoʻi no kou hoʻomohala pilikino.

E hui pū me mākou e hoʻomaopopo i ke kumu e pono ai ka lima o kahi kauka lapaʻau akamai no kēia hōʻailona a he aha nā hana palekana no kou ho'ōla piha ʻana.

Ua hoʻokaʻawale ʻia ʻo ia he cholelithiasis a i ʻole ka maʻi gallstone. ʻO ka hiʻohiʻona hiʻona o ka sclerotic gallbladder (SGB) ʻo ia ka nele a i ʻole ka nele o ka ʻūlū ʻana o ka paia o ka gallbladder i ka wā e kipaku ʻia ai ka bile.

ʻO ke kumu maʻamau o ka maʻi gallbladder (GBD) ʻo ia ke alo o nā pōhaku gall. ʻO kēia ʻano cholelithiasis kahi pilikia pinepine e hoʻopilikia ana a hiki i ka 12% o ka heluna kanaka o ka honua , e hōʻike ana i kahi helu hanana kiʻekiʻe.

Hoʻokumu ʻia nā pōhaku gall ma muli o kekahi mau kumu metabolic, e like me ke kiʻekiʻe o ka cholesterol, nā waikawa bile, ka hoʻopuehu ʻana o ka pigment, a me ka hoʻonui ʻia o nā ʻōpala cellular, ka mea e hoʻoulu a hana i nā pōhaku gall ma muli o ka ʻūlū paʻa a me ka nele o ka kahe ʻana o ka bile i loko o ka ʻōpū liʻiliʻi.

ʻO ke alo o nā pōhaku gall e hoʻoulu ai i ka mumū mau loa o ka paia o ka gallbladder a me ka ālai ʻana o ka biliary, e hoʻoulu ai i kahi kahe o nā hanana immunological mau loa e alakaʻi ai i ka atrophy o ka paia o ka gallbladder.

ʻO ka hopena hope loa a me ka ʻōlelo aʻoaʻo no kēia pilikia, ʻo ia ka laparoscopic cholecystectomy (ka wehe ʻana i ka gallbladder me ka hoʻohana ʻana i ke ʻoki kino minimally invasive). Kōkua kēia kaʻina hana minimally invasive i ka wehe ʻana i ka gallbladder me nā pōhaku gall a, no laila, hoʻemi i ka mumū o nā ʻiʻo a puni.

He manaʻo maikaʻi ke kū i luna, e hanu hohonu, e paʻa no ʻehā kekona, a laila e hanu mālie. E hana hou i kēia hana ʻekolu a ʻehā manawa. Hāʻawi kēia i kā mākou mau neurons i ke kumu maikaʻi loa o ka ikehu koʻikoʻi , e hopena ana i ka hoʻonui ʻana i ka noʻonoʻo a me ka hoʻomaikaʻi ʻana i ka mālama ʻana i ka ʻike no ke olakino pale.

Hoʻoulu kēia i kahi ala proactive a pale i kekahi mai ka hāʻule ʻana i nā hoʻoholo lapaʻau ponoʻī maikaʻi ʻole i ka wā e hana ai me ka ʻeha VBE. Hoʻopaneʻe pinepine kēlā mau hana i nā kipa ʻana i nā mea lawelawe mālama ola ma nā haukapila aupuni a pilikino paha, ma muli o ka wahi o kekahi. E ʻeli hohonu kākou i kēia kumuhana hoihoi!

ʻŌpū Gall Sclerotic

He maʻi laha ʻole ka sclerotic gallbladder (SGB) akā he maʻi koʻikoʻi paha e hoʻopilikia ana i ka gallbladder. Hana ʻia ia i ka wā e mānoanoa a paʻakikī ai ka paia o ka gallbladder (fibrosis) ma muli o ka mumū mau, e alakaʻi ana i ka ʻūmiʻi mau o ke kino.

Ua ʻike ʻia ua ʻike pinepine ʻia ka sclerotic gallbladder i nā makahiki he ʻumi i hala iho nei a hiki ke hoʻopilikia i nā poʻe maʻi me ka maʻi gallbladder mau loa i kekahi mau heluna kanaka, e hāpai ana i nā hopohopo e pili ana i kāna epidemiology.

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka sclerosing gallbladder, akā ua manaʻo ʻia ua pili ia me ka maʻi biliary tract lōʻihi, e like me ka choledocholithiasis (nā pōhaku gall i loko o ke kahawai bile maʻamau), nā maʻi autoimmune, e like me ka primary sclerosing cholangitis, a me ka cystic fibrosis. ʻO nā hōʻailona maʻamau ka ʻeha o ka ʻōpū, ka nausea a me ka luaʻi ʻana, ka jaundice, nā ʻōpala kala lepo, ka mimi ʻeleʻele, a me ka ʻili maneʻo.

I nā hihia koʻikoʻi, hiki ke loaʻa nā pilikia e like me ka cholecystitis (ka mumū o ka gallbladder) a i ʻole ka septic biliary pancreatitis, a ukali ʻia e ka cholangitis ( ka maʻi o nā intra- a me extrahepatic bile ducts ). He mea nui i ka poʻe e ʻike nei i kēia mau hōʻailona e hoʻokaʻaʻike aku i kā lākou kauka no ka loiloi hou aku.

Nā kumu o ka sclerosis o ka ʻōpū gallbladder

ʻO ka sclerotic gallbladder kahi maʻi pohihihi i hōʻailona ʻia e kahi gallbladder paʻakikī a ʻūlū. Loaʻa pinepine ia i nā poʻe ma luna o 70 a hiki ke hana ʻia e kekahi mau maʻi olakino ma lalo, me ka cirrhosis biliary mua, ka cholecystitis mau, a me nā maʻi lithogenic ʻē aʻe (e pili ana i ka hoʻokumu ʻia ʻana o nā gallstones).

ʻOiai ʻaʻole nui ka ʻike e pili ana i kēia kūlana gallbladder, me he mea lā e pili ana ia i ka mumū mau loa e hoʻoulu ai i ka ʻeha o nā ʻiʻo a puni a me ka atrophy o ke kino.

ʻO ka mea e hopohopo nui ai nā poʻe maʻi me ka sclerotic gallbladder, ʻo ia nā pilikia e kū mai ana mai nā pōhaku gallstone i loko o ka gallbladder a i ʻole nā ​​​​​​auwai bile, hiki ke hana i ka jaundice, ka pancreatitis weliweli, a i ʻole ka cholangitis weliweli (ka maʻi o nā ʻauwai bile intra- a me extrahepatic).

I ka hopena, hiki i ka hōʻailona ke komo pū me nā hoʻokolohua kiʻi, e like me ke ultrasound a i ʻole ka computed tomography (CT) scans, hiki ke kōkua i ka ʻike ʻana i nā hōʻailona o ka mumū a me ka calcification o ke kino. Hiki i nā koho lapaʻau ke komo pū me nā lāʻau lapaʻau e hoʻokele i nā hōʻailona a i ʻole ka wehe ʻana i ka gallbladder inā manaʻo ʻia he pono.

Nā hōʻailona o ka sclerotic gallbladder (SGB)

Hiki i ka VBE ke hana i nā hōʻailona like ʻole , e like me:

• ʻEha: ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, ka mea i hoʻonui pinepine ʻia e nā meaʻai momona a i ʻole ka hoʻoikaika kino.
• Ka luaʻi me ka luaʻi ʻana: ka mea e hele pū me ke kuni.
• JaundiceMelemele o ka ʻili a me nā maka, ma muli o ke ālai ʻia ʻana o ʻōpū puʻuwai.
• Ka emi ʻana o ke kaumaha: ma muli o ka komo maikaʻi ʻole ʻana o nā momona a me nā meaola ʻē aʻe.
• ʻŌhūhū: ka maneʻo o ka ʻili ma muli o ka hōʻiliʻili ʻana o nā waikawa bile i loko o ka ʻōnaehana.

Inā ʻaʻole mālama ʻia, hiki i ka maʻi sclerotic gallbladder ke hana i kekahi mau pilikia koʻikoʻi, me ke kanesa gallbladder a me ka cirrhosis ake. He mea nui e kūkākūkā me ke kauka ma kahi haukapila lehulehu a pilikino paha i kou kūlanakauhale inā ʻike ʻoe i kēia mau hōʻailona e loaʻa ai kahi hōʻailona kūpono a me ka mālama ʻana .

ʻIkepili o ka gallbladder sclerotic

Hoʻokumu ʻia ka ʻike ʻana o ka maʻi sclerotic gallbladder ma ka loiloi lapaʻau a me nā haʻawina kiʻi . E hana ke kauka i kahi hoʻokolokolo kino a nīnau e pili ana i nā hōʻailona digestive mua. Eia kekahi, hiki i nā haʻawina kiʻi, e like me ke ultrasound a i ʻole ka computed tomography (CT) scans, ke hāʻawi i ka ʻike pono e pili ana i ka nui a me ke kūlana o ka gallbladder.

I kekahi mau hihia, hiki ke ʻōlelo ʻia kahi laparoscopic cholecystectomy e hōʻoia i ka hōʻailona a wehe i nā pōhaku gall a me nā ʻiʻo mumū. I loko o kēia kaʻina hana, hoʻokomo ʻia kahi kāmela liʻiliʻi i loko o ka lua ʻōpū ma o kahi ʻoki liʻiliʻi, e ʻae ana i ke kauka ʻoki e nānā i loko o ka lua a ʻike i ke kaʻina hana mumū i loko o ka gallbladder a me nā ʻiʻo a puni; ʻo ka hapa nui, ʻo ke kumu he pōhaku gall.

hōʻoia ʻokoʻa

He maʻi laha ʻole ka sclerotic gallbladder i hōʻailona ʻia e ka atrophy gallbladder me ka cholecystitis pili, ka mumū, a i kekahi manawa fibrosis. Hiki ke paʻakikī ke hoʻokaʻawale mai nā maʻi ʻē aʻe , e like me ka cholecystitis mau loa a me ka cholangitis sclerosing mua , a me nā puʻupuʻu biliary tract, ma muli o nā hōʻailona like ʻole.

ʻO ka hoʻokaʻawale ʻana ma waena o kēia mau ʻano hōʻailona e pono ai nā haʻawina kiʻi a me nā hoʻokolohua ʻē aʻe, e like me ka computed tomography, hiki ke hōʻike i ka mānoanoa o nā paia o ka gallbladder a me ka atrophy o nā viscera biliary.

No laila, no ka loaʻa ʻana o kahi hōʻailona ʻokoʻa pololei, pono kahi ala multidisciplinary e komo pū ana me nā haʻawina kiʻi a me nā kūkākūkā me nā loea i ka pathology ʻoki kino, ke ʻoki hepatobiliary, gastroenterology, a me radiology.

Hiki i nā hoʻāʻo koko ke kōkua i ka loaʻa ʻana o kahi hōʻoia paʻa ma o ka hoʻopau ʻana i nā maʻi ʻē aʻe. Me ka hōʻoia pololei a me ka mālama ʻana, hiki i nā mea maʻi ke hōʻemi i ka pilikia o ka loaʻa ʻana o nā pilikia.

ʻO ka pilikia o ka "hoʻolālā nalowale"

He ʻano ʻē ka gallbladder sclerotic e hōʻike ana i kahi pilikia kūikawā no mākou ma ke ʻano he mau kauka ʻoki. ʻAʻole e like me ke ʻano maʻamau o ka gallbladder, ʻo kēia kūlana ka hopena o ka nalo ʻana o ke anatomia maʻamau o ke kino.

Ua pili pono ka ʻōpū i ke ala bile nui, kahi e hoʻonui ai i ka pilikia o ka ʻeha i ka wā o ke ʻoki ʻana i hoʻohālikelike ʻia me kahi ʻoki maʻamau. Hōʻike kēia iā mākou i nā kauka ʻoki me kahi kūlana i ʻike ʻia ʻo "lost architecture," kahi i koi ʻia ai mākou e hana i nā kaʻina hana paʻakikī a pilikia me ka ʻole o ka pono o nā ʻano i ʻike ʻia e alakaʻi iā mākou.

Ma o ka hui pū ʻana o nā ʻano hana kiʻi kiʻi holomua a me nā mea hana kūikawā, hiki ke hoʻoponopono ʻia ka pilikia o ka gallbladder sclerotic me ka hilinaʻi.

Mea Hoʻokaʻawale Kūikawā:

ʻO ka hoʻopili ʻana o kahi Moʻomeheu Palekana i ka cholecystectomy he laʻana maikaʻi loa ia o ke ʻano e hiki ai i nā kauka ke hoʻopili i ka ʻokoʻa ma waena o ka ʻike hana ʻoki a me ka palekana o ka mea maʻi.

ʻO ka ʻōlelo ʻana a Kauka Delgado no ka hoʻohana ʻana i kahi Moʻomeheu Palekana e hoʻoholo ai i ka wā e hoʻololi ai i kahi ʻoki kino a hana paha i kahi cholecystectomy subtotal e hōʻike ana i ka ʻoiaʻiʻo lapaʻau a me ka ʻike e hoʻoulu ai i ka hilinaʻi ma waena o ke kauka a me ka mea maʻi.

Hiki i kēia ʻano mea hoʻokaʻawale loea ke lilo i waiwai nui i ka hoʻoponopono ʻana i ka pilikia o "Lost Architecture" i ke ʻoki kino. Ma ka hoʻopili ʻana i nā kumumanaʻo o kahi Moʻomeheu o ka Palekana, hiki i nā kauka ʻoki ke loiloi pololei i kā lākou ʻano hana a hana i nā hana e pale ai i ka mea maʻi, me ka hoʻolaha pū ʻana i ka hoʻomohala ʻana o kā lākou mau kaʻina hana.

Ma ka hana ʻana pēlā, wehe ia i nā ala i nā ʻano hana ʻokiʻoki palekana aʻe, hiki ke maʻalahi ke hoʻohana ʻia e ka poʻe loea i nā ʻoihana mālama ola like ʻole.

📌MEA KOʻIKOʻI: No ka ʻike wale nō kēia ʻike. No ke aʻo lapaʻau a i ʻole ka hōʻailona ʻana, e kūkākūkā me kahi loea mālama ola ma kāu haukapila a i ʻole keʻena lapaʻau kūloko.

Ka mālama ʻana i ka scleroatrophy o ka gallbladder

ʻO ka mālama ʻana no ka maʻi gallbladder ( GBD) maʻamau e pili ana i ka hoʻokipa ʻia ʻana i ka haukapila e hōʻemi i ka mumū o ka gallbladder . I kekahi mau hihia, pono paha ke ʻoki wikiwiki e wehe i ka sclerotic gallbladder laparoscopically.

ʻO kekahi koho ʻē aʻe, ʻo ia ka mālama ʻana i kahi gallbladder sclerotic me nā lāʻau lapaʻau, e like me nā antibiotics a i ʻole nā ​​​​​​anti-inflammatories. Kōkua kēia mau lāʻau lapaʻau i ka hōʻemi ʻana i ka mumū a me ka kaohi ʻana i ka maʻi, a me ka hōʻoluʻolu ʻana i ka ʻeha ma ka gallbladder a hoʻihoʻi i ka hana ʻana o ka bile, kahi e hoʻomaikaʻi ai i ka ʻeli ʻana o ka momona.

I kekahi mau hihia, hiki ke ʻōlelo ʻia nā hoʻololi ʻana i ke ʻano o ka nohona e hōʻemi i ka pilikia o ka hoʻokumu ʻia ʻana o ka gallstone a me ka bile duct syndrome (BDS). ʻO kēia mau mea e pili ana i ka hahai ʻana i kahi ʻai olakino, ka mālama ʻana i ke kaumaha olakino, a me ka hoʻoikaika kino mau. ʻO ka pale ʻana i ka puhipaka a me ka hōʻemi ʻana i ka inu ʻona e kōkua pū i ka hoʻohaʻahaʻa ʻana i ka pilikia o BDS.

ʻAʻole pono e hoʻowahāwahā ʻia kahi gallbladder sclerotic ; he kūlana ia i holomua mālie a pono e nānā koke ʻia e ka poʻe loea. ʻO ke ʻoki kino wale nō ke ala e pale aku ai i nā pilikia nui.

ʻO Prevención

ʻO ka maʻi sclerotic gallbladder kahi maʻi gastrointestinal kakaikahi akā koʻikoʻi e hiki ai ke alakaʻi i ka mumū holomua o ka gallbladder. ʻOiai ʻaʻole ʻike ʻia ke kumu pololei o ka maʻi, manaʻo kekahi poʻe loea he mau kumu kōkua paha ka maʻi mau a i ʻole nā ​​​​maʻi autoimmune . Hiki i nā hōʻailona ke komo pū me ka ʻeha o ka ʻōpū, ka nausea, ka luaʻi, a me ka pohō kaumaha.

ʻO ka mālama ʻana no ka maʻi gallbladder sclerotic e kālele ana i ka mālama ʻana i nā hōʻailona a hiki ke komo pū me nā lāʻau lapaʻau a i ʻole nā ​​​​hoʻololi ʻana i ka meaʻai. I nā hihia koʻikoʻi, pono paha ke ʻoki ʻana e wehe i ka gallbladder.

ʻO ka pale ʻana i ka maʻi gallbladder he mea nui ia o ke ʻano o ka nohona, a ʻo ka mālama ʻana i kahi papaʻai olakino a kiʻekiʻe i ka fiber a me ka hoʻoikaika kino mau ʻana he mau mea nui ia i ka hōʻemi ʻana i ka pilikia. Eia kekahi, ʻo ka pale ʻana i ka momona a me ke ʻano noho mālie e kōkua i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o kēia maʻi.

ʻO ka hoʻoikaika ʻana i nā ʻiʻo ma o ka hoʻoikaika kino mau e like me ka ʻauʻau ʻana, ka holo ʻana, ke kaʻa paikikala, a i ʻole ka hahai ʻana i kahi papahana hoʻoikaika kino ʻaʻole hiki ke kōkua wale i ka mālama ʻana i ke kaumaha olakino, akā hiki nō hoʻi ke alakaʻi i nā kaʻina hana hoʻoheheʻe maikaʻi; i ka hopena, hoʻemi ia i ka pilikia o ka loaʻa ʻana o ka maʻi sclerotic gallbladder.

ka hopena

I ka hōʻuluʻulu manaʻo, ʻo ka maʻi sclerotic gallbladder kahi kaʻina hana mumū mau o ka gallbladder i hoʻokumu ʻia e ka calcification a me ka mumū o kona paia. ʻO ka hopena hope loa i kēia pilikia he kaʻina hana minimally invasive i ʻike ʻia ʻo laparoscopic cholecystectomy , kahi e hiki ai ke wehe i nā gallstones a me nā ʻiʻo.

Inā ʻaʻole mālama ʻia, hiki i ka bacterial vaginosis (BV) ke hana i nā pilikia koʻikoʻi. ʻO ka maʻamau, ʻo ka mālama ʻana e pili ana i ka hoʻokipa ʻana i ka haukapila, ka lāʻau lapaʻau, a me nā hoʻololi ʻana i ke ʻano o ka nohona. He mea nui e kūkākūkā me ke kauka ma kou kūlanakauhale inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona e loaʻa ai kahi hōʻailona a me ka lāʻau kūpono i ka manawa kūpono.

He mea kūpono ke hoʻomaka e pane i nā nīnau a nā mea maʻi a i ʻole ko lākou mau ʻohana e nīnau mai ai iā mākou e nā kauka, ma ka lumi kūkākūkā a ma nā lumi pilikia o ka haukapila:

Nā Nīnau i Nīnau Pinepine ʻia - Sclerotic Gallbladder

ʻO kēia ka manawa kūpono e kaʻana like i ka ʻike olakino pale a me ke olakino ʻoki kino ma nā pāpili kaiapili a, e hui pū ana, e hōʻoia i ka pōmaikaʻi o ka poʻe hou aku a me ko lākou mau ʻohana a ʻaʻole e lilo i helu helu ʻē aʻe i waena o nā pilikia. Mahalo no ka waiho ʻana i kāu mau manaʻo a me nā manaʻo no nā kumuhana blog. A hiki i ka manawa aʻe!

Kauka Jorge Delgado, Kauka Lapaʻau. ʻŌpū Gall Sclerotic. 

📌E heluhelu hou aku: 

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E pili ana i ka gallbladder hydropic

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