ʻO ka ʻeha o ke akepaʻa he hōʻailona pinepine ia o nā pilikia olakino e hiki ke hoʻopilikia nui i ke olakino o ke kanaka. He mea nui ka ʻike ʻana i kēia ʻeha e hoʻomaopopo i nā pilikia olakino e hiki mai ana. Aia ke akepaʻa ma ka ʻaoʻao ʻākau o luna o ka ʻōpū a he mea nui ia no nā hana kino he nui, e like me ka wehe ʻana i nā mea ʻino, ka wāwahi ʻana i ka meaʻai, a me ka hana ʻana i ka bile. I ka wā e mumū ai ke akepaʻa a i ʻeha paha, hiki iā ʻoe ke manaʻo i ka ʻeha ma kēia wahi.
He mau kumu like ʻole no ke kumu o ka ʻeha o ke akepaʻa i kekahi. ʻO nā kumu maʻamau e komo pū ana ka hepatitis, ka maʻi akepaʻa momona, a me ka cirrhosis. ʻO ka hepatitis ka wā e mumū ai ke akepaʻa, hiki ke hana ʻia ma muli o nā mea hoʻomaʻi, ka inu nui ʻana i ka waiʻona, a i ʻole ka hōʻike ʻia i nā mea ʻino. Hana ʻia ka maʻi akepaʻa momona i ka wā e nui loa ai ka momona i loko o ke akepaʻa, a ʻaʻole paha e hōʻike i nā hōʻailona maopopo koke. Hana ʻia ka cirrhosis mai ka hōʻino ʻana i ke akepaʻa no ka manawa lōʻihi, e alakaʻi ana i ka ʻili a me ka hana maikaʻi ʻole o ke akepaʻa.
ʻO kekahi mau hōʻailona maʻamau e hele mai me ka ʻeha o ke akepaʻa e komo pū ana ka pehu ʻana o ka ʻōpū, ka jaundice (ʻo ia hoʻi ka melemele ʻana o ka ʻili a me nā maka), ka manaʻo ʻino, a me ka luhi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, he mea nui ia e lawe koʻikoʻi iā lākou. Hiki i ka loaʻa ʻana o nā pilikia akepaʻa i ka wā mua ke alakaʻi i ka mālama maikaʻi a me ka hoʻomaikaʻi ʻana i ke olakino. E kamaʻilio mau i ke kauka inā loaʻa iā ʻoe ka ʻeha o ke akepaʻa a i ʻole kekahi mau hōʻailona e pili ana.
ʻIke pinepine ʻia ka ʻeha o ke akepaʻa ma ka hapa ʻākau o luna o ka ʻōpū, e pili ana i ke kūlana anatomical o ke akepaʻa ma lalo o ka pā ʻaoʻao. He mea nui ka hoʻokaʻawale ʻana i ka ʻeha o ke akepaʻa mai ka ʻoluʻolu ʻole i hana ʻia e nā kino kokoke, e like me ka gallbladder a i ʻole ka pancreas, no ka hōʻoia pololei.
ʻIke pinepine ʻia ka ʻeha o ke akepaʻa ma ke ʻano he ʻeha palupalu a i ʻole ka ʻoluʻolu ʻole ma ka ʻōpū ʻākau o luna. Hiki ke loli ke manaʻo ma muli o ke kumu a me ka nui.
Hiki i ka ʻeha mai ke akepaʻa ke manaʻo ʻia i ke poʻohiwi ʻākau a i ʻole ke kua. Hana ʻia kēia ʻeha i hoʻouna ʻia ma muli o nā ala nerve i kaʻana like ʻia ma waena o ke akepaʻa a me nā wahi ʻē aʻe.
Ka Mumū: Hiki i nā kūlana e like me ka hepatitis ke alakaʻi i ka pehu ʻana o ke akepaʻa a me ka ʻoluʻolu ʻole.
Ka Maʻi Akepaʻa Momona: Hiki i ka hōʻiliʻili momona ke hoʻoikaika i ke akepaʻa a hoʻokumu i ka ʻeha.
Cirrhosis a me nā Tumors: Hiki i ka hōʻino ʻana i ke akepaʻa a i ʻole nā tumors ke hoʻokumu i ka ʻeha mau a me nā hōʻailona hou aku.
ʻO nā hōʻailona e like me ka jaundice, ka luhi, ka manaʻo ʻino, a i ʻole nā hoʻololi i ka makemake e hele pinepine pū me ka ʻeha o ke akepaʻa, e hāʻawi ana i nā ʻōlelo aʻo nui no ka hōʻoia.
He mea nui ka ʻike ʻana i ka ʻeha o ke akepaʻa a me kāna mau hōʻailona e pili ana. Hiki i ka loiloi lapaʻau mua ke kōkua i ka hōʻoia a me ka mālama ʻana i ke kumu maikaʻi.
Hiki i ka ʻeha o ke akepaʻa ke hopena mai nā kūlana like ʻole e hoʻopilikia ana i ke akepaʻa ponoʻī a i ʻole nā mea hana e hoʻopuni ana. ʻO ka hoʻomaopopo ʻana i kēia mau kumu he kī ia i ka ʻike ʻana i ka pilikia maikaʻi a me ka ʻimi ʻana i ka mālama kūpono.
Viral Hepatitis: Hiki i nā maʻi e like me ka hepatitis A, B, a i ʻole C ke mumū i ke akepaʻa a hoʻokumu i ka ʻeha.
Alcoholic Hepatitis: Hiki i ka inu nui ʻana i ka waiʻona ke hōʻino i nā sela akepaʻa, e alakaʻi ana i ka mumū a me ka ʻoluʻolu ʻole.
Autoimmune Hepatitis: Hoʻouka ka ʻōnaehana pale kino i nā sela akepaʻa, e hoʻokumu ana i ka mumū mau.
Non-Alcoholic Fatty Liver Disease (NAFLD): Hana ʻia e ka hōʻiliʻili momona ʻaʻole pili i ka waiʻona, hiki ke alakaʻi i ka hoʻonui ʻana o ke akepaʻa a me ka ʻeha.
Alcoholic Fatty Liver Disease: ʻO ka inu nui ʻana i ka waiʻona e hopena i ka hōʻiliʻili momona a me ke kaumaha o ke akepaʻa.
ʻOiai hiki i ka ʻeha o ke akepaʻa ke hopena mai nā kūlana liʻiliʻi a i ʻole manawa pōkole, pono nā hōʻailona a me nā hōʻailona i ka nānā lapaʻau koke e pale aku i nā pilikia koʻikoʻi.
Jaundice: Ka melemele ʻana o ka ʻili a me nā maka, e hōʻike ana i ka pale ʻana o ka kahe bile a i ʻole ka hana ʻole o ke akepaʻa.
Pehu: Hiki i ka pehu ʻana o ka ʻōpū a i ʻole ka wai i loko o nā wāwae (edema) ke hōʻike i ka hāʻule ʻana o ke akepaʻa.
Luhi: Hiki i ka luhi mau, ʻike ʻole ʻia ke hōʻailona i ka maʻi akepaʻa mau.
Nausea a me ka Luaʻi: Nā hanana hou, ʻoi aku inā hele pū me ka nalowale o ka makemake a i ʻole ka nalowale o ke kaumaha.
ʻO ka ʻeha o ke akepaʻa, ʻike pinepine ʻia ma ka ʻōpū ʻākau o luna, hiki ke hōʻike i nā pilikia olakino like ʻole mai nā kūlana liʻiliʻi a i nā maʻi koʻikoʻi e like me ka hepatitis, ka maʻi akepaʻa momona, a i ʻole ka cirrhosis. He mea nui ka ʻimi ʻana i ke kōkua lapaʻau inā ʻoi ka ʻeha, mau, a i hele pū me nā hōʻailona e like me ka jaundice, pehu, luhi, a i ʻole nā hoʻololi i ka waihoʻoluʻu o ka mimi a me ka stool. Pono nō hoʻi ka loiloi koke i ka hoʻomaka koke ʻana o ka ʻeha me ka mahana a i ʻole ka nausea, a i ʻole ka ʻeha e pili ana i ka lāʻau lapaʻau a i ʻole ka hōʻike ʻia i ka toxin. He mea nui ka hōʻoia mua a me ka mālama ʻana e hoʻoponopono i ke kumu maikaʻi a pale aku i nā pilikia maikaʻi.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua