He aha ka ʻōpū ʻāʻī hapa-ʻā?

ʻO ka ʻōpū wai ʻai kahi lālā liʻiliʻi, ʻano pīkī i loaʻa ma lalo o ke ate. He mea nui loa ia no ka ʻai ʻana, ʻoiai ke mālama a hoʻāliʻi i ka wai ʻai i hana ʻia e ke ate. ʻO ka wai ʻai kahi wai hoʻoheheʻe meaʻai e kōkua i ka wāwahi ʻana i nā momona mai ka meaʻai, he mea pono ia no ka ʻai ʻana a me ka loaʻa ʻana o nā meaʻai. I ka wā e ʻai ai ʻoe, e piʻi ka ʻōpū wai ʻai e hoʻokuʻu i ka wai ʻai i loko o ka ʻōpū liʻiliʻi, e kōkua ana i ka ʻai ʻana.

Anatomically, ʻekolu mau ʻāpana nui o ka ʻōpū wai ʻai: ka fundus, ke kino, a me ka ʻāʻī. Loaʻa i kēlā me kēia ʻāpana kāna hana i ka mālama ʻana a me ka hoʻokuʻu ʻana i ka wai ʻai. Ma ke kāohi ʻana i ke kahe ʻana o ka wai ʻai, e hōʻoia ka ʻōpū wai ʻai i ka hana maikaʻi ʻana o ka ʻōnaehana ʻai.

Hana ʻia kahi ʻōpū wai ʻai hapa piha i ka wā e mālama ai i ka nui o ka wai ʻai a i ʻole hiki ʻole ke hoʻoheheʻe pono. Hiki ke hana ʻia kēia ma muli o kekahi mau pilikia, e like me ka ʻeha, nā mea pale, a i ʻole nā ​​pilikia me ka neʻe ʻana. He mea nui e hoʻomaopopo i kēia no ka mea ʻokoʻa ia mai ka ʻōpū wai ʻai piha, kahi e hiki ai ke hana i nā hōʻailona a me nā pilikia ʻoi aku ka nui. ʻO ka ʻike pehea ka hana o ka ʻōpū wai ʻai a me ka manaʻo o kahi kūlana hapa piha he mea nui ia no kekahi mea hoihoi i ke olakino ʻai.

Ke Hoʻomaopopo ʻana i ka ʻŌpū Wai ʻAi Hapa Piha

ʻO ka ʻōpū wai ʻai hapa piha kahi kūlana kahi i hoʻonui iki ʻia ai ka ʻōpū wai ʻai akā ʻaʻole i hoʻonui piha ʻia. Hōʻike pinepine kēia i kahi pilikia me ka hiki o ka ʻōpū wai ʻai ke hoʻoheheʻe a hana pono.

Nā Kumu

Hiki ke hana ʻia kahi ʻōpū wai ʻai hapa piha ma muli o kekahi mau kumu:

• Ka Pale ʻana o ka Biliary: Hiki i nā mea pale e like me nā pōhaku wai ʻai, nā ʻōpū, a i ʻole nā ​​mea paʻa ke hana i ka hiki ʻole o ka ʻōpū wai ʻai ke hoʻoheheʻe, e alakaʻi ana i ka hoʻonui.

• Ka ʻEha Mau: Hiki i nā kūlana e like me ka cholecystitis mau, kahi e pili ana i ka ʻeha lōʻihi o ka ʻōpū wai ʻai, ke alakaʻi i ka ʻili a me ka hana ʻole, e hopena ana i ka hoʻonui hapa.

• ʻO ka ʻŌpū Wai ʻAi Hana ʻOle: I kekahi manawa, ʻaʻole paha e hoʻopaʻa pono ka ʻōpū wai ʻai ma muli o ka hana ʻole, e pale ana i ka hoʻokuʻu piha ʻana o ka wai ʻai a me ka hoʻonui.

Nā Hōʻailona a me ka Hoʻoholo

Māhele	Nā Kikoʻī
Nā Hōʻailona	ʻEha ʻOpu: Maʻamau i ʻike ʻia ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, e ʻoi aku ka ʻino ma hope o ka ʻai ʻana i nā meaʻai momona. Nausea: maʻamau ma hope o nā meaʻai ma muli o nā pilikia ʻai. Bloating: Kahi manaʻo piha a i ʻole ʻoluʻolu ʻole, ʻoi aku hoʻi ma hope o ka ʻai ʻana.
Hoʻoholo	Ultrasound: ʻO ke ala kiʻi maʻamau loa, i hoʻohana ʻia e ʻike i ka hoʻonui ʻana o ka ʻōpū wai ʻai, nā pōhaku, a me nā ʻano ʻole o ke kahe ʻana o ka wai ʻai. Hāʻawi ka CT scan i nā kiʻi kikoʻī e loiloi i ka nui o ka ʻōpū wai ʻai, nā ʻano ʻole o ke kūkulu, a i ʻole nā ​​pūnaewele a puni. MRI: Nā kiʻi kiʻekiʻe, i hoʻohana ʻia no nā hihia paʻakikī a i ʻole e nānā i nā ala wai ʻai a me ka hana o ka ʻōpū wai ʻai. HIDA Scan: Kahi hoʻokolohua lāʻau lapaʻau nuklea i hoʻohana ʻia e loiloi i ka hana o ka ʻōpū wai ʻai a me ka ʻike ʻana i nā mea pale a i ʻole ke kahe ʻana o ka wai ʻai.

Nā Lapaʻau a me nā Hoʻolālā Hoʻokele

ʻO ka hoʻokele ʻana i ka ʻōpū wai ʻai hapa piha e hilinaʻi ana i ke kumu kumu, ka nui, a me nā hōʻailona. Hoʻolālā ʻia nā hoʻolālā lapaʻau e hoʻomaha i nā hōʻailona, ​​e hoʻoponopono i ke kumu kumu, a e pale aku i nā pilikia hou aʻe.

1. Ka Hoʻokele Lapaʻau

I nā hihia kahi i palupalu ai nā hōʻailona a i ʻole ma muli o ka ʻeha, ʻo ka hoʻokele lapaʻau pinepine ka ala mua. Hoʻokaʻaʻike pinepine ʻia nā lāʻau anti-inflammatory a me nā mea hoʻomaha ʻeha e hoʻemi i ka ʻoluʻolu ʻole a hoʻokele i kekahi ʻeha a i ʻole ka huhū i loko o ka ʻōpū wai ʻai. I nā hihia kahi i loaʻa ai ka biliary colic (ʻeha ma muli o ka pale ʻana o ke kahe ʻana o ka wai ʻai), hiki ke hoʻohana ʻia nā lāʻau e hoʻolaha i ke kahe ʻana o ka wai ʻai a i ʻole e hoʻemi i ka hoʻopaʻa ʻana o ka ʻōpū wai ʻai.

2. Ka Wehe ʻana i nā Pōhaku Wai ʻAi

Inā ʻo nā pōhaku wai ʻai ke kumu o ka hoʻonui ʻana, hiki ke komo ka lapaʻau i ka wehe ʻana i nā pōhaku. Hiki ke hana ʻia kēia ma o nā ala ʻole i ka ʻoki ʻana e like me ka extracorporeal shock wave lithotripsy (ESWL), kahi e hoʻohana ai i nā haʻalulu e wāwahi i nā pōhaku i nā ʻāpana liʻiliʻi. ʻO kekahi koho ʻo ka endoscopic retrograde cholangiopancreatography (ERCP), kahi e komo ai ka wehe ʻana i nā pōhaku ma o kahi endoscope i hoʻokomo ʻia i loko o ka ala wai ʻai.

3. ʻO ka ʻoki ʻana: Cholecystectomy

Inā ua hoʻopōʻino nui ʻia ka ʻōpū wai ʻai a i ʻole inā mau nā hōʻailona ʻoiai nā lapaʻau ʻē aʻe, hiki ke ʻōlelo ʻia ka cholecystectomy, ka wehe ʻana i ka ʻōpū wai ʻai. He mea maʻamau loa kēia i ka wā e loaʻa ai nā pōhaku wai ʻai a i ʻole ka ʻeha mau, ʻoiai ka wehe ʻana i ka ʻōpū wai ʻai e hiki ke pale aku i nā pilikia i ka wā e hiki mai ana. Hiki ke hana ʻia ke kaʻina hana laparoscopically, kahi mea liʻiliʻi loa, a i ʻole ma o ka ʻoki ʻana i nā hihia paʻakikī.

4. Nā Hoʻololi ʻAi

Hiki i ka hoʻokele ʻana i ka ʻōpū wai ʻai hapa piha ke komo pū i nā hoʻololi ʻai. Hiki i kahi ʻai haʻahaʻa momona ke kōkua i ka hoʻemi ʻana i ka pilikia ma ka ʻōpū wai ʻai, e hoʻemi ana i nā hōʻailona e like me ka nausea a me ka ʻeha. ʻO ka pale ʻana i nā meaʻai nui a me ka ʻai ʻana i nā meaʻai liʻiliʻi, pinepine e hiki ke hoʻomaikaʻi i ka ʻai ʻana a pale aku i ka piha ʻana o ka ʻōpū wai ʻai. No ka poʻe me nā pōhaku wai ʻai a i ʻole nā ​​kumu pilikia no ka maʻi ʻōpū wai ʻai, ʻo ka noho wai a me ka hoʻonui ʻana i ka fiber intake e pōmaikaʻi pū kekahi.

5. Ke Nānā ʻana a me ka Hahai ʻana

I kekahi mau hihia, hiki ke palupalu ka hoʻonui ʻana a ʻaʻole pono e komo koke. Hiki ke ʻōlelo ʻia nā kipa hahai mau a me nā hoʻokolohua kiʻi e nānā i ke kūlana a pale aku i nā pilikia. Inā loaʻa kekahi loli i nā hōʻailona, ​​hiki ke lawe koke ʻia i nā lapaʻau hou aʻe.

Hōʻuluʻulu

Hiki ke hoʻokele ʻia ka ʻōpū wai ʻai hapa piha ma o nā lapaʻau like ʻole ma muli o ke kumu kumu. Hoʻokomo pinepine ka hoʻokele lapaʻau i ka hoʻomaha ʻeha a me nā lāʻau anti-inflammatory. Inā loaʻa nā pōhaku wai ʻai, hiki ke hoʻohana ʻia nā ala ʻole i ka ʻoki ʻana a i ʻole nā ​​kaʻina hana e like me ERCP no ka wehe ʻana. I nā hihia koʻikoʻi, ua noʻonoʻo ʻia ka cholecystectomy (ka wehe ʻana i ka ʻōpū wai ʻai).

Hiki i nā hoʻololi ʻai, e like me kahi ʻai haʻahaʻa momona a me nā meaʻai liʻiliʻi, pinepine, ke hoʻomaha i nā hōʻailona. Hiki ke ʻōlelo ʻia ka nānā mau i nā hihia palupalu e hōʻoia ʻaʻole e ala aʻe nā pilikia hou aʻe. Ke hoʻolālā nei kēia mau hoʻolālā e hoʻomaikaʻi i ka hana o ka ʻōpū wai ʻai a pale aku i nā pilikia hou aʻe.