Poo melemele: Nā pilikia ʻili, ʻai, a maʻi paha?

No ke aha ka ʻeleʻele ka ʻōpala maʻamau? He Haʻawina ʻepekema wikiwiki

Ma mua o ko mākou komo ʻana i nā mea e hoʻoulu ai i ka ʻōpala melemele, he mea kōkua ke hoʻomaopopo i ke kumu o kona ʻeleʻele maʻamau. Aia ka pane i loko o kahi kaʻina hana hoʻoheheʻe hoihoi e pili ana i kahi mea i kapa ʻia ʻo ka bile.

Hoʻopuka kou ake i ka bile, he wai melemele-ʻōmaʻomaʻo, e kōkua ai i ka hoʻoheheʻe ʻana i nā momona. Waiho ʻia kēia bile i loko o kou ʻeke ʻili a hoʻokuʻu ʻia i loko o ka ʻōpū liʻiliʻi ke ʻai ʻoe. Aia i loko o ka bile nā ​​pigments, ʻoi aku ka nui o ka melemele i kapa ʻia ʻo bilirubin, i hoʻokumu ʻia ke wāha ʻia nā huna koko ʻulaʻula kahiko [source: MedlinePlus].

I ka hele ʻana o kēia bile ma kou ʻōnaehana hoʻoheheʻe, hana nā enzyme a me nā bacteria, hoʻololi kemika i nā pigments a hoʻololi i ko lākou kala mai ka melemele-ʻōmaʻomaʻo a i ka aka ʻeleʻele i ʻike mau ʻia. No laila, ʻo ka ʻōpala ʻeleʻele ka hōʻailona e hana ana kāu ʻōnaehana hoʻoheheʻe—ʻoi aku ka nui o kou ake, ʻeke ʻili, a me ka pancreas—e like me ka mea e pono ai. Hiki i kekahi pilikia i kēia kaʻina hana ke hoʻololi i ke kala hope.

Nā kumu maʻamau o ka Poo melemele: Mai ka ʻai a hiki i ka maʻi

I kēia manawa, e wehewehe kākou i nā mea hiki ke kumu o kēlā leo melemele ʻaʻole i manaʻo ʻia. E hoʻomaka mākou me nā kumu maʻamau a maʻalahi hoʻi, a laila e neʻe mākou i nā kūlana e pono ai ka lāʻau lapaʻau.

1. Kou ʻai

ʻO kāu mea e ʻai ai he hopena pololei a pinepine hoʻi i ke kala o kou ʻōpala. Inā ua ʻai hoʻokahi ʻoe i ka ʻōpala melemele, e noʻonoʻo i kāu mau meaʻai hope loa.

• Beta-Carotene: Hiki i nā meaʻai kiʻekiʻe i kēia pigment ʻalani-melemele, e like me nā kāloti, nā ʻuala, a me ka ʻakaʻaka kauwela, ke hāʻawi i kahi leo melemele a ʻalani paha i kou ʻōpala.
• Turmeric a me Curry: Loaʻa i kēia mau mea ʻala kahi pigment melemele ikaika i kapa ʻia ʻo curcumin i hiki ke hele ma kou ʻōnaehana hoʻoheheʻe.
• Nā Mea Kala Melemele: Hiki i nā mea kala hana i loko o nā meaʻai i hana ʻia, nā mea inu, a me nā mea ʻai māmā ke alakaʻi pū i kahi loli kala kuʻuna.
• Nā ʻai kiʻekiʻe i ka momona: Hiki i ka ʻai ʻana i ka nui o nā meaʻai momona ke hoʻonui i kāu ʻōnaehana hoʻoheheʻe, e alakaʻi ana i ka momona i hoʻoheheʻe ʻole ʻia e hele ma kou ʻōpala, i hiki ke ʻike ʻia he melemele.

I kēia mau hihia, pono e hoʻihoʻi ʻia ke kala i ka maʻamau i loko o hoʻokahi lā a ʻelua paha ma hope o ka hele ʻana o ka meaʻai ma kou ʻōnaehana.

2. Ka hopohopo a me ke kaumaha

Ua lohe ʻoe i nā "ʻilipeʻa" i kou ʻōpū ke makaʻu ʻoe? ʻO ia ka pilina gut-brain e hana nei. Hiki i nā pae kiʻekiʻe o ke koʻikoʻi a me ke kaumaha ke hoʻolalelale i kāu kaʻina hoʻoheheʻe holoʻokoʻa, he hanana i ʻike ʻia ʻo ka hoʻonui ʻana i ka neʻe ʻana o ka ʻōpū.

Ke hiki kēia, hele wikiwiki loa ka meaʻai a me ka bile ma kou ʻōpū no ka hoʻoheheʻe piha ʻana o ka bile a lilo i ʻeleʻele. Hiki i kēia ke alakaʻi i ka ʻōpala melemele a i ʻole ka ʻōpala melemele a palupalu. Inā hele ʻoe i kahi manawa koʻikoʻi, ʻo ia paha ka wehewehe maʻalahi [source: International Foundation for Gastrointestinal Disorders].

3. Malabsorption a me Steatorrhea (Ka nui o ka momona i loko o ka ʻōpala)

Eia kahi e lilo ai ka poo melemele i hōʻailona olakino koʻikoʻi. Inā ʻaʻole wale ka melemele o kou ʻōpala akā hele pū me ka ʻaila, ʻaʻala maikaʻi ʻole, a lana kaʻe, hiki paha iā ʻoe ke loaʻa i ka steatorrhea.

ʻO Steatorrhea ka huaʻōlelo lapaʻau no ka nui loa o ka momona i loko o ka ʻōpala. He hōʻailona maʻamau ia o ka malabsorption, ʻo ia hoʻi ʻaʻole pono ke hoʻoheheʻe ʻia nā meaʻai, ʻoi aku ka momona, mai ka meaʻai āu e ʻai ai. He ʻōpala melemele ʻaila ka hōʻailona nui. ʻAʻole kēia he maʻi ma ia iho, akā he hōʻailona nui ia o kekahi mau kūlana i pili.

4. Celiac Disease

He maʻi autoimmune ka Celiac disease kahi e hoʻoulu ai ka ʻai ʻana i ka gluten—he protein i loaʻa i ka palaoa, ka bale, a me ka rai—i kahi pane pale pale e hōʻino ai i ka lining o ka ʻōpū liʻiliʻi. Hoʻopilikia kēia poino i ka hiki o ke kino ke hoʻoheheʻe i nā meaʻai, me ka momona, hiki ke alakaʻi i ka steatorrhea [source: National Institute of Diabetes and Digestive and Kidney Diseases]. ʻO ke kala ʻōpala o ka celiac disease i loaʻa pinepine ʻia he ʻeleʻele, melemele, a ʻaʻala maikaʻi ʻole. ʻO nā hōʻailona ʻē aʻe ka pehu, ʻeha o ka ʻōpū, ka nawaliwali o ke kaumaha, a me ka luhi.

5. Nā Pilikia o ka Pancreas

Hoʻopuka kou pancreas i nā enzyme koʻikoʻi e kōkua ai i ka hoʻoheheʻe ʻana i nā momona, nā protein, a me nā carbohydrates i loko o kou ʻōpū liʻiliʻi. Inā ʻaʻole pono ka pancreas, ʻaʻole paha ʻoe e loaʻa i ka nui o kēia mau enzyme e hoʻoheheʻe pono ai ka momona.

ʻO nā kūlana e hiki ai ke hoʻoulu i ka ʻōpala o nā pilikia pancreas e pili ana: * Chronic Pancreatitis: ʻO ka mumū mau o ka pancreas i hiki ke hōʻino mau iā ia. * Pancreatic Cancer: Hiki i kahi tumora ke ālai i ke ala o ka pancreas, e pale ai i nā enzyme mai ke komo ʻana i ka ʻōpū. * Cystic Fibrosis: He maʻi genetic ia e hoʻoulu ai i ka mucus mānoanoa e ālai i nā ala i loko o ka pancreas.

I kēia mau hihia a pau, ʻo ka momona i hoʻoheheʻe ʻole ʻia ke alakaʻi i ka ʻōpala melemele ʻaila maʻamau o ka steatorrhea.

6. Nā Pilikia o ka Ake a me ka ʻAke ʻIli

No ka mea, hoʻopuka ke ake i ka bile a mālama ka ʻeke ʻili iā ia, hiki i kekahi pilikia me kēia mau ʻōpala ke hoʻopilikia i ke kaʻina hana e hāʻawi ai i ka ʻōpala i kona kala ʻeleʻele. Hiki i ka hoʻemi ʻana o ka hana ʻana o ka bile a i ʻole ka pale ʻana i ka bile mai ke komo ʻana i ka ʻōpū ke alakaʻi i ka ʻōpala melemele a i ʻole ka ʻōpala melemele.

ʻO nā kumu maʻamau o ka kala ʻōpala o nā pilikia ake a me ka poo o nā pilikia ʻeke ʻili e pili ana: * Cirrhosis a me Hepatitis: Hiki i nā maʻi ake ke hoʻopilikia i ka hana ʻana o ka bile. * Gallstones a i ʻole Tumors: Hiki i kēia ke hana i ka pale ʻana i nā ala bile, nā paipu liʻiliʻi e lawe i ka bile mai ke ake a me ka ʻeke ʻili a i ka ʻōpū. * Ma hope o ka Wehe ʻia ʻana o ka ʻeke ʻili: Ma hope o ke ʻoki ʻoki ʻana i ka ʻeke ʻili, ʻaʻohe wahi e mālama ai ke kino i ka bile. Hōʻiliʻili mau ia akā i kekahi manawa ʻoi aku ka liʻiliʻi ma ka ʻōpū, i hiki ke hoʻopili i ka hoʻoheheʻe ʻana a me ke kala ʻōpala.

7. Nā Maʻi (Giardiasis)

I kekahi manawa, he malihini i kono ʻole ʻia ke kumu. He maʻi ʻōpū ka Giardiasis i hoʻokumu ʻia e kahi parasite microscopic i kapa ʻia ʻo Giardia lamblia. Hiki iā ʻoe ke loaʻa ma ka inu ʻana i ka wai i hoʻopaʻa ʻia a i ʻole ma ka launa ʻana me ke kanaka.

ʻO kekahi o nā hōʻailona o Giardiasis ka wikiwiki, pahū, ʻaʻala maikaʻi ʻole, a me ka wai ʻōpala melemele. ʻO nā hōʻailona ʻē aʻe ka ʻeha o ka ʻōpū, ka pehu, ka nausea, a me ke kinoea. Hoʻopilikia ka parasite i ka hiki o kou ʻōpū ke hoʻoheheʻe i ka momona, e alakaʻi ana i ke kala melemele maʻamau [source: Centers for Disease Control and Prevention].

8. Gilbert’s Syndrome

ʻO Gilbert’s syndrome kahi maʻi ake genetic maʻamau a maʻalahi hoʻi kahi ʻaʻole pono ke hoʻoponopono pono o ke ake i ka bilirubin. Hoʻoulu kēia i nā pae kiʻekiʻe o ka bilirubin i loko o ke koko (hyperbilirubinemia) ma mua o ka maʻamau. ʻOiai pinepine ʻole nā ​​hōʻailona, ​​​​i nā wā o ke koʻikoʻi, maʻi, a i ʻole ka hoʻokē ʻai ʻana, hiki ke hoʻoulu i ka jaundice māmā (melemele ʻana o ka ʻili a me nā maka) a i kekahi manawa e alakaʻi i ka ʻōpala melemele a i ʻole ka ʻōpala melemele [source: Cleveland Clinic].

Poo melemele i nā Pūʻulu Makahiki ʻokoʻa

Poo melemele i nā kamaliʻi

No nā mākua hou, hiki i kēlā me kēia loli liʻiliʻi ke lilo i kumu o ke kaumaha. Akā i ka wā e pili ana i ke kala ʻōpala, aia ka nūhou maikaʻi: ʻaʻole wale ka poo melemele i nā kamaliʻi ka maʻamau akā ʻo ia ka mea maʻamau, ʻoi aku hoʻi no nā pēpi hānai ʻia.

ʻO ka ʻōpala o ka pēpi hānai ʻia he ʻano ʻōmaʻomaʻo mustadi, hina, a palupalu. He olakino loa kēia. Hiki i nā pēpi hānai ʻia me ka waiū ke loaʻa ka ʻōpala i ka ʻeleʻele iki, ʻoi aku ka ʻulaʻula a i ʻole ka ʻeleʻele māmā, a he ʻano paʻi kona. No laila, inā ʻoe e ʻike i ka poo melemele i nā kamaliʻi, he hōʻailona ia o ka pēpi olakino a māʻona [source: CDC].

I nā ʻelemakule

ʻO nā kumu o ka ʻōpala melemele e like me nā mākua a pau. Eia naʻe, piʻi ka pilikia o kekahi mau kūlana pili e like me ka maʻi ake, nā pilikia ʻeke ʻili, a me ka maʻi kanesa pancreas me ka makahiki. No laila, pono e hoʻoikaika nā ʻelemakule e ʻimi i ka ʻōlelo aʻo lapaʻau ke ʻike lākou i kahi loli mau i ke kala ʻōpala, ʻoi aku hoʻi me nā hōʻailona ʻē aʻe.

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Nā Kala ʻŌpala ʻē aʻe

ʻOiai mākou e nānā nei i ka melemele, he mea kōkua ke ʻike i ke ʻano o nā kala ʻē aʻe:

• ʻOmaʻomaʻo: Pinepine ma muli o ka wikiwiki o ka hele ʻana (e like me ka maʻi ʻōpala) a i ʻole ka ʻai ʻana i nā ʻōmaʻomaʻo lau.
• ʻEleʻele: Hiki ke hoʻokumu ʻia e nā mea hoʻohui hao a i ʻole bismuth subsalicylate (Pepto-Bismol), akā hiki iā ia ke hōʻailona i ke koko ma ka ʻōpū luna.
• ʻUlaʻula: Hiki paha mai nā meaʻai ʻulaʻula (beets, cranberries) akā he hōʻailona nui ia no ke koko ma ka ʻōpū haʻahaʻa a i ʻole ka rectum.
• Keʻokeʻo a i ʻole ka ʻulaʻula: He hōʻailona pinepine kēia o ka pale ʻana o ke ala bile, e hōʻike ana i kahi pilikia ake a ʻeke ʻili paha. Pono kēia ʻano ʻōpala melemele i ke kāhea koke ʻana i kāu kauka.

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I ka wā e ʻike ai i ke kauka

No laila, pehea ʻoe e ʻike ai i ka wā e hopohopo ai? ʻOiai he ʻai hoʻokahi o ka ʻōpala melemele ma hope o ka ʻai ʻana i ka ʻeke kāloti ʻaʻole paha he mea e hopohopo ai, ʻaʻole pono ʻoe e haʻalele i nā loli mau.

Pono ʻoe e hoʻopaʻa inoa i kahi kipa me kāu kauka inā mau kāu ʻōpala melemele no kekahi mau lā a i ʻole he pilikia hou ia.

He mea nui hoʻi e ʻimi koke i ka lāʻau lapaʻau inā hele pū ʻia kāu ʻōpala melemele me kekahi o kēia mau hōʻailona “red flag”:

• Fever, chills, a ʻōpū paha
• ʻEha nui a ʻoi aku paha ka ʻeha o ka ʻōpū a me ka ʻokiʻoki
• Koko a i ʻole ka pus i loko o kāu ʻōpala
• Jaundice (melemele ʻana o kou ʻili a i ʻole keʻokeʻo o kou mau maka)
• Ka nawaliwali o ke kaumaha ʻole a i ʻole ka nui
• Ka ʻulaʻula ʻeleʻele o ka mimi
• Ka manaʻo luhi ʻole, ʻoleʻa, a i ʻole ka huikau
• Nā hōʻailona o ka dehydration, e like me ka nele o ka mimi, ka make wai nui, a i ʻole ka waha maloʻo

Hiki i kēia mau hōʻailona, ​​​​i hui pū me kahi loli i ke kala ʻōpala, ke hōʻike i kahi kūlana kumu koʻikoʻi e pono ai ka hoʻomaʻamaʻa a me ka lāʻau lapaʻau kūpono.

Hoʻopau: E hoʻolohe i kou kino

He nui nā ala o kou kino e kamaʻilio ai me ʻoe, a ʻo kāu mau hana ʻōpala kekahi o kāna mau ʻōnaehana leka pololei loa. Hiki ke hoʻoulu ʻia ka hele ʻana o ka poo melemele e kekahi mea maʻalahi e like me ke koʻikoʻi a i ʻole kāu ʻaina ahiahi i nehinei. Eia naʻe, hiki nō hoʻi ke lilo i hōʻailona koʻikoʻi o ka malabsorption a i ʻole nā ​​pilikia me kou pancreas, ake, a i ʻole ʻeke ʻili.

ʻO ke kī ka nānā ʻana i ka pōʻaiapili. E hoʻomaopopo i ka lōʻihi o ka loli a me nā hōʻailona ʻē aʻe āu e ʻike nei. He hōʻailona nui loa ka ʻōpala melemele ʻaila, lana, a ʻaʻala maikaʻi ʻole ma mua o kahi loli kala hoʻokahi.

Inā hopohopo ʻoe e pili ana i ke kala o kou ʻōpala a i ʻole ʻoe e ʻike nei i kekahi o nā hōʻailona hoʻopilikia i helu ʻia ma luna, mai kānalua. Kāhea i kahi ʻoihana mālama ola no ka hoʻomaʻamaʻa kūpono. Hiki iā lākou ke hana i nā hoʻokolohua pono e ʻike ai he aha ka mea e hoʻoulu ai i ka ʻōpala melemele i kou hihia kikoʻī a hāʻawi iā ʻoe i ka lāʻau lapaʻau a me ka maluhia o ka manaʻo āu e pono ai.