He aha ka Appendicitis? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka appendicitis ka mumū ʻana o kāu appendix, kahi ʻōpū liʻiliʻi e pili ana i ka hoʻomaka ʻana o kāu ʻōpū nui. Hoʻokumu kēia kūlana i ka ʻeha nui o ka ʻōpū a pono e loaʻa koke ka mālama lapaʻau no ka mea hiki i ka appendix ke pahū inā waiho ʻia me ka mālama ʻole.

ʻOiai paha he mea weliweli ka appendicitis, ʻo ia kekahi o nā pilikia lapaʻau maʻamau loa a mālama nā kauka i kēlā me kēia lā. Me ka mālama koke, hoʻōla piha ka hapa nui o nā kānaka a ola i nā ola maʻamau a olakino.

He aha ka Appendicitis?

Hana ʻia ka appendicitis i ka wā e pehu a mumū ai kāu appendix. He ʻeke liʻiliʻi, ʻano manamana lima kāu appendix i waiho ʻia ma ka ʻaoʻao ʻākau lalo o kou ʻōpū, kahi e hui ai kāu mau ʻōpū liʻiliʻi a nui.

Ke pani ʻia ka appendix, hiki i nā bacteria ke hoʻonui i loko, e hoʻokumu ana i ka maʻi a me ka pehu. Hoʻokumu kēia i ka kaomi e ʻoki i ke kahe koko i ka paia appendix, e alakaʻi ana i ka make o nā pūnaewele inā ʻaʻole mālama koke ʻia.

Hoʻopili ka kūlana i nā kānaka o nā makahiki a pau, akā ʻoi aku ka maʻamau ma waena o nā makahiki 10 a me 30. Ma kahi o 1 i 20 mau kānaka e loaʻa i ka appendicitis i ko lākou ola, e lilo ana i mea pilikia lapaʻau maʻamau.

He aha nā Hōʻailona o ka Appendicitis?

ʻO ka hōʻailona nui loa o ka appendicitis ka ʻeha ʻōpū e hoʻomaka ana ma kahi o kou piko a laila neʻe i ka ʻaoʻao ʻākau lalo o kou ʻōpū. Hoʻonui pinepine kēia ʻeha i nā hola he nui a lilo i mea ikaika loa ke neʻe ʻoe, ke kikoʻe ʻoe, a i ʻole ke hanu hohonu.

Eia nā hōʻailona nui āu e ʻike ai:

• ʻEha ʻoi e hoʻomaka ana kokoke i ka piko a neʻe i ka ʻōpū ʻākau lalo
• ʻEha e ʻoi aku ka ʻino me ka neʻe ʻana, ke kikoʻe ʻana, a i ʻole ke kikoʻe ʻana
• Nausea a me ka luaʻi
• Nalowale o ka makemakeʻai
• Fever haʻahaʻa e hiki ke piʻi i ka holomua ʻana o ke kūlana
• Constipation a i ʻole ka diarrhea
• Pehu a i ʻole ka pehu ʻana o ka ʻōpū
• Hiki ʻole ke hoʻokuʻu i ka gas

I kekahi manawa, hiki i ka appendicitis ke hōʻike me nā hōʻailona ʻaʻole maʻamau, ʻoi aku hoʻi i nā keiki, nā ʻelemakule, a me nā wāhine hāpai. Hiki i kēia mau hihia maʻamau ʻole ke hōʻike i ka ʻeha ma nā wahi ʻē aʻe a i ʻole nā ​​hōʻailona palupalu, kahi e paʻakikī ai ka ʻike.

ʻO ka ʻano o ka ʻeha ka mea hōʻike hilinaʻi loa. Hoʻomaka pinepine ia ma ke ʻano he ʻeha palupalu a puni kou piko, a laila lilo i ʻoi aku ka ʻoi a me ka kūikawā i ka ʻaoʻao ʻākau lalo ma kahi o 12 a 24 mau hola.

He aha ka mea e hoʻopuka ai i ka Appendicitis?

Hana ʻia ka appendicitis i ka wā e pani ai kekahi mea i loko o kou appendix, e hana ana i kahi kūpono no nā bacteria e ulu a hoʻoulu i ka maʻi. Hoʻopaʻa ka pani ʻana i nā bacteria i loko, e alakaʻi ana i ka mumū, pehu, a me ka hōʻino ʻana i nā pūnaewele.

He nui nā mea hiki ke hoʻopuka i kēia pani ʻana:

• Kahi ʻōpala paʻakikī a i ʻole ka fecal matter i paʻa i ka puka o ka appendix
• Ka nui o ka lymph tissue i ka paia o ka appendix, pinepine ma muli o nā maʻi viral a i ʻole bacterial
• Nā ilo intestinal a i ʻole nā ​​parasite (ʻoi aku ka maʻamau ma kekahi mau wahi)
• Nā hua liʻiliʻi, nā nati, a i ʻole nā ​​ʻāpana meaʻai ʻē aʻe (ʻoiai ʻaʻole maʻamau kēia e like me ka manaʻo mua)
• Nā tumors a i ʻole nā ​​ulu, ʻoiai he mea maʻamau ʻole kēia
• Trauma a i ʻole ka hōʻino ʻana i ka ʻōpū

I nā hihia he nui, ʻaʻole hiki i nā kauka ke kuhikuhi i ke kumu pololei o ka pani ʻana. ʻO ka mea nui loa ka ʻike ʻana i nā hōʻailona i ka wā mua a loaʻa ka mālama ʻana ma mua o ka hoʻomohala ʻana o nā pilikia.

Ua hānau ʻia kekahi poʻe me nā appendices me nā puka ʻāpana ʻole, e ʻoi aku ka nui o nā pani ʻana. Eia naʻe, hana ʻia ka hapa nui o nā hihia o ka appendicitis me ka ʻole o nā kumu predisposing maopopo.

I ka wā e ʻike ai i ke Kauka no ka Appendicitis?

Pono ʻoe e ʻimi i ka mālama olakino koke inā loaʻa iā ʻoe ka ʻeha ʻōpū nui, ʻoi aku hoʻi inā hoʻomaka ia a puni kou piko a neʻe i kou ʻaoʻao ʻākau lalo. Mai kali e ʻike inā e maikaʻi ka ʻeha ma kona iho.

Kāhea i nā lawelawe pilikia a hele i ka lumi pilikia koke inā loaʻa iā ʻoe:

• ʻEha nui o ka ʻōpū e pale aku ai iā ʻoe mai ke noho mālie ʻana a i ʻole ka loaʻa ʻana o kahi kūlana ʻoluʻolu
• ʻEha e lilo koke ai i mea ʻino loa
• Kona me ka ʻeha o ka ʻōpū
• Luaʻi e pale aku ai iā ʻoe mai ka mālama ʻana i nā wai
• Nā hōʻailona o ka nele wai e like me ka luhi a i ʻole ka waha maloʻo
• ʻEha o ka ʻōpū me ka paʻakikī, me he papa lā ka manaʻo o kou ʻōpū

He mea nui ka manawa me ka appendicitis. Hiki i ka pupuhi ʻana o ka appendix ke alakaʻi i nā pilikia nui, no laila ʻoi aku ka maikaʻi o ka nānā ʻana o ke kauka i ka ʻeha o ka ʻōpū ma mua o ka kali ʻana a me ka pilikia.

Inā ʻaʻole ʻoe maopopo inā pono kāu mau hōʻailona i ka mālama pilikia, mai kānalua e kāhea i kāu kauka a i ʻole kahi laina kelepona olakino no ke alakaʻi. Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo inā pono ʻoe i ka nānā koke.

He aha nā kumu pilikia no ka Appendicitis?

ʻOiai hiki i ka appendicitis ke loaʻa i kekahi, hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai kēia kūlana. Hiki i ka hoʻomaopopo ʻana i kēia mau kumu pilikia ke kōkua iā ʻoe e makaʻala, ʻoiai ka hapa nui o nā hihia e kū mai ana me nā hōʻailona ʻike ʻole.

ʻO nā kumu pilikia nui e komo pū ana:

• Makahiki ma waena o 10 a me 30 mau makahiki (ʻo ka nui o ka hanana e kū mai ana i nā makahiki ʻōpio)
• Mōʻaukala ʻohana o ka appendicitis
• Nā maʻi ʻōpū mua a i ʻole nā ​​kūlana inflammatory bowel
• Kāne (ʻoi aku ka nui o ka pilikia ma mua o nā wahine)
• Cystic fibrosis, hiki ke hana i ka mucus mānoanoa e pani i ka appendix
• Nā maʻi viral a i ʻole bacterial hou i loko o ka ʻōnaehana digestive

ʻO kekahi mau kumu pilikia liʻiliʻi e komo pū ana i kekahi mau kūlana genetic a me nā maʻi o ka ʻōnaehana pale. Hiki i nā kānaka me nā ʻōnaehana pale i hoʻohaʻahaʻa ʻia ke pilikia nui no ka mea he pilikia ko lākou kino e hakakā i nā maʻi.

He mea nui e hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia e hōʻoiaʻiʻo ai e loaʻa iā ʻoe ka appendicitis. He nui nā kānaka me nā mea pilikia he nui ʻaʻole loa e ʻike i ke kūlana, ʻoiai kekahi poʻe ʻaʻohe mea pilikia maopopo i loaʻa iā lākou.

He aha nā hopena hiki ke loaʻa i ka Appendicitis?

Ke hopu koke ʻia ka appendicitis a mālama koke ʻia, he kakaʻikahi nā pilikia a hoʻōla piha ka hapa nui o nā kānaka. Eia naʻe, hiki i ka mālama ʻana i ka wā lōʻihi ke alakaʻi i nā pilikia nui e pono ai ka mālama lapaʻau ākea.

ʻO nā pilikia maʻamau loa e komo pū ana:

• ʻO ka pupuhi ʻana o ka appendix, hiki ke hoʻolaha i ka maʻi ma o ke kino o ka ʻōpū
• Peritonitis (ka maʻi o ka papa o ka ʻōpū), kahi kūlana weliweli i ke ola
• Hoʻokumu ʻia ʻana o ka abscess, kahi e hōʻiliʻili ai nā ʻeke wai maʻi i loko o ka ʻōpū
• Ke pale ʻana o ka ʻōpū mai ka hoʻokumu ʻana o ka ʻili ʻeha
• Sepsis, kahi maʻi nui o ke kino holoʻokoʻa e hiki ke make
• ʻO ka ʻeha ʻōpū lōʻihi i nā hihia kakaʻikahi

ʻO ka pupuhi ʻana o ka appendix ka pilikia nui loa i ka manawa koke. Ke hana kēia, e ninini ʻia nā mea maʻi i loko o kou kino ʻōpū, hiki ke hoʻokumu i ka maʻi ākea e pono ai ka ʻoki kino wikiwiki a me ka mālama ʻana i ka lāʻau antibiotic.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo kēia mau pilikia hiki ke pale ʻia me ka mālama lapaʻau koke. ʻO ia ke kumu e nui ai ka ʻike ʻana i nā hōʻailona koke a loaʻa ka mālama koke.

Pehea ka hōʻoia ʻana o ka Appendicitis?

Hoʻomaka ka hōʻoia ʻana o ka appendicitis me kāu kauka e nīnau ana i kou mau hōʻailona a nānā ana i kou ʻōpū. E kaomi mālie lākou ma nā wahi like ʻole e nānā i ka ʻeha, ka pehu, a me ka pale ʻana o nā ʻiʻo.

E hana paha kāu kauka i kekahi mau hoʻokolohua e hōʻoia i ka hōʻoia:

• Nā ho'okolohua koko e nānā ai i nā hōʻailona o ka maʻi a me ka mumū
• Nā ho'okolohua mimi e kāpae ai i nā pōhaku kidney a i ʻole nā maʻi maʻi mimi
• CT scan o ka ʻōpū, kahi e hāʻawi ai i nā kiʻi kikoʻī o ka appendix
• Ultrasound, kūpono loa no nā keiki a me nā wāhine hāpai
• MRI ma nā hihia kūikawā kahi ʻaʻole kūpono nā CT scan

I kekahi manawa, hoʻohana nā kauka i kahi ʻōnaehana helu e noʻonoʻo ai i kāu mau hōʻailona, nā ʻike loiloi kino, a me nā hopena ho'okolohua e hoʻoholo ai i ka hiki ke loaʻa ka appendicitis. Kūleʻa kēia iā lākou e hana i nā hoʻoholo mālama maikaʻi loa no kāu kūlana kikoʻī.

I kekahi mau hihia, ʻaʻole maopopo koke ka ʻike, a hiki i kāu kauka ke ʻōlelo aku i ka nānā ʻana ma ka haukapila ʻoiai e nānā ana i kāu mau hōʻailona. Kūleʻa kēia ala e hōʻoiaʻiʻo ai e loaʻa iā ʻoe ka mālama kūpono i ka manawa kūpono.

He aha ka mālama ʻana no ka Appendicitis?

ʻO ka mālama nui no ka appendicitis ka wehe ʻana i ka appendix ma ke ʻoki ʻana, i kapa ʻia ʻo ka appendectomy. Hana pinepine ʻia kēia i ka hiki koke loa ma hope o ka ʻike ʻana e pale aku i ka pupuhi ʻana o ka appendix.

Aia nā ʻano ʻoki ʻelua nui:

• Laparoscopic appendectomy: ʻOki liʻiliʻi loa me ka hoʻohana ʻana i nā ʻoki liʻiliʻi a me kahi kāmela
• Open appendectomy: ʻOki kuʻuna ma o kahi ʻoki nui ma ka ʻaoʻao ʻākau lalo o ka ʻōpū
• Nā lāʻau antibiotic ma mua a ma hope o ke ʻoki ʻana e pale aku i ka maʻi
• Nā wai IV e pale aku i ka nele wai
• Lāʻau ʻeha e mālama iā ʻoe i ka ʻoluʻolu

Makemake pinepine ʻia ka ʻoki laparoscopic no ka mea maʻamau e hopena ai i ka ʻeha emi, nā ʻōpala liʻiliʻi, a me ka hoʻōla wikiwiki. Eia naʻe, e koho kāu kauka i ke ala maikaʻi loa ma muli o kāu kūlana kikoʻī.

I kekahi mau hihia, ʻoiai ke hana ʻia kahi abscess, hiki i kāu kauka ke ʻōlelo aku i ka mālama ʻana i nā lāʻau antibiotic ma mua o ke ʻoki ʻana e hoʻemi i ka mumū. Pono kēia ala i ka nānā pono ʻana ma ka haukapila.

Ua noiʻi hou ʻia ka hoʻohana ʻana i nā lāʻau lapaʻau wale nō no kekahi mau hihia o ka appendicitis, akā ʻo ka ʻoki kino nō ka hana maikaʻi loa no ka hapa nui o nā mea maʻi.

Pehea e Mālama Ai iā ʻOe Iho i ka Wā Hoʻōla?

ʻO ka hoʻōla ʻana mai ka appendectomy he mea maʻalahi pinepine, me ka hoʻi ʻana o ka hapa nui o nā kānaka i nā hana maʻamau i loko o kekahi mau pule. ʻO ka hahai pono ʻana i nā ʻōlelo a kāu kauka e kōkua i ka hoʻoikaika ʻana i kahi kaʻina hoʻōla maikaʻi.

Eia nā mea āu e manaʻo ai i ka wā hoʻōla:

• E hoʻomaha i nā lā mua ma hope o ka ʻoki kino
• E lawe i nā lāʻau ʻeha i kuhikuhi ʻia e like me ke kuhikuhi
• E hoʻomaka me nā hana māmā a hoʻonui mālie i kou manaʻo ʻana i ka maikaʻi
• E mālama i kou wahi ʻoki maʻemaʻe a maloʻo
• E pale i ka hāpai kaumaha (ma mua o 10 paona) no 2-4 mau pule
• E hahai me kāu kauka ʻoki e like me ka hoʻonohonoho ʻia

Hiki i ka hapa nui o nā kānaka ke hoʻi i ka hana a i ʻole ke kula i loko o hoʻokahi pule inā he hana papa kā lākou, ʻoiai ʻo ka hana kino paʻakikī paha e pono ai ka manawa hoʻōla lōʻihi. E hoʻolohe i kou kino a mai wikiwiki i ka hoʻi ʻana i nā hana ikaika loa.

E nānā i nā hōʻailona o nā pilikia e like me ka ʻeha nui, ke kuni, ka ʻulaʻula a puni nā wahi ʻoki, a i ʻole ka pilikia o ka mimi. E kelepona koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hopohopo i ka wā hoʻōla.

Pehea ʻOe E Hoʻomākaukau Ai no kāu Hālāwai Kauka?

Inā manaʻo ʻoe ua loaʻa paha iā ʻoe ka appendicitis, hiki i ka hoʻomākaukau ʻana no kāu kipa lapaʻau ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mālama maikaʻi loa. Eia naʻe, inā ʻeha nui ʻoe, mai hoʻokaʻulua i ka ʻimi ʻana i ka mālama pilikia e hoʻomākaukau.

Eia pehea e hoʻomākaukau ai no kāu hālāwai:

• E kākau i ka manawa i hoʻomaka ai kāu mau hōʻailona a pehea lākou i holomua ai
• E papa inoa i nā lāʻau āpau āu e lawe nei i kēia manawa
• E hoʻomaopopo i nā maʻi a i ʻole nā ​​maʻi hou
• E lawe mai i kahi papa inoa o nā nīnau āu e makemake ai e nīnau
• E loaʻa i kekahi e hele pū me ʻoe inā hiki
• E lawe mai i kāu ʻike inikua a me ka ID

E ho'āʻo e hoʻomanaʻo i nā kikoʻī kikoʻī e pili ana i kou ʻeha, e like me ka manawa i hoʻomaka ai, kahi i ʻeha nui ai, a me nā mea e hoʻomaikaʻi ai a ʻoi aku ka ʻino paha. Kūleʻa kēia ʻike i nā kauka e hana i kahi hōʻailona pololei.

Mai ʻai a inu i kekahi mea ma mua o kāu kūkā, ʻoiai e pono paha ʻoe i ka ʻoki kino koke. Inā ke lawe nei ʻoe i nā lāʻau lapaʻau maʻamau, e nīnau i nā limahana lapaʻau inā pono ʻoe e hoʻomau i ka lawe ʻana iā lākou.

Hiki ke pale ʻia ka Appendicitis?

ʻAʻole maikaʻi, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i ka appendicitis, ʻoiai ʻike ʻole pinepine ʻia ke kumu pololei. Eia naʻe, hiki i ka mālama ʻana i ke olakino maikaʻi holoʻokoʻa ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o nā maʻi e hiki ke hoʻopili i ka appendicitis.

ʻO kekahi mau hana olakino maʻamau e kōkua ai:

• ʻAi i ka ʻai nui i ka fiber e hoʻoikaika i ka ʻai maikaʻi
• E noho mau i ka wai
• E hana i ka hoʻoikaika kino maʻamau
• E hana i ka hoʻomaʻemaʻe maikaʻi e pale aku i nā maʻi
• E hoʻokele i nā pae kaumaha

ʻOiai ke kākoʻo nei kēia mau hana i ke olakino holoʻokoʻa, ʻaʻole hiki iā lākou ke hōʻoia ʻaʻole ʻoe e loaʻa i ka appendicitis. ʻO ka mea nui loa ka ʻike ʻana i nā hōʻailona a me ka ʻimi ʻana i ka mālama lapaʻau koke inā loaʻa lākou.

Ua manaʻo kekahi mau haʻawina ua emi ka nui o ka appendicitis i nā poʻe e ʻai nui ana i ka fiber, akā ʻaʻole i hōʻoia ʻia kēia pilina. E nānā i ka mālama ʻana i kahi ola olakino no kou olakino holoʻokoʻa ma mua o ka ho'āʻo kūikawā e pale aku i ka appendicitis.

He aha ka lawe nui e pili ana i ka Appendicitis?

He pilikia olakino maʻamau ka Appendicitis e pono ai ka mālama koke, akā he mea maʻalahi loa ke mālama ʻia inā hopu ʻia i ka wā mua. ʻO ke kī ka ʻike ʻana i nā hōʻailona hoʻomaopopo a ʻaʻole hoʻokaʻulua i ka mālama lapaʻau ke loaʻa ka ʻeha ʻōpū nui.

E hoʻomanaʻo i ka ʻeha ʻōpū e hoʻomaka ana a puni kou piko a neʻe i ka ʻaoʻao ʻākau lalo ka hōʻailona maʻamau. Ke hui pū ʻia me ka nausea, ke kuni, a i ʻole ka luaʻi, pono koke kēia mau hōʻailona i ka mālama lapaʻau.

Me nā ʻenehana ʻoki kino hou a me ka mālama lapaʻau kūpono, ʻo ka hapa nui loa o nā kānaka me ka appendicitis e ola hou loa a hoʻi i ko lākou ola maʻamau. Mai hopohopo ʻoe mai ke noi ʻana aku i ke kōkua inā loaʻa iā ʻoe nā hōʻailona hopohopo.

Hilinaʻi i kou manaʻo ponoʻī e pili ana i kou kino. Inā manaʻo ʻoe he mea hewa nui, ʻoi aku ka maikaʻi o ka nānā ʻana e kahi kauka ma mua o ka kali ʻana a me ka pilikia i nā pilikia.

Nā Nīnau Pinepine e pili ana i ka Appendicitis

Hiki iā ʻoe ke ola maʻamau me ka ʻole o ka appendix?

ʻAe, hiki iā ʻoe ke ola maʻamau loa me ka ʻole o kāu appendix. ʻOiai ke manaʻo nei nā kānaka ʻepekema he mea liʻiliʻi paha ka appendix i ka hana pale ʻana, ʻaʻole ia e hoʻopilikia i ke olakino lōʻihi. He miliona nā kānaka i lawe ʻia ko lākou appendix a ola lākou i ke ola olakino a me ka hana me ka ʻole o nā palena ʻai a i ʻole nā ​​hoʻololi i ke ola.

Pehea ka lōʻihi o ka ʻeha appendicitis ma mua o ka pahū ʻana o ka appendix?

ʻO nā hōʻailona appendicitis e ulu maʻamau i loko o 12 a 24 mau hola, ʻoiai hiki ke loli kēia. Hiki i ka appendix ke pahū mai 48 a 72 mau hola ma hope o ka hoʻomaka ʻana o nā hōʻailona, ​​akā ʻaʻole hiki ke wānana ʻia kēia manawa. Hiki i ka appendix o kekahi poʻe ke pahū koke, ʻoiai kekahi poʻe e loaʻa paha nā hōʻailona no kekahi mau lā ma mua o ka pahū ʻana. ʻO ia ke kumu e pono ai ka nānā ʻana i ke kauka koke me ka nānā ʻole i ka lōʻihi o kou loaʻa ʻana o nā hōʻailona.

Hiki i ka appendicitis ke hele mai a hele aku, a i ʻole e ʻoi aku ka maikaʻi?

ʻAʻole maʻamau ka appendicitis maoli e hele mai a hele aku - ʻoi aku ka maikaʻi o ka ʻeha ma mua o ka manawa. Inā manaʻo ʻoe ua hoʻomaikaʻi nui kāu ʻeha ʻōpū a laila hoʻi hou mai, he kūlana ʻē aʻe paha ia. Eia naʻe, loaʻa i kekahi poʻe ka mea i kapa ʻia ʻo

ʻOi aku ka paʻakikī o ka ʻike ʻana i ka appendicitis i nā keiki liʻiliʻi loa a me nā ʻelemakule ma muli o ka hiki ʻole iā lākou ke hōʻike mai i nā hōʻailona maʻamau. ʻAʻole hiki paha i nā keiki liʻiliʻi ke wehewehe pono i ko lākou ʻeha, ʻoiai he nāwaliwali paha nā hōʻailona o nā ʻelemakule. Eia naʻe, me ka mālama lapaʻau kūpono, maikaʻi loa nā hopena no nā hui makahiki a pau, ʻoiai ʻoi aku paha ka nui o nā pilikia i nā mea maʻi ʻōpio loa a i ʻole nā ​​ʻelemakule.

Hiki iā ʻoe ke kuhi hewa i ka appendicitis no kekahi mea ʻē aʻe?

ʻAe, hiki ke huikau ʻia ka appendicitis i kekahi manawa me nā kūlana ʻē aʻe e like me nā pōhaku kidney, nā maʻi o ke ala mimi, nā cysts ovarian, a i ʻole ka maʻi inflammatory bowel. ʻO ia ke kumu e hana ai nā kauka i nā hoʻokolohua a me nā hoʻokolohua he nui e hōʻoia i ka ʻike. Inā ʻeha nui kou ʻōpū, e ʻae i nā limahana lapaʻau e hoʻoholo i ke kumu ma mua o ka ho'āʻo ʻana e hoʻoholo iā ʻoe iho.