He aha ngā whakamārama o te rerekētanga o ngā kōhatu kōpū me ngā kōhatu whatukuhu?

Ko nga kōhatu huka me nga kōhatu whatukuhu he rua o ngā raruraru hauora whānui e taea te tini o te mamae, ā, me āwhina pea te taote. He mea nui kia mōhio koe ki te rerekētanga o rāua.

Ngā kōhatu huka ka hanga ki roto i te putea huka, ā, ko te nuinga o te kolesterol rānei te bilirubin. He tino whānui, ā, e pā ana ki te 10-15% o ngā tāngata pakeke i te United States. Ka rere ke ngā tohu mai i te kore ngāwari o te puku ki te mamae nui, ā, ki te kōwhai o te kiri (jaundice). He mea nui te hopu i ngā kōhatu huka i te wā wawe kia kore ai e puta ngā raruraru nui.

Ngā kōhatu whatukuhu, i tetahi atu taha, ka whānau ki roto i ngā whatukuhu ina hanga ngā kohuke me ngā tote, ka pakari. E tata ana ki te 12% o ngā tāngata pakeke ka whiwhi i te kōhatu whatukuhu i tētahi wā o ō rātou oranga. Ka taea e ēnei kōhatu te tini o te mamae, te toto i roto i te mimi, me te hiahia ki te mimi pinepine. Ko te tikanga ka whakamahi ngā tākuta i ngā whakamātautau whakaahua hei whakatau, ā, ka whakawhirinaki ngā whiringa maimoatanga ki te rāhi me te momo kōhatu.

Ahakoa ka rite ngā tohu o ngā kōhatu huka me ngā kōhatu whatukuhu, ka hanga rerekē rāua, ā, kāore ngā take me ngā take tūponotanga e rite.

He mea nui te mōhio ki ēnei rerekētanga mō te whiwhi i te maimoatanga tika me te aukati. Mā te mārama ki ngā kōhatu huka me ngā kōhatu whatukuhu, ka taea e te iwi te whakahaere pai i ēnei raruraru hauora whānui.

He aha ngā kōhatu huka?

Ko ngā kōhatu huka he ngā pūhui pakari e hanga ana ki roto i te putea huka, he iti te kōpū kei raro i te ate e pupuri ana i te huka, e āwhina ana i te tākai. Ka rerekē te rāhi o ēnei kōhatu, mai i ngā pūhui iti ki ngā mea nui, te rāhi o te pōro korowhiti, ā, ka taea te tini o te kore ngāwari, te raruraru nui rānei.

1. Ngā momo kōhatu huka

• Ngā kōhatu huka kolesterol: Koinei te momo tino whānui, ā, ko te nuinga o te kolesterol pakari. Ka hanga ina nui rawa te kolesterol i roto i te toto.

• Ngā kōhatu huka tae: Ko ēnei kōhatu iti ake i hangaia mai i te bilirubin nui, he mea e puta ana ina wawahia e te tinana ngā pū toto whero. He pouri ake ngā kōhatu tae, ā, he maha ngā wā e hono ana ki ngā āhuatanga e pā ana ki te ate, ki ngā pū toto whero rānei.

2. Ngā take me ngā take tūponotanga

• Te momona: Ka piki ake te taumaha nui te tūponotanga o te whānautanga o ngā kōhatu huka kolesterol nā te nui ake o te taumata kolesterol i roto i te huka.

• Te hapu: Ka taea e ngā huringa homoni i te wā hapu te piki ake o te tūponotanga o te hanga kōhatu huka.

• Te tau me te ira tangata: He maha ngā kōhatu huka i roto i ngā tāngata neke atu i te 40, ā, i roto i ngā wāhine, inā koa rātou kua maha ngā hapu.

• Kai: Ka taea e te kai momona nui, te kai iti-pūngāwerewere te whakauru ki te hanga kōhatu huka.

3. Ngā tohu o ngā kōhatu huka

• Ka kore pea he tohu ngā kōhatu huka, engari ki te aukati rātou i ngā ngongo huka, ka taea te tini o te mamae (biliary colic), te ruaki, me te ruaki. E mohiotia ana tenei āhuatanga ko te whakaeke putea huka.

4. Ngā whiringa maimoatanga

• Ka taea e ngā maimoatanga kore-mātauranga te whakauru i ngā rongoā, lithotripsy rānei (maimoatanga ngaru whakangā). Heoi, ko te maimoatanga tino whānui mō ngā kōhatu huka ko te mātauranga hei tango i te putea huka (cholecystectomy).

He aha ngā kōhatu whatukuhu?

Ko ngā kōhatu whatukuhu he iti, he pūhui pakari o ngā kohuke me ngā tote e hanga ana i roto i ngā whatukuhu. Ka taea e ēnei kōhatu te rerekē i te rāhi mai i ngā konganuku iti ki ngā kōhatu nui ake, te mamae ake e aukati ana i te ara mimi.

1. Ngā momo kōhatu whatukuhu

• Ngā kōhatu kāratiuma: Ko te momo tino whānui, i hangaia mai i te kāratiuma oxalate, te kāratiuma phosphate rānei, he maha ngā wā e hono ana ki ngā taumata kāratiuma nui i roto i te mimi.

• Ngā kōhatu Struvite: Ka hanga ēnei kōhatu hei whakautu ki ngā mate mimi, ā, he tino nui, ā, ka taea te tipu tere.

• Ngā kōhatu waikawa uric: Ka hanga ina nui rawa te waikawa uric i roto i te mimi, he maha ngā wā nā te kore wai, te kai nui rānei i ngā kai nui-purine penei i te mīti.

• Ngā kōhatu Cystine: He onge ēnei, ā, ka hanga nā te mate pūtau e kiia nei ko te cystinuria, e tini ana te taumata o te cystine i roto i te mimi.

2. Ngā take me ngā take tūponotanga

• Te kore wai: Ka ārai te kore inu wai ki te mimi tāpiri, e piki ake ana te tūponotanga o te hanga kōhatu.

• Ngā take kai: Ka taea e te kai nui o te konutai, ngā oxalates, me te pūmua kararehe te whakauru ki ngā kōhatu whatukuhu.

• Te hītori whānau: Ka takaro te ira tangata, ā, kei te tūponotanga teitei ngā tāngata he hītori whānau o ngā kōhatu whatukuhu.

• Ngā āhuatanga hauora: Ka taea e ngā āhuatanga penei i te hyperparathyroidism, te momona, me te mate huka te piki ake o te tūponotanga o te whānautanga o ngā kōhatu whatukuhu.

3. Ngā tohu o ngā kōhatu whatukuhu

• Ka taea e ngā kōhatu whatukuhu te tini o te mamae, ko te tikanga i te tuara, i te taha rānei, te hematuria (toto i roto i te mimi), te mimi pinepine, me te ruaki.

4. Ngā whiringa maimoatanga

• Te whakahaere mamae: He maha ngā wā e whakamahia ana ngā rongoā hei whakahaere i te mamae.

• Ngā mahi whakahaere: Mō ngā kōhatu nui, ka hiahiatia pea ngā maimoatanga penei i te lithotripsy (maimoatanga ngaru whakangā) te mātauranga rānei hei wawahi, hei tango rānei i ngā kōhatu.

Te aromatawai whakarite: Ngā kōhatu huka vs Ngā kōhatu whatukuhu

Ko ngā kōhatu huka me ngā kōhatu whatukuhu he āhuatanga mamae e rua e pā ana ki te hanga o ngā pūhui pakari, engari ka puta rerekē ngā kōpū, ā, he rerekē ngā take, ngā tohu, me ngā maimoatanga. Koinei te whakarite o ngā rua:

1. Te wāhi

• Ngā kōhatu huka: Ka hanga ki roto i te putea huka, he iti te kōpū kei raro i te ate e pupuri ana i te huka.

• Ngā kōhatu whatukuhu: Ka whānau ki roto i ngā whatukuhu, e kawenga ana mō te tākai i te paru mai i te toto me te hanga mimi.

2. Te hanganga

• Ngā kōhatu huka: Ko te nuinga o te kolesterol te bilirubin rānei (ngā kōhatu tae).

• Ngā kōhatu whatukuhu: Ko te nuinga o te kāratiuma, te waikawa uric rānei, te cystine rānei, kei runga i te momo.

3. Ngā take

• Ngā kōhatu huka: Ko te tikanga i puta mai i ngā taumata kolesterol nui, te momona, ngā huringa homoni rānei, etahi mate rānei.

• Ngā kōhatu whatukuhu: I puta mai i te kore wai, ngā take kai, ngā āhuatanga hauora penei i te mate huka, te tūponotanga ira tangata rānei.

4. Ngā tohu

• Ngā kōhatu huka: He maha ngā wā ka kore he tohu, engari ka taea te tini o te mamae i te puku o runga, te ruaki, te ruaki, me te biliary colic ki te aukati rātou i ngā ngongo huka.

• Ngā kōhatu whatukuhu: Ka tini te mamae nui, ko te tikanga i te tuara o raro, i te taha rānei, te hematuria, te ruaki, me te mimi pinepine.

5. Te maimoatanga

• Ngā kōhatu huka: Ko te tikanga ka maimoatia ki te cholecystectomy (te tango i te putea huka) ki te puta ngā tohu.

• Ngā kōhatu whatukuhu: ka maimoatia ki te whakahaere mamae, te wai, me ngā mahi penei i te lithotripsy te mātauranga rānei hei tango i ngā kōhatu nui ake.

Te whakarapopototanga

Ka hanga ngā kōhatu huka ki roto i te putea huka, ā, ko te nuinga o te kolesterol te bilirubin rānei, ā, ka whānau ngā kōhatu whatukuhu ki roto i ngā whatukuhu, ko te tikanga o te kāratiuma, te waikawa uric rānei, te cystine rānei. Ko te tikanga o ngā kōhatu huka ko te kolesterol nui, te momona, ngā huringa homoni rānei, ā, ka kore pea he tohu kia tae rawa ki te aukati i ngā ngongo huka, te tini o te mamae, te ruaki, te ruaki rānei. I tetahi atu taha, ka puta mai ngā kōhatu whatukuhu i te kore wai, te kai, ngā āhuatanga hauora rānei, ā, ka tini te mamae nui i te tuara, i te taha rānei, te toto i roto i te mimi, me te mimi pinepine.

Ko te maimoatanga mō ngā kōhatu huka ko te tango i te putea huka (cholecystectomy), ā, ka whakahaeretia ngā kōhatu whatukuhu ki te whakaora i te mamae, te wai, me ngā mahi penei i te lithotripsy te mātauranga rānei mō ngā kōhatu nui ake. Ahakoa ngā rite o te tini o te mamae, he rerekē ngā kōhatu huka me ngā kōhatu whatukuhu i ō rātou take, tohu, me ngā maimoatanga.