He aha te Cholecystitis? Tohutohu, Take, me te Maimoatanga

Ko te cholecystitis te mumura o tō pouaka kohuke, he iti te whekau kei raro i tō ate, ā, e āwhina ana i te whakahaere i ngā ngako. Ka mumura tō pouaka kohuke, ka taea e ia te tuku i te mamae nui me te kore āta, i te nuinga o te wā i roto i tō puku matau o runga. E pā ana tenei āhuatanga ki te miriona o te iwi ia tau, ā, he rereke mai i ngā wāhanga ngawari e mutu ana i a rātou anō ki ngā take nui e hiahia ana ki te tiaki hauora tonu.

He aha te Cholecystitis?

Ka puta te cholecystitis ina pupuhi te pakitara o tō pouaka kohuke, ā, ka whakaohooho. Ko tō pouaka kohuke he rite ki te putea iti e pupuri ana i te bile, he wai whakahaere kai e hangaia ana e tō ate hei wawahi i ngā ngako i roto i tō kai.

Ina pā te mumura, ka kore e taea e tō pouaka kohuke te mahi tika. Ka aukati pea te pupuhi i te rere o te bile, ka arahi ki te mamae me ētahi atu tohu kore āta. Whakaarohia he aukati i roto i tō pūnaha whakahaere kai.

Ko te nuinga o ngā take ka puta tere, ā, ka kiia he cholecystitis koi. Heoi, ko ētahi tāngata ka pā ki te cholecystitis roa, kei reira te mumura e whanake ana i te roa o ngā marama, o ngā tau rānei. Ka taea e ngā momo e rua te pā kino ki tō oranga o ia rā ki te kore e tukatuka.

He aha ngā Tohutohu o te Cholecystitis?

Ko te tohu tino noa ko te mamae nui i roto i tō puku matau o runga, e horapa ana ki tō pokohiwi matau, ki tō tua rānei. Ka puta pēnē te mamae, ā, ka taea te mārama, te kopikopiko, te mau tonu rānei.

Ko ēnei ngā tohu matua ka pā pea koe:

• Te mamae o te puku ka kino ake ina manawa hohonu koe
• Te ruaki me te ruaki, ina koa i muri i te kai i ngā kai ngako
• Te kirika me te wiri ina pā te mate
• Te ngawari ina pa ki tō puku matau o runga
• Te pupuhi me te ahua kī tonu
• Te ngaro o te hiahia kai

Ka kite pea ētahi i te kino o ō rātou tohu i muri i te kai, ina koa ngā kai nui te ngako. Ka timata pea te mamae i te ngawari, engari ka tere te kino ki te āwangawanga i ngā mahi noa.

I roto i ngā take onge, ka pā pea koe ki te jaundice (te kōwhai o tō kiri me ō kanohi) ki te aukati tetahi kohatu bile i tō ara bile. He uaua ake tenei, ā, e hiahia ana ki te tiaki hauora tonu.

He aha ngā Momo o te Cholecystitis?

E rua ngā momo matua o te cholecystitis: koi me te roa. Ka whanake tere te cholecystitis koi, i roto i ngā haora, ā, ka tuku i ngā tohu nui, tere, e hiahia ana ki te tiaki hauora tere.

Ko te cholecystitis koi te hua i te nuinga o ngā kohatu bile e aukati ana i ō ara bile. Ka mau te aukati i te bile i roto i tō pouaka kohuke, ka arahi ki te pehanga, te mumura, me te mate i etahi wa. E hiahia ana tenei momo ki te noho i te hohipera me te maimoatanga tonu.

Ka whanake haere te cholecystitis roa i roto i ngā marama, i ngā tau rānei. Ka mātotoru te pakitara o tō pouaka kohuke, ā, ka toka mai i ngā wāhanga mumura ngawari. Ahakoa he iti ake te kino o ngā tohu i ngā take koi, ka taea tonu e te cholecystitis roa te tuku i te kore āta me ngā take whakahaere kai.

He momo iti ake te cholecystitis acalculous, e puta ana kahore he kohatu bile. E pā ana tenei momo ki ngā tāngata e mate kino ana, he mate nui, he mamae nui rānei. E tohu ana i te 5-10% o ngā take cholecystitis katoa.

He aha ngā Take o te Cholecystitis?

Ko ngā kohatu bile te take o te 95% o ngā take cholecystitis. Ka hangaia ēnei mea iti, pakeke ina kore te rite o ngā mea i roto i tō bile, ā, ka whakaputa kohatu.

Ko ēnei ngā take matua kei muri i tenei āhuatanga:

• Ngā kohatu bile e aukati ana i te tūpuka e kawe ana i te bile mai i tō pouaka kohuke
• Te paru bile (bile mātotoru, piripiri) ka kore e taea te rere tika
• Ngā mate pukupuku e aukati ana i te rere o te bile, ahakoa he onge tenei
• Te mate kino, te pokanga nui rānei e pā ana ki te rere o te toto ki tō pouaka kohuke
• Ētahi mate e taea te whakaohooho i tō pouaka kohuke tika
• Ngā raruraru toto e whakaiti ana i te rere o te toto ki te pouaka kohuke

Ina aukati ngā kohatu bile i ō ara bile, ka hoki te bile ki tō pouaka kohuke. Ka hanga tenei pehanga me te whakaohooho, ka arahi ki te mumura me te mamae.

He iti ake te noa, ka taea te whanake cholecystitis kahore he kohatu bile. Ka puta pea tenei ki ngā tāngata e mate kino ana, he mate huka, he nui te ahotea tinana penei i te pokanga, i te tahunga nui rānei.

Nōhea te Tiro ki te Taakuta mō te Cholecystitis?

Me rapu tonu koe i te tiaki hauora ina pā koe ki te mamae nui o te puku kaore e pai ake i roto i ngā haora torutoru. Kaua e ngana ki te whakamātau, ina koa ki te pā te mamae ki te kirika, ki te wiri, ki te ruaki rānei.

Karanga atu ki tō taakuta ina kite koe i te kōwhai o tō kiri, o ō kanohi rānei, no te mea ka tohu pea tenei i te ara bile kua aukati. Ko te kirika nui (neke atu i te 101°F) me te mamae o te puku e hiahia ana ki te aromatawai hauora tonu.

Ahakoa ngā tohu ngawari ake e tika ana te aro ki te mau tonu mō te ra kotahi, rua rānei. Ko te ruaki tonu, te ngaro o te hiahia kai, me te mamae o te puku i muri i te kai ka tohu pea i te cholecystitis e hiahia ana ki te aromatawai ngaio.

Whakaarohia ō whakaaro mō tō tinana. Ki te he tetahi mea, ki te manukanuka rānei koe mō ō tohu, he pai tonu te tūpato me te whakapiri atu ki tō kaiwhakarato hauora.

He aha ngā Take Pānga mō te Cholecystitis?

He maha ngā mea ka taea te whakapiki i tō tūponotanga ki te whanake cholecystitis, me te pakeke me te ira tangata e tākaro ana i ngā tūāhutanga nui. He maha atu ngā wāhine e pā ana ki ngā kohatu bile me te cholecystitis, ina koa ngā wāhine neke atu i te 40.

Ko ēnei ngā take pānga matua hei matawai:

• Ko te wahine, ina koa ngā wāhine neke atu i te 40
• Te hītori whānau o te mate pouaka kohuke
• Te momona, te ngaro tere o te taumaha rānei
• Te hapu, te hapu hou rānei
• Te mate huka, te aukati insulin rānei
• Ngā taumata cholesterol teitei
• Te noho noa
• Te kai nui te ngako, iti te muka rānei
• Ētahi rongoā penei i ngā pire whakahaere whānau, i te rongoā hormone rānei

Ko ētahi rōpū iwi, tae atu ki ngā Māori me ngā Mexican Americans, he nui ake te nui o te mate pouaka kohuke. He mea nui te pakeke, no te mea ka piki te tūponotanga i muri i te 60.

Ko te ngaro tere o te taumaha, mai i te kai, i te pokanga bariatric rānei, ka taea te whakaputa kohatu bile. He mea whakamiharo, ko te momona me te ngaro ohorere o te taumaha e hanga ana i ngā āhuatanga e tautoko ana i te whanaketanga cholecystitis.

He aha ngā Uaua pea o te Cholecystitis?

Ahakoa ko te nuinga o ngā take cholecystitis e mutu ana me te maimoatanga tika, ka taea e te mumura kore e tukatuka te arahi ki ngā uaua nui. Ko ēnei uaua te take e nui ai te rapu i te tiaki hauora tere.

Ko ngā uaua tino noa ko ēnei:

• Te mate o te pouaka kohuke (empyema), ka taea te horapa ki ngā whekau tata
• Te pakaru, te rua rānei o te pouaka kohuke, ka arahi ki te rere o te bile ki tō puku
• Te gangrene o te kiko pouaka kohuke ina whakaitihia te rere o te toto
• Te aukati ara bile e tuku ana i te jaundice me ngā raruraru ate
• Te pancreatitis ki te aukati ngā kohatu bile i te ara pancreatic
• Te hanga abscess i te taha o te pouaka kohuke

Ka taea e ēnei uaua te mate, ā, e hiahia ana ki te pokanga tere. Ka taea te horapa o te mate puta noa i tō puku, ka whakaputa i te āhuatanga e kiia nei ko te peritonitis e hiahia ana ki te maimoatanga tere.

Heoi, me te tiaki hauora tere, ko te nuinga o te iwi me te cholecystitis ka ora katoa kahore he uaua nui. Ko te whakauru tere te matua ki te aukati i ēnei hua kino ake.

Me pēhea te Aukatanga o te Cholecystitis?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te cholecystitis, ka taea e ētahi whiringa oranga te whakaiti nui i tō tūponotanga. Ko te matua ko te pupuri i ngā tikanga e tautoko ana i te mahi hauora o te pouaka kohuke me te aukati i te hanga kohatu bile.

Aro atu ki te pupuri i te taumaha hauora mā ngā tikanga atawhai, pumau, kaua ki te kai tere. Ka taea e te ngaro tere o te taumaha te whakaputa kohatu bile, na reira kia 1-2 pauna ia wiki ki te hiahia koe ki te ngaro taumaha.

Kai i te kai rite e nui ana te muka mai i ngā hua, ngā huawhenua, me ngā witi katoa. Whakamāramahia ngā ngako makariri me ngā kai tukatuka, ka taea te awhina i te whanaketanga kohatu bile. Ka āwhina hoki ngā kai noa ki te whakaheke tika i tō pouaka kohuke.

Noho mahi tinana me te whakakori noa, ahakoa he haere noa mō te 30 meneti i te nuinga o ngā rā. Ka āwhina te mahi tinana ki te pupuri i ngā taumata cholesterol hauora me te tautoko i te hauora whakahaere kai.

Ki te nui tō tūponotanga na te hītori whānau, ētahi atu mea rānei, korerohia ngā tikanga aukati ki tō taakuta. Ka tūtohu pea rātou i ngā whakarereketanga kai motuhake, ki te tirotiro rānei i a koe mō ngā tohu o mua o ngā raruraru pouaka kohuke.

Me pēhea te Whakatau o te Cholecystitis?

Ka tīmata tō taakuta mā te uiui mō ō tohu me te tirotiro i tō puku, ina koa te tirotiro i te ngawari i tō taha matau o runga. Ka whakarongo hoki rātou ki tō hītori hauora me tetahi hītori whānau o te mate pouaka kohuke.

Ko ngā whakamātau toto te mahi whakatau tuatahi. Ka taea e ēnei te whakaatu i ngā tohu o te mumura, te mate, te raruraru mahi ate rānei e tohu ana i te cholecystitis. Ko te maha o ngā pūtau toto ma e tohu ana i te mumura, i te mate rānei.

Ka homai e ngā whakamātau whakaahua te whakaahua marama o te mea kei te puta i roto i tō pouaka kohuke. Ko te ultrasound te whakamātau whakaahua tuatahi no te mea he haumaru, he kore mamae, ā, he tino whai hua ki te kite i ngā kohatu bile me te mumura pouaka kohuke.

I etahi wā, ka tono pea tō taakuta i te CT scan, i te MRI rānei mō ngā whakaahua taipitopito ake. Ka taea e te whakamātau motuhake e kiia nei ko te HIDA scan te whakaatu i te pai o te mahi a tō pouaka kohuke mā te whai i te rere o te tohu pāpāho i roto i ō ara bile.

Ka āwhina ēnei whakamātau ki tō taakuta ki te whakatau kaua ko te cholecystitis anake, engari te kino o te āhuatanga me te huarahi maimoatanga e pai ana mō tō āhuatanga.

He aha te Maimoatanga mō te Cholecystitis?

Ko te maimoatanga mō te cholecystitis e whakawhirinaki ana ki te kino o tō āhuatanga me te mea kei reira ngā uaua. Ko te nuinga o ngā take e hiahia ana ki te noho i te hohipera, i te tīmatanga, mō te whakahaere mamae me te tirotiro.

Ko te maimoatanga tonu e whakauru ana i ngā wai intravenous, te rongoā mamae, me ngā antibiotics ki te whakapaehia te mate. Ka tūtohu pea tō taakuta ki te nohopuku i te tīmatanga kia hoatu ki tō pouaka kohuke te wā ki te okioki me te whakaiti i te mumura.

Ko te pokanga te maimoatanga tino pai mō te nuinga o ngā take cholecystitis. Ko te laparoscopic cholecystectomy (te tango i te pouaka kohuke mā ngā wahi iti) te huarahi noa. Ko tenei mahi iti te nui e taea ai te ora tere atu i te pokanga tuwhera.

Ko te wā o te pokanga e whakawhirinaki ana ki tō āhuatanga motuhake. Ko ētahi tāngata e pokanga ana i roto i ngā haora 24-48 o te whakatau, ko ētahi atu pea ka tatari kia mutu te mumura koi. Ka whakatau tō rōpū pokanga i te wā pai rawa atu i runga i tō hauora whānui me te kino o ngā tohu.

Mō ngā tāngata kaore e taea te pokanga na ētahi atu āhuatanga hauora, ka whakaarohia pea ngā maimoatanga atu penei i ngā mahi whakaheke, i ngā rongoā rānei hei whakakore i ngā kohatu bile, ahakoa ko te pokanga tonu te otinga pai rawa atu mō te roa.

Me pēhea te Tango i te Maimoatanga Kāinga i te wā o te Cholecystitis?

Ahakoa ko te cholecystitis e hiahia ana ki te maimoatanga hauora, he mahi tautoko ka taea e koe te mahi i te kāinga hei awhina i te whakahaere i ngā tohu me te awhina i tō ora. Whai tonu i ngā tohutohu motuhake a tō taakuta, ā, kaua e ngana ki te whakaora i ngā tohu nui māu anō.

Ko te whakahaere mamae i te kāinga me ngana noa mō ngā tohu ngawari, ki te tohutohu rānei e tō kaiwhakarato hauora. Ka āwhina pea ngā kai whakaora mamae penei i te acetaminophen, engari kaua e whakamahi i te aspirin, i te ibuprofen rānei no te mea ka taea te whakapiki i te raru toto ki te hiahia ki te pokanga.

I te wā e ora ana, aro atu ki te kai i ngā kai iti, noa e iti ana te ngako. Tīmata ki ngā wai mā, ā, ka haere haere ki ngā kai ngawari penei i te totoa, te raihi, me ngā panana e manawanui ana. Kaua e kai i ngā kai ngako, kohua, piripiri rānei e taea te whakaputa tohu.

Whakamahia te wera ngawari ki tō puku matau o runga mā te whakamahi i te papa wera i te taumata iti mō te 15-20 meneti ia wā. Ka taea e tenei te tuku i ētahi whakamārama, engari kaua e whakamahi wera ki te pā koe ki te kirika, ki ngā tohu mate rānei.

He mea nui te okioki mō te ora. Kaua e mahi uaua, ā, kia nui te moe hei awhina i tō tinana ki te ora. Kia makona te wai mā te inu wai puta noa i te rā, ina koa ki te ruaki koe.

Me pēhea te Whakamahere mō tō Hui Taakuta?

I mua i tō hui, tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te mea e pai ake ai, e kino ake rānei. Tātaihia ngā kai, ngā mahi rānei e āwangawanga ana i tō mamae, no te mea ka āwhina tenei i tō taakuta ki te whakatau tika.

Whakamahia he rārangi katoa o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā rongoā, ngā rongoā kore rongoā, me ngā taapiri. Huihuia hoki ngā korero mō tō hītori hauora me tetahi hītori whānau o te mate pouaka kohuke, o te ate rānei.

Pupurihia he tātai mamae ngawari mō ngā rā torutoru i mua i tō hui ki te taea. Whakatauhia tō mamae i runga i te tauine 1-10, ā, tātaihia te mea i mahi koe i te wā i puta ai. Ka āwhina tenei i tō taakuta ki te mārama i te tauira me te kino o ō tohu.

Tuhia ngā pātai e hiahia ana koe ki te ui ki tō taakuta. Whakauruhia ngā awangawanga mō ngā whiringa maimoatanga, te wā ora, ngā whakarereketanga kai, me te wā ki te rapu i te tiaki tere. Ko te whakamahere i ō pātai e whakarite ana kaore koe e wareware i ngā kaupapa nui i tō hui.

Kawea mai tētahi hoa, whānau rānei e whakawhirinaki ana ki te taea. Ka taea e rātou te awhina i a koe ki te mahara ki ngā korero i te wā o te hui, ā, ka tuku tautoko ki te manukanuka koe mō ō tohu.

He aha te Tango Matua mō te Cholecystitis?

Ko te cholecystitis he āhuatanga noa engari he nui te hiahia ki te tiaki hauora tere ina puta ngā tohu. Ahakoa ka wehi te mamae me te kore āta, ko te nuinga o te iwi ka ora katoa me te maimoatanga tika.

Ko te mea nui hei mahara ko te kaua e wareware ki te mamae nui o te puku, ina koa ki te pā ki te kirika, ki te ruaki, ki te ruaki rānei. Ka taea e te whakauru hauora tere te aukati i ngā uaua, ā, ka arahi ki ngā hua pai ake.

He tino whai hua te pokanga ki te tango i te pouaka kohuke, ā, ka taea e te nuinga o te iwi te hoki ki ngā mahi noa i roto i ngā wiki torutoru. Ka taea e koe te noho i te oranga noa katoa kahore tō pouaka kohuke, no te mea ka haere tonu tō ate ki te whakaputa bile mō te whakahaere kai.

Ka taea e te aukati mā ngā whiringa oranga hauora te whakaiti i tō tūponotanga ki te whanaketanga cholecystitis. Ko te pupuri i te taumaha hauora, te kai i te kai rite, me te noho mahi tinana katoa e tautoko ana i te hauora pouaka kohuke.

Ngā Pātai Nui e Uihia ana mō te Cholecystitis

Ka taea te noho noa kahore he pouaka kohuke?

Ae, ka taea e koe te noho i te oranga noa katoa kahore tō pouaka kohuke. Ka haere tonu tō ate ki te whakaputa bile mō te whakahaere kai, ā, ahakoa ko ētahi tāngata e pā ana ki ngā whakarerekētanga whakahaere kai mo te wā poto i muri i te pokanga, ko te nuinga ka tere te whakarite. He maha ngā tāngata e pai ake ana i muri i te tango pouaka kohuke no te mea kaore rātou e pā ki te mamae me te kore āta o te cholecystitis.

E hia te roa o te ora mai i te pokanga pouaka kohuke?

Ko te ora mai i te tango pouaka kohuke laparoscopic e toru wiki te roa mō te nuinga o ngā mahi noa, e ono wiki rānei mō te ora katoa. Ka hoki pea koe ki te kāinga i taua rā, i muri i te po kotahi i te hohipera rānei. Ka taea e te nuinga o te iwi te hoki ki te mahi i roto i te wiki, ahakoa me karo i te kawe mamae mō ngā wiki maha.

He aha ngā kai me karo i muri i te pokanga pouaka kohuke?

I te tīmatanga i muri i te pokanga, me karo koe i ngā kai nui te ngako penei i ngā mea kohua, ngā mīti ngako, me ngā reka momona. Tīmata ki ngā kai iti, noa e iti ana te ngako, ā, ka haere haere ki ētahi atu kai e manawanui ana. Ka taea e te nuinga o te iwi te hoki ki tō rātou kai noa, ahakoa ko ētahi pea e hiahia ana ki te whakamārama i ngā kai nui te ngako.

He kohatu bile tonu te take o te cholecystitis?

Ahakoa ko ngā kohatu bile te take o te 95% o ngā take cholecystitis, ka taea te puta te āhuatanga kahore he kohatu. E kiia ana tenei ko te cholecystitis acalculous, ā, e pā ana ki ngā tāngata e mate kino ana, he mate nui, he mamae nui rānei. Heoi, ko te cholecystitis e pā ana ki te kohatu bile te momo tino noa.

Ka hoki mai te cholecystitis i muri i te maimoatanga?

Ki te tangohia tō pouaka kohuke, kaore e taea te hoki mai te cholecystitis no te mea kaore te whekau i te noho. Heoi, ki te tukatuka koe mā ngā rongoā, ētahi atu tikanga kore pokanga rānei, ka taea te hoki mai ngā tohu. Koinei te take e whakaarohia ana te tango pokanga hei maimoatanga tino pai mō te nuinga o ngā take cholecystitis.