He aha ke kumu o nā pōhaku ʻāʻī (Cholelithiasis)? Nā hōʻailona a me ka lapaʻau

pōhaku ʻōpū a i ʻole cholelithiasishiki i ka gallbladder. ʻO nā waiho paʻakikī o nā wai hoʻoheheʻe. 

Haʻawina, pōhaku ʻōpūhōʻike i ka maʻamau asymptomatic. pōhaku ʻōpū ʻO ka hapa nui o nā maʻi i ʻike ʻia me ka pilikia.

asymptomatic nā pōhaku ʻōpū, Inā hoʻomaka nā hōʻailona e ulu, hiki ke hoʻopiʻi i loko o 5-20 mau makahiki. Hiki i nā pilikia ke alakaʻi i nā hopena koʻikoʻi, me ka make.

ʻO ka gallbladder he ʻano liʻiliʻi me ke ʻano pear aia ma lalo pono o ke ake. Kōkua kēia ʻōkana i ka mālama ʻana a me ka hoʻokuʻu ʻana i ka wai bile i hana ʻia e ka ʻōpū liʻiliʻi.

He aha nā pōhaku gallbladder?

pōhaku ʻōpūhe mau mea e like me ka pohaku e ulu ana i loko o ka gallbladder a i ʻole nā ​​auwai bile. pōhaku ʻōpūHiki iā ia ke hoʻonui i ka nui mai nā ʻāpana liʻiliʻi o ke one a hiki i ka nui o ke kinipōpō kolepa.

ʻO nā pōhaku liʻiliʻi ka pilikia nui. Hele mai kēia mau mea mai loko mai o ka gallbladder a paʻa. Noho mālie nā pōhaku nui i loko o ka gallbladder. 

He aha nā kumu o ka gallstones?

pōhaku ʻōpū oia cholelithiasisʻEkolu kumu nui o:

• Nā pōhaku Cholesterol: ʻO ka nui o ka cholesterol i huna ʻia e ke ake e hana i nā pōhaku cholesterol. Ma muli o ka nui o ka cholesterol, ʻaʻole hiki i ka bile ke hoʻopau i ka cholesterol keu. ʻO kēia, i ka manawa, e kahe ana e like me nā kristal i loko o ka gallbladder, pōhaku ʻōpū cholesterolke kumu.
• Nā pōhaku bilirubin: ʻO ka Bilirubin, kahi puaʻa melemele i hana ʻia i ka wā o ka haki ʻana o nā keʻena koko ʻulaʻula, ua hūnā ʻia e ke ake i loko o ka gallbladder e hoʻopau i ka bile. I kekahi manawa, ma muli o ka nui o ka bilirubin huna, ʻaʻole hiki i ka bile ke wāwahi i lalo. ʻO kēia ke kumu o ka nui o ka bilirubin i crystallize a ʻeleʻele. bilirubin gallstone kumu o kona kukulu ana. 
• ʻO ka hypomotility o ka gallbladder: nā meaʻai momonaUa hoʻokuʻu ʻia mai ka gallbladder. Lawe ʻia ia i ka ʻōpū liʻiliʻi e kōkua i ka hoʻoheheʻe ʻana a i ʻole ka wāwahi ʻana i nā momona o ka meaʻai. I kekahi manawa, no ka lawa ʻole o ka ʻai ʻana i ka momona, hana ʻia nā pōhaku ʻeleʻele i ka gallbladder. 

He aha nā hōʻailona o ka gallstones?

Nā hōʻailona o ka pōhaku ʻāʻī penei:

• ʻO ke kuni kiʻekiʻe
• ʻEha ma ka ʻōpū ʻākau o luna.
• ʻEha o ka ʻōpū ma hope o ka ʻai ʻana i nā meaʻai laʻa a momona paha.
• ʻO ka palupalu ma lalo o ka ʻāpana o ke ake.
• ʻO ka wikiwiki o ka puʻuwai.
• ke koko haʻahaʻa.
• Ka luaʻi a me ka nausea.
• jaundice (i kekahi manawa)
• ka pehu o ka opu
• Palolo- waihoʻoluʻu stool.
• Pau ka ʻai.
• Hōʻike

ʻO wai ka mea nāna i hoʻomohala i nā pōhaku ʻōpū?

ʻO nā kumu pilikia no ka gallstones He like penei:

• ke kaumaha nui
• genetics, ma ka ʻohana pōhaku ʻōpū moʻolelo.
• ʻOi aku ma mua o 40.
• ʻO ka hāpai ʻana ma muli o ka hoʻonui ʻana i ka hormone estrogen.
• E wahine
• diabetes a i ʻole hypertension e like me ka metabolic syndrome.
• ʻO ka poʻe me nā maʻi ate.
• ʻO ka maʻi o Crohn
• pololi loihi
• Hoʻohana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau lapaʻau.
• hoʻemi wikiwiki
• ʻO ka ʻoki ʻana i ka ʻōpū a i ʻole ke kaumaha.

He aha nā pilikia o ka gallstones?

Hoʻolōʻihi a mālama ʻole ʻia pōhaku ʻōpū Hiki iā ia ke hana i nā pilikia e like me:

• Cholecystitis a i ʻole ka mumū o ka gallbladder.
• ʻO ka maʻi maʻi pancreatitis, a i ʻole ke keʻakeʻa ʻana o ka ʻauwaʻa pancreatic e nā gallstones.
• ʻO Choledocholithiasis i loko o ka pā bile.
• Cholangitis a i ʻole ka mumū o ka ʻōnaehana bile duct.

Pehea ka ʻike ʻia ʻana o nā pōhaku ʻōpū?

Nā ʻano no ka ʻike ʻana i nā pōhaku ʻōpū He like penei:

• Ultrasound: pōhaku ʻōpū ʻO ke ala diagnostic mua he ultrasound. 99% o nā hihia i ʻike ʻia me kēia ʻano.
• Hepatobiliary iminodiacetic acid (HIDA).: Hoʻohana ʻia ia e ʻike i nā pilikia i ka gallbladder.
• CT scan: Kōkua ia i ka lawe ʻana i nā kiʻi o nā pōhaku i loko o ka gallbladder.
• Endoscopic: Hana ʻia ka hoʻāʻo i nā maʻi me ka jaundice. ʻike ʻana i ka pōhaku ʻōpūmea kokua.

Pehea ka mālama ʻia ʻana o ka gallstones?

pōhaku ʻōpū Ua mālama ʻia e like me kēia:

• Laparoscopic cholecystectomy: He hōʻailona kēia ʻokiʻoki maʻamau. pōhaku ʻōpū Paipai ʻia no ka poʻe me
• ʻai: i nā maʻi asymptomatic pōhaku ʻōpū ʻO ka ʻōlelo aʻoaʻo meaʻai a me ka hoʻololi ʻana i ke ʻano o ke ʻano o ke ʻano he mea nui ia e hōʻemi i ka pilikia o ka hiki ʻana mai.
• ʻO nā lāʻau antibiotic intravenous: Hoʻohana ʻia ia e pale i ka pilikia o ka maʻi gallbladder a me ke olakino o ka ʻōnaehana digestive.
• Nā Lapaʻau: pōhaku ʻōpūhe mau lāʻau e like me ursodiol e hoʻoheheʻe i ka Hiki ke hana i nā makahiki.

Nā hōʻailona o ka pōhaku ʻōpūE nīnau i kāu kauka inā loaʻa iā ʻoe ʻO ka hoʻomaka koke ʻana o ka mālama ʻana, ʻoi aku ka maikaʻi o ke kūlana.