Kapa mākou mea ʻōpala, a cholélithiase, ka hana ʻana o nā pōhaku i loko o ka gallbladder, ke kino e mālama ai i ka bile i huna ʻia e ke ake. He ʻiliʻili liʻiliʻi ke ʻano o ka helu ʻana i kapa ʻia ʻo "pōhaku". I ka hapanui o nā hihia, ua haku ʻia lākou cholesterol crystallized. Hiki ke hana ʻia nā pōhaku mai loko mai o nā puaʻa bile, ʻoi aku ka nui o nā maʻi ate koʻikoʻi a i ʻole sickle cell anemia, akā ʻaʻole e kūkākūkā ʻia kēia mau mea.

ʻO ke ʻano, ka nui a me ka helu o nā helu (he mau haneli paha) ʻokoʻa mai kekahi kanaka i kekahi. Hiki iā lākou ke liʻiliʻi e like me ke one a i ʻole ka nui e like me ke kinipōpō kolepa.

ʻO ka hapa nui o ka manawa, ʻaʻohe kumu o nā pōhaku. Eia naʻe, hiki iā lākou ke ālai i nā auwai e alakaʻi ai i ka bile i ke ake a me ka ʻōpū. Kapa ʻia kēia a biliary colic (e nānā i ke kiʻikuhi) inā lōʻihi ka pilikia. ʻAʻole hiki ke hoʻokuʻu hou, hoʻomaka ka pehu o ka gallbladder, hiki ke hoʻomāinoino eha. Inā ʻaʻohe kumu o ka pōhaku, ʻike ʻia lākou i kekahi manawa ma kahi ultrasound a i ʻole CT scan (scan NineManga.com) o ka opu.

Pono e hoʻomaopopo ʻia ʻaʻole pili ka ikaika o nā hōʻailona i ka decals helu ʻana. ʻOiaʻiʻo, hiki i nā pōhaku liʻiliʻi ke hopena i ka ʻeha nui, ʻoiai ʻaʻole ʻike ʻia nā pōhaku nui. Nui lākou i kekahi manawa no ka puka ʻana i waho o ka gallbladder a hoʻopaʻa i nā auwai.

Nā kumu

La pāpaʻa ʻO ka nui o ka wai, nā paʻakai bile (ʻo ia, ma ka emulsifying momona, pāʻani nui i kā lākou ʻai ʻana e ka ʻōpū), cholesterol, phospholipids, pigments a me nā electrolytes.

ka mea ʻōpala Hoʻokumu ʻia ka cholesterol inā:

• nui loa ka cholesterol i ka bile;
• ʻaʻole lawa ka paʻakai bile i ka bile;
• ʻAʻole ʻokoʻa mau ka gallbladder (ʻōlelo ʻia ka gallbladder he "palaualelo").

ʻAʻole ʻike maopopo ʻia ka mea e hoʻokumu ai i ka pōhaku, akā ua ʻike ʻia nā ʻano mea pilikia. ʻO ka momona kekahi o lākou. E hoʻomanaʻo ʻaʻohe pilina ma waena o ka hypercholesterolemia a me ka neʻe ʻana o ka cholesterol i loko o ka bile.¹.

ʻO wai ka mea i hoʻopili ʻia?

La mea ʻōpala, a i 'ole he mea ma'amau ka helu o ka gallbladder a pili i 2 a 3 manawa oi aku mamua o na wahine mamua o na kane. Mai ka makahiki 70, 10% a 15% o nā kāne, a me 25% a 30% o nā wahine. Piʻi ka pilikia o ka loaʻa ʻana o nā pōhaku ʻōpū me kamakahiki, e hiki i kahi kokoke i 60% ma hope o 80 mau makahiki, ma muli paha o ka emi ʻana o ka hopena o nā contractions o ka gallbladder. Hoʻopilikia ka helu ʻana i nā pilikia i ka 20% wale nō o lākou a hiki ke lilo i hepatic colic, cholecystitis, cholangitis, a i ʻole acute biliary pancreatitis.

Biliary colic

A hoʻoponopono ulia de hepatic colic a i ʻole biliary colic, ma muli o ka pōhaku ʻōpū e hele ana i loko o nā ʻawa bile a paʻa i laila no ka manawa liʻiliʻi, e pale ana i ka kahe ʻana o ka bile i waho. He awelika o 30 mau minuke a 4 mau hola. ʻO ka lōʻihi o nā hola ʻoi aku ma mua o 6 mau hola e hoʻomaka ai ka makaʻu i kahi pilikia. Hoʻemi ʻia ka ʻeha i ka wā e hemo koke ai ka pōhaku, e hiki ai i ka bile ke kahe hou. ʻO ka mea i loaʻa i ka maʻi biliary colic, ma 70% o nā hihia, e ʻeha ʻo ia i nā poʻe ʻē aʻe. Inā hiki ke hoʻopaʻa ʻia nā hoʻouka mua, ʻoi aku ka nui o ka ʻino ke mālama ʻole ʻia nā pōhaku.

Loaʻa ka hapa nui o nā maʻi ma waho o ka ʻai. Hiki iā lākou ke hana i kēlā me kēia manawa o ka lā, a ʻaʻohe mea hoʻomaka. Loaʻa ka hopu ʻana ma hope o ka ʻaelike ʻana o ka gallbladder a hoʻokuʻu i kahi pōhaku e hiki ke ālai i ka ʻawa bile. ʻO ka ʻai ʻana i ka meaʻai e ʻoki maoli ai ka gallbladder, hoʻoulu ʻia e ka loaʻa ʻana o ka meaʻai i loko o ka ʻāpana digestive. Hoʻopaʻa like ʻole ka gallbladder i nā manawa āpau o ke ao a me ka pō.

Nā pilikia i hiki

I ka nui o na hihia, mea ʻōpala mai hoʻopilikia. Eia nō naʻe, ʻo ka ʻeha hoʻomau i mālama ʻole ʻia, hiki i kekahi lā a i ʻole ke alakaʻi i nā kūlana weliweli i ke ola: acute cholecystitis (ka ʻeha o ka gallbladder), acute cholangitis (ka ʻeha o ka bile ducts) a i ʻole ka maʻi pancreatitis (ka maʻi o ka pancreas).

Ma ke alo o nā hōʻailona ma lalo nei, ʻike wikiwiki i ke kauka :

• kuni;
• ʻano melemele maʻamau o ka ʻili;
• 'eha loa a hikiwawe loa ma ka 'ao'ao akau o ka opu e mau ana ma mua o 6 hola;
• luaʻi mau.

Eia kekahi, ʻoi aku ka pilikia o ka poʻe e loaʻa ana i ka gallstones i ka wā lōʻihi maʻi kanamai pā, kakaikahi nae.