Biliary Colic: Nā kumu, nā hōʻailona, ​​​​ka ʻike ʻana, a me ka mālama ʻana

Introduction:

ʻO ke kolik biliary e pili ana i ka ʻeha nui ma ka ʻōpū ʻākau o luna, i hoʻokumu pinepine ʻia e ka gallbladder. Hana ʻia kēia ʻano ke loaʻa kahi poloka a i ʻole ke ālai ʻia i loko o nā ʻauwai bile, ma muli o nā pōhaku gall. ʻOiai hiki ke ikaika ka ʻeha, ʻaʻole hiki i ka kolik biliary ke hōʻeha i ka wā lōʻihi ke ʻole he mau pilikia. Ma kēia ʻatikala, e ʻimi mākou i nā kumu o ka kolik biliary, kona mau hōʻailona pili, ka wā e ʻimi ai i ke kōkua lapaʻau, nā ʻano hana diagnostic, a me nā koho lapaʻau i loaʻa no ka mālama ʻana i kēia ʻano.

He aha ke kumu o ka Biliary Colic?

ʻO ke kumu nui o ka biliary colic ʻo ia nā poloka a i ʻole nā ​​mea e ālai ana i nā ʻauwai bile, nāna e lawe i ka bile mai ke akepaʻa a i nā ʻōpū. ʻO ke kumu maʻamau o kēia poloka, ʻo ia nā pōhaku gall, akā hiki i nā kumu ʻē aʻe ke kōkua i ke kūlana.

1. Nā pōhaku ʻāʻī

ʻO ke kumu maʻamau o ka biliary colic, ʻo ia nā gallstones, he mau waihona paʻakikī o ka bile e hana ʻia ana i loko o ka gallbladder. Hiki i kēia mau pōhaku ke ālai i nā ducts bile, e alakaʻi ana i ka ʻeha nui, ʻoiai ke ʻūlū ka gallbladder ma hope o ka ʻai ʻana.

2. Ka mumū a i ʻole ka maʻi ʻaʻai

I kekahi mau hihia, hiki i ka mumū a i ʻole ka maʻi i loko o ka gallbladder (cholecystitis) ke alakaʻi i ka biliary colic. Hiki ke hana ʻia kēia ma hope o ke kumu ʻana o nā pōhaku gall i kahi ālai ʻana, kahi e hopena ai i ka pehu a me ka huhū o ka gallbladder.

3. Nā ʻūmiʻi o ka ʻauwai bile a i ʻole ka hoʻohaiki ʻana

ʻO ka hāiki ʻana o nā ʻauwai bile, pinepine ma muli o ka ʻeha mai nā ʻeha a i ʻole nā ​​ʻoki kino ma mua, hiki ke alakaʻi i ka hōʻiliʻili ʻana o ka bile, e hopena ana i ka biliary colic. ʻAʻole maʻamau kēia ʻano akā hiki ke hoʻoulu i ka ʻeha mau a me ka ʻoluʻolu ʻole.

4. ʻO ka maʻi maʻi maʻi

I nā hihia kakaikahi, hiki i ka biliary colic ke lilo i hōʻailona o ka pancreatitis, kahi mumū o ka pancreas. Hiki ke hana kēia inā e ālai kahi pōhaku gall i ke ala bile maʻamau a hoʻoulu i ka mumū ma ka gallbladder a me ka pancreas.

Nā Hōʻailona Pili o ka Biliary Colic

ʻIke ʻia ka biliary colic e ka ʻeha nui e like me ke ʻāʻī, akā pinepine ia e kū pū me nā hōʻailona ʻē aʻe. Hiki ke ʻokoʻa nā hōʻailona pili ma muli o ke kumu a me ke koʻikoʻi o ke kūlana. ʻO nā hōʻailona pili maʻamau:

• ʻEha ʻōpū o luna: Hoʻākāka pinepine ʻia ka ʻeha ma ke ʻano he ʻoi, e like me ka ʻūpā, a aia ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
• ʻeha kua kua: Hiki i ka ʻeha ke pālahalaha i ke kua, ʻoi aku hoʻi ma ka ʻāpana o ka ʻūhā poʻohiwi.
• Nausea a me ka luaʻi: He nui ka poʻe me ka biliary colic e ʻike i ka nausea a i ʻole ka luaʻi ʻana, ʻoiai ma hope o ka ʻai ʻana i nā meaʻai momona.
• ʻAʻai ʻole: ʻO ka paʻakikī i ka ʻeli ʻana i ka meaʻai, ʻoiai nā meaʻai momona, hiki ke hele pū me ka biliary colic.
• ʻO Jaundice: I kekahi mau hihia, ʻike paha nā kānaka i ka melemele o ka ʻili a me nā maka ma muli o ka hōʻiliʻili ʻana o ka bile i loko o ke koko.

I ka wa e imi ai i na lapaau

Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ʻoiai ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, he mea nui e ʻimi koke i ke kōkua lapaʻau. Hiki i ka biliary colic ke alakaʻi i nā pilikia, e like me ka mumū o ka gallbladder a i ʻole ka maʻi. E kelepona i kahi mea mālama ola inā:

• He ʻeha nui ka ʻeha a mau no kekahi mau hola.
• Loaʻa iā ʻoe ke kuni a i ʻole ke anuanu me ka ʻeha o ka ʻōpū.
• ʻIke ʻoe i ka jaundice (melemele o ka ʻili a i ʻole nā ​​​​maka) a i ʻole ka mimi ʻeleʻele.
• Loaʻa iā ʻoe nā hanana hou o ka ʻeha o ka ʻōpū, ka nausea, a i ʻole ka luaʻi ʻana.

Ka Hōʻailona o ka Biliary Colic

ʻO ka maʻamau, ʻo ka nānā ʻana i ka biliary colic e pili ana i ka hui pū ʻana o ka hoʻokolokolo kino, nā hoʻokolohua kiʻi, a i kekahi manawa nā hoʻokolohua koko. E hoʻomaka kahi mea mālama ola ma ka nīnau ʻana e pili ana i kou mōʻaukala olakino a me nā hōʻailona āu e ʻike nei. ʻO nā ʻano hana maʻamau e komo pū ana:

1. Ninaninau kino

E loiloi kahi mea mālama ola i kou ʻōpū no ka palupalu, ʻoiai ma ka quadrant ʻākau i luna, hiki ke kōkua i ka ʻike ʻana i ke kumu o ka ʻeha.

2. Kīwī

ʻO ka ultrasound ʻōpū ka hoʻāʻo kiʻi maʻamau i hoʻohana ʻia no ka ʻike ʻana i nā pōhaku gall, nā mea e ālai ana i ke ala bile, a me nā pilikia ʻē aʻe me ka gallbladder a me nā ala bile. Hiki iā ia ke hāʻawi i nā kiʻi maopopo o ka gallbladder a kōkua i ka hoʻoholo ʻana inā loaʻa nā pōhaku.

3. CT Scan

I kekahi mau hihia, hiki ke ʻōlelo ʻia kahi CT scan e hāʻawi i nā kiʻi kikoʻī o ka ʻōpū a ʻike i nā pilikia, e like me ka mumū a i ʻole ka maʻi.

4. Hoao Koko

Hiki ke hana ʻia nā hoʻāʻo koko e nānā i nā hōʻailona o ka maʻi a i ʻole ka hana pono ʻole o ke ake. Hiki i nā enzymes akepaʻa kiʻekiʻe a i ʻole nā ​​​​pae bilirubin ke hōʻike i kahi pilikia me ke kahe ʻana o ka bile a i ʻole ka hana o ke ake.

Nā Koho Lapaʻau no ka Biliary Colic

ʻO ka mālama ʻana no ka biliary colic e kālele ana i ka hōʻoluʻolu ʻana i nā hōʻailona, ​​​​ka hoʻoponopono ʻana i ke kumu kumu, a me ka pale ʻana i nā hanana e hiki mai ana. Hiki ke ʻokoʻa nā koho lapaʻau ma muli o ke koʻikoʻi o ke kūlana a me ke kumu o ka paʻa ʻana.

1. Nā Lapaʻau

• Nā hōʻeha hōʻeha: Hiki ke kuhikuhi ʻia nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) a i ʻole opioids e mālama i ka ʻeha e pili ana me ka biliary colic.
• Antibiotics: Inā he maʻi i loko o ka gallbladder (cholecystitis), hiki ke kuhikuhi ʻia nā lāʻau antibiotic e mālama i ka maʻi.
• Nā lāʻau lapaʻau e hoʻoheheʻe i nā gallstones: I kekahi mau hihia, hiki ke hoʻohana ʻia nā lāʻau lapaʻau e like me ka ursodeoxycholic acid e hoʻoheheʻe i nā gallstones liʻiliʻi, akā ʻaʻole pono mau kēia.

2. Ke kauā

• Cholecystectomy: ʻO ka lāʻau lapaʻau lōʻihi loa no ka biliary colic i hoʻokumu ʻia e nā gallstones ʻo ia ka wehe ʻana i ka gallbladder. Hiki ke hana ʻia kēia kaʻina hana, i kapa ʻia ʻo cholecystectomy, ma o ke ʻoki laparoscopic (minimally invasive) a i ʻole ke ʻoki hāmama, ma muli o ke koʻikoʻi o ke kūlana.
• ʻO ke ʻoki ʻana i ka ʻauwai bile: I nā hihia kakaikahi kahi e paʻa ai ke ala bile, pono paha ke ʻoki ʻana e wehe i ke ala e pale ai a hoʻonui paha i ke ala.

3. Nā Hoʻololi Ola

• Nā loli pili: ʻO ka hōʻalo ʻana i nā meaʻai momona a me ka ʻai ʻana i nā meaʻai liʻiliʻi a pinepine hoʻi e kōkua i ka pale ʻana i nā hoʻouka ʻana o ka biliary colic. Manaʻo pinepine ʻia kahi ʻai haʻahaʻa momona a kiʻekiʻe i ka fiber.
• Ka mālama ʻana i ke kaupaona: ʻO ka mālama ʻana i ke kaumaha olakino a me ka pale ʻana i ka pohō kaumaha wikiwiki hiki ke hōʻemi i ka pilikia o ka loaʻa ʻana o nā pōhaku gallstones.

Nā Moʻolelo a me nā ʻoiaʻiʻo e pili ana i ka Biliary Colic

Ka Moʻolelo Hoʻokalakupua 1: "Hiki wale ke kolik biliary i ka poʻe me nā gallstones."

ʻOiaʻiʻo: ʻOiai ʻo nā gallstones ke kumu maʻamau o ka colic biliary, ʻo nā kūlana ʻē aʻe, e like me ka mumū o ka ʻōpū bile a i ʻole ka scarring, hiki ke hana i nā hōʻailona like.

Ka Moʻolelo Hoʻopunipuni 2: "He pilikia liʻiliʻi ka biliary colic e nalo wale aku ana."

ʻOiaʻiʻo: ʻOiai e emi paha ka ʻeha ma hope o kahi hanana, hiki i ka biliary colic ke hōʻike i kahi pilikia kumu e pono ai ke komo ʻana o ke kauka. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi, e like me ka cholecystitis a i ʻole ka pancreatitis.

Nā pilikia o ka Biliary Colic

Inā haʻalele ʻole ʻia, hiki i ka biliary colic ke alakaʻi i nā kūlana koʻikoʻi, e like me:

• Cholecystitis: ʻO ka mumū o ka gallbladder, hiki ke hoʻoulu i ka ʻeha nui, ke kuni, a me ka maʻi.
• ʻO ka maʻi pancreatitis: ʻO ka mumū o ka pancreas, i hana pinepine ʻia e ka pōhaku gall e ālai ana i ke kahawai bile.
• Ka puka ʻana o ka ʻōpū gall: Ka haki ʻana o ka ʻōpū gallbladder ma muli o ka mumū nui a i ʻole ka maʻi.

Nā nīnau i nīnau pinepineʻia (FAQ)

1. He aha ka ʻokoʻa ma waena o ka biliary colic a me ka cholecystitis?

ʻO ke kolik biliary e pili ana i ka ʻeha manawa ʻole i hoʻokumu ʻia e ka paʻa ʻana o ke aʻa bile no kekahi manawa, maʻamau mai nā pōhaku gall. ʻO Cholecystitis, ma ka ʻaoʻao ʻē aʻe, ʻo ia ka mumū o ka gallbladder, pinepine ma muli o ka paʻa ʻana no ka manawa lōʻihi, e alakaʻi ana i nā hōʻailona koʻikoʻi e like me ke kuni a me ka nausea.

2. Hiki ke nalowale ke kolik biliary me ka ʻole o ka lāʻau lapaʻau?

ʻOiai hiki ke hoʻomaha ʻia ka ʻeha mai kahi hanana biliary colic ma kāna iho, hiki ke hoʻomau ʻia ke kumu kumu, e like me nā pōhaku gall. He mea nui e ʻimi i ka lāʻau lapaʻau e pale aku i nā hanana a me nā pilikia e hiki mai ana.

3. Hiki i nā hoʻololi ʻana i ka meaʻai ke kōkua i ka pale ʻana i nā hoʻouka ʻana o ka biliary colic?

ʻAe, ʻo ka pale ʻana i nā meaʻai momona a me ka ʻai ʻana i nā meaʻai liʻiliʻi a pinepine hoʻi e hiki ke kōkua i ka pale ʻana i nā hoʻouka ʻana o ka biliary colic. ʻO kahi ʻai kaulike i haʻahaʻa i ka momona a kiʻekiʻe i ka fiber hiki ke hōʻemi i ka pilikia o nā gallstones a me nā pilikia bile duct.

4. He mea pono anei ke ʻoki kino no ka mālama ʻana i ka biliary colic?

ʻO ke ʻoki ʻana, ʻo ia hoʻi ka cholecystectomy (wehe ʻana i ka ʻōpū), ua ʻōlelo pinepine ʻia no nā poʻe me ka colic biliary hou i hoʻokumu ʻia e nā pōhaku gall. No ka poʻe me nā pilikia o ke ala bile, pono paha ke ʻoki ʻana e wehe i nā mea ālai a hoʻoponopono paha i nā ala bile.

5. Hiki i ka biliary colic ke hōʻeha mau loa i ka gallbladder?

Inā ʻaʻole i mālama ʻia, hiki i ka biliary colic ke alakaʻi i nā pilikia e like me ka cholecystitis a i ʻole ka perforation gallbladder, kahi e hiki ai ke hōʻino mau loa. ʻO ke komo mua ʻana he mea nui ia no ka pale ʻana i nā hopena koʻikoʻi.

Panina

He ʻeha ka biliary colic i hoʻoulu pinepine ʻia e nā pōhaku gallstones, akā hiki nō hoʻi ke hopena mai nā pilikia ʻē aʻe o ka bile duct a i ʻole ka gallbladder. ʻOiai e emi paha ka ʻeha ma hope o kahi hanana, he mea nui e ʻimi i ka lāʻau lapaʻau e hoʻoponopono i ke kumu kumu a pale i nā pilikia. Me ka ʻike kūpono a me ka lāʻau lapaʻau, hiki i ka hapa nui o nā kānaka ke hoʻokele pono i ka biliary colic a hōʻemi i ka pilikia o nā hanana e hiki mai ana.