ʻO ka ulu nui o ka maʻi koʻohuna

ʻO ka ulu nui o ka maʻi koʻohune he kūlana ia e ulu nui ai nā hua bacteria i loko o ka ʻōpū liʻiliʻi.

ʻO ka hapa nui o ka manawa, ʻokoʻa ka ʻōpū nui, ʻaʻohe nui o ka bacteria i ka ʻōpū liʻiliʻi. Hiki i nā koʻohune keu i ka ʻōpū liʻiliʻi ke hoʻohana i nā meaola e pono ai ke kino. A ʻo kahi hopena, malnourished paha kahi kanaka.

ʻO ka haki ʻana o nā meaola e nā koʻohune keu hiki ke hōʻino i ka uhi o ka ʻōpū liʻiliʻi. Hiki i kēia ke hana ʻoi aku ka paʻakikī i ke kino e ʻānai i nā meaʻai.

ʻO nā kūlana i hiki ke alakaʻi i ka ulu nui ʻana o nā koʻohune i loko o ka ʻōpū liʻiliʻi:

• Nā pilikia o nā maʻi a i ʻole ke ʻoki e hana i nā pou a i ʻole nā ​​blockages i loko o ka ʻōpū liʻiliʻi. ʻO ka maʻi Crohn kekahi o kēia mau ʻano.
• Nā maʻi e alakaʻi ai i nā pilikia neʻe i ka ʻōpū liʻiliʻi, e like me ka maʻi diabetes a me scleroderma.
• Immunodeficiency, e like me AIDS a i ʻole immunoglobulin nele.
• Hoʻokumu ʻia ka maʻi ʻōpū pōkole e ka ʻoki ʻana o ka ʻōpū liʻiliʻi.
• ʻO ka diverticulosis ʻōpū liʻiliʻi, kahi liʻiliʻi, a i kekahi manawa kū nā ʻeke nui i ka uhi o loko o ka ʻōpū. ʻAe kēia mau ʻeke i nā bacteria e ulu. ʻOi aku ka maʻamau o kēia mau ʻeke i ka ʻōpū nui.
• Nā kaʻina hana e hana i kahi loop of usus liʻiliʻi ma kahi e ulu ai nā bacteria nui loa. ʻO kahi laʻana he ʻano Billroth II o ka lawe ʻōpū (gastrectomy).
• ʻO kekahi mau hihia o ka maʻi huhū huhū (IBS).

ʻO nā ʻōuli maʻamau ka:

• Hoʻopiha ʻōpū
• ʻO ka ʻeha o ka ʻōpū a me nā ʻōpala
• Puʻupuʻu
• Pohā (pinepine wai)
• ʻO Gassiness

Hiki i nā ʻōuli ʻē aʻe ke:

• Pahu noho momona
• Kaumaha emi

E hana i kāu mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu moʻolelo olakino. E komo pū paha nā hoʻāʻo:

• Nā hoʻāʻo kemika koko (e like me ka pae albumin)
• Helu piha koko (CBC)
• Hōʻike momona momona
• Endoscopy ʻōpū liʻiliʻi
• Nā pae o ka wikamina i ke koko
• ʻO ka biopsy ʻōpū liʻiliʻi a moʻomeheu paha
• Hōʻike hanu kūikawā

ʻO ka pahuhopu ka mālama ʻana i ke kumu o ka ulu nui ʻana o ka maʻi. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Nā Antibiotics
• ʻO nā lāʻau e wikiwiki ai i ka neʻe ʻana o ka ʻōpū
• Nā wai lulu (IV)
• Hāʻawi ʻia ke olakino ma o ka aa (ka huina makua makua - TPN) i kahi kanaka maʻi maikaʻi ʻole

Hiki ke kōkua i ka papaʻai lactose-ʻole.

ʻO nā hihia koʻikoʻi e alakaʻi i ka hōʻemi kino ʻole. ʻO nā pilikia kūpono ʻē aʻe e pili pū me:

• Make wai
• Ka nui ke kahe ʻana a i ʻole nā ​​pilikia ʻē aʻe ma muli o ka lawa ʻole o ka wikamina
• Maʻi maʻi ate
• ʻO Osteomalacia a i ʻole osteoporosis
• ʻO ka hoʻohaunaele o ka ʻōpū

Overgrowth - ʻōpū bacteria; ʻO ka ulu nui ʻana o ke koʻohuna - ʻōpū; ʻO ka ulu nui ʻana o ka maʻi koʻohune liʻiliʻi; SIBO

• ʻŌpū liʻiliʻi

ʻO El-Omar E, McLean MH. Gastroenterology. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 21.

Lacy BE, DiBaise JK. ʻO ka ulu nui ʻana o ke koʻohuna ʻōpū. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 105.

Manolakis CS, Rutland TJ, Di Palma JA. ʻO ka ulu nui ʻana o ke koʻohuna ʻōpū. I: McNally PR, hoʻoponopono. GI / Hunahuna Hua hoʻohui. 5th lā. Piladelapia, PA: Elsevier Saunders; 2015: chap 44.

Sundaram M, Kim J. Pōkole bowel maʻi. I: Yeo CJ, hoʻoponopono. ʻO Shackelford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 79.