Gasforointestinal perforation

ʻO ka Perforation kahi lua e hoʻomohala ma o ka paia o kahi lālā o ke kino. Hiki paha kēia pilikia i ka esophagus, ʻōpū, ʻōpū liʻiliʻi, ʻōpū nui, poloka, a i ʻole ka gallbladder.

Hiki ke hoʻokumu ʻia ka perforation o kahi meaola e nā ʻano like ʻole. Pākuʻi ʻia kēia mau mea:

• Pākuʻi
• Kanesa (nā ʻano āpau)
• Maʻi Crohn
• ʻO Diverticulitis
• Maʻi maʻi gallbladder
• Maʻi maʻi peptic
• Ulcerative colitis
• Pā paʻa ʻōpū
• Nā ʻākena Chemotherapy
• Hoʻonui kaomi i ka esophagus ma muli o ka luaʻi ikaika
• ʻAe ʻana i nā mea caustic

Hoʻokumu ʻia paha ia e ka ʻoki ʻana i loko o ka ʻōpū a i ʻole nā ​​kaʻina hana e like me ka colonoscopy a i ʻole ka endoscopy luna.

Perforation o ka ʻōpū a i ʻole nā ​​mea ʻē aʻe e hoʻoheheʻe i nā mea i loko o ka ʻōpū. ʻO kēia ke kumu o kahi maʻi nui i kapa ʻia peritonitis.

Pākuʻi ʻia paha nā ʻōuli:

• ʻEha ʻeha loa
• ʻO Chills
• Fiva
• Nusea
• ʻO ka luaʻi
• Pāhaʻi

Hōʻike nā kukuna X o ka umauma a i ʻole ka ʻōpū i ka ea i loko o ka lua o ka ʻōpū. Kāhea ʻia kēia he ea manuahi. He hōʻailona o ka waimaka. Inā loaʻa ka esophagus perforated hiki ke ʻike ʻia ka ea manuahi i ka mediastinum (puni ka puʻuwai) a i ka umauma.

Hōʻike pinepine kahi CT scan o ka ʻōpū i kahi o ka puka. ʻOi aku ke kiʻekiʻe o ka helu keʻokeʻo o ke koko ma mua o ka maʻamau.

Hiki ke kōkua i kahi kaʻina hana e ʻike i ka wahi o ka perforation, e like me ka endoscopy luna (EGD) a i ʻole kahi kolone.

ʻO ka hoʻomaʻamaʻa pinepine ʻana i ke ʻoki pōpilikia e hoʻoponopono i ka lua.

• I kekahi manawa, pono e hemo i kahi ʻāpana o ka ʻōpū. Hiki ke hoʻopuka ʻia kahi wēlau o ka ʻōpū ma o ka wehe (stoma) i hana ʻia i ka paia o ka ʻōpū. Kapa ʻia kēia he colostomy a i ʻole ileostomy.
• Hiki ke koi ʻia kahi kahe mai ka ʻōpū a i ʻole nā ​​meaola ʻē aʻe.

I nā hihia kakaikahi, hiki i nā kānaka ke mālama ʻia me nā lāʻau antibiotic wale nō inā ua pani ʻia ka perforation. Hiki i kēia ke hōʻoia ʻia e kahi hoʻokolohua kino, nā hoʻokolohua koko, CT scan, a me nā kukuna x.

Kūleʻa ke kaha ʻana i ka hapa nui o ka manawa. Eia nō naʻe, pili ka hopena i ka nui o ka perforation, a no ka lōʻihi o ka manawa ma mua o ka lapaʻau ʻana. Hiki i ka loaʻa ʻana o nā maʻi ʻē aʻe ke hoʻopili i ka maikaʻi o ke kanaka ma hope o ka mālama ʻana.

ʻOiai me ke kahakaha ʻana, ʻo ka maʻi ka maʻi maʻamau o ka maʻi. Hiki i nā maʻi ʻino ma loko o ka ʻōpū (abscess ʻōpū a i ʻole peritonitis), a i ʻole ma loko o ke kino holoʻokoʻa. Kapa ʻia ka maʻi ʻaʻai-ākea sepsis. Hiki ke koʻikoʻi loa ka Sepsis a hiki i ka make.

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe:

• ʻO ke koko i loko o kāu pahu
• Hoʻololi i ka ʻōpū
• Fiva
• Nusea
• ʻEha ʻeha loa
• ʻO ka luaʻi
• Kāhea koke iā 911 inā ʻoe a i ʻole kekahi mea ʻē aʻe i ʻai i kahi mea caustic.

Kāhea i ka helu kūloko kūloko hoʻomālala kūloko ma 1-800-222-1222 inā ua ʻai ke kanaka i kahi mea caustic. E hoʻokuʻu kēia helu hotline iā ʻoe e kamaʻilio me nā loea i ka lāʻau make.

Mai kali a loaʻa i ke kanaka nā ʻōuli ma mua o kou kāhea ʻana i ke kōkua.

E loaʻa pinepine ka poʻe i kekahi mau lā o ka ʻeha ma mua o ka puka ʻana o ka ʻōpū. Inā ʻeha ʻoe i ka ʻōpū, e ʻike koke i kāu mea hāʻawi. ʻOi aku ka maʻalahi a me ka palekana o ka hoʻomaʻamaʻa ke hoʻomaka ʻia ma mua o ka puka ʻana o ka perforation.

Perforation Intestinal; Perforation o nā ʻōpū; Gasfor kūlohelohe; Perforation ʻo Esophageal

• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Matthews JB, ʻo Turaga K. ʻO ka peritonitis ʻoki kino a me nā maʻi ʻē aʻe o ka peritoneum, mesentery, omentum, a me diaphragm. 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 39.

Nā Squires R, Carter SN, Postier RG. ʻŌpū huehue. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 45.

ʻO Wagner JP, Chen DC, Barie PS, Hiatt JR. Peritonitis a me ka maʻiʻaʻai intraabdominal. I: ʻO Vincent J-L, ʻo Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Puke aʻo o ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 99.