Mekacolon ʻona

Hana ʻia ka megacolon ʻona ke hoʻolaha ʻia ka pehu a me ka mumū i nā papa hohonu o kāu kolona. ʻO ka hopena, kū ka kolona i ka hana a hoʻonui. I nā hihia koʻikoʻi, haki paha ke kolone.

ʻO ka huaʻōlelo "ʻona" he mea weliweli loa kēia pilikia. Hiki i ka megacolon ʻona ke hana i nā kānaka me kahi kolona hoʻā ʻia ma muli o:

• ʻO ka ulcerative colitis, a i ʻole ka maʻi Crohn e mālama ʻole ʻia
• Nā maʻi o ke kolona e like me ʻO Clostridioides difficile
• Maʻi maʻi Ischemic

ʻO nā ʻano ʻē aʻe o ka megacolon e komo pū ana me ka pseudo-ālai, ileus colonic ākea, a i ʻole ka congoneital colonic dilation. ʻAʻole pili kēia mau ʻano i kahi kolone maʻi a i ʻole inflamed.

ʻO ka hoʻonui ākea ʻana o ke kolone ke kumu o ka hopena o nā ʻōuli ma hope o kahi manawa pōkole.

• ʻEha, ʻōpū distended
• Fever (sepsis)
• Diarrhea (maʻamau ke koko)

E hana ka mea mālama ola i kahi hoʻokolohua kino. Loaʻa i nā mea i loaʻa:

• ʻO ka palupalu ma ka ʻōpū
• ʻO nā kani hoʻoliʻiliʻi a i ʻole ʻole

Hōʻike ka hōʻike i nā hōʻailona o ka weliweli septic, e like me:

• Hoʻonui i ka helu o ka puʻuwai
• Hoʻololi ke kūlana noʻonoʻo
• Helu puʻuwai wikiwiki
• Kaomi haʻahaʻa

E kauoha paha ka mea hāʻawi i kekahi o kēia mau hōʻike:

• ʻO x-ray ʻōpū, ultrasound, scan CT, a i ʻole scan MRI
• Nā uila electrolytes
• Helu piha koko

ʻO ka mālama ʻana i ka maʻi i alakaʻi ʻia i ka megacolon ʻona pū kekahi:

• ʻO nā steroid a me nā lāʻau e kāohi i ka ʻōnaehana pale
• Nā Antibiotics

Inā loaʻa iā ʻoe ka haʻalulu septic, e ʻae ʻia ʻoe i ka hale mālama maʻi nui o ka haukapila. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Mīkini hanu (mehana ea)
• Dialysis no ke kōpaʻa maikaʻi ʻole
• Nā lāʻau e mālama ai i ke koko haʻahaʻa, maʻi, a i ʻole ke kōkō ʻana o ke koko maikaʻi
• Hāʻawi pololei ʻia nā wai i loko o kahi aa
• Oxygen

Inā mālama ʻole ʻia ka hoʻonui ākea, hiki i kahi hāmama a haki paha ke hana i ke kolona. Inā hoʻomaikaʻi ʻole ke ʻano me ka lāʻau olakino, pono ke ʻōpala e hemo i kahi ʻāpana a i ʻole ke kolona.

Hiki paha iā ʻoe ke loaʻa nā lāʻau ʻalopika e pale aku ai i ka sepsis (kahi maʻi ʻino).

Inā hoʻomaikaʻi ʻole ke ʻano, hiki ke make. Pono pono ke kahakaha kolona i kēlā mau hihia.

Komo pū nā pilikia:

• Perforation o ke kolona
• Sepsis
• Pāhaʻi
• Make

E hele i ka lumi pilikia a kāhea paha i ka helu pilikia kūloko (e like me 911) inā hoʻomohala ʻoe i ka ʻeha o ka ʻōpū nui, keu hoʻi inā ʻoe.

• Mākī koko
• Fiva
• Pohā pinepine
• Helu puʻuwai wikiwiki
• ʻO ka mālie ke kaomi ʻia ka ʻōpū
• Kuhi ʻōpū

ʻO ka mālama ʻana i nā maʻi i kumu i ka megacolon ʻona, e like me ka ulcerative colitis a i ʻole ka maʻi Crohn, hiki ke pale i kēia ʻano.

Hoʻonui ʻino o ke kolon; Megarectum; Maʻi maʻi ʻōpū - megacolon ʻona; Maʻi Crohn - megacolon ʻona; Ulcerative colitis - mea ʻawaʻawa megacolon

• ʻŌnaehana Digestive
• Mekacolon ʻona
• Maʻi Crohn - nā wahi i hoʻopili ʻia
• Ulcerative colitis
• Nā ʻōnaehana ʻōnaehana Digestive

Lichtenstein GR. Maʻi maʻi ʻōpū. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 132.

Nishtala MV, Benlice C, Steele SR. Ka mālama ʻana i ka megacolon ʻona. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 180-185.

Peterson MA, Wu AW. Nā maʻi o ka ʻōpū nui. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 85.