Pseudo-kūpale kūpoko

Intestinal pseudo-obstruction kahi kūlana kahi e loaʻa ai nā ʻōuli o ka paʻa ʻana o ka ʻōpū (ʻōpū) me ka ʻole o ka paʻa o ke kino.

I loko o ka ʻōpū pseudo-ālai, ʻaʻole hiki i ka ʻōpū ke hana a hoʻopaʻa i ka meaʻai, ka noho, a me ka ea ma o ka digestive tract. Hoʻopili pinepine ka maʻi i ka ʻōpū liʻiliʻi, akā hiki ke hana i loko o ka ʻōpū nui.

E hoʻomaka koke paha ke ʻano a i ʻole he pilikia mau a lōʻihi paha. ʻO ka mea maʻamau i nā keiki a me nā poʻe kahiko. ʻAʻole ʻike pinepine ʻia ke kumu o ka pilikia.

ʻO nā kumu pilikia me:

• Cerebral palsy a i ʻole nā ​​lolo a i ʻole nā ​​maʻi ʻōnaehana.
• ʻO ka puʻuwai maʻi, lung, a maʻi maʻi puʻuwai paha.
• Noho i loko o kahi moe no nā manawa lōʻihi (bedridden).
• Lawe i nā lāʻau e hoʻolohi i ka neʻe ʻana o ka ʻōpū. Hoʻopili kēia i nā lāʻau narcotic (ʻeha) a me nā lāʻau i hoʻohana ʻia ke hiki ʻole iā ʻoe ke mālama i ka mimi mai ka hemo ʻana.

ʻO nā hōʻailona me:

• Abdominal eha
• Puʻupuʻu
• Konipōpō
• ʻO Nusea a me ka luaʻi
• ʻO ka ʻōpū pehu (ʻōpū ʻōpū)
• Kaumaha emi

I ka wā o kahi hoʻokolohua kino, ʻike pinepine ka mea mālama ola i ka ʻōpū o ka ʻōpū.

Loaʻa i nā hoʻāʻo:

• Hihi x ʻōpū
• Manometry anorectal
• E ale ʻo Barium, barium liʻiliʻi i ka ʻōpū, a i ʻole barium enema
• Nā ho'āʻo koko no nā hemahema o ka meaʻai a me ka vitamina
• Kolonekia
• CT scan
• Manometry antroduodenal
• Hoʻomaʻemaʻe ʻōnaehana ʻōnaehana Gastric
• ʻO ka scanning radionuclide Intestinal

Hiki ke hoʻāʻo ʻia nā ʻano lāʻau aʻe:

• Hiki ke hoʻohana ʻia ke kolona e hoʻoneʻe i ka ea mai ka ʻōpū nui.
• Hiki ke hāʻawi ʻia nā wai i loko o kahi aa e hoʻololi i nā wai i nalowale mai ka luaʻi a i ʻole ka palahī.
• Hiki ke hoʻohana ʻia ka omo Nasogastric e pili ana i ka paipu nasogastric (NG) i waiho ʻia ma o ka ihu i loko o ka ʻōpū e hemo ai ka ea mai ka ʻōpū.
• Hiki ke hoʻohana ʻia ʻo Neostigmine e mālama i ka pseudo-kūpale i loko o ka ʻōpū nui (Ogilvie Syndrome).
• ʻAʻole holo pono nā papaʻai kūikawā. Eia nō naʻe, pono e hoʻohana i ka wikamina B12 a me nā mea hoʻowali vitamin ʻē aʻe no nā poʻe me ka lawa ʻole o ka wikamina.
• ʻO ke kū ʻana i nā lāʻau i hana i ka pilikia (e like me nā lāʻau narcotic) hiki ke kōkua.

I nā hihia koʻikoʻi, pono paha ke ʻoki.

ʻOi aku ka maikaʻi o ka hapa nui o nā hihia o ka pseudo-ālai i kekahi mau lā me ka lāʻau. I nā ʻano maʻi o ka maʻi, hiki i nā ʻōuli ke hoʻi mai a lilo i mea ʻino i nā makahiki he nui.

Komo pū nā pilikia:

• Pohā
• Rupture (perforation) o ka ʻōpū
• Nā hemahema o ka wikamina
• Kaumaha emi

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū ʻaʻole hele aku a i ʻole nā ​​hōʻailona ʻē aʻe o kēia maʻi.

Pseudo-keʻakeʻa ʻōpū mua; Ileial colonic ileus; Pākuʻi pseudo kolone; Idiopathic ʻōpū pseudo-ālai; Maʻi Ogilvie; Pseudo-keakea i ka ʻōpū ʻōpū; Parustic ileus - pseudo-ālai

• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Camilleri M. Nā maʻi o ka motility gastrointestinal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 127.

Rayner CK, Hughes PA. ʻO ka motuka liʻiliʻi liʻiliʻi a me ka hana sensory a me ka hana ʻole. 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 99.