Pākuʻi

ʻO Appendicitis kahi kūlana e wela ai kāu appendix. ʻO ka pākuʻi kahi ʻeke liʻiliʻi i hoʻopili ʻia i ka ʻōpū nui.

ʻO Appendicitis kahi kumu maʻamau o ke kauka ulia pōpilikia. Kū pinepine ka pilikia ke ālai ʻia ka appendix e nā feces, kahi mea haole, kahi tumo a i ʻole kahi parasite i nā hanana kakaikahi.

Hiki ke loli nā ʻōuli o ka appendicitis. Hiki ke paʻakikī ke ʻike i ka appendicitis i nā keiki ʻōpio, ka poʻe ʻelemakule, a me nā wahine o ka wā hānau keiki.

ʻO ka hōʻailona mua pinepine ka ʻeha a puni ka ʻōpū o ka ʻōpū a i ʻole ma waena o ka ʻōpū o luna. Liʻiliʻi paha ka ʻeha i ka wā mua, akā ʻoi aku ka ʻoi a me ke koʻikoʻi. Loaʻa paha iā ʻoe ka lilo o ka makemake, kahoʻi, luaʻi, a me kahi kuni haʻahaʻa.

ʻO ka ʻeha e neʻe i ka ʻaoʻao haʻahaʻa ʻākau o kou ʻōpū. Mālama ka ʻeha i kahi ma luna pono o ka ʻaoʻao i kapa ʻia ʻo McBurney point. Hana pinepine kēia i 12 a 24 mau hola ma hope o ka hoʻomaka ʻana o ka maʻi.

Eʻoi aku paha ka maikaʻi o kou ʻeha ke hele ʻoe, ʻūlū, a i ʻole neʻe neʻe wale. ʻO nā ʻōuli ma hope e pili pū me:

• ʻO Chills a haʻalulu
• Paʻa paakiki
• Pohā
• Fiva
• ʻO Nusea a me ka luaʻi

Kuhi paha kāu mea mālama ola i ka appendicitis ma muli o nā ʻōuli āu e wehewehe ai.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino.

• Inā loaʻa iā ʻoe ka appendicitis, e hoʻonui kou ʻeha ke kaomi ʻia kāu ʻaoʻao o kou ʻōpū ʻākau ma lalo.
• Inā ua haki kāu appendix, pili i ka ʻōpū kahi e ʻeha ai ka nui a alakaʻi iā ʻoe e hoʻopaʻa i kou mauʻiʻo.
• Loaʻa paha i kahi hoʻokolohua rectal ka palupalu ma ka ʻaoʻao ʻākau o kāu kiko.

E hōʻike pinepine kahi hōʻike koko i kahi helu o ke koko kiʻekiʻe keʻokeʻo. ʻO nā hoʻokolohua kiʻi hiki ke kōkua i ke kuhi ʻana i ka appendicitis me:

• CT scan o ka ʻōpū
• Ultrasound o ka ʻōpū

ʻO ka hapanui o ka manawa, e wehe kahi kaukōpō i kāu āpau ke ʻike koke ʻia ʻoe.

Inā hōʻike kahi loiloi CT he abscess kāu, hiki ke mālama ʻia ʻoe me nā lāʻau ʻaloʻalo mua. E hoʻoneʻe ʻia kāu appendix ma hope o ka hala ʻana o ka maʻi.

ʻAʻole hemolele nā ​​hoʻāʻo e hōʻike ai i ka appendicitis. A ʻo kahi hopena, e hōʻike paha ka hana he maʻamau kāu hoʻopili. I kēlā hihia, e hoʻoneʻe ke kaukipō i kāu hoʻopili a ʻimi i ke koena o kou ʻōpū no nā kumu ʻē aʻe o kou ʻeha.

Ola ka hapa nui o ka poʻe ma hope o ke kaha ʻana inā lawe ʻia ka appendix ma mua o ka haki ʻana.

Inā wāwahi kāu kōpili ma mua o ke kahakaha ʻana, lōʻihi paha ka lōʻihi o ke ola ʻana. E hoʻomohala paha ʻoe i nā pilikia, e like me:

• He abscess
• Ka paʻa ʻana o ka ʻōpū
• ʻO ka maʻi i loko o ka ʻōpū (peritonitis)
• ʻO ka maʻi o ka ʻeha ma hope o ke kahakaha ʻana

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū o kou ʻōpū, a i ʻole nā ​​hōʻailona ʻē aʻe o ka appendicitis.

• Nā palena ʻāina Anatomical - ʻike mua
• ʻŌnaehana Digestive
• Appendectomy - moʻo
• Pākuʻi

ʻO Cole MA, Huang RD. Pākuʻi huʻi. 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 83.

ʻO Sarosi GA. Pākuʻi I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 120.

Sifri CD, Madoff LC. Pākuʻi I: Bennett E, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Edition Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 80.

Smith MP, Katz DS, Lalani T, et al. ʻO nā pae hoʻohālikelike kūpono ACR pono ʻehā quadrant ʻeha - hoʻopiʻi ʻia appendicitis. ʻO Ultrasound Q. 2015; 31 (2): 85-91. PMID: 25364964 www.ncbi.nlm.nih.gov/pubmed/25364964.