ʻO ka hoʻohaunaele ʻōpū a me Ileus

ʻO ka pale ʻana o ka ʻōpū kahi hapa a piha paha o ka ʻōpū. ʻAʻole hiki ke hele ma loko o ka ʻōpū.

ʻO ke kahakaha ʻana o ka ʻōpū ma muli o:

• ʻO kahi kumu mechanical, ʻo ia hoʻi aia kekahi mea i ke ala
• ʻO Ileus, kahi kūlana kahi e holo pono ʻole ai ka ʻōpū, akā ʻaʻohe pilikia o ke ʻano e hoʻokumu iā ia

ʻO ka ileus paralytic, i kapa ʻia hoʻi he pseudo-ālai, kekahi o nā kumu nui o ka pale ʻana o ka ʻōpū i nā pēpē a me nā keiki. ʻO nā kumu o ka ileus paralytic e hoʻopili pū paha:

• ʻO nā bacteria a i ʻole nā ​​mea ʻino e hoʻokumu i nā maʻi ʻōpū (gastroenteritis)
• ʻO ka kemika, electrolyte, a i ʻole nā ​​kaulike mineral (e like me ka hoʻoliʻiliʻi pae potassium)
• ʻOki kino ʻōpū
• Hoemi i ka lako o ke koko i nā ʻōpū
• Nā maʻi i loko o ka ʻōpū, e like me ka appendicitis
• ʻO ka maʻi kīkī a me ka maʻi māmā
• Hoʻohana o kekahi mau lāʻau, ʻo ia hoʻi nā narcotics

ʻO nā kumu mechanical o ka pale ʻana i ka ʻōpū i loko:

• ʻO nā adhesions a i ʻole nā ​​ʻili maka e hana ma hope o ke kahakaha ʻana
• Nā kino haole (nā mea i ale ʻia a ālai i nā ʻōpū)
• Gallstones (pohihihi)
• Hernias
• Pākuʻi i kū ʻia
• Intussusception (telescoping o kekahi ʻāpana o ka ʻōpū i loko o kahi)
• ʻO nā tumors e ālai ana i nā ʻōpū
• Volvulus (wili ʻōpū)

Pākuʻi ʻia paha nā ʻōuli:

• Pahu ʻōpū (distention)
• Hoʻopiha ʻōpū, ʻōpala
• ʻEha o ka ʻōpū a me ka cramping
• ʻAʻala hanu
• Konipōpō
• Pohā
• ʻAʻole hiki ke hala i ke kākālina
• ʻO ka luaʻi

I ka wā o kahi hoʻokolohua kino, hiki i ka mea mālama ola ke loaʻa i ka bloating, palupalu, a i ʻole hernias i loko o ka ʻōpū.

Hōʻike nā hōʻike e hōʻike ana i ka ālai ʻia:

• Scanner CT ʻōpū
• Hihi x ʻōpū
• Enema Barium
• ʻO GI luna a me nā pūʻali ʻōpū liʻiliʻi

Hoʻopili ke kau ʻana i kahi paipu ma o ka ihu i loko o ka ʻōpū a i ʻole ka ʻōpū. ʻO kēia ka mea e kōkua ai e hōʻoluʻolu i ka ʻōpū o ka ʻōpū (distention) a me ka luaʻi. Hiki ke mālama ʻia ka volvulus o ka ʻōpū nui ma o ka waiho ʻana i kahi paipu i loko o ka pā.

Pono paha ke ʻoki kino e hōʻoluʻolu i ka ālai inā ʻaʻole hoʻomaha ka paipu i nā ʻōuli. Pono paha ia inā loaʻa nā hōʻailona o ka make ʻana o ka ʻaʻa.

Pili ka hopena i ke kumu o ka paʻa ʻana. ʻO ka hapa nui o ka manawa, mālama maikaʻi ʻia ke kumu.

Pākuʻi ʻia paha a i ʻole alakaʻi ʻia i:

• Electrolyte (ke kemu o ke koko a me nā minelala) ke kaulike ʻole
• Make wai
• Hole (perforation) i loko o ka ʻōpū
• Maʻi kīnā
• Jaundice (melemele o ka ʻili a me nā maka)

Inā ālai ka mea ālai i ka lako o ke koko i ka ʻōpū, hiki iā ia ke kumu i ka maʻi a me ka make o ke kino (gangrene). Pili nā pilikia no ka make ʻana o ka iʻa i ke kumu o ka paʻa ʻana a me ka lōʻihi o kona noho ʻana. Hāpai ʻo Hernias, volvulus, a me intussusception i kahi kūlana gangrene kiʻekiʻe aʻe.

I kahi keiki hānau hou, ʻo ka ileus paralytic e hoʻopau i ka paia o ka ʻōpū (necrotizing enterocolitis) kahi kūlana hoʻoweliweli ola. Hiki iā ia ke alakaʻi i nā maʻi koko a me nā akemāmā

Kāhea i kāu mea hāʻawi inā ʻoe:

• ʻAʻole hiki ke hele i ka pahu a me ka ʻaukā
• E loaʻa i kahi ʻōpū pehu (distention) ʻaʻole e hele
• E hoʻomau i ka luaʻi
• Loaʻa i ka ʻeha o ka ʻōpū ʻaʻole hiki ke wehewehe ʻia

Kū ka pale i ke kumu. ʻO ka mālama ʻana i nā kūlana, e like me nā tumors a me nā hernias e hiki ai i kahi poloka, hiki ke hōʻemi i kou makaʻi.

ʻAʻole hiki ke pale ʻia kekahi mau kumu o ka ālai ʻana.

Ile maʻi lolo; Volvulus ʻōpū; Pāpale ʻōpū; Ileus; Pseudo-ālai - ʻōpū; Colonic ileus; Pāpale kōpū liʻiliʻi

• Meaʻai wai maopopo
• ʻAiʻai wai piha
• ʻO ka ʻōpū nui o ka ʻōpū - hoʻokuʻu
• Hoʻokiʻi liʻiliʻi o ka ʻōpū - hoʻokuʻu
• Huina colectomy a i ʻole proctocolectomy - hoʻokuʻu

• ʻŌnaehana Digestive
• Ileus - x-ray o ka ʻōpū a me ka ʻōpū i distended
• Ileus - x-ray o ka ʻōpū o ka ʻōpū
• Intussusception - x-ray
• Volvulus - x-ray
• ʻO ka pale liʻiliʻi o ka ʻōpū - x-ray
• ʻO ka ʻōpū liʻiliʻi liʻiliʻi - moʻo

Harris JW, Evers BM. ʻŌpū liʻiliʻi. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 49.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Kolona a me ka pololei. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 51.

Mustain WC, Huli RH. Kaohi kūpona. 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 123.