Gasistointestinal fistula

ʻO ka gastristestinal fistula kahi puka kīnā ʻole i loko o ka ʻōpū a i ʻole nā ​​ʻōpū e ʻae ai i nā mea i kahe.

• ʻO nā leaks e hele i kahi ʻāpana o nā ʻōpū i kapa ʻia ʻo entero-enteral fistulas.
• ʻO nā kulu e hele i ka ʻili i kapa ʻia he fistulas enterocutaneus.
• Hiki ke hoʻopili ʻia i nā mea ʻē aʻe, e like me ka puhā, ka ʻōpū, anus, a me ke kolona.

ʻO ka hapa nui o nā fistula gastrointestinal e hana ma hope o ke kahakaha ʻana. Nā kumu ʻē aʻe e:

• Ka poloka i loko o ka ʻōpū
• Maʻiʻaʻai (e like me diverticulitis)
• Maʻi Crohn
• Lele i ka ʻōpū (hāʻawi pinepine ʻia ma ke ʻano he ʻāpana o ka mālama ʻana i ka maʻi ʻaʻai)
• ʻEha, e like me nā hōʻeha hohonu mai ke kuʻi ʻana a i ʻole ka pū kī
• Ke ale nei i nā mea caustic (e like me ka lilina)

Kaukaʻi ʻia i kahi o ka liu, hiki i kēia mau fistula ke kumu o ka maʻi diarrhea, a me ka lawe maikaʻi ʻole o nā meaola. ʻAʻole paha i loaʻa i kou kino ka nui o ka wai a me nā wai e like me ka mea e pono ai.

• ʻAʻole kumu o kekahi fistula i nā ʻōuli.
• Hoʻopuka nā fistula ʻē aʻe i nā mea o ka ʻōpū ma o ka wehe ʻana i ka ʻili.

E komo pū paha nā hoʻāʻo:

• ʻAlau ʻo Barium e nānā i ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi
• ʻO ka enema Barium e nānā i ke kolona
• CT scan o ka ʻōpū e nānā no nā fistula ma waena o nā puka lou o nā ʻōpū a i ʻole nā ​​wahi o ka maʻi
• ʻO Fistulogram, kahi i hoʻopili ʻia ai ka kala ʻokoʻa i loko o ka wehe o ka ʻili o kahi fistula a lawe ʻia nā kukuna

Hiki i nā mālama ke hoʻopili:

• Nā Antibiotics
• Hoʻopilikia ka pale ʻana i nā lāʻau inā he hopena ka fistula o ka maʻi Crohn
• ʻO ke keʻoki e wehe i ka fistula a me kahi o nā ʻōpū inā ʻaʻole e hoʻōla ana ka fistula
• Kaʻai kūpono ma o ke aa a ke hoʻōla ka fistula (i kekahi mau hihia)

Pani kekahi mau fistula iā lākou iho ma hope o kekahi mau pule i kekahi mau mahina.

Aia ka nānā i ke olakino olakino o ke kanaka a me ka maikaʻi ʻole o ka fistula. ʻO ka poʻe i olakino ʻole i kahi manawa kūpono loa e ola ai.

Hiki i nā fistula ke hopena i ka malnutrisi a me ka make wai, e pili ana i ko lākou wahi i ka ʻōpū. Hoʻokumu pū paha lākou i nā pilikia o ka ʻili a me ka maʻi.

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe:

• ʻO ka diarrhea maikaʻi ʻole a i ʻole nā ​​loli nui o ka ʻōpū
• ʻO ka liu o ka wai mai kahi wehe ma ka ʻōpū a i ʻole ma kahi kokoke o ka anus, keu hoʻi inā ʻoki koke ʻoe i kahi ʻōpū

Entero-enteral fistula; Enteristan fistula; Fistula - ʻōpū; Maʻi Crohn - fistula

• Nā ʻōnaehana ʻōnaehana Digestive
• Fistula

ʻO De Prisco G, Celinski S, Spak CW. ʻO nā abscesses ʻōpū a me nā fistula gastrointestinal. 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 29.

ʻO Li Y, Zhu W. Pathogenesis o ka maʻi fistula e pili ana i ka maʻi a me abscess. I: Shen B, hoʻoponopono. ʻO ka maʻi hoʻowelawela hoʻowalewale hoʻowalewale. Cambridge, MA: Elsevier Academic Press; 2018: chap 4.

Nussbaum MS, McFadden DW. Gastric, duodenal, a me nā ʻōpū liʻiliʻi liʻiliʻi. I: Yeo CJ, hoʻoponopono. ʻO Shackleford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 76.