ʻO Enteritis

ʻO Enteritis ka mumū o ka ʻōpū liʻiliʻi.

Hoʻokumu pinepine ʻia ʻo Enteritis e ka ʻai ʻana a i ʻole ka inu ʻana i nā mea i hoʻohaumia ʻia me nā bacteria a i ʻole nā ​​virus. Noho nā ʻōpala i loko o ka ʻōpū liʻiliʻi a hoʻoulu i ka wela a me ka pehu.

Hoʻokumu pū ʻia ʻo Enteritis e:

• ʻO kahi kūlana autoimmune, e like me ka maʻi Crohn
• ʻO kekahi mau lāʻau, e like me NSAID (e like me ka ibuprofen a me ka naproxen sodium) a me ka cocaine
• Poino mai ka radiation radiation
• Maʻi Celiac
• Tropical sprue
• Maʻi Whipple

Hiki i ke kuni ke hoʻopili i ka ʻōpū (gastritis) a me ka ʻōpū nui (colitis).

ʻO nā kumu pilikia me:

• ʻO ka maʻi ʻōpū ma waena o nā lālā o ka hale
• Huakaʻi hou
• Hōʻike i ka wai haumia

Nā ʻano o ka enteritis:

• ʻO Gastroenteritis maʻi
• ʻO Campylobacter enteritis
• E coli komo komo
• Lāʻau makeʻai
• Enteritis kukuna
• ʻO Salmonella enteritis
• ʻO Shigella enteritis
• Lāʻau make ʻai Staph aureus

E hoʻomaka paha nā ʻōuli i mau hola i kou hala ʻana o ka maʻi. Pākuʻi ʻia paha nā ʻōuli:

• Abdominal eha
• Diarrhea - koʻikoʻi a koʻikoʻi
• Loaʻa ka ʻai ʻole
• ʻO ka luaʻi
• Koko i loko o ka pahu

E komo pū paha nā hoʻāʻo:

• ʻO kahi moʻomeheu noho e nānā ai i ke ʻano o ka maʻi. Eia nō naʻe, ʻaʻole ʻike mau ʻia kēia hōʻike i nā koʻohune e hana nei i ka maʻi.
• ʻO kahi kolonoscopy a / a i ʻole endoscopy luna e nānā i ka ʻōpū liʻiliʻi a lawe i nā laʻana kiko inā pono.
• ʻO nā hoʻokolohua kiʻi, e like me CT scan a me MRI, inā mau ka hoʻomau ʻana o nā ʻōuli.

ʻAʻole pono nā hihia liʻiliʻi i ka lāʻau.

Hoʻohana ʻia ka lāʻau Antidiarrheal i kekahi manawa.

Pono ʻoe i ka rehydration me nā hopena electrolyte inā ʻaʻole lawa nā wai i kou kino.

Pono ʻoe i ka mālama olakino a me nā wai ma o kahi aa koko (nā wai i loko o ke kino) inā loaʻa ʻoe i ka palahī a ʻaʻole hiki ke mālama i nā wai i lalo. ʻO kēia ka hihia pinepine me nā keiki ʻōpio.

Inā ʻoe e lawe i nā diuretics (nā pila wai) a i ʻole kahi mea kāohi ACE a hoʻomohala i ka palahī, pono paha ʻoe e hōʻoki i ka lawe ʻana i nā diuretics. Eia naʻe, mai hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua me kāu kauka.

Pono paha ʻoe e lawe i nā lāʻau ʻaloʻalo.

ʻO ka poʻe i loaʻa i ka maʻi Crohn e pono pinepine e lawe i nā lāʻau anti-inflammatory (ʻaʻole nā ​​NSAID).

Hele pinepine nā ʻōuli me ka ʻole o ka lapaʻau ʻana i kekahi mau lā i ka poʻe olakino ʻē aʻe.

Komo pū nā pilikia:

• Make wai
• Pohā lōʻihi

Kaha: i nā pēpē, hiki i ka maʻi pākī ke hoʻomaka i ka make wai nui e hiki koke mai ana.

Kāhea i kāu mea hāʻawi inā:

• Lilo ʻoe i ka make wai.
• ʻAʻole hele aku ka maʻi pākī ma 3 a 4 mau lā.
• Loaʻa ʻoe i ke kuni ma luna o 101 ° F (38.3 ° C).
• Loaʻa kou koko i kāu pahu.

Hiki i kēia mau hana ke pale i ka enteritis:

• Holoi mau i kou mau lima ma hope o ka hoʻohana ʻana i ka lua a ma mua o ka ʻai ʻana a hoʻomākaukau ʻana paha i ka meaʻai a mea inu paha. Hiki iā ʻoe ke hoʻomaʻemaʻe i kou mau lima me kahi huahana hoʻokumu waiʻona e piha ana ma kahi o 60% ka waiʻona.
• E hoʻolapalapa i ka wai mai nā kumu ʻike ʻole ʻia, e like me nā kahawai a me nā luawai waho, ma mua o ka inu ʻana iā ia.
• E hoʻohana wale i nā pono maʻemaʻe no ka ʻai ʻana a me ka mālama ʻana i nā meaʻai, ke mālama pono i nā hua a me nā manu.
• Kuke pono i ka meaʻai.
• E hoʻohana i nā mea hōʻiliʻili e mālama i nā meaʻai e pono ai ke anuanu.

• ʻO organism salmonella typhi
• Meaola ʻo Yersinia enterocolitica
• Meaola Campylobacter jejuni
• ʻO nā meaola Clostridium difficile
• ʻŌnaehana Digestive
• Anatomi ʻo Esophagus a me ka ʻōpū

ʻO DuPont HL, 'Okhuysen PC. E hoʻokokoke i ka mea maʻi me ka maʻi ʻino i komo ʻia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 267.

Melia JMP, Sears CL. ʻO ka enteritis infectious a me ka proctocolitis. 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 110.

Lima AAM, Warren CA, Guerrant RL. Huʻi disentery syndromes (diarrhea me ke kuni). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 99.

Semrad CE. Hele i ka mea maʻi me ka maʻi pākī a me ka malabsorption. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 131.