Hoʻohui

ʻO nā adhesions he mau kaula o kaʻiʻo e like me ka maka e hana ma waena o ʻelua mau papa i loko o ke kino a pili pū lākou.

Me ka neʻe ʻana o ke kino, hiki i nā ʻōpū o loko e like me ke ʻōpū a i ʻole ka ʻōpū ke hiki ke neʻe a pāheʻe hoʻi kekahi i kekahi. ʻO kēia no ka mea he maʻalahi a paheʻe nā paheʻe o kēia mau kiko a me nā ʻōpū i ka hū o ka ʻōpū. ʻO ka hoʻohaunaele (ʻōhū), ʻoki kino, a i ʻole ʻeha hiki ke hoʻokumu i nā adhesions a pale i kēia neʻe. Hiki ke hoʻopili ʻia nā adhesions ma kahi o ke kino, e like me:

• ʻO nā hui pū, e like me ka poʻohiwi
• Nā Maka
• I loko o ka ʻōpū a i ʻole pelvis

Hiki i nā adhesions ke lilo i ʻoi aku ka nui a ʻoi loa paha i ka wā. Hiki i nā pilikia ke hana i nā adhesions i kahi ʻokana a i ʻole ʻāpana kino i:

• Wili
• Huki i waho o ke kūlana
• ʻAʻole hiki ke neʻe maʻamau

He kiʻekiʻe ka makaʻu o ka hoʻopili ʻana ma hope o ka ʻōpū a i ʻole nā ​​ʻōpala wahine. ʻO ke ʻoki lāʻau e hoʻohana ana i ka laparoscope ka mea liʻiliʻi e hoʻokumu i nā adhesions ma mua o ke kaha ākea.

ʻO nā kumu ʻē aʻe o ka hoʻopili ʻana i loko o ka ʻōpū a i ʻole pelvis nā:

• Pākuʻi, ʻo ka pinepine i ka hāmama ʻana o ka appendix (haki)
• Kanesa
• Endometriosis
• Nā maʻi i loko o ka ʻōpū a me nā pelvis
• Lapaʻau uila

Hiki ke hoʻopili ʻia a puni nā hono:

• Ma hope o ke kahakaha ʻana a i ʻole trauma
• Me kekahi ʻano o ka arthritis
• Me ka overuse o kahi ami a tendon paha

Hoʻopili nā adhesions i nā hono, nā aʻa, a i nā ligament paha i mea paʻakikī e neʻe i ka ami. Hoʻokumu pū paha lākou i ka ʻeha.

Adhesions i loko o ka opu ('ōpū) hiki i blockage o na naʻau. ʻO nā hōʻailona me:

• ʻO Bloating a ʻōhū paha o kou ʻōpū
• Konipōpō
• ʻO Nusea a me ka luaʻi
• ʻAʻole hiki ke hala i ke kākālina
• ʻEha i loko o ka ʻōpū ʻoi loa a hue

Hiki i nā adhesions i ke pelvis ke hana i ka ʻeha pelvis wā lōʻihi (mau).

ʻO ka hapanui o ka manawa, ʻaʻole hiki ke ʻike ʻia nā adhesions me ka hoʻohana ʻana i nā kukuna x a i ʻole nā ​​hoʻokolohua kiʻi.

• Hiki i ka Hysterosalpingography ke kōkua i ke kuhi ʻana i loko o ka uterus a i ʻole nā ​​paipu fallopian.
• X-kukuna o ka ʻōpū, barium ʻokoʻa haʻawina, a me CT scans ke kōkua huai ae i blockage o na naʻau i hoʻokumu ʻia e adhesions.

ʻO Endoscopy (kahi ala o ka nānā ʻana i loko o ke kino e hoʻohana ana i kahi paipu hikiwawe i loaʻa i kahi kāmela liʻiliʻi ma ka hopena) hiki ke kōkua i ka diagnose adhesions:

• Nānā ʻo Hysteroscopy i loko o ka kōpū
• Nānā ʻo Laparoscopy i loko o ka ʻōpū a me nā pelvis

Hana ʻoki ʻia e hoʻokaʻawale i nā adhesions. Hiki i kēia ke hoʻokuʻu i ka meaola i ka neʻe maʻamau a hoʻemi i nā ʻōuli. Eia nō naʻe, piʻi aʻe ka makaʻu no nā hoʻopili hou aʻe me nā mea ʻoi loa.

Kaukaʻi ʻia i ka wahi o nā hoʻopili, hiki ke kau ʻia i kahi pale i ka manawa o ke ʻoki e kōkua ai e hōʻemi i ka manawa o ka adhesions e hoʻi.

Maikaʻi ka hopena i ka nui o nā hihia.

Hiki i nā adhesions ke kumu i nā ʻano maʻi like ʻole, kaukaʻi ʻia i nā aʻa i hoʻopili ʻia.

• I ka maka, hoʻopili ʻia ka iris i nā aniani hiki ke alakaʻi i ka glaucoma.
• I loko o nā ʻōpū, hiki i nā adhesions ke hoʻopili i ka ālai hapa a piha paha o ka ʻōpū.
• Hiki i nā adhesions i loko o ka lua uterine ke kumu i kapa ʻia ʻo Asherman Syndrome. Hiki i kēia i ke kumu o ka loaʻa ʻana o nā pōʻai paepae ʻole o ka wahine a hiki ʻole ke hāpai.
• ʻO nā pelvic adhesions e pili ana i ka scarring o nā paipu fallopian hiki ke alakaʻi i nā pilikia infertility a me nā hānau.
• Hiki ke hoʻopili ʻia nā ʻōpū a me nā pelvic i ka ʻeha mau.

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe:

• Abdominal eha
• ʻAʻole hiki ke hala i ke kākālina
• Nusea a me ka luaʻi e hele ʻole
• ʻEha i loko o ka ʻōpū ʻoi loa a hue

Pāheo pelvic; Hoʻopili hoʻopili Intraperitoneal; Hoʻopili hoʻopili Intrauterine

• Pākuʻi pelvic
• Ovarian cyst

Kulaylat MN, Dayton MT. Nā pilikia ʻoki kino. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 12.

Kuemmerle JF. Nā maʻi hōʻeha a me nā anatomic o ka ʻōpū, peritoneum, mesentery, a me omentum. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 133.

Pūnaewele Institute of Diabetes a me Digestive a me nā maʻi maʻi puʻuwai. Piki ʻōpū. www.niddk.nih.gov/health-information/digestive-diseases/abdominal-adhesions. Hoʻohou ʻia Iune 2019. Loaʻa iā Malaki 24, 2020.