ʻO Nusea a me ka luaʻi - nā mākua

Ke makemake nei ʻo Nusea i kahi makemake e luaʻi. Kāhea pinepine ʻia ʻo "maʻi i kou ʻōpū."

ʻO ka luaʻi a i ʻole kīloi ʻana ke koi aku nei i nā ʻike o ka ʻōpū ma o ka paipu meaʻai (esophagus) a mai ka waha.

ʻO nā pilikia maʻamau i hiki ke kumu i ka nausea a me ka luaʻi pū:

• Nā mea āpau o ka meaʻai
• Nā maʻi o ka ʻōpū a i ʻole nā ​​ʻōpū, e like me ka "flu flu" a i ʻole ka lāʻau make
• Ke kulu ʻana i nā ʻike o ka ʻōpū (ʻai a wai paha) i luna (i kapa ʻia hoʻi ʻo reflux gastroesophageal a i ʻole GERD)
• Nā lāʻau lapaʻau a i ʻole nā ​​lāʻau lapaʻau, e like me chemotherapy maʻi ʻaʻai a i ʻole mālama radiation
• ʻEha poʻo Migraine
• ʻO ka maʻi kakahiaka i ka wā hāpai
• Seasickness a neʻe maʻi paha
• ʻEha ʻeha loa, e like me nā pōhaku hakuʻala
• Hoʻohana nui ʻia o ka wānana

ʻO Nusea a me ka luaʻi paha he hōʻailona hōʻailona mua ia o nā pilikia olakino koʻikoʻi, e like me:

• Pākuʻi
• Ka poloka ma nā ʻōpū
• Ka maʻi ʻaʻai a i ʻole kahi tumo
• ʻO ka ʻai ʻana i ka lāʻau a i ʻole ka lāʻau make, keu hoʻi e nā keiki
• Ulcer i ka uhi o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi

I ka manawa e ʻike ai kāu mea mālama ola i ke kumu, makemake ʻoe e ʻike pehea e mālama ai i kou nausea a i ʻole ka luaʻi.

Pono ʻoe e:

• E lawe i ka lāʻau.
• Hoʻololi i kāu papaʻai, a hoʻāʻo paha i nā mea ʻē aʻe e hoʻomaikaʻi ai iā ʻoe.
• E inu pinepine i nā wai akāka.

Inā loaʻa ʻoe i ka maʻi kakahiaka i ka wā hāpai, e nīnau i kāu mea hoʻolako e pili ana i nā lāʻau kūpono.

Hiki i ka mea aʻe ke kōkua i ka mālama ʻana i nā maʻi neʻe:

• Koe nō.
• Lawe i nā antihistamines over-the-counter, e like me dimenhydrinate (Dramamine).
• Ke hoʻohana nei i nā ʻili ʻili i kuhikuhi ʻia e scopolamine (e like me Transderm Scop). Kōkua kēia mau mea no nā huakaʻi hele lōʻihi, e like me ka holo moana. E hoʻohana i ka pale e like me ke kuhikuhi a kāu mea hāʻawi. No nā mākua wale nō ʻo Scopolamine. ʻAʻole pono e hāʻawi ʻia i nā keiki.

Kāhea iā 911 a i ʻole hele i kahi lumi pilikia inā ʻoe:

• E noʻonoʻo i ka luaʻi ʻana mai ka lāʻau make
• Hoʻomaopopo i ke koko a i ʻole ka pouli, nā mea kope kope i ka luaʻi

Kāhea koke aku i kahi mea hoʻolako a ʻimi i ka mālama olakino inā ʻo ʻoe a ʻo kekahi kanaka paha:

• E luaʻi ana no ka lōʻihi ma mua o 24 mau hola
• ʻAʻole hiki ke mālama i nā wai i lalo no 12 mau hola a ʻoi paha
• ʻEha poʻo poʻo ʻāʻī ʻoʻoleʻa
• ʻAʻole i mimi no 8 a ʻoi paha mau hola
• ʻEha nui o ka ʻōpū a ʻōpū paha
• Uku ʻia he 3 a ʻoi paha mau manawa i ka 1 lā

ʻO nā hōʻailona o ka make wai ʻana:

• Uē me ka waimaka ʻole
• Waha maloo
• Hoʻonui wai make wai
• Pulu nā maka i ke alo
• Hoʻololi ka ʻili: Eia kekahi laʻana, inā ʻoe e hoʻopā a ʻomi i ka ʻili, ʻaʻole ia e ala hou i ke ala maʻamau
• ʻO ka mimiki pinepine ʻana a i ʻole he mimi melemele pouli

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a e nānā no nā hōʻailona o ka make wai.

E nīnau ana kāu mea hāʻawi e pili ana i kāu mau hōʻailona, ​​e like me:

• I ka manawa hea i hoʻomaka ai ka luaʻi? Pehea kona lōʻihi? Ehia mau manawa e hana ai?
• Hana ʻia ma hope o kāu ʻai ʻana, a i ʻole ma kahi ʻōpū hakahaka?
• Aia kekahi mau hōʻailona ʻē aʻe e like me ka ʻeha o ka ʻōpū, ke kuni, ka maʻi diarrhea, a me nā poʻo hina?
• Ke luaʻi nei ʻoe i ke koko?
• Ke luaʻi nei ʻoe i kekahi mea e like me nā papa kope?
• Ke luaʻi nei ʻoe i ka meaʻai pono ʻole?
• I ka manawa hea ʻoe i mimi ai?

E nīnau ʻia nā nīnau ʻē aʻe iā ʻoe:

• Ua lilo paha ʻoe i kaupaona?
• Hele huakaʻi paha ʻoe? Ma hea?
• He aha nā lāʻau e lawe ai?
• Ua loaʻa i nā poʻe ʻē aʻe i ʻai ma kahi like e like me nā ʻōuli like?
• Hāpai ʻoe a i ʻole hiki iā ʻoe ke hāpai?
• Hana ʻoe i ka pakalōlō? Inā ʻae, ehia mau manawa e hoʻohana ai ʻoe ia?

Hiki ke hana ʻia nā hoʻokolohua diagnostics me:

• Nā ho'āʻo koko (e like me CBC me ka ʻokoʻa, nā pae electrolyte koko, a me nā hoʻokolohua hana ate)
• Urinalysis
• Nā noiʻi kiʻi (ultrasound a i ʻole CT) o ka ʻōpū

Kaukaʻi ʻia i ke kumu a me ka nui o nā wai keu e pono ai, noho paha ʻoe i ka haukapila a i ʻole ke keʻena maʻi no kekahi manawa. Pono ʻoe i nā wai i hāʻawi ʻia ma o kāu mau uaua (intravenous a i ʻole IV).

ʻO Emesis; ʻO ka luaʻi; Huhū ka ʻōpū; ʻŌpū huhū; Kuʻi

• Meaʻai wai maopopo
• ʻAiʻai wai piha

• ʻŌnaehana Digestive

ʻO Crane BT, ʻo Eggers SDZ, Zee DS. Nā maʻi vestibular waena. I: Flint PW, Haughey BH, Lund V, et al, eds. ʻO Cummings Otolaryngology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 166.

ʻO Guttman J. Nausea a me ka luaʻi. 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 26.

ʻO Mcquaid KR. Hele i ka mea maʻi me ka maʻi gastrointestinal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 123.