Koko luaʻi

ʻO ka luaʻi ke koko e regurgitating (hoʻolei) i nā ʻike o ka ʻōpū i loaʻa ke koko.

ʻIke paha ke koko i noi ʻia i ʻulaʻula, ʻulaʻula ʻulaʻula, a i ʻole ke nānā aku e like me ka papa kope. Hoʻohui ʻia paha ka mea luaʻi me ka meaʻai a i ʻole he koko wale nō.

He paʻakikī paha e haʻi i ka ʻokoʻa ma waena o ka luaʻi o ke koko a me ke kahe ʻana o ke koko (mai ka akemāmā) a i ʻole ka nosebleed.

ʻO nā kūlana e kumu ai i ka luaʻi o ke koko hiki ke kumu i ke koko i ka pahu.

ʻO ka GI kiʻekiʻe (gastrointestinal) tract ke komo pū me ka waha, ka ʻāʻī, ka esophagus (ʻoni omo), ʻōpū a me ka duodenum (ʻāpana mua o ka ʻōpū liʻiliʻi). ʻO ke koko i luaʻi ʻia mai paha mai kekahi o kēia mau wahi.

ʻO ka luaʻi ikaika loa a i ʻole hoʻomau mau no ka manawa lōʻihi hiki ke kumu i ka waimaka o nā kīʻaha koko liʻiliʻi o ka puʻu. Hana paha kēia i nā kaha o ke koko i ka luaʻi.

ʻO nā veins pehu i loko o nā paia o ka ʻaoʻao haʻahaʻa o ka esophagus, a i kekahi manawa ka ʻōpū, hoʻomaka paha e kahe i ke kahe. Aia kēia mau uaua (i kapa ʻia ʻo varises) i ka poʻe me ka hōʻino nui o ke ake.

ʻO ka luaʻi hou ʻana a me ka hoʻomaha hou ʻana e kumu i ke kahe ʻana o ke kahe a me ka hōʻino ʻana i ka esophagus lalo i kapa ʻia ʻo Mallory Weiss waimaka.

Hiki i nā kumu ʻē aʻe ke:

• Ulcer kahe ma ka ʻōpū, mahele mua o ka ʻōpū liʻiliʻi, a i ʻole ka esophagus
• Nā maʻi maʻi kō
• Nā kīnā i nā kīʻaha koko o ka GI tract
• Ka pehu ʻana, ka huhū, a i ʻole ka pehu ʻana o ka uhi ʻana o ka esophagus (esophagitis) a i ʻole ka uhi ʻana o ka ʻōpū (gastritis)
• E ale ana i ke koko (ʻo kahi laʻana, ma hope o ka nosebleed)
• Nā tumors o ka waha, ka puʻu, ka ʻōpū a i ʻole ka esophagus

E kiʻi koke i ka lāʻau lapaʻau. ʻO ka luaʻi ke koko ka hopena o kahi pilikia olakino koʻikoʻi.

Kāhea i kāu kahu mālama ola a i ʻole hele i ka lumi pilikia inā kū ka luaʻi o ke koko. Pono ʻoe e nānā koke ʻia.

E nānā ka mea hāʻawi iā ʻoe a nīnau i nā nīnau e like me:

• I ka manawa hea i hoʻomaka ai ka luaʻi?
• Ua luaʻi paha ʻoe i ke koko ma mua?
• Ehia ke koko i loko o ka luaʻi?
• He aha ke kala i ke koko? (Malamalama a ʻulaʻula ʻulaʻula a makemake paha i nā papa kope?)
• Ua loaʻa paha iā ʻoe nā ihu hou, nā ʻoki, nā hana niho, ka luaʻi, nā pilikia o ka ʻōpū, a me ka ʻeha nui.
• He aha nā hōʻailona ʻē aʻe āu?
• He aha nā kūlana olakino āu?
• He aha nā lāʻau e lawe ai?
• Inu inu ʻalekohola paha ʻoe?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO ka hana o ke koko, e like me ka helu piha o ke koko (CBC), nā chemistries o ke koko, nā hoʻāʻo ʻana o ke koko, a me nā hoʻokolohua hana ate
• ʻO Esophagogastroduodenoscopy (EGD) (ke waiho nei i kahi pahu kukui ma o ka waha i loko o ka esophagus, ʻōpū a me ka duodenum)
• Ninaninau pololei
• Tube ma o ka ihu i loko o ka ʻōpū a laila hoʻopili i ka omo e nānā no ke koko i loko o ka ʻōpū
• Nā kukuna X

Inā ua luaʻi ʻoe i ke koko he nui, pono paha ʻoe i ka hoʻoponopono ulia pōpilikia. Hoʻopili paha kēia:

• Hoʻokele o ka oxygen
• Hoʻokahe koko
• ʻO EGD me ka noi ʻana o ka laser a i ʻole nā ​​ʻano hana ʻē aʻe e hōʻoki i ke kahe ʻana
• Nā loli ma o kahi aa
• Nā lāʻau lapaʻau e hoʻēmi i ka waikawa ʻōpū
• ʻO ke kahakaha hiki ke kū ʻole ke kahe ʻana

Hematemesis; Koko i ka luaʻi

ʻO Kovacs TO, ʻo Jensen DM. Hemorrhage Gastrointestinal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 135.

ʻO Meguerdichian DA, ʻo Goralnick E. ʻO ke kahe o Gastrointestinal. 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 27.

ʻO Savides TJ, Jensen DM. Kahe ʻana o ka gastrointestinal. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 20.