Abdominal eha

ʻO ka ʻeha o ka ʻōpū ka ʻeha āu e ʻike ai ma waena o kou umauma a me kou ʻū. Kuhi pinepine ʻia kēia ma ka ʻōpū a i ʻole ka ʻōpū.

ʻAneʻane loaʻa i nā kānaka āpau ka ʻeha i loko o ka ʻōpū i kekahi manawa. ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi ia.

ʻAʻole maikaʻi ka ʻeha o kou ʻeha i ke koʻikoʻi o ke ʻano e ʻeha ai.

ʻO kahi laʻana, loaʻa paha iā ʻoe ka ʻeha o ka ʻōpū maikaʻi loa inā loaʻa iā ʻoe ke kōkō a i ʻole nā ​​ʻōpū ʻōpū ma muli o ka gastroenteritis viral.

Eia nō naʻe, nā kūlana make, e like me ka maʻi ʻaʻai kolona a i ʻole appendicitis wawe, e hōʻeha wale paha i ka ʻeha a ʻaʻohe ʻeha.

Nā ala ʻē aʻe e wehewehe ai i ka ʻeha o kou ʻōpū pū:

• ʻO ka ʻeha maʻamau - Kuhi kēia i kou manaʻo ma mua o ka hapalua o kou ʻōpū. ʻO kēia ʻano ʻeha ka mea maʻa mau no ka maʻi ʻōpū, ka palaka, a i ʻole ka ʻaila. Inā lilo ka ʻeha i mea ʻoi aku ka nui, hiki i ke kahakaha ʻana o nā ʻōpū.
• ʻEha kūloko - He ʻeha kēia i loaʻa i hoʻokahi wale nō wahi o kou ʻōpū. ʻOi aku paha ka hōʻailona o kahi pilikia i loko o kahi ʻokana, e like me ka pākuʻi, kahe, a me ka ʻōpū.
• ʻEha like Cramp - ʻAʻole ʻano koʻikoʻi kēia ʻano ʻeha i ka hapa nui o ka manawa. Loaʻa paha ia ma muli o ke kinoea a me ka momona, a ukali pinepine ʻia e ka diarrhea. ʻO nā hōʻailona hopohopo hou me ka ʻeha e hana pinepine ʻia, ʻoi aku ma mua o 24 mau hola, a i ʻole loaʻa me ke kuni.
• ʻEha Colicky - hele mai kēia ʻano ʻeha i nā nalu. Hoʻomaka pinepine a hoʻomaka koke ʻia, a ʻeha pinepine. ʻO nā pōhaku hakuʻala a me nā pōhaku ʻaʻa ka kumu maʻamau o kēia ʻano ʻeha o ka ʻōpū.

Hiki i nā ʻano ʻano like ʻole ke ʻeha i ka ʻōpū. ʻO ke kī e ʻike i ka wā e pono ai ʻoe e mālama koke i ka lāʻau lapaʻau. I kekahi manawa, pono paha ʻoe e kāhea i kahi lawelawe mālama ola inā hoʻomau kāu mau ʻōuli.

ʻO nā kumu liʻiliʻi o ka ʻeha o ka ʻōpū pū kekahi:

• Konipōpō
• Maʻi maʻi huhū huhū
• Nā meaʻai āpau a i ʻole ke ahonui (e like me ka hoʻomanawanui ʻole o ka lactose)
• Lāʻau makeʻai
• ʻO ka maʻi maʻi ʻōpū

ʻO nā kumu kumu ʻē aʻe e pili pū me:

• Pākuʻi
• Anurysm aortic austic (ʻōhū a hoʻonāwaliwali hoʻi i nā aʻa nui i ke kino)
• Hoʻopau a kīnā ʻole
• Ka maʻi ʻaʻai o ka ʻōpū, kolona (ʻōpū nui), a me nā mea ʻē aʻe
• Cholecystitis (pehu o ka gallbladder) me ka ʻole o nā gallstones a i ʻole
• Hoemi ke koko i nā ʻōpū (ischemic bowel)
• Diverticulitis (hoʻohaunaele a me ka maʻi o ke kolona)
• Puʻuwai, ʻaʻai ʻole, a i ʻole reflux gastroesophageal (GERD)
• ʻO ka maʻi maʻi ʻōpū (Crohn disease or ulcerative colitis)
• Pohaku hakuʻala
• Pancreatitis (hāhā a maʻi paha o ka pancreas)
• Ulcer

I kekahi manawa, ʻeha ka ʻōpū ma muli o kahi pilikia ma kahi ʻē aʻe i kou kino, e like me kou umauma a i ʻole pelvic area. ʻO kahi laʻana, loaʻa paha iā ʻoe ka ʻeha o ka ʻōpū inā loaʻa iā ʻoe:

• Pā ʻaʻano menstrual nui loa
• Endometriosis
• Puʻupuʻu mākala
• ʻO ka maʻi maʻi pelvic (PID)
• Tubal (ectopic) hāpai keiki
• Uhaʻi ovarian cyst
• Nā maʻi maʻi urinary

Hiki iā ʻoe ke hoʻāʻo i nā kaʻina mālama home e hoʻoluʻolu i ka ʻeha o ka ʻōpū māmā.

• Ka wai Sip a i ʻole nā ​​wai ʻē aʻe i mōakāka. Loaʻa paha iā ʻoe nā mea inu haʻuki i nā liʻiliʻi. Pono ka poʻe me ka maʻi diabetes e nānā pinepine i kā lākou kō kō a hoʻomaʻamaʻa i kā lākou lāʻau e pono ai.
• Hōʻalo i ka meaʻai paʻa no nā hola mua.
• Inā ʻoe e luaʻi, e kali i 6 mau hola, a laila ʻai i nā meaʻai liʻiliʻi e like me ka laiki, ka ʻoma, a i ʻole nā ​​pahū pahū. Hōʻalo i nā huahana waiū.
• Inā kiʻekiʻe ka ʻeha i loko o kou ʻōpū a kū ma hope o ka pāʻina ʻana, hiki i nā antacids ke kōkua, keu hoʻi inā ʻike ʻoe i ka puʻuwai a i ʻole indigestion. Hōʻalo i ka citrus, nā mea momona momona, nā palai a me nā mea momona paha, nā huahana kōmato, caffeine, wai ʻona, a me nā mea inu kalapona.
• Mai lawe i kahi lāʻau me ka ʻole o ke kamaʻilio ʻana i kāu mea hāʻawi.

Hiki i kēia mau hana hou ke pale aku i kekahi ʻano o ka ʻeha o ka ʻōpū.

• Inu nui i ka wai i kēlā me kēia lā.
• E ʻai pinepine i nā meaʻai liʻiliʻi.
• Hoʻomaʻamaʻa pinepine.
• Palena i nā meaʻai e hoʻohua i ke kākālina.
• E hōʻoia i ke kaulike a me ka kiʻekiʻe o ka fiber i kāu ʻai. ʻAi i nā huaʻai a me nā lau nui.

E kiʻi koke i ke kōkua lapaʻau a kāhea paha i kāu helu pilikia kūloko (e like me 911) inā ʻoe:

• Mālama ʻia i kēia manawa no ka maʻi ʻaʻai
• ʻAʻole hiki ke hele i kahi pahu, keu hoʻi inā e luaʻi pū ʻoe
• Ke luaʻi nei ʻoe i ke koko a i ʻole he koko paha i loko o kāu pahu (ʻoiaʻiʻo inā ʻulaʻula, maroon a ʻeleʻele, noho ʻeleʻele)
• E ʻeha ka umauma, ʻāʻī, a ʻeha poʻohiwi
• Loaʻa i ka ʻeha o ka ʻōpū hōʻeha
• E loaʻa ka ʻeha ma, a ma waena paha o kou mau poʻohiwi me ka nausea
• Loaʻa ka palupalu i loko o kou ʻōpū, a i ʻole ʻōkī kou ʻōpū a paʻakikī i ka hoʻopā
• Hāpai a hāpai paha
• Loaʻa i kahi ʻeha i kou ʻōpū
• E paʻakikī i ka hanu ʻana

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Hōʻoluʻolu o ka ʻōpū i 1 mau pule a ʻoi paha
• ʻO ka ʻeha o ka ʻōpū ʻaʻole hoʻomaikaʻi i 24 a 48 mau hola, a i ʻole ke ʻoi loa a pinepine a kū me ka nausea a me ka luaʻi.
• Bloating e hoʻomau mau ana ma mua o 2 mau lā
• ʻO ka hoʻā ʻana i ke ahi ke mimi ʻoe a i ʻole ka urination pinepine
• Diarrhea no 5 mau lā
• Fever, ma luna o 100 ° F (37.7 ° C) no nā mākua a i ʻole 100.4 ° F (38 ° C) no nā keiki, me ka ʻeha
• ʻAʻano ʻai hune hoʻolōʻihi
• Hoʻoloʻi ka lōʻihi keu
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. ʻO kāu mau hōʻailona kikoʻī, kahi o ka ʻeha a ke hiki mai ia e kōkua i kāu mea lawelawe e ʻike i ke kumu.

WAHI O KOU KAHI

• Ma hea ʻoe e ʻike ai i ka ʻeha?
• Pau paha a i ʻole ma kahi kiko?
• Hele paha kaʻeha i kou kua, ke kī, a i lalo paha o kou mau wāwae?

ʻAno a me ka noʻonoʻo o kāu ʻeha

• Ua ʻeha ka ʻeha, ʻoi loa, a ʻūlū paha?
• Loaʻa iā ʻoe i nā manawa āpau, a i ʻole hele mai a hele paha?
• E ala anei ka ʻeha iā ʻoe i ka pō?

MOOLELO O KAU WAINI

• Ua loaʻa iā ʻoe ka ʻeha like i ka wā ma mua? Pehea ka lōʻihi o kēlā me kēia māhele?
• Āhea ana ka ʻeha? ʻO kahi laʻana, ma hope o ka ʻai a i ʻole ma ka menstruation?
• He aha ka mea e ʻeha ai ka ʻeha? ʻO kahi laʻana, ʻai, pilikia, a moe paha i lalo?
• He aha ka mea e hoʻomaikaʻi ai i ka ʻeha? ʻO kahi laʻana, inu waiū, loaʻa ka ʻōpū, a i ʻole lawe i kahi antacid?
• He aha nā lāʻau e lawe nei ʻoe?

HE MOOLELO KAAO NO

• Ua loaʻa ʻoe i kahi ʻeha i hala iho nei?
• Hāpai ʻoe?
• He aha nā hōʻailona ʻē aʻe āu?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Enema Barium
• ʻO nā hoʻāʻo ʻana o ke koko, mimi a me ka noho
• CT scan
• ʻO Colonoscopy a sigmoidoscopy paha (Tube ma o ka rectum i loko o ke kolona)
• ECG (electrocardiogram) a i ʻole ka puʻuwai e huli ai
• Ultrasound o ka ʻōpū
• ʻO ka endoscopy luna (Tube ma o ka waha i loko o ka esophagus, ʻōpū a me ka ʻōpū liʻiliʻi o luna)
• ʻO GI kiʻekiʻe (gastrointestinal) a me nā ʻōpū liʻiliʻi
• X-kukuna o ka ʻōpū

ʻEha ʻeha; ʻEha - ʻōpū; ʻEha ka ʻōpū; Pākuʻi ʻōpū; Bellyache; Eha ka' ōpū

• Gallstones - hoʻokuʻu

• Nā palena ʻāina Anatomical - ʻike mua
• Nā ʻōpū ʻōpū
• ʻO nā quadrants ʻōpū
• Pākuʻi
• Nā hana hakuʻala

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.

Smith KA. Abdominal eha. 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 24.

Nā Squires R, Carter SN, Postier RG. ʻŌpū huehue. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 45.