ʻOʻoleʻa o ka ʻōpū

ʻO ka paʻakikī o ka ʻōpū ka ʻoʻoleʻa o nā mākala i loko o ka ʻōpū, kahi hiki ke ʻike ʻia ke pā a paʻi ʻia.

Ke loaʻa kahi ʻeha i loko o ka ʻōpū a i ʻole ka ʻōpū, e ʻeha loa ka ʻeha ke kaomi ka lima i kou ʻaoʻao o kou ʻōpū.

ʻO kou makaʻu a makaʻu paha e pili ana i ka hoʻopā ʻana (palpated) hiki ke kumu i kēia ʻōuli, akā ʻaʻohe ʻeha.

Inā loaʻa iā ʻoe ka ʻeha ke hoʻopā ʻia ʻoe a hoʻopaʻa ʻoe i nā mākala e pale aku i ka ʻeha hou aku, ʻoi aku ka hopena o kahi ʻano kino i loko o kou kino. Hiki i ke ʻano ke hoʻopili i kekahi a i ʻole ʻelua ʻaoʻao o kou kino.

Hiki i ka ʻōpū o ka ʻōpū me:

• Palupalu ʻōpū
• Nusea
• ʻEha
• ʻŌhū
• ʻO ka luaʻi

Hiki i nā kumu ke hoʻopili i:

• Loaʻa ʻole i loko o ka ʻōpū
• Pākuʻi
• Hoʻokumu ʻia ʻo Cholecystitis e nā gallstones
• Hole e hoʻomohala ma o ka paia āpau o ka ʻōpū, ʻōpū liʻiliʻi, ʻōpū nui, a i ʻole gallbladder (gastrointestinal perforation)
• Ka hōʻeha i ka ʻōpū
• Peritonitis

E mālama pono i ka lāʻau inā loaʻa iā ʻoe ka ʻeha ke kaomi mālie ka ʻōpū a laila hoʻokuʻu.

E ʻike ʻia paha ʻoe i kahi keʻena pilikia.

E nānā ka mea mālama ola iā ʻoe. Pākuʻi ʻia paha kēia i kahi hoʻokolohua pelvic, a malia paha he hōʻike hoʻokolokolo.

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

• I ka manawa hea lākou i hoʻomaka mua ai?
• He aha nā hōʻailona ʻē aʻe āu i ka manawa like? ʻO kahi laʻana, loaʻa iā ʻoe ka ʻeha o ka ʻōpū?

Loaʻa paha iā ʻoe nā hōʻike aʻe:

• ʻO nā haʻawina Barium o ka ʻōpū a me nā ʻōpū (e like me kahi papa GI kiʻekiʻe)
• Nā hoʻāʻo koko
• Kolonekia
• Gastroscopy
• ʻO ka lavage Peritoneal
• Nā aʻo moʻo
• Nā hoʻāʻo mimi
• X-ray o ka ʻōpū
• X-ray o ka umauma

ʻAʻole paha ʻoe e hāʻawi ʻia i nā mea hōʻoluʻolu ʻeha a hiki i ka manawa e loaʻa ai kahi hōʻailona. Hiki i nā mea hōʻehaʻeha ke hūnā i kāu mau hōʻailona.

ʻOʻoleʻa o ka ʻōpū

ʻO Ball JW, Nā maʻi JE, Flynn JA, Solomon BS, Stewart RW. Kapu I: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, hua. Ke alakaʻi a Seidel i ka hoʻokolokolo kino. 9th ed. St Louis, MO: Elsevier; 2019: chap 18.

Landmann A, Bonds M, Postier R. Kaha ʻōpū. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022: chap 46.

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.