Kani ka ʻōpū

ʻO nā kani ʻōpū nā leo i hana ʻia e nā ʻōpū.

Hana ʻia nā kani ʻōpū (kani ʻōpū) e ka neʻe ʻana o nā ʻōpū i ka wā e pahu ai lākou i ka meaʻai. He hollow nā ʻōpū, no laila ke kani nei ke kani o ka ʻōpū i loko o ka ʻōpū e like me nā leo i lohe ʻia mai nā paipu wai.

ʻO ka hapa nui o nā kani ʻōpū he mea maʻamau. ʻO ka manaʻo wale o lākou e hana nei ka gastrointestinal tract. Hiki i kahi mea mālama ola ke nānā i nā kani o ka ʻōpū ma ka hoʻolohe ʻana i ka ʻōpū me kahi stethoscope (auscultation).

ʻO ka hapa nui ʻole o nā kani ʻōpū. Eia nō naʻe, aia kekahi mau hihia i hiki i nā leo maʻamau ke hōʻike i kahi pilikia.

ʻO Ileus kahi kūlana kahi hemahema o ka hana ʻōpū. Hiki i nā kūlana olakino ke alakaʻi i ka ileus. Hiki i kēia pilikia ke hana i ke kinoea, nā wai, a me nā mea o loko o nā ʻōpū e kūkulu a haki (haki) ka paia o ka ʻōpū. ʻAʻole hiki i ka mea hāʻawi ke lohe i kahi kani o ke ʻōpū ke hoʻolohe i ka ʻōpū.

ʻO nā leo hoʻoliʻiliʻi (hypoactive) i loko o ka ʻōpū me ka hoʻoliʻiliʻi o ka leo nui, ke kani, a i ʻole ka maʻa mau o nā kani. He hōʻailona lākou no ka lohi o ka hana o ka ʻōpū.

ʻO nā kani Hypoactive bowel maʻamau i ka wā hiamoe. Kū maʻamau lākou no kahi manawa pōkole ma hope o ka hoʻohana ʻia ʻana o kekahi mau lāʻau a ma hope o ke ʻōpū ʻana o ka ʻōpū. ʻO nā leo hoʻoliʻiliʻi a i ʻole ʻole e hōʻike pinepine ana i ka paʻa paʻa.

Hoʻonui ʻia (hyperactive) nā kani o ke ʻōpū i kekahi manawa me ka stethoscope ʻole. ʻO ke kani o ka hyperactive bowel aia kahi hoʻonui o ka hana ʻōpū. Hiki paha kēia i ka palahī a i ʻole ma hope o ka ʻai ʻana.

Loiloi pinepine ʻia nā leo ʻōpū me nā ʻōuli e like me:

• Gasekine
• Nusea
• Ke alo a me ka ʻole o ka neʻe o ke ʻōpū
• ʻO ka luaʻi

Inā hypoactive a hyperactive paha nā kani ʻōpū a aia kekahi mau hōʻailona ʻē aʻe, pono ʻoe e hoʻomau i ka ukali ʻana me kāu mea hāʻawi.

ʻO kahi laʻana, ʻaʻohe kani o ke kīpē ma hope o kahi manawa o ke kani o ke kīpē hyperactive hiki ke manaʻo aia he haki o nā ʻōpū, a i ʻole ka ʻoki ʻana o ka ʻōpū a me ka make (nekrosis) o ka ʻōpū.

ʻO nā kani ʻōpū kiʻekiʻe loa he hōʻailona paha ia o ka ālai ʻana o ka ʻōpū.

ʻO ka hapa nui o nā kani āu e lohe ai i kou ʻōpū a me kou ʻōpū ma muli o ka digestion maʻamau. ʻAʻole lākou he kumu e hopohopo ai. Hiki i nā ʻano he nui ke kumu i ke kani ʻana o ke kani hyperactive a hypoactive paha. Hewa ʻole ka hapa nui a ʻaʻole pono e mālama.

ʻO ka papa inoa aʻe o nā kūlana koʻikoʻi i hiki ke hana i nā kani ʻōpū ʻole.

Hoʻokumu ʻia paha nā kani Hyperactive, hypoactive, a i ʻole nalowale nā ​​ʻōpū e:

• Pale aku nā kīʻaha koko i nā ʻōpū mai ke kahe ʻana o ke koko kūpono. ʻO kahi laʻana, hiki i nā kīʻaha koko ke kumu i ka hōʻoki ʻia o ke aʻa mesenteric.
• Hoʻokumu ʻia ka ʻōpū o ka ʻōpū e hernia, tumo, adhesions, a i ʻole nā ​​ʻano like e hiki ke pale i nā ʻōpū.
• ʻO ka parustic ileus kahi pilikia me nā aʻalolo i nā ʻōpū.

ʻO nā kumu ʻē aʻe o nā kani hypoactive bowel e komo pū ana:

• Nā lāʻau e hoʻolōʻihi i ka neʻe ʻana i loko o nā ʻōpū e like me ka opiates (me codeine), anticholinergics, a me nā phenothiazine
• Anesthesia laulā
• ʻO ka uila i ka ʻōpū
• Anesthesia iwi kuamoʻo
• ʻOki kino i loko o ka ʻōpū

ʻO nā kumu ʻē aʻe o nā kani hyperactive bowel e:

• Maʻi Crohn
• Pohā
• ʻAlaʻai meaʻai
• Ke kahe ʻana o GI
• Enteritis maʻi maʻi
• Ulcerative colitis

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona e like me:

• Kahe mai kou pololei
• Nusea
• ʻO ka palahī a i ʻole ka constipation e hoʻomau
• ʻO ka luaʻi

E nānā ka mea hāʻawi iā ʻoe a nīnau iā ʻoe i nā nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli. E nīnau ʻia paha ʻoe:

• He aha nā hōʻailona ʻē aʻe āu?
• He ʻeha ʻōpū kou?
• Loaʻa ʻoe i ka maʻi pākī a i ʻole ka constipation?
• Loaʻa iā ʻoe ka hano ʻōpū?
• Loaʻa paha iā ʻoe kahi kākika nui a absent paha (flatus)?
• Ua ʻike anei ʻoe i ke kahe ʻana o ke kiko o nā polū ʻeleʻele?

Pono ʻoe i kēia mau hoʻāʻo:

• Scanner CT ʻōpū
• Hihi x ʻōpū
• Nā hoʻāʻo koko
• Hoʻopau

Inā he mau hōʻailona o ka pilikia, e hoʻouna ʻia ʻoe i ka haukapila. E hoʻokomo ʻia kahi paipu ma o kou ihu a waha paha i loko o ka ʻōpū a i ʻole nā ​​ʻōpū. Hoʻopau kēia i kou ʻōpū. I ka hapanui o nā hihia, ʻaʻole ʻae ʻia ʻoe e ʻai a inu paha i kekahi mea i hiki i kou ʻōpū ke hoʻomaha. E hāʻawi ʻia ʻoe i nā wai ma o kahi aa (intravenously).

Hāʻawi ʻia ʻoe i ka lāʻau e hōʻemi i nā hōʻailona a mālama i ke kumu o ka pilikia. Pili ke ʻano o ka lāʻau i ke kumu o ka pilikia. Pono paha kekahi poʻe i ke ʻoki koke.

Kani ka ʻōpū

• Anatomia ʻōpū maʻamau

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.