Kahi palupalu - ʻōpū

ʻO ke aloha palupalu ka ʻeha āu e ʻike ai ke kau ʻia ke kaomi ma luna o kekahi ʻāpana o ka ʻōpū.

ʻO ka ʻōpū kahi ʻāpana o ke kino e hiki ke mālama maʻalahi i ka mea lawelawe olakino ma ka hoʻopā ʻana. Hiki i ka mea hāʻawi ke ʻike i nā ulu a me nā ʻōpū i loko o ka ʻōpū a ʻike i kahi e ʻeha ai ʻoe.

Hiki ke palupalu ke aloha o ka ʻōpū a hiki i ke koʻikoʻi. Hana ʻia ka palupalu i ka wā e hoʻonāukiuki ʻia, puhi ʻia, a maʻi paha ka mea i kū i ka lua o ka ʻōpū (ka peritoneum). Kapa ʻia kēia peritonitis.

Nā kumu i komo:

• Holo kaʻa ʻōpū
• Pākuʻi
• Kekahi mau ʻano hernia
• Meckel divertikulum
• Ovarian torsion (wili fallopian Tube)

E kiʻi koke i ke kōkua olakino pilikia inā loaʻa iā ʻoe kahi palapū ʻōpū.

E nānā kāu mea hāʻawi iā ʻoe a kaomi mālie i nā wahi o kou ʻōpū. ʻO ka poʻe me ka peritonitis e hoʻokau pinepine i nā mākala o ka ʻōpū ke hoʻopā ʻia kahi. Kāhea ʻia kēia kiaʻi.

E hoʻomaopopo ka mea hāʻawi i kekahi kiko o ka palupalu.Hiki i ka wahi o ka palupalu ke hōʻike i ka pilikia e kū nei iā ia. ʻO kahi laʻana, inā loaʻa iā ʻoe ka appendicitis, e loaʻa iā ʻoe ka palupalu ke pā ʻia kahi wahi. Kapa ʻia kēia kiko ʻo McBurney point.

E nīnau hoʻi ka mea hāʻawi i nā nīnau e pili ana i kāu hōʻailona a me ka mōʻaukala olakino. Pākuʻi ʻia kēia mau mea:

• I ka manawa hea i hoʻomaka ai nā ʻōuli?
• ʻO kēia anei ka manawa mua i loaʻa iā ʻoe kēia ʻoluʻolu?
• Inā ʻaʻole, i ka manawa hea e hoʻomaka ai ka hōʻoluʻolu?
• Loaʻa paha iā ʻoe nā ʻōuli ʻē aʻe, e like me ka constipation, diarrhea, maule ʻana, luaʻi, a me ke kuni.

Pono ʻoe e loaʻa i kēia mau hoʻokolohua:

• Hihi x ʻōpū
• Scanner CT ʻōpū (i kekahi manawa)
• Ka hana koko, e like me ka helu piha o ke koko

I kekahi mau hihia, pono paha ʻoe i ke kaʻi koke. Pili paha kēia i ka laparotomy exploratory a i ʻole ka appendectomy pilikia.

Palupalu ʻōpū

• Nā palena ʻāina Anatomical - ʻike mua
• Pākuʻi

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.