Nuʻu ʻōpū

Hoʻonui ka nui o ka ʻōpū i hoʻokahi ʻāpana o ka ʻōpū (ʻōpū).

ʻIke pinepine ʻia kahi ʻōpū i ka wā o ka hoʻokolohua kino maʻamau. ʻO ka hapa nui o ka manawa, ulu mālie ka nui. ʻAʻole paha ʻoe e ʻike i ka nui.

ʻO ka loaʻa ʻana o ka ʻeha ke kōkua i kāu kauka olakino e hana i kahi hōʻailona. ʻO kahi laʻana, hiki ke hoʻokaʻawale ʻia ka ʻōpū i ʻehā mau wahi:

• Quadrant ʻākau-luna
• Quadrant hema-luna
• Quadrant ʻākau-lalo
• Quadrant hema-lalo

Nā huaʻōlelo ʻē aʻe i hoʻohana ʻia e ʻike i kahi o ka ʻeha o ka ʻōpū a i ʻole nā ​​lehulehu e komo pū ana:

• Epigastric - kikowaena o ka ʻōpū ma lalo pono o ka iwi ʻaoʻao
• Periumbilical - wahi a puni ka pihi ʻōpū

ʻO kahi o ka nuipa a me kona kūpaʻa, ʻano, a me nā ʻano ʻē aʻe hiki ke hāʻawi i nā hōʻailona i kāna kumu.

Hiki i kekahi mau ʻano ke kumu i ka nui o ka ʻōpū.

• Hiki i ka aneurysm aortic austic ke kumu i ka nui o ka pulsating a puni ka piko.
• ʻO ka distadment bladder (urad bladder over-full with fluid) hiki ke hana i kahi paʻa paʻa i waenakonu o ka ʻōpū o lalo ma luna o nā iwi pelvic. I nā hihia koʻikoʻi, hiki ke piʻi a piʻi i ka piko.
• Hiki i ka Cholecystitis ke kumu i kahi nui palupalu i ʻike ʻia ma lalo o ke akepaʻa i ka quadrant ʻākau-luna (i kekahi manawa).
• Hiki i ke kanulau kolona ke kumu i kahi nuipa a kokoke i nā wahi āpau o ka ʻōpū.
• Hiki i ka maʻi Crohn a i ʻole ke kī ʻana i ka ʻōpū ke kumu i nā lehulehu o ka palupalu, nā ʻano sausage ma nā wahi āpau o ka ʻōpū.
• Hiki i ka Diverticulitis ke kumu i kahi nuipa i maʻa mau i ka quadrant hema-haʻahaʻa.
• Hiki i ka tumo gallbladder ke kumu i kahi puʻupuʻu, ʻano maʻamau i ka quadrant ʻākau-luna.
• Hiki i ka Hydronephrosis (ke kīʻaha piha i ka wai) ke kumu i kahi paheʻe, ʻano spongy-feeling i hoʻokahi a i ʻelua paha ʻaoʻao a i ʻole i ka ʻaoʻao hope.
• Hiki i ka maʻi ʻaʻai kidney ke hana i kekahi manawa i ka ʻōpū.
• Hiki i ke kanesa maʻi ʻōpū ke kumu i kahi paʻa paʻa, lumpy i ka quadrant luna pono.
• Hiki i ka hoʻonui ākea (hepatomegaly) ke kumu i kahi paʻa paʻa paʻa ʻole ma lalo o ka iwi ʻaoʻao ʻākau, a i ʻole ma ka ʻaoʻao hema ma ka ʻōpū.
• ʻO Neuroblastoma, kahi tumo maʻi ʻaʻai i loaʻa pinepine ʻia ma ka ʻōpū o lalo e hiki ke kumu i kahi nui (hiki pinepine kēia maʻi maʻi i nā keiki a me nā pēpē).
• Hiki i ka cyst ovarian ke hana i kahi laumania, pōʻai, rubbery ma luna o ka pelvis i ka ʻōpū o lalo.
• Hiki i ka abscess Pancreatic ke kumu i kahi nui i loko o ka ʻōpū o luna i ka wahi epigastric.
• Hiki i ka Pancreatic pseudocyst ke kumu i kahi nui lumpy i loko o ka ʻōpū o luna i ka wahi epigastric.
• Hiki i ke kinetona kinikini ke kumu i kahi laumania, kūpaʻa, akā ʻaʻole palupalu i kahi kokoke i ka puʻupaʻa (ʻo ka mea maʻamau ka hopena o hoʻokahi puʻupaʻa).
• Hiki ke ʻike ʻia ka hoʻonui ākea (splenomegaly) i ka quadrant hema-luna.
• Hiki i ka maʻi ʻōpū ʻōpū ke kumu i ka nui ma ka ʻōpū hema o ka ʻōpū ma ka ʻōpū (epigastric) inā nui ka maʻi ʻaʻai.
• Hiki i ka leiomyoma utterine (fibroids) ke hana i kahi pōʻai, lumpy ma luna o ka pelvis i ka ʻōpū o lalo (i kekahi manawa hiki ke ʻike ʻia inā nui nā fibroids).
• Hiki i ka Volvulus ke kumu i kahi nuipa a ma nā wahi o ka ʻōpū.
• Hiki i ke kahakaha ʻana o Ureteropelvic ke kumu i kahi nui ma ka ʻōpū o lalo.

Pono e nānā pono i nā lehulehu o ka ʻōpū i ka wā hiki e ka mea hāʻawi.

Hiki ke hoʻololi i kou kūlana i ke kino ke kōkua i ka ʻeha ma muli o ka nui o ka ʻōpū.

E kiʻi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi puʻupuʻu pulsating i loko o kou ʻōpū me ka ʻeha o ka ʻōpū nui. He hōʻailona paha kēia o ka aneurysm aortic ruptured, kahi ʻano pilikia.

Kāhea aku i kāu mea hāʻawi inā ʻike ʻoe i kekahi ʻano o ka nui o ka ʻōpū.

I nā hanana nonemergency, e hoʻokō kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino.

I kahi pilikia pilikia, e hoʻokūpaʻa mua ʻia ʻoe. A laila, e nānā kāu mea lawelawe i kou ʻōpū a nīnau i nā nīnau e pili ana i kāu hōʻailona a me ka mōʻaukala olakino, e like me:

• Aia ma hea ka nui?
• I ka manawa hea ʻoe i ʻike ai i ka nui?
• Hele mai a hele paha?
• Ua loli ka nui i ka nui a i ʻole ke kūlana? Ua lilo i mea ʻoi aku ka ʻeha a ʻeha paha?
• He aha nā hōʻailona ʻē aʻe āu?

Pono ʻia kahi pelvic a i ʻole hoʻokolokolo hoʻokolohua paha i kekahi mau hihia. Nā hoʻokolohua e hana ʻia ai e ʻike i ke kumu o ka nui o ka ʻōpū puʻupuʻu e:

• Scanner CT ʻōpū
• ʻO ke ultrasound ʻōpū
• Hihi x ʻōpū
• ʻIlelo Angiography
• Enema Barium
• Nā ho'āʻo koko e like me CBC a me ke kemika o ke koko
• Kolonekia
• EGD
• Ke aʻo Isotope
• ʻO Sigmoidoscopy

Mass i loko o ka ʻōpū

• Nā palena ʻāina Anatomical - ʻike mua
• ʻŌnaehana Digestive
• Nā kūpale Fibroid
• Aneurysm ʻaʻano

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.