Kukahiko

ʻO Enteroclysis kahi hōʻike kiʻi o ka ʻōpū liʻiliʻi. Nānā ka hoʻokolohua pehea ka wai e kapa ʻia he mea ʻokoʻa e neʻe ai i loko o ka ʻōpū liʻiliʻi.

Hana ʻia kēia hōʻike ma kahi keʻena radiology. Kaukaʻi ʻia i ka pono, x-ray, CT scan, a i ʻole kiʻi MRI e hoʻohana ʻia.

Pili kēia hōʻike i kēia mau mea:

• Hoʻokomo ka mea mālama ola i kahi paipu ma o kou ihu a waha paha i loko o kou ʻōpū a i ka hoʻomaka o ka ʻōpū liʻiliʻi.
• E kahe ana nā mea like ʻole a me nā ea ma o ka paipu, a kiʻi ʻia nā kiʻi.

Hiki i ka mea hoʻolako ke kiaʻi ma kahi monitor me ka neʻe ʻana o ka ʻokoʻa ma waena o ka ʻōpū.

ʻO ka pahuhopu o ke aʻo ʻana e nānā i nā puka lou o ka ʻōpū liʻiliʻi. E noi paha ʻoe e hoʻololi i nā kūlana i ka wā o ka hoʻokolokolo. He mau hola paha ka loiloi, no ka mea, liʻuliʻu ka neʻe ʻana o ka ʻokoʻa ma waena o nā ʻōpū liʻiliʻi āpau.

E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i kahi e hoʻomākaukau ai no ka hoʻokolohua, a ʻoi pū paha me

• Ke inu nei i nā wai maopopo no 24 mau hola ma mua o ka hoʻāʻo.
• ʻAʻole ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ka hoʻāʻo. E haʻi pololei kāu mea hāʻawi iā ʻoe i ka nui o nā hola.
• Lawe i nā laxatives e hoʻomaʻemaʻe i ka ʻōpū.
• ʻAʻole lawe i kekahi mau lāʻau. E haʻi aku kāu mea lawelawe iā ʻoe i nā mea hea. Mai hōʻoki i ka lawe ʻana i nā lāʻau i kāu iho. E nīnau mua i kāu mea hāʻawi.

Inā ʻoe e hopohopo e pili ana i ke kaʻina hana, hāʻawi ʻia iā ʻoe kahi mea hōʻoluʻolu ma mua o ka hoʻomaka ʻana. E noi ʻia ʻoe e hemo i nā mea hoʻonaninani āpau a komo i kaʻaʻahu hōkele. ʻOi aku ka maikaʻi e waiho i nā mea hoʻonaninani a me nā mea waiwai ʻē aʻe i ka home. E noi ʻia ʻoe e hemo i nā hana niho hiki ke hoʻoneʻe ʻia, e like me nā mīkini, nā alahaka, a i ʻole nā ​​mea paʻa.

Inā ʻoe, a noʻonoʻo paha ua hāpai ʻoe, e haʻi i ka mea hāʻawi ma mua o ka hoʻāʻo.

ʻOluʻolu paha ke kau ʻana o ka paipu. Hiki i nā mea hoʻohālikelike ke kumu o ka piha o ka ʻōpū.

Hana ʻia kēia hōʻike e nānā i ka ʻōpū liʻiliʻi. ʻO kekahi ala o ka haʻi ʻana inā maʻamau ka ʻōpū liʻiliʻi.

ʻAʻohe pilikia i ʻike ʻia me ka nui a me ke ʻano o ka ʻōpū liʻiliʻi. Hele ka hoʻohālikelike ma waena o ka ʻōpū i ka helu maʻamau me ka ʻole o ka hōʻailona o ka paʻa.

Hiki ke loaʻa nā pilikia he nui o ka ʻōpū liʻiliʻi me ka enteroclysis. ʻO kekahi o kēia mau mea:

• Hoʻonā o ka ʻōpū liʻiliʻi (e like me ka maʻi Crohn)
• ʻAʻole ʻoluʻolu ka ʻōpū liʻiliʻi i ka meaʻai maʻamau (malabsorption)
• Liʻiliʻi a koʻikoʻi hoʻi o ka ʻōpū
• Pā paʻa ʻōpū
• Nā Tumors o ka ʻōpū liʻiliʻi

ʻOi aku paha ka nui o ka pāhawewe me kēia hōʻike ma mua o nā ʻano ʻē aʻe o nā kukuna x no ka lōʻihi o ka manawa. Akā manaʻo ka hapanui o ka poʻe loea i ka haʻahaʻa o ka makaʻikaʻi ke hoʻohālikelike ʻia i nā keu pono.

ʻOi aku ka maʻalahi o nā wahine hāpai a me nā keiki i nā makaʻu o ka radiation x-ray. Pākuʻi ʻia nā pilikia laulaha:

• Nā hopena āpau i nā lāʻau i kuhikuhi ʻia no ka hoʻāʻo (hiki i kāu mea hāʻawi ke haʻi iā ʻoe i nā lāʻau)
• ʻO ka hōʻeha kūpono i nā ʻōpū o ka ʻōpū i ka wā o ke aʻo ʻana

Hoʻokumu paha ka Barium i ka paʻa paʻa. E haʻi i kāu mea hāʻawi inā ʻaʻole i hala ka barium i kāu ʻōnaehana e 2 a 3 mau lā ma hope o ka hoʻāʻo, a i ʻole inā manaʻo ʻoe i ka constipated.

Enema ʻōpū liʻiliʻi; CT enteroclysis; Hahai liʻiliʻi ʻōpū; Barium enteroclysis; MR enteroclysis

• Pākuʻi ʻokoʻa kōpū liʻiliʻi

Al Sarraf AA, McLaughlin PD, Maher MM. ʻO ka ʻōpū liʻiliʻi, mesentery a me ka lua peritoneal. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 21.

ʻO Thomas AC. Ke kiʻi nei i ka ʻōpū liʻiliʻi. I: Sahani DV, Samir AE, eds. Imaging ʻōpū. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 24.