Piula ʻōpū

Hoʻohana ʻia kahi kāpena ʻōpū e hemo i ka wai mai ka wahi ma waena o ka paia ʻōpū a me ka iwi kuamoʻo. Kapa ʻia kēia hakahaka ʻo ka ʻōpū o ka ʻōpū a i ʻole ka lua peritoneal.

Hana ʻia kēia hōʻike ma kahi keʻena ʻoihana olakino, keʻena lapaʻau, a i ʻole ka haukapila.

E hoʻomaʻemaʻe a kahi ʻia ka puncture pūnaewele, inā pono. Loaʻa iā ʻoe kahi lāʻau numbing kūloko. Hoʻokomo ʻia ka nila kuʻi i 1 a 2 ʻīniha (2.5 a 5 cm) i loko o ka ʻōpū. I kekahi manawa, hana ʻia kahi ʻoki liʻiliʻi e kōkua ai e hoʻokomo i ka nila. Huki ʻia ka wai i loko o kahi syringe.

Wehe ʻia ka nila. Kau ʻia kahi lole ma ke kahua kiko. Inā hana ʻia kahi ʻoki, hoʻokahi a ʻelua paha mau humuhumu e hoʻohana ai e pani iā ​​ia.

I kekahi manawa, hoʻohana ʻia ka ultrasound e alakaʻi i ka nila. Hoʻohana kahi ultrasound i nā nalu kani e hana i ke kiʻi a ʻaʻole x-ray. ʻAʻole ʻeha.

Aia ʻelua mau ʻano o nā pēpē o kou ʻōpū:

• Kuhi Diagnostic - Lawe ʻia kahi wai liʻiliʻi a hoʻouna ʻia i ka hale hana no ka hoʻāʻo ʻana.
• Piula nui - hiki ke lawe ʻia i mau lita e hōʻoluʻolu i ka ʻeha o ka ʻōpū a me ke kūkulu ʻana o ka wai.

E hoʻomaopopo i kāu mea hāʻawi inā ʻoe:

• Loaʻa i nā maʻi āpau i nā lāʻau a i ʻole ka lāʻau numbing
• Ke lawe nei i nā lāʻau (me nā lāʻau lapaʻau)
• Loaʻa nā pilikia kahe
• E hāpai paha

ʻIke paha ʻoe i kahi iki iki mai ka lāʻau numbing, a i ʻole ke kaomi ke hoʻokomo ʻia ka nila.

Inā lawe ʻia kahi nui o ka wai i waho, ʻike paha ʻoe i ka luhi a i ʻole ke kukui. E haʻi i ka mea hāʻawi inā makemake ʻoe i ka huehue a i ʻole ke ʻā ʻana.

ʻO ka maʻamau, loaʻa wale i ka lua o ka ʻōpū kahi wai liʻiliʻi inā loaʻa. I kekahi mau ʻano, hiki i nā wai nui ke kūkulu i kēia wahi.

Hiki i kahi paʻi ʻōpū ke kōkua i ke kuhi ʻana i ke kumu o ke kūkulu ʻana o ka wai a i ʻole ke kū ʻana o kahi maʻi. Hana ʻia paha ia e wehe i kahi nui o ka wai e hoʻoliʻiliʻi i ka ʻeha o ka ʻōpū.

ʻO ka maʻamau, pono e liʻiliʻi a ʻaʻohe hoʻi ka wai i kahi o ka ʻōpū.

Hōʻike kahi hōʻike o ka wai o ka ʻōpū:

• Ka maʻi ʻaʻai i hohola ʻia i ka ʻōpū o ka ʻōpū (ʻo ka maʻi ʻaʻai pinepine o nā ovaries)
• Cirrhosis o ke ake
• ʻŌpū poino
• Maʻi maʻi puʻuwai
• Maʻi kīnā
• ʻO ka maʻi kīwī
• ʻO ka maʻi Pancreatic (ka maʻi a i ʻole ke kanesa)

Aia kahi manawa kūpono e hiki ai i ke kui kele ke kuʻi i ka ʻōpū, loko, a i ʻole he kīʻaha koko i loko o ka ʻōpū. Inā hoʻoneʻe ʻia ka nui o ka wai, aia kahi makaʻu iki o ka hoʻohaʻahaʻa ʻana i ke koko a me nā pilikia o ka hakuʻala. Aia kekahi manawa kūpono o ka maʻi.

Paʻa Peritoneal; Paracentesis; Ascites - paʻi ʻōpū; Cirrhosis - paʻi ʻōpū; ʻO ascites malignant - piula ʻōpū

• ʻŌnaehana Digestive
• Laʻana Peritoneal

Alarcon LH. Paracentesis a me diagnostic peritoneal lavage. I: ʻO Vincent J-L, ʻo Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Puke aʻo o ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap E10.

Koyfman A, Long B. Peritoneal kaʻina hana. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 43.

Mole DJ Nā hana kūpono a me ka hoʻokolokolo hoʻomanawanui. I: Māla JO, Parks RW, eds. Nā Kumumanaʻo a me nā hana o ke ʻoki ʻana. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 8.

ʻO Solà E, Ginès P. Ascites a me ka peritonitis bacterial spontaneous. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 93.