He aha kāu e ʻike ai e pili ana i ka ʻōpū o ka ʻōpū

Anter

• Hōʻike Overview
• He aha ke kumu o ka paʻakikī o ka ʻōpū?
• I nā mākua makua
• I ka poʻe ʻōpio
• I nā pēpē
• He aha e nānā ai me ka paʻakikī o ka ʻōpū?
• Pehea e ʻike ʻia ai ka paʻakikī ʻōpū?
• He aha nā koho lapaʻau no ka paʻakikī o ka ʻōpū?
• He aha nā pilikia e pili ana i ka paʻakikī o ka ʻōpū?

Hōʻike Overview

ʻO ka paʻakikī o ka ʻōpū ka paʻakikī o kou mau ʻōpū o ka ʻōpū e worsens ke hoʻopā ʻoe, a i ʻole pā kekahi i kāu ʻōpū.

ʻO kēia kahi pane pane ʻole e pale i ka ʻeha e hoʻokumu ʻia e kou ʻōpū. ʻO kekahi huaʻōlelo no kēia ʻano pale e kiaʻi ana.

ʻAʻole like kēia ʻōuli me ka hoʻohālikelike ʻana i nā mākala o kou ʻōpū a i ʻole ka ʻoʻoleʻa e pili ana i ke kinoea koʻikoʻi. ʻO ka kiaʻi kahi pane kū ʻole o nā mākala.

ʻO ka kiaʻi kahi hōʻailona e hoʻāʻo nei kou kino e pale iā ia iho mai ka ʻeha. Hiki iā ia ke lilo i hōʻailona o ke kūlana olakino koʻikoʻi loa a me ke ola hoʻoweliweli.

Inā he paʻakikī kou ʻōpū, pono ʻoe e ʻike koke i kāu kauka.

He aha ke kumu o ka paʻakikī o ka ʻōpū?

Kū pinepine ka ʻōpū o ka ʻōpū a me ka ʻeha. ʻO kēlā me kēia ʻano kumu e ʻeha ai ka ʻōpū e hiki ai ke kiaʻi. Hiki i nā maʻi o kou ʻōpū ke hoʻonā i ka ʻeha o ka ʻōpū. Aia ka wahi o ka ʻeha i ka wahi o ka ʻokena e hoʻoulu ana i ka pilikia.

Hoʻokaʻawale ʻia kou ʻōpū i ʻehā mau ʻāpana i kapa ʻia he quadrants. ʻO kahi laʻana, hiki i nā puʻupuʻu o ka ʻōpū ke hōʻeha i ka quadrant hema o kou ʻōpū.

Hiki i nā gallstones ke hana i ka ʻeha quadrant luna pono no ka mea aia lākou i ka ʻaoʻao ʻākau i luna o kou ʻōpū.

Hiki pū ke ʻeha ʻōpū i nā wahi ʻē aʻe o ka ʻōpū. Hiki i ka Appendicitis ke hoʻomaka ma ke ʻano he ʻehā quadrant ʻeha ʻeha, akā hiki i ka ʻeha ke neʻe i kāu pihi ʻōpū.

ʻO kekahi o nā kumu ʻōpū maʻamau o ka ʻoʻoleʻa ʻo ia ka appendicitis.

Hiki i nā pilikia me kou kino pelvic ke kumu i ka ʻeha o ka ʻōpū. Aia i loko o kou kino pelvic:

• bladder a me nā ureter lalo
• uterus, fallopian tube, a me nā ovaries i nā wahine
• gland prostate i nā kāne
• ʻūhā

I nā mākua makua

ʻO nā kumu o ka ʻeha o ka ʻōpū - a me ka paʻakikī - hiki ke ʻokoʻa i ka makahiki. ʻO nā mākua, nā mākua makua, ʻike paha:

• abscess i loko o ka ʻōpū
• cholecystitis, a i ʻole ka hoʻāhu gallbladder
• maʻi ʻaʻai
• ʻōpū o ka ʻōpū a paʻa paha
• perforation a puka paha i loko o nā ʻōpū, ʻōpū, a i ʻole bladder gall

ʻO nā kūlana ʻē aʻe i hiki ke alakaʻi i ka ʻeha o ka ʻōpū a me ka rigidity me:

• pancreatitis
• hōʻeha i ka ʻōpū
• peritonitis

I ka poʻe ʻōpio

ʻIke kekahi ʻōpio i kekahi manawa:

• ʻeha menstruation, a i ʻole dysmenorrhea
• maʻi maʻi pelvic mai nā maʻi i loaʻa i ka moekolohe
• ʻeke ʻeke
• peritonitis

Hiki paha i nā wahine ʻōpio ke ʻeha i ka ʻōpū a me ka paʻakikī inā hāpai lākou, e like me ka hāpai ʻana ectopic.

E ʻike paha nā keiki makua:

• nā maʻi maʻi urinary tract (UTIs)
• pākuʻi

Hiki paha iā lākou ke ʻeha i ka ʻeha o ka ʻōpū inā uaʻai lākou i nā mea make, a i nā lāʻau make paha.

I nā pēpē

E ʻike paha nā pēpē:

• colic
• gastroenteritis, a i ʻole hoʻonāukiuki digestive i hoʻokumu ʻia e kahi maʻi
• maʻi viral
• pyloric stenosis, a i ʻole ka hoʻopili ʻana o ka puka ʻōpū

He aha e nānā ai me ka paʻakikī o ka ʻōpū?

ʻO ka paʻakikī o ka ʻōpū kahi pilikia olakino. Nā hōʻailona koʻikoʻi e hiki ke hōʻike i kahi kūlana hoʻoweliweli i ke ola me:

• luaʻi koko, a i ʻole hematemesis
• hoʻokahe kahe
• ʻeleʻele, noho aliʻi, a melena paha
• maule ana
• hiki ʻole ke ʻai a inu paha i kekahi mea

ʻO nā hōʻailona ʻē aʻe o kahi ulia pōpilikia hiki ke hoʻopili ʻia:

• luaʻi koʻikoʻi
• hoʻonui i ka ʻōpū o ka ʻōpū, a i ʻole ka ʻōpū distended
• haʻalulu, nā hopena mai ke kaomi haʻahaʻa haʻahaʻa loa

Nā hōʻailona ʻē aʻe e nānā no nā:

• palupalu
• nausea
• melemele o ka ʻili, a i ʻole jaundice
• nalo ʻai ʻole
• ke ʻano o ka māʻona ma hope o ka ʻai ʻana i nā meaʻai iki, a i ʻole ka māʻona mua

Hōʻalo ka ʻōpū me ka hiki ʻole i:

• hele i ke kinoea mai ka pololei
• ʻili mae
• pāhoehoe
• kōpaʻa

ʻO kēia mau pilikia kekahi mau kumu e ʻimi ai i ka lāʻau.

Pehea e ʻike ʻia ai ka paʻakikī ʻōpū?

Inā loaʻa iā ʻoe ka paʻakikī o ka ʻōpū ʻole, pono ʻoe e ʻike koke i ke kauka e hōʻoki i ka pilikia koʻikoʻi.

ʻO kahi mea liʻiliʻi e like me ka maʻi ʻōpū ke hiki ke kiaʻi. ʻAʻole ʻoe e ʻike a hāʻawi kāu kauka iā ʻoe i kahi hōʻailona kūpono.

Mai hoʻāʻo e lawe i ka lāʻau e hōʻū i ka ʻeha ma mua o ka ʻike ʻana i kāu kauka. E hoʻololi ia i ke ʻano ʻeha a paʻakikī i kāu kauka e hōʻoia i kāu ʻano.

Ke kamaʻilio ʻoe me kāu kauka, he mea kōkua ke makaʻala i kēia mau mea:

• ke hoʻomaka nā ʻōuli
• nā ʻano o ka ʻeha, a inā paha he kūpilikiʻi, ʻoiʻoi, kū a hele aʻe, a i ʻole huakaʻi i kahi ʻē aʻe
• pehea ka lōʻihi o ka ʻeha
• he aha kāu e hana nei i ka wā i hoʻomaka ai ka ʻoʻoleʻa / ʻeha
• he aha ka mea e hoʻomaikaʻi ai a maikaʻi ʻole ai nā ʻōuli

E makemake pū kāu kauka e ʻike i nā ʻōuli ʻē aʻe āu i loaʻa ai a iā ʻoe e ʻai hope ai, inā pono ʻoe i kahi ʻoki.

ʻO ka ʻike ʻana i kēia mau mea e kōkua i kāu kauka e hana i kahi hōʻailona.

ʻO ka hana mua i ka ʻimi ʻana i ke kumu o ka paʻakikī o ka ʻōpū e kūkākūkā i kāu mōʻaukala olakino. E hōʻike pinepine kahi hōʻike kino i ke kumu. E kauoha paha kāu kauka i nā hoʻokolohua koko, e like me:

• helu piha koko (CBC)
• serum electrolytes (potassium, sodium, chloride, bicarbonate)
• nitrogen urea koko (BUN)
• creatinine (kuhikuhi o ka hakuʻala functioning)
• ʻO ka scan ultrasound o kou mau ʻōpū a pelvic paha
• nā hoʻāʻo hana ate
• urinalysis
• e hoʻāʻo no ke koko i kāu pahu

Hiki i nā hoʻokolohua hou aʻe ke hoʻopili i nā kukuna X o ka ʻōpū e loiloi ai no ka ālai a i ʻole ka perforation, a i ʻole kahi scan CT ʻōpū.

He aha nā koho lapaʻau no ka paʻakikī o ka ʻōpū?

ʻO ka lāʻau a kāu kauka e koho ai e pili i ke kumu o ka paʻakikī o ka ʻōpū. ʻO kahi laʻana, ʻokoʻa ka mālama ʻana i ka colic i loko o kahi pēpē ma mua o ka mālama ʻana no ka maʻi ʻaʻai.

Pono wale nā ​​kūlana liʻiliʻi e koi ai:

• ka mālama ʻana
• mālama ponoʻī
• lāʻau hoʻomake antibiotics

ʻO nā kumu ʻoi aku ka paʻakikī o ka paʻakikī o ka ʻōpū i hiki ke hōʻoia i nā mālama hoʻomake ʻana.

Kaukaʻi ʻia i kāu ʻike, hiki i nā lāʻau hoʻomāinoino ke hoʻopili pū:

• nā wai kūpale e pale ai i ka make wai
• nasogastric (hānai) paipu e hāʻawi i ka meaʻai
• lāʻau pākuʻi huhū
• ʻoki kino

He aha nā pilikia e pili ana i ka paʻakikī o ka ʻōpū?

ʻO nā kumu i mālama ʻole ʻia o ka paʻakikī ʻōpū hiki ke hoʻoweliweli i ke ola. Hiki i ka maʻi ʻōpū ke kumu i ke komo ʻana o ka bacteria i loko o ke koko. Hiki i kēia ke hoʻohaʻahaʻa i kou kaomi koko i kahi haʻahaʻa weliweli, a hopena i ka haʻalulu.

Hiki ke hoʻoweliweli i ke ola ke koko nui loa.

ʻO ka make wai a me ke kaulike electrolyte mai ka luaʻi hoʻolōʻihi hiki ke kumu:

• pilikia pilikia puʻuwai puʻuwai
• pīhoihoi
• hakuʻala ʻole