ʻO ka ileum paralytic: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā kumu kūpono
• Nā ʻōuli o ka parustic ileus
• Pehea e hana ai i ka lāʻau

ʻO kahi parustic ileus kahi hanana kahi nalowale o ka neʻe ʻana o ka ʻōpū, i hana nui ʻia ma hope o nā ʻoki ʻana i loko o ka ʻōpū o ka ʻōpū i pili i ka ʻōpū, e hopena i ka hoʻomohala ʻana i kekahi mau ʻōuli e like me ka constipation, nalowale o ka makemake, nausea a me ka luaʻi, no ka mea laʻana.

ʻOiai pili pinepine ʻia me nā ʻōpū o ka ʻōpū, hiki i ka parustic ileus ke hana ma muli o ke kū ʻana o inguinal hernias a i ʻole ka hoʻohana ʻana i kekahi mau lāʻau, a he mea nui e ʻike ʻia ke kumu i hiki ai i ka lapaʻau kūpono ke hoʻomaka ʻia e pale i ka ulu ʻana o nā pilikia.

Nā kumu kūpono

Pili pinepine ka ileus paralytic i ka ʻoki ʻana o ka ʻōpū ma muli o ka hoʻokumu ʻia ʻana o nāʻiʻo fibrous, akā ʻo nā hanana ʻē aʻe e ʻoluʻolu i ka ulu ʻana o ka maʻi maʻi maʻi.

• Maʻi ʻaʻai bowel;
• Nā maʻi ʻōpū o ke kino, e like me ka maʻi o Crohn;
• Diverticulitis;
• Kolekona kolona;
• Inguinal hernias;
• Maʻi ʻo Parkinson.

Eia hou, hiki i ka parustic ileus ke hopena ma ke ʻano he hopena o ka hoʻohana ʻana i kekahi mau lāʻau e like me narcotics, e like me hydromorphone, morphine a i ʻole ʻoxycodone a i ʻole nā ​​tridclic antidepressants, e like me amitriptyline a me imipramine.

He mea nui e ʻike ʻia ka ileus paralytic a hoʻomaka koke ka lapaʻau ma hope, no ka mea hiki ke pale i nā pilikia e like me sepsis, i kūlike i ka maʻi maʻamau i hoʻokumu ʻia e nā koʻohune ʻōpū i hoʻopau ʻole ʻia, a i ʻole ka pale ʻana o ka ʻōpū, hiki lawe mai i mau hopena no ke olakino. E nānā he aha nā hopena o ka pale ʻana o ka ʻōpū.

Nā ʻōuli o ka parustic ileus

Pili nā ʻōuli o ka parustic ileus i ka hoʻoliʻiliʻi o ka ʻōpū, ka ʻeha o ka ʻōpū, ka nele o ka makemake, ka paʻa paʻa ʻana, ka ʻōpū ʻana o ka ʻōpū, ka piha, ka nausea a me ka luaʻi.

I nā hihia ʻoi loa, hiki i nā pilikia e like me ka necrosis o ka ʻōpū ke hana ma muli o ka emi o ke koko ma ka pūnaewele a i ʻole ka perforation o ka ʻōpū, i nā hanana pinepine ʻole ʻia, i hiki ai i kahi maʻi i kapa ʻia he peritonitis, e pili ana i ka hoʻonui ʻia o ka hoʻonui o nā koʻohune ʻōpū a hiki ke hoʻonui i ka makaʻu o ka maʻi ākea.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana i ka maʻi palustic ileus ka mea e mālama ai i ke kumu o ka maʻi a hāpai i ka hōʻailona hōʻailona. I kekahi mau hihia, hiki ke hoʻonā i ke kūlana me ka ʻole o kahi lapaʻau e koi ʻia ai, e hoʻokūpaʻa wale i ke kanaka ma o ka lawelawe ʻana i nā wai ma o ka aa, e hoʻokomo ana i kahi paipu nasogastric e omo i ka ea a me ka wai, kahi e kōkua ai e hōʻoluʻolu i ka ʻōpū o ka ʻōpū. Eia nō naʻe, inā ʻaʻohe hoʻomaikaʻi hou, pono ke kauka e koho i kahi lapaʻau ʻē aʻe i mea e pale aku ai i kahi kahakaha kōpū mai ka hanana ʻana.

Inā he lāʻau ia ke kumu o ka pilikia, hiki paha i ke kauka ke hoʻokuʻu i ka lawe ʻana i kēlā lāʻau, a i ʻole kuhikuhi i kahi lāʻau e hoʻonāukiuki i ka lawe ʻana o ka ʻōpū, e like me ka hihia me ka metoclopramide a i ʻole domperidone.

I ke kumu o ka ālai hapa ʻana, ʻo ia hoʻi, inā hoʻomau e lawe ʻia kekahi meaʻai a me nā wai i loko o ka ʻōpū, pono wale nō e hoʻokūpaʻa i ke kanaka a ʻai i ka papaʻai fiber haʻahaʻa, a kuhikuhi ʻia hoʻi kahi lāʻau e hoʻonui ai i ka ʻōpū. .

I nā hihia o ka nui o ka ālai ʻana, a i ʻole inā ʻaʻole holo pono ka mālama ʻana no ka ālai hapa ʻana, pono paha e hele i kahi ʻoki e hoʻomaha ai i kēia ālai, e hemo i kahi ʻāpana o ka ʻōpū a i ʻole lawe aku i ka ʻōpū holoʻokoʻa. I nā hihia kahi e hemo ai ka ʻōpū holoʻokoʻa, pono ia i kahi ostomy, kahi o ka hoʻokumu ʻana i kahi kahawai e hoʻopili i ka ʻōpū i kekahi ʻano ʻeke, ma o ka hāmama ʻana i loko o ka ʻōpū, kahi e hoʻopau ʻia ai nā feces.