He aha ka mea nui o ka ʻeke a Morison?

Anter

• Ma hea ia?
• He aha nā kūlana i pili i kēia ʻāpana?
• Ascites
• Hemoperitoneum
• Cirrhosis
• He aha nā hōʻailona e pono iaʻu e makaʻala ai?
• ʻO ka lawe lawe ʻana

He aha ka ʻeke a Morison?

ʻO ka ʻeke a Morison kahi ma waena o kou ake a me kou puʻupaʻa ʻākau. Kapa ʻia ʻo ia ka hepatorenal recess a i ʻole ke ākea subhepatic ʻākau.

ʻO ka ʻeke a Morison kahi manawa kūpono e hiki ai ke wehe ke komo ka wai a koko paha i kahi. Ke hiki ʻole kēia mau mea, ʻaʻohe wahi ma waena o kou ake a me kou puʻukū ʻākau. ʻO ka hopena, hoʻohana nā kauka i ke alo o ka ʻeke a Morison ma kahi ultrasound e kōkua i ke kuhi ʻana i nā kūlana e hoʻopilikia i ka wai i loko o kou ʻōpū.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i ke ʻano o ka ʻeke a Morison a me nā kūlana e hoʻopili iā ia.

Ma hea ia?

Aia ka ʻeke a Morison ma waena o ka piko o kou puʻupaʻa ʻākau a me ka ʻaoʻao ʻaoʻao ʻākau o kou ake, kahi e kākoʻo ai i kāu peritoneum.

ʻO ka peritoneum kahi membrane e hoʻopili ana i kou ʻōpū. He ʻelua papa kāna. ʻO ka papa waho, i kapa ʻia ʻo ka parietal peritoneum, pili i kou paia ʻōpū. ʻO ka papa o loko, i kapa ʻia ʻo ka visceral peritoneum, hoʻopuni i nā mea o loko o kou ʻōpū, me kou ʻōpū liʻiliʻi, ʻōpū, ake, a me kou kolona. Aia kahi manawa kūpono ma waena o kēia mau papa ʻelua i kapa ʻia ʻo ka hole peritoneal.

Inā ʻaʻohe ou olakino olakino e pili ana i kou ʻōpū, ʻaʻole ʻoe e ʻike i ke kauka i nā hōʻailona o ka ʻeke a Morison ma kahi hōʻike kiʻi. Hōʻike wale ia ke loaʻa ka wai keu i loko o kou ʻōpū.

He aha nā kūlana i pili i kēia ʻāpana?

Hiki i kekahi mau ʻano ke hoʻonā i ka wai i loko o kou ʻōpū.

Ascites

Pili ʻo Ascites i ke kūkulu ʻana o ka wai i ka lua o ka peritoneal. Hiki pū ke kahe kēia wai i loko o ka ʻeke a Morison, e hoʻonui ana.

ʻO ka ʻōuli nui o ka ascites ke ʻike ʻia o ka ʻōpū. ʻO nā hōʻailona kūpono ʻē aʻe e like me:

• hoʻēmi ʻai
• ʻeha a i ʻole kaomi i loko o kou ʻōpū
• palupalu ʻōpū
• pilikia hanu

Hiki i ka wai i kūkulu ʻia i maʻi pū kekahi, e alakaʻi ana i kahi kūlana koʻikoʻi i kapa ʻia he peritonitis bacterial spontaneous. Hiki i kēia ke kumu i nā hōʻailona hou aʻe o ke kuni a me ka luhi.

Hiki i nā mea he nui ke kumu i ka ascites, akā ʻo nā mea maʻamau e pili pū me ka cirrhosis, ka maʻi ʻaʻai, a me nā puʻuwai puʻuwai.

Kaukaʻi ʻia i ke kumu kumu a me kou olakino holoʻokoʻa, mālama ʻana i ka ascites e pili pū paha:

• kahi papaʻai sodium haʻahaʻa
• hoʻokahe wai
• hoʻoliʻiliʻi ate

Hemoperitoneum

ʻO Hemoperitoneum ke kuhikuhi i ke koko i kūkulu ʻia i loko o kāu lua peritoneal, a hiki ke komo pū i loko o ka ʻeke a Morison. Hiki iā ia ke kumu i kahi o nā ʻōuli, e like me:

• ʻeha o ka ʻōpū a palupalu paha
• ʻano palupalu a luliluli paha
• ka nalo ʻana o ke kala i kou alo a me kou ʻili
• nalowale ʻana o ka ʻike

Hoʻokumu ʻia ia e kahi ʻeha i kahi moku koko kokoke, a ʻo ia ka hopena ma:

• ʻeha o ka ʻōpū
• ʻōpū ʻōpū
• he wehe i kou ʻōpū a i ʻole ou mau ʻōpū
• hōʻino ka ate
• ka paʻakikī o ka hoʻokahe wai i kou ʻōpū
• e moe lōʻihi ana i kahi moe o ka haukapila
• kahi hāpai hāpai ectopic

Manaʻo ʻia ʻo Hemoperitoneum i kahi pilikia no ka mea hiki ke lilo koke i mea make. Inā manaʻo kāu kauka he hemoperitoneum ʻoe, e hana wikiwiki lākou i kahi laparotomy. Hoʻopili kēia i ka wehe ʻana i kou ʻōpū e nānā i ke kumu o ke kahe. A laila, hoʻokahe lākou i ke koko keu a hemo a hoʻomaikaʻi hou paha i nā mea i hōʻino ʻia.

Me ka mālama wikiwiki ʻana, hiki i ka hapanui o ka poʻe ke ola me ka ʻole o nā pilikia nui.

Cirrhosis

Pili ʻo Cirrhosis i ka scarring paʻa o kou aʻa ate. I ka hala ʻana o ka manawa, hoʻokau kēia kikoʻī maʻī i nā kīʻaha koko i kou ake, i hiki ai ke alakaʻi ʻia o ka wai i loko o kou lua peritoneal a me ka ʻeke a Morison.

I nā mokuʻāina mua, ʻaʻole cirrhosis i kumu i nā ʻōuli. Ke holo nei, hiki iā ia ke kumu:

• luhi
• ʻōmaʻomaʻo ʻōiwi
• nalo ʻai ʻole
• nausea
• pehu i kou ʻōpū a mau wāwae paha
• huikau
• haʻi waha
• hoʻonui i ke kahe a i ʻole ka palapū
• lilo kaumaha maopopo ʻole
• ulu umauma maʻamau i nā kāne
• e hoʻohaʻahaʻa i nā testicle i nā kāne

Hiki i nā mea he nui ke kumu i ka cirrhosis, me:

• maʻi kīnā
• ka ʻai ʻona ʻana
• maʻi maʻi ʻalekiko ʻaʻaleka ʻole
• maʻi hepa
• hemochromatosis
• kekahi mau lāʻau

ʻAʻole hiki ke hoʻohuli ʻia ʻo Cirrhosis, mālama i ke kumu kumu hiki ke kōkua i ka lohi o kāna holomua. I nā kūlana holomua, pono ʻoe i kahi kuʻi ate.

He aha nā hōʻailona e pono iaʻu e makaʻala ai?

ʻO nā ʻōuli o ka loaʻa ʻana o ka wai i loko o kāu ʻeke o Morison e like me nā ʻano ʻē aʻe. Eia nō naʻe, no ka mea he hōʻailona paha ia o kahi kūlana koʻikoʻi e pono ai ka mālama wikiwiki ʻana, ʻoi aku ka maikaʻi e kāhea koke aku i kāu kauka inā ʻike ʻoe:

• pehu i kou ʻōpū a mau wāwae paha
• luhi a hiamoe paha
• manaʻo hoʻohoka
• ʻAʻole ka paona kaumaha no ka papaʻai a hoʻoikaika kino paha
• ʻeha a palupalu paha i loko o kou ʻōpū
• kahe ʻana o ke kahe a i ʻole ka paopao maʻalahi
• kahi kuni o 101 ° F a ʻoi paha
• hele i waho (nalowale o ka ʻike)

ʻO ka lawe lawe ʻana

ʻO ka ʻeke a Morison kahi ākea ma waena o kou ake a me kou puʻukū ʻākau e lilo i mea nui wale ke pehu kou ʻōpū me ka wai. Ke hiki kēia, e hiki i kāu kauka ke ʻike i kāu ʻeke a Morison ma kahi ultrasound.