He aha ke kumu o ka ʻeha ma lalo o kaʻu mau iwi ʻaoʻao i ka quadrant luna pono o kuʻu ʻōpū?
Anter
- Nā ʻōuli
- Nā kumu o ka ʻeha RUQ
- Nā pilikia ʻiʻo
- Nā kūlana ake
- Preeclampsia
- Nā pilikia Gallbladder
- Nā pilikia Gastrointestinal
- Nā kūlana Pancreatic
- Nā pākuʻi hou aʻe no ka ʻeha o ka quadrant ʻākau i luna
- Kānāwai
- Lapaʻau
- Nā hana olakino a me ka hoʻōla
- Nā pilikia
- Kāohi
- Outlook
Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.
Hōʻike Overview
Māhele ʻia kou ʻōpū i ʻehā hapahā, a i ʻole quadrants. E noʻonoʻo i kahi laina kū i ka hoʻokaʻawale i kou ʻōpū i ka hapalua. A laila, e noʻonoʻo i kahi laina kaulike i ka pae o kou pihi ʻōpū. ʻO ka hapahā o luna o kāu ʻaoʻao ʻaoʻao ʻākau kou quadrant luna ʻākau (RUQ).
Loaʻa i ka RUQ nā mea nui he nui, e like me nā ʻāpana o kou ake, nā puʻukū ʻākau, kahe o ka hake, ka maʻi pākī, a me ka ʻōpū nui a liʻiliʻi.
He mea nui iā ʻoe e hoʻolohe i ka ʻeha i kāu RUQ no ka mea he hōʻailona ia no nā maʻi a i ʻole nā kūlana.
Nā ʻōuli
Hiki ke ʻokoʻa ka ʻeha RUQ i ka ikaika e like me ke ʻano o ke kumu. ʻIke paha ka ʻeha e like me ka ʻeha puʻupuʻu a i ʻole ke kuʻi ʻana i kahi manaʻo ʻoi loa.
Inā loaʻa iā ʻoe nā ʻeha o ka ʻōpū i ʻoi aku ma mua o kekahi mau lā, pono ʻoe e hoʻopaʻa i kahi manawa me kāu kauka e loiloi ai i kāu mau ʻōuli.
Eia nō naʻe, hiki i kekahi mau hōʻailona ke hōʻike i kahi pilikia olakino. Pono ʻoe e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe:
- ʻeha nui i ka ʻōpū
- fiva
- nausea mau a me ka luaʻi
- ke koko i loko o kāu pahu
- pehu a palupalu paha o kou ʻōpū
- lilo kaumaha maopopo ʻole
- melemele ʻili (jaundice)
Nā kumu o ka ʻeha RUQ
Nā pilikia ʻiʻo
ʻO nā pilikia kīwī e like me nā pōhaku hakuʻala, kahi maʻi maʻi urinary tract (UTI), kahi maʻi puʻupaʻa, a i ʻole ke kanesa kanesa hiki ke alakaʻi i ka ʻeha RUQ.
Nā ʻōuli i hiki ke hele pū me RUQ ʻeha ma muli o kahi pilikia puʻupaʻa.
- ʻeha e hoʻomālamalama i ke kua i lalo a i ʻole ke ʻūlū
- urination ʻeha
- mimi ʻaʻala ʻaʻala
- urination pinepine
- ke koko i kou mimi
- fiva
- nausea a luaʻi paha
Inā loaʻa iā ʻoe ka ʻeha RUQ a manaʻo paha no ka pilikia o ka hakuʻala, pono ʻoe e hoʻopaʻa i kāu kauka.
Nā kūlana ake
Hiki i nā kūlana ate ke alakaʻi i ka ʻeha RUQ. ʻO nā laʻana e pili ana i ka maʻi hepa, a me ke ake ʻole o ke ake, a i ʻole ke kanesa maʻi ate.
Ma waho aʻe o ka ʻeha RUQ, hiki i nā ʻōuli ʻē aʻe o ke ʻano ate ke komo pū:
- melemele ʻili (jaundice)
- palupalu ʻōpū
- nausea a luaʻi paha
- mimi ʻeleʻele
- fiva
- luhi
- lilo kaumaha maopopo ʻole
Inā loaʻa iā ʻoe ka ʻeha RUQ a me nā ʻōuli e kūlike me ke ʻano o ke ake, pono ʻoe e ʻike i kāu kauka.
Preeclampsia
ʻO Preeclampsia kahi kūlana e hana mau ʻia i nā wahine ma ka liʻiliʻi he 20 mau pule i ko lākou hāpai ʻana. Hiki iā ia ke hoʻomohala ma mua i ka hāpai ʻana, a i ʻole i kekahi mau hihia, postpartum.
ʻO ka hiʻohiʻona o ka preeclampsia kahi piʻi i ke kahe o ke koko, akā ʻo RUQ ʻeha pinepine pū kekahi.
Hiki i nā hōʻailona ke hoʻohui pū me:
- ʻeha poʻo poʻo
- nausea a luaʻi paha
- hoʻemi urination
- protein i ka mimi
- nā pilikia o ke kīʻaha a me ke ake
- ʻike maka ʻole i ka malamalama
- pokole o ka hanu
Pono kāu kauka e kiaʻi i kou kaomi koko ma ke ʻāpana o kāu kipa mālama prenatal. Eia nō naʻe, inā ʻoe e ʻike i nā hōʻailona preeclampsia e like me ka ʻeha RUQ, ʻike maka ʻole, a me ka pōkole o ka hanu, pono ʻoe e ʻimi koke i ka mālama olakino ʻoiai hiki ke hoʻoweliweli iā ʻoe a me kāu keiki inā haʻalele ʻole ʻia.
Nā pilikia Gallbladder
ʻO nā pilikia Gallbladder, e like me nā gallstones a i ʻole choledocholithiasis, hiki ke hōʻeha i ka RUQ ʻeha. ʻO Choledocholithiasis ke kū ʻana o nā gallstones ma loko o kāu mau aʻa.
ʻO ka ʻeha RUQ ma muli o nā kaho maʻa mau paha he mau hola a pinepine pinepine ma hope o ka pāʻina nui a i ʻole ke ahiahi. Hiki ke hoʻohui ʻia nā hōʻailona hou aʻe e nānā ai:
- nausea a me ka luaʻi
- fiva
- haʻalulu
- ʻeleʻele pouli a i ʻole nā noho i waihoʻoluʻu ʻia nā kukui
- melemele ʻili (jaundice)
Inā ʻoe e ʻike nei i nā ʻōuli e kūlike me nā gallstones a i ʻole choledocholithiasis, pono ʻoe e ʻike i kāu kauka. Hiki i nā pōhaku i ke kahakaha bile ke alakaʻi i nā pilikia koʻikoʻi.
Nā pilikia Gastrointestinal
ʻO nā pilikia o ka gastrointestinal, e like me ka palaka ʻole, gastritis, a me nā maʻi maʻi peptic, hiki ke hōʻeha i ka RUQ ʻeha.
ʻO ka maʻamau, ʻo ka ʻeha i hoʻokumu ʻia e kēia mau ʻano he puʻupuʻu, ʻā ʻana o ke ʻeha. Hiki i nā ʻōuli ʻē aʻe ke hoʻopili pū me:
- he manaʻo piha piha ʻole
- ʻōpū ʻōpū
- ʻūpā a i ʻole kinoea
- nausea a luaʻi paha
ʻOiai ka hapanui o nā hihia o ka palaka a me ka gastritis he akahai a hoʻonā iā lākou iho, pono ʻoe e ʻike i kāu kauka inā loaʻa iā ʻoe nā ʻōuli no hoʻokahi pule a ʻoi paha. Inā manaʻo ʻoe he peptic peptic ʻoe, pono ʻoe e ʻike i kāu kauka.
Nā kūlana Pancreatic
Hiki iā ʻoe ke ʻeha i ka RUQ ʻeha inā hoʻā ʻia kāu pancreas, i ʻike ʻia ʻo ka pancreatitis. ʻO kaʻeha āu e ʻike ai mai pancreatitis e lohi malie i ka holo ʻana o ka manawa a hiki i nā hōʻailona hou ke hoʻopili pū.
- nausea a luaʻi paha
- fiva
- hoʻonui i ka helu o ka puʻuwai
ʻO ka hapa nui o nā hihia o ka pancreatitis pono i ka haukapila no ka lāʻau.
Nā pākuʻi hou aʻe no ka ʻeha o ka quadrant ʻākau i luna
Ma waho aʻe o nā kūlana i kūkākūkā ʻia aʻe nei, hiki i nā ʻano kumu ʻē aʻe ke hoʻonāuki i ka ʻeha i kāu RUQ.
Hoʻopili kēia i kahi ʻeha a trauma paha, pneumonia, a me nā shingles.
Kānāwai
I mea e hōʻoia ai i ke kumu o kou ʻeha RUQ, e noi kāu kauka i kāu mōʻaukala olakino a hana pū i kahi hoʻokolokolo kino.
Hoʻohui ʻia, kauoha paha lākou i kekahi mau hoʻāʻo e kiʻi i kahi hōʻailona, e like me:
- kahi papa metabolic kumu a i ʻole komprehensif (BMP a i ʻole CMP) e loiloi i kāu hana ate, ka helu o nā huna koko, a me nā pae electrolyte
- urinalysis e nānā i kāu hana puʻupaʻa a i ʻole e nānā no kahi UTI a i ʻole nā pōhaku kidney
- ka moʻomeheu o ka noho e ʻike ai inā aia kekahi mau pathogens i loko o kāu pahu
- endoscopy e nānā ai i ke kū ʻana o ka maʻi ulcer
- nā hoʻokolohua kiʻi, e like me ultrasound, X-ray, a i ʻole CT scan, e kōkua ai e ʻike i ka loko o kou ʻōpū a i ʻole e nānā i ka loaʻa ʻana o nā pōhaku.
Lapaʻau
ʻO ka mālama ʻana no ka ʻeha RUQ kaukaʻi ʻia i ka mea e hopena ai. ʻO nā laʻana me:
- nā mea hōʻeha ʻeha e like me acetaminophen (Tylenol) a i ʻole ibuprofen e hoʻomaha ai i ka pilikia
- antacids e kōkua hoʻopale i ka ʻōpū o ka ʻōpū
- nā lāʻau e like me nā mea pale proton pump a i ʻole nā blockers acid e hoʻemi i ka nui o ka waikawa i loko o kou ʻōpū a i ʻole nā ʻōpū
- antibiotics e pepehi i nā koʻohune ke kumu i kahi maʻi
- ʻoki lāʻau, nā kaʻina hana, e like me nā mea e hemo ai nā pōhaku a i ʻole e hoʻoliʻiliʻi i kahi tumo
- nā maʻi maʻi ʻaʻai, e like me chemotherapy, radiation radiation, a i ʻole immunotherapy
Kūʻai no nā antacids.
Nā hana olakino a me ka hoʻōla
ʻO ka maʻamau, e hoʻāʻo kāu kauka e hōʻole i ka hana ʻana i kahi ʻokiʻoki ke hiki. Pono paha ia no kekahi mau kūlana i mea e hōʻalo ai i nā pilikia a i ʻole ke ʻino ʻana o ka maʻi.
ʻO kahi laʻana, inā ʻaʻole e hemo ʻia nā pōhaku ʻaʻa e kāpae i ke kahena (choledocholithiasis), hiki i nā pilikia hoʻoweliweli ke ola. I kekahi mau hihia, hiki i kāu kauka ke koho e hemo loa i kāu gallbladder.
Inā nui loa kāu mau pōhaku kīhāpai e hoʻoili kūlohelohe, hiki i kāu kauka ke koho e hoʻohana i nā nalu kani e haki i nā pōhaku i nā ʻāpana liʻiliʻi i hiki ke pā ʻia. Hiki iā lākou ke hoʻohana i kahi pae e hemo ai nā pōhaku.
Inā ʻike ʻia ʻoe me ka puʻuwai a me ka maʻi ʻaʻai paha, pono paha ke ʻoki e wehe i kahi tumo, ke kaukaʻi ʻia i ka pae o ka maʻi ʻaʻai a me ke koʻikoʻi.
Nā pilikia
ʻOiai loaʻa i kāu RUQ nā mea nui he nui, he mea nui e nānā i ka ʻeha RUQ a me nā hōʻailona hou aʻe i mea e ʻimi ai i ka lāʻau i ka manawa kūpono a pale i nā pilikia.
ʻO nā laʻana o nā pilikia hiki ke komo pū me:
- maʻi ʻaʻai ma muli o kahi UTI i hana ʻole ʻia
- ke kiʻekiʻe o ke koko, ke kō ʻana o ka hakuʻala, a i ʻole ka scarring hakuʻala mai kahi maʻi kōpaʻa i ʻole i mālama ʻia
- ke kaumaha o ka hānau hānau haʻahaʻa, ka hānau mua ʻana, nā ʻino o ke kino, a i ʻole ka make mai ka preeclampsia unaddressed
- ka mumū a me ka maʻi o ka gallbladder a i ʻole pancreas ma muli o nā gallstones i hana ʻole ʻia
- hoʻonui i ka makaʻu o ka ulcer a i ʻole ka maʻi ʻaʻai ʻōpū mai gastritis untreated
- ka holomua o nā maʻi ʻaʻai i loaʻa ʻole i ka wanaʻao
Kāohi
Hiki iā ʻoe ke kōkua i ka pale ʻana i kekahi mau hanana o ka ʻeha RUQ e:
- e ʻai nei i ka papaʻai olakino, me:
- nā meaʻai e waiwai ana i ka fiber, e like me nā hua, nā huaʻai, nā mea ʻai, a me nā pī
- nā meaʻai me nā momona momona, e like me ka aila ʻoliva a me ka aila iʻa, ʻoiai e hōʻalo nei i nā momona maikaʻi ʻole e like me ka meaʻai palai
- e hōʻalo nei i nā meaʻai i piha i nā huehue momona, nā kō, a me ka paʻakai
- noho hydrated, no ka mea, ʻo ka inu ʻana i nā wai e hiki ke kōkua i ka huehue bacteria mai kāu aʻa mimi
- me ka hoʻohana akahele ʻana i nā puna kalsiuma
- e hōʻalo nei i ka palaka ʻole ma o ka hōʻoia ʻana i ka kuke ʻana o nā meaʻai a pale i ka meaʻai a me nā mea inu ʻona, momona, a i ʻole loaʻa ka nui o ka waikawa a me ka caffeine paha.
- ke haʻalele nei i ka puhi baka a me ka hoʻohaʻahaʻa ʻana i kāu inu ʻona
- ka mālama ʻana i kahi kaupaona olakino.
Kūʻai no nā mea hoʻopiha calcium.
Outlook
Hiki ke loli nā kumu kūpono o ka ʻeha RUQ. ʻO kekahi o lākou, e like me ka palaka ʻole, maʻa mau a hele pinepine ma o lākou iho. ʻO nā mea ʻē aʻe, e like me preeclampsia a i ʻole pancreatitis, pono e kamaʻilio koke ʻia.
ʻOiai loaʻa i kāu RUQ nā ʻano mea nui like ʻole, he mea nui e nānā i ka ʻeha RUQ.
Inā ua ʻeha ʻoe i ka RUQ no hoʻokahi pule a ʻoi paha, pono ʻoe e hana i kahi manawa e ʻike ai i kāu kauka.