He hoʻokipa mahana i kēia wahi kūikawā loa no ke ʻoki kino ulia pōpilikia, ka trauma, a me ke olakino pale ʻana i ka ʻōpū. ʻO ke alakaʻi piha i ka ʻōpū ʻoi kekahi o nā pilikia paʻakikī loa i ka hana lapaʻau; ʻaʻole ia he pathology maʻalahi, akā he hui o nā hōʻailona a me nā hōʻailona e hōʻike ana i kahi mumū koʻikoʻi, pale, a i ʻole ka hoʻololi ʻana o ke koko i loko o ka lua ʻōpū.
Ma ke ʻano he kauka lapaʻau loea a he polopeka kulanui, ʻo kā mākou kūpaʻa ka hāʻawi ʻana iā ʻoe i nā pono hana manaʻo e pono ai e ʻike i ka wā e lilo ai ka ʻeha i hōʻailona hōʻailona e pono ai ka loiloi loea koke.
Ma mua o ko mākou wehewehe ʻana i nā ʻano ʻeha visceral a me parietal like ʻole, nā kumu mechanical ma lalo, a i ʻole pehea e hana ai kā mākou protocol lapaʻau kiʻekiʻe loa me ka pololei diagnostic e pale aku i kou kūpaʻa olaola, ke kono aku nei au iā ʻoe e hoʻomaopopo i ka ʻike mua ʻana kāu pale maikaʻi loa.
Ma lalo o ke alakaʻi hoʻonaʻauao a Kauka Jorge Delgado, ke kālailai nei mākou i ka paʻakikī o ka ʻōpū me ka ʻoiaʻiʻo ʻepekema kiʻekiʻe loa, kahi maʻi olakino koʻikoʻi e pono ai ka nānā koke ʻana.
Nā nīnau maʻamau
He aha ke ʻano o ka ʻōpū ʻāʻī ma ke ʻano lapaʻau?
He maʻi ia i hōʻailona ʻia e ka ʻeha ʻōpū o ka hoʻomaka koke ʻana, ka ulu nui a me ka wikiwiki (ʻoi aku ka liʻiliʻi ma mua o 7 mau lā), kahi e pili pinepine ai me nā hōʻailona o ka huhū peritoneal.
He kūlana ia e pono ai ka ʻike wikiwiki a pololei hoʻi, ʻoiai he nui nā kumu kumu e hoʻoweliweli ana i ke ola inā ʻaʻole i hoʻoponopono koke ʻia.
Pehea e hoʻokaʻawale ai ma waena o ka ʻeha maʻamau a me ka pilikia ulia pōpilikia o ka ʻōpū?
ʻAʻole e like me ka ʻōpū palupalu no ka manawa pōkole, ʻo ka ʻeha ʻeha o ka ʻōpū e holomua mau ana, ʻaʻole e emi me ka hoʻomaha, a hoʻonui nui ʻia me nā neʻe maʻalahi e like me ka hele wāwae, ka ʻū ʻana, a i ʻole ka hoʻololi ʻana i ke kūlana (ma muli o ka mumū o ka peritoneum).
Eia kekahi, hele pinepine ʻia me nā hōʻailona hopohopo e like me ke kuni mau, ka luaʻi pinepine ʻana, ka ʻōpū paʻakikī ke hoʻopā ʻia, a i ʻole ka hiki ʻole ke hoʻokuke aku i ke kinoea a haʻalele.
He aha nā kumu mechanical a me nā kumu mumū pinepine?
Ua hoʻokaʻawale ʻia lākou e like me ko lākou kumu pathophysiological: inflammatory (e like me ka appendicitis a i ʻole cholecystitis acute), obstructive (e like me ka pahele ʻana o ka ʻōpū e nā hernias a i ʻole nā adhesions), perforative (e like me ka haki ʻana o kahi ulcer a i ʻole diverticulum) a me vascular (e like me ka nele o ke koko i nā ʻōpū).
Hoʻopilikia kēlā me kēia o kēia mau kūlana i ke kaulike mechanical o ka ʻōnaehana hoʻoheheʻe.
No ke aha e contraindicated ai ka lāʻau lapaʻau ponoʻī ma kēia hihia?
He hewa nui ka lawe ʻana i nā lāʻau ʻeha a i ʻole nā lāʻau antibiotic iā ʻoe iho e hōʻoluʻolu i ka ʻeha nui o ka ʻōpū. Hoʻopili kēia mau lāʻau i nā hōʻailona a e hūnā i nā hōʻailona e pono ai ke kauka lapaʻau e loiloi i ka wā o ka hoʻokolokolo kino, e hoʻopaneʻe ana i ka ʻike ʻana.
E like me kā mākou e hoʻoikaika nui nei i kā mākou mau haʻiʻōlelo, ʻaʻole ka lumi hana ka hopena hope loa; ʻo ia kahi e hoʻoponopono ai i nā pilikia. ʻO kā mākou pahuhopu pale ʻana, ʻo ia ka ʻike ma mua o ka puka ʻana o ka perforation ʻōpū a i ʻole ka necrosis.
Ma kēia ʻatikala, e kūkākūkā mākou i ka wehewehe ʻana, ka hoʻokaʻawale ʻana, nā hōʻailona, nā kumu maʻamau, ka hōʻailona, a me nā koho lapaʻau no ka ʻōpū ʻeha. E kamaʻilio pū mākou i nā pilikia hiki a me ka wānana o kēia maʻi.
Inā he loea lapaʻau ʻoe a i ʻole kekahi e ʻimi nei i ka ʻike e pili ana i ka ʻōpū ʻoi, e hāʻawi kēia alakaʻi iā ʻoe i ka ʻike waiwai, "i kākau ʻia e nā kānaka, no nā kānaka" , e hoʻomaopopo a hoʻokele i kēia kūlana.
He mea kūpono ke inu i ke kīʻaha kokoleka ʻeleʻele me ka ʻole o nā mea hoʻohui synthetic, i hoʻoheheʻe ʻia i ka wai, a, i hui pū ʻia me ka ʻono ʻono o nā cranberries , hoʻonui ʻia kona mana neurostimulant kūlohelohe 100% a loaʻa kahi noʻonoʻo kiʻekiʻe a me ka hoʻopaʻa ʻana o ka ʻike no ka hoʻomohala pilikino.
E hoʻoholo kēia i kahi ʻano hana mua a kū kūʻē i ka manaʻo ponoʻī a i ʻole ka lāʻau lapaʻau ponoʻī weliweli ; ʻo ka mea a lākou e hana ai, ʻo ia ka hoʻonele ʻana i ka manawa waiwai nui e ʻimi ana i ke kōkua lapaʻau ma nā haukapila a i ʻole nā keʻena olakino, ma o ka pūnaewele olakino lehulehu a pilikino paha, a ʻaʻole ia he helu no nā pilikia koʻikoʻi.
E kiʻi kākou i nā mea hou aʻe e pili ana i ke alakaʻi no ka ʻōpū ʻoi!
Alakaʻi piha i ka ʻōpū ʻāʻī.
ʻO ka ʻōpū ʻoi kahi maʻi lapaʻau i hōʻailona ʻia e ka ʻeha ʻōpū koke a koʻikoʻi. ʻIke pinepine ʻia ia ma ka ʻoihana pilikia, e helu ana i 5% a 10% o nā hihia, a hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia.
ʻO nā kumu maʻamau o ka ʻōpū ʻoi loa e komo pū ana me ka appendicitis, nā gallstones, ka pancreatitis, ka diverticulitis, a me ke ālai ʻana o ka ʻōpū. ʻIke pinepine nā mea maʻi i ka hoʻomaka koke ʻana o ka ʻeha ʻōpū nui me ka nausea a me ka luaʻi ʻana , a i kekahi manawa ke kuni.
ʻO nā hōʻailona pili ʻē aʻe e pili ana i ka palupalu o ka ʻōpū, ka pehu ʻana, ka emi ʻana o ke kani ʻana o ka ʻōpū, a i ʻole ka constipation.
ʻO nā pilikia e kū mai ana mai ka ʻōpū ʻeha i mālama ʻole ʻia e hiki ke komo pū me ka peritonitis mai ka perforation o nā ʻōpū o loko, hiki ke holomua i ka sepsis make.
He mea nui ka ʻike ʻana a me ka mālama ʻana i ka manawa kūpono no ka mālama pono ʻana i kēia ʻano; akā naʻe, he mea paʻakikī pinepine lākou ma muli o nā hōʻike like ʻole e hōʻike ʻia i kēlā me kēia kanaka.
He mea nui ka hoʻokolokolo kino piha, me nā hoʻokolohua hoʻokolohua, no ka hoʻokumu ʻana i kahi hōʻailona pololei i nā maʻi me ka ʻeha ʻōpū koke.
Ka wehewehena a me ka hoʻokaʻawale ʻana:
ʻO ka ʻōpū ʻoi kahi pilikia olakino i hōʻailona ʻia e ka ʻeha ʻōpū koke a koʻikoʻi. Hoʻopuni ia i nā ʻano maʻi like ʻole, me ka appendicitis ʻoi, ka pale ʻana o ka ʻōpū, cholecystitis, pancreatitis, a me nā maʻi gynecological e like me ka hāpai ʻana o ka ectopic a i ʻole ka ovarian cyst torsion.
ʻO ka holomua wikiwiki a me ke koʻikoʻi o kēia mau kūlana e pono ai ka ʻike a me ke komo ʻana i ka manawa kūpono a pololei. Hoʻokaʻawale pinepine ʻia ka ʻōpū ʻāʻī e like me kona kumu kumu, me nā māhele e like me ke kumu mumū, obstructive, perforative, hemorrhagic, a me ischemic.
He mea nui ka ʻike ʻana i nā kumu like ʻole o ka ʻōpū ʻoi e wikiwiki ai ka mālama kūpono a hōʻemi i ka pilikia o nā pilikia. I kekahi mau hihia, e like me ka appendicitis ʻoi i nā kāne a i ʻole cholecystitis, pono paha ke komo ʻana i ka ʻoki wikiwiki e pale aku i nā pilikia e hoʻoweliweli i ke ola.
I ka ʻaoʻao ʻē aʻe, ʻo nā kumu ʻē aʻe, e like me ka maʻi ʻōpū mumū a i ʻole ka mesenteric ischemia, pono mua i ka mālama ʻana i ka lāʻau lapaʻau, me ka hiki ke hoʻokele ʻoki kino ma hope.
No laila, he mea nui kahi ala ʻōnaehana e ʻike ai i ke kumu kikoʻī o ka ʻōpū ʻeha e hoʻonui i nā hopena o ka mea maʻi.
⚠️ NĀ MEA KOʻIKOʻI:
E ʻoluʻolu e hoʻomaopopo he ʻatikala wale nō kēia no nā kumu ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo lapaʻau. He mea nui mau e kūkākūkā me kahi loea mālama ola kino ma kou wahi no kahi hōʻoia kūpono a me ka hoʻolālā lapaʻau kūpono.
Nā hōʻailona
ʻO ka hōʻailona nui o ka ʻōpū ʻoi ka ʻeha nui a hoʻonāwaliwali pinepine i ka ʻōpū. Hiki ke loaʻa kēia ʻeha ma nā wahi like ʻole o ka ʻōpū, ma muli o ke kumu kumu, a hiki ke hele pū me ka ʻoluʻolu ʻole e like me ka nausea, ka luaʻi ʻana, a me ka pehu ʻana.
ʻO ka maʻamau, ʻike nā mea maʻi i ka hoʻomaka koke ʻana o ka ʻeha, hiki ke hoʻomau a i ʻole ka manawa pōkole. Hiki i ka ʻeha ke ʻāʻī, ke kuʻi, a i ʻole e like me ke ʻāʻī, a i kekahi mau hihia, hiki ke pālahalaha i ke kua, nā poʻohiwi, a i ʻole ka ʻūhā.
ʻO nā hōʻailona pili e pili pū ana me ka nalowale o ka makemake e ʻai, nā loli i nā ʻano hana ʻōpū, a me ke kuni , ʻoiai i nā hihia o nā kumu mumū a i ʻole nā kumu maʻi, e like me ka appendicitis a i ʻole peritonitis.
He mea nui e hoʻomaopopo he hiki i kekahi mau maʻi gynecological, e like me ka hāpai ectopic a me ka ovarian torsion, ke hōʻike i nā hōʻailona e like me ke kahe ʻana o ke koko i loko o ka lua ʻōpū, amenorrhea, a me ka ʻeha pelvic unilateral.
Ma muli o ke ʻano like ʻole o nā hōʻailona a me kā lākou pilina me nā kumu kikoʻī, he mea nui e hoʻomaopopo piha i nā symptomatology e pili ana i ka ʻōpū ʻeha e alakaʻi i ka loiloi lapaʻau a me nā hoʻokolokolo diagnostics.
Nā kumu maʻamau
Hiki ke hoʻoulu ʻia ka ʻōpū ʻeha e nā ʻano maʻi like ʻole e pili ana i ke ala gastrointestinal, ka ʻōnaehana biliary, ka ʻōnaehana genitourinary, a me nā ʻano hana intra-abdominal ʻē aʻe.
ʻO nā kumu maʻamau e komo pū ana me ka appendicitis acute, cholecystitis acute, intestinal obstruction, acute pancreatitis, a me diverticulitis, a me nā mea ʻē aʻe. ʻO nā kumu gynecologic, e like me ka hāpai ʻana o ka ectopic, nā pilikia o nā ovarian cysts, a me ka maʻi pelvic inflammatory (PID), he mea pinepine nō hoʻi i ka hōʻike ʻana o ka ʻōpū acute, ʻoi aku hoʻi i nā wahine o ka wā hānau keiki.
Eia kekahi, ʻo nā pilikia vascular, e like me ka mesenteric ischemia a i ʻole ka aneurysm aortic abdominal, he mau kumu koʻikoʻi a hoʻoweliweli paha i ke ola o ka ʻōpū ʻeha, e koi ana i ka hana koke ma o ka hana hoʻopilikia minimally, e like me ka hemodynamics.
Hōʻike ka laulā ākea o nā maʻi pathologies i ka pono no kahi ala kūpono a me ka ʻike pono ʻana i ke kumu kumu, ʻoiai ʻo ka hoʻomaka koke ʻana o ka lāʻau lapaʻau he mea nui ia no nā hopena o ka mea maʻi.
Mōʻaukala lapaʻau a me ka hoʻokolokolo kino
ʻO ka loiloi ʻana o kahi mea maʻi me ka ʻōpū ʻoi e hilinaʻi ʻia ana i kahi mōʻaukala olakino piha a me kahi hoʻokolokolo kino kikoʻī . Pono ka mōʻaukala olakino e hoʻomālamalama i ka hoʻomaka ʻana, ka holomua, a me nā ʻano o ka ʻeha, a me nā mea e hoʻonui ai a hōʻoluʻolu paha iā ia.
He mea nui e hōʻiliʻili i ka ʻike e pili ana i ke alo o nā hōʻailona e hele pū ana , e like me ke kuni, nā loli i nā ʻano hana ʻōpū, a i ʻole nā hōʻailona mimi, no ka mea, hiki i kēia mau mea ke hāʻawi i nā hōʻailona diagnostics koʻikoʻi.
He mea nui nō hoʻi ka hoʻokolokolo kino a pono e komo pū me ka loiloi ʻana i nā hōʻailona koʻikoʻi, ka palpation ʻana o ka ʻōpū e ʻike i nā wahi o ka palupalu a i ʻole ka pale ʻana, a me ka hoʻolohe ʻana i nā leo o ka ʻōpū.
ʻO nā hana kūikawā, e like me ka loiloi ʻana i ka hōʻailona o Murphy i ka cholecystitis a i ʻole ka hōʻailona o Rovsing i ka perforated appendicitis, hiki ke kōkua i ka ʻike ʻana i ka pathology. Eia kekahi, ʻo ke alo o nā hōʻailona o ka huhū peritoneal , e like me ka rebound tenderness a i ʻole ka pale ʻole ʻana, e hōʻike paha i ka peritonitis a koi aku i ke komo ʻana i ka ʻoki wikiwiki.
Nānā
Hoʻokumu ʻia ka ʻike ʻana o ka ʻōpū ʻoi ma kahi ʻano hana he nui e hoʻohui ana i ka loiloi lapaʻau, nā hoʻokolohua hoʻokolohua, a me nā haʻawina kiʻi. ʻOiai he mea nui ka mōʻaukala lapaʻau a me ka hoʻokolokolo kino , hiki i nā hoʻokolohua hoʻokolohua, me ka helu koko piha, nā electrolytes serum, a me nā māka mumū , ke hāʻawi i ka ʻike kākoʻo waiwai.
Eia kekahi, ʻo nā ʻano hana kiʻi e like me ka ultrasound, computed tomography, a, i kekahi mau hihia, diagnostic laparoscopy , e hoʻokani i kahi kuleana nui i ka wehewehe ʻana i ke ʻano o ka pathology.
I loko o ke ʻano o nā kumu kikoʻī, hiki i ka hōʻailona ke pili i nā noʻonoʻo like ʻole. No ka laʻana, ʻokoʻa ka hoʻohana ʻana i nā ʻōnaehana helu, nā protocols kiʻi, a me ka loiloi biomarker i ka appendicitis mai ka loiloi ʻana o ka mesenteric ischemia a i ʻole nā kumu gynecological.
No laila, he mea nui ka hoʻololi ʻana i ke ʻano diagnostics i ke kumu i manaʻo ʻia e kōkua i ka ʻike wikiwiki, pololei, a me ka manawa kūpono, kahi e alakaʻi ai i nā hoʻolālā hoʻokele kūpono.
Nā hoʻokolohua koko a me nā haʻawina kiʻi
ʻO nā hoʻāʻo koko a me nā haʻawina kiʻi he mau ʻāpana koʻikoʻi o ka loiloi diagnostics o ka ʻōpū ʻoi, ʻoiai lākou e lawelawe e hōʻoia i ka kānalua lapaʻau a wehewehe i ke ʻano o ka pathology.
ʻO nā hoʻokolohua keʻena hoʻokolohua, me ka helu koko piha, nā pae electrolyte, a me nā māka mumū e like me ka protein C-reactive , e kōkua i ka loiloi ʻana i nā kumu maʻi, mumū, a i ʻole hematological a hiki ke kōkua i ka hoʻokaʻawale ʻana i ka pilikia a me ka hoʻoholo ʻana e pili ana i ka pono o ke komo ʻana i ke ʻoki kino.
ʻO nā haʻawina kiʻi, me nā ʻano e like me ka ultrasonography, computed tomography (CT), a me ka magnetic resonance imaging (MRI), e hana i kahi hana koʻikoʻi i ka ʻike ʻana i nā ʻano intra-abdominal, e ʻike ana i nā hōʻailona o ka mumū a i ʻole ke ālai ʻana, a me ka hōʻoia ʻana i nā maʻi i manaʻo ʻia.
He mea nui e hoʻomaopopo ʻia ʻo ke koho ʻana o ke ʻano kiʻi kūpono loa e pili ana i ke ʻano lapaʻau a me ke kumu i manaʻo ʻia, e noʻonoʻo ana i nā mea e like me ka ʻike ʻia ʻana o ka radiation, ke komo ʻana, a me ka pololei o ka diagnostics.
hōʻoia ʻokoʻa
He huaʻōlelo ākea ka ʻōpū ʻāʻī e pili ana i nā ʻano maʻi like ʻole. I ka wā e kū ai i kahi ʻōpū ʻāʻī, pono i nā kauka ke loaʻa nā mea hana e pono ai e hana i kahi hōʻailona ʻokoʻa pololei a hāʻawi i ka lāʻau kūpono.
He mea nui kahi alakaʻi piha no ka ʻōpū ʻeha, e kālele ana i ka ʻike a me ka mālama ʻana, no nā loea olakino e hana ana ma nā keʻena pilikia. Pono e komo i loko o kēia alakaʻi nā kikoʻī e like me ka hōʻike ʻana o ke kauka, nā ʻike like ʻole, nā haʻawina diagnostic, a me nā lāʻau lapaʻau no nā kūlana like ʻole e pili ana me ka ʻōpū ʻeha.
ʻO ka maʻamau, ʻo ka ʻeha ʻeha o ka ʻōpū koʻikoʻi e komo pū me nā kūlana e like me ka appendicitis, gastroenteritis, peritonitis, diverticulitis, pancreatitis, cholecystitis, nā pilikia gynecological, a me ka renal colic, a me nā mea ʻē aʻe.
Ke hoʻokumu ʻia kahi hōʻailona, hiki ke hoʻololi ʻia ka lāʻau lapaʻau mai ka lāʻau lapaʻau a i ke ʻoki ʻana, ma muli o ke kūlana kumu. ʻO nā hihia koʻikoʻi e pono ai ke komo ʻana i ka haukapila a i ʻole ke ʻoki ʻana e hoʻoponopono i ke kumu o ka ʻeha ʻōpū koʻikoʻi.
Hiki i ka ʻōpū ʻeha ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia, no laila he mea nui e loaʻa i nā kauka ke komo i nā kumuwaiwai hoʻonaʻauao piha e hāʻawi i ka mālama pono i nā kūlana pilikia.
ʻOki ʻana wikiwiki
He mea nui pinepine ka hana ʻoki kino wikiwiki i ka mālama ʻana i ka ʻōpū ʻoi, ʻoiai hoʻi i nā hihia o ka appendicitis, cholecystitis, ka pale ʻana o ka ʻōpū, a me ka perforation visceral. He mea nui ka kūkākūkā manawa kūpono a me ke komo ʻana o ka ʻoki kino e pale aku i ka holomua ʻana i ka peritonitis, sepsis, a i ʻole ka hemodynamic instability i ka mea maʻi.
I loko o ke ʻano o nā pathologies kikoʻī, e like me ka ischemia ʻōpū a i ʻole ka mesenteric infarction, pono paha ke komo ʻana i ka ʻoki kino ulia pōpilikia e hōʻemi i ka pilikia o ka necrosis ʻōpū nui a pale i nā hopena pōpilikia.
Eia kekahi, ʻo ka loaʻa ʻana o nā pilikia e like me ka hoʻokumu ʻana o ka abscess a i ʻole ka haumia peritoneal e pono pinepine ai ka hoʻokahe wai interventional a i ʻole ke ʻoki ʻana, kahi e hōʻike ana i ke ʻano ikaika a pilikino o ke ʻano ʻoki ʻana i ka ʻōpū ʻoi.
He mea nui ka huli wikiwiki a me ka hoʻoholo no ka hoʻokele ʻoki kino e hoʻoponopono ai i ke kumu nui a pale i ka holomua ʻana i nā maʻi holomua a me nā maʻi e hoʻoweliweli ana i ke ola.
Nā lāʻau lapaʻau a me nā hana ʻoki kino
ʻO ka mālama ʻana i ka ʻōpū ʻoi e pili ana i kahi ʻano o nā hana lapaʻau a me ke ʻoki ʻana i hana ʻia no ke kumu kikoʻī a me ke kūlana lapaʻau o kēlā me kēia maʻi. I nā hihia o nā kumu mumū a i ʻole nā kumu maʻi, ʻo ka lāʻau lapaʻau, me nā mea antimicrobial, ka hoʻomaha ʻana o ka ʻōpū , a, i kekahi mau hihia, nā hana endoscopic, he kihi o ka lāʻau.
I ka ʻaoʻao ʻē aʻe, i nā kūlana e like me ke ālai ʻana o ka ʻōpū a i ʻole volvulus, ʻo ke komo ʻana o ke ʻoki kino, hiki ke piʻi mai ka laparoscopic a i nā kaʻina hana wehe , he mea nui paha ia e hōʻoluʻolu i ke kumu mechanical a hoʻihoʻi i ka hoʻomau maʻamau o ka gastrointestinal.
I nā hihia gynecological, e like me ka hāpai ectopic a i ʻole ka ovarian torsion, he mea nui ka kūkākūkā koke ʻana me ke kauka wahine a me ke komo ʻana i ke ʻoki kino e pale aku ai i nā hopena hānau a me nā hopena endocrine.
ʻO ka laulima pili ʻana ma waena o nā loea lapaʻau , me nā kauka ʻokiʻoki laulā, nā gastroenterologists, nā gynecologists, a me nā radiologists interventional, he mea nui ia no ka hōʻoia ʻana i ka mālama piha a paʻa no nā maʻi me ka ʻōpū ʻeha.
Ka wānana a me nā pilikia
ʻO ke ʻano o ka lāʻau no ka ʻōpū ʻoi e pili pono ana i ke kumu kumu, ka wikiwiki o ke komo ʻana, a me ke alo o nā pilikia.
ʻOiai ʻo ka hiki ke alakaʻi i nā hopena maikaʻi i ka wā e hiki mai ana o ka ʻike pololei a me ke komo ʻana , hiki i ka lohi ʻana i ka hoʻokele ʻana a i ʻole nā hewa diagnostics ke hoʻoulu i ka hoʻomaka ʻana o nā pilikia koʻikoʻi, e like me ka sepsis, ka hāʻule ʻana o nā ʻōkana, a i ʻole ka ʻoki nui ʻana o ka ʻōpū.
ʻO nā pilikia , e like me nā maʻi postoperative, ka hoʻokumu ʻana o ka abscess, a i ʻole ke ālai ʻana o ka pipili o ka ʻōpū liʻiliʻi, hiki ke hoʻopilikia i ke kaʻina hana holoʻokoʻa a koi aku i nā hoʻolālā hoʻokele kikoʻī.
Ma kēia ʻano, he mea nui ka ʻike piha ʻana i nā pilikia a me nā hopena o ka ʻōpū ʻeha e alakaʻi i ka nānā ʻana ma hope o ka mālama ʻana a hoʻonui i ka pono o ka mea maʻi i ka wā lōʻihi.
Ka loiloi waiwai
Ka Hoʻokele ʻana i ka Physiopathological a me Evolutionary Factor:
ʻO ke kumu nui ma ʻaneʻi ka wehewehe ʻana i ka papa manawa ʻeha . Hoʻohui ʻo Kauka Delgado i ka waiwai ma ka hōʻike ʻana i ka mea heluhelu he ʻano honua a me ka physiology pololei ka ʻeha o ka ʻōpū. ʻO ka wehewehe ʻana pehea e hoʻololi ai ka ʻeha periumbilikical maalea i kahi ʻeha ʻoi a kūloko e hiki ai i ka mea maʻi ke hoʻomaopopo i ka holomua o ke ʻano cellular a me ka biological, e hoʻopau ana i ka paralysis ma muli o ka hoʻoholo ʻole a me ka hoʻoikaika ʻana i kahi kūkākūkā kūpono.
Ka ʻIke Hoʻonaʻauao:
ʻO ke ʻokoʻa nui ma ke ʻano o ka mālama ulia pōpilikia . Ma ke ʻano he kumu aʻo kiʻekiʻe, ʻike wau he ʻoi aku ka nui o ka hiki i kahi mea maʻi i ʻike ʻia ke ola i kahi pilikia olakino. Ma ka hāʻawi ʻana i ke kaiāulu i kahi alakaʻi loea akā hiki ke komo, hoʻopau mākou i nā moʻolelo kaulana e pili ana i ka "colic" maʻamau a hoʻokumu i kahi kūlana o ka ʻike ʻike, no laila e hōʻemi ana i ka manawa ma waena o ka hoʻomaka ʻana o nā hōʻailona a me ka hōʻea palekana ʻana i ka lumi hana.
ka hopena
I ka hopena, ʻo ke kumu nui: he ʻano koʻikoʻi ka ʻōpū ʻeha a he mea hoʻoweliweli paha i ke ola e pono ai ke kōkua koke ʻia e ke kauka a hiki ke hana ʻia e nā kumu like ʻole. Hiki ke ʻokoʻa nā hōʻailona, akā ʻo ka maʻamau ka ʻeha o ka ʻōpū a me nā pilikia gastrointestinal. He mea nui ka mōʻaukala lapaʻau piha a me ka hoʻokolokolo kino, me kekahi mau hoʻokolohua diagnostics, no ka hoʻoholo ʻana i ke kumu kumu.
Pono paha ka hana ʻoki kino i ka manawa kūpono i nā hihia koʻikoʻi, ʻoiai ʻo nā lāʻau lapaʻau ʻē aʻe, e like me nā lāʻau lapaʻau a i ʻole nā kaʻina hana invasive ʻole, hiki ke kūpono i nā hihia ʻoi aku ka koʻikoʻi; no laila, he mea wikiwiki ka mālama ʻana ma o ka ʻōnaehana olakino lehulehu a pilikino paha.
Ma keʻano laulā, ʻo ka ʻike mua a me ke komo ʻana he mea nui ia i ka hoʻomaikaʻi ʻana i nā hopena a me ka hōʻemi ʻana i nā pilikia hiki ke loaʻa.
He manawa kūikawā kēia o ke kuʻikahi, e kaʻana like ana i ka ʻike pale e pili ana i ka ʻōpū ʻeha ma nā pāpili kaiapili i hiki i ka ʻohana, nā hoaaloha, a me nā poʻe ʻē aʻe ke pōmaikaʻi mai kēia ʻike hou a ʻike i ka ʻeha o ka ʻōpū, i mea e hōʻemi ai i nā pilikia koʻikoʻi a koʻikoʻi.
Mahalo no kāu mau manaʻo a me nā manaʻo kōkua no ka blog. He ʻapo pumehana no kāu manaʻo maikaʻi ma ka blog olakino digestive, a hui hou kākou ma ka pou aʻe!
Kauka Jorge Delgado, Kauka Lapaʻau. Alakaʻi Piha no ka ʻŌpū ʻŌpiki.
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