He aha ka ʻāʻī ʻōpū? Nā hōʻailona, nā kumu, a me ka mālama

Hana ʻia ka ʻāʻī ʻōpū i ka wā e pani ʻia ai kekahi mea i kou mau ʻōpū, e pale ana i ka ʻai, nā wai, a me ke kinoea mai ka hele maʻamau. E noʻonoʻo iā ia e like me kahi pilikia kaʻa ma kāu ʻōnaehana ʻai - e hoʻopaʻa ʻia nā mea a pau a ʻaʻole hiki ke kahe i kahi e pono ai.

Hiki i kēia kūlana ke hana ma kāu ʻōpū liʻiliʻi a i ʻole ʻōpū nui (colon). ʻOiai ke kani ʻino nei, loaʻa i nā kauka nā ala maikaʻi e ʻike a mālama ai i nā ʻāʻī ʻōpū. ʻO ka mea nui ka ʻike ʻana i nā hōʻailona ma mua a loaʻa koke ka kōkua lapaʻau.

He aha nā hōʻailona o ka ʻāʻī ʻōpū?

ʻO ka hōʻailona mua maʻamau ka ʻeha ʻōpū nui e hele mai ana a hele aku i nā nalu. Hiki paha iā ʻoe ke ʻike i kou ʻōpū e pehu a palupalu i ka pā.

Eia nā hōʻailona nui e pono ai ʻoe e nānā, e hoʻomaka ana me nā mea maʻamau loa:

• ʻEha ʻōpū crampy e ʻoi aku ka ʻino ma mua o ka manawa
• Pehu a pehu o kou ʻōpū
• Nausea a me ka luaʻi
• Hiki ʻole ke hoʻokuʻu i ke kinoea a i ʻole ka hele ʻana i ka ʻōpū
• Nalo o ka makemake ʻai
• Nā leo gurgling nui mai kou ʻōpū

I nā hihia ʻoi aku ka nui, hiki iā ʻoe ke ʻike i ka maʻi wela, ka wikiwiki o ka naʻau, a i ʻole ka maloʻo. ʻIke kekahi poʻe i ka ʻala ʻino o kā lākou luaʻi, ʻoi aku inā ua loaʻa ka pani ʻana no kekahi manawa.

Hiki i nā hōʻailona ke ulu koke a mālie paha, ma muli o ka piha o ka pani ʻana. Hiki i nā pani ʻana hapa ke hana i nā hōʻailona māmā e hele mai ana a hele aku, ʻoiai nā pani piha e hana pinepine i ka ʻoluʻolu nui a mau loa.

He aha nā ʻano o ka ʻāʻī ʻōpū?

Hoʻokaʻawale nā kauka i nā ʻāʻī ʻōpū ma muli o kahi e hana ai a me ka mea e hana ai. Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau ʻano e wehewehe i ke kumu e ʻokoʻa ai nā hōʻailona a me nā mālama.

ʻO nā wahi nui ʻelua ka ʻāʻī ʻōpū liʻiliʻi a me ka ʻāʻī ʻōpū nui. ʻOi aku ka maʻamau o nā ʻāʻī ʻōpū liʻiliʻi a hana pinepine i nā hōʻailona ʻoi aku ka nui e like me ka luaʻi pinepine. Hana pinepine nā ʻāʻī ʻōpū nui i ka mālie a hana i ka constipation a me ka pehu.

Hiki nō hoʻi ke mīkini a hana paha nā pani ʻana. Hana ʻia nā pani mīkini i ka wā e pani ai kekahi mea i ke kino i ka ʻōpū, e like me ka ʻili ʻili a i ʻole ka maʻi. Hana ʻia nā pani hana i ka wā e hoʻōki ai nā ʻiʻo ʻōpū i ka hana pono ʻana, ʻoiai ʻaʻohe pani kino.

He aha ka mea e hana ai i ka ʻāʻī ʻōpū?

Hiki i kekahi mau kūlana like ʻole ke hana i ka pani ʻana o kou mau ʻōpū. ʻO ka kumu maʻamau loa i nā mākua ka ʻili ʻili e hana ana ma hope o ka ʻoki ʻana o ka ʻōpū.

E nānā kākou i nā kumu nui, e hoʻomaka ana me nā mea pinepine loa:

• Adhesions (ʻili ʻili) mai ka ʻoki ʻana o ka ʻōpū ma mua
• Hernias e hopu ana i kahi ʻāpana o ka ʻōpū
• Nā maʻi, cancerous a non-cancerous paha
• Ka maʻi inflammatory bowel e hana ana i ka pehu nui
• ʻŌpū ʻōpū (volvulus)
• Constipation nui me ka impacted stool

ʻO nā kumu ʻaʻole pinepine e komo pū me nā gallstones e pani ana i ka ʻōpū, nā mea ʻē aʻe i ʻai ʻia, a i ʻole kekahi mau lāʻau e hoʻōhū ana i ka neʻe ʻana o ka ʻōpū. I nā keiki, hiki ke hana i kahi kūlana i kapa ʻia ʻo intussusception i ka wā e hele ai kekahi ʻāpana o ka ʻōpū i loko o kekahi ʻāpana.

I kekahi manawa, hana pū nā mea he nui e hana i ka pani ʻana. No ka laʻana, hiki i kekahi kanaka me ka ʻoki ʻana ma mua ke loaʻa nā adhesions e lilo i pilikia i ka wā o ka maʻi e hana ana i ka pehu ʻōpū.

I ka wā e ʻike ai i ke kauka no ka ʻāʻī ʻōpū?

Pono ʻoe e ʻimi i ka mālama lapaʻau koke inā loaʻa iā ʻoe ka ʻeha ʻōpū nui me ka luaʻi a me ka hiki ʻole ke hoʻokuʻu i ke kinoea a i ʻole ka hele ʻana i ka ʻōpū. Ke hōʻike nui nei kēia mau hōʻailona i kahi pani paha.

Mai kali e ʻike inā e hoʻomaikaʻi nā hōʻailona ma luna o lākou iho. Hiki i nā ʻāʻī ʻōpū ke lilo i mea koʻikoʻi koke, a ke alakaʻi nei ka mālama mua i nā hopena maikaʻi. Kāhea i kāu kauka a hele i ka lumi pilikia inā ʻike ʻoe i ka hui ʻana o nā hōʻailona i ʻōlelo ʻia ma luna.

Pono nō hoʻi ʻoe e ʻimi i ka mālama wikiwiki inā loaʻa iā ʻoe nā hōʻailona māmā e mau ana no nā hola he nui, ʻoi aku inā loaʻa iā ʻoe ka mōʻaukala o ka ʻoki ʻana o ka ʻōpū, nā hernias, a i ʻole ka maʻi inflammatory bowel. E hilinaʻi i kou mau manaʻo - ʻoe ke ʻike maikaʻi loa i kou kino.

He aha nā pilikia o ka ʻāʻī ʻōpū?

Inā waiho ʻole ʻia, hiki i nā ʻāʻī ʻōpū ke alakaʻi i nā pilikia koʻikoʻi. Hiki ke hōʻino ʻia ka ʻōpū pani ʻia mai ka piʻi ʻana o ke kaomi a me ka nele o ke kahe koko.

Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau pilikia e wehewehe i ke kumu e nui ai ka mālama koke:

• Maloʻo a me nā pilikia electrolyte mai ka luaʻi
• Perforation (tearing) o ka paia ʻōpū
• Ka maʻi i loko o ka ʻōpū
• Make o ka ʻiʻo ʻōpū ma muli o ka lawa ʻole o ke kahe koko
• Aspiration pneumonia mai ka luaʻi

I nā hihia kakaikahi, hiki i ka pani piha ke hana i ka haki ʻana o ka ʻōpū, e ninini ana i kona mau mea i loko o ka ʻōpū. Hana kēia i kahi maʻi weliweli i kapa ʻia ʻo peritonitis e pono ai ka ʻoki ʻana o ka pilikia.

ʻO ka lono maikaʻi, me ka mālama lapaʻau koke, hoʻōla piha ka hapa nui o nā kānaka me ka ʻole o ka ʻike ʻana i kēia mau pilikia. He maikaʻi loa ka mālama lapaʻau hou i ka hoʻoponopono ʻana i nā pani me ka palekana.

Pehea ka ʻike ʻana o ka ʻāʻī ʻōpū?

E hoʻomaka kāu kauka ma ka nīnau ʻana e pili ana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau, a laila e hana i kahi nānā kino. E hoʻolohe lākou i kou ʻōpū me kahi stethoscope a e pā mālie i nā wahi like ʻole e nānā ai i ka palupalu a me ka pehu.

Ke kōkua nei nā hoʻokolohua koko e nānā i nā hōʻailona o ka maʻi, maloʻo, a me nā pilikia ʻē aʻe. Hiki i kēia mau hoʻokolohua ke hōʻike inā ʻaʻole kūlike ke kemika o kou kino ma muli o ka luaʻi a i ʻole ka lawa ʻole o ka meaʻai.

Hāʻawi nā hoʻokolohua kiʻi i ka kiʻi maopopo loa o ka mea e hana nei i loko o kou mau ʻōpū. Hoʻohana pinepine ʻia nā CT scans no ka mea hiki iā lākou ke hōʻike i kahi pololei a me ke kumu o ka pani ʻana. Hiki nō hoʻi ke lawe ʻia nā X-rays e nānā i nā ʻano kinoea e hōʻike ana i ka pani ʻana.

I kekahi manawa hoʻohana nā kauka i nā haʻawina contrast, kahi e inu ai ʻoe i kahi wai kūikawā e hōʻike ana ma nā X-rays. Ke kōkua nei kēia iā lākou e ʻike i ka maikaʻi o ka neʻe ʻana o nā mea ma o kāu ʻōnaehana ʻai a kuhikuhi i kahi e hana ai ka pani ʻana.

He aha ka mālama no ka ʻāʻī ʻōpū?

Aia ka mālama ma ka nui a me ke kumu o kāu pani ʻana. Hiki ke mālama ʻia nā pani hapa he nui me ka ʻole o ka ʻoki ʻana, ʻoiai nā pani piha e pono pinepine i ka hana ʻoki koke.

No nā pani hapa, hiki i kāu kauka ke ʻōlelo aku i ka hoʻomaha ʻōpū, ʻo ia hoʻi ka pale ʻana i ka ʻai a me nā mea inu ma o ka waha. E loaʻa iā ʻoe nā wai a me ka meaʻai ma o ka IV ʻoiai e loaʻa i kou mau ʻōpū ka manawa e hoʻōla ai. Hiki ke kau ʻia kahi tube nasogastric ma o kou ihu e wehe i ke kinoea a me ka wai nui mai kou ʻōpū.

Pono pinepine nā pani piha i ka ʻoki ʻana e wehe i ka pani ʻana. Aia ka hana kūikawā ma ka mea e hana nei i ka pilikia. Hiki i nā kauka ke wehe i ka ʻili ʻili, hoʻoponopono i ka hernia, a wehe paha i nā ʻāpana ʻōpū i hōʻino ʻia.

ʻO ka mālama ʻeha kahi ʻāpana nui o ka mālama. E hana kāu hui lapaʻau e mālama iā ʻoe i ka ʻoluʻolu ʻoiai e hoʻoponopono ana i ka pilikia kumu. E nānā pū lākou iā ʻoe no nā hōʻailona o nā pilikia.

Pehea e mālama ai i ka ʻāʻī ʻōpū ma ka home?

Pono ka ʻāʻī ʻōpū i ka mālama lapaʻau a ʻaʻole hiki ke mālama palekana ʻia ma ka home. Inā manaʻo ʻoe he pani kāu, pono ʻoe e ʻimi i ka mālama lapaʻau koke ma mua o ka ho'āʻo ʻana i nā lāʻau home.

Eia naʻe, ma hope o kou hoʻokuʻu ʻia ʻana mai ka haukapila, hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻo kūikawā no ka hoʻōla. ʻO ka mea maʻamau, komo kēia i ka hoʻi mālie ʻana i nā meaʻai maʻamau, e hoʻomaka ana me nā wai maopopo a holomua i nā meaʻai palupalu e like me ka ʻae ʻia.

Ma hope o ka mālama ʻana, hiki iā ʻoe ke kōkua i ka pale ʻana i nā pani hou ma ka noho ʻana i ka wai maikaʻi, ka ʻai ʻana i ka meaʻai kaulike me ka fiber lawa, a me ka noho ʻana i ka hana kino e like me ka ʻōlelo a kāu kauka. Inā loaʻa iā ʻoe nā kūlana maʻi e hoʻonui ana i kou pilikia, e hana pū me kāu hui olakino e hoʻokele pono iā lākou.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Inā ʻike ʻoe i nā hōʻailona e hōʻike ana i kahi pani ʻōpū, e hoʻomākaukau e hāʻawi i ka ʻike kikoʻī e pili ana i ka wā i hoʻomaka ai nā hōʻailona a pehea lākou i holomua ai. E kākau i nā mea āu i ʻike ai a me ka wā.

E lawe mai i kahi papa inoa o nā lāʻau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ka counter a me nā mea hoʻohui. E hoʻomākaukau pū i ka ʻike e pili ana i kāu mōʻaukala lapaʻau, ʻoi aku hoʻi kekahi mau ʻoki ʻana o ka ʻōpū ma mua, nā hernias, a i ʻole nā pilikia digestive.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha e hiki ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike a hāʻawi i ke kākoʻo. Hiki i nā kūlana pilikia ke hoʻonāukiuki, a hiki i ka loaʻa ʻana o kekahi me ʻoe ke hōʻoluʻolu a kōkua.

Inā hiki, e pale i ka ʻai ʻana a inu ʻana ma mua o kāu hālāwai, ʻoiai pono paha ʻoe i nā hoʻokolohua kiʻi a i ʻole nā hana. Eia naʻe, inā maloʻo loa ʻoe a he mau hola he nui mai kāu ʻaina hope loa, e haʻi i kēia i kāu hui olakino.

He aha ka mea nui e pili ana i ka ʻāʻī ʻōpū?

He kūlana koʻikoʻi ka ʻāʻī ʻōpū e pono ai ka mālama lapaʻau koke, akā me ka mālama kūpono, hoʻōla piha ka hapa nui o nā kānaka. ʻO ka mea nui ka ʻike ʻana i nā hōʻailona ma mua a ʻimi koke i ke kōkua.

E hoʻomanaʻo i ka ʻeha ʻōpū nui i hui pū ʻia me ka luaʻi a me ka hiki ʻole ke hoʻokuʻu i ke kinoea a i ʻole ka hele ʻana i ka ʻōpū e pono ai ka loiloi lapaʻau koke. Mai ho'āʻo e kali a mālama iā ʻoe iho - pono kēia mau hōʻailona i ka loiloi ʻoihana.

Inā loaʻa iā ʻoe nā pilikia e like me ka ʻoki ʻana o ka ʻōpū ma mua a i ʻole ka maʻi inflammatory bowel, e makaʻala i nā hōʻailona hiki a mālama i ka kamaʻilio maikaʻi me kāu hui olakino. Hiki i ka mālama lapaʻau maʻamau ke kōkua i ka ʻike ʻana a me ka hoʻoponopono ʻana i nā pilikia ma mua o ko lākou lilo ʻana i mea koʻikoʻi.

Nā nīnau pinepine e pili ana i ka ʻāʻī ʻōpū

Hiki i ka ʻāʻī ʻōpū ke hoʻoponopono iā ia iho?

Hoʻoponopono ʻia kekahi manawa nā pani hapa me ka mālama lapaʻau ʻaʻole komo i ka ʻoki ʻana, e like me ka hoʻomaha ʻōpū a me nā wai IV. Eia naʻe, pono pinepine nā pani piha i ka hana ʻoki a ʻaʻole e hoʻoponopono iā lākou iho. Pono nō hoʻi nā pani hapa i ka nānā lapaʻau no ka mea hiki iā lākou ke hoʻopilikia koke.

Pehea ka lōʻihi o ka hoʻōla ma hope o ka mālama ʻana?

Hoʻololi ka manawa hoʻōla ma muli o ke kumu a me ke ʻano mālama. Inā mālama ʻia me ka ʻole o ka ʻoki ʻana, hiki iā ʻoe ke ʻike maikaʻi i loko o kekahi mau lā. Ma hope o ka mālama ʻoki ʻana, lawe pinepine ka hoʻōla ʻana i 1-2 mau pule, ʻoiai hiki ke lōʻihi inā loaʻa nā pilikia. E hāʻawi kāu kauka iā ʻoe i nā manaʻo kūikawā ma muli o kāu kūlana.

Pono anei au e hoʻololi i kaʻu meaʻai mau loa ma hope o ka ʻāʻī ʻōpū?

Hiki i ka hapa nui o nā kānaka ke hoʻi i kā lākou meaʻai maʻamau ma hope o ka hoʻōla ʻana. Eia naʻe, hiki i kāu kauka ke ʻōlelo aku i kekahi mau hoʻololi, ʻoi aku inā hāʻawi kekahi mau meaʻai i kāu pani ʻana. Inā loaʻa iā ʻoe nā kūlana maʻi e like me ka maʻi inflammatory bowel, pono paha ʻoe i ka hoʻokele meaʻai mau loa.

Hiki anei i ka ʻāʻī ʻōpū ke hana hou?

Hiki ke hana hou, ʻoi aku inā loaʻa iā ʻoe nā pilikia e like me nā adhesions mai ka ʻoki ʻana a i ʻole nā kūlana inflammatory maʻi. Eia naʻe, ʻaʻole ʻike hou kekahi poʻe i kahi pani ʻē aʻe. Ke kōkua nei ka hahai ʻana i nā ʻōlelo a kāu kauka no ka meaʻai, ka hana, a me ka hoʻokele ʻana i nā kūlana maʻi e hōʻemi i kou pilikia.

Ua like anei ka ʻāʻī ʻōpū me ka constipation?

ʻAʻole, he mau kūlana ʻokoʻa kēia. ʻO ka constipation ka pilikia o ka hele ʻana i ka stool akā ʻaʻole pani piha i nā ʻōpū. He kūlana koʻikoʻi loa ka ʻāʻī ʻōpū kahi i pani ʻia ai ka ʻōpū hapa a piha paha, e pale ana i ka hele maʻamau o ka ʻai, nā wai, a me ke kinoea. Eia naʻe, hiki i ka constipation nui ke kōkua i ka hana ʻana a i ʻole ka hoʻohālikelike ʻana i kahi pani.