Loaʻa iā ʻoe ka appendicitis? E ʻike kākou i ke ʻano o kēia mau hoʻokolohua!

Ua loaʻa anei iā ʻoe kahi ʻeha nui ma ka ʻaoʻao ʻākau haʻahaʻa o kou ʻōpū? A i ʻole ua loaʻa i kahi hoaaloha a ʻohana paha? ʻO ka hapa nui o ka manawa, ke ʻike mākou i nā hōʻailona e like me kēia, makaʻu mākou, ʻeā? Malia paha he appendicitis . No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka appendicitis, nā hoʻāʻo a nā kauka e hana ai e ʻike ai inā aia ia ma laila, a pehea lākou e hana ai. ʻAʻohe mea e makaʻu ai, e wehewehe kākou i nā mea āpau ma nā ʻōlelo maʻalahi.

He aha ka appendicitis? I ka pōkole...

ʻAe, e nānā mua kākou i ke ʻano o ka appendicitis. I loko o ko kākou ʻōpū, ʻo ia hoʻi, ma ka ʻaoʻao ʻākau haʻahaʻa o ka ʻōpū, aia kahi ʻāpana liʻiliʻi e like me ka paipu e pili ana i ka ʻōpū nui (colon). I ka pololei, he ʻano liʻiliʻi e like me ka ilo ma waena o 2 a me 4 ʻīniha ka lōʻihi. ʻO kēia ka mea a mākou e kapa nei he appendix . Wahi a kekahi poʻe ʻaʻole pono loa kēia, akā i kekahi manawa hiki ke hoʻopilikia.

No laila, inā loaʻa kēia maʻi i kekahi ʻano, a inā paha e pehu, ʻo ia ka mea a mākou e kapa nei he appendicitis . E noʻonoʻo e like me kahi mea e paʻa ana i loko o kahi ʻōmole liʻiliʻi a hoʻomaka e hoʻoulu. He pilikia iki kēia, no ka mea, inā ʻaʻole mālama pono ʻia, hiki i ka pilikia ke ʻoi aku ka ʻino.

Inā loaʻa iā ʻoe ka appendicitis, hana pinepine nā kauka i kahi hana i kapa ʻia he appendectomy . ʻO ia hoʻi, wehe lākou i ka appendix pilikia ma ke ʻoki kino. Mai hopohopo, ma hope o ka wehe ʻia ʻana o kāu appendix, hiki iā ʻoe ke ola i kahi ola lōʻihi a olakino me ka ʻole o nā pilikia. ʻAʻole ʻoe e manaʻo i kekahi pohō nui no ka mea ua nalowale.

He aha nā hōʻailona mua o ka appendicitis? He mea nui e ʻike i kēia mau mea!

I kēia manawa, e nānā kākou i nā hōʻailona mua e hiki iā kākou ke ʻike i ka hihia o ka appendicitis. He mea nui loa ia e ʻike i kēia mau mea, no ka mea, inā ʻike mua ʻia lākou, e maʻalahi ka loaʻa ʻana o ka lāʻau.

Hoʻomaka mua ia me he ʻeha ʻē a palupalu a puni ka piko . Ma hope o kekahi manawa, neʻe mālie kēia ʻeha i ka ʻaoʻao ʻākau o lalo o ka ʻōpū. ʻO ia ka manawa e lilo ai ka ʻeha i ʻoi a hiki ʻole ke hoʻomanawanui. Hiki ke manaʻo e like me ka pahi e hou ana iā ʻoe.

E haʻi aku wau iā ʻoe e pili ana i kēia ʻeha:

• Malia paha e hoʻomau ʻia.
• Hiki iā ʻoe ke hoʻomaka koke.
• Hiki ke hoʻonui ʻia ka ʻeha i ka wā e ʻū ai, e ʻakaʻaka ana, a i ʻole e neʻe ana.
• ʻAʻole paha e emi ka ʻeha mua ma hope o ka lawe ʻana i ka lāʻau hoʻopau ʻeha.

Ma waho aʻe o kēia ʻeha nui, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe. Eia kēia mau mea:

• Anorexia (nalowale ka makemake).
• Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi pākī .
• ʻAʻohe hiki ke hoʻokuʻu i ka ea (ʻaʻohe kinoea).
• He kuni haʻahaʻa.
• Ka luaʻi a me ka luaʻi .

E noʻonoʻo, ua loaʻa koke i kou hoaaloha ʻo Nimal kahi ʻeha ʻōpū, i ka wā mua e ʻōhumu ana i ka ʻeha a puni kona piko. I kekahi mau hola ma hope mai, ua loaʻa iā ia ka ʻeha nui ma kona ʻōpū ʻākau lalo, ʻaʻole hiki ke ʻai, a ua loaʻa iā ia kahi kuni iki. I kēlā manawa, hiki paha iā ʻoe ke manaʻo he appendicitis.

No ke aha he mea nui e ʻike e pili ana i kēia mau ʻano?

Manaʻo paha ʻoe, "ʻAuē, he ʻeha ʻōpū wale nō ia, no ke aha ʻoe e hopohopo nei?" Akā, ʻaʻole he mea hoʻohenehene ka appendicitis.

E noʻonoʻo, he aha ka mea e hana ʻia inā pahū koke ke kaomi i loko o kēlā ʻāpiki pehu a maʻi ʻia? Inā hana ʻia kēlā, hiki i nā germs i loko, ʻo ia hoʻi, nā bacteria, ke pālahalaha ma loko o ka lua ʻōpū holoʻokoʻa. Hiki i kēia ke hana i kahi maʻi koʻikoʻi loa a hoʻoweliweli i ke ola, i kapa ʻia ʻo peritonitis. ʻO ia ke kumu he mea nui e ʻike i kēia mau hōʻailona mua a ʻimi koke i ke kōkua lapaʻau. A laila hiki ke ʻike pololei ʻia ka maʻi a hiki ke hoʻomaka ʻia ka lāʻau kūpono.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i ka appendicitis?

ʻAe, inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma mua, ke hele ʻoe e ʻike i ke kauka, pehea lā ʻo ia e hoʻoholo ai inā he appendicitis maoli a i ʻole kekahi mea ʻē aʻe? Hoʻohana nā kauka i ka hui pū ʻana o nā hoʻokolohua e hana i kēia. ʻO ka pahuhopu o kēia mau hoʻokolohua, ʻo ia ka ʻike koke a pololei i ke kūlana a hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai.

Aia kekahi mau ʻano nui o nā hoʻokolohua:

1. Hoʻokolohua kino

ʻO kēia ka mea mua e hana ʻia. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā i kou ʻōpū. E ʻimi lākou i ka ʻeha, ʻoiai ma ka ʻaoʻao ʻākau haʻahaʻa o kou ʻōpū , no ka mea, ʻo ia kahi e loaʻa pinepine ai ka appendix. E ʻimi pū lākou i ka pale ʻana o nā ʻiʻo a me ka palupalu rebound.

2. Nā hoʻāʻo koko a me ka mimi

Hana ʻia kahi hoʻāʻo koko e ʻike inā he maʻi a mumū paha kou kino. ʻO ka maʻamau, ʻo kahi maʻi e like me ka appendicitis e hoʻonui i ka nui o nā hunaola koko keʻokeʻo i loko o kou koko. Hiki ke kiʻekiʻe ʻia kahi pae i kapa ʻia ʻo C-reactive protein (CRP) , kahi e hōʻike ana i ka mumū i loko o ke kino.

Hana ʻia kahi hoʻāʻo mimi e ʻike inā ua hana ʻia kāu mau hōʻailona e kekahi mea ʻē aʻe, e like me ka maʻi ʻaʻai mimi (UTI) . I kekahi manawa hiki ke like nā hōʻailona o ka maʻi ʻaʻai mimi me nā hōʻailona o ka appendicitis.

3. Hoʻāʻo CT scan

Nānā CTʻO kekahi he X-ray kūikawā e hiki ke ʻike maopopo i nā ʻōpū i loko o ka ʻōpū. ʻO kēia ke ala pololei loa e ʻike ai i ka appendicitis. Hiki i kēia scan i ke kauka ke ʻike maopopo inā ua pehu ka appendix a i ʻole he mau loli a puni.

Eia nō naʻe, inā he wahine ʻoe i ka makahiki hānau keiki, hana ʻia kahi hoʻāʻo hāpai ma mua o ka loaʻa ʻana o kēia CT scan. ʻO ke kumu o kēia, ʻo ia ka pale ʻana i ka hōʻike ʻana i ka radiation pono ʻole e like me ka hiki. No ka mea, i kekahi manawa hiki i ka hāpai ectopic ke hoʻoulu i ka ʻeha o ka ʻōpū, e like me ka appendicitis. Kōkua pū kēia mau hoʻāʻo e ʻike iā ia.

4. Nānā ʻana i ka ultrasound

Hoʻohana ka ultrasound scan i nā nalu kani e hana i nā kiʻi o loko o ka ʻōpū. ʻAʻole ia e hoʻohana i ka radiation. ʻOiai ʻaʻole pololei e like me ka CT scan, hoʻohana pinepine ʻia ia ma kahi o ka CT scan e nānā i ka appendicitis i nā keiki ʻōpio, nā pākeke ʻōpio, a me nā wahine hāpai .

ʻO wai ka mea hana i kēia mau hoʻokolohua?

Hana ʻia kēia mau hoʻokolohua e ke kanaka hoʻokahi.

• E hoʻolohe ke kauka i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino .
• Na ke kahu maʻi a phlebotomist paha e hana i ke kaha koko .
• E hana ʻia kāu ultrasound scan a i ʻole CT scan e kahi loea radiology .

Hiki ke hoʻāʻo no ka appendicitis ma ka home?

ʻO ka mea nui loa, ʻo ia ka makaʻala i kāu mau hōʻailona. Eia kekahi, aia ʻelua mau mea maʻalahi hiki iā ʻoe ke hana ma ka home, a e ʻike inā loaʻa iā ʻoe kahi ʻeha nui i kou ʻōpū ke hana ʻoe iā lākou:

• He ʻeha anei kou moe ʻana ma kou ʻaoʻao hema a hoʻolōʻihi i kou ʻūhā ʻākau ma hope ou ?
• Ke ʻeha nei ʻoe ke kūlou ʻoe i kou ʻūhā ʻākau a me kou kuli a hoʻohuli i kou ʻūhā ʻākau ?

Inā ʻeha ʻoe i ka wā e hana ana i kēia mau mea, a inā he kānalua kāu, e ʻike pono i ke kauka. No ka mea, he maʻi ka appendicitis e hiki ai ke alakaʻi i nā pilikia koʻikoʻi inā ʻaʻole mālama koke ʻia. Mai hoʻoholo wale ma ka home.

Pono ʻoe e hoʻomākaukau no kēia mau hoʻokolohua ma mua?

ʻO ka hapa nui o ka manawa, ʻaʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai no kahi hoʻokolohua kino, hoʻāʻo koko, a i ʻole ka hoʻāʻo mimi.

Eia nō naʻe, no kahi hoʻāʻo kiʻi, e like me ka CT scan a i ʻole ka ultrasound scan, e noi ʻia paha ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana (hoʻokē ʻai) no kekahi mau hola ma mua o ka hoʻāʻo.E haʻi aku ke kauka iā ʻoe e pili ana i kēia ma mua.

Pehea e hana ʻia ai ka hoʻāʻo ʻana? E nānā kākou iā ia me nā kikoʻī hou aku.

I kēia manawa, e nānā kākou i ka mea e hana ʻia ke hana mākou i kēia mau hoʻokolohua.

Hoʻokolohua kino

Eia kekahi mau mea a kāu kauka e hana ai i ka nānā ʻana i kou ʻōpū:

• E hoʻohuli ʻia ʻoe ma kou ʻaoʻao hema a e noi ʻia e kaomi iki i kou ʻūhā ʻākau me ka huki ʻana i kou ʻūhā ʻākau i hope. (Ua kapa ʻia kēia ʻo ka 'hōʻailona Psoas')
• Kaomi ka mea maʻi ma nā wahi like ʻole o ka ʻōpū a laila wehe koke i ka lima (e ʻike i ka rebound tenderness).
• Ke hāpai ʻoe i kou wāwae ʻākau, kaomi ia ma ke kuli ʻākau (nā hoʻāʻo e like me ka 'hōʻailona Obturator' no kēia).

Hoʻāʻo koko

He mea maʻalahi loa kēia.

• E hoʻokomo ke kahu maʻi i kahi nila lahilahi i loko o kahi aa koko ma kou lima.
• Ua hōʻiliʻili ʻia kahi hāpana koko liʻiliʻi mai kēlā aa koko. ʻO ia wale nō.

Nānā CT

Hiki ke hana ʻia kēia penei:

• Hiki ke hāʻawi ʻia iā ʻoe kahi wai kūikawā i kapa ʻia he dye contrast e inu ai, a i ʻole e hoʻokomo ʻia i loko o kahi aa. ʻO kēia ka mea e ʻoi aku ai ka maopopo o nā kiʻi scan.
• A laila e moe ʻoe ma luna o kahi papaʻaina. E neʻe ka kukuna X-ray o ka mīkini scan CT a puni ʻoe a lawe i nā kiʻi. ʻO kāu wale nō e hana ai, ʻo ke noho mālie.

ʻO ke kiʻi ʻana o ka ultrasound

Ma kēia:

• E hoʻopili ke kauka a loea paha i kahi gel kūikawā i kou ʻōpū.
• A laila hoʻoneʻe ʻia kahi mea liʻiliʻi i kapa ʻia he transducer ma luna o ka gel. Hiki ke nānā ʻia nā kiʻi o nā ʻōpū o loko ma kahi monitor.

ʻAʻohe mea e hopohopo ai, ʻaʻohe ʻeha nui o kēia mau hoʻokolohua.

Aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao mai kēia mau inikini?

ʻAʻohe pilikia nui a hopena koʻikoʻi paha kēia mau hoʻāʻo e nānā ai no ka appendicitis. Hiki i kahi i huki ʻia ai ke koko ke lilo i polū iki a ʻeha paha. Loaʻa paha i kekahi poʻe kahi maʻi allergy iki i ka dye contrast, akā he mea kakaikahi loa kēia. Ua ʻike nā kauka i kēia.

He aha ka ʻōlelo a nā hopena o ka hoʻāʻo?

ʻAe, he aha ka ʻōlelo a nā hōʻike ma hope o nā hoʻokolohua?

• Hoʻāʻo koko:
• Inā kiʻekiʻe kou helu koko keʻokeʻo , ʻo ia hoʻi he maʻi kekahi ʻano i loko o kou kino. Akā e hoʻomanaʻo, ma kahi o ka hapakolu o ka poʻe me ka appendicitis he helu koko keʻokeʻo maʻamau ko lākou.
• Inā kiʻekiʻe ka pae o ka protein C-reactive (CRP) , ʻo ia hoʻi ke ʻano he mumū paha i loko o ke kino, malia paha he appendicitis.

• Hoʻāʻo mimi:
• Inā loaʻa i kāu hāpana mimi nā keʻokeʻo koko a me nā bacteria, ʻo ia hoʻi ke ʻano he maʻi ʻaʻai mimi kou.
• Eia kekahi, inā loaʻa i ka hāpana mimi kekahi mau minelala e hana ana i nā pōhaku puʻupaʻa, a inā he koko i loko o ka mimi, hiki iā ia ke hāʻawi i kahi hōʻailona e pili ana i nā pōhaku puʻupaʻa.

• ʻO ke kiʻi CT a i ʻole ke kiʻi ultrasound:

Inā loaʻa iā ʻoe ka appendicitis, hiki i nā kiʻi scan ke hōʻike i nā mea e like me:

• Inā ua hoʻonui ʻia ka appendix (ʻoi aku ma mua o 6 mm ke anawaena).
• Inā he mau waihona kalipuna i loko o ka appendix, ʻo ia hoʻi, nā appendix .
• Inā ua pehu a hoʻololi ke kala o ka ʻiʻo momona a puni ka appendix ( peri-appendiceal fat stranding) .
• Inā mānoanoa ka paia o ka appendix (ʻoi aku ma mua o 2 milimita).

Ma ka hui pū ʻana o kēia mau mea a pau, hana ke kauka i ka hoʻoholo hope loa inā he appendicitis kou a ʻaʻole paha.

ʻEhia ka lōʻihi e loaʻa ai nā hopena?

Hiki ke ʻokoʻa ka manawa e pono ai e loaʻa ai nā hopena hoʻāʻo ma muli o ka hoʻāʻo. No ka laʻana, hiki ke hala i hoʻokahi a ʻelua paha hola e loaʻa ai nā hopena o kahi scan ultrasound a i ʻole CT scan. Hiki i nā hopena o nā hoʻāʻo koko a me ka mimi ke lōʻihi like a i ʻole ka lōʻihi iki. E haʻi aku kāu kauka iā ʻoe.

Āhea wau e ʻike ai i ke kauka? He pilikia paha ia?

Ua manaʻo ʻia ka appendicitis he pilikia olakino.

No laila, inā loaʻa iā ʻoe nā hōʻailona o ka appendicitis i ʻōlelo ʻia ma mua (ʻoi aku ka ʻeha nui ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū, ke kuni, ka luaʻi ʻana), he mea nui e ʻimi koke i ke kōkua lapaʻau. Mai hoʻonele i ka manawa. No ka mea, inā pahū ka appendix, hiki iā ia ke hoʻoulu i nā pilikia e hoʻoweliweli ai i ke ola.

Leka Lawe-Home

ʻAe, e hōʻuluʻulu kākou i nā mea a pau a kākou i kamaʻilio ai:

• ʻO ka appendicitis kahi maʻi a i ʻole ka pehu ʻana o kahi ʻōkana liʻiliʻi i kapa ʻia ʻo ka appendix.
• ʻO ka hōʻailona nui ka ʻeha nui ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū. Hiki ke hele pū me ke kuni, ka luaʻi, a me ka nalowale o ka makemake e ʻai.
• No ka ʻike pololei ʻana i ka appendicitis, hoʻohana ʻia kahi hoʻokolohua kino, nā hoʻāʻo koko a me ka mimi, a me nā hoʻokolohua kiʻi e like me ka CT scan a i ʻole ultrasound scan.
• He pilikia kēia. Inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻike koke i ke kauka.
• Mai hopohopo, hiki ke ho'ōla ʻia kēia inā mālama ʻia i ka manawa kūpono. ʻO ka hapa pinepine, wehe ʻia ka appendix ma ke ʻoki ʻana.

No laila, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka appendicitis a me nā hoʻokolohua e pili ana iā ia. E noho olakino!

ʻApendisitis , apendisitis, ʻeha ʻōpū, CT scan, ultrasound, nā hoʻāʻo ʻana i ka apendisitis, ʻeha ʻōpū