Ua manaʻo paha ʻoe ua pehu kou ʻōpū a piha i ke kinoea? Me he mea lā e paʻa ana kou ʻaʻahu a i ʻole kou lole komo. He ʻano maʻamau kēia i ʻike ʻia e ka poʻe he nui. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he pehu, a i ʻole 'Abdominal Distension'. ʻOiai he mea maʻamau kēia i kekahi manawa, hiki nō hoʻi ke lilo i hōʻailona o kahi maʻi. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.
He aha maoli kēia pehu?
ʻAʻole wale ka pehu ʻana e pili ana i ka "manaʻo" piha. He pehu maoli ia a i ʻole ka puka ʻana o kou ʻōpū, ʻoi aku ka nui ma mua o ka maʻamau. He mea maʻamau nō hoʻi ka manaʻo ʻana he ʻōpū a he ʻoluʻolu ʻole, me he mea lā ʻaʻole ʻoe e ʻeli ana i ka meaʻai.
Akā, ʻaʻole mau ka pilikia me ka ʻōnaehana hoʻoheheʻe ʻana i ke kumu o kēia. I ka pōkole, kamaʻilio nā kauka e pili ana i 5 mau kumu nui e hoʻopilikia ai i kēia. ʻO lākou:
- ʻŌpū (kinoea): Nui ke kinoea i loko o ka ʻōpū.
- ʻO ka hāpai keiki (fetus): Ka hāpai ʻana o kahi keiki.
- ʻEha: Paʻa ka ʻōpū (paʻa ka ʻōpū).
- Wai: Hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū (hiki i kēia ke loaʻa i kekahi mau kumu).
- Momona: Nā waihona momona a puni ka ʻōpū.
Hiki i kēia pehu ke lilo i kūlana koke (ʻoi), a i ʻole he kūlana mau loa e hele mai a hele hou a hou. ʻO ka pinepine, pili ka pehu pinepine i kekahi pilikia i ka ʻōnaehana hoʻoheheʻe.
He aha nā kumu o ka pehu ʻana?
Hiki iā kākou ke hoʻokaʻawale i nā kumu o kēia i ʻelua mau māhele nui. ʻO kekahi ka pehu ʻana i hoʻokumu ʻia e kahi maʻi kino a i ʻole ke ʻano . ʻO kekahi ka pehu ʻana i hoʻokumu ʻia e kekahi mau pilikia i ka hana o ke kino , me ka ʻole o kahi maʻi maopopo.
| ʻO ka māhele e pili ana ke kumu | Ka wehewehe a me nā laʻana |
|---|---|
| 1. Ma muli o nā maʻi kino a i ʻole nā kūlana kikoʻī (Nā Kumu Ola) | |
| ʻO ka hāpai ʻana a me ka menstruation | Hiki ke ʻōhū ma muli o ka hoʻonui ʻia ʻana o ka ʻōpū i ka wā hāpai a me ka paʻa ʻana o ka wai i loko o ke kino ma mua o ka menstruation. |
| Piʻi ke kaumaha | Ke piʻi kou kaumaha i loko o kahi manawa pōkole, hiki i ka momona ke hōʻiliʻili i loko o ka ʻōpū a keakea i ka ʻai ʻana. |
| Nā maʻi o ka ʻōnaehana hoʻoheheʻe | Hiki ke hana ʻia ke kinoea a me ka pehu ʻana e nā kūlana e like me ka ulu nui ʻana o ka bacteria intestinal liʻiliʻi (SIBO) , ka maʻi allergy gluten (maʻi Celiac) , ka lawa ʻole o ka pancreatic exocrine (EPI) , a me ka maʻi ʻōpū mumū (IBD) . |
| Nā pilikia o ke kino | Hiki i nā maʻi akepaʻa ke kumu o ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū (ascites) , ka hana ʻōpū i hoʻopilikia ʻia (gastroparesis) , ka mumū o ka uhi o ka ʻōpū (peritonitis) , a me ka hoʻonui ʻia ʻana o nā ʻōpū e like me ke akepaʻa, ka spleen, a me ka uterus ma muli o nā puʻupuʻu a i ʻole ka mumū. |
| Nā ālai a me ke kahe ʻana o ke koko | Paʻa ke kinoea a me ka ʻōpala ma muli o ke ālai ʻia ʻana o ka ʻōpū liʻiliʻi a nui paha. Kākaʻikahi, kahe koko i loko o ka ʻōpū . |
| 2. Nā Kumu Hana | |
| Hoʻopiha kinoea | ʻO ka indigestion, ka hoʻomanawanui ʻole i kekahi mau meaʻai, a me nā kūlana e like me ka Irritable Bowel Syndrome (IBS) hiki ke hoʻoulu i ka nui o ke kinoea a me ka pehu. |
| Ka paʻa ʻana o ka ʻōpū a me ka paʻa ʻana o ka mimi | Ma muli o ka hoʻokuʻu ʻole ʻia ʻana o nā ʻōpala, hōʻiliʻili lākou i loko o nā ʻōpū a hoʻoulu i ka pehu. Eia kekahi, ʻo ka paʻa ʻana i ka mimi me ka ʻole o ka mimi ʻana kekahi kumu. |
| Nāwaliwali o nā ʻiʻo | Ke nāwaliwali nā ʻiʻo o ka ʻōpū, hiki i nā ʻōkana o ka ʻōpū ke kūlou i mua a i lalo (enteroptosis), e hoʻoulu ai i ka ʻōpū e puka. |
Pehea e nānā ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka no kēia pilikia, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a laila e nānā i kou ʻōpū.
- Ka Hoʻokolokolo ʻana: E nānā e ʻike inā ua pehu ka ʻōpū ma kekahi wahi a i ʻole ka ʻōpū holoʻokoʻa.
- Palpation: Kaomi mālie ʻia ka ʻōpū me ka lima. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua hoʻonui ʻia kekahi mau ʻōkana, inā he puʻupuʻu, a inā he ʻeha.
- Ke kīkēkē ʻana: Ke kīkēkē nei ke kauka i ka ʻōpū me ka manamana lima e hoʻolohe i ke kani e hana ai. Inā piha i ke kinoea, e lohe ʻia kekahi leo ʻē aʻe, a inā piha i ka wai, e lohe ʻia kekahi leo ʻē aʻe.
Ma hope o kēia hoʻokolokolo ʻana, hiki i ke kauka ke loaʻa i kekahi manaʻo no ke kumu o kēia. No ka laʻana, hiki iā ia ke hoʻomaopopo inā ua hoʻonui ʻia kahi ʻōkana paʻa e like me ke akepaʻa a i ʻole ka uterus ma muli o ka mumū a i ʻole kahi puʻupuʻu, a inā paha ua piha kahi ʻōkana hakahaka e like me ka ʻōpū a i ʻole nā naʻau i ke kinoea a i ʻole nā feces.
Inā pono ʻoe e ʻike i ke kumu pololei, e noi aku kāu kauka iā ʻoe e hana i kahi hoʻāʻo kiʻi, e like me ka ultrasound scan .
He aha nā lāʻau lapaʻau no kēia?
Hoʻopili wale ʻia ka lāʻau lapaʻau ma ke kumu.
- Inā ma muli o kahi maʻi kikoʻī: Hoʻokumu ʻia ka lāʻau lapaʻau ma ke kumu. No ka laʻana, nā lāʻau antibiotic no kahi maʻi, ka lāʻau lapaʻau no kahi puʻupuʻu, ka lāʻau lapaʻau no kahi poloka i loko o ka ʻōpū, a pēlā aku.
- Inā ma muli o ka paʻa ʻana o ka wai (ascites): Hāʻawi ʻia nā diuretics e wehe i ka wai keu mai ke kino.
- Inā ʻo ka paʻa ʻole ke kumu: Hāʻawi ʻia nā laxatives e maʻalahi ai ka neʻe ʻana o ka ʻōpū.
- Inā ma muli o ke kinoea: Hāʻawi ʻia kekahi mau lāʻau lapaʻau e hōʻemi i ke kinoea (e laʻa me ka lanahu i hoʻāla ʻia).
- Inā ʻaʻohe kumu e loaʻa: I kēlā manawa, e ʻōlelo paha kāu kauka e hoʻololi i kāu papaʻai, e hoʻāʻo i nā mea e like me probiotics , a me ka hoʻoikaika kino.
Hiki ke hoʻomalu ʻia kēia maʻi ma ka home?
ʻAe, hiki iā ʻoe ke kāohi i kēia i ka hapa nui o nā hihia. ʻOi loa aku inā ʻoi aku ka nui o kou pehu ʻana ma hope o ka ʻai ʻana, e hoʻāʻo i kēia mau mea.
- E ʻike i nā meaʻai maikaʻi ʻole iā ʻoe:ʻAʻole makemake kekahi poʻe i ka waiū, ka palaoa huita, a me kekahi mau mea kanu. E ʻike i kēlā mau meaʻai a hōʻemi iā lākou mai kāu papaʻai.
- E ʻai i nā meaʻai liʻiliʻi a pinepine: Ma kahi o ka ʻai ʻana i kahi meaʻai nui i ka manawa hoʻokahi, e ʻai i nā mea liʻiliʻi i nā manawa he nui i ka lā. E nau maikaʻi i kāu meaʻai a e ʻai mālie.
- ʻO ka wai a me nā meaʻai waiwai i ka fiber: E inu i ka nui o ka wai i ka lā a pau. Eia kekahi, e hoʻokomo i nā huaʻai, nā mea kanu, a me nā mea kanu i loaʻa ka fiber kiʻekiʻe i kāu papaʻai. Hiki i kēia ke kōkua i ka pale ʻana i ka paʻa ʻana o ka ʻōpū.
- Hoʻoikaika Kino: ʻO ka hoʻoikaika kino i kēlā me kēia lā e kōkua i ka hoʻoheheʻe ʻana.
Āhea mākou e hopohopo ai no kēia? Āhea e ʻimi ai i ke aʻo lapaʻau
ʻOiai he pilikia hoʻoheheʻe ʻana manawa pōkole ka pehu pinepine ʻana, hiki i kekahi manawa ke lilo i hōʻailona o kahi maʻi koʻikoʻi, no laila he mea nui e hoʻolohe i kēia mau hōʻailona.
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei , e ʻike pono i ke kauka.
- Inā piʻi aʻe ka pehu ʻana i kēlā me kēia lā a ʻaʻole e emi iho.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū a hiki ʻole ke hoʻomanawanui me ka pehu ʻana.
- Inā he mau hōʻailona ʻē aʻe e like me ke kuni, ka luaʻi ʻana, a me ke koko i loko o ka ʻōpala .
- Inā he pilikia hou kēia a ʻaʻole ʻoe ʻike i ke kumu.
He mea nui loa ka hele ʻana i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa, ʻoiai inā loaʻa kēia ʻano me ka ʻeha nui o ka ʻōpū.
Leka Lawe-Home
- Hiki i ka pehu ʻana ke hōʻailona o kekahi mea mai ka indigestion maʻalahi i nā kūlana koʻikoʻi e like me ka hāpai ʻana a me nā maʻi ake.
- He mea nui ka ʻike ʻana i ke kumu kūpono o kou ʻeha no ka mālama ʻana, a ʻo ke ala maikaʻi loa e hana ai i kēlā, ʻo ia ke ʻike ʻana i ke kauka.
- Inā pinepine ʻoe e pehu ma hope o ka ʻai ʻana, e hoʻāʻo e hana i kekahi mau hoʻololi liʻiliʻi i kāu meaʻai a me kou nohona.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ke kuni, a me ka luaʻi ʻana me ka pehu ʻana, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau.
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