I kekahi manawa, e manaʻo paha ʻoe i kahi mea ʻē, e like me kahi puʻupuʻu liʻiliʻi, i loko o kou ʻōpū. A i ʻole e ʻike paha ke kauka i kekahi mea e like me ia ke nānā ʻoe iā ʻoe. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kahi mea e like me kēia, ʻeā? Akā, mai hopohopo, no ka mea, ʻaʻole nā puʻupuʻu a pau i loko o ka ʻōpū he mea weliweli. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.
He aha ka nui o ka ʻōpū?
I ka ʻōlelo maʻalahi, ʻo ka 'Abdominal Mass' he ulu ʻano ʻē a i ʻole ka puʻupuʻu e hana ʻia ana i loko o kou ʻōpū, ʻo ia hoʻi, i loko o kou lua ʻōpū. Hiki i kēia mau mea ke hele mai i nā ʻano he nui. ʻO kekahi he mau cysts wale nō, aʻo kekahi he mau puʻupuʻu i hoʻokumu ʻia e ka maʻi kanesa. Hiki i nā maʻi ʻē aʻe ke hana i kēia mau puʻupuʻu.
ʻO ka mea nui, ʻaʻole he mea weliweli nā puʻupuʻu ʻōpū a pau . ʻAʻohe mea ʻino a ulu wale (maikaʻi ʻole). Eia naʻe, hiki i kekahi ke hoʻoweliweli i ke ola. No laila, inā manaʻo ʻoe he puʻupuʻu a he puʻupuʻu paha kou i loko o kou ʻōpū, he mea nui loa e hōʻike iā ia i ke kauka e ʻike pono i ke ʻano o ia mea.
Hiki i kēia mau puʻupuʻu ke ulu ma nā wahi āpau o ka ʻōpū. Eia kekahi laʻana:
- Ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
- Ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū.
- Ma ka ʻaoʻao hema o luna o ka ʻōpū.
- Ma ka ʻaoʻao hema haʻahaʻa o ka ʻōpū.
- Ma lalo o ka pā iwi ʻaoʻao, ma waenakonu o ka ʻōpū (ʻāpana epigastric).
- Ma kahi a puni ka umbilicus (periumbilical region).
- I kekahi manawa hiki ke hana ʻia ma ka paia o waho o ka ʻōpū (ka paia subcutaneous a me ka paia ʻiʻo).
Pilikia! Inā he puʻu kou i loko o kou puʻu e like me ke kuʻi ʻana o kou puʻuwai, a he ʻeha nui kou ʻōpū, e hele koke i ka haukapila . Hiki paha he aneurysm aortic, he puʻu i loko o ka paia o kou kīʻaha koko nui (aorta). Inā haki kēia, hiki ke hoʻokahe i ke koko i loko o kou kino a hoʻoweliweli i ke ola. He pilikia kēia.
He aha nā hōʻailona o ka puʻupuʻu ʻōpū?
Inā loaʻa iā ʻoe nā hōʻailona a i ʻole, aia i kekahi mau kumu. ʻO kēia mau mea ke kumu o ka puʻupuʻu, ke ʻano, ka nui, a me kahi o ka puʻupuʻu. ʻO ka mea kupanaha, i kekahi manawa hiki i ke kauka ke loaʻa i kahi puʻupuʻu e like me kēia ma mua o kou loaʻa ʻana o kekahi mau hōʻailona, i ka wā o ka nānā maʻamau.
Eia nō naʻe, inā loaʻa nā hōʻailona e ka ʻōpū o ka ʻōpū, hiki iā lākou ke komo pū me:
- ʻEha ʻōpū.
- Ke koko i loko o ka mimi (hematuria).
- Ka paʻa ʻana o ka ʻōpū.
- Ka maʻi pākī.
- Manaʻo o ka piha a me ke kaumaha i loko o ka ʻōpū.
- Kuni.
- Ka luaʻi a me ka luaʻi.
- Ke kahe koko ʻana o ka rectal.
- Ka pehu ʻana a i ʻole ka ʻeha ma kahi o ka puʻupuʻu.
- Nā loli kaumaha i wehewehe ʻole ʻia (ka pohō a i ʻole ka piʻi ʻana o ke kaumaha no ke kumu ʻole).
He aha nā kumu o nā ʻōpū ʻōpū?
Hiki i nā ʻano maʻi like ʻole ke kōkua i ka ulu ʻana o nā ʻōpū ʻōpū. E nānā kākou i nā kumu nui.
Nā ʻano o nā Cysts
ʻO nā cysts he mau ʻeke i piha i ka wai a i ʻole ka pus. Hiki iā lākou ke hana ma nā wahi āpau o ke kino. ʻIke ʻia nā cysts ma ka ʻōpū e like me kēia:
- ʻO nā cysts ovarian - ʻO kēia nā cysts i hana ʻia i loko o nā ovaries o nā wahine.
- Nā ʻōpū pancreatic.
- Nā pseudocyst pancreatic - ʻAʻole kēia he mau cysts maoli, akā ua hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai i loko o ka pancreas.
- ʻO ka hoʻokomo ʻana o Peritoneal - ʻO ka peritoneum ka membrane e uhi ana i ka lua ʻōpū. Nā cysts e hana ʻia ma kēia wahi.
- Seroma (hōʻiliʻili wai) ma hope o ke ʻoki kino.
Ka maʻi ʻaʻai
ʻO ka mea pōʻino, hiki i kekahi mau puʻupuʻu ʻōpū ke lilo i maʻi kanesa. Eia kekahi mau ʻano maʻi kanesa:
- Ka maʻi ʻaʻai kolona.
- Ka maʻi ʻaʻai endometrial.
- Ka maʻi ʻaʻai ʻōpū.
- Ka maʻi ʻaʻai puʻupaʻa.
- Ka maʻi ʻaʻai o ke akepaʻa.
- ʻO ke kanesa o ka ʻōnaehana nerve (Neuroblastoma) - ʻike nui ʻia i nā keiki ʻōpio.
- Ka maʻi ʻōpū.
- ʻO ka sarcoma o ka ʻōpū.
- He ʻano maʻi ʻaʻai kūikawā e kū mai ana ma ke ala ʻai (Gastrointestinal stromal tumor - GIST).
Nā kūlana olakino ʻē aʻe
Ma waho aʻe o ke kanesa a me nā cysts maʻamau, hiki i nā ʻano maʻi like ʻole ke hana i nā puʻupuʻu ʻōpū. ʻO kekahi mau laʻana:
- ʻO ka aneurysm aortic abdominal - ka pilikia a mākou i kamaʻilio ai ma mua.
- ʻO ka maʻi o Crohn - kahi maʻi mumū mau loa o ka ʻōnaehana hoʻoheheʻe.
- Diverticulitis - ka mumū ʻana o nā ʻeke liʻiliʻi o ka ʻōpū nui.
- Ake nui (Hepatomegaly).
- ʻŌpū nui.
- Ka mumū ʻana o ka ʻōpū gallbladder (Cholecystitis).
- ʻO ka Hydronephrosis (ka pehu ʻana o nā puʻupaʻa ma muli o ka mimi).
- ʻO nā fibroids uterine - ʻAʻole kēia mau mea he maʻi kanesa.
He aha nā pilikia e hiki mai ana o kahi puʻupuʻu ʻōpū?
Hiki i kahi puʻupuʻu i loko o ka ʻōpū ke kaomi i nā ʻōpū ʻē aʻe a puni ia, e hana ana i nā pilikia maʻamau e like me:
- ʻEha.
- Pehu.
- Pehu.
- ʻAʻohe ʻono o ka meaʻai.
Eia kekahi, hiki ke loaʻa nā pilikia ʻē aʻe ma muli o ke kumu kumu o ka puʻupuʻu. No ka laʻana, hiki i kahi puʻupuʻu i hoʻokumu ʻia e ka maʻi Crohn ke hana i nā poloka ʻōpū. Hiki i nā fibroids uterine ke hana i ke kahe koko ʻana o ka uterine ma ke ʻano ʻē.
Pehea e ʻike ai inā he puʻupuʻu kou i loko o kou ʻōpū?
Ke hele ʻoe e ʻike i ke kauka, e hana mua ʻo ia i kahi hoʻokolokolo kino. E nīnau ʻo ia e pili ana i kou mau maʻi i hala, nā maʻi o kou ʻohana, a me kou mau hōʻailona o kēia manawa.
A laila, e hoʻomoe ke kauka iā ʻoe ma luna o kahi moe a pā i kou ʻōpū. E kōkua kēia iā ia e ʻike inā he puʻupuʻu ma kekahi wahi o kou ʻōpū, inā pehu kekahi mau ʻōpū, a inā ʻeha ke hoʻopā ʻoe.
Inā hiki i ke kauka ke ʻike i kēia puʻupuʻu ke ʻike ʻo ia i loko o kou ʻōpū, kapa mākou ia he 'palpable abdominal mass'. ʻO ke ʻano o 'Palpable' hiki ke ʻike ʻia a hoʻopā ʻia paha.
Nā hoʻāʻo e ʻike i nā ʻōpū o ka ʻōpū
Ma hope o ka hoʻokolokolo kino, pono paha ke kauka e hana i kekahi mau hoʻokolohua hou aʻe e aʻo hou aku. ʻO kēia mau hoʻokolohua:
- Angiogram - Nānā i nā kīʻaha koko e ʻike ai inā he mau mea e ālai ana i loko o nā aʻa.
- Nā hoʻāʻo koko - E nānā i nā pae hormone a nānā i nā maʻi i loko o ke kino.
- Colonoscopy a i ʻole Upper Endoscopy - Hoʻokomo ʻia kahi ʻōmole me kahi kāmela e nānā i loko o ke ala ʻai.
- Nā hoʻokolohua kiʻi - no ka laʻana, nā kukuna X-ʻōpū, nā scan CT (nā scan tomography i helu ʻia) a i ʻole nā scan MRI (magnetic resonance imaging).
- ʻO ka ultrasound transvaginal - He hoʻāʻo ultrasound i hana ʻia ma o ka vagina e nānā i nā ʻōpū i loko o ka ʻōpū o nā wahine.
- Urinalysis - E nānā i kekahi mau ʻano ʻē i loko o ka ʻōnaehana urinary.
He aha nā lāʻau lapaʻau no nā puʻupuʻu ʻōpū?
ʻO ka mālama ʻana no ka puʻupuʻu ʻōpū e pili ana i ke kumu nui o ka puʻupuʻu. E hoʻāʻo ke kauka e mālama i ke kūlana kumu.
Hiki i nā koho lapaʻau no ka ʻōpū o ka ʻōpū ke komo pū me:
- Nā lāʻau lapaʻau e mālama ai i ke kūlana kumu.
- ʻO ke ʻoki kino e wehe i kahi puʻupuʻu i loko o ka ʻōpū.
- ʻO ka Chemotherapy a i ʻole ka radiation therapy e hoʻēmi i ka puʻupuʻu (pinepine ma mua o ke ʻoki ʻana).
- Me ka ʻole o kekahi lāʻau lapaʻau, e nānā pono ana i ka puʻupuʻu e ʻike inā e loli ana i ka hala ʻana o ka manawa (Nānā a i ʻole ke kali makaʻala).
He aha kā mākou e noʻonoʻo ai e pili ana i kēia kūlana? (Outlook)
ʻO kāu hopena holoʻokoʻa e hilinaʻi ʻia ma ke kumu o ka puʻupuʻu. ʻO kekahi mau puʻupuʻu ʻōpū, e like me kekahi ʻano cysts, ʻaʻole pono paha kekahi lāʻau lapaʻau. Eia nō naʻe, ʻo nā puʻupuʻu ʻōpū ʻē aʻe, e like me ke kanesa, pono paha i ka lāʻau lapaʻau kūikawā. Hiki i kēia ke komo pū me ke ʻoki kino, chemotherapy, a i ʻole ka radiation therapy.
Me kēlā ʻano mākaukau like ʻole, e hilinaʻi i kāu kauka. Hiki iā ia ke ʻike pololei i kou kūlana a hana i kahi hoʻolālā lapaʻau kūpono iā ʻoe.
Hiki ke pale ʻia nā ʻōpū ʻeha?
ʻAʻole hiki ke pale aku i nā ʻōpū ʻōpū i nā manawa a pau. No ka mea, i kekahi manawa, ʻaʻole mākou i ʻike inā he pilikia. Hana ʻia kekahi mau mea me ke kumu ʻole.
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke mālama a kaohi i nā kūlana kumu i loaʻa iā ʻoe. He mea nui hoʻi e ʻike pinepine i ke kauka no nā nānā mau ʻana.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka puʻupuʻu ʻōpū, e like me ka ʻeha o ka ʻōpū, ka piʻi ʻana o ke kaumaha i manaʻo ʻole ʻia, a i ʻole kahi loli i nā ʻano hana ʻōpū, e hoʻonohonoho i kahi manawa e ʻike koke ai i ke kauka . Inā manaʻo ʻoe i kekahi mea "ma waho o ka maʻamau," e haʻi i kāu kauka. Hiki iā ia ke holo i nā hoʻokolohua e hoʻoholo ai i ke kumu o kāu mau hōʻailona.
I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kelepona i ka 911 (1990 Suwaseriya Ambulance Service ma Sri Lanka) a i ʻole e hele i ka lumi pilikia o ka haukapila kokoke loa:
- ʻEha nui loa ka ʻōpū.
- Inā manaʻo ka puʻupuʻu i loko o ka ʻōpū e like me ke kuʻi ʻana, e like me ka puʻuwai e kuʻi ana.
He kūlana kēia e pono ai ke kōkua koke ʻia e ke kauka. Hiki i kēia mau hōʻailona ke hōʻike he aneurysm aortic kou, he puʻupuʻu i loko o kou kīʻaha koko nui (aorta). Inā haki kēia puʻupuʻu, hiki ke hoʻoweliweli i ke ola.
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke ʻike ʻoe he puʻupuʻu ʻōpū kou, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:
- He aha ke ʻano o ka puʻupuʻu i loaʻa iaʻu?
- He maʻi kanesa anei kēia? A i ʻole ʻaʻole ia he maʻi kanesa?
- He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
- E pono anei iaʻu ke ʻoki kino? Inā pēlā, pehea ka koke?
- Pono anei au i ka chemotherapy a i ʻole ka radiation therapy e hoʻemi i ka puʻupuʻu?
- Pehea ka lōʻihi o kaʻu lāʻau lapaʻau?
- He aha ka mea e hana ʻia inā ʻaʻole wau e loaʻa i kekahi lāʻau lapaʻau?
- He aha kāu e ʻōlelo ai e pili ana i kaʻu hōʻailona holoʻokoʻa?
He mea maʻamau ka manaʻo o ka haʻalulu a me ka makaʻu ke lohe ʻoe i nā huaʻōlelo "mass" a me "diagnosis" i hui pū ʻia. Inā he mau nīnau e like me "He aha ke ʻano o ka mass?", "He maʻi kanesa koʻu?", "He mea hoʻoweliweli anei kēia i ke ola?" e holo nei i loko o kou noʻonoʻo, ʻaʻole ʻoe hoʻokahi. E kōkua kāu kauka iā ʻoe e ʻike i ke kumu o kēia mau hōʻailona iā ʻoe, he aha ke ʻano o ka mass āu i loaʻa ai, a me nā lāʻau lapaʻau e kōkua paha.
ʻO ka mea nui loa (Leka Lawe-Home)
Inā manaʻo ʻoe i kahi mea ʻē i loko o kou ʻōpū, e like me ka puʻupuʻu, ka pehu ʻana, a i ʻole ka ʻeha mau, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau. ʻOiai ʻaʻole he mea weliweli nā puʻupuʻu ʻōpū a pau, he mea naʻauao ke ʻike pono i ke ʻano o ia mau mea a hoʻomaka i ka mālama ʻana i ka wā hikiwawe loa, inā pono. E hoʻomanaʻo, ʻo ka wikiwiki o ka ʻike ʻia ʻana o ka maʻi, ʻo ka nui o ka holomua o ka mālama ʻana. E mālama i kou olakino a mai makaʻu e kamaʻilio me ke kauka.
ʻŌpū ʻōpū, ʻōpū ʻōpū, maʻi ʻōpū, pilikia ʻōpū, ʻeha ʻōpū, nā hōʻailona, lāʻau lapaʻau











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