Ua ʻike anei ʻoe ua ʻeleʻele kou ʻōpala ma mua o ka maʻamau ke hele ʻoe i ka lua? Hiki paha ke loaʻa iā ia kahi ʻano tarry. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kahi mea e like me kēia. Akā, ʻaʻole ia he mea e makaʻu mau ai. I kekahi manawa hiki ke hana ʻia e kahi mea a mākou i ʻai ai a i ʻole kahi lāʻau lapaʻau a mākou i lawe ai. Eia nō naʻe, hiki nō hoʻi ke lilo i hōʻailona o kahi pilikia i loko o ko mākou kino. No laila e hoʻomaopopo kākou i kēia.
No ke aha e ʻeleʻele ai ka ʻōpala? He aha nā kumu nui?
I ka ʻōlelo maʻalahi, hiki iā kākou ke hoʻokaʻawale i nā kumu o ka ʻōpala ʻeleʻele i ʻelua mau māhele nui. ʻO kekahi nā kumu maʻamau ʻaʻohe mea e hopohopo ai. ʻO kekahi nā kumu koʻikoʻi e pono ai kākou e hopohopo a ʻimi i ke kōkua lapaʻau.
E nānā i ka papa ma lalo nei, a e loaʻa iā ʻoe kahi manaʻo maikaʻi aʻe o kēia.
| Nā kumu e makaʻu ʻole ai, pinepine | Nā kumu koʻikoʻi o ka hopohopo (ke kahe ʻana o ke koko i loko o ke kino) |
|---|---|
| Nā mea hoʻohui hao: ʻO nā mea hoʻohui hao i lawe ʻia no ka anemia hiki ke hana i nā ʻōpala ʻeleʻele a ʻōmaʻomaʻo paha. He hopena maʻamau kēia. | ʻUlu Peptic: Ke kahe ʻana o ke koko mai nā ʻulū ma ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi. |
| Kekahi mau lāʻau lapaʻau: Nā lāʻau lapaʻau i loaʻa ka bismuth subsalicylate (e.g. Pepto-Bismol) i hoʻohana ʻia no ka ʻeha o ka ʻōpū. | Nā waimaka Esophageal (Mallory-Weiss Tear): Hiki mai nā waimaka Esophageal ma muli o ka luaʻi nui ʻana a i ʻole ke kuni ʻana, e hoʻokahe ai ke koko. |
| Nā meaʻai ʻeleʻele: Nā blueberries, nā ʻōpena, nā beets, nā meaʻai me nā kala ʻeleʻele hana, ka sausage koko, a pēlā aku. | Nā ʻano ʻēheu o ka esophagus: He pehu a me ka haki ʻana o nā aʻa koko i loko o ka esophagus, i ʻike pinepine ʻia me nā maʻi akepaʻa. |
| Lanahu i hoʻāla ʻia:Ka mea i hāʻawi ʻia e lapaʻau ai i nā hihia o ka lāʻau make. | ʻAʻai Gastritis/Esophagitis: Ka mumū nui o nā paia o kēia mau mea. |
| Nā maʻi ʻaʻai: Nā maʻi ʻaʻai e kū ana ma ka ʻōnaehana hoʻoheheʻe kiʻekiʻe, e like me ka esophagus, ka ʻōpū, a i ʻole ka pancreas. |
ʻO ke kūlana koʻikoʻi e hopohopo ai: Ke kahe koko ʻana i loko
ʻO kēia ke kumu e hopohopo nui ai kākou i ka wā e ʻeleʻele ai ko kākou mau ʻōpala. ʻOi loa aku inā ʻeleʻele kou mau ʻōpala, ʻūlū, a he ʻala ikaika aʻe ma mua o ka maʻamau , he hōʻailona pinepine ia o ke kahe koko ma ka ʻaoʻao o luna o kāu ʻōnaehana hoʻoheheʻe (ʻo ia hoʻi, ma ka esophagus, ka ʻōpū, a i ʻole ka ʻāpana mua o ka ʻōpū liʻiliʻi).
Ma ka ʻōlelo lapaʻau, ua kapa ʻia kēia ʻano he Melena . Hana ʻia kēia i ka wā e hui pū ai ke koko i loko o ke kino me nā wai ʻai a loli kemika, e hoʻolilo iā ia i ʻeleʻele.
E noʻonoʻo e pili ana i ia mea, inā e kahe ana ke koko ma ka ʻaoʻao haʻahaʻa o ka ʻōnaehana hoʻoheheʻe, e like me ka ʻōpū nui, ʻaʻohe manawa o ke koko e hoʻoheheʻe ʻia, no laila e puka mai ana me ka ʻōpala i kahi kala ʻulaʻula hou . Akā i ka wā e kahe ai ke koko ma ka ʻaoʻao luna, ua hele lōʻihi ke koko a ua hoʻoheheʻe ʻia ma mua o ka puka ʻana mai. ʻO ia ke kumu e lilo ai i ʻeleʻele.
Nā ʻōpū ʻeha (Bleeding Ulcer)
ʻO ke kumu nui o ka melena, ʻo ia nā ʻeha peptic. He mau ʻeha kēia e hana ʻia ana ma ka ʻili o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi. Ke hoʻomaka kēia mau ʻeha e kahe ke koko, lilo ka ʻōpala i ʻeleʻele. ʻElua mau kumu nui o nā ʻeha peptic:
- He maʻi bacteria i kapa ʻia ʻo H. pylori .
- ʻO ka hoʻohana lōʻihi a nui paha i nā lāʻau ʻeha, ʻoiai ʻo NSAID (nā lāʻau anti-inflammatory nonsteroidal) (e.g. Aspirin, Ibuprofen, Diclofenac).
ʻO nā hōʻailona ʻē aʻe o kēia ʻano e komo pū ana me ka ʻeha o ka ʻōpū, ka pehu ʻana, ka nausea, a i kekahi manawa ka luaʻi e like me ke kofe.
Nā maʻi ʻaʻai Esophageal a me Gastric
ʻOiai he mea kakaikahi, hiki i nā ʻōpala ʻeleʻele ke lilo i hōʻailona mua o ke kanesa o ka esophagus a i ʻole ka ʻōpū. Hoʻokumu ʻia kēia e ke kahe koko mai nā ulu ʻana o ka maʻi kanesa. Ma waho aʻe o nā ʻōpala ʻeleʻele, he mea nui e makaʻala i nā hōʻailona ʻē aʻe e like me:
- Paʻakikī ke ale ʻana
- ʻO ka pohō kaumaha me ke kumu ʻole
- ʻEha umauma a i ʻole ka mumū
- ʻO ka huhū pinepine o ka ʻōpū, ka nausea
- Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona me ka ʻōpala ʻeleʻele, e ʻike koke i kāu kauka.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻaʻole ʻoe i maopopo he 100% ua hoʻokumu ʻia kou ʻōpala ʻeleʻele e nā mea hoʻohui hao, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo. He mea nui loa ia e ʻimi koke i ke ʻōlelo aʻo lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona. Pono paha ʻoe e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.
| Nā hōʻailona hōʻike e pono ai ka nānā koke ʻana | |
|---|---|
| Ka luaʻi ʻana me ke koko | Inā ʻulaʻula a ʻeleʻele paha kou luaʻi, e like me ka lepo kope. |
| ʻO ka poniuniu nui a i ʻole ka nalowale o ka ʻike | Hiki ke hāʻule ke koko ma muli o ke kahe ʻana o ke koko i loko, hiki ke hana i kēia mau mea: |
| Paʻakikī ka hanu ʻana | Inā ʻoe e paʻakikī ana i ka hanu ʻana no kekahi mau minuke. |
| ʻEha nui o ka ʻōpū | ʻEha koke a ʻeha ʻole paha ka ʻōpū. |
| Ka mae a me ka luhi nui | Inā keʻokeʻo kou ʻili a ua ʻoi aku kou luhi ma mua o ka maʻamau. |
He aha ke ʻano o nā hoʻokolohua a ke kauka e hana ai?
Ke ʻike ʻoe i ke kauka, e hoʻolohe pono lākou i kāu mau hōʻailona a, inā pono, e kuhikuhi iā ʻoe no kahi hoʻāʻo hāpana ʻōpala (Stool for Occult Blood test). Hiki i kēia ke ʻike inā he mau ʻāpana koko ʻike ʻole ʻia i loko o kou ʻōpala. Inā ua hōʻoia ʻia ke kahe ʻana o ke koko, hiki iā lākou ke paipai i kahi mea e like me ka endoscopy e ʻike ai i ke kumu.
Leka Lawe-Home
- ʻAʻole i nā manawa a pau he hōʻailona ka ʻōpala ʻeleʻele o kahi maʻi koʻikoʻi. Hiki i nā mea hoʻohui hao a i ʻole kekahi mau meaʻai ke hana i kēia.
- Eia nō naʻe, inā ʻeleʻele ka ʻōpala, ʻūlū, a he ʻala ikaika (Melena), he hōʻailona ikaika ia o ke kahe ʻana o ke koko ma ke ala ʻai o luna.
- Ma waho aʻe o nā ʻōpala ʻeleʻele, inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe e like me ka ʻeha o ka ʻōpū, ka poniuniu, ka luaʻi ʻana i ke koko, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻike koke i ke kauka.
- Inā kānalua ʻoe i ke kumu, he mea naʻauao ke kūkākūkā me ke kauka a hoʻopau i kou kānalua, ma mua o ke kuhi ʻana. ʻO kou olakino ka mea waiwai nui loa.
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