Ka ālai ʻana o ka ʻōpū? E kamaʻilio kākou e pili ana i kēia!

Ua loaʻa anei iā ʻoe kahi ʻeha nui o ka ʻōpū, kahi manaʻo o ka piha, a i ʻole kahi manaʻo o ka maʻi? Manaʻo ʻoe ʻaʻole hiki iā ʻoe ke ʻai, a manaʻo ʻoe e luaʻi ana ʻoe? I kekahi manawa hiki i kēia ke hōʻailona o kahi mea koʻikoʻi. ʻO ia kahi paʻa i loko o nā ʻōpū, a i ʻole ka mea a nā kauka e kapa nei he paʻa ʻana o ka ʻōpū . He mea nui ka manawa ma kēia hihia. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī, akā maʻalahi loa.

He aha ka mea e pale ai ka ʻōpū?

I ka ʻōlelo maʻalahi, ʻo ka ʻōpū paʻa he paʻa i loko o kou ʻōpū liʻiliʻi a i ʻole ka ʻōpū nui , ma kahi hapa a piha paha. ʻIke ʻoe, hele ka meaʻai a mākou e ʻai ai ma o nā ʻōpū ma hope o ka ʻōpū, kahi e omo ai i nā meaʻai e pono ai ke kino, a ʻo ka hope loa e hoʻopau ʻia nā huahana ʻōpala ma ke ʻano he feces. No laila, i ka wā e paʻa ai kēia ala ʻōpū, e pau ka neʻe ʻana o ka meaʻai a me nā ʻōpala a paʻa i hoʻokahi wahi.

E noʻonoʻo i ka wā e paʻa ai kahi paipu wai i waenakonu, e piha ka wai ma kahi hoʻokahi ma kahi o ke kahe ʻana i waho. Eia kekahi mea e hana ʻia ma ʻaneʻi.

Ke paʻa nā ʻōpala, ka ea, a me nā wai ʻai ma kēia ʻano, hiki ke hōʻino ʻia nā ʻiʻo ʻōpū ma ia wahi. Hiki i kēia ke hoʻōki i ka hana maʻamau o nā ʻōpū a hiki ke hoʻoulu i nā pilikia weliweli. No laila he mea nui e ʻike koke i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona.

He aha nā ʻano o ke ālai ʻana o ka ʻōpū?

Hoʻokaʻawale nā ​​kauka i kēia mau poloka ʻōpū ma muli o kahi i loaʻa ai ka poloka:

• Ka Pale ʻana o ka ʻōpū liʻiliʻi: ʻO ka hapa nui o ka manawa, ma kahi o 80% o nā pale ʻana e hana ʻia ma ka ʻōpū liʻiliʻi. ʻO ka ʻōpū liʻiliʻi ka ʻāpana e hoʻopili ai i ka ʻōpū a me ka ʻōpū nui. I ka hele ʻana o ka meaʻai ma o ka ʻōpū nui, ua ʻeli ʻia a komo nā meaʻai a me ka wai i loko o ke kino.
• Ka Pale ʻana o ka ʻōpū nui: ʻO ka ʻōpū nui e komo pū ana me kou kolona a me ka rectum . Ke hoʻomau nei ka omo ʻana o nā meaʻai e hoʻomaka ana ma ka ʻōpū liʻiliʻi ma ʻaneʻi. Hoʻoponopono pū ia i ka meaʻai a me ka wai i loko o ka ʻōpala. Ma kahi o 20% o nā mea pale āpau e hana ʻia ma ka ʻōpū nui.

Hiki nō hoʻi ke hoʻokaʻawale ʻia e like me ke ʻano o ke ālai ʻana:

• Ka Pale Piha: Ua pale loa ʻia ka ʻāpana i hoʻopilikia ʻia o ka ʻōpū. ʻAʻohe mea hiki ke hele ma waena.
• Ka Pale ʻĀpana: ʻO kahi hapa wale nō o ka ʻōpū i ālai ʻia a i ʻole ua haiki. Hiki i kekahi mau mea ke hele ma waena.
• ʻO ka mea pale ʻole: He mea ʻano ʻē kēia. Hoʻoulu ia i nā hōʻailona o kahi mea pale me ka ʻole o ka loaʻa ʻana o hoʻokahi. Manaʻo nā kānaka ʻepekema ua hana ʻia ia e kahi hana hewa i loko o ka ʻōnaehana nerve o ka ʻōpū. Akā pono ka noiʻi hou aku ma kēia.

Pehea ka maʻamau o nā ālai ʻana o ka ʻōpū?

ʻO ke ālai ʻana o ka ʻōpū liʻiliʻi kekahi kumu maʻamau e kipa aku ai ka poʻe i nā keʻena pilikia (EDs). ʻAʻole maʻamau ka ālai ʻana o ka colon i ka heluna kanaka. Eia nō naʻe, ʻoi aku ka maʻamau i ka poʻe me ka maʻi ʻaʻai colon. Ma kahi o 40% o ka poʻe me ka maʻi ʻaʻai colon i ʻike ʻia me ka maʻi ke hōʻea lākou i ka keʻena pilikia me nā hōʻailona o ke ālai ʻana o ka ʻōpū i hoʻokumu ʻia e kahi puʻupuʻu.

He aha nā hōʻailona o ka pale ʻana o ka ʻōpū liʻiliʻi?

Hiki paha iā ʻoe ke loaʻa i kahi ʻeha ʻōpū koʻikoʻi koke e emi ana a laila hoʻi mai (e like me ka nalu). Hiki ke hoʻomau ka ʻeha no kekahi manawa. Loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona:

• ʻEha ka ʻōpū , pehu, a i ʻole ka manaʻo piha .
• Ka luaʻi a me ka luaʻi .
• ʻAʻohe ʻono o ka meaʻai .
• Malaise - ʻO ke ʻano kēia o ka maʻi maʻamau.
• Ka maʻi pākī (he hōʻailona pinepine kēia o ka pale ʻāpana).
• Nā hōʻailona o ka make wai, e like me ka wikiwiki o ka puʻuwai a me ka mimi ʻeleʻele.
• ʻO ka paʻa paʻa nui (inā loaʻa ka pale piha, ʻaʻohe hele ʻana o ka ea a i ʻole ka ʻōpala).

Pehea nā keiki liʻiliʻi?

Loaʻa i nā pēpē a me nā keiki nā hōʻailona like me nā pākeke. Eia naʻe, ʻaʻole hiki ke ʻike i kahi e ʻeha ai ka pēpē. Hiki iā lākou ke huki i ko lākou mau wāwae i luna i ko lākou ʻōpū a uē. Eia kekahi, hiki i nā keiki ʻōpio ke loaʻa nā hōʻailona e like me:

• Kuni.
• Ke kahe koko ʻana o ka rectal.
• Luaʻi ʻōmaʻomaʻo melemele.
• Ka palaualelo.
• Pehu a ʻūlū ka ʻōpū.

He aha ke ʻano o ka ʻūpā ʻana o ka ʻōpū?

Hiki ke ʻokoʻa ke ʻano o kona manaʻo ma muli o ka mea inā aia ka paʻa ʻana i loko o ka ʻōpū liʻiliʻi a i ʻole ka ʻōpū nui, a me nā mea e hana nei i loko o ka ʻōpū. Ma ke ʻano laulā, ua like ka paʻa ʻana o ka ʻōpū me ka ʻeha ʻoi i loko o ka ʻōpū. I loko o kahi paʻa ʻana o ka ʻōpū liʻiliʻi, hele mālie mai ka ʻeha, i kēlā me kēia mau minuke. Hiki ke ʻike ʻia ka ʻeha ma mua o hoʻokahi wahi. I loko o kahi paʻa ʻana o ka ʻōpū nui, hiki ke hoʻomau ka ʻeha. Hiki ke manaʻo ʻia ka ʻeha e like me ka laha ʻana ma loko o ka ʻōpū. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū me nā hōʻailona e like me ka pehu ʻana, ka nausea, a me ka luaʻi ʻana, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

Hiki iā ʻoe ke hele i ka ʻōpala ke loaʻa iā ʻoe kahi ālai ʻōpū?

ʻAe. Aia nō ia i kahi o ke ālai ʻana a me kona koʻikoʻi. No ka laʻana, ʻo kahi ālai hapa paha e paʻakikī iki ai ke kahe ʻana o ka ʻōpala, akā ʻo kahi ālai piha paha e hiki ʻole ai ke kahe ʻana o ka ʻōpala a i ʻole ke kahe ʻana o ka ea.

He aha nā kumu o ke ālai ʻana o ka ʻōpū?

Aia kekahi mau kumu nui o ka ālai ʻana o ka ʻōpū:

• Nā Hoʻopili ʻŌpū: Inā ua loaʻa iā ʻoe kahi ʻoki ʻōpū a i ʻole pelvic ma mua, hiki iā ʻoe ke loaʻa nā ʻiʻo ʻeha i loko o kou ʻōpū ma hope o kēlā ʻoki ʻana. Hiki i kēia mau mea ke hana e like me ka lipine sticky a hoʻopili i nā ʻāpana o kou ʻōpū, e hana ana i kahi blockage. ʻO kēia ke kumu nui o ka pilikia no ka pale ʻana o ka ʻōpū liʻiliʻi ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa.
• Hernias: Hiki i kahi ʻāpana o ka ʻōpū ke puka i waho ma kahi nāwaliwali o ka paia ʻōpū. Inā paʻa ka ʻāpana e puka ana i waho o ka ʻōpū, a inā paʻa loa ia, hiki iā ia ke hana i kahi paʻa i loko o ka ʻōpū. ʻO Hernias ka lua o ke kumu maʻamau o ke ālai ʻana o ka ʻōpū liʻiliʻi.
• Nā Puʻupuʻu Kanesa: Hiki i nā puʻupuʻu kanesa ke ulu i loko o ka kolona ponoʻī, a i ʻole hiki i ke kanesa mai kahi ʻē aʻe ke laha i ka kolona (kanesā metastatic) . Hiki i kēia mau puʻupuʻu ke hana i ka pale hapa a piha paha o ka kolona. ʻO ke kumu nui o ka pale ʻana o ka kolona, ​​ʻo ia ka maʻi kanesa kolona.

Aia kekahi mau kumu ʻē aʻe:

• ʻO ka maʻi ʻōpū mumū (IBD): ʻO nā maʻi IBD, e like me ka maʻi ʻo Crohn, hiki ke hana i nā ʻiʻo ʻeha i loko o nā paia o ka ʻōpū. Hiki i kēia ʻiʻo ʻeha ke kūkulu a hoʻohaiki i ka ʻōpū (strictures) .
• Diverticulitis: ʻO kēia ka wā e ulu ai nā ʻeke liʻiliʻi (diverticula) i loko o ka colon a lilo i pehu. Hiki i kēia pehu ke hoʻohāiki i ka colon. E like me IBD, hiki ke loaʻa ka ʻeha, e hoʻohāiki ana i ka colon.
• Intussusception: ʻO kēia ke kumu nui o ke ālai ʻana o ka ʻōpū i nā keiki ma lalo o 3 mau makahiki. Hana ʻia kēia i ka wā e paʻa ai kekahi ʻāpana o ka ʻōpū i loko o kekahi, e like me ka ʻōwili ʻana o kahi telescope i loko. Hiki i kēia ke kumu e ālai ʻia ai ka ʻōpū a hiki ke ālai ʻia ke kahe o ke koko.
• Volvulus: Hānau ʻia kekahi mau pēpē me ka malrotation o ko lākou ʻōpū. Hiki i kēia ke hana i ko lākou ʻōpū e wili (volvulus) , hiki ke hana i kahi blockage. Hiki i nā pākeke ke loaʻa i ka ʻōpū torsion, akā he mea kākaʻikahi loa ia.
• ʻO ka radiation therapy i ka ʻōpū, pelvis, a i ʻole rectum: Hiki ke loaʻa ka radiation enteritis ma ke ʻano he hopena ʻaoʻao o ka radiation therapy. ʻO kēia ka manawa e hoʻoulu ai ka radiation i ka ʻeha o nā ʻiʻo olakino. Hiki i kēia ʻeha ke hoʻopilikia i nā ʻōpū a paʻa.
• Ka ʻai ʻana i kahi mea ʻē: Inā ʻoe e ale i kahi mea hiki ʻole i ke kino ke ʻeli a ʻaʻole i manaʻo ʻia no ka ʻai ʻana, hiki ke paʻa i loko o nā ʻōpū.

He aha nā pilikia o ke ālai ʻana o ka ʻōpū?

Inā ʻaʻole e mālama koke ʻia, hiki i nā pilikia mai ka ālai ʻana o ka ʻōpū ke hoʻoweliweli i ke ola .

• Ka Puʻu ʻana o ka ʻōpū a me ka Maʻi: ʻO ka hōʻiliʻili ʻana o ka wai, ka ea, a me nā wai ʻai ma muli o ke ālai ʻana hiki ke hoʻonui i ke kaomi i loko o ka ʻōpū, e pohā ai ka ʻōpū a i ʻole e puka i loko . Hiki i kēia ke hoʻoulu i nā mea o loko o ka ʻōpū e kahe i loko o ka lua ʻōpū, e hana ana i kahi maʻi ʻōpū i kapa ʻia ʻo peritonitis , a i ʻole kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo sepsis e hoʻopilikia ana i ke kino holoʻokoʻa.
• ʻO ke kāʻili ʻana - ka make ʻana o nā ʻiʻo: ʻO ke kāʻili ʻana ke kumu o ka nalowale ʻana o ke koko i nā ʻāpana o ka ʻōpū . A laila hoʻomaka kēia ʻiʻo e make (Gangrene) . Hiki i kēia ke alakaʻi i nā maʻi koʻikoʻi a me ka make.

Pehea ʻoe e ʻike ai i kahi ālai ʻana o ka bowel?

No ka mea, he pilikia olakino ka ʻōpū paʻa, hana koke ʻia ka ʻike. I kekahi manawa, hana ʻia ka ʻike i ka wā o ka mālama ʻana no ka mea ʻaʻohe manawa e hoʻonele ai. Hiki i ka ʻike ke komo pū me:

• Mōʻaukala Lapaʻau: E nīnau aku kāu kauka iā ʻoe e pili ana i nā mea e like me nā ʻoki kino ma mua.
• Hoʻokolokolo Kino: E nānā ke kauka i kou ʻōpū no ka pehu ʻana, nā puʻupuʻu, a i ʻole nā ​​​​hōʻailona ʻē aʻe o ka maʻi. Hiki iā lākou ke hoʻohana i kahi stethoscope e hoʻolohe i nā leo e hōʻike ana i ka ālai ʻana o ka ʻōpū.
• Nā Hoʻāʻo Koko: E hana ʻia kahi helu koko piha a me ka nānā ʻana i ka electrolyte . E nānā nā hoʻāʻo koko i nā hōʻailona o ka maʻi. Hiki i nā pae electrolyte ke haʻi inā ua maloʻo loa ʻoe. Inā pēlā, pono ʻoe e hāʻawi koke ʻia i ka saline (nā wai IV) .

Hiki i nā kaʻina hana kiʻi ke kōkua i ke kauka e ʻike i ka paʻa a nānā i nā pilikia. ʻO kēia mau mea:

• Nā kukuna X-ʻōpū: Hiki i nā kukuna X ke hōʻike i kahi o ka paʻa. Hiki iā lākou ke hōʻike inā he ea a puni ka ʻōpū a i ʻole a puni ka diaphragm (ka ʻiʻo e hoʻokaʻawale i ka ʻōpū mai ka umauma). ʻO ka ea ma kēia mau wahi ke ʻano ua make kahi ʻāpana o ka ʻōpū a ua puka paha.
• CT scan (Computed Tomography - CT scan): Hiki i kahi CT scan ke hana i nā kiʻi kikoʻī ma mua o nā kukuna X. Pono paha kēia e hōʻoia i kāu hōʻailona a loaʻa ka ʻike pololei e pili ana i kahi o ka paʻa a me ke kumu.
• ʻO Barium Enema X-ray: He X-ray kēia o ka colon. ʻOiai ʻoe ma lalo o ka anesthesia, hoʻokomo ke kauka i kahi ʻōmole lahilahi (catheter) ma kou rectum.Hoʻokomo ʻia kēia ʻōmole i loko o kou kolona a hoʻopiha ʻia me kahi wai palekana. Lawe ʻia nā kiʻi X-ray i ka wā e hele ai kēia wai ma kou kolona. Hōʻike maopopo kēia wai i kou kolona ma nā kiʻi X-ray.

Hoʻohana kēia mau ʻano hana kiʻi i ka radiation. Inā aia ka pilikia o ka hōʻike ʻia ʻana o ka radiation (ʻoiai ma nā pae palekana), makemake paha ʻoe i nā koho ʻē aʻe i kēia mau ʻano. Hiki i nā wahine hāpai a me nā keiki ʻōpio ke loaʻa i nā scan ultrasound a i ʻole MRI , ʻaʻole hoʻohana i ka radiation.

He aha ka lāʻau lapaʻau no ke ālai ʻana o ka ʻōpū?

ʻO ka hapa nui o ka poʻe me nā ālai ʻōpū e pono ai ka mālama koke ʻana ma ka haukapila. ʻO nā ālai piha e pono ai ke ʻoki koke ʻana. Hiki ke mālama ʻia nā ālai hapa e hoʻopaʻa i kou kūlana, a ukali ʻia e nā hopena ʻoki ʻole (e like me ka hoʻomaha ʻana i ka ʻōpū). Aia kēia a pau i ke koʻikoʻi o ke ālai. Hiki i ka mālama ʻana ke komo pū me:

• Nā wai intravenous (IV): E hāʻawi ʻia iā ʻoe nā wai IV a me nā electrolytes e mālama ai i ka dehydration.
• ʻO ka Paipu Nasogastric: Pono paha ʻoe e hoʻokomo i kēia paipu e wehe i ka wai a me ka ea i hōʻiliʻili ʻia ma muli o kahi paʻa. He paipu lōʻihi a lahilahi kēia i hoʻokomo ʻia ma kou ihu a hoʻokomo ʻia i lalo i loko o kou ʻōpū a i ʻole nā ​​​​​​naʻau.
• Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau anti-emetics e hoʻōki i ka nausea a me ka luaʻi ʻana, a hiki ke hāʻawi ʻia nā lāʻau ʻeha e hōʻemi i ka ʻeha.
• Hoʻomaha ʻōpū: I mea e ʻae ai i ka manawa e wehe ai ka mea paʻa a no ka ʻōpū e ʻūlū i kona nui maʻamau, pono paha ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka inu ʻana. A i ʻole, e hāʻawi ʻia paha ʻoe i kahi wai kūikawā e inu ai nona nā meaola mai ka meaʻai.
• ʻOki: Inā ua paʻa loa kou ʻōpū, pono pinepine ke ʻoki. Hiki i kāu kauka ke wehe i kekahi ʻiʻo ʻeha a i ʻole nā ​​puʻupuʻu e hoʻopilikia nei i ke paʻa. I kekahi manawa, hiki iā lākou ke wehe i nā ʻiʻo maʻi. I kekahi manawa, hiki i kāu kauka ke kau i kahi stent ( e like me ka ʻōmole mesh) e mālama i ka paʻa, e hoʻoponopono ana i ke paʻa me ka ʻole o ke ʻoki hou ʻana. A i ʻole, hiki ke kau ʻia kahi stent ma ke ʻano he hopena manawa pōkole a hiki i kou olakino e hana i ke ʻoki e hoʻoponopono i ke paʻa.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi pale ʻōpū?

Hoʻōla ka nui o ka poʻe ma hope o ka mālama ʻana. ʻO nā hōʻailona e ho'ōla ana ka paʻa ʻana, ʻo ia ka flatulence, ka emi ʻana o ka pehu ʻana, a me ka hiki ke neʻe i ka ʻōpū. Ma ka ʻaoʻao ʻē aʻe, inā hana ka paʻa ʻana i kahi perforation i loko o ka ʻōpū, hiki i ke kūlana ke hoʻoweliweli i ke ola. No laila, he mea nui e ʻimi i ka lāʻau lapaʻau ma mua o ka ulu ʻana o nā pilikia a e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Kuni.
• Ka luaʻi mau ʻana.
• ʻO ka ʻeha ʻeha o ka ʻōpū a i ʻole ke kuni e hele mai a hele a mau paha.
• Nā hōʻailona o ka maloʻo ʻana o ka wai.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• No ke aha i loaʻa ai iaʻu kahi ālai ʻōpū?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• Aia anei au i ka pilikia o ka loaʻa ʻana o ke ālai ʻana o ka ʻōpū i ka wā e hiki mai ana?
• He aha nā pilikia e pono iaʻu e makaʻala mai ka lāʻau lapaʻau?
• Pehea e hoʻololi ai i kaʻu papaʻai a me kaʻu hana i koʻu wā e hoʻōla ana?

ʻO ka mea hope loa, ʻo ka mea nui e hoʻomanaʻo

Inā loaʻa iā ʻoe nā hōʻailona o ka ʻōpū paʻa, e hana koke a e ʻimi i ke kōkua lapaʻau. He nui ka poʻe e hoʻopanee i ka ʻike ʻana i ke kauka ke manaʻo lākou i ka ʻeha, me ka manaʻo he mea nui ʻole ia. Akā i ka wā e pili ana i ka ʻōpū paʻa, ʻaʻole maikaʻi ke koho "kali ʻana". Mai hoʻowahāwahā i ka ʻeha o ka ʻōpū , ʻoiai inā ua hana mua ʻoe i kahi ʻoki ʻōpū a i ʻole he kumu pilikia e like me IBD. He kūlana hiki ke mālama ʻia ka ʻōpū paʻa. Mai hoʻopanee.

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ʻO ke ālai ʻana o ka ʻōpū, ʻeha ʻōpū, paʻa paʻa, luaʻi, nā maʻi ʻōpū, ʻoki kino