E noʻonoʻo ʻoe ua manaʻo koke ʻoe i kahi ʻeha nui i loko o kou ʻōpū, ʻoiai ma ka ʻaoʻao hema haʻahaʻa. Me kēia, manaʻo pū ʻoe i ke kuni a me ka luaʻi. Ua ʻike anei ʻoe i kahi mea e like me kēia? Manaʻo ka poʻe he nui he ʻeha ʻōpū maʻamau kēia a he pilikia kinoea paha, akā i kekahi manawa he ʻano kēia e pono ai ka nānā hou aku. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano, ʻo 'Diverticulitis'. He mea nui loa ka makaʻala i kēia.
I ka ʻōlelo maʻalahi, he aha ka Diverticulitis?
I mea e hoʻomaopopo ai i kēia, pono mua mākou e ʻike i ke ʻano o 'Diverticulosis'. I loko o ka paia o ko mākou ʻōpū nui (colon), i kekahi manawa i ka hala ʻana o ka manawa, hiki i nā ʻeke liʻiliʻi a i ʻole nā pehu ke puka mai. E like me ka pehu liʻiliʻi ma kahi huila kaʻa. Kāhea mākou i kēia mau ʻeke liʻiliʻi ʻo 'Diverticula'. Inā loaʻa iā ʻoe kēia mau ʻeke i loko o kou colon, ua kapa ʻia kēlā ʻano maʻi ʻo Diverticulosis .
He mea maʻamau loa kēia ʻano i ko kākou ʻelemakule ʻana. A he nui ka poʻe i loaʻa kēia mau ʻeke liʻiliʻi me ka ʻole o nā pilikia a i ʻole nā hōʻailona.
Eia nō naʻe, hoʻomaka ka pilikia ke loaʻa kahi maʻi a pehu paha kekahi a ʻoi aku paha o kēia mau ʻeke liʻiliʻi. ʻO ia ka mea a mākou e kapa nei he Diverticulitis . ʻO kēia ke kumu o nā hōʻailona e like me ka ʻeha a me ke kuni. He kūlana kēia e pono ai ke kōkua lapaʻau.
I ka ʻōlelo maʻalahi: ʻO Diverticulosis ka wā he mau ʻeke liʻiliʻi (ʻeke) i loko o nā ʻōpū. ʻO Diverticulitis ka wā e loaʻa ai ka maʻi a pehu kēlā mau ʻeke.
He aha nā hōʻailona o ka diverticulitis?
Hiki ke ʻokoʻa iki nā hōʻailona o ka diverticulitis mai kēlā kanaka a kēia kanaka, akā aia kekahi mau hōʻailona maʻamau. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | He wehewehe e pili ana i ia mea |
|---|---|
| ʻeha ka ʻōpū | ʻO kēia ka hōʻailona nui. I kekahi manawa he ʻeha nui a ʻoi. Hiki ke hoʻonui mālie kēia i kekahi mau lā, a i ʻole hiki ke hiki koke mai. |
| Kuni a me nā anu | He mea maʻamau ka loaʻa ʻana o ke kuni ma muli o kahi maʻi i loko o ke kino. Hiki iā ʻoe ke ʻike i ke anu a me ka haʻalulu. |
| Ka luaʻi a me ka luaʻi | He mea maʻamau nō hoʻi ka luaʻi a me ka ʻeha o ka ʻōpū. |
| ʻŌpū pehu a me ka flatulence | Hiki i ka pehu ʻana i loko o ka ʻōpū ke hana i nā mea e like me ka manaʻo o kahi pōhaku i loko o ka ʻōpū a me ka pehu ʻana. |
| Nā loli i ka hoʻomaʻemaʻe ʻana i ka lua | Loaʻa i kekahi poʻe ka paʻa ʻana o ka ʻōpū. He mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa pū ka maʻi pākī. |
| Ke kahe koko ʻana o ka rectum | I kekahi manawa, loaʻa paha iā ʻoe kahi koko liʻiliʻi ke hele ʻoe i ka lua. Akā, ʻaʻole kēia e hana i nā kānaka a pau. |
No hea mai ka ʻeha o ka ʻōpū?
He nīnau koʻikoʻi loa kēia. ʻO ka hapa nui o ka manawa, ʻoiai hoʻi i ka poʻe o ka hanauna ʻEulopa, hana ʻia kēia mau ʻeke liʻiliʻi (diverticula) ma ka ʻāpana hope loa o ka ʻōpū nui. ʻO ia hoʻi, ma ka kolone sigmoid . Aia kēia ma ka ʻaoʻao hema haʻahaʻa o ko mākou ʻōpū. No laila, i ka wā e loaʻa ai ka Diverticulitis, ma kahi o 90% o ka poʻe e ʻeha ana ma ka ʻaoʻao hema haʻahaʻa o ko lākou ʻōpū .
Akā, eia kekahi mea kūikawā no mākou. ʻO ka poʻe o ka lāhui ʻĀsia, ʻo ia hoʻi, ka poʻe e like me mākou, i kekahi manawa he mau ʻeke kēia ma ka ʻaoʻao ʻākau o ka ʻōpū. Inā hana ʻia kēlā, hiki ke hele mai ka ʻeha mai ka ʻaoʻao ʻākau o luna o ka ʻōpū . No laila, ʻaʻole maikaʻi ke noʻonoʻo wale i kahi e hele mai ai ka ʻeha o ka ʻōpū a hoʻoholo ʻaʻole kēia ka hihia.
No ke aha e kū mai ai ka Diverticulitis? He aha nā kumu?
He paʻakikī ke kuhikuhi i hoʻokahi kumu kikoʻī o ka diverticulitis, akā aia kekahi mau kumu nui a nā kauka i manaʻoʻiʻo ai e kōkua i ia.
- Maʻi: Hiki i kahi mea e like me kahi ʻāpana ʻōpala ke paʻa i loko o kēlā mau ʻeke liʻiliʻi a mākou i kamaʻilio ai. A laila hiki i ka bacteria ke ulu ma laila a hoʻoulu i kahi maʻi. ʻO kēia maʻi ke kumu o ka pehu a me ka ʻeha.
- Ka puka ʻana o ka paia o ka ʻeke: I kekahi manawa, ke paʻakikī ka neʻe ʻana o ka ʻōpū, a i ʻole no kekahi kumu ʻē aʻe, hiki ke hana ʻia kahi haehae microscopic i loko o ka paia o kēia ʻeke liʻiliʻi. ʻAe kēia i nā bacteria maʻamau i loko o nā ʻōpū e komo ma o ia mea a hoʻoulu i kahi maʻi.
- Nā maʻi ʻē aʻe: Ua ʻike kekahi mau noiʻi e hiki i nā maʻi viral e like me ka cytomegalovirus (CMV) ke kōkua i ka ulu ʻana o kēia ʻano.
Nīnau pū kekahi poʻe inā he mana hoʻoilina ma kēia. ʻAʻole he maʻi hoʻoilina pololei ka diverticulitis. Eia nō naʻe, ua ʻike ʻia aia paha he mana hoʻoilina ma ke ʻano e hoʻomohala ai i kēlā mau ʻeke liʻiliʻi i loko o ka ʻōpū (diverticulosis).
Hiki paha kēia ke lilo i mea koʻikoʻi? Nā pilikia hiki ke loaʻa
ʻO ka hapa nui o ka manawa (ma kahi o 80%) he maʻi paʻakikī ʻole ka Diverticulitis. ʻO ke ʻano kēia e hoʻopau koke ia me ka mālama kūpono. Eia nō naʻe, i kekahi manawa, ʻoiai inā ʻaʻole mālama ʻia a inā lilo ka maʻi i mea koʻikoʻi, hiki ke loaʻa nā pilikia koʻikoʻi. He mea nui e makaʻala i kēia mau mea.
| Ka pilikia | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻŌpū | Hoʻokumu ʻia kahi ʻōpū piha i ka pehu ma kahi o ka maʻi. Inā pohā kēia, hiki i ka maʻi ke laha ma loko o ka lua o ka ʻōpū. |
| Ka puka ʻana o ka ʻōpū (Perforation) | Pehu kēlā ʻeke liʻiliʻi, pehu, a pahū. A laila kahe nā mea o loko o nā ʻōpū i loko o ka lua ʻōpū. Hoʻoulu kēia i kahi maʻi koʻikoʻi loa i kapa ʻia ʻo peritonitis . He kūlana kēia e pono ai ke ʻoki kino ulia pōpilikia. |
| ʻŌpū | Hoʻoheheʻe ʻia ka paia o ka ʻōpū a pili me kahi ʻano ʻē aʻe kokoke (e like me ka ʻōpū mimi, ka vagina), e hana ana i kahi puka kūlohelohe ʻole. |
| Ka pale ʻana o ka ʻōpū (Obstruction) | Hiki i nā maʻi pinepine ke alakaʻi i ka ʻeha a me ka poloka ʻana o ka ʻōpū. |
| Kahe nui ʻana o ke koko | I kekahi manawa, he nui paha ke kahe ʻana o ke koko mai kahi o ka maʻi. Hiki i kēia ke alakaʻi i ka anemia. |
Nā hōʻailona e hōʻike ana i kahi pilikia
- Inā ʻike ʻoe i ke koko hou ke hele ʻoe i ka lua.
- Inā keʻokeʻo kou helehelena a ua like kou kino me he mea lā ua make .
- Inā manaʻo ʻoe e pono e mimi pinepine a inā paha e ʻeha a wela paha ʻoe i ka wā e mimi ai.
- Inā paʻakikī kou ʻōpū ke hoʻopā ʻoe a ʻeha loa ia a hiki ʻole iā ʻoe ke hoʻopā aku.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, hiki ke lilo i pilikia. No laila, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila .
Pehea e ʻike ai ke kauka i kēia?
Ke ʻike ʻoe i ke kauka me nā hōʻailona āu i ʻōlelo ai ma luna, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe i nā nīnau a nānā i kou ʻōpū. Ma hope o kēlā, e hana paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
- Nā hoʻāʻo koko: E nānā no ka maʻi i loko o ke kino.
- CT Scan: ʻO kēia ke ala maikaʻi loa e ʻike ai i ka diverticulitis. Hiki iā ia ke hōʻike maopopo inā he pehu, abscesses, a i ʻole nā pilikia ʻē aʻe i loko o ka colon.
- Colonoscopy: I kekahi manawa, ma hope o ka hoʻoholo ʻana o nā hōʻailona, hiki i kāu kauka ke ʻōlelo i kahi hoʻokolohua e pili ana i ke kau ʻana i kahi kāmela i loko o kou kolona e nānā pono i ke kūlana o kāu kolona.
He aha nā lāʻau lapaʻau no ka diverticulitis?
Aia ka lāʻau lapaʻau i ke koʻikoʻi o kāu mau hōʻailona a inā he mau pilikia paha kāu.
Nā lāʻau lapaʻau e hiki ke hana ma ka home (nā hihia liʻiliʻi)
Inā ʻaʻole koʻikoʻi loa nā hōʻailona, e aʻo aku ke kauka iā ʻoe e mālama iā ʻoe iho ma ka home.
- ʻAi Wai: ʻO kēia ka hoʻōki ʻana i nā meaʻai paʻa no kekahi mau lā a ʻai wale i nā wai e like me ka sopa, ka porridge, a me ka wai huaʻai. Hāʻawi kēia i nā ʻōpū i kahi hoʻomaha.
- Nā lāʻau antibiotic: No ke kāohi ʻana i ka maʻi, pono ʻoe e lawe i nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka no ka manawa i kuhikuhi ʻia.
- Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke lawe i kahi lāʻau lapaʻau e like me Paracetamol no ka ʻeha. Eia nō naʻe, e makaʻala loa i kāu mea e ʻōlelo ai ma hope.
Mai hoʻohana i kēia mau lāʻau lapaʻau!
Ke loaʻa iā ʻoe ka diverticulitis, nā NSAIDPaipai nā kauka e pale i nā lāʻau ʻeha ʻeha no kahi papa o nā lāʻau i kapa ʻia ʻo nā lāʻau anti-inflammatory nonsteroidal (NSAID), no ka mea hiki iā lākou ke hoʻonui i ka pilikia o ke kahe ʻana o ka ʻōpū. ʻO nā ʻano lāʻau ʻē aʻe o kēia papa:
* ʻAspirina
ʻIbuprofen
* Naproxen
Mai hoʻohana i nā ʻano ʻeha ʻē aʻe ma mua o nā mea i kuhikuhi ʻia e kāu kauka.
Ka mālama ʻana ma ka haukapila (Nā hihia koʻikoʻi)
Inā koʻikoʻi ke kūlana, inā ʻaʻole i iho ke kuni, inā ʻoe e luaʻi ana, a inā he mau pilikia, pono ʻoe e lawe ʻia i ka haukapila no ka mālama ʻana.
- Lāʻau lapaʻau IV: Hāʻawi ʻia nā lāʻau antibiotic a me nā mea ʻeha ma o ka laina saline (laina IV).
- Hoʻoili koko: Inā ua nalowale ʻoe i ka nui o ke koko, pono paha ʻoe e loaʻa i kahi hoʻoili koko.
- Ka hoʻokahe ʻana i kahi abscess: Inā ua hana ʻia kahi abscess, pono paha e hoʻokahe ʻia me ka hoʻohana ʻana i kahi paipu.
- ʻOki kino: Inā ua puka ka ʻōpū, he fistula, a i ʻole he mau pilikia koʻikoʻi ʻē aʻe, pono paha ke ʻoki kino e wehe i ka ʻāpana i hōʻino ʻia o ka ʻōpū (kahi colectomy). I kekahi manawa, pono paha kahi puka manawa pōkole i loko o ka ʻōpū (kahi colostomy) e ʻae i ka ʻōpala e hele ma waena.
Hiki ke pale ʻia ka diverticulitis mai ka hoʻi hou ʻana mai?
ʻAe, i kekahi ʻano hiki nō. ʻO ka hoʻololi ʻana i kou nohona a me nā ʻano ʻai e hiki ke hōʻemi nui i ka pilikia o kēia hana hou ʻana.
1. E ʻai i ka meaʻai momona i ka fiber: E ʻai i nā meaʻai momona i ka fiber e like me nā mea kanu, nā huaʻai, nā legume, a me nā palaoa piha (laiki me nā ʻōpuʻu, palaoa atta). Hoʻomālielie kēia i nā ʻōpala a maʻalahi hoʻi e hele.
2. Inu i ka wai he nui: E inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. E palupalu nō hoʻi kēia i ka ʻōpala.
3. E hoʻoikaika kino mau: ʻO ka hoʻoikaika kino i kēlā me kēia lā, e like me ka hele wāwae a i ʻole ka holo ʻana, he mea maikaʻi loa ia no ka hana ʻana o ka ʻōpū.
Ka moʻolelo kahiko, ʻoiaʻiʻo hou: I ka wā ma mua, ua ʻōlelo ʻia ka poʻe me ka diverticulosis ʻaʻole e ʻai i nā nati, nā hua, a i ʻole nā hua liʻiliʻi, e like me nā acorns, no ka makaʻu o ka paʻa ʻana o kahi hua i loko o kēlā ʻeke liʻiliʻi. Eia naʻe, ua hōʻoia nā noiʻi hou he moʻolelo wahaheʻe kēia. ʻO nā nati he meaʻai olakino a momona i ka fiber. No laila, ke ʻōlelo nei nā kauka ʻaʻohe pono e makaʻu iā lākou, a e ʻai iā lākou ma ke ʻano he ʻāpana o ka ʻai kaulike.
Inā he mau nīnau hou aku kāu e pili ana i kēia, e ʻoluʻolu e kamaʻilio me kāu kauka a e wehewehe mai.
Leka Lawe-Home
- He maʻi a me ka pehu ʻana o nā ʻeke liʻiliʻi (ʻeke) i loko o ka ʻōpū nui ka hōʻailona nui, ʻo ia ka ʻeha nui ma ka ʻōpū lalo, ʻoi aku hoʻi ma ka ʻaoʻao hema.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū me nā hōʻailona e like me ke kuni a me ka nausea, mai hoʻowahāwahā iā ia he ʻeha ʻōpū wale nō a e ʻike koke i ke kauka.
- Hoʻokomo ʻia ka lāʻau lapaʻau i ka hoʻomaha ʻana i ka ʻōpū, nā lāʻau antibiotic, a me nā mea ʻeha.
- He mea nui loa: Mai hoʻohana i nā lāʻau hoʻopau ʻeha NSAID e like me Aspirin a i ʻole Ibuprofen no ka ʻeha. Hoʻonui kēia i ka pilikia o ke kahe ʻana o ke koko. E hoʻohana wale i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka.
- ʻO ka ʻai ʻana i ka meaʻai momona i ka fiber, ka inu ʻana i ka wai he nui, a me ka hoʻoikaika kino e hiki ke kōkua i ka pale ʻana i ka hoʻi hou ʻana o kēia maʻi. Mai makaʻu i ka ʻai ʻana i nā nati.
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