Ke ʻeha koke nei ʻoe ma kekahi wahi o kou ʻōpū? He Epiploic Appendagitis paha ia?

Ua loaʻa anei iā ʻoe kahi ʻeha koke a ʻoi i loko o kou ʻōpū? Me he mea lā hiki iā ʻoe ke kuhikuhi me kou manamana lima. Makaʻu pinepine mākou i nā manawa e like me kēia, ʻeā? ʻO kekahi kumu no kēia he kūlana i ʻike ʻole ʻia, akā he mea pono ke ʻike. Ua kapa ʻia kēia ʻo Epiploic Appendagitis. ʻOiai paha he mea ʻē iki ka inoa, e wehewehe maʻalahi kākou.

No laila he aha ka Epiploic Appendagitis?

I ka ʻōlelo maʻalahi, ʻo ka Epiploic Appendagitis kahi ʻeha koke i loko o kou ʻōpū. ʻO ke ʻano o ka inoa ʻo " ka mumū o kahi epiploic appendix." ʻAe, i kēia manawa ke noʻonoʻo nei ʻoe i ke ʻano o kēia mau "epiploic appendages". ʻO lākou nā appendages momona liʻiliʻi e kau ana ma waho o ko kākou colon. E noʻonoʻo iā lākou he mau hua waina liʻiliʻi e kau ana ma luna o ke kumu waina.

No laila, he aha ka mea e hana ʻia inā wili koke kēia ʻāpana momona liʻiliʻi (ka epiploic appendage) (torsion)? A laila ua ʻoki ʻia ke kahe koko i laila. E noʻonoʻo i kahi paipu wai i wili paʻa loa ma kahi hoʻokahi. A laila ʻaʻole e kahe ka wai ma o ia mea, ʻeā? ʻO ia ka mea e hana ʻia ke wili ʻia kēia ʻāpana momona. Ke ʻoki ʻia ke kahe koko, lilo kēlā ʻāpana i pehu, ʻo ia hoʻi ka pehu ʻana, lilo i ʻulaʻula, a hōʻeha. ʻO ia ka ʻeha āu e manaʻo ai i loko o kou ʻōpū.

I ka hapa nui o ka manawa, hiki koke mai kēia ʻeha. Hiki iā ʻoe ke ʻike pololei i kahi e ʻeha ai. Akā no ka mea he mea maʻamau ʻole kēia ʻano, hiki i nā kauka ke huikau iā ia me nā ʻano ʻē aʻe e hoʻoulu ai i ka ʻeha ʻōpū maʻamau. Eia kekahi laʻana:

• ʻĀpenikikitis - ʻO ke ʻano kēia ka mumū o ka appendix.
• Cholecystitis - ʻo ia hoʻi ka mumū o ka gallbladder.
• Diverticulitis - ʻO kēia ka mumū o nā ʻeke liʻiliʻi i loko o ka paia o ka ʻōpū nui.

Pehea ka maʻamau o ka Epiploic Appendigitis?

He mea paʻakikī ke ʻōlelo pololei i ke ʻano maʻamau o kēia, no ka mea, hiki ke ʻike pinepine ʻole ʻia. Manaʻo nā kānaka noiʻi ma kahi o 1% o ka poʻe i hoʻopaʻa ʻia i ka haukapila no ka ʻeha koke o ka ʻōpū e loaʻa paha kēia ʻano. Eia kekahi, ma kahi o 5% o ka poʻe i ʻike ʻia me ka diverticulitis a i ʻole ka appendicitis e loaʻa maoli ana i ka mea i kapa ʻia ʻo epiploic appendagitis. ʻO ia hoʻi, i kekahi manawa, ʻoiai mākou e manaʻo nei he mea koʻikoʻi ia, ʻo ke kumu paha he mea maʻalahi e like me kēia.

He maʻi koʻikoʻi anei ka Epiploic Appendagitis?

Eia ka mea nui: ʻAʻole ia he maʻi koʻikoʻi ka epiploic appendagitis.Akā, e like me ka mea i ʻōlelo ʻia ma mua, ʻo ka pilikia, hiki ke huikau ʻia me nā maʻi koʻikoʻi ʻē aʻe. ʻAʻole e like me nā maʻi ʻē aʻe, hoʻopau pinepine ʻia kēia me ka ʻole o kekahi lāʻau lapaʻau kikoʻī. Maloʻo ka puʻupuʻu momona mumū (epiploic appendage) i ka hala ʻana o ka manawa, calcifies, a hāʻule hope i waho o ka colon. Nalo ka pehu a me ka ʻeha.

No laila, e hoʻomanaʻo, ʻaʻohe mea e hopohopo ai kēia. Eia nō naʻe, inā ʻeha kou ʻōpū, he mea nui e ʻimi i ke kōkua lapaʻau.

He aha ke kumu o kēia?

ʻElua mau ʻano nui o nā kumu o ka Epiploic Appendigitis: Nā kumu mua a me nā kumu lua.

Nā kumu mua

He mau mea kēia e hoʻomaka pololei ana i loko o kēlā ʻāpana momona (appendage).

• ʻO ka wili ʻana: ʻO ka hapa nui o ka manawa (ma kahi o 75%) ua hana ʻia kēia kūlana e ka wili ʻana o ka ʻāpana momona i ʻōlelo ʻia. Ma muli o kēia wili ʻana, ua aneane ʻoki loa ʻia ke kahe koko i laila, a make nā ʻiʻo ma muli o ka nalowale ʻana o ke kahe koko . Ua kapa ʻia kēia ʻo (Infarction) i ka ʻepekema lapaʻau.
• Thrombosis: He mea kākaʻikahi loa, hiki ke hana ʻia kahi ʻaʻa koko i loko o kahi aa koko i loko o kēia mau waihona momona, e ālai ana i ke kahe koko .

Nā kumu lua

ʻO kēia nā mea i emi loa ka maʻamau. ʻO ka mea e hana ʻia ana, ua hoʻopilikia ʻia kēia ʻāpana momona e kahi pilikia ma kahi ʻē aʻe.

• ʻO kahi maʻi e pālahalaha ana mai kahi ʻē aʻe: No ka laʻana, inā he maʻi ma kahi ʻē aʻe o ka ʻōpū, hiki iā ia ke pālahalaha i kēia puʻupuʻu momona.
• Ka pehu ʻana o nā ʻiʻo a puni e hoʻoulu ai i ka puʻupuʻu momona: I kekahi manawa, ke pehu ka ʻiʻo a puni, hiki iā ia ke hoʻoulu i ka puʻupuʻu momona a hoʻoulu i nā pilikia.

ʻO wai ka mea i pilikia nui no kēia?

Ua hōʻike ʻia kekahi mau noiʻi he ʻoi aku ka nui o ka loaʻa ʻana o ka Epiploic Appendigitis i kekahi poʻe. E ʻike kākou ʻo wai lākou.

• Nā kānaka me ka momona nui : Hiki paha kēia no ka mea hiki i kēia mau hunaola momona ke lilo i mea nui aʻe i nā kānaka me ka momona kino keu.
• ʻO ka poʻe me nā hernias: ʻO ka hernia kahi puka ʻana o kahi ʻōpū a i ʻole nā ​​​​ʻiʻo i loko o kahi nāwaliwali i loko o ke kino.
• ʻO ka poʻe me ka diverticulosis (nā ʻeke liʻiliʻi i loko o ka ʻōpū nui): ʻOi aku ka kiʻekiʻe o ka pilikia ma kēia ʻano.
• ʻO ka poʻe e hoʻoikaika kino ikaika: I kekahi manawa, hiki ke hana ʻia nā mea e like me kēia ʻoiai ke hoʻoikaika kino ʻoe ma mua o kou manaʻo.
• Ka poʻe waena (ma waena o 40-50 mau makahiki): ʻIke iki ka poʻe o kēia hui makahiki.
• ʻAoʻao kāne:Ua ʻōlelo ʻia he mea maʻamau kēia i waena o nā kāne ma mua o nā wahine.

Akā, ʻaʻole nā ​​​​kānaka a pau e loaʻa i kēia ma muli wale nō o ko lākou loaʻa ʻana o kēia mau mea pilikia , a hiki nō hoʻi ke ulu i loko o kekahi kanaka i loaʻa ʻole i kekahi o kēia mau mea.

He aha nā hōʻailona o kēia?

ʻO ka hōʻailona nui ka ʻeha ma kekahi ʻāpana o ka ʻōpū. Hiki i kēia ke hoʻomaka koke a mau no kekahi mau pule. Aia nā ʻāpana epiploic ma ka ʻaoʻao haʻahaʻa o ko kākou kolona. No laila, ʻike pinepine ʻia kēia ʻeha ma ka ʻaoʻao haʻahaʻa o ka ʻōpū. ʻEkolu o ka poʻe ʻehā e ʻōlelo nei he ʻeha ko lākou ma ka ʻaoʻao haʻahaʻa o ka ʻōpū. A ʻoi aku ma mua o ka hapalua e ʻōlelo nei aia ma ka ʻaoʻao hema.

Ua wehewehe ʻia kēia ʻeha penei:

• ʻOiʻoi: E like me ke hou ʻana me ka pahi.
• Paʻa: Hoʻomau, me ka loli a i ʻole me ka ʻole o ka loli.
• Ikaika: Ikaika loa a paʻakikī ke hoʻomanawanui.

Eia kekahi, hiki ke hoʻonui ʻia ka ʻeha i nā manawa e like me kēia:

• I ka wā e ʻū ana
• I ka hoʻolōʻihi ʻana i ke kino
• I ka hanu ʻana me ka leo nui

Ma waho aʻe o kēia ʻeha, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe:

• Ka Mālama ʻana: E noʻonoʻo inā hoʻāʻo kekahi e hoʻopā i kou ʻōpū, e hoʻopaʻa koke ʻoe i kou paʻa ʻana ma ia wahi, me he mea lā e uhi ana iā ia me kou lima. ʻO ia ka mea a mākou e kapa nei he 'mālama'.
• ʻO ke ʻano palupalu hou: Ke kaomi ke kauka i kou ʻōpū a laila wehe koke i kona lima, me he mea lā e hoʻonui nui ʻia ka ʻeha ma mua.
• He puʻu i ʻike ʻia: I kekahi manawa hiki i ka puʻu momona i mumū (appendage) ke pehu a manaʻo ʻia e like me kahi puʻu ke hoʻopā ʻia mai waho.

Ua like kēia mau hōʻailona me nā hōʻailona o nā maʻi i ʻōlelo ʻia ma mua e like me ka appendicitis, cholecystitis, a me ka diverticulitis. Eia nō naʻe, i loko o kēlā mau maʻi, aia pinepine nā hōʻailona hou e like me ke kuni, ka nausea , a me ka luaʻi . No laila, inā loaʻa iā ʻoe kahi ʻeha nui ma kahi hoʻokahi o ka ʻōpū e like me kēia, akā ʻaʻohe o kēlā mau hōʻailona hou (e like me ke kuni a me ka luaʻi), hiki i ke kauka ke kānalua i ka Epiploic Appendagitis.

Pehea ʻoe e ʻike ai i kēia?

Hiki i ke kauka radiology ke hana i kahi ultrasound scan a i ʻole kahi CT scan (computed tomography scan).E ʻike i kēia maʻi he Epiploic Appendagitis.** ʻAʻole ʻike pinepine ʻia kahi appendix epiploic olakino ma kēia mau scan. Eia nō naʻe, hiki ke ʻike maopopo ʻia kahi mea pehu. ʻO kēia no ka mea ʻo ka pehu ke kumu e hoʻopiha ai i ka wai a ʻike ʻia he mālamalama ma ke scan. ʻIke ʻia ia he puʻu ʻano oval ma kahi o ka ʻeha.

He aha ka lāʻau lapaʻau maikaʻi loa no kēia?

Hoʻomaka pinepine nā kauka ma ka hāʻawi ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) . Hoʻemi kēia i ka pehu a me ka ʻeha. No ka laʻana, ibuprofen. Inā pono, hiki ke hāʻawi ʻia nā lāʻau ʻeha ʻē aʻe. Loaʻa koke ka hapa nui o ka poʻe i ka hōʻoluʻolu me kēia mau lāʻau. Inā ʻaʻole kōkua kēia, i nā hihia kakaikahi, pono paha ke ʻoki ʻana e wehe i ka appendix pehu.

ʻEhia ka manawa e ho'ōla ai ka Epiploic Appendigitis?

ʻOiai me ka ʻole o ka lāʻau lapaʻau, ʻaʻole pinepine nā hōʻailona o ka Epiploic Appendagitis e mau ma mua o hoʻokahi pule. I kekahi mau hihia, hiki iā lākou ke mau a hiki i ʻehā pule. Eia nō naʻe, me ka lāʻau lapaʻau, e pau pinepine nā hōʻailona i loko o kekahi mau lā. No laila, ʻaʻohe mea e hopohopo ai.

Āhea e pono ai ke ʻoki kino?

He mea kākaʻikahi loa ke ʻoki ʻana no ka epiploic appendagitis. Eia nō naʻe, inā ʻaʻole hoʻomaikaʻi iki kāu mau hōʻailona, ​​a inā paha he kānalua e pili ana i kāu hōʻailona, ​​​​pono paha kāu kauka e nānā i loko o kou ʻōpū e ʻike i ke kumu maoli o kou ʻeha mau.

Hoʻohana lākou i kahi kaʻina hana ʻoki kino minimally invasive i kapa ʻia ʻo laparoscopy e hana i kēia. Ma kēia kaʻina hana, hana ke kauka lapaʻau i ʻekolu a ʻehā paha mau ʻoki liʻiliʻi (ma kahi o ka hapalua ʻīniha) i loko o kou ʻōpū a hoʻokomo i kahi kāmela liʻiliʻi i kapa ʻia ʻo laparoscope ma o lākou. Hoʻohana ke kauka lapaʻau i kahi kāmela wikiō e nānā i nā kiʻi ma kahi pale a laila e hoʻouna i nā mea hana lōʻihi a lahilahi ma o nā ʻoki liʻiliʻi e wehe i ka appendix pehu.

He aha kāu manaʻo hope loa no kēia kūlana?

Hiki i ka epiploic appendagitis ke ʻeha a weliweli hoʻi. Akā ma ke ʻano laulā, ʻaʻohe mea e hopohopo ai. ʻAʻole e like me kāu appendix, gallbladder, a i ʻole diverticula, ʻaʻole pilikia kahi epiploic appendage i ka haki ʻana ma muli o ka mumū. ʻO ka maʻamau, e emi mālie ka mumū, make ka puʻupuʻu momona, a pau nā mea āpau i loko o hoʻokahi pule.

Aia kekahi pilina ma waena o ka Epiploic Appendigitis a me ke Kanesa?

ʻAʻohe pilina i ʻike ʻia ma waena o ka Epiploic Appendagitis a me ke kanesa, no laila mai hopohopo no ia mea.

Aia kekahi mau meaʻai e ʻai ai a hōʻalo paha e pale aku ai i kēia?

ʻAʻohe pilina i ʻike ʻia ma waena o ka Epiploic Appendagitis a me kāu mau ʻano ʻai. No laila, ʻaʻohe meaʻai kikoʻī e ʻai ai a hōʻalo paha.

No laila, inā loaʻa iā ʻoe ka Epiploic Appendigitis, ʻo ia paha ka manawa mua a me ka manawa hope loa āu e lohe ai e pili ana i ia mea. Makaʻu paha ʻoe i ka ʻeha koke, a hele paha ʻoe i ka lumi pilikia, me ka manaʻo e hana ʻia ana kekahi mea koʻikoʻi. Akā, he maʻalahi loa ka mālama ʻana no ka Epiploic Appendigitis, a ʻaʻole pono pinepine ke ʻoki ʻana. Hiki paha iā ʻoe ke hoʻi mai i ka home me kahi moʻolelo ʻē e haʻi aku i nā poʻe ʻē aʻe i lohe ʻole i ia mea.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

• ʻO ka epiploic appendagitis kahi ʻeha ʻōpū koke i hoʻokumu ʻia e kahi ʻāpana liʻiliʻi o ka momona e kau ana mai waho o ka ʻōpū nui (colon) e wili ana, e nalowale ana kona kahe koko, a lilo i pehu.
• ʻOiai hiki ke huikau pinepine ʻia kēia me nā kūlana ʻē aʻe e like me ka appendicitis , ʻo nā hōʻailona e like me ke kuni a me ka luaʻi ʻana ʻaʻole i koʻikoʻi pinepine.
• ʻAʻole kēia he maʻi koʻikoʻi, a ʻo ka hapa nui o ka manawa e ho'ōla ia iā ia iho i loko o hoʻokahi a ʻelua paha pule.
• ʻO ka lāʻau lapaʻau nui ʻia me nā lāʻau ʻeha a me nā lāʻau anti-inflammatory nonsteroidal (NSAID). ʻAʻole pono pinepine ke ʻoki ʻana.
• Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha ʻōpū koke a koʻikoʻi, pono ʻoe e ʻimi i ke kōkua lapaʻau, no ka mea, he hōʻailona paha ia o kekahi maʻi koʻikoʻi ʻē aʻe.

No laila ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka Epiploic Appendagitis. E noho olakino!