Aia kou ʻōpū i ka pōʻino? I kēia lā e kamaʻilio kākou e pili ana i (Ruptured Spleen)!

Ua noʻonoʻo paha ʻoe i ke kino liʻiliʻi ma ka ʻaoʻao hema o kou ʻōpū, ma lalo pono o kou mau iwi ʻaoʻao? ʻO kēia ka mea a mākou e kapa nei he spleen. Ua like ia me ka nui o ka poho lima o kou lima. Akā hana maikaʻi loa ia. Akā i kekahi manawa hiki i kēia spleen ke hōʻeha a haki. Inā hana ʻia kēlā, hiki ke lilo i mea koʻikoʻi iki.

He aha ka ʻōpū? He aha ke ʻano inā pohā ia?

I ka ʻōlelo maʻalahi, he ʻōkana liʻiliʻi kou spleen, akā he ʻōkana koʻikoʻi loa ia ma ka ʻaoʻao hema o kou ʻōpū luna, e like me ka nui o ka lima. Hana ia e like me ke kānana. Paʻa ia ma kahi o ka hapahā o ke koko i loko o ko mākou kino i kēlā me kēia manawa, hoʻomaʻemaʻe iā ia, a mālama i nā hunaola koko ʻulaʻula a me nā platelets. Kōkua pū ia i ka hana ʻana i nā hunaola koko keʻokeʻo e hakakā i nā maʻi. He ʻōkana like me ka ʻeke ka spleen i loko, i uhi ʻia e kahi papa lahilahi o nā ʻiʻo. Holo pū nā kīʻaha koko ma loko.

Eia nō naʻe, me kahi o ka spleen, ʻoiai inā loaʻa iā ia kahi hahau ikaika, ʻoi aku ka nui o ka ʻeha. Inā haehae ʻia a haki paha ka uhi waho aʻu i ʻōlelo ai, ʻo ia ka mea a mākou e kapa nei he 'splenic rupture' . Inā haki ka spleen, i hoʻohālikelike ʻia me nā ʻōpū ʻē aʻe i loko o ko mākou ʻōpū, aia kahi manawa kiʻekiʻe o ke kahe ʻana o ke koko i loko o ke kino, hiki ke hoʻoweliweli i ke ola. No laila, ʻo ka splenic rupture he pilikia e pono ai ke kōkua koke ʻia e ke kauka. I kekahi manawa, pono paha ke ʻoki ʻana.

He aha nā kumu o ka haki ʻana o ka spleen?

ʻĀ, e nānā kākou no ke aha e haki ai ka ʻōpū e like me kēia.

ʻO ka hapa nui o ka manawa, ʻo ke kumu nui o kēia he ʻeha mai kahi ulia. E noʻonoʻo, no ka laʻana, he ulia kaʻa. Ma kahi o 50% a 75% o ia mau ulia hiki ke hopena i ka haki ʻana o ka spleen. Pēlā nō hoʻi no nā ʻeha e kū mai ana i ka wā e pāʻani ana i nā haʻuki. Hiki ke hana ʻia kēia ma nā haʻuki e pili ana i ka pilina kino-a-kino, e like me ka rugby. I kekahi manawa, hiki i ka spleen ke haki mai kahi mea koʻikoʻi e like me ka hahau ikaika, ka ʻoki ʻana i ka pahi, a i ʻole ka ʻeha pū.

ʻO ka mea nui , i kekahi manawa hiki i ka ʻōpū ke haki koke ma hope o ka ulia. Akā i kekahi manawa, i kekahi manawa ma hope o ka ulia, pehu ka ʻeha a hiki i ka ʻōpū ke haki. Ua kapa ʻia kēia ʻo 'Delayed Rupture'.

Hiki i ka ʻōpū ke haki me ka ʻole o ka hōʻeha?

I kēia manawa, manaʻo paha ʻoe inā ʻaʻole he ulia, ʻaʻohe mea e hiki mai ana i ka ʻōpū. Akā, ʻoiai he mea kakaikahi, hiki i ka ʻōpū ke poha koke me ka ʻole o kahi ulia. He mea kupanaha iki kēia ke lohe ʻia, ʻeā?

Hana ʻia kēia ke hoʻomaka ka pehu ʻana o ka ʻōpū ma muli o kekahi maʻi ʻē aʻe i loko o ke kino. I kona pehu ʻana, nāwaliwali mālie kēlā uhi waho aʻu i ʻōlelo ai ma mua, a i ka hopena hiki ke haki.

ʻO kekahi mau kūlana e hiki ai ke hoʻoulu i kēia ʻano pehu spleen:

• Nā ʻano maʻi ʻaʻai, no ka laʻana `(Lymphoma)`.
• Nā maʻi,E like me ke ʻano `(Mononucleosis)` a i ʻole `(Malaria)`.
• Nā maʻi mumū mau loa , e like me ka hepatitis, ka maʻi ate, a i ʻole ka pancreatitis.

Pehea kou manaʻo ke haki kou ʻōpū?

ʻAe, i kēia manawa e nānā kākou i ke ʻano o ka manaʻo inā haki kou ʻōpū.

Aia ka spleen, e like me kaʻu i ʻōlelo ai, ma ka ʻaoʻao hema o luna o kou ʻōpū, ma lalo pono o kou iwi ʻaoʻao hema a me ka diaphragm. Ke pohā ka spleen, hiki iā ʻoe ke manaʻo i kahi ʻeha nui ma ia wahi.

Akā aia kekahi mea ʻē aʻe ma ʻaneʻi. ʻO nā pōpilikia like e hoʻoulu ai i ka haki ʻana o ka spleen hiki ke hoʻoulu i nā ʻeha ʻē aʻe, ʻeā? No ka laʻana, hiki iā ʻoe ke haki i kahi iwi ʻaoʻao. A laila, ʻaʻole paha ʻoe e hiki ke hoʻokaʻawale i ka ʻeha mai ka haki ʻana o ka spleen mai ka ʻeha mai nā ʻeha ʻē aʻe.

Ma hope o ka haki ʻana o ka spleen, hiki iā ʻoe ke manaʻo i ka ʻeha e pālahalaha ana i kou umauma hema a i ʻole poʻohiwi. Ua kapa ʻia kēia ʻo ka hōʻailona ʻo Kehr . Hana ʻia kēia no ka mea i ka wā e kahe ai ke koko o ka spleen, kaomi ke koko ma luna o kahi aʻalolo e holo ana mai kou ʻāʻī a i lalo ma kou umauma hema (ka aʻalolo phrenic hema). Hiki iā ʻoe ke manaʻo i ka ʻeha e ʻoi aku ka ʻino ke hanu ʻoe.

Aia kekahi mau hōʻailona ʻē aʻe o ka spleen i haki?

Ma waho aʻe o ka ʻeha, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe ma muli o ke kahe koko kūloko a me ka hāʻule koke ʻana o ke koko. E nānā inā kamaʻāina kēia mau mea:

• Pōʻino a poʻo hina paha
• Ka huikau noʻonoʻo a i ʻole ka nalowale ʻana o ke kuhikuhi
• ʻIke pōwehiwehi
• Ka mae a me ka nāwaliwali
• Ka hoʻomaha ʻole a i ʻole ka hopohopo
• Ka luaʻi

He aha ka mea e hana ʻia inā pohā ka ʻōpū? He aha ka mea e hana ʻia?

E noʻonoʻo ʻoe he ʻeha nui kou ma ka ʻaoʻao hema o luna o kou ʻōpū, a i ʻole he hōʻailona Kehr kāu aʻu i ʻōlelo ai. Inā kū mai kēia mau hōʻailona ma hope o kekahi manawa pōkole ma hope o ka ulia, pono ʻoe e hele pololei i ka Lumi Hoʻōla (ER). Kāhea i kahi ambulance inā pono.

Ma laila, pono ʻoe e haʻi i nā kauka e pili ana i kāu mau hōʻailona, ​​​​nā ulia pōpilikia i hala koke aku nei, nā maʻi i loaʻa iā ʻoe, a i ʻole nā ​​​​maʻi mau āu. E loiloi ke kime lapaʻau i kou kūlana a hana e hoʻopaʻa iā ʻoe, me ka hāʻawi ʻana iā ʻoe i kahi hoʻoili koko inā pono.

Pehea ʻoe e ʻike ai inā ua haki kou ʻōpū?

ʻAe, e nānā kākou pehea e hoʻomaopopo ai nā kauka i kēia.

ʻO ka mea mua, inā paʻa kou kūlana (ʻo ia hoʻi, kokoke nā mea e like me ke koko a me ka helu o ka puʻuwai i ka maʻamau), e nānā ke kime lapaʻau iā ʻoe i kēlā me kēia ʻanuʻu.ʻO ka mua, hana ʻia kahi hoʻokolokolo kino. A laila , hana ʻia nā hoʻokolohua kiʻi, e like me nā scan.

Akā inā ua ʻeha ʻoe i kahi ulia a hele mai i ka lumi pilikia, e hana mua ke kime lapaʻau i kahi ultrasound kūikawā ma ka ʻaoʻao o ka moe. Ua kapa ʻia kēia he "FAST ultrasound." Nānā kēia e ʻike inā he kahe koko i loko o kou ʻōpū.

Inā hōʻoia ka ultrasound FAST i ke kahe ʻana o ke koko, a paʻa ʻole kou mau hōʻailona koʻikoʻi, ʻike ka hui lapaʻau ua pohā kou spleen a pono e mālama koke ʻia.

ʻOiai inā paʻa kou kūlana, inā he kānalua ua loaʻa iā ʻoe kahi ʻeha spleen, e hana pinepine lākou i kahi "CT scan" . Hiki i kēia ke nānā pono i ka spleen a me ka nui o ka ʻeha. A laila e helu ʻia ka ʻeha mai I a i V, ma muli o ke koʻikoʻi o ka ʻeha.

Pehea e mālama ʻia ai ka haki ʻana o ka spleen?

ʻO ka lāʻau no ka haki ʻana o ka spleen ma muli o ke koʻikoʻi o ka ʻeha. Hiki i kekahi mau ʻoki liʻiliʻi ke hoʻōki i ke kahe ʻana o ke koko ma o lākou iho. Eia nō naʻe, pono paha kekahi i ka lāʻau lapaʻau ulia pōpilikia. Pono nā ʻoki koʻikoʻi loa (Papa V) i kahi splenectomy e wehe i ka spleen. Eia naʻe, ʻaʻole paha e ʻike koke ʻia kahi ʻeha splenic koʻikoʻi. I kekahi manawa, hiki i kahi mea maʻi paʻa ke lilo i mea paʻa ʻole ma hope o kekahi mau hola ma muli o ka hoʻonui ʻia o ke kahe ʻana o ke koko.

Eia kekahi o nā ʻano hana nui no ka mālama ʻana i ka spleen i haki:

• Embolization: Hiki i kēia kaʻina hana ke kōkua i ka kaohi ʻana i ke kahe koko ma nā ʻeha splenic Papa III a me IV, ma mua a ma kahi o ke ʻoki kino paha. He kaʻina hana ʻoki ʻole ka Embolization. Hana ʻia e kahi radiologist interventional. Ma ka hoʻohana ʻana i nā ʻano hana kiʻi radiology, hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) i loko o kahi kīʻaha koko a hoʻokomo ʻia kahi bead liʻiliʻi e like me ka huʻa i loko e hoʻōki i ke kahe koko.
• Splenorrhaphy: No nā ʻeha Papa III a i ʻole IV, hiki ke hana ʻia kēia ma waho aʻe o ka embolization. ʻO Splenorrhaphy kahi hana ʻoki e hoʻoponopono ai i ka spleen. Hiki i kēia ke pili i ke kāwili ʻana i ka ʻeha, ka hoʻohana ʻana i ka electrocautery, a i ʻole ke kau ʻana i nā mea topical e hoʻōki i ke kahe ʻana o ke koko. Inā holomua, hiki i kēia ke pale aku i ka pono e wehe i kahi hapa a i ʻole ka spleen āpau.
• Splenectomy: Inā ʻaʻole hiki ke kaohi ʻia ke kahe koko nui ma kekahi ʻano ʻē aʻe, a ʻaʻohe ala e hoʻopakele ai i ka spleen, pono e wehe ʻia kekahi hapa a i ʻole ka spleen āpau.Ma kahi o 20% o nā haki splenic e pau i kēia ala. ʻOiai he ʻoki kino ulia pōpilikia kēia, hana ʻia paha ia ma ke ʻano he ʻoki kino ʻōpū hāmama. ʻOi aku ka maʻalahi o ke kauka ʻoki kino e hoʻokele i kou kūlana ulia pōpilikia.

He aha nā manawa kūpono e ola ai i kahi spleen i haki?

Aia maoli kēia i ke ʻano o kou ʻeha a me ka wikiwiki o kou ʻike ʻana a me ka mālama ʻana. E kahe mālie ana ke koko o kahi ʻoki liʻiliʻi, lohi. No laila, he manawa kou, akā hiki ke ʻike maʻalahi ʻia. Inā he nui ke koko, e ʻike maopopo ʻia nā hōʻailona, ​​akā he mea weliweli loa ia. Inā he nui ke koko i loko o ke kino, hiki ke make i loko o kekahi mau hola inā ʻaʻole mālama koke ʻia. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.

ʻEhia ka lōʻihi e ho'ōla ai mai ka haki ʻana o ka spleen?

Ma muli o ka nui o kou ʻeha a me ka lāʻau i loaʻa iā ʻoe, hiki ke hala ma waena o ʻekolu a ʻumikūmālua pule e ho'ōla ai. Inā ua hana ʻia ke ʻoki kino, pono paha ʻoe e noho ma ka haukapila no kekahi mau lā ma hope. Ma hope o ke ʻoki kino hāmama, aia kahi ʻoki nui e ho'ōla ai. Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau ʻeha ke hoʻi ʻoe i ka home. Ma ka ʻaoʻao ʻē aʻe, ho'ōla koke nā ʻeha liʻiliʻi.

Pehea lā wau e mālama ai iaʻu iho i koʻu ola ʻana me ka ʻole o ka spleen?

ʻAe, hiki iā ʻoe ke ola me ka ʻole o kou spleen. Akā hoʻopilikia ia i kāu ʻōnaehana pale. No ka mea, he ʻōkana koʻikoʻi ka spleen e pale aku ai i nā maʻi, hiki iā ʻoe ke maʻalahi iki i ka maʻi ma hope o ka wehe ʻia ʻana o kou spleen (splenectomy).

E paipai kāu kauka lapaʻau i kekahi mau lāʻau pale kūikawā e pale aku iā ʻoe mai nā maʻi ma ka haukapila a ma hope o kou hoʻi ʻana i ka home. E paipai pū ʻo ia iā ʻoe e lawe koke i nā lāʻau antibiotic inā loaʻa iā ʻoe kahi maʻi.

I ka hōʻuluʻulu manaʻo, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ʻo kēia ka ʻōlelo koʻikoʻi loa e pono ai mākou e lawe i ka home mai kēia mau kamaʻilio a pau.

Inā he mea liʻiliʻi a nui paha ka haki ʻana o ka spleen, he pilikia ia. Hiki i ke kahe koko kūloko ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia.

Eia nō naʻe, ʻo ka nūhou maikaʻi, ʻo ka hapa nui o nā haki splenic, inā ʻike ʻia a mālama ʻia i ka wā mua, hiki ke mālama ʻia me nā hana maʻalahi e hiki ai ke hoʻopakele i ka spleen. Akā pili kēia i ka wikiwiki o kou ʻike ʻana a me ka mālama ʻana i kou ʻeha.

Inā he kānalua iki paha kou he ʻeha kou i kou ʻōpū, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi koke i ke kōkua lapaʻau a e nānā ʻia no ke kahe ʻana o ke koko.

ʻO ka ʻōpū, ka haki ʻana o ka ʻōpū, ka haki ʻana o ka ʻōpū, ke kahe koko ʻana o loko, ka ʻeha o ka ʻōpū, ka mālama ʻana i ka pilikia, ka hōʻailona o Kehr