Ka pāngia anō hoki koe e te mamae nui o te puku? (Puku Koretake)

Kua pāngia koe e te mamae puku ohorere, kāore e taea te whakamanawanui? I ētahi wā, ka pāngia koe e te mamae puku ohorere. Ka kiia tēnei mate e ngā tākuta he "puku koi". I ētahi wā, ka nui rawa te kino ka hiahiatia he pokanga ohorere. Nō reira he mea nui kia mōhio koe ki tēnei.

He aha tonu te mamae o te puku whakapeka?

He māmā noa iho, he mamae puku ohorere , he tino kino te mamae puku. I ētahi wā ka noho hei āhuatanga ohorere mō te ora. Ko te tikanga me pokanga tonu koe. Heoi, ehara i te mea ko ngā mamae puku katoa e hiahiatia ana he pokanga. Ka taea hoki e ētahi āhuatanga hauora te whakaputa i tēnei momo mamae.

Ka whakamahia e ngā tākuta te kupu "puku whakapeka" hei whakaahua i tēnei momo mamae puku ohorere, kino hoki. Ko te tikanga me rapu tonu koe i te āhua o te mamae, ā, me tīmata te maimoatanga mēnā e tika ana.

Ko wai te mea ka tino pāngia e tēnei āhuatanga?

Ina hoki, ka pāngia te tangata e tēnei mamae puku ohorere. Heoi, ka rerekē pea ngā take i runga i tō tau, ahakoa he tāne koe, he wahine rānei, me ētahi atu mate hauora kei a koe.

Whakaarohia pēnei:

• He mate noa te apendisitis e pā ana ki te hunga rangatahi kei waenganui i te 18 me te 20 tau te pakeke.
• He mea noa te diverticulitis i roto i te hunga neke atu i te 60 tau te pakeke.
• Mō te wahine, i ētahi wā ka puta tēnei momo mamae ohorere nā te pakaru o te hāputanga ectopic.
• Tērā pea ka pāngia te tāne e te mamae ohorere nā te piko o te hope.

Waihoki, ki te mea he hītori hauora tōu, tera pea ka pāngia koe e ngā raruraru puku pēnei.

He pēhea te noa o tēnei āhuatanga?

He uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mamae puku ohorere. Heoi, e kiia ana e 7 ki te 10 i roto i te 100 tāngata e haere mai ana ki te tari whawhati tata e mamae ana te puku . Nō reira, mā tēnā koe e mōhio ai ki te auau o tēnei.

He aha ngā tohu o te mamae puku whakapeka?

He maha ngā wā ko te tohu matua he mamae puku ohorere, kāore e taea te manawanui . Heoi anō, tera pea ka kitea anō ētahi atu tohu. Kei roto i ēnei ko:

• Puku pupuhi: Ko te tikanga he nui ake te pupuhi o te puku i te mea noa, he rite ki te poihau.
• Ngā tohu o te ohorere: Kei roto i tēnei ko te tere o te manawa, te toto toto iti, te werawera, me te pōhēhē i ētahi wā. He tohu tino morearea tēnei.
• Ngā tohu o te peritonitis:Ina pangia te arai o te puku (peritonitis), tera pea ka mamae tonu. Tērā pea ka piki ake te mamae ina pāngia, ina pāngia rānei te puku ki tētahi wāhi.

Ki te pā mai tētahi, ētahi rānei o ēnei tohu ki a koe, kaua e whakahawea.

He aha te take o tēnei mamae ohorere o te puku (Acute Abdomen)?

He maha ngā āhuatanga hauora ka puta ai tēnei mamae puku ohorere. Ko ētahi o ēnei take he pokanga pea . Arā, ko te nuinga o te wā ka hiahiatia he pokanga. Ko ētahi atu he take kore-pokanga .

Ngā take e hiahiatia ai te pokanga

Kei roto i tēnei ko te toto, ngā mate pāwera, ngā toto totoka, ngā aukati o te puku, me ngā pūhao.

1. Te toto (Hemorrhage)

Ko te toto e turuturu ana i te uaua toto nā te pakaru. Tērā pea nā:

• Te roimata o te korokoro (Roimata Mallory-Weiss)
• He haputanga ectopic pakaru
• Tetahi momo aituā (Whara)
• Pakaru o te ate
• Pakaru o te aneurysm o te aorta puku

2. Ngā mate urutā

Ka taea te mamae ohorere o te puku e ngā mate maha:

• Āpenikā - te āpenikā e mōhiotia ana e tātou katoa
• Kore-tūroro
• Te mate pukupuku peptic (ngā mate pukupuku o te puku, o te whekau iti rānei)
• Pancreatitis whakapeka
• Te mate urutā o ngā wāhanga o te whekau nui (Diverticulitis)

3. Te aukati i te rere o te toto (Ischemia)

Ka puta te ischemia ina whakaitihia, ina mutu rānei te rere o te toto ki tētahi wāhanga o te tinana.

• Te mate a Buerger
• Te mumura o te whekau nui (Colitis)
• Te aukati i ngā oko toto e tuku ana i te toto ki ngā whekau (Mesenteric ischemia)
• Hernia kua werohia
• Te hurihanga o te hope

4. Ngā aukati

Ko te aukati ko te wā e mau ai tetahi mea ki roto i te ara nakunaku, e kore ai e tika te haere o te kai me ngā wai e kainga ana e tātou mā roto.

• Te mate puku mumura (IBD)
• Te whakaurunga o te puku ki roto i te uaua (intussusception)
• Te aukati i te whekau iti
• Te aukati i te whekau nui

5. Ngā poka

Koinei te mea ka tupu ina puta he kōhao i roto i ngā pakitara o ngā whekau o tō tātou tinana.

• Te pakaru o te esophageal (Boerhaave's syndrome)
• Te pokanga o te puku
• Mate puku poka
• Te huringa hē o ngā whekau

Ngā take kāore e hiahiatia ana te pokanga i te nuinga o te wā

Kāore e hiahiatia he pokanga mō ēnei take o te mamae o te puku. Tērā pea ka puta mai i ngā mate endocrine me ngā mate pākia o te tinana, ngā mate toto, me ngā paitini, ngā rongoā rānei.

1. Ngā mate endocrine me ngā mate metabolic

Koinei ngā take e pā ana ki ngā homoni, ngā matū, me ngā repe o te tinana (pūnaha Endocrine).

• Te pikinga o ngā taumata urea i roto i te toto (Uremia)
• Te ketoacidosis e pā ana ki te mate huka (DKA)
• Te mate a Addison
• Te porphyria whakapeka whakapeka

2. Ngā mate toto

Koinei ngā mate e pā ana ki ō tātou toto, ki ngā pūtau o roto i ō tātou toto, ki ngā kōpū lymph, ki te hinu wheua, me ngā pereti toto.

• Mate pūtau hāripiri
• te mate pukupuku nui
• Ētahi mate ira
• Te mate toto iti

3. Ngā paitini

Ka taea hoki e ētahi rongoā, matū, me ngā paitini mai i ngā ngau a ngā kararehe te whakapouri ohorere i te puku.

• te paitini mata
• Ētahi atu haurangi whakarewa taumaha
• Te tango i te nikotīni
• Te paihana ngau a te pūngāwerewere pango
• Ko ētahi werohanga o te kopiona

Me pēhea te tautuhi i tēnei mamae ohorere o te puku (Acute Abdomen)?

Ki te haere koe ki te rūma whawhati tata (ETU) me te mamae nui o te puku, ka tere te rapu a ngā tākuta me ngā nēhi i te take o te mamae. Ka pātai atu te tākuta ki a koe i ētahi pātai:

• Tō hītori hauora: Ngā raruraru GI o mua me ētahi atu mate.
• Kei hea tonu te mamae: He mamae kei tētahi wāhi o te puku.
• Te wā i tīmata ai te mamae me te whakaahuatanga o te mamae: Nōnahea i tīmata ai, ā, he aha te momo mamae (mamae, motu, kōpeke).
• Me aha koe ki te whakaiti i te mamae, me te aha hoki hei whakanui ake i tōna mamae?
• Kua pāngia koe e ngā tohu pēnei i mua?
• He āhuatanga hou kei reira?
• He aha ngā rongoā (ngā rongoā kua tohua e te tākuta me ngā rongoā kāore i tohua e te tākuta) e tangohia ana e koe?
• Kua mahia e koe ētahi pokanga puku i mua?
• Kua pā mai ētahi huringa hou ki ō tikanga mahi puku, mahi mimi rānei?

Waihoki, ka pātai atu rātou mēnā kei te hapu koe, mēnā rānei kei te tūpono koe ki te hapu.

Kātahi ka tirotirohia e te tākuta tō puku, inā koa tō puku. Ka tirohia e ia te kiri o tō puku mō ngā āhuatanga rerekē e kitea ana. Ka whakamahia e ia he stethoscope hei whakarongo ki ngā tangi o ō whekau. Kātahi ka pākia tō puku mō ngā mamae, ngā puku rānei.

Mā te wāhi o tō mamae ka āwhina i tō tākuta ki te whakatau i te pūtake o tō mamae. Hei tauira, ko te mamae o te diverticulitis acute ka kitea i te taha maui o raro o tō puku, ko te mamae o te cholecystitis ia ka kitea i te taha matau o runga o tō puku.

Mena kei te whakapaehia he raruraru nakunaku, he raruraru repeure rānei, ka taea te whakahaere i tētahi whakamātautau matihiko mō te repe. Mena kei te whakapaehia he raruraru wahine, ka taea te whakahaere i tētahi whakamātautau hope. Mena kei te whakapaehia he takahuri te testis, ka taea te whakahaere i tētahi whakamātautau testis.

I runga i ō whakautu ki ēnei pātai me ngā kitenga mai i te whakamātautau tinana, ka taea e te tākuta te mōhio he aha te mate. I runga i tēnā, ka whakatau ia he aha ngā whakamātautau tātaritanga hei mahi.

He aha ngā momo whakamātautau e mahia ana mō tēnei?

I ētahi wā, ki te taea e tō tākuta te tautuhi mārama i te pūtake o ō tohumate, ka taea pea e ia te tuku tika atu i a koe ki te pokanga me te kore he whakamātautau anō. Heoi, ki te kore koe e tino mōhio ki te pūtake o tō mate, me mahi pea koe i ētahi whakamātautau hei whakaū i te mate. Ko ngā whakamātautau me mahi e koe ka whakawhirinaki ki ngā mea ka kitea e koe i roto i tō whakamātautau tinana me te mate e whakapaetia ana.

Ko ngā whakamātautau toto me te mimi (ngā whakamātautau taiwhanga) ka uru atu ki:

• Te tatau toto katoa (CBC)
• Te papatohu pākia whānui (CMP)
• Whakamātautau hau toto uaua (ABG)
• Whakamātautau amylase
• Ngā whakamātautau mahi ate
• Ngā whakamātautau mahi whatukuhu
• Te tātaritanga mimi

Ko ngā whakamātautau whakaahua pea ko:

• Te tirotiro i te puku
• Tomography rorohiko o te puku (matawai CT)
• Te orooro endoscopic

Me pēhea te rongoā i tēnei mamae puku ohorere (Acute Abdomen)?

He rerekē te maimoatanga i runga i te take . Ahakoa te take, he mea nui kia tātaritatia te mate me te tīmata wawe tonu i te maimoatanga. Mena e hiahiatia ana he pokanga ohorere, ka tukuna wawetia koe e te tākuta ki te taote pokanga mō ngā tohutohu, ā, ka haria pea koe ki te whare pokanga.

Mena ehara i te pokanga te take o te mamae ohorere o te puku, ka tūtohuhia pea ēnei maimoatanga e whai ake nei:

• Te whakaū me te aroturuki i ō tohu ora.
• Te whakarato i te tinana ki ngā wai me ngā electrolytes e hiahiatia ana.
• Te hoatu i ngā paturopi whānui-ahurea.
• Te hoatu i ngā rongoā whakamamae.
• Te hoatu i ngā rongoā ārai-puku hei whakaiti i te ruaki me te whakapairuaki.

Ka aha mēnā ka pā mai he mamae ohorere ki tōku puku (Acute Abdomen)?

Ko tō matapae ka whakawhirinaki ki te pūtake o te mate. Ko te wawe o tō maimoatanga, ko te nui ake o te tūponotanga o tō ora.

Ki te kore e rongoatia te mamae ohorere o te puku, ka puta pea ngā raruraru kino. Ko ētahi o ēnei:

• Ngā hononga rerekē i waenga i ngā wāhanga o te tinana kāore e tika kia honoa tetahi ki tetahi (Fistula).
• Te mate pukupuku o ō whekau.
• Te paihana toto (Sepsis).
• Ka taea anō te mate.

Nō reira, ki te pāngia koe e te mamae puku ohorere, kaua rawa e warewaretia. Ko te mea pai ko te rapu tohutohu hauora tonu.

Ka taea e au te ārai i tēnei mamae puku ohorere (Acute Abdomen)?

He maha ngā take o te mamae ohorere o te puku, he uaua ki te ārai i ēnei katoa. Heoi, ka taea e koe te whakaiti i tēnei mōrearea mā te whai i tētahi momo noho hauora . Ko te tikanga:

• Te kai i tētahi kai taurite.
• Te whakakorikori tinana i ia wā, i ia wā.
• Te haere ki ngā tirotiro hauora auau.
• Te whakamutu i te momi hikareti.

Āhea ahau me toro atu ki te tākuta?

Mena kei te mamae tonu tō puku, arā, kua roa te mamae e mau ana, ā, kāore e pai haere ana, me toro atu koe ki te tākuta. He maha ngā take o te mamae o te puku. Ka taea e te tākuta te tātaritanga i tō āhua me te tūtohu i te maimoatanga tika.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te pāngia koe e te mamae puku ohorere, nui, waea atu ki te 911 (1990 i Sri Lanka) tonu atu, haere rānei ki te rūma whawhati tata. He mate morearea tēnei, nō reira he mea nui te maimoatanga tere.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena ka pāngia koe e te mamae ohorere o tō puku, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He aha i pā whakarere mai ai tēnei mamae o tōku puku?
• Me whai atu anō rānei he maimoatanga?
• He aha taku e taea ai te ārai i tēnei mea kei puta anō?
• He aha te rerekētanga i waenga i te mamae puku whakapeka me te mamae puku mau tonu?

Tata ki te katoa ka pāngia e te mamae puku i tētahi wā o ō rātou oranga. I te nuinga o te wā, kāore i te kino, ā, ka memeha noa iho. Heoi, ko te mamae puku nui he tohu pea nō tētahi āhuatanga ohorere hauora. Ki te pāngia koe e te mamae puku nui, he mea nui kia haere tonu koe ki te rūma ohorere. Mā tēnei, ka taea e ngā tākuta te kimi i te pūtake o tō mamae, ā, ka tīmata tonu te maimoatanga. Ki te kore e rongoatia, ka taea e te mamae puku nui te arahi ki ngā raruraru nui.

Kia maumahara ki te mea tino nui (Karere hei kawe ki te kāinga)

Kaua rawa e warewarehia te mamae puku ohorere, nui. Tērā pea he tino take nui kei roto. Nō reira, ki te pāngia koe, tetahi rānei e mōhio ana koe e te mamae puku nui, rapua tonutia he awhina hauora . Ka taea e te maimoatanga tere te whakaora i te ora. Mā te noho hauora ka taea hoki te tiaki i a koe mai i ēnei mate ki tētahi taumata. I runga ake i ngā mea katoa, tiakina tō tinana, ā, kia aro ki ngā mea rerekē katoa.

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