I te wiki kua taha ake nei, i te mutunga o taku whare hauora, ka tomo mai tētahi taitama 19-tau te pakeke ki te whare hauora, e pupuri ana i tōna puku me te aue. Ko Tharindu tōna ingoa. I uaua a Tharindu ki te tū tika.
"E Tākuta Priya, i te pō nei i pā mai he mamae iti ki taku pito. Engari mai i tēnei ata, kua neke te mamae ki te taha matau o raro o taku puku, ā, kāore e taea te whakamanawanui. Kei te ruaki hoki ahau, ā, kei te pā mai hoki te kirika," te whakamārama a Tharindu me te uaua.
I taku whakatakoto i a Tharindu ki runga i te tēpu whakamātautau, me te pēhi mārie i te taha matau o tōna puku (McBurney's Point), ka hamama ia i te mamae.
I mea tonu atu ahau, "E Taridu, ehara i te mamae puku noa iho tōu. He apendicitis acute tēnei. Nā te mea kua pangia, kua pupuhi hoki te apendicitis , he ngongo iti rite ki te matihao i te tīmatanga o tō tātou whekau nui. Me whakarite koe mō te pokanga i tēnei wā tonu. Nā te mea ki te kore e tangohia wawetia, ka pakaru pea te apendicitis i roto i te puku."
🚨 Ngā tohu whero e hiahia ana kia haria wawetia ki te hōhipera
He mate ohorere te apendiks e hiahia ana kia tere te aro atu ki te taote. Mēnā ka pāngia koe e ēnei tohu, me haere tonu koe ki te wāhanga ohorere o te hōhipera nui e tata ana ki a koe, nā te mea kua pakaru pea te apendiks:
- Ka horapa ohorere te mamae o te puku matau o raro ki te puku katoa (he tohu matua kua pakaru te apeni).
- Te kirika nui me te wiri me te ruaki tonu.
- Ka pēpeke te puku, ka pupuhi, ka mamae hoki, ā, kāore e taea te pā atu.
- Te tere o te ngakau, te uaua ki te manawa, me te ngoikore.
He aha te take e puta ai te apendisitis?
He ngongo iti te apeniti e kati ana i tetahi pito, kei te taha matau o raro o tā tātou pūnaha nakunaku.
Ki te āraia tēnei ngongo e te paru (fecalith), e te mate huaketo, e te mate kitakita rānei, e te pupuhi rānei o ngā kōpū lymph, ka tino āraia te whakatuwheratanga o te ngongo appendicitis.
Ka tere te tipu o ngā huakita i roto i te apeni kua purua, ka puta he pupuhi nui kua ki tonu i te hū. Ka tapahia te rere o te toto ki te wāhi, ā, ka mutu ka pakaru te apeni, ka pakū. Kātahi ka horapa te hū me te huakita puta noa i te kōhao puku, ka puta he mate huakita morearea e kiia nei ko te peritonitis .
Te tauira motuhake e puta ai ngā tohu
He rerekē te āhua o te mamae o te apendisitis i te mamae puku noa:
1. Te tīmatanga: Ka puta tuatahi te mamae hei mamae ngawari i waenganui o te puku, huri noa i te pito o te puku.
2. Te horapa: I roto i ētahi haora, ka neke te mamae ki te taha matau o raro o te puku.
3. Te pikinga ake:Ka piki ake te mamae i te wā e maremare ana, e hikoi ana, e pā ana ki te whenua, e pēhi ana rānei i te taha matau o te puku me te tango i te ringa (he mamae anō kei te taha maui).
4. Ngā tohu tāpiri: Te korenga o te hiahia kai, te whakapairuaki, te ruaki, me te kirika ngawari.
Te pokanga tango i te apendisitis (Te tango i te apendisitis)
Ko te rongoā tuturu anake mō te apendicitis ko te tango pokanga i te apendicitis kua pangia. Ka kiia tēnei pokanga he appendicectomy .
I tēnei wā, e rua ngā tikanga pokanga matua e whakamahia ana mō tēnei:
- Pokanga Laparoscopic / Pokanga Kī: He pokanga hou e mahia ana mā roto i te toru ngā tapahi iti i roto i te puku mā te whakamahi i te kāmera me ngā taputapu ngawari. He iti noa te mamae, ā, kāore he koha. Ka taea e te tūroro te ora wawe me te hoki ki te kāinga.
- Pokanga Tuwhera: Mēnā kua pakaru te apeni, ā, kua horapa te mate puta noa i te puku, he pokanga tuku iho tēnei mā te tapahi i te taha o te puku, 5-10 cm te roa. E hiahiatia ana he wā noho hōhipera mō ētahi rā hei whakaora.
Ngā Mea Me Mahi, Ngā Mea Kaua e Mahi
| ✔️ Ngā mea hei mahi (Mahi) | ❌ Ngā mea kāore e tika ana |
|---|---|
| Ki te whakapaehia he mate puku, kati tonu te kai me te inu (Kāore e whakaaetia mā te waha). He mea nui tēnei mō te rongoā whakamoe mō te pokanga ohorere. | Kaua e tango i ngā rongoā whakamamae mamae me te kore he tohu a te tākuta hei whakaora i te mamae o te puku. Ka huna pea tēnei i ngā tohu, ā, ka whakaroa i te tautuhi mate. |
| Mēnā he mamae puku pea, me kawe tonu te tūroro ki te wāhanga whawhati tata o te hōhipera nui e tata ana. | Kaua rawa e hoatu he enema, he rongoā whakamāmā, he pounamu wai wera rānei hei whakamahana i tō puku nā te mea kei te whakaaro koe he mate puku. Ka taea e ēnei te whakanui ake i te mōrearea o te pakaru o tō apeniki. |
| Tangohia te horopeta katoa o ngā paturopi i tohua e tō tākuta i muri i te pokanga. | Kaua e hiki i ngā taumaha, e oma, e mahi rānei i ngā mahi whakakori tinana uaua mō ngā wiki tuatahi e rua i muri i te pokanga. |
❓ Ētahi atu pātai pea āu (FAQ)
He raruraru hauora kei muri i te tango i te apeni? ▼
Kāo, he okana tawhito te apeni, ehara i te mea nui ki te tinana. Ki te tangohia mai i te tinana, kāore he pānga ki te nakunaku, ki tētahi atu mahi hauora rānei mō te wā roa.
Ka taea te whakaora i te apendisitis mā te whakamahi i ngā paturopi anake ?
I ētahi wā, ka whakatau pea ngā tākuta ki te whakamahi i ngā paturopi anake mō ngā take o te apendicitis kore-raruraru, kore-raruraru rānei. Heoi, nā te mea he tino teitei te mōrearea o te hokinga mai, ko te pokanga te maimoatanga tino whai hua me te haumaru e whakaaetia ana puta noa i te ao.
Ka aha mēnā ka pahū te āpitihanga? ▼
Ki te pakaru te apeni, ka horapa te pūkahukahu me ngā huakita i roto i te puku puta noa i te kōhao puku, ka puta te peritonitis. Ka taea e tēnei te whanake hei sepsis, he āhuatanga e uru ai ngā huakita ki roto i te toto, ā, ka mate pea.
Me pēhea te wehewehe i te mamae o te puku i puta mai i te PCOS, i te mate mimi rānei? ▼
Ka pā anō hoki te mamae o te puku o raro ki ngā wāhine e mamae ana te ovarian (PCOS/Cyst rupture) me ngā mate mimi. Heoi, kāore te tauira mamae e tīmata ana mai i te pito ka horapa ki te taha matau, me ngā āhuatanga o te rebound tenderness e puta i reira, pērā i te appendicitis. Ka wehewehea tēnei mā roto i ngā whakamātautau toto me ngā matawai.
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