Kua pāngia koe e te mamae koi, ohorere i tētahi wāhi motuhake o tō puku—te momo mamae ka taea e koe te tohu ki te wāhi tika mā te ringa kotahi? He mea maori noa te manukanuka ina tupu tēnei. I tēnei rā, e hiahia ana mātou ki te kōrero mō tētahi mate kāore i te tino mōhiotia, engari he mea nui kia mōhiotia: Epiploic Appendagitis . Ahakoa he uaua te ahua o te ingoa, me wehewehe kia māmā noa iho.
Nā, he aha rawa te Epiploic Appendagitis?
I roto i ngā kupu māmā noa iho, ko te Epiploic Appendagitis te take o te mamae ohorere o te puku. Ko te tikanga o te ingoa ko te "mumura o te hononga epiploic." Inaianei, tera pea koe e whakaaro, he aha ngā "hononga epiploic"? He putea iti, kī tonu i te ngako ēnei e iri ana i te pakitara o waho o tō koroni. Whakaarohia he tautau iti, rite ki te karepe e iri ana i te taha o tō whekau nui.
Nā, he aha te mea ka tupu mēnā ka huri whakarere tētahi o ēnei putea momona ririki (he hononga epiploic)? Pērā i te ngongo wai e piko ana, ka motuhia te rere o te toto. Ki te kore taua rere o te toto, ka mumura te kiko, ka pupuhi, ka whero, ka puta te mamae i roto i tō puku.
He maha ngā wā ka puta ohorere te mamae, ā, ka taea e koe te tohu i te wāhi tika. Nā te mea he onge noa iho tēnei mate, ka taea e ngā tākuta te whakaaro he take noa iho tēnei o te mamae o te puku, pērā i:
- Āpenikiri - te mumura o te āpenikiri.
- Cholecystitis - te mumura o te gallbladder.
- Diverticulitis - he mumura o ngā putea iti o te pakitara o te koroni.
He pēhea te noa o te Epiploic Appendagitis?
He uaua ki te kī tika i tōna auau, nā te mea he maha ngā kēhi kāore pea i te tautuhia. E ai ki ngā kairangahau, tata ki te 1% o ngā tūroro i whakaurua ki te hōhipera me te mamae ohorere o te puku, ka pāngia e tēnei mate. I tua atu, kua kitea tata ki te 5% o te hunga i tautuhia tuatahitia he Diverticulitis, he Appendicitis rānei, he Epiploic Appendagitis tō rātou. Ko te tikanga o tēnei, i ētahi wā, ko te mea e wehingia ana e koe he raruraru hauora nui, he mea iti ake te kino.
He mate kino te Epiploic Appendagitis?
Koinei te wāhanga tino nui: Ko te Epiploic Appendagitis ehara i te mate kino. Heoi, nā te mea ka taea te whakapoauau ki ētahi atu mate morearea ake, me āta tātaritanga. He rerekē ki ētahi atu raruraru hauora, ka ora tonu tēnei mate me te kore he maimoatanga hauora motuhake. I roto i te wā, ka maroke te putea ngako mumura, ka whakapūmau (ka whakapakeke), ā, i te mutunga ka wehe atu i te koroni, ā, i taua wā ka memeha noa te pupuhi me te mamae.
Nō reira, kia maumahara kāore he take e mataku ai koe mēnā ka rongo koe i tēnei tātaritanga. Heoi, ki te pāngia koe e te mamae o te puku, he mea nui te rapu tohutohu hauora ngaio.
He aha te take?
E rua ngā momo matua o ngā take o te Epiploic Appendagitis: te tuatahi me te tuarua.
Ngā Take Matua
Kei roto i ēnei ngā take e ahu mai ana i roto tonu i te putea ngako.
- Te Hurihuri (Tītaha): I te nuinga o te wā (tata ki te 75%), ka puta tēnei āhuatanga i te hurihanga o te hononga. Ka tapahia e tēnei hurihanga te rere o te toto , ka mate te kiko. I roto i te reo hauora, ka kiia tēnei ko te infarction .
- Te toto totoka (te toto totoka): He tino onge, ka ārai te rere o te toto i te toto e puta mai ana i roto i te uaua o tētahi o ēnei pēke, ā, ka puta anō te hua ōrite.
Ngā Take Tuarua
He iti ake te kitea o ēnei, ā, ka puta mai ina pāngia te putea ngako e tētahi atu raruraru.
- Te horapa o te mate mai i tētahi atu wāhi: Mena he mate kei tētahi atu wāhanga o te puku, tera pea ka horapa ki te pito o te puku.
- Te pēhanga: Ka taea e te pupuhi i roto i ngā kiko e karapoti ana te pēhi i te putea, ka puta ai te riri me te mumura.
Ko wai kei te mōrearea nui ake?
E whakaatu ana ētahi rangahau he nui ake te tūponotanga o ētahi tāngata ki te whakawhanake i te Epiploic Appendagitis. Kei roto i ēnei ko:
- Te hunga momona : Mā te nui o te ngako tinana ka nui ake ngā whēkau, ka nui ake pea te mōrearea.
- Ngā tāngata whai hernia: Ko te wāhi e pana ana te kiko o roto mā roto i te pūwāhi ngoikore o te pakitara uaua.
- Ngā tāngata whai mate Diverticulosis: Mā te whai i ēnei pēke koroni ka nui ake te mōrearea.
- Te hunga e kaha ana te whakakori tinana: I ētahi wā, ka pā mai te mate nā te kaha rawa o te whakakori tinana.
- Ngā tāngata waenga-pakeke (40-50 tau): He maha ake ngā wā ka kitea tēnei mate i tēnei rōpū tau.
- Tāne: E ai ki ngā pūrongo he nui ake te kitea o tēnei mate i roto i ngā tāne i ngā wāhine.
Heoi, kāore ēnei āhuatanga mōrearea e kī taurangi ka pāngia koe e te mate, ā, ka pā pea tēnei ki te hunga kāore nei i a rātou tētahi o ēnei āhuatanga.
He aha ngā tohu?
Ko te tohu matua ko te mamae i tētahi wāhi motuhake o te puku. Ka tīmata ohorere, ā, ka roa pea mō ētahi wiki. Nā te mea he maha rawa atu ēnei āputa epiploic i ngā wāhanga o raro o te koroni, ko te nuinga o te wā ka puta te mamae i te puku o raro. Tata ki te 75% o ngā tūroro e kī ana he mamae te puku o raro, ā, neke atu i te haurua e kī ana kei te taha maui te mamae.
Ko te mamae e whakaahuatia ana penei:
- Koi: He rite ki te wero.
- Pūmau: Ka mau tonu me te piki me te heke o te kaha.
- Kaha rawa: Ka tino mamae pea.
Ka kaha ake pea te mamae i te wā e mahi ana i ngā mahi pēnei i:
- Te maremare
- Te totoro
- Te manawa hōhonu
Ko ētahi atu tohu ko:
- Te Tiaki: Tērā pea ka whakakorikori ā-tinana koe i ngā uaua o tō puku, ka hipoki rānei i te wāhi mēnā ka ngana tetahi ki te pā atu.
- Te ngawari o te puku: Ka kino ake te mamae ina pēhia e te tākuta te puku, ā, ka tukuna ohoreretia te pēhanga.
- He puranga e taea te pā: I ētahi wā, ka pupuhi pea te putea mumura, ā, ka taea te pā he puku iti ki te mata o te puku.
Ki te pāngia koe e te mamae nui o te puku, e te mamae tonu rānei, kaua e warewaretia. Tena koa whakapā atu ki te hōhipera tata, ki ngā ratonga ohorere rānei, kia whiwhi ai koe i tētahi aromatawai ngaio mai i te tīma o Nirogi Lanka, i tō kaiwhakarato hauora ā-rohe rānei.
Ka taea e ēnei tohu te whakatauira i ngā āhuatanga pēnei i te appendicitis, te cholecystitis, me te diverticulitis. Heoi, ko ēnei āhuatanga ka haere tahi me ngā tohu tāpiri pēnei i te kirika, te whakapairuaki , me te ruaki . Mena kei te pāngia koe e te mamae nui i tētahi wāhi motuhake o tō puku engari kāore i te kitea ēnei tohu pūnaha pēnei i te kirika, te ruaki rānei, ka whakaarohia pea e tō tākuta te epiploic appendagitis hei tātaritanga pea.
Me pēhea te tautuhi i tōna mate?
Ka taea e te tohunga hihi-X te tautuhi mārama i te apendagitis epiploic mā te matawai ultrasound, te matawai CT rānei (matawai tomography rorohiko)Kāore e kitea he āputa epiploic hauora i roto i ēnei karapa, engari ka tino kitea te āputa mumura. Nā te mea ka puta te wai i te mumura, ka kanapa ake, ka kitea nuitia rānei i te whakaahua. I te nuinga o te wā ka puta he puranga porowhita kei te wāhi tonu e pāngia ana e te mamae.
He aha ngā maimoatanga pai rawa atu?
Ko te tikanga, ka tīmata ngā tākuta mā te tohu i ngā rongoā ārai-mumura kore-steroidal (NSAID) , pērā i te ibuprofen, hei āwhina i te whakaiti i te mumura me te whakahaere i te mamae. Mēnā e tika ana, ka taea te whakarato i ētahi atu rongoā hei whakaora i te mamae. He tere te kitea e te nuinga o ngā tūroro he whakaora nui mā ēnei rongoā. Ki te kore e pai ake, he onge noa iho te hiahia ki te pokanga hei tango i te āputa ngako mumura.
Kia pēhea te roa o te wā e ora ai i te mate epiploic appendagitis?
Ahakoa kāore he maimoatanga, kāore e roa ake ngā tohu o te epiploic appendagitis i te wiki, engari i ētahi wā, ka roa pea mō te whā wiki. Heoi, mā te rongoā, ka taea e koe te tumanako ka tīmata te whakapai ake i ō tohu i roto i ētahi rā. Kāore he take e manukanuka nui ai.
Āhea te wā e hiahiatia ai te pokanga?
He tino onge te pokanga mō te epiploic appendagitis. Heoi, ki te kore ō tohu e pai ake, ki te kore rānei e tino mārama te tautuhi, me tirotiro pea tō tākuta i tō puku kia kitea ai te tino pūtake o te mamae tonu.
Hei mahi i tēnei, ka whakamahia e rātou tētahi tikanga iti rawa te whakaekenga e kiia nei ko te laparoscopy. I roto i tēnei pokanga, ka mahia e te taote pokanga kia toru, kia whā rānei ngā tapahi iti (tata ki te hawhe inihi te rahi o ia tapahi) ki roto i tō puku, ā, ka whakauruhia he laparoscope, he kāmera iti nei. Mā ngā whakaahua i runga i te aroturuki, ka whakamahia e rātou he taputapu angiangi mā roto i ngā tapahi hei tango haumaru i te āputa ngako mumura.
Ngā whakaaro whakamutunga mō tēnei āhuatanga
He mamae, he āwangawanga hoki te apendagitis epiploic, engari i te nuinga o te wā, ehara i te mea hei mataku. Kāore i rite ki te apendagitis mumura, te pūkahukahu, te diverticula rānei, kāore he mōrearea o te pakaru o te apendage epiploic. I te nuinga o te wā, ka memeha noa te mumura, ka ea te kiko ngako, ā, ka ora te raruraru i roto i te wiki.
He hononga kei waenganui i te mate puku epiploic me te mate pukupuku?
Ki te mōhio o te hauora, kāore he hononga i waenga i te mate puku epiploic me te mate pukupuku. Kaua e manukanuka ki tēnei.
He kai hei kai, hei karo rānei hei ārai i tēnei?
Kāore he hononga e mōhiotia ana i waenga i te epiploic appendagitis me tō kai. Nō reira, kāore he kai motuhake me kai e koe, me karo rānei hei ārai i tēnei mate.
Ki te kitea he mate pūkahukahu epiploic koe, koinei pea te wā tuatahi me te wā whakamutunga ka pā mai ki a koe. Tērā pea ka āwangawanga koe mō te mamae ohorere, ā, ka toro atu koe ki te tari whawhati tata, me te mataku pea kei hiahiatia he pokanga nui. Heoi, he tino māmā te maimoatanga mō te mate pūkahukahu epiploic, ā, he onge te hiahia ki te pokanga. Tērā pea ka hoki koe ki te kāinga me tētahi kōrero ahurei hei whakapuaki ki ētahi atu kāore anō kia rongo mō tēnei mate.
Karere Tangohia ki te Kāinga
- Ko te apendagitis epiploic he mamae puku ohorere e puta mai ana i te miro me te mumura o tētahi putea momona iti e piri ana ki tō koroni, ka tapahia ai te rere o te toto.
- Ahakoa e pōhēhētia ana ki ētahi atu mate pēnei i te apendicitis , kāore e puta mai ngā tohu ā-tinana pēnei i te kirika, te ruaki rānei.
- Ehara i te mate e morearea ana, ā, ka ora ake i roto i te wiki, i ngā wiki e rua rānei.
- Ko te nuinga o te maimoatanga he whakaora mamae me ngā rongoā ārai-mumura (NSAID). He mea tino onge noa te mahi pokanga.
- Ahakoa rā, ki te pāngia koe e te mamae ohorere o tō puku, me rapu tonu i te awhina hauora,nā te mea he tohu pea tēnei mō tētahi atu mate kino.
Ko tāku tumanako ka mārama ake koe ki te mate epiploic appendagitis nā tēnei. Kia ora tonu koe ki Nirogi Lanka!
