ʻO ka Appendicitis - Nā Hōʻailona a me nā ʻŌuli, nā Kumu, ka ʻIke a me ka Lāʻau

Overview 

He ʻeke like me ka manamana lima ka ʻāpiki i hoʻopili ʻia ma ka hoʻomaka ʻana o ka ʻōpū nui a ʻaʻohe kumu i ʻike ʻia i loko o ke kino kanaka. ʻO ka ʻāpiki ke ʻano like o kahi ʻāpiki mumū i piha i ka pus e hōʻeha ai i ka ʻeha hiki ʻole ke hoʻomanawanui. Hoʻopili ʻia ka ʻeha ma ka ʻōpū ʻākau lalo. I kekahi mau hihia, hoʻomaka ia a puni ka piko. I ka piʻi ʻana o ka mumū, lilo ka ʻeha i mea koʻikoʻi, a lilo ka ʻāpiki i mea koʻikoʻi. ʻO ka hapa nui o kēia poʻe i hoʻopilikia ʻia e kēia ʻano ma waena o 10 a me 30 mau makahiki. No laila, e nānā pono kākou i ke ʻano o ka ʻāpiki maoli. 

He aha ka ʻōpū? 

He pilikia olakino ka ʻōpū ʻeha e pono ai ka nānā koke ʻana. ʻO ia kekahi kumu maʻamau o ke ʻoki ʻana i ka ʻōpū. Hiki ke loaʻa ka ʻōpū ʻeha i kēlā me kēia makahiki a pili like i nā kāne a me nā wahine. Eia nō naʻe, ʻoi aku ka nui o ia mea i nā kāne he 15 a 25 mau makahiki. Ua hōʻike ʻia nā noiʻi hou i ka emi ʻana o ka nui o nā hihia o ka ʻōpū ʻeha ma nā ʻāina komohana. ʻOi aku ka haʻahaʻa o ka nui o nā hihia ma nā ʻāina ʻAsia a me ʻApelika. Akā, ʻaʻole i loaʻa nā helu maoli mai kēia mau ʻāina. Haʻahaʻa ka nui o ka ʻōpū ʻeha ma nā moʻomeheu kahi e ʻai mau ʻia ai ka meaʻai kiʻekiʻe i ka fiber.

Hiki mai ka ʻōpū i ka wā e paʻa ai ka ʻōpū i ka wā e hoʻopilikia ai a pehu ai. Lilo ka ʻōpū i ka pehu, ka maʻi, a me ka ʻeha i kēia kūlana. Hiki i ka pehu ke laha i nā ʻano kino e hoʻopuni ana i ka ʻōpū.

Hiki i ka ʻeha a me nā hōʻailona hopena ke hoʻohālike i nā kūlana ʻē aʻe e like me nā maʻi ʻaʻai mimi a i ʻole nā ​​ʻōpū ʻōpū. Eia nō naʻe, he kūlana pilikia ka appendicitis e pono ai ka mālama koke ʻana. Hilinaʻi nui ka ʻike ʻana o ka appendicitis i ka ʻike o ke kauka. Hana ʻia ka ʻike mai nā hōʻailona kino o ka mea maʻi a me nā noiʻi. ʻO ka ʻeha ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū ka hōʻailona maʻamau e pili ana me ka appendicitis. Nā noiʻi e like me ke kaha a ua hana ʻia nā hoʻokolohua hoʻokolohua no ka loiloi hou aku a me ka nānā pono ʻana i ka appendicitis. ʻO ka mālama ʻana i ka appendicitis e pili ana i nā lāʻau lapaʻau e kāohi i ka maʻi a me ka wehe ʻana i ka appendix ma ke ʻoki ʻana. ʻO ka wehe ʻana i ka appendix ma ke ʻoki ʻana ua kapa ʻia ʻo appendicitis he appendectomy. Inā lohi ka mālama ʻana i ka appendicitis, hiki i ka mea maʻi ke loaʻa nā pilikia e like me ka perforation, abscess, a me ka maʻi maʻi maʻiʻO ka mea pōmaikaʻi, hiki i kekahi ke ola me ka ʻole o ka appendicitis. 

ʻO ka appendicitis i nā keiki 

ʻOiai hiki i kekahi ke loaʻa i ka appendicitis, ʻaʻole emi ka nāwaliwali o nā keiki ma mua o nā pākeke. He mea maʻamau kēia maʻi i waena o nā makahiki 15 a 30. Inā loaʻa i kahi keiki a ʻōpio paha ka appendicitis, e ʻike pinepine ʻia ka ʻeha ma ka ʻōpū kokoke i ka piko. Hiki ke koʻikoʻi ka ʻeha a neʻe i ka ʻaoʻao ʻākau haʻahaʻa o ka ʻōpū me nā hōʻailona penei: 

• ʻO ka wai
• Ke kūkulu nei a wela
• Manaʻo nausea
• Ka nalowale ʻana o ka makemake 

He mea nui e mālama i kāu keiki inā manaʻo kāu kauka he appendicitis kāu keiki. Inā ʻaʻole i ʻike ʻia i loko o 48 mau hola, aia kahi manawa e pahū ai ka appendix o kāu keiki, e pālahalaha, a e hoʻonui nui. Manaʻo mau ʻia e nīnau i kāu kauka inā e hoʻopiʻi ana kāu keiki i nā hōʻailona like me ka appendix, e like me wela, ka luaʻi ʻana, a me ka makemake ʻole i ka ʻai, no ka mea, he nui nā hopena e maikaʻi ʻole paha no kāu keiki. 

Ke lawe koke ʻoe i ke keiki i ke kauka, hiki i ke kauka ke ʻike i nā hōʻailona a hana i kāu keiki i kekahi mau hoʻokolohua e like me: 

• C scan
• 'Ohanahana
• Hoʻāʻo kiʻi
• Hōʻike koko
• Hōʻike mimi 

Aia paha kekahi mau hoʻokolohua ʻē aʻe e kōkua i kāu kauka e hoʻomaopopo i ke kumu o nā hōʻailona o kāu keiki. 

Nā kumu

I kekahi mau hihia, ʻaʻole ʻike ʻia ke kumu kikoʻī o ka appendicitis. Ma ke ʻano laulā, hana ʻia ka appendicitis ke loaʻa kahi paʻa i loko o ka appendix. ʻO kēia paʻa a i ʻole ke keakea ʻana i loko o ka uhi o ka appendix e hopena i ka maʻi. Hoʻomaka ka bacteria e hoʻonui koke, e hoʻopū ai i ka appendix, pehu, a piha i ka pus. Inā ʻaʻole i hāʻawi koke ʻia ka nānā ʻana, hiki ke alakaʻi i ka haki ʻana o ka appendix. Hiki i nā kumu like ʻole ke ālai i kāu appendix, e like me:

• ʻO ka maʻamau, ʻo ka appendicitis ka hopena o kahi ālai ʻia o ka appendix e ka ʻōpala, ka stricture (ka haiki ʻana), ke alo o nā mea ʻē, nā ilo, ka hoʻonui ʻia ʻana o ka ʻiʻo lymphoid, nā maʻi, nā ʻeha, a me nā puʻupuʻu.
• ʻO ke alo o ka ʻōpū fecal, ke kino haole, a i ʻole ka maʻi viral e hoʻoulu ai i ka pehu a me ka huhū i loko o ka appendix. ʻO ka paʻa ʻana i loko o ka appendix e hoʻonui ai i ka hana mucus, kahi e hoʻokau ai i ke kaomi nui ma nā paia o ka appendix. ʻO ke kaomi kiʻekiʻe ma ka paia luminal o ka appendix e hoʻoulu ai i ka thrombosis (hoʻokumu ʻia ʻana o kahi ʻōpū koko) o nā kīʻaha koko liʻiliʻi.
• ʻO ka maʻamau, aia kekahi mau ʻiʻo lymphoid i loko o ka ʻili o loko o ka appendix. He mau hōʻiliʻili kēia o nā pūnaewele pale i kapa ʻia he lymphocytes. Hiki i kēia mau ʻiʻo lymphoid ke hoʻonui ʻia i nā maʻi o ka ʻōpū e like me ʻo ka maʻi palupalu maʻi, Waimānalo, amoebiasis, a me nā maʻi viral. Hiki i kēia ke hana i ka paʻa ʻana o ka appendix.
• Hiki i nā parasites e like me nā threadworms a me nā flukes ke hana i ka paʻa ʻana o ka appendix. Ua hōʻike ʻia hoʻi ka paʻa ʻana o ka appendix i nā ʻeha e like me nā ʻeha pū i ka ʻōpū a me kahi mea hana pale intrauterine i waiho hewa ʻia e like me CuT. Nā maʻi e like me tuberculosis a hiki i nā maʻi ʻaʻai ke hopena i ka appendicitis.
• Hoʻemi ke kaomi e piʻi nei i ke kahe koko i nā ʻiʻo. Pono ka lako koko kūpono no ka noho olakino ʻana o nā cell. ʻO ka nele o ka lako koko ke kumu o ka make ʻana o nā cell a me ka necrosis o ka appendix.
• Ke hana ʻia kēia, hiki i ka bacteria ke hoʻonui i loko o ka ʻōmole o ka appendix i ālai ʻia. I ka hoʻonui ʻana o ka bacteria, hōʻiliʻili nā cell immune a me nā cell inflammatory e like me nā keʻokeʻo koko (WBC) ma kahi o ka maʻi, a ʻo ke kaʻina holoʻokoʻa ka hopena o ka mumū.
• Hiki i ka mumū ke hoʻoulu i ka ʻāpiki e pehu a lilo i ʻeha. Hiki iā ia ke laha i nā ʻiʻo a me nā hale e hoʻopuni koke ana i ka ʻāpiki a hoʻoulu i ka maʻi. thrombosis, a me ka nekrosis.
• Inā ʻaʻole mālama ʻia, e pahū (perforate) ka appendix i loaʻa i ka maʻi a i ʻole ka mumū, e ninini ana i ka mea maʻi i loko o ka lua ʻōpū a hopena i ka peritonitis. I kekahi manawa, hoʻokumu ʻia kahi abscess piha i ka pus (kahi ʻeke o ka pus i kūkulu ʻia i loko o nā ʻiʻo) ma waho o ka appendix i mumū. Ma muli o kēia mau pilikia, he kūlana pilikia ka appendix e pono ai ke wehe koke ʻana i ka appendix.

Ōuli

Hoʻokumu nā hōʻailona o ka appendicitis i kahi triad maʻamau o ka ʻeha ʻōpū, ka luaʻi, a me ke kuni. Akā, ʻaʻole paha e hōʻike ʻia kēia hōʻike maʻamau i nā hihia āpau.

ʻO ka ʻeha o ka ʻōpū ka hōʻailona maʻamau o ka appendicitis. ʻO ka maʻamau, hoʻomaka ka ʻeha ma waenakonu o ka ʻōpū a ma hope e neʻe i ka ʻaoʻao ʻākau haʻahaʻa, kahi i loaʻa pinepine ai ka appendix. Hiki ke ʻoi aku ka ʻeha inā e kaomi ʻia kahi i loaʻa ai ka appendix a i ʻole i ka wā e ʻū ana a hele wāwae paha. I ka appendicitis ʻoi, ʻike ka mea i hoʻopilikia ʻia i ka ʻeha nui e hoʻoulu ai iā ia e kūlou i kona kino ma ka pelu ʻana i kona mau wāwae i ka umauma.

ʻOkoʻa loa ke kūlana anatomical o ka appendix ma waena o kēlā me kēia kanaka. Hiki ke ʻokoʻa ke wahi o ka ʻeha e pili ana me ka appendix a me nā hōʻailona pili. Hiki i kahi appendix pehu kokoke i ka ʻōpū mimi ke hoʻonāukiuki i ka ʻōpū mimi a hōʻeha i ka mimi. Inā hoʻolōʻihi ka appendix ma hope, hiki i ka mumū ke hoʻonāukiuki i nā aʻalolo a me nā ʻiʻo ma hope a hōʻeha i ka hele wāwae.

ʻO nā hōʻailona ʻē aʻe o ka appendicitis 

• kuni
• ʻO ka naʻi a me ka luaʻi
• Pau ka maʻi
• ʻEha a puni ka piko
• ʻO ke koko
• ʻO ka mimi pinepine a me ka ʻeha

ʻOkoʻa nā hōʻailona o ka appendicitis i nā kānaka like ʻole, a ʻo ka lōʻihi o ka mumū ke kumu e ʻokoʻa ai nā hōʻailona. Ma muli o ka lōʻihi o nā hōʻailona a me ke alo o nā pilikia, hiki ke hoʻokaʻawale ʻia ka appendicitis i ka acute, chronic, recurrent, a complicated paha.

Acute appendicitis

Hoʻomaka ka ʻōpū ʻeha (acute appendicitis) ke ʻike koke ʻia nā hōʻailona me ka ikaika nui. He 24 a 48 mau hola ka lōʻihi. ʻO kēia ke kumu maʻamau no ke ʻoki ʻana i ka ʻōpū i ka ʻōpū.

ʻO ka appendicitis mau loa

Hana ʻia ia i ka wā e noho mau ana ka mumū o ka appendix ʻaʻole i ʻike ʻia, a mau nā hōʻailona a hiki i 3 mau pule. Hiki ke ʻike ʻia nā hōʻailona a nalowale. ʻO ka maʻamau, ʻike ʻia ka appendicitis mau loa i ka wā e piʻi ai ka ikaika o ka ʻeha a hōʻike ka mea maʻi e like me ka mea e hana ai ma ka appendicitis koʻikoʻi.

ʻO ka Appendicitis hou

Hoʻomaopopo ʻia ia ke loaʻa i ka mea maʻi nā manawa he nui o ka ʻeha o ka ʻōpū haʻahaʻa ma muli o ka appendicitis.

ʻO ka appendicitis paʻakikī

Inā ʻaʻole mālama ʻia, e pahū a puka paha ka ʻōpū i loaʻa i ka maʻi a i ʻole ka mumū, e ninini ana i ka mea maʻi i loko o ka lua ʻōpū. Hiki mai ka ʻōpū paʻakikī ke pahū ka ʻōpū ma muli o ka piʻi ʻana o ke kaomi i loko a i ʻole ke nalowale ke koko o ka ʻōpū a lilo i gangrenous. Hoʻokumu ʻia kahi abscess appendicular ke hōʻiliʻili ka pus i loko o kahi ʻeke ma kahi kokoke i ka ʻōpū.

Hiki i kahi ʻōpū me kahi abscess ke puka a pahū paha. Hiki i ka mea maʻi ke pālahalaha i loko o ka lua o ka ʻōpū a hoʻoulu i ka peritonitis (ka mumū o ka paia o loko o ka ʻōpū).

Hiki i kekahi mau kūlana ʻē aʻe ke hoʻohālike i nā hōʻailona o ka appendicitis. 

• Nā maʻi o ka ʻōpū a me nā ʻano a puni
• Nā pōhaku i loko o ke ala mimi
• Nā maʻiʻeha o ka Urinary
• Ka hopena
• Ka maʻi ʻōpū
• Pōhaku ʻōpū a me ka maʻi maʻi

NāʻAha Nino

• makahikiʻOi aku ka nui o ka pilikia o ka appendicitis i nā ʻōpio a me nā mākua ʻōpio (15 a 25 mau makahiki).
• hoohanauʻOi aku ka nui o ka pilikia o nā kāne ma mua o nā wahine.
• HoʻoponoponoHoʻonui nā maʻi ʻōpū i ka pilikia o ka appendicitis.
• KaumahaʻO ka hōʻeha kūloko i ka appendix e hoʻonui i ka pilikia o ka appendicitis.
• ʻAi haʻahaʻa fiber: ʻO ka ʻai haʻahaʻa fiber ke kumu constipation a me kekahi o nā ʻōpala e paʻa ana i loko o ka appendix, e alakaʻi ana i ka appendicitis.

ʻike,

Hoʻoholo ʻia ka ʻike ʻia ʻana o ka appendicitis e ke kauka ma ka lawe ʻana i ka mōʻaukala o ka mea maʻi, ka hana ʻana i kahi hoʻokolokolo kino, a me ke kauoha ʻana i nā hoʻokolokolo lapaʻau.

• Ke kaulike

I ka wā o ka hoʻokolokolo kino, nānā ke kauka i nā hōʻailona koʻikoʻi e like me ke koko,, ka mahana o ke kino, ka wikiwiki o ka hanu ʻana, a me ka puʻuwai. E hana pū ke kauka i kahi hoʻokolokolo kikoʻī o ka ʻōpū a ʻimi i kahi o ka ʻeha. Loaʻa i nā maʻi me ka appendicitis ke kuni, ka piʻi ʻana o ka puʻuwai, ka ʻeha ma ka ʻōpū ʻākau haʻahaʻa, a me ka emi ʻana o ka neʻe ʻana o nā ʻōpū. Inā kānalua kāu kauka he appendicitis kou, e nānā ʻo ia no ka palupalu ma ka ʻaoʻao ʻākau haʻahaʻa o ka ʻōpū, me ka pehu a me ka paʻakikī. Ke loiloi pono ke kauka iā ʻoe ma ke kino, e kuhikuhi ʻo ia i nā hoʻokolohua e pili ana i nā hōʻailona ʻike ʻia o ka appendicitis e hoʻomaopopo i ka maʻi. Kōkua pū kēia i nā kauka e hoʻomaopopo inā he mau kumu ʻē aʻe no nā hōʻailona a me nā hōʻailona āu e ʻike nei. 

ʻAʻohe hoʻāʻo kūikawā e ʻike ai i ka appendicitis. Inā ʻaʻole ʻike ke kauka i nā kumu ʻē aʻe no nā hōʻailona a me nā ʻōuli āu i loaʻa ai, hiki iā ia ke hoʻoholo he appendicitis kou. 

• Nā Waha Lu 

Hoʻāʻo ʻia ke koko e hoʻoholo i ka helu o nā keʻokeʻo koko (WBC). ʻO ka piʻi ʻana o ka helu WBC kahi hōʻailona maʻamau o ka maʻi. Me WBC, hiki i kāu kauka ke kuhikuhi i kahi helu koko piha iā ʻoe. No ka hana ʻana i kēia hoʻāʻo, pono ʻoe e hele i kahi loea lab, a e hōʻiliʻili lākou i kahi hāpana o kou koko e kālailai a ʻike i ke kumu. 

• Hōʻike hāpai

Aia kekahi mau hihia i loaʻa ai kahi ectopic hāpai keiki ua kuhihewa ʻia no ka appendicitis. Hana ʻia ia ke hoʻokomo ʻia kahi hua manu i hoʻoulu ʻia i loko o kahi ʻōmole fallopian ma kahi o ka uterus. He pilikia olakino koʻikoʻi ia. Inā kānalua ke kauka i kēia, e noi ʻia paha ʻoe e lawe i kahi hoʻāʻo hāpai. Hiki iā lākou ke hana i kahi ultrasound transvaginal e hoʻomaopopo i kahi i hoʻokomo ʻia ai ka hua manu i hoʻoulu ʻia. 

• Hōʻike Pelvic

ʻO ka mumū o ka pelvis kekahi kumu ʻē aʻe e ʻike ai ʻoe i nā hōʻailona. ʻO ka maʻamau, hiki kēia i nā wahine wale nō. Ua kapa ʻia hoʻi he ovarian cyst ka mea e hoʻopilikia ai i kāu mau kino hānau. I loko o kēia hoʻokolokolo ʻana, e nānā ke loea hana i kou vagina, cervix, a me vulva a e nānā lima hoʻi i kāu uterus a me nā ovaries. E hōʻiliʻili lākou i kahi laʻana o nā ʻiʻo no kēia hoʻāʻo. 

Pono paha nā hoʻokolohua hale hana ʻē aʻe e hoʻopau i nā maʻi o nā ʻōpū o ka ʻōpū e like me ke akepaʻa a me nā puʻupaʻa a i ʻole e ʻike i nā pilikia. ʻO kēia mau hoʻokolohua: 

• CRP a i ʻole C-reactive Ua hoʻokiʻekiʻe ʻia ka protein i ka appendicitis paʻakikī.
• Hōʻike Mīkini hana ʻia no ka ʻike ʻana i nā maʻi o ke ala urinary a nā konāhua pohakuHiki i kēia ke hoʻohālike i nā hōʻailona o ka appendicitis. Hiki ke ʻike ʻia nā ʻāpana pus i loko o ka mimi i kekahi mau hihia o ka appendicitis. Hana ʻia kēia hoʻāʻo no ka mea hele pinepine ʻia ka appendicitis e kahi maʻi bacteria i loko o kou ala mimi, a i ʻole aia paha i loko o nā ʻōpū ʻē aʻe, kahi e hana ai i kāu mau hōʻailona a me nā hōʻailona. No ka hoʻomaopopo ʻana i kēia, e kauoha kāu kauka i kahi hoʻāʻo mimi, kahi e hōʻiliʻili ʻia e ka lab.
• Nā ho'āʻo hana hana ulu
• Hoʻāʻo Amylase e ʻike i nā maʻi o ka pancreas, hiki ke hoʻohālike i ka appendicitis.
• Hoʻāʻo kiʻi
• ʻO ka'ōpū'ōpiopioʻO ka ultrasound ka noiʻi mua o ke koho ʻana i nā poʻe maʻi i manaʻo ʻia he appendicitis. Hoʻohana kahi sociologist i kahi mīkini ultrasound e nānā i ka appendix a ʻike i ke alo o nā pilikia.
• Kāleka CTʻOi aku ka maʻalahi o ka CT scan ma mua o ka ultrasound. Hiki iā ia ke ʻike i ka appendicitis i nā poʻe maʻi e hōʻike ana me nā hōʻailona atypical a i nā hihia kahi i loaʻa ai ka appendix ma hope o ka ʻōpū nui.
• X-ray (ʻenema barium)Kōkua ia i ke kauka e nānā i ka rectum o ka mea maʻi, ka ʻōpū nui, a me ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi. Hāʻawi ʻia kahi wai i kapa ʻia ʻo barium i ka mea maʻi ma ke ʻano o ka enema rectal. A laila hana ʻia kahi X-ray o ka ʻōpū e nānā i ka ʻōpū, ka pale ʻana i ka appendix, a ʻike i ka appendix ʻaʻole i hoʻopiha. ʻAʻole hana nui ʻia kēia hoʻāʻo i kēia manawa.

Lapaʻau no ka Appendicitis

I kekahi mau hihia kakaikahi, hiki ke mālama ʻia ka appendicitis me ka ʻole o ke ʻoki kino. Akā i ka hapanui o nā hihia, pono ke hana ʻoki kino no ka wehe ʻana i ka appendix a hoʻōla ʻia ke ʻano. Ua kapa ʻia kēia ʻoki kino he appendectomy. Ma muli o kou kūlana olakino, e paipai kāu kauka i kahi hoʻolālā lapaʻau no kou appendicitis. Hiki ke lilo i hoʻokahi a ʻoi aku paha o kēia mau mea:

• Ho'āla
  No ka mālama ʻana i ka appendicitis, hana ʻia kahi hana ʻoki kino i ʻike ʻia ʻo appendectomy. Pili kēia hana i ka wehe ʻana i ka appendix. Inā pahū ka appendix, hoʻomaʻemaʻe ʻia ka lua o ka ʻōpū. ʻOiai he mau pilikia kēia ʻoki kino, ʻoi aku ka haʻahaʻa o nā pilikia ma mua o ka pilikia o ka waiho ʻana i ka appendicitis me ka mālama ʻole ʻia. Hiki ke hana ʻia ke ʻoki kino ma ke ʻano minimally invasive, e like me ka laparoscopy. I kekahi mau hihia, pono ke ʻoki kino hāmama inā pono e hoʻomaʻemaʻe ʻia ka lua o ka ʻōpū, kahi mea e pono ai inā he mau puʻupuʻu ka mea maʻi i loko o ka ʻōnaehana hoʻoheheʻe.

a) Hoʻopau ʻia ka appendectomy ākea

I ka wā o ka wehe ʻana o ka appendectomy, hoʻokahi ʻoki ʻia ʻana ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū e wehe ai i ka appendix. Eia nō naʻe, ua pani nui ʻia kēia ʻano hana e ke ʻoki laparoscopic.

b) Ka hoʻopau ʻana o ka ʻōpū ma ka laparoskopika

Pono ke ʻoki laparoscopic i nā ʻoki liʻiliʻi a ʻaʻole ia he invasive. Hana ke kauka lapaʻau i ʻekolu mau ʻoki liʻiliʻi (kēlā me kēia 1/4 - 1/2 ʻīniha) a hoʻokomo i kahi laparoscope (kahi telescope liʻiliʻi i hoʻopili ʻia i kahi kāmela wikiō) ma o kahi cannula i loko o kekahi o nā ʻoki. Kōkua ia i ke kauka lapaʻau e loaʻa kahi ʻike nui o nā ʻōpū o loko ma kahi monitor televise. Hoʻokomo ʻia kekahi mau cannulas ʻē aʻe ma o nā ʻoki ʻē aʻe, a wehe ʻia ka appendix. Pili ke ʻoki laparoscopic i nā ʻoki liʻiliʻi, a ʻoi aku ka pōkole o ka manawa hoʻōla.

Hiki ke kuhikuhi ʻia nā lāʻau ʻeha a me nā antibiotic ma hope o ke ʻoki ʻana.

He aha ka mea e pono ai i ka mea maʻi ke hana ma mua o ke hana ʻia ʻana o ka appendectomy?

Inā ua hoʻonohonoho ʻia kahi mea maʻi no ka appendectomy, pono iā ia e hahai i kēia mau manaʻo e pale aku i nā pilikia:

• Mai ʻai a inu paha i kekahi mea 8 mau hola ma mua o ke ʻoki kino.
• E hāʻawi i ka ʻike piha e pili ana i kou olakino ma mua i ke kauka lapaʻau.
• E hoʻomaopopo i ke kauka inā he maʻi kou i kekahi lāʻau lapaʻau a i ʻole latex.
• E haʻi i ke kauka lapaʻau e pili ana i nā lāʻau lapaʻau a me nā mea hoʻopihapiha āu e lawe ai.
• E hoʻomaopopo i ke kauka ʻoki inā ʻoe e lawe ana i ka aspirin a i ʻole nā ​​​​lāʻau anticoagulant, no ka mea, hoʻopilikia lākou i ke kāpili ʻana o ke koko. Hiki i ke kauka ʻoki ke noi iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau ma mua o ke ʻoki ʻana.

He aha ka mea e hana ai ka mea maʻi ma hope o ka hoʻokuʻu ʻia ʻana?

• Pono ka mea maʻi e mālama pono ma hope o ka hoʻokuʻu ʻia ʻana mai ka haukapila. Kōkua ia i ka pale ʻana i nā maʻi a hoʻoikaika i ka hoʻōla koke ʻana.
• E pale i nā hana luhi.
• E mālama i ka ʻoki i maʻemaʻe a maloʻo.
• E hoʻomaha kūpono a hiki i ka wā e aʻo aku ai ke kauka i ka mea maʻi e hoʻi i ka hana a me nā hana maʻamau.
• E kūkākūkā koke me ke kauka inā loaʻa ka maʻi i ke kuni, ka luaʻi, ka ʻeha, a me ka ʻulaʻula ma kahi i ʻoki ʻia ai a i ʻole kekahi mau hōʻailona ʻē aʻe.
• ʻO ka hoʻokele
  Inā ua pohā ka ʻōpū, a hiki i ke kūkulu ʻia ʻana o kahi ʻōpū a puni ia, pono e hoʻokahe ʻia ka ʻōpū. Hana ʻia kēia ma ke kau ʻana i kahi ʻōmole ma o ka ʻili i loko o ka ʻōpū. Hana ʻia ka ʻōpū i kekahi mau pule ma hope o ka hoʻokahe ʻana.
• Nā lāʻau lapaʻau nohona
  Ma hope o ke kāpae ʻana i ka appendectomy, pono ʻoe e hahai i kekahi mau hana e kōkua i ke kino e ho'ōla a pale i ka hoʻi hou ʻana. Pono ʻoe e pale i ka hana nui no ka wā hoʻōla mua. Pono ʻoe e kau i kahi uluna a hāʻawi i ke kākoʻo i kou ʻōpū i ka wā e ʻakaʻaka ai ʻoe a ʻū paha a i ʻole ke hana ʻoe i kekahi mau neʻe ʻana. Pono ʻoe e nīnau i kāu kauka inā ʻaʻole kōkua nā lāʻau hōʻoluʻolu ʻeha. Pono ʻoe e hoʻomaha ke manaʻo ʻoe e noi ana kou kino. Pono ka inu ʻana i nā wai he nui. Hiki i kāu kauka ke kuhikuhi iā ʻoe e lawe i nā mea hoʻohui fiber. Eia kekahi, e hoʻomaka e hoʻonui mālie i kāu hana, e like me ka hele ʻana no nā hele wāwae pōkole. E ala a neʻe wale nō ke mākaukau loa ʻoe.

Hoʻōla hou ʻia mai ka mālama ʻana o ka Appendicitis 

Nui nā kumu e hilinaʻi ai kou hoʻōla ʻana, e like me kou olakino holoʻokoʻa, inā ua kū ʻoe i kekahi mau pilikia mai ka appendicitis a i ʻole ke ʻoki ʻana, a i ʻole kekahi ʻano lapaʻau āu i loaʻa ai. Inā ua loaʻa iā ʻoe ke ʻoki laparoscopic no ka wehe ʻana i ka appendix, e hoʻokuʻu ʻia paha ʻoe mai ka haukapila i loko o kekahi mau hola ma hope o ke ʻoki ʻana. 

Akā inā ua hana ʻia ʻoe i ke ʻoki hāmama, ʻo ka manawa kūpono e pono ai ʻoe e hoʻolilo i kekahi mau lā hou aʻe ma ka haukapila, e loaʻa ana ka ho'ōla kūpono. He mea komo nui ke ʻoki hāmama i hoʻohālikelike ʻia me ke ʻoki laparoscopic, a koi ia i ka mālama hou aku ma hope.

Kāohi

ʻAʻohe ala maopopo e pale aku ai i ka appendicitis, akā hiki paha iā ʻoe ke hoʻohaʻahaʻa i ka pilikia o ka loaʻa ʻana o kēia maʻi. Ua ʻike ʻia ʻaʻole maʻamau ka appendicitis ma nā ʻāina kahi e ʻai ai ka poʻe i nā meaʻai fiber kiʻekiʻe. ʻO ka ʻai ʻana i ka meaʻai fiber kiʻekiʻe e kōkua i ke kino e hana i nā ʻōpala palupalu, kahi e emi ai ka hiki ke hoʻopilikia i ka appendix, a pēlā hoʻi, ka appendicitis. ʻO nā meaʻai waiwai i ka fiber:

• ʻAi momona kiʻekiʻeʻO ka hoʻokomo ʻana i nā meaʻai waiwai i ka fiber, e like me ka ʻuala, nā hua flax, nā ʻalemona maka, nā halo, a me nā mea ʻē aʻe, e kōkua i ka pale ʻana i ka appendicitis. ʻO ka ʻai waiwai i ka fiber e kōkua i ka pale ʻana i ka ālai ʻana o ka appendix e nā mea fecal.
• Mālama olakino kokeI ke ʻano o nā hōʻailona e hōʻike ana i ka appendicitis, ʻo ke hele ʻana i ke kauka a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau hiki ke pale i nā pilikia o ka appendicitis mai ka ulu ʻana.
• ʻO ka fiʻiliʻi Dietary ua ʻōlelo ʻia e hōʻemi i ke ālai ʻana o ka appendix e nā mea fecal. ʻO ia mau meaʻai e komo pū me nā huaʻai, nā mea kanu, ka oatmeal, ka palaoa piha, nā palaoa piha a me ka laiki ʻeleʻele, nā lentil, nā pī, nā pī i māhele ʻia, a me nā legume ʻē aʻe. 

Panina

He mea nui loa ia e nīnau aku i ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona liʻiliʻi o ka appendicitis. He kūlana kēia e hiki ke lilo koke i pilikia olakino. No laila, he mea nui ka ʻike koke ʻana i kēia kūlana koʻikoʻi a me ka hāʻawi ʻana i ka lāʻau e pono ai.

Nā nīnau i nīnau pinepineʻia (FAQ)

He aha nā hopena lōʻihi o kahi appendectomy?

ʻAʻohe pilikia lōʻihi e pili ana me ka appendectomy. Hiki iā ʻoe ke hoʻomaka hou i kāu hana 2 a 6 mau pule ma hope o ke ʻoki ʻana. Eia nō naʻe, he mea nui e hahai i kahi nohona olakino no ke olakino maikaʻi.

ʻO ke ʻoki kino wale nō ke ala e mālama ai i ka appendicitis?

ʻAʻole. Hiki ke mālama ʻia ka appendicitis liʻiliʻi me nā antibiotics a me nā mea hōʻeha ʻeha. Eia nō naʻe, pono i nā mea maʻi me ka appendicitis koʻikoʻi ke wehe ʻoki ʻia o ka appendix e pale aku i nā pilikia a me nā maʻi hou aʻe.

ʻO wai ke kauka e pono ai iaʻu e kūkākūkā me ka appendicitis?

Pono ʻoe e kūkākūkā me ke kauka, ke kauka lapaʻau laulā, a i ʻole kahi gastroenterologist no ka appendicitis.

Hiki ke loaʻa ka ʻōpū i ka wā hāpai? Inā ʻae, he aha ka lāʻau lapaʻau?

Hiki ke loaʻa ka ʻōpū ma kahi o ka lua a ʻekolu paha o ka trimester hāpai. Hiki iā ia ke kumu o ka nalowale ʻana o ka fetal ma muli o ka ʻike ʻana i nā wai maʻi. ʻO ka hōʻailona a me ka mālama ʻana e like nō ia no ka mea maʻi hāpai a i ʻole kekahi mea maʻi ʻē aʻe. Eia nō naʻe, pono ka mālama hou aku. E nānā pono ke kauka ʻoki, ke kauka lapaʻau, a me ke kauka wahine i ka mea maʻi.

He aha nā kūlana e hiki ke hoʻoulu i nā hōʻailona like me nā mea i ʻike ʻia ma ka appendicitis?

ʻO ka diverticulitis o Meckel, ka maʻi mumū pelvic (PID), nā maʻi mumū o ka ʻōpū ʻākau o luna, ka diverticulitis ʻākau, nā maʻi puʻupaʻa, a me hāpai keiki ectopic aia kekahi mau kūlana e hoʻohālike ana i nā hōʻailona o ka appendicitis.

Loaʻa i nā Halemai Apollo nā kauka lapaʻau appendicitis maikaʻi loa ma India. No ka ʻike ʻana i nā kauka appendicitis maikaʻi loa ma kou kūlanakauhale kokoke, e kipa i nā loulou ma lalo nei: