ʻO nā ʻeleʻele a me nā melena: nā kumu a me ka mālama ʻana i nā pākeke a me nā pēpē
ʻO ka loaʻa ʻana o ke koko i loko o nā ʻōpū e hāʻawi iā lākou i kahi waihoʻoluʻu ʻeleʻele, ʻeleʻele. He koko kēia e hele mai ana mai ka ʻaoʻao o luna o ka ʻōpū o ka ʻōpū, ʻo ia hoʻi, mai ka esophagus, ka ʻōpū a me ka ʻōpū liʻiliʻi. Inā hele mai ke koko mai ka ʻaoʻao haʻahaʻa o ka ʻōpū (kokoke i ka anus), ʻulaʻula ke koko a ʻaʻole ʻeleʻele ʻeleʻele a ʻeleʻele.
Kapa ʻia nā ʻeleʻele ma muli o ke kahe ʻana o ke koko 'melena'
ʻAʻole ma muli o ke kahe ʻana o ke koko: "melena wahaheʻe" ʻo ia nā peʻe ʻeleʻele a ʻeleʻele paha, akā ʻaʻohe koko maoli.
Hiki ke kumu mai ka ʻeleʻele e nā kumu like ʻole, e like me ka ʻai ʻana i kekahi mau mea a i ʻole ka lawe ʻana i nā mea hoʻohui hao.
Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke hoʻokumu ʻia ka ʻeleʻele ma muli o kahi maʻi koʻikoʻi, ʻo ia hoʻi ke kahe ʻana o ke koko i loko o ka digestive tract ma muli o ka peptic ulcer.
ʻO kekahi o nā kumu maʻamau o ka ʻeleʻele ʻeleʻele penei:
- ʻōpū ʻōpū (peptic ulcer);
- ʻeha o ka ʻōpū o ka ʻōpū;
- ka hoʻohana ʻana i nā lāʻau anti-inflammatory non-steroidal.
He mea maʻamau paha nā ʻeleʻele no ka poʻe i hana i ke kaʻina colectomy, no ka mea, ʻaʻole ʻai ʻia ka meaʻai ma ke ala piha loa.
Eia nō naʻe, inā ʻoi aku ke koko o ka ʻōpū i ka wā ma mua, ua ʻala ʻino ka ʻōpū a i ʻole e mau ana ka pilikia ma mua o ʻelua mau lā, e nīnau koke i kāu kauka.
ʻO nā ʻeleʻele a me nā melena: nā kumu a me ka mālama ʻana i nā pākeke a me nā pēpē
ʻO kekahi kumu o ka melena he ʻeha koko: ʻo ka ʻeha he ʻeha e ʻike ʻia ma ka ʻōpū o ka ʻōpū a hiki ke hoʻokahe koko a me ka melena.
Kūlike ʻole i ka manaʻo kaulana, ʻaʻole maʻamau ka maʻi ʻeha o ka ʻōpū ma muli o ke koʻikoʻi a i ʻole ka meaʻai laʻa (ʻoiai e hiki ke hōʻeha i ka maʻi maʻi e noho nei).
ʻO kaʻoiaʻiʻo, ua hoʻokumu ʻia lākou e kahi maʻi ma muli o kahi huakino i kapa ʻia ʻo Helicobacter pylori (H. pylori).
Kau ʻia nā lāʻau antibiotic no ka hoʻopau ʻana i ka maʻi, a i kekahi manawa he mea hoʻemi waika.
ʻO ke kumu ʻē aʻe o ka ʻeha ʻōpū ʻo ia ka hoʻohana lōʻihi ʻana i nā lāʻau hoʻomaha ʻeha i kapa ʻia ʻo NSAID (nā lāʻau anti-inflammatory non-steroidal).
Hiki i nā NSAID ke hoʻonāukiuki i ka ʻōpū, hoʻonāwaliwali i ka hiki ke pale aku i ka waika i hana ʻia i loko o ka ʻōpū.
No kēia kumu hoʻokahi, he hopena maikaʻi ʻole nā NSAID i ka maʻi o Crohn a me ka ulcerative colitis.
ʻO nā NSAID nā lāʻau lapaʻau maʻamau e like me ka ibuprofen, naproxen sodium a me aspirin. Ua kuhikuhi ʻia kekahi mau NSAID e nā kauka.
ʻO nā maʻi ʻeha o ka ʻōpū, i kumu ʻia e nā NSAID, hoʻōla maʻamau ma hope o ka pau ʻana o ka lāʻau hōʻeha.
ʻO ka maʻi maʻi (ka ʻā ʻana o ka ʻōpū o ka ʻōpū) hiki ke hopena i ka ʻeleʻele ʻeleʻele.
Hiki ke hoʻoulu ʻia kēia maʻi ma muli o ka nui o ka waiʻona a i ʻole ka meaʻai, ka meaʻai ʻala, ka puhi ʻana, ka maʻi bacteria a i ʻole ka hoʻohana lōʻihi ʻana i nā NSAID.
Hiki ke hoʻomohala ʻia ka maʻi maʻi ma hope o ka ʻoki ʻana a i ʻole ka ʻeha, a i ʻole hiki ke hoʻopili ʻia me nā maʻi lapaʻau mua.
ʻO nā ʻokoʻa o ka esophageal nā veins i hoʻopalahalaha ʻia i loko o ka paia o ka ʻōpū, ma ka esophagus luna a lalo paha, a hiki nō hoʻi ke alakaʻi i ka ʻeleʻele ʻeleʻele.
I ka haki ʻana o kēia mau aʻa, hiki ke hoʻokahe koko, a hiki i ke koko ke ʻike ʻia i loko o ka waihona a i ʻole. luaʻi.
He hoʻopiʻi koʻikoʻi nā ʻano oesophageal ma muli o ke kiʻekiʻe o ka puka (ke koko kiʻekiʻe) ma muli o ka cirrhosis ate.
He aha nā hōʻailona e hele pū me ke ʻano o ka ʻeleʻele stools?
Hiki ke hele pū ʻia nā ʻeleʻele me nā hōʻailona ʻē aʻe, e like me ke kumu kumu.
ʻO nā hōʻailona a me nā hōʻailona e hele pū me nā ʻeleʻele ʻeleʻele e komo pū:
- abdominal eha
- ʻōpū ʻōpū;
- hoʻololi i ka ʻōpū;
- ka maʻi maʻi maʻi;
- hoʻopulapula;
- nā hōʻailona like-flu;
- ʻinoʻino stools;
- nausea a me ka luaʻi;
- ʻai ʻilihune;
- malaise laulā;
- asthenia;
- ʻeha ʻeha a ʻeha paha;
- pohō kaumaha ʻole.
Pehea e ʻike ʻia ai ka ʻeleʻele?
ʻO ke kumu kumu o ka ʻeleʻele ʻeleʻele ka mea maʻamau e ʻike ʻia e ke kauka ma o ka mōʻaukala olakino, kahi hoʻokolokolo hoʻokolohua a me nā ʻano hoʻokolohua like ʻole a me nā hoʻokolohua kiʻi.
Pili pū paha kēia mau hoʻāʻo:
- X-kukui;
- nā hōʻailona ultrasound;
- nā ho'āʻo koko;
- nā hoʻāʻo ʻana o ka pehu;
- ka ʻike ʻana o ke koko i loko o ka waihona;
- colonoscopy;
- gastroscopy;
- moʻomeheu stool.
He aha ka lāʻau lapaʻau no nā pehu ʻeleʻele?
Hoʻololi ka lāʻau ma muli o ke kumu o ka pilikia, no laila hiki ke lilo i pharmacological, surgical a i ʻole nā mea ʻē aʻe, ma muli o ka hihia.
ʻEleʻele ʻeleʻele i nā keiki a me nā pēpē
Hiki i ka pehu ke lawe i kēia kala ma muli o ka lawe nui ʻana i ka hao inā ua hānai ʻia ke keiki i nā mea kanu he nui.
Inā ʻo ka ʻaoʻao ʻē aʻe, ʻeleʻele loa ke kala, a laila pono e nānā koke ʻia ke keiki e ka pediatrician, no ka mea, he hōʻailona paha kēia o ke kahe ʻana o ke koko ma ka ʻaoʻao o ka digestive luna a ʻo ke kala ʻeleʻele ma muli o ke alo. o ke koko i hookaheia.
Inā ʻike ʻia nā kaha ʻulaʻula liʻiliʻi liʻiliʻi o ke koko me nā ʻōpala, ʻo ke kumu maʻamau ʻo ia nā māwae liʻiliʻi a i ʻole excoriations o ka mucosa anal, ma muli o ke kipaku ʻia ʻana o nā pehu paʻakikī; ʻike ka makuahine (a i ʻole pediatrician) iā lākou no ka mea ua ʻike maopopo ʻia lākou a puni ka anus.
No ka pale ʻana iā lākou, ʻo ka mea wale nō ka mea e hana ai, ʻo ka hoʻomaʻamaʻa ʻana i nā ʻōpū, e mālama i nā ʻōpū; no ka hoʻoluʻolu i ka ʻeha, hiki ke hoʻohana i ka ʻaila hoʻōla, e laʻa i ka phytostimulines, a i ʻole ka ʻaila zinc oxide liʻiliʻi, nona ka hana o ka pale ʻana i ka ʻili i ka wā e hele ai ka ʻili.
E heluhelu pū nō hoʻi:
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ʻO nā maʻi maʻi ʻōpū: Pehea e hoʻopaʻa ʻia ai ka maʻi maʻi Dientamoeba Fragilis?
ʻO nā maʻi ʻōpū i hana ʻia e nā NSAID: He aha lākou, he aha nā pilikia a lākou e hana ai
ʻO Virus Intestinal: He aha e ʻai ai a pehea e mālama ai i ka Gastroenteritis
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