ʻO ka ʻike ʻana i nā ʻano luaʻi like ʻole e like me ke kala
Ma ka liʻiliʻi loa i hoʻokahi manawa i loko o ko mākou ola ua ʻike mākou i kēia pilikia. E ho'āʻo kākou e hoʻomaopopo i ke ʻano o nā kala o ka luaʻi a me ke ʻano o ko lākou manaʻo i wehewehe maʻalahi
luaʻi ʻōmaʻomaʻo
Kapa ʻia ka luaʻi ʻōmaʻomaʻo ʻo ka 'luaʻi biliary' a loaʻa mai me ka hoʻokuʻu ʻia ʻana o ka bile i loaʻa ke ʻano ʻeleʻele melemele-ʻōmaʻomaʻo.
Hiki ke ʻokoʻa ke kala o ka bile i loko o ka luaʻi mai ka melemele a i ka ʻōmaʻomaʻo ʻeleʻele ma muli o ka lōʻihi o ke kū ʻana o ka bile i loko o ka ʻōpū.
Inā he biliary ka luaʻi ʻana, ma muli paha o ka hangover, ka ʻai ʻana a i ʻole ka paʻa ʻana o ka ʻōpū.
ʻO ke kala ʻōmaʻomaʻo paha i kekahi mau kumu no ka meaʻai i ʻai ʻia e kekahi.
Ka luaʻi melemele
ʻO ka luaʻi ʻulaʻula melemele, e like me ka mea i ʻōlelo mua ʻia, ma muli o ka puka ʻana o ka bile.
I nā manawa he nui, hiki ke hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo 'stenosis', ʻo ia ka haʻikiʻi o kahi puka, auwai, kīʻaha koko a i ʻole ʻokena puha, i mea e ālai ʻia ai ka hele maʻamau o kekahi mau mea.
ʻO ka luaʻi ʻulaʻula me ka ʻala fecal
Inā he ʻeleʻele a ʻeleʻele ka luaʻi a he ʻala hoʻi e like me ka fecal, ʻo ke kumu paha ʻo ka 'paʻa ʻana o ka ʻōpū', ʻo ia hoʻi ka pau ʻana o ka puka ʻana o ka fecal ma muli o ka constipation mau, nā ʻāʻī i loko o ka ʻōpū, polyposis, nā ʻōpū nui, ʻokiʻoki. ma muli o ka hernias, ka lolo o ka paia colic a i ʻole nā kumu keakea ʻē aʻe.
I ka hihia o ka intestinal blockage, o ka oi a emi iho paha i hoʻokumu 'ia faecal mea, hiki ole ke imi i kona ala i ka anus, e piʻi ma ka 'ē aʻe kuhikuhi: ma keia hihia ka luaʻi ua kapa 'ia 'faecaloid luai'.
Ma keʻano laulā, ʻoi aku ka nui o ka 'wai' a me ka ʻeleʻele māmā o ka luaʻi faecaloid, ʻoi aku ka nui o ke keakea ma kahi 'kiʻekiʻe' pae o ka digestive tract, ʻoiai ʻo ka ʻeleʻele a ʻoi aku ka paʻakikī, ʻoi aku ka nui o ke keʻakeʻa ma kahi ' haʻahaʻa' pae (kokoke i ka anus).
Ka luaʻi kala caffeine
Inā like ka waihoʻoluʻu ʻeleʻele me ka pā kofe, ua kapa ʻia ʻo ia ʻo 'caffeine vomit' a hiki ke kumu ma muli o ke kahe ʻana o loko me ke koko i loaʻa ka manawa e coagulate ai ʻole 'e ʻeli ʻia'.
I kēia hihia, ʻaʻole e like me ka luaʻi faecaloid, ʻaʻohe ala e like me faecal.
ʻO ka luaʻi ʻana me ke koko i ʻeli ʻia/coagulated he ʻano maʻamau ia o nā hemorrhages kūloko e kū mai ana ma ka ʻāpana 'lalo' o ka ʻāpana digestive.
He mea maʻalahi hoʻi ke nānā i ka wā e puka mai ai ke koko mai ka ihu a moe kekahi: e ʻeli ʻia ke koko a ʻo ia ke kumu e hoʻomau mau ai.
Ka luaʻi ʻana me ka ʻulaʻula ʻulaʻula
ʻO ka luaʻi ʻana me ke koko ʻulaʻula ʻulaʻula (i kapa ʻia ʻo 'haematemesis') ma muli o ke kahe ʻana o loko me ke koko ʻaʻole i loaʻa ka manawa e hoʻopaʻa ʻia ai ʻole e ʻeli ʻia.
Hiki paha kēia, no ka laʻana, i ka hihia o kahi ʻōpū hāmama i ka ʻōpū a i ʻole esophagus.
Loaʻa pinepine ʻia ʻo Haematemesis i ka hihia o nā 'esophageal varices' ruptured, kahi maʻi pathological koʻikoʻi i hōʻike ʻia e ka hoʻokumu ʻana a me ka haki ʻana o nā varices i loko o nā veins o ka sub-mucosal plexus o ka esophagus, e pili ana i kahi kūlana o ka maʻi hypertension portal, ʻo ia hoʻi. ma muli o ka ma'i ate mau, e like me ka cirrhosis o ke akepa'a, a he pilikia weliweli ia.
ʻO ka hemorrhage o ka ʻāpana mua o ka ʻōnaehana digestive ka hopena pinepine mane (ka hoʻokuʻu ʻia ʻana o nā pehu ʻeleʻele) me ka haematemesis.
Ka luaʻi keʻokeʻo
ʻO ka luaʻi keʻokeʻo ma muli o ka wai ʻakika. Hoʻopili pinepine ʻia me ka mucus viscous a i ʻole mucousy.
Ke 'mucousy' ka mea ma'amau 'a'ole 'akika.
Inā ʻo ia ka nui o ka wai ʻōpū, hiki ke ʻakika.
Hiki ke puka mai ka luaʻi keʻokeʻo ke ʻai kekahi i kahi mea keʻokeʻo, e like me ka waiū.
Ka luaʻi ʻana o nā kala like ʻole
ʻO kēia ʻano ʻano luaʻi 'gastric' i loaʻa ka meaʻai ʻai ʻole a i ʻole nā ʻāpana meaʻai i loaʻa ʻole ka manawa e hele ai i loko o ka ʻōpū.
ʻIkeʻikeʻole
Ma waho aʻe o ka waihoʻoluʻu, hiki i ke ʻano ke kōkua i ke kauka i ka hoʻomaopopo ʻana i ke kumu o kona hanana ʻana:
- luaʻi meaʻai: inā hōʻole ʻia ka meaʻai ma hope o ka ʻai ʻana;
- luaʻi wai: inā he ʻakika, me ka mucin liʻiliʻi, a aia nā wai ʻōpū;
- luaʻi mucous: inā he anacidic, waiwai i ka mucin, a aia nā wai ʻōpū;
- luaʻi biliary: inā hoʻopuka ʻia ka bile a loaʻa kahi ʻano ʻōmaʻomaʻo ʻeleʻele;
- luaʻi faecaloid: inā he ʻeleʻele ʻeleʻele kona a me kahi ʻala faecal maʻamau, ma muli o ka lōʻihi o ka stasis i loko o ka ʻōpū (i ka hihia, no ka laʻana, o ke keʻakeʻa o ka ʻōpū), kahi e hoʻonui mau ai ka pua bacteria;
- luaʻi hemorrhagic a i ʻole haematemesis, inā loaʻa ke koko ʻulaʻula ʻulaʻula;
- luaʻi caffeine, inā loaʻa ke koko ʻeleʻele maʻamau ('pā kofe').
No ke kōkuaʻana i ka hōʻailona, hiki i ke kauka ke hoʻohana i nā mea hana likeʻole, e like me:
- anamnesis (hōʻiliʻili i ka ʻikepili o ka mea maʻi a me nā hōʻailona āna e ʻike nei);
- ka hoʻokolokolo ʻana (he hoʻokolokolo 'kūpono' me ka hōʻiliʻili o nā hōʻailona);
- nā hoʻokolohua hoʻokolohua (e laʻa me nā hoʻāʻo koko, nā hoʻāʻo allergy, nā hoʻāʻo e loiloi i ka hana o ka ate a me ka pancreatic);
- nā mea hoʻokolohua e like me ka X-ray o ka ʻōpū me ke ʻano ʻokoʻa ʻole, CT scan, ultrasound, oesophagogastroduodenoscopy, colonoscopy.
E heluhelu pū nō hoʻi:
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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
E hoʻomaʻamaʻa me kahi mannequin e luaʻi ana i ka ʻala ʻōmaʻomaʻo!
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