Yafunu yareɛ

Yafunu yareɛ yɛ nsɛnkyerɛnneɛ bi a ɛyɛ yareɛ a ano yɛ den na ɛsane yɛ yareɛ a ano nnyɛ den. Nea ɛde yafunu yareɛ ba no bi ne gastroenteritis ne irritable bowel syndrome.[1] Nnipa bɛyɛ ɔhamu nkyekyɛmu du num na ɛwɔ tebea a ano yɛ den yi bi te sɛ appendicitis, leaking or ruptured abdominal aortic aneurysm, diverticulitis, anaasɛ nyinsɛn a abɔfra no kɔda awieeɛ no akyi.[1] Nea ɛtɔ so mmiɛnsa a ɛde saa yareɛ no ba no mu nna hɔ.[1] Yareɛ ahodoɔ bi nso bɛtumi de yafunu yareɛ aba, ɛkwan a yɛbɛfa so ayɛ nhwehwɛmu ahodoɔ afa obi ho wɔ ne nnidisoɔ so no nso hia.[2]

Nhwehwɛmu Ahodoɔ

Nea Mpempii no ɛde yafunu yareɛ ba yɛ gastroenteritis (13%), irritable bowel syndrome (8%), dwonsɔ mu haw (5%), inflammation of the stomach (5%) and ayamtim (5%). Ɔhaw no mu ɔhamu nkyekyɛmu aduasa mu no, wɔnhunu nea ɛde ba.Ɛmu ɔhamu nkyekyɛmu du yɛ nea ɛde ba no ano yɛ den a gallbladder (gallstones or biliary dyskinesia) or pancreas problems (4%), diverticulitis (3%), appendicitis (2%) ne kokoram ka ho (1%).[1] Deɛ ɛtaa ba wɔn a wanyini so no bi neischemic colitis, [3]mesenteric ischemia, ne abdominal aortic aneurysms ne afoforɔ a ɛyɛ hu.[4]

Yafunu yareɛ a ano yɛ den

[5]Yafunu yareɛ a ano yɛ den no yɛya,ɛba toatoa so a gyesɛ yɛyɛ wo opirehan de si ano kwan. Ɛteɛ ne hwene a ɔsane , abdominal distention,tiridii ne Birim bɔ tumi de yaw no ba. Tebea baako a yɛtaa hunu paa ne appendicitis a ano yɛ den..[6]

Nea ɛdeba no bi ne

  • Traumatic: blunt or perforating trauma to the stomach, bowel, spleen, brɛboɔ anaa sawa
  • Inflammatory:
    • Nsa yadeɛ bi te sɛ appendicitis, cholecystitis, pancreatitis, pyelonephritis, Peritonitis, pelvic inflammatory disease, hepatitis, mesenteric adenitis, anaasɛ a subdiaphragmatic abscess
    • Perforation of a peptic ulcer, a diverticulum, or the caecum
    • Complications of inflammatory bowel disease such as Crohn's disease or ulcerative colitis
  • Mechanical:
    • Small bowel obstruction secondary to adhesions caused by previous surgeries, intussusception, hernias, benign or malignant neoplasms
    • Large bowel obstruction caused by colorectal cancer, inflammatory bowel disease, volvulus, fecal impaction or hernia
  • Vascular: occlusive intestinal ischemia, usually caused by thromboembolism of the superior mesenteric artery

By system

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Nnoɔma pii a ɛde ba no nso bi ne

  • Gastrointestinal
    • GI tract
      • Inflammatory: gastroenteritis, appendicitis, gastritis, esophagitis, diverticulitis, Crohn's disease, ulcerative colitis, microscopic colitis
      • Obstruction: hernia, intussusception, volvulus, post-surgical adhesions, tumors, severe constipation, hemorrhoids
      • Vascular: embolism, thrombosis, hemorrhage, sickle cell disease, abdominal angina, blood vessel compression (te sɛ celiac artery compression syndrome), superior mesenteric artery syndrome, postural orthostatic tachycardia syndrome
      • Digestive: peptic ulcer, lactose intolerance, celiac disease, food allergies, indigestion
    • Glands
      • Bile system
        • Inflammatory: cholecystitis, cholangitis
        • Obstruction: cholelithiasis, tumours
      • Brɛboɔ
        • Inflammatory: hepatitis, liver abscess
      • Pancreatic
        • Inflammatory: pancreatitis
  • Renal and urological
    • Inflammation: pyelonephritis, bladder infection
    • Obstruction: kidney stones, urolithiasis, urinary retention, tumours
    • Vascular: left renal vein entrapment
  • Gynaecological or obstetric
    • Inflammatory: pelvic inflammatory disease
    • Mechanical: ovarian torsion
    • Endocrinological: menstruation, Mittelschmerz
    • Tumors: endometriosis, fibroids, ovarian cyst, ovarian cancer
    • Pregnancy: ruptured ectopic pregnancy, threatened abortion
  • Abdominal wall
    • muscle strain or trauma
    • muscular infection
    • neurogenic pain: herpes zoster, radiculitis in Lyme disease, abdominal cutaneous nerve entrapment syndrome (ACNES), tabes dorsalis
  • Referred pain
    • from the thorax: pneumonia, pulmonary embolism, ischemic heart disease, pericarditis
    • from the spine: radiculitis
    • from the genitals: testicular torsion
  • Metabolic disturbance
    • uremia, diabetic ketoacidosis, porphyria, C1-esterase inhibitor deficiency, adrenal insufficiency, lead poisoning, black widow spider bite, narcotic withdrawal
  • Blood vessels
    • aortic dissection, abdominal aortic aneurysm
  • Immune system
    • sarcoidosis
    • vasculitis
    • familial Mediterranean fever
  • Idiopathic
    • irritable bowel syndrome (IBS)(affecting up to 20% of the population, IBS is the most common cause of recurrent and intermittent abdominal pain)

Baabi a ɛwɔ

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Baabi a yafunu yareɛ no wɔ no bɛtumi ama yɛahunu nea ɛde baeɛ. Yafunu no mu bɛtumi akyɛ nnan a yɛfrɛ no quadrants. Locations ne associated conditions a ɛno ne:[7]

  • Diffuse
    • Peritonitis
    • Vascular: mesenteric ischemia, ischemic colitis, Henoch-Schonlein purpura, sickle cell disease, systemic lupus erythematosus, polyarteritis nodosa
    • Small bowel obstruction
    • Irritable bowel syndrome
    • Metabolic disorders: ketoacidosis, porphyria, familial Mediterranean fever, adrenal crisis
  • Epigastric
    • Heart: myocardial infarction, pericarditis
    • Stomach: gastritis, stomach ulcer, stomach cancer
    • Pancreas: pancreatitis, pancreatic cancer
    • Intestinal: duodenal ulcer, diverticulitis, appendicitis
  • Right upper quadrant
    • Liver: hepatomegaly, fatty liver, hepatitis, liver cancer, abscess
    • Gallbladder and biliary tract: inflammation, gallstones, worm infection, cholangitis
    • Colon: bowel obstruction, functional disorders, gas accumulation, spasm, inflammation, colon cancer
    • Other: pneumonia, Fitz-Hugh-Curtis syndrome
  • Left upper quadrant
    • Splenomegaly
    • Colon: bowel obstruction, functional disorders, gas accumulation, spasm, inflammation, colon cancer
  • Peri-umbilical (the area around the umbilicus, aka the belly button)
    • Appendicitis
    • Pancreatitis
    • Inferior myocardial infarction
    • Peptic ulcer
    • Diabetic ketoacidosis
    • Vascular: aortic dissection, aortic rupture
    • Bowel: mesenteric ischemia, Celiac disease, inflammation, intestinal spasm, functional disorders, small bowel obstruction
  • Lower abdominal pain
    • Diarrhea
    • Colitis
    • Crohn's
    • Dysentery
    • Hernia
  • Right lower quadrant
    • Colon: intussusception, bowel obstruction, appendicitis (McBurney's point)
    • Renal: kidney stone (nephrolithiasis), pyelonephritis
    • Pelvic: cystitis, bladder stone, bladder cancer, pelvic inflammatory disease, pelvic pain syndrome
    • Gynecologic: endometriosis, intrauterine pregnancy, ectopic pregnancy, ovarian cyst, ovarian torsion, fibroid (leiomyoma), abscess, ovarian cancer, endometrial cancer
  • Left lower quadrant
    • Bowel: diverticulitis, sigmoid colon volvulus, bowel obstruction, gas accumulation, Toxic megacolon
  • Right low back pain
    • Liver: hepatomegaly
    • Kidney: kidney stone (nephrolithiasis), complicated urinary tract infection
  • Left low back pain
    • Spleen
    • Kidney: kidney stone (nephrolithiasis), complicated urinary tract infection
  • Low back pain
    • kidney pain (kidney stone, kidney cancer, hydronephrosis)
    • Ureteral stone pain

Beaɛ a menyaa mmoa firiiɛ

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  1. 1.0 1.1 1.2 1.3 https://doi.org/10.1093%2Ffampra%2Fcmu036
  2. http://www.merriam-webster.com/dictionary/differential+diagnosis?show=0&t=1419934834
  3. Hung, Alex; Calderbank, Tom; Samaan, Mark A.; Plumb, Andrew A.; Webster, George (1 January 2021). "Ischaemic colitis: practical challenges and evidence-based recommendations for management". Frontline Gastroenterology. 12 (1): 44–52. doi:10.1136/flgastro-2019-101204. ISSN 2041-4137
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4306086
  5. https://www.lecturio.com/concepts/appendicitis/
  6. https://www.lecturio.com/concepts/appendicitis/
  7. Masters P (2015). IM Essentials. American College of Physicians. ISBN 9781938921094