E aʻo pono kākou e pili ana i ka Digital Rectal Exam (DRE)?

Ua lohe paha ʻoe i kēia hoʻāʻo, a ua haʻi aku paha ke kauka iā ʻoe e hana ia mea. He mea maʻamau ke hilahila iki a hilahila paha ke lohe ʻoe i kēia inoa. Akā, he hoʻāʻo kēia e kōkua ai i ka ʻike mua ʻana i nā maʻi he nui, ʻaʻole paʻakikī e like me kou manaʻo, a ua hoʻopau ʻia i loko o kekahi mau minuke. No laila, i kēia lā e kamaʻilio kikoʻī a maʻalahi hoʻi e pili ana i kēia Digital Rectal Exam (DRE) , ʻo ia hoʻi, ka hoʻokolokolo ʻana i hana ʻia me ka manamana lima ma o ka rectum.

He aha maoli kēia mea i kapa ʻia ʻo Digital Rectal Exam?

I ka ʻōlelo maʻalahi, he kaʻina hana kēia kahi e nānā ai ke kauka i ka ʻaoʻao haʻahaʻa o kou rectum, ʻo ia ka hopena o ka ʻōpū nui a me ka anus (kahi a mākou e hoʻokahe ai). No nā kāne, nānā pū kēia i ka prostate gland. Hoʻokomo ke kauka i kahi manamana lima i uhi ʻia me ka mīkina lima i loko o kou rectum e nānā i nā mea ʻē. I kekahi manawa hiki i kēia ke lilo i ʻāpana o kāu hoʻokolohua kino makahiki maʻamau, ʻoi aku hoʻi no nā kāne. Hiki ke hana ʻia i kekahi manawa i ka wā o kahi hoʻokolohua gynecological no nā wahine.

No ke aha mākou e pono ai e hana i ia ʻano hoʻokolohua?

He mea hana koʻikoʻi ka hoʻāʻo DRE i hoʻohana ʻia no ka nānā ʻana i nā ʻano maʻi like ʻole, no laila e ʻōlelo paha ke kauka iā ia ma waho aʻe o kāu nānā maʻamau.

He aha nā maʻi e hiki ke ʻike ʻia e kēia hoʻāʻo?

Aia kekahi mau kūlana e hiki ai i ke kauka ke kānalua a kōkua paha i ka ʻike ʻana me kēia hoʻāʻo. Eia kekahi laʻana:

• Ka Maʻi ʻōpū mumū (IBD)
• Nā ʻōpū hemorrhoids
• Nā māwae anal
• Maʻi prostate
• Ka maʻi ʻaʻai o ka rectum a i ʻole colon
• ka pōʻino i hana ʻia i kēlā wahi e kekahi ulia
• ʻO kekahi mau maʻi o ka ʻōnaehana nerve

He aha nā hōʻailona e hoʻoikaika ai i nā kauka e hana i kahi DRE?

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, e noʻonoʻo paha ke kauka i kahi hoʻāʻo DRE:

• Inā he koko mai ka anus.
• Inā he koko kou i loko o kou noho, a inā ʻike ʻoe i ke koko i loko o ka lua.
• ʻO kahi loli i nā ʻano hana ʻōpū, no ka laʻana, ka paʻa mau ʻana o ka constipation a i ʻole ka diarrhea.
• Inā he koko a mucus paha i loko o kou mimi.
• Inā pilikia ʻoe i ka kaohi ʻana i kāu mimi (Urinary incontinence).
• Inā pilikia ʻoe i ka kaohi ʻana i kou neʻe ʻana o ka ʻōpū (fecal incontinence).

Hiki i ke kauka ke hana i kēia hoʻāʻo DRE inā makemake lākou e nānā i ke olakino o kou kelepa prostate a manaʻo paha i kahi mea koʻikoʻi e pili ana i kāu mau hōʻailona.

Nā pilikia prostate a me ka hoʻāʻo DRE

Ke hana ʻia kekahi kāne i kahi DRE, e nānā pono ke kauka i ka prostate gland. ʻOiai ʻaʻole ʻōlelo ka US Preventive Services Task Force i ka DRE ma ke ʻano he mea hana nānā no ka maʻi kanesa prostate, hiki ke hoʻohana ʻia e nānā i nā maʻi prostate. E nānā ke kauka i kekahi hoʻonui ʻia o ka prostate gland, nā puʻupuʻu, a i ʻole nā ​​​​loli ma kona ʻili. E kōkua kēia hoʻāʻo e hoʻoholo inā pono ka hoʻāʻo hou ʻana.

Inā manaʻo kāu kauka he maʻi paha kou, e lomilomi paha ʻo ia i kou ʻōpū prostate. ʻO kēia ke kumu o ka hōʻiliʻili ʻana o nā mea huna i loko o kou mimi. A laila e hoʻouna ʻia kahi laʻana o ka mimi i kahi keʻena hoʻokolohua, kahi e nānā ai kahi pathologist i ke kahe ma lalo o kahi microscope e hoʻoholo ai i ka lāʻau lapaʻau āu e loaʻa ai.

He aha inā he koko i loko o ka ʻōpala/ke koko e puka mai ana mai ka anus?

Inā he koko kou i loko o kou noho, ʻike i ke koko i loko o ka lua, a ʻike paha i ke koko ma ka pepa lua, hiki i kahi hoʻāʻo DRE ke lilo i hoʻāʻo koʻikoʻi loa . Hiki i ke koko i loko o kou noho ke lilo i hōʻailona o kahi maʻi i loko o kou ʻōpū o luna a i ʻole lalo. I ia mau hihia, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe, e like me ka colonoscopy, ma hope o ka DRE. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he maʻi ʻaʻai, he hemorrhoids kūloko, a he mumū paha o ka paia o ka colon.

Aia kekahi ʻokoʻa i nā ʻano hana ʻōpū?

Inā he mau loli ʻē aʻe kāu i kou mau ʻano ʻōpū (no ka laʻana, nā ʻōpala lahilahi e like me ka penikala, pālahalaha, a paʻakikī paha ke hele), hiki i ke kauka ke hana i kahi DRE e nānā i kahi poloka, e like me ka puʻupuʻu.

ʻO wai ka mea nāna e hana i kēia hoʻāʻo DRE?

Hiki i nā kauka like ʻole ke hana i kēia hoʻāʻo DRE e kōkua i ka ʻike ʻana i kou kūlana. ʻO lākou pū kekahi:

• Kou kauka ʻohana (nā mea lawelawe mālama mua)
• Nā kauka lapaʻau
• Nā kauka ʻōpū
• Nā kauka hānau keiki a me nā kauka wahine
• Nā kauka ʻokiʻoki

ʻEhia pinepine e pono ai iaʻu ke hana i kēia hoʻokolohua DRE?

Hiki i kāu kauka ke ʻōlelo aku i kahi DRE ma ke ʻano he ʻāpana o kāu hoʻokolohua kino makahiki . Ma waho aʻe o ka DRE, hiki i kāu kauka ke kauoha i kahi hoʻāʻo koko i kapa ʻia ʻo PSA (Prostate-Specific Antigen) e nānā no ka maʻi ʻaʻai prostate. ʻO ka PSA kahi protein i loko o kou koko e hiki ke hāʻawi iā ʻoe i kekahi ʻike e pili ana i ke olakino o kou prostate.

Pehea mākou e hoʻomākaukau ai ma mua o kahi hoʻokolohua DRE?

ʻO ka nūhou maikaʻi loa, ʻaʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai no kēia hoʻokolohua DRE.Eia nō naʻe, inā he anal fissures a hemorrhoids paha kou, pono ʻoe e haʻi mua i kāu kauka, no ka mea, hiki i ka DRE ke hoʻonui i kēia mau kūlana.

E wehewehe ke kauka pehea e hana ʻia ai kēia hoʻāʻo iā ʻoe, a hiki iā ʻoe ke nīnau i kāu mau nīnau i kēlā manawa.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo DRE? He aha kā mākou e manaʻo ai?

E hana ke kauka i kēia hoʻāʻo DRE ma kahi lumi hoʻokolohua pilikino ma kona keʻena. E noi ʻia ʻoe e wehe i kou kapa mai ka pūhaka a i lalo, a e hāʻawi ʻia iā ʻoe kahi lole a lole paha e uhi iā ʻoe. He mau minuke wale nō ka lōʻihi o ka hoʻāʻo holoʻokoʻa. ʻAʻole ia he ʻeha, akā hiki paha iā ʻoe ke manaʻo iki i ka ʻoluʻolu ʻole. Manaʻo paha kekahi poʻe i ka pono e mimi.

Inā no ke kāne...

E noi aku ke kauka iā ʻoe e moe ma kekahi o nā kūlana ʻelua. E kū pololei a hilinaʻi i mua ma ka papa hoʻokolokolo, a i ʻole e moe ma ka papa me kou mau kuli e kulou ana i kou umauma.

ʻO ka mea mua, e nānā ke kauka ma waho o kou rectum e ʻike inā he mau hemorrhoids a i ʻole anal fissures. A laila, ke mākaukau ʻoe, e noi ke kauka iā ʻoe e hoʻomaha a lawe i nā hanu hohonu. A laila, e hoʻokomo ke kauka i kahi manamana lima i uhi ʻia me ka mīkina lima a me ka lubricated i loko o kou rectum.

E hoʻopā ke kauka i kou ʻōpū prostate, kona nui, a me kona ʻili. Inā ua hoʻonui ʻia kou ʻōpū prostate, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole a i ʻole ka ʻeha/kaomi iki i ka wā o ka hoʻokolokolo ʻana. ʻO ka mea hope loa, e nānā ke kauka i nā paia o kou kolona haʻahaʻa a me ka rectum e nānā i kekahi mau mea ʻē.

Inā he wahine...

Hiki i kāu kauka ke hana i kahi DRE ma ke ʻano he ʻāpana o kāu hoʻokolohua pelvic. E noi ʻia ʻoe e moe i luna ma kahi papa hoʻokolohua me kou mau wāwae i hāpai ʻia i loko o nā stirrups.

Ke mākaukau ʻoe, e noi aku kāu kauka iā ʻoe e hoʻomaha a hanu hohonu. A laila, e hoʻokomo ʻo ia i kahi manamana lima i lubricated ʻia me nā mīkina lima i loko o kou rectum. I kēia manawa, e nānā kāu kauka i ka ʻaoʻao haʻahaʻa o kou colon a me nā paia o kou rectum e nānā i nā mea ʻē.

He aha ka mea e hana ma hope o ka hoʻāʻo DRE?

Hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau ma hope koke iho o ka DRE. He mea kākaʻikahi ka kahe ʻana o ke koko mai ka anus, akā hiki ke hana ʻia. ʻOi aku ka nui o ke kahe ʻana o ke koko inā loaʻa iā ʻoe nā māwae anal a i ʻole nā ​​hemorrhoids. Inā he nui kou kahe ʻana o ke koko ma hope o ka DRE, e haʻi i kāu kauka.

Aia kekahi mau pilikia me kēia hoʻāʻo DRE? Hiki ke loaʻa nā pilikia?

Ma ke ʻano laulā, ua manaʻo ʻia he palekana loa nā hoʻokolohua DRE, me ka ʻoluʻolu iki wale nō i ʻike pinepine ʻia. Eia nō naʻe, he mea maikaʻi ke makaʻala i kekahi mau pilikia liʻiliʻi loa a me nā pilikia hiki ke loaʻa:

• ʻO ka ʻoluʻolu ʻole a i ʻole ka ʻeha:Hiki i kekahi poʻe ke manaʻo i ka ʻoluʻolu ʻole a i ʻole ka ʻeha iki ke hoʻokomo ke kauka i ko lākou manamana lima i loko o ka rectum. He manawa pōkole kēia a nalowale ke pau ka hoʻokolokolo ʻana.
• Ke kahe koko ʻana o ka rectal: He mea kākaʻikahi loa, loaʻa paha i kekahi poʻe kahi liʻiliʻi o ke kahe koko ʻana ma hope o kahi DRE, ʻoiai inā he mau anal fissures a hemorrhoids paha ko lākou. He mea nui e haʻi i kāu kauka inā loaʻa iā ʻoe ke kahe koko nui ma hope o ka hoʻāʻo.
• Maʻi: He mea laha ʻole nō hoʻi kēia. He liʻiliʻi loa ka manawa e loaʻa ai ka maʻi me kekahi kaʻina hana e pili ana i ka hoʻokomo ʻana i kahi mea hana i loko o ke kino. Hoʻohana nā kauka i nā mīkina lima sterile a me nā lubricants i ka wā o ke kaʻina hana e hōʻemi i kēia pilikia.

Āhea mākou e ʻike ai i nā hopena o ka hoʻāʻo DRE?

Pono e hiki i kāu kauka ke haʻi iā ʻoe i nā hopena o ka DRE i ka wā e pau ai ka hoʻāʻo .

He aha nā mea a nā hopena o ka hoʻāʻo DRE e haʻi mai nei iā mākou?

ʻO nā hopena maʻamau mai kahi hoʻāʻo DRE ʻo ia hoʻi ʻaʻole i loaʻa i ke kauka kekahi mea ʻē i ka wā o ka hoʻāʻo ʻana. Eia nō naʻe, hiki iā lākou ke kauoha i nā hoʻokolohua hou aʻe e hōʻoia i nā hopena.

Hiki i nā hopena maʻamau ʻole ke ʻano o kekahi mau mea. Aia paha ke koko, nā puʻupuʻu āu e ʻike ai, nā māwae anal, nā hemorrhoids, a i ʻole ka ʻeha nui i ka wā o ka hoʻāʻo. E kamaʻilio koke kāu kauka iā ʻoe e pili ana i kēia a haʻi iā ʻoe i ka mea e hana ai ma hope.

Hana ʻia kekahi DRE i ka wā o ka colonoscopy?

ʻAe, i kekahi manawa e hana paha ke kauka i kahi DRE ma ke ʻano he hana mua i ka colonoscopy. Eia nō naʻe, ʻaʻole lākou e nānā i ka prostate gland i ka wā o ka DRE. Hoʻohana wale lākou i kēia DRE e nānā i kou rectum a hoʻopili i kahi lubricant i ka hoʻomākaukau no ka colonoscopy. No laila, hiki iā ʻoe ke nīnau i kāu kauka inā hiki iā lākou ke nānā i kou prostate i ka wā o ka DRE i hana ʻia i ka wā o ka colonoscopy.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

E nānā, ua maopopo iā mākou. Hiki i ka manaʻo o kahi hoʻokolokolo rectal kikohoʻe ke hilahila a ʻoluʻolu ʻole. Akā, ʻoiai ʻaʻole paha he ʻike ʻoluʻolu, he hana wikiwiki a ʻeha ʻole ia. A ua ʻike mua kāu kauka i nā mea āpau. ʻAʻohe mea e hilahila ai. Inā ʻōlelo kāu kauka ua hiki i ka manawa no ka DRE, he mea nui e hoʻolohe. Hiki i nā DRE ke kōkua iā ʻoe e ʻike i nā mea e hana nei i loko o kou kino, a hiki iā lākou ke kōkua i ka ʻike ʻana i kekahi mau maʻi a me nā kūlana i ka wā mua . No laila, mai makaʻu a hilahila paha e kamaʻilio me kāu kauka e pili ana i ia mea.

`Hoʻokolokolo rectal, hoʻokolokolo rectal digital, prostate, constipation, hemorrhoids, nānā ʻana i ke kanesa, DRE