I kēia lā, e kamaʻilio ana kākou e pili ana i kahi ʻāpana koʻikoʻi o ko kākou kino, a he mea paʻakikī iki ke kamaʻilio e pili ana i kekahi manawa, akā pono kākou e makaʻala. ʻO ia ka anus, a i ʻole ka ʻāpana a kākou e kapa nei (anus) ma ka ʻōlelo Pelekania. ʻO ka ʻike pono ʻana i kēia e kōkua iā ʻoe e pale aku i nā maʻi he nui, a inā kū mai kahi pilikia, e hoʻomaopopo koke iā ia a e ʻimi i ka lāʻau lapaʻau.
He aha maoli ka anus?
I ka ʻōlelo maʻalahi, ʻo kou anus ka ʻāpana hope loa o kou ʻōpū nui. E noʻonoʻo iā ia e like me ka hopena o kahi alanui lōʻihi e hele ai ka meaʻai a mākou e ʻai ai. ʻO ka maʻamau he ʻekolu a ʻehā kenimika ka lōʻihi. ʻO kēia kahi e wehe ai kou ʻōpū nui i waho, ʻo ia hoʻi, e puka mai ana kāu ʻōpala ma o kēia.
I loko o ka anus, ʻo ka uhi lahilahi o ka ʻōpū nui, i kapa ʻia ʻo ka mucosa, e loli mālie e lilo i ʻili maʻamau. Hoʻopuni ʻia kēia e ʻelua mau papa ikaika, e like me ke apo o nā ʻiʻo. Kāhea mākou i kēia mau sphincters. Ua like lākou me ʻelua laka ma ka puka. Mālama kēia mau sphincters i ka anus a pani paʻa a hiki i ka puka ʻana o ka ʻōpala, e pale ana iā ʻoe mai ka pono e hele i ka ʻōpala me ka ʻole o ka mana.
He aha ka ʻokoʻa ma waena o ka anus a me ka rectum?
Ua lohe paha ʻoe i ka huaʻōlelo (Rectum). Mai huikau i nā mea ʻelua. ʻO (Rectum) ka ʻāpana o kou ʻōpū nui ma luna pono o ka anus. He ʻelima a ʻeono paha ʻīniha ka lōʻihi. I ka ʻōlelo maʻalahi, ʻo (Rectum) kahi wahi mālama kahi e hōʻiliʻili ai nā feces.
Ke piha kou rectum i ka ʻōpala, hoʻouna nā aʻalolo ma laila i kahi leka i kou lolo, e ʻōlelo ana, "Ua hiki i ka manawa e hele ai i ka lua." ʻO ia ka manawa e manaʻo ai ʻoe i ka makemake e neʻe i ka ʻōpū. I kēia manawa, hoʻomaha maoli ka sphincter anal kūloko, ʻo ia hoʻi, me kou kaohi ʻole. Eia naʻe, hiki iā ʻoe ke kaohi i ka sphincter waho. ʻO ia hoʻi, ma muli o ka kaohi o kēia sphincter waho e hiki ai iā ʻoe ke paʻa i kou ʻōpala a hiki i kou wā ma kahi kūpono. Maopopo iā ʻoe?
He aha nā hana o ka anus?
ʻO ka hana nui o ka rectum ke kōkua i ke kaʻina hana o ka defecation. ʻAʻole ia he lua wale nō. He wahi paʻakikī loa ia.
- Hoʻolaha a me ke kāohi: Hana pū nā aʻalolo a me nā ʻiʻo a puni ka anus e like me kahi hui. ʻO lākou ka poʻe e haʻi iā ʻoe i ka wā e pono ai ʻoe e neʻe i ka ʻōpū. ʻO lākou nō hoʻi ka poʻe e kōkua iā ʻoe e paʻa i kou neʻe ʻana i ka ʻōpū a hiki i kou manawa e hele ai i ka lua.
- Kōkua i ka neʻe ʻana o ka ʻōpū: Ke mākaukau ʻoe e neʻe i ka ʻōpū, hui hou kēia mau aʻalolo a me nā ʻiʻo e kōkua i ka hoʻokuke ʻana i ka ʻōpala i waho o ke kino.
- Lubrication: Hoʻopuka ka uhi mucous o ka rectum i kahi mea like me ka mucus. Hoʻolilo kēia mucus i ke alahele no ka ʻōpala i pahee, e ʻae ana i ka ʻōpala e hele maʻalahi me ka ʻole o ka ʻeha.
He aha ke ʻano o ke kino o ka anus?
He ʻano hoʻonui iki kēia, akā e maʻalahi wau. Aia i loko o ka paia o loko o ka rectum nā pelu, a i ʻole nā pelu, e holo pololei ana mai luna a lalo. Hoʻokaʻawale kēia i ka rectum i ʻelua ʻāpana nui, nā ʻāpana o luna a me lalo.
Ua kapa ʻia kēia mau kualono he mau kolamu anal. Ma waena o lākou he mau kahawai liʻiliʻi i kapa ʻia ʻo anal sinuses. I loko o kēia mau sinuses anal nā glands e hana ana i ka mucus aʻu i ʻōlelo ai ma mua. Ma ka hopena o kēia mau sinuses he mau ʻāpana liʻiliʻi i kapa ʻia ʻo anal valves. Hōʻailona kēia mau valves i ka laina kahi e hoʻomaka ai ka uhi mucous e laumania, i kapa ʻia ʻo ka laina pectinate a i ʻole ka laina dentate.
ʻO ka mea nui loa, ʻo ia ka ʻokoʻa o nā kīʻaha koko a me ka ʻōnaehana nerve e hoʻolako ana i ke koko i nā ʻāpana o luna a me lalo o ka anus mai ka laina pectinate. ʻO ia ke kumu he ʻokoʻa loa ka ʻāpana o lalo o ka anus, ʻo ia hoʻi, ʻelua hapakolu ma lalo o ka laina pectinate, i ka ʻeha a me nā manaʻo ʻē aʻe. Hoʻolako ʻia nā sphincters anal o loko a me waho me nā aʻalolo ʻokoʻa. ʻO ia ke kumu e hana ai ka mea o loko (involuntary), ʻo ia hoʻi, ʻaʻole hiki iā mākou ke kāohi iā ia, a ʻo ka mea o waho (voluntary), ʻo ia hoʻi, hiki iā mākou ke kāohi iā ia.
He aha nā maʻi a me nā pilikia maʻamau e hoʻopilikia ai i ka anus?
He wahi hiki ke loaʻa i nā maʻi like ʻole ka rectum. E nānā kākou i kekahi o lākou.
- Hemorrhoids: He pilikia maʻamau kēia e ʻeha ai ka poʻe he nui. I ka ʻōlelo maʻalahi, ʻo nā hemorrhoids he mau kīʻaha koko pehu i loko o ka anus a i ʻole ka rectum. Ua like lākou me kahi aʻa i hoʻopaʻa ʻia. Inā aia lākou ma luna o ka laina pectinate, ua kapa ʻia lākou he hemorrhoids kūloko, a inā aia lākou ma lalo, ua kapa ʻia lākou he hemorrhoids waho. Hiki ke hana ʻia kēia e nā mea e like me ke kaumaha i ka wā o ka neʻe ʻana o ka ʻōpū a me ka constipation lōʻihi.
- ʻO ka māwae anal: He haehae liʻiliʻi kēia a he māwae paha i loko o ka ʻili palupalu i loko o ka anus. E noʻonoʻo e like me ka māwae ma ke kihi o kou waha. Hiki i kēia ke hōʻeha nui, ʻoiai i ka wā o ka neʻe ʻana o ka ʻōpū, a me kekahi kahe koko .
- ʻO ka maʻi hū anal: I kekahi manawa, hiki i kahi ʻano hū i kapa ʻia ʻo Candida ke hana i kahi maʻi ma ka anus a me ka ʻāpana a puni (ʻāpana perianal). Ua kapa ʻia hoʻi kēia ʻo Candidiasis. ʻO nā hōʻailona nui ka maneʻo a me ka ʻeha.
- Nā maʻi hoʻopili kino i loko o ka anus: Hiki i ka moekolohe anal me ka pale ʻole ke alakaʻi i nā ʻano maʻi like ʻole (STIs) e hoʻopilikia ai i ka anus. ʻO nā laʻana e like me Chlamydia, Genital Herpes, Anal warts i hoʻokumu ʻia e Human Papillomavirus (HPV), Syphilis, Gonorrhea, Hepatitis A, Hepatitis B, a me HIV.
- ʻO ka ʻōpū anal / fistula anal:Hiki i kekahi manawa ke ālai ʻia a loaʻa ka maʻi i kahi gland i loko o ka anus e hana ana i ka mucus. Hiki i kēia ke hana i kahi abscess ma lalo o ka ʻili. Ma hope o ka mālama ʻia ʻana o kēia abscess me ka lāʻau lapaʻau a i ʻole ke ʻoki liʻiliʻi, ma mua o 50% o nā hihia, hiki ke ulu kahi alahele ʻē (anal fistula) mai ka gland a i ka ʻili. He kūlana paʻakikī kēia.
- ʻO ka stenosis anal: ʻO ka stenosis ka haiki ʻana o kahi ʻōmole i loko o ko mākou kino. Hiki ke hana ʻia nā ʻiʻo ʻeha i loko o ka anus ma muli o kahi ʻeha, ke ʻoki kino mua, a i ʻole ka maʻi, e hoʻohaiki ana i ke ala no ka ʻōpala.
- ʻAnorectal malformation: He kūlana kēia i loaʻa i ka wā hānau . Hānau ʻia kekahi mau pēpē me kahi anus i hana pono ʻole ʻia a ʻaʻohe loa paha. I kēia hihia, pono paha kahi ʻoki kino i kapa ʻia ʻo anoplasty e hoʻoponopono iā ia.
- ʻO ka dyssynergic defecation: Hana ʻia kēia ʻano ke hana pono ʻole nā ʻiʻo a me nā aʻalolo e kōkua iā ʻoe e hoʻohele i ka ʻōpala. Ua like ia me ka clutch a me nā kia i loko o ke kaʻa e hana pono ʻole ana i ka wā e hoʻololi ai ʻoe i nā kia. Ua kapa ʻia hoʻi kēia he dyssynergic defecation.
- ʻO ka incontinence anal: Ke nāwaliwali a hōʻino ʻia paha nā ʻiʻo sphincter i loko o ka anus, hiki iā ʻoe ke loaʻa ka leakahe ʻole o ka ʻōpala. Hiki ke hana kēia no nā kumu like ʻole.
- Ka maʻi ʻaʻai anal: He ʻano maʻi ʻokoʻa kēia ma mua o ke kanesa colon a i ʻole ke kanesa rectal. ʻO ka hapa nui o nā maʻi ʻaʻai e ulu ana ma ke kahawai anal he ʻano i kapa ʻia ʻo squamous cell carcinoma.
He mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻaʻole ia he manaʻo ua loaʻa iā ʻoe ka maʻi. Eia nō naʻe, he mea naʻauao ke ʻike i ke kauka no ka nānā ʻana.
He aha nā hōʻailona e hōʻike ana i kahi pilikia rectal?
Inā he mau pilikia olakino kou e pili ana i kou rectum, hiki iā ʻoe ke ʻike i kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻoluʻolu e ʻike i ke kauka.
- ʻEha anal: Hiki ke ʻike ʻia kēia ma nā ʻano like ʻole, e like me ka ʻeha palupalu, ka ʻeha i ka wā e neʻe ai ka ʻōpū, a i ʻole ka ʻeha i ka wā e noho ana.
- Nā ʻeha anal: E ʻike paha ʻoe i nā mea e like me nā warts, ʻulaʻula, nā pehu, nā puʻupuʻu liʻiliʻi, a me nā māwae ma ka ʻili i loko a i waho paha o ka anus.
- ʻEke anal: He hōʻailona hoʻonāukiuki loa kēia. Hiki ke hana ʻia e kahi maʻi allergy a i ʻole kahi maʻi.
- Ke kahe koko ʻana o ka lua: E ʻike paha ʻoe i ke koko i loko o kou ʻōpala a i ʻole ma ka pepa lua ke hele ʻoe i ka lua. I kekahi manawa e manaʻo paha ʻoe i ke koko ke holoi ʻoe. He ʻeha a ʻeha ʻole paha kēia kahe koko.
- Hoʻokuʻu ʻia ʻana o ka anal: Inā puka mai kahi mea e like me ka mucus a i ʻole ka pus me ka ʻōpala, a inā paha e hoʻohaumia i kou lole komo, he hōʻailona paha ia o kahi maʻi.
- Paʻakikī me ka neʻe ʻana o ka ʻōpū: ʻO ka paʻakikī i ka hele ʻana i ka noho, ka hoʻoluhi ʻana no ka manawa lōʻihi, a i ʻole ka hiki ʻole ke kaohi i ka neʻe ʻana o ka ʻōpū e hiki ke hana ʻia e nā pilikia me nā ʻiʻo a i ʻole nā aʻalolo i loko o ka rectum.
He aha nā ʻano hoʻokolohua a nā kauka e hana ai e nānā i ke olakino o ka rectum?
Inā manaʻo ke kauka he pilikia kou i ka rectal, hiki iā lākou ke hana i kekahi mau hoʻokolohua e ʻike ai i ke kumu:
- Hoʻokolohua Rectal Digital (DRE): Ma kēia hoʻokolohua, hoʻokomo kāu kauka i kahi manamana lima i uhi ʻia me ka mīkina lima i loko o kou rectum e nānā i kou anus a me ka rectum. Hiki i kēia ke kōkua i ka ʻike ʻana i nā puʻupuʻu ʻē a i ʻole nā wahi ʻeha.
- ʻAnoscopy: Pili kēia i ke komo ʻana i kahi mea hana liʻiliʻi e like me ka paipu i kapa ʻia he anoscope i loko o ka anus e nānā pololei i loko o ke kahawai anal. I kekahi manawa hana ʻia kēia me kahi aniani hoʻonui.
- ʻEnema Barium: He hoʻāʻo X-ray kūikawā kēia e nānā ana i ka ʻōnaehana gastrointestinal. Ma kēia, ua hoʻokomo ʻia kahi wai keʻokeʻo i kapa ʻia ʻo barium i loko o ka rectum ma ke ʻano he enema. Hōʻike ka barium i nā ʻōpū ma nā kiʻi X-ray. Hiki iā ʻoe ke ʻike i loko o ka ʻōpū nui, ka rectum, a me ka anus. Hana ʻia kēia me ka hoʻohana ʻana i kahi ʻano hana i kapa ʻia ʻo fluoroscopy, e like me ka X-ray wikiō ola.
- Defecography: He hoʻāʻo X-ray kēia. Pili kēia i ke hoʻopaʻa ʻana i ke kaʻina hana (X-ray) i kou wā e kahe ana. Hoʻohana ʻia ia e ʻike i nā pilikia mechanical a hana paha e kū mai ana i ka wā e kahe ana.
- Manometry Anorectal: Ke ana kēia hoʻāʻo i ka ikaika o nā ʻūmiʻi ʻiʻo rectal, ka ʻike rectal, ka pane ʻana o ke aʻalolo, a me ka kaohi ʻana i nā ʻiʻo.
- Electromyogram (EMG): Ke ana nei kahi hoʻāʻo EMG i ka hana uila o nā ʻiʻo. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he nāwaliwali a pilikia paha nā aʻalolo i loko o nā ʻiʻo sphincter.
Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu rectum?
ʻAe, pehea lā e mālama ai i kēia ʻāpana koʻikoʻi i kapa ʻia ʻo ka rectum i ke olakino? Eia kekahi mau ʻōlelo aʻoaʻo:
1. Ke hana ʻana i ka moekolohe palekana: E pale iā ʻoe iho mai nā maʻi i laha ma ke moekolohe (STIs). ʻO ka hoʻohana ʻana i nā ʻano palekana e like me nā condoms i ka wā o ka moekolohe anal a me ka hoʻohana ʻana i ka lubrication inā pono e kōkua i ka pale ʻana i ka hōʻino ʻana i nā ʻiʻo anal.
2. ʻAi ʻana i ka meaʻai momona i ka fiber:Hāʻawi mai nā palaoa piha, nā mea kanu, nā huaʻai, a me nā legume i ko mākou kino i ka nui o ka fiber meaʻai. Kōkua kēia fiber i ka hoʻomaʻamaʻa ʻana i ka neʻe ʻana o ka ʻōpū, palupalu i ka ʻōpala, a pale i ka paʻa ʻana o ka ʻōpū.
3. Ke hoʻomaʻemaʻe mālie: He mea nui e holoi a hoʻomaʻemaʻe pono ma hope o ka neʻe ʻana i ka wai. Eia naʻe, mai hoʻohana pinepine i nā kopa ʻino a i ʻole nā ʻūlū waiʻona. ʻO kēia no ka mea he ʻili koʻikoʻi loa ka ʻili a me ka mucosa a puni ka anus. Hiki i nā mea ʻino ke hōʻino i kona mau pale kūlohelohe, e hana ana i nā pilikia e like me ka maneʻo, ka maloʻo, a me ka nahā.
4. Ke lawe koʻikoʻi nei i nā hōʻailona: Inā ʻike ʻoe i kekahi mea ʻē i loko o kou anus, e like me ka ʻeha, ka maneʻo, a i ʻole ke kahe ʻana o ke koko, mai manaʻo wale he mea maʻamau. Mai hilahila. E ʻike koke i ke kauka a loaʻa i ka ʻōlelo aʻoaʻo a me ka lāʻau e pono ai.
Nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo (Leka Lawe-Home)
ʻAe, e hoʻomanaʻo aku kākou iā ʻoukou i kekahi mau mea a kākou i kamaʻilio ai i kēia lā a mākou e manaʻo nei he mea nui iā ʻoukou:
- He ʻāpana koʻikoʻi ka anus o ko mākou kino e kōkua iā mākou e hoʻokuke i nā ʻōpala, kipaku aku i nā ʻōpala mai ke kino, a pale iā mākou mai nā maʻi o waho.
- ʻO nā kūlana e like me nā hemorrhoids, anal fissures, nā maʻi like ʻole, a i kekahi manawa ke kanesa hiki ke hoʻopilikia i kēia wahi.
- Inā loaʻa iā ʻoe ka ʻeha, ka maneʻo, ke kahe ʻana o ke koko, ka ʻeha, ka puʻupuʻu, ka wai kahe ʻē, a i ʻole kahi loli a pilikia paha i kou neʻe ʻana o ka ʻōpū , mai hoʻowahāwahā iā ia.
- ʻO ka ʻai nui i ka fiber, nā hana hoʻomaʻemaʻe mālie a kūpono, a me ka moekolohe palekana e hele lōʻihi i ka mālama ʻana i ke olakino rectum.
- > ʻO ka mea nui loa, inā he mau nīnau a kānalua paha kāu e pili ana i kēia, e waiho i kou hilahila a me kou makaʻu a e ʻike pono i ke kauka no ka ʻōlelo aʻo. ʻO kou olakino ka mea nui!
No laila, ke lana nei koʻu manaʻo ua aʻo ʻoe i kahi mea maʻalahi a maopopo e pili ana i ka anus. ʻO ka ʻike ʻana i nā mea e like me kēia he mea nui loa ia no ke ola olakino.
ʻO ka rectum, hemorrhoids, stool, ʻeha rectum, kahe koko rectum, ʻōnaehana hoʻoheheʻe, olakino

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