E aʻo kākou e pili ana i kahi ʻāpana koʻikoʻi o kāu ʻōnaehana hoʻoheheʻe: ka rectum.

I kēia lā, e kamaʻilio kākou e pili ana i kahi ʻāpana koʻikoʻi o ko kākou kino, akā i kekahi manawa ua nānā ʻole ʻia. ʻO ia ka rectum, a i ʻole ma ka ʻōlelo Pelekania, ka rectum. ʻO kēia ka ʻāpana ma ka hopena o kā kākou ʻōnaehana hoʻoheheʻe. E nānā kākou i ke ʻano o ia mea, pehea e hana ai, a me nā maʻi e hiki ai ke hana.

He aha ka rectum?

I ka ʻōlelo maʻalahi, ʻo kou rectum ka ʻāpana hope loa o kou ʻōpū nui. ʻIke ʻoe, he paipu lōʻihi ka ʻōpū nui. ʻO kēia kahi o ka colon, rectum, a me ka anus. ʻO kou rectum nā ʻīniha 6 hope loa o kēia. A laila hoʻomaka ke kahawai anal. ʻO kēia kahi kū hope loa no ka meaʻai a mākou e ʻai ai ma mua o kona hele ʻana ma o ko mākou kino a puka i waho ma ke ʻano he ʻōpala. Ke hiki aku nā huahana ʻōpala i koe mai ka ʻai ʻana o ka meaʻai, i kapa ʻia he feces, i ka anus mai ka colon, hōʻiliʻili lākou ma laila a hiki i ka wā e haʻi mai ai nā aʻalolo iā mākou e hele i ka lua.

He aha ka ʻokoʻa ma waena o ka Colon a me ka Rectum?

Hoʻomaka kou rectum ma kahi e pau ai kou colon. Hana ʻia lāua ʻelua i nā mea like. ʻO ia hoʻi, nā papa o nā ʻiʻo, nā papa o nā ʻiʻo, nā glands e hoʻopuka a omo i nā mea mai loko mai. Eia naʻe, ʻoi aku ka lōʻihi o ke colon. Eia kekahi, hoʻomau ka ʻeli ʻia ʻana o ka meaʻai i kona hele ʻana ma waena o ke colon. Akā i ka manawa e hiki ai i kou anus, ua lilo mua ia i ʻōpala paʻa, a i ʻole ka ʻōpala. ʻO ka hana a kou anus, ʻo ia ke paʻa i kēia ʻōpala no kekahi manawa, omo i ka nui o ka wai a me nā electrolytes i loko, a mālama iā ia a hiki i ka manawa e hāʻawi aku ai.

No laila he aha ka ʻokoʻa ma waena o ka rectum a me ka anus?

Hoʻomaka ke kahawai anal ma ka hopena o kou rectum. ʻO ia nā kenimika hope loa o kou ʻōpū nui. ʻO ka anus kahi e loaʻa ai nā ʻiʻo koʻikoʻi e kaohi i kou neʻe ʻana o ka ʻōpū, i kapa ʻia ʻo anal sphincters . ʻO kēia nā mea e hiki ai iā mākou ke paʻa a hoʻokuʻu i ka ʻōpala i ka wā e makemake ai mākou.

Pehea e hana ai ka rectum i loko o kā mākou ʻōnaehana hoʻoheheʻe?

ʻO ka hana nui o ka rectum, ʻo ia ke hōʻiliʻili a paʻa i kou ʻōpala a hiki i ka manawa e hoʻopau ai. Hoʻomaha a hoʻolōʻihi kou rectum e hoʻokipa i nā ʻōpala e puka mai ana mai kou colon, e like me ka pōpō. ʻO ia hoʻi, hana ia i wahi no ia. Ke paʻa ʻoe i kou ʻōpala ma kēia ʻano, omo ka rectum i ke koena o ka wai a me nā electrolytes i loko, e hoʻomānoanoa iki aʻe. Hoʻokuʻu pū ia i kahi mea i kapa ʻia ʻo mucus e kōkua i ka ʻōpala e hele maʻalahi. Ke piha kēia, hoʻouna nā aʻalolo i kahi hōʻailona i ka lolo e pono ʻoe e hele i ka lua i kēia manawa. ʻO ia ka manawa e manaʻo ai mākou i ka pono.

Aia i hea ka rectum?

Aia kou ʻōpū nui a puni ka ʻōpū liʻiliʻi, ma nā ʻaoʻao o ka lua ʻōpū. Aia ka rectum ma ka hopena o kēia ʻōpū nui, ma lalo o nā ʻāpana ʻē aʻe o ka ʻōpū, a ua kūlou i ka puka anal. I ka pololei, aia ia ma ka lua pelvic, ʻo ia kou wahi ʻōpū, ma waena o nā ʻiʻo papahele pelvic. Hoʻopili ʻia ka ʻaoʻao o luna o ka rectum i ka colon sigmoid, a hoʻopili ʻia ka ʻaoʻao o lalo i ka anus.

Pehea ka lōʻihi o ka rectum?

ʻO ka rectum maʻamau ma waena o 10 a me 15 kenimika ka lōʻihi. ʻO ia hoʻi ma kahi o 5 a 6 ʻīniha. Akā he mea kūikawā kēia. Ke hana nā ʻiʻo e hoʻokuke i ka ʻōpala i waho, hiki iā ia ke ʻūmiʻi a pōkole, e like me kahi mea pāʻani slinky. E like me ke koena o ka ʻōpū nui, he 3 ʻīniha ka laulā. ʻO ia hoʻi ka hapalua o ka laulā o kona lōʻihi. Akā hiki nō hoʻi iā ia ke hoʻonui, a i ʻole e hoʻonui, e mālama i ka ʻōpala keu no kekahi manawa, e like me kahi waihona.

He aha nā ʻāpana o ka rectum?

Ua like ke ʻano o ka rectum me kahi 'S' liʻiliʻi. He ʻelua ona kūlou. ʻO ke kūlou o luna, i kapa ʻia ʻo ka sacral flexure , e hahai ana i ke kūlou o kou iwi kuamoʻo. ʻO ke kūlou o lalo, i kapa ʻia ʻo ka anorectal flexure , e hōʻailona ana i ka hoʻololi ʻana mai ka rectum a i ka anus. Kōkua kēia mau kūlou iā ʻoe e kaohi i kāu neʻe ʻana o ka ʻōpū (continence).

Ua māhele ʻia hoʻi ka rectum i nā ʻāpana, e like me ko ka ilo. Ua hoʻokaʻawale ʻia kēia mau ʻāpana e nā pelu ʻākea ma ka ʻili o loko, i kapa ʻia ʻo nā valves o Houston .

ʻO kēia mau keʻena ʻekolu a ʻehā paha i loko o ka rectum e kāohi i ke kaʻe ʻana o ka ʻōpala. ʻO ke keʻena hope loa i kapa ʻia ʻo ka rectal ampulla . ʻO kēia kahi mālama hope loa ma mua o ka puka ʻana o ka ʻōpala. Ke piha kēia keʻena, hōʻike nā mea loaʻa i loko o ka paia rectal i ka ʻōnaehana nerve waena ua hiki i ka manawa e neʻe ai ka ʻōpū. Ke piʻi aʻe ke kaomi, e paʻakikī ke kāohi, ʻike ʻoe?

He aha nā maʻi a me nā kūlana maʻamau e hoʻopilikia ai i ka rectum?

Hiki i nā maʻi o ka rectum ke hoʻopilikia i ka ʻili, nā ʻiʻo, a i ʻole nā ​​aʻalolo i loko o ka rectum. Hiki i kēia ke hōʻeha a hoʻopilikia i ka hana maʻamau. E nānā kākou i kekahi o nā kūlana maʻamau :

• Proctitis: He mumū kēia o ka rectum, hiki ke hoʻoulu i ka pehu a me ka ʻulaʻula. Hiki ke hana ʻia no kekahi mau maʻi, ʻoiai nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STI). Hiki nō hoʻi ke hana ʻia e ka maʻi mumū o ka ʻōpū (IBD).Hiki ke hana ʻia ka proctitis mau loa ma muli o nā maʻi lōʻihi e like me:
• Nā ʻeha rectal: He mau ʻeha ʻeha a hāmama kēia. I kekahi manawa hiki i kēia mau ʻeha ke kahe ke koko.
• ʻO ka ʻōpū perianal: He puʻupuʻu ʻeha kēia, piha i ka pus e hana ana i loko o ka anus, ka wehe ʻana o ka anal, a i ʻole ka ʻāpana a puni (perineum).
• Nā polyp colorectal: He mea maʻamau nā ulu liʻiliʻi a ʻiʻo (polyps) i loko o ka colon a me ka rectum . ʻAʻole lākou he mea weliweli i nā manawa a pau. Eia nō naʻe, hiki i kekahi mau polyp ke ulu i loko o ka maʻi kanesa colorectal.
• ʻO ka prolapse rectal: Ma muli o ka nāwaliwali o nā ʻiʻo e paʻa ana i ka rectum ma kahi, hiki i ka rectum ke hāʻule i lalo a puka i loko o ke kahawai anal, e like me ka telescope.
• ʻO ka maʻi Levator : Loaʻa i kēia kūlana kona inoa mai ka ʻiʻo levator ani e paʻa ana i ka anus ma kahi. Hoʻoulu ia i ka ʻeha i kekahi manawa ma ka anus. Manaʻo pinepine ʻia ua hana ʻia e nā spasms i loko o ka ʻiʻo.
• ʻO ka hoʻōki ʻana o ka ʻōpū: ʻO nā pilikia me nā ʻiʻo a i ʻole nā ​​​​aʻalolo i loko o ka rectum e hiki ke paʻakikī i ka paʻa ʻana i ka ʻōpala. Hiki i kēia ke alakaʻi i ka leakage a i ʻole ka leakage piha o ka ʻōpala.
• Ka ʻū ʻana o ka ʻōpū: Hiki ke hana ʻia ka paʻakikī o ka hele ʻana i ka ʻōpū e nā kumu kino a me ka noʻonoʻo. Hiki ke hana ʻia kēia ma muli o ka emi ʻana o ka ʻike ma ka rectum a i ʻole ka nele o ka hoʻonohonoho ʻana o nā ʻiʻo, e like me ka hana ʻole o ka papahele pelvic .
• ʻO ka paʻa ʻana a me ka hopena fecal: ʻO ka paʻakikī i ka hele ʻana i ka ʻōpala a me ka hala ʻole ʻana o ka ʻōpala lawa e hiki ai ke hana i nā pōhaku ʻōpala a paʻa i ka rectum.

He aha nā hōʻailona e hōʻike ana he pilikia me ka rectum?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he manaʻo maikaʻi e kamaʻilio me ke kauka e pili ana i kou olakino rectal:

• Ke ʻike ʻana i nā ʻōpala koko ma kou lole komo a i ʻole i loko o ka lua (Rectal bleeding).
• ʻEha anorectal, a i ʻole ka ʻeha ma ka ʻōpū haʻahaʻa a i ʻole pelvis.
• Ka maneʻo o ka puka anal a i ʻole nā ​​​​hōʻailona o ka maʻi a puni ka puka anal.
• Nā loli i loko o nā ʻōpala, no ka laʻana, kahi loli i ke kala o ka ʻōpala, ke kūlike, a i ʻole ke alapine (pinepine).
• ʻO ka manaʻo pinepine o ka pono e hoʻokahe i ka ʻōpū (tenesmus) , a i ʻole ka pilikia a me ka ʻeha i ke kahe ʻana o ka ʻōpū (dyschezia) .
• He puʻu ʻiʻo e puka mai ana mai ka anus (pelvic organ prolapse).

Pehea e nānā ai nā kauka i ke olakino o koʻu rectum?

Aia kekahi mau hoʻokolohua a nā kauka e hoʻohana ai e nānā i ka rectum. E nānā kākou i ke ʻano o lākou:

• Hoʻokolohua Rectal Digital (DRE): Pili kēia i ke kauka e hoʻokomo i kahi manamana lima i uhi ʻia me ka mīkina lima i loko o kou rectum. Hiki ke hana ʻia kēia DRE ma ke ʻano he ʻāpana o kahi hoʻokolohua kino maʻamau a i ʻole ma ke ʻano he ʻāpana o kahi hoʻokolohua gynecological. Hiki iā ia ke nānā ʻaʻole wale i kou rectum, akā, i kou prostate a i ʻole cervix ma o ka paia rectum.
• Moʻomeheu Rectal: Ma kēia hoʻokolohua, hoʻopili ke kauka i loko o kou rectum me kahi swab pulupulu a laila hoʻomohala i ka laʻana e ʻike ai inā he bacteria a he mau virus paha.
• Hoʻāʻo ʻana i ka ʻōpala: Hiki i ke kauka ke lawe i kahi laʻana o kāu ʻōpala a nānā iā ia no nā hōʻailona o ka maʻi, ke kahe koko, a i ʻole nā ​​​​​​keʻokeʻo keʻokeʻo kiʻekiʻe.
• Manometry Anorectal: Ke ana kēia hoʻāʻo i ka maikaʻi o ka hana pū ʻana o kou mau ʻiʻo a me nā aʻalolo e hoʻokuke i ka ʻōpala i waho. Hoʻokomo ʻia kahi catheter me kahi baluna i hoʻopili ʻia i loko o kou anus, a hoʻopiha ʻia ka baluna me ka wai mahana. Hoʻopili ʻia kekahi ʻaoʻao o ka catheter i kahi mīkini e ana i ka hana o kou mau ʻiʻo.
• Defecography: Ma kēia hoʻāʻo, lawe ʻia nā kukuna X a i ʻole MRI o kou mau kino i loko o kou ʻōpū i kou hoʻāʻo ʻana e neʻe i ka ʻōpū. ʻO kēia ke ʻike i ke ʻano o ka hana ʻana o nā ʻano kino like ʻole a me nā ʻiʻo. Hoʻokomo kekahi loea lapaʻau i kahi mea lapaʻau i loko o kou rectum, a laila e hoʻouna ʻia ma ke ʻano he ʻōpala. Hana ʻoe i kēia i kou noho ʻana i loko o kahi keʻena kiʻi pilikino. Nānā lākou i kou mau kino ma kahi pale kamepiula.
• ʻEnema Barium: He ʻano X-ray GI kēia. Lawe ia i nā kiʻi fluoroscopic, a i ʻole wikiō, X-ray o kou ʻōpū nui, me kou rectum. ʻO ka enema barium kahi ʻano dye contrast. Hoʻokomo ʻia i loko o kou rectum e like me ka enema. Hōʻike maopopo nā kiʻi ʻeleʻele a keʻokeʻo i kēia mau wahi.
• Proctoscopy: ʻO ka proctoscopy kahi hana e nānā ai i loko o kou rectum me ka hoʻohana ʻana i kahi paipu pōkole a paʻa (scope). ʻO ka proctoscope kahi paipu hakahaka me ke kukui a me ke kāmela ma ka hopena. Inā pono, hiki i ke kauka ke hoʻokomo i kahi mea hana ma o ka paipu e lawe i kahi laʻana ʻiʻo (biopsy).
• ʻO ka sigmoidoscopy maʻalahi: Inā pono ke kauka e nānā hou aku i loko, ʻo ia hoʻi, ka ʻāpana hope loa o ka ʻōpū nui, kahi e pili ai i ka rectum (kou sigmoid colon), hiki ke hoʻohana ʻia kahi ʻōmole lōʻihi iki i kapa ʻia he sigmoidoscope maʻalahi. Inā he pilikia me kou colon, iaHiki paha ke lilo i ka maʻi mumū o ka ʻōpū (IBD) a i ʻole kahi maʻi ʻōpū. Pono kēia hoʻāʻo i ka hoʻomākaukau ʻana i ka ʻōpū.

Pehea e mālama ai i ke olakino o koʻu rectum?

ʻOiai ʻaʻole hiki ke pale ʻia nā maʻi āpau o ka rectum, hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i kekahi ma o ka hahai ʻana i kēia mau ʻano olakino maʻalahi:

• E hoʻomaʻamaʻa i ka moekolohe palekana: Hiki i nā maʻi i laha ʻia e ka moekolohe (STI) e hoʻopilikia i kou puka anal ke hoʻopilikia i kou rectum. E hoʻāʻo i kāu hoa no nā STI, a e hoʻohana i nā ʻano palekana inā kānalua.
• Hoʻoulu ka ʻai olakino i ka neʻe ʻana o ka ʻōpū olakino: E ʻai iki i nā meaʻai i hana ʻia a ʻai hou aku i nā meaʻai kūlohelohe e like me nā palaoa piha, nā mea kanu, a me nā huaʻai. Hiki i kēia ke kōkua i ka pale ʻana i ka paʻa ʻana o ka ʻōpū a me ka hoʻoikaika ʻana e hele i loko o ka ʻōpū, kahi e alakaʻi ai i nā pilikia ʻē aʻe he nui.
• E kiʻi i kāu colonoscopy: ʻO ka colonoscopy maʻamau kahi ala koʻikoʻi loa e nānā ai i nā polyps i loko o ka colon a pale i ka maʻi ʻaʻai colorectal.
• Mai hoʻowahāwahā i nā hōʻailona: Inā loaʻa iā ʻoe ka ʻeha mau, kahi loli i nā ʻano hana ʻōpū, a i ʻole ka paʻakikī i ka hele ʻana i ka noho, e ʻike i ke kauka ma mua o ka ʻino ʻana o ke kūlana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Ua like kou rectum me ke alahaka koʻikoʻi ma waena o kāu ʻōnaehana hoʻoheheʻe a me kou neʻe ʻana o ka ʻōpū. Hiki i kou colon ma kekahi ʻaoʻao a me kou anus ma kekahi ʻaoʻao ke hoʻopilikia i ke olakino o kou rectum, a ma ka huli ʻana, hiki ke hoʻopilikia ʻia kou rectum.

Hiki i nā pilikia rectum ke lilo i mea ʻoluʻolu ʻole a hilahila hoʻi. Eia nō naʻe, ʻo ka mea nui loa, ʻo ia ke loaʻa ʻana o ke kōkua āu e pono ai. Hiki i kahi gastroenterologist a i ʻole proctologist ke kōkua iā ʻoe e ʻike a mālama i nā pilikia rectum. No laila, mai hopohopo a e ʻimi i ke aʻo lapaʻau.

ʻO ka rectum, ka ʻōpala, ka ʻai ʻana, ka paʻa ʻana o ka ʻōpū, nā maʻi anal, colonoscopy