ʻIke mākou he kumuhana paʻakikī kēia e kamaʻilio e pili ana, akā he nui ka poʻe o ko kākou kaiāulu e ʻeha mālie nei i kēia pilikia. Ke manaʻo nei hoʻi ʻoe i ka ʻeha ʻoi ʻole i ka wā e hele ai i ka lua, ʻoiai i ka wā e hele ai i ka noho, me he mea lā e ʻoki ʻia ana ʻoe e kahi kākalaioa aniani? I ka manawa like, ʻike anei ʻoe i kekahi mau kulu o ke koko ʻulaʻula hou? A laila aia kahi manawa kūpono e loaʻa pū iā ʻoe kahi māwae anal . Mai hopohopo, he kūlana maʻamau loa kēia. I kēia lā e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka anal fissure?
ʻO ka māwae anal he haehae liʻiliʻi a māwae paha i loko o ka membrane mucous e uhi ana i loko o kou kahawai anal. E noʻonoʻo e like me kou mau lehelehe e haki ana i ka wā e loaʻa ai iā ʻoe ke anu. He lahilahi loa ka ʻili ma ka hopena o kou anus a he mea koʻikoʻi. Loaʻa kahi māwae ke hōʻino ʻia kēia ʻili lahilahi no kekahi kumu. ʻO kēia pinepine ke kumu nui o ka ʻeha anal a me kahi koko liʻiliʻi i loko o kou ʻōpala.
Hiki i kēia maʻi ke hoʻopilikia i kekahi o kēlā me kēia makahiki. He mea maʻamau ia i waena o nā keiki ʻōpio, nā wahine hāpai, a me nā pākeke ʻōpio. No kekahi poʻe, ulu koke ia a hoʻomaikaʻi iā ia iho i loko o kekahi mau lā a i ʻole mau pule. No kekahi poʻe, hiki ke lilo i maʻi mau loa e mau ana no ka manawa lōʻihi.
He aha nā hōʻailona nui o kēia maʻi?
Hiki i ke kanaka me ka rectal fissure ke ʻike i nā ʻano hōʻailona like ʻole. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau i ʻike ʻia e ka hapa nui o ka poʻe. E hōʻuluʻulu wau iā lākou ma kēia papa i mea e maʻalahi ai ke hoʻomaopopo.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha ʻoi | He ʻeha ʻoi, hou, a hou e kū mai ana i ka wā e hele ai ʻoe i ka lua, ʻoiai ke hele ʻoe i ka ʻōpala. Hiki i kēia ʻeha ke mau no nā minuke a i nā hola ma hope o kou pau ʻana i ka ʻōpala. |
| Koko i loko o ka ʻōpala | Hiki ke ʻike ʻia kahi koko ʻulaʻula hou a māmā i loko o ke pola lua, ma luna o ka noho, a i ʻole ma ka pepa lua. ʻAʻole kēia he kahe koko nui, he mau kulu koko wale nō. |
| Ka mumū a me ka maneʻo | Ke kuni a ʻā paha i loko o ka anus ma hope o ka neʻe ʻana i loko o ka lua. |
| Nā ʻūmiʻi ʻiʻo rectal (spasms) | Hiki i ka ʻeha ke hoʻopaʻa a spasm paha nā ʻiʻo apo a puni ka anus (anal sphincters). |
| He puʻupuʻu ma ka ʻili | I kekahi manawa e ʻike ʻia kahi puʻupuʻu liʻiliʻi a i ʻole kahi ʻili liʻiliʻi ma ka ʻili kokoke i ka ʻoki. |
ʻO ka mea nui, ʻo kēia ʻeha e hoʻomakaʻu ai i nā poʻe he nui e hele i ka lua. Akā, ʻo ka paʻa ʻana i loko o ka ʻōpala e hoʻopaʻakikī wale ai i ka ʻōpala a ʻoi aku ka ʻino o ka ʻeha i ka manawa aʻe. Ua like ia me kahi pōʻai ʻino.
He hemorrhoids koʻu? A i ʻole he māwae i loko o kuʻu rectum?
He pilikia kēia i loaʻa i nā poʻe he nui, no ka mea, ua like loa nā hōʻailona o nā hemorrhoids a me nā anal fissures. Hiki ke hana ʻia nā mea ʻelua e ka constipation, hiki ke kahe ke koko, a hiki i nā mea ʻelua ke maneʻo.
Akā aia kahi ʻokoʻa nui.
- ʻEha: ʻEiwa o 10 mau kānaka me nā māwae anal e ʻike i ka ʻeha nui. Akā, ʻaʻole ʻeha mau nā hemorrhoids. ʻO ka ʻeha o nā hemorrhoids he ʻeha palupalu ia e hoʻomau ana. Akā, ʻo ka ʻeha o kahi māwae he ʻeha ʻoi a haehae hoʻi ia e kū mai ana i ka wā o ka neʻe ʻana o ka ʻōpū .
- ʻAno: He mau kīʻaha koko pehu nā hemorrhoids a puni ka anus. Ua like lākou me nā aa koko varicose i nā wāwae. Akā, he haehae ka māwae i ka ʻili.
Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no kahi hōʻoia kūpono ma mua o ka hoʻāʻo ʻana e hoʻoholo iā ʻoe iho inā he hemorrhoids a he fissure paha.
No ke aha e kū mai ai kēia ʻano haʻihaʻi? He aha nā kumu nui?
Hoʻokumu pinepine ʻia kēia e ka ʻeha i ka ʻili palupalu o ka anus. Eia kekahi, hiki i kekahi mau kūlana olakino ke hoʻonui i ka pilikia.
Nā kumu mua:
- Ka paʻa ʻana o ka ʻōpū:ʻO kēia ke kumu nui a maʻamau. Ke paʻakikī, maloʻo, a nui ka ʻōpala, pono ʻoe e hoʻoikaika ikaika e hoʻokuʻu iā lākou. Hiki i kēia ke kīkoʻo a haehae i ka ʻili palupalu o ka rectum.
- Ka maʻi kahe mau loa: Hiki i nā neʻe pinepine ʻana o ka ʻōpū ke hōʻino i ka ʻili o ka rectum.
- Ka hānau keiki ʻana: Hiki ke hana ʻia kēia ʻano waimaka ma muli o ke kaomi i ka wā hānau maoli.
- Ke hoʻokomo ʻana i kahi mea i loko o ka rectum: no kekahi mau hoʻokolohua lapaʻau a i ʻole nā kumu ʻē aʻe.
- ʻO Dyschezia pēpē: Hiki ke hana i kēia kūlana ʻoiai ke hoʻāʻo nei nā pēpē e neʻe.
Nā kūlana ʻē aʻe e hiki ke kōkua:
- Nā hana ʻoki mua e pili ana i ka rectum.
- ʻO ka maʻi ʻōpū mumū (IBD), e like me ka maʻi a Crohn .
- Nā maʻi i laha ma ke moekolohe (STIs).
- Nā hihia kākaʻikahi loa e like me ka Tuberculosis (TB) a me ke Kanesa Anal .
- Ke ʻoi aku ka ʻino o ka ʻulaʻula diaper .
He aha nā pilikia e hiki ke loaʻa inā ʻaʻole mālama ʻia kēia maʻi?
ʻO ka hapa nui o ka manawa, ho'ōla kēia mau māwae i loko o kekahi mau pule me ka mālama pono. Akā i kekahi manawa ʻaʻole lākou e ho'ōla a hoʻomau. Kāhea mākou i kēia he Chronic Anal Fissure . ʻO ke kumu o kēia, ʻo ia ke kaʻapuni ʻino aʻu i ʻōlelo ai ma mua.
ʻO ka ʻeha ke kumu o ka ʻeha e paʻa ai nā ʻiʻo o ka rectum (spasm) -> Hoʻopaʻa nā ʻiʻo, e hoʻolōʻihi hou aku ai ka māwae, a e hōʻemi ana i ke kahe o ke koko i ka wahi -> Hoʻōla mālie ka ʻeha ma muli o ka emi ʻana o ke kahe o ke koko -> ʻAʻole ho'ōla ka ʻeha, no laila ke hoʻomau nei ka ʻeha.
Inā hoʻomau kēia pōʻaiapuni, hiki ke kū mai nā pilikia ʻē aʻe.
- Ka hopena o ka fecal: Ke pale aku ʻoe i ka hele ʻana i ka lumipaku ma muli o ka makaʻu i ka ʻeha, hiki ke paʻa ka ʻōpala i loko o ka rectum.
- Anal Stenosis: ʻO ka ʻeha mai ka ʻeha lōʻihi e hiki ai ke hoʻohāiki i ka anus, e paʻakikī ai ke kahe.
- Anal Fistula: Hiki ke hana ʻia kahi ʻōmole ʻē ma waena o ka anus a me ka ʻili ke hohonu a loaʻa ka maʻi i ka māwae. He ʻano paʻakikī kēia.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila, e hoʻāʻo ʻo ia e nānā i kou rectum. Hana ʻia kēia ma ka hoʻohuli ʻana iā ʻoe ma kekahi ʻaoʻao o kahi moe a me ka neʻe mālie ʻana i kou mau puʻupuʻu i nā ʻaoʻao, e hoʻāʻo ana e ʻike i ka puka.
Nui ka poʻe e makaʻu a hilahila e pili ana i kēia hoʻāʻo. Akā e hoʻomanaʻo, he mea maʻamau kēia no nā kauka. Inā ʻaʻole hiki iā ʻoe ke hoʻomanawanui i ka ʻeha, ʻaʻole e koi ke kauka iā ʻoe e hana i ka hoʻāʻo. Hiki ke ʻike pinepine ʻia ka maʻi ma muli o nā hōʻailona wale nō.
Inā ʻeha iki kou ʻeha, hiki i kāu kauka ke hoʻokomo mālie i kahi manamana lima i lubricated ʻia me nā mīkina lima i loko o kou rectum (digital rectal exam) e nānā i ka paʻa ʻana o nā ʻiʻo a me nā pilikia ʻē aʻe. Hiki i kēia ke kōkua i ka kāpae ʻana i nā kūlana ʻē aʻe.
He aha kāu e hana ai ma ka home e ho'ōla a hōʻemi i ka ʻeha?
ʻO ka nūhou maikaʻi, hiki ke mālama ʻia ka hapa nui o nā māwae anal, ʻoiai nā mea hou (nā māwae acute), me nā lāʻau lapaʻau maʻalahi ma ka home.
| Lāʻau lapaʻau | Pehea e hana ai a me kona mea nui |
|---|---|
| ʻAuʻau Sitz (ʻauʻau wai wela) | ʻO kēia ka lāʻau lapaʻau maikaʻi loa a maʻalahi hoʻi. E hoʻopiha i kahi kīʻaha nui me ka wai mehana a noho i loko no 10-15 mau minuke, ʻelua a ʻekolu paha manawa i ka lā. E hōʻemi kēia i ka ʻeha a me ka maneʻo. E hoʻomaha pū ia i nā ʻiʻo i loko o ka anus, e hoʻonui i ke kahe o ke koko, a kōkua i ka ʻeha e ola wikiwiki. |
| Ke hoʻololi nei i ka ʻai | He mea nui ia e pale aku i ka paʻa ʻana o ka ʻōpū. E ʻai i nā meaʻai waiwai i ka fiber (nā pī, nā lentil, nā maiʻa, ka spinach, ka oats, nā huaʻai, nā mea kanu). E inu ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā. E palupalu kēia i ka ʻōpala a e maʻalahi ai ke hele ʻana. |
| Nā hana halepaku | Ke pono ʻoe e hele i ka lua, mai hoʻokaʻulua. Mai hoʻoluhi. Ke noho ʻoe ma ka lua, e kau i kahi noho liʻiliʻi (noho paepae) ma lalo o kou mau wāwae. E kōkua kēia i kou kino e komo maoli i kahi kūlana ʻoluʻolu no ka neʻe ʻana i ka wai. |
| Ka maʻemaʻe | Ma hope o ka hoʻohana ʻana i ka lua, e hoʻomaʻemaʻe mālie me nā ʻūpī pulu ʻala ʻole a ʻaʻohe waiʻona paha a i ʻole ka pepa lua palupalu. Inā hiki, ʻoi aku ka maikaʻi o ka holoi ʻana me ka wai (bidet). |
| Nā ʻano uhi | ʻO ka hoʻopili ʻana i kahi mea e like me ka petroleum jelly hiki ke kōkua i ka mālama ʻana i ka ʻili i pulu a kōkua iā ia e ho'ōla. Hiki ke hoʻohana ʻia nā kirīmi hoʻomaha ʻeha (e.g. Lidocaine) e like me ke kuhikuhi a ke kauka. |
Inā ʻaʻole ho'ōla nā lāʻau lapaʻau ma ka home, he aha nā lāʻau lapaʻau?
Inā ʻaʻole e ola ka māwae no nā pule he 6-8 (Chronic Anal Fissure), he mea nui e ʻike i ke kauka. ʻO ka pahuhopu nui o ka mālama ʻana ma ʻaneʻi, ʻo ia ka hoʻomaha ʻana i nā ʻiʻo o ka anus a hāʻawi i ka māwae i kahi manawa e ola ai.
Nā ʻano lāʻau lapaʻau
- ʻAila Nitroglycerin: Hana kēia ʻaila ma ka hoʻonui ʻana i nā kīʻaha koko a puni ka anus, e hoʻomaha ana i nā ʻiʻo, a me ka hoʻonui ʻana i ke kahe koko i ka ʻeha. Kōkua kēia i ka ho'ōla wikiwiki ʻana o ka ʻeha. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i ka ʻeha poʻo i ka wā e hoʻopili ai i kēia.
- Nā mea pale o ke kahawai calcium: Hoʻohana ʻia nā ʻaila poni e loaʻa ana nā lāʻau lapaʻau e like me nifedipine a i ʻole diltiazem e hoʻomaha ai i nā ʻiʻo.
- ʻIniki Botox®: Inā ʻaʻole holo pono nā lāʻau ʻē aʻe, hiki ke hoʻohana ʻia ka iniki Botox® ma ke ʻano he koho hope loa e mālama ai i nā ʻiʻo anal. Hoʻopaʻa kēia i nā ʻiʻo no kekahi manawa a hoʻomaha (no kahi o 3 mau mahina), e ʻae ana i ka māwae e ho'ōla.
- Nā Laxatives Nui: Inā koʻikoʻi ka paʻa ʻana o ka ʻōpū, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me nā mea hoʻopihapiha fiber (e.g., psyllium husk).
ʻoki kino
Inā ʻaʻole kōkua ka lāʻau lapaʻau a i ʻole hoʻi hou ka māwae, pono paha ke ʻoki kino liʻiliʻi. Ua kapa ʻia kēia he Lateral Internal Sphincterotomy .
ʻO kēia ke ʻoki ʻana i kahi ʻoki liʻiliʻi loa i loko o ka ʻiʻo sphincter kūloko o ka rectum ma lalo o ka anesthesia, e wehe mau ana i ka stricture. He lāʻau lapaʻau holomua loa kēia (ʻoi aku ma mua o 90% holomua), a nalowale koke ka ʻeha ma hope o ke ʻoki ʻana. Hiki iā ʻoe ke hoʻi i ka home mai ka haukapila i ka lā hoʻokahi.
Leka Lawe-Home
- He maʻi maʻamau a ʻeha hoʻi ka māwae anal. Mai hilahila a makaʻu paha.
- Hoʻokumu pinepine ʻia kēia ʻano e ka paʻa ʻana o ka ʻōpū, a hiki ke ho'ōla ʻia i loko o kekahi mau pule me nā lāʻau lapaʻau maʻalahi ma ka home (ka puhi ʻana me ka wai mehana, ka ʻai ʻana i ka meaʻai momona i ka fiber, a me ka inu ʻana i ka wai he nui).
- Inā he koko ʻulaʻula hou i loko o kou ʻōpala, ʻeha hiki ʻole ke hoʻomanawanui, a inā ʻaʻole ʻoe e ʻoluʻolu ma hope o kekahi mau pule, mai hoʻonele i ka manawa a ʻike i ke kauka kūpono.
- Mai hoʻopaneʻe i ka hele ʻana i ka lua no ka makaʻu i ka ʻeha. Hiki i kēia ke hoʻonui i ke kūlana.
- Hiki ke ho'ōla loa ʻia kēia maʻi ma ka hahai pono ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka a me ka hana ʻana i kekahi mau hoʻololi maʻalahi i ke ʻano o ka nohona.
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