Ke ʻeha nui nei hoʻi ʻoe i ka wā e kahe ai kou wai? He ʻeha ʻoi a hiki ʻole ke hoʻomanawanui, e like me ke ʻoki ʻia ʻana e kahi ʻāpana aniani... A laila manaʻo ʻoe i ka makaʻu nui ke ʻike ʻoe i kekahi mau kulu koko ma ka pepa lua a i ʻole i loko o ka lumipaku. He pilikia kēia a ka poʻe he nui e hilahila ai e kamaʻilio e pili ana, a mālama lākou i loko. Akā he maʻi olakino maʻamau ia. No laila e kamaʻilio ākea kākou e pili ana i kēia lā.
He aha ka māwae anal?
I ka ʻōlelo maʻalahi, he haehae liʻiliʻi, haki, a ʻeha paha ka ʻili i loko o kou kahawai anal. E like me ka hiki ke māwae ko mākou mau lehelehe, hiki ke māwae ka uhi palupalu ma ka hopena o kou anus no nā kumu like ʻole. ʻO kēia ʻeha ke kumu o kēlā ʻeha nui i ka wā e neʻe ai ʻoe i ka ʻōpū.
Hiki i kēia maʻi ke hoʻopilikia i kekahi o nā makahiki āpau, mai nā pēpē ʻōpiopio loa a i nā pākeke. He mea maʻamau ia i nā wahine hāpai a me nā keiki ʻōpio.
He aha nā hōʻailona nui o kēia maʻi?
Inā loaʻa iā ʻoe kahi fissure anal, hiki iā ʻoe ke ʻike i kekahi a ʻoi aku paha o kēia mau hōʻailona:
- ʻEha ʻoi a ʻoi i ka wā e kī ai: ʻO kēia ka hōʻailona nui a ʻoluʻolu ʻole loa. Ua wehewehe kekahi i ka ʻeha e like me "ka hele ʻana ma luna o ke aniani."
- ʻEha e mau ana no nā hola: ʻOiai ma hope o kou pau ʻana i ka ʻōpala ʻana, hiki iā ʻoe ke ʻike i ka ʻeha wela a ʻeha paha no kekahi mau hola.
- Ke koko liʻiliʻi i loko o ka ʻōpala: He koko liʻiliʻi kēia o ke koko hou ʻulaʻula ʻālohilohi. Hiki iā ʻoe ke ʻike i kēia ma ka pepa lua a i ʻole ma ka ʻili o ka ʻōpala.
- ʻO ka ʻā a i ʻole ke kuni a puni ka anus: Hiki ke loaʻa kēia ʻano ʻoluʻolu ʻole ma muli o ka ʻeha.
- He puʻupuʻu liʻiliʻi a i ʻole ka ʻili kokoke i ka anus: I kekahi manawa, hiki i kahi ʻili ke ulu me nā fissures anal maʻi.
He hemorrhoids kēia a he māwae anal paha?
ʻO kēia kahi e huikau ai ka poʻe he nui. He mea maʻamau ka huikau ʻana o nā hemorrhoids a me nā anal fissures no ka mea ua like iki nā hōʻailona (e like me ke kahe ʻana o ke koko a me ka maneʻo). Eia nō naʻe, aia nā ʻokoʻa maopopo ma waena o nā mea ʻelua.
E noʻonoʻo e pili ana i ia mea, he mau kīʻaha koko pehu nā hemorrhoids i loko o ka anus, e like me ka puʻu o nā aʻa koko. Akā, he haehae ka anal fissure i loko o ka ʻili.
E nānā kākou i nā ʻokoʻa nui ma waena o nā mea ʻelua.
| ʻAno | Māwae Anal | Nā ʻōpū hemorrhoids |
|---|---|---|
| ʻEha | I ka manawa pinepine (ʻoi aku ma mua o 90%) aia kahi ʻeha ʻoi loa a ʻoi aku ka ʻeha i ka wā e neʻe ai. | ʻAʻole mau ka ʻeha. Inā he ʻeha, he ʻeha mau a kaumaha pinepine ia. |
| Ke kahe ʻana o ke koko | I ka manawa pinepine, ʻike ʻia kahi koko liʻiliʻi e like me kahi kiko ma ka pepa toilet a i ʻole kahi kaha ma luna o ka noho. | ʻOiai me ka ʻeha ʻole, aia paha he mau kulu a pīpī paha o ke koko i kekahi manawa. |
| Ke manaʻo nei i kahi puʻupuʻu | ʻAʻole ʻike pinepine ʻia kahi puʻupuʻu. I nā kūlana lōʻihi, hiki ke ulu aʻe kahi ʻili liʻiliʻi. | Hiki ke paʻa i ka lima nā puʻupuʻu palupalu a puʻupuʻu e puka mai ana mai ka anus. |
Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻo ka mea nui loa, ʻo ia ke ʻike ʻana i ke kauka a loaʻa kahi hōʻailona pololei, ma mua o ke kuhi wale ʻana.
No ke aha lā kēia e hana nei? He aha nā kumu nui?
ʻO ke kumu nui o nā māwae anal ka hōʻino a i ʻole ka trauma i ka ʻili palupalu o ka anus. Aia kekahi mau kumu e hiki ke kōkua i kēia.
Nā kumu nui:
- Paʻa ʻōpū: ʻO kēia ke kumu nui loa. Ke maloʻo a paʻakikī nā ʻōpala e like me nā pōhaku, hiki i ka ʻili a puni ka anus ke kīkoʻo, haehae, a nahā i ka wā e hoʻāʻo ai e hoʻokuʻu iā lākou.
- Ka hānau keiki ʻana: Hiki i ke kaomi i ka wā hānau keiki ke hōʻino i ka ʻāpana a puni ka anus a hana i nā māwae.
- Ka maʻi kahe mau loa: Hiki i nā ʻōpala palupalu ke hōʻino i ka ʻili o ka rectum.
- Hana moekolohe: Hiki ke hana ʻia nā māwae anal ma muli o ka hana moekolohe.
Nā kumu hoʻohuli ʻē aʻe:
- ʻO ka maʻi ʻōpū mumū (IBD): Nā kūlana e like me ka maʻi o Crohn.
- Nā maʻi i laha ma ke moekolohe (STIs).
- Nā hana ʻoki mua e pili ana i ka rectum.
- Hiki nō hoʻi ke hana ʻia ma ke ʻano he hōʻailona laha ʻole o nā maʻi koʻikoʻi e like me ke kanesa rectal .
He aha ka mea e hiki mai ana inā hoʻomau kēia? (Nā pilikia)
Hoʻōla ka hapa nui o nā māwae anal (nā māwae koʻikoʻi) i loko o kekahi mau pule me ka mālama pono. Eia nō naʻe, inā ʻaʻole ho'ōla kekahi mau māwae a mau no ʻelua mahina, kapa mākou iā lākou he mau māwae anal mau loa.
Hiki mai kēia kūlana ma muli o kahi pōʻaiapuni kolohe.
1. Hoʻopaʻa ponoʻī ʻia nā ʻiʻo sphincter anal a puni ka anus ma muli o ka ʻeha i ka wā e kahe ai ka wai.
2. Ke ʻūmiʻi nā ʻiʻo, e ʻoi aku ka lōʻihi o ka ʻeha, a e emi ana ke kahe koko i kēlā wahi.
3. Ke emi ka lako koko, ua lohi ka ho'ōla ʻana o ka ʻeha.
4. No ka mea, ʻaʻole e ho'ōla ka ʻeha, i ka manawa aʻe e neʻe ai ʻoe i ka ʻōpū, e ʻeha hou ʻoe. Ke hoʻomau nei kēia pōʻaiapuni.
Inā hoʻomau kēia, hiki ke loaʻa nā kūlana e like me ka fecal impaction a me ka anal stenosis .
He aha nā lāʻau lapaʻau e hiki ke hana ʻia ma ka home?
Inā ʻaʻole hiki iā ʻoe ke ʻike koke i ke kauka i ka wā e hoʻomaka ai kēia maʻi, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home e kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoluʻolu ʻole. E kōkua pinepine kēia i ke kūlana e hoʻomaikaʻi.
| He aha e hana ai | Wehewehena |
|---|---|
| Ke ʻauʻau ʻana ma Sitz | ʻO kēia ka mea maikaʻi loa e hana ai. E hoʻopiha i kahi kīʻaha nui me ka wai mehana a hoʻomohu i loko no 10-15 mau minuke. ʻO ka hana ʻana i kēia i ʻelua a ʻekolu paha manawa i ka lā, ʻoiai ma hope o ka neʻe ʻana o ka ʻōpū, e hōʻemi i ka ʻeha, e hoʻomaha i nā ʻiʻo, a kōkua i ka ho'ōla ʻana o ka ʻeha. Mai hoʻohui i ke kopa a i ʻole Dettol i ka wai. |
| Ke hoʻololi nei i ka ʻai | Nā meaʻai waiwai i ka fiberE ʻai nui. E hoʻokomo i nā lau ʻōmaʻomaʻo e like me ka spinach a me ka kale, nā huaʻai (ʻāpala, maiʻa), nā mea kanu, ka ʻoka, a me nā nati i kāu papaʻai. E kōkua kēia i ka palupalu ʻana o ka ʻōpala. E hōʻemi i nā meaʻai ʻala a me ka ʻaila no kekahi manawa. |
| E inu i ka wai nui. | E inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. He mea nui kēia no ka pale ʻana i ka paʻa ʻana o ka ʻōpū. |
| Nā hana halepaku | Ke manaʻo ʻoe e pono e kahe i ka wai, e hele koke i ka lua. Mai kali lōʻihi. I ka wā e hoʻohana ai i ka lua, e mālama i kahi noho liʻiliʻi ma lalo o kou mau wāwae. E maʻalahi kēia i ke kūlana kūlou. |
| Ka maʻemaʻe | I ka holoi ʻana, mai hamo ikaika me ka pepa lua ʻinoʻino, akā e hoʻomaʻemaʻe mālie me ka wai. Hiki nō hoʻi iā ʻoe ke hoʻohana i nā ʻūpī pulu ʻaʻohe waiʻona. |
He aha nā lāʻau lapaʻau i loaʻa?
Inā ʻaʻole e hoʻomaikaʻi kou kūlana ma hope o kekahi mau pule o ka mālama ʻana ma ka home, e ʻike pono i ke kauka. E hoʻolohe ke kauka i kāu mau hōʻailona a, inā pono, e hana i kahi hoʻokolokolo mālie e hōʻoia i ka hōʻailona. Inā koʻikoʻi ka ʻeha, hiki ke hoʻomaka ʻia ka lāʻau lapaʻau ma muli o nā hōʻailona me ka ʻole o ka hoʻokolokolo ʻana.
ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hoʻomaha ʻana i nā ʻiʻo o ka rectum, hoʻihoʻi i ke kahe o ke koko, a ʻae i ka ʻeha e ho'ōla.
- Nā ʻaila poni i hoʻolako ʻia me nā lāʻau lapaʻau:
- ʻAila Nitroglycerin: Hoʻonui kēia i nā kīʻaha koko, hoʻonui i ke kahe koko, a hoʻomaha i nā ʻiʻo. Eia nō naʻe, hiki iā ia ke hoʻoulu i ka ʻeha poʻo i kekahi poʻe.
- Nā Mea Pale i ke Kahawai Kalipuna: Inā ʻaʻole holo pono ka kirīmi nitroglycerin, hoʻohana ʻia nā kirīmi e like me diltiazem e hoʻomaha ai i nā ʻiʻo.
- Nā Lāʻau Hoʻomālielie Noho / Lāʻau Laxative: Inā koʻikoʻi ka paʻa ʻana o ka ʻōpū, aia nā lāʻau lapaʻau e hiki ke hāʻawi ʻia e hoʻomālielie i nā noho.
- Inikini Botox®: Inā ʻaʻole i holomua nā lāʻau ʻē aʻe, hiki ke hāʻawi ʻia kahi inikini Botox e hoʻomaha i nā ʻiʻo i loko o ka rectum no kahi o ʻekolu mahina, e ʻae ana i ka ʻeha e ho'ōla.
- ʻO ke ʻoki kino:
Hiki ke ʻōlelo ʻia ke ʻoki ʻana ma ke ʻano he koho hope loa no nā māwae mau loa i hoʻōla ʻole ʻia me kekahi o nā lāʻau lapaʻau i luna.ʻO kēia ʻoki liʻiliʻi, i ʻike ʻia he colostomy, pili ia i ka hana ʻana i kahi ʻoki liʻiliʻi i loko o ka ʻiʻo o loko o ka rectum e wehe mau loa i ka paʻa ʻē. He lāʻau lapaʻau kūpono loa kēia.
E hoʻomanaʻo, he maʻi maʻamau loa kēia. No laila, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka a loaʻa ka ʻōlelo aʻoaʻo me ka hilahila ʻole a me ka makaʻu ʻole. ʻO ka hoʻomanawanui ʻana i ka ʻeha e hoʻonui wale i ke kūlana.
Leka Lawe-Home
- ʻO ka ʻeha ʻoi i ka wā e neʻe ai a me kahi koko hou liʻiliʻi nā hōʻailona nui o kahi māwae anal.
- ʻO ke kumu nui o kēia, ʻo ia ka paʻa ʻana o ka ʻōpū a me ka hoʻoikaika ʻana e hele i loko o ka ʻōpū.
- Hoʻōla ʻia ka hapa nui o nā māwae i loko o kekahi mau pule me ka mālama maʻalahi e like me ka ʻai ʻana i ka meaʻai kiʻekiʻe i ka fiber, inu nui i nā wai, a me ka ʻauʻau sitz.
- Inā ʻoi aku ka lōʻihi o kāu mau hōʻailona ma mua o kekahi mau pule a i ʻole he koʻikoʻi, e ʻimi pono i ke kōkua lapaʻau.
- ʻAʻohe pono e ʻeha i ka ʻeha, no ka mea, aia nā lāʻau lapaʻau kūpono loa (nā ʻaila poni, nā lāʻau lapaʻau, a inā pono, ke ʻoki kino) no kēia maʻi.
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