Ke manaʻo nei hoʻi ʻoe i ka ʻeha mau, ka pehu ʻana, a i ʻole ka kahe ʻana mai kou anus? Malia paha e hoʻonui ʻia kēia ʻeha ke noho ʻoe, hele i ka lua, a i ʻole ke kuʻi ʻana. Hiki iā ʻoe ke hilahila a ʻoluʻolu ʻole e kamaʻilio e pili ana i kēia me kekahi. Akā, ʻaʻole kēia he pilikia e hoʻopilikia wale iā ʻoe. Loaʻa kēia ʻano i nā poʻe he nui. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻano i kapa ʻia ʻo "Anal Fistula".
I ka ʻōlelo maʻalahi, he aha ka anal fistula?
E noʻonoʻo iā ia e like me kahi tunnel liʻiliʻi. He mea like ia me ka anal fissure. I ka ʻōlelo maʻalahi, he alahele like me ke tunnel kūlohelohe ʻole ia e hana ʻia mai loko mai o ko kākou anus a i waho o ko kākou ʻili. Hana pinepine ia i ka wā e maʻi ai nā kelepa anal liʻiliʻi ma luna o ko kākou anus. Ke maʻi ʻia kēia mau kelepa a hana ʻia kahi abscess piha i ka pus, he ala no ka pus e kahe ai i waho. ʻO ia ka mea e lilo ai i fistula. Ua kapa ʻia hoʻi he perianal fistula. ʻO ia hoʻi "a puni ka anus."
He mea maʻamau kēia maʻi. ʻElua ka nui o ka loaʻa ʻana o nā kāne ma mua o nā wāhine. Ma kahi o hoʻokahi i loko o ʻelua mau kānaka e loaʻa ana kahi fistula a puni ka anus e loaʻa i kēia maʻi.
Pehea e ʻike ai i nā hōʻailona o kēia?
Inā loaʻa iā ʻoe kahi "Anal Fistula", loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona. I kekahi manawa he mau lākou, a i kekahi manawa hele mai a hele aku.
| Hōʻailona | Pehea kēlā manaʻo? |
|---|---|
| ʻEha anal | ʻO kēia ka hōʻailona nui. He ʻeha ʻoi ia e like me ka ʻeha wela, e like me ka ʻeha ʻoi. Hiki ke hoʻonui ʻia kēia ʻeha i ka wā e noho ana, e hele ana i ka lua, a i ʻole e ʻū ana. ʻEha nō hoʻi ke hoʻopā ʻia. |
| Ka pehu a me ka ʻulaʻula | Aia paha he ʻulaʻula a me ka pehu ʻana i loko a puni paha o ka anus. He hōʻailona kēia o kahi maʻi (cellulitis) ma lalo o ka ʻili. |
| Ke kahe ʻana o ka wai | Aia paha he kahe ʻana mai ka anus, e like paha me ka pus, kahi ʻōpala liʻiliʻi, a i ʻole ke koko. I kekahi manawa aia paha he ʻala maikaʻi ʻole. |
Aia kekahi mau ʻano ʻē aʻe ma waho aʻe o kēia?
ʻAe, hiki i kekahi poʻe ke ʻike i kēia mau hōʻailona, ʻoiai ʻaʻole nā kānaka āpau:
- Loaʻa i ke kuni
- Ke manaʻo nei i ka ʻeha i ka wā e mimi ai
- Ka paʻakikī ke kāohi ʻana i nā neʻe ʻana o ka ʻōpū
I kekahi manawa, inā ʻoe e nānā i loko o ke aniani, hiki iā ʻoe ke ʻike i kahi lua liʻiliʻi ma ka ʻili kokoke i kou anus (ka puka o ka fistula). Akā i kekahi manawa hiki ke pani ʻia. Ke pani ʻia kēlā lua, hiki i ka pus ke hōʻiliʻili i loko, e hōʻeha ai a me ka pehu, a hiki i ka lua ke wehe hou me kahi pus liʻiliʻi. Hiki i kēia ke like me kahi pōʻaiapuni.
No ke aha lā e hana ʻia ai kekahi mea e like me kēia?
ʻO ke kumu nui o ka fistula anal ʻo ia ka abscess perianal a mākou i kūkākūkā ai ma mua. Hoʻokumu ʻia kēia abscess ke ālai ʻia a loaʻa ka maʻi i kahi gland liʻiliʻi ma ka anus. Pono kēia pus i kahi ala e puka ai i waho. A laila, kūkulu ka pus i kahi ala e like me ke tunnel i ka ʻili o ka ʻili. I kekahi manawa, ʻoiai ke ʻoki a wehe ke kauka i kēia pus, ʻaʻole paha e ho'ōla piha ka ʻeha a hiki ke waiho ʻia kahi fistula e like me kēia.
Eia naʻe, ʻaʻole nā fistula āpau e ulu no kēia kumu. Aia kekahi mau kumu ʻē aʻe.
- Nā maʻi ʻōpū mumū, e like me ka maʻi a Crohn .
- Nā maʻi hoʻopili i ka anal.
- ʻO ka maʻi puʻupuʻu e hoʻopilikia ana i ka rectum.
- He ulia a i ʻole ke ʻoki mua ʻana i ka rectum.
- ʻO ka lāʻau lapaʻau radiation no ka maʻi ʻaʻai ma ka ʻāpana pelvic.
- Nā maʻi ʻili laha ʻole e like me 'Actinomycosis' a me 'Hidradenitis suppurativa'.
ʻO ka mea nui, ʻoiai ke kumu, ʻoi aku ka maikaʻi o ka hoʻowahāwahā ʻole ʻana, no ka mea, inā ʻaʻole mālama ʻia, ʻaʻole ia e nalowale ma kāna iho .
He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?
ʻO ka noʻonoʻo ʻana, "E maikaʻi wale nō ia" hiki ke lilo i mea weliweli. ʻO kahi fistula i mālama ʻole ʻia hiki ke alakaʻi i nā mea e like me:
1. Nā maʻi e hele hou ana: Hiki ke hoʻomau ka maʻi i loko o ka fistula. ʻOiai inā e emi ana ka ʻeha ma hope o kekahi mau lā, hiki ke hōʻiliʻili hou ʻia ka pus a hiki ke hana ʻia kahi abscess hou, e hōʻeha ai.
2. Ke hohola ʻana i ka ʻōpū:Hiki i kahi wart lōʻihi ke lālā aʻe, hana i nā tunnels hou, a puka mai nā ʻāpana ʻē aʻe o ka ʻili. He paʻakikī hoʻi ke mālama i kēlā mau ʻano wart paʻakikī.
3. Ka pilikia o ke kanesa: He mea kākaʻikahi loa kēia. Eia nō naʻe, he liʻiliʻi loa ka manawa e loaʻa ai ka maʻi kanesa anal e pili ana i kahi fistula mau i mālama ʻole ʻia no nā makahiki he nui.
No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
ʻO ka maʻamau, hiki i ke kauka ke loaʻa ka puka o waho o ka fistula ma ka nānā wale ʻana iā ʻoe. Akā ʻo ka mea nui loa, ʻo ia ka loaʻa ʻana o ka puka o loko, ʻo ia hoʻi kahi e hoʻomaka ai ke ana.
- Hoʻokolokolo kino: E nānā ke kauka i ka ʻāpana a puni kou anus. He ʻeha iki paha kēia. Inā nui loa ka ʻeha, hiki ke hoʻomālielie ʻia ʻoe, ʻo ia hoʻi, e hoʻomālielie iki ʻia ʻoe, a e hana ʻia ka hoʻokolokolo ʻana ma ka lumi hana.
- Nā lako kūikawā: Hiki ke hoʻokomo ʻia kahi mea hana liʻiliʻi me kahi kāmela i kapa ʻia ʻo "Anoscope" a i ʻole "Proctoscope" i loko o ka rectum e nānā ai.
- Nā hoʻokolohua kiʻi: I kekahi manawa pono kēia mau hoʻokolohua e ʻike pono i kahi o ke ana fistula.
- MRI scan (Magnetic Resonance Imaging): Hiki i kēia ke hōʻike maopopo i ke ala o ka fistula a pehea e pili ai i nā ʻiʻo sphincter o ka anus.
- ʻO ka Endoscopic Ultrasound: Hiki i kahi kāmela liʻiliʻi a me kahi hāmeʻa ultrasound i hoʻokomo ʻia i loko o ka rectum ke hana i nā kiʻi e like me ka MRI.
- Fistulography: He hoʻokolokolo X-ray o ka fistula ma ke komo ʻana i kahi kala kūikawā i loko.
E kōkua kēia mau hoʻāʻo i ke kauka e hoʻoholo i ke ʻano o ka fistula. ʻO ia hoʻi, pehea i hala ai ma o nā ʻiʻo sphincter anal. E hoʻoholo kēia pehea e mālama ʻia ai ʻoe. He mea nui loa ka hana ʻana i ke ʻoki kino me ka ʻole o ka hōʻino ʻana i kēlā mau ʻiʻo.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka hapa nui o ka manawa, pono ke ʻoki kino e mālama i kahi māwae anal. He mea kākaʻikahi loa ia e ho'ōla ʻia me ka lāʻau lapaʻau wale nō. Eia nō naʻe, inā he māwae ʻaʻole ia i hoʻoulu ʻia e kahi maʻi e like me ka maʻi Crohn, aia kahi manawa e ho'ōla ʻia me kekahi mau lāʻau lapaʻau kūikawā i kapa ʻia ʻo immunomodulators.
ʻOkoʻa ke ʻano o ke ʻoki ʻana ma muli o ke ʻano o ka fistula.
| ʻAno o ke ʻoki kino | Ua wehewehe maʻalahi ʻia |
|---|---|
| No nā Fistulas maʻalahi | |
| ʻO ka hana ʻana i ka fistulotomy | ʻO kēia ke ʻano hana maʻamau a holomua loa (ma kahi o 95%). ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke ʻoki ʻana i ka ʻāpana e like me ka hale o ke ana ʻo Bhagandara. A laila lilo ia e like me kahi ʻeha hāmama, e hoʻopiha ana mai lalo a luna a ho'ōla. |
| No nā Fistulas Paʻakikī | |
| ʻO Seton Drain | Ma kēia, hoʻokomo ke kauka lapaʻau i kahi mea e like me ke kaula ma o ka anus. Hoʻokumu kēia i ala no nā pus a pau i loko e kahe i waho. I kekahi manawa, i ka wā e ʻoki mālie ai kēia kaula i loko o ka ʻiʻo, hoʻōla ka ʻeha ma hope ona. |
| ʻO ka ʻaoʻao holomua Endorectal | Maanei, ua pani ʻia ka puka i loko o ka anus me ka ʻole o ka ʻoki ʻana i ka ʻiʻo. Lawe ʻia kahi ʻāpana o nā ʻiʻo olakino (flap) mai loko mai o ka rectum a ua pani ʻia ka puka. A laila ho'ōla ʻia ka ʻeha mai loko mai. |
| Kaʻina hana LIFT | Ma kēia kaʻina hana, ua humuhumu ʻia ka ʻāpana o ke ʻiʻo e holo ana ma waena o nā ʻiʻo ʻelua a pani ʻia. Hiki i kēia ʻano hana ke hōʻemi i ka hōʻino ʻana i nā ʻiʻo. |
E koho kāu kauka i ke ʻano lapaʻau e kūpono loa i kou kūlana. ʻAʻole paha e hiki ke hoʻopau i ke kaʻina hana i hoʻokahi hana, a i ʻole he mea pono paha e hana i kekahi mau hana.
He aha kaʻu e hana ai ma ka home ma hope o ke ʻoki kino?
Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me kēia ʻoki kino. Pono ʻoe e mālama i kēia mau mea ma hope o kou hoʻi ʻana i ka home.
- Lāʻau hoʻopau ʻeha: E lawe i nā lāʻau hoʻopau ʻeha i kauoha ʻia e ke kauka i ka manawa kūpono.
- Ke kāohi nei i ka paʻa ʻana o ka ʻōpū:Hiki i nā lāʻau ʻeha ke hoʻoulu i ka paʻa ʻana o ka ʻōpū. No laila, e like me ka ʻōlelo a ke kauka, e lawe i nā mea hoʻohui fiber a inu i ka nui o ka wai.
- ʻAuʻau Sitz: E hoʻomohu i loko o kahi pola wai mehana no 10-15 mau minuke ma ka liʻiliʻi hoʻokahi manawa i ka lā. E hōʻemi kēia i ka ʻeha a kōkua i ka ho'ōla wikiwiki ʻana o ka ʻeha.
- Ka mālama ʻana i ka ʻeha maʻemaʻe: Inā he wai e puka mai ana mai loko mai o ka ʻeha, e hahai i nā ʻōlelo a kāu kauka e mālama iā ia i ka maʻemaʻe. E hoʻololi pinepine i ka ʻaʻahu.
ʻO ka maʻamau, he ʻekolu a ʻeono pule e ho'ōla piha ai.
ʻO ka mea nui loa, mai hoʻowahāwahā i ka ʻeha nui ma ka anus. Mai hoʻoholo nou iho, "Pono he hemorrhoids." ʻAʻole pinepine nā hemorrhoids i kēia ʻeha nui. No laila, mai hilahila a ʻike koke i ke kauka. ʻO ka wikiwiki o kou ʻimi ʻana i ka lāʻau lapaʻau, ʻoi aku ka maʻalahi o ka lāʻau lapaʻau a ʻoi aku ka wikiwiki o ka hoʻōla ʻana.
Leka Lawe-Home
- Inā he ʻeha mau, he pehu, a he kahe ʻana paha e like me ka pus mai ka anus, he hōʻailona paha ia o kahi fistula anal.
- ʻAʻole pinepine kēia e hoʻoponopono iā ia iho . Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka laha ʻana o ka maʻi a me nā pilikia.
- Mai hilahila e kamaʻilio e pili ana i kēia. E ʻike koke i ke kauka kūpono a loaʻa ka ʻōlelo aʻoaʻo.
- ʻO ke ʻoki kino ka lāʻau lapaʻau maikaʻi loa a mau loa no kēia. Na kāu kauka e hoʻoholo i ke ʻano o ke ʻoki kino kūpono iā ʻoe.
- He mea nui ka hahai pono ʻana i nā ʻōlelo a ke kauka ma hope koke o ke ʻoki ʻana no ka hoʻōla koke ʻana.
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