Ke manaʻo pinepine nei ʻoe i ka ʻeha, ka pehu ʻana, a i ʻole ka manaʻo o ka pulu a puni kou anus (kahi āu e hele ai i ka ʻōpala)? Hilahila a hilahila ka poʻe he nui e kamaʻilio e pili ana i kēia mau mea. Akā, he mau pilikia olakino kēia, no laila, ʻo ka hilahila a me ka hūnā ʻana iā lākou e hoʻonui wale i ke kūlana. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kumuhana koʻikoʻi, akā koʻikoʻi loa e like me ka anal fistula, a i ʻole `(Anal Fistula)`.
I ka ʻōlelo maʻalahi, he aha ka anal fistula?
E noʻonoʻo iā ia he tunnel ʻano ʻē e holo ana mai loko mai o ko kākou anus a i ka ʻili o ka ʻili a puni. I mea e pololei ai, hana ʻia kēia pilina ma waena o loko o ka anus, ka ʻāpana hope loa o kā kākou ʻōnaehana hoʻoheheʻe, a me ka ʻili a puni.
Hoʻomaka pinepine ia me kahi maʻi i loko o kahi gland liʻiliʻi i loko o ka anus. Hoʻoulu kēia maʻi i ka ʻohi ʻana o ka pus a hana i puʻupuʻu. Kapa mākou i kēia ma ke ʻano ʻepekema he abscess. Inā ʻaʻole e ho'ōla pono kēia puʻupuʻu, hana ia i ala hou no ka pus e puka mai i waho, i kapa ʻia he tunnel. ʻO kēlā tunnel ka mea a mākou e kapa nei he fistula.
ʻAʻole e ho'ōla ʻia kēia maʻi ma kāna iho. No laila, he mea nui loa ka mālama ʻana iā ia. ʻO ka maʻamau, pono kēia i kahi ʻoki liʻiliʻi.
Aia kekahi mau ʻano Bhagandara?
ʻAe, ua māhele ʻia kēia tunnel i kekahi mau ʻano ma muli o kona wahi a me ke ala e hele ai. Aia ʻelua mau ʻiʻo apo e kōkua ana i ko mākou anus e pani a wehe. Kāhea mākou i kēia mau ʻiʻo sphincter . Hoʻokumu ʻia ka hoʻokaʻawale nui ʻana ma ke ʻano o ka hele ʻana o ka vagina ma o kēia mau ʻiʻo.
- ʻO ka fistula anal intersphincteric: ʻO kēia ke ʻano maʻamau. I kēia hihia, ua hoʻokumu ʻia ke ana ma waena o nā ʻiʻo sphincter o loko a me waho.
- ʻO ka fistula anal transsphincteric: Ma kēia ʻano, hele ke tunnel ma waena o nā ʻiʻo o loko a me waho.
- ʻO ka fistula anal suprasphincteric: Maanei, hele ke ana ma luna o ka ʻiʻo kūloko a hiki i ka ʻili o ka ʻili.
- Fistula Extrasphincteric: He ʻano kākaʻikahi kēia. Hoʻomaka ia ma kahi ʻāpana kiʻekiʻe o ka rectum a hele i waho o nā ʻiʻo ʻelua.
- ʻO ka fistula anal superficial: He ʻokoʻa kēia ʻano mai nā mea ʻē aʻe. ʻOiai e hoʻomaka ana i loko o ka anus, ʻaʻole ia e hele ma o ka sphincter anal , akā e hele a puni ia a wehe i ka ʻili.
He paʻakikī paha kēia hoʻokaʻawale ʻana iā ʻoe, akā e hiki i kāu kauka ke hoʻoholo pololei i ke ʻano āu a hāʻawi i ka lāʻau kūpono loa.
He aha nā kumu nui a me nā kumu pilikia no ka hoʻomohala ʻana i ka hernia?
E like me kaʻu i ʻōlelo ai ma mua,ʻO ke kumu nui, he ʻōpū i hana ʻia i loko o ka anus. Ke ālai ʻia nā kelepa liʻiliʻi i loko o ka anus, hōʻiliʻili nā bacteria a hana i kahi maʻi, e hana ana i kahi ʻōpū piha i ka pus. Inā ʻaʻole mālama ʻia kēia ʻōpū, hiki iā ia ke ulu a hana i kahi lua i loko o ka ʻili no ka pus e kahe ai. ʻO ka anus ke ana e hoʻopili ai i ka gland a me ka lua i loko o ka ʻili.
Ma waho aʻe o kēlā, hiki i kekahi mau maʻi olakino ʻē aʻe ke hana i nā ʻōuli genital, akā he mea kakaikahi ia.
- ʻO ka maʻi puʻupuʻu
- ʻO kekahi mau maʻi i laha ma ke ʻano moekolohe
- Nā kūlana mumū lōʻihi o ka ʻōnaehana hoʻoheheʻe, e like me ka maʻi a Crohn a me ka ulcerative colitis.
- Nā lāʻau lapaʻau no ka maʻi ʻaʻai rectal
- Ke wehe ʻana i kahi paila i hana mua ʻia a piha i ka pus
- Nā ulia a i ʻole nā hōʻeha e pili ana i ka anus
Pehea ʻoe e ʻike ai inā he hymen kou? He aha nā hōʻailona?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he hōʻailona paha ia o kahi maʻi hū. Inā loaʻa iā ʻoe kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka me ka hoʻonele ʻole i ka manawa .
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha mau a me ka pehu | ʻO ka ʻeha mau a me ka pehu a puni ka anus e hoʻonui ana i ka wā e noho ana, e hele ana, a i ʻole e ʻū ana. |
| ʻUlaʻula a me ka mehana o ka ʻili | Lilo ka ʻili a puni ka anus i ʻulaʻula a mehana ke pā. |
| Pus a i ʻole ka hoʻokuʻu ʻana | Hiki i kahi lua liʻiliʻi ma ka ʻili kokoke i ka anus ke hoʻokahe i kahi pus ʻala ʻino a i ʻole ke kahe koko . Hiki paha iā ia ke hoʻohaumia i kou lole komo. |
| Nā hiʻohiʻona ʻē aʻe | Hiki i kekahi poʻe ke ʻike i nā hōʻailona e like me ke kuni, ka nāwaliwali, ka ʻeha i ka wā e kīhaʻi ai a mimi paha, a me ke kahe ʻana o ke koko. |
E ke kauka, pehea ʻoe e ʻike ai i kēia?
Ke hele ʻoe e ʻike i kāu kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolokolo kino. He maʻalahi ke ʻike ʻia kekahi mau māwae no ka mea ua ʻike ʻia. Hiki i kekahi mau māwae ke pani a wehe hou i kekahi manawa. E nānā pono ke kauka i ka ʻāpana a puni ka anus e ʻimi i kekahi pus a wai paha, a i ʻole kekahi mau puʻupuʻu.
I kekahi manawa, no ka hōʻoia hou ʻana i ke kūlana, hiki iā ia ke kuhikuhi iā ʻoe i kahi loea i nā kūlana colon a me rectal. Hiki iā lākou ke hana i nā hoʻokolohua e like me nā X-ray a i ʻole ka CT scan. I kekahi manawa, hiki ke ʻōlelo ʻia ʻoe e loaʻa i kahi colonoscopy, ʻo ia hoʻi ke hoʻokomo ʻana i kahi ʻōmole me kahi kāmela ma o kou anus e nānā i loko o kou colon. Hana ʻia kēia hoʻokolohua ma lalo o ka anesthesia (hoʻohiamoe iā ʻoe) i ʻole ʻoe e ʻike i kekahi ʻeha.
He aha nā lāʻau lapaʻau no ka phlegm?
Pono pinepine ʻia ke ʻoki kino e mālama i nā māwae anal. ʻO ka lāʻau āu e loaʻa ai e pili ana i ka wahi, ka nui, a me ke ʻano o ka māwae. Eia kekahi o nā lāʻau lapaʻau nui.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka hana ʻana i ka fistulotomy | ʻO kēia ke ʻoki maʻamau no nā hernias maʻalahi a ʻaʻole komo. ʻOki ke kauka i ke ana, hoʻokahe i ka pus, a waiho i ka ʻeha e wehe ana e ho'ōla. |
| Ke kau ʻana o Seton | Hoʻohana ʻia kēia ʻano hana no nā fistula paʻakikī e hele ana i nā ʻiʻo. Hoʻokomo ʻia kahi kaula ʻoki (seton) ma o ke ana a nakinaki ʻia. ʻAe kēia i ka pus e hoʻomau i ka kahe ʻana, a i ka hala ʻana o ka manawa, ʻoki mālie ke kaula ma o ka ʻiʻo, e kōkua ana i ka fistula e ho'ōla. |
| Hoʻopau ʻana i ka fistulectomy | Maanei, ʻoki ʻia a wehe ʻia ka cyst ganglion holoʻokoʻa. Hiki ke hoʻohana ʻia kēia ʻano hana no nā cyst ganglion paʻakikī a i ʻole e hana hou ʻia ana. |
| Kaʻina hana LIFT | He ʻoki kino nō hoʻi kēia no nā hernia paʻakikī. Maanei, ua pani ʻia ke ana ma waena o nā ʻiʻo me nā humuhumu. Hoʻēmi kēia i ka hōʻino ʻana i nā ʻiʻo. |
| Nā ʻano hana ʻē aʻe | Eia kekahi, aia nā ʻano hana hou e like me ka hoʻohana ʻana i kahi ʻāpana hoʻolaha mucosal e pani ai i ka fistula a i ʻole ka hoʻohana ʻana i nā plug kūikawā (fistula plugs) e ālai i ke tunnel. |
He aha nā pilikia inā ʻaʻole mālama ʻia?
ʻAʻole he maʻi ho'ōla ponoʻī kahi māwae anal. Inā ʻoe e waiho ʻole ia me ka mālama ʻole ʻia, hiki iā ia ke alakaʻi i nā pilikia.
- Nā maʻi hou: Hiki i nā bacteria a me ka pus ke hoʻomau i ka hōʻiliʻili ʻana i loko o ka vagina i mālama ʻole ʻia, e alakaʻi ana i nā maʻi hou. Hiki i kēia mau mea ke lilo i mea ʻino loa i ka hala ʻana o ka manawa a paʻakikī ke mālama.
- Paʻakikī ke kāohi ʻana i kou ʻōpū: Inā ua hōʻino ʻia kou ʻōpū e nā ʻiʻo sphincter , pilikia paha ʻoe i ke kāohi ʻana i kou neʻe ʻana o ka ʻōpū. Ua kapa ʻia kēia ʻo "Fecal incontinence".
- Ka maʻi koʻikoʻi: Inā pālahalaha ka maʻi i loko o ka vagina i nā ʻiʻo a puni a i ʻole ke kahe koko, hiki ke loaʻa kahi maʻi koʻikoʻi a hoʻoweliweli i ke ola i kapa ʻia ʻo "Sepsis".
- Ke kūkulu ʻia ʻana o nā ala gangrene hou: Hiki i kahi gangrene i mālama ʻole ʻia ke lālā a hana i nā tunnels hou, e hoʻopilikia hou aku i ke kūlana.
- Ka pilikia o ke kanesa: He mea kākaʻikahi loa kēia. Eia nō naʻe, he liʻiliʻi loa ka pilikia o ka loaʻa ʻana o ke kanesa rectal ma muli o nā ʻōuli genital i mālama ʻole ʻia no ka manawa lōʻihi.
No laila, e waiho ana i ka hilahila ma ka ʻaoʻao, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa inā loaʻa iā ʻoe kēia mau hōʻailona.
Leka Lawe-Home
- ʻO ka fistula anal kahi tunnel ʻano ʻē i hana ʻia ma waena o loko o ka anus a me ka ʻili a puni ia.
- ʻO ke kumu nui o kēia he abscess i mālama ʻole ʻia e ulu ana i loko o ka anus.
- ʻO nā hōʻailona nui ka ʻeha mau, ka pehu ʻana, ka ʻulaʻula, a me ka pus a i ʻole ka kahe ʻana a puni ka anus.
- ʻAʻole e ho'ōla ʻia kēia maʻi iā ia iho , no laila he mea nui ka ʻimi ʻana i ke kōkua lapaʻau.
- ʻO ka hapa nui, pono kēia i ke ʻoki kino. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
- Mai hoʻopaneʻe i ka lāʻau lapaʻau no ka hilahila a i ʻole ka makaʻu. ʻO ka hana ʻana pēlā e hiki ke hoʻonui i ke kūlana a alakaʻi i nā pilikia.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo