Anal Fistula: Mai hilahila e kamaʻilio e pili ana i ia mea!

Loaʻa pinepine iā ʻoe ka ʻeha a i ʻole ka pehu a puni kou anus (ka puka kahi e hoʻokuʻu ai kou kino i ka ʻōpala)? Ke ʻike nei ʻoe i kekahi manawa i kahi wai e like me ka pus a i ʻole kahi koko liʻiliʻi e puka mai ana? Ua ʻike wau he mea hilahila iki a hilahila hoʻi ke kamaʻilio e pili ana i kēia mau mea me kekahi. Akā, he ʻano kēia i ʻike ʻia e nā poʻe he nui a hiki ke mālama pono ʻia. No laila, i kēia lā, e kamaʻilio ākea kākou e pili ana i kēia ʻano i kapa ʻia he anal fistula, a i ʻole e like me ka mea i kapa ʻia ma ke ʻano lapaʻau, he "Anal Fistula".

I ka ʻōlelo maʻalahi, he aha ka anal fistula?

E noʻonoʻo e hana ʻia ana kahi tunnel liʻiliʻi a i ʻole culvert i loko o ko kākou anus, e wehe ana i waho i ka ʻili a puni. ʻO ia ka mea a mākou e kapa nei he anal fissure. ʻAʻole kēia he mea e pono ai ke noho maʻamau i loko o ko kākou kino, he mea ia e hana kūlohelohe ʻole ʻia.

Hoʻomaka pinepine kēia me kahi maʻi o nā kelepa liʻiliʻi i loko o ko kākou anus. Ke loaʻa kēia mau kelepa i ka maʻi, e hana ʻia kahi abscess piha i ka pus, i kapa ʻia he perianal abscess. Hoʻokumu kēia pus i ala no ka pus e kahe i waho. I ka hala ʻana o ka manawa, lilo kēlā ala i tunnel i kapa ʻia he perianal fistula. I kekahi manawa ua kapa ʻia kēia he perianal fistula. ʻO ia hoʻi a puni ka anus.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole kēia he mea laha ʻole e like me kou manaʻo. He ʻano maʻamau ia i waena o nā maʻi anal. ʻIke ʻia ma kahi o ʻelua manawa pinepine i nā kāne ma mua o nā wahine. Ma ka awelika, ʻo ka hapalua wale nō o ka poʻe i loaʻa i ka maʻi anal gland e loaʻa i kahi abscess. E like me ka mea i ʻōlelo ʻia ma mua, 75% o nā fistula anal i hana ʻia e kahi abscess.

Loaʻa iā ʻoe kēia mau ʻano?

Aia kekahi mau hōʻailona nui a maʻamau o kahi māwae anal. E nānā kākou i ke ʻano o lākou.

Ma waho aʻe o kēia mau hōʻailona nui, hiki i kekahi poʻe ke loaʻa nā hōʻailona e like me:

• kuni
• 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, ʻike paha ʻoe i ka lua ma waho o ka scrotum a ʻaʻole paha. Ua like ia me kahi lua liʻiliʻi i loko o ka ʻili. Inā ʻoe e hoʻopā i ka ʻili a puni ia mea, e puka mai ana kekahi mea e like me ka pus. I loko o kekahi mau scrotum kahiko, e pani ʻia paha kēia lua ma waho. A laila hōʻiliʻili hou ka pus, e hōʻeha ana i ka ʻeha a me ka pehu, a wehe hou ka lua e hoʻokuʻu i ka pus i waho. Hiki i kēia ke like me kahi pōʻaiapuni.

No ke aha e hana ai kēia māwae anal?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui a me ka mea maʻamau o kahi fissure anal he maʻi o kahi gland i loko o ka anus, e hana ana i kahi ʻeke piha i ka pus (perianal abscess). Lilo ka fissure i ala no kēia pus e kahe ai i waho.

Eia nō naʻe, hiki ke loaʻa nā māwae anal no nā kumu ʻē aʻe.

• Nā maʻi ʻōpū mumū: No ka laʻana, ka maʻi o Crohn.
• Nā maʻi i laha ma ke ʻano moekolohe (STS) e kū mai ana ma ka anus
• ʻO ka maʻi puʻupuʻu e hoʻopilikia ana i ka rectum.
• He ulia a i ʻole ke ʻoki kino mua e pili ana i ka rectum.
• ʻO ka lāʻau lapaʻau radiation no ka maʻi ʻaʻai o ka ʻāpana pelvic
• Nā maʻi bacteria kakaikahi e like me ka actinomycosis.
• ʻO ka Hidradenitis suppurativa kahi maʻi ʻili e kū mai ana i loko o nā kelepa hou.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

He nīnau kēia a nā poʻe he nui e nīnau ai. ʻAʻole e ho'ōla ʻia kahi māwae anal inā ʻaʻole mālama ʻia.Inā hana kēlā, hiki ke loaʻa nā pilikia lōʻihi.

• Ka maʻi hou: Hiki i ka maʻi ke noho ikaika ma o ka vagina. ʻOiai inā e emi ana ka ʻeha no kekahi mau lā, hiki ke hōʻiliʻili hou ʻia ka pus a hiki ke hana ʻia kahi abscess hou, e hōʻeha ai.
• Ka laha ʻana o ka cyst: Inā ʻaʻole mālama ʻia no ka manawa lōʻihi, hiki i kēia tunnel ke lālā a hana i nā ala hou a puka mai nā wahi ʻē aʻe o ka ʻili. ʻOi aku ka paʻakikī o ka mālama ʻana i ia mau cysts paʻakikī.
• Ka pilikia o ke kanesa: He mea kākaʻikahi loa kēia, akā ua loaʻa nā hōʻike e pili ana i ka ulu ʻana o ke kanesa anal i nā poʻe me nā māwae anal lōʻihi i waiho ʻole ʻia no nā makahiki he nui.

No laila, mai hoʻomāmā i kēia kūlana. Mai hoʻomanawanui wale i ka ʻeha, e ʻike i kāu kauka i ka hikiwawe loa.

Pehea e ʻike ai ke kauka i kēia?

I ka hapa nui o ka manawa, hiki i ke kauka ke ʻike i kēia puka i ka wā o ka hoʻokolokolo kino. Eia nō naʻe, i kekahi manawa ua ālai ʻia paha ka puka ma waho, no laila pono e ʻike i kahi e hoʻomaka ai ka puka ma loko o ka puka.

Inā ʻeha kēia hoʻāʻo iā ʻoe, hiki i ke kauka ke hoʻoholo e hana i kēia hoʻāʻo ma ka lumi hana ma lalo o ka anesthesia.

Hiki iā ʻoe ke hoʻāʻo i kēia mau hoʻāʻo e ʻike i ke ala piha o Bhagandara:

• MRI scan (Magnetic Resonance Imaging): Hiki i kēia ke ʻike maopopo i kahi e hele ai ke kahawai anal a me kahi e pili ai, a pehea e hoʻopilikia ai i nā ʻiʻo sphincter.
• ʻO ka Endoscopic Ultrasound: Hoʻokomo ʻia kahi kāmela liʻiliʻi a me kahi hāmeʻa ultrasound i loko o ka rectum e kiʻi i nā kiʻi maopopo e like me nā mea i loaʻa me ka MRI.
• Fistulography: Hoʻokomo ʻia kahi wai kūikawā i loko o ka vagina a lawe ʻia kahi X-ray. A laila hiki ke ʻike maopopo ʻia ke ala o ka wai.

E kōkua nui kēia mau hoʻokolohua i ke kauka e hoʻoholo i ke ʻano o ka hernia a me ka lāʻau kūpono loa.

Pehea e mālama ʻia ai? Pono anei ke ʻoki kino?

ʻAe, ʻo ka hapa nui o nā māwae anal e pono ai ke ʻoki kino e ho'ōla. ʻO ka kali ʻana iā lākou e ho'ōla iā lākou iho e alakaʻi wale i nā maʻi hou a me nā abscesses. Eia nō naʻe, inā ua hoʻokumu ʻia ka māwae e kahi maʻi e like me ka maʻi Crohn, a ʻaʻohe maʻi, hiki ke ho'ōla ʻia me ka lāʻau lapaʻau.

Nā ʻano hana ʻoki kino

ʻO ke ʻano o ke ʻoki ʻana e pili ana i ka maʻalahi a i ʻole ka paʻakikī o ka hernia.

1. No nā Fistulas maʻalahi

ʻO ke ʻoki kino nui no nā fistula maʻalahi ʻaʻole e pili ana i ka hōʻino nui i nā ʻiʻo o ka rectum a ʻaʻohe lālā he fistulotomy . ʻO kēia ke ʻano holomua loa (ma kahi o 95%) a me ka maʻalahi loa. Maanei, wehe ke kauka lapaʻau i ke ana o ka fistula a ʻae iā ia e ho'ōla mai loko mai.

2. No nā Fistulas Paʻakikī

ʻO ka hernia e hele ana ma kahi ʻāpana nui o ka rectum, nā lālā, a i ʻole i loko o kekahi me nā maʻi ʻē aʻe ua manaʻo ʻia he paʻakikī. Pono paha kēia i ke ʻoki ʻana i nā pae he nui.

Ka manawa ho'ōla ma hope o ke ʻoki kino

ʻO ka hapa nui o ka manawa, hana ʻia kēia mau ʻokiʻoki ma ke ʻano e hiki ai iā ʻoe ke hoʻi i ka home me ka ʻole o ka noho ʻana i ka haukapila. E hāʻawi ʻia iā ʻoe nā lāʻau ʻeha e hoʻohana ai a me kahi hoʻonohonoho o nā kuhikuhi e hahai ai ke hoʻi ʻoe i ka home.

• Nā mea hoʻohui wai a me ka fiber: ʻOiai hiki i nā lāʻau ʻeha ke hoʻoulu i ka paʻa ʻana o ka ʻōpū, ua ʻōlelo ʻia e lawe i nā mea hoʻohui fiber e pale aku ai. Pono ʻoe e inu i ka nui o ka wai me kēia mau mea.
• ʻAuʻau Sitz: ʻO ka noho ʻana i loko o kahi pola wai mehana no kekahi mau minuke ma ka liʻiliʻi i hoʻokahi manawa i ka lā hiki ke hōʻemi i ka ʻeha a kōkua i ka ho'ōla wikiwiki ʻana o ka ʻeha.
• Ka mālama ʻana i nā ʻeha: E hoʻomaʻemaʻe i ka ʻeha ma ka hoʻohana ʻana i nā ʻūpā gauze e omo i ke wai mai ka ʻeha, e hoʻololi pinepine iā lākou.

ʻO ka maʻamau, ʻekolu a ʻeono pule e hoʻōla piha ai.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha nui ma kou rectum, e haʻi mau i kāu kauka. Mai manaʻo e nalo wale ia. Manaʻo ka poʻe he nui he hemorrhoids. Akā, ʻaʻole pinepine nā hemorrhoids i kēia ʻeha nui. ʻOiai inā ʻōlelo kāu kauka maʻamau he hemorrhoids ia, inā hoʻomau ka ʻeha, e ʻike pono i kahi loea, e like me ka gastroenterologist a i ʻole ke kauka ʻoki.

Hiki i ke ola ʻana me kēia ʻano ʻeha ke lilo i mea kaumaha loa, ma ke kino a me ka noʻonoʻo. Akā, mai hilahila no ia mea a hoʻopaneʻe i ka ʻimi ʻana i ka lāʻau lapaʻau. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻo ka maʻalahi hoʻi ia o ka mālama ʻana.