He pilikia ka ʻūlū a puni ka anus i loaʻa i nā kānaka he nui, akā hilahila iki lākou e kamaʻilio e pili ana. Hiki ke hoʻomanawanui ʻole ʻia kēia, i ke ao a ʻoi aku hoʻi i ka pō. I kekahi manawa hiki iā ia ke hoʻoala iā ʻoe. Akā, ʻaʻohe mea e makaʻu ai a hilahila paha. He kūlana maʻamau loa kēia. I kēia lā, e kamaʻilio kikoʻī mākou e pili ana i kēia ʻeha, kona mau kumu, a me nā mea hiki iā mākou ke hana e pili ana i ia mea.
He aha maoli ka pruritus ani?
I ka ʻōlelo maʻalahi, he ʻulaʻula ʻili kēia a puni kou anus. Ma ke ʻano lapaʻau, kapa mākou iā ia he "Pruritus Ani". He maʻi ʻili kēia. Hiki ke ʻoi aku ka ʻino o kēia ʻulaʻula i ka pō a ma hope paha o ka hele ʻana i ka lua. ʻAʻole ia he maʻi, akā he hōʻailona. ʻO ke ʻano kēia, hiki ke hana ʻia kēia ʻulaʻula e kekahi kumu ʻē aʻe.
ʻElua ʻano nui o kēia ʻano maneʻo.
Ua hoʻokaʻawale nā kauka i kēia kūlana i ʻelua ʻāpana nui, kahi e maʻalahi ai iā mākou ke loaʻa ke kumu.
| ʻAno o ka maneʻo | Wehewehena |
|---|---|
| ʻO ke ʻano mua (Primary/Idiopathic) | ʻO kēia ke ʻano maʻamau. ʻAʻohe kumu maopopo a kikoʻī no ka maneʻo. ʻO ke ʻano kēia, hiki mai ka maneʻo me ka ʻole o kekahi maʻi a maʻi paha. |
| ʻO ka maneʻo lua | ʻO ke ʻano maneʻo ma ʻaneʻi ke kumu o kekahi kumu kikoʻī ʻē aʻe. Eia kekahi laʻana, hiki ke lilo i nā hemorrhoids, nā ilo, nā maʻi ʻili, nā maʻi hū, a i ʻole kekahi mau meaʻai. |
ʻO wai ka mea kūpono loa e ʻike i kēia maʻi?
Hiki ke loaʻa kēia ʻeha i kekahi kanaka, i kēlā me kēia makahiki. Eia nō naʻe, ua hōʻike ʻia nā noiʻi he mea maʻamau kēia ʻano ma waena o nā kāne ma waena o 40 a me 70 mau makahiki. ʻEhā manawa ka nui o ka ʻike ʻana o nā kāne i kēia ʻeha ma mua o nā wahine. Akā, ʻaʻole ia he manaʻo ʻaʻole loaʻa i nā wahine. Ua ʻōlelo ʻia ma waena o 1% a me 5% o ka heluna kanaka o ka honua e ʻike nei i kēia ʻeha.
ʻO ka mea nui loa, ʻaʻole loa e hāʻawi ka ʻōhumu ʻana i ka hōʻoluʻolu lōʻihi. Hoʻonui wale ia i ke kūlana.
ʻO kēia ʻano maneʻo pinepine ke kumu o ka makemake nui ʻole e ʻānai i ka wahi. Akā, ʻoiai hiki i ke ʻānai ke hāʻawi i ka hōʻoluʻolu no ka manawa pōkole, hoʻonui wale ia i ka pilikia. He palupalu loa ka ʻili a puni ka anus. ʻOi aku ka ikaika o ko kākou mau kui ma mua o kēlā. Hiki i ke ʻānai ʻana me nā kui ke hōʻino i kēlā ʻili palupalu, e hana ana i nā ʻānai, hiki ke alakaʻi i nā maʻi. Inā hoʻomau kēia "pōʻaiapuni ʻānai-ʻānai" , hiki ke hana i ka ʻeha nui, ka mumū, a me ka ʻoluʻolu ʻole.
No ke aha lā mākou e ʻānai ai a puni ka anus penei? E nānā kākou i kekahi o nā kumu
Hiki i nā kumu he nui no kēia, ʻo kekahi o lākou he maʻalahi loa.
1. Ka maʻemaʻe a me ka ʻike ʻili
He ʻili koʻikoʻi loa ka ʻili a puni ka anus.
- Nā kopa a me nā huahana ʻē aʻe: Hiki i nā kopa ʻala, nā pauka, nā lotion, a me nā kirīmi ke lilo i mea maʻi ʻaleka i kekahi poʻe. Hiki i kēia mau mea ke hoʻomaloʻo i ka ʻili ma ia wahi a hoʻoulu i ka maneʻo.
- Nā ʻano hoʻomaʻemaʻe kūpono ʻole: Manaʻo kekahi poʻe ʻo ka holoi ʻana me ke kopa a me ka hamo ikaika ʻana me ka lole ʻino wale nō ke ala e hoʻomaʻemaʻe ai i ka ʻili. He hewa kēia. Hoʻohemo ia i ka ʻili o kona mau aila maoli, e maloʻo ai a maneʻo. Eia kekahi, ʻaʻole maikaʻi ka hoʻohana ʻana i ka pepa lua ʻino.
- ʻAʻole lawa a nui paha ka maʻemaʻe: Inā ʻaʻole ʻoe e hoʻomaʻemaʻe pono ma hope o ka hoʻohana ʻana i ka lua, hiki i kahi ʻōpala liʻiliʻi ke waiho ma ka ʻili a hiki ke hoʻoheheʻe. Eia kekahi, ʻo ka hoʻomaʻemaʻe nui ʻana a me ka holoi ʻana me ke kopa i nā manawa he nui i ka lā he mea ʻino ia i ka ʻili.
- ʻAno neʻe ʻana o ka ʻōpū: Inā loaʻa iā ʻoe ka paʻa ʻōpū (ʻoi aku ma mua o ʻekolu neʻe ʻana o ka ʻōpū i kēlā me kēia pule) a i ʻole ka maʻi pā, ʻoi aku ka nui o kou ʻike ʻana i kēia maneʻo.
2. ʻO ka meaʻai a me nā mea inu a mākou e ʻai ai
Hiki i kekahi o nā mea āu e ʻai ai a inu ai ke kumu o kēia maneʻo. Hiki i kēia ke hoʻopilikia i kekahi poʻe, ʻoiai ʻaʻole nā mea āpau.
- Waiū a me nā meaʻai waiū
- Nā mea inu kalapona (e like me ka soda)
- Nā mea inu caffeine (kofe, tī)
- Nā mea ʻala a wela hoʻi (e like me ka chili)
- nā meaʻai waikawa (nā hua citrus e like me nā tōmato, nā ʻalani)
3. Nā lole e ʻaʻahu ai
Hiki i nā lole, e like me nā lole komo a me nā pālule, ke kōkua i kēia. ʻO ke komo ʻana i nā lole komo paʻa a maikaʻi ʻole ka ea e hoʻopaʻa i ka hou a me ka makū a puni ka anus. ʻO kēia wahi mahana a pulu e hoʻonui ai i ka maneʻo.
4. Nā kumu lapaʻau ʻē aʻe
I kekahi manawa hiki i kēia ʻeha ke lilo i hōʻailona o kahi maʻi ʻē aʻe.
| Kumu | He wehewehe pōkole |
|---|---|
| Nā ʻōpū hemorrhoids | Ka pehu ʻana o nā kīʻaha koko i loko a i waho paha o ka anus. Hiki ke paʻakikī ke hoʻomaʻemaʻe pono i nā hemorrhoids nui o waho. Hoʻoulu pū lākou i ka maneʻo ma muli o ke kahe ʻana mai loko mai o lākou. |
| Nā maʻi hū | He maʻi i hoʻokumu ʻia e kahi fungus i kapa ʻia ʻo Candida. Hiki i kēia ke hana i ka ʻulaʻula, ka pehu, a me ka maneʻo o ka ʻili me nā māwae liʻiliʻi. |
| Nā māwae anal | Nā māwae liʻiliʻi ma ka ʻili o ka rectum. Hiki ke hana ʻia kēia mau mea e nā mea e like me ka paʻa ʻana o ka ʻōpū a i ʻole ka hoʻoikaika ʻana e kiola. Hiki i kēia mau māwae ke ʻeha a me ka maneʻo. |
| HPV a me nā ʻōpū | Hiki i ka maʻi papillomavirus kanaka (HPV) ke hana i nā puʻupuʻu liʻiliʻi e like me ka wart a puni ka anus. Hiki i kēia mau mea ke hana i ka maneʻo, ka mumū, a me ke kahe koko iki. |
| Nā ilo ʻūlū | He mau ilo liʻiliʻi keʻokeʻo kēia. He mea maʻamau lākou i waena o nā keiki ʻōpio. Hoʻomoe kēia mau ilo i nā hua a puni ka anus i ka pō. ʻO ia ke kumu nui e hoʻonui ai i ka maneʻo i ka pō. |
Pehea e nānā ai ke kauka i kēia?
Inā ʻike ʻoe i ke kauka me kēia pilikia, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau.
- He aha nā lāʻau lapaʻau āu e lawe ai?
- Pehea ke ʻano o kāu hana hoʻomaʻemaʻe?
- He aha kāu e ʻai ai a e inu ai?
- He aha nā ʻano kopa a me ka pepa lua āu e hoʻohana ai?
- Ke komo nei ʻoe i nā lole paʻa?
A laila, e nānā ke kauka i ka wahi. E nānā lākou i nā loli o ka ʻili, ka ʻulaʻula, nā māwae, nā hemorrhoids, a i ʻole nā pilikia ʻē aʻe. I kekahi manawa, inā ʻaʻole hiki ke loaʻa ke kumu a inā ʻaʻole kōkua ka lāʻau lapaʻau, hiki ke kuhikuhi ʻia ʻoe i kahi dermatologist .
ʻO ka 'hoʻāʻo lipine' no nā ilo
Inā e ʻānai ana kāu keiki liʻiliʻi i kona anus i ka pō, manaʻo paha ke kauka he ilo. No ka hōʻoia ʻana i kēia, e noi paha ʻo ia iā ʻoe e hana i kahi 'hoʻāʻo lipine'. He mea maʻalahi loa ia. Ma mua o ka hiamoe ʻana o kāu keiki i ka pō, e hoʻopili ʻoe i kahi ʻāpana lipine moakaka, e like me ka cellophane, ma ka anus a wehe iā ia i ke kakahiaka. Aia paha he ilo a hua paha i hoʻopili ʻia iā ia.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kumu o ka maneʻo.
1. Ka hoʻomaʻemaʻe kūpono: ʻO ka mea mua e kālele ai, ʻo ia ka hoʻomaʻemaʻe kūpono a me ka mālama pono. Ma hope o ka hoʻohana ʻana i ka lua, ua ʻōlelo ʻia e hoʻomaʻemaʻe pono, hoʻomaloʻo pono, a hoʻopili i ka pauka talcum i hoʻohana ʻole ʻia inā pono.
2. Nā Kirimina a me nā ʻAila: Manaʻo pinepine paha ke kauka i kahi kirimina steroid e like me `(Hydrocortisone)` no kahi manawa pōkole. Hoʻemi kēia i ka maneʻo a me ka mumū. Eia kekahi, he koho maikaʻi ka kirimina `(Capsaicin)` no ka maneʻo lōʻihi. Pono e hoʻohana mau ʻia kēia mau mea ma ke ʻōlelo aʻoaʻo a ke kauka.
3. Nā lāʻau antibiotic a me nā lāʻau antifungal: Inā loaʻa ka maneʻo i kahi maʻi bacteria a hū paha, e kuhikuhi ke kauka i nā lāʻau lapaʻau kūpono no ia.
4. ʻO ka inikini Methylene Blue: Hoʻohana ʻia kēia lāʻau lapaʻau i nā hihia koʻikoʻi loa kahi i kōkua ʻole ai kekahi lāʻau ʻē aʻe. Maanei, ua hoʻokomo ʻia kahi wai i kapa ʻia ʻo `(Methylene Blue)` ma lalo o ka ʻili a puni ka anus. Hoʻopau ia i nā hopena aʻalolo ma ia wahi, e hoʻopau ana i ka maneʻo a me ka ʻeha.
Aia kekahi mau ala e loaʻa ai ka hōʻoluʻolu ma ka home?
ʻAe, ʻoiaʻiʻo nō. Hiki iā ʻoe ke hoʻāʻo i kēia mau mea ma mua o ka ʻike ʻana i ke kauka.
- ʻO ka pepa toilet kūpono: E koho i kahi ʻano pepa toilet i kapa ʻia ʻo "dye-free" a i ʻole "unscented."
- E pale i ke kopa a me ka mea ʻala: Mai hoʻohana i ke kopa e hoʻomaʻemaʻe i ka wahi, e holoi wale me ka wai. Mai hoʻohana i nā kopa ʻala, nā gel ʻauʻau, a i ʻole nā deodorants ma ka wahi.
- E ʻaʻahu i nā lole komo pulupulu: Hoʻopili maikaʻi nā lole komo pulupulu i ka makū. Hiki ke hanu ʻia, no laila ʻaʻole hōʻiliʻili ka hou. Pono ke komo pono ʻana o nā lole komo a ʻaʻole paʻa.
- E makaʻala i kāu ʻai: Mai hōʻoki i nā meaʻai a pau e hiki ai ke hoʻoulu i ka maneʻo a mākou i kūkākūkā ai ma mua. E hoʻāʻo e hōʻoki i hoʻokahi i ka manawa no kekahi mau lā e ʻike ai inā e emi ana ka maneʻo. A laila hiki iā ʻoe ke ʻike i nā meaʻai e hoʻoulu ai iā ʻoe.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Inā ʻaʻole e emi ka maneʻo ma hope o hoʻokahi a ʻelua paha pule o nā lāʻau lapaʻau ma ka home, inā e ʻoi aku ka ʻino, a inā e ʻulaʻula ka wahi, pehu, a i ʻole e like me ka ʻeha, pono ʻoe e ʻike i ke kauka.Mai hoʻokuʻu i ka pilikia e lohi ma muli o ka hilahila.
He mea hoʻonāukiuki a ʻoluʻolu ʻole ka ʻāʻī ʻana i loko o ka anus. Akā, ʻaʻole ia he mea weliweli. Hiki ke ho'ōla pinepine ʻia me ka hoʻomaʻemaʻe kūpono a me nā lāʻau lapaʻau maʻalahi. Eia nō naʻe, inā hoʻomau ia, he hōʻailona paha ia o kahi maʻi ʻē aʻe, no laila ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.
Leka Lawe-Home
- He mea maʻamau ka ʻāʻī ʻana o ka anal. Mai hilahila a makaʻu paha e kamaʻilio e pili ana.
- Mai ʻō aku i ke kaʻi ʻana i ka wā e maneʻo ai. ʻO ka hana ʻana pēlā e hoʻonui wale aku i ke kūlana. Inā maneʻo ʻoe i ka pō, e ʻaʻahu i nā mīkina lima pulupulu ma kou mau lima a hiamoe.
- E mālama mau i ka wahi i maʻemaʻe a maloʻo loa . E pā mālie a maloʻo ma hope o ka ʻauʻau ʻana a i ʻole ka hoʻohana ʻana i ka lua.
- E pale i nā kopa ʻala, ka pepa lua ʻāwiliwili, a me nā lole komo paʻa.
- Inā ʻaʻole hoʻomaikaʻi ka mālama home i loko o hoʻokahi a ʻelua paha pule, a inā e ʻoi aʻe ka ʻino o ke kūlana, e ʻike pono i kāu kauka.
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