ʻO ka ʻeha anal kahi mea a ka hapa nui o ka poʻe e ʻike ai i kekahi manawa o ko lākou ola, akā hiki ke hilahila a hoʻohilahila paha ke kamaʻilio me kekahi. Ua ʻike paha ʻoe iā ia ma ke ʻano he ʻeha wela i kou hele ʻana i ka lua, he ʻeha ʻoi, a i ʻole ke kaomi ʻē āu e ʻike ai ʻoiai ʻoe e noho wale ana. ʻOiai ʻaʻole koʻikoʻi kēia ʻano, hiki i kekahi manawa ke lilo i hōʻailona o kahi maʻi. No laila, he mea nui loa ke kamaʻilio ākea e pili ana iā ia a ʻaʻole e hilahila iā ia, a e ʻimi i ke aʻo lapaʻau inā pono.
ʻO ka mea mua, e nānā kākou he aha ka ʻeha anal.
I ka ʻōlelo maʻalahi, ʻo ka ʻāpana hope loa o kou ʻōpū nui ka anus a me ka rectum. Puka mai ka ʻōpala ma o kēia anus. No laila, ʻo kēlā me kēia ʻano ʻeha, maneʻo, kuni a ʻoluʻolu ʻole paha ma kēia wahi me ka anus a me ka ʻili a puni ia ua kapa ʻia ʻo "Anal Pain". He ʻeha loa kēia wahi, no laila hiki i ka mea liʻiliʻi loa ke hōʻeha.
He aha nā kumu kūpono o kēia ʻeha?
Nui nā kumu o ka ʻeha ʻana o ka ʻōpū. He mea maʻamau loa kekahi, a ʻo kekahi he mea liʻiliʻi iki. E wehewehe pono kākou i kēia mau kumu.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā kumu maʻamau i ʻike pinepine ʻia | |
| Nā ʻōpū hemorrhoids | Ka pehu ʻana o nā kīʻaha koko i loko a i waho paha o ka rectum. ʻO kēia ke kumu nui no nā kānaka he nui. |
| Nā māwae anal | Nā māwae liʻiliʻi a i ʻole nā haehae ma ka ʻili o ka rectum. Hiki ke hana i kēia mau mea ke paʻakikī kou neʻe ʻana o ka ʻōpū. |
| Nā maʻi | Hiki ke hana ʻia ka ʻeha e ka bacteria, fungi, a i ʻole nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STI). |
| ʻO ka ʻōpū perianal | Hoʻopili ʻia kahi gland i loko o ka rectum a hana i kahi abscess piha i ka pus. ʻO kēia ke kumu o ka ʻeha nui. |
| ʻEhaeha | Ka paʻa ʻana o ka ʻōpū ma muli o ka hoʻoikaika ʻana e kiola i ka ʻōpū a i ʻole nā hōʻino ʻē aʻe i ka rectum. |
| Nā kumu i emi iki ka maʻamau | |
| ʻO ka fistula anal | Hiki i kahi abscess ke hoʻopaʻa i ka rectum, e hana ana i kahi cesspool liʻiliʻi. |
| Ka Maʻi ʻōpū mumū (IBD) | ʻO nā kūlana e like me ka maʻi a Crohn a i ʻole ka ulcerative colitis hiki ke hana i nā ʻeha i loko o ka rectum a me ke kumu o ka ʻeha. |
| Nā Spasms ʻiʻo | ʻO nā kūlana e like me ka levator ani syndrome hiki ke hōʻeha i ka ʻeha ma muli o ka hoʻopaʻa koke ʻana o nā ʻiʻo i loko o ka anus. |
| Ka maʻi ʻaʻai | He kumu kākaʻikahi loa kēia. Hiki ke hana ʻia ka ʻeha e kahi maʻi kanesa ma ka anus a i ʻole ka rectum. |
Hiki iā ʻoe ke loaʻa kahi manaʻo o ke kumu ma muli o ke ʻano o ka ʻeha?
ʻAe, inā ʻoe e wehewehe i ke ʻano o ka ʻeha āu e manaʻo nei i ke kauka, hiki paha iā ia ke loaʻa kahi manaʻo o ke kumu. E noʻonoʻo e pili ana i kēia ʻano.
- ʻEha ʻoi a ʻoi: Loaʻa pinepine kēia ʻano ʻeha inā he māwae anal . ʻO kēia no ka mea e kīkoʻo ana ka māwae i ka wā o ka neʻe ʻana o ka ʻōpū, e hōʻeha nui ana. Eia kekahi, hiki i ka hemorrhoid thrombosed ke hana i kēia ʻano ʻeha ʻoi.
- ʻEha me ke kaumaha: Inā manaʻo ʻoe e paʻi ana kekahi mea ma kou rectum, he hemorrhoid pehu paha, he abscess , a i ʻole, he puʻupuʻu pinepine. Hiki i ke kanaka me ka constipation ke ʻeha me ke kaumaha no ka mea ua paʻa ka ʻōpala paʻakikī i loko.
- ʻEha me ka maneʻo: Inā hele pū ka ʻeha me ka maneʻo, he maʻi ʻili paha ia. Hiki i nā hemorrhoids ke hana i ka maneʻo a me ka ʻeha. Hiki i nā maʻi hū a me nā warts anal ke hana i kēia maʻi.
Kekahi mau hanana kūikawā
He aha inā he ʻeha ma hope o ka neʻe ʻana?
Nui ka poʻe e ʻeha nei ma hope o ka neʻe ʻana o ka ʻōpū. ʻO kēia no ka mea ua huki ʻia kahi hemorrhoid a i ʻole ka anal fissure i ʻeha mua ʻia i ka wā o ka neʻe ʻana o ka ʻōpū. Hiki i kēia ke hōʻeha a me ke kahe koko paha .
He aha inā loaʻa iā ʻoe ka ʻeha i kou wā?
E like me nā ʻeha o ka menstruation, hiki ke hana ʻia ka ʻeha rectum e nā ʻūmiʻi ʻiʻo. Hoʻokumu ʻia kēia e kahi kemika i kapa ʻia ʻo prostaglandin. I ka manawa kākaʻikahi, inā pili kahi maʻi i kapa ʻia ʻo endometriosis i ka rectum, hiki iā ia ke hana i ka ʻeha a me ke kahe ʻana o ke koko ma ia wahi i ka wā o ka menstruation.
He aha inā loaʻa ka ʻeha i ka wā hāpai?
He mea maʻamau ka paʻa ʻana o ka ʻōpū a me nā hemorrhoids i ka wā hāpai. Eia kekahi, hiki i ke kaumaha o ka pēpē e ulu ana ke hōʻeha ma muli o ke kaomi ʻana i nā aʻalolo i loko o ka rectum. Hiki ke ʻike nui ʻia kēia ʻeha i ka wā e noho ana.
He aha kāu e hana ai ma ka home e hoʻomaha ai mai kēia?
I ka hapa nui o ka manawa, hiki ke hoʻemi ʻia kēia ʻeha i loko o kekahi mau lā me nā lāʻau lapaʻau home. Akā e hoʻomanaʻo, he hōʻoluʻolu manawa pōkole wale nō kēia.
Mea nui: E kūkākūkā mau me kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau a inā he mau nīnau kāu e pili ana i kou kūlana.
- ʻAuʻau Sitz: He ʻano maʻalahi loa kēia, akā he hana maikaʻi loa. E hoʻopiha i kahi kīʻaha nui me ka wai mehana a noho i loko no 15-20 mau minuke i ka manawa, i nā manawa he nui i ka lā. E hoʻomaha kēia i nā ʻiʻo a hōʻemi i ka ʻeha a me ka pehu.
- Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke hoʻohana i kahi lāʻau hoʻopau ʻeha e like me Paracetamol no kekahi manawa, akā mai hoʻohana mau me ka ʻole o ke kūkākūkā ʻana me ke kauka.
- Nā Kirimina: ʻO kekahi mau kirimina i hoʻohana ʻia no nā kūlana e like me nā hemorrhoids (e.g., nā mea i loaʻa iā Hydrocortisone a i ʻole Lidocaine) e hōʻemi i ka ʻeha no kekahi manawa.
- Kaohi i ka paʻa ʻana o ka ʻōpū: ʻO ka paʻa ʻana o ka ʻōpū ke kumu o nā pilikia he nui. No lailaE ʻai i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu, nā greens) a inu i ka nui o ka wai. Inā pono, hiki iā ʻoe ke lawe i ka laxative e like me ke kuhikuhi a kāu kauka.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Inā ʻaʻole e emi ka ʻeha ma hope o ʻelua a ʻekolu paha lā o ka mālama ʻana ma ka home, a inā e hoʻomau ka ʻeha i ka ʻino, e ʻike pono i ke kauka.
Mai hilahila a makaʻu paha e kamaʻilio e pili ana i kēia ʻano kūlana. He mau mea maʻamau kēia no nā kauka. ʻOi aku ka nui o kou olakino ma mua o nā mea ʻē aʻe.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka:
- Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui (nui loa a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā a ala aʻe i ka pō).
- Inā hele pū ka ʻeha me ke kahe koko nui a hoʻomau paha , he mea nui e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa i kēia manawa.
- Inā ʻaʻole hiki iā ʻoe ke kahe i loko o ka ʻōpū ma muli o ka ʻeha a inā paha ua koʻikoʻi kou paʻa ʻana.
- Inā hele pū ka ʻeha me nā hōʻailona ʻē aʻe e like me ke kuni a me ka malaise .
E nīnau ke kauka iā ʻoe i nā nīnau a, inā pono, e nānā i ka wahi e hoʻoholo ai i ke kumu pololei o ka ʻeha. A laila, e kuhikuhi lākou i ka lāʻau lapaʻau kūpono no ke kumu. Hiki i kēia ke komo pū me nā antibiotics, nā mea hoʻomaha ʻeha kūikawā, a i ʻole ke ʻoki liʻiliʻi, e like me ka wehe ʻana i nā hemorrhoids.
Leka Lawe-Home
- He mea maʻamau ka ʻeha anal. Mai hilahila e kamaʻilio e pili ana i ia mea.
- ʻO ke kumu pinepine he mau maʻi maʻalahi e like me nā hemorrhoids a i ʻole nā māwae anal.
- Hiki i nā ʻauʻau Sitz a me ka ʻai ʻana i ka meaʻai fiber kiʻekiʻe ke kōkua i ka hōʻemi ʻana i ka ʻeha.
- Inā nui ka ʻeha, hoʻomau, a i ʻole ke kahe ʻana o ke koko, e ʻike koke i kāu kauka.
- Mai hoʻowahāwahā i kahi hōʻailona e like me kēia. ʻOi aku ka palekana o ka ʻimi ʻana i ke aʻo lapaʻau kūpono.
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