Ua ʻike anei ʻoe i ka Anal Stenosis? E kamaʻilio kākou e pili ana!

I kekahi manawa, manaʻo mākou he paʻakikī iki ke hele mākou i ka lua, ʻeā? A i ʻole ua ʻike paha ʻoe i kekahi mau pēpē hānau hou e uē ana me ko lākou ʻōpū piha me ka ʻole o ka hele ʻana i ka ʻōpala. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hiki ai ke hana i ia mau mea. ʻOiai paha he kumuhana paʻakikī kēia e kamaʻilio e pili ana, he mea nui loa ia e makaʻala i ia mea.

He aha ka Anal Stenosis?

I ka ʻōlelo maʻalahi, ʻo ka anal stenosis ka haiki ʻana o kou anus, ke ala e puka ai ka ʻōpala mai kou kino. I kekahi manawa kapa nā kauka i kēia he 'anal stricture.' Ua like ia me kahi paipu wai i ālai ʻia a paʻakikī ke hoʻokuʻu i ka wai.

ʻO kēia ke ʻano maʻamau i nā pākeke. ʻO ke kumu o kēia, hiki ke ulu aʻe ma ke ʻano he pilikia ma hope o ke ʻoki ʻana a i ʻole ma muli o kahi maʻi lōʻihi. Eia nō naʻe, hiki i kekahi mau pēpē ke hānau ʻia me kahi anus haiki. Ua kapa ʻia kēia ʻo 'congenital anal stenosis' .

Loaʻa paha i kekahi poʻe nā hōʻailona iki o ka anal stricture, loaʻa paha i kekahi nā hōʻailona kaulike, a loaʻa paha i kekahi nā hōʻailona koʻikoʻi. Eia nō naʻe, ʻo ka hōʻailona nui ka hiki ʻole ke neʻe i ka ʻōpū. I ka hapanui o nā hihia, hiki ke hoʻemi ʻia kēia mau hōʻailona ma ka hana ʻana i nā hoʻololi ʻai a me ka hoʻohana ʻana i nā lāʻau lapaʻau. Eia nō naʻe, inā koʻikoʻi kou anal stricture, pono paha ʻoe i ke ʻoki ʻana.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole maʻamau ka stenosis anal. He mea kākaʻikahi nā stenosis anal congenital (CAS) a me ka stenosis anal makua . Akā ke hoʻāʻo nei nā kānaka noiʻi e ʻike pono i ke ʻano o kona maʻamau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea.

He aha nā hōʻailona?

ʻO ka paʻa ʻōpū ka hōʻailona nui no kekahi me ka rectum haiki. Eia nō naʻe, aia paha he ʻokoʻa iki i nā hōʻailona no nā pēpē a me nā pākeke. E nānā kākou i ke ʻano o lākou.

Nā hōʻailona i nā pākeke

Hiki i nā pākeke ke loaʻa nā hōʻailona ʻē aʻe me ka constipation, e like me:

• Ka maʻi pākī.
• ʻAʻole hiki ke kāohi i ke hele ʻana o ka ʻōpala (Fecal incontinence) .
• Manaʻo e like me he mea lā aia nō kekahi mea i koe ma hope o kou pau ʻana i ka ʻōpala (hoʻoneʻe piha ʻole ʻia) .
• Noho lahilahi e like me ka penikala.
• ʻEha i ka wā e hoʻāʻo ai e kiola.
• Ke kahe koko ʻana o ka rectal .

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​mai hoʻowahāwahā iā lākou, ʻeā?

Nā hōʻailona i nā pēpē

Inā loaʻa kēia ʻano i kahi pēpē hānau hou, aia kekahi mau hōʻailona e hiki ke kōkua i ka ʻike ʻana.

• ʻO ka hōʻailona maʻamau ka wā i hala ʻole ai kahi pēpē hānau hou i kā lākou ʻōpala mua, i kapa ʻia ʻo meconium, i loko o 48 mau hola o ka hānau ʻana.
• Ka uē ʻana a me ka hoʻomaha ʻole hiki ʻole ke hoʻōki ʻia me ka nui o kou hoʻāʻo ʻana.
• Nā noho palupalu.
• ʻO nā hōʻailona o ka make wai e komo pū me kahi wahi palupalu i piholo ma ke poʻo o ke pēpē a me ka emi ma mua o ʻeono mau diaper pulu i ka lā.
• ʻO ka mea me ka ʻōpū pehu.

Inā kānalua ʻoe he mea like kēia i kāu pēpē, pono ʻoe e ʻike koke i ke kauka.

He aha nā kumu o ka hoʻohaiki ʻana o ka rectum?

I nā pākeke, lilo ka rectum i haiki ma muli o nā ʻiʻo ʻeha e hana ʻia ana i loko o ka rectum. Hoʻokumu kēia ʻiʻo ʻeha i kahi papa paʻakikī a paʻa ʻole o nā ʻiʻo e hana ʻia ana ma nā paia o ka rectum, e haiki ana iā ia. E noʻonoʻo iā ia e like me ke kaula paʻa ma kahi o kahi kaula laholio. Hiki ke ulu kēia ʻiʻo ʻeha ma hope o kahi hana lapaʻau a i ʻole ke ʻoki ʻana i hana ʻia ma kou rectum. A i ʻole hiki ke hana ʻia e kahi maʻi lōʻihi e hoʻoulu ai i ka mumū .

Ua hōʻike ʻia e ka noiʻi he 90% o nā māwae anal i hana ʻia e ka ʻiʻo ʻeha i hana ʻia ma hope o ke ʻoki hemorrhoid . ʻO nā kumu ʻē aʻe o ka ʻiʻo ʻeha e komo pū me:

• Nā maʻi i laha ma ke ʻano moekolohe. ʻO nā laʻana e like me ka chlamydia , genital herpes, anal warts i hoʻokumu ʻia e ka human papillomavirus (HPV) , syphilis , gonorrhea , hepatitis A , hepatitis B , a me HIV .
• ʻO ka maʻi ʻōpū mumū (IBD) .
• Ka hoʻohana nui ʻana i nā laxatives .
• Hiki i ka lāʻau lapaʻau radiation no ke kanesa rectal ke hana i nā ʻiʻo ʻeha e hoʻopili a hoʻohaiki i ka rectum.

ʻO ka Stenosis Anal Congenital

Hānau ʻia kahi pēpē me kahi anus haiki, kahi kūlana i kapa ʻia ʻo anorectal malformation , i hana ʻia e kahi loli i ka ulu ʻana o ka fetal . ʻAʻole ʻike nā loea i ke kumu pololei o kēia. No laila, ʻaʻole pono nā makuahine e hopohopo no ia mea.

He aha nā pilikia o kēia?

ʻO nā pilikia mai ka rectal prolapse e pili ana i nā hōʻailona āu e loaʻa ai. No ka laʻana, inā loaʻa iā ʻoe ka fecal incontinence , hiki iā ʻoe ke loaʻa nā ʻeha a puni kou rectum. Inā loaʻa iā ʻoe ka constipation mau, hiki iā ʻoe ke loaʻa i kahi kūlana i kapa ʻia ʻo fecal impaction , kahi e paʻa ai ka ʻōpala i loko o kou rectum. Inā hānau ʻia kāu pēpē me kahi anal canal haiki (CAS), hiki iā lākou ke maloʻo . ʻO ia ke kumu he mea nui ka mālama mua ʻana.

Pehea e ʻike ai nā kauka i kēia maʻi?

Aia kahi ʻokoʻa iki i ke ʻano o ka ʻike ʻana o nā pēpē a me nā pākeke i kēia.

Pehea e ʻike ai i ka congenital anal stenosis (CAS) i nā pēpē

ʻIke pinepine nā kauka i nā hōʻailona o ka congenital anal stenosis ke nānā lākou i kahi pēpē hānau hou. Hiki i kēia hoʻokolokolo ke komo pū me kahi hoʻokolokolo rectal digital (DRE) .

Inā ʻaʻole e hoʻopuka kāu pēpē i ka meconium i loko o 24-48 mau hola o ka hānau ʻana, a inā paha he palupalu loa ko lākou neʻe ʻana o ka ʻōpū mua, manaʻo paha kāu kauka he CAS. Hiki iā lākou ke kauoha i nā hoʻokolohua e hōʻoia i ke kūlana, e like me:

• Ka hoʻokolokolo ʻana o ka ultrasound ʻōpū .
• Hoʻāʻo ʻana i ka enema Barium .
• ʻO kahi scan CT (Computed tomography - CT scan) .

Pehea e ʻike ai i ka prolapse rectal i nā pākeke

E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. Inā ua hana ʻia kekahi ʻoki kino iā ʻoe, e nānā lākou i kēlā mau moʻolelo. A laila e hana lākou i nā hoʻokolohua e like me kēia:

• Ka hoʻokolokolo rectal kikohoʻe .
• ʻAnoscope ( he kāmela liʻiliʻi e nānā i loko o ka rectum).
• ʻO Proctoscopy ( kahi hoʻokolokolo e nānā hohonu iki i loko o ka rectum).

Pehea e mālama ʻia ai kēia?

Inā he ʻūpā haiki kou a i ʻole he pēpē paha, ʻo ka lāʻau mua e hoʻāʻo e maʻalahi ka hele ʻana o ka ʻōpala. Hiki i ke kauka ke ʻōlelo i nā mea e like me:

• ʻO ka hoʻohana ʻana i nā mea palupalu noho no nā pēpē, a me nā laxatives a me nā mea palupalu noho no nā pākeke, hiki ke kōkua i ka hele maʻalahi ʻana o ka noho ma o ka anus haiki.
• Ke hoʻololi nei i kāu meaʻai a me kāu mea inu. ʻO ke ʻano kēia o ka hoʻohui ʻana i nā wai a me ka fiber i kāu papaʻai o kēlā me kēia lā. E ʻai i nā huaʻai, nā mea kanu, a me nā palaoa piha.

I kekahi manawa, ke hiki iā ʻoe ke hele i nā ʻōpala maʻamau, e kīkoʻo a hoʻonui ka rectum iā ia iho.

Nā lāʻau lapaʻau ʻē aʻe no nā pēpē

Hiki i ke kauka o kāu pēpē ke hoʻolōʻihi a hoʻonui i ka anus o kāu pēpē me ka hoʻohana ʻana i kahi kaʻina hana i kapa ʻia ʻo 'anal dilatation.' Pili kēia i ke kau ʻana i kahi mea liʻiliʻi, lubricated (dilator) i loko o ka anus o kāu pēpē. Wehe ʻia ka mea hana ma hope o kekahi mau kekona.

Pono ka pēpē e hana i kēia lāʻau lapaʻau i ʻelua manawa i ka lā no kekahi mau pule. I kēlā me kēia pule, hoʻohana ʻia nā mea hoʻonui iki a hiki i ka hoʻi ʻana o ka anus o ke pēpē i ka nui maʻamau. A laila, hoʻemi ʻia ka helu o nā lāʻau lapaʻau i loko o kekahi mau mahina. Aia kekahi mau manawa e aʻo ʻia ai nā makuahine e hana i kēia ma ka home.

He mea kākaʻikahi loa, pono i kahi pēpē me kahi anus haiki ke hana i kahi ʻoki kino i kapa ʻia ʻo anoplasty .

Nā lāʻau lapaʻau ʻē aʻe no nā mākua

Inā ʻaʻole kōkua nā hoʻololi ʻana i ka meaʻai a me nā mea palupalu o ka ʻōpala, e ʻōlelo paha kāu kauka i ka dilatation anal . Hiki iā lākou ke hana i kēia iā lākou iho, a i ʻole e aʻo paha lākou iā ʻoe pehea e hoʻohana ai i ka dilator ma ka home. Inā ʻaʻole holo pono kēia, e ʻōlelo paha lākou i ke ʻoki kino. Hiki i kēia ʻoki kino ke pili i:

• Anoplasty: Hana ʻia kēia ʻoki kino e hoʻoponopono i nā pilikia e pale ana i ka rectum mai ka hana pono ʻana. Hoʻololi hou ke kauka ʻoki kino i kou rectum i hiki iā ia ke wehe a lilo i mea nui ma mua o ka maʻamau.
• Sphincterotomy: Ma kēia kaʻina hana, ʻoki ke kauka lapaʻau i ka ʻiʻo sphincter i loko o kou rectum, e hōʻemi ana i ka paʻa o kou rectum.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

I ka hapanui o nā hihia, e hoʻihoʻi ka lāʻau lapaʻau i kou rectum i kona nui maʻamau a hōʻemi i nā hōʻailona o ka rectal prolapse. ʻO ka mea pōʻino, hoʻopilikia pinepine kēia ʻano i ka poʻe me ka maʻi ʻōpū mumū (IBD), he ʻano ola ia. Inā ʻo kēia ke ʻano no ʻoe, hiki i kāu mau kauka ke kōkua iā ʻoe e hoʻokele i kāu IBD.

I ka hapa nui o ka manawa, hiki ke mālama ʻia ke kahawai anal o kahi pēpē. Akā i ka wā e ulu aʻe ai kāu pēpē, e mākaukau e mālama i ka paʻa ʻana o ke keiki liʻiliʻi . E hoʻomanaʻo pono i kēia i ka wā e hoʻomaʻamaʻa ana kāu pēpē i ka lua.

Pehea wau e mālama ai iaʻu iho?

Inā he ʻūpā haiki kou, ua nui paha nā mea i koe i kou kino. E like me ke ʻoki ʻana i ka hemorrhoid a i ʻole ke ola ʻana me kahi maʻi ʻōpū mumū e like me ka maʻi ʻo Crohn . Hiki i kahi ʻūpā haiki ke manaʻo ʻia he pilikia ʻē aʻe no kāu ʻōnaehana hoʻoheheʻe. Hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻoluʻolu i kāu mau hōʻailona. Eia kekahi mau mea hiki iā ʻoe ke hana e kōkua i kou neʻe ʻana o ka ʻōpū:

• E inu i ka wai nui: E hoʻomaka i kou lā me ke aniani wai wela. He mea maikaʻi ke inu i ke kīʻaha kofe ma hope. Hiki i ka caffeine ke hoʻoulu i nā ʻiʻo i loko o kāu ʻōnaehana hoʻoheheʻe a kōkua iā ʻoe e hele i ka ʻōpala. E inu i ka wai nui i ka lā a pau.
• E noho hana: Inā he hele wikiwiki a he holo paikikala paha, e hoʻoulu kēlā me kēia neʻe ʻana i kou mau ʻiʻo ʻōpū a hoʻonui i ke kahe o ke koko i kou mau ʻōpū. E kōkua kēia mau hana a pau iā ʻoe e hele pinepine i ka ʻōpala.
• E noʻonoʻo i nā mea palupalu ʻōpala a me nā laxatives: I kekahi manawa, pono ʻoe i kahi paʻi iki e hele ai i ka ʻōpala. Hiki i kāu kauka ke kuhikuhi i nā mea palupalu ʻōpala a me nā laxatives , a i ʻole hiki iā ʻoe ke kūʻai i nā lāʻau lapaʻau ma luna o ke kauka.Eia nō naʻe, inā loaʻa iā ʻoe ka maʻi ʻōpū mumū (IBD), e ʻoluʻolu e nīnau i kāu kauka e pili ana i ke ʻano o ka mea palupalu ʻōpala āu e lawe ai.

Āhea wau e ʻike ai i ke kauka?

Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona prolapse rectal me ka mālama ʻole ʻia, a inā e ʻoi aʻe ka ʻino, e ʻike i kāu kauka.

Eia ka hopena: Pono kākou a pau e poop. Akā inā loaʻa iā ʻoe kahi maʻi e like me ka anal stenosis, kahi i haiki ai kou anus i hiki ʻole i ka poop maʻamau ke hele ma waena, hiki ke paʻakikī loa.

Inā he ʻūmiʻi kou rectum, manaʻo paha ʻoe e hoʻopilikia nei kēia mau hōʻailona i kou ola o kēlā me kēia lā.

Inā loaʻa i kāu pēpē ka congenital anal stenosis (CAS), hopohopo paha ʻoe a kaumaha, no ka mea hoʻomaha ʻole kāu pēpē a no ka mea ʻaʻole ʻo ia e ʻai ana.

ʻO ka mea pōmaikaʻi, aia kekahi mau ala e mālama ai i ka hāiki ʻana o ka anus. Inā loaʻa iā ʻoe a i ʻole kāu pēpē kēia mau hōʻailona, ​​e kamaʻilio me ke kauka. ʻO ka wikiwiki o kou loaʻa ʻana o ka hōʻailona a me ka lāʻau lapaʻau, ʻo ka wikiwiki o kou ola ʻana a i ʻole kāu pēpē.

ʻO nā mea nui a mākou e hoʻomanaʻo ai mai kēia moʻolelo, ʻo ia

• ʻO ka stenosis anal kahi haiki o ke alahele e hele ai ka ʻōpala. Hiki ke hana ia i nā pākeke ma muli o ke ʻoki kino a i ʻole ka maʻi, a i ʻole i nā pēpē mai ka hānau ʻana.
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻa ʻana o ka ʻōpū, ka ʻeha i ka wā e neʻe ai ka ʻōpū, a i ʻole ka ʻōpala palahalaha , pono ʻoe e ʻike i ke kauka. No nā pēpē, inā ʻaʻole lākou i neʻe i ka ʻōpū ma hope o ʻelua lā, he mea ia e makaʻala ai.
• Mai hopohopo, aia nā ʻano lapaʻau like ʻole no kēia, mai nā hoʻololi ʻana i ka meaʻai a hiki i nā lāʻau lapaʻau, nā kaʻina hana kūikawā (e like me ka anal dilatation), a me ke ʻoki kino inā pono.
• ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā e manaʻo ai ʻoe i kahi pilikia. A laila hiki iā ʻoe ke loaʻa koke ka hōʻoluʻolu. E mālama i kou olakino, no ka mea, ʻo ia ka mea waiwai nui loa!

ʻO ka Stenosis Anal, Constipation, Anus, Nā keiki hānau hou, Hemorrhoids, ʻoki kino, Paʻakikī i ka nahu ʻana