Ua loaʻa anei iā ʻoe kekahi ʻeha, ʻeha, a i ʻole ke kahe ʻana o ke koko i loko o kou anus? Hilahila iki mākou a pau e kamaʻilio e pili ana i kēia mau mea me nā poʻe ʻē aʻe, ʻeā? Akā, he mau pilikia maʻamau kēia i ʻike ʻia e ka poʻe he nui i loko o ke kaiāulu. No laila, inā ʻoe e hele e ʻike i ke kauka me kēia mau hōʻailona a noi ʻo ia iā ʻoe e hana i kahi hoʻokolokolo i kapa ʻia ʻo 'Anoscopy', mai makaʻu i kou lohe ʻana i kēlā inoa. ʻAʻole kēia he mea weliweli e like me kou manaʻo. E nānā kākou i ke ʻano maʻalahi.
He aha maoli ka anoscopy?
I ka ʻōlelo maʻalahi, he anoscopy kahi hoʻokolokolo lapaʻau o loko o kou rectum a me ka ʻāpana hope loa o kou anus. Hana ʻia kēia me ka hoʻohana ʻana i kahi mea hana liʻiliʻi a kūikawā i kapa ʻia he anoscope. Hiki i kēia mea hana i ke kauka ke ʻike maopopo i ka uhi o kou rectum no kekahi mau ʻeha, nā haehae, nā mea ʻē, a i ʻole nā maʻi. Ua like ia me ka hoʻomālamalama ʻana i kahi kukui uila i loko.
He aha ka Anoscopy hoʻonā kiʻekiʻe?
He ʻano holomua iki kēia o ka hoʻāʻo `Anoscopy`. Ma waho aʻe o ka hāmeʻa `Anoscope`, hoʻohana ʻia kekahi `Colposcope`, ka mea e hoʻonui ai i ke kino. Hiki i kēia ke ʻike i nā loli liʻiliʻi loa i ʻike ʻole ʻia e ka maka ʻōlohelohe. He mea nui loa kēia ʻano hana no ka ʻike ʻana inā he mau ʻāpana ʻē, e like me nā ʻāpana kanesa, ma ka rectum. Inā he kānalua, hiki i ke kauka ke lawe i kahi ʻāpana ʻiʻo mai ia wahi a hoʻouna aku i ka hale hana . Kāhea mākou i kēia `(Biopsy)`.
Aia kekahi mau hoʻokolohua ʻē aʻe e like me ka anoscopy?
ʻAe, aia kekahi mau ʻano hoʻāʻo ʻē aʻe e like me kēia, akā ʻokoʻa ka wahi a me ke kumu o kēlā me kēia.
- ʻOkoʻa ma waena o Anoscopy a me Proctoscopy: Hoʻohana ka `Proctoscopy` i kahi mea hana lōʻihi iki ma mua o ka `Anoscope`. Hiki iā ia ke nānā i kou anus a me ka ʻāpana hope loa o kou ʻōpū nui, ʻo ia ka `Rectum`, ma luna pono. Nānā nui ʻo Anoscopy i kahi ʻāpana o hoʻokahi a ʻelua ʻīniha i loko o ka anus.
- ʻOkoʻa ma waena o Anoscopy a me Colonoscopy: He hana nui loa ka colonoscopy. Pili ia i ke komo ʻana i kahi ʻōmole lōʻihi a palupalu me kahi kāmela (he colonoscope) ma o kou anus e nānā i kou ʻōpū nui holoʻokoʻa . Hana pinepine ʻia kēia ma lalo o ka anesthesia a he manawa pōkole. ʻOiai hiki ke nānā i nā pilikia ma ka anus, ʻo ka anoscopy ka hoʻāʻo mua e hana ʻia inā loaʻa iā ʻoe nā hōʻailona kikoʻī i ka anus.
I nā hihia hea e hana ʻia ai ka anoscopy?
Inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i kou rectum, hiki i kāu kauka ke ʻōlelo i kēia hoʻāʻo e ʻike i ke kumu pololei. I kekahi manawa, ʻoiai inā ʻaʻohe ou hōʻailona, hiki ke hana ʻia kēia ma ke ʻano he hoʻāʻo nānā inā he kiʻekiʻe kou pilikia no nā maʻi e like me ke kanesa.
Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi e pili ana i kēia mai nā papa ʻelua ma lalo nei.
| Nā hōʻailona maʻamau e alakaʻi ai i ka anoscopy |
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| Ke kahe koko ʻana o ka rectum |
| ʻO ka ʻeha a me ka ʻeha ma ka rectum |
| Ka hoʻokuʻu ʻana maʻamau ʻole (e like me ka pus) |
| ʻO ka pehu ʻana a i ʻole nā puʻupuʻu i loko o ka rectum |
| Ka paʻakikī o ka defecation a i ʻole ka hiki ʻole ke kaohi i nā neʻe ʻana o ka ʻōpū |
| Nā maʻi i hiki ke ʻike ʻia e ka anoscopy |
|---|
| Nā ʻōpū hemorrhoids |
| Māwae Anal |
| ʻO ka fistula anal a me ka abscess anal |
| Nā maʻi i laha ma ke ʻano moekolohe (STIs) |
| ʻO ke kanesa anal a i ʻole nā pūnaewele e hiki ke lilo i kanesa (Anal Dysplasia) |
Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?
ʻAʻole pono kēia i kekahi hoʻomākaukau kūikawā. ʻO ia ka pōmaikaʻi nui loa o kēia. Eia nō naʻe, hiki i ke kauka ke hāʻawi iā ʻoe i kekahi mau ʻōlelo aʻoaʻo e like me kēia:
- E hōʻalo i ka moe anal i ka lā ma mua o ka hoʻāʻo.
- Mai hoʻohana i kekahi lāʻau lapaʻau a kirīmi paha i hoʻokomo ʻia i loko o ka rectum.
- Ma mua o ka hoʻāʻo ʻana, e hoʻokahe i kou ʻōpū a me ka ʻōpū mimi ma ka hele ʻana a me ka mimi maikaʻi.
- I kekahi mau hihia, hiki i ke kauka ke ʻōlelo aku e hoʻohana i kahi enema e hoʻomaʻemaʻe i ka rectum, akā ʻaʻole pono kēia i nā manawa a pau.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka. Inā he mau nīnau kāu, mai makaʻu e nīnau.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
ʻAe, e nānā kākou pehea e hana ʻia ai ka hoʻāʻo. He mea maʻalahi kēia e hiki ke hana ʻia ma ke keʻena o ke kauka (`OPD`) a i ʻole ma kahi keʻena lapaʻau.
1. Hoʻomākaukau: ʻO ka mea mua, e noi ʻia ʻoe e wehe i kou lole komo. E hāʻawi ʻia ʻoe i kahi pepa moe a i ʻole ka lole komo e uhi i kou kino, no laila ʻaʻohe pono e hopohopo e pili ana i ka pilikino. A laila, e noi ʻia ʻoe e moe i kahi kūlana kūpono ma ka papa hoʻokolokolo. Hiki ke noi ʻia ʻoe e kūlou i mua, e moe ma kou ʻōpū, a i ʻole e moe ma kou ʻaoʻao me kou mau kuli kūlou.
2. Hoʻokolokolo mua: Ma mua o ke kau ʻana i ka `Anoscope`, e hoʻokomo ke kauka i kahi manamana lima i loko o ka rectum a hana i kahi `Digital Rectal Exam`. Hana ʻia kēia e nānā i nā puʻupuʻu a i ʻole nā pūpū ʻē aʻe i loko.
3. Ke hoʻokomo ʻana i ka mea kani: ʻO ka mea aʻe, e hoʻokomo mālie ʻia ka mea kani "Anoscope" i poni maikaʻi ʻia i loko o kou anus.
4. Nānā: Ma hope o ke kau ʻana i ka mea kani, nānā pono ke kauka i nā ʻiʻo i loko i kona huki mālie ʻana. I kekahi manawa, hoʻohuli iki ʻo ia i ka mea kani e nānā i nā ʻaoʻao a pau.
5. Ke lawe ʻana i kahi hāpana: Inā ʻike ʻoe i kekahi kahe ʻokoʻa, e like me ka pus, e lawe ʻia kahi swab liʻiliʻi a hoʻouna ʻia i ka hale hana. Eia kekahi, inā ʻike ʻoe i nā ʻiʻo kānalua, hiki ke lawe ʻia kahi "(Biopsy)", e like me ka mea i ʻōlelo ʻia ma mua.
He mau minuke wale nō ke kaʻina hana holoʻokoʻa. Hiki ke lōʻihi iki aʻe inā lawe ʻia kahi biopsy.
He ʻeha maoli anei kēia? Pehea kona manaʻo?
ʻO kēia ka pilikia nui loa no nā poʻe he nui. ʻO kaʻoiaʻiʻo, ʻaʻole ʻeha ka anoscopy. Ke hoʻokomo ʻia ka mea hana, hiki iā ʻoe ke manaʻo i kahi kaomi iki, me he mea lā e neʻe ana ʻoe i ka ʻōpū.
Eia nō naʻe, inā loaʻa iā ʻoe kahi ʻeha ma kou anus (e like me ka anal fissure), hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole. I kēlā mau hihia, hiki i kāu kauka ke hoʻopili i kahi ʻaila poni e like me Lidocaine e hoʻomāno i ka wahi. No laila, ʻaʻole pono ʻoe e hopohopo nui e pili ana i ka ʻeha. Inā manaʻo ʻoe i kekahi ʻoluʻolu ʻole, e haʻi koke i kāu kauka.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
Ke pau ka hoʻokolokolo ʻana, e haʻi aku ke kauka iā ʻoe i kāna mea i ʻike ai. Inā ua lawe ʻia kahi hāpana, e like me ka biopsy, e hala ana kekahi mau lā no ka hōʻea ʻana o ka hōʻike. Ke pau kēlā, hiki ke hoʻoholo ʻia e pili ana i ka lāʻau lapaʻau.
I kekahi manawa, inā he maʻi e like me ka hemorrhoids, hiki i ke kauka ke mālama iā ia i ka manawa like me ka hoʻāʻo. Ma hope o ka hoʻāʻo, hiki iā ʻoe ke hoʻi i ka home ma ke ʻano maʻamau. Inā ʻaʻohe ou anesthesia, ʻaʻohe pilikia me ʻoe e hoʻokele kaʻa.
Nā mea e makaʻala ai a me ka wā e kamaʻilio ai me kāu kauka
He mea maʻamau ke loaʻa i kahi ʻoluʻolu ʻole a i ʻole kahi kahe koko liʻiliʻi no hoʻokahi a ʻelua paha lā ma hope o ka hoʻāʻo ʻana, ʻoiai inā ua lawe ʻia kahi biopsy. ʻO ka noho ʻana i loko o kahi ʻauʻau mehana (sitz bath) hiki ke hāʻawi i ka hōʻoluʻolu nui mai kēia ʻoluʻolu ʻole.
Eia nō naʻe, inā ʻike ʻoe i kēia mau hōʻailona, pono ʻoe e kāhea koke i kāu kauka :
- Inā ʻoe e loaʻa i ka ʻeha hiki ʻole ke hoʻomanawanui.
- Inā he kahe koko mau a nui.
- Inā ʻike ʻia nā hōʻailona o ka maʻi e like me ke kuni a me ka nausea.
Mai poina, he mau mea maʻamau kēia no kāu kauka. Ehia mau maʻi āna e ʻike ai i ka lā? No laila, ʻo ka mea nui loa, ʻo ia ke waiho ʻana i kou hilahila, e haʻi pololei i kāu mau hōʻailona, a e loaʻa i ka lāʻau lapaʻau e pono ai.
Leka Lawe-Home
- He hoʻāʻo maʻalahi a palekana hoʻi ka Anoscopy e nānā ana i loko o ka rectum a hiki ke hoʻopau ʻia i loko o kekahi mau minuke.
- ʻAʻole ʻeha kēia maʻamau. E ʻike wale ʻoe i kahi kaomi iki. Inā loaʻa iā ʻoe kekahi ʻeha, e haʻi i kāu kauka.
- He mea nui loa kēia hoʻāʻo no ka ʻike ʻana i nā maʻi maʻamau e like me nā hemorrhoids a me nā anal fissures.
- He mea nui loa ia no kou olakino ʻaʻole e hilahila i kāu mau hōʻailona rectal, akā e kamaʻilio me ke kauka a loaʻa ka lāʻau kūpono.
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