He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe i ke koko i loko o kou ʻōpala a i ʻole ma ka pepa lua. Akā, mai hopohopo. ʻAʻole kēia he hōʻailona mau o kahi maʻi koʻikoʻi. I kekahi manawa hiki ke hana ʻia no kahi kumu maʻalahi loa. E kamaʻilio kākou e pili ana i nā mea āpau me ka maopopo.
Pehea ke ʻano o ke koko i loko o ka ʻōpala? He aha kāu e ʻike ai mai ke kala?
Hiki i ke koko e hele mai me kou ʻōpala ke ʻike ʻia i nā kala like ʻole. Mai kahaha, hiki i ke kala o kēia koko ke hāʻawi iā mākou i kahi manaʻo no kahi e puka mai ai ke koko.
I ka ʻōlelo maʻalahi, loli ke kala ma muli o kahi i puka mai ai ke koko.
| Ke kala o ke koko | He manaʻo no kahi e puka mai ai ke koko |
|---|---|
| ʻUlaʻula ʻĀlohilohi | ʻO ke ʻano kēia, ke puka mai nei ke koko mai ka ʻaoʻao haʻahaʻa o kāu ʻōnaehana hoʻoheheʻe. Hiki i kēia ke lilo i ka hopena o kou ʻōpū nui, rectum, a i ʻole anus. ʻIke ʻia kēia ʻano koko ʻulaʻula māmā i nā kūlana e like me nā hemorrhoids. |
| ʻUlaʻula ʻeleʻele/ʻeleʻele | Hiki ke puka mai ke koko mai ka ʻaoʻao o luna o ka kolona a i ʻole ka ʻōpū liʻiliʻi. Hiki mai kēia hoʻololi kala ke noho ke koko i loko o ke kino no kekahi manawa a laila puka i waho. |
| ʻEleʻele/Tarry | ʻO kēia ka mea a mākou e kapa nei i ka lāʻau lapaʻau he melena. ʻO ke ʻano kēia, ke puka mai nei ke koko mai ka ʻōpū mai. No ka laʻana, i ka wā e kahe ana ke koko mai kahi ʻōpū ʻōpū, lilo ke koko i ʻeleʻele loa i kona hele ʻana i lalo o ke ala ʻai. |
I kekahi manawa, ʻaʻole paha ʻoe e ʻike i ke kahe ʻana o ke koko me kou mau maka, akā hiki ke ʻike ʻia ke koko ke nānā ʻoe iā ia ma lalo o kahi microscope i ka wā o kahi hoʻāʻo ʻana i ka ʻōpala. Ua kapa ʻia kēia he "kokoke huna" a i ʻole "kokoke huna."
Mea nui:Inā ʻoe e ʻai i nā mea e like me ka beetroot, nā tōmato, a i ʻole e lawe i nā pila hao, e ʻulaʻula/ʻeleʻele paha kou ʻōpala. ʻAʻole ia he manaʻo ke kahe nei ke koko. No laila ma mua o kou hopohopo, e noʻonoʻo i kāu mea i ʻai ai.
Āhea ʻoe e ʻike ai i ke kauka?
ʻOiai ʻo ka hapa nui o ka manawa hiki ke kumu kēia ma muli o kahi kumu maʻalahi, aia kekahi mau hihia kahi e pono ai ʻoe e ʻike i ke kauka. Mai hoʻopaneʻe inā loaʻa iā ʻoe nā hōʻailona penei:
- Inā hoʻomau ʻoe i ke koko i loko o kou ʻōpala no nā pule he 3 a ʻoi .
- Inā loaʻa iā ʻoe ka ʻeha nui ma ka anus.
- Inā ʻoe e manaʻo i kahi mea ma kou lima, e like me ka ʻeha o ka ʻōpū a i ʻole kahi puʻupuʻu .
- Inā manaʻo ʻoe e kahe nui ana ke koko .
- Inā ua loli ke ʻano o kou mau ʻōpala (hoʻonui ʻia ka wai, lahilahi, hoʻonui ʻia ka lōʻihi) no nā pule he 3 a ʻoi .
- Inā ʻaʻole ʻoe i ʻike i ke kumu o ke kahe ʻana o ke koko (e laʻa me ke kumu ʻole i ʻike ʻia, e like me ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi pākī).
- Inā hele pū ke kahe koko me nā hōʻailona ʻē aʻe e like me ke kuni, ke anu, ka nāwaliwali, ka palaualelo, a i ʻole ka luaʻi ʻana .
I nā manawa e like me kēia, e ʻoluʻolu e nīnau i kāu kauka no ka ʻōlelo aʻo.
He aha nā kumu o ke koko i loko o ka ʻōpala?
ʻO ke koko i loko o kou ʻōpala ke ʻano he ʻeha, haehae, a i ʻole ke kahe ʻana o ke koko ma kekahi wahi o kāu ʻōnaehana hoʻoheheʻe. E nānā kākou i kekahi o nā kumu maʻamau.
Nā kumu maʻamau
- Hemorrhoids: ʻO ke kumu nui a maʻamau o ke koko i loko o ka ʻōpala, ʻo ia nā hemorrhoids. Hoʻokumu ʻia kēia e ka pehu ʻana o nā kīʻaha koko i loko a i waho paha o ka rectum. Hiki ke hana ʻia e nā mea e like me ke kaumaha i ka wā o ka neʻe ʻana o ka ʻōpū (constipation) a i ʻole ka hāpai ʻana i nā mea kaumaha. Hiki i kēia mau aa koko pehu ke pohā a kahe ke koko. ʻO ka ʻūlū a me ka ʻeha a puni ka anus he mau hōʻailona nō hoʻi ia o kēia.
- Anal Fissure: He haehae liʻiliʻi kēia ma ka ʻili a puni ka anus, e like me ka māhele ʻana o ko kākou mau lehelehe. Hiki ke hana ʻia kēia haehae ke hele ʻia kahi ʻōpala paʻakikī a nui. Hiki ke ʻeha loa.
- ʻO ka maʻi ʻōpū mumū (IBD): He maʻi lōʻihi kēia. Inā ua ʻeha ʻoe i ka ʻōpū, ka pohō kaumaha, a me ka maʻi kahe koko no nā pule he nui, loaʻa paha iā ʻoe ka IBD. ʻO ka Ulcerative Colitis a me ka maʻi Crohn nā ʻano nui ʻelua.
- Maʻi Diverticular: He mau ʻeke liʻiliʻi kēia e puka mai ana mai ka paia o ka ʻōpū nui. ʻOiai ʻaʻole lākou e pōʻino, hiki iā lākou ke kahe ke koko a i ʻole e loaʻa i ka maʻi.
- ʻO nā ʻōpū a i ʻole nā ʻōpū ʻōpū (Peptic Ulcer):ʻO nā ʻōpū e hana ʻia ana ma ka ʻili o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi. ʻO ka maʻi me ka bacteria Helicobacter pylori (H. pylori) a me ka hoʻohana lōʻihi ʻana i nā lāʻau ʻeha e like me ka aspirin a me ka ibuprofen nā kumu nui.
- ʻO Gastroenteritis: ʻO ka maʻi diarrhea i hoʻokumu ʻia e kahi maʻi viral a bacteria paha (e like me ka lāʻau make meaʻai) hiki ke koko a hele pū me nā hōʻailona e like me ka nausea a me ka luaʻi.
Nā kumu ʻē aʻe
- Polyps a i ʻole Cancer: ʻO nā Polyps he mau ulu maʻamau e hana ʻia i loko o ka colon. Hiki iā lākou ke kahe ke koko, a hiki i kekahi mau ʻano ke lilo i kanesa i ka hala ʻana o ka manawa. ʻO ke kanesa colorectal kahi kumu koʻikoʻi o ke koko i loko o ka ʻōpala.
- Nā pilikia Esophageal: Hiki ke kahe nui ke koko ma muli o ka pehu ʻana a i ʻole ka haehae ʻana i nā kīʻaha koko i loko o ka esophagus (ka ʻōmole e ale ai mākou i ka meaʻai).
- Nā maʻi i laha ma ke moekolohe (STIs): Hiki i kekahi mau maʻi i laha ma ke moekolohe ke hoʻoulu i ke kahe koko ʻana o ka rectum.
Nā kumu o ke koko i loko o ka ʻeke o nā keiki
Ma waho aʻe o nā kumu e pili ana i nā mākua, aia kekahi mau kumu e pili pono ana i nā keiki.
- Paʻa ʻōpū: ʻO kēia ke kumu maʻamau o ke koko i loko o ka ʻōpala o ke keiki. Hiki i ka paʻa ʻōpū ke hana i kahi māwae anal a hoʻoulu i ke kahe koko.
- Nā maʻi ʻaleka meaʻai: Hiki i kahi pēpē ke loaʻa i kahi maʻi ʻaleka, ʻoi aku hoʻi i ka pauka waiū a i ʻole kekahi mau meaʻai i ʻai ʻia e ka makuahine hānai (e like me ka waiū bipi, soy, peanuts), hiki ke alakaʻi i ka colitis a me ke kahe ʻana o ke koko.
- ʻŌpū ʻōpū: Hiki i nā keiki ke loaʻa i nā ʻōpū ʻōpū ma muli o ka bacteria (H. pylori).
- ʻO ka diverticulum ʻo Meckel : He maʻi hānau kēia. He ʻeke keu o nā ʻiʻo e hana ʻia ana ma ka paia o ka ʻōpū a hiki ke kahe ke koko me ka ʻeha ʻole. Hiki ke mālama ʻia me ke ʻoki ʻana.
Pehea e hana ai ke kauka i kahi hōʻailona?
Ke hele ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe i kekahi mau nīnau. ʻO nā kikoʻī āu e hāʻawi ai e pili ana i ke ʻano o ke kahe ʻana o ke koko, ke kala, a me nā hōʻailona ʻē aʻe e kōkua i ka hana ʻana i kahi hōʻailona. A laila, e hana lākou i kahi hoʻokolokolo kino (me kahi hoʻokolokolo rectal). No ka ʻike ʻana i ke kumu pololei, hiki iā lākou ke paipai i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:
- Endoscopy (EGD): Ka nānā ʻana i ka esophagus, ka ʻōpū, a me ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi me ka hoʻohana ʻana i kahi ʻōmole liʻiliʻi me kahi kāmela i hoʻokomo ʻia ma o ka waha.
- Colonoscopy: He nānā ʻana i ka ʻōpū nui holoʻokoʻa me ka hoʻohana ʻana i kahi ʻōmole me kahi kāmela i hoʻokomo ʻia ma o ka anus. Hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo no ka nānā ʻana (biopsy).
- Hoʻāʻo Noho: Lawe ʻia kahi hāpana noho a nānā ʻia no ke koko huna, nā maʻi bacteria, a me nā mea ʻē aʻe.
- Nā hoʻokolohua kiʻi: Hiki ke hana ʻia kekahi mea e like me ka CT scan o ka ʻōpū.
He aha nā lāʻau lapaʻau?
I ka hapanui o nā hihia, inā ma muli o ke kumu maʻalahi ke kahe ʻana o ke koko, e like me ka hemorrhoids a i ʻole ka constipation, ʻo ka mālama ʻana i ke kūlana e hoʻōki i ke kahe ʻana ma kāna iho. Aia ka mālama ʻana i ke kumu kikoʻī o ke kahe ʻana o ke koko.
Nā mea hiki iā ʻoe ke hana ma ka home
Hiki i kēia mau mea ke kōkua i nā kūlana e like me nā hemorrhoids a me nā fissures anal:
- ʻAi ʻana i nā meaʻai waiwai i ka fiber (nā legumes, nā mea kanu, nā huaʻai, nā palaoa piha). E hōʻemi kēia i ka paʻa ʻana o ka ʻōpū.
- Ka inu ʻana i ka wai he nui i ka lā .
- ʻAuʻau sitz . ʻO kēia ka noho ʻana i loko o kahi pola wai mehana no 10-15 mau minuke. E hōʻemi kēia i ka ʻeha a me ka pehu.
- E hoʻohana i nā ʻaila hemorrhoid e like me ke kuhikuhi a ke kauka.
Lapaʻau lapaʻau
ʻOkoʻa ka lāʻau lapaʻau ma muli o ke kumu.
- Nā lāʻau antibiotic no nā maʻi bacteria.
- Nā lāʻau lapaʻau e hoʻemi i ka waikawa o ka ʻōpū no nā ʻeha ʻōpū.
- Nā lāʻau anti-inflammatory no nā maʻi e like me IBD.
- Ka wehe ʻana i nā polyps a i ʻole ke kanesa ma ke ʻoki kino .
- Inā ʻaʻole hiki ke hoʻōki i ke kahe ʻana o ke koko, hiki ke hoʻokomo ʻia kahi e kahe ana ke koko me ka lāʻau lapaʻau, hoʻā ʻia me ka uila a i ʻole ka laser, a i ʻole e ʻoki ʻia i ka wā o ka endoscopy.
Leka Lawe-Home
- He mea maʻamau ke hopohopo ke ʻike ʻoe i ke koko i loko o kou ʻōpala, akā ʻaʻole ia he mea koʻikoʻi i nā manawa a pau. ʻOi aku ka maʻalahi o ka loaʻa ʻana ma muli o kahi mea maʻalahi e like me nā hemorrhoids.
- Hiki i ke kala o ke koko ke hāʻawi iā ʻoe i kahi manaʻo no kona wahi i hele mai ai. Hiki i ka ʻulaʻula māmā ke hele mai ka anus, ʻoiai ʻo ka ʻeleʻele ke hele mai ka ʻōpū.
- Inā hoʻomau ke kahe ʻana o ke koko, inā nui, a i ʻole hele pū ʻia me nā hōʻailona ʻē aʻe e like me ke kuni, ka ʻeha o ka ʻōpū, a i ʻole ka poniuniu, mai hoʻowahāwahā iā ia.
- Inā he kānalua, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka no ka nānā ʻana a loaʻa ke kumu pololei.











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