Hiki i kēia ke lilo i kumuhana paʻakikī a hilahila hoʻi e kamaʻilio e pili ana. Akā ʻo ka ʻoiaʻiʻo, ʻo ka incontinence a i ʻole ka hiki ʻole ke kaohi i kou neʻe ʻana o ka ʻōpū he pilikia maʻamau ia no nā poʻe he nui, ʻoiai i ko lākou wā ʻelemakule. ʻAʻole ia he maʻi koʻikoʻi, akā hiki iā ia ke loaʻa ka hopena nui i kou ola o kēlā me kēia lā a me nā pilina pili kanaka. ʻO ia ke kumu he mea nui ka ʻike maikaʻi a loaʻa ka ʻōlelo aʻoaʻo kūpono.
He aha maoli ka incontinence bowel?
I ka ʻōlelo maʻalahi, ʻo ka nalowale o kou hiki ke kāohi i kou neʻe ʻana o ka ʻōpū ka mea a mākou e kapa nei ma ke ʻano lapaʻau he bowel incontinence. Hiki ke loaʻa nā pae like ʻole o kēia.
E hoʻomanaʻo, i kekahi manawa hiki iā ʻoe ke hele hewa me ka manaʻo ʻole i kahi noho liʻiliʻi i ka wā e hele ai ke kinoea. ʻAʻole hiki i kekahi ke hoʻomalu piha i ka wikiwiki o kā lākou hele ʻana i ka noho. Hiki i kēia ke lilo i pilikia pōkole e hoʻomaikaʻi a i ʻole he maʻi mau loa.
ʻO kēia ka mea e makaʻu ai nā kānaka he nui e launa pū, e hele i nā hanana, a i ʻole e hālāwai me nā hoaaloha. ʻO ka makaʻu, "Pehea inā e hana kēia iaʻu me ka ʻike ʻole?" Akā ʻo ka mea maikaʻi loa, aia nā lāʻau lapaʻau kūpono loa no kēia. No laila, ma kahi o ka hilahila a me ke kaumaha e pili ana i ia mea, ʻo ka hana mua āu e hana ai, ʻo ia ke kamaʻilio me kāu kauka.
He aha nā hōʻailona o kēia maʻi?
ʻO ka hōʻailona nui o kēia, ʻo ia ka hiki ʻole ke kāohi i ka neʻe ʻana o ka ʻōpū, akā hiki ke ʻokoʻa ke ʻano o kona hana ʻana mai kēlā kanaka a kēia kanaka.
- Ke koi aku nei i ka hiki ʻole ke hoʻomau i ka hoʻokahe ʻana o ka waimaka: He makemake koke a ikaika hoʻi e hele i ka lua, akā puka mai ka ʻōpala ma mua o kou hiki ke holo i ka lua.
- ʻO ka incontinence passive: ʻAʻole ʻoe e manaʻo i ka pono e kiola, akā ʻike ʻoe ua lepo iki kou lole komo me nā kiola.
- Nā pilikia ʻōpū ʻē aʻe: Ma waho aʻe o kēia mau hōʻailona nui, hiki iā ʻoe ke ʻike i nā mea ʻē aʻe. Eia kekahi laʻana:
- Ka maʻi pākī
- Ka paʻa ʻana o ka ʻōpū
- Ka pehu a me ke kinoea
ʻO ka mea nui loa, ʻo ia ke kamaʻilio ʻana me ke kauka inā loaʻa iā ʻoe kahi hōʻailona e like me kēia, me ka hūnā ʻole ʻana. No ka mea, inā loaʻa ke kumu, ʻoi aku ka maʻalahi o ka mālama ʻana.
He aha nā kumu no kēia?
ʻAʻohe kumu hoʻokahi o ka nalowale ʻana o ke kaohi ʻana o ka ʻōpū, akā hiki i kekahi mau kumu ke kōkua i kēia kūlana. I kekahi manawa, hiki i kekahi mau kumu ke hui pū e hoʻoulu i kēia kūlana. E nānā kākou i nā kumu nui.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka hōʻino ʻana i nā ʻiʻo a puni ka anus | ʻO kēia ke kumu maʻamau. I ka wā hānau keiki (ʻoi aku ka hānau ʻana ma ke ʻano vaginal), hiki ke hōʻino ʻia nā ʻiʻo a puni ka anus (anal sphincters) a i ʻole nā aʻalolo. ʻO ia ke kumu e pālua ai ka nui o ka loaʻa ʻana o kēia maʻi i nā wahine ma mua o nā kāne. Hiki nō hoʻi kēia hōʻino ma muli o ke ʻoki ʻana ma ka anus. |
| Ka maʻi pākī | ʻOi aku ka paʻakikī o ka kaohi ʻana i nā ʻōpala palahalaha ma mua o nā ʻōpala paʻa. Hiki ke hana ʻia ka maʻi kahe e nā maʻi a i ʻole nā kūlana e like me ka Irritable Bowel Syndrome (IBS). |
| Paʻa paʻa koʻikoʻi | ʻO ka ʻole o ka neʻe ʻana o ka ʻōpū no nā lā he nui e hiki ai ke hoʻopaʻa i kahi ʻōpala nui a maloʻo (ʻōpala i hoʻopilikia ʻia) i loko o ka rectum. Hiki i kēia ke hoʻonāwaliwali i nā ʻiʻo a hoʻoheheʻe i ka ʻōpala wai. He mea maʻamau kēia i waena o ka poʻe ʻelemakule. |
| Ka pōʻino o ke aʻalolo | ʻO nā maʻi e like me ka maʻi diabetes, nā ʻeha o ke kaula kuamoʻo, a me ka sclerosis maha hiki ke hōʻino i nā aʻalolo e kaohi ana i nā ʻiʻo o ka rectum. |
| Nā kūlana olakino ʻē aʻe | ʻO nā kūlana e like me ka maʻi mumū o ka ʻōpū (e.g., ka maʻi ʻo Crohn, Ulcerative colitis), ka radiation therapy no ke kanesa, ka hahau ʻana, a me ka rectal prolapse hiki ke hana i kēia. |
E ke kauka, pehea ʻoe e ʻike ai i kēia?
Ke hele ʻoe e ʻike i kāu kauka, e nīnau ʻo ia iā ʻoe i nā nīnau a hana i kahi hoʻokolohua kino e loaʻa ai kahi manaʻo o ka mea e hana nei. Hiki i kahi hoʻokolohua rectal digital ke nānā i ka ikaika o nā ʻiʻo a puni ka rectum. Eia kekahi, hiki iā lākou ke paipai i nā hoʻokolohua ʻē aʻe e kōkua i ka hoʻoholo ʻana i ke kumu pololei.
- Hoʻāʻo ʻana i ka ʻōpala: Inā loaʻa iā ʻoe ka maʻi diarrhea, hiki iā ʻoe ke loaʻa i kahi kumu, e like me kahi maʻi.
- Endoscopy: Hoʻokomo ʻia kahi ʻōmole me kahi kāmela i hoʻopili ʻia ma o ka anus e nānā i loko o ka colon. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i nā ʻano hana e like me "Anoscopy", "Sigmoidoscopy", a i ʻole "Colonoscopy".
- Manometry Anorectal: He hoʻāʻo e ana i ke kaomi a me ka ikaika o nā ʻiʻo i loko o ka rectum.
- Endosonography: Hoʻokomo ʻia kahi ʻōmole ultrasound i loko o ka rectum e nānā i nā pilikia me nā ʻiʻo a me nā paia.
- Nā hoʻokolohua neurological: E nānā i ka hana o nā aʻalolo e kaohi ana i nā ʻiʻo.
- MRI scan: Kōkua kēia i ka loaʻa ʻana o kahi kiʻi kikoʻī o nā ʻiʻo a me nā ʻāpana ʻē aʻe o ka ʻāpana pelvic.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, hiki ke mālama pinepine ʻia kēia maʻi, a i kekahi mau hihia, hiki ke ho'ōla loa ʻia. Aia ka lāʻau lapaʻau i ke kumu o kou maʻi a me kona koʻikoʻi.
Lapaʻau ʻoki ʻole
ʻO ka mea mua, ke hoʻāʻo nei ke kauka e kaohi i kēia me ke ʻoki ʻole ʻana.
- Nā loli i ka ʻai:
- E hoʻohui i kahi 20-30 grams o ka fiber i kāu meaʻai i kēlā me kēia lā. E kōkua kēia i ka mānoanoa o kou mau ʻōpala a e maʻalahi ai ke kaohi.
- E hōʻemi i kāu lawe ʻana i ka caffeine (kī, kofe).
- E inu i kekahi mau kīʻaha wai i ka lā e pale aku ai i ka paʻa ʻana o ka ʻōpū.
- Nā lāʻau lapaʻau:
- Nā lāʻau lapaʻau e like me '(Imodium)' e hōʻemi ana i ke alapine (frequency) a me ka wikiwiki o ka neʻe ʻana o ka ʻōpū.
- Nā lāʻau lapaʻau e like me ka `(Methylcellulose)` e hoʻomānoanoa i nā ʻōpala wai.
- Mea nui: Pono e hoʻohana ʻia kekahi o kēia mau lāʻau lapaʻau ma lalo o ke aʻo ʻana a ke kauka .
- Hoʻomaʻamaʻa kino a me ke aʻo ʻana:
- Nā hoʻomaʻamaʻa Kegel: Hoʻoikaika kēia mau hoʻomaʻamaʻa i nā ʻiʻo pelvic ma ka hoʻopaʻa ʻana a me ka hoʻomaha ʻana i nā ʻiʻo i hoʻohana ʻia e paʻa i ka mimi.
- Hoʻomaʻamaʻa ʻōpū: ʻO ka hoʻomaʻamaʻa ʻana i ka hele ʻana i ka lua i ka manawa like i kēlā me kēia lā e hiki ke kōkua i ka pale ʻana i ka neʻe ʻana o ka ʻōpū i nā manawa makemake ʻole ʻia.
- Biofeedback: Me ka hoʻohana ʻana i kahi mea sensor, hāʻawi ʻia ke aʻo ʻana e ʻike a hoʻoikaika pololei i nā ʻiʻo rectal.
Lapaʻau ʻoki kino
Hoʻohana ʻia ke ʻoki kino inā ʻaʻole i holomua nā lāʻau ʻē aʻe.
- ʻO ke ʻoki sphincter: Pili kēia i ka hoʻopili hou ʻana a me ka hoʻoikaika ʻana i nā ʻiʻo anal i hōʻino ʻia (sphincteroplasty).
- Mea hoʻoulu i ke aʻalolo Sacral:Hoʻokomo ʻia kahi mea liʻiliʻi e hoʻoulu ai i nā aʻalolo pelvic ma lalo o ka ʻili.
- Colostomy: Hana kākaʻikahi ʻia kēia, a inā wale nō ua hāʻule nā lāʻau lapaʻau ʻē aʻe a pau. Ma kēia kaʻina hana, lawe ʻia ka ʻōpū nui i ka ʻili o ka ʻili ma ka ʻōpū a ʻae ʻia e hōʻiliʻili i loko o kahi ʻeke.
Nā ʻano hana ʻoki ʻole hou
He mea hou kēia mau hana, ʻoi aku ka liʻiliʻi o ka pilikia ma mua o ke ʻoki ʻana.
- ʻO ke kūkulu hou ʻana o ka sphincter anal radiofrequency: Hoʻohana i ka ikehu wela e hoʻomānoanoa a hoʻoikaika i nā ʻiʻo o ka anus.
- Nā mea olaola injectable: Hoʻokomo ʻia nā mea e like me ka silicone i loko o nā ʻiʻo rectal e hoʻonui i ko lākou mānoanoa a me ka hana.
Leka Lawe-Home
- ʻAʻohe mea e hilahila ai ka hoʻōki ʻana i ka ʻōpū. He pilikia olakino maʻamau ia e ʻike ʻia e ka poʻe he nui.
- Hiki ke mālama pono ʻia a hoʻōla ʻia kēia maʻi, no laila mai hoʻopau i ka manaʻolana.
- ʻO ka hana mua a koʻikoʻi loa āu e hana ai, ʻo ia ke kamaʻilio ākea me kāu kauka e pili ana i kēia.
- ʻOiai nā hoʻololi maʻalahi i ka meaʻai a me ke ʻano o ka nohona hiki ke hana i kahi ʻokoʻa nui.
- Mai ʻeha hoʻokahi, e ʻimi i ke kōkua lapaʻau a koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.
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