He kumuhana ʻē paha kēia e kamaʻilio ai, akā ʻo ko kākou neʻe ʻana o ka ʻōpū he ʻāpana nui ia o ko kākou olakino . ʻOiai ʻaʻole mākou e kamaʻilio nui e pili ana i nā loli i loko o lākou, he mea nui e makaʻala iā lākou. ʻOiai he mea maʻamau kekahi mau loli liʻiliʻi, i kekahi manawa hiki iā lākou ke lilo i hōʻailona o kahi mea koʻikoʻi e hana nei i loko o ko kākou kino. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka ākea iki.
He aha kēia hoʻololi i nā 'ʻano hana ʻōpū'?
I ka ʻōlelo maʻalahi, ʻo ka loli ʻana o kou mau ʻano ʻōpū (ʻo ia hoʻi, ke ʻano, ka pinepine) ʻo ia ka mea a mākou e kapa nei he 'loli i nā ʻano ʻōpū'. ʻAʻohe mea e hopohopo ai nā loli liʻiliʻi. Akā inā ʻike ʻoe i nā loli nui, he hōʻailona paha ia ua hiki i ka manawa e hana ai i kekahi mau hoʻololi i kou nohona. Hāʻawi kēia mau hoʻololi iā mākou i nā hōʻailona e pili ana i nā mea e hana nei i loko o ko mākou kino. Hiki iā lākou ke lilo i hōʻailona o kahi maʻi olakino e pono e hōʻike ʻia i ke kauka.
Pono mākou e hopohopo nui e pili ana i kēia mau ʻano loli ʻehā:
1. Waihoʻoluʻu o ka noho
2. Mānoanoa (ʻano) o nā ʻōpala
3. Ka pinepine o ka neʻe ʻana o ka ʻōpū
4. Ka hiki ke kāohi i nā neʻe ʻana o ka ʻōpū
He aha nā loli nui e ʻike ʻia ma ka ʻōpala?
E nānā kākou i kēia papa e hoʻomaopopo iki aʻe i kēia.
| ʻO ka ʻāpana e ʻike i nā loli | Kūlana maʻamau a me nā loli e makaʻala ai |
|---|---|
| Waihoʻoluʻu | He ʻeleʻele pinepine kona kala. Hiki ke ʻokoʻa iki ma muli o kāu mea e ʻai ai. Inā hoʻomau ʻoe i ka ʻulaʻula ʻeleʻele, ʻeleʻele ʻālohilohi, lepo lepo, a i ʻole nā ʻōpala palalulu, e ʻike i ke kauka. Inā like lākou me nā kaha ʻulaʻula māmā, he kahe koko paha ia ma ka rectum. |
| Kūlike | ʻO ka maʻamau, pono e mānoanoa a palupalu ka ʻōpala. ʻO nā ʻōpala paʻakikī, e like me nā pōhaku, he hōʻailona ia o ka paʻa ʻana o ka ʻōpū. Inā wai lākou, e like me ka wai, he hōʻailona ia o ka maʻi kahe. Inā mau kēia mau mea ʻelua no nā pule ʻelua a ʻoi, ʻaʻole ia he mea maʻamau. |
| Alapine (frequency) | He ʻokoʻa kēia no kēlā me kēia kanaka. Hele kekahi poʻe i nā manawa he nui i ka lā. Hele kekahi i hoʻokahi a ʻelua paha i ka pule. Akā ma ke ʻano he kānāwai maʻamau, ʻaʻole maikaʻi ke hele ma mua o ʻekolu lā me ka ʻole o ka neʻe ʻana o ka ʻōpū. ʻO ia ka manawa e mānoanoa ai ka ʻōpala a paʻakikī hoʻi e hele. |
| Mana | ʻO ka maʻamau, pono ʻoe e hiki ke kaohi i kou neʻe ʻana o ka ʻōpū a hoʻopaʻa paha iā lākou. Ke nalowale kēia kaohi iā ʻoe, ua kapa ʻia ʻo ia he fecal incontinence . He mea maʻamau kēia ʻano i kou wā ʻelemakule. Inā hana ʻia kēia, pono ʻoe e ʻike i ke kauka. |
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO ke kumu nui o kēia, he mea hiki iā kākou ke kaohi. ʻO ia ko kākou nohona. ʻO nā mea e like me ka ʻai ʻana i nā meaʻai fiber liʻiliʻi, ka inu ʻana i ka wai liʻiliʻi, ka hoʻoikaika kino ʻole, ka hoʻoikaika kino nui koke ʻana, a me ke kaumaha, he hopena pololei ia i kēia. ʻO ka hoʻololi ʻana i kēia mau ʻano maʻamau e hoʻihoʻi i ke ʻano o ka neʻe ʻana o ka ʻōpū i ka maʻamau.
ʻO ka mea aʻe, ʻo nā lāʻau lapaʻau kekahi kumu nui o kēia. Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i ka maʻi pākī a i ʻole ka paʻa ʻana o ka ʻōpū ma ke ʻano he hopena ʻaoʻao. Nalo pinepine kēia ʻano ke hoʻōki ʻia ka lāʻau lapaʻau.
ʻO ka mea nui loa, inā manaʻo ʻoe he lāʻau lapaʻau āu e lawe nei ke kumu o kēia loli, mai hoʻōki i ka lawe ʻana iā ʻoe iho. E kamaʻilio me kāu kauka no ka ʻōlelo aʻo.
Ma waho aʻe o kēia mau mea, hiki i nā ʻano olakino like ʻole ke hoʻololi i nā ʻano hana ʻōpū.
- Anal Fissures: He haehae ma ka ʻili o ka anus. E ʻike paha ʻoe i ke koko ʻulaʻula ʻālohilohi i loko o kou noho a i ʻole ma ka pepa lua.
- Ka Pā ʻana o ka ʻōpū: He pilikia olakino kēia. Hana ʻia ia ke paʻa kekahi mea i loko o nā ʻōpū. ʻO nā hōʻailona e komo pū me ka paʻa ʻana o ka ʻōpū, ka nausea, ka luaʻi ʻana, a me ka ʻeha o ka ʻōpū.
- ʻO ka maʻi Celiac: ʻO kahi kūlana kahi e hiki ai i ka ʻai ʻana i ka gluten (i loaʻa i nā huahana palaoa) ke kumu o nā pilikia digestive.
- Ka Maʻi ʻAʻai Kolon: Hiki i nā hōʻailona ke komo pū me ke koko i loko o ka noho, ka ʻeha o ka ʻōpū, ka paʻa ʻana o ka ʻōpū, ka maʻi kahe, a me ka pono pinepine e kiola i ka ʻōpū.
- Colon Polyps: ʻAʻole paha kēia e hōʻike i nā hōʻailona, akā hiki iā lākou ke hana i ka constipation, diarrhea, a me ke kahe ʻana o ke koko.
- ʻO Diverticulitis: He maʻi o nā ʻeke liʻiliʻi i loko o ka ʻōpū nui. ʻO nā hōʻailona e komo pū me ka ʻeha nui o ka ʻōpū, ka paʻa ʻana o ka ʻōpū, a me ke kahe ʻana o ke koko.
- Nā Kūlana Endocrine:ʻO nā kūlana e like me ka maʻi diabetes a me ka hypothyroidism hiki ke hana i ka constipation.
- Ka Hoʻomanawanui ʻole i ka Meaʻai: Ke hiki ʻole iā ʻoe ke hoʻoheheʻe i kekahi mau meaʻai, hiki iā ia ke hana i ka maʻi pākī a me ka ʻeha o ka ʻōpū. ʻO kahi laʻana, ʻo ia ka lactose intolerance, ʻo ia hoʻi ka hiki ʻole ke hoʻoheheʻe i ka waiū a me nā huahana waiū.
- Hemorrhoids: Nā aa koko pehu i loko a i waho paha o ka rectum. E ʻike paha ʻoe i kahi koko ʻulaʻula māmā me kou ʻōpala.
- Nā maʻi: ʻO nā maʻi, nā bacteria, a me nā parasites hiki ke hana i nā hōʻailona e like me ka diarrhea.
- ʻO ka maʻi mumū o ka ʻōpū (IBD): He hui o nā maʻi e hoʻoulu ai i ka mumū o nā ʻōpū. ʻO ka maʻi Crohn a me ka ulcerative colitis nā laʻana o kēia ʻano maʻi.
- ʻO ka maʻi ʻōpū huhū (IBS): He hui pū ʻana o nā hōʻailona e like me ka constipation, ka maʻi diarrhea, a me ka ʻeha o ka ʻōpū.
- Nā maʻi o ke akepaʻa a me ka gallbladder: Hiki i kēia mau maʻi ke hana i nā ʻōpala melemele .
- Nā Kūlana Neurologic: ʻO nā maʻi e hoʻopilikia i ka lolo a me ke kaula spinal (e like me ka multiple sclerosis, ka maʻi Parkinson) hiki ke hana i nā ʻiʻo e pono ai ke hele i ka ʻōpala e loaʻa ʻole nā hōʻailona kūpono.
Āhea mākou e ʻike ai i ke kauka?
ʻO kēia ka ʻāpana koʻikoʻi loa. He mea nui loa ka ʻike i ka wā e noho ai ma ka home, i ka wā e kāhea aku ai i ke kauka, a i ka wā e hele ai i ka ʻOihana Pōpilikia (ETU).
| Manawa kūpono | Nā hōʻailona e makaʻala ai |
|---|---|
| E kamaʻilio me kāu kauka. |
|
| E hele koke i ka Emergency Treatment Unit (ETU). |
|
Ke hoʻopilikia nei anei nā mea e like me ka makahiki a me ka hāpai ʻana i kēia?
ʻAe, he hopena maoli nō ia.
Ka ʻelemakule ʻana
Piʻi aʻe ka pilikia o ka paʻa ʻana o ka ʻōpū me ka makahiki. Piʻi pū ka pilikia o ka incontinence fecal ma hope o 65 makahiki. ʻO kēia no ka mea nāwaliwali nā ʻiʻo e kōkua ana i kēia kaʻina hana me ka makahiki.
Ka wā hāpai
I ka wā hāpai, ʻoiai hoʻi i ke kolu o ka trimester, hiki i ke kaumaha o ka pēpē ke kau i ke kaomi ma luna o nā ʻōpū a hoʻoulu i ka paʻa ʻana o ka ʻōpū. Ma kahi o 39% o nā wahine hāpai e ʻike nei i kēia.
Ka hoʻopau ʻana o ka wahine
I ka wā ma mua o ka menopause (perimenopause) a ma hope o ka menopause, aia nā loli nui i nā pae hormone o ke kino. Hiki i kēia mau loli hormonal ke hoʻopilikia i ka ʻōnaehana hoʻoheheʻe. No laila, ʻike paha ʻoe i nā loli i nā ʻano hana ʻōpū.
Akā, e hoʻomanaʻo, ke ʻike ʻoe i kahi loli e like me kēia, mai manaʻo wale, "Ma muli paha o nā hormones." ʻOi aku ka maikaʻi o ke ʻike ʻana i ke kauka e hōʻoia ʻaʻole ia he mea koʻikoʻi.
Leka Lawe-Home
- ʻOkoʻa ke ʻano o ka "maʻamau" i ka wā e pili ana i ka neʻe ʻana o ka ʻōpū mai kēlā kanaka a i kēia kanaka. ʻO ka mea nui, ʻo ia ka ʻike i ka mea maʻamau iā ʻoe .
- Inā ʻike ʻoe i kahi loli mau o ke kala, ka mānoanoa, ke alapine (frequency), a i ʻole ke kaohi ʻana o kāu mau noho, mai hoʻowahāwahā iā ia.
- Nui nā loli ma muli o nā ʻano nohona. E inu i ka wai he nui, e ʻai i ka meaʻai momona, a e hoʻoikaika kino.
- Mai hoʻoluhi i ka wā e kahe ai ka wai. Mai hoʻopanee i ka neʻe ʻana o ka wai a hiki i ka wā e manaʻo ai ʻoe e pono e kahe.
- E makaʻala mau i nā hōʻailona e like me ke koko i loko o ka ʻōpala, nā ʻōpala ʻeleʻele ʻeleʻele, ka pohō kaumaha i wehewehe ʻole ʻia, a me ka ʻeha nui o ka ʻōpū. I kēlā mau hihia, e ʻike koke i kāu kauka.











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