Ua ʻike mākou a pau i ka ʻoluʻolu ʻole o ka hele ʻana i ka lua i kekahi mau lā, a me ka hiki ʻole ke hele i ka ʻōpala me ka nānā ʻole i ka nui o kā mākou hoʻāʻo ʻana. He pilikia maʻamau kēia no nā poʻe he nui. Akā pehea inā lilo kēia kūlana i mea koʻikoʻi loa, ʻo ia hoʻi, inā paʻa ka ʻōpala i loko o ka rectum e like me ka pōhaku a ʻaʻole hiki ke kipaku ʻia ma kekahi ʻano? I kēia lā e kamaʻilio mākou e pili ana i kahi hana kūikawā a nā kauka e hana ai i ia mau hihia. Ua kapa ʻia kēia ʻo 'Digital Disimpaction'.
I ka ʻōlelo maʻalahi, he aha ka Digital Disimpaction?
ʻOiai paha he mea nui kēia inoa, he mea maʻalahi loa kona manaʻo. ʻO ke ʻano o 'Digit' he manamana lima. No laila, ʻo Digital Disimpaction ke kaʻina hana kahi e hoʻohana ai ke kauka a i ʻole ke kauka olakino i aʻo ʻia i ko lākou mau manamana lima e wāwahi a wehe i ka ʻōpala i paʻa i loko o ka rectum. I kekahi manawa ua kapa ʻia kēia ʻo 'manual disimpaction'. Hana ʻia kēia i ka wā i pau loa ai ka neʻe ʻana o ka ʻōpū a ʻaʻole i kōkua nā lāʻau ʻē aʻe.
No ke aha e pono ai i kekahi ke ʻano o kēia ʻano lapaʻau?
ʻAe, ke noʻonoʻo nei paha ʻoe, "No ke aha wau e makemake ai e hana i kekahi mea e like me kēia? ʻAʻole hiki iaʻu ke lawe wale i kahi pila maʻamau e hoʻoponopono ai i kēia?" ʻO ka ʻoiaʻiʻo, e hoʻohana wale ke kauka i kēia ʻano hana ma ke ʻano he koho hope loa. Ma mua o kēlā, e hoʻāʻo lākou i nā lāʻau lapaʻau ʻē aʻe, e like me nā mea palupalu ʻōpala a i ʻole ka enema, ʻo ia hoʻi ke kau ʻana i kahi wai i loko o ka rectum e kōkua i ka hele ʻana o ka ʻōpala.
Akā inā ʻaʻohe o ia mau mea e holo pono ana, pono paha kēia lāʻau lapaʻau i nā hihia aʻe.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Paʻa paʻa koʻikoʻi | ʻO ka ʻole o nā neʻe ʻana o ka ʻōpū no kekahi mau lā i pane ʻole i kekahi lāʻau ʻē aʻe. |
| Ka Hoʻopilikia ʻana o ka Fecal | He ʻāpana lepo maloʻo a paʻakikī i paʻa i loko o ka rectum a i ʻole ka colon a ʻaʻole hiki ke hoʻokuʻu ʻia ma ke ʻano maʻamau. |
| Nā kūlana olakino ʻē aʻe | ʻO kahi laʻana, ʻo nā kūlana e like me ka hana ʻole o ka papahele pelvic hiki ke hana i ka hiki ʻole ke hele i loko o ka ʻōpū. |
Pehea e hana ʻia ai kēia lāʻau lapaʻau?
He mea hilahila iki paha kēia. Akā e hoʻomanaʻo e hana ʻia ana kēia no ka hāʻawi ʻana iā ʻoe i ka hōʻoluʻolu koke. Hana pinepine ʻia kēia kaʻina hana ma ke keʻena o ke kauka a i ʻole ka haukapila. I kekahi mau hihia koʻikoʻi, hiki ke hoʻomaha ʻia ka mea maʻi (anesthetized) a hiki ke hana ʻia kēia ma ka lumi hana.
I ka wā o ka mālama ʻana:
1. E hoʻohuli ʻia ʻoe i kekahi ʻaoʻao ma luna o ka moena hoʻokolokolo, me kou mau kuli e kūlou ana i kou ʻōpū, a e hoʻomoe ʻia ʻoe i lalo.
2. E hoʻokomo pono ke kauka a kahu maʻi paha i kahi manamana lima i uhi ʻia me nā mīkina lima a i poni ʻia i loko o kou anus.
3. A laila, e hoʻoneʻe i kēlā manamana lima a puni a i ʻole ma o ka noho paʻa, e wāwahi iā ia i mau ʻāpana liʻiliʻi.
4. ʻO ka hope loa, wehe pono ʻia nā ʻāpana pākahi, e hoʻokuʻu ana i ka rectum mai ka mea i paʻa.
Hana ʻia kēia e kekahi mea i loaʻa i ke aʻo kūikawā, no laila mālama pono lākou i kou ʻoluʻolu a me kou palekana.
Hiki iā ʻoe ke hana i kēia ma ka home iā ʻoe iho?
ʻAʻole! ʻAʻole loa ʻoe e hoʻāʻo e hana i kēia ma ka home wale nō.
He mea nui loa kēia. Pono e hana ʻia kēia kaʻina hana e kahi loea lapaʻau i aʻo ʻia i kamaʻāina i ke ʻano palupalu o ko kākou rectum a me nā ʻōpū. ʻOi aku ka nui o ka pōʻino e hiki mai ana inā hana hewa ʻia ma mua o kou manaʻo.
Nā pilikia koʻikoʻi e hiki ke kū mai inā ʻoe e hoʻāʻo e hana i kēia iā ʻoe iho:
- Nā maʻi ʻōuli o ka puʻuwai ('Arrhythmia'): Hiki i ka puʻuwai ke lilo i mea ʻano ʻē ma muli o ka hoʻoulu ʻana o nā aʻalolo kūpono ʻole.
- Ka hōʻino ʻana i nā paia o ka rectum a me ka ʻōpū: Hiki ke haehae ʻia nā ʻiʻo palupalu, e hoʻoulu ai i ke kahe ʻana o ke koko a i ʻole nā ʻeha koʻikoʻi (perforation).
- Ka Maʻuleʻule: ʻO ka hoʻonui nui ʻana o ke Aʻalolo Vagus hiki ke hoʻonāwaliwali a nalowale ka ʻike.
No laila, inā loaʻa iā ʻoe kekahi kūlana e like me kēia, e ʻoluʻolu e ʻike koke i kāu kauka.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pōʻino liʻiliʻi.
Nā Pōmaikaʻi
ʻO ka pōmaikaʻi nui o kēia lāʻau lapaʻau ka hōʻoluʻolu wikiwiki.
- Hoʻomaha kēia lāʻau i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka nausea, a me ka nalowale o ka makemake e ʻai i hoʻokumu ʻia e ka paʻa ʻana o ka ʻōpū nui.Nalo aku ia i loko o kekahi mau minuke.
- Hiki ke pale ʻia nā pilikia koʻikoʻi e hiki mai ana ma muli o ka hoʻopilikia ʻana o ka fecal. Eia kekahi laʻana:
- Ke kahe ʻana o ke koko a i ʻole nā ʻōpū.
- ʻO ka incontinence fecal ka hoʻokuʻu ʻia ʻana o ka ʻōpala wai i kāohi ʻole ʻia mai kahi neʻe ʻōpū i ālai ʻia.
- Ka puka ʻana o ka ʻōpū.
- Ka hoʻonui ʻē ʻana o ka kolona ('Megacolon').
Nā Pōʻino
Ke hana pololei ʻia e kahi loea i aʻo ʻia, haʻahaʻa loa nā pilikia. Eia nō naʻe, ʻo nā pilikia liʻiliʻi e hiki mai ana:
- Nā māwae anal.
- Ka hōʻeha iki ʻana i ka anus a i ʻole ka ʻiʻo i loko (anal sphincter).
- Ka maʻi ʻana.
- E like me ka mea i ʻōlelo ʻia ma mua, he mea kākaʻikahi loa, hiki i ka hoʻoulu ʻia ʻana o ke aʻalolo vagus ke hoʻololi i ka helu o ka puʻuwai no ka manawa pōkole a i ʻole ka nāwaliwali.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
ʻOiai ʻaʻole kēia he hana ʻoki kino, ʻaʻole lōʻihi ka manawa e hoʻōla ai. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o nā minuke o ke kaʻina hana (ke ʻole ʻoe ma lalo o ka anesthesia). Eia nō naʻe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i ka manawa kūpono e hoʻi hou ai i nā hana e like me ka hāpai ʻana i nā kaumaha a i ʻole ka hoʻoikaika kino.
Inā ʻike ʻia nā hōʻailona ma hope o ka mālama ʻana, he mea nui e ʻimi hou i ke kōkua lapaʻau.
- ʻEha ʻōpū
- Ka hoʻi hou ʻana o ka paʻa ʻana
- Ka maʻi pākī
- Makemake nui
- Ka luaʻi
Leka Lawe-Home
- ʻO ka digital disimpaction kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka paʻa ʻana o ka ʻōpū a me ka impaction fecal.
- Pono e hana ʻia kēia e kekahi loea lapaʻau i aʻo ʻia. Mai hoʻāʻo e hana iā ʻoe iho ma ka home no kekahi kumu.
- Hāʻawi kēia lāʻau i ka hōʻoluʻolu koke mai ka ʻeha a kōkua pū i ka pale ʻana i nā pilikia olakino koʻikoʻi.
- ʻAʻohe mea e hilahila ai ka paʻa ʻana o ka ʻōpū. E kamaʻilio ākea me kāu kauka e pili ana i ia mea, a kūkākūkā i nā kumu a me nā hana hiki iā ʻoe ke hana e pale aku ai i kona hoʻi hou ʻana mai. He mea nui ka ʻōnaehana hoʻoheheʻe olakino no ke ola olakino.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 🍑 No ke aha e ʻānai ai ka anus? (ʻĀnai anal)
Hiki ke hana ʻia ka maneʻo ma ka anus e nā ilo, nā puʻu, a me ka paʻa ʻana o ka ʻōpū. Hiki mai kēia ʻano maneʻo ke huhū a maʻi paha ka ʻili a puni ka anus ma muli o nā ʻōpala paʻakikī.
💬 💩 Pehea e hoʻoulu ai ka paʻa ʻana i ka maneʻo?
Inā paʻa pinepine ka ʻōpala i loko o ka rectum (fecal impaction), hiki i ka ʻōpala wai ke kahe mai loko mai o ia wahi. Hiki i kēia ʻōpala wai ke hoʻomaʻū mau i ka ʻili a puni ka anus, e hoʻoulu ai i ka maneʻo a me ka ʻoluʻolu ʻole.
💬 ☝️ Inā ʻānai ka pōhaku ʻōpala, pono anei e wehe ʻia me ka manamana lima? (Digital disimpaction)
Inā paʻakikī loa ka hele ʻana o ka ʻōpala, pono paha ke kauka e wehe iā ia me ka manamana lima (digital disimpaction). Hiki i kēia ke hōʻoluʻolu i ka maneʻo a me ka ʻoluʻolu ʻole. Eia naʻe, mai ho'āʻo e hana i kēia ma ka home wale nō, no ka mea hiki ke hōʻino i ka rectum.
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