Ke ʻike nei hoʻi ʻoe i ka incontinence fecal? (Fecal Incontinence) - Mai hilahila, e kamaʻilio kākou e pili ana!

I kekahi manawa, ke makani ʻoe, ke ʻakaʻaka nui iki ʻoe, a i ʻole ke hoʻoikaika kino ʻoe, ke ninini hewa nei ʻoe i kahi ʻōpala liʻiliʻi ma kou mau lole? A i ʻole ke manaʻo nei ʻoe e pono ʻoe e hele i ka lua, akā ʻaʻole hiki iā ʻoe ke kāohi iā ʻoe iho ke holo ʻoe a wehe i ka puka? He pilikia kēia i loaʻa i nā kānaka he nui, akā hilahila lākou e kamaʻilio e pili ana i ke kaiāulu. Ma muli o kēia kūlana, noho ka poʻe he nui ma ka home a noho mamao aku mai ke kaiāulu ma muli o ka makaʻu a me ka hilahila. Akā, ʻaʻole pono e like me ia. E kamaʻilio kākou e pili ana i kēia me ka ākea i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka fecal incontinence?

He mea maʻalahi loa kēia. Kāhea mākou i kēia ma ke ʻano lapaʻau he `(Fecal Incontinence)` a i ʻole `(Bowel Incontinence)` ke hiki ʻole iā mākou ke kāohi i ke kahe ʻana o ka ʻōpala i ka wā e makemake ai mākou. ʻO ia hoʻi ka hele ʻana o ka ʻōpala i ka wā ʻaʻole mākou makemake, me ka ʻike ʻole. No kekahi poʻe, hiki i kēia ke lilo i mea liʻiliʻi e like me ka hele ʻana o kahi ʻōpala liʻiliʻi i ka wā e hele ana ka makani. A no kekahi poʻe, hiki ke lilo i kūlana koʻikoʻi e like me ka hele ʻana o ka ʻōpala paʻa me ka ʻole o ka mana.

E noʻonoʻo i kēia ʻano: ua like nā neʻe ʻana o ka ʻōpū o ko mākou kino me kahi haʻuki hui i hoʻonohonoho pono ʻia. Pono ko mākou mau ʻiʻo papahele pelvic, rectum, a me ka anus e hana pū e paʻa i ka ʻōpala a hoʻokuke iā ia i ka wā e pono ai. Pono hoʻi kēia mau ʻiʻo e hoʻopili ʻia i nā aʻalolo e hoʻouna i ka hōʻailona i ko mākou lolo e pono mākou e hele i ka lua. Inā hewa kekahi mea i kēia kaʻina hana, hiki iā mākou ke nalowale i ka mana o kā mākou neʻe ʻana o ka ʻōpū.

ʻElua ʻano nui o kēia maʻi.

ʻElua ʻano nui o ka incontinence. E nānā kākou i ke ʻano o lākou.

Pehea ka maʻamau o kēia ʻano?

ʻOi aku ka maʻamau ma mua o kou manaʻo. Hōʻike ka noiʻi ʻana hoʻokahi o kēlā me kēia ʻekolu o ka poʻe i hoʻopilikia ʻia e kēia maʻi. ʻO ka ʻoiaʻiʻo, ʻo ka hele ʻana i ka lua ʻaʻole ia he mea a mākou e hana ākea ai. ʻO ia ke kumu e ʻeha ai ka poʻe he nui i kēia pilikia ma muli o ka hilahila a me ka hilahila. No laila e hoʻomanaʻo, ʻaʻole kēia kou pilikia wale nō.

He aha nā hōʻailona o kēia maʻi?

Hiki i kekahi poʻe ke ʻike wale i kēia ʻano ʻōpala palupalu ke loaʻa iā lākou ka maʻi diarrhea. Akā no kekahi poʻe, he mea ia a lākou e ʻike ai i kēlā me kēia lā. Eia kekahi o nā hōʻailona nui:

• Ka hele ʻana o ka ʻōpala me ka manaʻo ʻole ʻia i ka wā e kahe ana ka makani.
• Ke kahe nei o ka noho i ka wā e hoʻoikaika kino ai, e hele wāwae ana, a i ʻole e hana ana i nā hana kino.
• Ke manaʻo nei i ka pono e kiola i ka ʻōpū, akā ʻaʻole hiki ke kāohi a hiki i kou hiki ʻana i ka lua.
• Ke loaʻa ʻana o nā ʻōpala ma kou lole komo ma hope o kou pau ʻana i ka hoʻomaʻamaʻa ʻana i ka ʻōpala maʻamau.
• ʻAʻole hiki ke hoʻomalu piha i ka neʻe ʻana o ka ʻōpū.

He aha paha ke kumu o kēia?

ʻO nā kumu nui o kēia, ʻo ia ka maʻi pākīkī, ka paʻa ʻana o ka ʻōpū, a me ka hōʻino ʻana i nā ʻiʻo a i ʻole nā ​​aʻalolo e kōkua ai i ka kaohi ʻana i ka neʻe ʻana o ka ʻōpū. Eia kekahi, hiki i nā mea e like me ke ʻoki kino ma mua ke kōkua pū i kēia.

• Ka maʻi kahe: ʻOi aku ka paʻakikī no nā ʻiʻo ke paʻa i loko o nā ʻōpala wai ma mua o nā ʻōpala paʻa. Hiki i ka maʻi kahe lōʻihi ke hoʻonāwaliwali i nā ʻiʻo ma ka rectum a me ka anus.
• Paʻa ʻōpū: Hiki i ka paʻa pinepine ʻana ke hoʻonāwaliwali i kēia mau ʻiʻo. ʻO ka hoʻoikaika ʻana e neʻe i ka ʻōpū hiki ke hōʻino i nā aʻalolo. I kekahi manawa, ke paʻa kahi ʻōpala paʻakikī i loko o kahi puʻupuʻu, hiki ke kahe ka wai.
• ʻEha nā ʻiʻo: Hiki ke hana kēia i nā wahine, ʻoiai i ka wā hānau paʻakikī. Inā hoʻohana ʻia nā forceps e hānau ai i kahi pēpē a hana ʻia paha kahi episiotomy, hiki ke hōʻino ʻia nā ʻiʻo a puni. Eia kekahi, hiki i ke ʻoki ʻana no nā hemorrhoids a i ʻole nā ​​fistulas ke hōʻino i nā ʻiʻo.
• Ka hōʻino ʻana o nā aʻalolo: ʻO nā mea like e hōʻino ai i nā ʻiʻo, e like me ka hānau paʻakikī a i ʻole ke ʻoki ʻana, hiki ke hōʻino i nā aʻalolo. He ʻoiaʻiʻo loa kēia inā ua hōʻino ʻia nā aʻalolo e hōʻailona iā ʻoe e neʻe i ka ʻōpū. Hoʻonui pū nā maʻi e like me ka maʻi diabetes a me nā maʻi ʻōnaehana aʻalolo i ka pilikia.
• Ua emi ka elasticity anal:ʻO ka maʻamau, ua lawa ka elasticity o nā paia o ko kākou rectum e paʻa ai i ka ʻōpala. Akā inā no kekahi kumu, no ka laʻana, he maʻi e like me ka "maʻi Crohn" a i ʻole ka radiation therapy no ke kanesa, lilo ia i ʻeha, nalowale kēia elasticity. A laila, ʻaʻole hiki ke paʻa hou i ka ʻōpala a hoʻomaka e liki.
• ʻO ka Pelvic Organ Prolapse (POP): Ke nāwaliwali nā ʻiʻo o ka lua pelvic, ʻaʻole i kākoʻo pono ʻia nā ʻōpū e like me ka rectum, vagina, uterus, a me ka bladder. Hiki i kēia ke kumu iā lākou e kūlou i lalo. Hiki ke hana ʻia kēia kūlana e ka hāʻule ʻana o ka rectum i loko o ka anus (rectal prolapse) a i ʻole ka rectum e paʻi ana i loko o ka paia hope o ka vagina (rectocele).

ʻO wai ka mea i pilikia nui no kēia?

ʻOiai hiki ke loaʻa kēia ʻano i kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

He aha nā pilikia e hiki ke hana ma muli o kēia ʻano?

Hiki ke hōʻino ʻia ka ʻili a puni ka anus e ka liki ʻana o ka ʻōpala. Hiki iā ia ke hana i ka ʻulaʻula, ka maneʻo, a me ka mumū. I ka hala ʻana o ka manawa, hiki nō hoʻi ke ulu aʻe nā ʻeha ʻili (nā ʻōpū).

Pehea e ʻike ai ke kauka i kēia maʻi?

No kēia, hiki iā ʻoe ke ʻike i kahi gastroenterologist a i ʻole ke kauka lapaʻau colorectal. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila, e hana lākou i kahi hoʻokolokolo kino a me kahi hoʻokolokolo rectal. He mea nui e wehe a ʻoiaʻiʻo e pili ana i kāu mau hopohopo āpau i kēia manawa.

No ka ʻike ʻana i ke kumu kūpono, pono paha ʻoe e hana i nā hoʻokolohua aʻe:

• Manometry Anorectal: He hoʻāʻo e ana i ka ikaika o nā ʻiʻo ma ka rectum a me ka anus.
• ʻO ka ultrasound Endorectal a i ʻole MRI: Nānā i ke ʻano o nā ʻiʻo a me nā ʻiʻo a puni ka rectum e ʻike inā he pōʻino.
• Anal sphincter electromyography (EMG): He ho'āʻo e nānā ai i ka hōʻino ʻana o ke aʻalolo.
• Endoscopy: Hoʻokomo ʻia kahi paipu liʻiliʻi me kahi kāmela (scope) ma o ka anus e nānā i loko o ka ʻōpū no kekahi pilikia, ka mumū, nā ʻōpū, a i ʻole ka ʻeha.

Pehea e mālama ʻia ai a hoʻokele ʻia ai?

ʻOkoʻa nā lāʻau lapaʻau ma muli o ke kumu a me ke koʻikoʻi o ke kūlana. I kekahi manawa hiki ke hoʻomalu ʻia me nā hoʻololi ʻana i ke ʻano o ka nohona wale nō.

Nā loli i ka ʻai

Inā loaʻa kēia maʻi i ka maʻi pākī a i ʻole ka paʻa ʻana o ka ʻōpū, hiki i ka hoʻololi ʻana i kāu meaʻai ke hana i kahi ʻokoʻa nui.

• Inā loaʻa iā ʻoe ka maʻi pākī, e noho mamao aku mai nā mea e like me ka caffeine, ka waiʻona, nā mea ʻala, nā mea hana waiū, a me nā mea ʻono hana.
• Inā loaʻa iā ʻoe ka paʻa ʻana o ka ʻōpū, e ʻai i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha) a inu i ka liʻiliʻi he 8-10 mau aniani wai i ka lā.

Hoʻomaʻamaʻa a me ke aʻo ʻana

• Hoʻomaʻamaʻa ʻōpū: Ke hana pū nei me ke kauka, aʻo ʻoe e neʻe i ka ʻōpū i kahi manawa kikoʻī o ka lā (e.g., ma hope o ka inu ʻana i kāu kofe kakahiaka).
• Nā hoʻomaʻamaʻa Kegel: Nā hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo o ka papahele pelvic. Pono e hana ʻia kēia i kēlā me kēia lā.
• Biofeedback: He ʻano hana e hoʻoikaika ai, ʻike ai, a me ka kaohi ʻana i nā ʻiʻo a puni ka anus, ma lalo o ke alakaʻi ʻana a kahi mea lapaʻau i hoʻomaʻamaʻa kūikawā ʻia.

Nā lāʻau lapaʻau

Hoʻohana ʻia nā lāʻau lapaʻau no ka maʻi pākī a me ka paʻa ʻana no kēia kumu.

ʻoki kino

Inā ʻaʻole i loaʻa nā hopena maikaʻi i nā lāʻau ʻē aʻe, hiki ke noʻonoʻo ʻia ke ʻoki ʻana.

• Sphincteroplasty: Ke hoʻopili hou ʻana a me ka hoʻoponopono ʻana i nā ʻiʻo anal i hōʻino ʻia.
• Hoʻoulu ʻana i ke aʻalolo sacral: Ke kau ʻana o kahi mea liʻiliʻi ma lalo o ka ʻili e hoʻoulu i ke aʻalolo e kaohi ana i nā ʻiʻo anal a me nā ʻiʻo pelvic.
• Colostomy: He ʻoki kino e hana ʻia inā ʻaʻohe lāʻau ʻē aʻe e holomua ana. Ma kēia, hana ʻia kahi puka liʻiliʻi ma ka ʻōpū, lawe ʻia ka ʻōpū nui ma o ia mea, a hoʻokomo ʻia kahi ʻeke kūikawā e hōʻiliʻili i ka ʻōpala.

Pehea ʻoe e mālama ai iā ʻoe iho?

I ka wā e noho ai me kēia maʻi, he mea nui loa ia e mālama i kou olakino kino a me kou noʻonoʻo.

E pale i kou ʻili

• Mai holoi ikaika me ka pepa lua. Akā, e hoʻohana i nā kāwele pulu ʻala ʻole.
• Ma hope o kēlā me kēia neʻe ʻana o ka ʻōpū, e holoi me ka wai mehana me ke kopa ʻole, e pā maloʻo me ka ʻole o ka hamo ʻana.
• E hoʻopili i nā kirīmi pale (e like me nā mea i loaʻa ka zinc oxide) e pale ai i ka ʻili.
• E hōʻalo i ke komo ʻana i nā lole paʻa. E ʻaʻahu i nā lole komo i hana ʻia me nā lole e hoʻomākū ai e like me ka pulupulu.

Ka maikaʻi o ka noʻonoʻo a me ke ola kaiaulu

• Inā makaʻu ʻoe e hele i waho, e hoʻohana i kahi pad a i ʻole kahi lole komo hoʻolei ʻia.
• Ma mua o kou hele ʻana i kahi huakaʻi, e hele pono i ka lua a hoʻokahe i kou ʻōpū.
• E lawe i kahi lole a me nā mea hoʻomaʻemaʻe keu i loko o kāu ʻeke.
• I kēlā me kēia manawa āu e hele ai i kahi, e ʻike i kahi o ka lua a e hoʻomanaʻo iā ia. Ma kēlā ala, inā he pilikia, ʻaʻole ʻoe e hopohopo.

Ua aʻo ʻia mākou mai ka wā ʻōpiopio mai ʻaʻole maikaʻi ke kamaʻilio e pili ana i nā mea e like me ka neʻe ʻana o ka ʻōpū i ka lehulehu. ʻO ia ke kumu i hilahila ai ka poʻe he nui e kamaʻilio e pili ana i kēia pilikia. Akā ʻo ka ʻoiaʻiʻo, he hana maʻamau ka neʻe ʻana o ka ʻōpū i loko o ko mākou kino. Inā he pilikia me ia, he mea nui e kamaʻilio me ke kauka e pili ana i ia mea. No laila, mai hilahila. E ʻike i kāu kauka a kamaʻilio e pili ana i kēia. E paipai ʻo ia i nā lāʻau lapaʻau a me nā ʻano hana e kōkua iā ʻoe e hoʻihoʻi i ka mana o kāu neʻe ʻana o ka ʻōpū.