E kamaʻilio kākou e pili ana i ka paʻa ʻana o ka ʻōpū. Loaʻa iā ʻoe kēia pilikia?

ʻO ka hele ʻana i ka lua i kēlā me kēia kakahiaka e hoʻomaha i kou neʻe ʻana o ka ʻōpū he mea maʻamau loa ia no nā kānaka he nui. Akā i kekahi manawa, a ʻoi aku paha, he mea paʻakikī loa ka hele ʻana i ka lua, ʻeā? Ua maloʻo nā ʻōpū, a he mea paʻakikī loa ke hele i ka ʻōpala . He aha kēia ʻano i kapa ʻia ʻo `(Constipation)`, a i ʻole e like me kā mākou e kapa nei, "nā neʻe ʻana o ka ʻōpū maloʻo"? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā. ʻAʻohe mea e hopohopo ai, he pilikia kēia i loaʻa i nā kānaka he nui.

He aha maoli ka paʻa ʻana o ka ʻōpū?

I ka ʻōlelo maʻalahi, ʻo ka paʻa ʻōpū kahi kūlana kahi e maloʻo loa ai kou mau ʻōpala (i ʻike ʻia hoʻi ʻo "poop"), paʻakikī , a paʻakikī hoʻi ke hele ma o kou ʻōpū. Manaʻo kekahi poʻe inā ʻaʻole ʻoe i hele i ka lua i ka lā a pau, ua paʻa ʻoe. Akā, ʻaʻole ia ka hihia. Hiki i kekahi poʻe ke hele i ka lua i ʻelua a ʻekolu paha manawa i ka lā, aʻo kekahi poʻe e hele i hoʻokahi manawa i kēlā me kēia ʻelua lā. He ʻokoʻa ia mai kēlā kanaka a i kēia kanaka.

Eia nō naʻe, inā loaʻa iā ʻoe kēia mau mea, hiki ke paʻa ka ʻōpū :

• Ka emi ʻana o ka wai kahe ma mua o ʻekolu manawa o ka pule.
• Ke hoʻokano nei a me ke kī ikaika ʻana i ka wā e kahe ai ka wai.
• Ua maloʻo loa ka ʻōpala, paʻakikī, a puʻupuʻu (e like me ka ʻōpala kao).
• ʻO ka manaʻo ʻaʻole i hoʻokahe loa ʻia kou ʻōpū ma hope o ka hele ʻana i ka lua.
• I kekahi manawa hiki ke hele pū kēia ʻano me ka ʻeha o ka ʻōpū a me ka pehu ʻana .

E noʻonoʻo penei: ua like kou mau ʻōpū me kahi paipu wai. Inā paʻa kekahi mea i loko, paʻakikī i ka wai ke hele ma waena. ʻO ia ka mea e hana ʻia ke paʻakikī kou ʻōpala.

He aha nā hōʻailona nui o ka paʻa ʻana o ka ʻōpū?

E like me kā mākou i kūkākūkā ai ma mua, hiki i ka paʻa ʻana ke hana i nā ʻano hōʻailona like ʻole. ʻAʻole e ʻike like nā kānaka a pau iā lākou. Eia naʻe, ʻo nā hōʻailona maʻamau:

• Ka emi ʻana o ka neʻe ʻana o ka ʻōpū: E like me ka mea i ʻōlelo ʻia ma mua, inā ʻaʻole ʻoe e hele pinepine i ka lua ma mua o ka maʻamau, ʻoi aku ka liʻiliʻi ma mua o ʻekolu manawa i ka pule, pono e noʻonoʻo ʻia kēia.
• Ke hoʻoikaika nei: ʻO ka noho ʻana ma ka lua no ka manawa lōʻihi a me ka hoʻoikaika nui ʻana ke ala wale nō e hoʻokuʻu ai i kahi noho.
• Nā ʻōpala paʻakikī a maloʻo: He puʻupuʻu, puʻupuʻu, a paʻakikī loa paha nā ʻōpala. I kekahi manawa hiki i kēia ke hoʻonāukiuki i ka anal .
• Ka hoʻokahe piha ʻole ʻana o ka ʻōpū: He manaʻo o kahi mea i paʻa i loko o ka ʻōpū ma hope o ka hele ʻana i ka lua a me ka manaʻo e like me he mea lā aia kekahi mea e koe.
• ʻEha a ʻeha paha ka ʻōpū : Hiki paha iā ʻoe ke manaʻo i kahi mea ʻē, i kekahi manawa ʻeha, ma ka ʻōpū lalo.
• ʻO ka pehu a me ka pahū: Loaʻa i kekahi poʻe ka manaʻo o ka piha i loko o ko lākou ʻōpū a me ka pahū pinepine.
• No nā keiki:I kekahi manawa, e hoʻokahe paha nā keiki i kahi ʻōpala liʻiliʻi i loko o ko lākou lole komo ma hope o ka paʻa ʻana i ko lākou neʻe ʻana i loko (encopresis). Hana ʻia kēia e ka liki ʻana o ka ʻōpala wai a puni kahi ʻōpala paʻakikī.

ʻO ka mea nui, he mea maʻamau paha ka ʻike ʻana i hoʻokahi a ʻelua paha o kēia mau hōʻailona i kekahi manawa. Akā inā hoʻomau a hoʻonui paha lākou, pono ʻoe e hopohopo.

No ke aha mākou e loaʻa ai i ka paʻa ʻana o ka ʻōpū? He aha nā kumu kūpono?

ʻAʻole hoʻokahi wale nō kumu o ka paʻa ʻana o ka ʻōpū. Nui nā kumu e kōkua ai i ia mea. E nānā kākou i nā kumu nui.

1. Nā pilikia ʻai

• ʻAi haʻahaʻa i ka fiber: ʻO kēia ke kumu nui. ʻO ka fiber ka ʻāpana hiki ʻole ke ʻai ʻia o kā mākou meaʻai. Kōkua ia i ka hoʻonui ʻana i kā mākou mau ʻōpala, palupalu iā lākou, a maʻalahi hoʻi e hele. ʻO nā huaʻai , nā mea kanu, nā legumes, nā palaoa piha (e like me ka laiki ʻeleʻele, ka oats, a me ka laiki ʻeleʻele) he mau kumu maikaʻi ia o ka fiber. Inā ʻaʻole ʻoe e hoʻokomo i kēia mau mea i kāu meaʻai, ʻoi aku ka nui o kou paʻa ʻana i ka constipation.
• Ka nele i ka wai: Inā ʻaʻole ʻoe e inu i ka wai lawa i kēlā me kēia lā, e maloʻo a paʻakikī kou mau ʻōpala. ʻO ka inu ʻana i ka wai e palupalu ai kou mau ʻōpala a e maʻalahi ai ke hele ma waena o kou ʻōpū.
• ʻAi nui ʻana i nā meaʻai i hana ʻia: ʻO nā mea e like me nā noodles koke, nā biscuits, nā keke, a me nā mea inu ʻono he haʻahaʻa i ka fiber a kiʻekiʻe i ke kō a me ka ʻaila. ʻAʻole maikaʻi ka ʻai pinepine ʻana i kēia mau mea.

2. Nā mana o ke ʻano o ka nohona

• ʻAʻole hoʻoikaika kino: Ke noho mālie mākou, lohi ka neʻe ʻana o ko mākou ʻōpū. ʻO ka hoʻoikaika kino ʻana i ka lā a pau e hiki ke kōkua i ka hoʻoikaika ʻana i kou ʻōpū.
• Ka hoʻowahāwahā ʻana i ka pono e hele i ka lua: He mea hewa loa ka hoʻopaneʻe ʻana i ka hele ʻana i ka lua ke pono ʻoe, me ka manaʻo, "E hele koke wau." ʻO ka hana ʻana pēlā e huki hou aku i ka wai mai loko mai o ka ʻōpala i loko o kou ʻōpū, e hoʻopaʻakikī ai.
• Nā loli i ka hana maʻamau o kēlā me kēia lā: Ke hele mākou, hele i ka hoʻomaha, a i ʻole e kipa aku i kahi wahi hou, loli kā mākou ʻano ʻai a me nā ʻano lua. Hiki i kēia ke hana i ka paʻa ʻana o ka ʻōpū i kekahi poʻe.

3. Kekahi mau lāʻau lapaʻau

• ʻO kekahi mau lāʻau ʻeha ikaika (e.g., opioids)
• Nā mea hoʻohui hao
• ʻO kekahi mau antacids no ka ʻāʻī puʻuwai ( nā antacids i loaʻa ka alumini a i ʻole ka calcium)
• ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe a me ke kaumaha.

Inā ʻoe e lawe ana i kekahi lāʻau lapaʻau a manaʻo ʻoe he kumu ia o kou paʻa ʻana, e kamaʻilio me kāu kauka. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke nīnau mua ʻana i kāu kauka.

4. Nā kūlana olakino ʻē aʻe

• Nā maʻi e hoʻopilikia ai i ka hana ʻōpū, no ka laʻana `(Irritable Bowel Syndrome - IBS)`.
• Ka emi ʻana o ka hana o ka thyroid gland (Hypothyroidism).
• ʻO ka maʻi diabetes `(Diabetes Mellitus)`.
• Nā maʻi e pili ana i ka ʻōnaehana nerve (e.g. ka maʻi o Parkinson, Multiple Sclerosis).
• ʻO nā kūlana e like me ke kanesa colon (ʻaʻole i maʻamau kēia mau mea, akā ʻaʻole pono e hoʻowahāwahā ʻia).

5. Nā hanana kūikawā ʻē aʻe

• Hāpai keiki: Hiki i nā makuahine hāpai ke loaʻa i ka paʻa ʻana ma muli o nā loli hormonal a me ke pēpē e ulu ana e kaomi ana i ko lākou ʻōpū.
• Ka ʻelemakule: Hiki ke loaʻa ka paʻa ʻana i kou wā ʻelemakule no ka mea e lohi ana ka metabolism o kou kino, malia paha ma muli o nā lāʻau lapaʻau āu e lawe ai, a me ka hoʻemi ʻana i ka hoʻoikaika kino.
• Ke kaumaha a me ka hopohopo: Mai kahaha, ʻo nā pilikia i loko o ko kākou noʻonoʻo e hoʻopilikia pū i ka hana o ka ʻōpū.

6. Nā kumu kikoʻī no nā keiki

• Makaʻu ma muli o ka ʻeha i ka wā o ka neʻe ʻana o ka ʻōpū ma mua: Inā paʻakikī i kahi keiki ke hele i ka lua a ʻeha, makaʻu paha nā keiki e hele i ka lua i ka manawa aʻe a kāohi i ka neʻe ʻana i ka ʻōpū.
• Nā pilikia hoʻomaʻamaʻa lua: Inā ʻoe e kaomi i kāu keiki i ka wā o ke aʻo ʻana i ka lua, hiki iā lākou ke hoʻomaka e kūʻē a paʻa i kā lākou neʻe ʻana o ka ʻōpū.
• ʻAʻohe fiber i ka meaʻai a me nā mea inu: Hoʻokaʻulua iki nā keiki i ka ʻai ʻana i nā mea kanu a me nā huaʻai, no laila nele paha lākou i ka fiber.

Hiki i ka waha maloʻo ke lilo i mea weliweli? Āhea ʻoe e ʻike ai i ke kauka?

Hiki ke mālama ʻia ka paʻa ʻana me nā lāʻau lapaʻau home. Eia nō naʻe, i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. No laila, he mea nui e ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā loaʻa koke iā ʻoe kahi loli nui i kou neʻe ʻana o ka ʻōpū (inā ua maikaʻi ʻoe ma mua a lilo koke i ka paʻa ʻana).
• Inā he koko kou i loko o kou ʻōpala (hiki ke ʻulaʻula a ʻeleʻele paha), mai lawe māmā i kēia.
• Inā ʻoe e lilo ana i ke kaumaha no ke kumu ʻole.
• Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū me ka paʻa ʻana o ka ʻōpū.
• Inā ʻoe e luaʻi ana.
• Inā ʻaʻole e emi ka paʻa ʻana o ka paʻa ma hope o ʻelua a ʻekolu mau pule o nā lāʻau lapaʻau home.
• Inā ua loaʻa kekahi o kou ʻohana i nā maʻi e like me ke kanesa colon.
• Inā he paʻapū me ke kuni.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea naʻauao ke ʻike koke i ke kauka ma mua o ke kali ʻana e ʻike "e kali iki kāua."

Pehea e hōʻoia ai ke kauka i kēia?

Ke hele ʻoe i ke kauka, ʻo ka mea mua āna e nīnau ai iā ʻoe:

• He aha kou mau hōʻailona? Pehea ka lōʻihi o kou loaʻa ʻana iā lākou?
• Pehea kāu ʻai? ʻEhia ka nui o ka wai āu e inu ai?
• Hoʻoikaika kino ʻoe?
• Ke lawe nei ʻoe i kekahi lāʻau lapaʻau?
• Ua loaʻa i kekahi o kou ʻohana kēia mau pilikia a i ʻole nā ​​pilikia ʻōpū?

A laila, e nānā ke kauka iā ʻoe. Hiki iā ia ke hoʻopā i kou ʻōpū. I kekahi manawa, pono paha ʻoe e hoʻokomo i kahi manamana lima i loko o kou rectum (Digital Rectal Exam). Mai makaʻu, ʻo kēia ke nānā i nā puʻupuʻu a i ʻole nā ​​​​pilikia ʻē aʻe.

I ka hapa nui o ka manawa, hiki i kēia mau kikoʻī wale nō ke kōkua iā ʻoe e hoʻoholo i ke kumu o kou paʻa ʻana. Eia nō naʻe, i kekahi manawa pono paha nā hoʻāʻo hou aʻe:

• Nā hoʻāʻo koko: E nānā inā he pilikia thyroid a i ʻole kekahi mea ʻē aʻe.
• Nā hoʻāʻo X-ray: No ka ʻike ʻana pehea e paʻa ai ka ʻōpala i loko o nā ʻōpū.
• `(Sigmoidoscopy)` a i ʻole `(Colonoscopy)`: ʻO kēia ke komo ʻana i kahi ʻōmole liʻiliʻi i lako me ke kāmela ma o ka anus e nānā i loko o ka colon. Eia naʻe, ʻaʻole pono nā kānaka a pau i kēia. E kuhikuhi wale ke kauka iā ʻoe i kēia inā he kānalua kāna .

He aha kekahi mau lāʻau lapaʻau home no ka constipation?

ʻO ka nūhou maikaʻi, hiki ke hoʻomalu ʻia ka paʻa ʻana o ka paʻa ma o ka hana ʻana i nā loli liʻiliʻi i kou nohona a me nā ʻano ʻai.

1. E ʻai a inu pono!

• E ʻai i nā meaʻai waiwai i ka fiber: Pono ko mākou kino ma ka liʻiliʻi he 25-30 grams o ka fiber i kēlā me kēia lā. No hea mai kēia fiber?
• Nā huaʻai: Maiʻa, papaya, mango, paina, ʻalani, tangerine, lime, tamarind.
• Nā mea kanu: nā pī, kāloti, paukena, ʻoka, kāpeti, beetroot, ʻuala.
• Nā meaʻai: spinach, gotukola, mukunuwenna, kathurumurunga, tampala.
• Nā nati ʻala: chickpeas, pi, pīni ʻōmaʻomaʻo, lentil.
• Nā huaʻai holoʻokoʻa: laiki ʻeleʻele, buckwheat, oats, bale. Inā ʻoe e ʻai i ka berena, e koho i ka berena palaoa holoʻokoʻa.
• E inu i ka wai nui: E inu ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā. He mea maikaʻi loa ka inu ʻana i hoʻokahi aniani wai i kou ala ʻana i ke kakahiaka. He mea maikaʻi nō hoʻi ka inu ʻana i ka ʻalani, ka pomelo, a me nā wai huaʻai (me ka emi ʻana o ke kō). Akā, ʻaʻole maikaʻi loa nā mea inu ʻono (e like me ke kola).
• E hōʻemi i kekahi mau meaʻai: ʻO ka ʻai nui ʻana i nā mea e like me ka tīhi, nā ʻiʻo i hana ʻia (e like me nā sausage), ka ʻaikalima, a me ke kokoleka hiki ke hoʻonui i ka paʻa ʻana o ka ʻōpū.

2. E hoʻoikaika kino i ka lā a pau.

He mea nui loa ka hoʻoikaika kino ʻana i kou kino no 30 mau minuke ma ka liʻiliʻi i ka lā. He mea maikaʻi ka hele wāwae, ka holo ʻana, ke kaʻa paikikala, ka hula ʻana, a i ʻole ka hana ʻana i nā hana hale. Hoʻomaikaʻi pū ka hoʻoikaika kino i ka hana ʻōpū.

3. E hoʻomohala i nā hana hoʻomaʻemaʻe halepaku

• Mai hoʻopaneʻe i ka hele ʻana i ka lua: E hele i ka lua i ka wā e pono ai . Mai hoʻopaneʻe ma ka ʻōlelo ʻana "i kekahi manawa iki."
• E hoʻomaʻamaʻa i ka hele ʻana i ka lua i ka manawa like i kēlā me kēia lā: E hoʻāʻo e hele i ka lua i loko o 15-20 mau minuke, ʻoi aku hoʻi ma hope o ka ʻaina kakahiaka. ʻOi aku ka hana o ko kākou ʻōpū i kēlā manawa.
• Ke kūlana kūpono e noho ai ma ka lua: Ke noho ʻoe ma luna o kahi commode, ʻoi aku ka maʻalahi o ka ʻōpala ma ke kau ʻana i kahi mea e like me kahi noho liʻiliʻi ma lalo o kou mau wāwae a mālama i kou mau kuli i ʻoi iki aʻe ma mua o kou mau pūhaka, ma mua o ke kau ʻana i kou mau wāwae ma ka papahele. E like me nā lua lua o ka wā ma mua.

4. Nā lāʻau hoʻomaha

Hiki iā ʻoe ke hoʻohana i kēia mau mea, akā me ka ʻōlelo aʻo a ke kauka wale nō. ʻAʻole maikaʻi ke kūʻai mai iā lākou mai ka hale kūʻai lāʻau lapaʻau a inu iā lākou e like me kou makemake. No ka mea, inā ʻoe e hoʻomau i ka maʻa ʻana i kēia, e poina paha kou mau ʻōpū e hana ma kā lākou iho a ʻaʻole paha ʻoe e hiki ke hele i ka lua me ka ʻole o kēia lāʻau lapaʻau.

Aia nā ʻano laxatives like ʻole:

• `( Nā laxatives hana nui): Hana kēia e like me ka fiber, e hoʻonui ana i ka nui o ka ʻōpala a hoʻomālielie iā ia.
• `( Nā lāʻau laxative osmotic):` Huki kēia i ka wai i loko o nā ʻōpū a hoʻoheheʻe i ka ʻōpala.
• `( Nā lāʻau hoʻouluulu hoʻouluulu):` Hoʻoulu kēia i nā ʻiʻo i loko o nā ʻōpū a hoʻokuke i ka ʻōpala i mua.

Na kāu kauka e hoʻoholo i ke ʻano kūpono iā ʻoe a me ka lōʻihi o kou lawe ʻana.

He aha inā e paʻa ka ʻōpū o kā kākou poʻe liʻiliʻi?

He pilikia koʻikoʻi ka paʻa ʻōpū no nā keiki. Hiki iā lākou ke makaʻu a me ka ʻeha.

• Mai hopohopo, e ʻōlelo me ke aloha: ʻO ka mea mua, mai hopohopo. E ʻōlelo me ke aloha i ke keiki a hōʻoluʻolu iā ia ma ka ʻōlelo ʻana, "ʻAʻohe mea e hopohopo ai, e ke keiki/kaikamahine, e hoʻoponopono kākou i kēia."
• E mālama i kā lākou ʻai: E hoʻohui i nā huaʻai (e like me ka maiʻa, ka papaya, ka mango), nā mea kanu, a me nā greens i kā lākou ʻai. E inu i ka wai he nui. E hōʻemi i ka ʻai ʻana i nā mea inu kō, kokoleka, a me nā biscuits.
• E paipai i kāu keiki e pāʻani, holo, a lele: ʻO ka ʻoi aku ka neʻe o ke keiki, ʻoi aku ka maikaʻi o ka hana ʻōpū.
• E hoʻāʻo e hele pinepine i ka lua: E noho lākou ma ka lua no 5-10 mau minuke, ʻelua a ʻekolu paha manawa i ka lā, ma hope koke iho o ka ʻai ʻana. Mai koi iā lākou. E ʻae iā lākou e heluhelu i kahi puke, a e kamaʻilio paha me lākou.
• E hōʻemi i ka ʻeha: Inā ʻeha kou rectum, hiki iā ʻoe ke nīnau i kāu kauka e pili ana i ka hoʻohana ʻana i kahi mea e like me ka kirīmi hoʻomaha ʻeha.
• Inā ʻaʻole e hoʻomaikaʻi ma hope o kekahi mau lā, a inā paha e ʻeha ana kāu keiki, e ʻike pono i kahi kauka keiki. Hiki i ke kauka ke ʻike i ke kumu pololei a kuhikuhi i ka lāʻau lapaʻau inā pono.

ʻO ka mea hope loa, eia kekahi mau mea e hoʻomanaʻo ai:

ʻAe, ua kamaʻilio nui mākou e pili ana i ka paʻa ʻana o ka ʻōpū i kēia manawa. ʻO ka mea hope loa, eia kekahi o nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• He maʻi maʻamau ka paʻa ʻana o ka ʻōpū e hoʻopilikia ana i nā kānaka he nui a ʻaʻole ia he mea weliweli. Eia nō naʻe, inā hoʻomau ia, e hōʻeha nui iā ʻoe, a inā paha he mau hōʻailona hōʻailona kāu i kūkākūkā ai ma mua (e like me ke kahe ʻana o ke koko, ka pohō kaumaha), pono ʻoe e ʻimi i ke aʻo lapaʻau ma mua o ka ʻeha wale ʻana.
• ʻO ka ʻai maikaʻi (kiʻekiʻe i ka fiber, nui ka wai), ka hoʻoikaika kino i kēlā me kēia lā, a me nā hana kūpono no ka lua ʻana nā ala maikaʻi loa a maopopo loa e pale aku ai a mālama i ka paʻa ʻana o ka ʻōpū.
• Inā ʻoe e hoʻohana i nā lāʻau lapaʻau, e hana pēlā me ka ʻae ʻia e ke kauka.
• Inā loaʻa kēia pilikia i kāu poʻe liʻiliʻi, e kōkua iā lākou me ke ahonui a me ke aloha. Inā pono, e ʻimi i ke kōkua o ke kauka keiki.

E hoʻomanaʻo, he mea nui ka ʻōpū olakino no ke ola olakino. No laila e mālama i ke olakino o kou ʻōpū. Inā he mau hopohopo ʻē aʻe kāu, mai makaʻu e kamaʻilio me ke kauka.

ʻO ka paʻa ʻana o ka ʻōpū, ʻōpū maloʻo, paʻa ʻana o ka ʻōpū, fiber meaʻai, paʻakikī i ka hoʻokahe ʻana i ka ʻōpū, ʻōlelo aʻoaʻo a ke kauka, olakino