ʻO ka ʻeha anal, ʻoiai ka ʻeha wela a me ka ʻoi i ka wā o ka neʻe ʻana o ka ʻōpū, he mea ia e kānalua ai ka poʻe he nui e kamaʻilio e pili ana, akā ʻeha nui lākou i loko. I kekahi manawa ʻo ke kumu he haehae liʻiliʻi ma ka paia o kou kahawai anal. Kapa mākou i kēia ma ke ʻano lapaʻau he 'Anal Fissure'. ʻO ka maʻamau, ho'ōla kēia mau waimaka i loko o kekahi mau pule me nā lāʻau lapaʻau, nā poni, a me nā hoʻololi ʻana i ke ʻano o ka nohona. Akā no kekahi poʻe, mau ia no nā mahina, a hiki i nā makahiki. ʻO ia ke kumu e kamaʻilio ai nā kauka e pili ana i kahi ʻoki kino i kapa ʻia ʻo 'Lateral Internal Sphincterotomy' no kekahi kanaka me ia ʻano waimaka mau .
I ka ʻōlelo maʻalahi, he aha ka Lateral Internal Sphincterotomy?
ʻAe, ʻoiai paha he mea paʻakikī iki ka inoa, he maʻalahi loa ke kumumanaʻo. ʻO ka lateral internal sphincterotomy kahi hana ʻoki liʻiliʻi i hana ʻia ma kekahi o nā apo ʻelua o nā ʻiʻo e hoʻopuni ana i kou anus.
E noʻonoʻo, aia ʻelua mau apo ʻiʻo a puni ko mākou anus.
1. ʻO ka sphincter Anal kūloko: ʻAʻohe o mākou mana ma luna o kēia. He paʻa mau ia a hoʻomaha wale i ka wā e neʻe ai ka ʻōpū.
2. ʻO ka sphincter anal o waho: Hiki iā mākou ke hoʻopaʻa a hoʻomaha paha i kēia i kēlā me kēia manawa.
ʻO ke kumu nui i ho'ōla ʻole ai nā māwae anal lōʻihi, ʻo ia ke koʻikoʻi o kēia apo ʻiʻo o loko . Ma kēia ʻoki kino, hana ke kauka ʻoki i kahi ʻoki liʻiliʻi loa i loko o ka ʻiʻo o loko i paʻa loa a hoʻemi i kona paʻa. Ua like ia me ka ʻoki ʻana i kahi kaula laholio paʻa a wehe iki iā ia. Ua kapa ʻia kēia ʻo `(Myotomy)`, ʻo ia hoʻi ke ʻoki ʻana i kahi ʻiʻo.
No ke aha ʻoe e pono ai i kēia ʻoki kino?
E noʻonoʻo paha ʻoe, "No ke aha e pono ai iaʻu ke ʻoki kino no kahi mole liʻiliʻi?" Eia ke kumu.
Ke hana ʻia kahi māwae i loko o ka rectum, e hōʻike ʻia ka ʻiʻo ma lalo. ʻO kēia ke kumu o ka ʻiʻo e paʻa pinepine a me ke kāohi ʻole ʻia. Kāhea mākou i kēia spasm muscle. ʻO kēia mau spasms ke kumu o ʻelua mau pilikia nui:
1. Ke kīkoʻo ʻana i ka ʻeha: Ke paʻa ka ʻiʻo, huki pū nā ʻaoʻao o ke aʻalolo. E like me ke kūlou ʻana o ko kākou lima a loaʻa kahi ʻeha ma ko kākou kuʻekuʻe lima, e wehe ʻia ka ʻeha. Hoʻemi kēia i ka manawa e ola ai ka ʻeha.
2. Hoʻemi ʻia ke kahe koko: Ke paʻa pono ka ʻiʻo, hoʻemi ʻia ke kahe koko i kēlā wahi. He mea nui ka lako koko maikaʻi no ka ho'ōla ʻana o kekahi ʻeha. Ke hoʻemi ʻia ke kahe koko, pau loa ke kaʻina hana ho'ōla.
ʻO kēia ke kumu o ka ʻiʻo e ʻūlū ai ma muli o ka ʻeha, a ʻo ka ʻiʻo e ʻūlū ai ke kumu o ka ʻeha ʻaʻole e ola a hoʻonui i ka ʻeha. Ua like ia me kahi pōʻaiapuni ʻino. ʻO ke ʻoki ʻana ʻo `Lateral Internal Sphincterotomy` e uhaʻi i kēlā pōʻaiapuni ʻino. Ke hoʻemi ʻia ka ʻiʻo paʻa ma waena o 20% a me 50%, e pau nā `spasms`, hoʻihoʻi ʻia ke kahe koko, a hoʻomaka ka ʻeha e ola maoli.
E hoʻomanaʻo, ʻaʻole pono nā māwae anal āpau i ke ʻoki kino. Eia nō naʻe, ma kahi o 40% o nā māwae anal ʻaʻole pane i ka lāʻau lapaʻau a hiki ke lilo i mea maʻi mau. I ia mau hihia, ua manaʻo ʻia ke ʻoki kino ʻo ia ka hopena maikaʻi loa a mau loa .
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
ʻAʻole kēia he hana ʻoki kino nui. He hana maʻi ia ma waho o ka haukapila kahi e hiki ai iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ka mālama ʻana.
Ke hoʻomākaukau nei no ke ʻoki kino
- Anesthesia: Hana pinepine ʻia kēia ʻoki ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki. No laila, ʻaʻole hiki iā ʻoe ke hoʻokele ma hope o ke ʻoki. He mea nui e loaʻa kahi mea e hoʻokele iā ʻoe i ka home.
- E hahai i nā kuhikuhi: E hahai pololei i nā kuhikuhi a kāu kauka, e like me ka nui o nā hola e pono ai ʻoe e hoʻokē ʻai ma mua o ke ʻoki ʻana.
I ka wā o ke ʻoki kino
ʻO ka lōʻihi o ke ʻoki ʻana ma kahi o 30 mau minuke. Hoʻohana mua ke kauka ʻoki i kahi mea liʻiliʻi i kapa ʻia he anoscope e nānā i loko o ka anus a loaʻa kahi kikoʻī o ka māwae. A laila, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻaoʻao o ka ʻiʻo sphincter kūloko ma lalo o ka māwae. Hiki ke hana ʻia kēia ʻoki me kahi scalpel a i ʻole kahi mea uila i kapa ʻia ʻo electrocautery. ʻO ka pahuhopu ka hoʻemi ʻana i ka ʻoʻoleʻa o ka ʻiʻo i ka pae i makemake ʻia a ʻae i ka māwae e ho'ōla.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A pehea ka ʻeha?
E ʻike ʻoe i kahi ʻeha ma hope o ke ʻoki ʻana, akā nui ka poʻe e ʻōlelo nei ua emi loa kēia ʻeha ma mua o ka ʻeha ʻoi a hiki ʻole ke hoʻomanawanui i loaʻa iā lākou ma mua o ke ʻoki ʻana . E kuhikuhi ke kauka i nā lāʻau ʻeha.
| He aha ka mea e manaʻo ai ma hope o ke ʻoki ʻana | Wehewehena |
|---|---|
| ʻEha | Aia paha kekahi ʻeha e mau ana no kekahi mau lā. Hiki ke hoʻomalu ʻia kēia me nā lāʻau ʻeha i kuhikuhi ʻia e ke kauka. |
| He wahi liʻiliʻi o ka pus a i ʻole ke kahe koko | Hiki i ka ʻeha ke hoʻokahe i kekahi wai a koko paha no kekahi mau lā. He mea maʻamau kēia. |
| Ka hoʻokahe ʻana i ka wai | Hiki ke loaʻa ka paʻa ʻana o ka ʻōpū ma muli o ka anesthesia a me ke ʻoki kino. Hiki ke hala i hoʻokahi a ʻelua paha lā no ka neʻe mua ʻana o ka ʻōpū. |
| Hoʻomaha | He mea nui e hoʻomaha no hoʻokahi a ʻelua paha pule. E pale i ka hāpai ʻana i nā mea kaumaha a me ka hana luhi. |
Pehea e maʻalahi ai ka hoʻoheheʻe ʻana?
Hiki paha iā ʻoe ke ʻeha iki ke neʻe ka ʻōpū ma hope o ke ʻoki ʻana. Akā, ʻaʻole kēia he mea hou iā ʻoe. Aia kekahi mau mea hiki iā ʻoe ke hana e kōkua ai i kēia:
- Nā mea palupalu noho: E hoʻohana i nā mea palupalu noho (e like me ke kuhikuhi a kāu kauka).
- ʻO ka wai a me nā meaʻai momona i ka fiber: E inu i ka nui o ka wai. E ʻai i nā meaʻai momona i ka fiber e like me nā huaʻai, nā mea kanu, a me nā palaoa holoʻokoʻa.
- ʻAuʻau noho: E noho i loko o kahi pola wai mehana no 10-15 mau minuke. E hōʻemi kēia i ka ʻeha a kōkua i ka mālama ʻana i ka maʻemaʻe o ka ʻeha.
- Nā ʻūpā pēpē: ʻO ka hoʻohana ʻana i nā ʻūpā pēpē ma kahi o ka pepa lua hiki ke hōʻemi i ka hōʻino ʻia o ka ʻeha.
He aha nā pōmaikaʻi a me nā pilikia kūpono o kēia ʻoki kino?
E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia a he mau pōpilikia liʻiliʻi hoʻi.
ʻO ka pōmaikaʻi nui , hiki iā ʻoe ke hoʻopau mau loa i ka ʻeha i hoʻopilikia iā ʻoe no ka manawa lōʻihi, me ka helu holomua o kahi 95% . E hoʻomaikaʻi nui kēia i kou ʻano ola.
Nā Pōʻino (Nā Pilikia):
He mau mea i ʻike pinepine ʻole ʻia kēia.
- ʻO ka hoʻōki ʻana o ka ʻōpū liʻiliʻi: I ka wā e hoʻomaha ai nā ʻiʻo, hiki iā ʻoe ke ʻike i kahi ʻōpala liʻiliʻi a i ʻole ka leaka ea i ka wā o ke kaʻina hana ho'ōla. He manawa pōkole kēia no ka hapa nui o nā kānaka a e nalo loa ia i loko o kekahi mau pule.
- Paʻa ʻana o ka mimi: Hiki i kekahi poʻe ke pilikia i ka mimi ʻana ma hope o ke ʻoki ʻana. Hoʻoholo pinepine kēia ma kāna iho.
- Ka maʻi a i ʻole ke kahe ʻana o ke koko: E like me nā ʻoki kino āpau, he liʻiliʻi loa ka pilikia o ka maʻi.
- Ka hoʻi hou ʻana o ka ʻulaʻula: He mea kākaʻikahi loa, hiki ke hoʻi hou mai ka ʻulaʻula.
E kamaʻilio kāu kauka me ʻoe e pili ana i kēia mau pilikia a kōkua iā ʻoe e hana i ka hoʻoholo kūpono loa iā ʻoe.
I ka manawa hea e ʻike ai i ke kauka
Inā ʻike ʻoe i kekahi o nā hōʻailona ma hope o ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka:
- Nā hōʻailona o ka maʻi e like me ke kuni, ka pehu ʻana, a me ka ʻulaʻula o ka ʻeha .
- Ke kahe koko nui a i ʻole ka pus pilau.
- ʻEha nui hiki ʻole ke kāohi ʻia ʻoiai me nā lāʻau ʻeha.
- ʻAʻole hiki ke mimi.
Aia kekahi mau lāʻau lapaʻau ʻē aʻe?
ʻAe, aia kekahi mau koho ʻē aʻe. ʻO ka `Fissurectomy` kekahi hana ʻoki kino. Ma kēia, wehe ʻia ka fissure a me nā ʻiʻo a puni me ka ʻole o ka ʻoki ʻana i ka ʻiʻo. I ka manawa like, hoʻokomo ʻia ʻo `Botox` e hoʻomaha i ka ʻiʻo. Eia nō naʻe, ua manaʻo ʻia ʻo `Lateral Internal Sphincterotomy` ʻo ia ke `kūlana gula` a ua hoʻohana ʻia no ka manawa lōʻihi me ka helu holomua kiʻekiʻe loa.
No kekahi mea i ʻeha i nā māwae anal no nā mahina, hiki ke hopohopo ka manaʻo o ke ʻoki kino. Akā hiki iā ia ke lawe mai iā ʻoe i ka hōʻoluʻolu āu e pono ai. E hoʻomaka ʻoe e ʻike i kahi ʻokoʻa nui i loko o kekahi mau lā ma hope o ke ʻoki kino.
Leka Lawe-Home
- Inā mau ka māwae anal no nā mahina ʻelua a ʻoi me ka ʻole o ka ho'ōla ʻia me ka lāʻau lapaʻau, ua manaʻo ʻia he maʻi mau loa.
- He ʻoki maʻalahi a holomua loa ka 'Lateral Internal Sphincterotomy' (95%) e hōʻemi ana i ka paʻa o nā ʻiʻo i loko o ka rectum, e ʻae ana i ka māwae e ho'ōla.
- ʻOi aku ka emi o ka ʻeha ma hope o ke ʻoki ʻana ma mua o ka ʻeha mai ka ʻoki ʻana.
- ʻOiai he 6 mau pule e ho'ōla piha ai, e hoʻomaka ʻoe e ʻike i ka hōʻoluʻolu nui i loko o kekahi mau lā.
- Inā he mau hopohopo a makaʻu paha kāu e pili ana i ke ʻoki kino, e kūkākūkā ākea me kāu kauka. E hāʻawi lākou iā ʻoe i ka hopena maikaʻi loa.
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