He paʻakikī nō hoʻi iā ʻoe ke hele i ka lua? E aʻo hou kākou e pili ana i ka Obstructed Defecation Syndrome!

Ke manaʻo nei ʻoe i kekahi manawa he paʻakikī iā ʻoe ke hele i ka lua? Manaʻo ʻoe ua maloʻo, paʻa, a ʻaʻole i pau loa? A i ʻole hele ʻoe me ka ʻole o ka hele ʻana i ka lua no kekahi mau lā? ʻAʻole paha kēia he paʻa mau wale nō. I kēia lā, e kamaʻilio kākou e pili ana i ka huaʻōlelo lapaʻau no kēia ʻano, ʻo ia hoʻi ʻo Obstructed Defecation Syndrome. ʻOiai he inoa lōʻihi kēia, ma nā huaʻōlelo maʻalahi, he mea pale a ʻoluʻolu ʻole paha ia e kū mai ana i ka wā o ka defecation.

He aha kēia paʻakikī i ka hoʻokahe ʻana? (He aha ka 'Obstructed Defecation Syndrome'?)

I ka ʻōlelo maʻalahi, ʻo ka Obstructed Defecation Syndrome (ODS) kahi kūlana kahi e pono ai ʻoe e kiola akā ʻaʻole hiki ke hana pono. Nui nā kumu no kēia. He kino kekahi, ʻo ia hoʻi, ua hana ʻia e nā mea pale mīkini i loko o kou kino. Hiki i kekahi ke noʻonoʻo.

Hiki i kekahi kanaka me kēia maʻi ke loaʻa i kēia mau mea:

• Manaʻo e like me ʻoe ʻaʻole hiki iā ʻoe ke hele i ka lua i kēlā me kēia manawa āu e makemake ai.
• Hoʻokahi wale nō manawa aʻu e hele ai i ka lua i kēlā me kēia mau lā, ʻo ia hoʻi, ʻaʻole au e ʻōpala pinepine.
• ʻOiai ma hope o ka hele ʻana i ka lua, manaʻo nō ʻoe ʻaʻole ʻoe i kahe piha.

ʻO kēia ke kumu o ko lākou paʻa ʻana i ka ʻōpū . I kekahi manawa, hiki i ka ʻōpala i paʻa i loko ke puka mālie i waho me ka ʻole o ke kaohi. Ua kapa ʻia hoʻi kēia he `(Fecal Incontinence)`. Hoʻolilo kēia poʻe i ka manawa nui ma ka lua, e kali ana i ka puka ʻana o ka ʻōpala, a i ʻole e hoʻoikaika nui lākou. Ma muli o ke hoʻoikaika ʻana e like me kēia no ka manawa lōʻihi a me ka hele ʻana i ka ʻōpala maloʻo a paʻakikī, hiki ke hōʻino ʻia nā ʻiʻo a me nā aʻalolo e pili ana i ke kaʻina hana o ka defecation. A laila lilo ke kūlana i mea ʻino aʻe. E noʻonoʻo, inā ʻoe e hoʻāʻo nei e wehe i ka puka a ua paʻa, inā mākou e paʻi ikaika, hiki ke hōʻino ʻia nā mea e like me nā hinges o ka puka, ʻeā? ʻO ia ka mea e hana nei ma ʻaneʻi.

Pehea ka hopena o kēia maʻi i kou kino?

ʻAʻole he maʻi hoʻokahi ʻo ODS. Ua like ia me kahi umbrella. Ma lalo o kēlā umbrella, aia kekahi mau ʻano maʻi like ʻole e hoʻoulu ai i ka constipation a me ka paʻakikī o ka defecation. ʻO ka hiʻohiʻona maʻamau o kēia mau mea āpau ʻo ia nā hōʻailona o ka constipation.

I mea e ʻike ai nā kauka i ka paʻa ʻana o ka ʻōpū, pono e mau ʻelua a ʻoi aku paha o nā hōʻailona ma lalo nei no 90 mau lā :

• Ke hoʻoluhi nei ma mua o 25% o nā manawa e neʻe ai kou ʻōpū.
• ʻO ka manaʻo o ka hoʻoneʻe piha ʻole ʻana ma mua o 25% o nā neʻe ʻana o ka ʻōpū.
• Ke hele ʻana i loko o nā ʻōpala paʻakikī a maloʻo ma mua o 25% o ka manawa.
• Pono e hoʻohana i nā mea e like me nā manamana lima e hoʻokahe ai ma mua o 25% o ka manawa.
• Ka emi ʻana o ka wai kahe ma mua o ʻekolu manawa o ka pule.

Akā, ʻo kēia mau hōʻailona paha he piko wale nō ia o ka hau hau. Aia paha kekahi mau maʻi ʻē aʻe i ʻike ʻole ʻia.

Hiki i ka paʻa mau ʻana o ka ʻōpū ke alakaʻi i nā pilikia ʻē aʻe he nui i ka hala ʻana o ka manawa. I kekahi manawa, paʻakikī ke ʻike i ke kumu o ia mea ma kahi mua a me ke kumu o ia mea ma hope.

Hiki i nā poʻe i pilikia i ka hele ʻana i ka ʻōpala ke loaʻa i nā kūlana ʻē aʻe e like me:

• ʻO ka hana pono ʻole o ka papahele pelvic: ʻAʻole hana pū nā ʻiʻo a me nā aʻalolo ma kou wahi pelvic (ka wahi ma lalo o kou pihi ʻōpū) e hele i ka ʻōpala. E noʻonoʻo e like me kahi hui e hana pū ana, akā ke hana nei kēlā me kēia kanaka i nā mea like ʻole.
• ʻO ka prolapse o ke kino: He ʻano ma ka ʻāpana pelvic, e like me ka ʻōpū mimi, ka uterus, a i ʻole nā ​​​​ʻōpū, e hāʻule ana mai kona kūlana maʻamau, e paʻi ana i kekahi ʻano ʻē aʻe a i ʻole e hoʻāʻo ana e puka i waho o ke kino.
• ʻO ka hyposensation rectal: Ka nalowale o ka hiki ke ʻike i ke alo o ka ʻōpala a i ʻole ka pono e kiola i loko o ka rectum. Ua like ia me ka nalowale ʻana o ka manaʻo o ka ʻūlū ʻana i ko mākou mau lima.
• Hopohopo o ka ʻōpala: Hiki i kekahi poʻe ke pale aku i ka ʻōpala ma muli o ka ʻōpala paʻakikī a ʻeha hoʻi a lākou e ʻike ai. E like me kou hoʻopā ʻana i kahi mea wela a puhi iā ʻoe iho, makaʻu paha ʻoe e hoʻopā hou aku.

Pehea ka maʻamau o kēia ʻano?

Ma kahi o 18% o ka heluna kanaka o ka honua, a i ʻole 18 mai loko mai o 100 kānaka, e ʻeha ana i kēia maʻi laha i kapa ʻia ʻo ka incontinence bowel. He mea maʻamau ia i waena o nā wahine a me ka poʻe waena . No laila e ʻike ʻaʻole ʻoe hoʻokahi i kēia pilikia.

He aha nā hōʻailona o ka incontinence bowel?

Hiki i ke kanaka me kēia maʻi ke manaʻo penei:

• Pono wau e hele i ka lua, akā manaʻo wau ʻaʻole hiki iaʻu.
• He mea paʻakikī loa ke kahe ʻana o ka wai koko, i kekahi manawa me ka ʻeha.
• ʻOiai ka nui o koʻu hoʻāʻo ʻana, manaʻo wau ʻaʻole au i holo pono i waho o ka noho.
• Me he mea lā ua paʻa kekahi mea ma ke ala o ka noho.

Pono paha kēia iā ʻoe e hana i kēia mau mea:

• Ke hoʻoikaika nei e hoʻokahe.
• Pono ke kali ʻana no ka manawa lōʻihi a hiki i ka puka ʻana mai o ka ʻōpala.
• I kekahi manawa pono ʻoe e hoʻohana i kou mau manamana lima e kōkua iā ʻoe iho e hele i ka ʻōpala. (Mai hilahila no kēia, he ʻāpana ia o ke kūlana.)
• ʻO ka hoʻohana ʻana i nā laxatives a i ʻole enemas e kipaku i ka ʻōpala.

Hiki i kēia kūlana ke hana i nā mea ʻē aʻe e like me:

• Ka paʻa ʻana o ka ʻōpū.
• ʻO ka neʻe ʻana o ka ʻōpū i kāohi ʻole ʻia (fecal incontinence).
• He pilikia mau.
• Nā kūlana noʻonoʻo e like me ka hopohopo a i ʻole ke kaumaha, no ka mea, he hopena nui kēia i ke ola o kēlā me kēia lā.

ʻO nā hoʻopiʻi maʻamau:

• Ua pehu a ʻeha paha ka ʻōpū.
• ʻEha ʻōpū a me ka distension.
• ʻEha anal.
• Ka luaʻi, ka luhi, a me ka nalowale o ka makemake.

No ke aha e hiki ʻole ai iaʻu ke hele i ka lua me ke kūpono? He aha nā kumu?

Nui nā kumu o ODS. Hiki i kēia ke kūlohelohe a i ʻole mechanical . ʻO ia hoʻi, nā mea e like me nā kīnā anatomical a i ʻole nā ​​​​​​mea pale kino i ke ala o nā feces. Ma ka ʻaoʻao ʻē aʻe, aia kekahi mau kumu hana . Pili kēia i ka hana o ka lolo a me ka ʻōnaehana nerve.

I ka manawa pinepine, hiki i nā ʻano kumu ʻelua ke noho pū. I kekahi manawa, hiki i kekahi ʻano kumu ke alakaʻi i kekahi.

Nā kumu mīkini:

• ʻO ka hernia perineal: ʻO nā kino i loko o kou ʻōpū a i ʻole ka ʻāpana pelvic e puka mai ana ma ka papahele pelvic.
• ʻO ka prolapse o ke kino pelvic: He kino i loko o kou wahi pelvic e paheʻe ana mai kona kūlana maʻamau a paʻi i loko o kou anus a i ʻole rectum. Eia kekahi laʻana:
• ʻO ka prolapse rectal: Ke puka nei kekahi hapa o ka rectum ma ka puka anal.
• ʻO ka intussusception Rectal: Hiolo ka ʻaoʻao o luna o ka rectum i loko e like me ka telescope.
• Rectocele (paia rectal nāwaliwali): I nā wahine, lilo ka paia ma waena o ka anus a me ka vagina i nāwaliwali, e hoʻoulu ai i ka anus e puka i loko o ka vagina. Hiki i kēia ke hoʻopaʻa i ka ʻōpala i loko o ka wahi e puka ana.
• ʻO ka maʻi ʻeha rectal hoʻokahi: ʻO ka ulu ʻana o hoʻokahi a ʻoi aku paha nā ʻeha ma ka rectum. Hiki ke hana ʻia kēia e ka hoʻoluhi pinepine ʻana.

Nā kumu hana:

• ʻAnismus (dyssynergic defecation): I mea e hele ai i ka ʻōpala, pono e hoʻomaha nā ʻiʻo sphincter a puni ka anus. Pono nō hoʻi lākou e paʻi ʻia e nā ʻiʻo ʻōpū. ʻAʻole i hoʻonohonoho pono ʻia kēia kaʻina hana, a ma kahi o ka hoʻomaha ʻana, ua ʻūlū nā ʻiʻo. Ua like ia me ka hoʻāʻo ʻana e wehe i ka puka a pani hou aku.
• ʻO ka hyposensitivity Rectal: Pono ʻoe e ʻike i ke ʻano o ka hoʻopiha ʻana o kou rectum me ka ʻōpala. Hiki i ka hōʻino ʻana i nā aʻalolo ke hōʻemi i kēia ʻike, e pale ana i ka lolo mai ka hoʻouna ʻana i nā hōʻailona e haʻi iā ʻoe e neʻe i ka ʻōpū.
• Nā maʻi noʻonoʻo: ʻO ka hopohopo, ke kaumaha, kekahi mau phobias, OCD (obsessive-compulsive disorder), a me nā maʻi ʻai e hiki ke hoʻopilikia i kēia. He laʻana maikaʻi kēia o ke ʻano o ka hopena o nā pilikia noʻonoʻo i ke kino.

ʻO kekahi o kēia mau mea paha ke kumu nui o ODS, a i ʻole kahi hopena lua i hoʻokumu ʻia e ODS.

Eia kekahi, hiki i nā kumu aʻe ke kōkua i kēia mau kūlana:

• Ka hāpai ʻana a me ka hānau ʻana.
• Nā hana ʻokiʻoki i hana ʻia ma ka ʻāpana pelvic.
• ʻEha a hana ʻino paha i hana ʻia e kahi ulia.

Pehea lā e ʻike pono ai nā kauka i kēia maʻi?

Ke ʻike ʻoe i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona. Hiki paha iā lākou ke hoʻohana i kahi pakuhi helu e ana i ke koʻikoʻi o kāu mau hōʻailona.

ʻOiai hiki i kēia mau hōʻailona ke kōkua iā ʻoe e hoʻoholo inā he maʻi mau kou paʻa ʻana, no ka ʻike pololei ʻana i ka ODS, pono kāu kauka e hōʻoia ʻaʻole nā ​​​​kumu maʻalahi (e like me ka hoʻololi pōkole i ka ʻai) ke kumu. E pili ana kēia i ka lawe ʻana i kāu mōʻaukala lapaʻau a me ka hana ʻana i kekahi mau hoʻokolohua.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia maʻi?

Ma hope o ka hoʻomaopopo ʻana i kāu mau hōʻailona, ​​​​hiki i kāu kauka ke kuhikuhi i nā hoʻokolohua e like me kēia e aʻo hou aku:

• Hoʻokolohua Rectal Digital: ʻO kēia ka hoʻokolohua mua i hana ʻia. E hoʻohana ke kauka i kahi manamana lima i uhi ʻia me ka mīkina lima, i lubricated ʻia e nānā i ka rectum. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo o ka nui o ka rectum, ke kumu o ka ʻeha, inā ua prolapsed nā ʻōpū, a pehea ka maikaʻi o ka hana ʻana o nā ʻiʻo. He mea ʻoluʻolu ʻole paha kēia, akā he hoʻokolohua koʻikoʻi loa ia.
• ʻO ka Defecography (X-ray a i ʻole MRI o ka neʻe ʻana o ka ʻōpū): Pili kēia i ka lawe ʻana i nā kiʻi o loko o kou mau neʻe ʻana o ka ʻōpū. E hoʻokomo ke kauka i kahi mea kūikawā (e like me ka barium) i loko o kou rectum. A laila, e noi ʻia ʻoe e hoʻopuka me he mea lā e neʻe ana ʻoe. Hana ʻia kēia ma kahi lumi kiʻi pilikino kūikawā. E nānā ke kauka i kou mau ʻōpū o loko ma kahi pale kamepiula. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke ʻano o kou rectum, ka hana o kou mau ʻiʻo, a me nā mea keakea e ālai ana i kou hele ʻana o ka ʻōpala.
• ʻO Anorectal Manometry: Ke ana kēia hoʻāʻo i ka maikaʻi o ka hana pū ʻana o kou mau ʻiʻo a me nā aʻalolo e kōkua iā ʻoe e hele i ka ʻōpala. Hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) me kahi pōpō liʻiliʻi i hoʻopili ʻia i loko o kou anus, a hoʻopiha ʻia ka pōpō me ka wai mahana. Hoʻopili ʻia kekahi ʻaoʻao o ka ʻōmole i kahi mīkini e ana i ka hana ʻiʻo. Hiki i kēia ke ana i ke kaomi, ka manaʻo, a me ka hoʻonohonoho ʻana o kou anus.

E hopohopo paha ʻoe a hopohopo paha ke lohe ʻoe e pili ana i kēia mau hoʻokolohua. Akā hiki iā lākou ke kōkua nui i ka loaʻa ʻana o ke kumu pololei o kou kūlana. E nīnau i kāu kauka i nā nīnau āu e loaʻa ai.

He aha nā lāʻau lapaʻau no kēia?

He paʻakikī pinepine nā kumu o ODS, me nā kumu he nui e pili pū ana, no laila he holistic a conservative pinepine ka lāʻau lapaʻau.Hana ʻia ia ma kekahi ʻano. He mea paʻakikī ke ho'ōla ʻia kēia me hoʻokahi wale nō ʻoki kino. ʻOiai inā ʻōlelo ʻia ke ʻoki kino, a hoʻoponopono ia i kahi kīnā kino, ʻaʻole ia e hopena i ka ho'ōla piha ʻana. Hiki ke hoʻomau a hoʻi hou paha nā hōʻailona. No ka mea, aia kekahi mau kumu ʻē aʻe e pono e hoʻoponopono ʻia, ʻaʻole paha i ʻike ʻia.

Eia nā mea mua a nā kauka e ʻōlelo ai no nā mea āpau:

• Hoʻohui i ka fiber hou aʻe i kāu meaʻai: Ma kahi o 30-40 grams i kēlā me kēia lā. Nā mea e like me nā legumes, nā mea kanu, nā huaʻai, a me nā palaoa holoʻokoʻa.
• E inu i ka wai hou aku: ʻaʻole iʻoi aku ma mua o 2 lita i ka lā.
• Nā mea palupalu i ka ʻōpala a i ʻole nā ​​​​laxatives , nā enemas home , a me ka irrigation colonic inā pono.
• Hiki i ka Yoga a me nā ʻano hoʻomaha hoʻomaha i alakaʻi ʻia ke kōkua i ka hoʻomaha ʻana i nā ʻiʻo o ka papahele pelvic a hōʻemi i ke kaumaha.

No ka poʻe me nā hōʻailona i hoʻokumu ʻia e ka ʻōnaehana nerve a i ʻole nā ​​​​kumu noʻonoʻo (e pili ana i ʻelua hapakolu o ka poʻe me kēia ʻano i hoʻopilikia ʻia e ia mau kumu):

• ʻO ka lāʻau lapaʻau Biofeedback: He mea pono loa kēia no nā kūlana e like me ka anismus (hiki ʻole ke hoʻomaha i nā ʻiʻo wehe anal) a me ka hana ʻole o ka papahele pelvic. Ma kēia, hōʻike ʻia ka hana a kou kino (e like me nā ʻūlū ʻiʻo) iā ʻoe ma o kahi mīkini. A laila hiki iā ʻoe ke hoʻomaʻamaʻa iā ʻoe iho e kāohi pono i kēlā hana.
• Psychotherapy: Inā pono, e ʻimi i ke kōkua mai ke kauka noʻonoʻo a i ʻole ke kākāʻōlelo. Hiki i kēia ke mālama i nā kūlana e like me ka hopohopo, ke kaumaha, a me ka makaʻu i ka ʻōpala.

No nā pilikia kino (e like me nā pilikia anatomical e like me ka prolapse): Inā ʻaʻole kōkua nā lāʻau ʻē aʻe, hiki i nā kauka ke ʻōlelo aku i ke ʻoki kino. Aia kekahi mau ʻano ʻoki kino e hiki ke hana ʻia:

• ʻO ke colporrhaphy hope no ka rectocele: No ka hoʻihoʻi a hoʻoikaika i ka paia rectal i prolapsed.
• ʻO ka stapled transanal rectal resection (STARR) no ka rectocele a me ka intussusception: He ʻoki kino e hoʻoikaika i ka paia mua o ka rectum.
• Rectopexy: No ka rectal prolapse, hoʻihoʻi ʻia ka rectum i kona kūlana maʻamau a hoʻopaʻa ʻia. I kekahi manawa, hoʻohana ʻia kahi ʻupena no kēia. I kekahi manawa, pono paha e wehe ʻia kekahi ʻāpana o ka colon i ka wā o kēia ʻoki kino.

E hoʻomanaʻo, ʻo ke ʻoki ʻana he koho hope loa ia. E nānā pono kāu kauka i kou kūlana a e ʻōlelo i ka lāʻau lapaʻau kūpono loa iā ʻoe.

He aha ka mea e hiki mai ana no ka poʻe me kēia maʻi?

Hiki i nā lāʻau lapaʻau mālama pono ke kōkua i kahi 30% o ka poʻe e ʻike i kahi lāʻau a i ʻole ka emi ʻana o nā hōʻailona. Pono paha e hoʻomau ʻia nā loli o ke ʻano o ka nohona (ʻai, wai, hoʻoikaika kino) a me nā lāʻau lapaʻau ma ka home (lāʻau lapaʻau, enemas), akā hiki iā lākou ke hāʻawi maoli i ka hōʻoluʻolu.

ʻO nā lāʻau lapaʻau e like me ka biofeedback a me ka psychotherapy e lawe i ka manawa a me ka hoʻolaʻa e hoʻopuka i nā hopena, akā hiki i ko lākou mau pono ke lōʻihi. ʻOkoʻa nā hopena mai ke ʻoki ʻana. ʻIke ʻia he ʻoi aku ka maikaʻi o ke ʻoki ʻana ke hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.

He pilikia ka paʻakikī i ka hele ʻana i ka ʻōpala e pono ai ka nānā koke ʻana. Akā hiki ke paʻakikī ke ʻike i ke kumu o ia mea. E kahaha paha ʻoe i ka nui o nā ʻōnaehana i loko o ko kākou kino - ʻoiai ka lolo - e pili ana i ke kaʻina hana o ka hele ʻana i ka ʻōpala!

ʻO ka mea pōmaikaʻi, hiki i nā lāʻau lapaʻau he nui a nā kauka e ʻōlelo ai no ODS ke kōkua no kekahi me ka paʻa mau ʻana o ka ʻōpū. Hiki iā ʻoe ke hoʻomaka me nā loli o ke ʻano o ka noho ʻana, nā lāʻau lapaʻau home, a me nā therapies i kēia lā. Akā he manaʻo maikaʻi mau ka ʻike ʻana i ke kauka no ka nānā ʻana. Hiki iā ia ke kāpae i nā kūlana olakino ʻē aʻe a i ʻole nā ​​​​pilikia kino e hiki ke kōkua i kou kūlana a mālama pū i kēlā mau mea. A, ma hope o ke aʻo hou ʻana e pili ana i kou kūlana, hiki iā ia ke kamaʻilio me ʻoe e pili ana i kāu hōʻailona.

ʻO ka hope, e hoʻomanaʻo i kēia !

ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai kā mākou i kamaʻilio ai i kēia lā:

• He ʻano paʻakikī iki ka urinary incontinence (UDI) i hiki ke hana ʻia e nā kumu he nui.
• Inā pilikia ʻoe i ka hele ʻana i ka lua, ua maloʻo kou ʻōpū, a manaʻo ʻoe ʻaʻole ʻoe i hele i waho o ka ʻōpala, mai hoʻowahāwahā wale.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai hilahila a makaʻu paha, e ʻike i ke kauka. Inā ʻike ʻoe i ke kumu a loaʻa ka lāʻau kūpono, hiki iā ʻoe ke puka i waho o kēia kūlana.
• Hiki i nā hoʻololi maʻalahi o ke ʻano o ka nohona (nā meaʻai momona kiʻekiʻe, ka wai, ka hoʻoikaika kino) ke hana i kahi ʻokoʻa nui.
• I kekahi manawa, pono paha nā lāʻau lapaʻau kūikawā e like me ka 'Biofeedback' a i ʻole ke ʻoki kino. E aʻo aku kāu kauka iā ʻoe e pili ana i kēia.
• ʻAʻole ʻoe hoʻokahi i kēia pilikia. Nui ka poʻe e ʻeha nei i kēia maʻi. No laila e noho ikaika a e hahai i ka ʻōlelo aʻo a kāu kauka.

Ke makemake nei iā ʻoe i ke olakino maikaʻi!

ʻO ka paʻa ʻana o ka ʻōpū, ka paʻakikī o ka neʻe ʻana i ka ʻōpū, ka maʻi neʻe ʻana i ka ʻōpū, ka maʻi rectal, ka nāwaliwali o ka papahele pelvic, ka maloʻo, ka mālama ʻana i ka ʻōpala