Ua loaʻa paha iā ʻoe kahi puʻupuʻu ʻeha kokoke i kou anus? He 'Peranal Abscess' paha ia!

Ua loaʻa paha iā ʻoe kahi puʻupuʻu ʻeha loa, ʻulaʻula, a pehu a puni kou anus (kahi a mākou e kahe ai)? ʻO kēia ʻano, hiki ke ʻeha loa a hiki ʻole iā ʻoe ke noho a neʻe paha, he mea hoʻonāukiuki maoli ia. I ka hapanui o nā hihia, hiki i kēia ke lilo i ʻano i kapa ʻia ʻo 'Peranal Abscess'. He mea nui paha ka inoa, akā e kamaʻilio maʻalahi kākou e pili ana iā ia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka abscess perianal?

I ka ʻōlelo maʻalahi, he puʻupuʻu piha i ka pus e hana ʻia ana i loko a puni paha o kou anus (perineal area). Ua like ia me kahi pehu nui a i ʻole ka paila ma ko mākou ʻili, akā aia ia ma kahi ʻoi aku ka maʻalahi.

ʻO ko kākou rectum ka ʻāpana hope loa o ka ʻōnaehana hoʻoheheʻe. He ʻōmole ia ma kahi o ʻelua ʻīniha ka lōʻihi. Loaʻa iā ia ʻelua apo o nā ʻiʻo ma loko a ma waho, a mākou e kapa nei he "sphincters". Hoʻomalu kēia mau ʻiʻo i ke kaʻe ʻana o ka ʻōpala. No laila, i loko o kēia rectum he nui nā glands palupalu loa. Hoʻopuka kēia mau glands i nā mea huna e mālama i ka rectum i pulu. Inā paʻa kekahi o kēia mau glands ma kekahi ʻano, loaʻa iā ia ka maʻi bacteria a hoʻomaka ka pus e hōʻiliʻili i loko. ʻO ia ka manawa e hana ai kēia abscess ʻeha.

Ua kapa ʻia kēia ʻano maʻi i kekahi manawa ʻo "Anal Abscess" a i ʻole "Anorectal Abscess." ʻOiai he nui nā inoa, ua like ko lākou manaʻo a pau.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia mau mea? ʻO wai ka mea i ʻoi aku ka pilikia?

ʻO kēia ʻano maʻi, i kapa ʻia ʻo "Peranal Abscess", ka mea maʻamau i nā kāne. He mea maʻamau ia i nā kānaka ma waena o 20 a me 60 mau makahiki. Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau kūlana olakino.

E nānā kākou i ka poʻe i loaʻa i ka pilikia nui?

• Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo Inflammatory Bowel Disease (IBD) (e like me ka maʻi Crohn a i ʻole Ulcerative colitis). He mau maʻi mumū mau kēia e hoʻopilikia ai i nā ʻōpū.
• Inā loaʻa iā ʻoe ka maʻi diabetes ).
• Inā loaʻa iā ʻoe kahi kūlana kahi e hana ai nā ʻeke liʻiliʻi i loko o nā ʻōpū, e like me diverticulitis, a lilo lākou i maʻi.
• Inā loaʻa iā ʻoe kahi maʻi e hoʻonāwaliwali ai i ka ʻōnaehana pale, e like me ka HIV/AIDS.
• Hiki ke hoʻonui ʻia kēia pilikia e kekahi mau maʻi i laha ma ke moekolohe (STI).

Ma waho aʻe o kēia, aia kekahi mau kumu pilikia ʻē aʻe:

• Inā he makuahine hāpai ʻoe.
• Inā he mea puhi paka ʻoe.
• Inā ʻoe e lawe nei i nā lāʻau steroid e like me Prednisone, nā lāʻau lapaʻau maʻi kanesa, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe e hoʻopau i kāu ʻōnaehana pale.
• Inā loaʻa pinepine iā ʻoe ka maʻi pākīkī a i ʻole ka paʻa ʻana o ka ʻōpū.
• I kekahi manawa, hiki ke hana ʻia kēia ʻano ʻeha a me nā maʻi ma muli o ke komo ʻana o kekahi mau mea i loko o ka anus (no ka laʻana, i ka wā o ka moekolohe).

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He aha nā hōʻailona? Pehea ʻoe e ʻike ai?

ʻO ka hōʻailona maʻamau i ʻike ʻia,He puʻupuʻu a puʻupuʻu paha e lilo i ʻulaʻula, pehu, a ʻeha ke pā kokoke i ka anus. Me he puʻupuʻu nui lā. I kekahi manawa hiki ke lilo i ʻeha ʻūlū. Hiki ke ʻoi aku ka ʻino o kēia ʻeha ke noho ʻoe, kunu, a kahe paha. E noʻonoʻo, hiki ke ʻeha loa kēia a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā.

Hiki paha ke loaʻa nā hōʻailona ʻē aʻe:

• He wai e like me ka pea e kahe ana mai loko mai o ka anus.
• ʻEha nui i loko a i ʻole a puni ka rectum.
• He puʻupuʻu ʻulaʻula, pehu, ʻeha a pehu paha.
• Ka paʻa ʻana a i ʻole ka ʻeha i ka wā o ka neʻe ʻana o ka ʻōpū.
• ʻO ka ʻoluʻolu ʻole e like me ka mumū a me ka maneʻo o ka ʻili a puni ka anus.
• I kekahi manawa puka mai ke koko liʻiliʻi me ka ʻōpala (Rectal bleeding).
• ʻEha o ka ʻōpū haʻahaʻa.

Ma muli o ka loaʻa ʻana o kahi maʻi i loko o kēia ʻōpū, hiki i kekahi poʻe ke loaʻa nā hōʻailona like me ka maʻi palū, e like me ke kuni, ka ʻūlū, a me ka ʻeha o ke kino .

No ke aha e like ai ke ʻano o kahi abscess me kēia? He aha nā kumu?

ʻO ka hapa nui o ka manawa, ʻo ke kumu nui o ka hoʻokumu ʻia ʻana o kēia (Parianal Abscess) ʻo ia ka paʻa ʻana o kekahi o nā kelepa palupalu i loko o ka anus aʻu i ʻōlelo ai ma mua. Ke paʻa kēia mau kelepa, hoʻopaʻa ʻia nā bacteria a i ʻole nā ​​​​germs mai ka ʻōpala i loko o lākou, e hana ana i kahi maʻi. ʻO ia ka manawa e hōʻiliʻili ai ka pus a hana ʻia kēia abscess.

Aia paha he mau kumu ʻē aʻe:

• Ka maʻi o kahi māwae anal.
• ʻO kēlā me kēia ʻeha i ka ʻāpana anal (no ka laʻana, i ka wā o ka moekolohe anal).
• Nā maʻi i laha ma ke moekolohe (STIs).
• Nā maʻi ʻōpū ʻē aʻe.
• I kekahi manawa, hiki ke loaʻa kahi ʻano e like me kēia ma muli o kahi maʻi o kahi "Epidermoid cyst" (ʻo kēia ka maʻamau he puʻupuʻu i hana ʻia ma muli o ke ālai ʻana o nā ʻōmole ʻaila i loko o ka ʻili) i loko o ka ʻili a puni ka anus. Eia nō naʻe, ʻoi aku ka liʻiliʻi o ka ʻeha ma mua o kahi "Parianal Abscess" maʻamau a he emi iho nā hōʻailona e like me ke kuni.
• ʻO ka Hidradenitis Suppurativa kahi maʻi ʻili mau loa e hoʻoulu ai i nā paila ʻeha a me nā abscesses e hoʻi hou ana i loko o nā kelepa hou o nā armpits, groin, a puni ka anus, a ma lalo o nā umauma.

Pehea e ʻike pololei ai ke kauka i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka. ʻO ka maʻamau, e nānā ke kauka iā ʻoe.

Hiki ke ʻike pinepine ʻia kēia ma o ka hoʻokolokolo rectal . E kau ke kauka i nā mīkina lima, e kau i kahi lubricant, a hoʻokomo i kahi manamana lima i loko o ka rectum e nānā i nā mea ʻē. I kekahi manawa, hiki ke hoʻohana ʻia kahi mea i kapa ʻia he speculum e nānā i loko o ka rectum.

Inā ʻike ʻia ka ʻōpū mai waho mai, hiki paha i ke kauka ke ʻike iā ia me ka ʻole o nā mea hana. Eia nō naʻe, hiki ke loaʻa kekahi mau ʻōpū ma kahi hohonu ma mua o ka ʻili o ka ʻili.

Inā he kānalua no ia ʻano puka hohonu, hiki i ke kauka ke hana i kahi hoʻāʻo i kapa ʻia ʻo "Proctosigmoidoscopy". Ma kēia hoʻāʻo, hoʻokomo ʻia kahi ʻōmole lahilahi i loko o ka rectum. Ma ka hopena o ka ʻōmole he kāmela liʻiliʻi a me ke kukui. Eia kekahi, i kekahi manawa pono paha nā hoʻāʻo e like me "CT scan", "MRI" a i ʻole "Ultrasound" e hoʻoholo ai i ka nui a me kahi o ka puka.

Hana ʻia kēia mau hoʻokolohua e hōʻoia inā he "Parianal Abscess" kēia a i ʻole kekahi maʻi koʻikoʻi e like me ke kanesa rectal.

Pehea e mālama ʻia ai?

ʻO ke ʻano nui o ka lāʻau lapaʻau no kēia, ʻo ia ka wehe ʻana i ka ʻōpū a hoʻokahe i ka pus (drainage). Pono e hana ʻia kēia e ke kauka.

ʻO ka mea nui loa: Mai ho'āʻo e hoʻopā a ʻomi paha i kahi paila e like me kēia iā ʻoe iho! ʻO ka hana ʻana pēlā e hoʻolaha i ka maʻi a hoʻonui i ke kūlana.

Nui ka poʻe e ʻike i ka hōʻoluʻolu nui o ka ʻeha ma hope o ka hoʻokahe ʻana i kēia pus.

ʻO ka maʻamau, hiki i ke kauka ke wehe i kēia pus i loko o kona keʻena (OPD) ma ka hāʻawi ʻana i kahi mea hoʻomānoino, e hana ana i kahi ʻoki liʻiliʻi me ka scalpel a i ʻole ka nila.

Eia nō naʻe, inā nui a hohonu loa paha ka abscess, pono paha ʻoe e hana i kēia ʻoki ma kahi haukapila ma lalo o ka anesthesia laulā.

I kekahi manawa, ma muli o ka wahi a me ke koʻikoʻi o ka puka, hiki ke kau ʻia kahi paipu liʻiliʻi (catheter) i loko o ka puka e ʻae i kekahi pus e kahe. ʻO ka hapa nui o ka manawa, ʻaʻole pono nā humuhumu, hoʻopili wale ʻia ka lāʻau lapaʻau a me kahi bandage.

Ma hope o ke ʻoki ʻana, hiki i kāu kauka ke haʻi iā ʻoe e hana i kēia mau mea:

• E lawe i kahi "ʻauʻau sitz" i nā manawa he nui i ka lā. ʻO ke ʻano kēia e noho ana i loko o kahi ʻauʻau wai mehana me kou anus a me ka wahi genital i hoʻoluʻu ʻia i loko o ka wai mehana. E hōʻemi kēia i ka ʻeha a me ka pehu, a kōkua i ka ʻeha e ola wikiwiki.
• Hiki ke hāʻawi ʻia nā lāʻau antibiotic e kāohi i ka maʻi, a i ʻole inā nāwaliwali ka ʻōnaehana pale o ke kanaka.
• Hiki ke hāʻawi ʻia nā laxatives a i ʻole nā ​​​​mea hoʻomālielie ʻōpala e hōʻemi i ka ʻeha i ka wā o ka neʻe ʻana o ka ʻōpū.
• I mea e hōʻemi ai i ka ʻeha, e noi ʻia paha ʻoe e lawe i nā lāʻau ʻeha mau a i ʻole nā ​​lāʻau ʻeha ikaika aʻe paha i kuhikuhi ʻia e ke kauka.

Hiki ke hoʻomaha ʻia kēia maʻi ma ka home?

I kekahi mau hihia o ka (Peranal Abscess) liʻiliʻi, hiki i nā ʻūpā mahana a me ka (Sitz bath) ke hāʻawi i kahi hōʻoluʻolu ma ka home. Eia nō naʻe, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka a noi i kāna ʻōlelo aʻo. No ka mea, i kekahi mau hihia, hiki i ke kauka ke hoʻoholo he mea pono e wehe i ka pus ma o ke ʻoki ʻana. Inā pahū ka paila ma kona iho me ka ʻole o ke aʻo ʻana a ke kauka, aia kahi pilikia o ka hoʻolaha ʻana i ka maʻi.

ʻEhia ka lōʻihi e hoʻōla ai?

ʻO ka maʻamau, ʻekolu a ʻehā pule ka lōʻihi o ka ho'ōla piha ʻana o ka ʻōpū perianal ma hope o ka hoʻokahe ʻia ʻana o ka pus. Eia nō naʻe, e like me ka American Society of Colon and Rectal Surgeons, ma kahi o ka hapalua o ka poʻe i loaʻa i ka ʻōpū e loaʻa i kahi anal fistula (kahi tunnel i loaʻa i ka maʻi ma waena o ka anus a me ka rectum).

Pono ʻoe e hoʻopau i kēia nati?

ʻAʻole, mai hana i kēlā. ʻO ka hana ʻana pēlā e hoʻolaha i ka maʻi a hoʻonui paha i ka ʻeha. ʻOi aku ka palekana o ka hoʻomaʻemaʻe ʻia ʻana e ke kauka.

He aha kāu e hana ai inā pahū koke kēia ʻōpū?

Inā pahū ka ʻōpū ma kona iho, e hoʻāʻo e mālama i ka wahi i maʻemaʻe loa. E holoi maikaʻi me ke kopa a me ka wai a uhi iā ia me kahi kāʻei maʻemaʻe. Eia nō naʻe, hiki ke loaʻa ka maʻi, a i ʻole e lilo i maʻi. No laila e kali i kekahi mau lā a ʻike inā e ho'ōla pono ʻia. E hōʻoia e ʻike i ke kauka no ka ʻōlelo aʻo.

Pehea e hiki ai iaʻu ke pale aku i kona hoʻi hou ʻana mai?

Hiki iā ʻoe ke hana i kēia mau mea e pale ai i kēia ʻano abscess mai ka hoʻi hou ʻana:

• Inā loaʻa iā ʻoe nā kūlana e hoʻonui ai i kou pilikia no kēia kūlana, e like me ka maʻi diabetes a i ʻole ka maʻi ʻōpū mumū, e kaohi pono iā lākou.
• E mālama mau i kou anus a me kou wahi genital maʻemaʻe. E hahai i nā hana hoʻomaʻemaʻe maikaʻi.
• ʻO ka hoʻohana ʻana i ka condom i ka wā o ka moe anal hiki ke pale i ka laha ʻana o nā STI (nā maʻi i hoʻouna ʻia ma ke moekolohe) a me ka bacteria.

ʻAʻole paha e hoʻopau loa kekahi mau maʻi olakino (e laʻa me IBD) i kēia pilikia. Eia nō naʻe, he mea nui e loaʻa ka lāʻau kūpono no kēlā mau maʻi a e hoʻomaopopo he hiki iā lākou ke hana i kēia ʻano ʻōpū.

He kūlana koʻikoʻi anei kēia?

ʻAʻole maʻamau ka ʻōpū perianal i mea koʻikoʻi a hiki ke mālama ʻia a ho'ōla ʻia. Eia nō naʻe, inā e ʻoi aʻe kou mau hōʻailona a ʻaʻole hoʻi e hoʻomaikaʻi ma hope o ka mālama ʻana, e hōʻoia e hoʻomaopopo i kāu kauka.

He aha nā pilikia e hiki mai ana?

Hoʻomaʻamaʻa pinepine ʻia ka lāʻau lapaʻau. Eia nō naʻe, i nā hihia kakaikahi, hiki ke loaʻa kekahi mau pilikia:

• ʻO ka fistula anal (kahi tunnel i loaʻa i ka maʻi ma waena o ka anus a me ka vagina).
• Ka hoʻokumu hou ʻia ʻana o ka abscess.
• Ka laha ʻana o ka maʻi a i ʻole "Sepsis" (kahi maʻi koʻikoʻi e hoʻoweliweli ana i ke ola).
• ʻO ka gangrene o Fournier (kahi maʻi bacteria koʻikoʻi loa e pālahalaha ana i nā ʻiʻo a puni ka anus a me nā genitals - he mea laha ʻole kēia).

Āhea wau e ʻike ai i ke kauka?

Hiki i kahi abscess anal ke alakaʻi i nā pilikia inā ʻaʻole mālama ʻia. E ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻEha nui a me ke kaumaha.
• Ke kahe koko ʻana o ka rectal.
• Kuni a me ke anu.
• ʻO ka pehu a puni ka anus.

He aha ka ʻokoʻa ma waena o ka hemorrhoids a me ka abscess?

Hiki i kekahi poʻe ke huikau i kēia mau mea ʻelua no ka mea he ʻoluʻolu ʻole lāua ʻelua i loko o ka anus. Eia nō naʻe, aia kahi ʻokoʻa ma waena o nā mea ʻelua.

• ʻO nā hemorrhoids he mau kīʻaha koko pehu e hana ʻia ana i loko a i waho paha o ka anus. Manaʻo lākou e like me nā puʻupuʻu. Hiki iā lākou ke hoʻoulu i ka ʻoluʻolu ʻole, ka maneʻo, a i kekahi manawa ke kahe koko. Eia nō naʻe, ʻaʻole he maʻi nā hemorrhoids. I ka hapanui o nā hihia, hiki ke ho'ōla ʻia nā hemorrhoids me nā kirīmi ma luna o ke kauka a i ʻole e lākou iho.
• He puʻupuʻu piha i ka pus ka abscess i hoʻokumu ʻia e kahi maʻi. ʻOi aku ka ʻeha a ʻoi aku ka nui ma mua o ka hemorrhoid. ʻOiai he paʻakikī iki ka hemorrhoid ke hoʻopā ʻoe iā ia, he mahana, palupalu, a ʻeha ka abscess ke hoʻopā ʻoe iā ia. Eia kekahi, hiki i ka abscess ke hana i nā hōʻailona e like me ke kuni a me ke anuanu, ʻaʻole hiki i nā hemorrhoids.

I ka ʻōlelo maʻalahi, ʻoiai he mea hoʻonāukiuki nā hemorrhoids, ʻo ka abscess kahi kūlana e pono ai ka nānā hou aku a me ka mālama ʻana.

ʻO ka hope loa (Leka Lawe-Home)

He ʻike hoʻoluhi a ʻeha loa ka ʻōpū perianal. Eia naʻe, ʻo ka mea maikaʻi loa, he maʻi ia e hiki ke mālama ʻia . ʻOiai hiki i kekahi mau maʻi ke hoʻonui i kou pilikia, he mea nui e makaʻala i ia mea a hana i nā hana e pono ai.

Inā he puʻupuʻu, pehu, a ʻeha paha e like me kēia ma kou anus, mai hoʻowahāwahā iā ia. ʻOi loa aku inā hele pū ʻia me nā hōʻailona e like me ke kuni a me ke anu, pono ʻoe e ʻike i ke kauka. I ka hapanui o nā hihia, e loaʻa iā ʻoe ka hōʻoluʻolu nui ke hoʻokahe kāu kauka i ka pus mai ka puka. E hoʻomanaʻo, mai ho'āʻo e pohā a pohā paha i kēia mau mea iā ʻoe iho!

Ke makemake nei iā ʻoe i ke olakino maikaʻi!

ʻO ka māwae anal, ka ʻōpū anal, ka ʻōpū pus, ka ʻōpū perianal, ka ʻōpū anal, nā maʻi rectal, nā hemorrhoids