Loaʻa iā ʻoe kekahi ʻeha koke a koʻikoʻi i loko o kou anus? E kamaʻilio kākou e pili ana iā Proctalgia Fugax!

Ua hana paha ʻoe i kāu hana a hiamoe paha me ka leo nui i ka wā i manaʻo koke ai ʻoe i kahi ʻeha ʻoi hiki ʻole ke hoʻomanawanui ʻia ma kou anus (kahi e puka mai ai ka ʻōpala)? Hele mai ia a nalo i loko o kekahi mau minuke, me he mea lā ʻaʻohe mea i hana ʻia. ʻAʻole kēia wale nō iā ʻoe, he ʻeha maʻamau ia e ʻike ai ka poʻe he nui. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia (Proctalgia Fugax) . ʻOiai ke kani ʻē paha ka inoa, he mea nui loa ia e makaʻala i ia mea.

He aha kēia (Proctalgia Fugax)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo Proctalgia Fugax kahi ʻeha nui ma ka anus e hoʻomaka koke a laila nalo wale i loko o kahi manawa pōkole (ʻaʻole iʻoi aku ma mua o 30 mau minuke). ʻAʻole ia he hanana hoʻokahi manawa. Hiki i kekahi poʻe ke ʻike i kēia ʻeha i kēlā me kēia mau pule a i ʻole nā ​​​​mahina.

E nānā kākou i ke ʻano o kēia inoa?

• ʻO ke ʻano o ka huaʻōlelo proctalgia he "ʻeha ma ka rectum a i ʻole rectum." ʻO ka rectum ka inoa i hāʻawi ʻia i nā ʻīniha ʻeono hope loa o kou ʻōpū nui. Aia ia ma luna pono o ka anus. ʻO ka rectum nā ʻīniha hope loa o kou ʻōnaehana digestive (Gastrointestinal Tract - GI Tract) . Maanei kahi e loaʻa ai nā ʻiʻo sphincter , ka mea e hoʻopaʻa ai i ka wā e pono ai ʻoe e neʻe i ka ʻōpū. No laila, pili kēia ʻeha i nā aʻalolo a me nā ʻiʻo ma kēia wahi.
• He huaʻōlelo Latina ʻo Fugax ʻo ia hoʻi "wikiwiki" a i ʻole "nalowale koke."

ʻO ka mea nui, ʻaʻole kēia ʻeha e hōʻino i nā ʻiʻo i ka ʻiʻo rectal. Eia nō naʻe, hiki i ka ʻeha ke koʻikoʻi loa a hiki ke hoʻoluhi ʻole ʻia a hiki ʻole iā ʻoe ke hele i ke kula a i ʻole ka hana a noho ma ka home.

Pehea ka maʻamau o kēia maʻi (Proctalgia Fugax)?

ʻOi aku ka maʻamau ma mua o kou manaʻo. Ua manaʻo nā kānaka noiʻi ma kahi o 18 o 100 mau kānaka (a i ʻole 18%) o ka heluna kanaka e ʻike i kēia ʻano i kekahi manawa o ko lākou ola. Akā, ʻo ka mea kaumaha, ʻo kahi o 20 wale nō o 100 (a i ʻole 20%) o kēia poʻe e ʻike i ke kauka e pili ana i ko lākou ʻeha. Malia paha no ka mea ua hilahila loa lākou e kamaʻilio e pili ana i kahi mea e like me kēia, nui ka poʻe e ʻeha nei me ka leo ʻole.

He aha nā hōʻailona o (Proctalgia Fugax)?

ʻO ka hōʻailona nui a ʻo ia wale nō paha o kēia maʻi, ʻo ia ka ʻeha ma ka rectum. Hōʻike pū ia iā ia iho ma nā ʻano penei:

• Pōkole: ʻO ka maʻamau, ʻaʻole iʻoi aku ma mua o 30 mau minuke ka ʻeha. I kekahi manawa hiki ke nalo i loko o kekahi mau kekona wale nō.
• ʻOkoʻa ke alapine (frequency) o ka hanana: No kekahi poʻe, hiki ke hana ʻia i hoʻokahi manawa a ʻelua paha i ka makahiki, a no kekahi poʻe, hiki ke hana ʻia kēia ʻeha i nā manawa he nui i ka mahina.
• ʻAno o ka ʻeha:
• Ua manaʻo pinepine ʻia he ʻeha ʻoi a hou, ʻaʻole he ʻeha palupalu, ʻūmiʻi a i ʻole he ʻeha ʻūmiʻi e like me ka ʻeha ʻōpū.
• Ua like ka ʻeha me he mea lā e puka mai ana mai loko mai a kokoke paha i ka anus. ʻAʻole ia e puka mai ana mai luna mai, e like me loko o ke kino.
• Hoʻomaka me ke kumu ʻole: ʻO ka hapa nui o ka manawa, ʻaʻohe kumu kikoʻī no kēia ʻeha. Hoʻomaka koke ia. Eia nō naʻe, no kekahi poʻe, hiki ke hoʻonui ʻia e kekahi mau mea (e kamaʻilio mākou e pili ana i kēlā ma hope).
• Ao a pō paha: Hiki ke loaʻa kēia ʻeha i kēlā me kēia manawa o ka lā. I kekahi manawa, hiki iā ia ke hoʻāla iā ʻoe mai kahi hiamoe hohonu .

ʻO ka ʻoiaʻiʻo, ua nui loa ka ʻeha a paʻakikī i kekahi poʻe ke hana i kekahi mea ʻē aʻe i ka manawa. No ke keiki e hele ana i ke kula a i ʻole ke kanaka e hana ana, hiki i kēia ke kumu e poina ai lākou i kā lākou mau hana o kēlā me kēia lā.

(Proctalgia Fugax) Pehea ke ʻano o ka ʻeha?

Wahi a kekahi poʻe i ʻike i kēia ʻeha , ua like ia me ka lio Charley, he ʻeha nui ma ka anus . Ke loaʻa ka ʻeha, ua ikaika loa ia a ʻaʻole hiki iā ʻoe ke noʻonoʻo i kekahi mea ʻē aʻe. I kēlā manawa, manaʻo paha ʻoe ʻaʻole e pau kēia ʻeha. Akā ʻo ka mea nui loa , ʻoiai ke ʻano o kēia ʻeha, pau mau ia ma hope o kekahi manawa .

He aha nā kumu o (Proctalgia Fugax)?

ʻAʻohe kumu hoʻokahi i loaʻa, akā manaʻo nā kauka a me nā mea noiʻi he nui nā kumu e hiki ke kōkua i kēia:

• ʻO ke kuʻi ʻana o nā ʻiʻo: Hiki ke hana ʻia kēia ʻeha e ka paʻa koke ʻana (contraction) o nā ʻiʻo sphincter anal a i ʻole nā ​​ʻiʻo ʻē aʻe i loko o kou papahele pelvic. Manaʻo ia e like me ka ʻūlū ʻana o kahi ʻiʻo i kou wāwae.
• Nā pilikia aʻalolo: ʻO ke aʻalolo pudendal ke aʻalolo nui e lawe i nā manaʻo mai kou wahi pelvic i kou lolo. Inā ua hōʻino ʻia kēia aʻalolo ma kekahi ʻano a inā paha he loli i kāna hana (i kapa ʻia ʻo pudendal neuralgia) , hiki ke loaʻa ka proctalgia fugax.

Hiki nō hoʻi ke hana ʻia ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau i hana ʻia ma ka ʻāpana pelvic. Eia kekahi laʻana:

• ʻO ka Sclerotherapy no nā hemorrhoids kahi lāʻau lapaʻau e pili ana i ka hoʻokomo ʻana i kahi kemika i loko o nā hemorrhoids e hoʻēmi iā lākou.
• ʻO ka hysterectomy vaginal .

Ua ʻike ʻia hoʻi ua pili ka Proctalgia fugax me kekahi mau maʻi ʻē aʻe. ʻOi aku ka nui o kou loaʻa ʻana o ka Proctalgia fugax inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• ʻO ka maʻi ʻōpū huhū (IBS): He maʻi kēia o nā ʻōpū. ʻO nā hōʻailona e komo pū me ka pehu ʻana, ka ʻeha o ka ʻōpū, ka paʻa ʻana o ka ʻōpū, a i ʻole ka maʻi kahe.
• Nā maʻi hopohopo: Nā kūlana noʻonoʻo e like me ka hopohopo nui a me ka makaʻu.

Aia kekahi mau mea hoʻonāukiuki e hoʻonui ai i ka ʻeha o (Proctalgia Fugax)?

ʻO ka hapa nui o ka manawa, ʻaʻohe kumu kikoʻī o ka ʻeha Proctalgia Fugax. Hoʻomaka koke ka ʻeha. Eia nō naʻe, ʻike paha kekahi poʻe ua hoʻoulu ʻia a hoʻonui ʻia paha ka ʻeha e kēia mau mea:

• Kaumaha: Nā mea e like me ke kaomi nui a me ka hopohopo.
• Moe kolohe.
• Ka Māʻi / Nā Wā.
• Ke neʻe ʻana o ka ʻōpū / Pooping.

ʻO wai ka mea i pilikia nui no kēia?

ʻO ka Proctalgia fugax kahi maʻi i ʻoi aku ka maʻamau i nā wahine ma mua o nā kāne. Loaʻa iā ia kahi pilina pili i ka makahiki. ʻO ka mea maʻamau, ʻike ʻia ia i nā pākeke ma waena o 30 a me 60 mau makahiki.

Pehea e ʻike ai (Proctalgia Fugax)?

ʻAʻohe hoʻāʻo kikoʻī e ʻike ai iā Proctalgia Fugax. Hoʻomaopopo nā kauka iā ia me ka hoʻohana ʻana i kahi ʻano i kapa ʻia ʻo 'Diagnosis of exclusion' . ʻO ia hoʻi, e hoʻoholo ke kauka he Proctalgia Fugax kou ma hope o ka hōʻoia ʻana ua kāpae ʻia nā kumu maʻamau ʻē aʻe o ka ʻeha rectal (no ka laʻana, hemorrhoids, anal fissures) ma muli o kāu mau hōʻailona.

No laila, ke hele ʻoe e ʻike i ke kauka, he mea nui e maopopo e pili ana i kāu mau hōʻailona. Hiki ke lilo i mea hilahila iki ke kamaʻilio ʻana e pili ana i ka ʻeha anal. Ua aʻo ʻia mākou mai ko mākou wā kamaliʻi ʻana he mea hilahila a hoʻohilahila ka 'kamaʻilio ʻana ma ka puʻupuʻu' (e pili ana i ka defecation, ka hoʻokuʻu ʻana i ke kinoea, ka anus).

Akā e hoʻomanaʻo, ʻaʻole ia he manaʻo maikaʻi ʻole ke kamaʻilio me kāu kauka e pili ana i kou olakino, me ka ʻeha o ka rectum. ʻAʻohe mea e hilahila ai. ʻO ka ʻike āu e hāʻawi ai e kōkua wale i kāu kauka e hōʻea i kahi hōʻailona a me kahi hopena e hiki ai ke hāʻawi koke iā ʻoe i ka hōʻoluʻolu.

E nīnau paha ke kauka iā ʻoe i nā mea e like me:

• Pehea ke ʻano o ka ʻeha? (e.g., he ʻoi anei, he ʻūlū, he hou?)
• Pehea ka lōʻihi o ka ʻeha?
• ʻEhia pinepine ka loaʻa ʻana o kēia ʻeha? (ʻEhia mau manawa i ka lā? I kēlā me kēia pule? I kēlā me kēia mahina?)
• Ua ʻike anei ʻoe i kekahi mau mea hoʻonāukiuki e hoʻonui ai i ka ʻeha? (e laʻa me nā meaʻai, ke kaumaha, kekahi mau hana)

Nā hoʻokolohua diagnostics

ʻOiai ʻaʻohe hoʻāʻo kikoʻī no Proctalgia Fugax, hiki i kāu kauka ke kauoha i kekahi mau hoʻāʻo e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kou ʻeha rectal. Hiki i kēia mau mea ke komo pū me:

• Nā hoʻāʻo koko
• Hoʻokolohua rectal kikohoʻe
• Hoʻokolokolo Pelvic (ʻoi aku hoʻi no nā wahine)
• Kolonoskopi
• Ka nānā ʻana i ka ʻāpana haʻahaʻa wale nō o ka kolona (Flexible sigmoidoscopy)
• Ke hoʻāʻo ʻana i ka hana o nā ʻiʻo papahele pelvic(Hoʻāʻo papahele pelvic)

Pehea e mālama ʻia ai ʻo Proctalgia Fugax?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no kēia. Akā, ʻaʻohe lāʻau lapaʻau i kēia manawa . ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ke kāohi i nā hōʻailona, ​​​​​​e pale aku i nā mea hoʻoulu i ʻike ʻia, a hoʻēmi i ka ʻeha i ka wā e hiki mai ai.

Ma muli o ke koʻikoʻi o kāu mau hōʻailona, ​​​​hiki paha iā ʻoe ke hoʻokele i kēia ma ka home, a i ʻole pono ʻoe i nā lāʻau lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

Nā lāʻau lapaʻau home

Hiki iā ʻoe ke hoʻāʻo i kēia mau mea ma ka home e loaʻa ai ka hōʻoluʻolu ke hiki mai ka ʻeha:

• Nā ʻūmiʻi wela a anu paha: Hiki iā ʻoe ke kau i kahi pale hoʻomehana (no kahi o 15-20 mau minuke) a i ʻole kahi ʻeke hau (i wahī ʻia i kahi lole lahilahi) i ka wahi ʻeha.
• ʻAuʻau wai wela: Hiki iā ʻoe ke ʻauʻau i loko o ka ʻauʻau mehana no 15-20 mau minuke a i ʻole e ʻauʻau sitz . ʻO ka ʻauʻau sitz e pili ana i ka noho ʻana i loko o kahi kīʻaha pāpaʻu o ka wai mehana (ʻaʻole wela, akā mehana) me kou ʻōpū i piholo i ka wai.
• Nā lāʻau ʻeha maʻamau: Hiki ke hoʻohana ʻia nā lāʻau ʻeha Over-the-Counter (OTC) (e.g. paracetamol, ibuprofen) me ke kauoha ʻole mai kahi hale kūʻai lāʻau lapaʻau. Eia nō naʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka ma mua o ka lawe ʻana iā lākou.
• Nā ʻano hana hoʻomaha: E hoʻāʻo i nā ʻano hana hoʻomaha e like me ka noʻonoʻo ʻana, ka yoga, a me nā hoʻomaʻamaʻa hanu hohonu . Hiki i kēia ke kōkua i ka hōʻemi ʻana i ke kaumaha a hoʻomaha i nā ʻiʻo.

Nā lāʻau lapaʻau i loaʻa mai ke kauka (Nā kauoha a me nā lāʻau lapaʻau ma ke keʻena)

Inā ʻaʻole hāʻawi nā lāʻau lapaʻau home i ka hōʻoluʻolu, a inā mau ka ʻeha, pono ʻoe e ʻike i ke kauka. Hiki iā lākou ke ʻōlelo i nā lāʻau lapaʻau e like me:

• Nā lāʻau lapaʻau topical: Aia kekahi mau lāʻau lapaʻau i hoʻopili ʻia i ka rectum. No ka laʻana, ka nitroglycerin poni . Hoʻomaha kēia i nā ʻiʻo i loko o ka rectum a hōʻemi i ka ʻeha.
• Nā inikini Botox: Hoʻohana ʻia nā inikini Botox i kekahi manawa e hoʻomaha ai i ka ʻiʻo sphincter anal.
• Hoʻoulu uila: Pili kēia i ka hoʻohana ʻana i kahi hāmeʻa kūikawā (probe) e hoʻopuka i nā hōʻailona uila e hōʻoluʻolu i nā ʻūlū ʻiʻo i loko o ka rectum.
• Ka hoʻōla kino ʻana o ka papahele pelvic me ka biofeedback:He ʻano lapaʻau kūikawā kēia. Aʻo aku kekahi mea hoʻōla kino iā ʻoe e ʻike, kāohi, a hoʻomaha i kou mau ʻiʻo papahele pelvic. Ma kahi ʻano hana i kapa ʻia ʻo biofeedback, hoʻomaopopo ʻia ʻoe i nā manaʻo i loko o kou kino (no ka laʻana, pehea ka paʻa o kou mau ʻiʻo). A laila hiki iā ʻoe ke aʻo e ʻike i ka wā e paʻa ai kou mau ʻiʻo rectal a hoʻomaha iā lākou.
• ʻŌlelo aʻoaʻo a lāʻau lapaʻau paha: Inā manaʻo ʻoe e pili ana kou ʻeha i ke kaumaha a i ʻole ka hopohopo, hiki i ka ʻimi ʻana i ke aʻo ʻana ke hāʻawi i ka hōʻoluʻolu.

He aha ke ʻano o ka wā e hiki mai ana e hiki i kekahi me Proctalgia Fugax ke manaʻo?

Ma kēia kūlana, ʻaʻole hiki i nā kānaka a pau ke manaʻo i nā hopena like. ʻO kekahi poʻe e ʻike wale i ka ʻeha i kekahi mau manawa i ko lākou ola a ʻaʻole pono e hana hou me ia. No kekahi poʻe, hiki i ka ʻeha ke mau a hoʻopilikia i nā hana o kēlā me kēia lā.

E hilinaʻi kou ʻike i ke koʻikoʻi o ka ʻeha a me ka pinepine o kona loaʻa ʻana. ʻO ka mea nui loa, ʻo ia ke hana pū me kāu kauka e loaʻa ai ka lāʻau lapaʻau āu e pono ai. A i ʻole, he manaʻo maikaʻi e mālama i nā mea e like me nā gels topical e hāʻawi i ka hōʻoluʻolu wikiwiki i ka wā e pā mai ai ka ʻeha.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha ʻeha mau, hoʻomau, a koʻikoʻi paha ma ka ʻāʻī, e ʻike pono i ke kauka . Mai hoʻopaneʻe i ka loaʻa ʻana o kahi hōʻailona a lāʻau lapaʻau paha no ka mea ua hilahila ʻoe a manaʻo paha "e nalo koke kēia." ʻO ka wikiwiki o kou ʻimi ʻana i ke aʻo lapaʻau, ʻo ka wikiwiki o kou ʻoluʻolu.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke kipa aku ʻoe i ke kauka, mai kānalua e nīnau i nā nīnau e pili ana i kou noʻonoʻo. Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha nā hoʻokolohua e pono iaʻu e hana e ʻike pono ai i koʻu kūlana?
• He aha ke kumu kūpono loa o koʻu ʻeha rectal?
• He aha nā lāʻau lapaʻau āu e paipai mai ai iaʻu?
• He aha nā mea hiki iaʻu ke hana ma ka home?
• He aha kaʻu e hana ai e mākaukau ai no kēia ʻano ʻeha i ka wā e hiki mai ana?
• Pono anei iaʻu e hana i kekahi mau hoʻololi i ke ʻano o ka nohona e hōʻemi ai i kēia ʻeha?

He aha ka ʻokoʻa ma waena o (Proctalgia Fugax) a me (Chronic Proctalgia / Levator Ani Syndrome)?

ʻOiai ʻelua mau ʻeha ma ka rectum, aia kekahi mau ʻokoʻa. ʻO ka "fugax" ma ka inoa (Proctalgia Fugax) mai ka huaʻōlelo "fugax" ʻo ia hoʻi "pōkole ke ola." ʻO ke ʻano kēia, he manawa pōkole ka ʻeha (ʻaʻole i ʻoi aku ma mua o 30 mau minuke).

Eia nō naʻe, inā ʻoi aku ka lōʻihi o kou ʻeha ma mua o 30 mau minuke, a inā ʻoe e ʻike pinepine a emi pinepine paha i ka lā, loaʻa paha iā ʻoe ka proctalgia mau . Ua kapa ʻia kēia he levator ani syndrome . He ʻiʻo koʻikoʻi kou levator ani i loko o kou papahele pelvic. I ka levator ani syndrome, hoʻomaka ka ʻeha ma kēia ʻiʻo.

ʻAʻole e like me Proctalgia Fugax, ʻike ʻia ka maʻi Levator ani e ka ʻeha i ʻike ʻia ma luna o ka pelvis, ʻaʻole kokoke i ka anus. Hiki ke palupalu, ʻeha, a kaumaha paha ma mua o ka ʻoi. Eia kekahi, ʻoi aku ka ʻino o ka ʻeha i ka wā e noho ana. Ma Proctalgia Fugax, ʻaʻole i hoʻopilikia nui ʻia ka ʻeha e ke kūlana o ke kino.

ʻO kēlā me kēia ʻano ʻeha he malihini makemake ʻole ʻia i ko kākou ola. ʻOi loa aku i ka wā e pili ana i kahi wahi pilikino e like me ka anus, hiki ke ʻoi aku ka ikaika a me ke kaumaha. Hiki i ka ʻike ke hoʻoluhi a hilahila. Akā, ʻaʻohe pono e hilahila a hūnā paha i kekahi ʻeha āu e manaʻo ai. Hana ʻia kou kino me nā aʻalolo a me nā ʻiʻo e kōkua iā ʻoe e hana a hoʻomaopopo iā ʻoe i ka wā e loaʻa ai kahi pilikia. E like me nā ʻāpana o kou kino, hiki i kēia mau ʻāpana ke hele hewa i kekahi manawa a hoʻoulu iā ʻoe e ʻike i nā hōʻailona e like me ka ʻeha. ʻO ka mea nui loa, ʻo ia ka hana ʻana i kekahi mea e pili ana i ia mea. Mai hoʻopaneʻe i ka loaʻa ʻana o ke kōkua āu e pono ai, inā paha no ka hilahila a i ʻole ka makaʻu.

ʻO nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo

• ʻO ka Proctalgia fugax kahi ʻeha nui a ʻoi i loko o ka anus e hoʻomaka koke a nalo ma hope o kekahi manawa pōkole (ʻaʻole i ʻoi aku ma mua o 30 mau minuke).
• ʻOiai ʻaʻole kēia he kūlana koʻikoʻi e hoʻoweliweli ana i ke ola, hiki i ka ʻeha ke lilo i mea ʻoluʻolu ʻole a hiki ke hoʻopilikia i kāu mau hana o kēlā me kēia lā.
• Inā loaʻa pinepine kēia ʻeha, inā koʻikoʻi ka ʻeha, a inā he kānalua kou no ia mea, e ʻike pono i ke kauka no ka ʻōlelo aʻo. Mai hilahila a makaʻu paha.
• Aia nā lāʻau lapaʻau maʻalahi ma ka home e hōʻemi i ka ʻeha, a me nā lāʻau lapaʻau a me nā lāʻau ʻē aʻe e hiki ke loaʻa mai ke kauka.
• No laila, ʻaʻole pono ʻoe e ʻeha hoʻokahi me kēia ʻano ʻeha. ʻO ka mea nui loa, ʻo ia ka ʻike i ka ʻike kūpono a loaʻa i ke aʻo lapaʻau e pono ai.

ʻO Proctalgia Fugax, ʻeha rectal, ʻeha anal, ʻeha anal koke, ʻeha constipation, ʻeha pelvic, spasms muscle