He paʻakikī hoʻi iā ʻoe ke hele i ka lua? E aʻo kākou e pili ana i ka proctitis?

Ke ʻeha nei ʻoe i ka ʻōpū i kekahi manawa ke hele ʻoe i ka lua, a i ʻole ʻike ʻoe i kahi koko liʻiliʻi a i ʻole ka mucus i loko o kou ʻōpala? A i ʻole manaʻo ʻoe e pono ʻoe e hele i ka lua i nā manawa a pau? Mai hoʻowahāwahā i kēia mau mea. No ka mea, he mau hōʻailona kēia o kahi maʻi i kapa ʻia ʻo `(Proctitis)`. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o `(Proctitis)`, ke kumu e hana ʻia ai, a me nā mea a mākou e hana ai.

He aha kēia `(Proctitis)`? I ka ʻōlelo maʻalahi loa...

ʻO ka Proctitis kahi mumū o ka uhi o ka rectum, ka ʻāpana hope loa o ka ʻōpū nui, ma mua pono o ka anus. I ka pololei, ʻo Procto ke ʻano o ka rectum a ʻo itis ke ʻano o ka mumū. Hiki mai kēia ʻano i ka wā e huhū ai ka uhi o ka rectum (pehu, ʻulaʻula) no nā kumu like ʻole, e like me ka bacteria, nā kemika, a i ʻole nā ​​​​​​kūlana e like me ka maʻi mumū o ka ʻōpū. Hiki i kēia ke hana i nā hōʻailona ʻoluʻolu ʻole, e like me ka ʻeha, ke kahe ʻana o ke koko rectal, a me nā loli i nā ʻano hana ʻōpū.

Aia kekahi mau ʻano like ʻole o ka `(Proctitis)`?

ʻAe, ma muli o ke kumu o `(Proctitis)`, hiki ke pōkole (acute) a i ʻole ka lōʻihi (chronic) . ʻO `(Acute)` ke ʻano o ia mea e hiki koke mai ana a nalowale ma hope o kekahi manawa pōkole. ʻO `(Chronic)` ke ʻano o ia mea e mau ana no ka manawa lōʻihi. ʻO nā ʻano `(Proctitis)` e kū mai ana ma muli o nā kumu like ʻole, i kekahi manawa ua kapa ʻia lākou e nā inoa like ʻole. No ka laʻana, ʻo ka mea i hoʻokumu ʻia e nā maʻi i hoʻoili ʻia ma ke ʻano moekolohe `(Sexually-Transmitted Infections - STIs)` ua kapa ʻia ʻo `(infectious proctitis)`. ʻO ka mea i hoʻokumu ʻia e ka radiation therapy no ke kanesa ua kapa ʻia ʻo `(radiation proctitis)`. Pēlā nō, ʻo ka mea i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo `(Ulcerative colitis)` ua kapa ʻia hoʻi ʻo `(ulcerative proctitis)`.

He aha nā hōʻailona o ka `(Proctitis)`?

Eia nā hōʻailona i ʻike pinepine ʻia:

• ʻEha anorectal. He mea paʻakikī paha ke noho mālie.
• ʻEha ma kou ʻōpū hema.
• Ke kahe ʻana o kahi wai e like me ke koko a i ʻole ka mucus me ka ʻōpala. ʻO kēia ka mea mua a ka poʻe e ʻike ai.
• Manaʻo me he mea lā ua pehu a piha ka ʻōpū.
• He manaʻo mau o ka pono e hoʻokahe i ka wai (tenesmus), akā i kekahi manawa he wahi liʻiliʻi wale nō e puka mai ana ke hele ʻoe i ka lua.
• Paʻakikī a ʻeha paha i ka wā o ka neʻe ʻana o ka ʻōpū (dyschezia).
• Ka paʻa ʻana o ka ʻōpū.
• Ka maʻi pākī.

He aha nā hōʻailona mua o ka `(Proctitis)`?

ʻIke pinepine ʻia nā hōʻailona mua ke hele ʻoe i ka lua. Paʻakikī, wela, a i ʻole ka manaʻo o ke kaomi i ka wā e kīkī ai.Hiki ke manaʻo ʻia e like me. Manaʻo paha ʻoe e pono ʻoe e hele koke i ka lua, akā ʻaʻole paha ʻoe i hemo loa. ʻO ka maʻi kahe, ke koko a i ʻole ka mucus i loko o ka ʻōpala he mau hōʻailona mua maʻamau.

No ke aha e kū mai ai kēia ʻano `(Proctitis)`? He aha nā kumu?

Aia kekahi mau kumu o ka proctitis, ʻoi aku ka maʻamau o kekahi ma mua o nā mea ʻē aʻe.

Nā kumu maʻamau o ka `(Proctitis)`:

• ʻO ka maʻi mumū o ka ʻōpū (IBD): ʻO nā maʻi e like me ka maʻi Crohn a me ka Ulcerative colitis ke kumu o ka mumū lōʻihi ma nā ʻāpana like ʻole o nā ʻōpū. Ma kahi o 30% o ka poʻe me kēia mau maʻi, ʻo ka mumū ka mea nui e pili ana i ka rectum. ʻO kēia ke kumu nui o ka proctitis ma ke ʻano laulā.
• Nā Maʻi Hoʻoili Pilikino (STI): Hiki i nā maʻi viral a me nā maʻi bacteria ke komo i loko o ka anus ma o ka anus. ʻO nā hiʻohiʻona:
• `(Gonorrhea)` (Gonorrhea)
• ʻO ke Chlamydia (Chlamydia)
• ʻO ka maʻi Herpes simplex 2
• `(Syphilis)` (Syphilis)
• `(Human Papillomavirus - HPV)` (Human Papillomavirus)

Hiki i kēia maʻi ke hoʻopili i nā wāhine a me nā kāne e pili ana i ka moekolohe ma ka anal.

• Nā maʻi ʻōpū: ʻO nā maʻi bacteria i loko o nā ʻōpū i hoʻokumu ʻia e ka lāʻau make meaʻai hiki ke hoʻopilikia i ka rectum i kekahi manawa. Nā laʻana:
• `(Salmonella)` (Salmonella)
• ʻO Shigella (Shigella)
• `(Campylobacter)` (Campylobacter)

Inā ua pau koke nei ʻoe i kahi papa o nā lāʻau antibiotic, hiki paha iā ʻoe ke loaʻa i kahi maʻi i loko o kou ʻōpū a me ka rectum i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo Clostridium difficile (C. diff). ʻO C. diff kahi bacteria i loko o kou ʻōpū. Akā i ka wā e pepehi ʻia ai nā bacteria maikaʻi i loko o kou ʻōpū e nā antibiotics, ua nalowale nā ​​​​bacteria e mālama iā C. diff, a hiki iā C. diff ke ulu nui.

• Nā maʻi ʻaleka protein meaʻai pēpē: ʻO nā pēpē i maʻi ʻaleka i kekahi ʻano waiū, ʻoi aku ka waiū waiū a i ʻole ka soy, hiki ke loaʻa ka mumū ma nā wahi āpau o ko lākou ʻōpū, me ka rectum. Hiki i nā pēpē ke loaʻa i kēia mau protein mai ka formula a i ʻole ma o ka waiū umauma inā ʻai ko lākou makuahine i nā meaʻai i loaʻa kēia mau protein.
• Lapaʻau radiation no ka maʻi kanesa:Ke hāʻawi ʻia ka radiation therapy no ke kanesa, hiki ke loaʻa kahi maʻi i kapa ʻia ʻo `(radiation mucositis)` ma nā wahi āpau o kā mākou ʻōnaehana hoʻoheheʻe. ʻO kēia ka mumū o ka `(mucous lining)` i loko o ka ʻōnaehana hoʻoheheʻe. ʻOi aku ka maʻamau o ka `(radiation enteritis)` (ka mumū o ka ʻōpū liʻiliʻi) a me ka `(radiation colitis)` (ka mumū o ka ʻōpū nui) ke hāʻawi ʻia ka radiation therapy i ka ʻōpū o luna a i ʻole lalo. Ke hāʻawi ʻia ka radiation therapy i ka `(pelvic area)`, hiki iā ʻoe ke loaʻa i ka `(radiation proctitis)` (ka mumū o ka rectum).

Nā kumu maʻamau ʻole o ka `(Proctitis)`:

• ʻO ka diversion proctitis: He hopena ʻaoʻao kēia e hiki ke loaʻa i nā poʻe i loaʻa i ka colostomy (kahi hana kahi e wehe ʻia ai kahi ʻāpana o ka ʻōpū nui mai ke kino e hana i kahi ala no ka ʻōpala) a i ʻole ka ileostomy (kahi hana kahi e wehe ʻia ai kahi ʻāpana o ka ʻōpū liʻiliʻi mai ke kino e hana i kahi ala no ka ʻōpala) a hoʻouna i ka ʻōpala ma o kahi ala ʻokoʻa ma mua o ka anus. Ua manaʻo ʻia no ka mea ʻaʻole hele ka ʻōpala ma o ka anus, ua nele ka anus i nā meaʻai a me nā waikawa momona pōkole e komo maʻamau i ka anus (e kōkua ana i ka mālama ʻana i ka anus i ka pulu a olakino), e hoʻoulu ai i ka mumū o ka anus i hoʻohana ʻole ʻia. Eia nō naʻe, he kakaikahi wale nō ka poʻe e ʻike i nā hōʻailona.
• Nā maʻi ischemic ʻōpū: E like me ka ischemic colitis, hiki ke loaʻa ka ischemic proctitis ischemic ke ʻoki ʻia ke kahe koko i ka rectum, e hoʻonele ana i ka oxygen o nā ʻiʻo. ʻO ka maʻamau, hana ʻia ka ischemia e kahi poloka i loko o kahi kīʻaha koko, e like me ke koko clot, aneurysm, a i ʻole plaque.
• ʻEha anorectal: Inā hoʻokomo ʻia kahi mea waho a i ʻole kemika ma o ka anus, hiki iā ia ke hoʻoulu i ka mumū o ka anus a me ka rectum. Hiki i nā kemika i loko o kekahi mau ʻano enemas ke loaʻa kēia hopena.
• Nā maʻi ʻōpū Eosinophilic (EGID): ʻO ka Eosinophilia kahi hana kiʻekiʻe loa o kahi ʻano koko keʻokeʻo i kapa ʻia ʻo eosinophils. Kōkua nā koko keʻokeʻo i kā mākou ʻōnaehana pale e hoʻouka i kahi pane mumū. Ma EGID, hoʻouna kā mākou ʻōnaehana pale i kahi helu kiʻekiʻe loa o nā eosinophils i kahi ʻāpana o ke ala ʻai, e hoʻoulu ai i ka mumū lōʻihi. Manaʻo nā kānaka noiʻi he pane nui paha kēia i kahi maʻi allergy meaʻai. Hoʻopilikia pinepine ka proctitis Eosinophilic i nā keiki ma lalo o 2 mau makahiki.
• ʻO ka proctitis ʻaʻole hiki ke loaʻa ke kumu ('Idiopathic proctitis'):ʻAʻohe kumu i ʻike ʻia o kahi poʻe liʻiliʻi me ka proctitis. Eia nō naʻe, pane maikaʻi lākou i nā loli o ka ʻai. He maʻi lōʻihi ka proctitis idiopathic, a he maʻi hou. Ma kahi o 10% o kēia mau hihia e lilo i colitis ulcerative.

He maʻi koʻikoʻi anei ka Proctitis?

Ma lalo o nā kūlana maʻamau, ʻaʻole ia he mea hoʻoweliweli i ke ola o ka proctitis a pane maikaʻi i ka lāʻau lapaʻau. Eia nō naʻe , inā he koʻikoʻi ia, mau no ka manawa lōʻihi, waiho ʻole ʻia me ka mālama ʻole, a i ʻole ʻaʻole pane i ka lāʻau lapaʻau, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.

Eia kekahi laʻana, hiki i kahi ʻōpū i ho'ōla ʻole ke hoʻoulu i ke kahe koko nui, a i ʻole hiki ke luku ʻia ka paia rectal. I kekahi manawa, hiki i ka proctitis ke hoʻopilikia i nā aʻalolo a puni, e hana ana i ka neuropathy.

Nā pilikia e hiki mai ana ma muli o ka mumū lōʻihi:

• Ke kahe nui nei ke koko, e hopena ana i ka anemia.
• Nā Fistulas (nā tunnels ma o ka paia rectal).
• ʻO ke koʻikoʻi a i ʻole ka stenosis (ka haiki ʻana o ka rectum ma muli o ka ʻeha o nā ʻiʻo).

He mea kākaʻikahi nā pilikia e pili ana i ka ʻōnaehana nerve, akā hiki iā lākou ke komo pū me:

• Ka hana ʻino ʻana o ka ʻōpū mimi neurogenic.
• ʻO ka ʻeha a me ke kani ʻana o ka ʻiʻo ma nā wāwae (paresthesia).
• Ka hana ʻino o ka erectile.

Pehea e ʻike ʻia ai ka proctitis?

E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a laila e nānā i kou rectum e ʻike inā he mau hōʻailona o ka proctitis. Hiki i kēia ke komo pū me kahi hoʻokolokolo rectal digital a me kahi anoscopy . Inā like me he proctitis kou, e nīnau hou aku kāu kauka i nā nīnau e ʻike ai i ke kumu o ia mea a me ke ʻano o ia mea. Eia kekahi laʻana:

• He aha nā lāʻau lapaʻau āu i lawe ai i kēia manawa?
• Aia kekahi o ka ʻohana i loaʻa i nā maʻi autoimmune?
• Ke moe kolohe nei ʻoe me ka pale ʻole a i ʻole ke moe kolohe nei me nā hoa i hoʻāʻo ʻole ʻia?
• Ua huakaʻi anei ʻoe i nā ʻāina ʻē i hala koke aku nei?

Ma muli o kēia mau pane a me nā mea e hōʻike ai nā hoʻokolohua, e hoʻoholo kāu kauka i nā hoʻokolohua hou aʻe āu e pono ai.

Hiki ke komo pū nā hoʻokolohua ʻē aʻe:

• Hoʻāʻo koko: Hiki i kahi hoʻāʻo koko ke ʻike i nā maʻi a me nā kūlana ʻē aʻe e hiki ai ke hana i ka proctitis. Hiki iā ia ke hōʻike i ka emi ʻana o ke koko a i ʻole ka piʻi ʻana o ka helu o nā cell koko keʻokeʻo.
• Hoʻāʻo ʻana i ka ʻōpala: E lawe ke kauka i kahi hāpana o kāu ʻōpala a nānā no ka maʻi, ke kahe ʻana o ke koko, a i ʻole ka hoʻonui ʻia ʻana o nā hunaola koko keʻokeʻo.
• Moʻomeheu Rectal: No kēia hoʻokolohua, holoi ke kauka i loko o ka rectum me kahi swab a laila hoʻomohala i ka hāpana e ʻike i ka bacteria a i ʻole nā ​​​​virus i loaʻa.
• Proctoscopy: He nānā ʻana kēia i loko o ka rectum me ka hoʻohana ʻana i kahi mea hana pōkole a paʻa e like me ka paipu. He paipu hakahaka ka proctoscope me kahi kāmela a me ke kukui ma ka hopena. Inā pono, hiki i ke kauka ke hoʻokomo i kahi mea hana ma o ka paipu e lawe i kahi laʻana ʻiʻo (biopsy).
• ʻO ka sigmoidoscopy maʻalahi: Inā makemake ke kauka e nānā hou aku i loko o ka kolone sigmoid, ʻo ia ka ʻāpana hope loa o ka ʻōpū nui e pili ana i ka anus, hiki ke hoʻohana ʻia kahi paipu lōʻihi a ʻoi aku ka maʻalahi i kapa ʻia he sigmoidoscopy maʻalahi. Inā he pilikia me ka ʻōpū nui, hiki iā ia ke hōʻike i nā hōʻailona o ka maʻi ʻōpū mumū a i ʻole kahi maʻi i loko o ke ala ʻai. Hiki ke hana ʻia kahi hoʻomākaukau ʻōpū ma mua o kēia hoʻāʻo.

Ke ho'ōla ponoʻī nei anei ka proctitis?

Malia paha, akā ʻaʻohe kumu e ʻeha ai. Inā loaʻa iā ʻoe kahi maʻi, hiki i nā antibiotics a i ʻole nā ​​​​antiviral ke kōkua iā ʻoe e hoʻōla koke. Inā ʻaʻole ia i hoʻokumu ʻia e kahi maʻi, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me nā steroids e hōʻemi i ka mumū. Inā loaʻa iā ʻoe ka radiation proctitis, e nalowale pinepine ia i loko o kekahi mau pule ma hope o ka mālama ʻana i ka radiation. Akā i kēia manawa, hiki i nā lāʻau ʻeha topical ke kōkua. Inā loaʻa iā ʻoe ka IBD lōʻihi, hiki ke hele mai ka proctitis a hele. Akā hiki iā ʻoe ke hoʻohana i nā lāʻau lapaʻau kikoʻī ke lapalapa.

Pehea ka lōʻihi o ke ola ʻana o ka proctitis?

ʻOkoʻa kēia ma muli o ke kumu a me ke kanaka. Me ka mālama ʻana, hoʻoponopono koke ia. Ma ke ʻano laulā, he ʻehā a ʻeono pule e ho'ōla ai ma hope o ka hoʻopau ʻia ʻana o ke kumu o ka mumū. ʻOiai e ho'ōla ana ka proctitis, hiki iā ʻoe ke lawe i nā lāʻau lapaʻau ma luna o ka counter (OTC) no ka ʻeha a i ʻole ka maʻi diarrhea.

He aha nā lāʻau lapaʻau no ka `(Proctitis)`?

Aia ka lāʻau lapaʻau i ke kumu a me ke koʻikoʻi o ke kūlana. Hiki i kēia ke komo pū me:

• Ke hoʻōki nei i ke kumu o ka mumū.
• Nā lāʻau antibiotic a i ʻole antivirals no nā maʻi.
• Nā lāʻau pale kino no ka proctitis i hoʻokumu ʻia e nā maʻi autoimmune.
• Nā lāʻau lapaʻau e like me Sulfasalazine a i ʻole Mesalamine no ka Ulcerative colitis/proctitis.
• ʻO nā lāʻau lapaʻau e like me Infliximab no ka Proctitis i hoʻokumu ʻia e ka maʻi a Crohn.
• Hoʻohana ʻia nā corticosteroids topical e like me nā poni e hōʻemi i ka ʻeha a me ka mumū.
• Hoʻohana ʻia nā ʻenema Sucralfate no ka mālama ʻana i nā ʻeha rectal.
• Nā kaʻina hana Endoscopic e ho'ōki i ke kahe koko ma ka ʻōpū o ka ʻōpū.

He aha ka wā e hiki mai ana inā loaʻa iaʻu ka `(Proctitis)`?

ʻO ka hapa nui o nā hihia o ka proctitis e pane maikaʻi i ka lāʻau. Inā he kūlana pōkole (ʻoi), pono e hoʻopau ʻia i loko o ʻehā a ʻewalu pule i nā pākeke a i ʻole kekahi mau mahina i nā pēpē. Inā loaʻa iā ʻoe ka proctitis lōʻihi e pili ana me IBD, e ʻike paha ʻoe e hele mai ana ka mumū a hele. Hiki iā ʻoe ke mālama i nā flare-up me nā lāʻau anti-inflammatory i ka wā e pono ai. Hoʻomohala kahi poʻe liʻiliʻi i ka proctitis radiation mau loa. ʻOi aku ka nui o ka pilikia o nā hihia lōʻihi a hiki ke paʻakikī ke mālama.

Hiki ke pale ʻia ka proctitis?

ʻO ka hoʻāʻo ʻana i nā hoa ma mua o ka moe ʻana hiki ke hōʻemi i ka pilikia o nā STI. Hiki i nā hana palekana e like me nā condom ke kōkua i kekahi mau hihia, akā hiki ke laha kekahi mau maʻi ma o ka moe waha. ʻO ka hoʻohana ʻana i nā dental dams hiki ke hōʻemi i ka laha ʻana a i ʻole ka maʻi o nā STI ma o ka moe waha. ʻO ka hoʻomaʻamaʻa ʻana i nā hana hoʻomākaukau meaʻai palekana a me ka makaʻala i kāu mea e ʻai ai a inu ai, ʻoiai ke hele nei i nā ʻāina ʻē, hiki ke hōʻemi i ka pilikia o nā maʻi gastrointestinal i hoʻokumu ʻia e ka lāʻau make meaʻai. ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka IBD a i ʻole ka radiation proctitis.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka no ka `(Proctitis)`?

E ʻike mau i ke kauka inā loaʻa iā ʻoe nā hōʻailona o ka proctitis. He mea nui e ʻike i ke kumu a mālama iā ia e pale aku i ka ʻino ʻana o ke kūlana. Inā ʻoe e loaʻa ana i ka lāʻau lapaʻau, akā ʻaʻole naʻe e hana ana, e hoʻomau i ka hoʻokaʻaʻike ʻana i kāu kauka. Pono kekahi mau ʻano proctitis i kahi hoʻoikaika e mālama pono ai. I kekahi manawa, ʻaʻole paha e pane kekahi mau hihia i kekahi lāʻau lapaʻau maʻamau. I ia mau hihia, pono paha ke ʻoki kino.

ʻO nā hōʻailona o ka proctitis, inā he manawa pōkole a mau paha, hiki ke hoʻoluhi loa. ʻO ka mālama ʻana no ka proctitis e kālele ana i ke kumu o ka mumū a me nā hōʻailona. I kekahi mau hihia, e like me ka radiation proctitis, hiki ke mālama ʻia nā hōʻailona wale nō. I nā hihia ʻē aʻe, e like me ka maʻi, he mea nui e hoʻāʻo ʻia e ʻike i ka bacteria a i ʻole ka virus kikoʻī e hoʻoulu ai i kāu mau hōʻailona.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka mea a mākou i kamaʻilio ai, ʻo `(Proctitis)`. ʻO ka mea nui loa, inā loaʻa iā ʻoe kahi ʻeha ʻē, ʻeha, koko a mucus paha i kou hele ʻana i ka lua, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka e ʻike i ke kumu. ʻO ka hapa nui o ka manawa, hiki ke mālama maikaʻi ʻia kēia mau kūlana.

Mai makaʻu, akā, mai lohi hoʻi! Aia kou olakino ma kou mau lima.

Eia kekahi, ʻo ka hana ʻana i ka moekolohe palekana a me ka ʻai ʻana i nā meaʻai maʻemaʻe e kōkua i ka pale ʻana mai ia mau kūlana.

`ʻO ka proctitis, ka mumū o ka rectum, ke kahe ʻana o ke koko me ka ʻōpala, ka ʻeha anal, nā STI, IBD, ka ʻōnaehana hoʻoheheʻe