Aia ke koko i loko o kou ʻōpala? Mai hopohopo, e kamaʻilio kākou e pili ana i kēia (Rectal Bleeding)

He mea maʻamau loa ka hopohopo a me ka makaʻu ke ʻike ʻoe i ke koko i loko o kou noho ke hele ʻoe i ka lua. "Auē, he mea koʻikoʻi anei kaʻu?" Manaʻo paha ʻoe i kekahi mea ma hope o kekahi. ʻO ka ʻoiaʻiʻo, ʻo ke koko i loko o kou noho, a i ʻole e like me kā mākou e kapa nei ma ke ʻano lapaʻau he `(Rectal Bleeding)`, hiki ke lilo i hōʻailona o nā ʻano maʻi like ʻole. ʻAʻole koʻikoʻi loa kekahi o kēia mau mea, akā ʻo kekahi he mau kūlana e pono ai ka nānā koke ʻana. No laila, he mea nui e ʻike i ke kumu pololei.

Pehea ke ʻano o ke koko i loko o ka ʻōpala?

Hiki iā ʻoe ke ʻike i kēia kūlana ma nā ʻano like ʻole.

• Ke hoʻomaʻemaʻe ʻoe me ka pepa toilet, hiki iā ʻoe ke ʻike i ke koko hou ma luna.
• Ma hope o ka hele ʻana i ka lua, e ʻike paha ʻoe i ke koko i loko o ke pola lua . I kekahi manawa, ʻike ʻia paha ka wai i loko o ke pola he ʻulaʻula.
• E ʻike paha ʻoe he ʻulaʻula ʻōlinolino, ʻulaʻula ʻeleʻele, a ʻeleʻele loa paha kou noho.

I ka ʻōlelo maʻalahi, ʻoiai paha e kahe ana ke koko mai kou anus, hiki ke puka mai ke koko mai nā wahi āpau o kou ʻōpū holoʻokoʻa. ʻO ia hoʻi, ʻo ke koko e puka mai ana mai nā wahi āpau o ka ʻōpū, ka ʻōpū liʻiliʻi, ka ʻōpū nui, a i ʻole ka rectum e puka like mai ana.

Hiki iā ʻoe ke loaʻa kahi manaʻo o ka maʻi mai ke kala o ke koko?

ʻAe, hiki i ke kala o ke koko i loko o kou ʻōpala ke hāʻawi iā ʻoe i kahi manaʻo no kahi e puka mai ai ke koko. No ka hoʻomaopopo pono ʻana i kēia, e nānā i ka pakuhi ma lalo.

I kekahi manawa, ʻaʻole ʻike ʻia kēia kahe koko e ko mākou mau maka. Hiki ke ʻike wale ʻia ma lalo o kahi microscope. Kāhea mākou i kēia he "kahe koko huna". Hoʻomaopopo ʻia kēia maʻi ma ka nānā ʻana i kahi hāpana ʻōpala.

He mea koʻikoʻi maoli anei ke koko i loko o ka ʻōpala?

ʻAʻole i nā manawa a pau, akā hiki ke hana. No laila, ʻo ka mea maikaʻi loa e hana ai inā ʻike ʻoe i ke koko i loko o kou ʻōpala, ʻo ia ke kamaʻilio me ke kauka e pili ana i ia mea. I kekahi manawa, ʻaʻole pono ka lāʻau lapaʻau i kahi mea liʻiliʻi e like me ka hemorrhoids. Akā i kekahi manawa pono ia. Hiki iā ia ke lilo i hōʻailona o kahi mea koʻikoʻi, e like me ke kanesa colorectal, no laila he mea nui e makaʻala i ia mea.

I ka manawa hea mākou e hopohopo nui ai no kēia?

ʻAʻole ia he manaʻo maikaʻi ʻole ke ʻike ʻana i ke kauka inā ʻoe e kahe ana ke koko i loko o kou ʻōpala. ʻOi loa aku i nā hihia e like me kēia, pono ʻoe e ʻike i ke kauka.

• Inā ʻaʻole ʻoe i ʻike i ke kumu: Loaʻa paha iā ʻoe kahi maʻi e like me ka paʻa ʻana o ka ʻōpū, a ʻaʻole ʻoe e kahaha i kahi koko liʻiliʻi. Akā inā hoʻomaka koke ʻoe e kahe koko me ke kumu ʻole, he mea ia e hopohopo ai.
• Inā he ʻeha a he kahe ke koko: ʻO ka ʻeha he hōʻailona ia e hewa ana kekahi mea i loko o ke kino. E nānā pū i kahi o ka ʻeha. Inā paʻa ka rectum, he maʻi ʻōpū hou paha ia. Inā hele pū me ka ʻeha ma ka ʻōpū haʻahaʻa, he colitis paha ia.
• Inā nui kou kahe koko a pinepine paha: Hiki i ke kahe koko nui ke alakaʻi i ka anemia. Inā nui kou kahe koko koke ʻana, inā hoʻomau ia no kekahi mau lā, a inā paha ua haʻahaʻa koke kou koko a ua nāwaliwali, e hele koke i ka lumi pilikia o ka haukapila (ETU).
• Inā ʻoi aku ia ma mua o hoʻokahi pule: ʻOiai inā he māmā a ʻeha ʻole, inā ʻoi aku kou kahe ʻana o ke koko no ka ʻoi aku ma mua o hoʻokahi pule, ʻo ia hoʻi, ʻaʻole e ho'ōla ponoʻī ka pilikia kumu. No laila, e ʻimi pono i ke aʻo lapaʻau.

He aha nā kumu nui o ke koko i loko o ka ʻeke?

Nui nā kumu no kēia. Eia kekahi o nā kumu maʻamau.

Nā kumu maʻamau

• Hemorrhoids: He mau kīʻaha koko pehu kēia i loko o ka rectum a i ʻole ka anus. He maʻi maʻamau loa ia. Hiki ke hana ʻia e nā mea e like me ke kaumaha i ka wā o ka neʻe ʻana o ka ʻōpū, ka hāpai ʻana, a i ʻole ka hāpai kaumaha. ʻAʻole lākou he mea koʻikoʻi.
• ʻO ka māwae anal: He haehae ma ka ʻili o ka anus. Hana pinepine kēia i ka wā e hele ai i nā ʻōpala paʻakikī. ʻOiai ua like nā hōʻailona me nā hemorrhoids, ʻoi aku ka koʻikoʻi o ka ʻeha.
• ʻO ka maʻi mumū o ka ʻōpū (IBD): Ma kēia, lilo ka uhi o nā ʻōpū i mumū i kahi manawa lōʻihi. ʻO ka maʻi Crohn a me ka Ulcerative colitis ʻelua ʻano o kēia maʻi. Hiki iā lākou ke hōʻeha i ka ʻōpū, ka maʻi kahe, a me ke kahe ʻana o ke koko.
• Diverticulitis: Hoʻomohala ʻia nā wahi liʻiliʻi e like me ka ʻeke (diverticula) i loko o ka paia o loko o ka ʻōpū nui a lilo i maʻi. Hiki i nā kīʻaha koko ma kēia mau wahi ke haki a kahe koke ke koko.

Nā kumu ʻē aʻe

• Nā maʻi: Hiki i kekahi mau maʻi bacteria ke hoʻoulu i ke kahe koko mai nā ʻōpū. Hoʻopili pinepine ʻia ke kahe koko me ka maʻi pākī.
• Nā maʻi i laha ma ke moekolohe (STIs): Hiki i kekahi mau maʻi i laha ma ke moekolohe ke hoʻoulu i ke kahe koko ʻana o ka rectum.
• Maʻi ʻōpū peptic: Nā ʻeha e hana ʻia ana ma ka ʻōpū a i ʻole ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi. Hiki i kēia ke hana i nā ʻōpala ʻeleʻele ke kahe ke koko.
• ʻO nā polyps colon a me ke kanesa colorectal: ʻO nā polyps he mau ulu liʻiliʻi e hana ʻia i loko o ke colon. Hiki iā lākou ke kahe i ke koko i kekahi manawa. Hiki i kekahi mau polyps ke lilo i kanesa i ka hala ʻana o ka manawa. No laila, inā he koko kou no ke kumu ʻole, e nānā kāu kauka.

Pehea e ʻike ai ke kauka i ke kumu?

Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe i kekahi mau nīnau e loaʻa ai kahi manaʻo no ke kumu. A laila, inā pono, hiki iā lākou ke hana i kekahi mau hoʻokolohua e like me kēia.

• Hoʻokolokolo rectal kikohoʻe: Ke nānā ʻana i ka rectum me ka hoʻohana ʻana i ka manamana lima.
• Ka hoʻokolokolo ʻana me kahi ʻōmole me kahi kāmela: Nui nā mea hana like ʻole no kēia. Hiki ke hoʻohana ʻia nā hoʻokolohua e like me ka "Proctoscopy" a me ka "Flexible sigmoidoscopy" e nānā i ka rectum a me ka ʻaoʻao haʻahaʻa o ka colon.
• Colonoscopy: He kaʻina hana kēia e nānā ʻia ai ke kolona holoʻokoʻa me kahi ʻōmole me kahi kāmela. He mea nui loa kēia no ka ʻike ʻana i nā kūlana e like me ke kanesa.
• Endoscopy (Endoscopy luna):Inā kānalua ʻia kahi pilikia ʻōpū, hoʻokomo ʻia kahi ʻōmole ma ka waha a nānā ʻia ka ʻōpū.
• Hoʻāʻo ʻana i ka ʻōpala: Ua nānā ʻia kahi hāpana ʻōpala e nānā i ka maʻi a i ʻole ke koko huna.