Ke hele ʻoe i ka lua, ke manaʻo nei ʻoe e like me kahi hapa o kou ʻōpū e puka mai ana mai kou anus? A i ʻole ke manaʻo mau nei ʻoe i ka piha, ke kaumaha, a i ʻole ka ʻoluʻolu ʻole i loko o kou anus? ʻAʻole haʻi aku ka nui o ka poʻe i kekahi e pili ana i kēia mau mea no ka hilahila a i ʻole ka makaʻu. Akā i kēia lā ke kamaʻilio nei mākou e pili ana i ka ' Rectal Prolapse ', kahi ʻano e hoʻopilikia ai i nā poʻe he nui, akā he mea hilahila iki ke kamaʻilio e pili ana, akā pono ʻoe e makaʻala.
I ka ʻōlelo maʻalahi, he aha ka Rectal Prolapse?
E noʻonoʻo e pili ana i kā mākou ʻōnaehana hoʻoheheʻe. ʻO ka meaʻai a mākou e ʻai ai e hele ma o ko mākou ʻōpū, hoʻoheheʻe ʻia, a hoʻokuʻu ʻia nā huahana ʻōpala mai ko mākou kino ma ke ʻano he feces. Ma mua o ka hoʻokuʻu ʻia ʻana, mālama ʻia kēia feces no kekahi manawa ma ka ʻāpana hope loa o ko mākou ʻōpū nui. Ua kapa ʻia kēia ʻo ka rectum . Hoʻopaʻa nā ʻiʻo i loko o kēia rectum iā ia ma kahi.
I kēia manawa, ʻo Rectal Prolapse ka wā e nāwaliwali ai nā ʻiʻo e paʻa ana i ka rectum ma kahi, e hoʻoulu ai i ka rectum e paheʻe i lalo mai kona kūlana maʻamau, i lalo i ka anus, a i kekahi manawa i waho loa o ke kino. Ua like ia me kahi telescope e komo ana, kahi e komo ai kekahi hapa o ka ʻōpū a puka mai kekahi hapa o ka rectum.
No ke aha lā kēia e hana nei? He aha nā kumu o kēia?
Nui nā kumu e nāwaliwali ai nā ʻiʻo e paʻa ana i ka rectum. ʻAʻole paha he kumu hoʻokahi, akā he hui pū ʻana o kekahi mau kumu.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka paʻa mau ʻana | I ka hala ʻana o ka manawa, nāwaliwali nā ʻiʻo a puni ka anus ma muli o ke kaumaha pinepine ʻana i ka wā e hele ai i ka lua. |
| Ka ʻelemakule ʻana | E like me nā ʻiʻo a pau o ke kino, nāwaliwali maoli kēia mau ʻiʻo i ka wā ʻelemakule. He mea maʻamau kēia maʻi i waena o nā wahine ma luna o 50. |
| Ka hāpai ʻana a me ka hānau keiki ʻana | He kiʻekiʻe loa kēia pilikia no nā makuahine i hānau wale. ʻO ke kaomi nui i ka wā hānau keiki ke kumu o kēia. |
| Nā ʻoki kino a i ʻole nā ulia ma mua | Hiki i nā ʻoki kino ma mua a i ʻole nā ʻeha ma ka ʻāpana pelvic ke hōʻino i nā ʻiʻo. |
| Ka maʻi pākī mau | ʻO ka hele pinepine ʻana i ka lua e kau i ke kaomi hou ma luna o kēia mau ʻiʻo. |
| Nā kūlana olakino ʻē aʻe | ʻŪhā mau, ke kunu ʻana, nā maʻi parasitic ʻōpū, nā maʻi neurological, a me nā kūlana e like me Cystic Fibrosis . |
ʻAʻole anei kēia he hemorrhoids? Pehea ʻoe e hoʻokaʻawale ai i nā mea ʻelua?
He pilikia nui kēia no nā kānaka he nui. He nui ka poʻe e huikau i nā mea ʻelua no ka mea ua like nā hōʻailona o ka Rectal Prolapse a me ka Hemorrhoids i kekahi manawa. Eia nō naʻe, he ʻelua mau maʻi ʻokoʻa loa kēia.
I ka ʻōlelo maʻalahi, ʻo nā hemorrhoids he mau kīʻaha koko pehu a puni ka anus. ʻO ka rectal prolapse kahi puka ʻana o ka paia rectal holoʻokoʻa.
E hoʻomaopopo pono kākou i ka ʻokoʻa ma waena o kēia mau mea ʻelua.
| ʻAno | ʻO ka prolapse rectal | Nā ʻōpū hemorrhoids |
|---|---|---|
| he aha lā? | ʻO ka paia rectal ponoʻī (ʻāpana o ka ʻōpū) e paheʻe i lalo a puka i waho. | Pehu a puka mai nā kīʻaha koko a puni ka anus e like me nā puʻupuʻu. |
| helehelena | He puʻu ʻulaʻula e like me ka ʻiʻo me nā apo concentric a puni. | ʻIke pinepine ʻia e like me kahi nati liʻiliʻi. I kekahi manawa hiki ke poni ʻeleʻele. ʻAʻole like me ka wrinkle. |
| ʻAno maoli | He kūlana holomua kēia e lilo i mea ʻino aʻe i ka hala ʻana o ka manawa. ʻAʻole ia e hoʻomaikaʻi iā ia iho. | ʻO ka hapa nui o ka manawa he manawa pōkole wale nō ia. Hiki iā ia ke hoʻomaikaʻi iā ia iho i loko o hoʻokahi a ʻelua paha pule me ka mālama kūpono. |
He aha nā hōʻailona o kēia?
Hiki i ke kanaka me kēia maʻi ke ʻike i nā ʻano hōʻailona like ʻole. ʻOiai ʻaʻole paha e koʻikoʻi kēia i ka wā mua, hiki iā lākou ke hoʻonui i ka hala ʻana o ka manawa.
- He manaʻo a piha paha me he mea lā he mea e like me ka pōpō i loko o ka anus.
- ʻOiai ma hope o ka hele ʻana i ka lua, me he mea lā ʻaʻole ʻoe i ʻōpala maoli .
- Puka mai kahi puʻupuʻu ʻulaʻula a ʻiʻo ke hele ʻoe i ka lua. I ka wā mua, komo wale kēia i loko, akā ma hope pono ʻoe e hoʻokomo lima.
- Ke kahe ʻana o ka wai e like me ka mucus, ke koko, a i ʻole ka ʻōpala mai ka anus (Fecal Incontinence).
- ʻO ka maneʻo a me ka ʻeha a puni ka anus.
- Ka paʻa ʻana o ka ʻōpū a i ʻole ka pilikia e hele ai i loko o ka ʻōpū.
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. E noi paha lākou iā ʻoe e holoi i kou ʻōpū me he mea lā e hele ana ʻoe i ka lua a nānā i kou rectum.
Eia kekahi, hiki iā ʻoe ke hana i nā hoʻokolohua aʻe e hōʻoia i ke kūlana a nānā i nā pilikia ʻē aʻe:
- Hoʻokolohua Rectal Digital: He hoʻokolohua maʻamau i hana ʻia e ke kauka me ka hoʻohana ʻana i ka manamana lima me ka mīkina lima.
- Manometry Anorectal: He hoʻāʻo e ana i ka ikaika o nā ʻiʻo ma ka rectum a me ka anus.
- Defecography: He hoʻāʻo e hoʻohana ana i kahi X-ray a i ʻole MRI scan e hoʻopaʻa wikiō i ka hana o kou rectum i kou wā e kahe ana.
- Colonoscopy: Hoʻokomo ʻia kahi ʻōmole palupalu me kahi kāmela ma o ka anus e nānā i ka kolona holoʻokoʻa.
- Ka Moʻo GI Haʻahaʻa (Barium Enema):Hāʻawi ʻia kahi wai i kapa ʻia ʻo barium, a lawe ʻia kekahi mau wikiō X-ray i kona hele ʻana ma loko o nā ʻōpū.
- Electromyography (EMG): He hoʻāʻo e nānā ai no ka hōʻino ʻia o nā aʻalolo e kaohi ana i ka hana ʻiʻo.
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
ʻAʻole kēia he kūlana e hoʻoweliweli i ke ola, akā inā ʻaʻole mālama ʻia no ka manawa lōʻihi, hiki ke hoʻonui ʻia ka ʻeha a hiki ke loaʻa nā pilikia koʻikoʻi.
- ʻO ka incontinence fecal: He ʻano kēia e ʻūlū ai nā ʻiʻo o ka rectum, e hiki ʻole ai ke kāohi i ke kahe ʻana o ka ʻōpala a me ka ea. Hoʻopilikia kēia pilikia i 50%-75% o ka poʻe me kēia ʻano.
- Nā ʻeha rectal: Hiki i ka ʻāpana o ka rectum e puka mai ana ke huhū a kahe ke koko mai ka hamo ʻana i ka lole a me ka maloʻo ʻana.
- Hoʻopaʻahao ʻia: I kekahi manawa, ʻaʻole hiki ke hoʻihoʻi ʻia ka ʻāpana o ka rectum i puka mai i waho. He kūlana weliweli iki kēia.
ʻO ka mea nui loa: Inā paʻa ia e like me kēia, e ʻoki ʻia ke kahe koko i kēlā wahi a e hoʻomaka ka make ʻana o nā ʻiʻo. Ua kapa ʻia kēia ʻo Strangulation a i ʻole Gangrene . He pilikia olakino kēia. Inā hana ʻia kēia, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila.
He aha nā lāʻau lapaʻau no kēia?
Ke loaʻa kēia ʻano maʻi i kahi pākeke, ʻaʻole ia e hoʻōla iā ia iho. ʻO ka maʻamau, ʻo ke ʻoki ʻana ka lāʻau lapaʻau maikaʻi loa no kēia. Inā loaʻa kēia ʻano maʻi i nā keiki ʻōpio, hiki ke hoʻōla iā ia iho ke hoʻopau ʻia ke kumu (e like me ka paʻa ʻana o ka ʻōpū).
ʻElua ʻano nui o ke ʻoki kino. Na kāu kauka e hoʻoholo i ke ʻoki kino kūpono loa nāu ma muli o kou kūlana olakino a me ke ʻano o ka prolapse.
1. Ke Ala ʻŌpū - Rectopexy
ʻO kēia ke ʻoki ʻana i loko o ka ʻōpū (ʻo ke ʻoki hāmama a i ʻole laparoscopically a i ʻole ma o ke ʻoki puka kī), huki i ka rectum i prolapsed i luna, a hoʻopaʻa iā ia i ka paia hope o ka lua pelvic me nā humuhumu a i ʻole kekahi mea e like me ka mesh. He holomua loa kēia mau ʻoki ʻana.
2. Ke Ala ʻana o ka Perineal
Hoʻohana ʻia kēia ʻano hana no ka poʻe hiki ʻole ke hana i ke ʻoki ʻōpū, he poʻe ʻelemakule, a i ʻole he mau maʻi olakino ʻē aʻe. Ma kēia ʻano hana, hana ʻia ke ʻoki ma o ka anus.
- Ke Kaʻina Hana Altemeier: Ma kēia kaʻina hana, ʻoki ʻia a wehe ʻia ka ʻāpana e puka mai ana o ka ʻōpū, a hoʻopili hou ʻia nā ʻāpana ʻelua i koe.
- Ke Kaʻina Hana Delorme: Ma kēia kaʻina hana, ʻo ka uhi mucosal i pohō o ka rectum wale nō e wehe ʻia, a pelu ʻia ka papa ʻiʻo a humuhumu pū ʻia.
Hiki ke pale ʻia kēia kūlana?
ʻAe, hiki ke hoʻemi ʻia kēia pilikia i kekahi ʻano. He mea nui hoʻi kēia mau mea e pale aku ai i kēia ʻano mai ka hoʻi hou ʻana ma hope o ke ʻoki ʻana.
- Kaohi i ka paʻa ʻana o ka ʻōpū: E ʻai i ka meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu, nā legumes). E inu ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā. E pale i ka hoʻoluhi ʻana i ka wā e hele ai i ka lua.
- E hoʻoikaika i kou mau ʻiʻo papahele pelvic: ʻO ka hoʻoikaika kino maikaʻi loa e hana ai i kēia, ʻo ia nā hoʻoikaika kino Kegel . Hiki iā ʻoe ke noi i kāu kauka a mea hoʻoponopono kino paha no ka ʻōlelo aʻoaʻo no ka hana ʻana i kēia mau mea.
- E mālama i ke kaumaha olakino: Hoʻokomo ke kaumaha nui i ke kaomi hou ma nā ʻiʻo o ka papahele pelvic.
Leka Lawe-Home
- ʻAʻohe mea e hilahila ai ka rectal prolapse. He maʻi ia.
- He ʻokoʻa kēia mai nā hemorrhoids, no laila inā loaʻa iā ʻoe nā hōʻailona, he mea nui e loaʻa kahi hōʻailona kūpono.
- ʻAʻole e hoʻōla ʻia kēia maʻi ma kāna iho i nā pākeke. Hiki ke hoʻonui ʻia ka ʻeha i ka hala ʻana o ka manawa.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai makaʻu e ʻike i ke kauka a e ʻimi i ka ʻōlelo aʻo.
- Hiki i nā hana maʻalahi e like me ke kāohi ʻana i ka paʻa ʻana o ka ʻōpū a me ka hana ʻana i nā hoʻomaʻamaʻa Kegel ke kōkua i ka pale ʻana i kēia maʻi.
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