ʻO ka Rectal Prolapse | Mai hilahila e kamaʻilio e pili ana i kēia!

Ke manaʻo nei ʻoe i kekahi manawa he mea kaumaha a he pōpō paha e puka mai ana mai kou rectum ke hele ʻoe i ka lua? Ua ʻike mākou he mea hilahila loa kēia e kamaʻilio e pili ana. Akā, ʻaʻole kēia he pilikia wale nō nou, he maʻi ia e hiki ke hoʻopilikia i nā poʻe he nui. No laila, mai makaʻu a hilahila paha. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka rectal prolapse, a i ʻole ka mea i kapa ʻia ma ke ʻano lapaʻau ʻo `(Rectal Prolapse)`.

I ka ʻōlelo maʻalahi, he aha ka rectal prolapse?

ʻAe, no ka hoʻomaopopo ʻana i kēia, e aʻo mua kākou e pili ana i kēia ʻāpana o ko kākou kino. ʻO ka ʻāpana hope loa o kou ʻōpū nui ka mea a kākou e kapa nei ʻo ka 'rectum' a i ʻole ka ʻāpana hope loa o ka rectum. Aia ia ma luna pono o kou anus. Ma hope o ka ʻeli ʻia ʻana o ka meaʻai a kākou e ʻai ai, ʻo ke koena o ka ʻōpala, i kapa ʻia ʻo feces, e hōʻiliʻili manawa pōkole ma kēia ʻāpana i kapa ʻia ʻo ka 'rectum'. Ke piha kēia ʻāpana, manaʻo mākou i ka pono e hele i ka lua. A laila, ʻūlū nā ʻiʻo a puni ia mea e hoʻokuke i ka feces i waho ma o ka anus.

I kēia manawa, i loko o kahi `Rectal Prolapse`, i ka wā e puka mai ai ka ʻōpala, puka pū ka ʻāpana hope loa o ka rectum e paʻa ana. E like me ke kelepona hele e komo ana, paheʻe kēia ʻāpana a puka i waho o ka anus. I kekahi manawa hiki ke puka iki i waho, i kekahi manawa hiki ke puka piha.

He huaʻōlelo "Prolapse" i hoʻohana ʻia e nā kauka. ʻO ia hoʻi, hāʻule kekahi ʻāpana o ke kino mai kona kūlana maʻamau. Hana pinepine kēia i ka wā e nāwaliwali ai nā ʻiʻo e paʻa ana i ke ʻāpana.

ʻO wai ka mea e loaʻa ai kēia maʻi? He aha nā kumu?

ʻOiai hiki ke loaʻa kēia ʻano maʻi i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā wahine ma luna o 50 mau makahiki. Eia kekahi, hiki ke loaʻa i kekahi manawa i nā keiki ʻōpio. Hoʻokumu ʻia ia e ka maʻi diarrhea lōʻihi a i ʻole nā ​​​​maʻi e like me ka "Cystic Fibrosis".

He mea paʻakikī ke kuhikuhi pono i ke kumu o kēia, akā he nui nā kumu e hiki ke kōkua i ia mea. ʻO ke kumu nui, ʻo ia ka nāwaliwali o nā ʻiʻo e paʻa ana i ka rectum. ʻO nā kumu e kōkua i kēia:

• Ka ʻelemakule ʻana: E like me nā ʻiʻo a pau o ke kino, nāwaliwali iki kēia i ko kākou ʻelemakule ʻana.
• Hāpai keiki a me ka hānau keiki ʻana: Hoʻokomo ka hānau keiki i ke kaomi nui ma luna o nā ʻiʻo o ke pelvis, hiki ke hoʻonāwaliwali iā lākou.
• ʻO ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe no ka manawa lōʻihi: ʻO ka hoʻoikaika mau ʻana e hoʻokuʻu i ka ʻōpala ma ka lua e hiki ke hōʻino i kēia mau ʻiʻo. Hiki ke hana ʻia kēia ʻano ʻoiai inā he maʻi kahe mau kou.
• Nā ʻoki kino ma mua a i ʻole nā ​​​​ʻeha i ka lua pelvic a i ʻole nā ​​​​​​wahi a puni.
• Nā maʻi parasitic ʻōpū.
• ʻUmi a ʻūlū paha no ka manawa lōʻihi: Hiki ke hana ʻia kēia ʻano ma muli o ke kaomi ʻana ma ka ʻōpū i hoʻokumu ʻia e ka ʻū pinepine ʻana ma muli o nā kūlana olakino e like me ka hānō.
• Ka hōʻino ʻana i ke kaula kuamoʻo a i ʻole nā ​​aʻalolo.
• Nā kūlana genetic e like me Cystic Fibrosis.

He hemorrhoids anei kēia? A i ʻole he mea ʻē aʻe paha? Pehea wau e ʻike pono ai?

ʻO kēia ka pilikia nui loa a ka poʻe he nui. Hoʻohuihui ka poʻe he nui i kēia maʻi me nā hemorrhoids. He mea maʻamau ka manaʻo pēlā no ka mea ua like nā hōʻailona o nā maʻi ʻelua. ʻO nā hemorrhoids nā kīʻaha koko pehu a puni ka anus. Hiki iā lākou ke hana i ka ʻeha, ka maneʻo, a me ke kahe ʻana o ke koko. I kekahi manawa hiki i nā hemorrhoids ke puka mai i waho.

Akā, aia nā ʻokoʻa maopopo ma waena o nā mea ʻelua. E nānā kākou i kēia papa e hāʻawi iā ʻoe i kahi ʻike maikaʻi aʻe.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e hana ʻo ia i kahi hoʻokolokolo kino. I loko o kēia, e noi paha ʻo ia iā ʻoe e hoʻāʻo e kiola, e ʻike inā e puka mai ana kou rectum i kēlā manawa.

I kekahi manawa, hiki ke hoʻouna ʻia ʻoe no nā hoʻokolohua hou aʻe e hōʻoia i ke kūlana a i ʻole e ʻike inā he mau pilikia ʻē aʻe.

• Hoʻokolohua Rectal Digital: Nānā ke kauka i ka rectum me ka hoʻohana ʻana i ka manamana lima me ka mīkina lima.
• Defecography: He hoʻokolohua e lawe i nā kiʻi X-ray a i ʻole MRI o kou mau ʻiʻo i kou wā e kahe ana.
• Manometry Anorectal: He hoʻāʻo e ana i ka ikaika o nā ʻiʻo (sphincters) a puni ka anus.
• Colonoscopy: Ka nānā ʻana i loko o ka ʻōpū nui me ka hoʻohana ʻana i kahi ʻōmole me kahi kāmela i hoʻopili ʻia.
• Electromyography (EMG): Hoʻāʻo kēia i ka hana o nā ʻiʻo e ʻike inā he pōʻino nā aʻalolo.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

ʻAʻole kēia he pilikia a he kūlana hoʻoweliweli paha i ke ola. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. Hiki iā ia ke hoʻonui i ka ʻoluʻolu ʻole a me nā pilikia like ʻole.

I nā pae mua, ke puka ka anus i waho, hiki ke hoʻihoʻi ʻia i loko. Paipai nā kauka e huli ma kou ʻaoʻao, e lawe mai i kou mau kuli i kou umauma, a e hoʻihoʻi mālie iā ia i loko me kahi lole pulu. Akā, he hopena manawa pōkole wale nō kēia.

ʻO nā pilikia nui e hiki ke kū mai inā ʻaʻole mālama ʻia:

• ʻO ka incontinence fecal: He kūlana kēia e hoʻomau ai nā ʻiʻo i loko o kou rectum i ka ʻaelike ʻana, e hoʻolilo ana iā ʻoe i ka ʻōpala a i ʻole ke kinoea me ka ʻike ʻole. Hoʻopilikia kēia kūlana i 50% a 75% o nā kānaka.
• Paʻa ʻōpū: ʻO kahi poloka i ka rectum e hiki ai ke paʻakikī ke hele pololei i ka ʻōpala.
• ʻO nā ʻeha rectal: ʻO ka hamo pinepine ʻana i ka rectum hiki ke hoʻokahe i ke koko a lilo i ʻeha. Inā hoʻomau ke kahe ʻana o ke koko, hiki iā ia ke alakaʻi i ka anemia.
• ʻO ka hoʻopaʻa ʻia ʻana a me ke kāohi ʻia ʻana: ʻO kēia ka pilikia weliweli loa. Hiki ke paʻa ka rectum a ʻaʻole hiki ke hoʻihoʻi ʻia i loko. Inā hana ʻia kēia, hiki ke ʻoki ʻia ke kahe koko i kēlā wahi a hiki ke make ke ʻiʻo. Kāhea mākou i kēia he "Gangrene". He kūlana kēia e pono ai ka mālama olakino ulia pōpilikia.

He aha nā hopena no kēia? (E aʻo kākou e pili ana i ke ʻoki kino)

Ke loaʻa i kahi pākeke kēia maʻi, ʻaʻole ia e ho'ōla iā ia iho. ʻO ke ʻoki ʻana wale nō ka hopena mau loa. I nā keiki ʻōpio, hiki ke hoʻōla iā ia iho ke mālama ʻia ke kumu nui, e like me ka paʻa ʻana o ka ʻōpū.

Aia kekahi mau ʻano hana ʻoki kino. E koho kāu kauka ʻoki kino i ke ʻano kūpono loa nāu ma muli o ke ʻano o kou kūlana, ka makahiki, a me ke olakino holoʻokoʻa. ʻElua ʻano nui o ke ʻoki kino.

1. Ke Ala ʻŌpū - Rectopexy

ʻO kēia ke kaʻina hana maʻamau a holomua loa. Hana ke kauka ʻoki i kahi ʻoki ma ka ʻōpū (ʻoki hāmama) a hoʻokomo paha i kahi kāmela ma o kekahi mau lua (ʻoki laparoscopic), hāpai i ka rectum i prolapsed i luna, kau iā ia ma ka paia hope o ke pelvis, a hoʻopaʻa iā ia me nā humuhumu mau a i ʻole kahi mesh. Loaʻa i kēia kaʻina hana kahi kūleʻa ma kahi o 97%. Inā loaʻa iā ʻoe ka paʻa mau, hiki i kāu kauka ke hoʻoholo e wehe i kahi ʻāpana liʻiliʻi o kou colon i ka wā o kēia ʻoki.

2. ʻO ke ʻoki kino ma o ka anus (Perineal Approach)

ʻOi aku ka maikaʻi o kēia ʻano hana no ka poʻe hiki ʻole ke hana i ke ʻoki kino nui ma o ka ʻōpū, he poʻe ʻelemakule, a i ʻole he mau maʻi ʻē aʻe ko lākou. Ma kēia ʻano hana, hana ʻia ke ʻoki kino ma o ka anus. No ka mea, ʻaʻohe ʻoki nui ma kēia ʻano hana, ʻoi aku ka wikiwiki o ka hoʻōla ʻana. Eia nō naʻe, aia kahi manawa kiʻekiʻe iki o ka hoʻi hou ʻana o ke ʻano ma hope o kēia ʻano hana.

He aha ka mea e hiki ke hana ʻia e pale aku ai i kēia kūlana a pale aku i ka hoʻi hou ʻana mai?

Aia kekahi mau mea hiki iā ʻoe ke hana e pale aku i kēia ʻano mai ka hanana ʻana a e hoʻōki iā ia mai ka hoʻi hou ʻana ma hope o ke ʻoki ʻana.

• Kaohi i ka paʻa ʻana o ka ʻōpū a me ka maʻi kahe: Inā loaʻa iā ʻoe ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe mau, e ʻike pono i ke kauka a e mālama ʻia. E ʻai i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu, nā legumes) a inu i ka wai he nui.
• E hoʻoikaika i kou mau ʻiʻo papahele pelvic: Hiki iā ʻoe ke hoʻoikaika i kēia mau ʻiʻo ma ka hana ʻana i nā hoʻomaʻamaʻa Kegel. E nīnau i kāu kauka a mea hoʻoponopono kino paha e pili ana i ke ʻano o ka hana ʻana i kēia mau hoʻomaʻamaʻa.
• E makaʻala i ka hāpai ʻana i nā mea kaumaha: E hoʻohana i ke kūlana kūpono i ka wā e hāpai ai i nā mea kaumaha.

ʻO ka prolapse kahi maʻi e kū mālie ana ma muli o ka nāwaliwali o nā ʻiʻo. ʻAʻole ia e hana i ka pō hoʻokahi. No laila, me ka hilahila ʻole a me ka makaʻu ʻole e pili ana i ia mea, ʻo ka mea maikaʻi loa āu e hiki ai ke hana, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa.