Ua noʻonoʻo paha ʻoe i ka mea e hana ʻia i ka meaʻai a kākou e ʻai ai ma hope o kona komo ʻana i loko o ko kākou ʻōpū? Ua like ia me kahi huakaʻi lōʻihi. ʻO ka wahi hope loa ma kēia huakaʻi ʻo ia ka anus. Loaʻa iā kākou a pau kēia ʻano kino i loko o ko kākou kino, akā he kumuhana hilahila iki ia a ʻaʻole mākou makemake e kamaʻilio nui e pili ana, akā he ʻano kino koʻikoʻi loa ia no ko kākou olakino. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ia mea me ka ʻoiaʻiʻo a me ka maopopo.
He aha maoli ka rectum?
I ka ʻōlelo maʻalahi, ʻo ka rectum ka ʻāpana hope loa o kou ʻōpū nui. ʻO ko mākou ʻōpū nui he ʻāpana lōʻihi e like me ka paipu. ʻO nā ʻīniha 6 hope loa o kēia ka rectum. Ma hope o ka ʻeli ʻia ʻana o ka meaʻai a mākou e ʻai ai, hōʻiliʻili ʻia nā ʻōpala i koe ma ʻaneʻi ma mua o ka haʻalele ʻana i ke kino. Ua like ia me kahi kū kaʻa kahi e ʻākoakoa ai nā kānaka ma mua o ka haʻalele ʻana o kahi kaʻa. Ke hōʻiliʻili ʻia nā feces ma ʻaneʻi, hoʻouna kā mākou ʻōnaehana nerve i kahi hōʻailona i ka lolo, e ʻōlelo ana, "Pono wau e hele i ka lua i kēia manawa."
He aha ka ʻokoʻa ma waena o ka colon a me ka rectum?
ʻOiai ʻelua mau ʻāpana o ka ʻōnaehana like, aia kekahi mau ʻokoʻa iki.
- Kolonā: He lōʻihi loa kēia. ʻOiai ke hele nei ka ʻōpala meaʻai ma loko ona, ke hana mau nei kekahi o ke kaʻina hana ʻai, e like me ke komo ʻana o ka wai a me nā meaʻai i loko o ke kino.
- Rectum: Ke hiki aku ka ʻōpala mai ka ʻōpū nui ma ʻaneʻi, ua lilo ia i ʻōpala paʻa. ʻO ka hana nui o ka rectum, ʻo ia ke paʻa i ka ʻōpala no kekahi manawa a omo i kekahi wai i koe mai loko mai o ke kino. A laila e kipaku ʻia aku ia mai ke kino aku.
He aha ka ʻokoʻa ma waena o ka rectum a me ka anus?
ʻO nā kenimika hope loa ma hope o ka rectum ua kapa ʻia ʻo ka anus. Maanei kahi e loaʻa ai nā ʻiʻo koʻikoʻi loa (anal sphincters) e kōkua iā mākou e kāohi i ke hele ʻana o ka ʻōpala. ʻO kēia mau ʻiʻo ka mea e ʻae ai iā mākou e hoʻōki a hoʻokuʻu i ka ʻōpala i ka wā e makemake ai mākou.
He aha ke ʻano a me kahi o ka rectum?
Aia ka rectum ma lalo o ko kākou ʻōpū, ma loko o ka lua pelvic. He maʻamau ma kahi o 10-15 kenimika (5-6 ʻīniha) ka lōʻihi. Loaʻa iā ia ʻelua mau piʻo liʻiliʻi "S". ʻO ke ʻano o kēia mau piʻo e kōkua pū iā kākou e kaohi i ko kākou neʻe ʻana o ka ʻōpū.
ʻOi aku ka laulā o ka ʻāpana hope o ka rectum. Ua kapa ʻia ʻo ia ʻo ka 'rectal ampulla'. Hele mai ka ʻōpala a hōʻiliʻili ma ʻaneʻi. Ke piha kēia ʻāpana i ka ʻōpala, hohola kona mau paia. A laila haʻi aku nā aʻalolo ma laila ('stretch receptors') i ka lolo. ʻO ia ka manawa e loaʻa ai iā mākou ka manaʻo e pono mākou e hele i ka lua .
He aha nā kūlana maʻamau e hoʻopilikia ai i ka rectum?
Me ka ʻole o ka hoʻopaneʻe hou ʻana, aia kekahi mau pilikia olakino e hiki ke kū mai i loko o ka rectum. Hiki i kekahi o kēia mau mea ke ʻoluʻolu ʻole a ʻeha hoʻi. E nānā kākou i kekahi o lākou.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi Proctitis | Ka pehu ʻana a me ka ʻulaʻula o ka uhi o ka rectum. Hiki ke hana ʻia kēia e kekahi mau maʻi i laha ma ke ʻano moekolohe (STI) a i ʻole nā kūlana ʻē aʻe e hoʻopilikia ai i nā ʻōpū. |
| Nā ʻeha rectum | He mau ʻeha ʻeha kēia. I kekahi manawa hiki ke kahe ke koko. |
| ʻO ka ʻōpū perianal | Nā puʻu ʻeha a piha i ka pehu e hana ana ma lalo o ka ʻili a puni ka anus. |
| Nā polyp colorectal | Nā ulu liʻiliʻi e kū mai ana ma ka paia o loko o ka rectum a i ʻole ka ʻōpū nui. Hiki i kekahi o kēia mau mea ke lilo i maʻi ʻaʻai i ka hala ʻana o ka manawa. |
| ʻO ka prolapse rectal | Ke nāwaliwali nā ʻiʻo e paʻa ana i ka rectum, puka mai ka rectum ma waena o ka anus. |
| ʻAʻole hiki ke kāohi i ka ʻōpala (Fecal incontinence) | Nā neʻe ʻana o ka ʻōpū me ka makemake ʻole. Hiki ke hana ʻia kēia e kahi pilikia me nā ʻiʻo a i ʻole nā aʻalolo i loko o ka rectum. |
| Ka paʻa ʻana o ka ʻōpū a me ka hopena fecal | Ka paʻakikī ke hele ʻana i ka ʻōpala, ka paʻakikī o ka ʻōpala e like me nā pōhaku, a me ka paʻa ʻana o ka rectum. |
He aha nā hōʻailona e hōʻike ana i kahi pilikia rectal?
Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui loa e ʻike i ke kauka a ʻimi i ka ʻōlelo aʻo me ka hilahila ʻole.
E hoʻomanaʻo, ʻaʻole kēia mau hōʻailona he hōʻailona mau ia o kahi maʻi koʻikoʻi. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka e pili ana i ia mea e ʻike pono ai i ke kumu o ka pilikia.
| Hōʻailona | He aha kāu e makaʻala ai |
|---|---|
| Ke kahe koko ʻana o ka rectum | Ke ʻike ʻana i nā ʻōpala koko ma nā lole komo, ka pepa lua, a i ʻole i loko o ka lua. |
| ʻEha | ʻEha ma ka rectum, anus, a i ʻole ka ʻōpū lalo. |
| Ka ʻāʻī a i ʻole nā hōʻailona o ka maʻi | Ka maneʻo mau, ka ʻulaʻula, a i ʻole ka pehu a puni ka anus. |
| Hoʻololi i nā ʻano hana ʻōpū | Ka loli koke ʻana o ke kala, ke ʻano (wai, e like me ka pōhaku), a i ʻole ka helu o nā neʻe ʻana o ka ʻōpū i kēlā me kēia lā. |
| Nā manaʻo ʻē | Manaʻo ʻaʻole i hakahaka loa kou ʻōpū ma hope o ka hele ʻana i ka lua (tenesmus) a i ʻole ka neʻe ʻana o ka ʻōpū paʻakikī loa a ʻeha hoʻi (dyschezia). |
| Lele kekahi mea i waho | Ka manaʻo ʻana a i ʻole ka ʻike ʻana i kahi mea e like me kahi puʻu ʻiʻo e puka mai ana mai ka hopena o ka anus. |
Pehea e nānā ai ke kauka i ke olakino o ka rectum?
Ke hele ʻoe e ʻike i ke kauka me kahi pilikia e like me kēia, hiki iā ia ke hana i nā hoʻokolohua like ʻole e ʻike ai i ke kūlana. ʻO ka ʻike ʻana i kēia mau mea ma mua e hiki ke kōkua i ka hoʻēmi ʻana i kou hopohopo.
- Hoʻokolohua Rectal Digital (DRE): Ma kēia, hoʻokomo ke kauka i kahi manamana lima me ka mīkina lima i lubricated ʻia i loko o kou rectum e nānā i kekahi mau puʻupuʻu a i ʻole nā mea ʻē i loko.
- Hoʻāʻo ʻana i ka ʻōpala: Lawe ʻia kahi laʻana o kāu ʻōpala a nānā ʻia i loko o kahi keʻena hoʻokolohua no ke koko, nā germs, a i ʻole nā pilikia ʻē aʻe.
- Proctoscopy / Flexible sigmoidoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia i loko o ka rectum a nānā i loko ma o kahi pale. Inā pono, hiki ke lawe ʻia kahi hāpana o ka ʻiʻo (biopsy) i kēia manawa. Hiki i kāu kauka ke ʻōlelo aku i ka hoʻomākaukau ʻana o ka ʻōpū ma mua o ke kaʻina hana.
- ʻEnema Barium: He hoʻāʻo X-ray kūikawā kēia. Hoʻokomo ʻia kahi wai kūikawā i loko o ka rectum a lawe ʻia nā kiʻi X-ray o ka colon.
- Manometry Anorectal: Ke ana kēia i ka maikaʻi o ka hana ʻana o nā ʻiʻo a me nā aʻalolo i loko o ka anus.
He aha kā mākou e hana ai e mālama i ke olakino o ka rectum?
Aia nā mea maʻalahi hiki iā kākou ke hana e pale aku ai i nā maʻi he nui.
- ʻAi olakino: E ʻai i nā meaʻai momona i ka fiber (nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha). E inu i ka wai he nui. Hiki i kēia ke kōkua i ka pale ʻana i ka paʻa ʻana o ka ʻōpū. ʻO ka paʻa ʻana o ka ʻōpū ke kumu o nā maʻi he nui o ka rectum.
- Nā hana moe kolohe palekana: Hiki i kekahi mau maʻi i laha ma ke kolohe (STI) ke hoʻopilikia i ka anus, no laila he mea nui e hana i ka moe kolohe palekana.
- Mai hōʻalo i nā hoʻokolohua lapaʻau: ʻOi loa ma hope o ka makahiki 45-50, e kiʻi i nā hoʻokolohua e like me ka "(Colonoscopy)" inā ʻōlelo kāu kauka. Hiki i kēia ke ʻike a wehe i nā mea e like me nā polyps ma mua o ko lākou lilo ʻana i maʻi kanesa.
- Mai hoʻowahāwahā i nā hōʻailona: Inā loaʻa iā ʻoe ka ʻeha mau, kahi loli i nā ʻano hana ʻōpū, a i ʻole kekahi ʻano ʻoluʻolu ʻole, mai kali wale a ʻike inā "maikaʻi." E ʻike i ke kauka i ka hikiwawe loa.
He alahaka koʻikoʻi ka rectum ma waena o kā mākou ʻōnaehana hoʻoheheʻe a me ke kaʻina hana o ka defecation. ʻOiai hiki ke ʻoluʻolu ʻole nā pilikia e pili ana me ia, aia nā lāʻau lapaʻau maikaʻi no lākou. No laila e waiho i ka hilahila, e noʻonoʻo e pili ana i kou olakino a e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e pono ai.
Leka Lawe-Home
- He ʻāpana koʻikoʻi ka rectum o kā mākou ʻōnaehana hoʻoheheʻe. He mea nui loa ka mālama ʻana i kona olakino.
- Mai hoʻowahāwahā i nā hōʻailona e like me ke koko i loko o ka ʻeke, ka ʻeha mau, a i ʻole ka loli koke o nā ʻano hana ʻōpū.
- Mai hoʻopaneʻe i ka ʻike ʻana i ke kauka no ka mea ua hilahila ʻoe a makaʻu paha e kamaʻilio e pili ana i kahi pilikia e like me kēia. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua hiki ke pale i nā maʻi koʻikoʻi.
- ʻO ka ʻai ʻana i ka meaʻai kaulike i waiwai i ka fiber, ka inu ʻana i ka wai he nui, a me ka hoʻoikaika kino mau ʻana he mea maikaʻi loa ia no ke olakino o ka colon.
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