E noʻonoʻo ua hele ʻoe i ka lua a puka mai me ka ʻole o ka mea i koe. Akā i loko o kekahi mau minuke, manaʻo hou ʻoe i kahi manaʻo kaumaha, me he mea lā e pono hou ʻoe e kiola. ʻOiai pehea kou hoʻāʻo ʻana, ʻaʻohe mea e puka mai ana. Ke ʻeha nei hoʻi ʻoe i kēia ʻano ʻoluʻolu ʻole loa? ʻO kēia ka mea a mākou e kapa nei ʻo Tenesmus i ka lāʻau lapaʻau. ʻAʻole wale kēia he ʻoluʻolu ʻole, akā he hōʻailona ia he hewa kekahi mea i loko o kou kino.
He aha maoli ka tenesmus?
I ka ʻōlelo maʻalahi, ʻo ka tenesmus ka makemake mau e kahe i ka wai, ʻoiai ma hope o kou hoʻokahe ʻana i kou ʻōpū a i ʻole ka ʻōpū mimi. Hiki iā ʻoe ke ʻeha i ka ʻōpū, ka ʻūlū, ke kaumaha, a i ʻole ka makemake koke e kahe i ka wai.
Hiki ke hana ʻia kēia kūlana ma nā ʻano nui ʻelua:
1. Rectal Tenesmus: Pili kēia i ka defecation. ʻO ia hoʻi, ʻoiai ma hope o ka neʻe ʻana o ka ʻōpū, loaʻa mau iā ʻoe ka manaʻo o ka pono e defecate.
2. Vesical Tenesmus: Pili kēia i ka mimi ʻana. ʻO ia hoʻi, ʻoiai ma hope o ka mimi ʻana, ua piha mau ka ʻōpū mimi a me ka manaʻo e mimi hou.
ʻO ka mea nui, ʻaʻole he maʻi maʻamau ka tenesmus. He hōʻailona ia o kekahi maʻi olakino ʻē aʻe. No laila, ʻaʻole kūpono ke hoʻowahāwahā iā ia.
He aha nā kumu o ka tenesmus rectal?
ʻElua mau ʻano nui o nā kumu o ka tenesmus e pili ana i ka ʻōpala. ʻO kēia ka mumū a me ka paʻa ʻana o ka ʻōpū. E nānā kākou i kēia mau mea ma ke kaʻawale.
| Māhele kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Ka mumū | Hiki ke hana ʻia kēia ʻano ke pehu a ʻike ʻia ka ʻaoʻao haʻahaʻa o kou kolona (ka rectum a me ka anus). Hiki i kēia ke hoʻomāʻona iā ʻoe ke hele ʻoe i ka ʻōpala, a hiki nō hoʻi iā ia ke hoʻoulu i nā aʻalolo e hoʻouna i nā hōʻailona i kou lolo e haʻi ana iā ʻoe e hoʻomau i ka neʻe ʻana o ka ʻōpū. Nā kumu nui:
|
| Ka paʻa ʻana o ka ʻōpū | Ke paʻa nā ʻōpala paʻakikī i loko o nā ʻōpū ma muli o ka paʻa ʻana o ka ʻōpū, hoʻoulu mau lākou i nā paia o ka ʻōpū. Hoʻoulu kēia i ka manaʻo mau o ka pono e hoʻokahe i nā ʻōpū, ʻoiai ʻaʻole i hakahaka nā ʻōpū. Nā kumu o ka paʻa ʻana:
|
He aha nā kumu o ka urinary tenesmus (vesical tenesmus)?
ʻO ke kumu like nō hoʻi e manaʻo ai ʻoe e mimi hou ma hope o kou pau ʻana i ka mimi ʻana, he ʻoiaʻiʻo nō hoʻi ia. Hiki ke hana ʻia kēia ʻano ma muli o ke koena o ka mimi i loko o ka ʻōpū mimi a i ʻole ka mumū a i ʻole ka maʻi i loko o ke ala mimi.
| Māhele kumu | Ka wehewehe a me nā laʻana |
|---|---|
| ʻO ke koena o ka mimi i loko o ka ʻōpū mimi | Ke hiki ʻole ke hoʻokahe loa ʻia ka ʻōpū mimi no kekahi kumu, hoʻoulu ke koena o ka mimi i nā ʻiʻo o ka ʻōpū mimi a hoʻoulu i ka manaʻo o ka pono e hoʻomau i ka mimi ʻana. Nā kumu:
|
| Ka mumū/ka maʻi ʻōpū mimi | Ke pehu a lilo ka urethra i mea maʻalahi, hiki ke hoʻoulu ʻia nā aʻalolo, e hana ana i kēia manaʻo. Nā kumu:
|
Aia kekahi pilina ma waena o ke kaumaha a me kēia kūlana?
ʻAe, aia kahi pilina. ʻAʻole i hoʻokumu ʻia ʻo Tenesmus e ke kaumaha a i ʻole ka hopohopo. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi e hoʻoulu ai, hiki i ke kaumaha ke hoʻonui i ka ʻino. E hoʻomanaʻo, i ka wā e kaumaha ai mākou, loli ke kaulike o kā mākou ʻōnaehana nerve, e paʻakikī ai ke kaohi i ko mākou mau ʻiʻo. Hiki i kēia ke hoʻonui i nā ʻūlū ʻiʻo involuntary e hana ʻia ma Tenesmus. Eia kekahi, ʻo ka hoʻomau ʻana o kēia maʻi hiki ke lilo i mea kaumaha loa.
Pehea e mālama ʻia ai ka tenesmus?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka . E nānā ke kauka iā ʻoe a hoʻāʻo e ʻike pono i ke kumu o kāu mau hōʻailona. Hiki iā lākou ke hana i kēia mau hoʻokolohua:
- Hoʻokolohua Rectal Digital: Hoʻokolokolo lima ʻana i ka rectum.
- ʻAnoscopy/Flexible Sigmoidoscopy: Ka nānā ʻana i ka rectum a me ka colon haʻahaʻa me ka hoʻohana ʻana i kahi ʻōmole me kahi kāmela.
- Colonoscopy: Ka nānā ʻana i ka kolona holoʻokoʻa.
Ke loaʻa ke kumu, hoʻoholo ʻia ka lāʻau lapaʻau ma muli o ia kumu.
- Ke mālama ʻana i ke kūlana kumu: Hiki ke hāʻawi ʻia nā antibiotics no kahi maʻi, a hiki ke hāʻawi ʻia nā lāʻau lapaʻau no ka paʻa ʻana o ka ʻōpū. Pono paha kekahi mau kūlana i ke ʻoki ʻana.
- Ka mālama ʻana i ka mumū: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me corticosteroids e hōʻemi i ka mumū.
- Lapaʻau no nā hōʻailona rectal: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hōʻemi i ka ʻeha a me ka mumū ma ke ʻano he suppositories i hoʻokomo ʻia i loko o ka rectum.
- Lapaʻau i hoʻopili ʻia i nā ʻiʻo: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kaohi ai i nā ʻūlū ʻiʻo involuntary (anticholinergics) a i ʻole (antispasmodics) .
- Ka mālama ʻana i nā hōʻailona o ke kanesa: He paʻakikī ka mālama ʻana i ka tenesmus i hoʻokumu ʻia e ke kanesa. I kekahi manawa pono paha nā mea ʻeha a i ʻole ke ʻoki ʻana.
Āhea ʻoe e ʻike koke ai i ke kauka?
E kamaʻilio mau me kāu kauka e pili ana i kēia maʻi. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o nā hōʻailona koʻikoʻi ma lalo nei, mai poina e ʻimi koke i ke kōkua lapaʻau .
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona: kuni , nausea a me ka luaʻi ʻana , ʻeha nui , a i ʻole ke koko i loko o kou ʻōpala/mimi , e ʻimi koke i ke kōkua lapaʻau. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Hiki ke paʻakikī loa ka noho ʻana me kēia ʻano ʻoluʻolu ʻole. Mai hilahila e kamaʻilio me ke kauka e pili ana i ia mea. Mai ʻeha mālie. ʻO ka Tenesmus kahi hōʻailona o kahi maʻi e pono ai ke mālama ʻia. ʻOiai inā he maʻi mau a hiki ʻole ke hoʻōla ʻia ke ʻano kumu (e like me IBD), me ka mālama kūpono, hiki iā ʻoe ke kāohi i kēia mau hōʻailona ʻoluʻolu ʻole a ola i kahi ola maʻamau.
Leka Lawe-Home
- ʻAʻole maʻi ʻo Tenesmus, akā he hōʻailona ia o kekahi maʻi ʻē aʻe.
- Hiki ke hōʻeha kēia ʻeha me ka defecation (rectal) a i ʻole ka urination (vesical).
- He mea nui e ʻimi i ke kumu pololei a mālama iā ia. No laila, mai hoʻowahāwahā i kēia mau hōʻailona.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha nui, a i ʻole ke koko i loko o kou ʻōpala/mimi, e ʻike koke i kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau ikaika loa anei nā capsules Disopyramide / Norpace no kahi maʻi?
ʻAʻole kēia he lāʻau lapaʻau maʻamau! He lāʻau lapaʻau ikaika kēia (Class 1A Antiarrhythmic) no nā hanana kūikawā i hoʻohana ʻia e kāohi i nā Ventricular Arrhythmias / V-Tach / PVCs e hoʻoweliweli ana i ke ola, ʻo ia hoʻi nā mele koke, kaohi ʻole ʻia, ʻano ʻē/wikiwiki i loko o nā 'keʻena haʻahaʻa (Ventricles) o ka puʻuwai, e hoʻoulu ai i ka mea maʻi e hāʻule i loko o ka coma a make, a e hoʻihoʻi i ka puʻuwai i ka maʻamau!
💬 Ke kuʻi nui nei kou puʻuwai, pehea lā e kōkua ai kēia pila (Disopyramide) e hōʻoluʻolu i kou puʻuwai?
I mea e loaʻa ai i ka puʻuwai kahi impulse uila a kuʻi wikiwiki, pono nā ʻāpana 'Sodium' e komo i loko o nā cell! Ke komo kēia pila i loko o ka puʻuwai, ālai ia i nā kahawai sodium āpau (Moderate Sodium channel blocker). Eia kekahi, hoʻolōʻihi ikaika ia a hoʻopaneʻe i ka manawa e pono ai no nā cell uila o ka puʻuwai e hoʻouka a hoʻihoʻi hou (Repolarization / Potassium blockade)! Me kēia mau hana ʻelua, ua ʻoki ʻia nā hōʻailona uila pupule a pau a lohi ka puʻuwai.
💬 He aha nā ʻōlelo aʻo anticholinergic a me nā 'ʻōlelo aʻo pahu ʻeleʻele' e pono ai i ka poʻe e lawe ana i kēia lāʻau lapaʻau (Norpace) ke ʻike?
ʻO ka pilikia nui loa me kēia, ʻo ia ka hoʻomaloʻo ʻana i nā mea huna o ke kino holoʻokoʻa (ka hopena Anticholinergic koʻikoʻi)! No laila, maloʻo ke alelo/waha a paʻakikī ke lawelawe ʻana, paʻa ka mimi i loko o ka ʻōpū mimi (paʻa ʻana o ka mimi), lilo nā maka i mea palalulu a loaʻa ka paʻa ʻana o ka ʻōpū. ʻO kekahi pōʻino make ʻē aʻe, ʻo ia ka hoʻonāwaliwali nui ʻana i ka 'hopena inotropic maikaʻi ʻole' o ka puʻuwai! No laila, inā inu ke kanaka me ka puʻuwai hāʻule i kēia, hiki i kona puʻuwai ke kū a make (hopena Proarrhythmic).
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo