He aha te nono? Kia ako tātou i tōna hiranga me ngā raruraru i roto i tētahi huarahi māmā!

I tēnei rā ka kōrero tātou mō tētahi wāhanga tino nui o tō tātou tinana, ā, he uaua ki te kōrero i ētahi wā, engari me mōhio tātou ki tēnā. Ko te anus tēnā, te wāhanga rānei e kīia nei e tātou ko te (anus) i te reo Pākehā. Mā te mōhio pai ki tēnei ka āwhina i a koe ki te karo i ngā mate maha, ā, ki te puta he raruraru, kia tere te mārama ki tēnā, ā, rapua he maimoatanga.

He aha tonu te nono?

Ki te kī māmā noa, ko tō nono te wāhanga whakamutunga o tō whekau nui. Whakaarohia he rite ki te pito o tētahi ara roa e haerea ana e te kai e kainga ana e tātou. E toru ki te whā henimita te roa. Koinei te wāhi e tuwhera ai tō whekau nui ki waho, arā, ka puta mai tō paru mā roto i tēnei.

I roto i te nono, ka huri haere te arai angiangi o te whekau nui, e kiia nei ko te mucosa, hei kiri noa. E karapotia ana tēnei e ngā paparanga uaua kaha e rua, he rite ki te mowhiti. Ka kiia ēnei he sphincters. He rite ki ngā raka e rua i runga i te tatau. Mā ēnei sphincters ka kati pūmau te nono kia puta rā anō te tūtae, kia kore ai koe e hiahia ki te tuku tūtae me te kore e whakahaere.

He aha te rerekētanga i waenganui i te nono me te rectum?

Kua rongo pea koe i te kupu (Rectum). Kaua e whakapoauau i ngā mea e rua. Ko te (Rectum) te wāhanga o tō whekau nui i runga ake i te nono. E rima, e ono inihi rānei te roa. Ki te kī noa, ko te (Rectum) he wāhi penapena e kohia ai ngā paru.

Ina kī tonu tō pūkahukahu i te tūtae, ka tukuna he karere e ngā io o reira ki tō roro, e mea ana, "Kua tae ki te wā ki te haere ki te wharepaku." Koinei te wā ka hiahia koe ki te neke i te puku. I tēnei wā, ka whakangāwari noa te uaua o roto o te anal, arā, me te kore e taea e koe te whakahaere. Heoi, ka taea e koe te whakahaere i te uaua o waho. Arā, nā te whakahaere o tēnei uaua o waho ka taea e koe te pupuri i tō tūtae kia tae rā anō koe ki te wāhi tika. Kei te mārama koe?

He aha ngā mahi a te nono?

Ko te mahi matua o te pūkahukahu he āwhina i te tukanga o te tūtae. Ehara i te mea he kōhao noa iho. He wāhi tino uaua.

• Whakamōhiotanga me te whakahaere: Ka mahi tahi ngā io me ngā uaua huri noa i te nono, pērā i te rōpū. Ko rātou te hunga e kī ana ki a koe āhea koe e hiahia ana ki te neke i te puku. Ko rātou anō hoki te hunga e āwhina ana i a koe ki te pupuri i ō nekenga puku kia tae rā anō ki te wā ka haere koe ki te wharepaku.
• Te āwhina i te nekenekehanga o te puku: Ina rite koe ki te nekenekehanga o te puku, ka hoki anō ēnei io me ngā uaua ki te whakapoto, ka āwhina ki te pana i te paru i waho o te tinana.
• Whakahinuhinu: Ka tukuna e te arai huware o te pūkahukahu he matū rite ki te huware. Mā tēnei huware ka pahekeheke te ara mō te tūtae, ka taea ai e te tūtae te haere mā roto me te kore mamae.

He aha te hanganga o te nono?

He ahua uaua tēnei, engari ka māmā noa iho. He kopa, he whāriki rānei kei roto i te pakitara o roto o te pūkahukahu e rere poutū ana mai i runga ki raro. Ka wehea e ēnei te pūkahukahu kia rua ngā wāhanga matua, arā, ko ngā wāhanga o runga me ngā wāhanga o raro.

Ka kiia ēnei kōpuku he pou anal. Kei waenganui i a rātou he awa iti e kiia nei ko ngā sinus anal. Kei roto i ēnei sinus anal ngā repe e whakaputa ana i te hūpē i kōrerotia e au i mua ake nei. Kei te pito o ēnei sinus he kopa iti e kiia nei ko ngā takirere anal. Ka tohu ēnei takirere i te rārangi ka tīmata te maeneene o te arai hūpē, e kiia nei ko te rārangi pectinate, ko te rārangi dentate rānei.

Ko te mea nui ko te rerekētanga o ngā uaua toto me te pūnaha io e tuku toto ana ki ngā wāhanga o runga me raro o te nono i te rārangi pectinate. Koia te take he tino pāngia te wāhanga o raro o te nono, arā, ngā wāhanga e rua hautoru i raro i te rārangi pectinate, e te mamae me ētahi atu kare ā-roto. He rerekē hoki te tuku io ki ngā uaua o roto me waho o te ana. Koia te take e mahi ai te mea o roto (kāore e taea te whakahaere), arā, kāore e taea e tātou te whakahaere, ā, ko te mea o waho (kāore e taea te whakahaere), arā, ka taea e tātou te whakahaere.

He aha ngā mate me ngā āhuatanga e pāngia ai te nono?

He wāhi ngāwari te tōngāmimi ki ngā momo mate. Me titiro tātou ki ētahi o aua mate.

• Hemorrhoids: He raruraru noa tēnei e pāngia ana e te tini o te tangata. Ki te kī māmā, ko ngā hemorrhoids he oko toto pupuhi i roto i te nono, i te rectum rānei. He rite ki te uaua kua herea. Mēnā kei runga ake i te rārangi pectinate, ka kiia he hemorrhoids ā-roto, ā, ki raro iho, ka kiia he hemorrhoids ā-waho. Tērā pea ka puta mai tēnei i ngā āhuatanga pēnei i te pēhi i te puku i te wā e neke ana, me te mate puku roa.
• Te mātārae o te anal: He haehae iti tēnei, he pakaru rānei i roto i te kiri ngawari o roto i te nono. Whakaarohia he rite ki te mātārae i te kokonga o tō waha. Ka taea e tēnei te whakararu i te mamae nui, inā koa i te wā e neke ana te puku, me te toto .
• Mate rewena i roto i te ana: I ētahi wā, ka pā he mate ki te ana me te rohe e karapoti ana (rohe perianal) i tētahi momo rewena e kiia nei ko Candida. Ka kiia hoki tēnei ko te Candidiasis. Ko ngā tohu matua ko te mākati me te mamae.
• Ngā Mate Tuku Iho o te Werowero: Ka taea e te moe tāne me te wahine te arahi ki ngā momo mate (STI) ka pā ki te werowero. Hei tauira, ko te Chlamydia, te Genital Herpes, ngā kiritona werowero i puta mai i te Human Papillomavirus (HPV), te Syphilis, te Gonorrhea, te Hepatitis A, te Hepatitis B, me te HIV.
• Te whēwhe o te ana / te pūwero o te ana:Ka āraia, ka pangia hoki te repe i roto i te nono e whakaputa ana i te hūpē. Ka puta he whewhe i raro i te kiri i tēnei. I muri i te rongoā i tēnei whewhe mā te rongoā, mā te pokanga iti rānei, neke atu i te 50% o ngā take, ka puta he ara rerekē (fistula anal) mai i te repe ki te kiri. He āhuatanga uaua tēnei.
• Te whakatōtōtanga o te ana: Ko te whakatōtōtanga he whaiti o te ngongo i roto i tō tātou tinana. Ka puta he kiko koha i roto i te ana nā te whara, te pokanga o mua, te mate rānei, ka whaiti te ara mō te tūtae.
• Te āhua o te korenga o te kōpū: He āhuatanga tēnei e kitea ana i te whānautanga . Ka whānau mai ētahi pēpi me te korenga o te kōpū e tika ana te hanganga, kāore rānei i te tino kitea. I tēnei wā, me mahi pea he pokanga e kīia nei ko te anoplasty hei whakatika.
• Te tūtae dyssynergic: Ka puta tēnei āhuatanga ina kore e mahi tahi ngā uaua me ngā io e āwhina ana i a koe ki te tuku tūtae. He rite ki te kore e mahi tika te mamau me ngā taputapu i roto i te motuka ina nekehia ngā taputapu. Ka kiia hoki tēnei he tūtae dyssynergic.
• Te kore e taea te pupuri i te mimi i roto i te ana: Ina ngoikore, ina pakaru rānei ngā uaua o te sphincter i roto i te ana, ka pāngia pea koe e te turuturu koretake o te paru. He maha ngā take ka pā mai ai tēnei.
• Matepukupuku ā-ira: He momo matepukupuku rerekē tēnei i te matepukupuku kōpuku, i te matepukupuku hoki o te tuarā. Ko te nuinga o ngā matepukupuku e puta ake ana i roto i te awa ā-ira he momo e kiia nei ko te matepukupuku pūtau-pūtau.

He mea nui: Ki te mea kei a koe tētahi, ētahi rānei o ēnei tohu, ehara i te mea kei a koe te mate. Heoi, he mea whakaaro nui kia kite i te tākuta mō tētahi tirotiro hauora.

He aha ngā tohu e tohu ana i tētahi raruraru rectum?

Mena he raruraru hauora tōu e pā ana ki tōu kōpū, tera pea ka pāngia koe e ēnei tohu. Mena kei a koe tētahi o ēnei, tirohia he tākuta.

• Mamae pūwero: Ka rerekē te āhua o tēnei mamae, pērā i te mamae puhoi, te mamae i te wā e neke ana te puku, te mamae rānei i te wā e noho ana.
• Ngā whara o te pūwero: Tērā pea ka kitea ngā mea pēnei i te kirikawa, te whero, te pupuhi, te puku iti, me ngā kapiti i te kiri i roto, i waho rānei o te pūwero.
• Te mākūkū o te ana: He tohu tino whakarihariha tēnei. Tērā pea he mate pāwera, he mate pāwera rānei te take.
• Te toto o te pūwero: Tērā pea ka kite koe i te toto i roto i tō tūtae, i runga rānei i te pepa wharepaku ina haere koe ki te wharepaku. I ētahi wā, ka rongo pea koe i te toto ina horoi koe i tō pūwero. Tērā pea he mamae, he kore mamae rānei tēnei toto.
• Puta i te ihu: Ki te puta mai he mea pērā i te hūpē, te pūhā rānei i roto i te tūtae, ki te poke rānei ō kākahu o roto, he tohu pea tēnei nō te mate.
• Te uaua ki te nekeneke o te puku: Ko te uaua ki te haere i te tūtae, te whakamātau i te totohu mō te wā roa, te kore rānei e taea te whakahaere i te nekeneke o te puku, tera pea nā ngā raruraru ki ngā uaua, ki ngā io rānei i roto i te tō.

He aha ngā momo whakamātautau e mahia ana e ngā tākuta hei tirotiro i te hauora o te kōpū?

Ki te whakaaro te tākuta he raruraru tō te kōpū, ka whakahaerehia pea e rātou ētahi whakamātautau hei kimi i te pūtake:

• Whakamātautau Remu Matihiko (DRE): I tēnei whakamātautau, ka whakaurua e tō tākuta he maihao kua pania ki te karapu, kua pania ki te hinu ki roto i tō remu hei tirotiro i tō nono me tō remu. Ka āwhina tēnei ki te kimi i ngā puku rerekē, i ngā wāhi mamae rānei.
• Anoscopy: Ko te whakaurunga o tētahi taputapu iti, rite ki te ngongo, e kīia nei ko te anoscope, ki roto i te nono hei tirotiro tika i te roto o te awaawa nono. I ētahi wā ka mahia tēnei mā te whakamahi i tētahi karāhe whakanui.
• Barium enema: He whakamātautau hihi-X motuhake tēnei e tirotiro ana i te pūnaha puku. I roto i tēnei, ka whakaurua he wai mā e kiia nei ko te barium ki roto i te rectum hei enema. Mā te barium ka kitea ngā whekau i roto i ngā whakaahua hihi-X. Mā tēnei ka taea e koe te kite i te roto o te whekau nui, te rectum, me te nono. Ka mahia tēnei mā te whakamahi i tētahi tikanga e kiia nei ko te fluoroscopy, he rite ki te hihi-X ataata ora.
• Te tango i te paru: He whakamātautau hihi-X anō hoki tēnei. Kei roto i tēnei ko te tuhi i te tukanga (hihi-X) i a koe e tūtae ana. Ka whakamahia hei kite i ngā raruraru ā-pūkaha, ā-mahi rānei e puta ana i te wā e tūtae ana.
• Manometri Anorectal: Ka ine tēnei whakamātautau i te kaha o ngā whakahekenga uaua o te rectum, te aro o te rectum, te urupare a ngā io, me te whakahaere uaua.
• Te Electromyogram (EMG): Ka ine te whakamātautau EMG i te ngohe hiko o ngā uaua. Ka āwhina tēnei ki te whakatau mēnā he ngoikore, he raruraru io rānei kei roto i ngā uaua o te sphincter.

Me pēhea taku pupuri i te hauora o taku kōpū?

Āe, me pēhea te pupuri i te hauora o tēnei okana nui e kiia nei ko te tōngāmimi? Anei ētahi tohutohu:

1. Te mahi i te moe haumaru: Tiakina koe i ngā mate tuku iho i te moe tāne (STI). Mā te whakamahi i ngā tikanga tiaki pēnei i te ure i te wā moe tāne, me te whakamahi hinu whakahinuhinu mēnā e tika ana, ka āwhina i te ārai i te kino o te kiko o te moe tāne.

2. Te kai i ngā kai momona i te muka:He nui te muka kai e whakaratohia ana e ngā witi katoa, ngā huawhenua, ngā hua rākau, me ngā pīni. Ka āwhina ēnei muka ki te whakahaere i te nekenekehanga o te puku, te whakangawari i te tūtae, me te ārai i te mate puku.

3. Te mahi i ngā mahi akuaku mārie: He mea nui kia horoia rawatia i muri i te tūtae. Heoi, kaua e whakamahia pinepine ngā hopi kaha, ngā tauera rānei kei roto he waipiro. Nā te mea he tino tairongo te kiri me te kiriuhi i te nono. Ka taea e ngā matū kaha te whakakino i ōna parepare taiao, ka puta he raruraru pēnei i te mākati, te maroke, me te ngatata.

4. Te aro nui ki ngā tohumate: Ki te kite koe i tētahi mea rerekē i roto i tō nono, pērā i te mamae, te mākūkū, te toto rānei, kaua e whakaaro noa he mea noa. Kaua e whakama. Tirohia he tākuta tonu, ā, tikina ngā tohutohu me ngā maimoatanga e tika ana.

Ngā mea hei maumahara mā tātou mai i tēnei pūrākau (Karere hei tango ki te kāinga)

Āe, me whakamahara atu mātou ki a koe i ētahi mea i kōrerohia e tātou i tēnei rā, ā, ki tā mātou whakaaro he mea nui ki a koe:

• He wāhanga nui te nono o te tinana, e āwhina ana i a tātou ki te whakaputa paru, ki te pana atu i ngā paru i te tinana, me te tiaki i a tātou i ngā mate urutā o waho.
• Ka pāngia tēnei wāhi e ngā āhuatanga pēnei i te pukupuku, te kapiti o te ihu, ngā momo mate pāwera, me te mate pukupuku i ētahi wā.
• Ki te mamae koe, ki te mākūkū, ki te toto, ki te hakihaki, ki te pupuhi, ki te rere rerekē, ki te rerekētanga, ki te uauatanga rānei o te nekenekehanga o tō puku , kaua e warewaretia.
• He mea nui te kai nui i te muka, te ātaahua me te tika o ngā tikanga akuaku, me te moe haumaru ki te pupuri i te hauora o te tūpāpaku.
• > Ko te mea nui, ki te mea he pātai, he ruarua rānei āu mō tēnei mea, waiho tō whakama me tō mataku ki te taha, ā, me toro atu ki te tākuta mō ētahi tohutohu. Ko tō hauora te mea nui!

Nō reira, ko tāku tumanako kua ako koe i tētahi mea māmā, mārama hoki mō te nono. He mea tino nui te mōhio ki ēnei mea mō te oranga hauora.

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