He Wāhanga Hiranga o tō Pūnaha Nakunaku: Me Ako Tātou mō te Remu | Nirogi Lanka

I tēnei rā, kei te kōrero tātou mō tētahi wāhanga nui o tō tinana e kore e kitea kia puta rā anō he hapa: ko te tōku. Hei wāhanga whakamutunga o tō pūnaha nakunaku, he mea nui te mārama ki tana mahi me ngā raruraru noa mō tō hauora whānui. Me tūhura tātou he aha te mea nei, me pēhea tana mahi, me ngā āhuatanga pea ka pā ki a ia i konei i Nirogi Lanka.

He aha te Rekumu?

Ki te kī ngāwari, ko tō pūkahukahu te wāhanga whakamutunga o tō whekau nui. Tērā pea e mōhio ana koe ki te whekau nui hei hanganga roa, rite ki te ngongo e uru ana te koroni, te pūkahukahu, me te awa whakarara. E ono inihi te roa o tō pūkahukahu, ā, koia te "rūma tatari" whakamutunga mō ngā para i mua i te putanga mai i tō tinana. I te nekenga o ngā para kua kerihia—te paru rānei—mai i te koroni, ka kohia ki roto i te pūkahukahu, ka noho ki reira tae noa ki te wā e tohu mai ai ō io kua tae ki te wā hei neke puku.

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

Ka tīmata tō pūkahukahu ki te wāhi tonu e mutu ai tō koroni. Ahakoa he rite tonu ngā hanganga kiko o roto—pērā i ngā paparanga uaua me ngā repe huna—he rerekētanga nui anō kei reira. He roa ake te koroni , ā, ka haere tonu tana tukatuka kai. I te taenga atu o te para ki te pūkahukahu, kua hangaia kētia hei paru. Ko te mahi matua a tō pūkahukahu he penapena i ēnei para mō te wā poto me te mimiti i te wai me ngā electrolytes e toe ana, me te pupuri kia tae rā anō ki te wā e rite ai koe ki te tuku.

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

Ka tīmata te awaawa whakarara i te pito o tō pūkahukahu, e tohu ana i ngā henimita whakamutunga o te ara nakunaku. Kei roto i te pūkahukahu ngā uaua nui o te uaua whakarara whakarara , e hoatu ana ki a koe te mana whakahaere tūao mō ngā nekehanga o tō puku, e āhei ai koe ki te pupuri, ki te tuku rānei i te paru ina hiahiatia.

He pēhea te mahi a te pūkahukahu i roto i tō pūnaha nakunaku?

Ko te mahi matua a te tōngāmimi he penapena i ngā paru tae noa ki te wā e tae atu ai koe ki te wharepaku. I te nekenga mai o ngā paru mai i te koroni, ka whakangā te tōngāmimi, ka whānui hoki pērā i te poihau hei whakauru atu. I tēnei wā penapena, ka mimiti tonu i te wai me ngā electrolytes e toe ana hei whakapakeke i te paru, me te tuku hoki i te hūpē hei āwhina i a ia kia pai te haere. Kia kī te tōngāmimi, ka tukuna he tohu ki tō roro kua tae ki te wā ki te whakamahi i te wharepaku.

Kei hea te tūnga o te tō?

Kei roto i te kōhao puku te whekau nui e takai ana i te whekau iti. Kei te pito rawa o tēnei ara te pūkahukahu, e piri ana ki raro i ētahi atu okana puku, ā, e piko ana ki te nono. Mō te hanganga tinana, kei roto i te kōhao pelvis , kei waenganui i tō puku me ngā uaua o te papa pelvis. Ka hono te wāhanga o runga o te pūkahukahu ki te koroni sigmoid, ko te wāhanga o raro ia e hono ana ki te awa anal.

Kia pēhea te roa o te tō?

Ko te tikanga, ko te roa o te tōngāmimi i waenga i te 10 ki te 15 henimita (tata ki te 5 ki te 6 inihi). He tino motuhake; i te mea e mahi ana ngā uaua ki te pana i te paru ki waho, ka taea e ia te whakapoto me te whakapoto pērā i te slinky. Pērā i ētahi atu wāhanga o te whekau, tata ki te 3 inihi te whānui, engari ka taea e ia te totoro atu i ētahi atu wāhanga , ka mahi hei puna hei penapena i te nui o te paru mō te wā poto.

He aha ngā hanganga o roto o te rectum?

He āhua "S" pakupaku te tōremu, e rua ngā piko matua. Ko te piko o runga, te piko sacral , e whai ana i te piko o tō tuaiwi, ko te piko anorectal o raro ia e tohu ana i te nekehanga ki te awa anal. He mea nui ēnei piko hei pupuri i te aukati mimi , hei āwhina i a koe ki te whakahaere i ngā nekehanga o te puku.

I roto, ka wehea te rectum e ngā kōpuku whakapae e mōhiotia ana ko ngā takirere o Houston . Ko te rūma whakamutunga e kiia ana ko te rectal ampulla .Ina kī tēnei rūma, ka tukuna he tohu e ngā kaiwhakawhiwhi totoro i roto i te pakitara o te pūkahukahu ki tō pūnaha io matua, e kī ana kua tae ki te wā hei neke i te puku. I te piki haere o te pēhanga, ka uaua haere te ātete i te hiahia.

He aha ngā āhuatanga e pā ana ki te tōngāmimi?

Ka pāngia te arai, ngā uaua, ngā io rānei e ngā mate o te pūkahukahu, ā, ka mamae, ka ngoikore hoki te mahi. Anei ētahi āhuatanga noa :

• Proctitis: He mumura, he pupuhi rānei tēnei o te arai o te rectum. Ka puta pea i ngā mate pāwera, tae atu ki ngā mate tuku iho i te taatai ​​(STI), i ngā mate mau tonu rānei pērā i te Inflammatory Bowel Disease (IBD) .
• Ngā mate pukupuku o te remu: He mate pukupuku tuwhera, mamae ēnei, ka puta ai te toto.
• Te whewhe perianal: He pute mamae, kī tonu i te pupuhi e puta ana i te tumo, te nono, te rohe perineal rānei e karapoti ana.
• Ngā polyp o te repe taihemahema: He tipu iti kei te arai o te repe taihemahema. Ahakoa he pai te nuinga, ka taea e ētahi te whanake hei mate pukupuku repe taihemahema , nō reira he mea nui te aroturukitanga ngaio.
• Te hekenga o te rectum: Ina ngoikore ngā uaua e pupuri ana i te rectum, ka paheke pea te rectum i tōna tūranga noa ka puta ki roto, mā roto rānei i te awa porowhita, he rite ki te karu tiro.
• Te mate Levator: I tapaina i muri i te uaua levator ani e tautoko ana i te rectum, ka puta te mamae rectum i tēnei āhuatanga, nā te mamae o te uaua pea.
• Te kore e taea te pupuri i te paru: Mena kua pakaru ngā uaua, ngā io rānei o te pūkahukahu, tera pea ka uaua ki a koe te whakahaere i ngā nekehanga o te paru, ka puta ai te turuturu koretake.
• Te tūtae ā-roto: Ko ngā raruraru tinana, ngā raruraru mahi rānei, pērā i te ngoikore o te papa pelvic , te wāhi e kore ai e taea e ngā uaua te taurite tika, ka tino uaua ai te tuku tūtae.
• Te kōroke me te pānga o te paru: Mā te uaua ki te tuku tūtae ka mārō, ka maroke, ka mau ki roto i te pūkahukahu, ā, me wawao te taote.

He aha ngā tohu whakatūpato mō te raruraru o te rectum?

Mena ka pāngia koe e ngā huringa tonu o te puku, te toto i te pūkahukahu, te mamae nui, me ētahi atu tohu whakamataku rānei, whakapā atu ki tō kaiwhakarato hauora, toro atu rānei ki te tari urupare tata ki a koe.

Mena kei te pāngia koe e tētahi o ngā tohu e whai ake nei, he mea nui kia kōrero koe mō tō hauora o te rectum me tētahi tohunga hauora:

• Te toto i te remu: Te kitenga i ngā ira toto i runga i ō kākahu o roto, i roto rānei i te peihana wharepaku.
• Mamae o te puku: Te mamae i roto, i te taha rānei o te nono, te mamae tonu rānei i te puku o raro, i te rohe hope rānei.
• Te mākati o te ana, ngā tohu rānei o te mate: Te mākati tonu, ngā tohu rānei e kitea ana o te riri tata ki te pūaha o te ana.
• Ngā panonitanga o ngā tikanga puku: Ka kitea ngā panonitanga o te tae, te ōritetanga, te auau rānei o ō nekehanga puku.
• Tenesmus, te dyschezia rānei: He kare ā-roto e hiahia ana ki te mimi tonu (tenesmus), he uauatanga rānei, he mamae hoki i te wā e mimi ana (dyschezia).
• Te hekenga o te whekau hope: Ko te kare o te puku, o te puranga rānei e puta mai ana i te pūaha o te ana.

Me pēhea te aromatawai a ngā tākuta i tō hauora rectum?

He maha ngā tikanga tātaritanga e whakamahia ana e ngā tākuta hei tirotiro i te tōngāmimi. Me titiro tātou ki ngā āhuatanga e pā ana ki ēnei:

• Whakamātautau Rekereke Mamati (DRE): I roto i tēnei tikanga, ka āta kuhu te tākuta e mau ana i tētahi karapu kua pania ki te hinu, i tētahi maihao ki roto i tō rekereke hei rapu i ngā hapa. He wāhanga tēnei `(DRE)` o tētahi whakamātautau tinana, whakamātautau wahine rānei. Mā tēnei ka taea e te tākuta te aromatawai ehara i te mea ko te rekereke anake engari ko te repeure (i roto i ngā tāne) te cervix me te kōpū (i roto i ngā wāhine) mā roto i te pakitara rekereke.
• Ahurea rectum:I tēnei whakamātautau, ka whakamahia e te tākuta he miro hei kohi tauira mai i te arai o tō pūkahukahu, kātahi ka tukuna ki te taiwhanga hei tirotiro mō ngā mate kitakita, mate huaketo rānei.
• Whakamātautau tūtae: Ka tono pea tō tākuta i tētahi tauira tūtae hei tātari mō ngā tohu o te mate, te toto huna, te nui haere rānei o ngā toto toto ma.
• Manometri Anorectal: Ka ine tēnei whakamātautau i te pai o te mahi tahi a ō uaua me ō io hei whakahaere i te nekenekehanga o te puku. Ka whakaurua he catheter angiangi, ngāwari me te poihau iti ki roto i tō remu. Ka pupuhihia te poihau ki te wai mahana, ā, ka honoa te catheter ki te rorohiko hei ine i te pēhanga me te taunga o ngā uaua o tō papa pelvic.
• Te tango i te ihu: Ka hopukina e tēnei rangahau whakaahua (mā te whakamahi i te hihi-X, te MRI rānei) ō whekau e mahi ana i a koe e ngana ana ki te tūtae. Ka whakaurua e te tohunga hangarau he matū whakawehewehe ki roto i tō pūkahukahu. Ka noho koe i roto i tētahi wāhi motuhake i a te tākuta e tirotiro ana i te nekehanga o ō uaua me ō hanganga o roto i runga i tētahi aroturuki hei tautuhi i ngā raruraru mahi.
• Barium enema: He whakamātautau 'GI X-ray' motuhake tēnei. Ka tukuna he tae rerekē e kīia nei ko te barium ki roto i tō pūkahukahu hei enema, kia taea ai te tango whakaahua fluoroscopic (ataata X-ray) o tō pūkahukahu me tō whekau nui, he rerekētanga teitei.
• Proctoscopy: Ka whakamahia e tēnei whakamātautau he karu poto, pakari, he rama me te kāmera hei tirotiro i roto i tō pūtu. Mena e tika ana, ka taea e te tākuta te tuku taputapu mā roto i tēnei karu hei tiki i te koiora kiko.
• Sigmoidoscopy ngāwari: Mena me tirotiro anō tō tākuta, ka whakamahia pea e rātou he tirohanga roa ake, ngāwari hoki hei tirotiro i te wāhanga whakamutunga o tō koroni, e mōhiotia ana ko te koroni sigmoid. Mā tēnei ka āwhina i te tautuhi i ngā āhuatanga pēnei i te Inflammatory Bowel Disease (IBD) me ngā mate puku rānei. Kia mōhio koe me whakarite te whekau i mua i tēnei tikanga.

Me pēhea te pupuri i te hauora o tō repe?

Ahakoa kāore e taea te ārai i ngā mate katoa o te kōpū, mā te whai i ēnei tikanga hauora ka taea te whakaiti i ō tupono:

• Me moe haumaru: Ka pā ngāwari ngā mate pāwera ira tangata (STI) ki te ira wahine me te ira tāne. Me whakarite kia tirotirohia kōrua ko tō hoa i ia wā, ā, me whakamahi i te tiaki hei ārai i ngā mate.
• Kia mau ki te kai muka: Whakaitihia ngā kai tukatuka, engari kia aro ki ngā witi katoa, huawhenua, me ngā hua. Ka āwhina tēnei i te nekenekehanga o te puku, ka ārai i te mate puku me te taumahatanga ka arahi pea ki ngā raruraru maha o te pūkahukahu.
• Me mahi tō colonoscopy auau: Ko te 'Colonoscopy' auau te paerewa koura mō te kimi i ngā polyp me te ārai i ngā mate pukupuku rectum me te colon i mua i te kino haere.
• Kaua e warewarehia ngā tohu: Ki te mamae tonu koe, ki te rerekē tō mahi puku, ki te kore rānei e pai te noho, me toro atu ki te tākuta i te wā tika. Ko te kitenga wawe te mea nui ki te whakahaere whai hua.

Ngā whakaaro whakamutunga mai i Nirogi Lanka

Whakaarohia tō pūkahukahu hei piriti nui i roto i tō pūnaha nakunaku. Nā tōna hononga ā-tinana ki tō koroni me tō nono, he mea nui te pupuri i te hauora o te pūkahukahu mō te oranga o tō puku o raro katoa.

He uaua te whakahaere i te mamae o te kōpū, ā, he maha ngā wā ka whakama, engari ko te mahi nui ko te rapu āwhina. Ka taea e te tohunga puku, e te tohunga proctologist rānei (he tohunga hauora colorectal) te whakarato i te tautuhi tika me te mahere maimoatanga whai hua. Kaua e mamae noa - whakapā atu ki tētahi tohunga. Mena ka pāngia koe e te toto nui ohorere, te mamae nui rānei, haere ki te tari urupare tata, waea atu rānei ki ngā ratonga urupare o tō rohe tonu.

Ngā Tohu: Te tūtae, Te tūtae, Te nakunaku, Te mate puku, Ngā mate puku, Te koroni