Kia ako tātou mō tētahi wāhanga nui o tō pūnaha nakunaku: te tōku.

I tēnei rā ka kōrero tātou mō tētahi wāhanga tino nui o te tinana, engari kāore i te mōhiotia i ētahi wā. Ko te rectum tēnā, ko te rectum rānei i te reo Pākehā. Koinei te wāhanga kei te pito o tō tātou pūnaha nakunaku. Me titiro tātou ki tōna āhua, me pēhea tana mahi, me ngā mate ka pā mai.

He aha te remu?

Ki te kī ngāwari, ko tō pūhā te wāhanga whakamutunga o tō whekau nui. He ngongo roa te whekau nui. Koinei te wāhi e takoto ai te koroni, te pūhā, me te nono. Ko tō pūhā ngā 6 inihi whakamutunga o tēnei. Kātahi ka tīmata te awaawa nono. Koinei te wāhi whakamutunga mō te kai e kainga ana e tātou i mua i te haerenga mā roto i ō tātou tinana, ā, ka puta hei para. Ina tae ngā para i toe mai i te nakunaku o te kai, e kiia nei ko te paru, ki te nono mai i te koroni, ka kohia ki reira tae noa ki te wā e kī mai ai ngā io kia haere tātou ki te wharepaku.

He aha te rerekētanga i waenga i te Colon me te Rectum?

Ka tīmata tō pūkahukahu i te pito o tō koroni. He rite tonu te hanganga o ēnei mea e rua. Arā, he paparanga uaua, he paparanga kiko, he repe e whakaputa ana, e mimiti ana i ngā matū mai i roto. Heoi, he roa ake te koroni. Waihoki, ka haere tonu te nakunaku o te kai i a ia e haere ana i roto i te koroni. Engari i te wā ka tae atu ki tō nono, kua waiho kē hei para totoka, hei paru rānei. Ko tā tō nono he pupuri i ēnei para mō tētahi wā, ka mimiti ake i te wai me ngā electrolytes kei roto, ā, ka rongoa kia tae rā anō ki te wā hei tuku atu.

Nā, he aha te rerekētanga i waenganui i te pūkahukahu me te nono?

Ka tīmata te awaawa ana i te pito o tō pūkahukahu. Koinei ngā henimita whakamutunga o tō whekau nui. Kei te anau ngā uaua nui e whakahaere ana i ō nekehanga puku, e kiia nei ko ngā uaua anal sphincters . Koinei ngā mea e āhei ai tātou ki te pupuri me te tuku tūtae ina hiahia tātou.

He pēhea te mahi a te tōngāmimi i roto i tā tātou pūnaha nakunaku?

Ko te mahi matua o te pūhā he kohikohi me te pupuri i tō tūtae kia tae rā anō ki te wā e tika ana kia pau. Ka whakangāwari tō pūhā, ka totoro hei whakauru i ngā para e puta mai ana i tō koroni, pērā i te poihau. Ko te tikanga ka hangaia he wāhi mōna. Ina pupuri koe i tō tūtae pēnei, ka mimiti te pūhā i te wai me ngā electrolytes e toe ana i roto, ka matotoru ake. Ka tukuna hoki e ia he matū e kiia nei ko te huware hei āwhina i te tūtae kia ngāwari ake te haere. Ina kī ana tēnei, ka tukuna e ngā io he tohu ki te roro me haere koe ki te wharepaku inaianei. Koinā te wā e hiahia ana tātou.

Kei hea te tūnga o te tō?

Kei te taha o te puku te whekau nui e tū ana i te taha o te whekau iti. Kei te pito o tēnei whekau nui te pūkahukahu, i raro i ngā whekau kē atu o te puku, ā, e piko ana ki te pūaha o te ihu. Hei whakamārama, kei roto i te pūkahukahu pelvic, arā, tō puku, i waenganui i ngā uaua o te papa o te pelvic. E hono ana te wāhanga o runga o te pūkahukahu ki te koroni sigmoid, ā, e hono ana te wāhanga o raro ki te ihu.

Kia pēhea te roa o te remu?

Ko te roa o te tōngāmimi he 10 ki te 15 henimita te roa. Tata ki te 5, ki te 6 inihi rānei. Engari he mea motuhake tēnei. Ina mahi ngā uaua ki te pana i te tūtae ki waho, ka taea e ia te whakapoto me te whakapoto, pērā i te mea takaro slinky. Pērā i te toenga o te whekau nui, tata ki te 3 inihi te whānui. Tata ki te haurua o te whānui o tōna roa. Engari ka taea hoki e ia te whakawhānui, te whakawhanui rānei, hei pupuri i te tūtae nui mō te wā poto, pērā i te puna.

He aha ngā wāhanga o te rectum?

He rite te āhua o te pūrua ki te 'S' iti. E rua ōna piko. Ko te piko o runga, e kiia nei ko te piko sacral , e whai ana i te piko o tō tuaiwi. Ko te piko o raro, e kiia nei ko te piko anorectal , e tohu ana i te whakawhiti mai i te pūrua ki te anus. Mā ēnei piko ka āwhina koe ki te whakahaere i ō nekehanga puku (te aukati i te mimi).

Ka wehea hoki te pūkahukahu kia maha ngā wāhanga, pērā i te noke. Ka wehea ēnei wāhanga e ngā kopa whakapae i roto i te arai o roto, e kiia nei ko ngā takirere o Houston .

Ko ēnei rūma e toru, e whā rānei i roto i te pūkahukahu e whakahaere ana i te putanga o te tūtae. Ko te rūma whakamutunga e kiia ana ko te rectal ampulla . Koinei te wāhi rokiroki whakamutunga i mua i te putanga mai o te tūtae. Ina kī ana tēnei rūma, ka tukuna he tohu e ngā kaiwhakawhiwhi totoro i roto i te pakitara pūkahukahu ki te pūnaha io matua kua tae ki te wā kia nekehia te tūtae. I te piki haere o te pēhanga, ka uaua ake te pupuri, e mōhio ana koe?

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

Ka pāngia te arai, ngā uaua, ngā io rānei i roto i te pūkahukahu e ngā mate o te rectum. Ka mamae pea tēnei, ā, ka whakararuraru i te mahi noa. Me titiro tātou ki ētahi o ngā mate e tino kitea ana:

• Proctitis: He mumura tēnei o te rectum, ka pupuhi, ka whero hoki. Tērā pea ka puta mai i ētahi mate urutā, inā koa ko ngā mate pāwera i te taatai ​​(STI). Tērā pea ka puta mai i te mate puku mumura (IBD).Ka taea hoki e te proctitis mau tonu te puta mai i ngā mate roa pēnei i:
• Ngā mate pukupuku o te remu: He mate pukupuku mamae, tuwhera ēnei. I ētahi wā ka toto te toto o ēnei mate pukupuku.
• Te whēkau perianal: He puku mamae tēnei, kī tonu i te pūkahukahu e puta ana i te nono, te pūaha o te nono, te wāhi e karapoti ana rānei (perineum).
• Ngā polyp o te repe tai: He mea noa ngā tipu iti, kikokiko (polyps) i roto i te koroni me te rectum . Ehara i te mea he morearea i ngā wā katoa. Heoi, ka taea e ētahi polyp te whanake hei mate pukupuku repe tai.
• Te hekenga o te tūtae: Nā te ngoikore o ngā uaua e pupuri ana i te tūtae, ka taka te tūtae ki raro ka puea ki roto i te awaawa o te ana, pērā i te karu tiro.
• Te mate Levator : I ahu mai te ingoa o tēnei mate i te uaua levator ani e pupuri ana i te nono kia mau tonu. Ka puta he mamae i roto i te nono i ētahi wā. E whakaarohia ana ko te take o tēnei he pupuhi o te uaua.
• Te kore e taea te pupuri i te paru: Ka uaua te pupuri i te paru nā ngā raruraru o ngā uaua, o ngā io rānei i roto i te pū . Ka taea e tēnei te arahi ki te turuturu, ki te turuturu katoa rānei o te paru.
• Te tūtae ā-pūpū: Ka taea te uaua ki te tuku tūtae i ngā āhuatanga tinana me ngā āhuatanga hinengaro. Tērā pea nā te ngoikore o te kare ā-roto i te pūkahukahu, te kore rānei o te taunga o ngā uaua, pērā i te ngoikore o te papa pelvic .
• Te kōroke me te pānga o te paru: Mā te uaua ki te tuku tūtae, me te kore e nui te tūtae ka puta he kōhatu i roto i te tūtae, ka piri ki roto i te remu.

He aha ngā tohu e tohu ana he raruraru pea kei te rectum?

Mena kei a koe ētahi o ēnei tohu, he mea pai kia kōrero koe ki te tākuta mō tō hauora o te rectum:

• Te kitenga i ngā paru toto i ō kākahu o roto, i roto rānei i te wharepaku (Te toto i te remu).
• Te mamae o te puku, te mamae rānei i te puku o raro , i te hope rānei.
• Te mākūkū o te pūwero , ngā tohu rānei o te mate e karapoti ana i te pūwero.
• Ngā panonitanga o ngā tūtae, hei tauira, he panonitanga o te tae o ngā tūtae, te ōritetanga, te auau rānei o te inu.
• He kare ā-roto e hiahia ana ki te tūtae pinepine (tenesmus) , he uauatanga rānei ki te tūtae me te mamae (dyschezia) .
• He puranga kikokiko e puta mai ana i te nono (te hekenga o te whekau pelvis).

Me pēhea te tirotiro a ngā tākuta i te hauora o taku kōpū?

He maha ngā whakamātautau e whakamahia ana e ngā tākuta hei tirotiro i te tōngāmimi. Me titiro tātou ki ēnei:

• Whakamātautau Rekereke Mamati (DRE): Ko te tikanga o tēnei he whakauru e te tākuta i tētahi maihao kua pania ki te karapu, kua pania ki te hinu ki roto i tō rekereke. Ka taea te mahi i tēnei DRE hei wāhanga o tētahi whakamātautau tinana noa, hei wāhanga rānei o tētahi whakamātautau wahine. Ka taea te tirotiro i tō rekereke anake, engari me tō repeure, tō cervix rānei mā roto i te pakitara rekereke.
• Ahurea o te rectum: I roto i tēnei whakamātautau, ka horoia e te tākuta te roto o tō rectum ki te miro miro, kātahi ka whakatipuria te tauira hei tirotiro mēnā he huakita, he huaketo rānei.
• Whakamātautau tūtae: Ka tangohia pea e te tākuta he tauira o tō tūtae ka tirohia mō ngā tohu o te mate, te toto, te nui 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 ki te pana i te paru ki waho. Ka whakauruhia he catheter me te poihau e piri ana ki roto i tō nono, ā, ka pupuhihia te poihau ki te wai mahana. Ka honoa tetahi atu pito o te catheter ki tētahi mīhini e ine ana i te mahi a ō uaua.
• Defecography: I roto i tēnei whakamātautau, ka tangohia he hihi-X, he MRI rānei o ō whekau o roto i a koe e ngana ana ki te neke i te puku. Ko te mahi tēnei hei tirotiro i te mahi a ngā whekau me ngā uaua rerekē. Ka werohia e te tohunga hauora he matū hauora ki roto i tō pūkahukahu, kātahi ka tukuna hei tūtae. Ka mahia tēnei e koe i a koe e noho ana i roto i tētahi whare whakaahua tūmataiti. Ka mātaki rātou i ō whekau i runga i te mata rorohiko.
• Barium enema: He momo hihi-X anō hoki tēnei. Ka tangohia he whakaahua hihi-X fluoroscopic, he ataata rānei, o tō whekau nui, tae atu ki tō pūkahukahu. Ko te barium enema he momo tae rerekē. Ka tukuna ki roto i tō pūkahukahu pērā i te enema. Mā ngā whakaahua pango-mā e whakaatu mārama ēnei wāhi.
• Proctoscopy: He tikanga tirotiro te proctoscopy hei tirotiro i roto i tō pūkahukahu mā te whakamahi i tētahi ngongo poto, mārō (scope). He ngongo tuwhera te proctoscopy me te rama me te kāmera i te pito. Mena e tika ana, ka taea e te tākuta te tuku i tētahi taputapu mā roto i te ngongo hei tango tauira kiko (biopsy).
• Sigmoidoscopy ngāwari: Ki te hiahia te tākuta ki te titiro atu ki roto, arā, te wāhanga whakamutunga o te whekau nui, te wāhi e hono ana ki te rectum (tō koroni sigmoid), ka taea te whakamahi i tētahi ngongo roa ake e kiia nei ko te sigmoidoscope ngāwari. Mena he raruraru kei tō koroni, ka taeaTērā pea he mate puku mumura (IBD) he mate puku rānei. Me whakarite te puku mō tēnei whakamātautau.

Me pēhea te pupuri i te hauora o taku kōpū?

Ahakoa kāore e taea te ārai i ngā mate katoa o te kōpū, ka taea e koe te whakaiti i tō tupono ki te pāngia e ētahi mā te whai i ēnei tikanga hauora māmā:

• Me moe haumaru: Ka taea hoki e ngā mate pāwera ira tangata (STI) e pā ana ki tō pūwero te pangia tō pūwero. Me whakamātau tō hoa mō ngā STI, ā, me whakamahi i ngā tikanga haumaru ake mēnā kei te ruarua koe.
• Mā te kai hauora ka whakatairanga i te nekenekehanga o te puku: Kaua e kai i ngā kai tukatuka, engari me kai i ngā kai taiao pērā i te witi katoa, huawhenua, me ngā hua. Ka āwhina tēnei ki te ārai i te mate puku me te uaua ki te haere i te tūtae, ka ara ake ai ngā raruraru maha atu.
• Me tiki tō koroniro: He huarahi tino nui te koroniro hei tirotiro i ngā polyp i roto i te koroni me te ārai i te mate pukupuku koroniro.
• Kaua e warewarehia ngā tohu: Ki te mamae tonu koe, he rerekētanga o ngā tikanga puku, he uaua rānei ki te haere i te tūtae, tirohia he tākuta i mua i te kino haere o te āhua.

Hei whakamutunga, ngā mea hei maumahara

He rite tō pūkahukahu ki tētahi piriti tino nui i waenganui i tō pūnaha nakunaku me ō nekehanga puku. Ka pā pea tō koroni i tētahi taha me tō nono i tētahi taha ki te hauora o tō pūkahukahu, ā, ka pāngia anō hoki tō pūkahukahu.

Ka tino whakamā, ka whakama hoki ngā raruraru o te rectum. Heoi, ko te mea nui ko te tiki i te āwhina e hiahiatia ana e koe. Ka taea e te tohunga puku, e te tohunga proctologist rānei te āwhina i a koe ki te tātaritanga me te rongoā i ngā raruraru o te rectum. Nō reira, kaua e manukanuka, rapua he tohutohu hauora.

` Tūku, tūtae, nakunaku, mate puku, mate anahe, koroni tirotiro