I ētahi wā ka pā mai ngā raruraru hauora he uaua ki te kōrero, engari he tino mamae. Ko tētahi o aua āhuatanga ko te pupuhi whero, te pupuhi, te mamae e tata ana ki te nono. Ka tino hoha te mamae i te wā e noho ana, e hikoi ana, e haere ana rānei ki te wharepaku, ā, kāore e taea e koe te mahi i ō mahi o ia rā. Kua pā mai tēnei wheako ki a koe? Kaua e wehi i tēnei mate. Me kōrero tātou mō tēnei āhuatanga me te taipitopito, me te ngāwari hoki.
He aha tonu te whewhe o te anal?
He kupu ngāwari noa iho, he puku mamae, kī tonu i te waikura te puku e puta ana i raro i te kiri huri noa i tō nono. He repe iti kei roto i tō nono e āwhina ana ki te pupuri i te makuku. Ina āraia ēnei repe mō tētahi take, ka puta he mate huakita, ā, ka puta he waikura ki roto. Ka puta taua waikura, ka puta he puku mamae.
Ko te momo whewhe tino kitea ko te whewhe perianal, e puta tata ana ki te whakatuwheratanga o te nono. He maha ngā wā ka puta he puku whero, he ngawari. I ētahi wā, ka puta hoki ngā whewhe i roto i te nono, i roto i te rectum. Kāore e kitea.
Te whanaungatanga i waenga i te pakaru anal me te fistula
Ko tētahi atu mea me mōhio koe ina kōrero ana mō tēnei ko te mea e kiia nei ko te fistula. He tokomaha (tata ki te 50%) o te hunga e pāngia ana e te fistula anal ka pāngia anō hoki e te fistula i muri mai.
He kauhanga rerekē te fistula e puta mai ana i te wāhi o te whewhe kī tonu i te nana (i roto i te nono) ki te mata o te kiri. He huarahi tēnei mā te tinana ki te tuku i te nana kua kohia nā te mate.
Ka puta pea te pupuhi pinepine i roto i te kiri i tēnei pakaru, me te iti o te tūtae, te toto rānei, i ētahi wā. I ētahi wā, ki te kati tēnei poka, ka kohia anō te pupuhi ka hanga he whewhe hou. Nō reira, ki te mea he maha ō pakaru o te hope, he nui te tūponotanga he pakaru te take.
He aha ngā take me ngā āhuatanga mōrearea mō te whanaketanga o ēnei pukupuku?
Kāore he take kotahi mō te pakaru o te ihu. He maha ngā take me ngā āhuatanga mōrearea ka whai wāhi ki tēnei. Me titiro tātou ki ēnei i roto i tētahi ripanga.
| Take/Tūpono mōrearea | He whakamārama māmā |
|---|---|
| Ngā repe ā-ira kua āraia | Koinei te tino take, ā, koinei te tino take e kitea whānuitia ana. Ka puta te pupū i te mate huakita i roto i ngā repe. |
| Ngā pakaru o te ihu | Ka taea e ngā huakita te tomo mā roto i ngā kapiti iti i te tō nā ngā āhuatanga pēnei i te mate pāwera, ā, ka puta ai ngā mate. |
| Ngā mate o te pūnaha nakunaku | Ko te hunga e pāngia ana e ngā mate mumura o te whekau (IBD) pērā i te mate a Crohn, te mate kolitis ulcerative rānei, kei te nui ake te mōrearea ki te mate. |
| Mate huka | He nui te mōrearea o te hunga mate huka ki te pāngia e tetahi mate. |
| Te ngoikore o te ārai mate | Ko te hunga he ngoikore te pūnaha ārai mate nā ngā mate pēnei i ngā rongoā mate pukupuku (chemotherapy), ngā rongoā steroid (prednisone), te HIV rānei, he nui ake te mōrearea ki te pāngia e te mate. |
| Ētahi atu take | Ka whai wāhi atu anō pea ngā mate pāwera ira tangata, ngā whara o te pona, te kai paipa, me te mate puku roa. |
He pukupuku tēnei? He mātārae anal rānei? Kia mōhio tātou ki te rerekētanga.
He tokomaha te hunga e whakapoauau ana i tēnei mate ki te hemorrhoids. He tika tēnei whakapoauau nā te mea ka puta ngā mea e rua i te wāhi kotahi, ā, ka puta te mamae me te mākūkū. Heoi, he rerekē rawa ēnei mate hauora e rua.
Ehara ngā hemorrhoids i te mate pukupuku. He uaua pupuhi i roto i te nono. Ko te matā anal he whewhe kī tonu i te puha i puta mai i te mate huakita.
Me whakamārama ake tēnei rerekētanga mā te whakamahi i te ripanga i raro nei.
| Āhuatanga | Pukupuku Ā-pūwero | Ngā pukupuku |
|---|---|---|
| Taiao | He puku kī tonu i te pūkahukahu, he whero, he pupuhi, ā, he mahana ki te pā atu. | He oko toto pupuhi e rite ana ki te puku mārō, papura-kikorangi. |
| Mamae | Te mamae koi, pumau, me te wero, ina koa i te wā e noho ana. | Tērā pea ka pāngia koe e te mamae, te mākūkū, te kore whakamarie rānei, engari kāore i te tino kino i ngā wā katoa. |
| Te kirika me te makariri | Āe , he mate pāwera tēnei ka pā mai te kirika, te makariri, me te wiri. | Kāo , ehara ngā hemorrhoids i te mate pukupuku, nō reira kāore e pā te kirika ki a rātou. |
| Putanga o te waikura | Ki te pahū te whewhe, ka maringi pea te waikura. | Kāore he pūhā. Tērā pea he iti nei te toto. |
Me pēhea te tātaritanga a te tākuta i tēnei?
Mena kei a koe ēnei tohu, he mea nui kia toro atu koe ki te tākuta . Ka pātai atu te tākuta ki a koe mō ō tohu, ā, ka tirotirohia te wāhi.
- Whakamātautau tinana: Ka tirohia e te tākuta te kōpū me te rohe e karapoti ana, hei tirotiro mēnā he pupuhi, he whero, he mamae rānei.
- Whakamātautau Matihiko mō te Remu: Ka whakaurua he matihao kua mau ki te karapu ki roto i te remu hei tirotiro mō ngā puku, ētahi atu āhuatanga rerekē rānei.
- Ētahi atu whakamātautau:I ētahi wā, inā koa kei roto te pukupuku, ka tūtohutia pea he matawai pēnei i te ultrasound, te CT scan, te MRI rānei hei whakaū i te mate. Ka tūtohutia pea hoki he colonoscopy hei whakakore i tētahi atu mate, pēnei i te IBD.
Me pēhea te rongoā? Ka pai ake tēnei i a ia anō?
Ko te mea nui hei maumahara māu i konei, kāore te moka o te ihu e ora noa iho. Me whiwhi maimoatanga hauora tonu.
Whakatūpato: Kaua rawa e ngana ki te tango i te pūkahukahu mai i tēnei whewhe i te kāinga, kaua hoki e werohia ki tētahi mea koi. Ka kino ake pea te mate, ā, ka arahi atu ki ngā raruraru morearea pērā i te sepsis.
Te Wairewa Pokanga
Ko te maimoatanga pai rawa atu, ko te maimoatanga anake hoki mō te moka o te anal, ko te mahi i tētahi pokanga iti hei tango katoa i te pupuhi.
- Ngā pūwero iti o waho: Ka taea te mahi i ēnei i te tari o te tākuta (OPD) i roto i ētahi meneti i raro i te mate whakamoe ā-rohe.
- Ngā pukupuku o roto, o ngā pukupuku nui rānei: I tēnei wā, me whakauru koe ki te hōhipera, me whakamoe, ā, me mahi tēnei pokanga i roto i te rūma pokanga i raro i te whakamoe whānui.
I muri i te pokanga, ka waiho tuwhera te tapahi kia mimiti rawa te puha. Kāore e tuia.
Te wā whakaora i muri i te pokanga
Ka tino heke te mamae i muri i te pokanga. Hei āwhina i a koe kia tere te ora, ka tūtohu pea tō tākuta i ēnei e whai ake nei:
- Ngā rongoā whakamamae: Ka hoatu he rongoā hei whakahaere i te mamae.
- Ngā rongoā paturopi: Tērā pea ka tohua he rongoā paturopi hei whakahaere i te mate, inā koa mēnā he mate kē atu tōu pērā i te mate huka. He mea nui kia tangohia ēnei rongoā mō te roanga katoa.
- Kaukau Noho: He mea tino nui tēnei. Mā te noho i roto i tētahi peihana wai māhana mō te 10-15 meneti, he maha ngā wā i te rā, ka taea te whakaiti i te mamae, te pupuri i te patunga kia ma, ā, ka tere ake te ora.
- Te ārai i te mate pāwera: Mā te tango i ngā rongoā whakamāmā ( ngā rongoā whakamāmā ) me te kai i ngā kai momona i te muka (hua rākau, huawhenua) ka āwhina i te whakaiti i te mamae i a koe e haere ana ki te wharepaku kia ora rā anō te patunga.
Ngā raruraru ka puta mai mēnā kāore e tika te maimoatanga
Ki te kore tēnei e arohia hei take iti noa iho, ka puta pea ngā raruraru nui.
- Te hanganga o te fistula: E ai ki tā tātou i kōrero ai i mua ake nei, ki te puta he pukupuku, he nui te tūponotanga ka puta he fistula.
- Te horapa o te mate:Ka taea e te mate te uru ki roto i te toto, ka horapa puta noa i te tinana, ka puta he mate morearea e kiia nei ko te sepsis.
- Te hanganga pinepine o ngā whē: Ki te kore e tangohia tika te pū, ki te puta rānei he whē, ka taea tonu e ēnei whē te hanga.
- Te gangrene a Fournier: He mate tino onge tēnei, engari he mate morearea ki te ora, ka tere te mate o te kiko e karapoti ana i ngā ira tangata.
Nō reira, ko te mea pai ko te rapu tohutohu hauora i te wā tonu ka puta mai ngā tohu.
Karere Tangohia ki te Kāinga
- He puku mamae, kī tonu i te pūkahukahu te whewhe o te anal e hanga ana i te taha o te anal.
- Kaua tēnei e whakapoauautia ki te mate pukupuku. Ko te kirika me te mamae nui he tohu pea nō te moka o te ihu.
- Kāore tēnei mate e ora noa iho, nō reira, ki te pā mai ngā tohu, kaua e moumou taima, engari me toro atu ki te tākuta.
- Kaua e pēhia, e wahia rānei te whē i te kāinga. He tino morearea pea.
- He maha ngā wā, he pokanga iti hei tango i te pūkahukahu hei rongoā. He maimoatanga angitu, he haumaru hoki tēnei.
- Mena he maha tonu ō pukupuku, kōrero ki tō tākuta mō tēnā, nā te mea tera pea he fistula kei raro e huna ana.
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