E mōhio ana mātou he kaupapa uaua tēnei ki te kōrero, engari he tokomaha ngā tāngata o tō tātou hapori e pāngia puku ana e tēnei raruraru. Kei te pāngia hoki koe e te mamae koi e kore e taea te tāea i a koe e haere ana ki te wharepaku, inā koa i a koe e tūtae ana, me te mea kei te tapahia koe e te tataramoa karāhe? I taua wā anō, kei te kite koe i ētahi pata toto whero hou? Kātahi ka nui te tūponotanga kei a koe anō hoki te pakaru o te ihu . Kaua e manukanuka, he mate tino noa tēnei. I tēnei rā ka kōrerohia e tātou tēnei i roto i tētahi huarahi tino māmā, i tētahi huarahi ka taea e koe te mārama.
He aha te tikanga o te moka ā-ira?
Ko te pakaru o te anal he haehae iti, he kapiti rānei i roto i te kiriuhi mucous e whakarārangi ana i roto i tō awa anal. Whakaarohia he rite ki te pakaru o ō ngutu ina pāngia koe e te makariri. He tino angiangi, he tairongo hoki te kiri i te pito o tō anal. Ka puta he pakaru ina pakaru tēnei kiri angiangi mō tētahi take. Koinei te tino take o te mamae o te anal me te iti o te toto i roto i tō tūtae.
Ka pā tēnei mate ki te tangata o ngā tau katoa. He mea noa iho i waenga i ngā tamariki nohinohi, ngā wāhine hapu, me ngā taiohi. Mō ētahi tāngata, ka puta ohorere mai, ā, ka ora ake i roto i ētahi rā, wiki rānei. Mō ētahi atu, ka noho hei mate mau tonu ka roa te wā.
He aha ngā tohu matua o tēnei mate?
Tērā pea ka pāngia te tangata e te pakaru o te rectum e ngā tohu maha. Heoi anō, he iti noa ngā tohu e pāngia ana e te nuinga o te tangata. Ka whakarāpopototia e au ēnei ki roto i tēnei ripanga kia māmā ake ai te mārama.
| Tohu | Whakaahuatanga |
|---|---|
| Mamae koi | He mamae koi, wero, e puta ana ina haere koe ki te wharepaku, inā koa ina tūtae koe. Ka roa pea tēnei mamae mō ngā meneti ki ngā hāora i muri i tō mutunga o te tūtae. |
| Te toto i roto i te tūtae | Tērā pea ka kitea he toto whero hou, mārama i roto i te peihana wharepaku, i runga i te tūtae, i runga rānei i te pepa wharepaku. Ehara tēnei i te toto nui, he torutoru noa iho ngā pata toto. |
| Te mumura me te mākūkū | Te wera, te mākūkū rānei i te nono i muri i te tutae. |
| Ngā uaua o te rectum (ngā spasms) | Ka taea e te mamae te whakakiki, te pupuhi rānei i ngā uaua porowhita huri noa i te nono (ngā uaua nono). |
| He puku i runga i te kiri | I ētahi wā ka puta ake he puku iti, he tohu kiri rānei i te mata o te kiri e tata ana ki te wāhi i tapahia. |
Ko te mea nui, he mamae tēnei e wehi ai te tini o te tangata ki te haere ki te wharepaku. Engari mā te pupuri i te tūtae ka pakeke ake te tūtae, ka kino ake te patunga i te wā e whai ake nei. He rite ki tētahi huringa kino.
He pukupuku tōku? He pakaru rānei kei roto i tōku pūkahukahu?
He raruraru tēnei e pā ana ki te tini tāngata, nā te mea he tino ōrite ngā tohu o te hemorrhoids me te anal broths. Ka puta pea ēnei i te mate puku, ka toto hoki, ā, ka mākūkū hoki.
Engari he rerekētanga nui.
- Mamae: E iwa i roto i te tekau ngā tāngata he mātārae anal e pāngia ana e te mamae nui. Engari kāore i te mamae tonu ngā hemorrhoids. Ko te mamae o ngā hemorrhoids he mamae puhoi e mau tonu ana. Engari ko te mamae o te mātārae he mamae koi, he mamae haehae e puta ana i te wā e neke ana te puku .
- Taiao: Ko ngā hemorrhoids he oko toto pupuhi e karapoti ana i te nono. He rite ki ngā uaua varicose i roto i ngā waewae. Engari ko te pakaru he haehae i te kiri.
Heoi, ki te mea kei a koe ēnei tohu, he pai ake te toro atu ki te tākuta kia tika ai te tātaritanga, kaua e ngana ki te whakatau māu ake mēnā he pukupuku, he pakaru rānei.
He aha i puta ai tēnei momo pakaru? He aha ngā take matua?
He maha ngā wā ka puta tēnei i te whara o te kiri ngawari o te tōngāmimi. Waihoki, ka taea e ētahi āhuatanga hauora te whakanui ake i tēnei mōrearea.
Ngā take matua:
- Te mate kōroke:Koinei te tino take, ā, koinei te tino take e kitea whānuitia ana. Ina mārō, ina maroke, ina nui hoki ngā tūtae, me kaha te pēhi i te tūtae kia puta ai. Ka taea e tēnei te totoro, te haehae hoki i te kiri ngawari o te pūkahukahu.
- Te mate korere mau tonu: Ka taea hoki e te nekenekehanga pinepine o te puku te kino i te kiri o te tō.
- Whānautanga: Ka puta pea tēnei momo roimata nā te pēhanga i te wā e whānau ana.
- Te whakauru i tētahi mea ki roto i te tō: mō ētahi whakamātautau hauora, mō ētahi atu take rānei.
- Te Mate Puku o te Pēpi: Ka puta pea tēnei āhuatanga ahakoa kei te ngana ngā pēpi ki te tūtae.
Ētahi atu āhuatanga ka whai wāhi pea:
- Ngā pokanga o mua e pā ana ki te rectum.
- Te mate puku mumura (IBD), pērā i te mate a Crohn .
- Ngā mate urutā e pā ana ki te taatai (STI).
- He tino onge ngā kēhi pērā i te mate kohi (TB) me te mate pukupuku o te ihu .
- Te kino haere o te ponana nāpi .
He aha ngā raruraru ka pā mai mēnā kāore tēnei mate e rongoātia?
I te nuinga o te wā, ka ora ēnei pakaru i roto i ētahi wiki me te tiaki tika. Engari i ētahi wā kāore e ora, ā, ka mau tonu. Ka kiia tēnei ko te pakaru o te ihu mau tonu . Ko te take o tēnei ko te huringa kino i kōrerotia e au i mua ake nei.
Ka whakawhāitihia ngā uaua o te repe (spasm) e te mamae -> Ka whakawhāitihia ngā uaua, ka totoro haere te kapiti, ka heke te rere o te toto ki te wāhi -> Ka puhoi ake te ora o te patunga nā te hekenga o te rere o te toto -> Kāore te patunga e ora, nō reira ka mau tonu te mamae.
Ki te haere tonu tēnei huringa, ka ara ake pea ētahi atu raruraru.
- Te Pānga o te Tutae: Ki te karo koe i te haere ki te wharepaku nā te wehi kei mamae koe, ka piri pea te tutae ki roto i te tō.
- Te Matepukupuku Anal: Ka taea e te whara roa te whakawhāiti i te nono, ka uaua ake te haere ki te tiēre.
- Pūwero Anal: Ka puta he ngongo rerekē i waenganui i te nono me te kiri ina hohonu te kapiti, ā, ka pangia. He mate uaua ake tēnei.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohu. Kātahi ka ngana ia ki te tirotiro i tō pūkahukahu. Ka mahia tēnei mā te huri i a koe ki tetahi taha o te moenga, me te neke mārire i ō papa ki ngā taha, me te ngana ki te pā ki te whakatuwheratanga.
He tokomaha te hunga e mataku ana, e whakama ana hoki mō tēnei whakamātautau. Engari kia maumahara, he mea noa tēnei mō ngā tākuta. Ki te kore e taea e koe te manawanui i te mamae, e kore te tākuta e akiaki i a koe ki te mahi i te whakamātautau. He maha ngā wā ka taea te tautuhi i te mate i runga i ngā tohu anake.
Ki te iti ake te mamae, ka āta kuhu pea tō tākuta i tētahi maihao kua pania ki te hinu, kua pania ki te karapu ki roto i tō pūkahukahu (whakamātautau matihiko mō te pūkahukahu) hei tirotiro mēnā he uaua kua piri, he raruraru rānei. Mā tēnei ka āwhina ki te whakakore i ētahi atu mate.
He aha ngā mea ka taea e koe te mahi ki te kāinga hei whakaora me te whakaiti i te mamae?
Ko te rongo pai, ko te nuinga o ngā matā porowhita, inā koa ko ngā mea hou (ngā matā whakapeka), ka taea te rongoā mā te whakamahi i ngā rongoā kāinga ngāwari.
| Rongoā | Me pēhea te mahi me tōna hiranga |
|---|---|
| Kaukau noho (kaukau wai wera) | Koinei te maimoatanga pai rawa atu, ngāwari hoki. Whakakīia tētahi peihana nui ki te wai māhana, ka noho ki roto mō te 10-15 meneti, e rua, e toru rānei ngā wā i te rā. Mā tēnei ka whakaiti i te mamae me te mākūkū. Ka whakangāwari hoki i ngā uaua o te nono, ka whakanui ake i te rere o te toto, ā, ka āwhina i te tere o te ora o te patunga. |
| Te whakarerekē i te kai | He mea nui kia kore ai e mate puku. Kai atu i ngā kai momona i te muka (pīni, rēneti, panana, pīnihi, ōti, hua rākau, huawhenua). Inuhia kia 8-10 karāhe wai i te rā. Mā tēnei ka whakangawari i te tūtae, ka māmā ake te haere. |
| Ngā tikanga wharepaku | Kaua e whakaroa ina hiahia koe ki te haere ki te wharepaku. Kaua e whakamātau. Ina noho koe ki runga i te wharepaku, whakatakotoria he paepae iti (he tūru hikoi) ki raro i ō waewae. Mā tēnei ka āwhina i tō tinana kia noho pai ki te tūnga mō te totohu. |
| Te horoi | I muri i te whakamahinga o te wharepaku, horoia mārire ki ngā tauera mākū kāore he kakara, kāore he waipiro, ki te pepa wharepaku ngohengohe rānei. Ki te taea, ko te mea pai ko te horoi ki te wai (bidet). |
| Ngā momo paninga | Mā te paninga i tētahi mea pēnei i te hinu tiēre ka āwhina i te kiri kia makuku, kia ora ai hoki. Ka taea te whakamahi i ngā kirimi whakamamae mamae (hei tauira, Lidocaine) e ai ki ngā tohutohu a te tākuta. |
Mena kāore e taea te whakaora i te mate e ngā maimoatanga kāinga, he aha ngā maimoatanga hauora?
Ki te kore te pakaru e ora mō ngā wiki neke atu i te 6-8 (Blood Anal Fissure), he mea nui kia toro atu ki te tākuta. Ko te whāinga matua o te maimoatanga i konei ko te whakangāwari i ngā uaua o te nono me te hoatu i te whai wāhi ki te pakaru kia ora.
Ngā momo rongoā
- Hinu Nitroglycerin: Ka mahi tēnei hinu mā te whakawhanui i ngā oko toto huri noa i te nono, te whakangāwari i ngā uaua, me te whakanui ake i te rere o te toto ki te patunga. Ka āwhina tēnei i te tere o te ora o te patunga. Heoi, ka pāngia pea ētahi tāngata e te mamae o te upoko i te wā e pania ana tēnei.
- Ngā aukati hongere konupūmā: Ka whakamahia hoki ngā hinu kei roto ngā rongoā pēnei i te nifedipine, te diltiazem rānei hei whakangāwari i ngā uaua.
- Werohanga Botox®: Ki te kore e angitu ētahi atu maimoatanga, ka taea te whakamahi i te werohanga Botox® hei huarahi whakamutunga hei rongoā i ngā uaua o te hope. Ka whakararuraru tēnei i ngā uaua mō te wā poto, ka whakangāwari hoki (mō te 3 marama pea), ka taea ai te whakaora i te pakaru.
- Ngā rongoā whakangote nui: Mena he nui te mate kōroke, ka tūtohu pea tō tākuta i ngā rongoā pēnei i ngā tāpiringa muka (hei tauira, te husk psyllium).
Pokanga
Ki te kore te rongoā e āwhina, ki te puta anō rānei te pakaru, me mahi pea he pokanga iti. Ka kiia tēnei he Lateral Internal Sphincterotomy .
Ko te tikanga o tēnei he tapahi iti noa iho i te uaua o roto o te pūkahukahu o te rectum i raro i te rongoā whakamoe, kia tangohia rawatia ai te stricture. He maimoatanga tino angitu tēnei (neke atu i te 90% te angitu), ā, ka tere te memeha o te mamae i muri i te pokanga. Ka taea e koe te hoki ki te kāinga i te hōhipera i taua rā anō.
Karere Tangohia ki te Kāinga
- He mate tino noa te moka o te ihu, ā, he mamae hoki. Kaua e whakama, kaua hoki e wehi.
- Ko te mate puku te take o tēnei mate, ā, ka taea te whakaora i roto i ētahi wiki mā te whakamahi i ngā maimoatanga kāinga ngāwari (te horoi ki te wai mahana, te kai i ngā kai momona i te muka, me te inu i te nui o te wai).
- Mena he toto whero hou kei roto i tō tūtae, he mamae e kore e taea te whakamanawanui, kāore rānei koe e pai ake i muri i ētahi wiki, kaua e moumou taima, engari me toro atu ki tētahi tākuta whai tohu.
- Kaua e whakaroa i te haere ki te wharepaku i te wehi kei mamae. Ka kino ake pea tēnei āhuatanga.
- Ka taea te whakaora rawa i tēnei mate mā te whai i te maimoatanga i whakaritea e te tākuta, me te hanga i ētahi huringa ngāwari o te āhua noho.
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