Kei te pāngia koe e te pakaru o te anal? Me ako tātou mō tēnei pokanga (Lateral Internal Sphincterotomy)!

Ko te mamae o te pūwero, inā koa te mamae wera me te mamae koi i te wā e neke ana te puku, he mea e kore e pai te kōrero a te tini tāngata, engari he nui te mamae o roto. I ētahi wā ko te take he pakaru iti i te pakitara o tō awaawa pūwero. E kiia ana tēnei e mātou he 'Anal Fissure' i roto i ngā rongoā. I te nuinga o te wā, ka ora ēnei pakaru i roto i ētahi wiki me ngā rongoā, ngā hinu, me ngā huringa āhua noho. Engari mō ētahi tāngata, ka roa mō ngā marama, tae noa ki ngā tau. Koia te take e kōrero ai ngā tākuta mō tētahi pokanga e kiia nei ko te 'Lateral Internal Sphincterotomy' mō tētahi tangata he pakaru roa tēnei.

He aha te tikanga o te Lateral Internal Sphincterotomy?

Āe, ahakoa he ahua uaua te ingoa, he tino māmā noa iho te ariā. Ko te lateral internal sphincterotomy he pokanga iti e mahia ana i runga i tētahi o ngā mowhiti uaua e rua e karapoti ana i tō nono.

Whakaarohia, e rua ngā mowhiti uaua e karapoti ana i tō tātou nono.

1. Te uaua o roto o te whēkau: Kāore he mana whakahaere mō tēnei. He piri tonu, ā, ka whakangā noa i te wā e neke ana te puku.

2. Te uaua o waho o te hiku: Ka taea e tātou te whakakaha, te whakangāwari rānei i tēnei i ngā wā katoa.

Ko te take matua e kore ai e ora ngā matā porowhita roa ko te pēhanga o tēnei mowhiti uaua o roto . I roto i tēnei pokanga, ka tapahia e te taote pokanga he tapahi iti rawa ki te uaua o roto he tino piri rawa, ā, ka whakaiti i tōna piri. He rite ki te tapahi i tētahi here rapa piri, kātahi ka wetekina. Ka kiia tēnei ko te `(Myotomy)`, arā, ko te tapahi i tētahi uaua.

He aha koe i hiahia ai ki tēnei pokanga?

Tērā pea koe e whakaaro ana, "He aha ahau me pokanga ai mō tētahi mole iti?" Anei te take.

Ina puta he pakaru i roto i te pūkahukahu, ka kitea te uaua o raro. Ka meinga te uaua kia kikī pinepine, ā, kāore e taea te whakahaere. Ka kiia tēnei he uaua whakapūpū. E rua ngā raruraru matua e puta mai ana i ēnei uaua whakapūpū:

1. Te totoro i te patunga: Ina whakakiki te uaua, ka tōia ngā taha o te uaua kia kotahi. Pērā i te piko o tō tātou ringa, ā, ka pā he patunga ki tō tātou tuke, ka tuwhera te patunga. Ka whakaitihia te tūponotanga o te ora o te patunga.

2. Te hekenga o te rere o te toto: Ina piri te uaua, ka heke te rere o te toto ki taua wāhi. He mea nui te rere pai o te toto kia ora ai tetahi patunga. Ina heke te rere o te toto, ka mutu katoa te tukanga whakaora.

Ka whakawhāitihia te uaua nā te mamae, ā, mā te whakawhāititanga o te uaua ka kore e ora te patunga, ka nui haere te mamae. He rite ki tētahi porowhita kino. Mā te pokanga 'Lateral Internal Sphincterotomy' ka pakaru taua porowhita kino. Ina heke te whakawhāititanga o te uaua i waenga i te 20% me te 50%, ka mutu ngā 'spasms', ka hoki mai te rere o te toto, ā, ka tīmata te patunga ki te ora maori.

He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

Ehara tēnei i te pokanga nui i te nuinga o te wā. He tikanga tēnei i waho o te hōhipera, ā, ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te maimoatanga.

Te whakarite mō te pokanga

• Whakamamae: Ko te tikanga ka mahia tēnei pokanga i raro i te whakamaemae whānui. Ko te tikanga tēnei kāore koe e rongo i tetahi mea i te wā o te pokanga. Nō reira, kāore e taea e koe te taraiwa i muri i te pokanga. He mea nui kia whai tangata hei taraiwa i a koe ki te kāinga.
• Whāia ngā tohutohu: Whāia ngā tohutohu a tō tākuta kia tika, pērā i te maha o ngā hāora e hiahiatia ana e koe hei nohopuku i mua i te pokanga.

I te wā o te pokanga

E 30 meneti pea te roa o te pokanga. Ka whakamahia tuatahitia e te taote pokanga tētahi taputapu iti e kiia nei ko te anoscope hei tirotiro i roto i te nono, kia kitea ai te wāhi tika o te pakaru. Kātahi ka tapahia he tapahi iti ki te taha o te uaua o roto o te sphincter i raro i te pakaru. Ka taea te tapahi mā te whakamahi i tētahi maripi koi, i tētahi taputapu hiko rānei e kiia nei ko te electrocautery. Ko te whāinga he whakaiti i te pakari o te uaua ki te taumata e hiahiatia ana, ā, kia ora ai te pakaru.

He aha ngā mea ka tupu i muri i te pokanga? Ā, he aha te mamae?

Ka pāngia koe e te mamae i muri i te pokanga, engari he tokomaha te hunga e kī ana he iti iho te mamae i te mamae koi, te mamae kore e taea te tu atu i mua i te pokanga . Ka tohua e te tākuta ngā rongoā whakamamae mamae.

Me pēhea te whakahaere i te mahi tūtae kia māmā ake ai?

Tērā pea ka pāngia koe e te mamae ina neke tō puku i muri i te pokanga. Engari ehara tēnei i te mea hou ki a koe. Anei ētahi mea ka taea e koe te mahi hei āwhina i tēnei:

• Ngā mea whakangawari tūtae: Whakamahia ngā mea whakangawari tūtae (kia rite ki ngā tohutohu a tō tākuta).
• Wai me ngā kai momona i te muka: Inumia he nui te wai. Kai atu i ngā kai momona i te muka pērā i ngā hua rākau, ngā huawhenua, me ngā witi katoa.
• Kaukau noho: Noho ki roto i tētahi peihana wai māhana mō te 10-15 meneti. Mā tēnei ka whakaiti i te mamae, ā, ka āwhina hoki kia noho ma te patunga.
• Ngā tauera pēpi: Mā te whakamahi i ngā tauera pēpi hei utu mō te pepa wharepaku ka taea te whakaiti i te kino o te patunga.

He aha ngā painga me ngā mōrearea pea o tēnei pokanga?

Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, engari he iti noa ngā mōrearea.

Ko te painga matua ko te taea e koe te whakakore i te mamae kua roa nei e whakararuraru ana i a koe, me te ōrau angitu tata ki te 95% . Mā tēnei ka tino whakapai ake i te kounga o tō oranga.

Ngā Tūponotanga (Ngā Raruraru):

He mea tino onge ēnei e kitea ana.

• Te kore e taea te pupuri i te paru iti: I te wā e okioki ana ngā uaua, tera pea ka pāngia koe e te iti o te paru, te turuturu rānei o te hau i te wā e ora ana. He wā poto noa iho tēnei mō te nuinga o te tangata , ā, ka memeha katoa i roto i ētahi wiki.
• Te pupuri mimi: Tērā pea ka pāngia ētahi tāngata e te uaua ki te mimi i muri i te pokanga. I te nuinga o te wā ka memeha haere tēnei.
• Te mate urutā, te toto rānei: Pērā i ngā pokanga katoa, he iti noa te mōrearea o te mate urutā.
• Te hokinga mai o te ponana: He tino onge, ka hoki mai anō te ponana.

Ka kōrero tō tākuta ki a koe mō ēnei mōrearea, ā, ka āwhina i a koe ki te whakatau i te mea pai mōu.

Āhea te wā e kite ai i te tākuta

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta:

• Ngā tohu o te mate pāwera pērā i te kirika, te pupuhi, me te whero o te patunga .
• Te toto nui rawa, te pūkahukahu kakara kino rānei.
• Mamae nui e kore e taea te whakahaere ahakoa ngā rongoā whakamamae mamae.
• Te kore e taea te mimi.

He maimoatanga kē atu anō kei reira?

Āe, kei reira ētahi atu kōwhiringa. Ko te 'Fissurectomy' tētahi atu tikanga pokanga. I roto i tēnei, ka tangohia te kapiti me te kiko e karapoti ana, me te kore e tapahia te uaua. I taua wā anō, ka werohia te 'Botox' hei whakangāwari i te uaua. Heoi, ko te 'Lateral Internal Sphincterotomy' e kiia ana ko te 'paerewa koura' , ā, kua roa e whakamahia ana me te reiti angitu teitei rawa atu.

Mō te tangata kua pāngia e te kapiti anal mō ngā marama, ka mataku pea te whakaaro ki te pokanga. Engari ka taea e ia te kawe mai i te whakamarie e hiahiatia ana e koe. Ka tīmata koe ki te rongo i te rerekētanga nui i roto i ngā rā torutoru i muri i te pokanga.