Kua puta mai anō hoki he puku mamae i te taha o tō nono? Tērā pea he 'Peranal Abscess'!

Kua pāngia koe e tētahi puku whero, pupuhi, mamae rawa i tō nono (te wāhi e tūtae ai tātou)? He tino hoha tēnei āhua, ka tino mamae rawa, ā, kāore e taea e koe te noho, te neke rānei. I te nuinga o te wā, he āhua tēnei e kiia nei ko te 'Peranal Abscess'. Tērā pea he mea nui te ingoa, engari me kōrero noa iho, kia mārama ai koe.

He aha te whēwhe perianal?

He kupu ngāwari noa iho, he puku kī tonu i te pūkahukahu e puta ana i roto, i te taha rānei o tō nono (rohe perineal). He rite ki te pupuhi nui, ki te whewhe rānei i runga i tō tātou kiri, engari kei roto i te wāhi tairongo ake.

Ko tō tātou pūkahukahu te wāhanga whakamutunga o te pūnaha nakunaku. He ngongo e rua inihi te roa. E rua ngā mowhiti uaua i roto, i waho hoki, e kiia nei e tātou ko ngā "sphincters". Mā ēnei uaua e whakahaere te haere o te paru. Nō reira, i roto i tēnei pūkahukahu he maha ngā repe tino ngawari. Ka huna e ēnei repe ngā mea huna hei pupuri i te makuku o te pūkahukahu. Ki te āraia tētahi o ēnei repe i tētahi ara, ka pangia e te huakita, ā, ka tīmata te kohi o te waikura ki roto. Ko te wā tēnā ka puta ai tēnei whewhe mamae.

Ka kiia tēnei mate i ētahi wā ko te "Anal Abscess" ko te "Anorectal Abscess" rānei. Ahakoa he maha ngā ingoa, he rite tonu te tikanga o ēnei katoa.

Ko wai te hunga ka nui ake te tūponotanga ki te pāngia e ēnei? Ko wai te hunga ka nui ake te mōrearea?

Ko tēnei mate, e kiia nei ko te "Peranal Abscess", he mea tino noa i roto i ngā tāne. He mea tino noa i roto i te hunga i waenga i te 20 me te 60 tau te pakeke. Waihoki, ko te hunga whai mate hauora motuhake he nui ake te mōrearea ki te pāngia e tēnei mate.

Kia kite tātou ko wai ka nui ake te mōrearea?

• Mena kei a koe tētahi mate e kiia nei ko te Inflammatory Bowel Disease (IBD) (pērā i te mate a Crohn, te Ulcerative colitis rānei). He mate mumura mau tonu ēnei e pā ana ki ngā whekau.
• Mena kei a koe te mate huka (Diabetes Mellitus).
• Mena kei a koe tētahi āhuatanga e puta ai ngā putea iti i roto i ngā whekau, pērā i te diverticulitis, ā, ka pangia.
• Mena kei a koe tētahi mate e ngoikore ai te pūnaha ārai mate, pērā i te HIV/AIDS.
• Tērā pea ka piki ake tēnei mōrearea e ētahi mate urutā (STI).

Haunga tēnei, he maha atu anō ngā āhuatanga mōrearea:

• Mena he whaea hapu koe.
• Mena he kaipaipa koe.
• Mena kei te tango koe i ngā steroids pēnei i te Prednisone, i ngā rongoā mate pukupuku, i ētahi atu rongoā rānei e pehi ana i tō pūnaha ārai mate.
• Mena he maha tonu tō mate korere, tō mate kōroke rānei.
• I ētahi wā, ka puta anō hoki ēnei momo whara me ngā mate pāwera nā te whakaurunga o ētahi mea ki roto i te nono (hei tauira, i te wā e moe tāne ana).

He aha ngā tohu? Me pēhea te mōhio ki tēnei?

Ko te tohu tino kitea ko,He puku, he puku rānei e whero ana, e pupuhi ana, e mamae ana ki te pā atu i te taha o te nono. He rite ki te pīmi nui. I ētahi wā ka mamae rawa atu tēnei. Ka kino haere tēnei mamae ina noho koe, ina maremare, ina tūtae rānei. Whakaarohia, ka tino mamae rawa atu tēnei, ā, kāore e taea e koe te mahi i ō mahi o ia rā.

Tērā pea ētahi atu tohu:

• He wai e maringi mai ana i te nono, he rite ki te pūhā.
• Te mamae nui i roto, i te taha rānei o te pūkahukahu.
• He puku, he pupuhi rānei whero, pupuhi, mamae.
• Te mate kōroke, te mamae rānei i te wā e neke ana te puku.
• Ngā mamae pērā i te mumura me te mākūkū o te kiri huri noa i te nono.
• I ētahi wā ka puta mai he toto iti i roto i te tūtae (toto o te remu).
• Te mamae o raro o te puku.

Nā te mea he mate kei roto i tēnei whewhe, ka pāngia pea ētahi tāngata e ngā tohu rewharewha, pērā i te kirika, te makariri, me te mamae o te tinana .

He aha te take e puta ai tēnei momo whewhe? He aha ngā take?

I te nuinga o te wā, ko te take matua mō te hanganga o tēnei `(Parianal Abscess)` ko te aukati i tētahi o ngā repe ngawari i roto i te nono i kōrerotia e au i mua ake nei. Ina aukatia ēnei repe, ka mau ngā huakita, ngā iroriki rānei o te tūtae ki roto, ka puta he mate. Ko te wā tēnei e kohia ai te waikura, ka puta ai tēnei waikura.

Tērā pea ētahi atu take:

• Te mate o te moka o te anal.
• Te whara ki te rohe pona (hei tauira, i te wā e moe ana).
• Ngā mate urutā e pā ana ki te taatai ​​(STI).
• Ētahi atu mate puku.
• I ētahi wā, ka puta anō tēnei āhuatanga nā te mate o te "Epidermoid cyst" (he pukupuku tēnei e puta mai ana i te aukati i ngā repe hinu i roto i te kiri) i roto i te kiri huri noa i te nono. Heoi, he iti ake te mamae i te "Parianal Abscess" noa, ā, he iti ake ngā tohu pēnei i te kirika.
• Ko te Hidradenitis Suppurativa he mate kiri mau tonu e puta ai ngā whewhe me ngā whēwhe mamae e hokihoki mai ana i roto i ngā repe werawera o ngā kēkē, te paparinga, te taha o te nono, me raro i ngā ū.

Me pēhea te tātaritanga tika a te tākuta i tēnei?

Ki te pā mai ēnei tohu ki a koe, me toro atu koe ki te tākuta. Mā te tākuta koe e tirotiro.

Ka kitea pea tēnei mā te whakamātautau i te pūwero . Ka mau te tākuta i ngā karapu, ka pania he hinu whakahinuhinu, ka whakauru i tētahi maihao ki roto i te pūwero hei tirotiro mō ngā āhuatanga rerekē. I ētahi wā, ka whakamahia he taputapu e kiia nei ko te speculum hei tirotiro i roto i te pūwero.

Mena ka kitea te whēwhe mai i waho, tera pea ka taea e te tākuta te tautuhi me te kore he taputapu. Heoi, ko ētahi whēwhe ka kitea pea i te hohonu ake i te mata o te kiri.

Mena kei te whakapaehia he pūaha hohonu pēnei, ka whakahaerehia pea e te tākuta he whakamātautau e kiia nei ko te "Proctosigmoidoscopy". I roto i tēnei whakamātautau, ka whakauruhia he ngongo angiangi ki roto i te pūaha. Kei te pito o te ngongo he kāmera iti me te rama. I ētahi wā, ka hiahiatia pea ngā whakamātautau pēnei i te "CT scan", te "MRI", te "Ultrasound" rānei hei whakatau i te rahi me te wāhi tika o te pūaha.

Ka mahia ēnei whakamātautau hei whakaū mēnā he "Parianal Abscess" tēnei, he mate kino rānei pērā i te mate pukupuku rectum.

Me pēhea te rongoā?

Ko te maimoatanga matua mō tēnei ko te whakatuwhera i te whewhe me te tango i te wai mai i te pūkahukahu. Me mahi tēnei e te tākuta.

Ko te mea nui: Kaua rawa e ngana ki te whakapūpū, ki te pēhi rānei i te whewhe pēnei! Mā te pēnei ka horapa te mate, ka kino ake hoki te āhua.

He tokomaha te hunga e tino māmā ake ana te mamae i muri i te tango i tēnei pupuhi.

I te nuinga o te wā, ka taea e te tākuta te tango i tēnei pupuhi i roto tonu i tana tari (OPD) mā te hoatu i tētahi rongoā whakangote, me te tapahi iti ki tētahi maripi, ki tētahi ngira rānei.

Heoi, ki te mea he nui, he hohonu rawa rānei te whewhe, me mahi pea tēnei pokanga i roto i te hōhipera i raro i te mate whakamoe whānui.

I ētahi wā, i runga i te wāhi me te kaha o te pūaha, ka whakanohoia he ngongo iti (catheter) ki roto i te pūaha kia puta ai te waikura. I te nuinga o te wā, kāore e hiahiatia he tuitui, he rongoā me he takai anake ka tāpirihia.

I muri i te pokanga, ka kī atu pea tō tākuta kia mahi koe i ēnei e whai ake nei:

• Me "kaukau sitz" i ngā wā maha i te rā. Ko te tikanga me noho koe i roto i te kaukau wai mahana me tō pona me tō ira tangata kua rumakina ki te wai mahana. Mā tēnei ka whakaiti i te mamae me te pupuhi, ā, ka tere ake te ora o te patunga.
• Ka taea te hoatu i ngā paturopi hei whakahaere i te mate, mēnā rānei he ngoikore te pūnaha ārai mate o te tangata.
• Ka taea te hoatu rongoā whakawai, rongoā whakangawari rānei i te tūtae hei whakaiti i te mamae i te wā e neke ana te puku.
• Hei whakaiti i te mamae, ka tonoa pea koe kia tango i ngā rongoā whakamamae mamae auau, i ngā rongoā whakamamae mamae kaha ake rānei kua tohua e te tākuta.

Ka taea te whakaora i tēnei mate i te kāinga?

Mō ētahi take iti o te `(Peranal Abscess)`, ka taea e ngā kōpeke mahana me te `(Sitz bath)` te whakaora i te kāinga. Heoi, he pai ake te toro atu ki te tākuta me te rapu tohutohu. Nā te mea, i ētahi wā, ka whakatau pea te tākuta me tango te pupuhi mā te pokanga. Mena ka pakaru te whewhe i a ia anō me te kore tohutohu hauora, tera pea ka horapa te mate.

Kia pēhea te roa o te wā e ora ai?

E toru ki te whā wiki te roa o te whakaora i te whewhe perianal i muri i te tango i te whewhe. Heoi, e ai ki te American Society of Colon and Rectal Surgeons, tata ki te haurua o te hunga he whewhe ka puta he fistula anal (he kauhanga pangia i waenganui i te nono me te rectum).

Me patu tēnei nati?

Kāo, kaua rawa e pena. Mā te pera ka horapa te mate, ka kino ake rānei te whēwhe. He mea haumaru te horoi i tēnei e te tākuta.

Me aha koe mēnā ka pahū ohorere tēnei whewhe?

Ki te pakaru te whewhe i a ia anō, ngana kia mau tonu te ma o te wāhi. Horoia pai ki te hopi me te wai, ka hipoki ki te takai ma. Heoi anō, tera pea kei te pangia tonutia, kei te pangia rānei. Nō reira, tatari mō ētahi rā, kia kite mēnā ka ora pai. Kia mahara ki te toro atu ki te tākuta mō ētahi tohutohu.

Me pēhea taku ārai i tōna hokinga mai?

Ka taea e koe te mahi i ēnei mea hei ārai i te hokinga mai o tēnei momo whewhe:

• Mena kei a koe ngā āhuatanga e whakanui ake ai i tō mōrearea ki tēnei āhuatanga, pērā i te mate huka, te mate mumura rānei o te whekau, kia pai te whakahaere i aua āhuatanga.
• Kia ma tonu tō tū me tō ira tangata. Me whai i ngā tikanga akuaku pai.
• Mā te whakamahi i te ure i te wā o te moe tāne ka ārai i te horapa o ngā mate tuku iho i te taatai ​​(STI) me ngā huakita.

Kāore pea ētahi āhuatanga hauora (hei tauira, te IBD) e whakakore katoa i tēnei mōrearea. Heoi, he mea nui kia whiwhi maimoatanga tika mō aua āhuatanga, me te mōhio ka taea e rātou te whakaputa i ēnei momo mate pukupuku.

He āhuatanga kino tēnei?

Kāore te whēwhe perianal i te tino kino, ā, ka taea te rongoā me te whakaora. Heoi, ki te kino haere ō tohu, ki te kore rānei e pai ake i muri i te maimoatanga, me whakamōhio atu ki tō tākuta.

He aha ngā raruraru ka pā mai?

He maha ngā wā ka angitu te maimoatanga. Heoi, i ētahi wā onge, ka puta pea ētahi raruraru:

• Te fistula anal (he kauhanga pangia i waenganui i te nono me te tenetene).
• Te hanganga o ngā whewhe auau.
• Te horapa o te mate, te "Sepsis" rānei (he mate kino ka mōrearea pea te ora).
• Te gangrene a Fournier (he mate huakita tino kino e horapa ana ki ngā kiko huri noa i te nono me ngā ira tangata – he tino onge tēnei).

Āhea ahau me toro atu ki te tākuta?

Ka pā mai pea ngā raruraru i te whēwhe o te ihu mēnā kāore e rongoatia. Tirohia te tākuta tonu mēnā kei a koe ētahi o ēnei tohu:

• Te mamae nui me te kore whakamarie.
• Te toto o te rectum.
• Te kirika me te makariri.
• Te pupuhi huri noa i te nono.

He aha te rerekētanga i waenga i te hemorrhoids me te abscess?

Tērā pea ētahi e whakapoauau ana i ēnei mea e rua nā te mea he mamae kei roto i te nono. Heoi, he rerekētanga kei waenganui i ngā mea e rua.

• He pupuhi ngā toto toto e puta ana i roto, i waho rānei o te nono. He rite ki ngā puku. Ka pāngia e te mamae, te mākūkū, ā, i ētahi wā ka toto. Heoi, ehara ngā toto toto i te mate. I te nuinga o te wā, ka taea te whakaora i ngā toto toto mā te whakamahi i ngā kirīmi ka hokona noa, mā te whakamahi rānei i a rātou anō.
• He puku kī tonu i te waikura te whēwhe i puta mai i te mate. He nui ake te mamae, he nui ake i te hemorrhoid. Ahakoa he mārō te whēwhe ina pā atu, he mahana, he ngawari, he mamae hoki te whēwhe ina pā atu. Waihoki, ka puta he tohu pēnei i te kirika me te makariri i te whēwhe, kāore e puta i ngā hemorrhoid.

Ki te kī māmā noa, ahakoa he hoha te pukupuku, he mate te whewhe e hiahia ana kia nui ake te aro me te maimoatanga.

Hei whakamutunga (Karere hei kawe ki te kāinga)

He tino hoha, he tino mamae hoki te whewhe perianal. Engari ko te mea pai rawa atu he mate ka taea te rongoā . Ahakoa ka taea e ētahi mate hauora te whakanui ake i tō mōrearea, he mea nui kia mōhio koe ki tēnei me te mahi i ngā mahi e tika ana.

Ki te mea he puku, he pupuhi, he mamae rānei pēnei i roto i tō nono, kaua e warewarehia. Ina koa mēnā he tohu pēnei i te kirika me te makariri, me toro atu koe ki te tākuta. I te nuinga o te wā, ka tino marino koe ina tangohia e tō tākuta te pupuhi mai i te pūaha. Kia maumahara, kaua e ngana ki te pupuhi, ki te pupuhi rānei i ēnei mea māu ake!

Kia ora pai koe!

` Mātāpū o te ihu, whewhe o te ihu, whewhe o te waikura, whewhe o te ihu, whewhe o te ihu, mate pukupuku o te rectum, hemorrhoids