He uaua anō hoki ki a koe te haere ki te wharepaku? Me ako tātou mō te proctitis?

Ka mamae tō puku i ētahi wā ina haere koe ki te wharepaku, ka kite rānei koe i te toto iti, i te hūpē rānei i roto i tō tūtae? Kei te whakaaro rānei koe me haere tonu koe ki te wharepaku? Kaua e warewaretia ēnei mea. Nā te mea he tohu pea ēnei o te mate e kiia nei ko te `(Proctitis)`. I tēnei rā, me kōrero tātou mō te `(Proctitis)`, te take e puta ai, me ngā mea me mahi e tātou.

He aha tēnei `(Proctitis)`? Ki te kī māmā noa iho...

Ko te proctitis he mumura o te arai o te rectum, te wāhanga whakamutunga o te whekau nui, i mua tata i te nono. Hei whakamārama tika, ko te tikanga o te Procto ko te rectum, ā, ko te itis ko te mumura. Ka puta tēnei āhuatanga ina riri te arai o te rectum (pupuhi, whero) mō ngā take maha, pērā i te huakita, te matū, ngā āhuatanga rānei pērā i te mate mumura o te whekau. Ka puta pea ngā tohu whakararuraru, pērā i te mamae, te toto o te rectum, me ngā huringa o ngā tikanga whekau.

He rerekē ngā momo `(Proctitis)`?

Āe, i runga i te pūtake o te `(Proctitis)`, ka taea te wā poto (acute) te wā roa rānei (chronic) . Ko te tikanga o te `(Acute)` ka puta ohorere mai, ā, ka ngaro i muri i te wā poto. Ko te tikanga o te `(Chronic)` ka roa te wā. Ko ngā momo `(Proctitis)` e puta mai ana i ngā take rerekē ka kiia i ētahi wā he rerekē ngā ingoa. Hei tauira, ko te mea i puta mai i ngā mate tuku iho `(Sexually-Transmitted Infections - STIs)` ka kiia ko te `(Infectious proctitis)`. Ko te mea i puta mai i te radiation therapy mō te mate pukupuku ka kiia ko te `(Radiation proctitis)`. Waihoki, ko te mea i puta mai i te mate e kiia nei ko te `(Ulcerative colitis)` ka kiia hoki ko te `(ulcerative proctitis)`.

He aha ngā tohu o te `(Proctitis)`?

Koinei ngā tohu e kitea whānuitia ana:

• Mamae o te puku. Tērā pea he uaua ki te noho marino.
• Te mamae i te taha maui o tō puku.
• Te tuku i te wai pērā i te toto, i te hūpē rānei me te tūtae. Koinei te mea tuatahi ka kitea e te nuinga.
• Te āhua nei kua pupuhi, kua kī hoki te tō.
• He kare ā-roto tonu e hiahia ana ki te tūtae (tenesmus), engari i ētahi wā he iti noa iho te putanga mai ina haere koe ki te wharepaku.
• Te uauatanga, te mamae rānei i te wā e neke ana te puku (dyschezia).
• Te mate kōroke.
• Te korere.

He aha ngā tohu tuatahi o te `(Proctitis)`?

He maha ngā wā ka puta ngā tohu tuatahi ina haere koe ki te wharepaku. He uaua, he wera, he pēhanga rānei i te wā e tūtae ana.Tērā pea ka rite ki te mea me haere ohorere koe ki te wharepaku, engari kāore pea koe i hemo rawa. Ko te korere, te toto, te hūpē rānei i roto i te tūtae he tohu wawe noa.

He aha i puta ai tēnei `(Proctitis)`? He aha ngā take?

He maha ngā take o te proctitis, ko ētahi he mea noa ake i ētahi atu.

Ngā take noa o te `(Proctitis)`:

• Mate Puku Mumura (IBD): Ko ngā mate pēnei i te mate a Crohn me te mate puku ulcerative ka puta te mumura roa i roto i ngā wāhanga rerekē o te puku. Mō te 30% o te hunga whai mate pēnei, ko te pūkahukahu te nuinga o te pānga o te mumura. Koinei te tino take o te proctitis whānui.
• Ngā Mate Pukupuku ā-Ira Tangata (STI): Ka taea e ngā mate huaketo me ngā mate kitakita ā-ira tangata te tomo ki te nono mā te nono. Hei tauira:
• `(Kōnāreia)` (Kōnāreia)
• `(Te mate kiriuhi)` (Te mate kiriuhi)
• `(Herpes simplex 2)` (Herpes simplex 2)
• `(Te Matepukupuku)` (Te Matepukupuku)
• `(Huakitara Papiloma Tangata - HPV)` (Huakitara Papiloma Tangata)

Ka pā pea tēnei mate ki ngā wāhine me ngā tāne e pā ana ki te moe tāne me te ana.

• Ngā mate puku: Ko ngā mate kitakita i roto i ngā whekau i puta mai i te paihana kai ka pā ki te pūkahukahu i ētahi wā. Hei tauira:
• `(Karamona)` (Karamona)
• `(Shigella)` (Shigella)
• `(Campylobacter)` (Campylobacter)

Mena kua oti i a koe te rongoā paturopi i ngā wā tata nei, tera pea ka tūpono koe ki te pāngia e te mate i roto i ō whekau me tō pūkahukahu i puta mai i te huakita e kiia nei ko te Clostridium difficile (C. diff). Ko te C. diff he huakita kua noho kē i roto i ō whekau. Engari ina patua ngā huakita pai i roto i ō whekau e ngā paturopi, kua ngaro ngā huakita e pupuri ana i te C. diff, ā, ka nui rawa te tipu o te C. diff.

• Mate pāwera ki te pūmua o ngā pēpi: Ko ngā pēpi e mate pāwera ana ki ētahi momo miraka, inā koa te miraka miraka, te miraka pīni rānei, ka pāngia e te mumura i ngā wāhi katoa o ō rātou whekau, tae atu ki te tōku. Ka taea e ngā pēpi te whiwhi i ēnei pūmua mai i te miraka pēpi, mā te miraka u rānei mēnā ka kai tō rātou whaea i ngā kai kei roto ēnei pūmua.
• Te rongoā irahiko mō te mate pukupuku:Ina tukuna te rongoā irahiko mō te mate pukupuku, ka puta he āhuatanga e kiia nei ko te `(radiation mucositis)` i ngā wāhi katoa o tō tātou pūnaha nakunaku. Koinei te mumura o te `(mucous lining)` i roto i te pūnaha nakunaku. Ko te `(radiation enteritis)` (mumura o te whekau iti) me te `(radiation colitis)` (mumura o te whekau nui) he mea noa ake ina tukuna te rongoā irahiko ki te puku o runga, o raro rānei. Ina tukuna te rongoā irahiko ki te `(pelvic area)`, ka taea e koe te whakawhanake i te `(radiation proctitis)` (mumura irahiko o te rectum).

Ngā take kāore i te tino kitea o te `(Proctitis)`:

• Te proctitis hurihuri: He pānga taha tēnei ka pā ki te hunga kua whai colostomy (he tikanga e tangohia ai tetahi wāhanga o te whekau nui mai i te tinana hei hanga ara mō te tūtae) he ileostomy rānei (he tikanga e tangohia ai tetahi wāhanga o te whekau iti mai i te tinana hei hanga ara mō te tūtae) ā, ka tukuna te tūtae mā te ara rerekē i te ara mā te nono. E whakaarohia ana nā te mea kāore te tūtae e puta mā te nono, ka tangohia te nono i ngā matūkai me ngā waikawa ngako mekameka poto e uru ana ki te nono (e āwhina ana ki te pupuri i te nono kia makuku me te hauora), ka puta te mumura o te nono kāore e whakamahia. Heoi, he tokoiti noa iho ngā tāngata e pāngia ana e ngā tohu.
• Ngā mate ischemic whēkau: Pērā i te ischemic colitis, ka puta te ischemic proctitis ina motuhia te rere o te toto ki te rectum, ka ngaro te hāora i te kiko. Ko te ischemia te take o te aukati i roto i te uaua toto, pērā i te toto totoka, te aneurysm, te plaque rānei.
• Whara o te puku: Ki te whakaurua he mea, he matū rānei o waho mā roto i te nono, ka mumura pea te nono me te rectum. Ka pāngia anō hoki te nono e ngā matū o ētahi momo enemas.
• Ngā mate puku eosinophilic (EGID): Ko te eosinophilia he whakaputanga nui rawa atu o tētahi momo toto ma e kiia nei ko ngā eosinophil. Ka āwhina ngā toto ma i tō tātou pūnaha ārai mate ki te whakatū i tētahi urupare mumura. I roto i te EGID, ka tukuna e tō tātou pūnaha ārai mate he maha nui rawa atu o ngā eosinophil ki tētahi wāhanga o te ara nakunaku, ka puta ai te mumura mō te wā roa. Ki tā ngā kairangahau he nui rawa atu pea tēnei tauhohenga ki tētahi mate pāwera kai. Ko te proctitis eosinophilic te nuinga o te wā ka pāngia ngā tamariki kei raro iho i te 2 tau te pakeke.
• Te mate pūkahukahu kāore e kitea te pūtake ('Idiopathic proctitis'):Kāore he pūtake o te mate pukupuku o te roro iti nei. Heoi, he pai tā rātou urupare ki ngā whakarerekētanga kai. He mate roa, he mate hoki te pukupuku o te roro kāore i te mōhiotia. Tata ki te 10% o ēnei mate ka huri hei mate puku ulcerative.

He mate kino te Proctitis?

I raro i ngā āhuatanga noa, kāore te proctitis e mōrearea ki te ora, ā, ka pai te urupare ki te maimoatanga. Heoi , ki te kino rawa, ka roa te wā, ka waiho kia kore e rongoatia, ka kore rānei e urupare ki te maimoatanga, ka arahi pea ki ngā raruraru kino atu.

Hei tauira, ka nui te toto e puta mai i tētahi mate pukupuku kāore e ora, ka pakaru rānei te pakitara o te rectum. He onge noa iho, ka pā te proctitis ki ngā io e karapoti ana, ka puta ai te neuropathy.

Ngā raruraru ka puta mai i te mumura roa:

• Te toto nui rawa, ka hua ake te anemia.
• Ngā fistula (ngā kauhanga mā roto i te pakitara o te rectum).
• Te whakawhāititanga o te pūkahukahu nā te mea kua whara ngā kiko.

He onge ngā raruraru e pā ana ki te pūnaha io, engari ka uru atu pea ki:

• Te ngoikore o te pūkahukahu neurogenic.
• Te ngenge me te mākūkū o ngā kapu o ngā waewae (paresthesia).
• Te ngoikore o te ure.

Me pēhea te tautuhi i te Proctitis?

Ka pātai tuatahi te tākuta ki a koe mō ō tohumate, kātahi ka tirotirohia tō pūkahukahu kia kite ai mēnā he tohu kei a koe mō te proctitis. Tērā pea ka uru atu ki tēnei he whakamātautau matihiko mō te pūkahukahu me te anoscopy . Mēnā te āhua nei he proctitis tōu, ka pātai atu tō tākuta i ētahi atu pātai hei kimi i te take me te momo. Hei tauira:

• He aha ngā rongoā i tangohia e koe i ngā wā tata nei?
• He mate pūnaha ārai mate tō tetahi o te whānau?
• Kei te moe tāne koe, kāore rānei i whakamātauria kia moe tahi me ō hoa?
• Kua haere koe ki tāwāhi i ngā wā tata nei?

I runga i ēnei whakautu me ngā whakaaturanga a ngā whakamātautau, ka whakatau tō tākuta he aha atu ngā whakamātautau e hiahiatia ana e koe.

Ko ētahi atu whakamātautau ka uru atu pea ki:

• Whakamātautau toto: Ka taea e te whakamātautau toto te kite i ngā mate me ētahi atu āhuatanga ka puta ai te proctitis. Ka taea hoki e ia te whakaatu i te hekenga o te toto, te pikinga rānei o te maha o ngā pūtau toto mā.
• Whakamātautau tūtae: Ka tangohia e te tākuta he tauira o tō tūtae, ka tirohia mēnā he mate, he toto, he pikinga rānei o ngā toto toto mā.
• Ahurea o te rectum: Mō tēnei whakamātautau, ka horoia e te tākuta te roto o te rectum ki te swab, kātahi ka whakatipuria te tauira hei tautuhi i ngā huakita, ngā huaketo rānei kei reira.
• Proctoscopy: He tirotiro tēnei i te roto o te rectum mā te whakamahi i tētahi taputapu poto, pakari, rite tonu ki te ngongo. He ngongo tuwhera te proctoscope me tētahi kāmera me te mārama 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 tirotiro atu i te koroni sigmoid, te wāhanga whakamutunga o te whekau nui e hono ana ki te nono, ka taea te whakamahi i tētahi ngongo roa ake, ngāwari ake e kiia nei ko te sigmoidoscopy ngāwari. Mena he raruraru kei te whekau nui, ka kitea pea ngā tohu o te mate puku mumura, te mate rānei i roto i te ara nakunaku. Ka taea te whakarite i te whekau i mua i tēnei whakamātautau.

Ka ora noa iho te Proctitis?

Tērā pea, engari kāore he take e mamae ai koe. Mena he mate pāwera tōu, ka taea e ngā paturopi, ngā rongoā ārai huaketo rānei te āwhina i a koe kia tere te ora. Mena ehara i te mate pāwera te take, ka tohua pea e tō tākuta he rongoā pēnei i te steroids hei whakaiti i te mumura. Mena he mate pāwera tōu, ka memeha haere i roto i ētahi wiki i muri i te maimoatanga irahiko. Engari i tēnei wā, ka taea e ngā rongoā mamae ā-waha te āwhina. Mena he IBD roa tōu, ka puta mai, ka memeha atu pea te mate pāwera. Engari ka taea e koe te whakamahi i ngā rongoā motuhake ina puta te mumura.

Kia pehea te roa o te mate o te proctitis?

Ka rerekē tēnei i runga i te take me te tangata. Mēnā ka rongoatia, ka tere te whakaora. I te nuinga o te wā, e whā ki te ono wiki te roa hei whakaora i muri i te whakaoranga o te take o te mumura. I a koe e ora ana te proctitis, ka taea e koe te tango i ngā rongoā kore-tohu (OTC) mō te mamae, te mate korere rānei.

He aha ngā rongoā mō te `(Proctitis)`?

Ko te maimoatanga e whakawhirinaki ana ki te take me te kaha o te mate. Kei roto pea i ēnei:

• Te whakamutu i te pūtake o te mumura.
• Ngā rongoā paturopi, ngā rongoā ārai huaketo rānei mō ngā mate pāwera.
• Ngā rongoā ārai mate mō te proctitis i puta mai i ngā mate pūnaha ārai mate.
• Ngā rongoā pēnei i te Sulfasalazine, te Mesalamine rānei mō te mate puku/proctitis ulcerative.
• Ngā rongoā pēnei i te Infliximab mō te Proctitis i puta mai i te mate a Crohn.
• Ka whakamahia ngā corticosteroids ā-papa hei hinu hei whakaiti i te mamae me te mumura.
• Ka whakamahia ngā enemas Sucralfate hei rongoā i ngā mate pukupuku rectum.
• Ngā tikanga endoscopic hei aukati i te toto i roto i te ara nakunaku.

He aha te āhua o te heke mai mēnā kei a au te `(Proctitis)`?

He pai te urupare a te nuinga o ngā mate proctitis ki te rongoā. Mena he mate poto (whakamataku), me memeha i roto i ngā wiki e whā ki te waru mō ngā pakeke, i roto rānei i ētahi marama mō ngā pēpi. Mena he roa te wā e pā ana ki te IBD, tera pea ka kitea e koe ka haere mai, ka memeha haere te mumura. Ka taea e koe te rongoā i ngā putanga kino me ngā rongoā ārai-mumura ina hiahiatia. He tokoiti te hunga ka pāngia e te proctitis radiation mau tonu. He nui ake te tūponotanga o ngā mate roa ki te pāngia e ngā raruraru, ā, he uaua ake te rongoā.

Ka taea te ārai i te proctitis?

Mā te whakamātautau i ngā hoa i mua i te moe tāne ka taea te whakaiti i te mōrearea o ngā mate tuku iho i te puku. Ka āwhina pea ngā mahi tiaki pēnei i te ure tāne i ētahi wā, engari ka taea hoki te horapa o ētahi mate mā te moe ā-waha. Mā te whakamahi i ngā ārai niho ka taea te whakaiti i te horapa, te mate rānei o ngā mate tuku iho i te puku mā te moe ā-waha. Mā te mahi i ngā mahi whakarite kai haumaru me te tupato ki tāu e kai ana, e inu ana hoki, inā koa i te wā e haereere ana ki tāwāhi, ka taea te whakaiti i te mōrearea o ngā mate puku i puta mai i te paihana kai. Engari, kāore he huarahi hei ārai i te IBD, i te radiation proctitis rānei.

Āhea koe me toro atu ki te tākuta mō te `(Proctitis)`?

Me toro atu ki te tākuta mēnā kei a koe ngā tohu o te proctitis. He mea nui kia kitea te pūtake me te rongoā kia kore ai e kino haere te āhua. Mēnā kei te whiwhi maimoatanga koe, engari kāore tonu e pai ana, whakapā atu ki tō tākuta. Ko ētahi momo proctitis me whakapau kaha kia pai ai te whakahaere. He onge, ko ētahi kēhi kāore pea e pai ki tētahi maimoatanga paerewa. I roto i ēnei kēhi, me mahi pea te pokanga.

Ahakoa he wā poto, he wā tonu rānei ngā tohu o te proctitis, ka tino koretake pea. Ko te maimoatanga mō te proctitis e aro ana ki te pūtake o te mumura me ngā tohu. I ētahi wā, pērā i te radiation proctitis, ko ngā tohu anake ka taea te rongoā. I ētahi atu wā, pērā i te mate pāwera, he mea nui kia whakamātauria kia kitea ai te huakita, te huaketo rānei e puta ai ō tohu.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, kua mārama ake koe inaianei ki tā tātou i kōrero ai, arā, te `(Proctitis)`. Ko te mea nui, ki te pāngia koe e te mamae rerekē, te mamae, te toto, te hūpē rānei i a koe e haere ana ki te wharepaku, kaua e warewaretia. Tirohia he tākuta tonu kia kitea ai te take. I te nuinga o te wā, ka taea te rongoā pai i ēnei mate.

Kaua e wehi, engari kaua hoki e whakaroa! Kei roto i ō ringaringa tō hauora.

Waihoki, mā te mahi i te moe haumaru me te kai i ngā kai ma, ka āwhina i te ārai i ēnei āhuatanga.

`Te mumura o te pūkahukahu, te toto i roto i te tūtae, te mamae o te ana, ngā mate tuku iho i te taatai, te mate pukupuku i te ira tangata (IBD), te pūnaha nakunaku