Ka hopena o ka fecal

ʻO ka fecal impaction kahi puʻupuʻu nui o kahi maloʻo maloʻo paʻa e paʻa mau ana i ka pā. ʻIke pinepine ʻia i ka poʻe i paʻa paʻa no ka manawa lōʻihi.

ʻO ka paʻa paʻa ʻana ke hele ʻole ʻoe i ka pahu maʻa pinepine a maʻalahi hoʻi e like me ka maʻamau iā ʻoe. E paʻakikī a maloʻo kāu pahu. He mea paʻakikī kēia e hele.

Kū pinepine ka hopena fecal i ka poʻe i loaʻa i ka constipation no kahi manawa lōʻihi a ke hoʻohana nei i nā laxatives. ʻOi aku paha ka pilikia ke kū koke ka laxatives. Poina nā mākala o nā ʻōpū pehea e hoʻoneʻe ai i ka noho a i ʻole nā ​​feces iā lākou iho.

ʻOi aku ʻoe i ka makaʻu no ka paʻa paʻa mau a me ka hopena fecal inā:

• ʻAʻole ʻoe e neʻe a puni a lilo i ka hapa nui o kou manawa ma kahi noho a wahi moe paha.
• He maʻi kou i ka lolo a i ʻole ʻōnaehana e hoʻopōʻino ai i nā aʻalolo e hele i nā io o nā ʻōpū.

Hoʻolohi kekahi lāʻau i ka hele ʻana o ka pahu ma o ka ʻōpū.

• ʻO Anticholinergics, kahi e hoʻopili ai i ka pilina ma waena o nā ʻalalā a me nā mākala o ka ʻōpū
• Hoʻohana ʻia nā lāʻau e mālama i ka maʻi pākī, inā lawe pinepine ʻia lākou
• ʻO ka lāʻau ʻeha Narcotic, e like me methadone, codeine, a me oxycontin

ʻO nā ʻōuli maʻamau ka:

• Hoʻopiʻi ka ʻōpū a me ka momona
• Kulu o ka wai a i ʻole nā ​​ʻāpana kūpikipiki o ka maʻi diarrhea wai i kekahi mea i loaʻa i ka maʻi paʻa lōʻihi (lōʻihi)
• Kahe koko
• Nā noho liʻiliʻi, ʻano semi-formed
• Ke kānana nei i ka hoʻāʻo ʻana e halo i nā noho

ʻO nā hōʻailona kūpono ʻē aʻe e pili pū me:

• Pākuʻi kīʻaha a i ʻole nalo ʻana o ka kaohi o ka ʻai
• ʻEha ʻeha o lalo
• ʻO ke kuʻi puʻuwai wikiwiki a i ʻole ka ʻālohilohi mai ka ʻoniʻoni ʻana i kahi noho

E nānā ka mea mālama ola i kou wahi ʻōpū a me ka pololei. E hōʻike ka hōʻike hoʻokolohua i ka nui o ka stool i ka pololei.

Pono paha ʻoe e loaʻa i kahi kolona inā he hoʻololi hou i kāu mau ʻōpū. Hana ʻia kēia e nānā no ka maʻi ʻaʻai kolona a kopa paha.

Hoʻomaka ka mālama ʻana no ke ʻano me ka hemo ʻana o ka pahu noho. Ma hope o kēlā, lawe ʻia nā ʻanuʻu e pale ai i nā hopena o ka fecal e hiki mai ana.

Hoʻohana pinepine ʻia kahi enema aila ʻaila mehana e palupalu a lubricate i ka pahu. Eia nō naʻe, ʻaʻole lawa nā enemas e wehe i kahi impaction nui a paʻakikī i ka nui o nā hihia.

E wāwahi paha ka nui i ka lima. Kapa ʻia kēia he wehe lima ʻana.

• Pono pono kahi mea hoʻolako e hoʻokomo i hoʻokahi a ʻelua mau manamana lima i ka pololei a haki liʻiliʻi i ka nui i nā ʻāpana liʻiliʻi i hiki iā ia ke puka.
• Pono e hana i kēia kaʻina hana i nā ʻanuʻu liʻiliʻi e hōʻalo ai i ka hōʻeha ʻana i ka pololei.
• Hiki ke hāʻawi ʻia nā Suppositories i loko o ka polū ma waena o nā hoʻāʻo e kōkua i ka hoʻomaʻemaʻe i ka pahu.

ʻAʻole makemake nui ʻia ke ʻoki lāʻau e mālama ai i ka hopena fecal. ʻO ke kolone ākea ākea (megacolon) a i ʻole ka paʻa piha ʻana o ka ʻōpū e koi paha i ka wehe koke ʻana o ka hopena.

ʻO ka hapa nui o ka poʻe i loaʻa ka hopena fecal e pono i kahi papahana hoʻomaʻamaʻa ʻōpū. ʻO kāu mea hoʻolako a me kahi kahu hānai i hoʻomaʻamaʻa kūikawā ʻia e:

• E lawe i kahi mōʻaukala kikoʻī o kāu papaʻai, nā ʻōpū o ka ʻōpū, hoʻohana laxative, nā lāʻau, a me nā pilikia olakino
• E nānā pono iā ʻoe.
• Paipai i nā loli i kāu papaʻai, pehea e hoʻohana ai i nā laxatives a me nā palupalu palu, nā hana kūikawā, nā loli nohona, a me nā hana ʻē aʻe e hoʻomaʻamaʻa hou i kou ʻōpū.
• E hāhai pono iā ʻoe e ʻike pono i ka polokalamu iā ʻoe.

Me ka lāʻau, maikaʻi ka hopena.

Komo pū nā pilikia:

• Haehae (ulceration) o ka iʻa kiko
• ʻO ka make ʻana o ka mākua (nekrosis) a i ʻole ʻeha o ka ʻeha o ke kiko

E haʻi i kāu mea nāna e hāʻawi inā loaʻa ʻoe i ka maʻi diarrhea mau a i ʻole ka hoʻomau ʻole o ka fecal ma hope o ka lōʻihi o ka constipation. E haʻi pū i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli:

• ʻEha o ka ʻōpū a me ka momona
• Koko i loko o ka pahu
• ʻO ka paʻa koke me nā ʻōpū o ka ʻōpū, a me ka hiki ʻole ke hala i ke kinoea a i ʻole ka noho. I kēia hihia, mai lawe i nā laxatives. Kāhea koke i kāu mea hāʻawi.
• ʻ thiniwi lahilahi, penikala-e like me ka penikala

Ka hopena o ka'ōpū; Pā paʻa - impaction; ʻŌpū Neurogenic - impaction

• Constipation - mālama pono iā ʻoe iho

• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive

Lembo AJ. Konipōpō. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 19.

Zainea GG. Ka mālama ʻana i ka hoʻokau fecal. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 208.