Hemorrhoids

Hemorrhoids he pehu nā aʻa i loko o ka anus a i ʻole ka ʻaoʻao haʻahaʻa o ka pololei.

Kūleʻa ka hemorrhoids. Loaʻa lākou i ka hoʻonui ʻia o kaomi ma ka anus. Hiki i kēia ke hana i ka wā o ka hāpai ʻana a hānau hānau paha, a ma muli o ka paʻa paʻa. Hoʻopilikia ke kaomi i ke aʻa o ka anal me ka aʻa. Hiki ke kahe i kēia kiko, pinepine i ka neʻe ʻana o ka ʻōpū.

Hiki ke kumu ʻia nā hemorrhoids e:

• Hoʻopili i ka neʻe ʻana o ka ʻōpū
• Konipōpō
• Noho no nā wā lōʻihi, keu hoʻi ma ka lua
• ʻO kekahi mau maʻi, e like me ka cirrhosis

Aia paha nā hemorrhoids i loko a i waho paha o ke kino.

• Kū nā hemorrhoids kūloko ma loko pono o ka anus, i ka mua o ka pololei. Ke nui lākou, hāʻule paha lākou i waho (prolaps). ʻO ka pilikia maʻamau me ka hemorrhoids o loko ke kahe ʻana i ka wā o ka naʻau.
• Kū ka hemorrhoids kūwaho ma waho o ka anus. Hiki iā lākou ke hopena i ka paʻakikī e hoʻomaʻemaʻe i ka wahi ma hope o ka neʻe ʻana o ka ʻōpū. Inā kū kekahi koko koko i loko o ka hemorrhoid o waho, hiki ke hōʻeha loa (thrombosed waho hemorrhoid).

ʻAʻole ʻeha ka hemorrhoids i ka manawa pinepine, akā inā kū kahi kōkō koko, hiki ke ʻeha loa.

ʻO nā ʻōuli maʻamau ka:

• ʻO ke koko ʻulaʻula ʻāʻeha ʻole o ka pololei
• Mākaʻu anal
• ʻEha ʻeha a ʻeha paha, keu hoʻi e noho ana
• ʻEha i ka wā o ka ʻōpū
• Hoʻokahi aʻoi aku paha nā puʻupuʻu puʻupuʻu kokoke i ka anus

ʻO ka hapanui o ka manawa, hiki i kahi mea mālama ola ke ʻike pono i ka hemorrhoids ma ka nānā wale ʻana i ka wahi o ka rectal. Hiki ke ʻike pinepine ʻia nā hemorrhoids kūwaho i kēia ala.

ʻO nā hoʻāʻo e hiki ke kōkua i ke koho ʻana i ka pilikia me:

• Hōʻike kūpono
• ʻO Sigmoidoscopy
• Anoscopy

Nā hana no ka hemorrhoids:

• ʻO nā kalima corticosteroid over-the-counter (ʻo kahi laʻana, cortisone) e kōkua i ka hoʻēmi ʻana i ka ʻeha a me ka pehu
• ʻO nā kalima hemorrhoid me ka lidocaine e kōkua ai e hōʻemi i ka ʻeha
• ʻO nā mea palupalu o ka Stool e kōkua i ka hoʻohaʻahaʻa i ke kānana a me ka constipation

Nā mea hiki iā ʻoe ke hana e hōʻemi i ka makaʻu me:

• E noi i ka hazel kilokilo i kahi me ka pulupulu.
• E komo i ka lole pauma.
• Hōʻalo i nā kiko o ka lua me nā mea ʻala a me nā kala. E hoʻohana i nā holoi pēpē ma kahi.
• E hoʻāʻo ʻaʻole e wili i kahi.

Hiki i nā ʻauʻau Sitz ke kōkua iā ʻoe e hōʻoluʻolu. Noho i loko o ka wai mehana no 10 a 15 mau minuke.

Inā ʻaʻole maikaʻi aʻe kou hemorrhoids me nā mālama ʻana i ka home, pono paha ʻoe i kekahi ʻano o ke keʻena e mālama ai i nā hemorrhoids.

Inā ʻaʻole lawa ka hoʻomaʻamaʻa keʻena, pono paha kekahi ʻano o ke kaha ʻana, e like me ka hemo ʻana o ka hemorrhoids (hemorrhoidectomy). Hoʻohana maʻamau ʻia kēia mau kaʻina hana no ka poʻe me ke kahe nui a i ʻole ka prolaps i pane ʻole i nā lāʻau ʻē aʻe.

ʻO ke koko i ka hemorrhoid e hana i nā clots. Hiki i kēia ke kumu i ka make o ke kino. Pono ke ʻoki kino i kekahi manawa e hemo i nā hemorrhoids me nā hāpala.

Kākaʻikahi ka hiki ʻana o ke kahe koko koʻikoʻi. Hiki ke hopena i ka anemia hemahema hao ma muli o ke kahe o ke koko lōʻihi.

Kāhea i kāu mea hāʻawi inā:

• ʻAʻole hoʻomaikaʻi nā hōʻailona hemorrhoid me ka mālama ʻana i ka home.
• He kahe kou i ke kahe. Makemake paha kāu mea lawelawe e nānā no nā kumu ʻē aʻe i ʻoi loa o ke kahe ʻana o ke koko.

E kiʻi koke i ke kōkua lapaʻau inā:

• Lilo nui kou koko
• Ke kahe nei ʻoe a poniuniu, ʻālohilohi, a maʻule paha

ʻO ka paʻa paʻa ʻana, ke kanana nei i ka wā o ka ʻōpū, a noho ma ka lua no ka lōʻihi o ka hāpai ʻana i kou makaʻi no ka hemorrhoids. I mea e pale aku ai i ka paʻa paʻa a me ka hemorrhoids, pono ʻoe:

• E inu nui i nā wai.
• ʻAi i ka meaʻai nui-fiber o nā huaʻai, nā mea kanu, a me nā kīʻaha āpau.
• E noʻonoʻo e hoʻohana i nā mea hoʻohui puluniu.
• E hoʻohana i nā palupalu noho e pale ai i ka kānana.

Puʻupuʻu Rectal; Paila; Lū i ka pololei; Kahe ʻana ke kaʻe kūpono - hemorrhoids; ʻO ke koko i ka pahu - hemorrhoids

• Hemorrhoids
• ʻOki kino hemorrhoid - series

ʻO Abdelnaby A, Downs JM. Nā maʻi o ka anorectum. 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 129.

ʻO Blumetti J, ʻo Cintron JR. Ka mālama ʻana o ka hemorrhoids. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 271-277.

Zainea GG, Pfenninger JL. ʻOihana i ka hemorrhoids. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 87.