Māhele anal

ʻO kahi māwae anal kahi ʻāpana liʻiliʻi a haehae paha i ka mea lahilahi (mucosa) e kau ana i ka lalo haʻahaʻa (anus).

Kūleʻa nui nā māwae anal i nā pēpē, akā hiki i kēlā me kēia makahiki.

I ka poʻe mākua, hiki i nā māwae ke kumu o ka hele ʻana i nā noho nui, paʻakikī, a i ʻole me ka diarrhea no ka manawa lōʻihi. Hiki i nā kumu ʻē aʻe ke:

• Hoemi i ke kahe o ke koko i kēlā wahi
• Nui loa ka haunaele i nā mākala sphincter e kaohi i ka anus

Hoʻopilikia ke ʻano i nā kāne a me nā wahine like. ʻO nā māwae anal kekahi i maʻa mau i nā wahine ma hope o ka hānau ʻana a me nā kānaka me ka maʻi Crohn.

Hiki ke ʻike ʻia kahi māwae anal ma ke ʻano he māwae ma ka ʻili anal ke kau iki kahi. ʻAneʻane mau ka māwae i ka waena. Hoʻokumu paha nā ʻāpana anal i nā neʻe ʻeha a me ke kahe ʻana o ka naʻau. Aia paha ke koko ma waho o ka pahu noho a ma ka pepa lua paha (a holoi paha ka pēpē) ma hope o ka neʻe ʻana o ka ʻōpū.

E hoʻomaka koke paha nā ʻōuli a ulu lohi paha i ka hala ʻana o ka manawa.

E hana ka mea mālama ola i kahi hoʻokolokolo kūpono a nānā i ke kiko anal. ʻO nā hoʻokolohua olakino ʻē aʻe i hana ʻia e komo pū me:

• Anoscopy - ninaninau ʻana i ka anus, canal anal, a me ka lalo haʻahaʻa
• Sigmoidoscopy - ninaninau i ka ʻaoʻao haʻahaʻa o ka ʻōpū nui
• ʻO Biopsy - ka wehe ʻana i nā kiko o ke kiko no ka hoʻokolokolo ʻana
• Kolonekia - ninaninau i ke kolone

Hoola ka hapanui o nā mokuna iā lākou iho a ʻaʻole pono i ka lāʻau.

I mea e pale ai a mālama ai paha i nā māwae anal i nā pēpē, e makaʻala e hoʻololi pinepine i nā diaper a hoʻomaʻemaʻe me ka mālie i kahi.

NA KEIKI A ME NA PALAPALA

ʻO ka hopohopo e pili ana i ka ʻeha i ka wā o ka ʻōpū ke kumu e hōʻalo ai ke kanaka iā lākou. Akā ʻo ka loaʻa ʻole o ka neʻe ʻana o ka ʻōpū e hoʻonāukiuki wale nō ia i nā ʻōmole, kahi e hoʻonui ai i ka māiʻuʻu anal.

Kāohi i nā noho paakiki a me ka paʻa paʻa e:

• Ke hoʻololi nei i nā meaʻai - ʻai i nā fiber a nui paha, e like me nā huaʻai, nā mea ʻai, a me nā hua
• Ke inu nei i nā wai hou aʻe
• Ke hoʻohana nei i nā mea palupalu o ka noho

E noi i kāu mea hāʻawi e pili ana i nā hamo a i ʻole nā ​​kalima aʻe e kōkua e hōʻoluʻolu i ka ʻili i hoʻopili ʻia.

• ʻO ka holika Numbing, inā pilikia ka ʻeha me ka neʻe ʻana o ka ʻōpū
• ʻ .lika ʻaila
• Zinc oxide, 1% kaʻaila hydrocortisone, hoʻomākaukau H, a me nā huahana ʻē aʻe

ʻO kahi ʻauʻau sitz kahi ʻauʻau wai mehana i hoʻohana ʻia no ka hoʻōla a hoʻomaʻemaʻe paha. Noho i kaʻauʻau 2 a 3 mau manawa i ka lā. E uhi wale ka wai i nā pūhaka a me nā ʻūhā wale nō.

Inā ʻaʻole e hele aku nā māwae anal me nā ʻano mālama home, pili pū paha ka lapaʻau ʻana:

• Nā Botox injection i loko o ka mākala ma ka anus (anal sphincter)
• Pākuʻi liʻiliʻi e hoʻomaha ai i ka mākala anal
• ʻO nā kalima i kuhikuhi ʻia, e like me nitrates a i ʻole nā ​​blockers kahika calcium, i noi ʻia ma luna o ka māwae e kōkua i ka hoʻomaha ʻana i nā mākala

Hoʻola wikiwiki nā māwae anal me ka ʻole o nā pilikia hou.

ʻO ka poʻe e hoʻomohala i nā māwae i ka manawa nui e loaʻa iā lākou i ka wā e hiki mai ana.

Māhele i ka ano; Māhele Anorectal; Ulcer anal

• Rectum
• ʻĀpana anal - moʻo

Downs JM, Kulow B. Nā maʻi hōʻino. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 129.

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā kūlana ʻoki lāʻau o ka anus a me ka pololei. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 371.

Merchea A, Larson DW. Anus. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 52.