Tenesmus
ʻO Tenesmus ka manaʻo e pono ʻoe e hele i nā noho, ʻoiai ua hakahaka kou ʻōpū. Pili paha ia i ka kānana, ʻeha, a me ka cramping.
Hana pinepine ʻia ʻo Tenesmus me nā maʻi hōʻeha o ka ʻōpū. Hoʻokumu ʻia kēia mau maʻi e ka maʻi a i ʻole nā kumu ʻē aʻe.
Hiki iā ia ke hana me nā maʻi e hoʻopili i nā neʻe maʻamau o nā ʻōpū. ʻIke ʻia kēia mau maʻi he motility disorders.
Hiki i ka poʻe me ka tenesmus ke hoʻokuʻi ikaika loa (kānana) e hoʻāʻo e ninini i ko lākou ʻōpū. Eia nō naʻe, e hele wale lākou i kahi pahu liʻiliʻi.
ʻO ke kumu e kumu ʻia e:
- Abscess Anorectal
- ʻO ka maʻi ʻaʻai Colorectal a i ʻole nā tumors
- Maʻi Crohn
- ʻO ka maʻi o ke kolona (colitis infectious)
- ʻO ka hoʻowahāwahā o ke kolona a i ʻole ke kolopa mai ka pāhawewe (radiation proctitis a i ʻole colitis)
- ʻO ka maʻi maʻi ʻōpū (IBD)
- ʻO ka neʻe (motility) maʻi o nā ʻōpū
- Ulcerative colitis a i ʻole ulcerative proctitis
Hiki ke kōkua i ka hoʻonui ʻana i ka nui o ka fiber a me ka wai i kāu papaʻai e hōʻoluʻolu ai i ka paʻa paʻa ʻana.
Kāhea aku i kāu lawelawe mālama ola inā hoʻomau ʻoe i nā ʻōuli o tenesmus e hoʻomau mau a hele mai paha.
Kāhea pū inā loaʻa iā ʻoe:
- Abdominal eha
- Koko i loko o ka pahu
- ʻO Chills
- Fiva
- Nusea
- ʻO ka luaʻi
Hiki i kēia mau hōʻailona ke hōʻailona o kahi maʻi i hiki ke kumu i ka pilikia.
E nānā ka mea hāʻawi iā ʻoe a nīnau i nā nīnau e like me:
- I ka manawa hea i kū ai kēia pilikia? Ua loaʻa paha iā ʻoe ma mua?
- He aha nā hōʻailona āu e loaʻa nei?
- Ua ʻai anei ʻoe i nā meaʻai maka, hou, a kamaʻāina ʻole paha? Ua ʻai anei ʻoe ma kahi pīkino a i kahi ʻaha nui paha?
- Loaʻa i kekahi poʻe ʻē aʻe i kou ʻohana nā pilikia like?
- He aha nā pilikia olakino ʻē aʻe āu i loaʻa ai i hala i ka wā i hala?
Hiki i ka hoʻokolohua kino ke hoʻopili i kahi hōʻike ʻōpū kikoʻī. Hana ʻia kahi hoʻokolokolo kūpono i nā manawa pinepine.
ʻO nā hoʻāʻo e hana ʻia ana paha:
- ʻO Colonoscopy e nānā i ke kolone a me ka pololei
- Helu piha koko (CBC)
- CT scan o ka ʻōpū (i nā manawa kakaikahi)
- Proctosigmoidoscopy (kahi hoʻokolokolo o ka ʻōpū o lalo)
- Nā moʻomeheu noho
- X-kukuna o ka ʻōpū
ʻEha - keʻena hele; Nā noho ʻeha; Hōʻalo paʻakikī i ka noho
- Anatomia digestive lalo
Kuemmerle JF. Nā maʻi hōʻeha a me nā anatomic o ka ʻōpū, peritoneum, mesentery, a me omentum. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 133.
CRG wikiwiki, Biers SM, Arulampalam THA. ʻO ka ʻeha o ka ʻōpū nonacute a me nā ʻōpū ʻōpū a me nā hōʻailona. I: CRG wikiwiki, Biers SM, Arulampalam THA, nā hua. Nā pilikia ʻoki poʻomanaʻo nui, ʻike a me ka hoʻokele. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 18.
ʻO Tanksley JP, Willett CG, Czito BG, Palta M. Acute a me nā hopena gastrointestinal mau loa o ka radiation radiation. 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 41.