Kahe koko

ʻO ke kahe ʻana o ka rectal ke hala ke koko mai ka palahu a i ʻole ka anus. Hoʻomaopopo ʻia ke kahe ʻana ma ka pahu a i ʻole ʻike ʻia he koko ma ka pepa lua a i loko o ka lua. ʻUlaʻula ʻulaʻula paha ke koko. Hoʻohana ʻia ka huaʻōlelo "hematochezia" e wehewehe i kēia loaʻa.

ʻO ke kala o ke koko i loko o nā stools e hōʻike i ke kumu o ke kahe ʻana.

Ma muli o ke kahe ʻana o ke koko i nā ʻāpana kiʻekiʻe o ka GI (gastrointestinal) e like me ka esophagus, ʻōpū, a me ka ʻāpana mua o ka ʻōpū liʻiliʻi. I kēia hihia, ʻeleʻele pinepine ke koko no ka mea ua ʻānai ʻia ia i ke ala ma o ka GI tract. ʻOi aku ka liʻiliʻi o ka maʻamau, hiki i kēia ʻano kahe ʻana ke kahe ke lawa koke e hōʻike me ke kahe ʻana o ke kahe ākea.

Me ke kahe o ke kolopa, ʻulaʻula a hou paha ke koko. ʻO ka maʻamau kēia ke kumu o ke kahe ʻana o ke kahawai GI haʻahaʻa (kolona a me ka pololei).

ʻO ka ʻai ʻana i nā beets a i ʻole nā ​​meaʻai me ka pena ʻana i ka meaʻai ʻulaʻula hiki i kekahi manawa ke hōʻike i nā noho ʻulaʻula I kēia mau hihia, hiki i kāu kauka ke hoʻāʻo i ka pahu me kahi kemika e kāpae i ke kū ʻana o ke koko.

ʻO nā kumu kahe pili pono

• ʻĀpana anal (kahi ʻoki a kahi waimaka paha i ka uhi anal, i hana pinepine ʻia e ka paʻakikī paʻakikī, nā noho paʻa a i ʻole ka diarrhea pinepine). Hiki iā ia ke kumu i ka hoʻomaka koke o ke kahe ʻana o ke kō. Loaʻa pinepine ka ʻeha ma ka wehe ʻana o ka anal.
• Hemorrhoids, he kumu maʻamau o ke kokoʻulaʻula ʻulaʻula. He ʻeha a ʻeha paha lākou.
• Proctitis (hoʻohaunaele a ʻōhū paha o ke kiko a me ka anus).
• Hoʻohālikelike ākea (puka ka rectum mai ka anus).
• Trauma a kino haole paha.
• Nā polyps kala.
• Kolona, ​​ʻopa, a i ʻole ka maʻi ʻaʻai anal.
• Ulcerative colitis.
• ʻO ka maʻi i loko o nā ʻōpū.
• Diverticulosis (ʻeke kūpono ʻole i ke kolona).

Kāhea aku i kāu kahu mālama ola inā aia:

• ʻO ke koko hou i loko o kāu mau noho
• Hoʻololi i ke kala o kāu mau noho
• ʻO ka ʻeha ma ka ʻāpana anal ʻoiai e noho ana a e hele ana i nā pahu noho
• Ka hoʻomau ʻole a i ʻole ka ʻole o ka kaohi i ka hele ʻana o nā noho
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia
• E kulu i ke kahe koko e kumu ai ka poni a maule paha

Pono ʻoe e ʻike i kāu mea lawelawe a loaʻa kahi hoʻokolohua, ʻoiai inā ʻoe e manaʻo ʻo ka hemorrhoids ke kumu o ke koko i kāu pahu.

I nā keiki, ʻaʻole nui ka nui o ke koko i loko o ka pahu. ʻO ke kumu maʻamau ka constipation. E haʻi mau ʻoe i kāu mea hāʻawi i kāu keiki inā ʻike ʻoe i kēia pilikia.

E lawe kāu mea hāʻawi i ka mōʻaukala olakino a hana i kahi hoʻokolohua kino. E nānā ka hoʻokolohua i kou ʻōpū a me kou kiko.

E nīnau ʻia paha kēia mau nīnau iā ʻoe:

• Ua loaʻa paha iā ʻoe kahi trauma i ka ʻōpū a i ʻole ka pololei?
• Ua loaʻa iā ʻoe ma mua o hoʻokahi ʻāpana o ke koko i loko o kāu pahu holoi? Ma kēia ala anei nā noho a pau?
• Ua lilo anei kekahi kaumaha i kēia manawa?
• Aia wale ke koko ma ka pepa lua?
• He aha ke kala o ka stool?
• I ka manawa hea i ulu ai ka pilikia?
• He aha nā ʻōuli ʻē aʻe e kū nei (ʻeha o ka ʻōpū, luaʻi i ke koko, bloating, ke kinoea nui, diarrhea, a i ʻole ke kuni.

Pono paha ʻoe i hoʻokahi a i ʻole nā ​​hoʻokolohua kiʻi e nānā no ke kumu:

• Hōʻikeʻike kikohoʻe kikohoʻe.
• Anoscopy.
• ʻO Sigmoidoscopy a i ʻole kolonoscopy e nānā i loko o kāu kolona e hoʻohana ana i kahi kāmela i ka hopena o kahi ʻōmole lahilahi e ʻike a mālama paha i ke kumu o ke kahe e pono ai.
• ʻIlelo Angiography.
• Mānā koko.

Loaʻa iā ʻoe i hoʻokahi a ʻoi paha nā hoʻokolohua lab ma mua, me:

• Helu piha koko (CBC)
• Nā chemistries serum
• Haʻawina lole
• Moʻomeheu Stool

Kahe koko; Koko i loko o ka pahu; Hematochezia; Kahe kahe o ka gastrointestinal

• ʻĀpana anal - moʻo
• Hemorrhoids
• Kolonekia

Kaplan GG, Ng SC. Epidemiology, pathogenesis, a me ka hōʻailona o nā maʻi ʻōpū. 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 115.

Kwaan MR. Hemorrhoids, anal fissure, a me anorectal abscess a me fistula. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier; 2020: 222-226.

Kukui LW. Anus. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 18.

ʻO Meguerdichian DA, ʻo Goralnick E. ʻO ke kahe o Gastrointestinal. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 27.

Swartz MH. ʻO ka ʻōpū. I: Swartz MH, ed. Puke aʻo o ʻike kino: Mōʻaukala a me ka hoʻokolokolo. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 17.