ʻO ke Koko i loko o kaʻu Poʻo Kamaliʻi kahi kumu no ka hopohopo?
Anter
- Nā ʻōuli o ke koko i ka pahu noho keiki
- Nā kumu o ke koko i loko o ka pahu noho keiki
- Māhele anal
- Maʻi kīnā
- Maʻi maʻi ʻōpū
- Abscess anal a me ka fistula
- Polyps
- ʻO ka maʻi diarrhea a me ke koko i ka pahu noho o nā kamaliʻi
- Mucus a me ke koko i ka pahu noho o nā kamaliʻi
- Ke ʻole ke koko
- Hoʻomaʻamaʻa i ke koko i ka pahu noho keiki
- ʻO nā Fs ʻekolu
- E mālama i ka maʻemaʻe o kahi
- ʻAuʻau Sitz
- E noi i ka kirimalu a i ʻole ka ʻaila ʻaila
- Nā Antimicrobial
- Nā lāʻau IBD
- ʻOki kino
- Ke hōʻike nei i ke kumu
- I ka manawa e ʻike ai i ka pediatric
- ʻO ka ʻikepili āu e ʻohiʻohi ai ma mua o ke kāhea
- Lawe aku
ʻO ka ʻike ʻana i ke koko i loko o ka poop o kāu keiki hiki ke makaʻu, akā ʻo nā kumu o ke koko i loko o ka pahu keiki ʻaʻole koʻikoʻi mau. I ka ʻoiaʻiʻo, he maʻamau maʻamau.
ʻO nā māwae anal, he waimaka liʻiliʻi ia i loko o ke anus i hana mau ʻia e nā noho paʻakikī, ʻo ia ke kumu maʻamau o ke koko i nā pahu o nā kamaliʻi. Hiki i kēia ke hana i loko o kahi kamaliʻi nona ka constipation.
Hiki i kekahi mau meaʻai, mea inu, a me nā lāʻau lapaʻau ke hoʻololi i ke kala o ka noho, e like me ke koko. Kākaʻikahi wale, hiki i ke koko i loko o ka pahu ka hōʻailona o ke ʻano o ke ʻano ʻoi loa. E uhi mākou i nā mea āpau ma aneʻi.
Nā ʻōuli o ke koko i ka pahu noho keiki
Hiki ke nānā aku i ke koko i loko o ka pahu o nā keiki ma muli o ke kumu. Hiki i ke kala a me kona ikaika ke kōkua i nā kauka e hoʻohaʻahaʻa i kahi e hele mai ai ke koko.
Hoʻokumu pinepine ʻia ke koko ʻulaʻula e ka gastrointestinal (GI) o ke kahe o ke kahe, e like me ke kahe ʻana o ke keu, ʻoiai ke hele mai nei ka papaʻeleʻele mai ka ʻōpū a i ʻole nā wahi ʻē aʻe o ka GI tract kiʻekiʻe.
ʻO nā ʻōuli ʻē aʻe, e like me ka ʻeha a me ka palupalu a me ka loli i loko o ka ʻōpū hiki ke kōkua i ke kauka e hoʻoholo i kahi o GI e hele mai ai ke koko.
ʻO ke koko i ka pahu ka mea:
- ʻulaʻula ʻulaʻula ma luna o ka noho
- koko maroon ʻeleʻele i hui ʻia i ka pahu
- noho ʻeleʻele a lōʻihi paha
Nā kumu o ke koko i loko o ka pahu noho keiki
Eia nā kumu o ke koko i loko o ka pahu o kahi keiki a me nā ʻōuli ʻē aʻe āu e makaʻala ai.
Māhele anal
ʻO nā ʻāpana anal ke kuleana no ke koko i ka noho ʻōpio 90 pakeneka o ka manawa. ʻO kahi māwae anal kahi waimaka liʻiliʻi i loko o ka pale o ka anus. Hiki i ka hele ʻana i kahi pahu paʻakikī a nui paha ke kīloi a haehae i ka uhi lahilahi o ka anus. Hiki i ka palahī ke hoʻonāukiuki i ka uhi a hana i nā māwae.
Inā loaʻa i kāu keiki kahi ʻāpana anal hiki iā ʻoe ke ʻike i nā kahakaha o ke koko ʻulaʻula ma luna o ka pahu noho a i ʻole ka pepa holoi ma hope o ka holoi ʻana. Hiki i nā ʻāpana anal ke hōʻeha i ka ʻeha a me ka ʻili ma kahi i ʻoi aku ka maikaʻi ma hope o ka neʻe ʻana o ka ʻōpū.
Maʻi kīnā
Hiki i nā maʻi bacteria, nā mea hoʻomaʻi, a me nā parasites i ke kahe digestive ke kumu i ka maʻi diarrhea koko i nā kamaliʻi liʻiliʻi. ʻO nā maʻi bacteria pū kekahi:
- Salmonella
- E. coli
- ʻōiwi
ʻO Rotavirus kahi maʻi viral maʻamau. ʻO Giardia lamblia kahi parasite maʻamau e hoʻopili i nā poʻe o nā makahiki āpau, e like me nā pēpē a me nā kamaliʻi.
Inā loaʻa i kāu keiki kekahi o kēia maʻi, loaʻa paha iā lākou i ke kuni kiʻekiʻe a me ka ʻeha o ka ʻōpū, a palu a huhū hoʻi.
Maʻi maʻi ʻōpū
ʻO ka maʻi ʻōpū ʻōlapa (IBD) kahi maʻi maʻamau e hoʻonā i ka ʻōpū. Aia he ʻano nui ʻelua o ka IBD, ʻo nā mea ʻelua e pili ana i ka hana ʻōnaehana pale ʻole e holo ana:
- ʻO ka maʻi o Crohn, hiki ke hoʻopili i nā ʻāpana o ka gastrointestinal tract mai ka waha a i ka anus
- ulcerative colitis, pili wale i ka ʻōpū nui
ʻIke pinepine ʻia ʻo IBD i nā ʻōpio a me nā mākua, akā ua kau ʻia nā ʻōuli ma mua o ka makahiki 5 ma kahi o nā keiki.
ʻO nā ʻōuli maʻamau o IBD me:
- ʻōpū koko
- mucus i loko o ka pahu
- Kaumaha emi
- pae ikehu haʻahaʻa
- ʻōpū a me ka ʻeha
Abscess anal a me ka fistula
ʻO nā kamaliʻi me ka mōʻaukala o ka paʻa pinepine a i ʻole ka diarrhea i ka nui o ka makaʻu o ka hoʻomohala ʻana i nā abscesses anal a me nā rectal. Hana ʻia nā abscesses ke hoʻopiha kahi ʻōpū i ka anus i ka maʻi, ka maʻi maʻamau, a me ka pā. Hiki i kahi anist fistula ke ulu ke hana ʻole kahi abscess a haki hāmama i ka ʻili o ka ʻili. Hiki i nā mea ʻelua ke ʻeha loa.
Inā loaʻa i kāu kamaliʻi he anal abscess a i ʻole fistula, huhū paha lākou a loaʻa kahi puʻupuʻu a huʻu paha a puni ka anus, a me ka hoʻokuʻu anal.
Polyps
ʻOi aku ka maʻamau o nā polyps Intestinal i nā mākua ma mua o nā keiki, akā hiki ke hana. ʻO nā polyp ʻōpio ke ʻano maʻamau o nā polyp ʻōpū i nā keiki. Ulu lākou i loko o ke kolona a ulu maʻamau ma mua o ka makahiki 10, keu hoʻi ma waena o nā makahiki 2 a 6.
Hiki i nā polyp juvenile ke kumu o ka hala o ke koko ʻulaʻula a me nā mea i loko o ka pahu, a me ka ʻeha o ka ʻōpū.
ʻO ka maʻi diarrhea a me ke koko i ka pahu noho o nā kamaliʻi
ʻO ke koko i loko o ka pahu o kāu keiki e hele pū ʻia me ka maʻi diarrhea e hiki ke hoʻokumu ʻia e:
- maʻi koʻohune a viral paha
- he parasite
- Maʻi ʻo Crohn
- ulcerative colitis
Mucus a me ke koko i ka pahu noho o nā kamaliʻi
Mānoanoa ka Mucus a me he like me ka jelly. Hana ʻia ia e ke kino e lubricate a pale i nā ʻaʻa mai ka poino i hoʻokumu ʻia e nā virus a me nā bacteria. Hiki ke kumu ʻia ka mucus a me ke koko i ka stool e:
- maʻi maʻi ʻōpū
- anal a pololei paha
- Maʻi ʻo Crohn
- ulcerative colitis
Ke ʻole ke koko
ʻO ka poop ʻulaʻula a ʻeleʻele ʻaʻole hoʻi ke kumu o ke koko i nā manawa he nui - nā meaʻai, nā mea inu, a me kekahi mau lāʻau e hiki ke hoʻololi i ke kala o ka poop a e ʻulaʻula a ʻeleʻele paha.
Hiki ke kumu i ka poop ʻula e:
- Kool-Aid a me nā mea inu ʻulaʻula like
- hua hua
- beets
- i loko me ka waihoʻoluʻu ʻai ʻulaʻula
- antibiotics, e like me amoxicillin a me cefdinir (Omnicef)
Hiki ke kumu ʻia ka poop ʻele e:
- ʻaukā i loko o ka waihoʻoluʻu ʻai ʻeleʻele a pouli paha
- laikini ʻeleʻele
- papa hao
- nā lāʻau i hoʻokumu ʻia i ka bismuth, e like me Pepto-Bismol
ʻO ka hoʻokomo ʻana i nā mea haole e like me nā crayons hiki ke hoʻololi i ke kala o ka poop o kāu keiki.
Hoʻomaʻamaʻa i ke koko i ka pahu noho keiki
E pili ka mālama ʻana i ke kumu o ke kahe ʻana o ke kahe. Hiki i nā home remedies ke kōkua i ka hōʻoluʻolu i hoʻokumu ʻia e nā ʻāpana anal a mālama a pale i ka constipation. Loaʻa nā lāʻau olakino no kēia a me nā kūlana ʻē aʻe e kumu ai ke koko i ka pahu.
ʻO nā Fs ʻekolu
ʻO ke ala ʻoi loa e mālama a pale aku ai i ka paʻa paʻa ʻana e hoʻohana i nā "ʻekolu Fs," e kū nei no ka wai, puluniu, a me ke olakino. E ʻike pono i ka inu ʻana o kāu keiki i nā wai a me ka ʻai ʻana i nā meaʻai i ka nui o ka fiber.
Hiki ke kōkua i ka hoʻoikaika kino kūpono i ka hoʻomau ʻana o ka ʻōpū i nā manawa āpau, kahi e hoʻohaʻahaʻa ai i ka makaʻu o nā māwae anal.
E mālama i ka maʻemaʻe o kahi
ʻO ka hoʻomaʻemaʻe ʻana i ka wahi a puni ka anus ma hope o ka neʻe ʻana o ka ʻōpū hiki ke kōkua i ka hōʻemi ʻana i ka maʻi o ka maʻi inā loaʻa nā ʻāpana anal. E holoi mālie a hoʻomaloʻo i ka wahi ma hope o kēlā me kēia neʻe ʻana o ka ʻōpū.
ʻAuʻau Sitz
Hiki i ka pulu ʻana i ka ʻauʻau sitz ke kōkua i ka hōʻoluʻolu ʻana i nā pilikia o nā anal anal. ʻO kahi ʻauʻau sitz kahi pumehana mahana, pāpaʻu e hoʻomaʻemaʻe i ka perineum. Hiki iā ʻoe ke hāʻawi i kāu keiki i kahi ʻauʻau sitz i loko o ka pahu wai ʻauʻau a i ʻole me kahi kini ʻeke e pili pono ana i ka lua. Hiki ke hoʻohui i ka paʻakai a i ʻole ka paʻakai bakena i ka wai mehana no ka hopena hōʻoluʻolu.
E noi i ka kirimalu a i ʻole ka ʻaila ʻaila
A hiki i ka wā e hoʻōla ʻia ai kahi māwae anal, e hoʻopili i ka jelly aila a i ʻole ka zinc oxide cream a puni ka anus. Ka papa o ka holika a me ka jelly e kōkua i ka pale o ka anus mai ka ukiuki a hoʻolilo i ka noho hele i mea ʻeha.
Nā Antimicrobial
Hoʻohana ʻia nā lāʻau Antiparasitic a me antibiotic e mālama i nā maʻi digestive tract i hoʻokumu ʻia e nā parasites a me nā bacteria. Hoʻohana ʻia nā lāʻau antibiotic e mālama i nā abscesses bacteria a me nā fistula, a me IBD, ʻo ka colitis ulcerative hema a me ka maʻi perianal. ʻAʻole kūpono lākou e kūʻē i nā virus.
Nā lāʻau IBD
ʻO nā lāʻau, e like me 5-aminosalicylates, hiki ke hoʻohana ʻia e mālama ai i nā keiki me ka maʻi o Crohn a me ka ulcerative colitis. Hoʻohana ʻia nā lāʻau ʻē aʻe e mālama iā IBD:
- Corticosteroids
- nā mea palekana
- kālaimeaola
Hiki i ke kauka o kāu keiki ke koi aku i ka regimen lāʻau e hoʻomalu i nā ʻōuli me nā hopena maikaʻi ʻole liʻiliʻi.
ʻOki kino
Paipai ʻia ke ʻoki e wehe i nā polyps a i ʻole cauterize i ka pūnaewele o ke kahe ʻana. I kekahi manawa hiki ke hoʻopau ʻia ke kahe ʻana o ke kahe ma ka hoʻopili ʻana i kahi kemika i loko o ka pūnaewele kahe ma ka endoscopy GI o luna a lalo paha. Hoʻohana ʻia ʻo GI endoscopy e kuhikuhi i nā kumu o ke koko i ka noho.
Ke hōʻike nei i ke kumu
Hiki paha i ke kauka ke hōʻoia i ke kumu o ke kahe ʻana o ke kahe ma ka nānā ʻana i waho o ka anus a me ka hana ʻana i kahi hoʻokolokolo kūpono.
Hōʻike nā hōʻike ʻē aʻe i kāu kauka o kāu keiki e:
- moʻomeheu noho
- hoʻāʻo koko
- ʻōiwi X-ray
- ultrasound ʻōpū
- CT scan
- endoscopy GI luna
- kolonekia
I ka manawa e ʻike ai i ka pediatric
Pono e loiloi i kekahi koko i ka pahu o kāu keiki e ka pediatrician e kāpae i kahi kūlana koʻikoʻi koʻikoʻi. Kāhea koke aku i kāu pediatric o kāu keiki inā ʻike maʻi loa kāu keiki a i ʻole:
- noho ʻeleʻele a lōʻihi paha
- ʻōpū koko
- ʻeha ka ʻōpū
- mimi ʻākala a i ʻole kala kī
Kāhea iā 911 inā ua nāwaliwali loa kāu keiki e kū a maule paha, a i ʻole inā manaʻo ʻoe he weliweli ke ola o kā lākou maʻi.
ʻO ka ʻikepili āu e ʻohiʻohi ai ma mua o ke kāhea
E kauoha paha ke kauka i kahi laʻana o ka noho. ʻO ka hōʻiliʻili ʻana i kahi laʻana o ka noho o kāu keiki ma mua o kou kāhea ʻana i kahi koho hiki ke wikiwiki i nā mea ma ka wikiwiki ʻana o ka hōʻailona.
Lawe aku
ʻO ka hapa nui o ka manawa, ʻo ke koko i ka pahu o nā kamaliʻi ke kumu o nā ʻāpana anal mai ka paʻa ʻana, ka mea maʻamau ʻole a hiki ke mālama ʻia ma ka home. Pono e loiloi i kekahi koko i ka stool e ka pediatrician o kāu keiki.