He aha ke kumu e paʻakikī ai ka Anus? Nā Kumu a me ka Hoʻōla
Anter
- Kumu anus paakiki
- Hemorrhoids kūwaho
- Perianal hidradenitis suppurativa (HS)
- Perianal hematoma
- ʻO nā warts anal
- Molluscum contagiosum
- Konipōpō
- Ka maʻi ʻaʻai anal
- Mea ʻē
- Pāpū paʻakikī ma ka anus a ʻaʻohe ʻeha
- ʻIkioma anus paʻakikī
- Lapaʻau anus paʻakikī
- Hemorrhoids kūwaho
- Perianal hidradenitis suppurativa (HS)
- Perianal hematoma
- ʻO nā warts anal
- Molluscum contagiosum
- Konipōpō
- Ka maʻi ʻaʻai anal
- Mea ʻē
- Ka wā e ʻike ai i ke kauka
- Lawe aku
Puʻupuʻu paʻakikī i loko o ka anus
ʻO ka anus kahi wehe i ka ʻaoʻao haʻahaʻa o ka digestive tract. Hoʻokaʻawale ʻia ia mai ka polima (kahi e paʻa ai ka noho) e ka sphincter anal o loko.
Ke hoʻopiha ka hakahaka i ka pololei, hoʻomaha ka ʻāpana sphincter, e hoʻokuʻu i ka pahu ma waena o ka anus a ma waho o ke kino. Pani ka sphincter anal waho i ka anus ke hala ka pahu.
ʻO nā puʻupuʻu e hana ana a puni ka anus - no nā ʻano kumu like ʻole - hiki iā ia ke paʻakikī. Aia paha he pehu, ʻeha, a hoʻokuʻu.
Kumu anus paakiki
Hoʻopili ʻia ka anus me ka ʻili a me nā aʻa o loko, i loko o nā aʻa mucus, nā kīʻaha koko, nā pūnana lymph, a me nā hopena nerve ʻehaʻeha. Ke huhū nei kēia mau mea, maʻi a ālai ʻia paha, hiki ke hana i nā puʻupuʻu, e paʻakikī ana ka anus.
I ka hapanui o nā hihia, ʻaʻole hoʻoweliweli ke ola nā lumps anal, akā koi lākou i ka loiloi. E ʻike koke i ke kauka, akā naʻe, inā ʻoe e ʻike i ke kahe mau o ke kahe a i ʻole ka ʻeha anal e ʻoi aku ka maikaʻi, pālahalaha, a i ʻole loaʻa me ke kuni.
ʻO kekahi mau kumu o ka paakiki anal a i ʻole nā puʻupuʻu i:
Hemorrhoids kūwaho
Hoʻokomo ʻia nā hemorrhoids i nā kīʻaha koko i hana i ka uhi anal a hiki ke hōʻike ʻia me he puʻupuʻu.
Kūleʻa lākou - i ka ʻoiaʻiʻo, e like me ka American College of Gastroenterology, 50 pākēneka o ʻAmelika e loaʻa i hoʻokahi ma o 50 makahiki.
Hoʻokumu ʻia nā hemorrhoids e ke kaomi kiʻekiʻe i loko o ka paia o ka moku, i hiki ke kū ʻia me ka hāpai ʻana, ke kānana nei i ka wā o ka ʻōpū, a i ʻole ke hāpai kaumaha. ʻO nā hōʻailona me:
- ʻōhū, ʻōhū
- ʻeha
- ʻūlili
- kahe ana ke koko
Perianal hidradenitis suppurativa (HS)
ʻO Perianal HS kahi maʻi ʻili hoʻoweliweli e pili i ka lauoho a me ka momona i ka pona.
I hoʻokahi noiʻi i paʻi ʻia i loko o ka puke pai ʻO Clinics ma Colon a me Rectal Surgery, o ka poʻe i loaʻa iā ia he kāne, me nā kāne ʻApelika ʻAmelika i ʻoi aku ka nui o ka makaʻu.
ʻIke ʻia ʻo Perianal HS ma ke ʻano he nodule ʻeha ma lalo pono o ka ʻili. ʻO lākou:
- hana i ka pā a honi ke ninini ʻia
- hana scarring
- pili pū ʻia me nā maʻi ʻōpala, e like me ka maʻi o Crohn, ka mea e hoʻomāhuahua ai i ka naʻau o ka digestive
Perianal hematoma
ʻO ka hematoma perianal kahi kīʻaha koko ma ka ʻāpana anal i haki, ma muli o ka ʻoniʻoni e loaʻa i kahi ʻōpū, hoʻoheʻe ikaika, a me nā hāpai kaumaha. Nā ʻōuli ʻo:
- ʻeha
- pehu, puʻu purplish a puni ka anus, kahi e like ka nui me ka baseball
ʻO nā warts anal
Kāhea ʻia hoʻi ka condyloma acuminata, nā warts anal, i ʻike ʻia i loko a puni o ka anus, i hoʻokumu ʻia e ka maʻi papilloma kanaka (HPV). Hoʻouna pinepine ʻia ʻo HPV ma o ka moekolohe, ʻoiai hiki ke kiʻi ʻia mai nā wai o ke kanaka o ka mea maʻi.
Hiki i kēia mau puʻupuʻu palupalu, pulu, ʻili ke kala i:
- ʻākala
- hana mucus
- kahe koko
- ʻokoʻa ka nui (hiki iā lākou ke hoʻomaka i ka nui o kahi pinhead a ulu e uhi i ka anus holoʻokoʻa)
Molluscum contagiosum
He maʻi ʻili kēia i loaʻa mai i ka maʻi maʻi molluscum contagiosum. Hiki ke hōʻike ʻia nā leona ma nā wahi āpau o ke kino kahi i pili ai ka ʻili me ka maʻi.
Hiki ke pālahalaha ka maʻi i ke anus ma o ka pili kolohe ʻana, ma ka hoʻopā ʻana i kou anus ma hope o ka pā ʻana i kahi leona ma kahi ʻē aʻe i kou kino, a i ʻole kaʻana like ʻana i nā pale a i ʻole nā kāwele i loaʻa i kekahi.
ʻO nā leona:
- uuku, mai ka nui o ka pinhead a i kahi peni holoi penikala
- ʻākala, ʻiʻo kikokiko, a keʻokeʻo, a hānai ʻia me ka lua ma waenakonu
- i kekahi manawa ʻili a pehu
- maʻa maʻamau ʻole
Hiki i nā leona ke lawe mai ʻeono mau mahina a i ʻelima mau makahiki e hele aku ai.
Konipōpō
Loaʻa ka neʻe pinepine ʻana o ka ʻōpū a i ʻole ka hele paʻakikī ʻana, hiki i nā pahu maloʻo ke hana i kahi piha i kāu wahi anal e hiki ke hāʻawi iā ʻoe i ka ʻike o ka anus paʻakikī. Hoʻokumu pinepine ʻia ka constipation e ka ʻai ʻana i ka papaʻai low-fiber a me ka inu ʻole ʻana i nā wai. Ua wehewehe ʻia ʻenehana e like me:
- e hele ana ma lalo o ʻekolu noho i ka pule
- ke kānana nei e hoʻolilo i nā noho
- he paepae paakiki a puupuu
Ka maʻi ʻaʻai anal
He kakaikahi ka maʻi ʻaʻai anal, e hoʻopili ana i 1 wale nō ma ka 500 mau kānaka, e like me ka American Society of Colon and Rectal Surgeons. Hoʻohālikelike, 1 i ka 22 e loaʻa i ka maʻi ʻaʻai kolone. Eia naʻe, ke ulu nei ka hanana o ka maʻi ʻaʻai anal.
ʻO ka mea makaʻu nui loa ka loaʻa ʻana o ka HPV, akā ʻo nā mea ʻē aʻe e hoʻonui i kou manawa e ʻaelike ai i ka maʻi ʻaʻai anal e puhipaka nei, he mau hoa wahine he nui, a he ʻili hoʻomau, ʻāʻā a puni ka anus. Nā ʻōuli o ka maʻi ʻaʻai anal me:
- nuʻu kokoke a i ʻole i ka anus
- ʻeha
- kahe koko
- ʻalalā anal
- loli ka ʻōpū
Mea ʻē
ʻO nā mea e like me nā iwi i ale ʻia, nā ʻōlelo aʻoaʻo enema, nā thermometers, a me nā mea pāʻani wahine ke pili ʻole i loko o ka anus, e hoʻoulu ana i ke kaomi a me ka manaʻo paʻakikī.
Pāpū paʻakikī ma ka anus a ʻaʻohe ʻeha
ʻAʻole kēlā me kēia puʻupuʻu a me nā puʻupuʻu e hoʻohua i ka ʻeha. ʻO kekahi ʻaʻole maʻamau:
- warts anal
- molluscum contagiosum
- kekahi hemorrhoids
ʻIkioma anus paʻakikī
Loaʻa nā kauka i nā pono hana like ʻole e hiki ai ke kōkua pono i nā maʻi anal, me nā puʻupuʻu anal.
ʻO nā hemorrhoids, warts anal, a me molluscum contagiosum hiki ke ʻike a ʻike ʻia paha i ka wā o ka hoʻokolohua kino. Hiki i ke kauka ke hoʻokomo i kahi manamana lima lima i loko o kou anus, i kapa ʻia he hoʻokolohua kikohoʻe, e manaʻo ai no nā ulu.
I loko o kahi anoscopy, kahi mea ʻoʻoleʻa, kukui uila i hiki i nā kauka ke nānā i kou anus a me kou poli.
Inā makemake kāu kauka e nānā hou i kāu wahi digestive a kāpae i nā mea e like me ka maʻi ʻaʻai kolona, e ʻōlelo paha lākou i kekahi o kēia mau kaʻina hana.
- barium enema, ʻo ia ka X-ray o ke kolona
- sigmoidoscopy, kahi hana e hoʻohana ai i kahi paipu lōʻihi, maʻalahi me kahi kukui a me kahi kāmela e nānā ai i kāu ʻōpū o ka ʻōpū o lalo
- colonoscopy, kahi e hoʻohana ai kāu kauka i kahi mea uila i kapa ʻia he kolonoscope e nānā i kāu kolona a nānā no nā mea e like me nā ulcer a me nā ulu.
Lapaʻau anus paʻakikī
Hoʻololi ka hoʻomaʻamaʻa e pili ana i ke ʻano e hoʻopili ana i kou anus.
Hemorrhoids kūwaho
- nā mea hōʻemi ʻeha ʻo over-the-counter (OTC)
- anu kaomi
- ʻauʻau sitz
- nā kalima hemorrhoid, i loaʻa i kahi mea numbing e hōʻalulu i ka ʻeha
- keʻokiʻoki keʻoki i ka hemorrhoid, keu hoʻi inā loaʻa kahi ʻūlū koko
- ke kāʻei, kahi e nakinaki ai kahi kauka i kahi kāʻei liʻiliʻi a puni ke kumu o ka hemorrhoid e ʻoki ai i kāna kahe o ke koko a ʻae iā ia e mimiki.
- sclerotherapy, e pili ana i ka hoʻokomo ʻana i ka hemorrhoid me kahi kemika e puhi iā ia (a hoʻoliʻiliʻi maikaʻi ia)
Wahi a ka noiʻi i paʻi ʻia i loko o ka puke pai, he hemorrhoid i mālama ʻia me sclerotherapy he 30 pākēneka loaʻa hou i loko o ʻehā mau makahiki.
Perianal hidradenitis suppurativa (HS)
- antibiotics e hakakā i ka mumū a me nā maʻi āpau
- cortisone e hōʻemi i ka pehu a me ka ukiuki
- adalimumab (Humira) e hoʻomaha i ka pane o ke kino i ka pane
Perianal hematoma
- ʻO nā mea hōʻeha ʻeha OTC
- anu kaomi
- kahe ʻana o ka ʻokiʻoki inā ʻeha a mau ʻole paha ka ʻeha
ʻO nā warts anal
Ma muli o ka maʻi e hōʻeha ai i nā warts anal hiki ke hiamoe i loko o ke kino, ʻaʻole maʻamau ka hoʻi hou ʻana. Pono paha ʻoe e hana hou i nā kaʻina hana ke kū mai nā warts hou.
- cryosurgery, kahi e hoʻopili ai i nā warts me ka nitrogen wai e paʻa a hoʻoliʻiliʻi iā lākou
- wehe ʻoki (hana pinepine ʻia ma lalo o kahi anesthetic kūloko ma kahi kumu maʻi kūwaho)
- fulguration (e hoʻohana ana i kahi uila uila pinepine e hoʻopau i ka wart)
- podophyllin, trichloroacetic acid, a me ka bichloroacetic acid (inā liʻiliʻi ka warts a me waho)
Molluscum contagiosum
- ka lāʻau kalima i loaʻa i ka ʻimiquimod, kahi lāʻau e kōkua ai i ka ʻōnaehana pale pale e pale ai i ka maʻi hoʻomaʻamaʻa e kumu ai i kēia mau leona e like me ka leona
Konipōpō
- ʻO nā laxatives OTC a me nā palupalu e palupalu
- lubiprostone (Amitiza), ka mea e hoʻohui i ka wai i kāu pahu, e maʻalahi ai ke hele
- e ʻai ana i ka pulapula hou (e pono ai 25 a 35 mau gram) ma ka hoʻohui ʻana i nā meaʻai e like me nā huaʻai, nā mea kanu, a me nā hua piha i kāu papaʻai
- inu wai hou ana
Ka maʻi ʻaʻai anal
- wehe ʻoki ʻana o ka tumo
- pāhawewe
- chemotherapy
Mea ʻē
Hiki ke hemo i nā mea haʻahaʻa me kahi mea kani e like me ka forceps. Pono paha nā mea e hemo maʻalahi ʻole ʻia me ka lima. Hana pinepine ʻia ka anal dilation ma lalo o ka anesthesia āpau.
Ka wā e ʻike ai i ke kauka
ʻO ka paʻakikī e pili ana i ka anus ke kumu pinepine ʻia e nā puʻupuʻu noncancerous a me nā ulu. Akā no ka mea hiki ke hōʻeha a hopohopo kēia mau puʻupuʻu, he mea maikaʻi e nānā iā lākou. Mai hoʻopaneʻe i ka loaʻa ʻana o ka lāʻau lapaʻau inā loaʻa iā ʻoe:
- kahe koko ʻole e kū
- ʻeha e ʻike ʻia e lilo ana i mea ʻino a ke hoʻolaha paha i nā wahi ʻē aʻe o kou kino
- nā hoʻololi i kāu neʻe ʻana o kou ʻōpū
- ʻeha anal a me ke kahe ʻana e hele pū me ke kuni
Lawe aku
Hiki ke hele pū me ka paʻakikī anal me ka ʻeha, nā puʻupuʻu, a me ka hoʻokahe koko - nā hopohopo hopohopo no kekahi. Akā ʻo ka hapa nui o nā kumu o ka paʻakikī o ka anal he noncancerous a mālama ʻia me nā lāʻau, nā kaʻina hana, a me nā lāʻau ma ka home.