Mea Kākau: Robert Simon
Lā O Ka Hana: 24 Iune 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
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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.

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