Contents
ʻO ke koko i loko o ka waihona kekahi o nā hōʻailona e pili ana i nā maʻi he nui. A ʻo kahi mamao loa mai nā ʻaʻa ʻole e hōʻike ana i kahi pilikia me ka ʻōpala digestive. I kekahi manawa, me ka ʻeha ma hope o ka hoʻokuʻu ʻana, hōʻike ia i ka ulu ʻana o kahi maʻi maʻi me ka localization i ka rectum.
ʻO ka manawa pinepine ʻaʻole hiki wale mai kēia ʻano hōʻailona, akā hele pū ʻia me nā hōʻailona hou i nā pākeke a me nā pēpē. Ma ka hoʻohālikelike wale ʻana i nā hoʻopiʻi a pau o ka mea i hoʻopiʻi ʻia, hiki i ke kauka ke hana i kahi hoʻoholo mua e pili ana i ka maʻi i hoʻopilikia i ka ʻike ʻana o kēlā ʻano hoʻololi maikaʻi ʻole.
ʻO nā kumu nui a me nā hōʻailona pili
ʻOiai ʻo nā kumu o ke ʻano o ke komo ʻana o ke koko i loko o nā huahana ʻōpala kanaka hiki ke hōʻike i nā maʻi like ʻole, i ka hoʻomaʻamaʻa olakino ua aʻo mau lākou e ʻike i ka mea maʻamau o lākou.
ʻO ke kumu maʻamau o ka hoʻopili ʻana me ke koko hou i ka wā o ka neʻe ʻana o ka ʻōpū, ʻo ia nā māwae i loko o ka anus. He mea nui ma ʻaneʻi ke ʻike inā ʻike ʻia ke koko me ka ʻole o ka ʻai ʻana. Inā ʻike ʻia kona mau ʻeleʻele ma ke kapa komo, a mau nā ʻano hiʻohiʻona ma ka pepa toilet, a laila e hōʻike ana kēia i kahi maʻi maʻamau.
ʻO ka mea hoʻonāukiuki o kēia ʻano he constipation maʻamau, kahi e hoʻoikaika ai i ka hoʻoikaika kino. Ma hope o ka hele ʻana o ka stool me ka mucus ma waho o ka ampoule o ka rectum, ʻike ʻia ka ʻeha ma ka ʻāpana o ka anal fissure o ka mea maʻi. ʻO ke kiʻekiʻe o kona hōʻikeʻana e pili pono ana i ka nui o ka māwae, no ka mea, i ka wā mua e hanaʻia ke kaʻina hana me kaʻole o kaʻeha, e hele pū me kaʻike. Me ka hoʻomohala ʻana o ka pathology, ke alo nei nā kānaka i nā hōʻeha koʻikoʻi, i hele pū me ka hoʻokuʻu ʻana o nā feces me kahi liʻiliʻi o ke koko.
ʻO ka maʻi o ka pathology e loaʻa i kahi hoʻokolohua ʻike maʻamau e kahi proctologist, a me kahi hōʻike digital. No ka hoʻoponopono ʻana i ke kūlana a me ka mālama ʻana, hoʻohana lākou i ke kōkua o kahi meaʻai kūikawā a me nā laxatives, nā ʻaila me nā hopena analgesic a me antibacterial.
Manaʻo hewa kekahi poʻe he maʻi like ka maʻi anal a me nā hemorrhoids, no ka mea ma nā hihia ʻelua, hele mai ka ichor mai ka rectum. ʻO kaʻoiaʻiʻo, he kakaikahi nā hemorrhoids, ʻaʻole like me nā fissures i nā keiki.
ʻO ka hōʻailona hōʻailona o ka hemorrhoids e hele pū me nā mea huna o ke koko ʻeleʻele loa. He maʻalahi lākou e ʻike pololei ma ka ʻili o ka waihona, a ʻo kekahi mau hōʻailona ʻē aʻe e hōʻoiaʻiʻo i ka mea kānalua o ka maʻi:
- ʻumeʻume;
- ʻeha;
- manaʻo hoʻohaʻahaʻa.
ʻOiai ke ʻano stereotype maʻamau e hoʻonāukiuki nā veins varicose veins o ka rectum i nā ʻōpala paʻakikī, ʻaʻole ʻoiaʻiʻo loa kēia. ʻO kēia ʻano pathology kahi hopena o ka destabilization o ka hana o ka gastrointestinal tract, e hana wale nei ma ke ʻano he mea hoʻonāukiuki indirect, ʻoiai nā kumu nui o ka hanana e pili ana me ka hoʻonui ʻana i ke kaumaha ma nā ʻōpū o ka ʻōpū. I ka wā e pōʻino ai nā paia vascular ma muli o ka haʻalulu nui, hiki mai ke koko. ʻAʻole ʻike ʻia kēia pilikia i ka pēpē.
No ka hana ʻana i kahi hōʻoia pololei, hoʻohana nā proctologists i kahi algorithm hoʻokolokolo ʻike, a hoʻokomo pū i nā ʻenehana mea hana e kōkua i ka hoʻoholo ʻana i ke kumu i hūnā ʻia ai ka ichor a no hea mai nā ʻulaʻula. Kōkua ʻo Sigmoidoscopy i kēia, e pili ana i nā hopena i hoʻoholo ʻia e pili ana i ke ʻano o ka mālama ʻana.
Eia kekahi, hoʻohana ʻia kahi ʻano noiʻi like e hōʻiliʻili i nā mea olaola, inā pono, e hana i kahi noiʻi e ʻike ai i kahi neoplasm oncological. Ma muli o ka ʻike i hōʻiliʻili ʻia, ua hoʻoholo ʻia ka hoʻoholo ʻana i ka lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau ʻē aʻe.
ʻO nā maʻi atypical i hele pū ʻia me ke koko i loko o ka waihona
ʻO ka maʻi maʻamau ka ulcerative colitis nonspecific, hiki ke ʻike ʻia i loko o kahi pēpē a i ka wā hāpai. Hōʻike ʻia ia e nā kaʻina hana hoʻopau o ka mucosa, submucosa, ʻaʻole wale o ka rectum, akā ʻo ka colon.
Ma hope o ka ʻike ʻana i ke koko i ka pau ʻana o ka neʻe ʻana o ka ʻōpū, hiki ke hoʻohui ʻia ka pus, mucous clots, ʻeha ma ka ʻōpū, a me nā hōʻailona ʻē aʻe o ka ʻona o ke kino ma hope o hoʻokahi pule a ʻelua paha.
Me ka hoʻomaʻamaʻa ʻole ʻana a me ka mālama ʻana i ka hoʻomohala ʻana i ka colitis, i ka wā e hiki mai ana hiki iā ʻoe ke hālāwai i kekahi o kēia mau pilikia:
- keakea i ka ʻōpū;
- peritonitis;
- ʻūhā ʻōpū.
Hoʻoholo ʻia ka ʻike hope loa ma hope o ka noʻonoʻo ʻana a me ka nānā ʻana i nā hoʻopiʻi āpau, nā hopena o nā haʻawina instrumental a me ka histological. I kahi pae kiʻekiʻe, i ka wā e hoʻoweliweli ʻia ai ke ola, hoʻoholo ke kauka lapaʻau i kahi hana radical.
ʻO kekahi maʻi ʻē aʻe o ke ʻano immune i kapa ʻia ʻo ka maʻi o Crohn. Hoʻopili kona localization i nā ʻāpana āpau o ka digestive tract.
ʻO nā hōʻailona concomitant maʻamau, ma kahi o ka hopohopo o ke kanaka e pili ana i nā feces ʻeleʻele i hui pū ʻia me ke koko, ʻo ka hele pinepine ʻana i ka lua, purulent discharge, mucus, a me nā hoʻopiʻi o ka ʻeha o ka ʻōpū. ʻO nā hōʻailona maʻamau ʻē aʻe he:
- piʻi ka mahana;
- ʻeha pū;
- kuni;
- nā maʻi ʻeha, nā ʻūhā ma ka mucous membrane;
- pilikia ʻike maka.
Loaʻa i ka hōʻoia ʻana i ka histology.
ʻO nā pathologies e hoʻonāukiuki i ke koko i ka excrement
ʻO ka hapanui pinepine, hoʻokomo lākou i nā maʻi ʻōpū o nā kumu like ʻole, kahi ʻano o kēlā me kēia makahiki. ʻO nā kumu o ka hōʻike ʻana o ka maʻi ʻo ia nā hui o nā pathogens:
- nā maʻi maʻi, me ka rotavirus;
- bacteria;
- nā palaka.
ʻO ka hopena o kahi maʻi ʻōpū i mālama ʻole ʻia i kekahi manawa e lilo i lesion mau o ka ʻōpū liʻiliʻi, e hōʻike ana i ka enteritis. Ke hoʻopilikia ʻia ka ʻōpū nui, ulu ka colitis.
Hōʻike ʻia nā hōʻailona like me ka hoʻomohala ʻana o ka dysbacteriosis, e like me ka hōʻike ʻia e nā loiloi maʻi he nui. ʻO kahi hiʻohiʻona ʻokoʻa o ka dysbacteriosis he hoʻololi i ka microflora bacterial o ka ʻōpū. Ma ke ʻano he kānāwai, ʻike ʻia kēia kūlana ma hope o ka lawe ʻole ʻia o nā antibiotics. No laila, hiki i kēlā me kēia kino, ke kanaka makua a me ke keiki, ke alo i ka dysbacteriosis. I ka manawa like, hōʻike nā kulu o ke koko i ka pōʻino iā Clostridium.
Hoʻopili ʻia nā maʻi koʻikoʻi me nā neoplasms o kahi ʻano malignant a i ʻole benign me ka localization ma nā wahi āpau o ka ʻōpū. Inā manaʻo ʻia kahi kaʻina oncological, lawe ʻia nā mea olaola, a me ka nānā ʻana no ke koko huna i loko o nā feces.
Me ka pale ʻana i ka ʻōpū, hoʻopiʻi ka mea maʻi i ka paʻakikī i ka defecation, ʻo ka luku ʻana i ka pono o nā paia ʻōpū a me nā ʻeha vascular hiki ke alakaʻi i ka peritonitis.
ʻOi aku ka liʻiliʻi pinepine, loaʻa i ka mea maʻi kahi wai koko mushy i hoʻokumu ʻia e nā maʻi i lawe ʻia e ka wahine. Ma waena o ia mau mea:
- gonorrhea ʻano rectal;
- herpes;
- anorectal syphilis;
- granuloma o ke ʻano venereal.
koko i loko o ka peʻe pēpē
Hoʻokaʻawale, noʻonoʻo ka poʻe loea i nā kūlana i ʻike ʻia kēia hōʻailona i nā keiki. Me nā stools nui, me ke koko, ʻaʻole pono nā mākua "google" i ka ʻaha kūkā e ʻimi i nā pane i nā nīnau, akā e nīnau koke i ke kauka. Pono e kāhea koke i kahi hui ambulance inā manaʻo ʻia kahi keiki no ka make.
ʻAʻole ʻae ʻia nā keiki ma lalo o ka makahiki hoʻokahi e kau i nā enemas iā lākou iho a i ʻole e hoʻoulu i ka luaʻi ʻana i nā poʻe me ka ʻole o ka pono kūpono. No laila, i ka manawa e maopopo ai ka hoʻokō ʻana o nā meaʻai mua i nā maʻi digestive i loko o kahi keiki, pono ia e ʻimi i ka ʻōlelo aʻo a kahi pediatrician.
ʻO ka manawa pinepine, hoʻopilikia ʻia ke ʻano maʻamau o ke ola o nā pēpē e dysbacteriosis, pili pono i nā hoʻokolohua makua i ka mālama ʻana i nā pathologies ʻē aʻe me nā antibiotics. Hoʻomaopopo mau nā kauka i ka maʻalahi o ka ʻōpū o nā keiki hou i nā ʻāpana o ia mau lāʻau ikaika, no laila, me ka ʻole o ke kamaʻilio mua ʻana i ka mea lapaʻau, ʻaʻole ia e hāʻawi i kahi keiki antibiotic.
Inā ʻaʻole, hiki i ke keiki ke hoʻomohala i ka enterocolitis, me:
- ʻōhūhū;
- lime;
- stools mānoanoa me nā haumia koko, a i ʻole - ka maʻi maʻi;
- hoole e ai;
- diathesis.
ʻO ka liʻiliʻi liʻiliʻi pinepine, ʻike ʻia nā keiki me ka obstruction intestinal, hoʻopaneʻe i ka hōʻailona o ka mea e hoʻoweliweli ana i kahi deterioration koʻikoʻi i ka maikaʻi. Hiki i ka hui pilikia ke komo i nā keiki ma lalo o ʻelua mau makahiki, kahi e hele ai i ka lua me ka ʻike ʻana, ʻoi aku ka kaumaha i ke kakahiaka. Akā, hopohopo pinepine nā keiki e pili ana i ke koko liʻiliʻi, e hōʻike ana i kahi intussusception o ka ʻōpū.
ʻO nā kumu mua o ka pathology:
- hānai nui;
- ka hānai ʻana i ke kakahiaka nui;
- ʻōiwi anomalies;
- ka hoʻololi ʻana mai kahi ʻano waiu waiu i kekahi.
ʻO kēia mau mea a pau a hoʻokaʻawale paha i ka uhi ʻana o ka lumen intestinal me kahi ʻāpana ʻē aʻe. ʻIke ʻia ka maʻi iā ia iho i waena o nā keiki mua a me nā keiki piha, hōʻike ʻia e ka luaʻi a me ka hāʻule ʻana.
ʻO kekahi kumu maʻamau paha he hopena maʻi me ka dermatitis atopic, i hele pū me ka excrement koko ma hope o ka ʻai ʻana i nā nati, nā huahana gluten, nā hua citrus, ka waiū.
ʻO nā hopena allergy i nā mea hoʻohui meaʻai, nā meaʻono, nā dyes ka mea paʻakikī loa, ʻaʻole ia e hoʻopiʻi wale i nā clots o ke koko māmā i loko o nā feces, akā nā pilikia pū kekahi i ke ʻano o ka tachycardia a me ka anemia.
Hoʻohui ʻia nā pōʻino ma ka ʻoiaʻiʻo o ka hopena allergy i nā keiki hou hiki ke hiki i ka haku ʻana o ka syrup cough.
He aha kāu e hana ai ke ʻike ʻia kahi hōʻailona alarm?
Ma waho aʻe o nā ʻano me nā maʻi ʻōpū, hiki ke hōʻike i ke koko me nā huahana ʻōpala i nā kāne. Me ke ʻano holomua o ke kaʻina hana, ulu ka ʻōpū i loko o nā paia o ka ʻōpū nui, e hoʻoheheʻe iā lākou i ke kaʻina o ka ulu. I kēia hihia, hiki ke hoʻomaikaʻi i ke kūlana ma hope o ke kaʻina a me ka lāʻau kūpono.
I nā wahine, hiki i kēia mau hōʻailona ke hōʻailona i nā veins varicose mua o ka perineum i ka wā hāpai. I kēia hihia, e like me ke kānāwai, e loaʻa nā hoʻopiʻi o ka ʻeha hope a me ka hōʻino ʻana o ka maikaʻi ma hope o ka holo ʻana i ka halihali.
Inā kānalua ʻia ka endometriosis o ka ʻōpū, hiki ke hoʻokuʻu ʻia e like me ka menstruation. Hiki pū kekahi hopena ʻaoʻao like me kahi papa o ka chemotherapy no nā maʻi oncological o nā ʻōpū hānau.
Ke ʻike koke ʻia kahi deviation, pono e ʻimi koke i ke kōkua kūpono mai kahi proctologist, nāna e hāʻawi i ke kākoʻo kūpono no ka mea maʻi e like me kāna mōʻaukala olakino a hiki i ka hoʻōla kūleʻa.
I ka wā o ka hoʻokolokolo mua, pono e haʻi aku i ke kauka ʻaʻole wale i nā hoʻopiʻi i hōʻiliʻili ʻia, akā e hōʻike pū i ka lōʻihi o ka ʻike ʻia ʻana o nā mea hoʻopilikia, he aha ka malu o ke koko, pehea ka manawa e hōʻike ai iā ia iho.
Ma hope o ka hōʻiliʻili ʻana i kahi anamnesis, hoʻouna ʻia ka mea maʻi no kahi hoʻokolokolo hoʻokolohua, me ka hoʻāʻo ʻana i ke koko occult a me kahi coprogram.
ʻO ka hoʻokolokolo ʻike maka a kekahi loea e pili ana i kahi loiloi o ke kūlana o kēia manawa o ka anus. Inā pono, hoʻohui ʻia kahi hoʻokolohua rectal o ka rectum haʻahaʻa, sigmoidoscopy maʻamau, hoʻokolokolo X-ray o ka ʻōpū o ka ʻōpū.
ʻO nā diagnostics huikau e ʻae iā ʻoe e hōʻiliʻili i ka ʻike piha e pili ana i ke kūlana olakino o ka mea maʻi. Akā inā hoʻomau ke kauka i ka hana ʻana i kekahi ʻano haʻawina ʻaʻole i helu ʻia, inā he colonoscopy a i ʻole ultrasound, a laila ʻaʻole pono ʻoe e hōʻole i nā diagnostics hou. Ma ke kumu wale nō o kahi kiʻi lapaʻau piha e hiki ai ke mālama pono i ka ʻeha a me ke kahe koko i ka wā o ka neʻe ʻana o ka ʻōpū.
- Kumuwaiwai o
- Aminev AM alakaʻi i ka proctology. – M., 1973. – T. 3. – p. 28-42.
- Shelygin Yu.A. Nā alakaʻi lapaʻau. Coloproctology. – M., 2015
- ʻO ka pūnaewele o ke kikowaena olakino "Health Formula". – Koko i loko o ka waihona.
- Paena pūnaewele o ka hale mālama olakino "SM-Clinic". – Koko i loko o ka waihona.