ʻO nā maʻi digestive kekahi kumu o ke kūkākūkā pinepine ʻana i kā mākou mau holoholona. ʻO kēia mau mea, pili maʻalahi ka constipation i ka maikaʻi o ke ola o nā ʻīlio i loaʻa iā ia. A laila hiki ke hoʻowalewale i ka ʻimi ʻana i nā hoʻonā ma ka home e hoʻonui i kā lākou transit. Eia nō naʻe, ʻokoʻa nā kumu o ka constipation a pono paha kahi hōʻailona holoholona. He aha kāu e hana ai inā paʻa kāu ʻīlio?

Ma ka wehewehe ʻana, ʻo ka constipation ka emi ʻana o ka pinepine a me ka nui o nā ʻōpū. Hoʻopili pinepine ʻia me ka paʻakikī a i ʻole ka ʻeha i ka wā defecation. Hiki ke li'ili'i a malo'o loa paha ka lepo.

Hiki i ka ʻīlio constipated ke kūlana i nā manawa he nui, e ʻeha me ka ʻoki ʻana o ka ʻōpū, a hōʻike paha i nā hōʻailona o ka ʻeha. Hiki ke ʻike ʻia nā ʻāpana koko ma ka ʻili.

E like me nā pōpoki, ʻano like nā hōʻailona o ka paʻakikī i ka hele ʻana i ka ʻōpū me nā hōʻailona o ka paʻakikī i ka mimi. E hōʻoia i ka mimi pono ʻana o kāu ʻīlio inā ʻike ʻoe iā ia e hele mau ana i ke kūlana. Inā kānalua, mai hoʻokaʻulua e hoʻokaʻaʻike aku i kāu kauā. ʻO ka paʻakikī o ka mimi ke kumu o ka hoʻokele pilikia.

ʻO ka hoʻonohonoho o nā kumu e hiki ai ke hoʻoulu i ka constipation he nui a ʻokoʻa. 

ʻO ka mea mua, pili nui ke ʻano o ke ola i ka hele ʻana o kā mākou holoholona. No laila, aia nā kumu predisposing i ʻike pinepine ʻia i nā holoholona i hōʻike ʻia ma ke kūkākūkā ʻana no ka constipation: 

• ʻO ke ola maʻamau a me ka momona: kōkua ka hana maʻamau i ka mālama pono ʻana. No laila, ʻoi aku ka maʻalahi o nā holoholona ʻoi aku ka momona a me ka ikaika ʻole e ka constipation;
• Makahiki: No kekahi mau kumu, pili pinepine ka constipation i nā holoholona kahiko.

I nā ʻīlio, ʻo ka constipation ma muli o nā kumu meaʻai. Aia kekahi mau maʻi ʻē aʻe e hoʻopau a paʻa paha i ka hoʻokuʻu ʻana o ka stool.

Ke kumu meaʻai

• ʻAʻole lawa ka ʻai wai: he mea nui ke ʻano o ka hydration e pale aku ai i ka hoʻokumu ʻia ʻana o nā waihona maloʻo e haʻalele i ka paʻakikī;
• Kino ʻē: Nui nā ʻīlio e hana i ka mea i kapa ʻia ʻo pica meaʻai. ʻO ia hoʻi, ka nau ʻana a me ka ʻai hapa ʻana i nā mea paʻa a maikaʻi ʻole ka ʻeli ʻana e like me ka iwi a i ʻole ka lāʻau. Inā nui ka ʻai ʻana, hiki i kēia mau mea ke hoʻolohi i ka hele ʻana a i ʻole ke hana ʻana i nā keʻakeʻa ʻōpū..

ʻEha anal a perianal paha

ʻO kekahi mau maʻi maʻi e hoʻoulu ai i ka ʻeha i loko o ka ʻāina makahiki i ka wā o ka hoʻoikaika ʻana e alakaʻi ai i ka makemake ʻole e hele i ka stool: no ka laʻana he abscess o nā ʻōpū anal a i ʻole perianal fistulas.

Keakea mīkini

ʻO nā pathologies ʻē aʻe e alakaʻi i ka emi ʻana o ke anawaena o ka ʻōpū a kaupalena i ka hele ʻana o ka stool. I nā ʻīlio kāne i hoʻolele ʻole ʻia, ʻo ka maʻi prostatic kahi kumu maʻamau o ka constipation.

ʻOiai ʻoi aku ka kakaikahi o nā ʻīlio, hiki nō hoʻi ka constipation ma hope o nā pathologies maʻamau e pili ana i ka hana o ka digestive tract: kekahi mau maʻi neurological, colonic distension no ka laʻana.

Inā loaʻa iā ʻoe ka manaʻo ua paʻa kāu ʻīlio, pono e kali lōʻihi ma mua o ka hōʻike ʻana iā ia i kāu kauka holoholona. ʻO kahi hoʻokolohua lapaʻau piha wale nō e hoʻoholo i ke kumu o ka constipation i mea e hoʻokō ai i kahi lapaʻau kūpono.

PalekanaEND_LINK 

No ka hoʻoholo ʻana i ke kumu o ka constipation, e hana kāu kauā holoholona i kahi hoʻokolohua piha piha o kāu ʻīlio. Hana pinepine ʻia kahi hoʻokolohua rectal kikohoʻe no ka nānā ʻana i ka loaʻa ʻana o kahi lesion annular a rectal paha.

Inā pono, e ʻōlelo ʻo ia i nā hoʻokolohua hou (x-ray, nā hoʻāʻo koko) e nānā i ka paʻakikī o ka constipation a i ʻole e hōʻoia i ka loaʻa ʻana o kahi maʻi kumu. 

No nā hihia maʻalahi, lawa paha ka lāʻau lapaʻau waha a i ʻole rectal. 

No nā hihia kiʻekiʻe aʻe, pono paha ka halemai me kahi infusion e hoʻomaʻemaʻe hou i ka holoholona.

Inā ʻike ʻoe i ke kumu o kona constipation, aia kekahi mau mea maʻalahi hiki iā ʻoe ke lawe e hoʻomaikaʻi i ka hele ʻana o kāu ʻīlio.

• E hoʻonui i ka inu wai i kāna ʻai: ʻo ka hoʻonui ʻana i ka nui o ka meaʻai pulu i loko o ka ʻai e kōkua i ka hoʻoheheʻe ʻana i ka waihona a hoʻomaʻamaʻa i kā lākou haʻalele ʻana. Hiki iā ʻoe ke hoʻohana i nā mea kanu i hoʻolapalapa ʻia e hui pū me kāna ʻai. Ma waho aʻe o ka hāʻawi ʻana i ka wai, hāʻawi kēia mau mea kanu i ka fiber e hoʻoikaika ai i ka transit: ʻo ka zucchini a i ʻole ka paukena he mau laʻana maikaʻi;
• Hoʻonui i ka hana: hele wāwae, pāʻani. E hoʻomanaʻo e hāʻawi i nā hana maʻamau a lawa no kāu ʻīlio;
• E nānā i kona kaumaha: e nānā i ke kūkulu ʻana o kāu ʻīlio me kāu kauka lapaʻau a kūkākūkā pū i nā hoʻonā e kaupalena a i ʻole e hōʻemi iki i kona kaumaha inā pono.
• ʻO nā meaʻai a me nā lāʻau lapaʻau e hoʻomaʻamaʻa i ka hele ʻana: hāʻawi kekahi mau hōʻailona i nā pae o nā meaʻai hyperdigestible. Hoʻokumu ʻia kēia mau meaʻai e kaupalena i ka nui o ka stool i hana ʻia ma hope o ka ʻai ʻana a no laila e hoʻemi i ka hopena o ka constipation;
• Hiki ke lawelawe waha: no ka laʻana, ʻo nā laxatives i hoʻokumu ʻia i ka ʻaila paraffin e hiki ai ke lubricate i ka ʻōpala i loko o ka ʻāpana digestive.

E noi i kāu kauka no ka ʻōlelo aʻo e pili ana i ka hoʻohana ʻana i ka lāʻau kūpono no kāu ʻīlio. 

I nā ʻīlio, ʻo ka constipation ma muli o nā maʻi ʻai akā no nā pathologies hohonu loa. He mea nui e ʻike i kāu kauka holoholona inā e hōʻike ana kāu ʻīlio i nā hōʻailona o ka constipation. ʻO kēia kūkākūkā e hiki ke loaʻa ke kumu o ke kūlana i mea e hoʻonohonoho ai i ka lāʻau kūpono. Eia nō naʻe, loaʻa nā hoʻonā e hoʻomaikaʻi i ka hele ʻana o kāu hoa i ka wā lōʻihi inā ʻike ʻia ke kumu o ka constipation.