ʻO ka mea maʻamau i ka poʻe ʻelemakule, ʻo ka hopena faecal he puʻupuʻu o nā fecal paʻakikī a maloʻo e hōʻiliʻili pinepine ʻia ma ka ʻaoʻao hope o ka rectum. Hoʻopili ia i ka reflex stool i ka wā defecation. Nā wehewehe.

I ka ʻelemakule, moe moe a me ka pinepine o nā wahine, lohi nui ka hele ʻana o ka ʻōpū a komo ka ʻōpū i nā wai i loaʻa i loko o ka ʻōpū i loko o ka ʻōpū ma mua o ka wā maʻamau. ʻO kēia mau ʻōpala maloʻo e hōʻiliʻili i ka ʻāpana hope o ka ʻōpū nui (rectum) a hoʻopau mālie i ka hana ʻana i kahi pōpō fecal mea e keʻakeʻa ai i ka hoʻokuʻu maoli ʻana o ka stool. ʻO kēia pōpō, i ka wā i hana ʻia ai, e hana ia i kahi keʻakeʻa nui e paʻakikī a ʻeha ka exoneration o nā ʻōpū. E hoʻonāukiuki hoʻi ia i nā paia o ka rectum ma o ka hoʻoulu ʻana i ka huna ʻana a me ka reactive o nā paia a laila alakaʻi i ka maʻi maʻi hoʻopunipuni.

ʻO nā pathologies a me ka fecaloma

Hiki i kekahi mau pathologies ke alakaʻi i ka hoʻokumu ʻana o kahi fecaloma, ma ka maʻamau ma ka hoʻolaha ʻana i ka lohi o ka transit. Ma waena o nā mea pinepine loa:

• ʻO ka maʻi o Parkinson ka mea i hoʻohui ʻia me ka haʻalulu hiki ke hōʻemi i ka neʻe ʻana o ka ʻōpū (intestinal peristalsis);
• ʻO ka hypothyroidism, pili i kahi hemahema o nā hormones thyroid, e hoʻolohi i nā hana āpau o ke kino a me ka hele ʻana o ka ʻōpū;
• he ma'i koko e hiki ke ke'ake'a i ka hele 'ana o ka pe'e i loko o ka 'ōpū akā e ho'oka'awale i kona mau ne'e 'ana e ne'e ai ka pe'e i kona 'ao'ao hope (retum);
• kekahi mau lāʻau i loaʻa nā hopena ʻaoʻao o ka hoʻolohi ʻana i ka hele ʻana o ka ʻōpū. Ma waena o kēia mau lāʻau lapaʻau, hiki iā mākou ke ʻike i kekahi mau anti-depressants, neuroleptics, kekahi chemotherapies, mālama ʻeha e pili ana i ka codeine a i ʻole morphine, etc.

Nā kumu like ʻole

ʻO kekahi o nā kumu ʻē aʻe o ka hopena fecal:

• immobilization hou, huakaʻi ma ka mokulele, kaʻaahi a kaʻa paha;
• ʻai haʻahaʻa i ka fiber;
• lawa ʻole ka hydration mai nā wai;
• makahiki a me ka mōʻaukala o ka constipation.

ʻO ka hope, i kekahi manawa, ʻo ka ʻai ʻana i nā laxatives kahiko e hoʻonāukiuki i ka ʻōpū a hoʻonui mālie i ka constipation (maʻi laxative).

ʻO nā hōʻailona o ka hopena fecal e hoʻomaopopo i ka mea maʻi:

• ka manaʻo o ke kaumaha ma ka rectum;
• ka makemake mau e hele i ka lumi lumi;
• paʻa paʻa;
• i kekahi manawa "hoʻopunipuni" diarrhea;
• ʻeha ka ʻōpū a i kekahi manawa hele pū ʻia me ke koko liʻiliʻi ma muli o ka hoʻonāukiuki ʻana o ka paia o ka ʻāʻī a me ke kahawai anal. 

Ua ʻike ʻia kēia mau hōʻailona no kekahi mau lā ʻoiai ʻo ka lawe nui ʻana i nā laxative i kekahi manawa. 

Hana ʻia ka ʻike o ka fecal impaction mai kahi hoʻokolohua rectal digital e ʻike ai i ka nui o nā mea paʻakikī ma ka manamana lima. 

Ke ʻike ʻia ke kumu a mālama ʻia, hiki ke hāʻawi ʻia i nā ʻōlelo aʻo, e pili ana i ka meaʻai, e like me:

• hoʻoikaika i ka meaʻai me ka fiber dietary;
• pale i ka ʻai ʻana i ka laiki keʻokeʻo;
• ʻAʻole hoʻi e ʻai i nā huahana palaoa i hoʻomaʻemaʻe ʻia e like me ka berena keʻokeʻo, ka palaoa ʻaina kakahiaka, nā kuki i kūʻai ʻia ma ka hale kūʻai a me nā keke. 

Loaʻa i kahi nohona olakino 

ʻO nā ʻōlelo aʻoaʻo no ka maʻemaʻe o ke ola ma ka hoʻohana ʻana i ka lāʻau lapaʻau akā ʻaʻole i hōʻike ʻia e nā haʻawina (nā ʻōlelo aʻoaʻo a ka French Society of Coloproctology):

• hele no ka hapalua hola i kēlā me kēia lā (ma ka liʻiliʻi inā hiki);
• Loaʻa i ka hydration maikaʻi i kēlā me kēia lā (ma ka liʻiliʻi he lita a me ka hapa i kēlā me kēia lā.

Hoʻopili pū ʻia ka pale ʻana i ka hoʻonohonoho ʻana i ka papa hana e hiki ai iā ʻoe ke hele i ka lua i ka wā e ala ai ka makemake e pale i ka attenuation o ka manaʻo o ka reflex o ka exoneration o ka stool.

lapaʻau

E hana ʻia ka lāʻau lapaʻau ma ke ʻano mechanical ma ka wehe pinepine ʻana me ka manamana lima ma hope o ka hana ʻana i ka enema e ka laxative kūloko. ʻO ka lawe ʻana i kahi laxative kiʻekiʻe ma mua o ke kāʻei ʻano Macrogol hiki ke hōʻike ʻia i ka hopena o ka hopena fecal nui, ʻo ka haʻalele ʻana o ia mea he ʻeha. Hiki ke hana ʻia kahi enema hoʻomaʻemaʻe inā ʻaʻole hiki ke wehe ʻia ka manamana lima.