Haehae anal – anal fissure

maʻiʻo

He aha ka Anariss?

ʻO kahi māwae anal - waimaka anal - he waimaka ia i loko o ka membrane mucous o ke kahawai anal, i hana pinepine ʻia e ke kaomi nui ʻana i ka wā constipation a i ʻole ka maʻi maʻi. ʻO nā hōʻailona maʻamau, ʻo ia ka ʻeha nui i ka wā a ma hope o ka neʻe ʻana o ka ʻōpū, ka ʻili, ke koko, ka oozing a i ʻole ka huna ʻana o ka mucus. ʻElua mau ʻano o nā māwae anal: acute and chronic.

https://www.flickr.com/photos/195571589@N04/53334019968

ʻO ka māwae anal acute he pāpaʻu a hoʻōla maʻamau i loko o 4-6 pule. Eia nō naʻe, hiki ke hana hou ʻia, ʻoi aku ka nui inā he maʻi lalo - ʻoi aku ka nui o ka hemorrhoids a me ka ʻili, ka pehu mucous membrane. ʻOi aku ka hohonu o kahi māwae anal mau loa a hiki ke ulu mai kahi māwae anal acute. Hoʻopili ʻia ka lāʻau i ke ʻano o ka maʻa anal. I nā hihia koʻikoʻi, hoʻohana ʻia nā ana connervative, nā ʻōlima a me nā ʻaila e hakakā i ka māwae anal. Ma ke ʻano maʻi, ʻo ka mea maikaʻi loa ka laser irradiation o ka fissure, ʻoi aku ka maikaʻi i ka hui pū ʻana me ka mālama hoʻomaha hoʻomaha. Aia nō nā kaʻina hana maʻamau, akā ma ka hoʻomaʻamaʻa HeumarktClinic hiki ke pale ʻia kēia mau mea i ka nui o nā hihia.

Nā hōʻailona o ka māwae anal - ʻeha hikiwawe- Haehae anal acute

ʻO ka maʻamau, hele pū ʻia kahi māwae anal me ka ʻeha ʻeha a ʻeha paha i ka wā o ka ʻōpū (… E emi koke kēia ʻeha ma hope o ka neʻe ʻana o ka ʻōpū. ʻO ka lua o ka hōʻailona kī he ʻulaʻula ʻulaʻula, ke koko hou. ʻO ka ikaika o ke kahe ʻana mai kahi ala koko ma ka pepa a hiki i nā kahe koko nui i loko o ka lua. He liʻiliʻi ke kahe koko maoli a ʻaʻole pilikia.

Nui wale nā maʻi i ʻike i ke koko a i ʻole ka ʻeha ma mua o nā hōʻailona ʻelua. Hoʻopau pinepine nā hōʻailona me ka ʻole o ka mālama pono ʻana, a poina koke ka haʻalulu mua.

Hiki ke ʻike pinepine ʻia ka hoʻolōʻihi ʻana i waho o ka māwae anal acute i ka wā o ka hoʻokolokolo ʻana i ka wā e laha iki ʻia ka ʻāʻī. ʻO Mariscos - nā pendants ʻili - ʻo ia ka hopena a me ka hoa o kahi māwae anal. Hoʻokumu ʻia nā polyps i loko o ke kahawai anal ma muli o ka waimaka. Loaʻa nā ʻāpana anal āpau ma ka laina waena a me 75-90% ma ka ʻaoʻao e kū pono ana i ka coccyx ("6 hola ma ke kūlana lithotomy SSL", ʻo ia hoʻi ke nānā ʻia ma ka noho gynecological). ʻO nā māwae ma nā wahi ʻē aʻe ka hapa nui o ka trauma mechanical. Hoʻomaopopo pinepine ka poʻe maʻi i ka ʻeha nui loa ma ka ʻaoʻao hema, ʻoiai inā aia ka ʻeha i waenakonu.

I ka wā e pili ana i nā māwae ma kaʻaoʻao o ka laina waena ("atypical fissures"), pono kekahi e noʻonoʻo e pili ana i nā maʻi e like me ka maʻi HIV, ka maʻi maʻi a me ka syphilis, nā maʻi koko a me nā maʻi maʻi āpau e like me ka maʻi o Crohn. I kēia hihia, ʻōlelo ke alakaʻi i "hoʻololi hou i nā diagnostics me nā hoʻokolohua serological a me ka microbiological a me kahi colonoscopy me ka lawe ʻana i nā ʻāpana kiko (biopsy)."

ʻO ka māwae anal mau

Inā kū pinepine ka ʻeha anal a me nā hōʻailona o ka maʻi maʻi, e ulu ana ka waimaka anal mau. ʻO nā hōʻailona o ka māwae anal mau ʻo ia ka ʻeha ʻeha e lohi ana ma hope o ka neʻe ʻana o ka ʻōpū a hiki ke lōʻihi no nā hola. Hiki i ka ʻeha ke paʻakikī i kekahi manawa ʻoiai me ka māwae anal mau. ʻOiai he ʻeha ka ʻeha, hoʻopaneʻe ʻia ma hope o ka neʻe ʻana o ka ʻōpū a lōʻihi no nā hola, hōʻike kēia i ka ulu ʻana o kahi maʻa anal mau. Hōʻike pinepine ka poʻe maʻi i ka ʻeha i ka iwi huelo. ʻO nā hōʻailona ʻē aʻe e hiki ke hoʻomohala i ka wā lōʻihi, ʻo ia hoʻi ka ʻili, ka wai anal, nā ʻāpana o ke koko ma ka pepa toilet, constipation me ka hoʻopau ʻole ʻana o ka ʻāʻī a me ka piʻi ʻana o ka flatulence.

ʻO nā hōʻailona i ʻike ʻia i waho o ka mānoanoa anal mau ʻo ka mānoanoa o ka ʻili a i ʻole ka ʻili ʻili, i kapa ʻia ʻo outpost folds a i ʻole sentinel maris. Manaʻo kekahi poʻe maʻi i ka palpable hardening. ʻO ka ulu ʻana o loko ma kahi o nā papilla anal i kapa ʻia ʻo hypertrophic papillae. Hoʻokumu ʻia kēia hoʻonui ʻana o ka ʻiʻo e nā hormones kiko kūloko i manaʻo maoli ʻia e kōkua i ka hoʻōla ʻana i nā ʻeha. I loko o nā māwae anal mau, ʻaʻole ia he mea maʻamau ka ʻike ʻana i ka sphincter kūloko i hōʻike ʻia ma lalo o ka ʻeha. ʻO nā hōʻailona ʻē aʻe e ulu aʻe ma muli o ka uwē ʻana i ke awāwa i hoʻokumu ʻia e ka waimaka, ʻo ia ka ʻili, ka uē ʻana, ka ʻili maʻemaʻe ma ka ʻāʻī, ka eczema, ke ʻano o ke koko a me nā ʻōpala o ka pehu. Ma muli o ka makaʻu i ka hoʻoheheʻe ʻana a me ka puʻupuʻu anal e pili pū ana, hiki mai ka constipation me ka hoʻokaʻawale ʻole ʻana o ka ʻāʻī a me ka hoʻonui ʻana i ka ʻeha, a me ka hoʻonui ʻana i ka ʻeha i ka wā e neʻe ai ka ʻōpū.

Lapaau anal fissure

ʻO ka mālama ʻana no ka waimaka anal acute

Hiki ke mālama maikaʻi ʻia me ka conservative (non-surgical). ʻO nā ʻaila anti-inflammatory a me ka ʻeha-relieving ointments a i ʻole suppositories e hoʻomaha i nā hōʻailona a kākoʻo i ka hoʻōla ʻana o ka māwae. ʻO nā ʻaila kūikawā no ka hoʻomaha ʻana i ka sphincter e pale i ka ʻōpū anal, e hoʻoikaika i ke kahe koko i loko o ka mucous membrane a pēlā e ho'ōla ai. Hoʻopalupalu nā laxatives kūikawā i ka pahu a hoʻomaʻamaʻa maʻalahi i ka waiho ʻana. Pono e lawe ʻia ma lalo o ka mākaʻikaʻi olakino. ʻO ka inu ʻana i ka wai kūpono a me ka ʻai nui i ka fiber e kākoʻo i ka hopena. TemHiki i nā ʻauʻau ʻauʻau hoʻonui ʻana i ka mahana me nā mea anti-inflammatory ke hoʻohaʻahaʻa i nā hōʻailona a hoʻoikaika i ka hoʻōla ʻana o ka māwae.

Laser ablation o ka haehae anal

ʻO kahi ala hou no ka mālama ʻana i nā māwae anal ʻo ia ka hoʻopaʻa ʻana i nā maʻi anal. Ma ke ʻano Laser Fissure Cleaning (LFC), ua hoʻoheheʻe ʻia ka ʻili a me ka granulation o ka māwae me ka kukuna laser. ʻO ka HeumarktClinic i kēia manawa he 5 mau makahiki o ka ʻike me kēia ʻano.

He ala maʻalahi ka lāʻau lapaʻau no ka mālama ʻana i nā māwae anal. Hoʻomaʻamaʻa ʻia ka waimaka me kahi kukuna laser, kahi e wehe pono ai i ka ʻiʻo i hōʻino ʻia me ka ʻole o ka pili ʻana i ke kino olakino a puni. Hiki ke hana ʻia nā wahi i hoʻopilikia ʻia me ka laser. Loaʻa kēia hopena kūikawā ma o ka hana wela i manaʻo ʻia. Hoʻokumu ke ʻano laser i kahi scab elastic e uhi ana i ka māwae. Ma lalo o ka pehu, ho'ōla maoli ka māwae me ka ʻeha ʻole. I ka hoʻohālikelike ʻana i ke kaʻina hana maʻamau, kahi e ʻoki ʻia ai ka ʻiʻo i hōʻino ʻia me ka pā peripheral, nā ʻōpala lapaʻau laser ma luna o ka mucous membrane me ka pā peripheral. No ka mea ʻaʻole komo ka kukui laser i ka hohonu i loko o ka ʻiʻo, ʻoi aku ka pōʻino. He mea nui ka loaʻa ʻana o ka laser anal fissure lapaʻau i hana ʻia e kahi proctologist a i ʻole kauka loea e hoʻokō i nā hopena maikaʻi loa a e hōʻemi i nā pilikia. Na ke kauka e loiloi i kou kūlana ponoʻī a aʻo iā ʻoe i nā koho lapaʻau maikaʻi loa e kūpono i kāu mau pono.

Hiki iā ʻoe ke ʻike i kahi simulation o ka mālama ʻana i ka wikiō Wehe i ka māwae anal, hoʻopaʻa laser i ka māwae anal

ʻO ka hoʻopaʻa ʻana i ka anal crack laser sealing, laser removal of anal crack

Ka wehe 'ana i ka waimaka anal

Nā pōmaikaʻi o ka ʻoki ʻana i ka laser a me ka microsurgery

ʻO ka ʻoki ʻoki ʻana i ka laser fissure me ka laser diode (1479 nm) he nui nā mea maikaʻi ma mua o ka hana maʻamau, penei:

Hoʻopaʻa ʻiʻo: ʻO kahi pōmaikaʻi koʻikoʻi ka pale ʻana i ka ʻiʻo. ʻAʻohe kahe o kēia manawa ma ka ʻiʻo a ʻike mākou i ka liʻiliʻi loa o ka pōʻino collateral thermal, ʻo ia hoʻi ka pōʻino o ka ʻiʻo e pili ana ma muli o ka wela, ma mua o ka scalpel uila. Hoʻomaka mua ka hoʻōla ʻana i ka ʻeha a maʻalahi ka palaka. Ma ka hoʻohana ʻana i nā aniani hoʻonui e ʻike ʻia nā kikoʻī liʻiliʻi loa i ka wā o ke kaʻina hana, hiki ke hoʻonui ʻia ka pololei o ka hana.
pololei: He hopena koʻikoʻi ka ikaika o Laser a no laila e ʻae i ka pololei ʻole i ka ʻoki ʻana. Ma muli o ka pau ʻana o ke koko liʻiliʻi, ʻoi aku ka maikaʻi o ka nānā ʻana o ke kauka lapaʻau.
Hoʻoikaika i ka hoʻōla ʻana i ka ʻeha: ʻO ka hoʻoulu ʻana i ka hoʻōla ʻana o ka ʻiʻo a puni, e hoʻohālikelike ʻia me ka hopena o ka haʻahaʻa haʻahaʻa laser therapy (LLLT), ma o ke kukui laser he "hopena ʻaoʻao i makemake ʻia" o ka ʻoki laser.
ka hoʻoheheʻe ʻana: ʻO ka ʻeha mau ʻo ia iho ka hōʻiliʻili o nā germs i loko o nā ʻeke a me nā kihi kahi e noho nui ai nā germs parasite a pale i ka maʻi mai ka hoʻōla ʻana.

No kēia kumu, ua hoʻolaha ka HeumarktClinic i ka fissurectomy laser me ka laser diode ma kahi o ka fissurectomy surgical me kahi pahi no kahi kokoke i hoʻokahi makahiki. ʻO ka hana laser anal fissure me ka wehe ʻana i ka anal fissure, ka wehe ʻana i nā ʻōpala āpau e pale ai i ka hōʻeha ʻana i ka ʻeha, ka hoʻololi ʻana o ka ʻiʻo maʻi i loko o ka ʻiʻo olakino, a me ka hoʻihoʻi ʻana i ka elasticity o ka ʻāiki a me ka ʻoʻoleʻa. Hiki ke ho'āʻo ʻia ka ʻiʻo maikaʻi no ka hoʻopau ʻana i ka degeneration malignant i nā hihia kānalua.

Ma hope o ka ʻoki ʻana i ka ʻoki ʻana i ka anal

Ma hope o ka ʻoki ʻana i ka anal fissure laser, ʻaʻole humuhumu ʻia ka ʻeha e pale i ka ʻeha hou, ka maʻi, a me ka ʻiʻo ʻili. He mea nui paha ka ʻeha o waho i ka mea maʻi, akā ʻo ka hoʻoheheʻe ʻana e hōʻoia ai he mea koʻikoʻi ia no ka ho'ōla. Ma hope o ka neʻe ʻana o ka ʻōpū, hoʻomaʻemaʻe wale ʻia ka ʻeha me ka wai kahe i loko o ka ʻauʻau, me ka ʻauʻau sitz a i ʻole me ka pepa lua wai a i ʻole ka lole pēpē i ka wā e hele ai.

Hoʻomaka maʻamau ka hoʻōla ʻana mai ka lā 10 postoperative. I kēia manawa, ua emi iho ka wai o ka ʻeha a me ka ʻeha o ka ʻeha. Ma ka hopena o ke kolu o ka pule, ʻaʻole maʻamau ka loaʻa ʻana o nā kapu. I loko o kekahi mau hihia wale nō i ola loa ka ʻili ma hope o hoʻokahi makahiki.

I kekahi manawa ua kuhikuhi ʻia kahi stretcher a i ʻole dilator, kahi pine conical i hana ʻia me ka plastic a i ʻole ke aniani, e hiki ai i ka mea maʻi ke hoʻolōʻihi i ka anus iā lākou iho. Hana ʻia kēia e hōʻoluʻolu i ka ʻiʻo o ka ʻiʻo a pale i nā ʻaoʻao o ka ʻeha mai ka pili mua ʻana. He ʻeha pinepine ka hana a no laila paʻakikī ke hoʻokō. ʻO kahi haʻawina hoʻohālikelike o ka māwae anal acute e kīkoʻo ana me ka manamana lima a i ʻole me kahi peni plastik i loaʻa i nā hopena maikaʻi aʻe i nā maʻi i lomilomi i ka anus me ka manamana lima. ʻO ka "Fissure Pen" i hoʻolaha ʻia ma ka Pūnaewele e kuhikuhi i ka ʻaoʻao like. ʻO kona ʻano kūikawā a me nā mea PTFE i manaʻo ʻia e hiki ai ke hoʻolōʻihi i ka lōʻihi me ka hōʻoluʻolu hoʻomanawanui.

No ka hakakā ʻana i kēia mau hana kahiko, hoʻohana ka HeumarktClinic i ka lāʻau lapaʻau hoʻomaha hoʻomaha i ka wā o ka hana, e mālama ana i ka elastic rectum haiki, maʻalahi e wehe no ka liʻiliʻi o 4-5 mau mahina a hiki i ka hoʻōla ʻana i ka ʻeha a me ka ho'ōla waimaka. .

ʻO ka ʻeha ma hope o ka hoʻomaʻamaʻa laser fissure ʻaʻole i humuhumu ʻia, e pale aku i ka ʻeha hou aku, ka maʻi a me ka ʻili ʻili. He mea nui paha ka ʻeha o waho i ka mea maʻi, akā ʻo ka hoʻoheheʻe ʻana e hōʻoia ai he mea koʻikoʻi ia no ka ho'ōla. Ma hope o ka neʻe ʻana o ka ʻōpū, hoʻomaʻemaʻe wale ʻia ka ʻeha me ka wai kahe i loko o ka ʻauʻau, me ka ʻauʻau sitz a i ʻole me ka pepa lua wai a i ʻole ka lole pēpē i ka wā e hele ai.

Ma hope o ke kaʻina hana, ʻaʻole hiki iā ʻoe ke hana ma kahi o ʻelua pule. Hoʻomaka ka ho'ōla maʻamau mai ka lā 10 o ka postoperative. I kēia manawa, ua emi iho ka wai o ka ʻeha a me ka ʻeha o ka ʻeha. Ma ka hopena o ke kolu o ka pule, ʻaʻole maʻamau ka loaʻa ʻana o nā kapu. I loko o kekahi mau hihia wale nō i ola loa ka ʻili ma hope o hoʻokahi makahiki.

ʻO ka ʻauʻau ʻauʻau ʻo Sitz a me ka ʻaila no ka maʻi anal

ʻO ka ʻauʻau sitz kahi mālama proctological maʻamau e hiki ai ke hoʻomaʻemaʻe mālie a ʻoluʻolu loa ma muli o kona hopena hoʻomaha. ʻO nā mea hoʻohui ʻauʻau me nā tannin synthetic a i ʻole chamomile i ʻōlelo ʻia he hopena anti-inflammatory.

Hoʻokuʻu nā nitrates topical i ka nitric oxide (NO), he hopena hoʻomaha i ka sphincter o loko. Ma nā helu helu hui, ʻoi aku ka maikaʻi o kēia kumu lāʻau lapaʻau me 49% ma mua o ka mālama ʻana me kahi lāʻau dummy (placebo) me kahi lāʻau lapaʻau o 37%. Ua hōʻike ʻia nā haʻawina hou i ka emi nui o ka ʻeha me ka ʻaila poni nitrate. ʻO nā hopena koʻikoʻi e pili ana i nā poʻo, kahi e alakaʻi pinepine ai i ka hoʻopau ʻia ʻana o ka lāʻau. Ma hope o ka pau ʻana o ka lāʻau lapaʻau, hoʻihoʻi ka anal fissure a hiki i 50% o nā hihia.

He hopena hoʻomaha hoʻi ka calcium antagonists i nā ʻiʻo maʻemaʻe o ka sphincter kūloko a hoʻomaikaʻi i ke kahe koko. Hoʻohana nui ʻia nā ʻano meaʻai like ʻole, ʻo ia hoʻi ka hoʻomākaukau ʻana i ka ʻaila e hui pū ʻia e ka lāʻau lapaʻau. Ma nā haʻawina e hiki mai ana, ua loaʻa nā helu ho'ōla o 68% ma hope o 8 mau pule o ka hoʻohana ʻana. ʻO ka pōmaikaʻi nui o kēia mau mea ma mua o nā mea kākau moʻolelo, ʻoi aku ka maikaʻi o ko lākou ʻae ʻana. ʻO kahi hoʻolālā i loaʻa ka diltiazem a me ka lidocaine ka mea maʻamau no ka mālama mua ʻana i ka anal fissure i kā mākou hana. Hoʻohana maikaʻi mākou i nā antagonists calcium ma ke ʻano he 0,2 - 0,3% cream.

ʻO kahi mea kanu mai ka hibiscus - myoxinol - hana ma ke ʻano he mea hoʻoikaika kino kūlohelohe a pēlā e hoʻoikaika ai i ka ho'ōla ma ke ʻano kūlohelohe. Pono nā poʻe maʻi fissure i nā ʻaila ʻē aʻe me ka ʻeha ikaika a me nā hopena hōʻeha ʻeha a kuhikuhi pinepine mākou iā lākou.

ʻAʻohe ʻeha me BTX no ka haehae anal

BTX, ʻo ia ka mea hoʻomaha hoʻomaha ikaika loa, hiki ke lilo i hoʻokahi ʻano lapaʻau kūpono no nā māwae anal lilo. ʻO ka BTX kahi protein kūlohelohe e hoʻoikaika i ka neʻe ʻana o ka ʻiʻo a hoʻohana ʻia i ka lāʻau lapaʻau no nā kumu therapeutic like ʻole. Hoʻopaʻa ia i ka hoʻokuʻu ʻana o ka acetylcholine ma ke aʻalolo presynaptic o ka hui neuromuscular. ʻO ka hopena he nāwaliwali pōkole o ka sphincter kūloko no kahi o 3 mau mahina. I ka mālama ʻana i kahi māwae anal, hoʻokomo ʻia ʻo BTX i loko o ka sphincter kūloko o ka anus. Paʻakikī loa kēia ʻiʻo, hiki ke hoʻoikaika i ka hoʻōla ʻana i kahi māwae anal no ka mea hiki ke hoʻopilikia i ke kahe koko a me ke kaʻina hana ho'ōla. Ma ka hoʻokomo ʻana i ka BTX i loko o ka sphincter, hoʻomaka ia a temhoʻomaha porous o kēia ʻiʻo. Hoʻemi kēia i ke kaomi ma ka anal fissure, hoʻomaikaʻi i ke kahe koko a hoʻoikaika i ka ho'ōla. Hōʻike ʻia ka nui o nā ʻāpana he 40-100. Hōʻike ʻia ka nui o ka hoʻōla ʻana a hiki i 75% me ka helu hoʻi hou ʻana a hiki i 53% (ma kahi haʻawina Spanish me 100 mau maʻi ma mua o 3 mau makahiki). Ua kaupalena ʻia ka noi e ke kumukūʻai kiʻekiʻe a ʻaʻole i uhi ʻia nā kumukūʻai e ka ʻinikua ola kino. ʻO ka HeumarktClinic he mau makahiki o ka ʻike-pehea e hōʻoia i ka loaʻa ʻana o ka mea maʻi i ka wahi i hoʻopaʻa ʻia i ka nui kūpono, pēlā e pale ai i ka incontinence a me ka hōʻoia ʻana i ka hoʻomaha muscular pono.

Ma ka hoʻokomo ʻana i ka BTX i loko o ka sphincter, ke kumu ia a temhoʻomaha porous o kēia ʻiʻo. Hoʻemi kēia i ke kaomi ma ka anal fissure, hoʻomaikaʻi i ke kahe koko a hoʻoikaika i ka ho'ōla. Hāʻawi nā ʻiʻo hoʻomaha i ka hoʻōla ʻana i ka ʻeha ʻoiai e hoʻomaha ana i ka ʻeha a me ka ʻeha i ka wā o ka neʻe ʻana o ka ʻōpū.

Hoʻomaʻamaʻa maikaʻi ʻia ka mālama BTX no nā māwae anal a ʻaʻole koi i ka anesthesia ākea, akā makemake ʻia nā injections i ka wā o ka hana i hiki ai i ka mea maʻi ke pale i ka ʻeha o kahi lapaʻau ʻokoʻa. Hiki ke hana ʻia ke kaʻina hana ma waho, a hiki i ka hapa nui o nā maʻi ke hoʻomau i nā hana maʻamau ma hope.

Eia naʻe, he mea nui e hoʻomaopopo i nā hopena o BTX temhe porous a maʻa mau ma hope o kekahi mau mahina. I kekahi mau hihia, pono paha ka hoʻohana hou ʻana e mālama i ka hopena piha. Pono e hoʻopau ʻia ka maʻi o lalo, ka mea i hōʻike pinepine iā ia iho he hemorrhoids.

Pehea e hoʻoikaika ai i ka ho'ōla ʻana o ka maʻi anal iā ʻoe iho?

I nā hihia he nui, ho'ōla ka ma'i anal ma kona iho. He mea nui ka neʻe ʻana o ka ʻōpū maʻamau. Hiki i ka ʻai nui i ka fiber a me ka inu ʻana i ka wai ke kākoʻo i ka hoʻoponopono ʻana i ka ʻili. Hiki ke kōkua pū i nā mea hoʻohui meaʻai e like me ka psyllium husk i ka hoʻoponopono ʻana i ka stool. Na ke kauka lapaʻau e wehewehe i ke ʻano o ka lawe ʻana i nā mea hoʻohui meaʻai e hoʻoponopono ai i nā ʻōpala. ʻO ka ʻai ʻana i ka meaʻai momona i ka fiber hiki ke hōʻemi i ka pilikia o ka hoʻi hou ʻana o nā māwae anal.

I ka hōʻuluʻulu manaʻo, hiki ke ʻōlelo ʻia ma nā haʻawina he ʻoi aku ka maikaʻi o nā lāʻau i ʻōlelo ʻia ma mua o ka hoʻoponopono ʻana i ka stool a me ka mālama anal ma ke ʻano o ka ʻeha, ka nui o ka ho'ōla a me ka helu hoʻi. ʻAʻole hiki ke hōʻike ʻia nā ʻokoʻa nui ma waena o nā ʻelele o kēia hui.

Pehea e ʻike ʻia ai ka māwae anal?

Hana ke kauka i ka maʻi ma muli o ka mōʻaukala olakino (anamnesis) a me ka nānā kino me ka nānā ʻana a me ka palpation a me ka proctoscopy. Hōʻike ʻia ka hōʻike ʻana o ka ultrasound hou i nā ducts purulent, nā hemorrhoids kumu.

Inā hoʻomau nā hōʻailona no ka manawa lōʻihi, pono paha nā hoʻokolokolo hou no ka wehewehe kikoʻī. Hiki ke hoʻoholo pololei ʻia ka nui o ka hemahema me ka rectumoscopy (proctoscopy). Hiki ke wehewehe ʻia nā maʻi ʻē aʻe e like me nā kumu.

Ka lapaʻau ʻana o ka māwae anal

Māwae anal: I ka manawa hea e pono ai ke oki?

I nā hihia he nui, hiki ke mālama ʻia ka maʻi anal me ka conservative. Eia nō naʻe, hōʻike ʻia ke ʻokiʻoki inā ʻaʻole i kūleʻa nā ʻano lapaʻau conservative a i ʻole ma ke ʻano o nā māwae anal mau loa me nā pilikia hoʻōla ʻeha. ʻO ka hoʻoholo no ka hana ʻana ma muli o ke kūlana pilikino o ka mea maʻi a pono e hana me ke kūkākūkā me kahi proctologist a i ʻole loea. Manaʻo ka AWMF 2020 alakaʻi alakaʻi loea no nā maʻi anal i ka mālama ʻana i nā maʻi maʻi maʻi maʻi e hoʻomau nei ma mua o 8-12 mau pule a ʻaʻole pane i nā anal therapeutic conservative.

ʻO ke ʻano o ke kaʻina hana e pili ana i ke ʻano a me ka paʻakikī o ka māwae anal, penei:

Fissurectomy maʻamau: Ua ʻoki ʻia ka māwae me ka scalpel

Lateral sphincterotomy: ʻoki ʻia ka sphincter a notched

I loko o ka mea i kapa ʻia ʻo lateral sphincterotomy, ʻoki ʻia ka sphincter a hoʻopaʻa ʻia ma kekahi ʻaoʻao. Hana ʻia kēia e hoʻomaha i ka ʻiʻo sphincter. Eia nō naʻe, ʻōlelo kūʻē ka nui o ka hemahema i ke kaʻina hana a hōʻike ʻia ia ma ke ʻano he manaʻo kahiko. Ma ka Heumarkt Clinic, no laila, ʻaʻole mākou e paipai i ka sphincterotomy ʻaoʻao, ʻaʻole hoʻi i ka fissurectomy hana maʻamau (ka wehe ʻana i nā waimaka) a i ʻole nā ʻano hana ʻē aʻe o ka sphincter-weakening. Akā, mālama ʻia ka māwae me ka laser ka sphincter me ka BTX a me ka kūleʻa akā me ka ʻole o ka incontinence.

Anal fissure hana me ka anal holomua flap: Anal Advancement Flap

ʻO kahi ala e uhi ai i ka waimaka, ʻo ia ka hoʻohana ʻana i ka flap, e like me ka anal advancement flap. Hoʻoneʻe ʻia ka ʻupena me ke koko maikaʻi i loko o ka ʻeha i mea e hoʻōla ai. ʻO ka nui o ka ho'ōla a hiki i ka 96,7% me ka ho'ōla piha ma hope o hoʻokahi mahina ma kahi o 50% o nā hihia i hōʻike ʻia ma kahi noiʻi 2021. Ma ka HeumarktClinic, ua ʻōlelo ʻia ke ʻoki ʻana o ka flap no nā waimaka hohonu a mau loa kahi i loaʻa ai kahi kīnā nui, ʻo ke ala palekana loa e ho'ōla ai ʻo ia ka uhi ʻana me ka waimaka maikaʻi.tem Hiki i ka mucous membrane-muscle flap. Ma ka HeumarktClinic, pili ka Advancement Flap me kahi suture hoʻomaha i hoʻopaʻa ʻia i nā ʻiʻo. Hoʻopau kēia i ka ʻeha ʻeha a ʻoi aku ka wikiwiki o ka hoʻōla ʻana o ka flap, maʻamau i loko o 8-10 mau lā. ʻO kā mākou hopena maikaʻi loa e pili ana i nā helu ho'ōla ma luna o 90% ua hōʻoia pū ʻia e nā haʻawina: i hoʻokahi Haʻawina mai 2021 a hiki i 96,7% hōʻike ʻia ka ho'ōla piha.

Pehea ka lōʻihi o ka hana ho'ōla?

ʻO ka manawa ho'ōla ma hope o ka mālama ʻana i nā fissure e pili ana i ke ʻano o ka lāʻau. Ma hope o ka mālama ʻana i ka laser ma waena o ʻehā a me ʻeono pule, ma hope o ka wehe ʻana i nā maʻi ʻokiʻoki ʻoi aku ka lōʻihi a hiki i ʻeono mahina. He mea koʻikoʻi nō hoʻi ka mālama ʻana, kahi e pale ʻia ai nā maʻi ʻeha, no ka laʻana. ʻO ka lāʻau BTX e hoʻolalelale nui i ka ho'ōla. Pono e mālama pono i ka ho'oma'ema'e anal a e ho'ohana i nā douches ma'amau. ʻO ka hoʻolauna hou ʻana no nā ʻōlelo aʻoaʻo hou e hāpai i ka hoʻōla ʻana he mea haʻahaʻa.

māwae anal

Haehae anal – anal fissure

He aha ka Anariss?