Tengongo tūtaehe ngongo ngāwari, tuwhera ka whakaurua ki roto i te pūkahukahu hei whakaora i ngā tohu e pā ana ki ngā raruraru o te puku, pērā i te hau me te pānga o te paru. Hei momokātene hauora, he mahi nui tāna i roto i ngā mahi tiaki ohorere me te whakahaere hōhipera o ia rā. Te mārama ki tetohu ngongo rectum, tikarahi o te ngongo rectum, te tikanga whakamahinga, me te roa o te wā e taea ai te noho haumaru ki te wāhi tika, he mea nui kia whai hua ai, kia haumaru ai hoki te tiaki tūroro.
He aha te Ngongo Rekereke?
Ko te ngongo rectum, e mōhiotia ana ko te ngongo flatus, herongoā paui hangaia hei āwhina i te whakaiti i te pēhanga o te puku mā te tuku i te hau, te tūtae rānei kia haere. He mea hanga i te rapa ngohengohe, i te kirihou rānei, ā, he pito porowhita hei whakaiti i te whara ki te kiriuhi pūkahukahu. He maha ngā kōhao taha o ētahi ngongo pūkahukahu hei whakapai ake i te pai o te rerenga wai.
Ko ngā ngongo rectum e whakamahia ana i ngā hōhipera me ngā whare tiaki, ā, ko ngā ngongo rectum he wāhanga o te kāwai whānui ongā katitere hauoraHe rerekē ngā katitere mimi, e whakaurua ana ki roto i te pūhā, he mea hanga motuhake ngā katitere mō te whakauru i te pūhā hei āwhina i te whakaiti i te pēhanga o te puku, te huri rānei i te tūtae.
Tohu mō te ngongo rectal: Āhea te whakamahinga?
He maha ngā āhuatanga haumanu e tika ana kia whakamahia he ngongo rectum. Kei roto i ēnei ko:
- Te whakaora i te pupuhi o te puku, te pupuhi rānei o te puku– Ina nui rawa te hanga hau i roto i ngā tūroro (i muri i te pokanga), ka āwhina ngā ngongo rectum ki te whakamama i te mamae me te whakaiti i te pēhanga ki te kōhao puku.
- Te whakahaere i te kore e taea te pupuri i te tūtae– Mō ngā tūroro e tiaki nui ana, e tiaki roa ana rānei, inā koa ko te hunga e takoto kau ana i te moenga, e kore rānei e mōhio, ka taea e te ngongo rectum te āwhina ki te whakahaere i ngā nekehanga puku kāore i te whakahaeretia, me te ārai i te pakaru o te kiri.
- Te pānga o te paru– Tērā pea ka āwhina te ngongo pūkahukahu ki te whakamama i te puranga paru mārō ina kore e whai hua ngā enemas tuku iho, te tango ā-ringa rānei.
- I mua, i muri rānei i te pokanga– Ka taea e te atony o te puku, te ileus rānei i muri i te pokanga te arahi ki te pupuri hau nui. Tērā pea ka whakanohoia he ngongo rectal mō te wā poto hei whakaora i ngā tohu.
- Ngā tikanga tātaritanga– I ētahi tikanga whakaahua, ka āwhina ngā ngongo rectum ki te whakauru i ngā rauemi rerekē ki roto i te puku kia mārama ake ai te tirohanga.
Ka kiia ēnei tikanga katoa kongā tohu mō te ngongo rectal, ā, me aromatawai tika e ngā tohunga hauora i mua i te whakaurunga.
Ngā Rahi o ngā Ngongo Rere: Te Kōwhiri i te Mea Tika
Te whiriwhiri i te mea tikarahi o te ngongo rectumHe mea nui tēnei mō te haumaru me te whakamarie o te tūroro. He rerekē ngā rahi o ngā ngongo rectal, ā, ko te tikanga he ine i roto i ngā waeine Wīwī (Fr). Ko te rahi Wīwī e tohu ana i te diameter o waho o te catheter — ko te teitei ake o te tau, ko te nui ake o te ngongo.
Anei ngā rahi o ngā ngongo rectum e whakamahia whānuitia ana mō ia reanga:
- Ngā pēpi me ngā pēpi hou:12–14 Paraire
- Tamariki:14–18 Paraire
- Ngā pakeke:22–30 Paraire
- Ngā tūroro kaumātua, ngā tūroro ngoikore rānei:He pai ake pea ngā rahi iti ake i runga i te reo o te rectum
Mā te whiriwhiri i te rahi tika ka whai hua te ngongo, ā, kāore e puta he whara, he mamae rānei. Ka taea e ngā ngongo nui rawa te kino i te arai o te pūkahukahu, engari ko ngā ngongo iti rawa kāore e pai te rere o te wai.
Te Tukanga Whakaurunga Ngongo Rekereke
Me mahi tonu te whakaurunga o te ngongo rectum e ngā tohunga hauora kua whakangungua i raro i ngā tikanga ārai mate. Anei te tirohanga whānui o te tikanga:
- Te whakarite:
- Whakamāramahia te tikanga ki te tūroro (mēnā kei te mōhio ia) hei whakaiti i te manukanuka.
- Kohikohia ngā rauemi e tika ana: te ngongo pūkahukahu, te hinu whakahinuhinu wai, ngā karapu, ngā papa mimiti, me te ipu waikeri, te putea kohikohi rānei mēnā e tika ana.
- Whakanohoia te tūroro ki tōna taha maui (te tūranga o Sims) kia whai i te piko tūturu o te rectum me te colon sigmoid.
- Whakaurunga:
- Mauria he karapu, ā, pania he hinu whakahinuhinu nui ki te ngongo.
- Whakauruhia mārire te ngongo ki roto i te tō (tata ki te 3–4 inihi mō ngā pakeke) me te aroturuki tonu i te ātete.
- Ki te tūpono te ātete, kaua e akiakihia te ngongo—engari, ngana ki te neke i te tūroro ki te tūranga hou, ki te whakamahi rānei i tētahi ngongo iti ake.
- Te Aroturuki me te Haumaru:
- Kia whakaurua, mātakitakina mēnā he hau, he tūtae, he wai rānei e puta ana.
- Ka taea te hono i te ngongo ki tētahi pūnaha waikeri, ka waiho rānei kia tuwhera ki te hau, i runga i te whakamahinga e whakaarohia ana.
- Aroturukihia te mamae o te tūroro, te toto, ngā tohu rānei o te pakaru o te puku.
- Te Tango me te Tiaki:
- Kāore te nuinga o ngā ngongo rectum i te hangaia kia noho tonu ki tōna tūranga ake ake.
- Ki te kore e hiahiatia, tangohia mārire te ngongo ka maka atu kia rite ki ngā tikanga whakahaere mate urutā a te hōhipera.
Kia pēhea te roa e noho ai te ngongo rectal ki roto?
Ko te roa o te wā e taea ai te whakauru i te ngongo rectum ka whakawhirinaki ki te āhuatanga haumanu me te āhua o te tūroro. Heoi, ko ngā ngongo rectum te tikanga hekāore i hangaia mō te whakamahinga mō te wā roa.
- Whakaora rangitahi (hau, pānga):Ka taea te whakauru i ngā ngongo mō te 30 meneti ki te 1 hāora, kātahi ka tangohia.
- Ngā pūnaha whakahaere paru (mō te kore e taea te pupuri i te mimi):Ka taea te waiho i ētahi pūnaha motuhake mōtae atu ki te 29 rā, engari i raro i te tirotiro tino a te taote anake.
- Te whakamahinga o te hōhipera noa:Mena ka waihohia he ngongo ki tōna wāhi hei tango i te wai, me tirotiro i ia torutoru hāora, ā, me whakakapi i ia 12–24 hāora hei whakaiti i te tūponotanga o te whara pēhanga, te mate rānei.
Mā te whakamahinga roa ka pā mai pea ngā raruraru pērā i te mate pukupuku o te rectum, te necrosis pēhanga, tae noa ki te poka. Nō reira, he mea nui te aromatawai tonu, ā, me karo te whakamahinga roa mēnā kāore he hua i hangaia mō taua roa.
Ngā Tūponotanga me ngā Whakatūpato
Ahakoa he haumaru te nuinga o ngā ngongo rectum ina whakamahia tika, ko ngā tūponotanga pea ko:
- Te toto o te rectum, te whara rānei o te mucosa
- Te poka o te puku (he onge engari he kino)
- Te whara pēhanga ki te sphincter anal
- Mate pāwera, riri rānei
Hei whakaiti i ēnei mōrearea, he mea nui kia whakamahia te taputapu tikarahi o te ngongo rectum, kia āta whakaurua, kia whakawhāitihia hoki te roa o te whakatakotoranga. Me āta tirotiro ngā tūroro mō te mamae, te toto, me ētahi atu pānga kino rānei.
Whakamutunga
Tengongo tūtaehe mea utu nuirongoā paue whakamahia ana hei whakahaere i ngā mate e pā ana ki te puku me te whēkau. Ahakoa te whakaora i te hau, te whakahaere i te kore e taea te pupuri i te mimi, te āwhina rānei i ngā tikanga tātaritanga, me te mārama ki te mea tikatohu ngongo rectum, tikarahi o te ngongo rectum, ā, he mea nui ngā aratohu tikanga haumaru mō ngā putanga tino pai mō ngā tūroro.
Hei mea e whakamahia whānuitia anakātene hauora, me ārahi tonu tōna whakamahinga e te whakatau hauora ngaio. Mēnā ka whakamahia tika, ka taea e ngā ngongo rectum te whakapai ake i te whakamarie o te tūroro me te whakaiti i ngā raruraru e pā ana ki te ngoikore o te puku.
Wā tuku: Mei-06-2025








