Aloha! I kēia lā, e kamaʻilio mākou e pili ana i kahi hoʻokolohua lapaʻau a ka poʻe he nui e makaʻu iki nei e nīnau e pili ana, akā he mea nui loa ia. Ua kapa ʻia kēlā he colonoscopy. Malia paha ua aʻo aku kāu kauka iā ʻoe e hana i kēia, a ua lohe paha ʻoe e pili ana i ia mea ma kekahi wahi. No laila, e nānā kākou ma nā ʻōlelo maʻalahi he aha ia, no ke aha e hana ʻia ai, a pehea e hana ʻia ai. ʻAʻohe mea e makaʻu ai, e kamaʻilio maopopo mākou e pili ana i nā mea āpau.
He aha ka colonoscopy?
I ka ʻōlelo maʻalahi, he hoʻāʻo ka colonoscopy e nānā i loko o kou colon, rectum, a me ka anus. Ua like ia me ke kau ʻana i kahi kāmela. Ua kapa ʻia kēia e nā kauka he endoscopy. ʻO ia hoʻi, hoʻokomo lākou i kahi ʻōmole liʻiliʻi a palupalu i loko o kou kino me kahi kāmela liʻiliʻi a me ke kukui ma ka hopena. Ua kapa ʻia ʻo ia he colonoscope. Hoʻokomo ʻia ka colonoscope ma o kou anus a laila neʻe i luna o kou colon. I kona hele ʻana, hiki i ke kauka ke ʻike ma kahi pale e hōʻike ana i ke kāmela. E hōʻike kēia iā ʻoe inā he mau pilikia i loko o kou colon.
No ke aha mākou e pono ai i ka colonoscopy?
Nui nā kumu e hana ʻia ai ka colonoscopy. I kekahi manawa he pale ia , i kekahi manawa he diagnostic , a therapeutic paha . I ka manawa pinepine, hiki ke hui pū ʻia nā mea ʻekolu.
Ma ke ʻano he hoʻāʻo e ʻike mua i ka maʻi kanesa (Screening)
He nui ka poʻe e hana i kā lākou colonoscopy mua ma ke ʻano he nānā maʻamau no ka maʻi ʻaʻai colorectal . Loaʻa iā kākou āpau kekahi pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai colon i ko kākou ʻelemakule ʻana. ʻO ia ke kumu e ʻōlelo ai nā hui e like me ka American Cancer Society i nā mea a pau ma luna o 45 mau makahiki e hana i kēia hoʻāʻo. ʻAʻole paha ʻoe e loaʻa i kekahi mau hōʻailona, akā ma ke ʻano helu, kiʻekiʻe ka pilikia, no laila he mea naʻauao ke hoʻāʻo mua ʻia. ʻAʻole hōʻike pinepine ka maʻi ʻaʻai colorectal i nā hōʻailona, a i ka wā e hōʻike ai, hiki ke lohi loa e mālama iā ia.
Malia paha ua hiki i ka manawa e hana ai i kahi colonoscopy ma ke ʻano he hoʻāʻo nānā ʻana i ka maʻi kanesa, inā:
- Inā ʻoe ma luna o 45 mau makahiki a ʻaʻole ʻoe i loaʻa i kēia hoʻokolohua.
- Inā he 10 mau makahiki i hala aku nei mai kou loaʻa hope ʻana i kahi colonoscopy.
- Inā ua wehe ʻia nā polyps i kāu colonoscopy hope loa.
- Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai colorectal .
- Loaʻa iā ʻoe ka Familial Adenomatous Polyposis (FAP).Inā loaʻa iā ʻoe kahi maʻi hoʻoilina e like me Lynch syndrome (hoʻonui kēia i ka pilikia o ka maʻi kanesa).
- Inā loaʻa iā ʻoe kahi maʻi e like me ka Inflammatory Bowel Disease (IBD) .
Inā ʻoe e nīnau i kāu kauka ʻohana a i ʻole ke kauka āu e ʻike nei, hiki iā ia ke haʻi iā ʻoe i ka manawa e pono ai ʻoe e hana i kēia hoʻokolohua ma muli o kou kūlana olakino. ʻO nā hoʻokolohua e like me kēia e hoʻopakele i nā tausani ola i kēlā me kēia makahiki.
E ʻike i kahi maʻi
I kekahi manawa, e kauoha paha kāu kauka i kahi colonoscopy e nānā hohonu i kāu mau hōʻailona no ka mea loaʻa iā ʻoe. ʻO kēia no ka mea hiki iā ʻoe ke ʻike maopopo i loko o kou kolona ma mua o nā scan ʻē aʻe. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu o kāu mau hōʻailona a i ʻole e hōʻoia i kahi kānalua i loaʻa i kāu kauka . I kekahi manawa, makemake paha kāu kauka e lawe i kahi ʻāpana ʻiʻo (he biopsy) a nānā iā ia ma lalo o kahi microscope. Hiki ke hana ʻia kēia i ka wā o ka colonoscopy.
ʻO kekahi mau hōʻailona e hiki ke hoʻāla i ka colonoscopy:
- Inā he kahe koko a i ʻole kekahi kahe ʻē aʻe mai ka anus me ke kumu ʻole.
- Inā ua loli kāu mau hana halepaku me ke kumu ʻole (e like me ka maʻi diarrhea, constipation, incontinence).
- Inā loaʻa iā ʻoe ka ʻeha mau o ka ʻōpū me ke kumu ʻole.
- Inā ʻoe e emi ana ke kaumaha me ke kumu ʻole, a inā ʻaʻole ʻoe e piʻi ana ke kaumaha i nā keiki ʻōpio.
Aia kekahi mau maʻi i hiki ke ʻike ʻia me ka colonoscopy:
- Nā maʻi colitis mau loa , no ka laʻana, ulcerative colitis a i ʻole ka maʻi o Crohn .
- ʻO ka ischemia ʻōpū a me ka ischemic colitis (nā kūlana i hoʻokumu ʻia e ka emi ʻana o ke kahe koko i nā ʻōpū).
- ʻO Diverticulosis a me diverticulitis (ka hoʻokumu ʻia ʻana o nā ʻeke liʻiliʻi ma ka paia o ka ʻōpū a me ko lākou maʻi).
- Nā ʻōpū ʻōpū a me nā perforations .
- Nā ālai ʻana o ka ʻōpū nui.
- Nā polyps colorectal a me ke kanesa .
Ma ke ʻano he lāʻau lapaʻau
ʻO kekahi o nā pono nui o nā hoʻokolohua endoscopy e like me ka colonoscopy ʻo ia inā loaʻa i ke kauka kekahi mau pilikia i ka wā o ka hoʻokolohua, hiki iā ia ke mālama iā lākou i ka manawa like . Ua aʻo ʻia kēia mau kauka e hana i nā mea e like me nā ʻoki liʻiliʻi me ka hoʻohana ʻana i nā mea hana kūikawā i hoʻokomo ʻia ma o ka endoscope. Ke hana nei i kahi colonoscopy,I ka manawa pinepine, wehe ʻia nā polyps ma kahi a hoʻouna ʻia i kahi keʻena hoʻokolohua e hoʻāʻo ʻia no ka maʻi kanesa. ʻO ka wehe ʻana i kēia mau polyps e hōʻemi pū i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa i ka wā e hiki mai ana.
I ka wā o kāu colonoscopy, hiki i kāu kauka ke hana i nā mea e like me:
- Polypectomy .
- E uhi i nā ʻeha.
- E lawe i nā lāʻau lapaʻau.
- Wehe i nā mea keakea.
- E hoʻokomo i kahi stent (e hoʻonui i nā wahi haiki i loko o ka ʻōpū).
- E kiʻi i ka lāʻau lapaʻau laser .
Pehea ʻoe e hoʻomākaukau ai no ka colonoscopy?
He mea nui loa kēia. I mea e holomua ai ka hoʻāʻo ʻana, pono ʻoe e mākaukau piha. E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī no ka mea e hana ai i kekahi mau lā ma mua. ʻO ke kumu nui o kēia hoʻomākaukau ʻana, ʻo ia ka mālama ʻana i kou kolona i maʻemaʻe a maopopo hoʻi i ka wā o ka colonoscopy. Inā ʻaʻole ʻoe e hana pēlā, ʻaʻole hiki i ke kauka ke ʻike pono. A laila pono paha ʻoe e hoʻopanee i ka hoʻāʻo a i ʻole e hana hou i kēia hoʻomākaukau āpau. E noʻonoʻo i ka pilikia o ia mea!
ʻO ka maʻamau, pono ʻoe e hana i kekahi mau hoʻololi i kāu papaʻai no ʻelua a ʻekolu mau lā ma mua o ka hoʻāʻo. E noho ʻoe ma kahi papaʻai haʻahaʻa-fiber no ʻelua a ʻekolu mau lā. I ka lā hope loa, e haʻi ʻia iā ʻoe e inu wale i nā wai maopopo . I ke ahiahi a i ʻole ka pō ma mua o ka hoʻāʻo, e hāʻawi ʻia ʻoe i kahi laxative formula e inu ai. Ma hope o ka inu ʻana, pono ʻoe e hele pinepine i ka lua no kekahi mau hola. No laila e mākaukau no kēlā, a e noho ʻoluʻolu. A laila e hiamoe maikaʻi i ka pō. Hana pinepine ʻia ka colonoscopy i ke kakahiaka aʻe.
He aha ka mea e hana ʻia i ka lā o ka hoʻokolohua?
Ke hele ʻoe no ka hoʻāʻo ʻana, pono ʻoe e loaʻa kahi mea hiki ke hoʻokele iā ʻoe i ka home. No ka mea, he lā hoʻokahi e pau ai ka anesthesia, ʻaʻole e ʻae kekahi mau haukapila iā ʻoe e komo no ka hoʻāʻo me ka ʻole o kahi kanaka kuleana. (Pono ke kanaka e hele pū me ʻoe e noho ma laila no ʻelua hola.) Ke hiki ʻoe i ka haukapila, e lawe ʻia ʻoe i kahi lumi a e hoʻokomo ʻia i kahi lole haukapila. A laila e komo mai kahi kahu maʻi a hoʻokomo i kahi laina IV i loko o kahi aa koko ma kou lima, kahi e hoʻomaka ai ʻoe e loaʻa i nā lāʻau hoʻomaha a me nā lāʻau ʻeha.
Ke hoʻomoe nei lākou iā mākou i ka wā o ka colonoscopy?
ʻAe, e loaʻa iā ʻoe ka anesthesia laulā (ʻo ia hoʻi, e hiamoe loa ana ʻoe) a i ʻole ka hoʻomaha hoʻomaopopo.(ʻO ke ʻano kēia ua emi iki kou ʻike, hiamoe paha ʻoe, a ala paha ʻoe, akā ʻaʻole paha ʻoe e hoʻomanaʻo ma hope.) ʻAe, hiki iā ʻoe. E kamaʻilio mua ke kauka me ʻoe e pili ana i ke ʻano anesthesia e hāʻawi ʻia iā ʻoe. No laila hiki iā ʻoe ke ʻike mua i ka mea e hana ʻia i ka lā o ka hoʻāʻo. E kōkua ke kauka iā ʻoe e koho i ke ʻano hana e kūpono loa i kou kino a me kou mau pono.
He hoʻāʻo ʻeha anei kēia?
No ka mea, aia ʻoe ma lalo o ka anesthesia, ʻaʻole ʻoe e ʻike i kekahi ʻeha i loko o kou kolona. He ʻoiaʻiʻo kēia no ka wehe ʻana i nā ʻiʻo a me ka mālama ʻana i ka laser. Eia nō naʻe, ke hoʻokomo ʻia ka colonoscope i loko o kou kolona , hiki iā ʻoe ke manaʻo i kahi manaʻo gassy iki a i ʻole kahi paʻi. ʻO kēia no ka mea e hoʻopiha ka colonoscope i ka kolona me kahi liʻiliʻi o ke kinoea carbon dioxide e ʻae i kahi ʻike maikaʻi o loko o kou kolona. Eia naʻe, ʻaʻole ʻike nui ʻia kēia. E kau ʻia ʻoe ma kekahi ʻaoʻao o ka moena haukapila me kou mau kuli i huki ʻia i luna i kou umauma (kūlana fetal), a hiki paha iā ʻoe ke hiamoe.
ʻO wai ka mea e hana i ka colonoscopy?
Hana pinepine ʻia ka Colonoscopy e kahi gastroenterologist a i ʻole ke kauka ʻoki colorectal. He poʻe loea kēia mau kauka ʻelua i nā maʻi o ka ʻōnaehana hoʻoheheʻe a ua aʻo kūikawā ʻia e hana i ka endoscopy. ʻAʻole wale kēia mau kauka e nānā i loko o ke kino, akā hiki iā lākou ke lawe i nā laʻana ʻiʻo a hana i nā lāʻau liʻiliʻi inā pono. Ua mākaukau hoʻi lākou e kālailai i nā hopena o ka hoʻāʻo.
Pehea ka maʻalahi o ka hana ʻana o ka colonoscopy?
He ʻōmole lōʻihi, lahilahi, a palupalu ka colonoscope (i kapa ʻia hoʻi he catheter ) me kahi kāmela liʻiliʻi a me ke kukui i hoʻopili ʻia i ka hopena.
- Hoʻokomo ke kauka i kēia colonoscope ma kou anus a alakaʻi i luna i kou ʻōpū nui, a hiki i kahi e hui ai me ka ʻōpū liʻiliʻi.
- I kou lawe ʻana, hoʻokomo ʻia kahi ea liʻiliʻi i loko o ka ʻōmole, e hoʻopiha ana i ka ʻōpū, e ʻae ana iā ʻoe e ʻike maopopo i loko.
- Hōʻike ʻia nā kiʻi mai ke kāmela ma kahi monitor. Nānā ke kauka i ka pale e ʻike inā he mea ʻē.
- Ke hiki ʻoe i ka hopena o ke kolona, e lawe hou ʻia ka colonoscope i waho, i hiki iā ʻoe ke nānā pono aku iā ia no ka lua o ka manawa.
E noʻonoʻo, ua like kēia me ka lawe ʻana i kahi "huakaʻi" i loko o kou ʻōpū! Nānā ke kauka i kēlā me kēia kihi a me nā lua.
Pehea ka lōʻihi o ka hana ʻana i kahi colonoscopy?
ʻO ka maʻamau, he 15 mau minuke ka lōʻihi e hoʻokomo ai i ka colonoscope i loko o ka hopena o ka colon a he 15 mau minuke hou e huki ai i waho. ʻO ia hoʻi, ua nānā ʻia ka colon holoʻokoʻa i ʻelua manawa. Inā loaʻa kekahi mea e pono ai ke wehe ʻia a mālama ʻia paha i ka wā o ke kaʻina hana, e lōʻihi iki ka manawa. He mea maʻamau nā polyps;Loaʻa kēia mau mea ma kahi o 30% o nā colonoscopies maʻamau. ʻOiai ʻaʻole ka hapa nui o lākou he maʻi kanesa, ʻo ke kaʻina hana maʻamau ka wehe ʻana iā lākou i ka wā e loaʻa ai. Hiki i kēia ke hoʻohui i kahi 15 mau minuke i ke kaʻina hana.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
Ma hope o ka hoʻāʻo ʻana, e mālama ʻia ʻoe ma ka haukapila no kahi hola a me ka hapa . ʻO kēia a hiki i kou hoʻi hou ʻana i ka ʻike mai ka anesthesia. E hoʻomau ka hui lapaʻau i ka nānā ʻana i kāu mau hōʻailona koʻikoʻi a nānā i nā hōʻailona o nā pilikia. Ma hope o kou hoʻi hou ʻana i ka ʻike, e hele mai ke kauka a haʻi iā ʻoe e pili ana i ka mea i ʻike ʻia i ka wā o ka hoʻāʻo a me ka lāʻau i hāʻawi ʻia. E loaʻa iā ʻoe kahi hōʻike kūhelu ma hope, ma o ka leka uila a i ʻole ka uila. Inā ua lawe ʻia kahi hāpana ʻiʻo (biopsy) , e hala kekahi mau lā e hoʻi mai ai nā hopena.
ʻEhia ka lōʻihi e hoʻōla ai?
He 24 mau hola ka lōʻihi o ka pau ʻana o ka anesthesia. ʻO ia ke kumu e ʻōlelo ai nā kauka ʻaʻole pono ʻoe e hoʻokele, hoʻohana i nā mīkini, a hana paha i nā hoʻoholo koʻikoʻi a hiki i ka lā aʻe. Akā e ʻoi aku ka maikaʻi o kou manaʻo i nā hola ma hope. Hiki iā ʻoe ke ʻike i kahi pehu, ʻeha kinoea, a i ʻole ka luaʻi no ka hola mua a ʻelua paha, akā e emi koke kēia. Hiki iā ʻoe ke hoʻomaka i ka ʻai maʻamau i ka wā e ʻoi aku ai kou maikaʻi. Inā wehe ke kauka i ka ʻiʻo, hiki iā ʻoe ke loaʻa ke kahe koko mai ka anus no kekahi mau lā. He mea maʻamau kēia.
Aia kekahi mau pilikia e pili ana?
He mea kākaʻikahi loa nā pilikia a me nā pilikia, akā hiki ke loaʻa. Hoʻokomo pū lākou:
- Ka hōʻino ʻana i kou paia ʻōpū , e like me ka haehae ʻana.
- Ke kahe koko hiki ʻole ke kāohi ʻia ke wehe ʻia nā ʻiʻo.
- ʻO kahi ʻano maʻi ʻokoʻa e pono ai nā antibiotics .
- He pane kūpono ʻole i ka anesthesia .
ʻAʻole hiki pinepine kēia mau mea, akā he mea maikaʻi ke makaʻala.
Āhea e puka mai ai nā hōʻike?
E loaʻa iā ʻoe ka hapa nui o kāu mau hopena i ka lā hoʻokahi . E hiki i ke kauka ke haʻi iā ʻoe i kāna mea i ʻike ai, nā lāʻau lapaʻau i hāʻawi ʻia, a inā ua holomua lākou. Inā ua lawe ʻia kahi biopsy a hoʻouna ʻia i kahi keʻena hoʻokolohua, e hala kekahi mau lā a i ʻole mau pule e hoʻi mai ai nā hopena. ʻOiai ua lawe ʻia kahi biopsy a hoʻouna ʻia i kahi keʻena hoʻokolohua, ʻaʻole ia he manaʻo ke kānalua nei ke kauka i ka maʻi kanesa. He akahele wale nō paha ia, a i ʻole e ʻimi ana paha i kahi mea ʻē aʻe, e like me ka microscopic colitis . E haʻi aku ke kauka iā ʻoe i ka mea e manaʻo ai.
He aha nā hopena kūpono ʻole?
Hiki i nā hopena maʻamau ʻole ke komo pū me:
- Ke kahe koko ʻana o ka ʻōpū i kāohi ʻole ʻia.
- Nā polyps maikaʻi, precancerous, a i ʻole cancerous.
- ʻO ka mumū (colitis) i hoʻokumu ʻia e ka maʻi, ischemia, a i ʻole ka maʻi autoimmune.
- Ka hōʻino mau ʻana o nā ʻiʻo e like me ka ʻōpala.
- Ka ālai ʻana a i ʻole ka stenosis o ka ʻōpū.
- Nā ʻeke ʻano ʻē i loko o ka paia o ka ʻōpū (diverticulosis) .
E kamaʻilio kāu kauka me ʻoe e pili ana i kēia mau hopena a me ko lākou manaʻo.
Aia kekahi mau ala ʻē aʻe e ʻike ai i ke kanesa colorectal?
ʻAe, aia kekahi mau hoʻokolohua nānā ʻē aʻe no ke kanesa colorectal. Eia nō naʻe, ʻo ka colonoscopy ka hoʻokolohua koʻikoʻi loa. ʻO ia hoʻi, ʻo ia ka mea i loaʻa ka manawa kiʻekiʻe loa e ʻike ai i ke kanesa a i ʻole kahi kūlana precancerous i kona wā mua loa. ʻO ka ʻike ʻana i ke kanesa i ka wā hikiwawe loa he mea nui loa ia no ka pale ʻana a me ka mālama ʻana iā ia me ka holomua. Eia kekahi, ʻo ka colonoscopy wale nō ka hoʻokolohua e hiki ai ke ʻike a mālama i ka maʻi i ka manawa like. Inā loaʻa i nā kauka nā ʻiʻo kānalua i ka wā o ka colonoscopy, hiki iā lākou ke wehe iā ia i ka wā o ka hoʻokolohua.
ʻO kekahi mau ʻano loiloi ʻē aʻe no ka maʻi kanesa:
- Nā hoʻāʻo koko huna Fecal (FOBT): Pili kēia i ka lawe ʻana i kahi laʻana o kāu ʻōpala a me ka ʻimi ʻana i nā hōʻailona o ka maʻi kanesa. Nui nā ala e ʻimi ai i ke koko i loko o kāu ʻōpala. Hoʻokahi ʻano e nānā i ka DNA i loko o kāu ʻōpala e ʻike ai inā he mau loli e hōʻike ana i ka maʻi kanesa. Pono e hana ʻia kēia mau hoʻāʻo i kēlā me kēia makahiki a ʻekolu paha . Inā loaʻa kahi hopena maikaʻi mai kēia hoʻāʻo, ʻo ka hana aʻe he colonoscopy a me kahi biopsy .
- ʻO ka colonoscopy virtual: He ʻano kēia o ka CT scan . Hiki iā ia ke kiʻi i nā kiʻi maopopo loa, ʻekolu-dimensional (3D) o kou colon. He "virtual" ia no ka mea ke nānā nei ia i loko o kou colon me ka hoʻohana ʻana i nā kiʻi i lawe ʻia mai waho o kou kino. E like me ka colonoscopy maʻamau, pono nō hoʻi i kahi hoʻomākaukau ʻōpū. Akā, ʻaʻole pono ka anesthesia. Paipai nā kauka e hana i kēia hoʻāʻo i kēlā me kēia ʻelima makahiki .
No laila he aha nā pono o ka colonoscopy?
ʻO nā pōmaikaʻi o ka colonoscopy kuʻuna:
- ʻOi aku ka ʻike: Aia kahi manawa kūpono e ʻike koke ai i nā loli kanesa.
- ʻO ka ʻike āpau-i-hoʻokahi, ka mālama ʻana a me ka pale ʻana: Inā loaʻa mai nā hoʻokolohua ʻē aʻe he maikaʻi, pono nō ka colonoscopy kuʻuna e hōʻoia a mālama i ka maʻi kanesa.
- Pono e hana hoʻokahi i kēlā me kēia 10 mau makahiki: Inā maʻamau kāu mau hopena, ʻaʻole pono ʻoe e hoʻāʻo hou ʻia no kekahi manawa.
Hiki i ka colonoscopy ke ʻike, mālama, a pale i nā maʻi i ka manawa hoʻokahi. ʻAʻole paha he mea nui kēia inā ʻaʻohe ou, akā inā loaʻa iā ʻoe, hiki iā ia ke hana i kahi ʻokoʻa nui. He maʻi maʻamau ka maʻi kanesa Colorectal ma Sri Lanka. Hiki ke pale ʻia, akā pono e ʻike mua ʻia. Me ka colonoscopy, hiki i nā kauka ke ʻike a mālama i ke kanesa ma mua o kona ulu ʻana, laha ʻana, a i ʻole ke kumu ʻana i nā hōʻailona. Inā maikaʻi kāu mau hopena, pono paha ʻoe e hana i kēlā me kēia 10 mau makahiki.
ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)
No laila, inā ua makaʻu ʻoe i ka colonoscopy, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ia mea. ʻOiai he mea ʻoluʻolu ʻole iki paha, hiki iā ia ke lilo i mea waiwai nui a hoʻōla ola no kou olakino .
- ʻOi aku ka maikaʻi o ka ʻike mua ʻana: ʻoiai hoʻi i nā maʻi e like me ke kanesa colorectal.
- E hoʻomākaukau e like me ka ʻōlelo a ke kauka: he mea nui ia no ka holomua o ka hoʻokolohua.
- Mai hopohopo: ʻaʻole ʻoe e ʻeha ma muli o ka anesthesia.
- E nīnau i kāu kauka inā he mau nīnau kāu: E hoʻopau i nā kānalua āu e loaʻa ai.
Inā ʻoi aku ʻoe ma mua o 45 mau makahiki, a inā paha ua loaʻa i kekahi o kou ʻohana ka maʻi ʻaʻai colon, e kamaʻilio pono me kāu kauka a e noʻonoʻo e hana i kahi colonoscopy. Aia kou olakino ma kou mau lima!
Colonoscopy , maʻi ʻaʻai kolona, endoscopy, hoʻokolokolo ʻōpū, nā hoʻāʻo maʻi ʻaʻai, ʻōnaehana hoʻoheheʻe, nā hoʻāʻo lapaʻau











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