Ke kahe nei ke koko o kou kino? E aʻo kākou e pili ana i ke kahe koko ʻana o ka ʻōpū

Ua makaʻu loa anei ʻoe i ka ʻike ʻana i ke koko i loko o kou ʻōpala ke hele ʻoe i ka lua? A i ʻole ua ʻike paha ʻoe he ʻeleʻele ʻē kou ʻōpala e like me ke kēpau? He mea maʻamau ka makaʻu ke ʻike ʻoe i kahi mea e like me kēia. Akā i ka hapa nui o ka manawa, ʻaʻole kēia he hōʻailona o kahi maʻi koʻikoʻi. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia kahe koko e hana ʻia ana i loko o ko kākou ʻōnaehana digestive, ʻo ia hoʻi, Gastrointestinal Bleeding (GI Bleeding), ma ke ʻano maʻalahi a maopopo.

He aha kēia kahe koko ʻana ma ke ala ʻai?

I ka ʻōlelo maʻalahi, ʻaʻole he maʻi ke kahe koko ʻana o ka ʻōpū , he hōʻailona ia. He mea ia i hoʻokumu ʻia e kekahi pilikia ʻē aʻe i loko o ke kino. E noʻonoʻo e pili ana i ia mea, ʻo ko kākou ʻōnaehana ʻai he ʻōnaehana lōʻihi e like me ka paipu e holo ana mai ka waha a i ka anus. Hoʻokomo pū kēia i nā ʻāpana āpau o ke ʻōnaehana ʻai, e like me ka esophagus, ka ʻōpū, ka ʻōpū liʻiliʻi, ka ʻōpū nui, a me ka rectum . No laila, ke hoʻomaka ke kahe koko ma kekahi wahi o kēia ʻōnaehana, kapa mākou ia he kahe koko ʻana o ka ʻōpū.

Hiki mai paha kēia kahe koko mai kahi wahi liʻiliʻi, e like me ka ʻōpū ma ka ʻōpū, a i ʻole mai kahi wahi ākea aʻe, e like me ka mumū ma ka ʻōpū nui.

Akā ʻo ka mea kupanaha, i kekahi manawa ʻaʻole mākou e ʻike i kēia kahe koko. Kāhea nā kauka i kēia he 'bleeding occult' . Akā, mai hopohopo, hiki ke ʻike maʻalahi ʻia kēia ʻano koko huna me nā hoʻāʻo ʻōpala maʻalahi.

No ke aha i nui ai ke kahe ʻana o ke koko? E nānā kākou i kekahi o nā kumu.

ʻOkoʻa nā kumu no kēia mai kekahi kanaka a i kekahi ma muli o kahi e hele ai ke koko. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono ai i kēia.

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He aha nā hōʻailona a kākou e ʻike nei?

Hiki ke loli kēia mau hōʻailona ma muli o kahi o ke kahe ʻana o ke koko a me ka wikiwiki o kona hana ʻana.

Ua haʻi ʻia ka moʻolelo me ke koko.

Hiki iā ʻoe ke loaʻa kahi manaʻo maʻamau o kahi e hele mai ai ke koko mai nā hōʻailona āu e ʻike ai.

• Koko ʻulaʻula ʻālohilohi i loko o ka ʻōpala: ʻO kēia paha ke puka mai nei mai ka rectum a i ʻole ka ʻaoʻao haʻahaʻa o ka colon. He mea maʻamau kēia i nā maʻi e like me nā hemorrhoids.
• Koko ʻulaʻula/ʻeleʻele i hui pū ʻia me ka ʻōpala: Hiki ke puka mai ke koko mai ka ʻaoʻao o luna o ka ʻōpū nui a i ʻole ka ʻāpana hope o ka ʻōpū liʻiliʻi.
• ʻEleʻele, pipili, a pilau ka lepo: He hōʻailona koʻikoʻi loa kēia. ʻO ke ʻano kēia, ke puka mai nei ke koko mai ka ʻaoʻao o luna o ke ala ʻai, e like me ka ʻōpū a me ka esophagus. Hoʻoheheʻe ʻia ke koko mai laila mai i kona hele ʻana ma o ka ʻōnaehana ʻai, kahi e lilo ai i ʻeleʻele.
• Koko ʻulaʻula ʻōlinolino me ka luaʻi ʻana: Hōʻike kēia i ke kahe koko hou mai ka esophagus a i ʻole ka ʻōpū.
• Ka luaʻi e like me ke ʻano o ka "kope kope": Hiki mai kēia ʻano ke noho ke koko i loko o ka ʻōpū no kekahi manawa a hui pū me nā waikawa o ka ʻōpū.

Akā e hoʻomanaʻo i hoʻokahi mea. ʻO kekahi mau lāʻau lapaʻau, no ka laʻana nā pila hao, a me kekahi mau meaʻai, ʻoi aku ka beetroot, hiki ke hoʻolilo i kou ʻōpala i ʻulaʻula a ʻeleʻele paha. No laila, mai hopohopo inā ʻike ʻoe i kahi loli o ke kala, akā ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka.

Nā hiʻohiʻona maʻamau ʻē aʻe

Inā pinepine ka kahe ʻana o ke koko a ma luna o ka manawa lōʻihi, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Ka luhi a me ka luhi i wehewehe ʻole ʻia
• Nāwaliwali
• helehelena keʻokeʻo
• ʻO ka anemia ke ʻano o ka emi ʻana o ke koko i loko o ke kino.

Inā loaʻa koke iā ʻoe ke kahe koko nui, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka poniuniu, ka nāwaliwali, ka paʻakikī o ka hanu ʻana, a me ka ʻeha o ka ʻōpū . He pilikia kēia, no laila he mea nui e hele koke i kahi lumi pilikia (ETU) .

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Inā he kahe koko ʻē kou e like me kēia, pono ʻoe e ʻike i ke kauka. E nānā ʻo ia iā ʻoe a nīnau iā ʻoe i kekahi mau nīnau. ʻO nā mea e like me ke ʻano o ka hele ʻana o kou ʻōpala, ke kala, a inā he ʻeha kou, hiki ke hāʻawi iā ʻoe i kahi manaʻo maʻamau no kahi e puka mai ai ke koko.

A laila, makemake paha ʻoe e hana i kekahi mau hoʻokolohua e like me kēia:

1. Hoʻāʻo Noho: E nānā no ke koko huna i loko o ka noho.

2. Hoʻāʻo Koko: E nānā e ʻike inā he anemia kou a pehea ka haʻahaʻa o kou helu koko.

3. Endoscopy: ʻO kēia ka hoʻāʻo koʻikoʻi a pololei loa. Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma o ka waha (endoscopy GI kiʻekiʻe) a i ʻole ka rectum (colonoscopy) e ʻike pono i kahi e puka mai ai ke koko. Inā pono, hiki ke lawe ʻia kahi ʻāpana ʻiʻo (biopsy) no ka hoʻokolokolo ʻana i kēia manawa. Mai hopohopo, hana pinepine ʻia kēia ma lalo o ka anesthesia, no laila ʻaʻole ʻoe e ʻeha.

I kekahi mau hihia, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe, e like me nā X-ray a me ka angiography, e hoʻohana ana i kahi hopena barium.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, hiki ke hoʻomalu pono ʻia a mālama ʻia ka hapa nui o nā hihia o ke kahe koko ʻana o ka ʻōpū. ʻO ka lāʻau āu e loaʻa ai e hilinaʻi ia i ke kumu o ke kahe ʻana o ke koko.

I nā hihia he nui , hiki ke hana ʻia ka endoscopy aʻu i ʻōlelo ai ma mua i ka manawa like me ka lāʻau lapaʻau. ʻAʻole anei he mea kupaianaha kēlā? Ma o ka endoscope, hiki i ke kauka ke:

• E hoʻokomo i ka lāʻau lapaʻau i loko o ka wahi e kahe ana ke koko.
• E puhi i ka wahi me kahi wela liʻiliʻi e hoʻōki ai i ke kahe ʻana o ke koko.
• A i ʻole e pani i ke kīʻaha koko me kahi ʻūmiʻi liʻiliʻi.

Pono paha ke ʻoki kino inā ʻaʻole hiki i kēia mau ʻano ke kāohi i ke kahe ʻana o ke koko. Ke pau ke kahe ʻana o ke koko, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e pale aku ai i ka hoʻi hou ʻana o ke ʻano.