Ke hopohopo nei ʻoe a hopohopo paha e pili ana i ke kanesa colon? Ua kuhikuhi paha kāu kauka iā ʻoe no kekahi mau hoʻokolohua. He mea maʻamau ke kaumaha ke lohe ʻoe e pili ana i nā pae o kēia kanesa, ʻoiai ʻo Stage IV. Akā, mai hopohopo. ʻAʻole kēia manaʻo ʻaʻole hiki ke mālama ʻia. ʻO ia hoʻi, e hiki i kāu kauka ke kōkua iā ʻoe e koho i ka lāʻau lapaʻau maikaʻi loa nāu. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.
I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka Pae IV, ua laha aku ke kanesa i hoʻomaka i loko o kou kolona ma mua o kēlā wahi, i nā ʻāpana ʻē aʻe o kou kino. No ka laʻana, ua laha paha nā hunaola kanesa i kou akepaʻa, nā māmā, a i ʻole nā ʻōpū ʻē aʻe. ʻO ka ʻike pono ʻana i kahi i laha ai ke kanesa hiki ke kōkua i kāu mau kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
He aha nā hōʻailona maʻamau o ka maʻi ʻaʻai kolona?
I ka manawa pinepine, ʻaʻole hōʻike ka maʻi ʻōpū i kekahi mau hōʻailona i kona mau pae mua. ʻO ia ke kumu he mea nui ka loaʻa ʻana o nā hoʻokolohua nānā maʻamau. Akā inā ʻike ʻia nā hōʻailona, hiki iā lākou ke komo pū me:
- Koko i loko o ka ʻōpala: He ʻulaʻula ʻeleʻele a ʻeleʻele paha ke kala o kēia koko.
- ʻO ka paʻa ʻana o ka ʻōpū a me ka maʻi kahe: Hiki ke hana ʻia kēia mau mea e nā maʻi olakino liʻiliʻi ʻē aʻe. Akā inā hoʻomau kēia ʻano, e ʻike pono i ke kauka.
- ʻŌpae lahilahi a like me ka penikala: ʻO ke ʻano kēia he mea e ālai ana i kou kolona. He puʻupuʻu paha ia a i ʻole kekahi mea ʻē aʻe.
- Luhi nui a me ka nāwaliwali: Inā ʻoi aku kou luhi ma mua o ka maʻamau, hiki ke kumu o ka nele i ka hao ma muli o ke kahe ʻana o ke koko mai ke kanesa.
- ʻEha ʻōpū a piha paha: Ke ālai kahi puʻupuʻu i nā ʻōpū, hiki ke paʻakikī ke hele loa i ka ʻōpala. Hiki i kēia ke hana i kahi manaʻo o ka piha i loko o ka ʻōpū.
- ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Inā nalowale koke ʻoe i 4-5 paona a ʻoi aku paha me ka hoʻololi ʻole ʻana i kāu meaʻai a i ʻole ka hana hoʻoikaika kino, he hōʻailona paha ia o ka maʻi kanesa, ʻoiai inā hele pū ʻia me nā hōʻailona ʻē aʻe.
- Ka luaʻi a me ka luaʻi ʻana: Hiki ke hana ʻia kēia ʻano inā hoʻopilikia kahi puʻupuʻu i ka ʻōpū.
ʻO ka mea nui loa, mai makaʻu ʻoe ua loaʻa iā ʻoe ka maʻi kanesa no ka mea ua loaʻa iā ʻoe kēia mau hōʻailona. Akā, mai hoʻowahāwahā iā lākou. ʻOi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka a nānā ʻia.
Pehea e ʻokoʻa ai nā hōʻailona ma muli o kahi i laha ai ke kanesa?
Ke laha ka maʻi ʻaʻai kolona i nā ʻāpana ʻē aʻe o ke kino, hiki ke ʻike ʻia nā hōʻailona hou aʻe ma muli o ke kino i pili. ʻO ka hapa pinepine, laha kēia maʻi ʻaʻai i ke akepaʻa, nā māmā, a me ka uhi o ka lua ʻōpū (peritoneum). I kekahi manawa, hiki nō hoʻi ke laha i nā iwi.
| ʻOkana i hoʻopilikia ʻia | Nā Hōʻailona Hiki |
|---|---|
| Ake Hiki i ke kanesa ke laha ma o ke kīʻaha koko mai ka ʻōpū a i ke akepaʻa. | ʻAʻohe paha he mau hōʻailona i ka wā mua. Ma hope mai, hiki i nā hōʻailona ke komo pū me ka nalowale o ka makemake, ka manaʻo piha ʻoiai ma hope o ka ʻai ʻana i kahi liʻiliʻi, ka luhi, ke kuni, ka maneʻo, ka ʻeha o ka ʻōpū, ka pehu ʻana o nā wāwae, ka emi ʻana o ke kaumaha, a me ka melemele o ka ʻili a i ʻole keʻokeʻo o nā maka (jaundice). |
| Nā māmā Hiki i nā hunaola kanesa ke hele i nā māmā ma o ke koko. | Hiki ke loaʻa nā pilikia hanu. ʻO nā hōʻailona e komo pū me ke kuʻi mau, ka ʻeha o ka umauma, ka huʻa koko, ka pōkole o ka hanu, a me ka pohō kaumaha. |
| ʻO ka Peritoneum (ka uhi o ka lua ʻōpū) Hiki i nā pūnaewele e haki ana mai ka puʻupuʻu nui ke laha i kēia membrane i loko o ka ʻōpū. | Hiki i nā hōʻailona ke komo pū me ka ʻeha o ka ʻōpū, ka nalowale o ka makemake, a me ka pohō a i ʻole ka piʻi ʻana o ke kaumaha (ma muli o ka paʻa ʻana o ka wai). |
| Nā iwi Ke laha ka maʻi ʻaʻai i nā iwi, lilo lākou i nāwaliwali. | ʻEha iwi, haki maʻalahi o ka iwi, ʻeha kua a ʻāʻī paha. Hiki i ka piʻi ʻana o ka nui o ka calcium i loko o ke koko ke kumu o ka paʻa ʻana o ka ʻōpū, ka nausea, a me ka nalowale o ka makemake. Hiki nō hoʻi ke ʻano mae a nāwaliwali paha i nā wāwae a i ʻole nā lima. |
Pehea e ʻike ʻia ai kēia maʻi kanesa? (Diagnosis)
E nīnau mua kāu kauka iā ʻoe i kekahi mau nīnau maʻamau e pili ana i kou olakino a laila e kauoha i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua.
Nā hoʻokolohua nui
- Colonoscopy: Hana ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau. Hoʻohana ʻia kahi kāmela liʻiliʻi ma kahi ʻōmole lahilahi a palupalu e nānā i loko o kou kolona holoʻokoʻa a me ka rectum. I ka lā ma mua o ka hoʻāʻo ʻana, pono ʻoe e inu i kahi wai kūikawā e hoʻomaʻemaʻe i kou kolona. E hāʻawi ʻia ʻoe i kahi mea hoʻomaha ma mua o ka hoʻāʻo ʻana i ʻole ʻoe e ʻike i kekahi ʻeha. Hiki ke hoʻopau ʻia ka hoʻāʻo ma kahi o 30 mau minuke.
- Biopsy: I ka wā o ka colonoscopy, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a hoʻouna aku no ka hoʻāʻo ʻana. Nānā ʻia kēia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. I kekahi manawa, inā manaʻo ʻia ua laha ka maʻi kanesa i nā wahi ʻē aʻe, e like me ke akepaʻa a i ʻole nā māmā, hiki ke hoʻohana ʻia kahi CT scan a i ʻole ultrasound scan e lawe i kahi laʻana ʻiʻo ma ke komo ʻana i kahi nila ma o ka ʻili.
Nā hoʻāʻo e ʻike ai inā ua pālahalaha ke kanesa
- X-ray o ka umauma: Kōkua kēia e ʻike inā ua pālahalaha ke kanesa i nā māmā.
- CT Scan (CT - Computed Tomography): Hiki i kēia ke hana i nā kiʻi ʻekolu-dimensional maopopo loa o loko o ke kino. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā ua pālahalaha ke kanesa i ke akepaʻa, nā māmā, a i ʻole nā ʻōpū ʻē aʻe.
- MRI (Magnetic Resonance Imaging): Hoʻohana kēia i nā magnet a me nā nalu lekiō e hana i nā kiʻi maopopo o nā ʻōpū i loko o ke kino. He mea nui loa kēia no ka nānā ʻana i ka laha ʻana o ke kanesa ma ka ʻōpū a me ka ʻāpana pelvic.
- Ultrasound: Hoʻohana kēia i nā nalu kani e hana i nā kiʻi o nā ʻōpū. Hiki i kēia ke kōkua i ka ʻike ʻana inā ua laha ka maʻi kanesa i ke akepaʻa a i ʻole ka ʻāpana pelvic.
Pehea e hoʻoholo ʻia ai ke kahua o ka maʻi kanesa?
E nānā kekahi kauka pathologist i ka hāpana ʻiʻo mai kāu biopsy ma lalo o kahi microscope a hoʻomākaukau i kahi hōʻike. E komo pū ana ka hōʻike me kēia mau mea:
- ʻAno kelepona: Pehea ke ʻano o nā hunaola kanesa.
- Ke ʻano o nā pūnaewele (Pae): Pehea ka ʻokoʻa o nā pūnaewele kanesa mai nā pūnaewele maʻamau a me ka wikiwiki o ko lākou māhele ʻana.
- Ka laha ʻana o ke kanesa: Inā ua pālahalaha ke kanesa i nā ʻiʻo a puni, nā lymph nodes, a i ʻole nā ʻōpū ʻē aʻe.
Hiki ke hala i hoʻokahi a ʻelua paha lā ma mua o ka hōʻea ʻana mai o ka hōʻike biopsy. E hoʻohana kāu kauka i kēia hōʻike a me nā hōʻike scan ʻē aʻe a pau e hoʻoholo ai i ke kahua o ke kanesa.
Mai makaʻu e nīnau i kāu kauka i kekahi mea āu i maopopo ʻole ai e pili ana i kāu lāʻau lapaʻau a i ʻole ke kūlana e hiki mai ana. ʻO kou kuleana ia e ʻike maopopo i nā mea āpau.
Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa nāu ma muli o ke kahua o kou maʻi ʻaʻai, nā hopena hoʻāʻo, a me kou olakino holoʻokoʻa.
Leka Lawe-Home
- ʻAʻole manaʻo ka maʻi ʻaʻai kolona pae IV ua pau nā mea a pau. ʻO ia hoʻi, ua alakaʻi ʻia kāu mau kauka e koho i nā lāʻau lapaʻau holomua loa nāu.
- Hiki ke hana ʻia nā hōʻailona i ʻōlelo ʻia ma ka ʻatikala e nā kumu ʻē aʻe. No laila, mai hopohopo me ka pono ʻole, a inā hoʻomau nā hōʻailona, e ʻike pono i ke kauka no ka nānā ʻana.
- ʻOiai inā ʻaʻohe hōʻailona, he mea nui loa ia e hana i nā hoʻokolohua nānā no ka maʻi ʻaʻai colon i ka manawa kūpono, e like me ka makahiki.
- E kamaʻilio ākea me kāu kauka e pili ana i kou kūlana a me ka lāʻau lapaʻau. Mai makaʻu e nīnau i kāu mau nīnau.
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