Ua lohe paha ʻoe i kahi hoahānau a hoaaloha paha e ʻōlelo ana, "He puʻupuʻu liʻiliʻi koʻu ma kuʻu kolona?" A i ʻole ua haʻi aku kekahi kauka iā ʻoe e pili ana i kekahi mea e like me ia? Ke lohe mākou i nā huaʻōlelo "colon polyps," nui ka poʻe o mākou e noʻonoʻo nei i ka maʻi kanesa. Akā, he maʻi kanesa maoli anei kēia mau puʻupuʻu a pau? No ke aha lākou e hana ai? Pono anei mākou e makaʻu iā lākou? ʻAe, i kēia lā e loaʻa iā mākou nā pane i nā nīnau a pau āu e pili ana i kēia. Mai hopohopo, e wehewehe wau iā ʻoe ma ke ʻano maʻalahi loa.
I ka ʻōlelo maʻalahi, he aha kēia mau polyp colon?
E noʻonoʻo i ko kākou kolona e like me kahi ʻōmole lōʻihi. ʻO nā ulu liʻiliʻi a ʻiʻo e ulu ana ma ka ʻili o kēia ʻōmole ua kapa ʻia ʻo "Colon Polyps." ʻO ka pololei, he mau ulu ʻano ʻē kēia o nā ʻāpana i ulu pū.
Hiki i kēia ke hele mai i nā ʻano like ʻole. Ua like kekahi me nā pōpō liʻiliʻi o ka wax, me ke " poʻo " a me ke "ʻōpuʻu." Kāhea nā kauka i kēia mau mea he "pedunculated." ʻO kekahi he pālahalaha, i hāpai ʻia e like me ka puʻu, me ka ʻole o ke ʻōpuʻu. Ua kapa ʻia lākou he "sessile."
ʻO ka mea nui, ʻo ka loaʻa ʻana o kahi puʻupuʻu i loko o kou kolona ʻaʻole ia he manaʻo he maʻi kanesa kou. ʻO ka hapa nui o kēia mau mea he mau puʻupuʻu ʻino ʻole, ʻino ʻole. Eia nō naʻe, ʻo kekahi mau ʻano puʻupuʻu, inā ʻaʻole mālama ʻia no ka manawa lōʻihi, he liʻiliʻi ka manawa e lilo ai i maʻi kanesa. ʻO ia ke kumu e hana ai nā kauka i kahi colonoscopy e nānā i kēia mau puʻupuʻu. E hoʻomanaʻo, hoʻomaka ka aneane o nā maʻi kanesa kolona me kahi puʻupuʻu liʻiliʻi. No laila, inā mākou e wehe i ka puʻupuʻu i ka wā mua, hiki iā mākou ke pale i ka ulu ʻana o ke kanesa.
Aia kekahi mau ʻano like ʻole o kēia mau nati?
ʻAe, ua hoʻokaʻawale ʻia kēia mau puʻupuʻu ma nā ʻano like ʻole. ʻO ka hoʻokaʻawale koʻikoʻi loa, ʻo ia ka mea e lilo paha ka puʻupuʻu i maʻi kanesa a i ʻole. Hoʻoholo ʻia kēia e ke kauka ma hope o ka nānā ʻana i ka puʻupuʻu i wehe ʻia ma lalo o kahi microscope.
| ʻAno Polyp | He aha ke ʻano o kēia? (He aha ke ʻano o kēia?) |
|---|---|
| Nā ʻano e hiki ke lilo i ka maʻi kanesa (Neoplastic Polyps) | |
| Nā Polyps Adenomatous | ʻO kēia nā ʻano puʻupuʻu maʻamau. Ma kahi o 75% o nā maʻi ʻaʻai colon e hoʻomaka me kēia ʻano puʻupuʻu. No laila, inā ʻike ʻoe i kēia mau mea, ua wehe ʻia loa lākou. |
| Nā Polyps Serrated | Loaʻa i kēia ʻano ka pilikia o ka maʻi kanesa, ʻoiai nā ʻano ʻelua i kapa ʻia ʻo "Sessile serrated lesions" a me "Traditional serrated adenomas". |
| Nā ʻano i lilo ʻole i ka maʻi kanesa (Non-neoplastic Polyps) | |
| Nā Polyps Hyperplastic | He liʻiliʻi pinepine kēia mau mea a ʻaʻole ia he pilikia o ka maʻi kanesa. |
| Nā Polyps mumū | ʻAʻole kēia he mau puʻupuʻu maoli. Ua like lākou me nā ʻeha i waiho ʻia ma hope o ka ho'ōla ʻana o kahi ʻōpū. ʻAʻole lākou e lilo i maʻi kanesa. |
| Nā Hamartomas | ʻAʻole kēia he ʻano maʻi kanesa. |
ʻO ka mea nui loa, ʻo kāu kauka wale nō ke haʻi pololei iā ʻoe i ke ʻano o ka puʻupuʻu āu e loaʻa nei a pehea kona weliweli. No laila, mai hopohopo e pili ana i ke kuhi ʻana.
Pehea ka maʻamau o ka ulu ʻana o kēia mau puʻupuʻu?
ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. ʻOi aku hoʻi i kou wā ʻelemakule. E noʻonoʻo wale, ma kahi o 20% o nā pākeke, a i ʻole ma kahi o 1 i loko o 5 mau kānaka, e loaʻa paha kēia mau mea. Hoʻonui hou ʻia kēia pilikia ma hope o 50 mau makahiki. Ma kahi o 40% o ka poʻe o ia makahiki, a i ʻole ma kahi o 40 mai loko mai o 100, e loaʻa paha kēia mau puʻupuʻu.
Akā, mai hopohopo. E like me kaʻu i ʻōlelo ai ma mua, he hapa liʻiliʻi loa o kēia mau puʻupuʻu e lilo i ka maʻi kanesa. A he manawa lōʻihi loa kēlā. ʻO ka maʻamau ma kahi o 10 a 20 mau makahiki. ʻO ka mea wale nō a mākou e hana ai me nā hoʻokolohua "(Colonoscopy)" ʻo ia ka loaʻa a me ka wehe ʻana i kēia mau puʻupuʻu i loko o ia manawa, e pale ana i ka ulu ʻana o ka maʻi kanesa.
Pehea e ʻike ai inā loaʻa iaʻu kēia mau mea? He aha nā hōʻailona?
ʻO kēia ka mea weliweli loa a koʻikoʻi hoʻi e pili ana i kēia. ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike kēia mau puʻupuʻu i kekahi mau hōʻailona. ʻAe, ʻaʻole paha ʻoe e ʻike i kekahi ʻokoʻa a ʻoluʻolu ʻole paha. I ka manawa e hoʻomaka ai nā hōʻailona e ʻike ʻia, ua lilo paha ka puʻupuʻu i maʻi kanesa. ʻO ia ke kumu he mea nui e nānā mua ʻia, me ka kali ʻole i ka ʻike ʻia ʻana o nā hōʻailona.
Eia nō naʻe, he mea kākaʻikahi loa, e ʻike ʻia kekahi mau hōʻailona. ʻO lākou kēia:
- Koko i loko o ka ʻōpala: E ʻike paha ʻoe i ke koko i loko o kou ʻōpala ke hele ʻoe i ka lua, a i ʻole e ʻike paha ʻoe i ke koko ma ka pepa lua. I kekahi manawa, ʻaʻole ʻike ʻia kēia kahe koko i ka maka ʻōlohelohe. Akā ke hoʻomau nei ʻoe i ka nalowale ʻana o ke koko, hiki iā ʻoe ke loaʻa i ka anemia nele i ka hao . A laila e luhi mau paha ʻoe, mae, a mae.
- Ka loli ʻana o nā ʻano hana ʻōpū: Hiki iā ʻoe ke loaʻa koke i ka paʻa mau ʻana o ka paʻa ʻana a i ʻole ka maʻi diarrhea me ke kumu ʻole. Hiki paha iā ʻoe ke ʻike i ka nui o ka mucus i loko o kou ʻōpala ma mua o ka wā ma mua.
Hiki ke hana ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe he nui. No laila, mai hopohopo ke ʻike ʻoe iā lākou. Akā inā ʻike ʻoe i kahi mea e like me kēia, e ʻike pono i ke kauka a haʻi iā ia e pili ana i ia mea.
No ke aha i hoʻokumu ʻia ai kēia mau puʻupuʻu? He aha nā kumu pilikia?
ʻO ke kumu nui o kēia, ʻo ia nā loli i loko o kā mākou mau genes (Genetic mutations). I ka ʻōlelo maʻalahi, ke hoʻohou mau ʻia nei nā pūnaewele e uhi ana i ko mākou ʻōpū. Ke māhelehele kēia mau pūnaewele a hana i nā mea hou, i kekahi manawa hana ʻia nā hewa liʻiliʻi. ʻO nā pūnaewele maʻamau ʻole i hana ʻia ma muli o kēlā mau hewa ka mea e ulu ana i loko o kēia mau puʻupuʻu.
Aia kekahi mau kumu e hoʻonui ai i kēia pilikia. E nānā kākou iā lākou ma kahi papa.
| Kumu Hoʻopilikia | He wehewehe maʻalahi |
|---|---|
| Nā Kumu i Kāohi ʻole ʻia | |
| Ka ʻelemakule ʻana | Hoʻonui nui ʻia ka pilikia ma hope o 50 mau makahiki. |
| Moʻolelo ʻohana | Inā ua loaʻa i kou makuahine, makuakāne, a i ʻole nā hoahānau kēia mau ʻōpū a i ʻole ka maʻi ʻaʻai kolona, ua ʻoi aku kou pilikia. |
| Nā kūlana hoʻoilina | ʻO kekahi mau maʻi hoʻoilina laha ʻole, e like me ka "Familial adenomatous polyposis (FAP)," hiki ke hana i nā haneli o nā polyp e hana i loko o ka kolona. |
| Nā Kumu Ola Kino i Hoʻokele ʻia | |
| ʻAi | ʻAi nui ʻana i ka ʻaila, ka momona, a me ka ʻiʻo ʻulaʻula (pipi, puaʻa) a me ka liʻiliʻi o ka fiber (nā legumes, nā mea kanu, nā huaʻai). |
| Puhi paka a me ka waiʻona | Hoʻonui nui kēia mau mea ʻelua i ka pilikia o nā ʻōpū colon a me ke kanesa. |
| Ka nele i ka hoʻoikaika kino a me ka momona | ʻO ka emi ʻana o ka hana kino a me ka piʻi ʻana o ke kaumaha kekahi mau mea nui e pilikia ai. |
| Nā kūlana olakino ʻē aʻe | ʻO ka poʻe me ka maʻi diabetes a me ka maʻi ʻōpū mumū ua piʻi aʻe ka pilikia. |
Pehea e ʻike ai ke kauka a mālama i kēia mau mea?
ʻO ke ala maikaʻi loa a pololei hoʻi e ʻike ai i kēia mau ʻōpū ma o ka colonoscopy .
He aha ka hoʻāʻo colonoscopy?
He nui ka poʻe e ʻike nei he mea weliweli a ʻoluʻolu ʻole kēia hoʻokolohua. Akā, ʻaʻole ia he mea weliweli e like me kou manaʻo. Pili ia i ka hāʻawi ʻana iā ʻoe i ka anesthesia (e like me ka hiamoe māmā), ke hoʻokomo ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma kou anus, a me ka nānā ʻana i loko o kou colon holoʻokoʻa.
ʻO ka pōmaikaʻi nui o kēia hoʻokolohua,Inā ʻike ke kauka i kahi polyp, hiki iā ia ke hoʻokomo i kahi mea liʻiliʻi ma o ka ʻōmole a ʻoki a wehe iā ia i ka wā e hana ana i ka hoʻāʻo. Ua kapa ʻia kēia he "Polypectomy". ʻO ke ʻano kēia, hiki ke hana ʻia ka ʻike a me ka mālama ʻana i ka manawa like.
A laila hoʻouna ʻia ka puʻupuʻu i wehe ʻia no ka "biopsy." ʻO ia hoʻi ke nānā ʻana iā ia ma lalo o kahi microscope e hoʻoholo pono ai i ke ʻano o ka puʻupuʻu a inā paha he mau hunaola kanesa kona.
Aia kekahi mau hoʻokolohua ʻē aʻe?
ʻAe, aia nā hoʻokolohua e nānā ai i ke koko huna i loko o ka ʻōpala, e like me `(Nā hoʻāʻo ʻōpala)` a me `(Virtual colonoscopy)`, a me `(CT scan)`. Akā inā manaʻo kekahi o kēia mau ʻano he puʻupuʻu, pono ʻoe e hana i kahi `(Colonoscopy)` e wehe iā ia.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka wehe ʻia ʻana o kāu mau cysts, e hoʻoholo kāu kauka i ka wā e hana ʻia ai kāu colonoscopy aʻe ma muli o nā hopena biopsy. Hiki ke hana ʻia i loko o hoʻokahi makahiki, 3, 5, a i ʻole 10 mau makahiki. Aia ia i ka helu, ke ʻano, ka nui, a me nā mea pilikia ʻē aʻe o nā cysts āu.
Hiki iā mākou ke pale aku i ka hoʻokumu ʻia ʻana o kēia mau puʻupuʻu?
ʻAʻole hiki iā mākou ke hoʻololi i nā mea e like me nā kumu hoʻoilina a me ka ʻelemakule, akā hiki iā mākou ke hōʻemi i kēia pilikia ma ka hoʻololi ʻana i ko mākou nohona.
- ʻAi maikaʻi: E hoʻokomo i nā greens waiwai i ka fiber, nā mea kanu, nā huaʻai, a me nā palaoa piha i kāu papaʻai. E kāohi i ka ʻaila, ka momona, ke kō, a me ka ʻiʻo ʻulaʻula.
- Hoʻoikaika Kino: E hana ma ka liʻiliʻi he 30 mau minuke o ka hoʻoikaika kino e hoʻoulu ai i ka hou i ka lā. He mea maikaʻi nō hoʻi ka hele wāwae.
- E mālama i ke kaumaha olakino.
- E hoʻōki loa i ka puhipaka a me ka waiʻona. E pale aku kēia iā ʻoe mai ka maʻi ʻaʻai colon wale nō, akā, mai nā maʻi ʻē aʻe he nui pū kekahi.
Mai hoʻopaneʻe i ka colonoscopy ma muli o ka makaʻu a i ʻole ke kānalua. Hiki iā ia ke hoʻopakele i kou ola. ʻO ka loaʻa ʻana o kahi puʻupuʻu a me ka wehe ʻana iā ia, ʻo ia hoʻi ua hoʻopau ʻoe i kahi mea i hoʻopilikia paha iā ʻoe.
Leka Lawe-Home
- ʻOi aku ka maʻamau o nā polyp colon ma mua o kou manaʻo, ʻoiai ke ulu aʻe ʻoe. ʻAʻole ka hapa nui o kēia mau mea he maʻi kanesa.
- ʻAʻole hōʻike pinepine kēia mau puʻupuʻu i kekahi mau hōʻailona, no laila he mea nui loa ka nānā ʻana i ka makahiki kūpono.
- ʻO Colonoscopy ke ala maikaʻi loa e ʻike ai i kēia mau ʻōpū a wehe koke iā lākou .
- Inā he koko kou i loko o kou noho a i ʻole kahi loli koke i kou mau ʻano ʻōpū, mai hopohopo a ʻike i kāu kauka.
- Hiki iā ʻoe ke hōʻemi i kou pilikia ma o ke ola ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka a me ka waiʻona).
- Mai poina i kāu mau hoʻokolohua maʻamau, e like me ka ʻōlelo a kāu kauka. ʻO ia ke ala maikaʻi loa e pale aku ai iā ʻoe iho.
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