He mau polyp colon kāu? Mai hopohopo, e kamaʻilio kākou e pili ana!

Ua lohe paha ʻoe i nā 'colon polyps'? Ua ʻōlelo paha kāu kauka iā lākou, a ua ʻōlelo paha lākou e hoʻāʻo ʻia ʻoe. Nui ka poʻe e makaʻu iki i ka lohe ʻana i ka inoa, no ka mea, ua lohe lākou he hiki ke lilo i maʻi kanesa. Akā he aha lākou maoli? He mea weliweli anei nā polyps a pau? E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo e hoʻomaopopo i nā nīnau āu e pili ana iā lākou.

He aha kēia mau polyp o ka colon?

I ka ʻōlelo maʻalahi, he mau ulu liʻiliʻi kēia, nā mea ulu keu e hana ʻia ma ka paia o loko o kou kolona a i ʻole ka rectum. E noʻonoʻo iā lākou he mau puʻupuʻu liʻiliʻi ma kou ʻili. ʻO ka hapa nui o kēia mau mea he mau ulu ʻino ʻole, maikaʻi ʻole .

Eia nō naʻe, hiki i kekahi ʻano puʻupuʻu ke lilo i maʻi kanesa inā waiho ʻole ʻia no ka manawa lōʻihi. ʻO ia ke kumu e ʻōlelo aku ai nā kauka e wehe iā lākou i ka wā e ʻike ai ʻoe iā lākou. ʻO ka mea nui, ma waena o 15% a me 40% o nā pākeke e loaʻa paha kēia ʻano puʻupuʻu. ʻO ke ʻano kēia, ʻaʻole ia he mea maʻamau e like me kou manaʻo. ʻO ka poʻe ma luna o 50 mau makahiki a me nā kāne ka mea nui e loaʻa iā lākou.

No ke aha e hana ʻia ai kēia mau mea? He aha nā kumu pilikia?

Hoʻokumu pinepine ʻia kēia mau puʻupuʻu e kekahi mau loli (nā mutations) i loko o nā genes o kā mākou mau cell ʻōpū. ʻOiai ʻaʻole hiki ke ʻōlelo pololei i ke kumu o kēia mau loli, hiki i kekahi mau mea ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia mau puʻupuʻu.

Hiki i kekahi ke hoʻomohala i kēia mau mea, akā ʻoi aku ka nui o ka pilikia inā loaʻa iā ʻoe nā kūlana penei:

Eia kekahi, hiki i kekahi mau maʻi hoʻoilina kakaikahi ke hoʻonui i kēia pilikia. No ka laʻana, ʻo kahi maʻi i kapa ʻia ʻo 'Familial Adenomatous Polyposis (FAP)' hiki ke hana i nā haneli a i ʻole nā ​​​​tausani o nā polyps e ulu i ka wā ʻōpiopio. ʻO 'Lynch Syndrome' kekahi maʻi hoʻoilina. Inā he moʻolelo ko kou ʻohana no kēia, he mea nui e kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo genetic a me ka nānā mua ʻana.

Aia kekahi mau ʻano puʻupuʻu ʻōpū?

ʻAe, ʻaʻole like nā puʻupuʻu āpau. Hoʻokaʻawale nā ​​​​kauka iā lākou ma muli o ke ʻano o ko lākou ʻano ma lalo o kahi microscope. ʻOi aku ka nui o ka lilo ʻana o kekahi mau ʻano i ka maʻi kanesa, aʻo kekahi ʻaʻole.

• Nā polyp adenomatous / Adenomas: Ma kahi o 70% o nā polyp colon o kēia ʻano. Hoʻomaka ka hapa nui o nā maʻi ʻaʻai colon me kēia ʻano polyp . Eia nō naʻe, he mau makahiki ka lōʻihi no kēia ʻano polyp e lilo ai i maʻi ʻaʻai. No laila he mea nui e ʻike a wehe iā ia i ka wā mua.
• Nā polyps serrated: Ua kapa ʻia kēia mau mea no ka mea ua like ko lākou mau lihi me nā niho o ka ʻoki. Aia kekahi mau ʻano like ʻole o kēia ʻano e hiki ke lilo i maʻi kanesa.
• Nā polyps hyperplastic: ʻAʻole paha e lilo kēia i maʻi kanesa.
• Nā polyps mumū: ʻAʻole kēia he mau polyps maoli. Hoʻokumu ʻia lākou ma muli o nā maʻi lōʻihi a i ʻole ka mumū ʻana i loko o ka colon. ʻAʻole lākou he maʻi kanesa.

He aha nā hōʻailona o kēia?

Eia ka mea e kāhāhā ai i nā poʻe he nui: ʻAʻohe hōʻailona o ka hapa nui o nā puʻupuʻu colon. ʻAʻole paha ʻoe e ʻike he hoʻokahi kāu. ʻO ka hapa nui, ʻike ʻia lākou i ka wā o kahi hoʻokolohua i hana ʻia no kekahi kumu ʻē aʻe.

Eia nō naʻe, i kekahi manawa, ʻoiai inā nui iki nā cysts, e ʻike ʻia nā hōʻailona penei:

• Koko i loko o ka noho: Nā mea e like me ka ʻike ʻana i nā ʻōpala koko i loko o ka lua, ke koko ma ka pepa lua.
• Ka loli ʻana o ke kala o ka ʻōpala: ʻeleʻele a ʻulaʻula paha nā kaha o ka ʻōpala (hōʻike kēia ua hui pū ʻia ke koko).
• Ka loli ʻana i ka hana o ka ʻōpū: ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi palahēhē e mau ana ma mua o hoʻokahi pule.
• ʻEha a ʻeha paha ka ʻōpū: I kekahi manawa hiki i kahi puʻupuʻu nui ke hana i ka pale ʻana o ka ʻōpū a hoʻoulu i ka ʻeha o ka ʻōpū.
• Luhi a me ka luhi nui: Hana ʻia kēia ma muli o ke kahe mau ʻana o ke koko mai nā cysts e hoʻopau ai i ka hao i loko o ke kino, e alakaʻi ana i ka anemia.

He mea nui loa: Mai makaʻu e manaʻo he puʻupuʻu colon a maʻi ʻaʻai paha kou no ka mea he mau hōʻailona kēia. Hiki ke hana ʻia kēia mau hōʻailona e nā kumu maʻalahi ʻē aʻe, e like me nā hemorrhoids. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​mai hoʻowahāwahā iā lākou a e ʻike pono i kāu kauka no ka ʻōlelo aʻo.

Pehea e ʻike ʻia ai a mālama ʻia ai kēia mau mea?

ʻO ke ala maikaʻi loa e pale aku ai i ka maʻi ʻaʻai kolona, ​​ʻo ia ka ʻike ʻana a me ka wehe ʻana i kēia mau puʻupuʻu i ka wā mua. Aia kekahi mau ʻano nānā no kēia.

• Colonoscopy: ʻO kēia ke ʻano maʻamau a pololei loa. Ma kēia, hāʻawi ʻia ʻoe i kahi anesthetic (no laila ʻaʻole ʻoe e manaʻo i kekahi mea), a ua hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma kou anus e nānā i kou ʻōpū nui holoʻokoʻa.
• ʻO ka ʻāpana maikaʻi loa: I loko o kēia hoʻāʻo ʻana, hiki i ke kauka ke wehe i nā polyp i loaʻa (polypectomy) . A laila hoʻouna ʻia nā polyp i ka lab e hoʻāʻo ʻia no nā cell cancer.
• Nā hoʻokolohua ʻē aʻe: ʻOiai aia nā ʻano hana e like me ka `CT Colonography` (virtual colonoscopy) a me nā hoʻokolohua ʻōpala, inā kānalua ʻia kahi puʻupuʻu, pono e hana ʻia kahi colonoscopy e hōʻoia a wehe iā ia.

Ke wehe ʻia kahi puʻupuʻu, ʻaʻole ia e hoʻi hou mai. Eia nō naʻe, i ka wā e loaʻa ai i ke kanaka kahi puʻupuʻu, aia ma kahi o 30% ka manawa e ulu ai kahi puʻupuʻu hou ma kahi ʻē aʻe.No laila, e ʻōlelo pinepine kāu kauka e hoʻāʻo hou ʻia ʻoe i loko o 3-5 mau makahiki. He mea nui loa ia e hahai i kēlā mau kuhikuhi.

Hiki ke pale ʻia kēia mau mea mai ka hana ʻana?

ʻOiai ʻaʻole hiki iā mākou ke hoʻololi i nā kumu genetic, hiki iā mākou ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia mau ʻōpū ma ka hoʻololi ʻana i ko mākou nohona.

• ʻAi maikaʻi: E ʻai i nā huaʻai, nā mea kanu, a me nā meaʻai waiwai i ka fiber (nā pī, nā lentil, nā chickpeas, ka laiki ʻeleʻele).
• Kaohi kaumaha: Inā ʻoe he momona loa, e hoʻāʻo e hoʻēmi i ke kaumaha.
• Nā mea e kaupalena ai: E kaupalena i ka ʻiʻo ʻulaʻula, nā ʻiʻo i hoʻōla ʻia (e like me nā sausage, bacon), a me nā mea momona.
• Puhi paka a me ka waiʻona: ʻOi aku ka maikaʻi o ka hoʻōki loa ʻana i kēia mau ʻano.
• Hoʻoikaika Kino: E hoʻoikaika kino me ka ikaika ma ka liʻiliʻi he mau lā o ka pule.
• E kamaʻilio me kāu kauka: E nīnau i kāu kauka inā kūpono ka lawe ʻana i nā lāʻau lapaʻau e like me ka calcium, ka wikamina D, a i ʻole ka aspirin iā ʻoe, ma muli o kou mōʻaukala ʻohana. Mai hoʻohana i nā lāʻau lapaʻau no ka wā lōʻihi me ka ʻole o ke aʻo ʻana mai ke kauka.