Ua lohe paha ʻoe i nā 'colon polyps', a i ʻole nā mea ulu liʻiliʻi e ulu ana i loko o ka ʻōpū nui? Malia paha ua haʻi aku kāu kauka iā ʻoe e pili ana iā lākou, a ua lohe paha ʻoe iā lākou ma kekahi wahi. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kēia inoa. Akā inā ʻike maoli ʻoe i kēia, hiki iā ʻoe ke pale aku i nā pilikia olakino nui. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke ʻano aloha.
He aha maoli nā polyps colon?
I ka ʻōlelo maʻalahi, he mau ulu liʻiliʻi kēia e hana ʻia ma ka ʻili o loko o ka ʻōpū nui (colon), ʻo ia kekahi o kā mākou ʻōnaehana hoʻoheheʻe. E noʻonoʻo iā lākou he mau puʻupuʻu liʻiliʻi ma ka ʻili. ʻO ka hapa nui o lākou he mea ʻino ʻole a ʻaʻole ia e hoʻopilikia. Eia nō naʻe
, hiki i kekahi mau ʻano ulu ke ulu i loko o ka maʻi ʻaʻai colon inā waiho ʻole ʻia no ka manawa lōʻihi. ʻO ia ke kumu e ʻōlelo ai nā kauka e wehe i kēia mau puʻupuʻu i ka wā e ʻike ʻia ai.
He mea maʻamau loa ia a ua manaʻoʻiʻo ʻia ma waena o 15% a me 40% o nā pākeke e loaʻa iā lākou. ʻOi aku ka kiʻekiʻe o ka pilikia i ka poʻe ma luna o 50 mau makahiki a me nā kāne.
No ke aha e hana ʻia ai kēia mau mea? ʻO wai ka mea i ʻoi aku ka pilikia?
ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia mau puʻupuʻu e nā loli (nā mutations) i loko o nā genes i loko o kā mākou mau cell. Akā, ʻaʻole maopopo i nā kauka ke kumu o kēia mau loli. ʻOiai hiki i kekahi ke loaʻa iā lākou, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā inā pili kēia mau ʻoiaʻiʻo iā ʻoe:
- Inā ua loaʻa mua kekahi o ka ʻohana i nā ʻōpū colon a i ʻole ke kanesa .
- Inā he 50 ou mau makahiki a ʻoi paha .
- Inā ʻoe he momona loa ( BMI ma mua o 25) a momona paha (BMI ma mua o 30).
- Inā ʻoe e puhipaka ana .
- Inā ʻoe e inu waiʻona (ʻoi aku ka nui o ka waiʻona i kēlā me kēia lā).
- Inā ua maʻa ʻoe i ka papaʻai kiʻekiʻe i ka momona a haʻahaʻa i ka fiber .
- Inā ua loaʻa iā ʻoe kahi puʻupuʻu e like me kēia a i ʻole ke kanesa colon.
- Inā loaʻa iā ʻoe kahi maʻi ʻōpū mumū e like me ka Ulcerative Colitis a i ʻole ka maʻi a Crohn.
- Inā loaʻa iā ʻoe ka maʻi diabetes type 2 i kaohi maikaʻi ʻole ʻia.
- Hoʻoikaika kino emi ihoInā ʻoe e ola i kahi nohona.
Eia kekahi, hiki i kekahi mau maʻi hoʻoilina kakaikahi ke hoʻonui i ka pilikia o kēia mau ʻōpū a me nā maʻi ʻaʻai. No ka laʻana, nā maʻi e like me `(Familial Adenomatous Polyposis - FAP)` a me `(Lynch syndrome)`. Inā he moʻolelo ʻohana kou no kēia, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i ia mea.
Ke hoʻopilikia nei ka meaʻai a me ka mea inu iā ia?
ʻAe, aia kekahi hopena. Ua hōʻike ʻia nā haʻawina e hiki i ka hoʻēmi ʻana i nā meaʻai e like me kēia ke hōʻemi i ka pilikia:
- Nā ʻiʻo i hana ʻia - e like me nā sausage a me ka bacon.
- ʻO nā ʻiʻo ʻulaʻula - e like me ka pipi a me ka puaʻa.
- Nā meaʻai ʻaila - nā meaʻai i palai hohonu ʻia.
Aia kekahi mau ʻano like ʻole o kēia mau nati?
ʻAe, ʻaʻole like nā ʻōpū āpau. ʻAʻole nā ʻōpū āpau he maʻi kanesa. Hoʻokaʻawale nā kauka iā lākou ma ka nānā ʻana iā lākou ma lalo o kahi microscope. E nānā koke kākou i nā ʻano nui.
| ʻAno Polyp | Ka wehewehe a me ke koʻikoʻi |
|---|
| Nā polyp adenomatous | ʻO kēia ke ʻano maʻamau (ma kahi o 70%). Hoʻomaka ka hapa nui o nā maʻi ʻaʻai kolona mai kēia ʻano puʻupuʻu. Akā, he mau makahiki ka lōʻihi e ulu ai i loko o ke kanesa. Aia kekahi mau ʻano like ʻole o kēia, ma muli o ko lākou ʻano. |
| Nā polyp serrated | Loaʻa kēia inoa mai ka ʻoiaʻiʻo ua like nā kihi o kēia mau ʻeha me nā niho o ka ʻoki. Hiki i kekahi o kēia mau ʻano ʻeha ke lilo i maʻi kanesa. Ua manaʻo ʻia kēia he kūlana precancerous. |
| Nā polyps hyperplastic | He liʻiliʻi kēia mau mea a he haʻahaʻa loa ka pilikia o ka lilo ʻana i maʻi kanesa. No laila, ʻaʻohe mea e hopohopo ai. |
| Nā polyps mumū | ʻAʻole kēia he mau puʻupuʻu maoli. Hoʻokumu ʻia lākou ma muli o ka mumū lōʻihi ma ka kolona. ʻAʻole lākou e lilo i ka maʻi kanesa. |
Pehea ke ʻano o kēia mau nati?
Hiki i ke kauka ke loaʻa i kekahi manaʻo no ke koʻikoʻi o kēia mau puʻupuʻu ma muli o ko lākou helehelena, ka nui, a me ke ʻano.
- Ka nui: Ma keʻano laulā, ʻo ka nui o ka puʻupuʻu , ʻo ka kiʻekiʻe o ka pilikia o ka lilo ʻana i maʻi ʻaʻai.
- ʻAno: He noho mālie kekahi, pili i ka paia o ka ʻōpū. He pedunculated kekahi. He maʻalahi ka wehe ʻana i kēia ʻano puʻupuʻu.
He aha nā hōʻailona?
Eia ka mea nui.
ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā polyps colon i kekahi mau hōʻailona! ʻAʻole paha ʻoe e ʻike he loaʻa iā ʻoe. E ʻike ʻoe ke hana ʻia kahi hoʻāʻo no kekahi kumu ʻē aʻe. Eia nō naʻe, i kekahi manawa e ʻike paha ʻoe i nā hōʻailona e like me kēia:
- Koko i loko o ka ʻōpala: Inā ʻike ʻoe i nā ʻōpala koko i loko o ka lua a inā he koko ma ka pepa lua, he hōʻailona paha ia o ke kahe ʻana o ke koko i loko o nā ʻōpū.
- Hoʻololi i ke kala o ka noho: Inā ʻeleʻele ka noho a he ʻulaʻula paha nā kaha, hiki ke loaʻa ke koko.
- Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe e mau ana ma mua o hoʻokahi pule.
- ʻEha a ʻeha paha ka ʻōpū.
- Luhi a me ka luhi nui: I ka wā e kahe mālie ai ke koko o nā cysts, hiki ke ulu ka anemia deficiency hao , e alakaʻi ana i nā hōʻailona e like me kēia.
He mea nui: Inā loaʻa iā ʻoe kēia hōʻailona, ʻaʻole ia he manaʻo he puʻupuʻu kolona kou. Aia paha kekahi mau kumu maʻalahi aʻe, e like me nā hemorrhoids. Akā he mea nui e ʻike koke i kāu kauka e ʻike pono i ke kumu. Mai hōʻalo iā ia.
Pehea e ʻike ʻia ai a mālama ʻia ai kēia mau mea?
ʻO ka ʻike mua ʻana i kēia mau puʻupuʻu ke ala maikaʻi loa e pale aku ai i ka maʻi kanesa. Aia kekahi mau ʻano nānā no kēia.
| Hoʻāʻo | I ka ʻōlelo maʻalahi... |
|---|
| Kolonoskopi | ʻO kēia ke "Kūlana Gula".E hoʻomaʻemaʻe ʻia ʻoe a e nānā ʻia kou kolona holoʻokoʻa me ka hoʻohana ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia. Inā loaʻa kekahi mau puʻupuʻu, hiki ke wehe koke ʻia. A laila e hoʻouna ʻia lākou no kahi biopsy e nānā i nā hunaola kanesa. |
| ʻO ka Colonoscopy Virtual (CT Colonography) | Hana ʻia kēia me ka hoʻohana ʻana i ka ʻenehana CT scan. ʻAʻohe paipu i hoʻokomo ʻia i loko o ke kino. Eia naʻe, ʻaʻole hiki iā ia ke wehe i nā puʻupuʻu. Inā he mau puʻupuʻu, pono e hana ʻia kahi colonoscopy e wehe iā lākou. |
| Sigmoidoscopy (Sigmoidoscopy maʻalahi) | Ua like kēia me ka colonoscopy, akā ʻo ka ʻāpana haʻahaʻa wale nō o ke kolona i nānā ʻia. |
| Nā Hoʻāʻo Noho | Nā hoʻokolohua e nānā ana i nā koko liʻiliʻi i loko o ka ʻōpala (FIT/FOBT). Inā maikaʻi kēia mau mea, pono maoli ka colonoscopy. |
ʻO ka lāʻau lapaʻau, ʻo ia ka wehe ʻana i ka polyp (polypectomy). Hiki ke hana pinepine ʻia kēia i ka wā o ka colonoscopy, a ʻaʻohe ʻeha. Ke wehe loa ʻia kahi polyp, ʻaʻole ia e hoʻi hou mai. Eia nō naʻe,
he mea nui e hana i nā nānā mau e like me ka ʻōlelo a kāu kauka (e laʻa me kēlā me kēia 3-5 mau makahiki), no ka mea, hiki ke ulu mai nā polyp hou. He aha ka mea hiki ke hana ʻia e pale aku ai?
ʻOiai ʻaʻole hiki iā mākou ke hoʻololi i nā kumu genetic, hiki iā mākou ke hōʻemi i ka pilikia me ke ola kino olakino.
- E ʻai i ka ʻai momona i nā huaʻai, nā mea kanu, a me nā meaʻai fibrous (nā pī, nā lentil, nā chickpeas) .
- Inā ʻoe he momona loa, e hoʻāʻo e hoʻemi i ke kaumaha .
- E hoʻēmi i ka ʻiʻo ʻulaʻula, ka ʻiʻo i hana ʻia, a me nā mea momona.
- E hoʻoikaika kino i nā manawa a pau.
- E pale i ka puhi paka a me ka inu nui ʻana i ka waiʻona.
- E kamaʻilio me kāu kauka e hōʻoia i ka loaʻa ʻana o ka calcium a me ka wikamina D.
- Inā ʻoi aku ʻoe ma mua o 50, a i ʻole he moʻolelo ʻohana no ka pilikia, e kamaʻilio me kāu kauka e pili ana i ka nānā ʻana.
Leka Lawe-Home
- ʻAʻole nā polyp colon kahi mea e makaʻu ai e like me kāu e manaʻo ai, akā ʻaʻole lākou he mea e hoʻowahāwahā ʻia.
- ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona, no laila he mea nui ka nānā ʻana i kou wā ʻelemakule.
- Hiki ke ʻike koke ʻia a wehe ʻia kēia mau mea me kahi colonoscopy.
- Hiki i nā hoʻololi maʻalahi o ke ʻano o ka nohona ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia mau mea.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona kānalua, e like me ke koko i loko o kou noho, mai hopohopo a e ʻike koke i kāu kauka.
Nā polyp o ka kolona, colonoscopy, koko i loko o ka ʻōpala, ʻeha o ka ʻōpū, maʻi ʻaʻai kolona
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