Ke makaʻu nei ʻoe i ka colonoscopy? E kamaʻilio maʻalahi kākou e pili ana i kēia.

Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi colonoscopy? Ua manaʻo paha ʻoe i kahi makaʻu a me ka hopohopo i kāna ʻōlelo ʻana i kēlā. He mea maʻamau ka noʻonoʻo ʻana i nā mea e like me, "He aha kēia? E ʻeha anei? ʻAʻole au i ʻike i ka mea e hana ai." Akā, ʻaʻohe mea e makaʻu ai kēia. He hoʻāʻo koʻikoʻi loa kēia no kou olakino, ʻoiai e pale aku iā ʻoe mai nā maʻi koʻikoʻi e like me ke kanesa colon. I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.

I ka ʻōlelo maʻalahi, he aha ka colonoscopy?

E noʻonoʻo e makemake ana ke kauka e ʻike i kahi mea i loko o kou kino āu e ʻike ʻole ai mai waho. ʻO ia wale nō ka colonoscopy. Nānā ia i loko o kou ʻōpū nui , ʻo ia hoʻi ka ʻōpū nui a me kona rectum a me ka anus i pili.

Hana ʻia kēia me ka hoʻohana ʻana i kahi ʻōmole lahilahi a palupalu. Aia kahi kāmela liʻiliʻi a me ke kukui ma ka hopena o kēia ʻōmole. Kāhea mākou i kēia mea hana he 'colonoscope'. Hoʻokomo ʻia kēia ʻōmole ma kou anus a hoʻouna mālie ʻia i kou ʻōpū nui. A laila hiki i ke kauka ke nānā i nā kiʻi mai ke kāmela ma kahi pale nui. Ua like ia me ka nānā ʻana i kahi hōʻike TV i loko o kou colon. He ʻano hoʻāʻo kēia i kapa ʻia he endoscopy . ʻO ka endoscopy kekahi hoʻāʻo e pili ana i ka hoʻokomo ʻana i kahi ʻōmole me kahi kāmela i loko o kou kino.

No ke aha mākou e pono ai i ka colonoscopy?

ʻEkolu mau kumu nui no ka hana ʻana i kahi colonoscopy. I kekahi manawa hiki ke hoʻokō ʻia kēia mau kumu ʻekolu i hoʻokahi hoʻāʻo.

1. Kāohi ʻana a me ka ʻIke Mua ʻana (Nānā): ʻIke ʻana i kahi maʻi e ulu paha i ka wā e hiki mai ana, ʻoiai ke kanesa colon, me ka ʻole o nā hōʻailona.

2. Hōʻailona: E ʻimi i ke kumu kikoʻī o kahi hōʻailona āu e ʻike nei (e.g. ʻeha ʻōpū, koko i loko o ka ʻōpala).

3. Lapaʻau: Inā loaʻa kekahi pilikia i ka wā o ka hoʻokolokolo ʻana, e lapaʻau ma kahi.

E nānā kākou i kēlā me kēia me nā kikoʻī hou aku.

1. E ʻike koke i nā maʻi, ʻoiai inā he asymptomatic lākou (Screening)

He nui ka poʻe i loaʻa i kā lākou colonoscopy mua no kēia kumu. I ko lākou ʻelemakule ʻana, piʻi nui ka pilikia o ka loaʻa ʻana o ke kanesa colorectal. ʻO ka mea weliweli loa e pili ana i kēia kanesa, ʻaʻole ia e hōʻike pinepine i nā hōʻailona i nā pae mua . I ka manawa e ʻike ʻia ai nā hōʻailona, ​​​​ua lohi paha ka mālama ʻana.

Hiki i ke kauka ke ʻōlelo pinepine i kahi colonoscopy no ʻoe i kēia mau hihia:

• Inā ʻoe ma luna o 45 mau makahiki a ʻaʻole ʻoe i loaʻa i kēia hoʻokolohua ma mua.
• He 10 mau makahiki i hala aku nei mai ka hana hope ʻana o kēia hoʻāʻo.
• Inā ua wehe ʻia kahi polyp i kāu colonoscopy hope loa.
• Inā ua loaʻa kekahi o kou ʻohana (makuahine, makuakāne, kaikaina) i ka maʻi ʻaʻai kolona .
• Inā he maʻi hoʻoilina kou (e.g. Familial Adenomatous Polyposis - FAP a i ʻole Lynch syndrome).
• Inā loaʻa iā ʻoe kahi maʻi ʻōpū mumū mau loa e like me ka Inflammatory Bowel Disease (IBD).

2. E huli i ke kumu o nā hōʻailona (Diagnosis)

I kekahi manawa loaʻa paha iā ʻoe kekahi mau hōʻailona. Pono kāu kauka i kahi ʻike maopopo e ʻike pono ai i ke kumu o lākou. Hiki i kahi colonoscopy ke ʻike maopopo i loko o kou ʻōpū nui ma mua o nā scan ʻē aʻe.

Hiki i ke kauka ke kuhikuhi i kahi colonoscopy inā loaʻa iā ʻoe nā hōʻailona penei:

• Ke koko a i ʻole kekahi kahe ʻana mai ka anus me ke kumu ʻole.
• He loli i wehewehe ʻole ʻia i kou mau ʻano ʻōpū (e like me ka maʻi diarrhea mau, constipation).
• ʻEha mau ka ʻōpū me ke kumu ʻole .
• Ka pohō kaumaha me ke kumu ʻole.

I loko o kēia hoʻāʻo ʻana, inā ʻike ke kauka i kahi wahi kānalua, hiki iā ia ke lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo (he biopsy) a hoʻouna aku i ka lab. Hiki i kēia ke kōkua i ka hōʻoia ʻana i ke ʻano pololei o ka maʻi.

3. E mālama i ka manawa like me ka hoʻāʻo.

ʻO kēia kekahi o nā pono nui o ka colonoscopy. Inā ʻike ke kauka i kekahi mau pilikia i ka wā o ka hoʻokolokolo ʻana, hiki paha iā lākou ke mālama iā lākou ma laila.

• Ka Wehe ʻana i nā Polyps: He mau mea ʻē aʻe nā Polyps, he mau ulu liʻiliʻi e kū ana ma nā paia o ka colon. ʻAʻole ka hapa nui o kēia mau mea he maʻi kanesa. Eia nō naʻe, hiki i kekahi ke lilo i maʻi kanesa i ka hala ʻana o ka manawa. No laila, inā loaʻa i ke kauka kahi polyp, e wehe lākou iā ia (he 'polypectomy'). Hiki i kēia ke pale i ka ulu ʻana o ke kanesa i ka wā e hiki mai ana.
• Ho'ōla ʻeha: Hiki ke hoʻopaʻa ʻia nā wahi kahe koko liʻiliʻi.
• Inikini: Hiki iā ʻoe ke inikini pololei i ka lāʻau lapaʻau i loko o nā wahi e pono ai.
• Ka wehe ʻana i nā mea ālai: Hiki ke wehe ʻia a hoʻonui ʻia paha kahi mea ālai i loko o ka ʻōpū.

Pehea e hoʻomākaukau ai no ka hoʻokolohua? (Ka Hoʻomākaukau)

ʻO kēia ka ʻāpana koʻikoʻi loa o ke kaʻina holoʻokoʻa a me ka ʻāpana e pono ai ʻoe e hana ikaika iki . I mea e holomua ai ka hoʻāʻo, pono e maʻemaʻe loa kou kolona. Ua like ia me ka pulumi ʻana a me ka holoi ʻana i kahi hale. Inā he ʻōpala i koe i loko o ka kolona, ​​e hana ke kauka.ʻAʻole hiki iā ʻoe ke ʻike maopopo i loko. Inā hana ʻia kēlā, e hoʻopanee i ka hoʻāʻo, a pono paha ʻoe e hele hou i kēia kaʻina hana hoʻomākaukau.

E hāʻawi aku kāu kauka a haukapila paha iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi e hahai ai. He mea nui loa ka hahai pololei ʻana iā lākou. ʻO ka maʻamau, penei ia:

1. ʻAi: E noi ʻia ʻoe e ʻai i ka meaʻai haʻahaʻa-fiber no ʻelua a ʻekolu mau lā ma mua o ka hoʻāʻo. ʻO ke ʻano kēia e noho mamao aku mai nā mea e like me nā greens, nā mea kanu he nui, a me nā huaʻai, a me ka ʻai ʻana i nā mea e like me ka berena, ka laiki, a me ka sopa.

2. ʻAi wai: I ka lā ma mua o ka hoʻāʻo ʻana, ʻo nā wai wale nō e ʻae ʻia e ʻai. Eia kekahi laʻana, ka wai, ka porridge paʻakai, ka sopa moakaka, a me nā smoothies.

3. Lāʻau hoʻomaha: I ke ahiahi a i ʻole ka pō ma mua o ka hoʻāʻo ʻana, e hāʻawi ʻia ʻoe i kahi wai e inu. ʻO kēia ka ʻāpana paʻakikī loa. Ma hope o kou inu ʻana i kēia, e puka aku nā mea āpau i loko o kou ʻōpū ma ke ʻano he ʻōpala.

• ʻAe, pono ʻoe e hele i ka lua i kekahi mau manawa. E mākaukau no kēlā, e hopu i kahi puke a i ʻole kekahi mea, a hoʻomaha. E noʻonoʻo i kēia me he mea lā āu e pono ai.

Inā ʻoe e hana pololei i kēia, e maʻemaʻe loa kou kolona i ka lā o ka hoʻāʻo.

He aha ka mea e hana ʻia i ka lā o ka hoʻokolohua?

ʻAʻole hiki iā ʻoe ke hele wale i ka haukapila i ka lā o ka hoʻāʻo. Pono ʻoe e loaʻa kekahi me ʻoe e hiki ke lawe iā ʻoe i ka home. ʻO kēia no ka mea he 24 mau hola ka lōʻihi no ka pau ʻana o nā lāʻau hoʻomāʻehaʻeha i hoʻohana ʻia no ka hoʻāʻo. No laila, ʻaʻole hiki iā ʻoe ke hoʻokele.

Ke hele ʻoe i ka haukapila, e hāʻawi ʻia ʻoe i kahi lole haukapila e ʻaʻahu ai. A laila e hoʻokomo ke kahu maʻi i kahi cannula liʻiliʻi (laina IV) i loko o kahi aa koko ma kou lima. E hāʻawi ʻia nā lāʻau hoʻomaha a me nā lāʻau ʻeha ma o ia mea.

Ua ala ʻoe i kou hana ʻana i kēia? Ua ʻeha anei?

ʻO kēia ka pilikia nui loa no nā poʻe he nui. ʻAʻole, ʻaʻole ʻoe e ʻeha. Hiki iā ʻoe ke koho mai ʻelua ʻano anesthesia.

• Anesthesia Laulā: Hoʻomoe kēia iā ʻoe a ʻaʻole ʻoe e ʻike a hiki i ka pau ʻana o ka hoʻāʻo.
• Hoʻomaha Hoʻomaopopo: Hoʻokomo kēia iā ʻoe i loko o kahi kūlana hiamoe māmā. Manaʻo paha ʻoe ua ala ʻoe, akā ʻaʻole paha ʻoe e hoʻomanaʻo ma hope.

Eia nō naʻe, ʻaʻole ʻoe e ʻike i kekahi ʻeha, ʻoiai inā e wehe ʻia kahi ʻāpana ʻiʻo mai kou ʻōpū. Hiki iā ʻoe ke manaʻo i kahi kaomi iki a me kahi manaʻo o ka piha ke hoʻokomo ʻia ka ʻōmole a puhi ʻia kahi ea liʻiliʻi e ʻike maikaʻi ai i kou ʻōpū. Akā, ʻaʻole ia he ʻeha hiki ʻole ke hoʻomanawanui.

Ma hope o ka hoʻāʻo a me nā hopena

ʻO ka maʻamau, ma kahi o 30 a 45 mau minuke ka lōʻihi o ka hoʻāʻo ʻana. Hiki ke lōʻihi iki aʻe inā e wehe ʻia ana kekahi mea e like me nā polyp. Ma hope o ka pau ʻana, e nānā ʻia ʻoe no hoʻokahi hola a hiki i kou ala ʻana mai ka anesthesia.

Ma hope o kou hoʻi hou ʻana i ka ʻike, e hele mai ke kauka a haʻi iā ʻoe i ka mea i ʻike ʻia i ka wā o ka hoʻokolokolo ʻana. Inā ua lawe ʻia kahi biopsy a hoʻouna ʻia no ka hoʻāʻo ʻana, hiki ke hala i kekahi mau lā a i ʻole hoʻokahi a ʻelua paha pule no ka hoʻi ʻana mai o nā hopena.

Ma hope o kou hoʻi ʻana i ka home, e hoʻomaha maikaʻi no hoʻokahi lā a i ʻole. Manaʻo paha ʻoe i kahi pehu iki a ʻoluʻolu ʻole i loko o kou ʻōpū, akā e nalo ana kēlā ma hope o kekahi manawa. Hiki iā ʻoe ke ʻai maʻamau i ka wā e pōloli ai ʻoe.

E hoʻomanaʻo he liʻiliʻi loa kēia mau pilikia. ʻOi aku ka nui o nā pono o ka colonoscopy ma mua o kēia mau pilikia.

ʻAʻohe anei he mau koho ʻē aʻe i ka colonoscopy?

ʻAe, aia kekahi mau ʻano hana ʻē aʻe no ka ʻike ʻana i ka maʻi kanesa.

• Nā hoʻāʻo ʻana i ka fecal: Nānā ʻia kahi hāpana ʻōpala no ke koko huna a i ʻole nā ​​loli DNA e pili ana i ka maʻi kanesa. Pono e hana ʻia kēia i kēlā me kēia makahiki a ʻekolu paha. Inā hōʻike kēia mau hoʻāʻo i kahi pilikia, ʻo ka hana aʻe he colonoscopy.
• ʻO ke kolonoskopi virtual:He scan CT kūikawā kēia. ʻAʻole pili kēia i ke kau ʻana i kahi ʻōmole i loko o ke kino. Eia nō naʻe, pono nō hoʻi e hoʻomaʻemaʻe i ka colon, e like me ka colonoscopy maʻamau. Inā loaʻa nā polyps i ka wā o kēia kaʻina hana, pono ʻoe e loaʻa i kahi colonoscopy maʻamau ʻē aʻe e wehe iā lākou.

ʻOiai me kēia mau koho, ua manaʻo ʻia ka colonoscopy ʻo "Gold Standard" no ka mea,

• He mea maʻalahi loa ia. Hiki iā ia ke ʻike i ka ʻokoʻa liʻiliʻi loa.
• Hoʻomaopopo a mālama ia i ka maʻi i ka manawa like . Inā hōʻike kekahi hoʻokolohua ʻē aʻe i kahi pilikia, pono nō ka colonoscopy e hōʻoia a mālama iā ia.
• Inā maikaʻi nā hopena, hiki ke hala ma kahi o 10 mau makahiki e loaʻa ai ka hoʻāʻo aʻe .