Ua makaʻu paha ʻoe i kou ʻike ʻana i ke koko i loko o kou ʻōpala a i ʻole e ʻike i nā ʻōpala koko ma kāu pepa lua? A i ʻole he ʻeha mau kou ʻōpū, he manaʻo piha? Manaʻo ka poʻe he nui ma ko kākou ʻāina he mea maʻamau kēia mau hōʻailona e like me nā "piles" a ʻaʻole lākou e nānā nui iā lākou. Akā i kekahi manawa ʻaʻole paha he mea liʻiliʻi kēia e like me kā mākou e manaʻo nei. ʻO kēia paha nā hōʻailona mua o ka maʻi ʻaʻai colon. Mai makaʻu a hopohopo paha i kēia manawa. ʻO ka mea nui loa, ʻo ia ka ʻike piha ʻana i kēia maʻi a e makaʻala. E kamaʻilio kākou e pili ana i nā mea āpau me ka maopopo a me ka maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻai colon?
ʻO ke kanesa colorectal, a i ʻole ma ke ʻano lapaʻau, ke kanesa colorectal, he kanesa ia e ulu ana i loko o ka colon a i ʻole ka rectum, ka ʻāpana hope loa o kā mākou ʻōnaehana hoʻoheheʻe. ʻAʻole ia he mea e ulu koke ana.
E noʻonoʻo, ma ka paia o loko o ko kākou kolona, nā puʻupuʻu liʻiliʻi, e like me nā ʻiole liʻiliʻi, e hana mua. Kāhea mākou i kēia mau "Polyps". ʻAʻole lilo kēia mau puʻupuʻu a pau i maʻi kanesa. Eia nō naʻe, hiki i kekahi mau ʻano puʻupuʻu ke loli mālie i nā makahiki he nui (pinepine ma kahi o 10 mau makahiki) a lilo i mau ʻāpana maʻi kanesa.
ʻO ka mea maikaʻi loa, inā hiki ke loaʻa a wehe ʻia kēia mau puʻupuʻu ma mua o ko lākou lilo ʻana i maʻi kanesa, hiki ke pale ʻia loa ke kanesa. Eia kekahi, inā ʻike mua ʻia ke kanesa, ʻoi aku ka kiʻekiʻe o ka manawa e mālama ʻia a hoʻōla loa ʻia.
E makaʻala hoʻi i kēia mau hōʻailona!
Ma muli o ka ulu lohi ʻana o ke kanesa kolona, ʻaʻole paha e hōʻike i kekahi mau hōʻailona i nā pae mua. Ke ʻike ʻia nā hōʻailona, hiki ke like lākou me nā maʻi maʻamau ʻē aʻe. No laila he mea nui e makaʻala i kēia mau hōʻailona.
| Hōʻailona | He mea hou aʻe e pili ana i kēia |
|---|---|
| Hoʻololi i nā ʻano hana ʻōpū | Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū e mau ana no kekahi mau lā. ʻO nā ʻōpala lahilahi ma mua o ka wā ma mua, e like me nā penikala. |
| Koko i loko o ka ʻōpala | Koko ʻulaʻula a ʻeleʻele paha i loko o ka noho. Ke ʻike ʻana i nā ʻōpala koko i loko o ke pola lua a i ʻole ma ka pepa lua. |
| ʻO ka ʻeha o ka ʻōpū | ʻEha pinepine ka ʻōpū, ka pehu ʻana, a me ka ʻeha ʻōpū. |
| Manaʻo e like me he ʻōpala lā ma hope o ka hele ʻana i ka lua | ʻOiai ma hope o ka neʻe ʻana o ka ʻōpū, manaʻo mau ʻoe me he mea lā ʻaʻole i hoʻokahe loa ʻia kou ʻōpū. |
| Luhi a nāwaliwali no ke kumu ʻole | Manaʻo nui i ka luhi ʻoiai ua lawa ka hoʻomaha. ʻO kēia no ka mea hiki i ka maʻi ʻaʻai ke hoʻonui i ke kahe koko mai ke kino, e alakaʻi ana i ka anemia. |
| ʻO ka pohō kaumaha me ke kumu ʻole | Inā e hāʻule ana kou kaumaha o ke kino me ka manaʻo ʻole ʻia me ka ʻole o ka ʻai ʻana a me ka hoʻoikaika kino ʻana, e hopohopo. |
E hoʻomanaʻo, ʻaʻole nā kānaka a pau me kēia mau hōʻailona i loaʻa i ka maʻi kanesa. Hiki ke hana ʻia ka ʻeha o ka ʻōpū a me ka maʻi kahe ma muli o kahi maʻi ʻōpū maʻalahi. Akā inā mau kēia mau hōʻailona ma mua o kekahi mau lā, ʻoiai inā he koko kou i loko o kou ʻōpala, e ʻoluʻolu mai hoʻowahāwahā iā ia a e ʻike koke i kāu kauka.
No ke aha e ulu ai kēia maʻi kanesa? He aha nā kumu pilikia?
ʻAʻohe kumu hoʻokahi no ka maʻi ʻaʻai kolona. Eia nō naʻe, hana ia i ka wā e hana ʻia ai kekahi mau loli i loko o nā genes o nā cell olakino i loko o ke kolona (Genetic Mutations), e hoʻoulu ai i kēlā mau cell e māhele a hoʻonui me ke kāohi ʻole. ʻO nā cell cancer e hana ʻia ma kēia ʻano e hōʻuluʻulu pū e hana i nā polyps a me nā tumors.
Ua ʻike ʻia e ka noiʻi lapaʻau kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa. E nānā kākou i ke ʻano o lākou.
| Kumu pilikia | Wehewehena |
|---|---|
| ʻOi aku ma mua o 50 mau makahiki | ʻIke pinepine ʻia kēia maʻi i nā poʻe ma luna o 50 mau makahiki. Eia nō naʻe, i kēia mau lā iho nei, ua piʻi aʻe ka nui o nā hihia i hōʻike ʻia i waena o ka poʻe ʻōpio ma mua o kēlā. |
| Moʻolelo ʻohana | Inā ua loaʻa i kekahi o kou mau hoahānau pili koko (makuahine, makuakāne, kaikaina, keiki) ka maʻi ʻaʻai kolona a i ʻole nā polyp nui, ʻoi aku kou pilikia. He ʻoiaʻiʻo kēia inā ua loaʻa iā lākou ka maʻi ma mua o 45 mau makahiki. |
| Nā kūlana hoʻoilina | ʻO nā kūlana genetic e like me Lynch syndrome a me Familial Adenomatous Polyposis (FAP) e hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia maʻi kanesa. |
| Momona | Ua hōʻike ʻia e nā noiʻi he ʻoi aku ka nui o ka pilikia o ka poʻe me ka helu helu kino (BMI) ma luna o 25. |
| Puhi paka a me ka inu ʻona | ʻO ka puhipaka a me ka inu pinepine ʻana i ka waiʻona (ʻoiai ma nā ʻāpana liʻiliʻi) e hoʻonui nui i ka pilikia. |
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka me kāu mau hōʻailona, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona me ka kikoʻī. A laila e nānā ʻo ia i kou kino. Eia kekahi, e paipai ʻo ia i kekahi mau hoʻokolohua e hoʻoholo ai i ke kumu pololei o kou maʻi.
- Nā Hoʻāʻo Koko: E nānā ʻia kou koko no ka anemia ma ka hana ʻana i kahi helu koko piha (CBC). Hiki ke hana ʻia nā hoʻāʻo kūikawā, e like me ka māka kanesa (CEA assay).
- Nā Hoʻāʻo Kiʻi: Hiki ke hoʻohana ʻia nā hoʻāʻo e like me nā scan CT (Computed Tomography) a me nā scan MRI (Magnetic Resonance Imaging) e ʻike ai inā he mau puʻupuʻu kanesa i loko o ke kino a me ka mamao o ko lākou laha ʻana.
- ʻO ka Colonoscopy Diagnostic: ʻO kēia ka hoʻāʻo maikaʻi loa a pololei loa no ka ʻike ʻana i ka maʻi ʻaʻai kolona. Ma kēia hoʻāʻo, hoʻokomo kahi gastroenterologist i kahi ʻōmole lahilahi a palupalu (me kahi kāmela i hoʻopili ʻia) ma o ka anus a nānā i ka kolona holoʻokoʻa ma o kahi pale.
- I kēia manawa, inā he puʻupuʻu kānalua (polyp), hiki ke wehe loa ʻia a i ʻole hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ia mea (biopsy) a hoʻouna ʻia i ka hale hana e hōʻoia inā he mau hunaola kanesa.
Ke hōʻoia ʻia ka maʻi ma o kēia mau hoʻokolohua, hoʻoholo ʻia ke kahua o ke kanesa ma muli o kahi o ke kanesa, inā ua pālahalaha i nā lymph nodes, a inā ua pālahalaha i nā ʻōpū ʻē aʻe. Hoʻolālā ʻia ka lāʻau lapaʻau ma muli o kēia kahua.
He aha nā lāʻau lapaʻau?
Mai hopohopo, aia nā lāʻau lapaʻau kūpono a holomua hoʻi no kēia maʻi. Aia ke ʻano o ka lāʻau lapaʻau ma ke kahua o kou maʻi ʻaʻai, kona wahi, a me kou olakino holoʻokoʻa.
ʻO ke ʻoki kino ka lāʻau lapaʻau nui.
- Polypectomy: Ka wehe ʻana i nā ulu mua o ka maʻi kanesa (polyps) i ka wā o ka colonoscopy.
- Colectomy: Wehe ʻoki kino i ka ʻāpana o ke kolona kahi i loaʻa ai ke kanesa.
Ma waho aʻe o ke ʻoki ʻana, a ma mua a ma hope o ke ʻoki ʻana, pono paha kēia mau lāʻau lapaʻau:
- Chemotherapy: Ke hāʻawi ʻana i nā lāʻau lapaʻau e luku i nā hunaola kanesa.
- Lapaʻau Radiation: Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe.
- Lapaʻau i hoʻolālā ʻia: Ke lawelawe ʻana i nā lāʻau lapaʻau e hoʻolālā ana i nā molekala kikoʻī e hoʻopilikia ai i ka ulu ʻana o nā hunaola kanesa.
E kūkākūkā kāu kauka me ʻoe a hoʻoholo i ka hoʻolālā lapaʻau kūpono loa iā ʻoe.
Pehea lā e hiki ai ke ho'ōla ʻia kēia maʻi?
He nīnau kēia a ka poʻe he nui e noʻonoʻo nei. ʻO ka "Survival Rate" ka pakeneka o nā maʻi e ola ana i 5 mau makahiki ma hope o ka ʻike ʻia ʻana o ka maʻi. Pili nui kēia i ke kahua i ʻike ʻia ai ka maʻi.
- I nā pae mua (Localized): Inā ua kaupalena ʻia ke kanesa i ka colon, ʻo ka nui o ke ola ʻana he 5 makahiki a hiki i ka 91% .
- ʻĀpana: Inā ua pālahalaha ke kanesa i nā ʻiʻo a puni a i ʻole nā kikowaena lymph, ʻo kēia pakeneka ma kahi o 73% .
- Mamao: Inā ua pālahalaha ke kanesa i nā ʻōpū mamao e like me ke akepaʻa a me nā māmā, hāʻule kēia pakeneka i 13% .
Mai hopohopo i kēia mau helu helu. He mau kuhi wale nō kēia e pili ana i ka ʻikepili mai nā tausani o nā maʻi. Hiki ke ʻokoʻa loa kou kūlana. ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i ka maʻi i ka wā hikiwawe loa a hoʻomaka i ka lāʻau kūpono. A laila kiʻekiʻe loa ka manawa e ola ai.
He aha kā mākou e hana ai e palekana ai mai ka maʻi kanesa?
ʻOiai ʻaʻohe ala e pale aku ai i ka maʻi kanesa 100%, nui nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
- ʻAi maikaʻi: E hōʻemi i kāu ʻai ʻana i ka ʻaila, ke kō, ka palaoa, ka ʻiʻo ʻulaʻula (pipi, puaʻa), a me nā ʻiʻo i hana ʻia (sausages, bacon). Akā, e ʻai i nā meaʻai momona i ka fiber e like me nā mea kanu, nā huaʻai, nā legumes, a me nā palaoa piha .
- Mai puhi paka: Inā ʻoe e puhi paka, e kiʻi i ke kōkua e haʻalele. ʻO kēia kekahi o nā pono nui loa i kou olakino holoʻokoʻa.
- E kaupalena i ka waiʻona: He mea nui e hoʻōki loa i ka inu ʻana i ka waiʻona a hoʻohana iki paha.
- E mālama i ke kaumaha olakino: E kāohi i ke kaumaha o kou kino ma ka hoʻoikaika kino mau ʻana a me ka ʻai ʻana i ka meaʻai kaulike.
- E kiʻi i ka nānā ʻana i ka makahiki kūpono: ʻO kēia ka mea nui loa. ʻOiai inā ʻaʻohe ou hōʻailona, he mea nui e kiʻi i kahi colonoscopy nānā no ka maʻi ʻaʻai colon ma kahi o 45-50 mau makahiki. Inā loaʻa i kekahi o kou ʻohana ka maʻi, e ʻōlelo paha kāu kauka e hoʻomaka i ka nānā ʻana ma mua.
Hiki i kēia mau hoʻokolohua ke ʻike a wehe i nā polyp i hiki ke lilo i maʻi kanesa i ka wā mua, a pēlā e pale ai i ka ulu ʻana o ka maʻi kanesa.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona e like me ka loli ʻana o nā ʻano hana ʻōpū, ka ʻeha o ka ʻōpū, a me ke koko i loko o ka ʻōpala. Inā hoʻomau lākou no nā lā he nui, e ʻike pono i ke kauka.
- He maʻi hiki ke ho'ōla loa ʻia ke kanesa kolona inā ʻike mua ʻia. Mai hoʻopaneʻe i ka hoʻāʻo ʻana no ka makaʻu.
- Inā he mau kumu pilikia kou a i ʻole ʻoe ma luna o 45 mau makahiki, e kamaʻilio me kāu kauka e pili ana i ka nānā ʻana no ka maʻi kanesa, ʻoiai inā ʻaʻohe ou hōʻailona.
- ʻO ke ʻano ola olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka a me ka waiʻona) hiki ke hōʻemi i ka pilikia o ka maʻi kanesa.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo