E ʻike pono kākou e pili ana i ke kanesa colorectal: Mai makaʻu, e makaʻala!

Makaʻu ka hapa nui o kākou i ka lohe ʻana i ka huaʻōlelo kanesa. Akā, aia kekahi mau kanesa, inā ʻike pono kākou iā lākou a hana i nā hoʻokolohua e pono ai i ka manawa kūpono, hiki iā kākou ke pale piha iā kākou iho mai iā lākou a hiki ke ʻike a ho'ōla iā lākou i ka wā mua. ʻO ke kanesa colorectal kekahi o ia mau maʻi. Hiki iā ia ke ulu mālie loa i loko o ke kino me ka ʻole o nā hōʻailona i nā wā mua. No laila, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau e pili ana i kēia, ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ke kanesa colorectal?

I ka ʻōlelo maʻalahi, he maʻi ʻaʻai kēia e kū mai ana i loko o ko kākou kolona a i ʻole ka rectum. ʻO nā mea ʻelua he mau ʻāpana o kā kākou ʻōnaehana hoʻoheheʻe. Ma hope o ka hele ʻana o ka meaʻai a kākou e ʻai ai ma o ka ʻōpū a me ka ʻōpū liʻiliʻi, hiki ia i ka ʻōpū nui. Ma laila ke kino e omo ai i ka wai a me nā meaʻai e pono ai mai kēlā meaʻai. A laila, ʻo ke koena o nā ʻōpala paʻa, ʻo ia hoʻi nā feces, e mālama ʻia no kekahi manawa i loko o ka rectum a laila e hoʻokuʻu ʻia mai ke kino.

Loaʻa ke kanesa i ka wā e hoʻomaka ai nā pūnaewele i loko o ka uhi o ka colon a i ʻole ka rectum e ulu me ke kaohi ʻole. He pinepine kēia he puʻupuʻu ulu lohi loa, "mālie" . No laila, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona a hiki i ka nui loa o ka puʻupuʻu. Akā ʻo ka mea maikaʻi loa, hiki i nā hoʻokolohua nānā maʻamau ke ʻike i kēia kanesa a i ʻole nā ​​​​​​ulu liʻiliʻi (polyps) hiki ke lilo i kanesa i ka wā mua.

Aia kekahi mau ʻano maʻi ʻaʻai colon?

ʻAe, aia kekahi mau ʻano nui o kēia maʻi kanesa, ma muli o ke ʻano o ke kelepona mai kahi e hoʻomaka ai. Akā, mai noʻonoʻo nui a huikau. Na kāu kauka e wehewehe i kēia mau mea iā ʻoe.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa?

Hiki i kekahi ke loaʻa i kēia maʻi, akā hiki i kekahi mau mea ke hoʻonui i kou pilikia. E nānā inā pili kekahi o kēia mau mea iā ʻoe.

• Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi ʻaʻai colon a i ʻole polyps (nā ulu liʻiliʻi) ma mua.
• Inā ʻoe e ʻai nui i nā ʻiʻo i hana ʻia a me nā ʻiʻo ʻulaʻula .
• Inā loaʻa iā ʻoe kahi maʻi ʻōpū mumū (IBD) , e like me ka maʻi a Crohn a i ʻole ka maʻi ulcerative colitis.
• Inā loaʻa iā ʻoe kekahi mau maʻi olakino hoʻoilina (e.g. Familial Adenomatous Polyposis - FAP, HNPCC).
• Ka momona nui .
• Puhipaka .
• Ka nele i ka hoʻoikaika kino .
• Ka inu nui ʻana i ka waiʻona .
• Loaʻa i ka maʻi diabetes Type 2 .

He aha nā hōʻailona o kēia?

E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻohe paha he mau hōʻailona i nā pae mua. Eia nō naʻe, i ka holomua ʻana o ke kanesa, hiki ke ʻike ʻia kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona no ka manawa lōʻihi, e ʻike pono i ke kauka .

• He loli lōʻihi i kou mau ʻano ʻōpū (e laʻa me ke kaʻawale ʻana ma waena o ka maʻi pākī a me ka paʻa ʻana o ka ʻōpū).
• Inā hoʻomau ʻoe i ka manaʻo ʻaʻole i hoʻokahe loa kou ʻōpū ma hope o ka hele ʻana i ka lua.
• Ke kahe ʻana o ke koko mai ka rectum a i ʻole ke koko i loko o ka ʻōpala.
• Nā ʻōpala lahilahi ma mua o ka maʻamau.
• ʻO ka ʻeha mau o ka ʻōpū a i ʻole ke kuʻi.
• Ka pohō kaumaha me ke kumu ʻole.
• Ka luhi nui a me ka maeʻele i hoʻokumu ʻia e ka emi ʻana o nā hunaola koko ʻulaʻula (anemia ).
• Ke loaʻa ʻana o kahi puʻupuʻu i loko o ka ʻōpū a i ʻole ka rectum.

Pehea e ʻike ai i ka maʻi? - Nā hoʻokolohua

Ke hele ʻoe e ʻike i ke kauka, e nānā ʻo ia iā ʻoe, e pā i kou ʻōpū, a, inā pono, e paipai i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua.

• Colonoscopy: ʻO kēia ke kūlana gula . ʻO ia ka hoʻāʻo maikaʻi loa a pololei loa. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela (colonoscope) ma o ka anus a nānā ʻia ke kolona holoʻokoʻa. Inā he mau polyp (nā ulu ʻana), hiki ke wehe ʻia i ka manawa like a hiki ke lawe ʻia kahi ʻāpana liʻiliʻi (biopsy) no ka hoʻokolokolo ʻana.
• Nā Hoʻāʻo Noho: Hana ʻia kēia mau hoʻāʻo e nānā i nā koko liʻiliʻi i loko o ka noho i liʻiliʻi loa e ʻike ʻia e ka maka ʻōlohelohe. ʻO ka hoʻāʻo FIT kekahi o ia mau hoʻāʻo.
• Biopsy: I ka wā o ka colonoscopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a nānā ʻia ma lalo o kahi microscope e hoʻoholo ai inā loaʻa nā hunaola kanesa.
• CT Scan: Hiki ke hana ʻia kahi CT scan e ʻike ai inā ua pālahalaha ke kanesa i nā ʻōpū ʻē aʻe ma waho o ka kolona.

He aha nā lāʻau lapaʻau?

Inā ua ʻike ʻia ʻoe he maʻi kanesa, mai hopohopo. I kēia lā, nui nā lāʻau lapaʻau kūpono no kēia. E noʻonoʻo nā kauka i nā kumu he nui, e like me ke kahua o kou maʻi kanesa a me kou olakino holoʻokoʻa, e hoʻoholo ai i ka lāʻau lapaʻau kūpono loa nāu.

ʻoki kino

Hiki ke wehe ʻia nā maʻi ʻaʻai mua a me nā polyp i ka wā o ka colonoscopy. Inā nui ka maʻi ʻaʻai, hana ʻia ke ʻoki kino e wehe i ka ʻāpana o ka colon e loaʻa ana ka maʻi ʻaʻai (partial colectomy).

Kemoterapia

ʻO kēia ka hāʻawi ʻana i ke kino i nā lāʻau lapaʻau e pepehi ai i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka ulu ʻana. Hāʻawi ʻia kēia mau mea ma ke ʻano he mau pila a i ʻole ma o kahi IV. Hoʻohana ʻia kēia lāʻau lapaʻau e hoʻēmi i kahi puʻupuʻu ma mua o ke ʻoki ʻana a i ʻole e pepehi i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana.

Hoʻōla Pāhawewe

Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe (e like me nā kukuna X) e luku i nā hunaola kanesa. Hoʻohana pinepine ʻia kēia ʻano hana me ka chemotherapy no ke kanesa rectal.

Ka Lapaʻau i Hoʻolālā ʻia a me ka Immunotherapy

He mau lāʻau lapaʻau hou kēia a he maikaʻi loa. Hāʻawi nā lāʻau lapaʻau i kuhikuhi ʻia i nā lāʻau lapaʻau e hoʻouka i nā pahuhopu kikoʻī i loaʻa wale ma nā hunaola kanesa. Hoʻoulu ka Immunotherapy i kā mākou ʻōnaehana pale ponoʻī e hakakā i nā hunaola kanesa.

Pehea e hiki ai iā ʻoe ke pale aku i ka maʻi kanesa?

Ua ʻōlelo ʻia "ʻoi aku ka maikaʻi o ka pale ʻana i ka maʻi ma mua o ka ulu ʻana ma mua o ka mālama ʻana ma hope o kona ulu ʻana." No laila, aia kekahi mau mea hiki iā kākou ke hana e pale aku iā kākou iho mai kēia maʻi ʻaʻai.

1. He nohona olakino:

• E pale i ka puhipaka a me ka waiʻona.
• E hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino ikaika waena i kēlā me kēia pule (e like me ka hele wikiwiki, ka holo ʻana, ke kaʻa paikikala).
• E mālama i ke kaumaha olakino .

2. ʻO ka ʻai kūpono:

• E ʻai i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha).
• E kaupalena i ka ʻiʻo ʻulaʻula a me nā ʻiʻo i hana ʻia (e like me nā sausage, meatballs).

3. Nānā Mau ʻia:

• ʻO kēia ka mea nui loa . I kēia manawa, ua ʻōlelo ʻia inā ʻaʻole ʻoe i ka pilikia, pono ʻoe e hoʻomaka e loaʻa nā hoʻokolohua maʻamau e hoʻomaka ana i ka makahiki 45 .
• ʻO ke ala maikaʻi loa e hana i kahi colonoscopy i kēlā me kēia 10 mau makahiki.
• Inā ua loaʻa i kekahi o kou ʻohana kēia maʻi kanesa, makemake paha ʻoe e hoʻomaka i ka nānā ʻana i ka wā ʻōpiopio. E kamaʻilio me kāu kauka e pili ana i kēia.