Ua loaʻa anei iā ʻoe kahi colonoscopy e nānā ai i ka maʻi ʻaʻai kolona ? I kou hana ʻana, ua haʻi aku paha kāu kauka iā ʻoe he mau ulu liʻiliʻi kou i kapa ʻia he polyps i loko o kou kolona. He mau ulu liʻiliʻi kēia e ulu ana ma ka ʻili o kou kolona. I ka hapa nui o ka manawa, ʻaʻohe mea ʻino. Akā i kekahi manawa, hiki iā lākou ke alakaʻi i ka maʻi ʻaʻai kolona . ʻO ia ke kumu he mea nui e makaʻala iā lākou.
I ka ʻōlelo maʻalahi, he aha ka Tubular Adenoma?
ʻO ke ʻano maʻamau o ka polyp colon a nā kauka e wehe ai i ka wā o ka colonoscopy ua kapa ʻia ʻo "Tubular Adenoma." Loaʻa ka inoa mai ka ʻoiaʻiʻo ua like nā pūnaewele i loko o kēia mau polyps me nā paipu liʻiliʻi ke nānā ʻia ma lalo o kahi microscope.
ʻO ka nūhou maikaʻi, ʻaʻole i hiki i ka 10% o kēia mau '(Tubular Adenoma)' e lilo i maʻi kanesa. Eia nō naʻe, inā loaʻa iā ʻoe kēia ʻano a i ʻole kekahi ʻano polyp colon ʻē aʻe, e wehe loa kāu kauka iā lākou. ʻO kēia ke kāpae ʻana i ka manawa liʻiliʻi loa o ka ulu ʻana o ka maʻi kanesa i ka wā e hiki mai ana.
Pehea e hana ʻia ai kēia mau polyp?
I kekahi manawa hoʻomaka nā pūnaewele i loko o ko mākou kino e ulu ma waho o ke kaohi. Kāhea mākou i kēia kaʻina hana he mutation . Lilo kēia mau pūnaewele ʻano ʻē i nā puʻupuʻu e like me nā polyps. He liʻiliʻi ka nui o nā adenomas tubular, ʻaʻole i emi iho ma mua o ka hapalua ʻīniha ka nui.
ʻAʻole maopopo i nā loea ke kumu o kēia, akā manaʻoʻiʻo lākou he hui pū ʻana o nā kumu genetic a me ke kaiapuni e kōkua i ke kūlana.
Eia kekahi, hiki i ka poʻe me ka mumū mau o ka kolona, e like me ka ulcerative colitis a i ʻole ka maʻi Crohn , ke hoʻomohala i kēia mau puʻupuʻu ma ke ʻano he pane i ka mumū. Eia nō naʻe, ʻaʻole hiki ke lilo nā puʻupuʻu i ulu ma muli o kēia mumū i ka maʻi kanesa. Eia nō naʻe, hoʻonui kēia mau kūlana i ka pilikia holoʻokoʻa o ka loaʻa ʻana o ka maʻi kanesa kolona. ʻO kēia no ka mea hōʻino kēia mau maʻi i ka uhi o ka kolona a hoʻoulu i nā cell e māhele wikiwiki i ka hoʻāʻo e hoʻoponopono iā lākou iho.
He aha ka ʻokoʻa ma waena o ka tubular a me ka villous adenoma?
ʻElua mau ʻano ulu nui o nā adenomas i loko o ka colon. E hoʻomaopopo kākou i ka ʻokoʻa ma waena o nā mea ʻelua me kahi papa.
| ʻAno Adenoma | ʻAno a me nā ʻano |
|---|---|
| ʻO ka Adenoma Tubular | Ulu kēia mau mea i loko o kahi ʻano maʻemaʻe, ʻano paipu. Ma kahi o 70% o nā puʻupuʻu e ulu ana i loko o ka kolona he ʻano kēia. He liʻiliʻi ko lākou nui. |
| ʻO ka Adenoma Villous | Ulu kēia i kahi ʻano huluhulu, e like me ka cauliflower. ʻO kēia ka mea e nui ai ko lākou nui. Ulu wikiwiki nō hoʻi lākou a ʻoi aku ka nui o ka loaʻa ʻana o nā hunaola kanesa. |
Loaʻa paha i kekahi mau puʻupuʻu ka hui pū ʻana o nā ʻano ʻelua. Kāhea mākou iā lākou he "Tubulovillous Adenomas." Ma kahi o 15% o nā puʻupuʻu e ulu ana i loko o ka kolona he "Villous" a i ʻole "Tubulovillous".
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau mea?
ʻOi aku ka nui o ka loaʻa ʻana o ka `(Tubular Adenoma)` inā loaʻa iā ʻoe kēia mau mea:
- ʻOiai he 50 mau makahiki a ʻoi paha.
- Loaʻa kahi helu nui o ke kino (BMI) kiʻekiʻe a i ʻole ka momona .
- ʻOiai he kāne.
- Inā ua loaʻa i kekahi o ka ʻohana nā maʻi ʻōpū a i ʻole ke kanesa ma mua.
- Loaʻa i ka maʻi diabetes.
- Puhi paka.
- Ka inu nui ʻana i ka waiʻona.
- ʻAʻole e hoʻoikaika kino.
He aha nā hōʻailona o kēia?
ʻO ka mea nui, ʻaʻole nui o kēia mau polyp e hōʻike i kekahi mau hōʻailona.ʻO ia hoʻi, ʻaʻole paha ʻoe e ʻike he loaʻa iā ʻoe kēia mau mea a hiki i ka hana ʻana o kāu kauka i kahi colonoscopy.
Eia naʻe, i kekahi manawa e ʻike ʻoe i nā hōʻailona e like me kēia:
- Ke kahe koko ʻana o ka rectal.
- Ka hoʻokuʻu ʻana e like me ka huʻa me ka ʻōpala.
- Ka maʻi pākī pinepine a i ʻole ka paʻa ʻana o ka ʻōpū.
- ʻeha ka ʻōpū.
- ʻO ka anemia i hoʻokumu ʻia e ke kahe ʻana o ke koko me nā huahana ʻōpala.
Pehea e ʻike ʻia ai a mālama ʻia ai ka maʻi?
ʻO ke ala maikaʻi loa a pololei hoʻi e ʻike a wehe i kahi `(Tubular Adenoma)` ʻo ia ma o ka hoʻāʻo `(Colonoscopy)` .
Ma kēia hoʻokolohua, hoʻokomo ke kauka i kahi ʻōmole lōʻihi a palupalu me kahi kāmela i hoʻopili ʻia ma kou anus a alakaʻi mālie iā ia i lalo o kou kolona. Hiki ke nānā ʻia nā kiʻi i loko o kou kolona ma kahi pale wikiō. Inā loaʻa kekahi o kēia mau puʻupuʻu, hiki ke ʻike maopopo ʻia.
A laila e hoʻohana ke kauka i kahi mea hana liʻiliʻi e ʻoki a wehe i ka puʻupuʻu, a i ʻole e kau i kahi uea a puni ia mea a puhi iā ia me ke au uila. Hana ʻia kēia i ka wā e noho ana ʻoe ma lalo o ka anesthesia, ʻo ia hoʻi ke hiamoe nui nei ʻoe, no laila ʻaʻole ʻoe e ʻeha.
A laila hoʻouna ʻia ka ʻōpū i wehe ʻia i kahi lab, kahi e nānā ai kahi pathologist iā ia ma lalo o kahi microscope e ʻike ai inā he mau hunaola kanesa.
ʻOiai aia kekahi mau hoʻokolohua ʻē aʻe e ʻike ai i kēia mau mea, pono nō ka colonoscopy e wehe iā lākou. ʻO kēia mau hoʻokolohua:
- ʻO ke kolona CT
- ʻO ka sigmoidoscopy maʻalahi
- Nā hoʻokolohua fecal
He aha ka mea e hana ma hope o ka wehe ʻana i ka cyst?
Inā ua loaʻa iā ʻoe kahi `(Tubular Adenoma)` a i ʻole kekahi ʻano adenoma ʻē aʻe a ua wehe ʻia lākou, pono ʻoe e hana hou i nā hoʻokolohua `(Colonoscopy)` e ʻike ai inā e hoʻi mai lākou. Ua kapa ʻia kēia ʻo `(Follow-up)`.
Inā he hoʻokahi a ʻelua paha āu i loaʻa ai kahi ʻōpū liʻiliʻi (ʻaʻole i ʻoi aku ma mua o 10 millimeters), pono paha ʻoe e hana i kāu hoʻāʻo aʻe ma kahi o 7-10 mau makahiki .
Akā,
- Inā he ʻekolu a ʻehā paha āu mau nati,
- Inā ʻoi aku ko lākou nui ma mua o 10 millimeters.
- Inā ʻaʻole hiki i ke kauka ke wehe loa iā lākou,
- Inā ua loaʻa i kekahi o kou ʻohana nā puʻupuʻu colon a i ʻole ke kanesa,
E aʻo aku paha kāu kauka iā ʻoe e hana hou i kahi hoʻāʻo ma mua o ka manawa, malia paha i loko o 3-5 mau makahiki . He mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka.
Pehea e hiki ai ke pale ʻia kēia mau mea mai ka hoʻokumu ʻana a me ke kumu ʻana o ka maʻi kanesa?
Ma kahi o 95% o nā maʻi ʻaʻai kolona e hoʻomaka me nā ulu liʻiliʻi (polyps) e like me kēia. Hiki i kēia ke hala he ʻumi makahiki a ʻoi aku paha e lilo i maʻi ʻaʻai.
ʻO ia hoʻi, he nui ko kākou manawa e pale aku ai i kēia. ʻO ka mea wale nō a kākou e hana ai , ʻo ia ke hoʻāʻo ʻia i ka makahiki kūpono, a inā loaʻa iā kākou kēia mau puʻupuʻu, e wehe iā lākou ma mua o ko lākou lilo ʻana i maʻi kanesa.
ʻŌlelo pinepine nā kauka e hana i kāu colonoscopy mua i ka makahiki 45. Eia nō naʻe,
- Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai colon a i ʻole nā pūpū,
- Inā loaʻa iā ʻoe ka maʻi mumū o ka ʻōpū (IBD),
- Inā he kūlana genetic e hoʻonui ai i kēia pilikia,
Pono paha ʻoe e hoʻomaka e hoʻāʻo ma mua, ma kahi o 40 mau makahiki .
Eia kekahi, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hana ʻana i kēia mau mea:
- E hōʻemi i kāu ʻai ʻana i nā ʻiʻo momona kiʻekiʻe a me nā ʻiʻo i hana ʻia.
- E ʻai i nā mea kanu hou aʻe, nā huaʻai hou, a me nā meaʻai fiber kiʻekiʻe.
- E mālama i ke kaumaha olakino nou iho.
- E pale loa i ka puhipaka.
- Inā ʻoe e inu i ka waiʻona, e kaupalena loa iā ia.
- E kamaʻilio me kāu kauka e pili ana i ka hiki i ka lawe ʻana i ka aspirin i kēlā me kēia lā ke kōkua i ka hōʻemi ʻana i kou pilikia o ka maʻi kanesa, a e makaʻala i nā pōmaikaʻi a me nā pōʻino. Mai hoʻomaka e lawe i kēia lāʻau me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.
Leka Lawe-Home
- He puʻupuʻu maʻamau loa ka Tubular Adenoma, he ʻino ʻole ia e kū mai ana i loko o ka kolona. ʻAʻohe mea e makaʻu ai.
- ʻAʻole loa e lilo ka hapa nui o kēia mau mea i maʻi kanesa, akā no ka mea he liʻiliʻi ka pilikia, wehe koke nā kauka iā lākou ke ʻike ʻia.
- ʻAʻole hōʻike pinepine kēia mau ʻōpū i kekahi mau hōʻailona, no laila ʻo ke ala maikaʻi loa e ʻike ai iā lākou ma o ka colonoscopy.
- Inā he 45 ou mau makahiki a ʻoi aʻe paha a ua pilikia ʻoe i ka maʻi ʻaʻai, ʻo ka hana ʻana i kahi colonoscopy i ka manawa kūpono ke ala maikaʻi loa e pale aku ai i ka maʻi ʻaʻai colon.
- Ma hope o ka wehe ʻana i ka cyst, e hoʻomaopopo pono e hahai i kāu kauka e like me ka papa kuhikuhi.
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