Hiki i ke koko i loko o kou ʻōpala ke lilo i mea hopohopo iki no kekahi. Akā ua ʻike anei ʻoe i kekahi manawa hiki ke loaʻa ke koko i loko o kou ʻōpala, ʻoiai i nā nui liʻiliʻi loa a paʻakikī ke ʻike? I kēia lā, e kamaʻilio mākou e pili ana i kahi hoʻokolohua maʻalahi loa, akā koʻikoʻi loa e nānā ana i ke koko "huna" ʻaʻole i ʻike ʻia e ka maka ʻōlohelohe.
I ka ʻōlelo maʻalahi, he aha ka hoʻāʻo koko fecal occult (FOBT)?
ʻOiai paha e kani iki ka inoa i ka ʻepekema, he maʻalahi loa ke kaʻina hana. ʻO ka Fecal Occult Blood Test (FOBT) kahi hoʻāʻo e hoʻohana ana i nā kemika e ʻimi i nā koko liʻiliʻi i loko o kou ʻōpala i liʻiliʻi loa e ʻike ʻia me ka maka ʻōlohelohe. ʻO ka huaʻōlelo "Occult" ma ʻaneʻi ʻo ia hoʻi "hūnā ʻia." ʻO ia hoʻi ke ʻimi nei i ke koko i hiki ʻole iā mākou ke ʻike me ka maka ʻōlohelohe.
Hiki i kēia hoʻāʻo ke haʻi wale aku inā he koko i loko o kou ʻōpala. Akā, ʻaʻole hiki iā ia ke haʻi pololei i kahi e puka mai ai ke koko. E noʻonoʻo he "Positive" ka hopena o ka hoʻāʻo. ʻO ia hoʻi, aia ke koko i loko o kou ʻōpala. Hiki paha kēia ma muli o nā ulu liʻiliʻi (polyps) i loko o kou kolona a i ʻole ka rectum. I kekahi manawa hiki nō hoʻi ke lilo i hōʻailona mua o ka maʻi ʻaʻai kolona. Akā , mai hopohopo! ʻAʻole pono kēia i nā manawa a pau he mea koʻikoʻi. Hiki nō hoʻi ke hana ʻia e kekahi mau maʻi olakino liʻiliʻi.
He aha nā kumu o ke koko i loko o ka ʻōpala?
Aia kekahi mau kumu no ke koko i loko o ka ʻōpala, ʻike maka ʻia a ʻike ʻole ʻia. E nānā kākou i ke ʻano o lākou.
| Kumu kūpono | He wehewehe maʻalahi |
|---|---|
| ʻO nā polyps i loko o ka colon | Hiki i kēia ke lilo i mea maikaʻi ʻole a i ʻole he mea ʻino. Hiki iā lākou ke hoʻoulu i ke kahe koko. |
| Nā ʻōpū hemorrhoids | Ka pehu ʻana o nā kīʻaha koko a puni ka anus. Hiki i kēia mau mea ke hōʻeha a kahe ke koko i ka wā e neʻe ai ka ʻōpū. |
| Nā māwae anal | Nā māwae liʻiliʻi ma ka ʻili a puni ka anus. Loaʻa pinepine kēia i nā kūlana e like me ka paʻa ʻana o ka ʻōpū. |
| Nā maʻi ʻōpū a me nā ʻeha | Hiki ke kahe koko ma muli o nā maʻi a i ʻole nā ʻōpū i loko o ka ʻōnaehana hoʻoheheʻe. |
| Maʻi ʻōpū mumū | ʻO kahi laʻana, ʻo nā kūlana e like me ka ulcerative colitis a me ka maʻi a Crohn hiki ke hoʻopilikia i ka ʻili o ka ʻōpū a kahe ke koko. |
| Maʻi diverticular | Nā ʻeke liʻiliʻi ma ka paia o ka kolona. Hiki i kēia mau mea ke kahe ke koko inā loaʻa iā lākou ka maʻi. |
I kekahi manawa hiki ke ʻulaʻula ʻālohilohi ke koko i loko o ka ʻōpala. I kekahi manawa hiki ke ʻeleʻele loa. Ua kapa ʻia kēia he melena. Eia nō naʻe, he mea nui ka hoʻāʻo FOBT no ka ʻike ʻana i ke koko i ʻike ʻole ʻia e ka maka ʻōlohelohe.
He aha nā ʻano hana no ka hana ʻana i kēia hoʻokolohua?
Aia kekahi mau ala nui e hana ai i kahi hoʻāʻo FOBT. Pili lākou a pau i ka hōʻiliʻili ʻana a me ka hoʻāʻo ʻana i kahi hāpana o kāu noho.
1. ʻŌnaehana Kāleka Guaiac (Guaiac FOBT - gFOBT)
Ma kēia, e hāʻawi kāu kauka iā ʻoe i kahi kāleka kūikawā. ʻO kāu wale nō e hana ai, ma hope o kou loaʻa ʻana o nā neʻe ʻana o ka ʻōpū no kekahi mau lā, e lawe i kahi laʻana liʻiliʻi o kāu ʻōpala me kahi mea liʻiliʻi a kau iā ia ma kahi i koho ʻia ma ke kāleka. ʻO ka maʻamau, ua noi ʻia ʻoe e lawe i kahi laʻana ʻekolu lā. A laila, pono ʻoe e lawe i ke kāleka i ka lab a i ʻole i kāu kauka.
2. ʻO ka FOBT Immunochemical (FIT)
He ʻano hana hou kēia a ʻoi aku ka maʻalahi. Pili ia i ka hōʻiliʻili ʻana i kahi hāpana ʻōpala i loko o kahi ʻōmole kūikawā āu e loaʻa mau ai. ʻOi aku ka maʻalahi o kēia ma mua o ke ʻano hana ma mua. Pono nō hoʻi ka liʻiliʻi o ka palena o ka meaʻai a me ka mea inu ma mua o ka hoʻāʻo ʻana.
3. Ke ʻano hana o ka Flushable Reagent Pad
He pahu hana kēia hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau me ke kauoha ʻole. Ma kēia, ma hope o kou ʻōpala ʻana, pono ʻoe e kau i kahi pā kūikawā a i ʻole kahi ʻiʻo i uhi ʻia me kahi mea kemika i loko o ke pola lua. Inā he koko i loko o ka ʻōpala, e loli ke kala o ka pā. Hiki iā ʻoe ke hana i kēia no ʻekolu lā a hōʻike i nā hopena i kāu kauka.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
Hoʻopilikia nui kāu hoʻomākaukau ʻana i ka pololei o nā hopena o kēia hoʻāʻo. No laila, he mea nui loa ia e hahai pololei i nā kuhikuhi a ke kauka. ʻOiai inā ʻoe e hana nei i ke ʻano gFOBT, pono ʻoe e mālama i kēia mau mea i ʻelua a ʻekolu mau lā ma mua o ka hoʻāʻo.
ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka ma mua o ka hana ʻana i kekahi mea a hahai pololei i kāna mau kuhikuhi.
- Nā meaʻai e pale aku ai:
- ʻO kekahi mau huaʻai maka a me nā mea kanu (e like me nā radishes, broccoli)
- ʻAi ʻulaʻula (e like me ka pipi, ka ʻiʻo kao. ʻAʻole pilikia ka ʻai ʻana i ka moa a me ka puaʻa)
- Nā mea e kaupalena ai:
- ʻO nā meaʻai, nā mea inu, a me nā pila i kiʻekiʻe i ka wikamina C (mai lawe ʻoi aku ma mua o 250 milligrams i ka lā)
- Nā lāʻau lapaʻau āu e lawe nei:
- Hiki i kekahi mau lāʻau ʻeha (e laʻa me ka aspirin, ibuprofen) a me nā mea hoʻohui hao ke hana i nā hopena wahaheʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei. E haʻi aku ʻo ia iā ʻoe inā pono ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ka hoʻāʻo. Mai hoʻōki i ka lawe ʻana i kekahi mau lāʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka.
ʻO ka mea maʻamau, ua ʻōlelo ʻia e hana i kēia hoʻāʻo ma ka liʻiliʻi hoʻokahi manawa i ka makahiki ma hope o ka piha ʻana o 45 mau makahiki. He mea nui loa kēia inā ʻaʻole ʻoe i hana i ka colonoscopy, ʻo ia hoʻi kahi hoʻāʻo no ka maʻi ʻaʻai colon.
He aha ka ʻōlelo a nā hualoaʻa?
ʻO kēia ka nīnau nui loa a nā kānaka a pau. E nānā kākou pehea e wehewehe ai i nā hopena.
Inā maikaʻi ka hopena
ʻO ke ʻano o ka "maikaʻi" he koko i loko o kāu hāpana ʻōpala. Mai hopohopo ke lohe ʻoe i kēia. ʻAʻole kēia manaʻo he maʻi kanesa kou. ʻO ia hoʻi, pono nā hoʻokolohua hou aʻe e ʻike ai i ke kumu o ke koko. A laila, e paipai paha kāu kauka i kahi hoʻokolohua e like me ka colonoscopy. Hiki i kēia ke nānā i loko o kou kolona holoʻokoʻa e ʻike pono i kahi e puka mai ai ke koko a me ke kumu.
Inā maikaʻi ʻole ka hopena
ʻO ke ʻano o ka "Negative" ʻaʻohe koko i loko o ka hāpana ʻōpala i hoʻāʻo ʻia. He nūhou maikaʻi kēia. Eia nō naʻe, ʻaʻole mau ke kahe koko o kekahi mau maʻi kanesa a i ʻole nā puʻupuʻu. No laila, ʻaʻole ia he manaʻo maikaʻi e kali a hiki i ka hopena maikaʻi ʻole a ʻaʻole e hoʻāʻo hou ʻia. He mea nui e hoʻāʻo hou ʻia i ka manawa i hoʻonohonoho ʻia, e like me ka ʻōlelo a kāu kauka.
Aia kekahi mau hopena maikaʻi/maikaʻi ʻole wahaheʻe?
ʻAe, i kekahi manawa hiki ke hana ʻia kēlā.
- ʻO ka maikaʻi wahaheʻe (ʻaʻohe koko): Hiki ke hana ʻia kēia inā ʻoe e hoʻāʻo i kou wā, inā he koko kou i loko o kou mimi, inā he mau hemorrhoids kou i pohā a ke kahe nei ke koko. Hiki ke hana ʻia e kekahi mau meaʻai a me nā lāʻau lapaʻau.
- ʻAʻole maopopo ka hewa (e hōʻike ana ʻaʻole i loaʻa ke koko):ʻOiai ʻaʻole kahe mau ke koko o kekahi mau puʻupuʻu a i ʻole nā maʻi ʻaʻai, hiki ke hana ʻia kēia inā ʻaʻole ʻoe i kahe ke koko i nā lā i lawe ʻia ai ka hāpana.
ʻO ia ke kumu he mea nui e hahai pololei i nā ʻōlelo a ke kauka a e hana hou i nā hoʻokolohua i ka manawa i hoʻonohonoho ʻia.
Leka Lawe-Home
- He hoʻāʻo maʻalahi ka Fecal Occult Blood Test (FOBT) e nānā ai i ke koko huna i loko o ka ʻōpala i ʻike ʻole ʻia e ka maka.
- He hoʻāʻo nānā wale nō kēia no ka ʻike mua ʻana i nā maʻi e like me ke kanesa colon.
- Mai hopohopo inā "Positive" ka hopena. ʻAʻole ia he manaʻo he hōʻailona, akā, pono nā hoʻokolohua hou aʻe e ʻike ai i ke kumu.
- No ka loaʻa ʻana o nā hopena pololei, e hahai pono i nā ʻōlelo a ke kauka e pili ana i ka ʻai, ka mea inu, a me ka lāʻau lapaʻau ma mua o ka hoʻāʻo ʻana.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kūkākūkā ākea me kāu kauka.
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