Ua haʻi aku kāu kauka iā ʻoe he ulu liʻiliʻi ʻē aʻe kou o nā ʻiʻo i loko o kou ʻōpū, ʻōpū, a i ʻole esophagus, a i ʻole he hoʻomaka ʻana o ke kanesa? He mea maʻamau loa ke manaʻo makaʻu loa a me ka haʻalulu ke lohe ʻoe i kahi mea e like me kēia. Akā, mai hopohopo. Aia nā ʻano hana maʻalahi a hou i ka lāʻau lapaʻau i kēia lā ʻaʻole pono nā ʻokiʻoki nui e like me ka ʻoki ʻana i ka ʻōpū e like me ka wā ma mua. Pēlā mākou e kamaʻilio nei e pili ana i kahi ʻano hana kūikawā e lawe mai iā ʻoe i kahi ho'ōla wikiwiki.
He aha ka ʻoki ʻana o ka mucosal endoscopic?
ʻOiai paha he mea paʻakikī iki ka inoa, he maʻalahi loa ke kaʻina hana. I ka ʻōlelo maʻalahi, he kaʻina hana ia e wehe ai i nā ʻiʻo ʻē i loko o kāu ʻōnaehana hoʻoheheʻe, e like me nā puʻupuʻu liʻiliʻi, nā polyp, a i ʻole nā pae mua o ke kanesa, me ka ʻole o ka hana ʻana i kahi ʻoki i loko o kou ʻōpū.
E noʻonoʻo, ʻaʻohe ʻoki a i ʻole nā māka i koe ma kou ʻōpū. Hana ʻia kēia e kahi gastroenterologist. Hoʻohana ʻo ia i kahi kāmela liʻiliʻi ma ka hopena o kahi paipu lōʻihi a palupalu i kapa ʻia he endoscope. Inā aia ka ʻiʻo ʻē i loko o kou esophagus a ʻōpū paha, hoʻokomo ʻia ka paipu ma kou waha. A i ʻole, inā aia ma ka ʻaoʻao haʻahaʻa o kou ʻōpū, e like me ka ʻōpū nui, hoʻokomo ʻia ma kou anus.
ʻO ka pōmaikaʻi nui o kēia ʻano hana, ʻoiai ʻaʻohe ʻoki ʻia ma waho o ke kino, ʻaʻole ʻoe e ʻike i ka ʻeha iki a e pōkole loa kou manawa hoʻōla ma mua o ke ʻoki ʻana maʻamau.
He aha nā ʻano kūlana e hoʻohana ʻia ai kēia ʻano hana?
Hoʻohana nui ʻia kēia lāʻau lapaʻau e wehe i nā cell precancerous a i ʻole nā ʻiʻo ʻē aʻe e hiki ke lilo i kanesa i ka wā e hiki mai ana . He mea kūpono loa ia no nā puʻupuʻu e ulu ana i loko o ka mucosa, ka uhi lahilahi o ke ala ʻai.
Eia kekahi o nā hoʻohana maʻamau o kēia ʻano hana:
- ʻO ka esophagus a Barrett: Ma kēia ʻano, loli like ʻole nā pūnaewele i loko o ka esophagus, e hoʻonui ana i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa.
- Ka maʻi ʻaʻai colorectal: Nā puʻupuʻu liʻiliʻi o ke kanesa i ʻike ʻia i ka wā mua.
- Ka maʻi ʻaʻai ʻōpū: Ka maʻi ʻaʻai o ke kahua mua.
- ʻO ke kanesa ʻōpū liʻiliʻi: Ke kanesa e kū mai ana ma ka duodenum.
- ʻAʻai ʻōpū: Nā puʻupuʻu liʻiliʻi e hana ana ma ka ʻili o ka ʻōpū.
Nā mea e ʻike ai ma mua a ma hope o ka mālama ʻana
He mea nui loa nō hoʻi kāu hāʻawi ʻana ma mua a ma hope o ka mālama ʻana e like me kēia.
Hoʻomākaukau ma mua o ka mālama ʻana
E hāʻawi aku kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i ka hoʻomākaukau ʻana no kēia.
- Ma ka ʻaoʻao o luna o ke ala ʻai (paipu meaʻai, ʻōpū): E noi ʻia ʻoe e hōʻole loa i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ka mālama ʻana (hoʻokē ʻai).
- Inā aia ma ka ʻaoʻao haʻahaʻa o ke ala ʻai (ka ʻōpū nui): Pono paha ʻoe e hoʻomākaukau i ka ʻōpū. Pili kēia i ka inu ʻana i kahi lāʻau lapaʻau wai a kāu kauka e hāʻawi ai iā ʻoe e hoʻomaʻemaʻe loa i kou ʻōpū. ʻO kēia ka manawa e hiki ai i ke kauka ke ʻike maopopo i loko me ka endoscope.
I ka wā o ka mālama ʻana
E hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻike i kekahi ʻoluʻolu ʻole a ʻeha paha. Hiki ke hoʻomoe ʻia ʻoe (anesthesia laulā) , a i ʻole e hoʻomoe ʻia ʻoe i ʻole ʻoe e hoʻomanaʻo i kekahi mea ma hope (hoʻomaha ʻike) . E hoʻokomo ke kauka i ka endoscope, e nānā i ka wahi me kahi kāmela, a hoʻohana i nā mea hana liʻiliʻi loa i hoʻokomo ʻia ma o ia mea e wehe i nā ʻiʻo ʻē. ʻO ke kaʻina hana holoʻokoʻa he 30 a 60 mau minuke wale nō.
Ma hope o ka mālama ʻana
Ma hope o ka lāʻau lapaʻau, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla a hiki i ka pau ʻana o nā hopena o ka anesthesia. ʻO ka mea nui loa, pono ʻoe i kekahi e lawe iā ʻoe i ka home. No ka mea hiki ke hala a hiki i 24 mau hola no ka pau ʻana o nā hopena o ka anesthesia, ʻaʻole ʻoe e ʻae ʻia e hoʻokele a hoʻi i ka home ma kāu iho.
He aha nā pōmaikaʻi a me nā hopena ʻaoʻao hiki ke loaʻa?
E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pilikia e hiki ke loaʻa i nā hihia kakaikahi loa. E nānā kākou i nā mea ʻelua.
| Nā pono nui | Nā hopena ʻaoʻao a me nā pilikia |
|---|---|
| Hoʻōla koke loa (hiki iā ʻoe ke hoʻi i ka hana ma kahi o hoʻokahi lā) | ʻO ka ʻoluʻolu ʻole no ka manawa pōkole e like me ka pehu ʻana, ka ʻūhā, a pēlā aku. |
| ʻOi aku ka emi o ka ʻeha ma mua o ke ʻoki kino maʻamau. | Kinoea, luaʻi, ʻeha puʻu (inā hoʻokomo ʻia ka endoscope ma ka waha). |
| ʻAʻohe ʻeha i waiho ʻia ma waho o ke kino. | Kākaʻikahi: Ke kahe ʻana o ke koko mai ka wahi i mālama ʻia. |
| ʻOi aku ka haʻahaʻa o ka pilikia o nā pilikia ma mua o ke ʻoki kino hāmama. | Kākaʻikahi loa: Ka perforation o ka ʻōpū. |
| Hiki ke wehe ʻia nā hunaola kanesa ma mua o ko lākou laha ʻana (metastasize) i nā ʻāpana ʻē aʻe o ke kino. | Kākaʻikahi loa: Nā ʻūmiʻi esophageal. |
I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?
He mea nui loa ka mālama ʻana i kou kino ma hope o kou hoʻi ʻana i ka home ma hope o ka mālama ʻana. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hoʻokaʻulua a kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Inā he koko kou i loko o kou noho (ʻeleʻele a ʻulaʻula paha)
- Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma
- Inā manaʻo ʻoe ua poniuniu a nāwaliwali paha
- Inā loaʻa iā ʻoe ke kuni a i ʻole ke anu
- Inā pilikia ʻoe i ka hanu ʻana (dyspnea)
He mea maʻamau ka makaʻu ke lohe ʻoe i ka huaʻōlelo 'maʻi kanesa'. Akā mahalo i nā kaʻina hana lapaʻau hou e like me ka Endoscopic Mucosal Resection, hiki iā ʻoe ke wehe i nā puʻupuʻu liʻiliʻi a me nā ulu mua o ka maʻi kanesa me ka ʻole o ka ʻoluʻolu ʻole o ke ʻoki kino nui. ʻAʻole kēia he ʻoki kino nui. No laila hiki iā ʻoe ke ho'ōla koke, hoʻi i kou ola maʻamau me ka ʻole o ka ʻeha, a hoʻi koke i kou ola maʻamau. Inā loaʻa iā ʻoe kahi maʻi like, e kamaʻilio me kāu kauka e pili ana i kēia koho lapaʻau.
Leka Lawe-Home
- He ala maʻalahi a palekana hoʻi ka Endoscopic Mucosal Resection no ka wehe ʻana i nā ʻiʻo ʻē mai ka ʻōpala digestive me ka ʻole o ka hana ʻana i kahi ʻoki ma waho o ke kino.
- Hoʻohana nui ʻia kēia e wehe i nā puʻupuʻu liʻiliʻi a me nā ʻāpana i hiki ke lilo i maʻi ʻaʻai i nā wā mua o ke kanesa.
- Ke hoʻohālikelike ʻia me ke ʻoki kino maʻamau, ua emi loa ka ʻeha, ua wikiwiki ka ho'ōla ʻana, a ʻaʻohe māka ma ke kino.
- He mea nui loa e hahai pono i nā ʻōlelo a ke kauka (e like me ka hoʻokē ʻai ʻana, ka hoʻomaʻemaʻe ʻana i ka ʻōpū) ma mua o ka lāʻau lapaʻau.
- Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma, ke koko i loko o kou ʻōpala, a i ʻole ke kuni ma hope o ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
- E kūkākūkā me kāu gastroenterologist inā kūpono kēia ʻano lapaʻau iā ʻoe.
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