Ke loaʻa nei iā ʻoe nā puʻupuʻu ʻē ma nā wahi like ʻole o kou kino? Malia paha he nui aku kou mau niho ma mua o ka mea e pono ai i ka wā e ulu ana nā niho? ʻOiai ke ʻano maʻamau kēia mau mea, i kekahi manawa aia kekahi moʻolelo koʻikoʻi ma hope o lākou. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano maʻi kakaʻikahi, akā he mea nui loa e pono ai nā mea a pau ke ʻike. ʻO ia ka Gardner Syndrome.
He aha ka Gardner Syndrome, ma ka ʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, he maʻi laha ʻole kēia e hiki iā kākou ke loaʻa mai ko kākou mau mākua ma o nā genes. He maʻi hoʻoilina ia. Hoʻomaka ke kanaka me kēia maʻi e hoʻomohala i nā puʻupuʻu maʻamau ʻole ma nā ʻāpana like ʻole o ko lākou kino.
ʻO ka mea e hana ʻia ana, ʻo ia ka ulu ʻana o nā haneli o nā ulu liʻiliʻi i loko o ka kolona. Ua kapa ʻia kēia mau ulu ʻana he polyps i ka ʻōlelo lapaʻau. ʻO ka mea weliweli loa, inā ʻaʻole mālama ʻia, loaʻa i kēia mau polyps āpau kahi pilikia kiʻekiʻe loa o ka ulu ʻana i ka maʻi ʻaʻai kolona .
Ma waho aʻe o ka kolona, hiki i nā ʻōpū ʻaʻole hiki ke ulu i loko o nā iwi, nā ʻōpū, ka ʻili, a me nā ʻiʻo palupalu ʻē aʻe. Loaʻa i ka poʻe me kēia maʻi ka pilikia o ka loaʻa ʻana o kekahi mau ʻano maʻi ʻē aʻe.
Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea e loaʻa ai?
He maʻi laha ʻole kēia. Eia kekahi laʻana, ma kahi ʻāina e like me ʻAmelika, hoʻokahi wale nō i loko o ka miliona o ka poʻe i ʻike ʻia me kēia maʻi.
Ma muli o ka maʻi hoʻoilina, ʻoi aku ka nui o ka poʻe me ka maʻi Gardner i loaʻa ka manawa kūpono e loaʻa ai kahi makuahine a makuakāne paha me ka maʻi. ʻO ke ʻano kēia, ua hoʻoili ʻia ma o nā genes mai kēlā hanauna a i kēia hanauna.
He aha nā hōʻailona o kēia?
Hoʻololi nā hōʻailona o ka maʻi Gardner i ka hala ʻana o ka manawa. Hiki ke ʻike ʻia kekahi mau hōʻailona i ka wā kamaliʻi.
| Ka manawa o ka hoʻomaka ʻana o nā hōʻailona | Nā hiʻohiʻona i ʻike ʻia |
|---|---|
| I ka wā kamaliʻi |
|
| I ka wā ʻōpiopio | He mau haneli o nā polyp colon. Eia nō naʻe, ʻaʻole paha e hōʻike kēia mau mea i kekahi mau hōʻailona i ka wā mua. I ka manawa e ʻike ʻia ai nā hōʻailona, hiki ke holomua loa ka maʻi. |
ʻO ka mea nui, i ka wā e ʻike ʻia ai nā hōʻailona o nā polyps colon, ua lōʻihi loa paha ka maʻi. No laila, inā loaʻa i kekahi o kou ʻohana kēia maʻi, he mea nui loa ia e hoʻāʻo mua ʻia.
He aha nā pilikia ʻē aʻe e pili ana me ka Gardner syndrome?
ʻOi aku ka nui o ka pilikia o ke kanaka me ka Gardner syndrome i ka loaʻa ʻana o nā kūlana penei:
- Nā niho keu
- Nā Osteomas (nā ʻōpū iwi)
- Nā puʻupuʻu Desmoid - ʻOiai ʻaʻole kēia he maʻi kanesa, hiki iā lākou ke ulu koke a hōʻino i nā ʻiʻo a puni.
- Nā puʻupuʻu momona (Lipomas)
- Nā Fibromas
- Adenomas - Nā ʻōpū ʻaʻole kanesa e hana ʻia i loko o nā kelepa.
- Nā cysts Epithelial
- ʻO kahi kūlana e hoʻopilikia ana i ka retina o ka maka (CHRPE - congenital hypertrophy of retinal pigment epithelium)
- Ka maʻi ʻōpū
- Ka maʻi ʻaʻai ate
- Ka maʻi ʻaʻai kolona
No ke aha lā kēia e hana nei? He aha ke kumu?
ʻO ke kumu o kēia, he kīnā i loko o kekahi o kā mākou mau genes. I ka pololei, aia kahi gene i kapa ʻia ʻo ka gene APC . ʻO kāna hana nui, ʻo ia ke kāohi i nā cell i loko o ko mākou kino mai ka māhele ʻana a me ka hoʻonui wikiwiki ʻana. E like me nā paleki ma ke kaʻa. ʻO nā genes e like me kēia ua kapa ʻia ʻo nā genes tumor suppressor , ʻo ia hoʻi ke pale nei lākou i ka hoʻokumu ʻia ʻana o nā tumors.
He gene APC kīnā ko ke kanaka me ka maʻi Gardner. ʻO ke ʻano kēia, ʻaʻole hana ka paleki e kaohi ana i ka mahele ʻana o nā cell. ʻO ka hopena, māhelehele nā cells me ke kāohi ʻole a hoʻomaka e hana i nā tumors a me nā polyps.
Pehea e ʻike ai ke kauka i kēia maʻi?
Ma muli o nā hōʻailona like ʻole o kēia maʻi, hoʻohana ke kauka i kekahi mau hoʻokolohua e ʻike ai.
- Nā hoʻāʻo hoʻoilina: Hana ʻia kēia hoʻāʻo e ʻike inā he kīnā kou i loko o kāu gene APC. Hiki i kāu kauka ke ʻōlelo aku i kēia, ʻoiai inā loaʻa i kekahi o kou ʻohana ka maʻi.
- Nā hoʻāʻo kāmela: Pili kēia i ke kau ʻana i kahi kāmela liʻiliʻi i loko o ke kino e nānā i loko o nā ʻōpū.
- ʻO ka Sigmoidoscopy
- Endoscopy
- Colonoscopy - ʻO kēia ka mea e ʻike maopopo ai i nā polyps i loko o ka colon.
He aha nā lāʻau lapaʻau no kēia?
Pili ka lāʻau lapaʻau i kāu mau hōʻailona.
E noʻonoʻo he mau niho keu kou. He hōʻailona mua paha ia o kēia maʻi. A laila pono ʻoe e wehe i kēlā mau niho e ke kauka niho a hoʻoponopono i ke koena o kou mau niho. Inā he mau puʻupuʻu desmoid kou, hiki iā ʻoe ke loaʻa ka lāʻau e like me ka chemotherapy e hoʻēmi iā lākou.
Eia nō naʻe, ʻo ka pilikia nui a weliweli loa me kēia maʻi, ʻo ia nā polyps e hana ʻia ana i loko o ka kolona. Pono ke ʻoki kino e pale aku i kēia mau mea mai ka lilo ʻana i ka maʻi kanesa.
| Inoa o ke ʻoki kino | He aha ka mea e hana ʻia nei |
|---|---|
| ʻO ke kolotomi | Ka wehe ʻana i kahi hapa a i ʻole ka ʻāpana āpau o ka kolona. Manaʻo pinepine ʻia kēia ʻoki kino inā he 20-30 mau polyp. |
| ʻO ka proctocolectomy | Ka wehe ʻana i ka hapa nui o ka colon a me ka rectum. |
E hoʻomanaʻo, ʻo kēia ʻoki kino wale nō ke ala e pale aku ai i ka hoʻokumu ʻia ʻana o nā polyp i loko o ka ʻōpū a lilo i ka maʻi kanesa.
Hiki ke ho'ōla loa ʻia kēia maʻi?
ʻO ka mea pōʻino, ʻaʻole hiki ke ho'ōla loa ʻia ka maʻi Gardner.
Eia nō naʻe, hiki ke mālama maikaʻi ʻia kēia. Me ka mālama kūpono a me nā nānā mau ʻana, hiki ke ʻike ʻia a mālama ʻia nā maʻi koʻikoʻi e like me ke kanesa i ka wā mua. No laila, ʻaʻohe pono e hopohopo.
Hiki anei ke ola i kahi ola maʻamau me kēia maʻi?
ʻAe, hiki iā ʻoe. Eia nō naʻe, aia paha kekahi mau loli i kou nohona ma hope o ke ʻoki ʻana. No ka laʻana, ʻo ka wehe ʻana i kou kolona e hoʻololi i ke ʻano o kāu ʻeli ʻana i ka meaʻai a me ka hele ʻana o ka ʻōpala. Pono paha ʻoe e loaʻa kahi alahele kaʻawale a me kahi ʻeke ostomy i hoʻokomo ʻia i waho o kou ʻōpū. E wehewehe kāu kauka i kēia iā ʻoe me ka kikoʻī.
ʻO ke ʻoki ʻana e pale aku i ka ulu ʻana o ke kanesa colon ma muli o kēia maʻi hiki ke hoʻolōʻihi i ke ola. Ua hōʻike ʻia kekahi noiʻi he 100% o ka poʻe i hana ʻia kahi proctocolectomy e ola mau ana ma hope o 5 mau makahiki.
Pehea ʻoe e mālama ai iā ʻoe iho?
ʻO ke ola ʻana me ka maʻi Gardner ʻo ia hoʻi ke ola ʻana me ka pilikia o ka loaʻa ʻana o ka maʻi kanesa i ka wā ʻōpiopio. ʻAʻole ia he mea maʻalahi. Hiki ke paʻakikī ka noʻonoʻo ʻana i kēlā kānalua.
No laila, he mea nui e hana i nā hoʻokolohua nānā ʻana i ka maʻi kanesa i ka manawa kūpono. ʻO ke ʻano kēia inā ulu ka maʻi kanesa, hiki ke ʻike ʻia a mālama ʻia i ka wā mua.
Inā ʻoe e hopohopo nei no kēia, e kamaʻilio me kāu kauka e pili ana i ia mea. Inā pono, e ʻimi i nā lawelawe aʻoaʻo.
Āhea wau e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi mau loli hou i kou kino, no ka laʻana, he puʻupuʻu hou, a i ʻole kahi loli i kou neʻe ʻana o ka ʻōpū, ʻoiai inā ʻike ʻoe i ke koko i loko o kou noho , e ʻike koke i ke kauka.
He aha nā nīnau āu e nīnau ai i kāu kauka?
Ke ʻike ʻoe i kāu kauka, mai poina e nīnau i kēia mau nīnau.
- He aha nā lāʻau lapaʻau o kēia manawa no kaʻu mau hōʻailona?
- E pono anei iaʻu ke ʻoki kino?
- He aha nā hoʻokolohua e pono ai iaʻu e hana? ʻEhia pinepine e pono ai iaʻu e hana iā lākou?
- He aha nā loli i loko o koʻu kino e pono iaʻu e makaʻala pono ai?
- He manaʻo maikaʻi anei no ke koena o koʻu ʻohana e hana i ka hoʻāʻo genetic?
ʻAʻole ia he mea e makaʻu ai i ka maʻi Gardner, akā he kūlana ia e pono e kū pono me ke akahele a me ka mālama pono ʻana. Me ke aʻo lapaʻau kūpono a me nā hoʻāʻo ʻana, hiki iā ʻoe ke ola i kahi ola olakino a lōʻihi.
Leka Lawe-Home
- ʻO ka maʻi Gardner kahi maʻi genetic kakaikahi i hoʻoili ʻia mai nā mākua mai.
- ʻO ka pilikia nui ma ʻaneʻi, ʻo ka aneane nā polyp āpau e hana ʻia ana i loko o ka ʻōpū nui e lilo i ka maʻi ʻaʻai.
- ʻO nā hōʻailona mua o kēia e komo pū me nā niho keu e ʻike ʻia ana i ka wā kamaliʻi a i ʻole nā pūpū ʻaʻole maʻi kanesa e ulu ana i loko o ke kino.
- ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia kēia, hiki ke mālama maikaʻi ʻia me nā hoʻopaʻa kino maʻamau a me ke ʻoki kino.
- Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kēia mau hōʻailona, he mea nui e ʻimi koke i ke kōkua lapaʻau. E kamaʻilio ākea me kāu kauka e pili ana i kou olakino kino a me ka noʻonoʻo.
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