He mau polyp anei kou i loko o kou kino? E aʻo kākou e pili ana i ka 'Polypectomy'!

Ua hele paha ʻoe i ke kauka, malia paha no ka endoscopy (kahi hana kahi e hoʻokomo ʻia ai ke kāmela i loko o ka ʻōpū o kou ʻōpū) no kahi pilikia ʻōpū, a ua ʻōlelo ke kauka i kekahi mea e like me kēia? "Aia kahi ulu liʻiliʻi i loko o kou colon/ʻōpū. E wehe mākou ia mea." He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kahi mea e like me kēia. Akā, mai makaʻu. ʻO kēia mau ulu liʻiliʻi ka mea a mākou e kapa nei ma ke ʻano lapaʻau he "Polyps." ʻO ke kaʻina hana maʻalahi e wehe iā lākou ua kapa ʻia ʻo "Polypectomy." No laila i kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa.

He aha ka 'polyp'? No ke aha e pono ai e wehe ʻia?

I ka ʻōlelo maʻalahi, he ʻano liʻiliʻi ka ulu ʻana o ka polyp i makemake ʻole ʻia o nā ʻiʻo e hana ana ma ka paia o loko o kahi ʻōkana i loko o ko kākou kino, ʻoiai he ʻōkana me kahi lua i loko (no ka laʻana, ka colon, uterus, ʻōpū). E noʻonoʻo iā ia e like me kahi wart e ulu ana i loko o ke kino.

Aia kekahi mau ʻano o kēia mau "Polyps":

• Maikaʻi: He mau puʻupuʻu maʻamau kēia. ʻAʻole lākou e hōʻeha.
• Kanesa: I kekahi manawa hiki i kēia mau ʻōpū ke lilo i mau hunaola kanesa.
• Precancerous: ʻO kēia nā ʻōpū i ʻole he maʻi kanesa i kēia manawa, akā he kiʻekiʻe ka manawa e lilo ai i maʻi kanesa i ka wā e hiki mai ana.

ʻO ka pilikia, he paʻakikī i ke kauka ke haʻi pololei i ke ʻano o ka polyp ma ka nānā wale ʻana mai waho. ʻO ke ala maikaʻi loa e ʻike pono ai, ʻo ia ka wehe ʻana a hoʻouna i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana (he ``(Biopsy)`').

Hoʻomaopopo pinepine nā kauka he mea palekana loa ka wehe ʻana i kahi polyp i ka wā e ʻike ai ʻoe, ma mua o ka kali ʻana a lilo i pilikia ma hope.

He hana nui anei ka polypectomy? He ʻeha anei?

ʻAʻole loa! Mai makaʻu i ka lohe ʻana i kēia. ʻO ka 'Polypectomy' he ʻoki maʻalahi loa ia. I ka lāʻau lapaʻau, kapa mākou i kēia '(Kaʻina hana Minimally invasive)'. ʻO ia hoʻi, he mea ia i hana ʻia ma ke ʻano liʻiliʻi, me ka ʻole o ka hana ʻana i kahi ʻoki nui.

Hoʻoneʻe ʻia nā polyps he nui i ka wā o kahi hoʻāʻo i kapa ʻia ʻo colonoscopy (kahi hoʻokolokolo ʻana o ke kolona ma ke kāmela) a i ʻole endoscopy (kahi hoʻokolokolo ʻana o ka ʻōpū ma ke kāmela). Ke hoʻokomo ke kauka i kahi paipu kāmela, hoʻokomo ʻo ia i nā mea hana liʻiliʻi ma o ka paipu a wehe i ka polyp. ʻAʻole ʻoe e ʻike iki.

No ka ʻeha, ʻaʻole ʻoe e ʻike i kekahi ʻeha. ʻO kēia no ka mea e hāʻawi ʻia ʻoe i kahi anesthetic ma mua o ke kaʻina hana. I kekahi manawa, e hoʻomoe ʻia ʻoe (`(General Anesthesia)`). A i ʻole, e hāʻawi ʻia ʻoe i kahi lāʻau e hoʻomoe iā ʻoe i ka hiamoe māmā (`(Sedation)`). No laila, ʻoiai e ʻike ʻoe i kahi kaomi iki, ʻaʻole ʻoe e ʻike i kekahi ʻeha.

He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?

Hoʻomākaukau ma mua o ke ʻoki kino

I ka hapanui o nā hihia, ʻaʻohe pono o ka hoʻomākaukau kūikawā. Eia nō naʻe, inā ʻoe e hana ana i kahi "Colonoscopy" me kahi "Polypectomy", pono e hoʻomaʻemaʻe loa ʻia kou ʻōpū. No kēia, pono ʻoe e inu i kahi lāʻau lapaʻau wai kūikawā ("(bowel prep formula)") a kāu kauka e hāʻawi ai iā ʻoe. Me kēia, e aʻo ʻia ʻoe e kāohi i kāu ʻai no kekahi mau lā. Eia kekahi, inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, he mea nui e kamaʻilio me kāu kauka e pili ana i ka pono e hoʻōki iā lākou i ka lā o ke ʻoki kino.

I ka wā o ke ʻoki kino...

He hana maʻalahi loa kēia.

1. Anesthesia: ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi mea hoʻomaha ma o ka IV (intravenous drip) i loko o kahi aa koko ma kou lima. Ma hope o kekahi manawa, e ʻoluʻolu ʻoe a hiamoe paha.

2. Ke hoʻokomo nei i ka endoscope:A laila hoʻokomo ke kauka i kahi ʻōmole lōʻihi a palupalu (endoscope) me kahi kāmela i hoʻopili ʻia ma o kahi puka kūlohelohe i loko o kou kino (no ka laʻana, ma o ka anus no ka polyp i loko o ka colon, a i ʻole ma o ka waha no ka polyp i loko o ka ʻōpū).

3. Ka Wehe ʻana i ka Polyp: Nānā ʻia nā kiʻi mai ke kāmela ma kahi monitor e ʻike ai i ka polyp. A laila, hopu ʻia ka polyp a wehe ʻia me ka hoʻohana ʻana i kahi mea hana liʻiliʻi, e like me nā forceps a i ʻole kahi uea pahele, i hoʻokomo ʻia ma o ka paipu.

4. Ke hoʻōki ʻana i ke kahe ʻana o ke koko: No ka hoʻōki ʻana i ke kahe ʻana o ke koko mai kahi i wehe ʻia ai ka polyp a no ka wehe loa ʻana i nā ʻiʻo i koe, ua hoʻopau iki ʻia ka wahi me kahi mea uila (electrocautery device). Ua kapa ʻia kēia he cauterization.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Aia kekahi mau pilikia?

E hiki iā ʻoe ke hoʻi i ka home ma hope koke iho o ke ʻoki kino. Eia nō naʻe, hiki iā ʻoe ke manaʻo iki i ka poniuniu mai nā hopena o ka anesthesia, no laila ʻoi aku ka maikaʻi o ka loaʻa ʻana o kekahi me ʻoe. Hiki iā ʻoe ke manaʻo iki i ka ʻoluʻolu ʻole a me ka pehu no kekahi mau lā. He mea maʻamau kēia.

Hoʻouna ʻia ka polyp i wehe ʻia i kahi keʻena hoʻokolohua. He hoʻokahi a ʻelua paha pule e loaʻa ai ka hōʻike. ʻO ka hapa nui o ka manawa, ua hōʻike ʻia kēia mau mea he ʻaʻole kanesa (benign). Inā loaʻa nā hunaola kanesa, e aʻo aku kāu kauka iā ʻoe no nā hoʻokolohua hou aʻe a me ka mālama ʻana.

• Ke kahe ʻana o ke koko.
• Ka hanana ʻana o kahi maʻi lele.
• He lua a haehae paha i loko o ka paia o kahi ʻōkana. (`(Perforation)`)
• He ʻeha iki i ke kino i hana ʻia e kahi hāmeʻa 'electrocautery'.

ʻAʻole hiki pinepine kēia mau mea. Aia kekahi pilikia ʻē aʻe i kapa ʻia ʻo 'Postpolypectomy coagulation syndrome (PPCS). He mumū liʻiliʻi kēia o nā ʻiʻo ma lalo o ka 'Polyp' kahi i puhi ʻia ai. ʻAʻole koʻikoʻi kēia, a e ho'ōla ʻia i loko o kekahi mau lā me ka lāʻau lapaʻau. Eia nō naʻe, inā loaʻa iā ʻoe kekahi mea ma hope o ke ʻoki ʻana, e like me ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui, ke kuni, a i ʻole ke kahe koko nui , pono ʻoe e kamaʻilio koke me kāu kauka.

He mau lā wale nō e ola ai. E hiki iā ʻoe ke hoʻi i nā hana maʻamau i hoʻokahi a ʻelua paha lā.