Ua loaʻa anei iā ʻoe kahi colonoscopy? A i ʻole ua lohe paha ʻoe i kekahi mai kou ʻohana a i ʻole nā hoaaloha. I kekahi manawa ma hope o kēia hoʻāʻo, ʻōlelo ke kauka, "He polyp kou i loko o kou kolona." He mea maʻamau no kekahi ke makaʻu iki a haʻalulu paha i ka lohe ʻana i kēia mau ʻōlelo. Akā, pono anei ʻoe e makaʻu maoli? He mea weliweli a he maʻi kanesa kēia mau polyps a pau? ʻAʻole. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano polyp kūikawā e hana ʻia ana i loko o ka kolona i kapa ʻia ʻo serrated polyps .
I ka ʻōlelo maʻalahi, he aha nā polyps serrated?
ʻO nā polyp serrated he mau ulu liʻiliʻi o nā ʻiʻo, a i ʻole, nā polyp liʻiliʻi, e hana ʻia ma ka paia o loko o kou kolona. Ua kapa ʻia lākou he "serrated" no ka mea ua like ko lākou ʻili me nā niho ʻokiʻoki ke nānā ʻia ma lalo o kahi microscope.
ʻO ka mea nui, ʻaʻole kēia mau polyps he maʻi kanesa i ka wā e hoʻomaka ai. He maʻamau lākou he benign. Eia nō naʻe, hiki i kekahi mau polyps serrated ke lilo i maʻi kanesa i ka hala ʻana o ka manawa. ʻO ia ke kumu e wehe ai nā kauka i kēia mau polyps i ka wā e ʻike ʻia ai. Kōkua kēia i ka pale ʻana i ka maʻi kanesa colon mai ka ulu ʻana i ka wā e hiki mai ana.
ʻOkoʻa iki ke ʻano o ka ulu ʻana o kēia mau polyp serrated mai ke ʻano o ka ulu ʻana o nā polyp maʻamau ʻē aʻe, i kapa ʻia ʻo adenomas. A ʻokoʻa nō hoʻi ke kaʻina hana e lilo ai lākou i maʻi kanesa. Ma kahi o 25% o nā maʻi kanesa colon e ulu mai kēia mau polyp serrated. Akā inā ulu lākou i maʻi kanesa, hiki iā lākou ke ulu wikiwiki iki ma mua o nā ʻano ʻē aʻe.
He aha nā ʻano nui o nā polyp serrated?
Ua hoʻokaʻawale ka World Health Organization (WHO) i nā polyps serrated i ʻehā mau ʻano nui. Hoʻokaʻawale ʻia kēia mau mea ma muli o ko lākou helehelena a me ke ʻano o ka hana ʻana o nā cell. ʻAʻole lilo kēia mau ʻano āpau i ka maʻi kanesa. No laila, he mea nui loa i kāu kauka ke hoʻokaʻawale pololei a ʻike iā lākou.
Eia kahi wehewehe maʻalahi no kēlā mau ʻano ʻehā.
| ʻAno Polyp | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā polyps hyperplastic | ʻO kēia ke ʻano maʻamau . Ma kahi o 75% o nā polyp serrated o kēia ʻano. ʻO ka nūhou maikaʻi, ʻo kēia mau meaʻAʻole ia he mea ʻino, a ʻaʻole ia e lilo i maʻi kanesa. He kūlana maʻamau ia i hoʻokumu ʻia e ka nui o nā cell. |
| Nā ʻeha serrated sessile (SSLs) | ʻO kēia ke ʻano maʻamau o ka polyp serrated i hiki ke lilo i ka maʻi kanesa . ʻO "Sessile" ke ʻano "sessile" no ka mea he pālahalaha lākou a pili i ka paia. ʻO ia ke kumu i paʻakikī ai ke loaʻa iā lākou i kekahi manawa i ka wā o ka colonoscopy. Manaʻo nā kauka he pilikia kēia mau SSL āpau i ka maʻi kanesa. |
| Nā adenomas serrated kuʻuna | He mea kākaʻikahi loa kēia. ʻOiai ke ʻano like me nā adenomas maʻamau, he mau hiʻohiʻona "serrated" ko lākou, e like me nā niho ʻoki. He ʻano maʻi kanesa nō hoʻi lākou. |
| Nā adenomas serrated i hoʻokaʻawale ʻole ʻia | He ʻano polyp kēia ʻaʻole pili pono i kekahi o nā ʻano ʻekolu i ʻōlelo ʻia ma luna, akā he mau ʻano hybrid. He mea kākaʻikahi nō hoʻi kēia. Ke hoʻomau nei nā kauka i ka noiʻi ʻana i kēia mau mea. |
Pehea ka maʻamau o kēia mau puʻupuʻu? Aia kekahi mau hōʻailona?
E noʻonoʻo, inā ʻoe e hana i 100 colonoscopies, hiki iā ʻoe ke ʻike i kēia ʻano polyp serrated ma kahi o 30 o lākou. Akā, mai hopohopo, ʻo ka hapa nui o ia mau mea i loaʻa he mau polyp hyperplastic ʻino ʻole . ʻO nā ʻano e like me SSLs, ka mea i pilikia i ka maʻi kanesa, loaʻa i kahi helu liʻiliʻi, ma kahi o 10%.
ʻO ka mea nui, ʻaʻohe o kēia mau ʻano polyps e hana i kekahi mau hōʻailona . Hiki iā ʻoe ke loaʻa iā lākou i loko o kou kino me ka ʻike ʻole.
He mea kākaʻikahi loa, inā ulu kahi puʻupuʻu, hiki iā ʻoe ke ʻike i kahi koko liʻiliʻi i loko o kou ʻōpala, a i ʻole e ʻike ʻoe i ka pehu a i ʻole ka paʻa ʻana o ka ʻōpū. Akā, aia kekahi mau kumu ʻē aʻe no kēia mau hōʻailona. ʻO ia ke kumu e ʻōlelo ai nā kauka e kiʻi i kahi colonoscopy i ka wā ʻōpiopio, ʻoiai inā ʻaʻohe ou hōʻailona.
He aha ka maʻi serrated polyposis (SPS)?
He kūlana kūikawā kēia a kakaikahi. Ma kēia kūlana, ulu nui nā polyps serrated i loko o ke kanaka (i kekahi manawa ʻoi aku ma mua o 20) ma loko o ko lākou kolona. Hiki i kēia mau mea ke ʻoi aku ka nui ma mua o ka maʻamau a ʻoi aku paha ke ʻano o ka maʻi kanesa. ʻO ke kanaka me kēia kūlana, ʻo SPS, he 25% ka pilikia o ka loaʻa ʻana o ka maʻi kanesa.
He aha nā kumu a me nā kumu pilikia no kēia mau mea?
ʻAʻohe kumu hoʻokahi no nā polyps colon. ʻOi aku ka maʻamau o lākou i ko kākou ʻelemakule ʻana. Ua manaʻo ʻia ke kumu nui he mau hoʻololi genetic e hana ʻia i ka wā e māhelehele ai kā mākou mau cell a hana i nā cell hou. E like me ka mīkini kope i kekahi manawa e hana i nā hewa liʻiliʻi. ʻO kēia mau hoʻololi genetic ke kumu o ka ulu ʻana o nā cell ma waho o ke kaohi a hana i nā tumors.
Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kēia mau polyp:
- ʻOi aku ma mua o 50 mau makahiki
- Puhipaka
- ʻO ka inu nui ʻana
- ʻO ka ʻai mau ʻana i ka ʻiʻo ʻulaʻula (e like me ka pipi a me ka puaʻa)
- Piʻi ke kaumaha (momona)
- Loaʻa nā maʻi mumū mau loa o ka ʻōpū, e like me ka maʻi ʻōpū mumū (IBD)
Pehea e ʻike ʻia ai a mālama ʻia ai kēia mau mea?
ʻO ke ala maikaʻi loa a ʻo ke ala wale nō e ʻike ai i nā polyps serrated me ka colonoscopy . Nānā kēia hoʻāʻo i kāu kolona holoʻokoʻa me ka hoʻohana ʻana i kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia.
Akā i kekahi manawa hiki ke paʻakikī iki ka loaʻa ʻana o lākou. No ka mea, he pālahalaha nā ʻano e like me SSL, like ke kala me nā ʻiʻo a puni, a ʻaʻole maopopo nā palena. ʻO ia ke kumu he mea nui e hana i kahi kauka akamai a ʻike i kēia hoʻāʻo me ka hoʻohana ʻana i nā kāmela ʻenehana kiʻekiʻe (nā colonoscopes hoʻonā kiʻekiʻe).
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
1. Ka ʻike ʻana: Inā ʻike ke kauka i kahi polyp i ka wā o ka colonoscopy a manaʻo he ʻano pilikia kiʻekiʻe ia, e wehe koke ʻo ia. Ua kapa ʻia kēia kaʻina hana he polypectomy .
2. Hoʻāʻo ʻana: Hoʻouna ʻia ka polyp i wehe ʻia i kahi keʻena hoʻokolohua, kahi e nānā ai kahi pathologist iā ia ma lalo o kahi microscope e hoʻoholo pono i ke ʻano o ka polyp a hāʻawi i kahi hōʻike.
3. Nā hoʻolālā e hiki mai ana: Ma muli o kēlā hōʻike, e hoʻoholo kāu kauka i ka wikiwiki e pono ai ʻoe e hana i kāu colonoscopy aʻe.
| ʻAno polyp i loaʻa | Ka manawa i manaʻo ʻia no ka colonoscopy aʻe |
|---|---|
| Haʻahaʻa ka pilikia (e.g. nā polyps hyperplastic liʻiliʻi) | ʻO ka maʻamau i loko o 10 mau makahiki |
| Ka pilikia waena (e.g. nā SSL he nui) | Ma kahi o 5 mau makahiki |
| Nā pilikia kiʻekiʻe (e.g. SSL nui a i ʻole nā mea he nui) | Ma kahi o 3 mau makahiki |
| Inā loaʻa ke kūlana SPS | I kēlā me kēia makahiki |
Hiki i kāu kauka ke hoʻololi i kēia mau manawa ma muli o kou kūlana, no laila he mea nui e hahai i kāna mau kuhikuhi.
Mai poina, ʻo ka wehe ʻana i kahi polyp i pilikia i ka maʻi kanesa ʻo ia hoʻi ua palekana loa ʻoe i kēia manawa. Ua hoʻopau mākou i ka hiki ke ulu kēlā ulu ʻana i ka maʻi kanesa. Eia nō naʻe, he mea nui e nānā hou ʻia i ka manawa kūpono, no ka mea hiki i kēia mau ulu ke hana hou.
Leka Lawe-Home
- ʻO nā polyp serrated kahi ʻano ulu e kū mai ana i loko o ka colon. ʻO ka hapa nui o kēia mau mea he mea ʻino ʻole .
- Eia nō naʻe, hiki i kekahi mau ʻano, e like me SSL, ke lilo i kanesa i ka hala ʻana o ka manawa, no laila ʻoi aku ka maikaʻi o ka wehe ʻana iā lākou i ka wā e ʻike ai ʻoe iā lākou.
- ʻAʻole hōʻike kēia mau puʻupuʻu i kekahi mau hōʻailona . ʻO ia ke kumu he mea nui e hana i kahi colonoscopy ma hope o 45 mau makahiki, e like me ka ʻōlelo a kāu kauka.
- Inā ua ʻike ʻia he maʻi kanesa kahi polyp i loaʻa i kāu hoʻokolohua a ua wehe ʻia, mai hopohopo. ʻO ia hoʻi, ua ʻike kāu kauka iā ia i ka manawa kūpono a ua pale iā ia mai ka ulu ʻana i ke kanesa.
- ʻO ka mea nui loa, ʻo ia ka hana ʻana i kāu hoʻāʻo aʻe i ka manawa pono a ke kauka e haʻi aku ai iā ʻoe . Mai poina.
- Hiki iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia mau mea ma ka pale ʻana i ka puhipaka, ka inu ʻona nui, a me ka hahai ʻana i kahi nohona olakino.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo