ʻO ke ʻoki kino Endoscopic Transanal (TEMS)

Ua haʻi aku anei ke kauka iā ʻoe he puʻupuʻu liʻiliʻi kou, he polyp, ma kou rectum? Ke lohe ʻoe i kēlā, nui nā nīnau weliweli e hiki mai ana i ka noʻonoʻo, e like me "Auē, pono anei au e ʻoki i koʻu ʻōpū, pehea ka lōʻihi o koʻu noho ʻana ma ka haukapila, pehea ka nui o ka ʻeha?" Akā, mai makaʻu. I kēia lā, ua holomua loa ka lāʻau lapaʻau. Aia kekahi ʻano hana kūikawā e hiki ai ke wehe i kēlā mau puʻupuʻu me ka ʻole o ka hana ʻana i kekahi ʻoki i loko o ka ʻōpū, ma ke komo ʻana i nā mea hana liʻiliʻi ma o ka rectum. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

He aha maoli ka TEMS?

I ka ʻōlelo maʻalahi, ʻo Transanal Endoscopic Microsurgery (TEMS) kahi ʻoki kino kahi e hoʻokomo ʻia ai nā mea hana ʻoki liʻiliʻi loa a me kahi kāmela ma o kou anus, ʻo ia hoʻi, ma kahi e puka mai ai ka ʻōpala, e wehe i nā puʻupuʻu, nā polyp, a me nā mea ʻē aʻe ma ka rectum, ʻo ia ka ʻāpana haʻahaʻa loa o ka ʻōpū nui.

E noʻonoʻo wale, i ka wā ma mua, no ka wehe ʻana i kahi puʻupuʻu e like me kēia i loko o ka rectum, pono ʻoe e ʻoki i ka ʻōpū a hana i kahi ʻoki kino nui. E lōʻihi ka manawa e ho'ōla ai, e ʻeha loa, a pono ʻoe e noho i ka haukapila no kekahi mau lā.

Akā me kēia ʻano hana TEMS, hiki i ke kauka lapaʻau ke hele pololei ma o ka anus, me ka ʻole o ka hana ʻana i kekahi ʻoki ʻana i loko o ka ʻōpū, hiki i ka puʻupuʻu a wehe pono iā ia. ʻO ke ʻano kēia e emi ai kou ʻeha a ʻoi aku ka pōkole o kou manawa hoʻōla.

He aha ka ʻokoʻa ma waena o TEMS a me TAMIS?

Ua lohe paha ʻoe iā TEMS a me TAMIS. He ʻano hana ʻoki kino ʻelua i hana ʻia ma o ka anus. Akā, aia kekahi mau ʻokoʻa iki. E nānā kākou i ke ʻano o lāua.

Na kāu kauka lapaʻau e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe. Aia ia i ka wahi, ka nui, a me nā mea ʻē aʻe o ka puʻupuʻu.

ʻO wai ka mea kūpono no kēia ʻoki kino?

ʻAʻole no nā kānaka a pau ke ʻoki ʻana o TEMS, akā hiki ke lilo i koho maikaʻi loa i nā hihia aʻe:

• No ka poʻe i pilikia i ka hoʻomanawanui ʻana i ke ʻoki kino nui e pili ana i ka ʻoki ʻana i ka ʻōpū ma muli o nā pilikia olakino ʻē aʻe (e laʻa me ka maʻi puʻuwai, ka maʻi diabetes).
• No ka poʻe i nā pae mua o ke kanesa rectal.
• No nā poʻe me nā ʻōpū a i ʻole polyps ʻaʻole maʻi kanesa (benign), ʻoi aku hoʻi ka poʻe ʻōpio.
• No ka poʻe e makemake ana e pale i nā pilikia e hiki mai ana ma hope o ke ʻoki kino nui.

He aha nā maʻi i mālama ʻia me ke ʻoki ʻana o TEMS?

Hana pinepine ʻia kēia ʻoki kino e wehe i nā puʻupuʻu e ulu ana ma ka rectum. E nānā kākou i ke ʻano o lākou.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ua like ka hoʻomākaukau ʻana no kēia me ka hoʻomākaukau ʻana no ka colonoscopy. ʻO ka mea nui, ʻo ia ka hoʻomaʻemaʻe loa ʻana i kou colon. E ʻae kēia i ke kauka ʻoki e ʻike maopopo i loko o kou rectum.

E hāʻawi pinepine kāu kauka iā ʻoe i kēia mau ʻōlelo aʻoaʻo:

• E pale i ka ʻai ʻana i nā meaʻai paʻa i ka lā ma mua o ke ʻoki ʻana.
• E inu wale i nā wai (sūpa moakaka, tī, wai) 12-24 mau hola ma mua o ke ʻoki ʻana.
• Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe i ka lā o ke ʻoki kino.
• E hāʻawi ʻia ʻoe i kahi wai kūikawā (laxative) e inu e hoʻomaʻemaʻe i kou ʻōpū. Pono ʻoe e hele pinepine i ka lua ma hope o ka inu ʻana, no laila e hoʻolālā e noho ma ka home i kēlā manawa.
• He mea nui loa: E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau hoʻokahe koko. E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki ʻana.

Pehea e hana ʻia ai ke ʻoki kino?

ʻAʻohe mea e makaʻu ai. Ma mua o ka hoʻomaka ʻana o ke ʻoki kino, e hāʻawi ʻia ʻoe i ka anesthesia laulā. ʻO ke ʻano kēia e hiamoe loa ʻoe a ʻaʻole ʻoe e manaʻo i kekahi mea. Eia kekahi mau mea e hana ʻia i ka wā o ke ʻoki kino:

1. Hoʻokomo ke kauka lapaʻau i kahi mea hana kūikawā (rectoscope) ma o kou rectum.

2. A laila, i hiki ke nānā i loko o ka rectum, ua hoʻopiha ʻia kahi ea liʻiliʻi i loko a hoʻopiha ʻia.

3. I kēia manawa, hoʻokomo ʻia kahi kāmela liʻiliʻi loa a me nā mea hana ʻoki ma o kēlā hāmeʻa, a ʻoiai e nānā ana ma kahi monitor, ua wehe ʻia ka puʻupuʻu a polyp paha, me kahi liʻiliʻi o nā ʻiʻo olakino a puni ia.

4. Ua pani ʻia ka wahi i wehe ʻia ai ka puʻupuʻu me nā humuhumu hiki ke hoʻoheheʻe ʻia a i ʻole nā ​​​​kīʻaha metala liʻiliʻi. A laila e omo ʻia kēia mau mea e ke kino a i ʻole e hoʻokuʻu ʻia i loko o ka ʻōpala.

He aha nā pōmaikaʻi o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui o ke ʻoki ʻana o TEMS, hiki iā ia ke hōʻea i nā ʻāpana o luna o ka rectum me ka ʻole o kahi ʻoki ʻōpū. I ka wā ma mua, no ka hōʻea ʻana i ia mau wahi, pono ʻoe e hana i ke ʻoki nui. Hiki i kēlā mau ʻoki nui ke alakaʻi i nā hopena ʻaoʻao lōʻihi e like me ka paʻakikī o ka mimi ʻana, ka hana moekolohe, a me ka pono e komo i kahi ʻeke noho mau loa (colostomy).

• He liʻiliʻi loa ke kahe ʻana o ke koko.
• He haʻahaʻa loa ka pilikia o nā pilikia e like me nā maʻi a me nā poloka ʻōpū.
• He pōkole ka noho ʻana ma ka haukapila (ʻo ka maʻamau he lā a ʻelua paha).
• E ola koke ana ʻoe a hiki iā ʻoe ke hoʻi i nā hana maʻamau.

Aia kekahi mau pilikia a i ʻole nā ​​​​pilikia?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia. Eia nō naʻe, i ka hoʻohālikelike ʻia me ka tummy tuck, ʻoi aku ka haʻahaʻa o nā pilikia. ʻO nā pilikia liʻiliʻi e hiki mai ana:

• Ke kahe ʻana o ke koko
• Loaʻa i kahi maʻi
• ʻEha rectal a ʻōpū paha
• Paʻakikī i ka mimi ʻana (Paʻa ʻana o ka mimi)
• Manaʻo koke i ka pono e hoʻokahe i ka wai (Fecal urgency)

Inā loaʻa kekahi mea e like me kēia, e hāʻawi kāu kauka i ka lāʻau lapaʻau e pono ai.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻO kēia kekahi mea maikaʻi ʻē aʻe e pili ana i kēia ʻoki kino.

• Hiki iā ʻoe ke ala aʻe a hele i ka lā hoʻokahi ma hope o kou ʻoki kino.
• Ma hope o kou hoʻi ʻana i ka home, hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i loko o hoʻokahi a ʻelua paha lā .

Hiki ke palupalu iki kou mau ʻōpala no kekahi mau pule ma hope o ke ʻoki ʻana. He mea maʻamau kēia. Pono paha ʻoe e ʻike i kahi meaʻai meaʻai a meaʻai meaʻai paha e hoʻololi i kāu papaʻai a hiki i ka hoʻi ʻana o kāu hana ʻōpū i ka maʻamau.

Nā kūlana i ka wā e pono ai ʻoe e ʻike koke i ke kauka

Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, he mea nui e ʻike koke i nā pilikia. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kelepona koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila no ka mālama ʻana.

ʻO kēia wale nō anei ke ʻoki kino no ke kanesa rectal?

He pilikia kēia no nā kānaka he nui.

Inā aia ke kanesa i kahi pae mua loa , ʻo ia hoʻi he liʻiliʻi ka puʻupuʻu a ʻaʻole i pālahalaha i nā wahi ʻē aʻe, ʻaʻole pono hou ka lāʻau lapaʻau ma hope o ka wehe loa ʻana o ka puʻupuʻu me ke ʻoki ʻana ʻo TEMS.

Eia nō naʻe, i kekahi mau hihia, ma waho aʻe o ke ʻoki ʻana, pono paha nā lāʻau ʻē aʻe e like me ka chemotherapy a i ʻole ka radiation therapy . ʻOi aku ka maikaʻi o ka hoʻoholo ʻana i kēia e kāu kauka lapaʻau a me ka oncologist pū kekahi.

He mea maʻamau ka makaʻu ke ʻike ʻoe he puʻupuʻu kou. Akā e hoʻomanaʻo me ka ʻenehana holomua o kēia wā, aia nā ʻoki kino e hiki ke hana ʻia me ka ʻole o ka ʻoki ʻana i ka ʻōpū, me ka ʻeha iki, a me ka hoʻōla wikiwiki. ʻO TEMS kekahi ʻano lapaʻau palekana a maikaʻi hoʻi.