Makaʻu iki kākou a pau ke lohe kākou i nā huaʻōlelo " maʻi ʻaʻai kolona, " ʻeā? Akā, ʻo ka mea a ka poʻe i ʻike ʻole ai, ʻaʻole pinepine kēia maʻi ʻaʻai e ulu koke. Akā, ma mua o kona lilo ʻana i maʻi ʻaʻai, loaʻa kekahi mau loli i loko o ko kākou kolona. ʻO ka mea maikaʻi loa, inā hiki iā kākou ke ʻike mua i kēia mau "kūlana precancerous ", loaʻa iā kākou ka manawa kūpono e pale aku ai i ka ulu ʻana o ke maʻi ʻaʻai. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia mau ʻōlelo aʻo i hāʻawi ʻia iā kākou ma mua o ka hiki ʻana mai o kēia maʻi weliweli.
He aha nā kūlana ma mua o kēia maʻi kanesa?
I ka ʻōlelo maʻalahi, he mau ulu ʻana o nā cell maʻamau ʻole kēia e hana ʻia ana i loko o nā paia o ko kākou kolona. ʻAʻole kēia he maʻi kanesa i kēia manawa, akā hiki iā lākou ke lilo i maʻi kanesa inā ʻaʻole mālama ʻia i ka hala ʻana o ka manawa. Aia kekahi mau maʻi nui ma waena o lākou. E nānā kākou i kēlā me kēia.
1. Nā Polyps Adenomatous: ʻO ka pilikia maʻamau
Ua lohe paha ʻoe i ka huaʻōlelo " polyps ." He mau ulu liʻiliʻi kēia e kū mai ana ma ka paia o loko o ka kolona. Ua like lākou me ka wart ma ka ʻili, e like me ka wart. Nui nā ʻano polyps, akā ʻo ke ʻano i kapa ʻia ʻo adenomatous ka mea i loaʻa ka pilikia nui loa o ka lilo ʻana i maʻi kanesa.
ʻO ka mea nui, ʻaʻole paha e hōʻike kēia mau polyp i nā hōʻailona waho. ʻO ia ke kumu he mea nui nā hoʻokolohua lapaʻau.
Pehea e ʻike ʻia ai a mālama ʻia ai kēia mau mea?
ʻO ke ala maikaʻi loa e nānā ai i kēia mau polyps ʻo ia ka hoʻohana ʻana i ka colonoscopy.Hoʻokolokolo. Ma kēia, nānā ke kauka i ka ʻōpū nui holoʻokoʻa me ka hoʻohana ʻana i kahi ʻōmole liʻiliʻi i hoʻolako ʻia me ke kāmela (scope) i hoʻokomo ʻia ma o ka anus. Hiki i kēia hoʻokolokolo ke ʻike maopopo i nā mea e like me nā polyps.
Penei ka lāʻau lapaʻau:
- Ka wehe ʻana i nā polyp: ʻO ka nūhou maikaʻi, inā loaʻa nā polyps i ka wā o kahi colonoscopy, hiki ke ʻoki ʻia a wehe koke ʻia. ʻAʻole pono kēia i ke ʻoki kino nui.
- Hoʻouna ʻia i ka hale hana: Hoʻouna ʻia ka polyp i wehe ʻia i kahi hale hana e hōʻoia inā he adenomatous a i ʻole kekahi ʻano ʻino ʻole.
- Nānā hou ʻana : Inā loaʻa kekahi polyp, e paipai paha kāu kauka i kahi colonoscopy piha e nānā hou aku. Ma hope o kēlā, ua ʻōlelo pinepine ʻia e hana i kahi hoʻāʻo hahai ma 1 a 3 mau makahiki , ma hope o ka "maʻemaʻe loa" o ka colon. Inā hoʻomau ka maikaʻi o kāu mau hopena hoʻāʻo, e hoʻoholo kāu kauka i ka wā e hana ai i kāu hoʻāʻo aʻe.
2. ʻO ka Polyposis Adenomatous Familial (FAP)
He ʻano ʻokoʻa iki kēia, a ʻoi aku ka koʻikoʻi. He ʻano hoʻoilina ka FAP, a he ʻano genetic paha, kahi e ulu ai i kahi kanaka me kēia ʻano he mau haneli, inā ʻaʻole he mau tausani, o nā polyps i loko o ko lākou kolona.
E noʻonoʻo, he mea koʻikoʻi loa kēia inā ʻaʻole mālama ʻia kekahi me FAP, kokoke i ka 100% ka manawa kūpono e loaʻa ai ka maʻi ʻaʻai colon i ka makahiki 40.
No laila, inā ʻike ʻia ka FAP, pono maoli ia i ka mālama ʻoki kino. Ua helu ʻia nā kaʻina hana ʻoki kino a me nā lāʻau lapaʻau no kēia ma ka papa ma lalo nei.
| Ke kūlana o ka mea maʻi | ʻAno lapaʻau a me ke ʻoki kino |
|---|---|
| Inā ʻaʻohe polyps i loko o ka rectum | ʻO ka colectomy holoʻokoʻa: Hoʻopau ʻia ka hapa nui o ke kolona ma ke ʻoki ʻana, a hoʻopili hou ʻia kahi hapa o ka ʻōpū liʻiliʻi (ileum) i ka rectum. Ma hope o ke ʻoki ʻana, nānā ʻia ka rectum i kēlā me kēia 6 mahina (proctoscopy). |
| Inā he mau polyp rectal kou a ʻaʻole makemake ʻoe e lawe i ka pilikia o ka maʻi kanesa | ʻO ka ʻeke ileal-anal anastomosis: Ua wehe ʻia ka ʻōpū nui a me ka rectum. A laila, hana ʻia kahi ʻeke liʻiliʻi mai ka ʻōpū liʻiliʻi a hoʻopili ʻia i ka hopena o ka rectum. ʻAe kēia i ka mea maʻi e hoʻomau i ka neʻe ʻana o ka ʻōpū maʻamau. |
3. Maʻi ʻōpū mumū (IBD)
He mumū mau ka IBD o nā ʻōpū. ʻO nā hiʻohiʻona o kēia he mau maʻi e like me ka ulcerative colitis . Ke mumū nā ʻōpū no ka manawa lōʻihi, aia kahi pilikia e loli nā cell i loko o kēlā mau ʻāpana a lilo i maʻi kanesa .
Pehea ʻoe e mālama ai i kekahi me IBD?
- Nānā mau: Pono ka poʻe me IBD e hana i nā colonoscopies maʻamau e nānā i nā hōʻailona o ka maʻi kanesa. Hiki i kēia ke kōkua i ka ʻike ʻana i nā loli i ka wā mua.
- ʻO ke Colectomy Prophylactic: Hoʻoholo kekahi mau maʻi e wehe i ka kolona ma ke ʻoki kino ma mua o ka ulu ʻana o ke kanesa, ma mua o ke kali ʻana i kona ulu ʻana. Maanei pū kekahi, hiki ke hana ʻia ke ʻoki kino "ileal pouch-anal anastomosis" i ʻōlelo mua ʻia e mālama i kahi ola maikaʻi.
Hōʻike kēia mau mea a pau ʻaʻole ka maʻi ʻaʻai kolona he mea e ulu koke ana. Hāʻawi ko mākou kino iā mākou i nā hōʻailona like ʻole ma mua o kona hiki ʻana mai. ʻO ka mea nui loa , ʻo ia ka ʻike ʻana i kēlā mau hōʻailona, e ʻike i ke kauka i ka manawa kūpono, a e loaʻa i nā hoʻokolohua a me ka lāʻau lapaʻau e pono ai.
Leka Lawe-Home
- Hoʻomaka ka hapa nui o nā maʻi ʻaʻai kolona ma ke ʻano he mau kūlana hiki ke mālama ʻia, ʻaʻole maʻi kanesa (nā kūlana precancerous).
- Hiki i nā hoʻokolohua e like me ka colonoscopy ke ʻike mua i kēia mau kūlana a wehe iā lākou ma mua o ko lākou lilo ʻana i maʻi kanesa. Inā ʻōlelo kāu kauka, mai haʻalele i kēia mau hoʻokolohua.
- Inā ua loaʻa i kekahi o kou ʻohana nā maʻi e like me ke kanesa colon, polyps, a i ʻole FAP, he mea nui e hoʻomaopopo i kāu kauka. E kōkua kēia iā lākou e loiloi i kou pilikia.
- Hiki ke pale loa ʻia ke kanesa kolona me ka ʻike mua ʻana a me ka mālama kūpono. No laila, mai makaʻu, e makaʻala.
Ka maʻi ʻaʻai kolona, nā kūlana ma mua o ka maʻi ʻaʻai, nā polyps Adenomatous, Colonoscopy, FAP, Familial Adenomatous Polyposis , IBD, ka maʻi ʻōpū mumū, ke ʻoki kino
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