Loaʻa iā ʻoe kekahi mau puʻupuʻu e like me kēia i loko o kou kolona? E aʻo kākou e pili ana i (Tubular Adenomas)!

I kekahi manawa ke hana mākou i kahi `(Colonoscopy)`, hiki i nā kauka ke ʻike i nā ulu liʻiliʻi i loko o ko mākou kolona. ʻO ia ka mea a lākou e kapa nei he `(Polyps)`. ʻO kēia mau `(Tubular Adenomas)` he ʻano ulu liʻiliʻi hoʻi e hana ʻia i loko o ke kolona, ​​ma mua o ko lākou lilo ʻana i ka maʻi ʻaʻai. Hiki iā ʻoe ke hopohopo iki ke lohe ʻoe e pili ana i kēia mau mea, akā mai hopohopo. ʻAʻole i hiki i ka 9% o kēia mau mea ke lilo i ka maʻi ʻaʻai. Akā, ua like kēia me kahi ʻōlelo aʻo mua loa āu e loaʻa ai. Hiki i kēia ʻōlelo aʻo ke kōkua nui i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai colorectal.

Ua like anei kēia mau (Tubular Adenomas) me (Villous Adenomas)? A i ʻole he ʻokoʻa lākou?

I kēia manawa, ke noʻonoʻo nei paha ʻoe inā like kēia mau ʻ(Tubular Adenomas)` a me `(Villous Adenomas)`. ʻOiaʻiʻo, i ka nānā ʻana ma lalo o kahi microscope, ua like lāua ʻelua me nā puʻupuʻu liʻiliʻi i loko o ka ʻili o kou kolona, ​​a i ʻole e like me nā ʻāpana cauliflower liʻiliʻi. E noʻonoʻo iā ia e like me nā pua cauliflower liʻiliʻi i hoʻopili ʻia i ka paia o kou kolona. Akā aia kahi ʻokoʻa maopopo i nā ʻano ulu o nā mea ʻelua.

I ka ʻōlelo maʻalahi, ʻo "Tubular Adenomas" ke ʻano he moʻo o nā ʻōmole hoʻāʻo liʻiliʻi i hana ʻia mai ka uhi o kou kolona. ʻO ke ʻano kēia, ua hoʻonohonoho ʻia ko lākou mau ʻāpana i kahi ʻano tubular maʻemaʻe loa.

Akā, ʻokoʻa nā mea i kapa ʻia ʻo "Villous Adenomas". Ua like lākou me nā lālā o kahi fern i kupu wale ma nā wahi like ʻole, he ʻano huikau iki, a he nui nā ʻōpuʻu e like me nā manamana lima.

I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha he mea nui kēia ʻokoʻa o ke ʻano ulu. ʻO ka hoʻomaopopo ʻana i kēia mau ʻano ulu e hiki ai i nā kauka ke loiloi i ka hiki ke lilo kāu adenoma i maʻi kanesa. No ka laʻana, ʻoi aku ka wikiwiki o ka ulu ʻana o Villous Adenomas ma mua o Tubular Adenomas a ʻoi aku ka nui o ka lilo ʻana i maʻi kanesa. No laila, he mea nui e ʻike i ka ʻokoʻa ma waena o nā mea ʻelua.

No ke aha e ulu ai kēia mau mea (Tubular Adenomas)? He aha nā mea pilikia?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kēia mau `(Tubular Adenomas)`. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana iā lākou. E nānā kākou iā lākou:

• Inā ʻoe e hoʻohana i nā cigarette a i ʻole nā ​​​​huahana paka ʻē aʻe: ʻO ka puhipaka kekahi kumu nui o nā maʻi he nui. Hoʻopilikia pololei ia i kēia. Hoʻopōʻino nā kemika i loko o ka paka i nā cell i loko o ka colon, e paipai ana i ka ulu ʻana o nā polyps e like me kēia.
• Inā ʻoi aku ke kaumaha o kou kino ma mua o ka nui i ʻōlelo ʻia (Obesity): ʻO ka momona kekahi o nā kumu no kēia. ʻO nā loli hormonal a me ka mumū i hoʻokumu ʻia e ke kaumaha nui i loko o ke kino e hiki ke kōkua i ka ulu ʻana o kēia mau "Adenomas".
• Inā he 50 a ʻoi paha kou mau makahiki: Piʻi aʻe kou pilikia o ka loaʻa ʻana o kekahi mau maʻi me ka ʻelemakule. Ma muli o ka lohi o ke kaʻina hana hoʻoponopono o ko mākou kino i ko mākou ʻelemakule ʻana, ʻoi aku ka nui o ka hiki ke loaʻa iā mākou nā cell ʻano ʻē.
• Inā he kāne ʻoe:Ma ke ʻano he helu helu, ua ʻike ʻia he ʻoi aku ka nui o ka pilikia o nā kāne i ka hoʻomohala ʻana i kēia mau "Adenomas" ma mua o nā wahine.
• Moʻolelo ʻohana o ka maʻi kanesa: Inā ua loaʻa i kou mau mākua, nā kaikaina, a i ʻole nā ​​keiki ka maʻi kanesa colorectal, ʻelua paha ka nui o kou loaʻa ʻana iā ia. Hōʻike kēia he mana hoʻoilina.
• ʻO kekahi mau kūlana olakino i hala mua: No ka laʻana, inā loaʻa iā ʻoe ka maʻi ʻōpū mumū (IBD) e like me ka maʻi a Crohn a i ʻole ka colitis ulcerative, kahi mōʻaukala o ka maʻi ʻaʻai colon, a i ʻole ka maʻi ʻaʻai ovarian, aia pū kekahi ʻoe i ka pilikia.
• ʻO kekahi mau loli o ka gene i hoʻoilina ʻia: Aia kekahi mau maʻi kakaikahi e hiki ai ke hoʻoulu i ka maʻi ʻaʻai colon a me nā polyps, e like me Familial Adenomatous Polyposis (FAP) a i ʻole MUTYH-associated Polyposis (MAP). He mau maʻi genetic kēia e hiki ke hoʻopilikia i nā lālā o ka ʻohana.

"ʻAʻole pono ʻoe e loaʻa i kēia mau mea pilikia a pau. ʻOiai inā he hoʻokahi a ʻelua paha kāu, i kekahi manawa hiki iā lākou ke ulu me ke kumu ʻole. ʻO ia ke kumu he mea nui e kamaʻilio me ke kauka a aʻo e pili ana i nā hoʻokolohua `(Screening)`, ʻoi aku hoʻi ma hope o ka makahiki 45-50."

He aha nā hōʻailona o (Tubular Adenomas)? Pehea e ʻike ʻia ai lākou?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike kēia mau `(Tubular Adenomas)` i kekahi mau hōʻailona . ʻO ia ka mea weliweli loa. No ka mea, ʻaʻohe hōʻailona, ​​ʻaʻole mākou i ʻike he mea e like me kēia e hana nei i loko o ke kino. Hiki iā lākou ke ulu mālie. Eia naʻe, he mea kakaikahi loa, inā ʻike ʻia nā hōʻailona, ​​ʻo ka hōʻailona maʻamau ka hele ʻana o ke koko ʻulaʻula ʻeleʻele a ʻulaʻula māmā paha i ka wā o ka neʻe ʻana o ka ʻōpū. Hiki ke hui pū ʻia kēia koko me ka ʻōpala a i ʻole e hamo ʻia ma luna o ka ʻili o ka ʻōpala.

Aia paha kekahi mau hōʻailona ʻē aʻe ma waho aʻe o kēlā, akā ʻaʻole pinepine kēia mau mea:

• Ka paʻa ʻana a i ʻole ka maʻi diarrhea: Inā he loli koke a wehewehe ʻole ʻia i kāu mau hana halepaku no kekahi mau pule.
• ʻO ka pohō kaumaha i manaʻo ʻole ʻia: Inā ʻoe e pohō kaumaha me ka ʻole o ka ʻai ʻana, ʻoiai ke ʻai ʻoe e like me ka mea maʻamau.
• Ka nalowale o ka makemake e ʻai: He manaʻo o ka makemake ʻole e ʻai.
• ʻEha ʻōpū: He ʻeha a ʻeha paha o ka ʻōpū e mau ana a maopopo ʻole.
• ʻAneemia nele i ka hao: Ma muli o ke kahe mālie ʻana o ke koko o nā polyp, i kekahi manawa e emi ana ka pae hao o ke kino, e alakaʻi ana i nā hōʻailona e like me ka luhi a me ka mae.

Akā e hoʻomanaʻo, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he Tubular Adenomas kou. Hiki ke hana ʻia kēia mau hōʻailona e nā pilikia olakino ʻē aʻe, e like me nā hemorrhoids a me nā maʻi ʻōpū ʻē aʻe. No laila, inā hoʻomau ʻoe i kahi mea e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. Mai hoʻoholo ponoʻī.

Pehea e ʻike ai nā kauka i kēia (Tubular Adenomas)?

ʻO ka maʻamau, ke nānā ke kauka iā ʻoe, hiki i kahi Digital Rectal Exam ke loaʻa kahi Tubular Adenoma inā aia kokoke i ka rectum. Eia nō naʻe , ʻo ka hapa pinepine, loaʻa nā Tubular Adenomas i ka wā o ka Colonoscopy, kahi hoʻāʻo nānā no ka maʻi ʻaʻai colorectal.

ʻO ka "(Colonoscopy)" he hana ia e hoʻokomo ʻia ai kahi mea hana lahilahi a palupalu e like me ka paipu (me kahi kāmela liʻiliʻi a me ke kukui i hoʻopili ʻia i ka hopena) ma o ka anus a nānā ʻia ka ʻōpū nui holoʻokoʻa (colon) a me ka rectum. Ma kēia, hiki i ke kauka ke ʻike maopopo i nā loli liʻiliʻi i loko o ka ʻōpū, e like me "(Polyps)", ma kahi monitor. No laila, ke nānā ʻoe iā ia, ua paʻa kēia mau "(Adenomas)". Ma mua o kēia hoʻāʻo, pono ʻoe e hoʻomaʻemaʻe pono i kou ʻōpū, a e hāʻawi ke kauka iā ʻoe i kahi mea inu kūikawā a lāʻau lapaʻau paha.

He aha nā lāʻau lapaʻau no ka Tubular Adenomas?

ʻO ka lāʻau lapaʻau nui a maikaʻi loa no kēia, ʻo ia ka wehe ʻana i kēia mau `(Adenomas)` mai kou kolona. ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, ua wehe ʻia kēia mau `(Adenomas)` i ka manawa like me ka hoʻāʻo `(Colonoscopy)` i loaʻa iā lākou. ʻO ke ʻano kēia, ʻaʻole pono ʻoe e hele i loko no kahi ʻoki kino nui ʻokoʻa i kahi lā ʻokoʻa. Ua kapa ʻia kēia kaʻina hana ʻo `(Polypectomy)`.

Hoʻohana pinepine nā kauka i nā mea hana kūikawā, e like me ka wire loop snare a i ʻole biopsy forceps, i hoʻokomo ʻia ma o ka colonoscope e wehe i ka adenoma mai ka uhi o ke kolona. Hiki ke ʻoki ʻia nā polyps nui i kekahi mau ʻāpana a wehe ʻia. Hiki iā ʻoe ke manaʻo i kahi ʻūmiʻi iki a huki paha, akā ʻoiai ʻo ka colonoscopy ka mea maʻamau e hana ʻia me nā painkiller a me nā sedation , ʻaʻole ʻoe e ʻeha nui.

A laila lawe ke kauka i nā ʻāpana o ka adenoma āna i wehe ai a hoʻouna iā lākou i kahi keʻena hoʻokolohua no ka hoʻokolokolo ʻana ma lalo o kahi microscope (Histopathology/Biopsy). Maanei e hiki ai iā lākou ke hōʻoia pololei inā he mau hunaola kanesa i loko a me ke ʻano o ka adenoma. ʻO kēia ke kaʻina hana maʻamau.

Hiki iaʻu ke hōʻemi i koʻu pilikia o ka hoʻomohala ʻana i nā Tubular Adenomas?

Ke ʻike ʻoe ua loaʻa iā ʻoe ka `(Tubular Adenomas), ʻo ia hoʻi he kiʻekiʻe iki aʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai colorectal.Pololei kēlā. Akā, mai hopohopo. Nui nā kumu pilikia e pili ana i ka maʻi ʻaʻai kolona. Hiki iā kākou ke hoʻololi i kekahi o lākou, a ʻaʻole hiki iā kākou ke hoʻololi i kekahi (e.g., makahiki, mōʻaukala ʻohana, nā genes).

Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia :

• Inā ʻoe e inu i ka waiʻona, e hoʻēmi i ka nui o kāu inu ʻana, a i ʻole e hoʻōki loa: ʻoi aku ka maikaʻi o ka hoʻemi ʻana iā ia i ka hiki.
• E hoʻōki i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka: He mea kēia e pono ai ʻoe e hana. E kamaʻilio me ke kauka inā makemake ʻoe i ke kōkua me kēia.
• E hoʻokō i kahi kaumaha olakino: Hiki i ka hoʻoikaika kino a me ka ʻai kaulike ke kōkua i kēia. Hiki iā ʻoe ke hoʻomaka me kahi mea maʻalahi e like me ka hele wāwae no 30 mau minuke i ka lā.
• E ʻai i ka meaʻai olakino: E ʻai i nā mea kanu waiwai i ka fiber, nā huaʻai, nā legumes, a me nā palaoa holoʻokoʻa. E hōʻemi i ka ʻiʻo ʻulaʻula (e like me ka pipi, puaʻa) a me nā ʻiʻo i hana ʻia (e like me ka sausage, bacon).
• E hoʻoikaika kino mau: E hana i ka hoʻoikaika kino ikaika waena ma ka liʻiliʻi he mau lā o ka pule.

"ʻAʻole paha e hoʻōki loa ka hana ʻana i kēia mau mea i ka hoʻi hou ʻana mai o `(Tubular Adenomas)`, akā e kōkua nui ia i ka hoʻēmi ʻana i ka pilikia holoʻokoʻa o ka loaʻa ʻana o ka maʻi ʻaʻai colon. Eia kekahi, he mea nui loa ka loaʻa ʻana o nā hoʻokolohua `(Colonoscopy)` i ka manawa i hoʻonohonoho ʻia, e like me ka ʻōlelo a ke kauka."

Inā loaʻa iaʻu (Tubular Adenomas), he aha kaʻu e manaʻo ai?

ʻO nā adenomas tubular kahi ʻano ulu mua o ka maʻi kanesa i loko o kou kolona a me ka rectum. Loaʻa pinepine lākou i ka wā o ka colonoscopy, kahi hoʻāʻo i hoʻohana ʻia e nānā no ka maʻi kanesa kolona. No laila, inā ʻike kāu kauka i kēia mau polyps i ka wā o ka colonoscopy, pono paha ʻoe e hana i kahi colonoscopy i kahi manawa pinepine ma mua o nā mea ʻē aʻe. ʻO ia hoʻi, ʻoiai ʻo kekahi kanaka me ka ʻole o ka adenoma tubal e ʻōlelo ʻia e hana i kahi colonoscopy i kēlā me kēia 5 a 10 mau makahiki, hiki ke noi ʻia ʻoe e hoʻi hou mai no kahi nānā hou ʻana i ka manawa pinepine ʻole, e like me kēlā me kēia 1 a 3 mau makahiki.

Ua hoʻoholo ʻia kēia manawa "Follow-up" e kāu kauka. Aia kekahi mau kumu e hoʻopilikia ai:

• ʻO ka helu o nā `(Adenomas)` i loaʻa i loko ou.
• Ko lākou nui.
• ʻO ko lākou helehelena microscopic ('Histology'), ʻo ia hoʻi, inā he mau hiʻohiʻona "Villous" ko lākou a inā paha he mau loli koʻikoʻi e like me ka "High-grade dysplasia".
• ʻO kou moʻolelo ʻohana no ka maʻi ʻaʻai colon.
• Kou olakino holoʻokoʻa.

No laila, ʻo ka mea nui loa, ʻo ia ka hana ʻana i kahi colonoscopy e like me ka papa kuhikuhi a ke kauka i haʻi aku ai iā ʻoe.

Hiki ke hoʻi hou mai nā adenoma tubular?

ʻAe, ʻo ka mea pōʻino, hiki i nā Tubular Adenomas ke hana hou.ʻAʻole hiki ke ʻōlelo ʻia ʻaʻole e ulu hou ka colonoscopy no ka mea ua wehe ʻia hoʻokahi manawa. ʻOi loa inā he mea puhi paka ʻoe a inā paha he mau kumu pilikia kāu i ʻōlelo ʻia ma mua, ʻoi aku ka kiʻekiʻe o ka pilikia o kēia ulu ʻana. ʻO ia ke kumu e ʻōlelo ai nā kauka e hana hou ʻoe i kahi "Colonoscopy" i nā manawa maʻamau e nānā i ka ulu ʻana o nā mea hou. He mea nui kēia "Surveillance Colonoscopy" a i ʻole "Follow-up Colonoscopy" no ka mea hiki iā ia ke ʻike a wehe i nā mea hou i ka wā mua, ma mua o ko lākou lilo ʻana i maʻi kanesa.

Pehea wau e mālama ai iaʻu iho inā loaʻa iaʻu (Tubular Adenomas)?

ʻOiaʻiʻo, ma ka loaʻa ʻana o kahi `(Colonoscopy)` a me ka ʻike ʻana he `(Tubular Adenomas)` kou, ua lawe ʻoe i kahi ʻanuʻu nui i ka mālama ʻana iā ʻoe iho. Inā hopohopo iki ʻoe a makaʻu paha i nā hopena o `(Colonoscopy)`, he mea kōkua paha ke hoʻomanaʻo i kēia mau ʻoiaʻiʻo e pili ana i `(Tubular Adenomas)`:

• ʻO ka maʻamau, wehe nā kauka e hana ana i ka colonoscopy i kāu mau adenomas tubular i ka manawa like me ke kaʻina hana. No laila, ua hoʻoponopono ʻia kahi pilikia nui i kēlā manawa.
• Ma kahi o 90% o nā `(Tubular Adenomas)` i ʻike ʻia ʻaʻole e lilo i maʻi kanesa. He mea hōʻoluʻolu nui kēia, ʻeā? ʻO ia hoʻi, ʻaʻole weliweli ka hapa nui.
• ʻO ka loaʻa ʻana o kahi colonoscopy ma kahi papa hana maʻamau ʻo ia hoʻi, inā paha e kū mai nā Tubular Adenomas hou, hiki i nā kauka ke ʻike a wehe iā lākou ma mua o ko lākou lilo ʻana i maʻi kanesa. ʻO ia hoʻi, aia ʻoe i loko o kahi ʻōnaehana palekana a ʻike mua.

"No laila, ʻo ka mea nui loa, ʻo ia ka hahai pono ʻana i nā kuhikuhi a ke kauka. ʻO ka hele ʻana i nā hoʻokolohua hahai i ka manawa kūpono, ka hana ʻana i nā hoʻololi nohona e pono ai (e like me ka haʻalele ʻana i ka puhipaka, ka ʻai ʻana i ka meaʻai olakino, ka hoʻoikaika kino) nā mea maikaʻi loa hiki iā ʻoe ke hana nou iho. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai."

Āhea wau e ʻike hou ai i ke kauka?

ʻOiai ʻoe e kali ana no kāu "Follow-up Colonoscopy" i hoʻonohonoho ʻia, inā ʻike ʻoe i kekahi mau loli hou i kou kino, ʻoiai inā manaʻo ʻoe he "Tubular Adenomas" hou kāu, a inā manaʻo ʻoe he mau hōʻailona paha o ka maʻi ʻaʻai colon, e ʻike koke i kāu kauka.

E hoʻomanaʻo, i ka hapa nui o ka manawa, ʻaʻohe hōʻailona o nā Tubular Adenomas. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​ʻo ka hōʻailona maʻamau ka ʻeha ʻole, ʻulaʻula ʻeleʻele a ʻulaʻula māmā paha ma hope o ka neʻe ʻana o ka ʻōpū. Inā ʻike ʻoe i kahi mea e like me kēia, mai hoʻowahāwahā iā ia. E hōʻoia e haʻi i ke kauka. Eia kekahi, e makaʻala i nā hōʻailona hou a i ʻole nā ​​​​hōʻailona ʻino i ʻōlelo ʻia ma mua (e like me ka ʻeha o ka ʻōpū, nā loli i nā ʻano hana ʻōpū, ka pohō kaumaha).

I ka manawa hea e pono ai iaʻu e hele i ka ʻOihana Hoʻopilikia (ETU) ma hope o ka colonoscopy?

He mea kākaʻikahi nā pilikia nui ma hope o ka colonoscopy. Eia nō naʻe, inā loaʻa ia mau mea, he mea nui e hana koke. Inā loaʻa iā ʻoe kekahi o nā pilikia ma hope o ka colonoscopy (maʻamau i loko o kekahi mau lā), pono ʻoe e hele koke i ka lumi pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kāu kauka :

• ʻEha nui a ʻūlū paha i loko o ka ʻōpū e ʻoi aku ka ʻino. (He mea maʻamau ka pehu iki a i ʻole ke kinoea ma hope o ka hoʻāʻo ʻana, akā ʻaʻole ʻeha nui.)
• Inā paʻakikī kou ʻōpū, e like me ka pōhaku, a nui ka ʻeha ke kaomi ʻoe me kou lima.
• Ka paʻakikī mau o ka hoʻopuka ʻana i ke kinoea a i ʻole ka neʻe ʻana.
• Ke kuni nui (ʻoi aku ma mua o 100.4°F a i ʻole 38°C).
• Inā manaʻo ʻoe ua poniuniu a ua maule paha.
• Inā ʻoe e luaʻi mau ana.
• Nā neʻe pinepine a koko nui paha o ka ʻōpū.
• Inā ʻaʻole hiki ke hoʻōki i ke kahe ʻana o ke koko mai ka ʻāʻī, a i ʻole inā e puka mai ana ma mua o kekahi mau punetēpē koko.

Hōʻike kēia mau hōʻailona i kahi pilikia hiki, akā he mea kakaikahi loa (e.g., perforation bowel, kahe nui ʻana o ke koko) ma hope o ka colonoscopy. No laila e makaʻala i kēia mau mea.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka e pili ana i ka Tubular Adenoma?

Inā ʻike ʻoe he Tubular Adenomas kou i kāu colonoscopy maʻamau, hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau. ʻO ka nīnau ʻana i kēia mau nīnau e hiki ke kōkua iā ʻoe e loaʻa kahi ʻike maikaʻi aʻe i ke kūlana a kōkua iā ʻoe e hōʻoluʻolu i kou mau makaʻu:

• "E ke kauka, he aha maoli ka ʻōlelo ʻo `(Tubular Adenoma)`? Hiki iā ʻoe ke wehewehe mai iaʻu ma nā ʻōlelo maʻalahi?"
• "ʻO ke ʻano anei kēia he maʻi ʻaʻai colorectal koʻu? A i ʻole e loaʻa anei iaʻu i ka wā e hiki mai ana?"
• "He aha nā lāʻau lapaʻau no kēia mau `(Tubular Adenomas)`? Ua wehe ʻia anei nā mea i loaʻa i loko o koʻu kino? Ua wehe ʻia anei lākou a pau?"
• "He aha ka ʻōlelo a ka hōʻike biopsy e pili ana i nā adenomas i wehe ʻia? Aia kekahi mau loli weliweli e like me ka dysplasia kiʻekiʻe?"
• "He predisposition genetic koʻu i ka loaʻa ʻana o ka maʻi ʻaʻai colon ma muli o kēia maʻi? Pono anei au e hoʻomaopopo i koʻu ʻohana e pili ana i kēia?"
• "Pehea ka wikiwiki e pono ai iaʻu kaʻu colonoscopy hou?"
• "He aha kaʻu e hana ai e hōʻemi i koʻu pilikia o ka maʻi ʻaʻai colon? He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?"
• "He aha nā kūlana o ka ulu hou ʻana o kēia mau '(Adenomas)'?"

"Mai makaʻu a kānalua paha e nīnau i kēia mau nīnau. Loaʻa iā ʻoe nā kuleana āpau e ʻike e pili ana i kou olakino. Na ke kauka e wehewehe i nā mea āpau iā ʻoe. Inā ʻaʻole ʻoe e maopopo, e nīnau hou."

ʻO ka mea hope loa, ʻo ka mea e pono ai mākou e hoʻomanaʻo mai kēia mau mea a pau (Leka Lawe-Home)

Hiki ke manaʻo ʻia nā Tubular Adenomas he hōʻailona mua o ke kanesa colorectal. ʻAʻole maʻi kanesa nā Tubular Adenomas, a he haʻahaʻa loa ka manawa e lilo ai lākou i maʻi kanesa, ʻoiai inā he liʻiliʻi lākou a ʻaʻole hoʻi e hōʻike i kekahi mau hōʻailona.

Akā, ʻo ka loaʻa ʻana o kēia mau mea, ʻo ia hoʻi ke ʻōlelo nei ʻoe, 'E, pono wau e hana i kekahi noiʻi e pili ana i ka mea hiki iaʻu ke hana e hōʻemi i koʻu pilikia o ka maʻi ʻaʻai colon, a pono wau e hana i ka hahai ʻana a ke kauka e ʻōlelo ai.' E kamaʻilio me kāu kauka a nīnau e pili ana i nā mea hiki iā ʻoe ke hana. Hiki iā lākou ke haʻi iā ʻoe e pili ana i nā papahana a me nā lawelawe e hiki ke kōkua iā ʻoe. Hiki ke kōkua i ka haʻalele ʻana i ka puhipaka, a i ʻole he kōkua paha i ka mālama ʻana i ke kaumaha olakino, a i ʻole ka hoʻomaʻamaʻa ʻana i kahi meaʻai olakino.

ʻO ka mea nui loa, ʻaʻole e makaʻu, ʻaʻole e hopohopo, akā, e hahai i nā ʻōlelo aʻoaʻo lapaʻau kūpono a ʻaʻole hoʻi e haʻalele i nā hoʻokolohua e pono ai. A laila hiki iā ʻoe ke hoʻokele pono i kēia pilikia, e noho olakino, a hauʻoli!

ʻO ka adenoma tubular, nā polyps colon, colonoscopy, ka maʻi ʻaʻai colon, nā polyps, nā polyps colon, ke koko i loko o ka ʻōpala, ka pilikia o ka maʻi ʻaʻai, nā nānā olakino