Hoʻoweliweli iki ka huaʻōlelo "maʻi ʻaʻai" iā kākou a pau, ʻeā? Akā, ua ʻike anei ʻoe hiki ke ho'ōla loa ʻia kekahi mau ʻano maʻi ʻaʻai, ʻoiai ke kanesa colon, a kākou e kamaʻilio nei, inā ʻike mua ʻia ? Hilahila a makaʻu paha ka poʻe he nui e kamaʻilio e pili ana i nā loli i kā lākou mau hana lua, a i ʻole e pili ana i ke koko i loko o ko lākou ʻōpala. Akā, ʻo ka waiho ʻana i kēlā hilahila a me ka makaʻu a me ke kamaʻilio ʻana me ke kauka ke kumu e hoʻopakele ai ʻoe i kou ola. No laila, e kamaʻilio kākou e pili ana i kēia me ka wehe a me ka maʻalahi i kēia lā.
He aha ke kanesa colorectal?
I ka ʻōlelo maʻalahi, aia i loko o ko kākou ʻōpū kahi ʻōnaehana lōʻihi e like me ka paipu e hoʻoheheʻe ana i ka meaʻai a kākou e ʻai ai a hoʻokuke aku iā ia mai ke kino aku ma ke ʻano he ʻōpala. Loaʻa kēia maʻi kanesa ma ka ʻāpana ʻelua o kēia, ʻo ia hoʻi, ka ʻōpū nui (i kapa ʻia hoʻi ʻo `colon`) a me ka rectum (`rectum`). I kekahi manawa, ulu nā ʻiʻo liʻiliʻi ma ka paia o loko o kēia paipu. Kapa mākou i kēia mau polyps he ``Polyps``.
E noʻonoʻo, hoʻokahi o nā pākeke ʻehā ma luna o 50 mau makahiki he polyp paha. Akā, mai hopohopo, ʻaʻole he maʻi kanesa kēia mau polyp a pau. ʻAʻole pilikia ka hapa nui. Eia nō naʻe, hiki i kekahi o kēia mau ʻano, ʻoiai ke ʻano i kapa ʻia ʻo adenomatous polyps, ke lilo i maʻi kanesa i ka hala ʻana o ka manawa.
ʻO ka nui o ka polyp, ʻo ka kiʻekiʻe o ka pilikia o ka lilo ʻana i maʻi kanesa. No ka laʻana, ʻo ka polyp liʻiliʻi ma mua o 1 kenimika he 1% ka manawa e lilo ai i maʻi kanesa, ʻoiai ʻo ka polyp nui aʻe ma mua o 2 kenimika he 40% ka manawa e lilo ai i maʻi kanesa.
Eia ka mea nui: Inā ʻike ʻia kēia maʻi kanesa a mālama ʻia i ka wā mua, i ka wā e paʻa mau ana ka puʻupuʻu i ka paia o ka ʻōpū , ʻo ka manawa kūpono e ho'ōla piha ʻia ai he 90%. ʻO ia hoʻi, e ho'ōla ʻia ka ʻeiwa o loko o ka ʻumi kānaka!
Akā inā hoʻopaneʻe ʻia ka mālama ʻana, hiki i kēia mau hunaola kanesa ke komo i loko o ka paia o ka ʻōpū a laha ma ke kino holoʻokoʻa i nā lymph node kokoke, nā ʻiʻo ʻē aʻe, nā ʻōpū e like me ke akepaʻa, a i ʻole ke koko. Ke laha lākou, lilo ka mālama ʻana i mea paʻakikī loa. Ma muli o ka nui o ka maʻi, hiki ke emi ka manawa e ola ai mai 11% a i 72%.
He aha nā kumu pilikia no ka hoʻomohala ʻana i kēia maʻi kanesa?
ʻOiai ʻaʻole hiki ke ʻōlelo maopopo ʻia ʻo ia wale nō ke kumu o kēia maʻi kanesa, ua ʻike nā kauka i kekahi mau mea pilikia e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi. E nānā kākou i ke ʻano o lākou.
| Kumu Hoʻopilikia | He wehewehe maʻalahi |
|---|---|
| Makahiki | Piʻi nui ka pilikia ma hope o 50 mau makahiki. Piʻi hou aʻe ka pilikia i kou wā ʻelemakule. |
| Moʻolelo ʻOhana | Inā ua loaʻa i kekahi o kou ʻohana pili (makuahine, makuakāne, kaikaina, keiki) kēia maʻi ʻaʻai, ʻoi aku kou pilikia. Inā ua loaʻa i kekahi mau ʻohana, ʻoi aku ka nui o ka pilikia. |
| Nā Maʻi ʻē aʻe | Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā polyps colon a i ʻole ke kanesa ma mua, a inā he maʻi ʻōpū mumū kou (ulcerative colitis) a i ʻole ka maʻi ʻo Crohn, ʻoi aku ke kiʻekiʻe o kou pilikia. |
| Nā kūlana genetic i hoʻoili ʻia mai kēlā hanauna a i kēia hanauna (Heredity) | Loaʻa i kekahi poʻe kahi predisposition genetic i ka loaʻa ʻana o kēia maʻi. ʻO ka poʻe me nā kūlana e like me Familial Adenomatous Polyposis (FAP) e hoʻomohala i ka nui o nā polyps i ka wā ʻōpiopio loa. ʻOi aku ka nui o ka pilikia o kēia poʻe i ka loaʻa ʻana o ka maʻi kanesa. |
| ʻAi | Ke hoʻomau nei ka noiʻi ʻana i kēia. Eia nō naʻe, ʻo ka poʻe e ʻai nui ana i nā mea kanu a me nā huaʻai me he mea lā he haʻahaʻa ka pilikia. Hōʻike kekahi mau noiʻi he kiʻekiʻe aʻe ka pilikia o ka poʻe e ʻai nui ana i ka momona holoholona a me ka protein, ʻoiai ka ʻiʻo ʻulaʻula (pipi, puaʻa). Aia kekahi manaʻoʻiʻo e hiki ke hana ʻia nā carcinogens, ʻoiai ke kuke ʻia i nā mahana kiʻekiʻe (e.g., barbecued). |
| ʻAno nohona | ʻO ka puhipaka a me ka inu ʻana ma mua o 4 mau mea inu ʻona i kēlā me kēia pule e hoʻonui pū i ka pilikia. |
| Nā ʻoki kino i hala a me ka radiation | Inā ua loaʻa iā ʻoe kēia maʻi kanesa ma mua (ʻoi aku hoʻi ma mua o 60 mau makahiki), aia kahi pilikia o ka hoʻi hou ʻana mai. Eia kekahi, inā ua loaʻa iā ʻoe ka lāʻau radiation i ka ʻōpū, e piʻi aʻe paha ka pilikia o ka maʻi kanesa ma ia wahi. |
E waiho i kou hilahila ma ka ʻaoʻao a e hālāwai me ke kauka.
ʻO kaʻu leka koʻikoʻi loa iā ʻoe e heluhelu ana i kēia ʻatikala penei: Inā ʻike ʻoe i kahi loli koke i kou mau ʻano ʻōpū (e like me ka neʻe pinepine ʻana o ka ʻōpū, ka paʻa ʻana o ka ʻōpū, a i ʻole ka loli o ke alapine o ka neʻe ʻana o ka ʻōpū), ke koko i loko o kou noho, ka ʻeha pinepine ʻana o ka ʻōpū a i ʻole ka ʻeha, a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia, mai hoʻowahāwahā iā ia.
Mai noʻonoʻo, "Auē, pehea lā ʻoe e haʻi aku ai i kēia i ke kauka?" ʻO kāu kauka kekahi kanaka e kamaʻilio me nā maʻi e pili ana i kēia mau mea i kēlā me kēia lā a mālama iā lākou. He ʻāpana ia o kāna ʻoihana. ʻOi aku ka waiwai o kou ola ma mua o kou hilahila.
Inā ʻoe e hele a hōʻike i kēia i ke kauka i ka wā mua, malia paha hiki i kahi hoʻāʻo maʻalahi (e like me ka endoscopy) ke loaʻa kahi mea e like me ka polyp a wehe iā ia, e pale ana i kahi pilikia nui. No laila, mai makaʻu a hilahila paha e ʻike i kāu kauka.
Leka Lawe-Home
- Hoʻomaka pinepine ka maʻi ʻaʻai colorectal me nā ulu liʻiliʻi a ʻiʻo i kapa ʻia he polyps.
- Hiki i ka ʻike mua ʻana a me ka wehe ʻana i kēia mau polyp ke pale i ka ulu ʻana o ka maʻi kanesa.
- Ua piʻi nui ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa ma hope o 50 mau makahiki.
- ʻO kāu ʻai, kou nohona (puahi/waiʻona), a me kāu mōʻaukala olakino ʻohana nā kumu nui o ka pilikia.
- Inā ʻike ʻoe i kekahi mau hōʻailona ʻē, e like me ka hoʻololi ʻana i nā hana o ka lua a i ʻole ke kahe ʻana o ke koko i loko o kou ʻōpala, mai hilahila a e ʻike koke i kāu kauka. E hoʻomanaʻo, hiki i ka ʻike mua ʻana ke hoʻopakele i nā ola!
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