Ke ʻike nei ʻoe i kekahi manawa i ka ʻeha o ka ʻōpū a i ʻole nā loli i ka neʻe ʻana o ka ʻōpū? Hoʻopoina pinepine mākou i kēia mau mea, me ka manaʻo he mea maʻamau lākou. Akā i kekahi manawa hiki i kēia mau mea ke lilo i mau hōʻailona koʻikoʻi e hāʻawi mai nei ko mākou kino iā mākou. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi kumuhana a ka poʻe he nui e kānalua nei e kamaʻilio e pili ana, akā he mea nui e kamaʻilio e pili ana. ʻO ia ka maʻi ʻaʻai colon, a i ʻole e like me ka ʻike o ka poʻe he nui, `(Colorectal Cancer)`. ʻO kēia ka wā e ulu ai nā hunaola kanesa i loko o ko mākou ʻōpū nui (colon) a i ʻole rectum.
ʻO ka mea nui loa, hiki i kēia maʻi ke ulu me ka ʻole o ka hōʻike ʻana i nā hōʻailona i nā pae mua. No laila, he mea nui loa ka makaʻala i kēia.
He aha kēia mau ʻano maʻi ʻaʻai kolona?
I ka ʻōlelo maʻalahi, ʻaʻole like nā maʻi ʻaʻai kolona āpau. ʻOkoʻa lākou ma muli o ke ʻano o nā pūnaewele a lākou e ulu ai. E nānā kākou i nā ʻano nui.
| ʻAno maʻi kanesa | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi ʻaʻai adenocarcinoma | ʻO kēia ke ʻano maʻamau. Hoʻomohala ia i loko o nā pūnaewele e hoʻopili ana i loko o ka ʻōpū nui. |
| ʻO ka maʻi ʻōpū | He maʻi ʻaʻai maoli kēia o ka ʻōnaehana pale. Hoʻomaka pinepine ia ma nā lymph nodes, akā i kekahi manawa hiki ke hoʻomaka ma ka colon. |
| Nā puʻupuʻu Carcinoid | Hoʻomaka kēia me nā pūnaewele kūikawā i loko o ko kākou ʻōpū e hana ana i nā hormones. |
| Nā puʻupuʻu stromal Gastrointestinal (GIST) | He ʻano sarcoma palupalu kēia. ʻAʻole ʻike pinepine ʻia lākou ma ka kolona. |
Eia kekahi, hiki ke hana ʻia kēia maʻi kanesa e nā hoʻololi genetic i hoʻoili ʻia i nā hanauna. Ma kahi o 5%-10% o ka poʻe i loaʻa i ka maʻi kanesa colon e hoʻoilina i ka maʻi ma kēia ʻano.
Pehea e loli ai nā hōʻailona ma muli o ke kahua o ka maʻi kanesa
ʻO kēia kahi e pono ai mākou e hoʻomaopopo maikaʻi aku. Pili nā hōʻailona o ka maʻi kanesa i ka mamao o kona laha ʻana, ʻo ia hoʻi, ke kahua o ke kanesa. E nānā iki kākou i kēia mau kahua a me nā hōʻailona e pili ana me lākou.
Nā pae mua (Pae 0, I, a me II)
E noʻonoʻo, ʻo kēia ka hoʻomaka ʻana o ka maʻi kanesa.
- Pae 0: I kēia pae, aia wale nō ke kanesa ma ka papa o loko o ka kolona. ʻAʻole i pālahalaha. No laila , ʻo ka hapa nui o ka manawa, ʻaʻohe hōʻailona.
- Pae I: Maanei ua ulu ke kanesa ma o ka uhi o ka kolona a ua hiki paha i ka papa ʻiʻo, akā ʻaʻole i laha i nā lymph nodes a i ʻole nā ʻōpū ʻē aʻe.
- Pae II: I kēia pae, ua pālahalaha hohonu ke kanesa ma o ka paia o ka kolona a ua pālahalaha paha i nā ʻiʻo a puni, akā ʻaʻole i pālahalaha i nā lymph node.
ʻO nā hiʻohiʻona maʻamau i ʻike ʻia ma kēia mau pae mua ʻelua (I a me II):
- ʻEha a ʻeha paha ka ʻōpū
- Ka pehu ʻana a me ka nui o ka ʻōpū
- Hoʻololi i ke ʻano a i ʻole ke kala o nā ʻōpala (e like me ka lahilahi e like me ka penikala)
- Ke kahe koko ʻana o ka rectum
- ʻO ke koko i loko o ka ʻōpala (hiki i kekahi ke kuhihewa i kēia no nā hemorrhoids)
- Ka paʻa ʻana o ka ʻōpū
- Ka maʻi pākī
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona i ka lālani, mai manaʻo he mea maʻamau ia. He mea ia e pono ai ʻoe e ʻike i ke kauka.
Nā Pae o ka holomua o ka maʻi (Pae III a me IV)
I kēia pae, ua hoʻomaka ka maʻi ʻaʻai e pālahalaha ma waho o ka kolona.
- Pae III: ʻO kēia ka manawa i laha ai ke kanesa i nā lymph node kokoke. ʻO ke ʻano kēia ua hoʻomaka ke kanesa e laha ma ke kino holoʻokoʻa. Ma waho aʻe o nā hōʻailona i ʻōlelo ʻia ma mua, hiki iā ʻoe ke ʻike pū:
- Ka pohō kaumaha i wehewehe ʻole ʻia
- Luhi mau
- Ka nāwaliwali o ke kino
- Nā loli lōʻihi i nā ʻano hana ʻōpū
- Manaʻo e like me ka mea i hala ʻole ʻia ka noho
- Ka luaʻi ʻana
- Pae IV: ʻO kēia ke kahua koʻikoʻi loa a me ka hope loa o ke kanesa. Maanei, ua pālahalaha ke kanesa i nā ʻōpū mamao e like me ke akepaʻa, nā māmā, a me ka lolo. He koʻikoʻi loa nā hōʻailona i ʻike ʻia ma kēia pae:
- Melemele o nā maka a me ka ʻili (Jaundice) - ke laha aku i ke akepaʻa
- Ka pehu ʻana o nā lima a me nā wāwae
- Ka paʻakikī o ka hanu ʻana - ke pālahalaha aku i nā māmā
- ʻO ke poʻo ʻeha mau, ka ʻike maka pōwehiwehi - i ka wā e laha ai i ka lolo
- Nā haki - i ka wā e laha ai lākou i nā iwi
- ʻEha Pelvic
- ʻO ka anemia i hoʻokumu ʻia e ke kahe ʻana o ke koko ma ka ʻōpū a me ka hopena o ka mae a me ka luhi nui.
Loaʻa iaʻu kēia mau hōʻailona... He aha kaʻu e hana ai?
Inā ʻoe e ʻike nei i hoʻokahi a ʻoi aku paha o nā hōʻailona i helu ʻia ma luna nei, mai hopohopo. Hiki ke hana ʻia kekahi o kēia mau hōʻailona e nā maʻi maʻalahi ʻē aʻe, e like me ka hemorrhoids a i ʻole ka irritable bowel syndrome (IBS).
Eia naʻe, ʻaʻole loa ʻoe e hana i kēia mau hoʻoholo ma kāu iho. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i kāu kauka ʻohana.
E nānā ke kauka iā ʻoe a, inā pono, e paipai i kahi hoʻāʻo kūikawā, e like me ka hoʻāʻo ʻana i ka ʻōpala a i ʻole ka colonoscopy. ʻO ka colonoscopy kahi hana e hoʻokomo ʻia ai kahi ʻōmole palupalu me kahi kāmela ma o ka anus e nānā i ka ʻōpū nui holoʻokoʻa. ʻO kēia wale nō ke ala e ʻike pono ai inā he mau polyp i hiki ke lilo i maʻi kanesa a ua lilo paha i maʻi kanesa.
He mea hoʻōla ola ka ʻike mua ʻana!
ʻO kēia ka mea nui loa a kākou e hoʻomanaʻo ai. Inā ʻike mua ʻia ka maʻi ʻaʻai kolona, ma mua o ka laha ʻana i nā ʻōpū ʻē aʻe, kiʻekiʻe loa ka manawa e ho'ōla piha ʻia ai. Ua hōʻike ʻia nā noiʻi he 90% o ka poʻe i ʻike mua ʻia hiki ke ola i kahi ola olakino no nā makahiki he 5 a ʻoi.
No laila, he mea nui loa ka hana ʻana i nā hoʻokolohua maʻamau e like me ke kuhikuhi a kāu kauka, ʻoiai inā ʻoe ma luna o 45 mau makahiki, a inā paha ua loaʻa i kekahi o kou ʻohana kēia maʻi kanesa, ʻoiai inā ʻaʻohe ou hōʻailona.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha o ka ʻōpū, nā loli i nā ʻano hana ʻōpū, a i ʻole ke koko i loko o ka ʻōpala. Inā hoʻomau lākou, e ʻike pono i ke kauka.
- ʻO ka ʻike mua ʻia ʻana o ke kanesa kolona, ʻo ka ʻoi aku ka nui o ka manawa kūpono o ka mālama ʻana. No laila, mai hoʻowahāwahā i nā hōʻailona.
- Ma hope o 45 mau makahiki, a inā he moʻolelo ʻohana no ka maʻi kanesa, he mea naʻauao ke hana i nā hoʻokolohua maʻamau e like me ke kuhikuhi a ke kauka, ʻoiai inā ʻaʻohe hōʻailona.
- Mai hoʻoholo ponoʻī ma muli o ka pūnaewele a i ʻole ka lohe. E ʻimi i ka ʻōlelo aʻo a kekahi loea lapaʻau kūpono no kekahi pilikia olakino.
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