Nui ka poʻe o kākou e makaʻu loa nei i ka wā e noi ʻia ai kākou e hana i kahi hoʻāʻo 'colonoscopy', ʻeā? Hoʻāʻo kekahi poʻe e pale i kēia hoʻāʻo no nā kumu he nui, e like me ka ʻoluʻolu ʻole, ka ʻeha, a me ka makaʻu i ka anesthesia ke hoʻokomo ʻia kahi kāmela i loko o ke kino. Akā aia kekahi mea a kākou e pono ʻole ai e poina. ʻO ia hoʻi, he maʻi ka maʻi kanesa colorectal hiki ke ho'ōla loa ʻia inā ʻike mua ʻia. No laila, ʻo ke ala maikaʻi loa e hana ai, ʻo ia ka hana ʻana i kēia hoʻāʻo. No laila, ʻo ka pale ʻana i kēia no ka mea ua makaʻu ʻoe, ʻaʻole ia he mea maikaʻi loa. I kēia lā, ke hoʻolauna nei mākou i kahi ʻenehana hou i kapa ʻia ʻo 'Virtual Colonoscopy' ma ke ʻano he hopena maikaʻi no kēlā makaʻu.
I ka ʻōlelo maʻalahi, he aha kēia colonoscopy virtual?
ʻO ka colonoscopy virtual, ʻo ia hoʻi, he hoʻāʻo kūikawā ia e nānā ana i nā ulu liʻiliʻi, a i ʻole ka mea a mākou e kapa nei he 'polyps', i loko o kou kolona. ʻO kēia mau polyps nā mea hiki ke lilo i ka maʻi kanesa i ka hala ʻana o ka manawa.
ʻAʻole kēia he kaʻina hana kahi e hoʻokomo ʻia ai kahi ʻōmole lōʻihi i loko o kou kino e like me ka colonoscopy maʻamau. Akā, hoʻohana ia i kahi mīkini scan CT a me ka ʻenehana kamepiula e lawe i nā kiʻi maopopo loa a kiʻekiʻe o kāu kolona mai waho o kou kino. A laila hoʻohui ke kamepiula i kēia mau kiʻi e hana i kahi kumu hoʻohālike ʻekolu-dimensional (3D) o kāu kolona. Ua like ia me ka lawe ʻana i kahi 'huakaʻi virtual' o kāu kolona. Hiki i kēia ke kōkua i kāu kauka e ʻike i nā polyps liʻiliʻi loa me ka ʻole o ka nalo ʻana o kahi kuʻi.
ʻAʻole pono kēia hoʻāʻo i ka anesthesia. ʻO ka lōʻihi o ka hoʻāʻo holoʻokoʻa ma kahi o 15 mau minuke. Akā, hoʻokahi mea e hoʻomanaʻo ai. Inā loaʻa nā polyps i ka wā o kēia hoʻāʻo, pono ʻoe e loaʻa i kahi colonoscopy kuʻuna e wehe iā lākou.
ʻŌlelo pinepine nā kauka e nānā ʻia nā kānaka a pau no ka maʻi ʻaʻai colon ma hope o 45 mau makahiki. Eia nō naʻe, inā he mau kumu pilikia kou (no ka laʻana, he mōʻaukala ʻohana o ka maʻi), pono paha ʻoe e nānā mua ʻia. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ke ʻano nānā kūpono loa iā ʻoe.
Pehea e hana ai kēia hoʻāʻo?
He hana maʻalahi loa kēia.
1. ʻO ka mea mua, hoʻohana kekahi loea i kahi mīkini scan CT e lawe i nā kiʻi he nui o kou ʻōpū a me kou pelvis.
2. A laila, hoʻohui nā polokalamu kamepiula i kēia mau kiʻi a pau e hana i nā kiʻi ʻelua-dimensional (2D) a me ʻekolu-dimensional (3D) o ka ʻōpū.
3. ʻO ka mea hope loa, nānā pono kahi radiologist i kēia mau kiʻi i hana ʻia e ke kamepiula a nānā i nā polyps a i ʻole nā mea ʻē aʻe.
ʻO ka mea nui loa, ʻaʻohe mea lōʻihi e hoʻokomo ʻia i loko o ke kino i ka wā o kēia kaʻina hana. ʻO ia ke kumu he palekana loa ia a ʻoluʻolu ʻole hoʻi.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
I mea e holomua ai kahi colonoscopy virtual, pono e hoʻomaʻemaʻe loa ʻia kou kolona. Kāhea mākou i kēia 'hoʻomākaukau ʻōpū'. Pili kēia i ka wehe ʻana i nā ʻōpala āpau mai kou kolona. Hiki i ke kauka ke ʻike maopopo i loko o kou kolona. Hana pinepine ʻia kēia hoʻomākaukau i ka lā ma mua o ka hoʻāʻo.
E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi e pono ai no kēia. Hiki i kēlā ʻōlelo aʻoaʻo ke komo pū me kēia mau mea.
| Nā ʻanuʻu hoʻomākaukau | Wehewehena |
|---|---|
| Nā lāʻau hoʻomaha | Hiki ke loaʻa kēia mau mea i loko o ke ʻano wai a i ʻole ka pila. Ke inu ʻoe i kēia mau mea, pono ʻoe e hele pinepine i ka lua. E hoʻomaʻemaʻe loa kēia i ka colon. |
| ʻAi wai maopopo | ʻAʻole hiki iā ʻoe ke ʻai i nā meaʻai paʻa i ka lā ma mua o ka hoʻāʻo. Akā, e noi ʻia ʻoe e inu wale i nā wai maopopo e like me ka wai, ka wai ʻono ʻole, ka wai ʻāpala, a me ke kī a i ʻole ke kofe ʻono ʻole. E hāʻawi kāu kauka iā ʻoe i kahi papa inoa o nā mea hiki iā ʻoe ke ʻai a me nā mea hiki ʻole ke ʻai. |
| Hoʻokē ʻai | ʻEkolu mau hola ma mua o ka hoʻāʻo ʻana, ʻaʻole hiki iā ʻoe ke ʻai a inu paha i kekahi mea. |
| Mea hoʻohālikelike | I kekahi manawa, hāʻawi ʻia ʻoe i kahi wai kūikawā e inu i hiki ke ʻike maopopo ʻia nā ʻōpū ma nā kiʻi scan. |
| Nā ʻEnema | I kekahi mau hihia, hiki ke ʻōlelo ʻia kahi lāʻau lapaʻau (soppository) i hoʻokomo ʻia i loko o ka rectum e hoʻomaʻemaʻe i ka ʻāpana hope o ka colon. |
He mea nui kēia 'hoʻomākaukau ʻōpū' no ka holomua o ka hoʻokolohua. Pono ʻoe e hele pinepine i ka lua i kēia manawa, no laila he mea naʻauao ke hoʻolālā e noho ma ka home i kēlā lā a kokoke i kahi lua.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
I ka lā o ka hoʻokolohua, e ʻaʻahu i nā lole ʻoluʻolu a ʻaʻohe mea hoʻonani. Ma ka haukapila, e lawe ʻia ʻoe i ka lumi kahi i loaʻa ai ka mīkini scan CT. He mīkini kēia i ke ʻano o kahi donut nui. Eia nā ʻanuʻu e pili ana i ka hoʻokolohua:
1. Hoʻomākaukau: Ma hope o kou komo ʻana i ke kapa komo haukapila, e noi ʻia ʻoe e moe i lalo ma ka papa hoʻokolohua.
2. Hoʻokomo ʻana i ka ea: A laila, e hoʻokomo ke loea i kahi ʻōmole lahilahi ma kahi o ʻelua ʻīniha ka lōʻihi ma kou rectum. E hoʻokuʻi mālie kēia i kahi ea liʻiliʻi i loko o kou colon. Mai hopohopo, ʻo kēia ka mea e pehu iki ai kou colon i ʻike maopopo ʻia ai ke ʻano o loko ma nā kiʻi scan.
3. Ke nānā ʻana: A laila e neʻe mālie ka papa ʻaina āu e noho nei i loko o ka mīkini nānā CT. E lohe paha ʻoe i nā leo kaomi liʻiliʻi a me nā leo kani i ka wā e hana ana ka mīkini.
4. E noho mālie: Pono ʻoe e noho mālie loa ʻoiai ke kiʻi nei ka mea nānā i nā kiʻi. E kamaʻilio ke loea iā ʻoe ma o kahi ʻōnaehana intercom. E noi paha lākou iā ʻoe e paʻa i kou hanu no kekahi mau kekona, a i ʻole e hoʻololi iki i ke kūlana o kou kino.
5. Hoʻopau: Ke pau ʻoe i ke kiʻi ʻana i nā kiʻi, e hoʻi hou mai ka papa ʻaina. A laila hiki iā ʻoe ke wehe i ka ʻōmole liʻiliʻi a hoʻololi i kou lole.
ʻAʻole pono e ʻeha kēia hoʻāʻo. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi kaomi iki i loko o ka rectum, kahi manaʻo o ka piha, a i ʻole ka pono e hoʻokuʻu i ka ea no ka mea ua piha nā ʻōpū i ka ea. He mea maʻamau kēia.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻano hana?
E like me nā hoʻokolohua lapaʻau āpau, he mau pono a me kekahi mau palena/pilikia kēia. E nānā kākou iā lākou.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Palena |
|---|---|
| Wikiwiki: ʻO 15 mau minuke wale nō ka lōʻihi o ka hoʻāʻo holoʻokoʻa. | Ka pilikia o ka puka ʻana o ka ʻōpū: He wahi liʻiliʻi loa a kakaikahi ka pilikia o ka puka ʻana o ka ʻōpū ma muli o ka hoʻopiha ʻana i ka ea. |
| Nā kiʻi maopopo: Hiki iā ʻoe ke kiʻi i nā kiʻi 2D a me 3D maopopo, e like me kāu e hana ai me kahi colonoscopy kuʻuna. | Ka ʻike ʻia ʻana i ka radioactivity: Aia ka ʻike ʻia ʻana i nā nui liʻiliʻi loa o ka radiation, akā aia kēia mau mahele i loko o nā pae palekana. |
| ʻAʻohe anesthesia i koi ʻia: ʻOiai ʻaʻohe anesthesia, wikiwiki loa ka ho'ōla ʻana. Hiki iā ʻoe ke hoʻi koke i ka home ma hope o ka hoʻāʻo ʻana. | Ke kāpae nei i nā polyp liʻiliʻi: ʻO nā polyp liʻiliʻi loa (ʻoi aku ka liʻiliʻi ma mua o 6 mm) i hopu ʻia e nā hana kuʻuna e hiki ke nalo ʻia e kēia ʻano hana. |
| ʻOi aku ka ʻoluʻolu ʻole: ʻOi aku ka liʻiliʻi o ke komo ʻana mai ka mea hoʻokomo ʻole ʻia kahi paipu lōʻihi (scope) i loko o ke kino. | ʻAʻole hiki ke wehe ʻia nā polyp: He hoʻāʻo wale nō kēia. Inā loaʻa kahi polyp, pono kahi colonoscopy kuʻuna ʻokoʻa e wehe ai. |
| Ka emi ʻana o ka pilikia o ka hōʻino ʻana i ka ʻōpū: ʻOi aku ka haʻahaʻa o ka pilikia o ka hōʻino ʻana i ka ʻōpū ma mua o ke ʻano kuʻuna. | ʻAʻole kūpono no nā kānaka a pau: ʻAʻole paha kūpono kēia hoʻāʻo no ka poʻe me kekahi mau kūlana olakino. ʻO ia ke kumu e nānā ai ke kauka i kāu mōʻaukala olakino. |
| Ka nānā ʻana i nā kino ʻē aʻe: Hiki i kēia scan ke ʻike hewa i nā pilikia ʻaʻole wale me nā ʻōpū, akā me nā kino ʻē aʻe i loko o ka ʻōpū, e like me ke akepaʻa a me nā puʻupaʻa. |
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
Ma hope o ka colonoscopy virtual, hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau. ʻOiai ʻaʻohe anesthesia i hoʻohana ʻia, ʻaʻohe manawa hoʻōla kūikawā e pono ai.
Eia nō naʻe, hiki i ka ea i hoʻopili ʻia i loko o nā ʻōpū ke hana i kekahi mau hopena ʻaoʻao liʻiliʻi.
- Pehu ʻana
- Manaʻo e like me ka ʻōpū ʻeha
- Ka hele pinepine ʻana o ka ea (ke kinoea keu)
He mau mea maʻamau kēia. E nalo aku ana kēia maʻi i loko o kekahi mau hola.
He aha ka ʻōlelo a ka hōʻike hoʻāʻo?
Hiki ke loaʻa nā hopena o ka hōʻike hoʻāʻo ma nā ʻano ʻelua.
1. He maʻamau nā hopena (Nā Hopena Maʻamau)
ʻO ke ʻano kēia, ʻaʻohe mea ʻē aʻe a i ʻole polyp i loaʻa i loko o kou kolona. He nūhou maikaʻi loa kēia. E haʻi aku kāu kauka iā ʻoe i ka manawa e pono ai ʻoe e hana i kāu hoʻāʻo aʻe. Inā haʻahaʻa kou pilikia, e ʻōlelo ʻia paha ʻoe e hana hou ʻia kēia hoʻāʻo i kēlā me kēia ʻelima mau makahiki.
2. Nā Hopena Maʻamau ʻole
Inā ʻōlelo kāu hōʻike hoʻāʻo he polyp kou, ʻaʻole ia he manaʻo he maʻi kanesa kou. No laila, mai hopohopo. ʻO ia hoʻi, ua loaʻa kahi puʻupuʻu liʻiliʻi e hiki ke lilo i maʻi kanesa a pono e wehe ʻia.
No ka wehe ʻana i kēia polyp, pono ʻoe e hana i kahi colonoscopy kuʻuna . Ma kekahi mau haukapila, inā hiki, ua hoʻomaʻemaʻe mua ʻia kou colon, no laila hiki iā ʻoe ke hana i kēlā i ka lā hoʻokahi.
Pehea ka pololei o kēia mau hopena?
Ua hōʻike ʻia kekahi mau noiʻi he like ka maikaʻi o ka colonoscopy virtual me ka colonoscopy kuʻuna i ka ʻike ʻana i nā polyps nui a me ke kanesa. Eia nō naʻe, hiki ke ʻokoʻa iki kēia pololei ma muli o ka nui o ka polyp.
- He pololei loa ia i ka ʻike ʻana i nā polyp i ʻoi aku ka nui ma mua o 10 mm.
- ʻE emi iki paha ka holomua i ka ʻike ʻana i nā polyp i liʻiliʻi ma mua o 6 mm.
I ka manawa e ʻike koke ai i ke kauka
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻāʻo ʻana, ʻoiai inā he mea kakaikahi loa ia, e ʻimi koke i ke kōkua lapaʻau. A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- ʻEha nui o ka ʻōpū
- Ke koko i loko o ka ʻōpala a i ʻole ke kahe koko rectal
- Pōʻino
- kuni
ʻO ke kanesa kolona kekahi o nā ʻano maʻamau o ke kanesa i waena o nā pākeke. Akā hiki ke maʻalahi ke mālama ʻia inā ʻike mua ʻia. Nui ka poʻe e pale aku i ka colonoscopy ma muli o ka makaʻu i ka hoʻāʻo. Me ka liʻiliʻi o nā pilikia a me ka wikiwiki o ka hoʻōla ʻana, he koho maikaʻi loa ka colonoscopy virtual. E kamaʻilio me kāu kauka e ʻike i ke ʻano hana maikaʻi loa iā ʻoe.
Leka Lawe-Home
- He hana loiloi wikiwiki a ʻaʻole invasive ka Virtual Colonoscopy i hiki ke ʻike koke i ka maʻi ʻaʻai colon.
- Hoʻohana kēia i ka ʻenehana CT scan e kiʻi i nā kiʻi ʻekolu-dimensional (3D) o ka ʻōpū ma kahi o kahi ʻōmole lōʻihi.
- He mea nui ka hoʻomākaukau kūpono ʻana o ka ʻōpū i ka lā ma mua o ka hoʻāʻo ʻana no ka holomua o ka hoʻāʻo.
- Inā loaʻa nā polyps i ka wā o ka hoʻāʻo ʻana, e hana ʻia kahi colonoscopy kuʻuna e wehe iā lākou.
- He koho maikaʻi loa kēia no ka poʻe makaʻu a i ʻole hiki ʻole ke hana i kahi colonoscopy kuʻuna. E kamaʻilio me kāu kauka e pili ana i kēia a hoʻoholo.
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