Ka maʻi ʻaʻai Colorectal: Ua ʻike anei ʻoe i kēia ʻenemi leo ʻole?

Hiki paha iā ʻoe ke ʻeha i ka ʻōpū, ka paʻa ʻana o ka ʻōpū, a i ʻole ka maʻi diarrhea i kēlā me kēia manawa. ʻAʻole mākou e nānā nui i kēia mau mea, ʻeā? Akā, ʻo nā hōʻailona mau e like me kēia i kekahi manawa he hōʻailona ia o kahi mea koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kahi kumuhana a ka poʻe he nui i makemake ʻole e kamaʻilio e pili ana, akā pono mākou a pau e makaʻala. ʻO ia ka maʻi ʻaʻai colon a me rectal, a i ʻole ka maʻi a mākou e kapa nei he `(Colorectal Cancer)`. Mai hopohopo, ʻo ka ʻike ʻana i kēia ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ia mea.

I ka ʻōlelo maʻalahi, he aha kēia maʻi ʻaʻai kolona?

ʻO ke kanesa kolona ka wā e hoʻomaka ai nā pūnaewele e uhi ana i ka kolona a i ʻole ka rectum e ulu me ke kāohi ʻole. He "puʻupuʻu leo ​​ʻole" pinepine kēia e ulu mālie loa, me ka ʻole o nā hōʻailona. ʻO ia ke kumu i holomua mua ai ke kanesa i kekahi ʻano i ka manawa e ʻike ʻia ai nā hōʻailona.

E noʻonoʻo i kā mākou ʻōnaehana hoʻoheheʻe. ʻO ka meaʻai a mākou e ʻai ai e hele ma o ka ʻōpū a me ka ʻōpū liʻiliʻi, a ma hope o ka omo ʻia ʻana o nā meaʻai, hele mai ke koena o nā ʻōpala i ka ʻōpū nui. Omo ka ʻōpū nui i ka wai a me nā meaʻai i koe. A laila, mālama ʻia ke koena o nā ʻōpala paʻa, i kapa ʻia he feces, i loko o ka rectum a laila haʻalele i ke kino. Aia i loko o ka ʻōpū nui, a i ʻole rectum, kahi e hoʻomaka ai kēia mau hunaola kanesa.

He aha nā ʻano nui o kēia maʻi kanesa?

Aia kekahi mau ʻano maʻi ʻaʻai colon, akā hoʻokahi wale nō ke ʻano maʻamau.

He maʻi kanesa anei nā puʻupuʻu a pau?

ʻAʻole. ʻO kaʻoiaʻiʻo, hoʻomaka ka hapa nui o nā maʻi kanesa colon ma ke ʻano he polyps , nā ulu liʻiliʻi a ʻiʻo e hana ʻia i loko o ka colon. ʻAʻole nā ​​​​polyps a pau he kanesa.

• Adenomas: He mau polyps precancerous kēia, inā ʻaʻole mālama ʻia, ʻoi aku ka nui o ka manawa e lilo ai i maʻi kanesa i ka hala ʻana o ka manawa.
• Nā polyps hyperplastic a me ka mumū: ʻAʻole kēia mau mea e lilo i maʻi kanesa. Eia nō naʻe, i kekahi manawa inā lilo lākou i mea nui, hiki i kāu kauka ke ʻōlelo e wehe iā lākou.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kēia maʻi. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe. Inā pili kekahi a ʻoi aku paha o kēia mau mea iā ʻoe, he manaʻo maikaʻi e makaʻala iki aʻe.

He aha nā hōʻailona o kēia maʻi? E makaʻala i kēia mau mea!

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka hapa nui o ka manawa ʻaʻohe hōʻailona i nā pae mua. Eia nō naʻe, i ka holomua ʻana o ke kanesa, hiki ke ʻike ʻia kēia mau hōʻailona. Inā hoʻomau kekahi a ʻoi aku paha o kēia mau mea, e ʻike pono i ke kauka.

• Ka loli ʻana i nā ʻano hana ʻōpū: ka paʻa mau ʻana o ka paʻa ʻana a i ʻole ka maʻi pā.
• Manaʻo e like me ka ʻōpū i hoʻokahe loa ʻia: Manaʻo e like me ʻoe e pono ke kahe i loko o ka ʻōpū ma hope o ka hele ʻana i ka lua.
• Ke kahe koko ʻana i ka rectal: Ke kahe koko me ka ʻōpala a i ʻole me ka ʻole.
• Ka loli ʻana o ke ʻano o ka noho: Nā noho lahilahi ma mua o ka maʻamau, e like me ka penikala.
• ʻEha a ʻeha paha ka ʻōpū: Nā mea e like me ka ʻōpū ʻeha, ka pehu ʻana, a pēlā aku.
• Ka pohō kaumaha me ke kumu ʻole.
• Luhi a me ka nāwaliwali: Hiki paha kēia ma muli o ka anemia.
• Ke manaʻo nei i kahi puʻupuʻu i loko o ka ʻōpū a i ʻole ka rectum.

Pehea e ʻike ai i ka maʻi? (Diagnosis)

E nīnau kāu kauka e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila, e hana paha lākou i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e ʻike pono ai inā he maʻi ʻaʻai a he polyps paha kou.

• Colonoscopy: ʻO kēia ka hoʻāʻo maʻamau a maikaʻi loa. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela (colonoscope) ma o ka anus e nānā i ka ʻōpū nui holoʻokoʻa. Inā loaʻa nā polyps, hiki ke wehe ʻia i ka manawa like a hiki ke lawe ʻia kahi hāpana liʻiliʻi (biopsy) no ka hoʻāʻo ʻana.
• Sigmoidoscopy: Ua like ia me ka colonoscopy, akā ʻo ka rectum a me ka ʻāpana hope loa o ka ʻōpū nui wale nō i nānā ʻia.
• Nā hoʻāʻo noho:Aia nā hoʻokolohua e nānā ana i ke koko ʻike ʻole ʻia i loko o ka ʻōpala (FIT, gFOBT) a me nā hoʻokolohua e nānā ana i nā loli genetic (DNA) i loko o nā hunaola kanesa. Inā ʻike kēia mau mea i ke koko a i ʻole nā ​​​​​​mea ʻē aʻe, e kauoha ʻia kahi colonoscopy ma hope.
• CT colonography: He hoʻāʻo kūikawā kēia no ka `CT scan`. Ua kapa ʻia hoʻi ʻo ia he `Virtual colonoscopy`.

He aha nā lāʻau lapaʻau?

Inā ua ʻike ʻia ʻoe he maʻi kanesa, hilinaʻi ka lāʻau lapaʻau i kekahi mau kumu. E noʻonoʻo kāu kauka i nā kumu e like me ke kahua o ke kanesa a me kou olakino holoʻokoʻa e hoʻoholo ai i ka lāʻau lapaʻau maikaʻi loa nāu.

1. ʻoki kino

Hiki ke wehe ʻia nā puʻupuʻu liʻiliʻi a me nā polyp i nā pae mua i ka wā o ka colonoscopy. Inā ua pālahalaha iki ke kanesa, e wehe ʻia kēlā ʻāpana o ka colon ma ke ʻoki ʻana (partial colectomy).

2. Kemoterapi

He mau lāʻau lapaʻau kēia i hāʻawi ʻia e pepehi i nā hunaola kanesa a i ʻole e kāohi iā lākou mai ka laha ʻana. Hāʻawi ʻia kēia lāʻau lapaʻau e pepehi i nā hunaola kanesa e koe paha ma hope o ke ʻoki ʻana, a i ʻole e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana.

3. Hoʻōla Lapaʻau

Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe (e like me nā kukuna X) e luku i nā hunaola kanesa. Hoʻohana pinepine ʻia kēia lāʻau no ke kanesa rectal.

4. Hoʻōla i kuhikuhi ʻia

Hoʻopili kēia i ka lawelawe ʻana i nā lāʻau lapaʻau e pili ana i nā genes kikoʻī a i ʻole nā ​​​​protein i loko o nā cell cancer me ka ʻole o ka hōʻino ʻana i nā cell maʻamau.

5. Hoʻōla lāʻau pale

He lāʻau lapaʻau hoihoi loa kēia. ʻO kāu hana ma ʻaneʻi, ʻo ia ka hoʻoulu ʻana i ka ʻōnaehana pale ponoʻī o kou kino a hoʻoikaika iā ia e hakakā i nā hunaola kanesa.

6. Mālama Palekana

ʻAʻole ka pahuhopu ka ho'ōla ʻana i ke kanesa, akā, e kāohi i ka ʻeha, ka ʻoluʻolu ʻole, a me nā hōʻailona ʻē aʻe i hoʻokumu ʻia e ke kanesa, a e hāʻawi i ka mea maʻi i ke ʻano ola maikaʻi loa.

He aha kā mākou e hana ai e pale aku i ka maʻi kanesa?

ʻO kēia ka ʻāpana koʻikoʻi loa. Hiki i ka hoʻololi ʻana i ko kākou nohona ke hōʻemi nui i ka pilikia o kēia maʻi ʻaʻai.

• ʻAi maikaʻi: E ʻai i nā mea kanu, nā huaʻai, a me nā legume i waiwai i ka fiber. E hōʻemi i kāu ʻai ʻana i ka ʻiʻo ʻulaʻula a me nā ʻiʻo i hoʻōla ʻia (e like me nā sausage).
• Hoʻoikaika Kino: E hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino ikaika waena i kēlā me kēia pule. He mau koho maikaʻi ka hele wāwae, ka holo ʻana, a i ʻole ke kaʻa paikikala.
• E mālama i ke kaumaha olakino: ʻO ka momona kahi kumu pilikia no nā maʻi kanesa he nui.
• Puhi paka a me ka waiʻona: ʻOi aku ka maikaʻi o ka hoʻōki loa ʻana i kēia mau ʻano ʻelua.
• Nānā ʻana: He mea nui loa kēia. ʻO ka maʻamau ma hope o 45-50 mau makahiki, ʻoiai ka poʻe ʻaʻole i pilikia e hoʻomau i ka loaʻa ʻanaPono ʻoe e hoʻāʻo ʻia. ʻOi aku ka maikaʻi o ka hana ʻana i kahi colonoscopy i kēlā me kēia 10 mau makahiki. Inā he mau kumu pilikia kou, e ʻōlelo paha kāu kauka e hoʻāʻo mua ʻia a pinepine aku.