Ua ʻike anei ʻoe i kahi loli koke i kāu mau hana lua, ʻeha ʻōpū, a i ʻole ke koko i loko o kou ʻōpala? He mea maʻamau paha kēia. Akā i kekahi manawa hiki iā lākou ke lilo i hōʻailona o kahi mea e pono ai mākou e makaʻala. 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 pono mākou a pau e makaʻala. ʻO ia ka maʻi ʻaʻai colon a me rectal.
He aha ke kanesa colorectal?
I ka ʻōlelo maʻalahi, ʻo kēia maʻi kanesa ka ulu ʻana o nā ʻāpana i loko o ka paia o loko o kā mākou ʻōnaehana hoʻoheheʻe ʻana, ʻo ia hoʻi ka kolona a me ka rectum. ʻO ka kolona ka ʻāpana hope loa o ka ʻōnaehana hoʻoheheʻe o ko mākou kino. Hoʻopili ia i ka wai a me nā meaʻai mai ka meaʻai a mākou e ʻai ai. ʻO ke koena o nā ʻōpala paʻa, i kapa ʻia ʻo feces, ua mālama ʻia i loko o ka rectum.
ʻO ka hapa nui o ka manawa, hoʻomaka kēia maʻi kanesa ma ke ʻano he "maʻi kanesa leo ʻole." ʻO ia hoʻi, ulu mālie ia me ka ʻole o ka hōʻike ʻana i kekahi mau hōʻailona. I ka manawa e ʻike ʻia ai nā hōʻailona, ua holomua paha ke kanesa. Akā ʻo ka mea maikaʻi loa, inā ʻike mua ʻia kēia maʻi kanesa, hiki ke ho'ōla loa ʻia a hiki iā mākou ke hana i nā hana e pale aku ai. ʻO ia ke kumu he mea nui loa ka nānā mau ʻana.
Pehea e hiki mai ai kēia maʻi kanesa?
Hoʻomaka ka hapa nui o kēia mau maʻi kanesa ma ke ʻano he mau ulu liʻiliʻi (polyps) e hana ʻia ma ka paia o loko o ka kolona a i ʻole ka rectum. ʻAʻole nā polyps āpau he maʻi kanesa, akā hiki i kekahi mau ʻano ke ulu i loko o ke kanesa i ka hala ʻana o ka manawa.
ʻElua ʻano nui o nā meatballs:
| ʻAno Polyp | Ka pilikia o ka maʻi ʻaʻai |
|---|---|
| Nā polyps hyperplastic a me ka mumū | ʻO ka maʻamau, ʻaʻole hiki ke lilo i kēia mau mea i ka maʻi kanesa, akā inā nui lākou, hiki i kāu kauka ke ʻōlelo e wehe iā lākou. |
| Nā Adenomas a i ʻole nā polyps adenomatous | Kēia mau meaHe kūlana precancerous. Inā ʻaʻole mālama ʻia, hiki i kēia ke lilo i kanesa. |
ʻO ke ʻano nui o ka maʻi kanesa
No kēia mau maʻi kanesa, 96% no ke ʻano i kapa ʻia ʻo adenocarcinoma , kahi e kū mai ana mai nā pūnaewele hana mucus o ka colon a me ka rectum.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi kanesa?
Hiki i kekahi ke loaʻa i kēia maʻi ʻaʻai, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā e ʻike inā loaʻa iā ʻoe kekahi o nā kumu pilikia ma lalo nei.
| Kumu Hoʻopilikia | E aʻo e pili ana i kēia |
|---|---|
| ʻOi aku ma mua o 45 mau makahiki | Piʻi ka pilikia me ka makahiki. |
| Moʻolelo ʻohana | Inā ua loaʻa i kekahi o kou ʻohana (nā mākua, nā kaikaina, nā keiki) kēia maʻi kanesa a melanoma paha. |
| ʻAi | ʻAi nui ʻana i ka ʻiʻo ʻulaʻula (pipi, puaʻa) a me nā ʻiʻo i hana ʻia (e like me nā sausage, bacon). |
| Nā maʻi ʻōpū ʻē aʻe | Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi a Crohn a i ʻole ka colitis ulcerative . |
| Nā kūlana hoʻoilina | ʻO kekahi mau kūlana hoʻoilina, e like me ka familial adenomatous polyposis (FAP). |
| ʻAno nohona | Ka momona, ka puhi paka, ka nele i ka hoʻoikaika kino, a me ka inu nui ʻana i ka waiʻona. |
| Nā maʻi ʻē aʻe | Loaʻa i ka maʻi diabetes type 2. |
He aha nā hōʻailona o kēia maʻi kanesa?
E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻohe paha he mau hōʻailona i nā pae mua. Eia nō naʻe, i ka holomua ʻana o ka maʻi, hiki ke ʻike ʻia kekahi a ʻoi aku paha o kēia mau hōʻailona. Inā hoʻomau ʻoe i kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
ʻO ka mea nui, ʻaʻole i loaʻa i nā kānaka a pau me kēia mau hōʻailona ke kanesa, akā, ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā iā lākou.
| Hōʻailona | Pehea kou manaʻo |
|---|---|
| Hoʻololi i nā hana halepaku | Ka paʻa mau ʻana o ka paʻa ʻana a i ʻole ka maʻi pākī. |
| Koko i loko o ka ʻōpala | Nā ʻila koko i loko o ka ʻōpala a i ʻole nā ʻōpala e lilo ana i ʻeleʻele ʻeleʻele. |
| ʻO ka ʻeha o ka ʻōpū | ʻEha mau o ka ʻōpū, ka pehu ʻana, a i ʻole ke kinoea. |
| Ka hoʻokahe ʻana o ka ʻōpū piha ʻole | Manaʻo e like me ʻoe e pono e kahe i loko o ka lua ma hope o ka hele ʻana i ka lua. |
| ʻO ka pohō kaumaha me ke kumu ʻole | Inā ʻoe e lilo i ke kaumaha me ka hoʻāʻo ʻole. |
| Luhi pinepine | Manaʻo nui i ka luhi a me ka nāwaliwali no ke kumu ʻole (hiki ke loaʻa kēia ma muli o ka anemia). |
Pehea e ʻike ai ke kauka i kēia? (Diagnosis)
Ke hele ʻoe e ʻike i ke kauka, e nānā ʻo ia iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona, a e kuhikuhi iā ʻoe no nā hoʻokolohua e pono ai.
Kolonoskopi
ʻO kēia ka hoʻāʻo pololei loa a maʻamau no ka ʻike ʻana i ke kanesa colon. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela (colonoscope) ma o ka anus e nānā i ka colon holoʻokoʻa. Inā ʻike ʻia kekahi polyps, hiki ke wehe koke ʻia a i ʻole hiki ke lawe ʻia kahi hāpana liʻiliʻi (biopsy) no ka hoʻāʻo ʻana.
Nā hoʻokolohua ʻē aʻe
- Nā Hoʻāʻo Noho: Ke nānā nei kēia mau hoʻāʻo i nā koko liʻiliʻi i loko o ka noho i liʻiliʻi loa e ʻike ʻia me ka maka ʻōlohelohe. Inā hōʻike kēia hoʻāʻo i kekahi mea, e ʻōlelo ʻia paha kahi colonoscopy ma hope.
- CT Colonography: He scan CT kūikawā kēia. Ua kapa ʻia hoʻi e kekahi poʻe he "virtual colonoscopy."
- Biopsy: Ua nānā ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo i lawe ʻia i ka wā o ka colonoscopy i loko o kahi hale hana e hoʻoholo ai inā loaʻa nā hunaola kanesa.
He aha nā lāʻau lapaʻau?
Inā ua hōʻoia ʻia ka maʻi kanesa, e hilinaʻi ka hoʻolālā lapaʻau i kekahi mau kumu, e like me ke kahua o ke kanesa a me kou olakino holoʻokoʻa. E kamaʻilio kāu kauka me ʻoe e pili ana i ka hoʻolālā lapaʻau i kūpono loa iā ʻoe.
- ʻOki kino: Hiki ke wehe ʻia ke kanesa a me nā polyps i ke kahua mua i ka wā o ka colonoscopy. Inā ua pālahalaha iki ke kanesa, hiki ke wehe ʻia kahi ʻāpana o ka colon me ke kanesa ma ke ʻoki kino.
- Kemoterapi: ʻO kēia ka hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka ulu ʻana. Hiki ke hāʻawi ʻia kēia ma mua a ma hope paha o ke ʻoki ʻana.
- Lapaʻau radiation: Hoʻohana kēia i nā kukuna ikehu kiʻekiʻe (e like me nā kukuna X) e pepehi i nā hunaola kanesa. Hāʻawi pinepine ʻia kēia me ka chemotherapy.
- ʻO ka Lapaʻau i Hoʻolālā ʻia a me ka Immunotherapy: ʻO kēia nā lāʻau lapaʻau hou e kuhikuhi pono ana a hoʻouka i nā hunaola kanesa, a i ʻole e hoʻoulu i ka ʻōnaehana pale ponoʻī o ko mākou kino e hakakā i ka maʻi kanesa.
He aha kā mākou e hana ai e pale aku i ka maʻi kanesa?
ʻO kēia ka ʻāpana koʻikoʻi loa. Nui nā mea hiki iā kākou ke hana e pale aku iā kākou iho mai kēia maʻi ʻaʻai.
1. ʻAi olakino:
- E ʻai i nā meaʻai waiwai i ka fiber (nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha).
- E kaupalena i kāu ʻai ʻana i ka ʻiʻo ʻulaʻula a me nā ʻiʻo i hana ʻia .
2. E hoʻoikaika kino mau:
- E hana i ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino ikaika waena i kēlā me kēia pule.
3. E mālama i ke kaumaha olakino:
- Hoʻonui ka momona i ka pilikia o ka maʻi kanesa.
4. E pale i ka puhipaka a me ka waiʻona:
- He mau ʻano maʻamau kēia ʻelua e kōkua ai i nā maʻi kanesa he nui.
5. E hoʻāʻo ʻia i ka makahiki kūpono (Nānā):
- He mea nui loa kēia. No ka poʻe i ka pilikia maʻamau, ua ʻōlelo ʻia i kēia manawa e hoʻomaka i ka nānā ʻana maʻamau i ka makahiki 45. E kamaʻilio me kāu kauka e hoʻoholo i ke ʻano nānā kūpono iā ʻoe a me ka pinepine o kāu hana ʻana.
Inā ʻoi aku kou pilikia (no ka laʻana, inā ua loaʻa i kekahi o kou ʻohana), e ʻōlelo paha kāu kauka e hoʻomaka i ka nānā ʻana ma mua o 45 mau makahiki.
Leka Lawe-Home
- He maʻi hiki ke ho'ōla loa ʻia ke kanesa kolona inā ʻike mua ʻia. Hiki nō hoʻi ke pale ʻia.
- E makaʻala i nā hōʻailona e like me ka loli o nā hana halepaku, ke koko i loko o ka ʻeke, a me ka ʻeha mau o ka ʻōpū.
- ʻOiai inā ʻaʻohe ou hōʻailona, hiki i ka loaʻa ʻana o nā hoʻokolohua maʻamau (ʻoiai nā colonoscopies) ma hope o 45 mau makahiki ke hoʻōla i ke ola.
- Hiki i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino) ke hōʻemi i ka pilikia.
- Mai hilahila e kamaʻilio e pili ana i kēia. Inā he kānalua a he mau hōʻailona paha kāu, e kamaʻilio koke me kāu kauka.











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