Ke lohe kākou i ka huaʻōlelo kanesa, makaʻu iki kākou a pau, ʻeā? He mea maʻamau kēlā. Akā, aia kekahi mau ʻano kanesa, inā ʻike mua kākou iā lākou a hana i nā hoʻokolohua e pono ai, ʻoi aku ka kiʻekiʻe o ka manawa e ho'ōla loa ʻia ai. I kēia lā, ke kamaʻilio nei kākou e pili ana i kekahi ʻano kanesa. ʻO ia ka kanesa e kū mai ana i loko o ko kākou kolona a me ka rectum. ʻOiai e ulu mālie ana kēia a ʻaʻole hōʻike i nā hōʻailona nui i nā pae mua, he mea nui loa ia e makaʻala i kēia.
He aha ke kanesa colorectal?
I ka ʻōlelo maʻalahi, ʻo ia ka manawa e hoʻomaka ai nā pūnaewele e uhi ana i loko o ko kākou kolona a i ʻole ka rectum e ulu me ke kaohi ʻole. Ma hope o ka komo ʻana o ka meaʻai a mākou e ʻai ai i loko o ka ʻōpū a komo nā meaʻai mai ka ʻōpū liʻiliʻi, hele ke koena o ka meaʻai i loko o ka ʻōpū nui. Ma laila e komo ai ka wai a me nā meaʻai i koe a hana ʻia ka poop (ʻōpala). Mālama ʻia kēia poop no kekahi manawa i loko o ka rectum ma mua o kona haʻalele ʻana i ke kino. No laila, ʻo kēia mau ʻāpana ʻelua kahi e kū mai ai kēia maʻi kanesa.
ʻO ka hapa nui o ka manawa, hoʻomaka kēia mau maʻi kanesa ma ke ʻano he mau puʻupuʻu "mālie". ʻO ia hoʻi, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona a hiki i ko lākou nui ʻana. Akā ʻo ka mea maikaʻi loa , hiki i ka nānā pono ʻana ke ʻike i kēia mau maʻi kanesa a i ʻole nā kūlana precancerous i ka wā mua. Inā ʻike ʻia, hiki ke mālama ʻia a hoʻōla loa ʻia.
Pehea e ulu ai kēia maʻi kanesa? He aha nā polyps?
Hoʻomaka ka aneane āpau o nā maʻi ʻaʻai kolona ma ke ʻano he "polyps." He mau ulu liʻiliʻi kēia a ʻiʻo e ulu ana ma loko o ka paia o ke kolona. Akā e hoʻomanaʻo, ʻaʻole nā polyps āpau he maʻi ʻaʻai.
ʻElua ʻano nui o nā polyp:
- Nā polyps hyperplastic a me ka mumū: ʻAʻole lilo kēia i ka maʻi kanesa. Akā i kekahi manawa inā nui lākou, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o ka kolona, hiki i ke kauka ke ʻōlelo e wehe iā lākou.
- ʻO nā Adenomas a i ʻole nā polyps adenomatous: ʻO kēia nā mea mua i ka maʻi kanesa . Inā ʻaʻole mālama ʻia, loaʻa iā lākou ka manawa kūpono e lilo i ka maʻi kanesa i ka hala ʻana o ka manawa.
ʻO ia ke kumu e hana ai nā kauka i nā hoʻokolohua manawa e nānā i nā polyp e like me kēia a wehe iā lākou inā loaʻa.
He aha nā kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa?
ʻOiai hiki i kekahi ke loaʻa i kēia maʻi ʻaʻai, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki. Hoʻonui ka pilikia ma hope o 45-50 mau makahiki. E nānā i ka papa ma lalo nei e ʻike inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia.
| Kumu pilikia | Wehewehena |
|---|---|
| Moʻolelo ʻohana | Inā ua loaʻa i kekahi o kou ʻohana (nā mākua, nā kaikaina, nā keiki) ke kanesa colon a i ʻole nā polyps. |
| ʻAi | Ka ʻai nui ʻana i ka ʻiʻo ʻulaʻula (pipi, puaʻa) a me nā ʻiʻo i hoʻōla ʻia (sausages, bacon). |
| Nā kūlana olakino ʻē aʻe | ʻO ka loaʻa ʻana o ka maʻi ʻōpū mumū (IBD) e like me ka maʻi a Crohn a i ʻole ka colitis ulcerative. |
| Kūlana hoʻoilina | Nā kūlana hoʻoilina e like me FAP (Familial Adenomatous Polyposis) a i ʻole HNPCC. |
| ʻAno nohona | Ka momona, ka puhi paka, ka nele i ka hoʻoikaika kino, 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 ke kanesa, e ʻike ʻia paha kekahi a ʻoi aku paha o kēia mau hōʻailona.
He mea nui: ʻO ka loaʻa ʻana o kēia mau hōʻailona ʻaʻole ia he manaʻo he maʻi kanesa kou. Hiki nō hoʻi ke hana ʻia e nā kumu maʻalahi ʻē aʻe. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka no ka ʻōlelo aʻo.
| Hōʻailona | Manaʻo |
|---|---|
| Hoʻololi i nā hana halepaku | Ka paʻa mau ʻana o ka paʻa ʻana a i ʻole ka maʻi pākī. |
| Ke kahe koko ʻana o ka rectum | Ke kahe ʻana o ke koko me ka ʻōpala a i ʻole me ka ʻole o ka ʻōpala i ka wā e hele ai i ka lua. Hiki i ka ʻeleʻele ʻeleʻele a i ʻole ka ʻulaʻula ʻeleʻele ke kala o ka ʻōpala. |
| ʻO ka ʻeha o ka ʻōpū | ʻEha mau ka ʻōpū, ka pehu ʻana, a i ʻole ka manaʻo piha. |
| Ka emi ʻana o ke kaumaha | Ka pohō kaumaha me ke kumu ʻole. |
| Luhi a me ka luhi | Manaʻo mau o ka luhi nui. ʻO ke kumu o kēia he anemia. |
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila, e kauoha paha lākou i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e hōʻoia i ka hōʻailona.
- Hoʻāʻo Noho: He hoʻāʻo e nānā i ke koko ʻike ʻole ʻia i loko o ka noho.
- Colonoscopy: ʻO kēia ka hoʻāʻo maikaʻi loa a pololei loa. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma o ka anus e nānā i ka kolona holoʻokoʻa. Inā he mau polyp, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi i ka manawa like no ka biopsy, a hiki ke wehe loa ʻia kekahi mau polyp.
- Sigmoidoscopy: Ua like ia me ka colonoscopy, akā ʻo ka ʻāpana hope loa o ka ʻōpū nui wale nō i nānā ʻia.
- CT Scan: Kōkua kēia hoʻāʻo e ʻike inā ua pālahalaha ke kanesa ma waho o ka kolona.
He aha nā lāʻau lapaʻau?
Aia nā koho lapaʻau i ka wahi o ke kanesa, ka nui o kona laha ʻana (kahua), a me ke olakino holoʻokoʻa o ka mea maʻi. E kamaʻilio kāu kauka me ʻoe e pili ana i ka hoʻolālā lapaʻau maikaʻi loa nāu.
ʻoki kino
ʻO kēia ka lāʻau lapaʻau nui. ʻO ka ʻāpana o ka colon kahi i loaʻa ai ke kanesa a me nā lymph nodes a puni e wehe ʻia ma ke ʻoki ʻana. ʻO nā kanesa mua loa hiki ke ho'ōla piha ʻia me ke ʻoki ʻana.
Kemoterapia
He mau lāʻau lapaʻau kēia i hāʻawi ʻia e pepehi i nā hunaola kanesa. Hāʻawi ʻia lākou e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana, a i ʻole e pepehi i nā hunaola kanesa e koe paha ma hope o ke ʻoki ʻana. He mau mea nui nō hoʻi lākou no ka mālama ʻana i ka wā e laha ai ke kanesa.
Hoʻōla Pāhawewe
Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe (e like me nā kukuna X) e luku i nā hunaola kanesa. Hāʻawi pinepine ʻia kēia lāʻau me ka chemotherapy no ke kanesa rectal.
Ka Lapaʻau i Hoʻolālā ʻia a me ka Immunotherapy
He mau lāʻau lapaʻau hou kēia e kuhikuhi pono ana i nā hunaola kanesa me ka hoʻemi ʻana i ka hōʻino ʻana i nā hunaola maʻamau, a i ʻole e hoʻoulu lākou i kā mākou ʻōnaehana pale ponoʻī e hakakā i ka kanesa.
He aha e hana ai e pale aku i ka maʻi kanesa a ma hope o ka mālama ʻana?
ʻOiai ma hope o ka pau ʻana o ka mālama ʻana, he mea nui loa ia e ʻike i kāu kauka no nā hoʻokolohua hahai ma kahi papa hana maʻamau. E kōkua kēia iā ʻoe e hoʻoholo koke inā ua hoʻi hou mai ke kanesa.
Eia kekahi, aia kekahi mau mea e hiki ai iā mākou ke hana e pale iā mākou iho mai kēia maʻi kanesa:
- ʻAi olakino: E ʻai i nā mea kanu, nā huaʻai, a me nā greens i waiwai i ka fiber. E hōʻemi i ka ʻiʻo ʻulaʻula a me nā ʻiʻo i hana ʻia.
- Hoʻoikaika Kino: E hana i kahi hoʻoikaika kino e hoʻoulu ai i ka hou no 30 mau minuke ma ka liʻiliʻi, ma ka liʻiliʻi he 5 mau lā o ka pule.
- E mālama i ke kaumaha olakino: ʻO ka momona kahi kumu nui o ka maʻi kanesa.
- Hoʻōki i ka puhipaka a me ka inu ʻona: Hoʻonui nā mea ʻelua i ka pilikia o ka maʻi kanesa.
- E hoʻāʻo ʻia i ka makahiki kūpono: ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka loaʻa ʻana o kahi hoʻāʻo e like me ka colonoscopy ma hope o 45 mau makahiki. Inā he moʻolelo ʻohana kou no ka pilikia, pono paha ʻoe e hoʻomaka i ka hoʻāʻo ʻana ma mua.
Leka Lawe-Home
- ʻAʻole paha e hōʻike ʻia nā hōʻailona o ke kanesa colon i kona wā mua, no laila mai kali.
- Inā he loli mau kou i kāu mau hana halepaku, ke koko i loko o kou noho, a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia,E ʻike koke i kāu kauka.
- Inā ua loaʻa i kekahi o kou ʻohana kēia maʻi kanesa, e haʻi i kāu kauka e pili ana i ia mea. Makemake paha ʻoe e hoʻomaka i ka nānā ʻana i ka wā ʻōpiopio.
- Ma hope o 45 mau makahiki, hiki i ka nānā mau ʻana ke ʻike a wehe i nā polyps precancerous a ʻike i ke kanesa i ka wā mua.
- Hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi ʻaʻai ma o ke ola ʻana i kahi nohona olakino.
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