Ua haʻi aku ke kauka iā ʻoe e hana i kahi colonoscopy? E ʻike pono kākou i ke ʻano o kēia (Colonoscopy)

Ua lohe paha ʻoe i kahi colonoscopy ma kekahi wahi. ʻO ka hapa nui o ka manawa, lohe mākou e pili ana i ka hoʻomākaukau ʻana no ia mea. I ka pō ma mua o ka hoʻāʻo ʻana, pono ʻoe e inu i kahi wai kūikawā e hoʻomaʻemaʻe loa i kou ʻōpū. ʻAʻole like ia me kahi mea maʻalahi e hana ai, ʻeā? Akā, aia kekahi kumu koʻikoʻi loa e ʻōlelo ai nā kauka i kēia hoʻāʻo no ka poʻe ma waena o 45 a me 75 mau makahiki, ʻoiai inā ʻaʻohe ou hōʻailona. E kamaʻilio kākou e pili ana i kēia lā.

He aha ka mea e nānā maoli ai kēia hoʻokolohua?

I ka ʻōlelo maʻalahi, he hoʻāʻo kūikawā ka colonoscopy no ka maʻi ʻaʻai colorectal (CRC). Aia kēia mau ʻāpana ʻelua i loko o ko kākou ʻōpū nui, ʻo ia ka ʻāpana hope loa o kā kākou ʻōnaehana hoʻoheheʻe. Hoʻopili ka ʻōpū nui i ka wai a me nā meaʻai mai ka meaʻai a kākou e ʻai ai a mālama i ke koena o nā ʻōpala (i kapa ʻia he feces). A laila, hele ka ʻōpala ma o ka rectum ma mua o ka haʻalele ʻana i ke kino.

ʻO ka mea weliweli loa e pili ana i ka maʻi ʻaʻai colon, ʻo ia ka ʻole o ka hōʻike ʻana i nā hōʻailona i nā pae mua .

E noʻonoʻo, hoʻomaka kekahi mau hōʻailona e ʻike ʻia. No ka laʻana, nā loli i nā ʻano hana o ka ʻōpū (pinepine ka paʻa ʻana), ke koko i loko o ka ʻōpala, kahi manaʻo ʻaʻole i hoʻokahe loa ʻia ka ʻōpū, ka ʻeha mau o ka ʻōpū a i ʻole ka pehu ʻana. I kekahi manawa, hiki ke pili pū me kēia ka pohō kaumaha, nā ʻōpala lahilahi penikala, ka nāwaliwali, a me ka luhi nui. Akā ʻo ka pilikia, i ka manawa āu e ʻike ai i kēia mau hōʻailona, ​​​​ua holomua loa ke kanesa, ʻo ia hoʻi ua pālahalaha loa ia .

Eia naʻe, ʻaʻole wale kēia hoʻāʻo no ka ʻike ʻana i ke kanesa. Hoʻohana ʻia nō hoʻi ia no ka ʻike ʻana i nā pilikia ʻē aʻe he nui.

• Nā ʻeha ma ka ʻōpū
• Ka mumū i loko o ka ʻōpū
• Nā ʻeke liʻiliʻi (diverticula) e hana ana i loko o ka paia ʻōpū
• Ka hāiki ʻana o kekahi mau ʻāpana o ka ʻōpū (Strictures)
• Nā kumu o ka maʻi diarrhea i wehewehe ʻole ʻia, no ka manawa lōʻihi
• Ke kahe koko i wehewehe ʻole ʻia ma ka ʻōnaehana digestive

He mea nui loa kēia. Pehea e hana ai kēia? Ke hana nā kauka i kēia hoʻāʻo, ʻimi lākou i nā mea e like me nā ulu liʻiliʻi (polyps) i loko o ka ʻōpū e hiki ke lilo i maʻi kanesa. Inā ʻike lākou i kekahi mea e like me ia, hiki iā lākou ke wehe koke i kēlā ulu. ʻO ke ʻano kēia, hiki i kēia hoʻāʻo ke wehe i kahi mea i hiki ke lilo i maʻi kanesa i ka wā e hiki mai ana a hoʻopakele iā ʻoe mai kahi pilikia nui.

Pehea pololei e hana ʻia ai kēia hoʻāʻo?

Me ka colonoscopy, hiki i kāu kauka ke ʻike maopopo i loko o kou kolona holoʻokoʻa a me ka rectum.

I ka lā ma mua o ka hoʻāʻo ʻana, e hāʻawi ʻia ʻoe i kahi mea inu laxative kūikawā e hoʻomaʻemaʻe loa i kou ʻōpū. ʻO kēia ka ʻāpana a ka hapa nui o ka poʻe i makemake ʻole ai. Eia nō naʻe, he mea nui kēia hana i hiki i ke kauka ke ʻike maopopo i loko o kou ʻōpū.

I ka wā o ka hoʻāʻo ʻana, hoʻohana ke kauka i kahi ʻōmole palupalu e like me ka peni (colonoscope) me kahi kāmela liʻiliʻi i hoʻopili ʻia. Hoʻokomo pono ʻia kēia ʻōmole ma o kou anus a alakaʻi ʻia i luna o kou kolona. I kona hala ʻana, hiki iā ʻoe ke nānā i nā kiʻi mai ke kāmela ma kahi pale. ʻOiai ke kau nei ka ʻōmole, puhi ʻia kahi ea liʻiliʻi i loko o ke kolona e mālama iā ia i ka wehe a ʻaʻole e paʻa.

E nānā nui ke kauka i nā polyps, a mākou i kamaʻilio ai ma mua. Inā he mau polyps, hiki iā ia ke wehe koke iā lākou. ʻO ka maʻamau, he 30 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa. ʻAʻole pono ʻoe e hopohopo no kēia no ka mea e hāʻawi ʻia ʻoe i ka anesthesia e pale aku i kekahi ʻeha.

Āhea wau e lawe ai i kēia hoʻokolohua?

Ma muli o ka ulu pinepine ʻana o ke kanesa colon me ka ʻelemakule, hiki i kāu kauka ke ʻōlelo aku e hana ʻoe i kāu colonoscopy mua i ka makahiki 45 .

Eia nō naʻe, aia kekahi mau kūlana kahi e ʻoi aku ai kou pilikia. Eia kekahi laʻana, inā ua loaʻa i kahi ʻohana pili (makuahine, makuakāne, kaikunāne, kaikuahine, a keiki paha) ka maʻi ʻōpū, e aʻo ʻia paha ʻoe e hana i kēia hoʻāʻo i ka wā ʻōpiopio.

ʻO ka nūhou maikaʻi, inā ʻaʻohe polyps i loaʻa i ka wā o ka hoʻāʻo mua ʻana, pono ʻoe e hana i kāu hoʻāʻo aʻe ma hope o 10 mau makahiki . Eia nō naʻe, inā loaʻa nā polyps, e noi paha kāu kauka iā ʻoe e hana i kāu hoʻāʻo aʻe i loko o 3-5 mau makahiki, ma muli o ko lākou ʻano.

He aha nā ala ʻē aʻe e ʻike ai i ke kanesa?

Aia kekahi mau ʻano hana ʻē aʻe ma waho aʻe o ka colonoscopy. Akā, he mau palena ko kēlā me kēia. E nānā kākou iā lākou.

Akā ʻo ka mea nui loa ma ʻaneʻi , inā loaʻa i kekahi o kēia mau hoʻokolohua ʻē aʻe kahi polyp a hōʻoia paha he koko i loko o ka ʻōpala, pono ʻoe e hana i kahi colonoscopy e wehe ai a nānā pono paha .

ʻO ia ke kumu i manaʻo ʻia ai ka colonoscopy ʻo ke "kūlana gula" ma kēia kahua, no ka mea hiki iā ia ke ʻike i ka maʻi a mālama iā ia (wehe i nā polyps) i ka manawa like.

No ke aha e pale aku ai ka poʻe he nui i kēia?

ʻElua kumu nui i hana ʻole ai ka poʻe i kēia hoʻokolohua waiwai nui.

1. ʻŌlelo ʻo ia , "ʻAʻole i haʻi mai kaʻu kauka iaʻu e hana i kēia."

2. Ke manaʻo nei "he mea paʻakikī loa ka hoʻomaʻemaʻe ʻana i ka ʻōpū."

ʻO ʻoe ka pane i ka nīnau mua. Inā ʻoi aku ʻoe ma mua o 45 a ʻaʻole i haʻi aku kāu kauka iā ʻoe, e nīnau iā ia . ʻO ka nīnau ʻana, "E ke kauka, ua hiki anei ka manawa noʻu e hana i kahi colonoscopy?" he hana nui ia e hiki iā ʻoe ke hana no kou olakino ponoʻī.

ʻO ka lua o ka mea, ʻo ia ka makaʻu i ka hoʻomākaukau ʻana o ka ʻōpū. He ʻoiaʻiʻo, he mea ʻoluʻolu ʻole iki ia. Akā e noʻonoʻo e pili ana, inā hiki iā ʻoe ke pale aku i ka maʻi kanesa no 10 mau makahiki me hoʻokahi lā o ka ʻoluʻolu ʻole, pehea ke kumukūʻai? Eia kekahi, ua hoʻomaikaʻi nui ʻia nā lāʻau lapaʻau a me nā ʻano hana i hoʻohana ʻia no kēia i kēia manawa. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ke ʻano kūpono a maʻalahi loa iā ʻoe. I ka hoʻohālikelike ʻia me ka pale ʻana i ka maʻi kanesa, he kumukūʻai liʻiliʻi kēia e uku ai.