Ko wai tēnei taote pokanga koroni? Kia mōhio tātou!

Tērā pea ka miharo koe ina rongo koe i te ingoa 'Taonga Tātari Rekereke', me te whakaaro, "Ko wai tēnei? He aha tā rātou mahi?" Kaua e manukanuka, ehara i te mea uaua rawa. He kupu māmā noa iho, he taote tātari tēnei e tohunga ana ki te rongoā i ngā mate me te mahi pokanga i tō whekau nui, tō pūkahukahu , me tō nono . Nō reira, me kōrero tātou mō tēnei me te taipitopito ake, me te mea kei te kōrero koe ki tētahi hoa, āe?

Ko wai tēnei taote pokanga whēkau? I mua ko te taote pokanga he ingoa mōna?

Āe, kua rongo pea koe i te kupu 'proctologist'. Ina hoki, i ngā wā o mua, ko ngā tākuta i rongoā i ēnei momo mate i karangatia ko ngā proctologist. Ko te 'coldectal surgeon' te ingoa hou, hou hoki mō taua mara hauora.

He iti noa te rerekētanga o te tikanga i waenganui i ēnei ingoa e rua. Ina kīia te 'proctologist', ko te nuinga e pā ana ki te rectum me te nono. Engari ina kīia te 'colorectal', kei roto ko te colon me te rectum. E mōhio ana koe, ko ēnei e rua ngā wāhanga nui rawa atu o te whekau nui. Heoi, i roto i te mahi, ahakoa ko tēhea o ēnei ingoa e rua, ka rongoatia e ēnei tohunga ēnei wāhanga katoa . Nō reira, kāore he take e nui rawa ai te whakaaro mō tēnei.

He aha mātou me toro atu ai ki tētahi taote pokanga colorectal?

Whakaarohia kei te pāngia koe e te mamae, e te tohu rānei i roto i tō puku o raro, arā, i tō ara kai o raro (GI). Kātahi ka taea e koe te haere ki te tākuta whānui, ki te tohunga puku rānei.

Ki te whakaaro te tākuta me pokanga tō mate i muri i te tirotiro i a koe, ka tukuna koe e ia ki tētahi taote pokanga colorectal.

Ko ētahi o ngā mate pukupuku colorectal e hiahiatia ana he pokanga:

• Te matepukupuku me te polyposis : E pā ana tēnei ki ngā āhuatanga matepukupuku i roto i te koroni, ki ngā tipu iti rānei (polyps) ka huri hei matepukupuku.
• Te mate puku mumura (IBD): He mumura roa tēnei o te arai o ngā whekau. Hei tauira, ko ngā mate pēnei i te mate a Crohn me te mate puku ulcerative .
• Ischemia: Koinei te wā e pakaru ana tetahi wāhanga o te whekauTe hekenga, te ngaro rānei o te toto . Ina tupu tēnā, ka mate pea taua wāhanga.
• Ngā hapa hanganga: Hei tauira, ngā fistula - he hononga rerekē i waenga i te whekau me tētahi atu okana, ngā hernia - he putanga o tētahi wāhanga o te whekau mā roto i tētahi wāhi ngoikore, me te prolapse - he putanga, he putanga rānei o tētahi wāhanga o te tinana, pērā i te rectum.

Ko te koroni anake te mea e rongoatia ana e ngā taote pokanga koroni?

Kāore, ehara tēnā i te pono. Ahakoa he tohunga ngā taote puku ki te whēkau nui , he taote whānui anō hoki rātou.

Haunga tēnā, ka pāngia ētahi atu okana e tētahi raruraru o tētahi okana o te tinana, tika? Nō reira, me rongoā e ēnei tohunga ētahi atu okana e pā tika ana ki te koroni, e pāngia ana rānei e taua mate. Ko ēnei okana ko:

• Whēkau Iti
• Ngā uaua o te papa pelvic (ka āwhina ēnei ki te whakahaere i te puku me te pūkahukahu)
• Pūnaha mimi
• Pūnaha Whakaputa Uri Wahine

He aha ngā tohu e hiahiatia ana hei mahi hei taote pokanga colorectal?

He kōrero tino nui tēnei. Ko te taote pokanga colorectal he tangata he tino matatau ki te whakangungu me te tohungatanga . Hei tauira, i roto i tētahi whenua pēnei i te Hononga o Amerika, kia noho hei taote pokanga colorectal, me whakangungu te tangata hei taote pokanga whānui mō te iti rawa e rima tau. Whai muri i tēnā, me whai i tētahi atu tau, neke atu rānei, o te whakangungu noho i roto i ngā āhuatanga colorectal.

I muri i tēnei whakangungu, ka puta rātou i ngā whakamātautau tuhituhi me ngā whakamātautau ā-waha, ā, ka noho hei tohunga whai tiwhikete poari mai i ngā poari hauora e tika ana (hei tauira, te Poari Pokanga Tae o Amerika). Nō reira, e kite ana koe, ehara tēnei i te haerenga ngāwari, koia tātou ka taea ai te whakawhirinaki ki ō rātou mātauranga me ō rātou pūkenga.

He aha ngā mea e nui ake ana te ako a te taote pokanga colorectal i tā te taote pokanga whānui?

Ka rangahau hōhonu ēnei tohunga i te mahi a te puku me te puku o te hope , arā, te mahi a ēnei whekau me te taunekeneke a rātou tetahi ki tetahi.

Nā tēnei mōhiotanga hōhonu, ka puta ake ngā raruraru e puta ake ana i roto i ngā whekau me te rectumHe pūkenga ahurei tō rātou ki te tātari i ngā raruraru tinana uaua , me te whakarato i ngā maimoatanga tairongo e tika ana. Ko rātou tonu ngā tohunga o tēnei mara.

He aha tonu te mahi a te taote pokanga colorectal?

Ka whakamahia e ngā taote pokanga repe tai katoa ngā tikanga endoscopic me ngā tikanga pokanga katoa hei rongoā i tō pūnaha nakunaku. Ko te tikanga tēnei kei a rātou ngā taputapu katoa e hiahiatia ana hei rongoā i ngā mate uaua.

Ka taea e rātou te rongoā i a koe mā te kore pokanga (hei tauira, mā te endoscopy), mā te pokanga iti rawa te whakaekenga , mā te pokanga tuwhera rānei, ki te tika, mā te pokanga tuwhera .

Ko ētahi o ngā tikanga e whakamahia ana e ngā taote pokanga colorectal ko:

• Koronokopiko: Ko te whakaurunga o tētahi ngongo angiangi, ngāwari (endoscope) me tētahi kāmera me te mārama mā roto i te nono hei tirotiro i te whekau nui katoa . Ka taea te whakamahi i tēnei hei tango i ngā polyp iti me te tango tauira kiko (biopsies).
• Enteroscopy: He tikanga anō tēnei mō te tirotiro i te whekau iti mā te whakamahi i te endoscope.
• Sigmoidoscopy: Ka tirohia te wāhanga whakamutunga o te whekau nui (te koroni sigmoid), te rectum, me te nono.
• Laparoscopy: Ka mahia he tapahi iti rawa ki te puku, ka whakauruhia he kāmera motuhake (laparoscope) hei tirotiro i ngā whekau o roto o te puku.
• Pokanga Laparoscopic: E mōhiotia ana ko te "pokanga kī," he tikanga tēnei e uru ana ki te hanga i ētahi tapahi iti ki te puku me te whakamahi i te laparoscope me ngā taputapu motuhake. Mā tēnei ka taea te mahi pokanga me te kore e hanga i tētahi tapahi nui, ka whakaiti i te wā whakaora.
• Pokanga karetao: He momo pokanga laparoscopic anō hoki tēnei. Heoi, i konei ka whakahaerehia e te taote pokanga he ringa karetao mā te papatohu rorohiko. Mā tēnei ka taea ngā pokanga tino uaua, tino uaua hoki .

Ko ētahi o ngā pokanga me ngā tikanga e mahia ana e ngā taote pokanga colorectal ko:

• Polypectomy: Te tango i ngā polyp (ngā tupu iti) i roto i te koroni mā te endoscopy.
• Te tango endoscopic mucosal (EMR) / te tango endoscopic submucosal (ESD): Ngā tikanga matatau mō te tango endoscopic o ngā pukupuku i ngā paparanga o roto o te whekau he uaua ki te tango.
• Pokanga iti endoscopic transanal: He pokanga e whakaurua ai he taputapu motuhake (proctoscope) mā roto i te nono hei tango i ngā pukupuku nunui, i ngā mea ārai rānei i roto i te rectum.
• Pokanga tango whekau: Te tango i tētahi wāhanga, i te katoa rānei o te whekau nui, i runga i te āhua o te mate.
• Pokanga Ostomy: Ko te tikanga o tēnei he whakarerekē i te putanga mai o te tūtae i te tinana, me te hanga i tētahi stoma mā te hono i tētahi pito o te whekau ki te mata kiri o te puku. Ka kiia tēnei he colostomy, he ileostomy rānei.
• Pokanga anastomosis: Te hono anō i ngā wāhanga e rua o te whekau mā te tango i te ostomy i hangaia i mua.
• Te tango i te apendiks: Te tango i te apendiks ina mumura (appendicitis).
• Anoplasty: Te whakatikatika, te hanga anō rānei i te nono.
• Rectopexy: Te whakaora i te piko o te rectum mā te pokanga.
• Sacrocolpopexy: Te whakatikatika i te hekenga o te whekau pelvis.
• Te whakatika i ngā hernia i roto i te whekau (hei tauira, te hernia inguinal, te hernia tapahi) mā te whakamahi i ngā tikanga laparoscopic, robotic rānei.
• Pokanga cecostomy / antegrade colonic enema (ACE): Ka whakauruhia he ngongo ki roto i te koroni hei tuku i te wai enema hei rongoā mō ētahi āhuatanga, pērā i te mate pāwera.

Ka mahi anō hoki rātou i ēnei mea hei tirotiro i te mahi a tō ara colorectal me tō ara rectum:

• Whakamātautau matihiko i te rekereke: He whakamātautau e whakauru ai te tākuta i tētahi maihao he karapu ki roto i te rekereke.
• Anoskopi / Proctoscopy: Te whakaurunga o tētahi taputapu iti hei tiro i te nono me te pūkahukahu o raro.
• Defecography: Te tirotiro i te nekehanga o te puku mā te whakamahi i te hihi-X, te MRI rānei.
• Ultrasound Endorectal: He matawai i te rectum me ngā kiko e karapoti ana mā te whakauru i tētahi taputapu ultrasound mā roto i te rectum.
• Manometry anorectal: Te ine i te pēhanga me te mahi a ngā uaua i roto i te rectum me te nono.

He aha ngā momo mate e rongoatia ana e ngā taote pokanga colorectal?

He maha ngā āhuatanga e hiahia ana kia toro atu ki te taote pokanga colorectal. Me titiro tātou ki ētahi o aua āhuatanga i roto i ngā rōpū:

Te mate pukupuku o te kōpū, ngā tauira:

• Matepukupuku koroni
• Matepukupuku rectum
• Matepukupuku ā- ira
• Matepukupuku āpitihanga
• Te mate pukupuku peritoneal - te horapa o te mate pukupuku ki te arai o te puku
• Ngā pukupuku stromal o te puku (GIST)
• Ngā pukupuku neuroendocrine
• Ko ētahi mate pukupuku tuku iho, pērā i te mate pukupuku kore-polyposis tuku iho (HNPCC) te mate Lynch rānei

Ngā polyp colorectal me ngā mate polyposis tuku iho, ngā tauira:

• Te mate polyposis adenomatous whānau (FAP) - Ka taea e tēnei te whakaputa rau, mano rānei o ngā polyp i roto i te koroni.
• Te mate Lynch - (kua whakahuatia anō hoki i raro i te mate pukupuku)
• Te polyposis e pā ana ki te MUTYH (MAP)
• Te mate polyposis serrated
• Ngā pukupuku desmoid
• Te mate Peutz-Jeghers
• Te mate polyposis taiohi
• Te mate hamartoma PTEN

Te mate puku uaua (mumura o te koroni), ngā tauira:

• Diverticulitis - He mate, he mumura rānei o ngā putea iti (diverticula) i te pakitara o te whekau.
• Te mate puku
• Te mate a Crohn
• Te mate pukupuku iti
• Pseudomembranous colitis - He mate e puta pinepine ana i muri i te whakamahinga o ētahi paturopi.
• Āpenikiri - te mumura o te āpenikiri.
• Te enterocolitis necrotizing - He mate kino e pā ana ki ngā pēpi hou.
• Te mate puku ischemic - he mumura i puta mai i te hekenga o te rere o te toto ki te koroni.

Ngā mate puku mahi, ngā tauira:

• Te ngoikore o te papa o te pelvic - he āhuatanga e uaua ai te tutae.
• Te kore e taea te whakahaere i te tūtae (te kore e taea te pupuri i te tūtae)
• Te aukati i te tūtae
• Anismus - Te kore e taea te whakangāwari tika i ngā uaua o te tō i te wā e totohu ana.

Ngā hapa hanganga, ngā tauira:

• Ngā aukati o te whekau nui
• Te pūwero anal - Te hanganga o tētahi ara tauhou i waenganui i te kiri me te whekau e tata ana ki te anal.
• Te fistula rectovaginal - he hononga koretake i waenga i te rectum me te tenetene.
• Hernia perineal
• Te whēwhe perianal
• Te hekenga o te rectum
• Te hekenga o te whekau pelvis

Ko ētahi atu āhuatanga pai o te koroni, hei tauira:

• Te toto o te puku / te toto o te rectum
• Ngā pakaru o te ihu
• Ngā kiritona ā-pūwero
• Ngā pukupuku
• Ngā mate pukupuku o te rectum
• Te kōroke me te pānga paru

He whakamaumahara iti mō tō kōpuku me te pūnaha nakunaku o raro

He wāhanga nui tō whekau nui o tō ara kai o raro . Ka haere ngā kai e kainga ana e tātou mā roto i tō pūnaha nakunaku, ā, mā roto i tēnei ka tangohia atu ngā para i tō tinana. Nō reira, ki te mea kei te pāngia koe e ngā tohu pēnei i te mamae o te puku o raro, i ngā huringa rānei o ō tikanga whekau (hei tauira, te toto, te korere, te mate kōroke), he raruraru pea kei tō ara kai o raro.

Koinei te wā e hiranga ai te tohutohu me te maimoatanga a te taote pokanga colorectal. Ehara i te mea ko ngā āhuatanga katoa e hiahiatia ana he pokanga . Heoi, ki te hiahiatia he pokanga, mā te kite i tētahi tohunga pēnei ka āwhina i a koe ki te whiwhi i te maimoatanga tino whai hua. Mā tō tākuta whānui, mā tō tākuta gastroenterologist rānei koe e tuku ki tētahi taote pokanga colorectal mēnā ki tā rātou whakaaro ka taea e tēnei tohunga te whakahaere pai i tō āhuatanga.

Hei whakamutunga, me kī atu ahau ki a koe... (Karere hei tango ki te kāinga)

Ko tāku tumanako kua mōhio koe inaianei ko wai te taote pokanga colorectal, he aha tā rātou mahi, me ngā momo mate e rongoatia ana e rātou.

Ko te mea nui, kei reira ēnei tohunga hei āwhina i a koe . Kei a rātou te tohungatanga me te whakangungu e tika ana mō tō āhua.

• Mena kei a koe ētahi tohu rerekē e pā ana ki tō kōpū, tō pūkahukahu, tō nono rānei (hei tauira, te mamae tonu o te puku, te toto i roto i tō tūtae, te huringa o te āhua o te puku, te ngaronga taumaha kāore i te whakamāramatia), kaua e warewaretia . Rapua he tohutohu hauora tonu.
• Ki te tukuna koe e tō tākuta ki tētahi taote pokanga colorectal, kaua e mataku . Ko te tikanga, me hiahia pea koe ki tētahi maimoatanga motuhake .
• Kia maumahara, nā te hangarau hauora matatau o ēnei rā, he maha ngā āhuatanga e pā ana ki tēnei mara ka taea te whakahaere me te whakaora angitu .

Nō reira, me noho hauora koe! Ki te pā mai he raruraru ki a koe, ko te mea nui ko te tiki i ngā tohutohu tika mai i te wāhi tika.

` Taonga taote repe kōiwi, mate repe kōiwi, taote taote repe kōiwi, mate pukupuku kōiwi, tirotiro kōiwi, pūnaha nakunaku, pokanga