Kia ora! I tēnei rā ka kōrero tātou mō tētahi whakamātautau hauora e mataku ana te nuinga ki te pātai, engari he mea tino nui. Ko te tikanga o tēnā he colonoscopy. Kua tohutohu pea tō tākuta kia mahia tēnei, kua rongo rānei koe i tētahi wāhi mōna. Nō reira, kia mārama tātou ki te tikanga, te take e mahia ai, me pēhea te mahi. Kāore he mea e wehi ai, ka kōrero mārama tātou mō ngā mea katoa.

He aha te colonoscopy?

He whakarāpopototanga noa iho, he whakamātautau te colonoscopy e tirotiro ana i roto i tō koroni, tō pūkahukahu, me tō nono. He rite ki te whakauru i tētahi kāmera. Ka kiia tēnei e ngā tākuta he endoscopy. Arā, ka whakauruhia he ngongo iti, ngāwari ki roto i tō tinana me tētahi kāmera iti me te mārama i te pito. Ka kiia ko te colonoscopy. Ka whakauruhia te colonoscopy mā roto i tō nono, kātahi ka nekehia ki runga i tō koroni. I a ia e haere ana, ka taea e te tākuta te kite i runga i tētahi mata e whakaatu ana i te kāmera. Mā tēnei ka whakaatu ki a koe mēnā he raruraru kei roto i tō koroni.

He aha tātou e hiahia ai ki te colonoscopy?

He maha ngā take e tika ai te mahi colonoscopy. I ētahi wā he ārai , i ētahi wā he tātaritanga , he rongoā rānei. I ētahi wā, ka taea te whakakotahi i ngā mea e toru.

Hei whakamātautau hei kite wawe i te mate pukupuku (Te Tirotiro)

He tokomaha te hunga e whiwhi ana i tā rātou colonoscopy tuatahi hei tirotiro auau mō te mate pukupuku koroni . He tūponotanga kei a tātou katoa te pāngia e te mate pukupuku koroni i a tātou e pakeke haere ana. Koia te take e taunaki ana ngā whakahaere pēnei i te American Cancer Society kia whiwhi tēnei whakamātautau te hunga neke atu i te 45 tau te pakeke . Tērā pea kāore he tohu e pā ana ki a koe, engari e ai ki ngā tatauranga, he nui te tūponotanga, nō reira he mea whakaaro nui kia whakamātauria wawe. He maha ngā wā kāore e whakaatu ana te mate pukupuku koroni i ngā tohu, ā, ki te puta mai, kua roa rawa te wā ki te rongoā.

Kua tae pea te wā kia whai koe i tētahi whakamātautau tirotiro matepukupuku, mēnā:

• Mena kua neke atu i te 45 tau te pakeke , ā, kāore anō kia whakamātauria tēnei.
• Mena kua tekau tau pea mai i te wā whakamutunga i mahia ai tō colonoscopy.
• Mena i tangohia ō polyp i tō colonoscopy whakamutunga.
• Mena kua pāngia tetahi o tō whānau e te mate pukupuku koroni .
• Kei a koe te Familial Adenomatous Polyposis (FAP).Mena he mate tuku iho tōu pērā i te Lynch syndrome (ka piki ake te mōrearea o te mate pukupuku i ēnei).
• Mena kei a koe tētahi āhuatanga pēnei i te Inflammatory Bowel Disease (IBD) .

Ki te pātai koe ki tō tākuta whānau, ki te tākuta rānei e toro atu ana koe, ka taea e ia te kī atu ki a koe āhea me whakamātautau koe i tēnei i runga i tō āhua hauora. Mā ngā whakamātautau pēnei ka ora ai ngā mano tini o te tangata i ia tau.

Tātarihia he mate

I ētahi wā, ka whakahau pea tō tākuta i tētahi colonoscopy hei tirotiro hohonu ake i ō tohumate nā te mea kei a koe ēnei tohumate. Nā te mea ka taea e koe te kite i te roto o tō colon kia mārama ake i ētahi atu matawai. Ka āwhina tēnei ki te whakatau i te pūtake o ō tohumate, ki te whakaū rānei i tētahi whakapae kei tō tākuta . I ētahi wā, ka hiahia pea tō tākuta ki te tango i tētahi wahi kiko (he koiora) ka tirohia i raro i te karuārai. Ka taea hoki tēnei te mahi i te wā o te colonoscopy.

Ko ētahi o ngā tohu ka akiaki i te colonoscopy ko:

• Mena he toto, he rerenga rānei mai i te nono, kāore he take.
• Mena kua rerekē ō tikanga wharepaku, kāore he take (hei tauira, te mate korere, te mate kōroke, te kore e taea te pupuri i te mimi).
• Mena kei te mamae tonu tō puku, kāore he take.
• Mena kei te heke tō taumaha , kāore he take, ki te kore rānei e piki te taumaha o ngā tamariki nohinohi.

He maha ngā āhuatanga ka taea te tautuhi mā te whakamahi i te colonoscopy:

• Ngā mate colitis mau tonu , hei tauira te colitis ulcerative , te mate a Crohn rānei.
• Te ischemia o te puku me te ischemic colitis (ngā āhuatanga i puta mai i te hekenga o te rere o te toto ki ngā whekau).
• Te diverticulosis me te diverticulitis (te hanganga o ngā putea iti i roto i te pakitara o te whekau me tō rātou mate).
• Ngā mate puku me ngā pūhaehae .
• Ngā ārai o te whekau nui.
• Ngā polyp o te repeure me te mate pukupuku .

Hei maimoatanga

Ko tētahi o ngā painga nui o ngā whakamātautau endoscopy pērā i te colonoscopy ko te mea mēnā ka kitea e te tākuta he raruraru i te wā o te whakamātautau, ka taea e ia te rongoā i aua raruraru i te wā kotahi . Kua whakangungua ēnei tākuta ki te mahi i ngā mea pēnei i ngā pokanga iti mā te whakamahi i ngā taputapu motuhake ka tukuna mā te endoscope. I te wā e mahi ana i te colonoscopy,He maha ngā wā ka tangohia tonutia ngā polyp ka tukuna ki te taiwhanga hei whakamātautau mō te mate pukupuku. Mā te tango i ēnei polyp ka whakaiti i te tūponotanga o te mate pukupuku ā muri ake nei.

I a koe e tirotiro ana i te koroni, ka mahi pea tō tākuta i ngā mea penei:

• Te tango i te kiri i roto i te pokanga (polypectomy ).
• Taupokina ngā patunga.
• Tangohia ngā rongoā.
• Tangohia ngā mea e ārai ana.
• Whakauruhia he stent (hei whakawhānui i ngā wāhi whaiti o te puku).
• Tikina te rongoā laser .

Me pēhea te whakarite mō te colonoscopy?

He mea tino nui tēnei. Kia angitu ai te whakamātautau, me tino rite koe. Ka hoatu e tō tākuta he tohutohu taipitopito mō ngā mea hei mahi i mua i ētahi rā. Ko te kaupapa matua o tēnei whakaritenga he pupuri i tō kōpū kia ma, kia mārama hoki i te wā e taea ana te tango i te kōpū. Ki te kore, e kore e taea e te tākuta te kite tika. Kātahi pea ka whakaroa koe i te whakamātautau, ka mahi anō rānei i ēnei whakaritenga katoa. Whakaarohia te uaua o tēnā!

I te nuinga o te wā, me whakarerekē koe i tō kai mō ngā rā e rua, e toru rānei i mua i te whakamātautau. Ka kai koe i te kai iti-muka mō ngā rā e rua, e toru rānei. I te rā whakamutunga, ka kīia atu kia inu noa koe i ngā wai mārama . I te ahiahi, i te pō rānei i mua i te whakamātautau, ka hoatu he rongoā whakangote ki a koe hei inu. I muri i te inu, me haere koe ki te wharepaku i ngā wā katoa mō ngā haora maha. Nō reira, kia rite mō tēnā, kia noho humarie hoki. Kātahi ka moe pai i te pō. Ko te tikanga ka mahia te colonoscopy i te ata e whai ake nei.

He aha ngā mea ka tupu i te rā o te whakamātautau?

Ina haere koe ki te whakamātautau, me kimi he tangata hei taraiwa i a koe ki te kāinga. Nā te mea e tata ana ki te kotahi te rā e memeha ai te rongoā whakamoe, kāore ētahi hōhipera e tuku i a koe ki te whakamātautau me te kore he tangata whai kawenga. (Me noho te tangata e haere tahi ana me koe ki reira mō te rua hāora.) Kia tae koe ki te hōhipera, ka haria koe ki tētahi rūma, ā, ka whakakakahuria koe ki tētahi kākahu hōhipera. Kātahi ka haere mai tētahi nēhi ka whakauru i tētahi aho IV ki roto i tētahi uaua i tō ringa, ā, mā roto i tēnā ka tīmata koe ki te whiwhi rongoā whakamoe me ngā rongoā mamae.

Ka whakamoea tātou e rātou i te wā o te colonoscopy?

Ae, ka pangia koe e te mate whakamoe whānui (arā, ka moe rawa koe) ka pangia rānei koe e te moe mohio.(Ko te tikanga o tēnei ka iti haere tō hinengaro, ka moe pea koe, ka ara ake rānei, engari kāore pea koe e mahara ki muri.) Āe, ka taea e koe. Ka kōrero te tākuta ki a koe i mua mō te tikanga whakamoe ka hoatu ki a koe. Kia mōhio ai koe i mua i te wā he aha ngā mea ka puta i te rā o te whakamātautau. Ka āwhina te tākuta i a koe ki te whiriwhiri i te tikanga e pai ana ki tō tinana me ō hiahia.

He whakamātautau mamae tēnei?

Nā te mea kei raro koe i te rongoā whakamoe, kāore koe e rongo i te mamae i roto i tō koroni. He pono tēnei mō te tango kiko me te maimoatanga laser. Heoi, ina tukuna te colonoscope ki roto i tō koroni , tera pea ka rongo koe i te ahua hau, i te pēhi rānei. Nā te mea ka pupuhihia te koroni e te colonoscope ki te iti o te hau waro kia pai ake ai te tirohanga o roto o tō koroni. Heoi, kāore tēnei e tino kitea. Ka whakatakotoria koe ki tetahi taha o te moenga hōhipera me ō turi e kumea ana ki runga ki tō uma (tūnga fetal), ā, tera pea ka moe koe.

Ko wai ka mahi i te colonoscopy?

Ko te tikanga, ka mahia te colonoscopy e te tohunga gastroenterologist , e te taote colorectal rānei. He tohunga ēnei tākuta e rua ki ngā mate o te pūnaha nakunaku, ā, he tohunga motuhake ki te mahi endoscopy. Ehara i te mea ka titiro noa ēnei tākuta ki roto i te tinana, engari ka taea hoki e rātou te tango tauira kiko me te mahi maimoatanga iti mēnā e tika ana. He tohunga hoki rātou ki te tātari i ngā hua o te whakamātautau.

Me pēhea te mahi i te colonoscopy?

He ngongo roa, angiangi, ngāwari te koroni (e kiia ana hoki he catheter ) me tētahi kāmera iti me te mārama e piri ana ki tōna pito.

• Ka whakaurua e te tākuta tēnei koroni mā roto i tō nono, ka ārahi i runga i tō whekau nui, tae noa ki te wāhi e tūtaki ai ki te whekau iti.
• I a koe e kawe ana, ka pupuhihia he hau iti mā roto i te ngongo, ka pupuhi te whekau, ka taea ai e koe te kite mārama i roto.
• Ka whakaaturia ngā whakaahua mai i te kāmera ki runga i te mata tirotiro. Ka mātaki te tākuta i te mata hei tirotiro mēnā he mea rerekē.
• Kia tae koe ki te pito o te koroni, ka tangohia anō te koroni, kia taea ai e koe te tirotiro anō.

Whakaarohia, he rite tēnei ki te "haereere" i roto i ō whekau! Ka tirohia e te tākuta ngā kokonga katoa.

Kia pēhea te roa o te wā e hiahiatia ana he colonoscopy?

E 15 meneti pea te roa hei whakauru i te colonoscope ki te pito o te koroni, ā, 15 meneti anō hei tango mai. Ko te tikanga ka tirohia te koroni katoa kia rua ngā wā. Mēnā ka kitea he mea e tika ana kia tangohia, kia rongoatia rānei i te wā o te mahi, ka roa ake te wā. He tino noa ngā polyps;E kitea ana ēnei i roto i te 30% o ngā tirotiro koroni noa. Ahakoa ehara te nuinga i te mate pukupuku, ko te tikanga paerewa ko te tango i aua mea i te wā tonu ka kitea. Ka taea e tēnei te tāpiri i te 15 meneti ki te tikanga.

He aha te mea ka tupu i muri i te whakamātautau?

I muri i te whakamātautau, ka tirotirohia koe i te hōhipera mō te haora me te hawhe pea . Ka pēnei tonu kia hoki mai tō māramatanga i muri i te rongoā whakamoe. Ka aroturuki tonu te tīma hauora i ō tohu ora , me te tirotiro mō ngā tohu raruraru. I muri i tō hokinga mai o te māramatanga, ka haere mai te tākuta ki te kōrero ki a koe mō ngā mea i kitea i te wā o te whakamātautau me te maimoatanga i tukuna. Ka whiwhi koe i tētahi pūrongo whaimana i muri mai, mā te mēra, mā te hiko rānei. Mēnā i tangohia he tauira kiko (biopsy) , ka roa pea ngā rā ka puta mai ngā hua.

Kia pēhea te roa o te wā e ora ai?

E 24 hāora pea te roa ka memeha katoa te rongoā whakamoe. Koia te take e kī ai ngā tākuta kaua e taraiwa, e whakahaere mīhini, e whakatau kaupapa nui rānei tae noa ki te rā e whai ake nei. Engari ka pai ake tō āhua i ngā hāora e whai ake nei. Tērā pea ka pāngia koe e te pupuhi, te mamae hau, te whakapairuaki rānei mō ngā hāora tuatahi, e rua rānei, engari ka tere te memeha. Ka taea e koe te tīmata kai noa i te wā e pai ake ai koe. Mena ka tangohia e te tākuta te kiko, tērā pea ka puta he toto mai i te nono mō ētahi rā. He mea noa tēnei.

He tūponotanga kei roto?

He tino onge ngā raruraru me ngā mōrearea, engari ka puta pea. Kei roto i ēnei:

• Te kino ki te pakitara o tō puku , pērā i te haehae.
• Te toto kāore e taea te whakahaere ina tangohia te kiko.
• He momo mate rerekē e hiahia ana ki ngā paturopi .
• He urupare rerekē ki te rongoā whakamoe .

He tino onge te puta o ngā mea pēnei, engari he mea pai kia tūpato.

Āhea ka puta mai ngā pūrongo?

Ka whiwhi koe i te nuinga o ō hua i taua rā anō . Ka taea e te tākuta te kōrero ki a koe i tāna i kite ai, i ngā maimoatanga i hoatu, me te mea i angitu. Mena i tangohia he koiora ka tukuna ki te taiwhanga, ka roa pea ngā hua mō ētahi rā, wiki rānei. Ahakoa i tangohia he koiora ka tukuna ki te taiwhanga, ehara i te mea kei te whakapae te tākuta kei te mate pukupuku koe. He tūpato noa iho pea, kei te rapu rānei i tētahi atu mea, pērā i te mate pukupuku microscopic . Ma te tākuta koe e kōrero ki ngā mea hei tumanako atu.

He aha ngā hua rerekē?

Ko ngā hua rerekē pea ko:

• Te toto puku kore e taea te whakahaere.
• Ngā polyp pai, mua i te matepukupuku, matepukupuku rānei.
• Te mumura (colitis) i puta mai i te mate urutā, te ischemia, te mate pūnaha ārai mate rānei.
• Te kino tuturu o te kiko pērā i te whara.
• Te aukati , te whakatōtō rānei o te puku.
• Ngā putea rerekē i roto i te pakitara o te whekau (diverticulosis) .

Ka kōrero tō tākuta ki a koe mō ēnei hua me tōna tikanga.

He huarahi kē atu anō hei kite i te mate pukupuku koroni?

Ae, he maha atu anō ngā whakamātautau tirotiro mō te mate pukupuku koroni. Heoi, ko te colonoscopy te whakamātautau tino tairongo. Arā, ko te tūponotanga teitei rawa atu ki te kite i te mate pukupuku, i te āhua rānei o mua i te mate pukupuku i tōna wāhanga tōmua. He mea nui te kite wawe i te mate pukupuku hei ārai me te rongoā angitu. Waihoki, ko te colonoscopy anake te whakamātautau ka taea te tautuhi me te rongoā i te mate i te wā kotahi. Mena ka kitea e ngā tākuta he kiko whakapae i te wā o te colonoscopy, ka taea e rātou te tango i te wā o te whakamātautau.

Ko ētahi atu tikanga tirotiro mō te mate pukupuku:

• Ngā whakamātautau toto huna o te paru (FOBT): Ko te tango i tētahi tauira o tō paru me te rapu i ngā tohu o te mate pukupuku. He maha ngā huarahi hei rapu toto i roto i tō paru. Ko tētahi momo ka tātari i te DNA i roto i tō paru kia kitea ai mēnā he huringa hei tohu i te mate pukupuku. Me mahi ēnei whakamātautau i ia tau ki te toru tau . Mena ka kitea he hua pai mai i tēnei whakamātautau, ko te mahi e whai ake nei ko te colonoscopy me te biopsy .
• Korokorokoro Mariko: He momo matawai CT tēnei. Ka taea e ia te tango pikitia tino mārama, toru-ahu (3D) o tō korokoro. He "mariko" nā te mea ka tirohia te roto o tō korokoro mā te whakamahi i ngā pikitia i tangohia mai i waho o tō tinana. Pērā i te korokorokoro noa, me whakarite hoki te puku. Engari kāore e hiahiatia he rongoā whakamoe. E taunaki ana ngā tākuta kia mahia tēnei whakamātautau i ia rima tau .

Nā, he aha ngā painga o te colonoscopy?

Ko ngā painga o te colonoscopy tuku iho ko:

• Te tairongo nui ake: He nui ake te tūponotanga ka kitea wawetia ngā huringa matepukupuku.
• Te tātaritanga, te maimoatanga me te ārai katoa-i-te-kotahi: Mena ka puta he hua pai mai i ētahi atu whakamātautau, me whakamahi tonu he colonoscopy tuku iho hei whakaū me te rongoā i te mate pukupuku.
• Me mahi kotahi i ia 10 tau: Mena he noa ō hua, kāore koe e hiahia kia whakamātauria anō mō ​​tētahi wā.

Ka taea e te colonoscopy te tautuhi, te rongoā, me te ārai i te mate katoa i te wā kotahi. Kāore pea tēnei e ahua nui mena kāore i a koe, engari ki te mea kei a koe, ka nui te rerekētanga. He mate pukupuku noa te mate pukupuku colorectal i Sri Lanka. Ka taea te ārai, engari me kitea wawe. Mā te colonoscopy, ka taea e ngā tākuta te kite me te rongoā i te mate pukupuku i mua i te tipu, te horapa, te puta rānei o ngā tohu. Mena he pai ō hua, me mahi pea i ia 10 tau.

Hei whakamutunga, ko ngā mea tino nui hei maumahara māu (Karere hei tango ki te kāinga)

Nō reira, ki te mea kua mataku koe i te whakamātautau koroni, ko te tumanako kua mārama ake koe ki tēnei mea. Ahakoa te āhua whakamā, he whakamātautau tino whai hua, he whakamātautau whakaora ora mō tō hauora .

• He mea pai te kite wawe: inā koa i ngā mate pēnei i te mate pukupuku koroni.
• Kia rite tā te tākuta i kī ai: he mea nui kia angitu te whakamātautau.
• Kaua e manukanuka: kāore koe e mamae i te mea he rongoā whakamoe.
• Pātai atu ki tō tākuta mēnā he pātai āu: Whakamāramahia ō feaa katoa.

Mena kua neke atu i te 45 tau te pakeke o tōu pakeke, kua pāngia rānei tētahi o tō whānau e te mate pukupuku koroni, me kōrero koe ki tō tākuta, ā, whakaarohia te tango i tētahi tirotiro koroni. Kei roto i ō ringaringa tō hauora!

` Koronokoro, matepukupuku koroni, endoscopy, whakamātautau puku, whakamātautau matepukupuku, pūnaha nakunaku, whakamātautau hauora