Ke nānā ʻana i ka maʻi ʻaʻai kolone

Hiki i ka loiloi ʻana o ka maʻi ʻaʻai kolona ke ʻike i nā polyps a me nā maʻi ʻaʻai mua i loko o ka ʻōpū nui. Hiki i kēia ʻano kānana ke loaʻa nā pilikia e hiki ke mālama ʻia ma mua o ka ulu ʻana o ka maʻi ʻaʻai a pāhola paha.Hiki i nā kānana maʻamau ke hōʻemi i ka makaʻu no ka make a me nā pilikia i hoʻokumu ʻia e ka maʻi ʻaʻai kala.

NA HOʻOLOHOLO ANA

Nui a hewahewa nā ala e nānā ai no ka maʻi ʻaʻai kolona.

Hōʻoia o ka noho:

• Hiki i nā Polyps i ke kolona a me nā maʻi ʻino liʻiliʻi ke hana i nā kahe liʻiliʻi e hiki ʻole ke ʻike ʻia me ka maka ʻōlohelohe. Akā hiki ke loaʻa ke koko i ka stool.
• Nānā kēia hana i kāu pahu no ke koko.
• ʻO ka hōʻike maʻamau i hoʻohana ʻia ka hoʻokolohua koko okekō fecal (FOBT). Kapa ʻia ʻelua mau hōʻike ʻē aʻe ka hoʻokolohua immunochemical fecal (FIT) a me ka test DNA stool (sDNA).

Sigmoidoscopy:

• Hoʻohana kēia hōʻike i kahi laulā liʻiliʻi e ʻike i ka ʻaoʻao haʻahaʻa o kou kolone. Ma muli o ka nānā wale ʻana o ka hōʻike i ka hapakolu hope loa o ka ʻōpū nui (kolona), e hala paha kekahi o nā maʻi maʻi maʻi ʻoi aku ka kiʻekiʻe ma ka ʻōpū nui.
• Hiki ke hoʻohana pū ʻia ʻo Sigmoidoscopy a me kahi hōʻike stool.

Kolonekia:

• ʻO ke koloneoscopy like ia me ka sigmoidoscopy, akā hiki ke ʻike ʻia ke kolona holoʻokoʻa.
• E hāʻawi aku kāu mea mālama ola iā ʻoe i nā ʻanuʻu no ka hoʻomaʻemaʻe ʻana i kou ʻōpū. Kapa ʻia kēia ka hoʻomākaukau ʻōpū.
• I ka manawa o kahi kolonoscopy, loaʻa ʻoe i ka lāʻau e hoʻomaha ai a hiamoe ai hoʻi.
• I kekahi manawa, hoʻohana ʻia ka CT scans ma ke ʻano he koho i kahi koloneoscopy maʻamau. Kapa ʻia kēia he kolonekia kikoʻī.

Nā hoʻāʻo ʻē aʻe:

• Hoʻopili ka Capsule endoscopy i ka ale ʻana i kahi pahu paʻi liʻiliʻi liʻiliʻi i lawe ʻia i wikiō ma loko o kou ʻōpū. Ke aʻo ʻia nei ke ala, no laila ʻaʻole ia e koi ʻia no ka loiloi maʻamau i kēia manawa.

NĀ NĀ MEA MAKAHI MAKAHIKI AVE

ʻAʻole lawa nā hōʻike e ʻōlelo ai ʻo ke ʻano kānana ka ʻoi loa. Akā, ʻoi aku ka maikaʻi o ka colonoscopy. E kamaʻilio i kāu mea hāʻawi e pili ana i kahi hōʻike kūpono āu.

Pono nā kāne a me nā wahine e hōʻoia i ka loiloi ʻana i ka maʻi ʻaʻai kolona e hoʻomaka ana i ka makahiki 50. Paipai kekahi mau mea hoʻolako e hoʻomaka ka loiloi ʻAmelika ʻAmelika i ka makahiki 45.

Me ka hoʻonui hou ʻana o ka maʻi ʻaʻai kolona i nā kānaka i ka makahiki 40, ua paipai ka American Cancer Society e hoʻomaka nā kāne a me nā wahine olakino e kānana i ka makahiki 45. E kamaʻilio me kāu mea hāʻawi inā hopohopo ʻoe.

Nā koho loiloi no nā poʻe me ka awelika o ka makaʻu no ka maʻi ʻaʻai kolona.

• ʻO Colonoscopy i kēlā me kēia 10 mau makahiki e hoʻomaka ana i ka makahiki 45 a 50 paha
• FOBT a i ʻole FIT i kēlā me kēia makahiki (pono ka colonoscopy inā maikaʻi nā hopena)
• sDNA i kēlā me kēia 1 a i ʻole 3 mau makahiki (pono ka colonoscopy inā maikaʻi nā hopena)
• ʻO ka sigmoidoscopy maʻalahi i kēlā me kēia 5 a 10 mau makahiki, maʻamau me ka hoʻāʻo ʻana i ka pahu FOBT i hana ʻia i kēlā me kēia 1 a 3 mau makahiki
• ʻO colonoscopy virtual i kēlā me kēia 5 mau makahiki

NĀ ʻ SCLELE NO NA KANAKA MAKAʻI kiʻekiʻe

ʻO ka poʻe me kekahi mau pilikia no ka maʻi ʻaʻā kolona e pono ai ma mua (ma mua o ka makahiki 50) a i ʻole ka hoʻāʻo pinepine ʻana.

ʻO nā kumu pilikia ʻoi aku ka maʻamau:

• ʻO ka moʻolelo o ka ʻohana o nā syndromes cancer colorectal cancer i hoʻoilina ʻia, e like me ka familial adenomatous polyposis (FAP) a i ʻole hereditary nonpolyposis colorectal cancer (HNPCC).
• ʻO kahi moʻolelo ʻohana ikaika o ka maʻi ʻaʻai kala a polyps paha. ʻO ka maʻamau ke ʻano o nā ʻohana pili (makua, kaikaina, a keiki paha) nāna i hoʻomohala i kēia mau kūlana ma mua o ka makahiki 60.
• ʻO kahi moʻolelo pilikino o ka maʻi ʻaʻai kala a polyps paha.
• ʻO kahi moʻolelo pilikino o ka maʻi maʻi ʻōiwi lōʻihi (mau) (e like me ka colitis ulcerative a i ʻole ka maʻi Crohn).

ʻO ka loiloi no kēia mau pūʻulu e hana ʻia me ka hoʻohana ʻana i ka coloscoscopy.

Ke nānā ʻana no ka maʻi ʻaʻai kolona; Kolonekia - kānana; Sigmoidoscopy - kānana; Pākuʻi kolonua - kānana; Hōʻikeʻike immunochemical Fecal; Hōʻike DNA Stool; hoʻāʻo sDNA; ʻO ka maʻi ʻaʻai kala - kānana; Ka maʻi ʻaʻai Rectal - kānana

• Ulcerative colitis - hoʻokuʻu

• Kolonekia
• Anatomia ʻōpū nui
• Ka maʻi ʻaʻai Sigmoid kolona - x-ray
• Hōʻike koko okekoma fecal

ʻO Garber JJ, Chung DC. ʻO nā polyps colonic a me nā syndrome polyposis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 126.

Pūnaewele ʻo National Cancer Institute. ʻO ka loiloi ʻana i ka maʻi ʻaʻai Colorectal (PDQ) - mana ʻoihana olakino. www.kanes.gov/types/colorectal/hp/colorectal-screening-pdq. Hoʻohou ʻia Malaki 17, 2020. Loaʻa iā Nowemapa 13, 2020.

Rex DK, Boland CR, Dominitz JA, et al. ʻO ka loiloi ʻana i ka maʻi ʻaʻai Colorectal: nā ʻōlelo aʻoaʻo no nā kauka a me nā mea maʻi mai ka U.S. Multi-Society Task Force on Colorectal Cancer. ʻO Am J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 pubmed.ncbi.nlm.nih.gov/28555630/.

Pūnaewele Hana Hana Hana Preventive US. ʻ recommendationlelo aʻoaʻo hope loa. ʻO ka loiloi ʻana i ka maʻi ʻaʻai Colorectal. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Paʻi ʻia Iune 15, 2016. Loaʻa iā ʻApelila 18, 2020.

Wolf AMD, Fontham ETH, Church TR, et al. ʻO ka loiloi ʻana i ka maʻi ʻaʻai Colorectal no nā mākua kaulike awelika: Hoʻohou kulekele 2018 mai ka American Cancer Society. ʻO CA Cancer J Clin. 2018; 68 (4): 250-281. PMID: 29846947 pubmed.ncbi.nlm.nih.gov/29846947/.