Kolonekia

ʻO kahi colonoscopy kahi hōʻike e nānā i ka loko o ke kolona (ʻōpū nui) a me ka pololei, e hoʻohana ana i kahi mea hana i kapa ʻia he kolonoscope.

He kāmele liʻiliʻi kā ka colonoscope i hoʻopili ʻia i kahi paipu hiki ke hiki i ka lōʻihi o ke kolone.

Hana pinepine ʻia ʻo Colonoscopy i kahi keʻena hana ma ke keʻena o kāu kauka. Hiki iā ia ke hana i ka keʻena maʻi o kahi haukapila a i ʻole kahi kikowaena olakino.

• E noi ʻia ʻoe e hoʻololi i kou kapa alanui a komo i ka ʻaukā no ka hana.
• E hāʻawi ʻia ʻoe i ka lāʻau i loko o ke aa (IV) e kōkua ai iā ʻoe e hoʻomaha. ʻAʻole ʻoe e ʻike i kahi ʻeha. Ala paha ʻoe i ka wā o ka hoʻokolohua a hiki paha iā ʻoe ke ʻōlelo. ʻAʻole paha ʻoe e hoʻomanaʻo i kekahi mea.
• Moe ʻoe i kou ʻaoʻao hema me kou mau kuli i huki ʻia i kou umauma.
• Hoʻokomo mālie ʻia ka laulā ma o ka anus. Hoʻoneʻe pono ʻia i ka hoʻomaka o ka ʻōpū nui. Hoʻonui mālie ʻia ka laulā a hiki i ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi.
• Hoʻokomo ʻia ka ea ma o ka laulā e hāʻawi i kahi ʻike ʻoi aku ka maikaʻi. Hiki ke hoʻohana ʻia ke omo e hoʻoneʻe i ka wai a i ʻole ka noho.
• ʻIke ke kauka i kahi ʻike ʻoi aku ka maikaʻi i ka hoʻoneʻe ʻia o ka pae. No laila, hana ʻia kahi hōʻike akahele hou aʻe i ka huki ʻia ʻana o ka pae.
• Hiki ke hemo ʻia nā laʻana kope (biopsy) a i ʻole polyps me ka hoʻohana ʻana i nā mea hana liʻiliʻi i hoʻokomo ʻia ma o ka laulā. Hiki ke kiʻi ʻia i nā kiʻi me ka hoʻohana ʻana i ka pahupaʻikiʻi ma ka hopena o ka laulā. Inā pono, hana ʻia nā kaʻina hana, e like me ka laser therapy.

Pono e hakahaka a hoʻomaʻemaʻe ʻole kou ʻōpū no ka hōʻike. E hala paha kahi pilikia i kou ʻōpū nui e pono ke mālama ʻia inā ʻaʻole hoʻomaʻemaʻe ʻia kou ʻōpū.

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. Pākuʻi ʻia paha:

• Ke hoʻohana nei i nā enemas
• ʻAʻole ʻai i nā meaʻai paʻa no 1 a 3 mau lā ma mua o ka hoʻāʻo
• Lawe i nā laxatives

Pono ʻoe e inu i nā wai moʻohelu ʻole no 1 a 3 mau lā ma mua o ka hoʻāʻo. ʻO nā laʻana o nā wai maopopo:

• Kope kope a kī paha
• ʻO ka bouillon momona ʻole a i ka moa paha
• ʻO Gelatin
• Mea inu haʻuki me ke kala ʻole
• Nā wai huaʻai i hoʻoponopono ʻia
• Wai

E haʻi ʻia paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen, naproxen, a i ʻole nā ​​lāʻau hoʻomāliʻi koko no kekahi mau lā ma mua o ka hoʻāʻo ʻana. E hoʻomau i ka lawe ʻana i kāu lāʻau ʻē aʻe ke ʻole ke kauka e haʻi ʻē aʻe iā ʻoe.

Pono ʻoe e hōʻoki i ka lawe ʻana i nā pila hao a i ʻole nā ​​wai i kekahi mau lā ma mua o ka hoʻāʻo ʻana, ke ʻōlelo ʻole kāu mea lawelawe iā ʻoe he maikaʻi ke hoʻomau. Hiki i ka hao ke ʻeleʻele i kāu pahu. He mea paʻakikī kēia e ʻike ke kauka i loko o kou ʻōpū.

E hiamoe nā lāʻau lapaʻau i mea e ʻike ʻole ai ʻoe i kahi ʻano ʻino a i ʻole hoʻomanaʻo i ka hōʻike.

Pilikia paha ʻoe i ka neʻe ʻana o ka pae i loko. Manaʻo paha ʻoe i ka ʻūlū pōkole ʻana a me nā ʻeha kinoea i ka hoʻokomo ʻia ʻana o ka ea a i ʻole ka holomua o ka pae. Pono ka gas Passing a pono e manaʻo ʻia.

Ma hope o ka hoʻāʻo, loaʻa paha iā ʻoe ka ʻōpū ʻōpū māmā a hala i kahi nui o ke kōkō. Hiki paha iā ʻoe ke huhū a maʻi i kou ʻōpū. E hala koke kēia mau manaʻo.

Hiki iā ʻoe ke hoʻi i ka home ma kahi o hoʻokahi hola ma hope o ka hoʻāʻo. Pono ʻoe e hoʻolālā e lawe i kekahi iā ʻoe i ka home ma hope o ka hoʻāʻo, no ka mea he woozy ʻoe a ʻaʻole hiki ke hoʻokele. ʻAʻole e hoʻokuʻu nā mea hāʻawi iā ʻoe e haʻalele a hiki i kahi e hōʻea mai ai e kōkua iā ʻoe.

Ke noho home ʻoe, e hāhai i nā ʻōkuhi no ke ola ʻana mai ke kaʻina hana. Pākuʻi ʻia kēia mau mea:

• E inu nui i nā wai. E ʻai i kahi papaʻai olakino e hoʻihoʻi i kou ikehu.
• Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i ka lā aʻe.
• Hōʻalo i ka hoʻokele, ka hana ʻana i nā mīkini, inu i ka ʻalekohola, a me ka hoʻoholo ʻana i nā hoʻoholo koʻikoʻi no 24 mau hola ma hope o ka hoʻāʻo.

Hiki ke hana ʻia ke kolonekia no nā kumu aʻe:

• ʻO ka ʻeha o ka ʻōpū, hoʻololi i ka neʻe ʻana o ka ʻōpū, a i ʻole ka pohō kaumaha
• Hoʻololi maʻamau (polyps) i loaʻa ma ka sigmoidoscopy a i ʻole nā ​​hōʻike x-ray (CT scan a barium enema)
• Anemia ma muli o ka haʻahaʻa hao (maʻamau inā ʻaʻohe kumu ʻē aʻe i loaʻa)
• Koko i loko o ka pahu, a ʻeleʻele paha, noho aliʻi
• ʻO ka ukali o kahi ʻike i hala, e like me polyps a i ʻole kolone cancer
• ʻO ka maʻi maʻi ʻōpū (ulcerative colitis a me Crohn maʻi)
• ʻO ka loiloi no ka maʻi ʻaʻai kala

ʻO nā hopena maʻamau nā ʻōpū ʻōpū maikaʻi.

ʻO ka hopena o nā hopena hōʻike maʻamau ʻole kekahi o kēia mau mea:

• Nā ʻeke kūpono ʻole ma ka uhi o nā ʻōpū, i kapa ʻia he diverticulosis
• Nā wahi kahe o ke kahe
• Ka maʻi ʻaʻai i ke kolona a i ʻole ka kiko
• ʻO Colitis (kahi ʻōpū pehu a me ka huhū) ma muli o ka maʻi Crohn, colitis ulcerative, maʻi, a me ka ʻole o ke kahe o ke koko
• ʻO nā mea ulu liʻiliʻi i kapa ʻia he polyps ma ka uhi o kāu kolona (kahi hiki ke hoʻoneʻe ʻia ma o ke kolona i ka wā o ka hoʻokolohua)

Hiki i nā pilikia o ke kolonekia ke hoʻopili i kekahi o kēia mau mea:

• Kaumaha a hoʻomau i ke kahe ʻana mai ka biopsy a i ʻole ka hemo ʻana o nā polyps
• Hole a haehae paha i ka paia o ke kolon e pono ai ke ʻoki e hoʻoponopono
• ʻO ka maʻi e pono ai ka lāʻau antibiotic (ʻano kakaʻikahi)
• ʻO ka hopena i ka lāʻau i hāʻawi ʻia iā ʻoe e hoʻomaha, e hoʻoulu ana i nā pilikia hanu a i ʻole ke koko haʻahaʻa

Maʻi ʻaʻai Kolona - kolonoscopy; Ka maʻi ʻaʻai kala - Colectoscopy; Kolonekia - kānana; Kolepa polyps - kolonekia; Ulcerative colitis - kolonekia; Maʻi Crohn - colonoscopy; Diverticulitis - kolonekia; Mākala - kolonekia; Anemia - kolonekia; Koko i ka noho - kolonekia

• Kolonekia
• Kolonekia

Itzkowitz SH, Potack J. Polonic polyps a me nā polyposis syndrome. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 126.

Lawler M, Johnson B, Van Schaeybroeck S, et al. Maʻi ʻaʻai kala. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 74.

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 www.ncbi.nlm.nih.gov/pubmed/28555630.

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 www.ncbi.nlm.nih.gov/pubmed/29846947.