Kolonekia kiko

ʻO Virtual colonoscopy (VC) kahi hōʻike kiʻi a i hōʻike x-ray e nānā ana no ka maʻi ʻaʻai, polyps, a i ʻole nā ​​maʻi ʻē aʻe i ka ʻōpū nui (kolona) ʻO ka inoa lāʻau lapaʻau o kēia hoʻāʻo ʻo CT kolonua.

ʻOkoʻa ʻo VC mai ka kolonekia maʻamau. Hoʻohana ka colonoscopy maʻamau i kahi mea hana lōʻihi, kukui i kapa ʻia he kolonoscope i hoʻokomo ʻia i loko o ka poli a me ka ʻōpū nui.

Hana ʻia ʻo VC ma ka māhele radiology o kahi haukapila a i ʻole kahi kikowaena olakino. ʻAʻole pono nā sedatives a ʻaʻole hoʻohana ʻia kahi kolone.

Hana ʻia kēia hōʻike penei:

• Moe ʻoe i kou ʻaoʻao hema ma ka pākaukau hāiki e pili ana i kahi mīkini MRI a i ʻole CT.
• Kuhi ʻia kou mau kuli i kou umauma.
• Hoʻokomo ʻia kahi paipu liʻiliʻi a maʻalahi hoʻi i ka poloka. Hoʻopili ʻia ka ea ma o ka paipu e hoʻonui i ke kolone a maʻalahi hoʻi e ʻike.
• Moe ʻoe ma kou kua.
• Pāheʻe ka pākaukau i loko o kahi ana nui i ka mīkini CT a i ʻole MRI. Lawe ʻia nā kukuna X o kāu kolona.
• Lawe pū ʻia nā kukuna X ke moe ʻoe ma kou ʻōpū.
• Pono ʻoe e noho mālie i kēia kaʻina hana, no ka mea hiki i ka neʻe ke blur i nā kukuna x. Nonoi ʻia ʻoe e hoʻopaʻa i kou hanu i ka manawa ke lawe ʻia kēlā me kēia x-ray.

Hoʻohui kahi kamepiula i nā kiʻi āpau e hana i nā kiʻi ʻekolu dimensional o ke kolona. Hiki i ke kauka ke nānā i nā kiʻi ma ka nānā wikiō.

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
• Nā wai huaʻai i hoʻoponopono ʻia
• Wai

E mālama mau i kāu mau lāʻau inā ʻaʻole haʻi kāu kauka iā ʻoe.

Pono ʻoe e nīnau i kāu mea hāʻawi inā 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 ʻole inā haʻi ʻia kāu mea he maikaʻi inā hoʻomau. Hiki i ka hao ke ʻeleʻele i kāu pahu. He mea paʻakikī kēia e ʻike ke kauka i loko o kou ʻōpū.

Pilikia loa ka poʻe scanners CT a me MRI i nā metala. Mai hoʻokomo i nā mea hoʻonaninani i ka lā o kāu hōʻike. E noi ʻia ʻoe e hoʻololi i kou kapa alanui a komo i ka ʻaukā no ka hana.

ʻAʻole ʻeha nā kukuna x. ʻO ka pauma ʻana i ka ea i loko o ke kolone ke kumu o ka cramping a me nā ʻeha kinoea.

Ma hope o ka hōʻike:

• Kuhi paha ʻoe i ka momona a loaʻa i ka ʻōpū o ka ʻōpū māmā a hala i kahi nui o nā kinoea.
• Hiki iā ʻoe ke hoʻi i kāu hana maʻamau.

Hana ʻia ʻo VC no kēia mau kumu:

• E hāhai i ka maʻi ʻaʻai kolona a i ʻole nā ​​polyps
• ʻO ka ʻeha o ka ʻōpū, hoʻololi i ka neʻe ʻana o ka ʻōpū, a i ʻole ka pohō kaumaha
• Anemia ma muli o ka haʻahaʻa hao
• ʻO ke koko i loko o ka pahu a ʻeleʻele paha, noho aliʻi
• Pākuʻi no ka maʻi ʻaʻai o ke kolona a i ʻole ka pololei (pono e hana i kēlā me kēia 5 mau makahiki)

E makemake paha kāu kauka e hana i kahi koloneoscopy ma kahi o kahi VC. ʻO ke kumu ʻaʻole ʻae ʻo VC i ke kauka e hemo i nā mea kikoʻa a i ʻole nā ​​polyps.

I nā manawa ʻē aʻe, hana ʻia kahi VC inā ʻaʻole hiki i kāu kauka ke neʻe i ka ʻōwili maʻalahi i ke ala āpau ma waena o ke kolona i ka manawa o ka colonoscopy maʻamau.

ʻO nā hopena maʻamau nā kiʻi o kahi ʻōpū maikaʻi o ke ʻōpū.

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

• Maʻi ʻaʻai kala
• Nā ʻeke kūpono ʻole ma ka uhi o nā ʻōpū, i kapa ʻia he diverticulosis
• ʻO Colitis (kahi ʻōpū pehu a me ka huhū) ma muli o ka maʻi o Crohn, colitis ulcerative, maʻi, a i ʻole kahe o ke kahe o ke koko.
• Kahe kahe o ka gastrointestinal (GI)
• Polyps
• Tumo

Hiki ke hana ʻia ke kolonoscopy maʻamau (i kekahi lā ʻokoʻa) ma hope o ka VC inā:

• ʻAʻohe kumu o ke kahe ʻana a i ʻole nā ​​hōʻailona ʻē aʻe i loaʻa.Hiki iā VC ke haʻo i kekahi mau pilikia liʻiliʻi i ke kolona.
• ʻO nā pilikia e pono ai kahi biopsy i ʻike ʻia ma kahi VC.

Nā pilikia o VC:

• Hōʻike i ka radiation mai ka CT scan
• ʻO Nusea, ka luaʻi, bloating, a i ʻole ka hoʻonāukiuki pololei ʻana mai nā lāʻau i hoʻohana ʻia e hoʻomākaukau no ka hōʻike
• Perforation o ka ʻōpū ke hoʻokomo ʻia ka paipu e pīpī i ka ea (ʻaʻole loa ia).

ʻO nā ʻokoʻa ma waena o ka virtualoscope a me ka colonoscopy maʻamau:

• Hiki iā VC ke ʻike i ke kolona mai nā kihi like ʻole. ʻAʻole maʻalahi kēia me ka colonoscopy maʻamau.
• ʻAʻole koi ʻo VC i ka hoʻohiamoe. Hiki iā ʻoe ke hoʻi maʻa i kāu mau hana maʻamau ma hope koke o ka hoʻāʻo. Hoʻohana ka colonoscopy maʻamau i ka hoʻomaha a me ka nalo pinepine o kahi lā hana.
• Ke hōʻike aku nei ʻo VC iā CT scanners iā ʻoe i ka pāhawewe.
• Loaʻa i kahi kolonoscopy maʻamau kahi liʻiliʻi o ka bowel perforation (e hana ana i kahi waimaka liʻiliʻi). ʻAneʻane ʻaʻohe pilikia e like me VC.
• ʻAʻole hiki i ka VC ke ʻike pinepine i nā polyps ma mua o 10 mm. Hiki i ke kolonoscopy maʻamau ke ʻike i nā polyps o nā nui āpau.

Kolonekia - ʻike kamepiula; CT kolokolo; Heluhelu kolonua; Colography - ʻike kamepiula

• CT scan
• Nānā MRI

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.

ʻO Kim DH, ʻo Pickhardt PJ. ʻO ka kolonā moʻomeheu kamepiula. I: Gore RM, Levine MS, hoʻoponopono. Puke puke o Gastrointestinal Radiology. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 53.

Lawler M, Johnston 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.

Lin JS, Piper MA, Perdue LA, et al. Ke nānā ʻana no ka maʻi ʻaʻai colorectal: hōʻike hōʻike hōʻike hou a me ka loiloi ʻōnaehana no ka US Preventive Services Task Force. JAMA. 2016; 315 (23): 2576-2594. PMID: 27305422 www.ncbi.nlm.nih.gov/pubmed/27305422.