ʻO Cologuard

ʻO Cologuard kahi hōʻike hōʻike kānana no ka maʻi ʻaʻai kolona a me ka maʻi kolepa.

Hoʻokuʻu ke kolona i nā hunaola mai kāna pale i kēlā me kēia lā. Hele kēia mau pūnaewele me ka pahu ma waena o ke kolon. Hiki ke hoʻololi ʻia nā hunaola DNA i loko o kekahi mau ʻāpana. Kuhi ʻo Cologuard i ka DNA i hoʻololi ʻia. Ke hōʻike ʻia ʻana o nā hunaola a i ʻole ke koko i loko o ka stool e hōʻike ai i ka maʻi ʻaʻai a i ʻole nā ​​tumors precancer.

Pono e kauoha ʻia e ka mea mālama mālama ola ka pahu hoʻāʻo Cologuard no ka kolone a me ka maʻi ʻaʻai pololei. E hoʻouna ʻia ma ka leka uila i kāu helu wahi. Hōʻiliʻili ʻoe i kahi laʻana ma ka home a hoʻihoʻi iā ia i ka lab no ka hoʻāʻo ʻana.

E loaʻa i ka pahu hoʻāʻo Cologuard kahi ipu, kahi pahu, mālama wai, nā lepili a me nā ʻōkuhi pehea e ʻohiʻohi ai i kahi laʻana. Ke mākaukau ʻoe e neʻe i kahi ʻōpū, e hoʻohana i ka pahu hoʻāʻo Cologuard e hōʻiliʻili i kāu hāpana o ka noho.

E heluhelu pono i nā ʻōkuhi i hiki mai me ka pahu hoʻāʻo. E kali a mākaukau i ka neʻe ʻana o kahi ʻōpū. E hōʻiliʻili i kahi laʻana ke hiki ke hoʻouna iā ia i loko o 24 mau hola. Pono ka laʻana e hōʻea i ka lab i 72 mau hola (3 mau lā).

Mai hōʻiliʻili i kahi laʻana inā:

• Loaʻa ʻoe i ka palahī.
• Ke hele nei ʻoe i ka menstruating.
• Loaʻa ʻoe i ke kahe rectal ma muli o ka hemorrhoids.

E hāhai i kēia mau kaʻina e ʻohiʻohi i kahi laʻana:

• E heluhelu i nā ʻōkuhi āpau e hele mai me ka kit.
• E hoʻohana i nā paʻa i hāʻawi ʻia me ka pahu hoʻāʻo e hoʻoponopono ai i ka ipu hāpana ma kou noho ʻauʻau.
• E hoʻohana i ka lua i ka wā maʻamau no kāu neʻe ʻana o kou ʻōpū.
• E hoʻāʻo e ʻaʻole e hoʻokuʻu i ka mimi i loko o ka ipu hāpana.
• Mai hoʻokomo i ka pepa lua i loko o ka ipu hāpana.
• Ke pau kou neʻe ʻana o ka ʻōpū, hemo i kahi ipu hāpana mai nā paʻa a e hoʻomau ma kahi pālahalaha.
• E hāhai i nā ʻōkuhi e hōʻiliʻili i kahi mea liʻiliʻi i ka paipu i hāʻawi ʻia me ka pahu hoʻāʻo.
• E ninini i ka wai mālama i loko o ka ipu hāpana a pani paʻa loa i ka poʻi.
• E lepili i nā paipu a me ka ipu hāpana e like me nā kuhikuhi, a waiho iā lākou i loko o ka pahu.
• E mālama i ka pahu i ka mahana o ka lumi, ma kahi mamao aku o ka lā a me ka wela.
• E hoʻouna i ka pahu i loko o 24 mau hola i ka lab e hoʻohana nei i ka lepili i hāʻawi ʻia.

E hoʻouna ʻia nā hopena o ka hoʻāʻo i kāu mea hāʻawi i ʻelua mau pule.

ʻAʻole koi ka hōʻike Cologuard i kahi hoʻomākaukau. ʻAʻole pono ʻoe e hoʻololi i kāu papaʻai a i ʻole nā ​​lāʻau i mua o ka hoʻāʻo.

Pono ka hōʻoia iā ʻoe e neʻe i kahi ʻōpū maʻamau. ʻAʻole ia e ʻokoʻa i kāu neʻe ʻana o kou ʻōpū mau. Hiki iā ʻoe ke ʻohi i kahi hāpana ma kou home pilikino.

Hana ʻia ka hoʻāʻo e kānana no ka maʻi ʻaʻai kolona a me ka maʻi kolepa a me nā ulu ulu ʻole (polyps) i ke kolona a i ʻole ka pololei.

Hōʻike paha kāu mea hāʻawi iā Cologuard i ka hoʻāʻo ʻana hoʻokahi manawa i kēlā me kēia 3 mau makahiki ma hope o 50 mau makahiki. Paipai ʻia ka hōʻike inā aia ʻoe ma waena o nā makahiki 50 a 75 mau makahiki a loaʻa i kahi awelika o ka maʻi ʻaʻai. ʻO ka manaʻo kēia ʻaʻohe ou:

• ʻO ka mōʻaukala pilikino o nā polyps kolona a me ka maʻi ʻaʻai kolone
• ʻO ka moʻolelo ʻohana o ka maʻi ʻaʻai kolona
• ʻO ka maʻi maʻi ʻōpū (Crohn disease, ulcerative colitis)

E hōʻike ka hopena maʻamau (hopena maikaʻi ʻole):

• ʻAʻole ʻike ka hōʻike i nā huna koko a i ʻole DNA i hoʻololi ʻia i kāu pahu.
• ʻAʻole pono ʻoe i ka hoʻāʻo hou ʻana no ka maʻi ʻaʻai kolone inā loaʻa ʻoe i kahi awelika o ka kolone a i ʻole ka maʻi ʻaʻai pololei.

ʻO ka hopena maʻamau (hopena maikaʻi) hōʻike ʻia ua loaʻa ka hoʻokolohua i kekahi o ka maʻi ʻaʻai a i ʻole nā ​​maʻi ʻaʻai i loko o kāu hāpana o ka pahu. Eia naʻe, ʻaʻole hōʻike ka hōʻike Cologuard i ka maʻi ʻaʻai. Pono ʻoe i nā hoʻokolohua hou e hana i kahi hōʻailona o ka maʻi ʻaʻai. E ʻōlelo paha kāu mea hāʻawi i kahi kolone.

ʻAʻohe pilikia i ka lawe ʻana i kahi laʻana no ka hoʻāʻo Cologuard.

Hāpai nā hōʻike loiloi i kahi makaʻu liʻiliʻi o:

• Nā mea maikaʻi ʻole maikaʻi ʻole (ʻo kāu mau hopena hōʻike he maikaʻi ʻole, akā ʻAʻohe ou maʻi ʻaʻai kolona a i ʻole nā ​​polyps pre-malignant)
• Nā Negatives False (ʻo kāu hōʻike maʻamau ka wā a loaʻa iā ʻoe ka maʻi ʻaʻai kolona)

ʻAʻole maopopo akāka ʻo ka hoʻohana ʻana o Cologuard e alakaʻi i nā hopena i ʻoi aku ka maikaʻi ke hoʻohālikelike ʻia me nā ʻano hana ʻē aʻe i hoʻohana ʻia e pale ai no ka maʻi kolone a me ka maʻi kolepa.

Cologuard; ʻO ka loiloi ʻana i ka maʻi ʻaʻai Kolona - Cologuard; Hōʻike DNA Stool - Cologuard; ʻO ka hoʻāʻo fIT-DNA; ʻO ka loiloi ʻana o colon precancer - Cologuard

• ʻŌpū nui (kolona)

ʻO Cotter TG, Burger KN, Devens ME, et al. Ka ukali wā lōʻihi o nā mea maʻi e loaʻa ana nā hōʻike DNA multitarget kū hoʻokahi hoʻopunipuni maikaʻi ma hope o ke kolokopi kānana maikaʻi ʻole: ka hoʻopaʻa ʻana ʻo LONG-HAUL cohort. ʻO Biomarkers Ka maʻi maʻi Epidemiol Prev. 2017; 26 (4): 614-621. PMID: 27999144 www.ncbi.nlm.nih.gov/pubmed/27999144

Johnson DH, Kisiel JB, Burger KN, et al. Hōʻike DNA multitarget stool: ka hana hoʻokolohua a me ka hopena o ka hua a me ka maikaʻi o ke kolonekia no ka loiloi ʻana i ka maʻi ʻaʻai colorectal. ʻO Gastrointest Endosc. 2017; 85 (3): 657-665.e1. PMID: 27884518 www.ncbi.nlm.nih.gov/pubmed/27884518.

Pūnaewele Pūnaewele Manuahi Manuahi (NCCN). Nā kulekele hana lapaʻau i ka oncology (NCCN Alakaʻi) Ke kānana ʻana i ka maʻi ʻaʻai Colorectal. Mana 1.2018. www.nccn.org/professionals/physician_gls/pdf/colorectal_screening.pdf. Hoʻohou i Malaki 26, 2018. Loaʻa iā Kēkēmapa 1, 2018.

ʻO Prince M, Lester L, Ch talitonu R, Berger B. Multitarget stool DNA test e hoʻonui i ka kānana maʻi maʻi colorectal i waena o nā mea maʻi Medicare i hana ʻole ma mua. Honua J Gastroenterol. 2017; 23 (3): 464-471. PMID: 28210082. www.ncbi.nlm.nih.gov/pubmed/28210082.

Pūnaewele Hana Hana Hana Preventive US. ʻO ka ʻōlelo ʻōlelo hope loa: ka maʻi ʻaʻai kala: kānana. Iune 2017. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/colorectal-cancer-screening2.