Ka maʻi ʻaʻai i loko o ka anus: he aha ia, hōʻailona, hōʻailona a me ka mālama ʻana
Anter
ʻO ka maʻi ʻaʻai i loko o ka anus, i kapa ʻia he maʻi ʻaʻai anal, kahi ʻano laha ʻole o ke kanesa i ʻike nui ʻia e ke kahe ʻana o ke kahe a me ka ʻeha anal, ʻoiai hoʻi i ka wā o ka ʻōpū. ʻOi aku ka maʻamau o kēia ʻano maʻi ʻaʻai i nā poʻe ma mua o 50, ka poʻe i loaʻa ka anal a i ʻole nā mea i loaʻa i ka maʻi HPV a me ka maʻi HIV.
Wahi a ka ulu ʻana o ka tumo, hiki ke hoʻokaʻawale ʻia ka maʻi ʻaʻai anal i nā hanana nui 4.
- Kahua 1: ʻoi aku ka liʻiliʻi o ka maʻi ʻaʻai anal ma mua o 2 cm;
- Kahua 2: aia ka maʻi 'aʻai ma waena o 2 cm a me 4 cm, akā aia wale nō ia i ka canal anal;
- Kahua 3: ʻoi aku ka maʻi ʻaʻai ma mua o 4 cm, akā ua pālahalaha ʻia i nā wahi kokoke, e like me ka maʻi ʻaʻai a i ʻole ka urethra;
- Kahua 4: ua metastasize ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.
Wahi a ka ʻike o ke kahua o ka maʻi ʻaʻai, hiki i ka oncologist a i ʻole proctologist ke kuhikuhi i ka lapaʻau maikaʻi loa e hiki ai ke hōʻola me ka maʻalahi, ʻo ia ka hapa nui o nā manawa e pono ai e hoʻokō i ka chemo a me ka radiotherapy.
Nā ʻōuli o ka maʻi ʻaʻai anal
ʻO ka ʻōuli nui o ka maʻi ʻaʻai anal ka hiki ʻana o ke koko ʻulaʻula i loko o nā stools a me ka ʻeha anal i ka neʻe ʻana o ka ʻōpū, kahi e hiki ai iā ʻoe ke noʻonoʻo i kēia mau hōʻailona ma muli o ke kū ʻana o ka hemorrhoids. ʻO nā ʻōuli ʻē aʻe e hōʻike nei i ka maʻi ʻaʻai anal.
- ʻO ka pehu ma ka ʻāpana anal;
- Hoʻololi i ka lawe ʻōpū;
- Kāʻili a ʻaʻā paha i ke anus;
- Ka hoʻomau ʻole o ka fecal;
- Ke kūʻana o ka puʻupuʻu a i ʻole ka nui i ka anus;
- Hoʻonui i ka nui o nā lymph node.
He mea nui ia ke hiki mai nā hōʻailona e hōʻike ana i ka maʻi ʻaʻai i loko o ka anus, hele ke kanaka i ka loio a i ʻole i ka proctologist i hiki ke hana ʻia nā hoʻokolohua a pēlā e hiki ai ke hana i ka hōʻailona. E ʻike pū i nā kumu ʻē aʻe o ka ʻeha ma ke anus.
ʻOi aku ka pinepine o ka maʻi ʻaʻai ma ka anus i ka poʻe i loaʻa ka maʻi HPV, loaʻa ka mōʻaukala o ka maʻi ʻaʻai, hoʻohana i nā lāʻau e hōʻemi i ka hana o ka ʻōnaehana pale, loaʻa ka maʻi HIV, he poʻe puhipaka, a he mau hoa moekolohe ʻekahi a loaʻa ka moekolohe anal. No laila, inā hāʻule ke kanaka i kēia hui pilikia a hōʻike i nā ʻōuli, he mea nui e hoʻokō ʻia ka loiloi olakino.
Pehea ka hōʻailona
ʻO ke kuhi ʻana o ka maʻi ʻaʻai i loko o ka anus i hana ʻia ma o ka loiloi ʻia o nā ʻōuli i wehewehe ʻia e ke kanaka a ma o nā hoʻokolohua i hiki ke koi ʻia e ke kauka, e like me ka hoʻokolokolo hoʻokolohua kikoʻī, proctoscopy a me anuscopy, hiki ke ʻeha, ma muli o ka ʻeha i hana ʻia. e ka maʻi ʻaʻai, a hiki ke hana ʻia ma lalo o ka anesthesia, akā he mea nui ia no ka mea e pahuhopu i ka ʻāpana anal ma o ka ʻike ʻana i nā loli e hōʻike ana i ka maʻi. Hoʻomaopopo i ke ʻano anuscopy a pehea e hana ai.
Inā loaʻa kekahi manaʻo kuhi o ka maʻi ʻaʻai i ka wā o ka hoʻokolokolo ʻana, e noi ʻia kahi biopsy e hōʻoia inā he maikaʻi a ʻano ʻino paha ka hoʻololi. Eia hou, inā hōʻike ka biopsy i ka maʻi ʻaʻai o ka anus, hiki i ke kauka ke koi e hana i kahi MRI e nānā i ka nui o ka maʻi ʻaʻai.
Lapaʻau no ka maʻi ʻaʻai anal
Pono e hana i ka lapaʻau no ka maʻi ʻaʻai anal e kahi proctologist a i ʻole oncologist a hana pinepine ʻia me ka hui pū ʻana o chemotherapy a me radiation no 5 a 6 mau pule, no laila ʻaʻohe pono e noho i ka haukapila. Paipai paha ke kauka i ke ʻoki e wehe i nā tumors anal liʻiliʻi, ʻoi aku i nā mahele mua ʻelua o ka maʻi ʻaʻai anal, a i ʻole e wehe i ka canal anal, ka pololei a me kahi ʻāpana o ke kolona, i nā hihia ʻoi loa.
I nā hihia ʻoi loa, ke pono e hemo i kahi ʻāpana nui o ka ʻōpū, pono i ka mea maʻi e loaʻa kahi ostomy, kahi ʻeke i kau ʻia ma luna o ka ʻōpū a loaʻa nā feces, pono e hoʻopau ʻia ma o ka anus . Pono e hoʻololi i ka ʻeke ostomy i nā manawa āpau e piha ai.
E ʻike pehea e hiki ai iā ʻoe ke hoʻokō i kāu mālama me nā meaʻai hakakā i ka maʻi ʻaʻai.