Cologuard no ka nānā ʻana i ka maʻi ʻaʻai: He aha kāu e ʻike ai
Anter
- He aha ka hōʻike Cologuard?
- Pehea e hana ai ʻo Cologuard?
- Ehia na kumukuai?
- ʻO wai ka mea e loaʻa i ka hōʻike Cologuard?
- Nā hopena hōʻike Cologuard
- Hōʻike Cologuard vs. kolonekia
- Nā pōmaikaʻi o ka hoʻāʻo Cologuard
- Nā drawbacks o ka hoʻāʻo Cologuard
- ʻO ka lawe lawe ʻana
He aha ka hōʻike Cologuard?
ʻO Cologuard kahi hōʻike hōʻike kānana DNA wale no ka ʻike ʻana i ka maʻi ʻaʻa kolona i ʻae ʻia e ka Food and Drug Administration (FDA).
Nānā ʻo Cologuard i nā loli i kāu DNA i hiki ke hōʻike i ke kū ʻana o ka maʻi ʻaʻai kolona a i ʻole nā polyps precancerous i hiki i kāu kolone.
Ke kaulana nei ʻo Cologuard no ka mea ʻoi aku ka liʻiliʻi o ka invasive, a ʻoi aku ka maʻalahi, ma mua o ka hōʻike kolonexoscope.
Aia nō kekahi mau pono i ka hoʻāʻo Cologuard no ka loiloi ʻana i ka maʻi ʻaʻai, akā aia kekahi mau drawbacks, a me nā hopohopo e pili ana i ka ʻoiaʻiʻo. E hoʻomau i ka heluhelu e ʻike inā ʻoe e noʻonoʻo i ka hōʻike Cologuard e nānā no ka maʻi ʻaʻai kolona.
Pehea e hana ai ʻo Cologuard?
ʻO ka maʻi ʻaʻai kolonā ke kolu o nā maʻi ʻaʻai e ʻike pinepine ʻia ma ʻAmelika Hui Pū ʻIa, me ka American Cancer Society (ACS) e koho nei ma mua o 100,000 mau hihia hou e ʻike ʻia i kēia makahiki.
ʻOiai inā ʻaʻohe ou ʻōuli a i ʻole ka moʻaukala ʻohana o ka maʻi ʻaʻai kala, nāna e hoʻokau iā ʻoe i kahi "awelika" pilikia, ʻōlelo pinepine nā kauka iā ʻoe e hoʻomaka i ka kānana ʻana i ka makahiki 45 (ʻōlelo aʻoaʻo ACS) a i ʻole 50 (US Preventive Services Task Force [USPSTF] ʻōlelo aʻoaʻo).
ʻO nā hoʻokolohua Cologuard no ka maʻi ʻaʻai kolona ma o ka ʻike ʻana i nā DNA kūpono ʻole a me nā mehe o ke koko i loko o ka pahu e hiki ai i nā polyps precancerous a me nā maʻi ʻaʻai kolona ke kumu.
Pono kāu kauka e kuhikuhi i ka hoʻokolohua ma mua o ka hiki iā ʻoe ke kauoha i kahi pahu Cologuard. Hiki iā ʻoe ke hoʻopihapiha i kahi palapala ma ka pūnaewele o ka ʻoihana e hana nei i kahi palapala hoʻonohonoho i hoʻonohonoho ʻia nāu e lawe i kāu kauka.
Inā ʻoe e lawe nei i ka hōʻike Cologuard, eia ka mea e manaʻo ai.
- E loaʻa iā ʻoe kahi pahu e hoʻopili ana i nā mea āpau āu e pono ai e hōʻiliʻili i kahi laulau me ka launa iki me kāu pahu. Aia i loko o ka pahu kēia: kahi bracket a me ka bake hōʻiliʻili, kahi kuʻina probe a me lab tube, kahi hopena mālama e mālama ai i kāu hāpana i ka wā o ka hoʻouna ʻana, a me kahi lepili hoʻouna i uku ʻia no ka hoʻouna ʻana i ka pahu i ka lab.
- Ke hoʻohana nei i kahi bracket kūikawā a me ka pākeke hōʻiliʻili e hele mai me ka kit, e hoʻoneʻe i kahi ʻōpū ma ka lua e hele pololei i loko o ka waihona hōʻiliʻili.
- Ke hoʻohana nei i kahi hulina ea i hoʻopaʻa ʻia me ka pahu, e ʻohiʻohi i kahi hāpana swab o kāu ʻōpū a neʻe i loko o kahi ʻōmole sterilized kūikawā.
- E ninini i ka hopena mālama i hoʻokomo ʻia i loko o ka pahu i loko o kāu laulau o ka pahu a ʻūpī paʻa i kāna uhi kūikawā.
- Hoʻopiha i ka palapala e noi ai i kāu ʻike pilikino, me ka lā a me ka manawa i hōʻiliʻili ʻia ai kāu hāpana.
- E hoʻihoʻi i nā laʻana a pau i hōʻiliʻili ʻia a me ka ʻike i loko o ka pahu Cologuard a hoʻihoʻi iā ia i ka lab i loko o 24 mau hola.
Ehia na kumukuai?
Uhi ʻia ʻo Cologuard e nā ʻoihana inikua olakino, e like me Medicare.
Inā kūpono ʻoe (ma waena o nā makahiki he 50 a 75 mau makahiki) no ka loiloi ʻana i ka maʻi ʻaʻai kolona, hiki paha iā ʻoe ke kiʻi iā Cologuard me ka uku ʻole ʻia mai ka ʻeke.
Inā ʻaʻohe āu ʻinikua, a i ʻole inā ʻaʻole e uhi ʻia kāu ʻinikua, ʻo ke kumukūʻai kiʻekiʻe loa o Cologuard he $ 649.
ʻO wai ka mea e loaʻa i ka hōʻike Cologuard?
ʻO ka pahuhopu pahuhopu no ka hoʻāʻo Cologuard ka poʻe i loaʻa ka awelika o ka pilikia a pono e hoʻāʻo ʻia no ka maʻi ʻaʻai kolone ma ka manawa mau.
Paipai ka USPSTF i nā mākua ma ʻAmelika Hui Pū ʻIa ma waena o nā makahiki he 50 a me 75 mau makahiki e nānā pinepine ʻia no ka maʻi ʻaʻai kolone. E hoʻomaka ka ʻōlelo aʻoaʻo a ka ACS ma 45 mau makahiki.
Inā ʻoe i ka nui o ka makaʻu no ka maʻi ʻaʻai kolona ma muli o kāu moʻolelo ʻohana, nā hoʻololi a me ka lāhui i hoʻoilina ʻia, a i ʻole nā mea ʻē aʻe ʻē aʻe i ʻike ʻia, e kamaʻilio pū me kāu kauka e pili ana i ka hoʻomaka ʻana o ka kānana mua loa
Nā hopena hōʻike Cologuard
Ma hope o ka loiloi ʻana o ka lab i kāu laʻana o ka noho, hoʻouna ʻia nā hopena hōʻike Cologuard i kāu kauka. E hele pū kāu kauka me nā hopena a e kamaʻilio i nā kaʻina hou aʻe no ka hoʻāʻo hou inā pono ʻoe.
Hōʻike maʻalahi nā hopena hōʻike Cologuard i kahi "maikaʻi ʻole" a i ʻole "maikaʻi." Hōʻike nā hopena hōʻike maikaʻi ʻole ʻaʻohe DNA kūpono ʻole a i ʻole nā "biomarkers hemoglobin" i loaʻa i kāu hāpana o ka pahu.
I ka ʻōlelo Pelekania maʻamau, ʻo ia wale nō ʻaʻole i ʻike ʻia ka hōʻailona o ka maʻi ʻaʻai kolona a i ʻole nā polyps precancerous i kāu kolone.
Inā loaʻa iā ʻoe kahi hopena Cologuard maikaʻi, ʻo ia hoʻi ka hōʻailona i ʻike ʻia i nā hōʻailona o ka maʻi ʻaʻai kolona a i ʻole nā polyps precancerous.
Hana ʻia nā hopena maikaʻi ʻole a me nā maikaʻi ʻole wahaheʻe i nā hoʻokolohua Cologuard. Wahi a kahi hoʻokolohua hoʻokolohua 2014, ma kahi o 13% o nā hopena mai Cologuard he maikaʻi maikaʻi ʻole a ʻo 8% nā hopena maikaʻi ʻole.
Inā loaʻa kahi hopena maikaʻi, e paipai kāu kauka e ukali nei me kahi hōʻike kolonekia.
Hōʻike Cologuard vs. kolonekia
ʻOiai hiki ke hoʻohana ʻia ʻo Cologuard a me kahi kolonekia e like me nā hoʻokolohua kānana, lawe lākou i ʻelua mau ʻano ʻokoʻa a hāʻawi i ka ʻike ʻokoʻa.
Nā ho'āʻo Cologuard no nā ʻōuli o ka maʻi ʻaʻai kolona a me nā polyps. Ke hana nei kāu kauka i kahi kolonoscopy, ke hoʻāʻo nei lākou e ʻike iā lākou iho i nā polyps.
Lawe ʻo Colonoscopy i kahi makaʻu haʻahaʻa o nā pilikia, e like me nā hopena i nā sedatives a i ʻole hiki i ka puncturing o kou ʻōpū. ʻAʻohe pilikia ʻo Cologuard.
Ma kekahi ʻaoʻao, ʻo Cologuard:
- hiki i kekahi manawa ke hala i nā polyps precancerous i kāna kānana ʻana, kahi i kapa ʻia he maikaʻi ʻole maikaʻi ʻole
- hiki pinepine ʻole e ʻike i ke alo o nā polyp nui aʻe
- hāpai pū kekahi i kahi kiʻekiʻe o nā hopena wahaheʻe, kahi a ka colonoscopy i hana ʻole ai
Hiki ke hoʻohana pū ʻia ʻo Cologuard a me kahi kolonekia e kānana no ka maʻi ʻaʻai kolona. Hana ʻo Cologuard ma ke ʻano he noninvasive, hōʻike laina mua no ka poʻe ma ka awelika o ka makaʻu no ka maʻi ʻaʻai kolona.
Hōʻike nā hopena maikaʻi mai Cologuard e pono ana ka hoʻokolohua hou aʻe, ʻoiai ʻo ka poʻe me kahi hopena hōʻike maikaʻi ʻole hiki ke koho ʻia e hōʻalo i kahi kolonexopy e pili ana i ka ʻōlelo aʻo a kā lākou kauka.
Nā pōmaikaʻi o ka hoʻāʻo Cologuard
He mau pōmaikaʻi maopopo loa ka hōʻike Cologuard ma luna o nā ʻano hoʻokolohua like ʻole.
Hiki iā ia ke hana ma ka home, kahi e ʻokiʻoki ai i ka manawa i nā lumi kali a i ʻole ka haukapila e loaʻa kahi hōʻike.
Ke kānalua nei kekahi poʻe e pili ana i ke kaʻina o ka kolonoscopy no ka mea nui ka sedation.
ʻAe ʻo Cologuard iā ʻoe e kānana ʻia me ka ʻole o ka sedation a i ʻole ka anesthesia. Eia nō naʻe, inā he kino ʻole kāu hōʻike Cologuard, pono ia e ukali ʻia me kahi kolona.
ʻAʻole koi ʻo Cologuard i kahi hoʻomākaukau. ʻAʻole pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau a i ʻole ka wikiwiki ma mua o ka hoʻokolohua Cologuard.
Nā drawbacks o ka hoʻāʻo Cologuard
Aia kekahi mau drawbacks i ka hōʻike Cologuard, ka hapanui e pili ana i kona pololei.
ʻO ke ʻano o nā hoʻāʻo Stool me he kolonoscopy ke ʻike ʻana i nā polyps precancerous a me nā ʻino.
Hiki i nā hopena maikaʻi ʻole ke hana i nā koʻikoʻi koʻikoʻi a hopohopo ʻole ke kali nei ʻoe no ka hoʻāʻo ʻana. ʻO nā pae kiʻekiʻe o nā hopena wahaheʻe e pili pū ana me Cologuard e makaʻala i kekahi mau kauka i ka hoʻāʻo.
Nā mea maikaʻi ʻole wahaheʻe - a i ʻole e nalo ana i ke alo o ka maʻi ʻaʻai kolona a i ʻole nā polyps - hiki pū kekahi. ʻOi aku ka kiʻekiʻe o ka helu maikaʻi ʻole wahaheʻe no nā polyps nui.
ʻOiai he mea hou loa ka hoʻokolohua ʻana o Cologuard, ʻaʻohe mea i loaʻa e pili ana i ka hopena o kēia ʻano loiloi i kāu kuana wā lōʻihi inā pau ʻoe i ka maʻi ʻaʻai kolona.
ʻO ke kumukūʻai o Cologuard he mea keakea nui inā ʻaʻohe ou uhi ʻinikua e hoʻopili ana i kēia ʻano kānana.
ʻO ka lawe lawe ʻana
He mea hiki ke mālama ʻia ka maʻi ʻaʻai Kolona, akā he ʻike nui ka ʻike mua ʻana i nā helu e ola ai no ka poʻe i loaʻa iā ia. ʻO ka maʻi ʻaʻai Kolona i ʻike ʻia ma kāna pae mua loa he 90 pākēneka ola 5 mau makahiki ma hope o ka ʻike ʻia.
I ka manawa i holomua ai ka maʻi ʻaʻai kolone i nā pae hope, ua hāʻule nui nā hopena maikaʻi. No kēia mau kumu, paipai ka CDC i nā hōʻike loiloi i kēlā me kēia makahiki 3 no ka poʻe ma mua o 50.
E makemake paha ʻoe e kamaʻilio i kāu hopohopo, hopohopo, a me kāu mau nīnau e pili ana i nā ʻano kānana kolona a me Cologuard ma kāu huakaʻi maʻamau.
Mai hilahila ke kamaʻilio e pili ana i ka pale ʻana i ka maʻi ʻaʻai kolona a me ka kānana ʻana.
E hoʻomaka i ke kamaʻilio ʻana me ka nīnau ʻana e pili ana i kāu pilikia āpau no ka maʻi ʻaʻai kolona ma muli o kāu moʻolelo olakino a i ʻole e nīnau pololei ʻana i kāu kauka e pili ana iā Cologuard a me kona pololei.