Kolonekia

Anter

• He aha is kahi kolonekia?
• No ke aha e hana ʻia ai kahi kolonekia?
• Ehia mau manawa e pono ai e hana ʻia kahi kolonekia?
• He aha nā makaʻi o kahi kolonoscopy?
• Pehea ʻoe e hoʻomākaukau ai no kahi kolonaxoscopy?
• Nā Lapaʻau
• Pehea e hana ʻia ai kahi kolonoscopy?
• He aha ka hana ma hope o ke kolonekia?
• Āhea ʻoe e nānā ai me kāu kauka?

He aha is kahi kolonekia?

I ka manawa o ke kolona, ​​nānā kāu kauka no nā mea kūpono ʻole a i ʻole nā ​​maʻi i loko o kou ʻōpū nui, ʻo ia hoʻi ke kolone. E hoʻohana lākou i kahi kolonexope, kahi paipu lahilahi, maʻalahi hiki ke hoʻopili ʻia kahi kukui a me ke kāmera.

Kōkua ke kolona i ka hapa haʻahaʻa o ka gastrointestinal tract. Lawe ʻia i ka meaʻai, lawe i nā meaʻai, a me ka hoʻolei ʻana i ka ʻōpala.

Hoʻopili ke kolona i ka anus ma o ka rectum. ʻO ka anus ka wehe i kou kino kahi e kipaku ʻia ai nā feces.

I ka manawa o kahi kolonoscopy, hiki i kāu kauka ke lawe i nā laʻana kikoola no ka biopsy a i ʻole hemo i nā kikoʻī ʻole e like me polyps.

No ke aha e hana ʻia ai kahi kolonekia?

Hiki ke hana ʻia kahi kolonoscopy ma ke ʻano he kānana no ka maʻi ʻaʻai kala a me nā pilikia ʻē aʻe. Hiki i ke kānana ke kōkua i kāu kauka:

• e nānā i nā hōʻailona o nā maʻi ʻaʻai a me nā pilikia ʻē aʻe
• e ʻimi i ke kumu o nā loli ʻole i wehewehe ʻia i loko o nā ʻōpū
• loiloi i nā ʻōuli o ka ʻeha o ka ʻōpū a i ʻole ke kahe ʻana o ke kahe
• e ʻike i kahi kumu no ka hōʻike kaumaha ʻole e wehewehe ʻole ʻia, ka paʻa paʻa mau ʻana, a i ʻole ka diarrhea

Kuhi ka American College of Surgeons he 90 pākēneka o nā polyp a i ʻole nā ​​tumors hiki ke ʻike ʻia ma o nā kānana kolona.

Ehia mau manawa e pono ai e hana ʻia kahi kolonekia?

Paipai ke Kulanui ʻAmelika ʻo ʻAmelika i kahi kolonoscopy hoʻokahi manawa i kēlā me kēia 10 mau makahiki no ka poʻe e kū i nā pae hoʻohālikelike aʻe:

• he 50 a 75 mau makahiki
• aia ma ka awelika kūlana o ka maʻi ʻaʻai colorectal
• he ola ke ola o 10 mau makahiki

Paipai ka British Medicine Journal (BMJ) i kahi manawa hoʻokahi no nā poʻe e kū ana i kēia pae hoʻohālikelike.

• he 50 a 79 mau makahiki
• aia ma ka awelika kūlana o ka maʻi ʻaʻai colorectal
• loaʻa iā 3-pākēneka manawa kūpono o ka hoʻomohala ʻana i ka maʻi ʻaʻai kala i 15 mau makahiki

Inā ʻoe i ka nui o ka makaʻu no ka maʻi ʻaʻai kala, pono ʻoe i nā kaʻina hana pinepine hou aʻe. Wahi a ka American Cancer Society (ACS), ʻo ka poʻe e pono ana e nānā pinepine ʻia e like me kēlā me kēia 1 a 5 mau makahiki e komo pū ana:

• nā poʻe i loaʻa i nā polyps i hemo i ka wā o kahi kolonexoscopy mua
• ka poʻe me ka mōʻaukala mua o ka maʻi ʻaʻai kala
• ka poʻe me ka moʻolelo ʻohana o ka maʻi ʻaʻai kala
• ka poʻe me ka maʻi ʻōpū (IBD)

He aha nā makaʻi o kahi kolonoscopy?

ʻOiai he koloneoscopy kahi hana maʻamau, aia kekahi mau hopena hope ʻole mai kēia hōʻike. I ka hapa nui o nā hihia, ʻo nā keu pono o ka ʻimi ʻana i nā pilikia a me ka hoʻomaka ʻana o ka mālama ʻana ma mua o nā pilikia o nā pilikia mai kahi kolone.

Eia nō naʻe, ʻo kekahi o nā pilikia paʻakikī loaʻa:

• e kahe ana ke kahe mai kahi pūnaewele biopsy inā hana ʻia kahi biopsy
• kahi hopena maikaʻi ʻole i ka sedative e hoʻohana ʻia ana
• kahi waimaka i ka paia o ka rectal a i ʻole kolone

ʻO ke kaʻina hana i kapa ʻia ʻo ka colonoscopy virtual e hoʻohana i ka CT scans a i ʻole MRI e kiʻi i nā kiʻi o kou kolone. Inā koho ʻoe iā ia ma kahi, hiki iā ʻoe ke hōʻalo i kekahi o nā pilikia e pili ana i ka colonoscopy kuʻuna.

Eia naʻe, hele mai me kāna mau mea pono ʻole. ʻO kahi laʻana, ʻaʻole paha e ʻike ia i nā polyp liʻiliʻi loa. Ma ke ʻano he ʻenehana hou aʻe, ʻaʻole hiki ke uhi ʻia e ka ʻinikua olakino.

Pehea ʻoe e hoʻomākaukau ai no kahi kolonaxoscopy?

E hāʻawi aku kāu kauka iā ʻoe i nā ʻōkuhi no ka hoʻomākaukau ʻōpū (hoʻomākaukau ʻōpū). Pono ʻoe e ʻai i ka wai wai moakāka no 24 a 72 mau hola ma mua o kāu kaʻina hana.

ʻO kaʻai hoʻomākaukau bowel maʻamau:

• broth or bouillon
• gelatin
• kope kope a kope paha
• wai momona-ʻole
• nā mea inu haʻuki, e like me Gatorade

E nānā pono ʻaʻole e inu i nā wai i loaʻa ka ʻulaʻula a me ka pena poni no ka mea hiki iā lākou ke kala i kāu kolona.

Nā Lapaʻau

E haʻi i kāu kauka e pili ana i nā lāʻau āu e lawe nei, e like me nā lāʻau a me nā mea hoʻowaiwai. Inā hiki iā lākou ke hoʻopili i kāu kolone, e haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana iā lākou. Pili pū paha kēia:

• lahilahi koko
• nā wikamina i loaʻa ka hao
• kekahi mau lāʻau diabetes

Hāʻawi paha kāu kauka iā ʻoe i ka laxative e lawe i ka pō ma mua o kāu koho ʻana. E aʻo paha lākou iā ʻoe e hoʻohana i kahi enema e hoʻopuka i kāu kolona i ka lā o ke kaʻina hana.

Makemake paha ʻoe e hoʻonohonoho no kahi holo home i kāu home ma hope o kāu koho ʻana. Hāʻawi ʻia ka sedative iā ʻoe no ke kaʻina hana i palekana ʻole iā ʻoe e kalaiwa iā ʻoe iho.

Pehea e hana ʻia ai kahi kolonoscopy?

Ma mua pono o kāu kolonekia, e hoʻololi ʻoe i ʻaʻahu kapa haukapila. Loaʻa ka hapanui o ka poʻe i kahi lāʻau hoʻohiamoe a ʻeha hoʻi ma o ka laina intravenous.

I ka wā o ke kaʻina hana, e moe ʻoe ma kou ʻaoʻao ma ka papa hōʻike kuʻikuʻu padded. Hiki i kāu kauka ke hoʻonohonoho iā ʻoe me kou mau kuli kokoke i kou umauma e kiʻi i kahi kihi maikaʻi i kāu kolona.

ʻOiai ʻoe ma kou ʻaoʻao a hoʻowalewale, e alakaʻi ke kauka i ka colonoscope me ka mālie a i loko o kou anus ma o ka pololei a i ke kolona. Hoʻouna ka pahu paʻi kiʻi ma ka hopena o ke kolonekia i nā kiʻi i kahi monitor e nānā ana kāu kauka.

Ke hoʻonohonoho ʻia ke kolona, ​​e hoʻonui kāu kauka i kāu kolone e hoʻohana ana i ka carbon dioxide. Hāʻawi kēia iā lākou i kahi ʻike ʻoi aku ka maikaʻi.

Hiki i kāu kauka ke hemo i nā polyp a i ʻole kahi laʻana pūnaewele no ka biopsy i kēia kaʻina hana. E ala ana ʻoe i ka manawa o kou kolone, no laila hiki i kāu kauka ke haʻi iā ʻoe i ka mea e hana nei.

ʻO ke kaʻina hana holoʻokoʻa he 15 mau minuke i hoʻokahi hola.

He aha ka hana ma hope o ke kolonekia?

Ma hope o ka hana ʻia ʻana, e kali ʻoe no hoʻokahi hola e ʻae i ka sedative e pau. E aʻo ʻia ʻoe ʻaʻole e hoʻokele no nā hola he 24 e hiki mai ana, a mae wale kāna hopena piha.

Inā hoʻopau kāu kauka i kaʻiʻo a polp paha i ka wā o kahi biopsy, e hoʻouna lākou iā ia i kahi hale hana no ka hoʻāʻo ʻana. E haʻi aku kāu kauka iā ʻoe i nā hopena ke mākaukau lākou, ka mea maʻamau i loko o kekahi mau lā.

Āhea ʻoe e nānā ai me kāu kauka?

E loaʻa paha iā ʻoe kahi kākā a me ka momona o ke kōkō i kau ʻia e kāu kauka i kāu kolona. E hāʻawi i kēia manawa e puka i waho o kāu ʻōnaehana. Inā hoʻomau ia no nā lā ma hope, manaʻo paha he pilikia a pono ʻoe e kāhea i kāu kauka.

Eia kekahi, he wahi liʻiliʻi o ke koko i loko o kāu pahu ma hope o ka hana maʻamau. Eia nō naʻe, e kāhea i kāu kauka inā ʻoe:

• hoʻomau i ka hala i ke koko a i ʻole ke koko
• ʻike i ka ʻeha o ka ʻōpū
• he fiva ma luna o 100 ° F (37.8 ° C)