He aha ka Colonoscopy? Ke Kumu, ke Kaʻina Hana & Nā Hōʻike

ʻO ka colonoscopy he hana lapaʻau kahi e hoʻohana ai kāu kauka i kahi paipu lahilahi a maʻalahi me kahi kamera e nānā i loko o kou ʻōpū nui (colon) a me ka ʻōpū. Kōkua kēia mea hana screening i ka ʻike ʻana i nā pilikia e like me nā polyps, ka mumū, a i ʻole ka maʻi maʻi i ka wā mua ke hiki ke mālama ʻia.

E noʻonoʻo iā ia he nānā pono ʻana i ke olakino o kou colon. Lawe maʻamau ka hana i 30 a 60 mau minuke, a e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaha a ʻoluʻolu i ke kaʻina hana.

He aha ka colonoscopy?

ʻO ka colonoscopy kahi hana diagnostic a me ka screening e hiki ai i nā kauka ke ʻike i ka lōʻihi holoʻokoʻa o kou colon a me ka ʻōpū. Hoʻohana ke kauka i ka colonoscope, he paipu lōʻihi a maʻalahi ma kahi o ka laulā o kou manamana lima me kahi kamera liʻiliʻi a me ke kukui ma ka hopena.

I ka wā o ke kaʻina hana, hoʻokomo mālie ʻia ka colonoscope ma kou ʻōpū a alakaʻi ʻia ma kou colon. Hoʻouna ke kamera i nā kiʻi manawa maoli i kahi monitor, e hāʻawi ana i kāu kauka i kahi ʻike maopopo i ka laina o kou colon. Kōkua kēia iā lākou e ʻike i nā wahi maʻamau, e lawe i nā laʻana ʻiʻo inā pono, a i ʻole e wehe i nā polyps ma kahi.

Ua manaʻo ʻia ke kaʻina hana ke kūlana gula no ka screening maʻi maʻi colon no ka mea hiki ke ʻike a pale i ka maʻi maʻi ma ka wehe ʻana i nā polyps precancerous ma mua o ka ulu ʻana i ka maʻi maʻi.

No ke aha e hana ʻia ai ka colonoscopy?

He ʻelua mau kumu nui o ka colonoscopy: ka screening no ka maʻi maʻi colon i nā kānaka olakino a me ka ʻike ʻana i nā pilikia i nā kānaka me nā hōʻailona. Pono ka hapa nui o nā mākua e hoʻomaka i ka screening maʻamau i ka makahiki 45, a i ʻole ma mua inā he mau mea pilikia ko lākou e like me ka moʻolelo ʻohana o ka maʻi maʻi colon.

No ka screening, ʻo ka pahuhopu ka hopu ʻana i nā pilikia i ka wā mua ke maʻalahi ke mālama. Hiki i kāu kauka ke wehe i nā polyps i ke kaʻina hana, e pale ana iā lākou mai ka lilo ʻana i ka maʻi maʻi ma hope. Hana kēia i ka colonoscopy i mea hana diagnostic a me ka pale.

Inā e ʻike ana ʻoe i nā hōʻailona, ​​hiki i kāu kauka ke ʻōlelo aku i ka colonoscopy e noiʻi i ke kumu o kou pilikia. E nānā kākou i nā kumu kikoʻī e ʻōlelo ai kāu kauka i kēia kaʻina hana:

• Nā loli mau i nā hana ʻōpū e mau ana ma mua o kekahi mau pule
• Ke koko i loko o kou ʻōpū a i ʻole ke kahe ʻana o ka rectal
• ʻEha ʻōpū a i ʻole ka ʻeha ʻole
• Ka maʻi maʻi mau a i ʻole ka paʻa
• Ka pohō kaumaha ʻole
• ʻAmi anemia me ka ʻole o ke kumu maopopo
• ʻOhana mōʻaukala o ka maʻi maʻi colon a i ʻole polyps
• Mōʻaukala pilikino o ka maʻi ʻōpū inflammatory
• Ka hahai ʻana ma hope o ka wehe ʻana o ka polyp mua

E noʻonoʻo kāu kauka i kāu mau mea pilikia a me nā hōʻailona e hoʻoholo ai inā kūpono ka colonoscopy iā ʻoe. Hiki i ke kaʻina hana ke kōkua i ka ʻike ʻana i nā kūlana e like me ka maʻi maʻi colon, polyps, inflammatory bowel disease, diverticulitis, a i ʻole nā ​​maʻi colon ʻē aʻe.

He aha ke kaʻina hana no ka colonoscopy?

Hana ʻia ke kaʻina hana colonoscopy i nā ʻāpana he nui, e hoʻomaka ana me ka hoʻomākaukau ʻana ma ka home a pau me ka hoʻōla ʻana ma ke keʻena lapaʻau. ʻO ka hoʻokolokolo maoli e lawe maʻamau i 30 a 60 mau minuke, ʻoiai e hoʻolilo ʻoe i kekahi mau hola ma ke keʻena no ka hoʻomākaukau a me ka hoʻōla.

Ma mua o ka hoʻomaka ʻana o ke kaʻina hana, e loaʻa iā ʻoe ka sedation ma o ka IV e kōkua iā ʻoe e hoʻomaha a hōʻemi i ka pilikia. ʻAʻole hoʻomanaʻo ka hapa nui o ka poʻe i ke kaʻina hana ma muli o ka sedation, e hōʻoluʻolu loa ai ka ʻike.

Eia ka mea e hana ʻia i ka wā o ke kaʻina hana:

1. E moe ana ʻoe ma kou ʻaoʻao hema ma luna o kahi papa hōʻike
2. Hoʻokomo mālie ke kauka i ka colonoscope ma kou ʻōpū
3. Hoʻokomo mālie ʻia ka scope ma kou ʻōpū nui, a i ka wā e hoʻokomo ʻia ai ka ea i loko e hoʻonui i ka ʻōpū nui no ka ʻike maikaʻi
4. Nānā ke kauka i ka ʻili o ka ʻōpū nui i ka wā e hele ai ka scope
5. Inā loaʻa nā polyps, e wehe ʻia lākou me nā mea hana kūikawā i hoʻokomo ʻia ma ka scope
6. Hiki ke lawe ʻia nā laʻana ʻiʻo no ka loiloi ʻana i ka hale hana
7. Wehe mālie ʻia ka scope i ka wā e hoʻomau ana i ka nānā ʻana i nā paia o ka ʻōpū nui

I ka wā o ke kaʻina hana, e ʻike paha ʻoe i ke kaomi a i ʻole ka ʻeha i ka wā e hele ai ka scope ma kou ʻōpū nui. Kōkua ka sedation i ka hōʻemi ʻana i kēia mau manaʻo, a ʻike ka hapa nui o nā kānaka i ke kaʻina hana ʻaʻole i ʻoluʻolu e like me kā lākou i manaʻo ai.

Pehea e hoʻomākaukau ai no kāu colonoscopy?

He mea nui ka hoʻomākaukau kūpono no ka colonoscopy kūleʻa no ka mea pono e maʻemaʻe loa kou ʻōpū nui i hiki i ke kauka ke ʻike maopopo. E hāʻawi ke kauka iā ʻoe i nā ʻōlelo kikoʻī, akā hoʻomaka ka hoʻomākaukau ʻana i 1-3 mau lā ma mua o kāu kaʻina hana.

ʻO ka ʻāpana nui o ka hoʻomākaukau ʻana, ʻo ia ka lawe ʻana i kahi hoʻonā hoʻomākaukau ʻōpū e hoʻomaʻemaʻe i kou ʻōpū nui. Hoʻokumu kēia lāʻau lapaʻau i ka maʻi maʻi e hoʻokahe loa i kou ʻōpū nui, he mea pono ia no ka hoʻokolokolo pololei.

Eia nā ʻanuʻu hoʻomākaukau nui e pono ai ʻoe e hahai:

• E hooki i ka ʻai ʻana i nā meaʻai paʻa 24 mau hola ma mua o kāu kaʻina hana
• E inu wale i nā wai maʻemaʻe e like me ka wai, ka broth, a me nā wai maʻemaʻe
• E lawe i ka lāʻau hoʻomākaukau ʻōpū i kuhikuhi ʻia e like me ke kuhikuhi
• E hooki i ka lawe ʻana i kekahi mau lāʻau lapaʻau inā ʻōlelo ke kauka
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana
• E hahai i nā palena meaʻai kikoʻī no kekahi mau lā ma mua
• E noho kokoke i kahi lumi ʻauʻau ma hope o ka hoʻomaka ʻana i ka hoʻomākaukau ʻana i ka ʻōpū

He paʻakikī paha ka hoʻomākaukau ʻana i ka ʻōpū, akā he mea nui ia no kou palekana a me ka pololei o ka hoʻāʻo. ʻO ka hapa nui o nā kānaka e ʻike ana i ka noho ʻana i ka wai a me ka hahai ʻana i nā ʻōlelo kuhikuhi e kōkua iā lākou e hele ma waena o ka hoʻomākaukau ʻana me ka ʻoluʻolu.

Pehea e heluhelu ai i nā hopena o kāu colonoscopy?

E kūkākūkā kāu kauka i nā hopena o kāu colonoscopy me ʻoe ma hope koke o ke kaʻina hana, ʻoiai ʻaʻole paha ʻoe e hoʻomanaʻo i ke kamaʻilio ʻana ma muli o nā hopena sedation. E loaʻa iā ʻoe kahi hōʻike i kākau ʻia e wehewehe ana i ka mea i loaʻa i ka wā o kāu hoʻokolokolo.

ʻO ke ʻano maʻamau, ʻo ia hoʻi, ʻike ʻia kou ʻōpū me ke olakino me ka ʻole o nā hōʻailona o nā polyps, ka maʻi maʻi, a i ʻole nā ​​mea ʻē aʻe. Inā he colonoscopy screening kēia me nā hopena maʻamau, ʻaʻole pono ʻoe i kekahi mea ʻē aʻe no 10 mau makahiki, ma muli o kāu mau mea pilikia.

Inā loaʻa nā mea ʻino, hiki i kāu mau hopena ke hōʻike:

• Polyps i wehe ʻia i ka wā o ke kaʻina hana
• Ka mumū a i ʻole ka huhū o ka laina ʻōpū
• Diverticulosis (nā ʻeke liʻiliʻi i ka paia ʻōpū)
• Nā wahi o ke koko a i ʻole ka ʻeha
• ʻIke kānalua e pono ai ka hoʻāʻo hou
• Nā hōʻailona o ka maʻi ʻōpū inflammatory

Inā ua wehe ʻia nā polyps a i ʻole ua lawe ʻia nā laʻana ʻiʻo, pono ʻoe e kali i nā hopena o ka hale hana, e lawe maʻamau ana i 3-7 mau lā. E hoʻokaʻaʻike kāu kauka iā ʻoe me kēia mau hopena a kūkākūkā i nā mālama a i ʻole ka mālama ʻana.

He aha nā mea pilikia no ka pono o ka colonoscopy?

Nui nā mea e hoʻonui ai i kou pilikia o ka hoʻomohala ʻana i nā pilikia colon a hiki ke hana i ka colonoscopy screening ʻoi aku ka mea nui iā ʻoe. ʻO ka makahiki ka mea pilikia nui loa, me ka hapa nui o nā maʻi maʻi colon e kū ana i nā kānaka ma luna o 50, ʻoiai ke piʻi nei nā helu i nā ʻōpio.

He hana nui ka mōʻaukala ʻohana i kou pae pilikia. Inā he mau ʻohana pili kou me ka maʻi maʻi colon a i ʻole nā ​​polyps, pono paha ʻoe e hoʻomaka i ka screening ma mua a loaʻa nā hoʻokolokolo pinepine ma mua o ka heluna kanaka.

Nā mea pilikia maʻamau e hōʻike ana i ka nānā mua a i ʻole pinepine ʻana, e komo pū ana:

• Mōʻaukala ʻohana o ka maʻi ʻaʻai kolona a i ʻole nā polyps
• Mōʻaukala pilikino o ka maʻi ʻāʻī ʻana o ka ʻōpū
• Nā polyps kolona mua a i ʻole ka maʻi ʻaʻai
• Nā maʻi genetic e like me ka maʻi Lynch a i ʻole familial adenomatous polyposis
• ʻAi nui i ka ʻiʻo ʻulaʻula a haʻahaʻa i ka fiber
• Puhi paka a me ka inu ʻawaʻawa nui
• Ka momona a me ke ola noho
• Maʻi diabetes type 2
• Ka lāʻau lapaʻau radiation i ka ʻōpū a i ʻole ka pelvis

E loiloi kāu kauka i kāu mau mea pilikia pilikino e hoʻoholo ai i ka manawa e hoʻomaka ai ʻoe i ka nānā ʻana a me ka pinepine o kāu pono e colonoscopy. Pono ka poʻe me nā mea pilikia kiʻekiʻe e hoʻomaka i ka nānā ʻana ma mua o 45 mau makahiki a pono paha i nā hoʻokolokolo pinepine.

He aha nā pilikia hiki ke loaʻa o ka colonoscopy?

He palekana loa ka colonoscopy, me nā pilikia koʻikoʻi e hana ana ma lalo o 1% o nā kaʻina hana. ʻO ka hapa nui o nā kānaka e ʻike wale i ka ʻoluʻolu liʻiliʻi a ola koke me ka pilikia ʻole.

ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a he manawa pōkole, e komo pū ana me ka bloating, gas, a me ka ʻeha mai ka ea i hoʻohana ʻia e hoʻonui i kou kolona i ka wā o ke kaʻina hana. Hoʻoponopono maʻamau kēia mau hōʻailona i loko o kekahi mau hola i ka wā e komo ai ka ea a i ʻole e hala.

ʻO nā pilikia kakaʻikahi akā koʻikoʻi e komo pū ana:

• Perforation (hae) o ka pā kolona (hana ma kahi o 1 i 1,000 mau kaʻina hana)
• Ke kahe ʻana o ke koko, ʻoi aku ma hope o ka wehe ʻana o ka polyp (hana ma kahi o 1 i 1,000 mau kaʻina hana)
• Nā hopena i nā lāʻau lapaʻau sedation
• Maʻi (kakaʻikahi loa)
• Nā pilikia o ka puʻuwai a i ʻole ka māmā e pili ana i ka sedation

E nānā pono kāu kauka iā ʻoe i ka wā a ma hope o ke kaʻina hana e nānā i nā hōʻailona o nā pilikia. ʻO ka hapa nui o nā pilikia, inā loaʻa, hiki ke mālama maikaʻi ʻia, ʻoiai ke hopu ʻia i ka wā mua.

He haʻahaʻa ka pilikia o nā pilikia ma mua o ka pilikia o ka ʻike ʻole ʻana i ka maʻi ʻaʻai kolona i ka wā mua. E kūkākūkā kāu kauka i nā mea pilikia o kou kino a kōkua iā ʻoe e hoʻomaopopo i nā pōmaikaʻi a me nā pilikia o ke kaʻina hana.

I ka manawa hea wau e ʻike ai i ke kauka no ka colonoscopy?

Pono ʻoe e kūkākūkā i ka colonoscopy me kāu kauka inā he 45 a ʻoi aku paha kou mau makahiki a ʻaʻole i loaʻa ka screening, a i ʻole inā ʻoe e ʻike nei i nā hōʻailona e hōʻike ana i nā pilikia kolona. Hoʻomaikaʻi nui ka ʻike mua i nā hopena lapaʻau, no laila, mai hoʻopaneʻe i ka ʻimi ʻana i ka lāʻau lapaʻau.

No ka screening maʻamau, pono ka hapa nui o nā kānaka e hoʻomaka i ka makahiki 45, akā pono paha ʻoe e hoʻomaka ma mua inā he mau mea pilikia kou e like me ka moʻolelo ʻohana o ka maʻi ʻaʻai kolona. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana i ka papa hana screening kūpono no kou kūlana.

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i kēia mau hōʻailona:

• Ke koko i loko o kou ʻōpū a i ʻole ke kahe ʻana o ka rectal
• Nā loli mau i nā hana ʻōpū e mau ana ma mua o ʻelua pule
• ʻEha ʻōpū a i ʻole ka ʻeha ʻana
• Ka pohō kaumaha ʻole
• Luhi mau a i ʻole nāwaliwali
• Ka manaʻo ʻaʻole e hakahaka loa kou ʻōpū
• Nā ʻōpū haiki a i ʻole nā loli i ke kūlike o ka ʻōpū

Ma hope o ka colonoscopy, pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i ka ʻeha ʻōpū nui, ke kuni, ke kahe nui ʻana, a i ʻole nā hōʻailona o ka maʻi. Hiki i kēia mau mea ke hōʻike i nā pilikia e pono ai ka lāʻau lapaʻau wikiwiki.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka colonoscopy

Q.1 He maikaʻi anei ka hoʻāʻo colonoscopy no ka screening maʻi ʻaʻai kolona?

ʻAe, ua manaʻo ʻia ka colonoscopy ke kūlana gula no ka screening maʻi ʻaʻai kolona. ʻO ia ke ʻano screening piha loa no ka mea hiki iā ia ke ʻike i ka maʻi ʻaʻai a me nā polyps precancerous ma ka kolona holoʻokoʻa, ʻaʻole wale kekahi ʻāpana.

ʻAʻole like me nā hoʻokolohua kānana ʻē aʻe e ʻike wale i ka maʻi ʻaʻai e kū nei, hiki i ka colonoscopy ke pale i ka maʻi ʻaʻai ma ka wehe ʻana i nā polyps ma mua o ka lilo ʻana i malignant. Hōʻike nā haʻawina e hiki i ka colonoscopy maʻamau ke hōʻemi i nā make o ka maʻi ʻaʻai colon e 60-70%.

Q.2 Ua ʻeha anei ka colonoscopy?

ʻAʻole nui ka ʻeha o ka hapa nui o nā kānaka i ka wā colonoscopy no ka mea e loaʻa iā ʻoe ka sedation ma o ka IV. Kōkua ka sedation iā ʻoe e hoʻomaha a pinepine e hōʻoluʻolu a i ʻole e hiamoe ʻoe i ke kaʻina hana.

Hiki paha iā ʻoe ke ʻike i kekahi kaomi, ka ʻeha, a i ʻole ka bloating i ka wā e hele ai ka scope ma kou colon, akā maʻalahi a me ka manawa pōkole kēia mau manaʻo. Ma hope o ke kaʻina hana, loaʻa paha iā ʻoe kekahi kinoea a me ka bloating no kekahi mau hola, akā hoʻoponopono koke kēia.

Q.3 Pehea ka lōʻihi o ka colonoscopy?

ʻO ke kaʻina hana colonoscopy maoli e lawe maʻamau i 30 a 60 mau minuke, ma muli o ka mea i ʻike ʻia e kāu kauka a inā pono e wehe ʻia nā polyps. Eia naʻe, e hoʻolilo ʻoe i kekahi mau hola ma ke keʻena lapaʻau no ka hoʻomākaukau a me ka hoʻōla.

E hoʻolālā e hoʻolilo i kahi 3-4 mau hola i ka huina ma ke keʻena, me ka manawa no ka nānā ʻana, ka hoʻomākaukau, ke kaʻina hana ponoʻī, a me ka hoʻōla ʻana mai ka sedation. Hiki i ka hapa nui o nā kānaka ke hele i ka home i ka lā hoʻokahi ke ala piha lākou a paʻa.

Q.4 Pehea ka pinepine e loaʻa ai iaʻu kahi colonoscopy?

Inā maʻamau nā hopena o kāu colonoscopy a loaʻa iā ʻoe nā kumu pilikia maʻamau, pono ʻoe i ke kaʻina hana i kēlā me kēia 10 mau makahiki e hoʻomaka ana i ka makahiki 45. Eia naʻe, hiki i kāu kauka ke ʻōlelo aku i ka kānana pinepine ʻana ma muli o kāu mau kumu pilikia.

ʻO nā kānaka me nā kumu pilikia kiʻekiʻe, e like me ka mōʻaukala ʻohana o ka maʻi ʻaʻai colon a i ʻole ka mōʻaukala pilikino o nā polyps, pono paha i ka kānana i kēlā me kēia 3-5 mau makahiki. E hana kāu kauka i kahi papa hana kānana pilikino e pili ana i kāu kūlana a me nā hopena.

Q.5 He aha kaʻu e ʻai ai ma hope o ka colonoscopy?

E hoʻomaka me nā meaʻai māmā a maʻalahi hoʻi e ʻeli ʻia ma hope o kāu colonoscopy no ka mea pono ka ʻōnaehana digestive i ka manawa e ola ai. E hoʻomaka me nā wai maʻemaʻe a holomua mālie i nā meaʻai palupalu ke ʻoluʻolu ʻoe.

ʻO nā koho maikaʻi e komo pū ana me ka broth, crackers, toast, maiʻa, laiki, a me ka yogurt. E hōʻalo i nā meaʻai ʻala, momona, a i ʻole nā meaʻai fiber kiʻekiʻe no nā hola 24 mua. Hiki i ka hapa nui o nā kānaka ke hoʻi i kā lākou ʻai maʻamau i loko o hoʻokahi a ʻelua paha lā, akā e hoʻolohe i kou kino a holomua mālie i kāu ʻai.