Kolonoskopi

ʻO ka colonoscopy (koe-lun-OS-kuh-pee) he hōʻike ia e hoʻohana ʻia ana e ʻimi i nā loli—e like me nā pūnaewele pehu, nā pūnaewele huhū, nā polyps a i ʻole ka maʻi kanesa paha—ma ka ʻōpū nui (colon) a me ka rectum. I ka wā o ka colonoscopy, hoʻokomo ʻia kahi paipu lōʻihi, palupalu (colonoscope) i loko o ka rectum. Hāʻawi kahi kāmela wikiō liʻiliʻi ma ka piko o ka paipu i ke kauka e nānā i loko o ka colon āpau.

Hiki i kāu kauka ke'ōlelo aku i kahi colonoscopy no ka: Nānāʻana i nā hōʻailona a me nā hōʻailona o ka'ōpū. Hiki i kahi colonoscopy ke kōkua i kāu kauka eʻimi i nā kumu hiki ke loaʻa o ka'eha'ōpū, ka'ōhe'ōhe'ōpū, ka maʻi'ōpū lōʻihi a me nā pilikia'ē aʻe o ka'ōpū. Nānā no ka maʻi kanesa o ka colon. Inā he 45 mau makahiki aʻoi aku kou mau makahiki a me ka pilikia maʻamau o ka maʻi kanesa o ka colon—ʻaʻohe ou mau mea pilikia o ka maʻi kanesa o ka colon ma waho o kou mau makahiki—hiki i kāu kauka ke'ōlelo aku i kahi colonoscopy i kēlā me kēia mau makahiki 10. Inā loaʻa iāʻoe nā mea pilikia'ē aʻe, hiki i kāu kauka ke'ōlelo aku i kahi nānā ma mua. ʻO ka colonoscopy kekahi o nā koho no ka nānāʻana i ka maʻi kanesa o ka colon. E kamaʻilio me kāu kauka e pili ana i nā koho kūpono loa noʻoe. Eʻimi i nā polyps hou aʻe. Inā loaʻa iāʻoe nā polyps ma mua, hiki i kāu kauka ke'ōlelo aku i kahi colonoscopy hahai eʻimi a wehe i nā polyps hou aʻe. Hanaʻia kēia e ho'ēmi i kou pilikia o ka maʻi kanesa o ka colon. Lapaʻau i kahi pilikia. I kekahi manawa, hiki ke hanaʻia kahi colonoscopy no nā kumu lapaʻau, e like me ke kauʻana i kahi stent a wehe paha i kahi mea i loko o kou colon.

ʻAʻole nui nā pilikia o ka colonoscopy. I nā manawa maʻamau, ʻo nā pilikia o ka colonoscopy paha: Ka pane ʻino i ka lāʻau hoʻomaha i hoʻohana ʻia i ka wā o ka hoʻokolokolo Ke kahe koko mai kahi i lawe ʻia ai kahi ʻāpana o nā pūnaewele (biopsy) a i ʻole kahi polyp a i ʻole nā ​​pūnaewele ʻē aʻe i wehe ʻia Ka haehae ʻana i ka paia o ka colon a i ʻole ka rectum (perforation) Ma hope o ke kūkākūkā ʻana i nā pilikia o ka colonoscopy me ʻoe, e noi aku kāu kauka iā ʻoe e kau inoa i kahi palapala ʻae e hāʻawi i ka ʻae no ke kaʻina hana.

Ma mua o ka colonoscopy, pono ʻoe e hoʻomaʻemaʻe (hoʻokomo) i kou kolona. Hiki i kekahi koena i loko o kou kolona ke paʻakikī i ka loaʻa ʻana o kahi hiʻohiʻona maikaʻi o kou kolona a me kou rectum i ka wā o ka hoʻokolokolo. No ka hoʻokomo ʻana i kou kolona, hiki i kāu kauka ke noi aku iā ʻoe e: Hahai i kahi ʻai kūikawā i ka lā ma mua o ka hoʻokolokolo. Ma ke ʻano maʻamau, ʻaʻole hiki iā ʻoe ke ʻai i ka meaʻai paʻa i ka lā ma mua o ka hoʻokolokolo. Hiki ke kaupalena ʻia nā mea inu i nā wai maopopo - wai maʻemaʻe, kī a me ke kofe me ka waiū a me ka kirimi ʻole, ka waiʻai, a me nā mea inu kalapona. E pale i nā wai ʻulaʻula, hiki ke kuhi he koko i ka wā o ka colonoscopy. ʻAʻole paha hiki iā ʻoe ke ʻai a inu i kekahi mea ma hope o ka hapalua pō i ka pō ma mua o ka hoʻokolokolo. E lawe i ka laxative. E kuhikuhi pinepine kāu kauka i ka lawe ʻana i kahi laxative kuhikuhi, ma ka nui ma ka nui i loko o ka pīlī a i ʻole ke ʻano wai. I ka hapanui o nā hihia, e kuhikuhi ʻia ʻoe e lawe i ka laxative i ka pō ma mua o kou colonoscopy, a i ʻole paha e noi ʻia ʻoe e hoʻohana i ka laxative i ka pō ma mua a me ke kakahiaka o ke kaʻina hana. E hoʻoponopono i kāu mau lāʻau lapaʻau. E hoʻomaopopo i kāu kauka i kāu mau lāʻau lapaʻau ma ka liʻiliʻi he pule ma mua o ka hoʻokolokolo - ʻoi aku inā loaʻa iā ʻoe ka maʻi diabetes, ke koko kiʻekiʻe a i ʻole nā ​​pilikia naʻau a i ʻole inā lawe ʻoe i nā lāʻau lapaʻau a i ʻole nā ​​mea hoʻohui e loaʻa ana i ka hao. E haʻi pū i kāu kauka inā lawe ʻoe i ka aspirin a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe e hoʻonui i ke koko, e like me ka warfarin (Coumadin, Jantoven); nā anticoagulants hou, e like me ka dabigatran (Pradaxa) a i ʻole rivaroxaban (Xarelto), i hoʻohana ʻia e hoʻemi i ka pilikia o nā clots blot a i ʻole ka hahau; a i ʻole nā ​​lāʻau naʻau e hoʻopilikia i nā platelets, e like me ka clopidogrel (Plavix). Pono paha ʻoe e hoʻoponopono i kāu mau dosages a i ʻole e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau no kekahi manawa.