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

ʻO ka virtual colonoscopy kahi hoʻokolohua kiʻi non-invasive e hoʻohana ana i nā scans CT e hana i nā kiʻi kikoʻī o kou kolonā a me ka rectum. E noʻonoʻo e like me ka loaʻa ʻana o kahi nānā pono i loko o kou ʻōpū me ka ʻole o ka pono e hoʻokomo i kahi paipu maʻalahi ma kou rectum e like me ka colonoscopy kuʻuna.

Hiki i kēia ʻano hana screening holomua ke ʻike i nā polyps, nā maʻi ʻaʻai, a me nā mea ʻē aʻe i loko o kou ʻōpū nui. Nui ka poʻe i ʻike he ʻoluʻolu ia ma mua o ka colonoscopy maʻamau no ka mea ʻaʻole pono ʻoe i ka sedation a he liʻiliʻi ka manawa hoʻōla.

He aha ka virtual colonoscopy?

ʻO ka virtual colonoscopy, i kapa ʻia ʻo CT colonography, e hoʻohana ana i ka computed tomography scanning e nānā i kou kolonā mai loko mai. Hana ka hana i nā haneli o nā kiʻi cross-sectional e hōʻuluʻulu nā kamepiula i kahi ʻike ʻekolu-dimensional o kou kolonā holoʻokoʻa.

I ka wā o ka scan, hoʻokomo mālie ʻia kahi paipu liʻiliʻi, maʻalahi i loko o kou rectum e hoʻonui i kou kolonā me ka ea a i ʻole carbon dioxide. Kōkua kēia i ka wehe ʻana i nā paia kolonā i hiki i ka scanner ke hopu i nā kiʻi maopopo o nā ulu a i ʻole nā ​​mea ʻē aʻe.

ʻO ka hana kiʻi holoʻokoʻa e lawe ma kahi o 10-15 mau minuke. E moe ʻoe ma luna o kahi papa e neʻe ana ma waena o ka scanner CT, ma kou kua mua, a laila ma kou ʻōpū e kiʻi i nā hiʻohiʻona piha mai nā kihi like ʻole.

No ke aha e hana ʻia ai ka virtual colonoscopy?

He mea hana screening maikaʻi ka virtual colonoscopy no ka maʻi ʻaʻai colorectal, ʻoi aku hoʻi no ka poʻe ʻaʻole hiki ke hele i ka colonoscopy kuʻuna. Manaʻo ʻia no nā mākua e hoʻomaka ana i ka makahiki 45-50, ma muli o kāu mau mea pilikia a me ka mōʻaukala ʻohana.

Hiki i kāu kauka ke ʻōlelo i kēia hoʻokolohua inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū i wehewehe ʻole ʻia, nā loli i nā hana ʻōpū, a i ʻole ke koko i loko o kāu ʻōpū. He mea pono nō hoʻi ia no ka poʻe i loaʻa i nā colonoscopies kuʻuna i hoʻopau ʻole ʻia ma muli o nā pilikia ʻenehana.

Ke koho nei kekahi poʻe maʻi i ka colonoscopy virtual no ka mea makemake lākou e pale i ka hoʻohiamoe ʻana a i ʻole he mau maʻi olakino e hoʻonui ai i ka pilikia o ka colonoscopy kuʻuna. Eia naʻe, he mea nui e hoʻomaopopo inā loaʻa nā polyps, pono paha ʻoe i kahi colonoscopy kuʻuna e wehe iā lākou.

He aha ke kaʻina hana no ka colonoscopy virtual?

Hoʻomaka ka hana colonoscopy virtual me ka hoʻomākaukau ʻana i ka ʻōpū, e like me ka colonoscopy kuʻuna. Pono ʻoe e hahai i ka ʻai wai maʻemaʻe a lawe i nā laxatives i kuhikuhi ʻia e hakahaka loa i kou ʻōpū ma mua o ka hoʻāʻo.

I ka lā o kāu kaʻina hana, e hoʻololi ʻoe i ka ʻaʻahu haukapila a moe ma ka papa CT. E hoʻokomo mālie kahi mea loea i kahi paipu liʻiliʻi, maʻalahi ma kahi o 2 iniha i loko o kou rectum e hāʻawi i ka ea a i ʻole carbon dioxide i loko o kou ʻōpū.

Aia i loko o ke kaʻina hana scanning kēia mau ʻanuʻu:

1. E moe ʻoe ma kou kua i ka wā e neʻe ai ka papa ma waena o ka scanner CT
2. E noi ka mea loea iā ʻoe e paʻa i kou hanu no nā manawa pōkole i ka wā e scanning ai
3. A laila e huli ʻoe i kou ʻōpū no nā kiʻi hou aʻe
4. Lawe ka scanning holoʻokoʻa ma kahi o 10-15 mau minuke
5. Ma hope o ka scanning, wehe ʻia ka paipu a hiki iā ʻoe ke hoʻomau i nā hana maʻamau

ʻO ka hapa nui o nā kānaka e ʻike i ka ʻeha liʻiliʻi mai ka inflation ea, akā hoʻoponopono koke kēia ʻoluʻolu ma hope o ke kaʻina hana. ʻAʻole pono ʻoe i ka hoʻohiamoe ʻana, no laila hiki iā ʻoe ke hoʻokele iā ʻoe iho i ka home a hoʻi i ka hana i ka lā like.

Pehea e hoʻomākaukau ai no kāu colonoscopy virtual?

Pono ka hoʻomākaukau ʻana no ka colonoscopy virtual i ka hoʻomaʻemaʻe ʻana i kou ʻōpū i nā mea ʻōpala a pau, e like me ka colonoscopy kuʻuna. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī, akā hoʻomaka ka hoʻomākaukau ʻana i 1-2 mau lā ma mua o kāu hoʻāʻo.

ʻO ke kaʻina hana hoʻomākaukau ʻana i ka ʻōpū e pili ana i:

• Ma hope o ka ʻai wai maʻemaʻe no 24 hola ma mua o ka hoʻokolohua
• Lawe i nā laxatives i kauoha ʻia a i ʻole nā ​​hoʻonā hoʻomākaukau ʻōpū
• Inu i ka nui o nā wai maʻemaʻe e noho hydrated
• Hōʻalo i nā meaʻai paʻa, nā huahana waiū, a me nā wai kala
• Lawe i nā mea ʻokoʻa i kauoha ʻia e kōkua i ka hōʻike ʻana i nā mea i koe

Hoʻonohonoho kekahi mau kauka i nā mea ʻokoʻa kūikawā āu e inu ai i nā lā ma mua o ka hoʻokolohua. Kōkua kēia mau mea e hoʻokaʻawale ma waena o nā mea i koe a me nā polyps maoli a i ʻole nā ​​mea ʻino i ka wā o ka scan.

Pono ʻoe e hoʻomau i ka lawe ʻana i kāu mau lāʻau lapaʻau maʻamau ke ʻole e ʻōlelo ʻia e kāu kauka. No ka mea ʻaʻole ʻoe e loaʻa i ka sedation, ʻaʻole pono ʻoe e hoʻonohonoho i ka halihali, akā hiki i ka loaʻa ʻana o kekahi e hele pū me ʻoe ke hāʻawi i ke kākoʻo naʻau.

Pehea e heluhelu ai i kāu hopena colonoscopy virtual?

Loaʻa nā hopena colonoscopy virtual i loko o 24-48 mau hola ma hope o kāu kaʻina hana. E nānā pono ke kauka lapaʻau i nā kiʻi a pau a hāʻawi i kahi hōʻike kikoʻī i kāu kauka, a laila e kūkākūkā i nā ʻike me ʻoe.

ʻO ke ʻano maʻamau ʻaʻole i ʻike ʻia nā polyps, nā maʻi ʻaʻai, a i ʻole nā ​​mea ʻino ʻē aʻe i loko o kou kolonā. Hōʻike kēia i ka haʻahaʻa o kou pilikia o ka maʻi maʻi colorectal, a hiki iā ʻoe ke hahai i nā manawa screening maʻamau i ʻōlelo ʻia e kāu kauka.

Hiki i nā hopena maʻamau ke hōʻike:

• Nā polyps liʻiliʻi (ma lalo o 6mm) e hiki ke nānā ʻia me ka screening hou
• Nā polyps waena (6-9mm) e koi ai i ka nānā ʻana
• Nā polyps nui (10mm a ʻoi aku paha) e pono ai ka wehe ʻana ma o ka colonoscopy kuʻuna
• Nā puʻupuʻu kānalua a i ʻole nā ​​ulu e pono ai ka loiloi hou
• Ka mumū a i ʻole nā ​​maʻi ʻē aʻe ʻaʻole maʻi e pili ana i kou kolonā

Inā loaʻa nā mea ʻokoʻa nui, e ʻōlelo kāu kauka i nā hoʻokolohua hou, ʻo ka maʻamau ka colonoscopy kuʻuna me ka hiki ke wehe i nā polyps a i ʻole e lawe i nā laʻana ʻiʻo. ʻAʻole pono kēia e manaʻo he maʻi ʻaʻai kou, akā e hōʻoiaʻiʻo ana e mālama pono ʻia nā mea i loaʻa.

He aha nā pōmaikaʻi o ka colonoscopy virtual?

Hāʻawi ka colonoscopy virtual i nā pōmaikaʻi he nui e hoʻopiʻi ai i nā maʻi he nui. ʻAʻole pono ke kaʻina hana i ka sedation, no laila e pale aku ʻoe i ka grogginess a me ka manawa hoʻōla e pili ana me ka colonoscopy kuʻuna.

ʻO nā pōmaikaʻi nui e komo pū ana:

• ʻAʻole pono ka sedation, e ʻae ana i ka hoʻihoʻi koke ʻana i nā hana maʻamau
• ʻOi aku ka haʻahaʻa o ka pilikia o nā pilikia e like me ke kahe ʻana a i ʻole ka perforation bowel
• ʻOi aku ka ʻoluʻolu no nā maʻi he nui
• Ka hiki ke ʻike i nā mea ʻokoʻa ma waho o ka colon
• Kūpono no nā maʻi ʻaʻole hiki ke hele i ka colonoscopy kuʻuna

Hāʻawi pū ka hana i nā kiʻi o nā ʻōkana a puni kou colon, e ʻike ana i nā pilikia olakino ʻē aʻe e like me nā pōhaku kīkī a i ʻole nā ​​aneurysms ʻōpū. Nui nā maʻi e ʻike i ka ʻike ʻana i ka liʻiliʻi o ka hoʻoweliweli ma mua o ka colonoscopy kuʻuna.

He aha nā palena o ka colonoscopy virtual?

ʻOiai he mea hana screening maikaʻi ka colonoscopy virtual, aia kekahi mau palena āu e hoʻomaopopo ai. ʻAʻole hiki i ka hoʻokolohua ke wehe i nā polyps a i ʻole e lawe i nā laʻana ʻiʻo, no laila pono nā hopena ʻokoʻa i ka colonoscopy kuʻuna.

ʻO nā palena ʻē aʻe e komo pū ana:

• Hiki ke hala i nā polyps liʻiliʻi loa a i ʻole nā ​​ʻeha palahalaha
• ʻAʻole hiki ke wehe i nā polyps i ka wā o ke kaʻina hana
• Pono i ka hoʻomākaukau ʻana i ka ʻōpū e like me ka colonoscopy kuʻuna
• Hōʻike iā ʻoe i kahi liʻiliʻi o ka radiation
• Hiki ke hana i nā hopena maikaʻi wahaheʻe e koi ana i nā hoʻokolohua hou

Hiki i ka hoʻokolohua ke ʻike i nā mea i loaʻa i loko o nā ʻōkana ʻē aʻe, kahi e alakaʻi ai i ka hopohopo a me ka hoʻokolohua hou ʻana inā ʻaʻole lākou he mea nui i ka lāʻau lapaʻau. E kōkua kāu kauka iā ʻoe e loiloi i kēia mau mea e kūʻē i nā pōmaikaʻi.

I ka manawa hea wau e ʻike ai i ke kauka e pili ana i ka colonoscopy virtual?

Pono ʻoe e kūkākūkā i ka colonoscopy virtual me kāu kauka inā pono ʻoe e nānā i ka maʻi maʻi colorectal, e hoʻomaka ana ma ka makahiki 45-50. He mea nui kēia kamaʻilio inā he mau mea pilikia kāu e like me ka mōʻaukala ʻohana o ka maʻi maʻi colorectal a i ʻole ka maʻi ʻāʻī.

E noʻonoʻo e hoʻonohonoho i kahi kūkākūkā inā ʻoe e ʻike nei i nā hōʻailona e like me nā loli mau i nā hana ʻōpū, ka ʻeha o ka ʻōpū i wehewehe ʻole ʻia, a i ʻole ke koko i loko o kāu ʻōpala. Hiki i kāu kauka ke hoʻoholo inā kūpono ka colonoscopy virtual no kou kūlana.

Hiki nō hoʻi iā ʻoe ke kūkākūkā i kēia koho inā ua pale ʻoe i ka colonoscopy kuʻuna ma muli o ka hopohopo a i ʻole nā ​​pilikia olakino. Hiki i ka colonoscopy virtual ke hāʻawi i kahi koho ʻoluʻolu aʻe i ka wā e hāʻawi mau ana i ka nānā pono.

He aha nā pilikia o ka colonoscopy virtual?

He palekana loa ka colonoscopy virtual, me ka liʻiliʻi o nā pilikia ma mua o ka colonoscopy kuʻuna. ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a me ka manawa, me ka ʻeha mai ka ea a me ka hōʻoluʻolu liʻiliʻi i ka wā o ke kaʻina hana.

ʻO nā pilikia kakaʻikahi akā hiki ke komo:

• Ka lua o ka ʻōpū mai ka ea (kakaʻikahi loa, ma lalo o 1 i 10,000 mau hihia)
• ʻO ka hopena maʻi i ka mea hoʻohālikelike (inā hoʻohana ʻia)
• Ka hōʻike ʻana i ka radiation mai ka nānā ʻana i ka CT
• Ka maloʻo mai ka hoʻomākaukau ʻana i ka ʻōpū
• ʻO ke kaulike ʻole o ka electrolyte mai nā lāʻau lapaʻau

He haʻahaʻa ka hōʻike ʻana i ka radiation mai ka colonoscopy virtual, e like me ka radiation background maoli āu e loaʻa ai ma luna o 2-3 mau makahiki. Ua ʻae ka hapa nui o nā loea i ka lanakila ʻana o nā pōmaikaʻi o ka ʻike maʻi maʻi i kēia pilikia radiation liʻiliʻi.

Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ke kuni, a i ʻole nā hōʻailona o ka maloʻo ʻana ma hope o ke kaʻina hana, e kelepona koke i kāu kauka. Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia e pono ai ka mālama olakino wikiwiki.

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

Q1: He mea pono anei ka colonoscopy virtual e like me ka colonoscopy kuʻuna?

He mea pono loa ka colonoscopy virtual i ka ʻike ʻana i nā polyps nui a me nā maʻi ʻaʻai, me nā helu pololei o 85-95% no nā polyps ma mua o 10mm. Eia naʻe, ʻo ka colonoscopy kuʻuna ka maʻamau gula no ka mea hiki iā ia ke ʻike i nā polyps liʻiliʻi a wehe iā lākou i ka wā o ke kaʻina hana like.

No nā kumu screening, hāʻawi ka colonoscopy virtual i ka ʻike maikaʻi loa o nā mea maʻamau koʻikoʻi. Inā aia ʻoe i ka pilikia maʻamau a ke ʻimi nei i ka screening, hiki i ka colonoscopy virtual ke koho maikaʻi loa.

Q2: He ʻeha anei ka colonoscopy virtual?

ʻO ka hapa nui o nā kānaka e ʻike wale i ka ʻoluʻolu iki i ka wā o ka colonoscopy virtual. Hiki i ka hoʻoulu ʻana i ka ea ke hana i ka ʻeha e like me ka ʻeha kinoea, akā ʻo ka maʻamau e mau ana i ka wā o ke kaʻina hana a hoʻoponopono koke ʻia ma hope.

No ka mea ʻaʻole hoʻohana ʻia ka sedation, e ala ana ʻoe a hiki ke kamaʻilio me ka mea loea inā pono ʻoe i nā wā hoʻomaha. Nui nā maʻi e ʻike i ka colonoscopy virtual ʻoi aku ka ʻoluʻolu ma mua o kā lākou i manaʻo ai.

Q3: Hiki i ka colonoscopy virtual ke ʻike i ka maʻi ʻaʻai?

ʻAe, maikaʻi loa ka colonoscopy virtual i ka ʻike ʻana i ka maʻi ʻaʻai colorectal a me nā polyps precancerous nui. Hōʻike nā haʻawina hiki iā ia ke ʻike ma luna o 90% o nā maʻi ʻaʻai a me nā polyps nui e hōʻike ana i ka pilikia nui.

Hiki i ka hoʻāʻo ke nalo i kekahi mau polyps liʻiliʻi loa, akā ʻaʻole lākou e ulu i ka maʻi ʻaʻai i loko o ka manawa screening maʻamau. Inā ʻike ʻia ka maʻi ʻaʻai, pono ʻoe i ka colonoscopy kuʻuna no ka laʻana ʻana o ka ʻiʻo a me ka hoʻolālā lapaʻau.

Q4: Ehia mau manawa e loaʻa ai iaʻu ka colonoscopy virtual?

Manaʻo ʻia ka virtual colonoscopy i kēlā me kēia 5 makahiki no nā kānaka me ka pilikia maʻamau me nā hopena maʻamau. Hiki ke pōkole kēia manawa inā he mau mea pilikia kou e like me ka moʻolelo ʻohana o ka maʻi ʻaʻai colorectal a i ʻole nā polyps ma mua.

Na kāu kauka e hoʻoholo i ka papa hana screening kūpono e pili ana i kāu mau mea pilikia pilikino a me nā hopena hoʻokolohua ma mua. Pono paha kekahi poʻe me ka pilikia kiʻekiʻe i ka screening pinepine a i ʻole ka colonoscopy kuʻuna.

Q5: E uhi anei ka ʻinikua i ka virtual colonoscopy?

Uhi ka hapa nui o nā hoʻolālā ʻinikua, me Medicare, i ka virtual colonoscopy ma ke ʻano he hoʻokolohua screening no ka maʻi ʻaʻai colorectal. Eia naʻe, hiki ke ʻokoʻa nā kulekele uhi, no laila he mea nui e nānā me kāu mea hoʻolako ʻinikua ma mua o ka hoʻonohonoho ʻana.

Pono paha kekahi mau hoʻolālā i ka ʻae mua a i ʻole nā koi makahiki kikoʻī. Hiki i ke keʻena o kāu kauka ke kōkua maʻamau i ka hōʻoia ʻana i ka uhi a mālama i nā kaʻina hana i ʻae mua ʻia.