ʻO ka hoʻomaʻamaʻa ʻana o ke kanesa hae

E pili ana i ka mālama ʻana i ka maʻi ʻaʻai kolona

ʻO ka mālama ʻana i ka maʻi ʻaʻai maʻi kolona / bowel, i kapa ʻia ai hoʻi ma ke ʻano he maʻi maʻi ʻaʻai kala, ʻokoʻa ma muli o ka wahi a me ke kahua o ka maʻi ʻaʻai. Kū ka maʻi ʻaʻaʻa ke loaʻa kahi mea maʻamau ʻole i ka ulu ʻana o ka cell, kahi e hoʻokaʻawale a hoʻonui koke ai i nā keakea ke make ke keʻena e hakahaka i nā hunaola hou. Hiki i ka maʻi ʻaʻai kolona / ʻōpū ke hiki i ke kīhā, ka ʻōpū liʻiliʻi a i ʻole ka ʻōpū nui, akā naʻe, ʻike pinepine ʻia i loko o ka ʻōpū nui. ʻO kēia ʻano maʻi ʻaʻai e hana pinepine ʻia i nā mea maʻi ma mua o 50 mau makahiki, akā naʻe, hiki ke hana ʻia i nā mea ʻōpio ʻōpio.

Paipai ʻia nā mea maʻi ma luna o 50 mau makahiki e hana i nā kānana maʻamau no ka maʻi ʻaʻai kala, e pili ana i ka hana ʻana i kahi kolonekia e nānā no nā polyp a i ʻole nā ​​mea kūpono ʻole i loko o ka ʻōpū. ʻO nā polyps nā ulu ulu ʻole o nā nāʻaʻa, ʻaʻole paha e lilo i mea hōʻino. Lawe pinepine ʻia lākou i ka nānā ʻana i nā hana maʻamau inā loaʻa. ʻO nā maʻi i loaʻa i nā polyps pono e nānā maʻamau. ʻO nā mea maʻi me ka maʻi ʻaʻai kolona / ʻōpū e ʻike i nā loli i ka neʻe ʻana o ka ʻōpū, ka paʻa paʻa ʻana, ke koko i ka pahu, ka luhi, anemia, a me ka ʻeha o ka ʻōpū. Eia naʻe, ʻaʻole ʻike nā mea maʻi āpau i nā ʻōuli.

E hana i kahi kuhi, hana paha ke kauka i sigmoidoscopy ai ole ia, he colonoscopy. ʻO kahi sigmoidoscopy kahi hana e pili ana i ka hoʻokomo ʻana i kahi sigmoidoscope i loko o ka pākeke e ʻike ai i ka huina a me ka ʻāpana o ka ʻōpū nui. ʻO ke koloneoscopy like ia me ka sigmoidoscopy, akā naʻe, ʻae ʻia e nānā i ka ʻōpū nui āpau. ʻO ka maʻi ʻaʻai kolona / bowel ka mea i ʻoi aku ka hopena ma nā mea maʻi i loaʻa ka moʻolelo ʻohana o kēia maʻi ʻaʻai a me nā mea maʻi i loaʻa i ka maʻi ulcerative colitis a i ʻole ka maʻi o Crohn. I ka manawa i loaʻa ai ka maʻi ʻaʻai kolona / ʻōpū, e hoʻokaʻawale ke kauka i ka pae a me ka papa o ka maʻi ʻaʻai, nāna e kōkua e hoʻoholo i ka lapaʻau maikaʻi loa no ka mea maʻi. Hoʻopili nā mālama i ke kīʻaha, chemotherapy, radiotherapy, a me ka lāʻau hoʻomohala lāʻau pahuhopu. .

ʻO ke ʻoki kino ke ʻano maʻamau o ka mālama ʻana a hana pinepine ʻia me ka chemotherapy a me / a i ʻole radiotherapy. Aia kekahi ʻano o ke ʻoki i komo pū me kahi kolone (inā ʻo ka maʻi ʻaʻai i ka wā mua, hiki ke hemo ʻia nā polyps i ka wā o kahi kolona), ʻoki kino laparoscopic e hemo ai nā polyps i hiki ʻole ke hemo i ka wā o ka kolona, ​​colectomy, a me ka colostomy. ʻO kahi colectomy kahi hana ʻoki e wehe i nā mea āpau a ʻāpana paha o ka ʻōpū nui. ʻO kahi colostomy kahi hana ʻoki e hana ai e hoʻohui i hoʻokahi wēlau o ka ʻōpū nui i kahi stoma i loko o ka ʻōpū, kahi puka i hana ʻia i loko o ka ʻōpū e kāpae i nā ʻōpala i hōʻiliʻili ʻia i loko o kahi ʻeke ma waho o ke kino.

A kolostomy hana ʻia paha ma ke ʻano he hoʻololi kūlohelohe i ke kino, a i ʻole kekahi mau mea maʻi e pono e mālama mau i kahi ʻeke colostomy. ʻO Chemotherapy ka hoʻohana ʻana i nā lāʻau a i ʻole nā ​​lāʻau i loaʻa i nā mea ʻino e mālama i ka maʻi ʻaʻai. ʻO Radiotherapy kahi mālama radiation radiation ikaika i hoʻohana ʻia e mālama i ka maʻi ʻaʻai e pili ana i ke kuhikuhi ʻana i nā kaola radiation i ka wahi i makemake ʻia e luku i nā hunaola. Hoʻopaʻa ʻia ka lāʻau lapaʻau lāʻau i kau ʻia i ke kuhikuhi ʻana i nā lāʻau i hoʻolālā ʻia e māka i nā kīnā kikoʻī i loko o nā hunaola maʻi ʻaʻai e hoʻoulu a hoʻonui iā lākou, a hoʻohana pinepine ʻia kēia lapaʻau me ka chemotherapy.

ʻO ka lōʻihi o ka manawa i koi ʻia no ka mālama ʻana he loli a hilinaʻi ʻia i ka pae a me ka papa o ka maʻi ʻaʻai a me ke ʻano o ka lāʻau i koho ʻia. Paipai ʻia no ka maʻi ʻaʻai Kolona / ʻōpū maʻi ʻaʻai Rectal Manaʻo Manaʻo Manawa o nā lā i ka haukapila 3 - 10 mau lā. Inā hana ʻoki kino. Eia nō naʻe, ʻokoʻa ka manawa i hoʻolilo ʻia i ka haukapila e pili ana i ka ʻano o ka lāʻau. Hoʻohui pinepine ʻia nā mālama ʻana no ka mālama ʻana i ka maʻi ʻaʻai kolona / ʻōpū. 

Ma mua o ke kaʻina hana / lapaʻau

E hui pū nā mea maʻi me ke kauka e kūkākūkā i nā ʻano hana o ka mālama ʻana a e kūkākūkā ai i ka papa lāʻau lapaʻau i ʻōlelo ʻia Pono nā mea maʻi e hoʻomākaukau i nā nīnau a lākou e loaʻa ai a hāpai i kekahi hopohopo ma mua o ka hoʻomaka ʻana o ka lāʻau. Inā hoʻokō ʻia kahi kolonoki, pono nā mea maʻi e hoʻopau i kahi "kolona prep" e hōʻoia ana i ka hakahaka o ko lākou ʻōpū ma mua o ke kaʻina hana. ʻOiai ʻokoʻa nā ʻano o ka hoʻomaʻemaʻe i ka ʻōpū, e noi ʻia ka hapa nui o nā mea maʻi e lawe i kahi papaʻai wai āpau i 1 a 2 mau lā ma mua o ke kaʻina hana a hōʻalo i nā mea ʻulaʻula a poni a inu paha i nā lā ma mua o ke kaʻina hana.

Kauoha pinepine ʻia ka mea hoʻomanawanui i kahi hopena laxative e lawe i ka lā ma mua o ke kaʻina hana, i mea e hoʻomaʻemaʻe piha i ka ʻōpū. ʻO ka nui o ka hopena e lawe ʻia, ʻokoʻa me kēlā me kēia mea hoʻomanawanui a hui pinepine ʻia me 3 a 4 liters o ka wai e lawe ʻia i loko o kekahi mau hola, e like me ka nui e pono ai. Ma hope o ka hoʻomākaukau kolona, ​​e ʻōlelo ʻia nā mea maʻi e hōʻalo i nā meaʻai paʻa a hoʻōki i ka inu ma mua o ka anesthetic maʻamau.,

Pehea ia hana?

Inā hele i kahi ʻoki, lawelawe ʻia ka mea maʻi me kahi anesthetic ākea ma mua o ka hoʻomaka ʻana o ke kaha. Inā mālama ka mea maʻi i kahi kolona, ​​a laila lawelawe ʻia lākou me ka sedation māmā. Hoʻopili kahi kolonoscopy i ka hoʻokomo ʻana i kahi endoscope i mākaukau me ka pahu paʻi kiʻi i loko o ka rectum ma o ka ʻōpū nui. Hoʻololi ʻia ke kāmela ma o ka ʻōpū nui a e nānā ke kauka i nā kiʻi ma ka pakuhi ke hele ʻia. Hoʻopili nā mea liʻiliʻi i ka endoscope a hoʻohana ʻia e hemo i nā polyps.

Wehe ʻia hoʻokahi, a laila e hemo ke kauka i ka endoscope. Hoʻopili kahi colectomy i ka hoʻoneʻe ʻana i kahi ʻāpana a i ʻole nā ​​ʻōpū āpau, akā pono e hemo ka ʻōpū holoʻokoʻa, a kapa ʻia ke kaʻina hana ma ke ʻano he proctocolectomy. Hiki ke hana ʻia kahi colectomy ma ke ʻano he ʻoki ākea a i ʻole laparoscopically. ʻO kahi colectomy ākea e pili ana i ka hana ʻana i kahi lōʻihi lōʻihi i loko o ka ʻōpū e kiʻi i ke kolona. Hoʻohana ke kauka i nā mea hana e hoʻokuʻu ai i ke kolona mai nā aʻa e puni ana, a laila ʻokiʻoki i kahi ʻāpana o ke kolona i maʻi ʻaʻai, a i ʻole ke kolone holoʻokoʻa. ʻO ka laparoscopic colectomy e pili ana i ka hana ʻana i nā liʻiliʻi liʻiliʻi i loko o ka ʻōpū. Ke hoʻohana nei i kahi pahu paʻi kiʻi liʻiliʻi i wili ʻia i hoʻokahi incision a me ka hoʻohana ʻana i nā pono hana ma o nā ʻokiʻoki ʻē aʻe, hāpai ʻia ke kolona.

ʻAe kēia i ke kaukipō e hana ma ka kolona ma waho o ke kino me ka hana ʻole i nā ʻoki nui. I ka manawa i wehe ʻia ai ka maʻi ʻaʻai, hoʻokomo hou ke kauka i ke kolona ma o ka ʻokiʻoki. A laila hoʻohui hou ke kauka i ke kolona i ka ʻōnaehana digestive i mea e hoʻihoʻi ai i ka hana o ka hemo ʻana i ka ʻōpala. Inā ua hoʻoneʻe ʻia ke kolona holoʻokoʻa, e hoʻopili ka kaukipō ma waena o ke anus a me ka ʻōpū liʻiliʻi, ma ka hoʻohana ʻana i kahi ʻāpana liʻiliʻi o ka ʻōpū liʻiliʻi e hana i ka pilina. ʻAe kēia i ka hoʻoneʻe maʻamau o ka ʻōpala. Hana ʻia kahi colostomy e hoʻohuli i ka ʻōpū nui i ka paia o ka ʻōpū, kahi i hana ʻia ai kahi stoma a pili i kahi ʻeke, i hiki ai ke hemo. Hana ʻia paha inā ua hemo kahi hapa o ka ʻōpū nui a ʻaʻole hiki ke hoʻohui hou.

Inā hoʻokō ʻia ke kaʻina hana akā e hoʻohuli ʻia, a laila hana ʻia kahi kolostomy loop, akā, inā he paʻa mau ia, a laila hana ʻia kahi colostomy hopena. Hoʻopili kahi kolostomy loop i ka lawe ʻana i ka lou o ke kolona a huki iā ia i loko o kahi puka o ka ʻōpū a hoʻopili iā ia i ka ʻili, kahi hopena hopena e pili ana i ka lawe ʻana i hoʻokahi wēlau o ke kolona a huki iā ia ma kahi puka o ka ʻōpū a hoʻopili iā ia ka ʻili. Hiki ke hana i kēia mau hana ʻokiʻoki ma ke ʻano he ʻoki hāmama a laparoscopic paha. Hana ʻia ʻo Chemotherapy e ka lawelawe ʻana i nā ʻeli i loko o ka maʻi (IV), intra-arterally (IA), a i ʻole ma o nā inikia intraperitoneal (IP) e luku ai i nā hunaola maʻi ʻaʻai. Hana ʻia ka lapaʻau ma kahi o nā pule. Hana ʻia ka Radiotherapy e ke kuhikuhi ʻana i nā kaola pāhawewe ma kahi i māka ʻia, a e like me ka chemotherapy, pono ka hoʻomaʻamaʻa i nā kau he nui i hana ʻia i loko o nā pule hebedoma.

Hana ʻia ka lāʻau hoʻomalu māka ʻia e ka lawelawe ʻana i nā lāʻau i nā mea maʻi e hoʻokau i kekahi mau ʻāpana o nā hunaola maʻi ʻaʻai. E hana maʻamau ka lapaʻau ʻana me ka chemotherapy. Hoʻohana pinepine ʻia nā mālama ʻana me ka hui pū kekahi me kekahi, ʻoiaʻiʻo inā holomua ka maʻi ʻaʻai e hana ʻia kahi ʻoki. Hoʻohana pinepine ʻia ʻo Chemotherapy ma mua o ke kaha ʻana e hōʻemi ai i ka tumo a ma hope paha o ke kaha ʻana e luku ai i kekahi maʻi ʻaʻai i hiki ʻole ke hemo i ka wā o ke ʻoki. Anesthesia General anesthetic.

Ka lōʻihi o ke kaʻina hana ʻO ka lōʻihi o ka mālama ʻana e pili ana i ke ʻano o ke ʻoki a hana ʻana paha. Hana pinepine ʻia ka ʻoki ʻana ma luna o ka maʻi ʻaʻai kolona / ʻōpū kiʻekiʻe me ka chemotherapy a i ʻole radiotherapy.,

loaa

Mālama i ke kaʻina hana ma hope o ka ʻoki ʻana, e hānai mua ʻia nā mea maʻi i ka papaʻai wai ma mua o ka neʻe ʻana i nā wai i hoʻoneʻe ʻia ma lalo o ka nānā ʻana o ka haukapila. ʻO ka hoʻi i ka papaʻai maʻamau e hoʻolōʻihi i kahi manawa a pono e hoʻāʻo ʻia ma lalo o ka ʻōlelo aʻoaʻo a ke kauka.

Ma hope o ka mālama ʻana, pono i nā mea maʻi ke nānā maʻamau i ka maʻi ʻaʻai, e hana maʻamau ana i nā koloneka a me nā CT scans, i mea e hoʻi ʻole ai ka maʻi ʻaʻai.

Hiki ke hōʻoluʻolu ʻia ka nāwaliwali a me ka lethargy ma kahi o ʻelua mau pule ma hope o ke ʻoki ʻana.,

ʻO nā haukapila 10 kiʻekiʻe loa no ka mālama ʻana i ka maʻi ʻaʻai kolona

Eia aʻe nā haukapila maikaʻi loa he 10 no ka mālama ʻana i ka maʻi ʻaʻai kolona ma ka honua.

ʻO nā kauka maikaʻi loa no ka mālama ʻana i ka maʻi ʻaʻai kolona

Eia aʻe nā kauka maikaʻi loa no ka mālama ʻana i ka maʻi ʻaʻai kolona ma ka honua.

Pinepine ninau ninaninau 'ana i

Pehea e hiki ai iā Mozocare ke kōkua iā ʻoe