Kāohi ʻana i ka maʻi maʻi ʻaʻai

ʻIke Nui e pili ana i ka maʻi maʻi ʻaʻai

ʻO ka maʻi ʻaʻai ʻokoʻa he maʻi ia e hoʻokumu ʻia ai nā sela ʻino (cancer) i loko o nā ʻiʻo o ke kolonā a i ʻole ka rectum.
ʻO ke kolonā kekahi ʻāpana o ka ʻōnaehana digestive o ke kino.Na ka ʻōnaehana hoʻoheheʻe e hoʻoneʻe a hana i nā meaʻai (huaʻai, minerala, carbohydrates, momona, protein, a me ka wai) mai nā meaʻai a kōkua i ka lawe ʻana i nā mea ʻōpala mai ke kino.Hoʻokumu ʻia ka ʻōnaehana digestive me ka waha, ka puʻu, ka esophagus, ka ʻōpū, a me ka ʻōpū liʻiliʻi a nui.ʻO ke kolonā (ka ʻōpū nui) ka ʻāpana mua o ka ʻōpū nui a he 5 kapuaʻi ka lōʻihi.ʻO ka hui ʻana, ʻo ka rectum a me ka anal canal ka hapa hope o ka ʻōpū nui a he 6 a 8 ʻīniha ka lōʻihi.Hoʻopau ka canal anal ma ka anus (ka wehe ʻana o ka ʻōpū nui i waho o ke kino).

Kāohi ʻana i ka maʻi maʻi ʻaʻai

ʻO ka pale ʻana i nā mea pilikia a me ka hoʻonui ʻana i nā mea pale e kōkua i ka pale ʻana i ka maʻi kanesa.
ʻO ka pale ʻana i nā mea pili i ka maʻi kanesa hiki ke kōkua i ka pale ʻana i kekahi mau maʻi kanesa.ʻO nā kumu pilikia e pili ana i ka puhi paka, ke kaumaha, a ʻaʻole lawa ka hoʻoikaika kino.ʻO ka hoʻonui ʻana i nā mea pale e like me ka haʻalele ʻana i ka puhi paka a me ka hoʻoikaika kino hiki ke kōkua i ka pale ʻana i kekahi mau maʻi kanesa.E kamaʻilio me kāu kauka a i ʻole kekahi mea mālama ola kino e pili ana i ke ʻano o ka hoʻohaʻahaʻa ʻana i kou pilikia o ka maʻi kanesa.

ʻO kēia mau mea pilikia e hoʻonui i ka pilikia o ka maʻi maʻi colorectal:

1. Makahiki

Piʻi ka pilikia o ka maʻi ʻaʻai kala ma hope o ke 50 o ka makahiki.

2. Mo'olelo 'ohana no ka ma'i 'a'ai kala
ʻO ka loaʻa ʻana o ka makua, kaikunāne, kaikuahine, a i ʻole ke keiki me ka maʻi ʻaʻai ʻulaʻula e pāpālua ka pilikia o ke kanaka i ka maʻi maʻi ʻaʻai.

3. Moʻolelo pilikino
ʻO ka loaʻa ʻana o kahi moʻolelo pilikino o kēia mau kūlana e hoʻonui ai i ka pilikia o ka maʻi maʻi colorectal:

• ʻO ka maʻi ʻaʻai mua.
• ʻO nā adenomas kiʻekiʻe (nā polyps colorectal he 1 kenimika a ʻoi aku paha ka nui a i ʻole he mau sela i ʻike ʻole ʻia ma lalo o kahi microscope).
• Ka ma'i 'ovarian.
• ʻO ka maʻi ʻeha o ka ʻōpū (e like me ka ulcerative colitis a i ʻole ka maʻi Crohn).

4. Pilikia hoʻoilina

Hoʻonui ʻia ka pilikia o ka maʻi maʻi kala ʻulaʻula ke hoʻololi ʻia kekahi mau gene i pili i ka familial adenomatous polyposis (FAP) a i ʻole hereditary nonpolyposis colon cancer (HNPCC a i ʻole Lynch Syndrome) i hoʻoilina.

5. Waiona

ʻO ka inu ʻana i 3 a ʻoi aʻe nā mea inu ʻona i kēlā me kēia lā e hoʻonui i ka pilikia o ka maʻi maʻi colorectal.Hoʻopili pū ʻia ka inu ʻana i ka waiʻona i ka loaʻa ʻana o nā adenomas colorectal nui (benign tumors).

6. Puhi paka
Hoʻopili ʻia ka puhi paka i ka piʻi nui ʻana o ka maʻi maʻi ʻaʻai a me ka make mai ka maʻi ʻaʻai kala.
Hoʻopili pū ʻia ka puhi paka i kahi piʻi nui o ka hana ʻana i nā adenomas colorectal.ʻO ka poʻe puhi paka i ʻoki ʻia no ka wehe ʻana i nā adenomas colorectal, ʻoi aku ka nui o ka pilikia no ka hoʻi hou ʻana o nā adenomas (hoʻi mai).

7. Lahui
Ua piʻi aʻe ka pilikia o ka poʻe ʻAmelika ʻAmelika i ka maʻi maʻi colorectal a me ka make mai ka maʻi maʻi colorectal i hoʻohālikelike ʻia me nā lāhui ʻē aʻe.

8. Obesity
Hoʻopili ʻia ka momona me ka piʻi nui ʻana o ka maʻi ʻaʻai kala a me ka make mai ka maʻi ʻaʻai kala.

ʻO kēia mau mea palekana e hoʻemi i ka pilikia o ka maʻi maʻi colorectal:

1. Ka hana kino

Hoʻopili ʻia kahi nohona e komo pū ana me ka hoʻoikaika kino maʻamau i ka emi ʻana o ka pilikia o ka maʻi kanesa colorectal.

2. Aspirin
Ua hōʻike ʻia nā haʻawina ʻo ka lawe ʻana i ka aspirin e hoʻohaʻahaʻa i ka pilikia o ka maʻi maʻi colorectal a me ka pilikia o ka make mai ka maʻi maʻi colorectal.Hoʻomaka ka emi ʻana o ka pilikia ma 10 a 20 mau makahiki ma hope o ka hoʻomaka ʻana o nā maʻi e lawe i ka aspirin.
ʻO nā pōʻino o ka hoʻohana ʻana i ka aspirin (100 mg a i ʻole ka liʻiliʻi) i kēlā me kēia lā a i kēlā me kēia lā ʻē aʻe e pili ana i ka piʻi ʻana o ka maʻi hahau a me ke kahe koko i loko o ka ʻōpū a me ka ʻōpū.ʻOi aku paha kēia mau pilikia ma waena o ka poʻe ʻelemakule, nā kāne, a me ka poʻe me nā kūlana pili i kahi kiʻekiʻe ma mua o ka maʻamau o ke koko.

3. ʻO ka lāʻau hoʻoneʻe homoni hui
Ua hōʻike ʻia nā haʻawina ʻo ka hui ʻana o ka hormone replacement therapy (HRT) e komo pū ana me ka estrogen a me ka progestin e hoʻohaʻahaʻa i ka hopena o ka maʻi maʻi colorectal invasive i nā wahine postmenopausal.
Eia nō naʻe, i loko o nā wahine e lawe pū ana i ka HRT a hoʻomohala i ka maʻi maʻi colorectal, ʻoi aku ka nui o ka maʻi maʻi i ka wā e ʻike ʻia ai a ʻaʻole i emi ka pilikia o ka make ʻana i ka maʻi kanesa colorectal.
ʻO nā pōʻino kūpono o ka hui ʻana o ka HRT me ka piʻi nui ʻana o ka loaʻa ʻana o:

• Ka maʻi maʻi umauma.
• ʻO ka maʻi puʻuwai.
• Koko koko.

4. Ka wehe 'ana i ka polyp
ʻO ka hapa nui o nā polyps colorectal he adenomas, hiki ke ulu i ke kanesa.ʻO ka wehe ʻana i nā polyps colorectal ʻoi aku ka nui ma mua o 1 kenimika (ka nui-pea) hiki ke hoʻohaʻahaʻa i ka pilikia o ka maʻi ʻaʻai kala.ʻAʻole ʻike ʻia inā ʻo ka wehe ʻana i nā polyps liʻiliʻi e hoʻohaʻahaʻa i ka pilikia o ka maʻi maʻi colorectal.
ʻO nā pōʻino o ka wehe ʻana i ka polyp i ka wā colonoscopy a i ʻole sigmoidoscopy e komo pū me ka waimaka ma ka paia o ke kolonā a me ke koko.

ʻAʻole maopopo inā pili kēia i ka hopena o ka maʻi maʻi colorectal:

1. Nonsteroidal anti-inflammatory drugs (NSAIDs) ma waho aʻe o ka aspirin
ʻAʻole ʻike ʻia inā ʻo ka hoʻohana ʻana i nā lāʻau anti-inflammatory nonsteroidal a i ʻole NSAID (e like me sulindac, celecoxib, naproxen, a me ibuprofen) e hoʻohaʻahaʻa i ka hopena o ka maʻi maʻi colorectal.
Ua hōʻike ʻia nā haʻawina ʻo ka lawe ʻana i ka lāʻau anti-inflammatory nonsteroidal celecoxib e hōʻemi i ka pilikia o ka colorectal adenomas (benign tumors) e hoʻi mai ma hope o ka lawe ʻia ʻana.ʻAʻole maopopo inā hopena kēia i ka hopena haʻahaʻa o ka maʻi maʻi colorectal.
ʻO ka lawe ʻana i ka sulindac a i ʻole celecoxib ua hōʻike ʻia e hōʻemi i ka helu a me ka nui o nā polyps i hana ʻia i loko o ke kolonā a me ka rectum o nā poʻe me familial adenomatous polyposis (FAP).ʻAʻole maopopo inā hopena kēia i ka hopena haʻahaʻa o ka maʻi maʻi colorectal.
ʻO nā pōʻino hiki ke loaʻa i nā NSAID:

• Nā pilikia kīpē.
• Ke koko i loko o ka ʻōpū, ʻōpū, a i ʻole ka lolo.
• ʻO nā pilikia o ka naʻau e like me ka puʻuwai puʻuwai a me ka puʻuwai congestive.

2. Kalsium
ʻAʻole ʻike ʻia inā ʻo ka lawe ʻana i nā mea hoʻohui calcium e hoʻohaʻahaʻa i ka pilikia o ka maʻi maʻi colorectal.

3. ʻAi ʻai
ʻAʻole ʻike ʻia inā ʻo ka ʻai haʻahaʻa i ka momona a me ka ʻiʻo a me ke kiʻekiʻe o ka fiber, nā huaʻai, a me nā mea kanu e hoʻohaʻahaʻa i ka pilikia o ka maʻi maʻi colorectal.
Ua hōʻike ʻia kekahi mau haʻawina ʻo ka meaʻai kiʻekiʻe i ka momona, nā protein, nā calorie, a me ka ʻiʻo e hoʻonui i ka pilikia o ka maʻi maʻi colorectal, akā ʻaʻole i loaʻa i nā haʻawina ʻē aʻe.

ʻAʻole pili kēia mau mea i ka hopena o ka maʻi maʻi colorectal:

1. Hormone replacement therapy me ka estrogen wale nō
ʻAʻole hoʻohaʻahaʻa ka lāʻau hoʻololi ʻana i ka hormone me ka estrogen wale nō i ka loaʻa ʻana o ka maʻi maʻi ʻaʻai invasive a i ʻole ka make ʻana i ka maʻi maʻi colorectal.

2. Nā Statins
Ua hōʻike nā haʻawina i ka lawe ʻana i nā statins (nā lāʻau e hoʻohaʻahaʻa i ka cholesterol) ʻaʻole e hoʻonui a hoʻemi paha i ka hopena o ka maʻi maʻi colorectal.

Hoʻohana ʻia nā hoʻokolohua lapaʻau pale maʻi e aʻo i nā ala e pale ai i ka maʻi kanesa.
Hoʻohana ʻia nā hoʻokolohua lapaʻau pale ʻana i ka maʻi maʻi e aʻo i nā ala e hoʻohaʻahaʻa i ka pilikia o ka hoʻomohala ʻana i kekahi ʻano maʻi kanesa.Hana ʻia kekahi mau hoʻāʻo pale ʻana i ka maʻi kanesa me nā poʻe olakino i loaʻa ʻole i ka maʻi kanesa akā ua piʻi aʻe ka pilikia o ka maʻi kanesa.Hana ʻia nā hoʻokolohua pale ʻē aʻe me ka poʻe i loaʻa i ka maʻi kanesa a ke hoʻāʻo nei e pale i kahi maʻi maʻi ʻē aʻe o ia ʻano like a i ʻole e hoʻohaʻahaʻa i ko lākou manawa e ulu ai i kahi ʻano maʻi kanesa hou.Hana ʻia nā hoʻāʻo ʻē aʻe me nā mea manawaleʻa olakino ʻaʻole i ʻike ʻia he mau kumu pilikia no ka maʻi kanesa.
ʻO ke kumu o kekahi mau hoʻokolohua lapaʻau pale ʻana i ka maʻi kanesa e ʻike inā hiki i nā hana ke pale aku i ka maʻi kanesa.Hiki i kēia mau mea ke komo i ka hoʻoikaika kino a i ʻole ka haʻalele ʻana i ka puhi paka a i ʻole ka lawe ʻana i kekahi mau lāʻau lapaʻau, nā huaora, nā minerala, a i ʻole nā ​​​​meaʻai.
Ke aʻo ʻia nei nā ala hou e pale aku ai i ka maʻi maʻi colorectal i nā hoʻokolohua lapaʻau.

Puna: http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR258007&type=1