Kāohi ʻana i ke Kanesa Colorectal

ʻIke Laulā e pili ana i ke Kanesa Colorectal

ʻO ke kanesa colorectal kahi maʻi kahi e hoʻokumu ʻia ai nā hunaola malignant (maʻi kanesa) i loko o nā ʻiʻo o ka colon a i ʻole ka rectum.
ʻO ke kolona kekahi ʻāpana o ka ʻōnaehana hoʻoheheʻe o ke kino. Hoʻopau a hana ka ʻōnaehana hoʻoheheʻe i nā meaʻai (nā huaora, nā minelala, nā kalapona, nā momona, nā protein, a me ka wai) mai nā meaʻai a kōkua i ka hoʻokuʻu ʻana i nā mea ʻōpala i waho o ke kino. Hana ʻia ka ʻōnaehana hoʻoheheʻe i ka waha, ka ʻāʻī, ka esophagus, ka ʻōpū, a me nā ʻōpū liʻiliʻi a me nā ʻōpū nui. ʻO ke kolona (ʻōpū nui) ka ʻāpana mua o ka ʻōpū nui a he 5 kapuaʻi ka lōʻihi. I ka hui pū ʻana, ʻo ka rectum a me ke kahawai anal ka ʻāpana hope loa o ka ʻōpū nui a he 6 a 8 ʻīniha ka lōʻihi. Pau ke kahawai anal ma ka anus (ka wehe ʻana o ka ʻōpū nui i waho o ke kino).

Kāohi ʻana i ke Kanesa Colorectal

ʻO ka pale ʻana i nā kumu pilikia a me ka hoʻonui ʻana i nā mea pale e kōkua paha i ka pale ʻana i ka maʻi kanesa.
ʻO ka pale ʻana i nā mea pilikia o ka maʻi kanesa e kōkua paha i ka pale ʻana i kekahi mau maʻi kanesa. ʻO nā mea pilikia e pili ana i ka puhipaka, ka momona, a me ka lawa ʻole o ka hoʻoikaika kino. ʻO ka hoʻonui ʻana i nā mea pale e like me ka haʻalele ʻana i ka puhipaka a me ka hoʻoikaika kino e kōkua pū i ka pale ʻana i kekahi mau maʻi kanesa. E kamaʻilio me kāu kauka a i ʻole kekahi loea mālama ola e pili ana i ke ʻano e hoʻemi ai i kou pilikia o ka maʻi kanesa.

ʻO nā mea pilikia e hiki mai ana e hoʻonui i ka pilikia o ka maʻi ʻaʻai colorectal:

1. Makahiki

Piʻi ka pilikia o ka maʻi ʻaʻai colorectal ma hope o 50 makahiki. ʻIke ʻia ka hapa nui o nā hihia o ka maʻi ʻaʻai colorectal ma hope o 50 makahiki.

2. Ka moʻolelo ʻohana o ke kanesa colorectal
ʻO ka loaʻa ʻana o kahi makua, kaikunāne, kaikuahine, a keiki paha me ka maʻi ʻaʻai colorectal e pāpālua i ka pilikia o ke kanaka i ka maʻi ʻaʻai colorectal.

3. Moʻolelo pilikino
ʻO ka loaʻa ʻana o kahi moʻolelo pilikino o nā kūlana ma lalo nei e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai colorectal:

• ʻO ke kanesa colorectal ma mua.
• Nā adenomas pilikia kiʻekiʻe (nā polyps colorectal he 1 kenimika a ʻoi aku paha ka nui a i ʻole he mau cell e nānā ʻē ma lalo o kahi microscope).
• Ka maʻi ʻaʻai ovarian.
• ʻO ka maʻi ʻōpū mumū (e like me ka ulcerative colitis a i ʻole ka maʻi Crohn).

4. Ka pilikia hoʻoilina

Hoʻonui ʻia ka pilikia o ka maʻi ʻaʻai colorectal ke hoʻoilina ʻia kekahi mau loli gene e pili ana i ka familial adenomatous polyposis (FAP) a i ʻole ka hereditary nonpolyposis colon cancer (HNPCC a i ʻole Lynch Syndrome).

5. ʻAila

ʻO ka inu ʻana i 3 a ʻoi aku paha mau mea inu ʻona i kēlā me kēia lā e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai colorectal. Ua pili pū ka inu ʻana i ka waiʻona me ka pilikia o ka hoʻokumu ʻana i nā adenomas colorectal nui (nā ʻōpū benign).

6. Puhi paka
Ua pili ka puhipaka i ka sikaleka me ka piʻi ʻana o ka pilikia o ke kanesa colorectal a me ka make mai ke kanesa colorectal.
Ua pili pū ka puhi paka i ka piʻi ʻana o ka pilikia o ka hoʻokumu ʻana i nā adenomas colorectal. ʻO ka poʻe puhi paka i hana ʻia i ke ʻoki ʻana e wehe i nā adenomas colorectal, aia lākou i kahi pilikia nui no ka hoʻi hou ʻana mai o nā adenomas (hoʻi mai).

7. Heihei
Loaʻa i nā ʻAmelika ʻApelika ka piʻi ʻana o ka pilikia o ka maʻi ʻaʻai colorectal a me ka make mai ke kanesa colorectal i hoʻohālikelike ʻia me nā lāhui ʻē aʻe.

8. Ka momona nui
Ua pili ka momona i ka piʻi ʻana o ka pilikia o ka maʻi ʻaʻai colorectal a me ka make mai ke kanesa colorectal.

ʻO kēia mau mea palekana e hōʻemi ana i ka pilikia o ka maʻi ʻaʻai colorectal:

1. Hana kino

ʻO ke ʻano o ka nohona e komo pū ana me ka hana kino maʻamau e pili ana i ka emi ʻana o ka maʻi ʻaʻai colorectal.

2. ʻAspirina
Ua hōʻike ʻia nā haʻawina e hōʻemi ana ka lawe ʻana i ka aspirin i ka pilikia o ka maʻi ʻaʻai colorectal a me ka pilikia o ka make mai ka maʻi ʻaʻai colorectal. Hoʻomaka ka emi ʻana o ka pilikia i 10 a 20 mau makahiki ma hope o ka hoʻomaka ʻana o nā mea maʻi e lawe i ka aspirin.
ʻO nā pōʻino hiki ke loaʻa mai ka hoʻohana ʻana i ka aspirin (100 mg a i ʻole ka liʻiliʻi) i kēlā me kēia lā a i ʻole i kēlā me kēia lā ʻē aʻe, ʻo ia ka hoʻonui ʻia o ka pilikia o ka hahau ʻana a me ke kahe ʻana o ke koko i loko o ka ʻōpū a me nā ʻōpū. Hiki ke ʻoi aku ka nui o kēia mau pilikia i waena o ka poʻe ʻelemakule, nā kāne, a me ka poʻe me nā maʻi e pili ana i kahi pilikia kiʻekiʻe o ke kahe ʻana o ke koko ma mua o ka maʻamau.

3. Hoʻohuihui hoʻololi hormone
Ua hōʻike ʻia nā noiʻi e hiki i ka hui pū ʻana o ka hormone replacement therapy (HRT) e komo pū ana me ka estrogen a me ka progestin ke hoʻohaʻahaʻa i ka pilikia o ka maʻi ʻaʻai colorectal invasive i nā wahine postmenopausal.
Eia nō naʻe, i nā wahine e lawe ana i ka HRT hui pū ʻia a loaʻa i ka maʻi ʻaʻai colorectal, ʻoi aku ka nui o ka maʻi kanesa e holomua ke ʻike ʻia a ʻaʻole i emi iho ka pilikia o ka make ʻana mai ka maʻi ʻaʻai colorectal.
ʻO nā pōʻino hiki ke loaʻa i ka hui pū ʻana o HRT me ka hoʻonui ʻia o ka pilikia o ka loaʻa ʻana o:

• Ka maʻi ʻaʻai umauma.
• Maʻi puʻuwai.
• Nā ʻūpā koko.

4. Ka wehe ʻana i ka polyp
ʻO ka hapa nui o nā polyp colorectal he adenomas, hiki ke lilo i maʻi kanesa. ʻO ka wehe ʻana i nā polyp colorectal i ʻoi aku ka nui ma mua o 1 kenimika (ka nui o ka pea) e hōʻemi paha i ka pilikia o ka maʻi kanesa colorectal. ʻAʻole maopopo inā ʻo ka wehe ʻana i nā polyp liʻiliʻi e hōʻemi i ka pilikia o ka maʻi kanesa colorectal.
ʻO nā pōʻino e hiki mai ana mai ka wehe ʻana i ka polyp i ka wā o ka colonoscopy a i ʻole sigmoidoscopy e komo pū me ka haehae ʻana i ka paia o ka colon a me ke kahe ʻana o ke koko.

ʻAʻole maopopo inā pili kēia i ka pilikia o ka maʻi ʻaʻai colorectal:

1. Nā lāʻau anti-inflammatory nonsteroidal (NSAID) ʻē aʻe ma mua o ka aspirin
ʻAʻole maopopo inā hoʻohaʻahaʻa ka hoʻohana ʻana i nā lāʻau anti-inflammatory nonsteroidal a i ʻole NSAID (e like me sulindac, celecoxib, naproxen, a me ibuprofen) i ka pilikia o ka maʻi ʻaʻai colorectal.
Ua hōʻike ʻia nā haʻawina e hōʻemi ana ka lawe ʻana i ka lāʻau anti-inflammatory nonsteroidal celecoxib i ka pilikia o ka hoʻi hou ʻana mai o nā adenomas colorectal (nā ʻōpū maikaʻi ʻole) ma hope o ko lākou wehe ʻia ʻana. ʻAʻole maopopo inā hopena kēia i ka emi ʻana o ka pilikia o ka maʻi ʻaʻai colorectal.
Ua hōʻike ʻia ka lawe ʻana i ka sulindac a i ʻole celecoxib e hōʻemi i ka helu a me ka nui o nā polyps e hana ʻia ana ma ka colon a me ka rectum o ka poʻe me ka familial adenomatous polyposis (FAP). ʻAʻole maopopo inā hopena kēia i ka emi ʻana o ka pilikia o ka maʻi ʻaʻai colorectal.
ʻO nā pōʻino hiki ke loaʻa mai nā NSAID:

• Nā pilikia puʻupaʻa.
• Ke kahe ʻana o ke koko i loko o ka ʻōpū, nā naʻau, a i ʻole ka lolo.
• Nā pilikia o ka puʻuwai e like me ka hōʻeha puʻuwai a me ka hāʻule ʻana o ka puʻuwai congestive.

2. Kalipuna
ʻAʻole maopopo inā ʻo ka lawe ʻana i nā mea hoʻopihapiha calcium e hoʻemi i ka pilikia o ka maʻi ʻaʻai colorectal.

3. ʻAi
ʻAʻole maopopo inā he meaʻai haʻahaʻa i ka momona a me ka ʻiʻo a kiʻekiʻe i ka fiber, nā huaʻai, a me nā mea kanu e hoʻemi i ka pilikia o ka maʻi ʻaʻai colorectal.
Ua hōʻike kekahi mau noiʻi e hoʻonui ka ʻai ʻana i ka momona, nā protein, nā calorie, a me ka ʻiʻo i ka pilikia o ka maʻi ʻaʻai colorectal, akā ʻaʻole i hōʻike ʻia e nā noiʻi ʻē aʻe.

ʻAʻole pili kēia mau mea i ka pilikia o ka maʻi ʻaʻai colorectal:

1. Ka lāʻau hoʻololi hormone me ka estrogen wale nō
ʻAʻole hiki i ka lāʻau hoʻololi hormone me ka estrogen wale nō ke hoʻemi i ka pilikia o ka loaʻa ʻana o ke kanesa colorectal invasive a i ʻole ka pilikia o ka make ʻana mai ke kanesa colorectal.

2. Nā Statins
Ua hōʻike ʻia nā noiʻi ʻaʻole e hoʻonui a hōʻemi paha ka lawe ʻana i nā statins (nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol) i ka pilikia o ka maʻi ʻaʻai colorectal.

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

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