No ke aha he mea nui ke koko huna o ka fecal

ʻO ke kanesa colorectal kekahi o nā kumu nui o ka maʻi a me ka make e pili ana i ka maʻi kanesa ma ka honua holoʻokoʻa. Hoʻomohala mālie ka hapa nui o nā maʻi kanesa colorectal mai nā polyps precancerous i loko o kekahi mau makahiki, e hana ana i kahi puka makani waiwai no ka ʻike mua a me ke komo ʻana.

ʻO kekahi o nā hōʻailona mua loakoko huna fecal (FOB)—nā koko liʻiliʻi i loko o ka ʻōpala i ʻike ʻole ʻia e ka maka ʻōlohelohe. Hiki ke hopena ke kahe koko huna mai nā ʻano maʻi ʻōpū like ʻole, me:

• · Nā adenomas colorectal a me nā polyps
• · Ka maʻi ʻaʻai colorectal
• · Nā ʻōpū a me nā ʻōpū duodenal
• · Maʻi ʻōpū mumū
• · Nā ʻeha ʻē aʻe o ka ʻōpū

Ma muli o ka nui o nā maʻi e noho asymptomatic i nā wā mua, ua lilo ka ʻike ʻana i ke koko huna i mea nui o ka nānā ʻana i ka maʻi ʻaʻai colorectal e pili ana i ka heluna kanaka.

Ke Kaumaha Honua o ke Kanesa Colorectal

Wahi a kaʻOihana Hoʻonaʻauao no ka Noiʻi ʻana i ke Kanesa (IARC) GLOBOCAN 2022), ʻo ke kanesa colorectal ke kolu o nā maʻi kanesa i ʻike pinepine ʻia ma ka honua holoʻokoʻa a ʻo ia kekahi o nā kumu maʻamau o ka make ʻana mai ka maʻi kanesa.

ʻO ka nūhou hoʻoikaika, ʻo ia ka hiki ke pale ʻia a hiki ke mālama ʻia ke kanesa colorectal ke ʻike mua ʻia. ʻOi aku ka nui o ke ola ʻana o ka maʻi kūloko ma mua o 90% no ʻelima mau makahiki, ʻoiai ʻo ka maʻi metastatic holomua e pili ana me nā hopena maikaʻi ʻole. No laila, he kuleana koʻikoʻi ka nānā mau ʻana i ka hōʻemi ʻana i ka nui o ka CRC a me ka make.

FIT: Ke ʻAno Makemake no ka ʻIke ʻana i ke Koko Pohihihi o ka Fecal

I ka wā ma mua, ua hilinaʻi ka hoʻāʻo koko huna o ka fecal i nā ʻano hana kemika guaiac (gFOBT), kahi e ʻike ai i ka hana peroxidase o ka hemoglobin. Eia nō naʻe, hiki ke hoʻopilikia ʻia kēia mau hoʻāʻo e nā meaʻai, kekahi mau lāʻau lapaʻau, a me ka hemoglobin ʻaʻole kanaka, e alakaʻi ana i nā hopena wahaheʻe.

I kēia lā,Hoʻāʻo Immunochemical Fecal (FIT)ua lilo i ʻano hana nānā makemake ʻia ma nā papahana nānā ʻana i ke kanesa colorectal aupuni he nui.

Ke hoʻohālikelike ʻia me nā hoʻokolohua kemika kuʻuna, hāʻawi ʻo FIT i kekahi mau pono koʻikoʻi:

• · Kūlana kiʻekiʻema ka ʻike ʻana i ka hemoglobin kanaka me nā antibodies monoclonal
• · ʻAʻohe kapu ʻaima mua o ka hoʻāʻo ʻana
• · Hoʻomaikaʻi ʻia ka mālama ʻana o ka mea maʻima muli o ka hōʻiliʻili laʻana maʻalahi
• · ʻOi aku ka maʻalahi no ke kahe koko ʻana o ka gastrointestinal haʻahaʻa, e lilo ana i mea kūpono loa no ka nānā ʻana i ka maʻi ʻaʻai colorectal

Ua hoʻokumu kēia mau pono i ka FITma ke ʻano he nānā mua ʻole invasiveke ʻano hana ma nā ʻāina he nui.

Nā Manaʻo Hoʻāʻo no ka Nānā ʻAna i nā Moku'āina ʻē

Paipai nā hui nui o ka honua i ka nānā mau ʻana i ke kanesa colorectal no nā pākeke me ka pilikia maʻamau.

• · USPSTFpaipai i ka nānā ʻana i nā pākeke i piha i ka makahiki45–75 mau makahiki, me ka FIT makahiki ma ke ʻano he hoʻokahi o nā hoʻolālā loiloi i ʻōlelo ʻia.
• · ʻAhahui Kanesa ʻAmelika (ACS)paipai pū kekahi e hoʻomaka i ka nānā mau ʻana ma45 mau makahiki.
• · Nā alakaʻi no ka nānā ʻana i ke kanesa colorectal ma ʻEulopakākoʻo i nā papahana loiloi FIT i hoʻonohonoho ʻia, ʻo ia hoʻi i kēlā me kēia ʻelua makahiki no nā pākeke i piha i nā makahiki 50-74.

Me ka nānā ʻole i ke ʻano hana nānā, pono nā kānaka me ka hopena FIT maikaʻi e hana i ka colonoscopy diagnostic no ka loiloi hou aku a me ka hōʻoia ʻana o nā ʻeha colorectal.

He aha ka mea e hana ai i kahi hoʻāʻo FIT kiʻekiʻe?

I ke koho ʻana i kahi hoʻāʻo koko huna fecal, pono nā loea olakino a me nā mea hoʻohana e noʻonoʻo i kekahi mau ʻano koʻikoʻi:

• · ʻIke loiloi kiʻekiʻe no ka ʻike ʻana i nā pae haʻahaʻa o ka hemoglobin kanaka
• · Kūlana kiʻekiʻe e hōʻemi i nā hopena wahaheʻe
• · ʻO ka hōʻiliʻili laʻana maʻemaʻe a maʻalahi hoʻi
• · Hana paʻa me ka mālama ʻana i ka mahana o ka lumi
• · Kaʻina hana maʻalahi e kākoʻo ana i ka hoʻohana ʻana ma ka home a me nā hoʻonohonoho ʻoihana

Pahu Hoʻāʻo Koko Fecal Occult Macro & Micro-Test (Colloidal Gold)

Ua hoʻomohala ʻo Macro & Micro-Test i kahiPahu Hoʻāʻo Koko Fecal Occult (Colloidal Gold)ma muli o ka ʻenehana immunochromatographic, e hāʻawi ana i kahi hopena wikiwiki, maʻalahi, a maʻemaʻe hoʻi no ka nānā ʻana i ke kanesa colorectal.

ʻO nā hiʻohiʻona koʻikoʻi:

• · Nā hopena maikaʻi wikiwiki i loko o 5-10 mau minuke
• · ʻIke loiloi o40 ng/mL hemoglobin kanaka
• · ʻenehana ʻike immunological, e hōʻemi ana i ke komo ʻana mai ka meaʻai a me nā lāʻau lapaʻau
• · ʻO ka paipu laʻana i hoʻohui ʻia houno ka hōʻiliʻili laʻana maʻemaʻe a ʻoi aku ka maʻemaʻe ma mua o nā hoʻolālā cassette maʻamau
• · Kūpono no ka hoʻāʻo ponoʻī a me ka hoʻohana ʻoihana
• · Mālama ʻia i ka mahana o ka lumi (4–30°C) me ke ola papa a hiki i 24 mau mahina

Hoʻolālā ʻia e hoʻomaikaʻi i ka hiki ke komo a me ka ʻike mea hoʻohana, kākoʻo ke kime i ka nānā pono ʻana me ka mālama ʻana i ka hana loiloi hilinaʻi.

Hoʻōla ka ʻike mua ʻana i nā ola. Ma ka hoʻomaʻalahi ʻana a me ka maʻalahi o ka nānā ʻana i ke kanesa colorectal, hiki i ka hoʻāʻo FIT ke kōkua i ka ʻike ʻana i ka maʻi ma mua o ka puka ʻana o nā hōʻailona, ​​​​e hiki ai ke hana mua i ke komo ʻana o ka maʻi a me nā hopena maikaʻi aʻe.

E aʻo hou aʻe e pili ana i ka Macro &Pahu Hoʻāʻo Koko Fecal Occult Micro-Test: