Loaʻa ka maʻi maʻi anal ma ka ʻaoʻao wehe o ka ʻōpū o ka ʻōpū, i kapa ʻia ʻo anus, kahi i hele ai ka stool. ʻAʻole ia he ʻano maʻi maʻi maʻi maʻamau, a ulu ia ma ka ʻili o ka canal anal. Ua pili nui ia i ka maʻi HPV a me nā mea ʻē aʻe. ʻO kona paʻakikī e pili ana i kona wahi, ka nui, a me ke kahua. Ua ʻike ʻia ʻo kēia ʻano maʻi maʻi maʻamau e pili ana i hoʻokahi kanaka ma 500, a ke ʻimi nei lākou i ka lāʻau lapaʻau maikaʻi loa. Ma hope o ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi anal a me kona pae a laila he mea nui e koho i ka anal kūpono a maikaʻi ke kāpena maʻi kanikau nā koho.
Nā pae o ka maʻi ʻaʻai anal
Aia nā pae like ʻole o kēia maʻi kanesa, i ʻōlelo ʻia ma lalo nei.
- Waihona 0: He pae precancerous ia e hōʻike ana i ka hele ʻana o nā cell abnormal. ʻAʻole i laha kēia mau sela i nā ʻiʻo ʻē aʻe, akā hiki ke lilo i ka maʻi kanesa i ka wā e hiki mai ana.
- Waihona 1: Heʻuʻuku loa kēia mauʻano a noho ma kahi kiko'ī kahi i hoʻomaka ai.
- Ka Papa 2 & Ka Papa 3: I kēia wā, hoʻomaka ka maʻi kanesa e laha i nā ʻiʻo kokoke.
- Waihona 4: He pae metastatic kahi e laha ai i nā wahi he nui o ke kino. ʻAʻole hiki ke hoʻōla maʻalahi.
Nā hōʻailona o ka maʻi maʻi anal
ʻO ka pinepine, ʻaʻohe ona hōʻailona, a inā loaʻa iā ia a laila hiki ke ʻokoʻa kēia mau mea mai kēlā me kēia kanaka:
- Hoʻokuʻu anal
- ʻEha a puni ka anus
- Ka nui o ke koko o ka rectal
- Ua pehu nā ʻōpū lymph o ka ʻāpana anal
- Hoʻololi i ka maʻamau o ka ʻōpū, e like me ka pinepine a me ka paʻa o ka poop.
- Hōʻike ʻia kahi puʻupuʻu nui ma ka wehe ʻana o ka ʻāpana anal.
- Pono ka mana'o e poop pinepine.
Nā kumu o ka maʻi maʻi maʻi Anal
ʻAʻole ʻike ʻia ke kumu maoli o ka maʻi kanesa anal. Eia nō naʻe, aia kekahi mau mea pilikia e alakaʻi i kēia ʻano pilikia olakino. Penei keia:
- ʻO ka maʻi i hoʻokumu ʻia e ka maʻi i kapa ʻia ʻo human papillomavirus ma o ka hana ʻana i ka moekolohe me nā hoa he nui.
- ʻO nā kānaka ma luna o 60 mau makahiki
- Weak immune system
- E komo i ka moe anal
- Hiki ke loaʻa i ka poʻe i puhi nui i ke ʻano o ka maʻi kanesa.
- Loaʻa i nā mea ʻē aʻe ʻano maʻi ʻaʻai, like maʻi ʻaʻai ʻōiwi a ka maʻi maʻi āpau.
ʻIke ʻia o ka maʻi maʻi maʻi Anal
Ma hope o ka ʻike ʻana i kona mau hōʻailona, e holo kāu kauka i kekahi mau hoʻāʻo e ʻike i ka maʻi kanesa anal. Aia kekahi mau ho'āʻo endoscopic i hana ʻia a hāʻawi ʻia ma lalo nei:
- Proctoscopy: Hoʻohana ʻia kahi mea hana lahilahi me ka māmā a me ka lens e ʻike i ka anus a me ka rectum. A laila me ka hoʻohana ʻana i kahi proctoscope, wehe ʻia ka ʻiʻo ma ke ʻano he laʻana e nānā i ka hōʻailona o ke kanesa.
- Ka nānā ʻana i ka ʻāʻī kikohoʻe: Loaʻa i ka nānā ʻana i ka rectum a me ka anus. Hana ʻia e ke kauka ma ke kau ʻana i ka lubricant ma ka manamana lima. A laila hoʻokomo ʻia e ʻike i nā puʻupuʻu.
- ʻO Biopsy: No ka nānā ʻana i ka hōʻailona o ke kanesa, wehe ʻia kahi ʻāpana liʻiliʻi. A laila, nānā ʻia e kahi pathologist e ʻike i kekahi hōʻailona o ke kanesa.
- Anoscopy: No ka ʻike ʻana i nā mea ʻino i loko o ka anus, hoʻokomo ʻia kahi paipu pōkole no ka nānā ʻana.
- Endorectal Ultrasound: Hoʻokomo ʻia kahi ʻimi i loko o ka anus e ʻike i ke kiʻi o ke kino me ka hoʻohana ʻana i ka ultrasound.
Ke ʻike ʻia ka maʻi kanesa anal a laila aia kekahi mau hoʻokolohua ʻē aʻe e ʻike ai i nā wahi o ke kino e laha ai.
- X-ray o ka umauma
- CAT scan
- ʻO ka nānā ʻana i ke pelvic
- MRI
- Pākuʻi PET
Hoʻoholo ʻia kēia mau hoʻāʻo a pau e ʻike i ke ʻano o ka maʻi. Ke laha aku i nā wahi ʻē aʻe o ke kino, a laila ua kapa ʻia ʻo staging.
Nā koho no ka lapaʻau ʻana i ka maʻi maʻi maʻi anal
ʻO ka manawa o ka ho'ōla a me ka mālama ʻana e pili ana i nā kumu like ʻole:
- ʻO ka pae o ka maʻi kanesa
- Kahi o ke koko ma ka anus
- Ua loaʻa i ka maʻi HIV
- Hoʻi hou ma hope o ka mālama mua ʻana
ʻAno Lapaʻau
Aia nā koho lapaʻau like ʻole no ka maʻi maʻi anal, a ua ʻōlelo ʻia kēia ma lalo nei:
Chemotherapy
Chemotherapy hoʻohana ʻia e pepehi a hoʻōki i ka ulu ʻana o nā pūnaʻi maʻi maʻi. Lawe ʻia nā lāʻau kemo ma ka waha a i ʻole ma o ka injection. No laila hiki i ka lāʻau lapaʻau ke hiki i nā pūnaʻi kanesa ma o ke kahe koko.
immunotherapy
He mea koʻikoʻi ka ʻōnaehana pale kino ikaika e hakakā i ka maʻi maʻi anal. E aʻo ke kauka i nā lāʻau immunotherapy. A laila hana ʻia nā hoʻokolohua biomarker e wānana i ka pane o kēia mau lāʻau.
Ke Kūwela Ola
Hoʻohana ʻia kahi radiation ikaika nui e luku i nā pūnae maʻi maʻi e pale aku iā lākou mai ka ulu ʻana. Hoʻohana ʻia nā ʻano radiation like ʻole e hoʻopaʻa i ka ʻāpana o ke kino.
Ho'āla
Inā ʻaʻole maikaʻi nā lāʻau lapaʻau i ʻōlelo ʻia ma luna nei i ka mālama ʻana i ka maʻi kanesa a hoʻi mai ia a laila ʻōlelo ʻia ke ʻoki ʻana. Hana ʻia ma nā ʻano ʻelua:
- Inā ʻaʻole palahalaha a liʻiliʻi ka maʻi kanesa a laila wehe ʻia ke koko me nā ʻiʻo olakino mai ka anus. Hana ʻia ia ma ke kaʻina hana hoʻokaʻawale kūloko.
- Aia kekahi kaʻina hana i hana ʻia kahi ʻoki liʻiliʻi ma ka ʻōpū. A laila ʻoki ʻia ka rectum, anus a me ka sigmoid colon a ma hope o ke kaʻina hana, humuhumu ʻia ka wehe ʻana o ka ʻōpū. ʻOhi ʻia ka ʻōpala o ke kino i loko o kahi ʻeke hoʻopau.
