Vaʻai siama o le kanesa

O le siakiina o le kanesa o le kanesa e mafai ona maua ai polyps ma kanesa o le kanesa i le lapoʻa. Lenei ituaiga o suʻesuʻega mafai ona maua ni faʻafitauli e mafai ona togafitia ae leʻi tupu le kanesa pe sosolo.Ole siaki masani e ono faʻaititia ai le aʻafiaga o le oti ma faʻafitauli e mafua mai ile kanesa ole colorectal.

FAʻAMATALAGA FAʻAPITOA

E tele auala e siaki ai le kanesa kanesa.

Suʻega nofoa:

• Polyps i le kolone ma tamai kanesa e mafai ona mafua ai laititi toto o le toto e le mafai ona vaʻaia ma le le lavalava mata. Ae o le toto e masani ona maua i le faʻataʻavalega.
• O lenei auala e siaki ai lou nofoa mo le toto.
• O le faʻataʻitaʻiga sili ona taatele ole faʻataʻitaʻiga ole toto faataulaitu (FOBT). E lua isi suʻega e taʻua ole fecal immunochemical test (FIT) ma le stool DNA test (sDNA).

Sigmoidoscopy:

• O lenei suʻega faʻaaoga se laʻititi fetuutuunai avanoa e vaʻai ai le pito i lalo o lau kolone. Talu ai o le faʻataʻitaʻiga e naʻo le tasi vaetolu mulimuli o le lapoʻa tele (kolone), e ono misia ai ma isi kanesa e maualuga atu i le toʻatele.
• Sigmoidoscopy ma se faʻataʻitaʻiga suʻega e mafai ona faʻaaogaina faʻatasi.

Kolone tetele:

• O le kolone faʻataʻitaʻi e tai pei o le sigmoidoscopy, peitaʻi o le kolone atoa e mafai ona vaʻaia.
• O le a tuʻuina atu ia te oe e lau auaunaga faʻasoifua maloloina laʻasaga mo le faʻamamaina o lou manava. E taʻua lea ole sauniuniga ole manava.
• I le taimi e fai ai lau kolone, e te mauaina ni vailaʻau e te malolo ai ma moe ai.
• O isi taimi, o suʻega CT e faʻaaogaina o se mea e sui ai le kolone masani. E taʻua lea mea o le virtual colonoscopy.

Isi suʻega:

• O le Capsule endoscopy e aofia ai le foloina se tamai mea puʻe-tele mea pueata e puʻeina ai se ata vitio o totonu o ou alatoto. O loʻo suʻesuʻe le metotia, o lea e le fautuaina mo le masani suʻega i lenei taimi.

SAUNIGA MO AVERAGE-RISK TAGATA

E le lava faʻamatalaga molimau e faʻapea mai o le fea suʻega auala e sili ona lelei. Ae, colonoscopy e sili maeʻaeʻa. Talanoa i lau tautua pe o le fea le suʻega e talafeagai mo oe.

O aliʻi ma fafine uma e tatau ona faia le suʻega o le kanesa o le kanesa e amata i le 50 tausaga. O nisi kamupani e fautuaina le amataina o le siakiina o tagata Aferika i le 45 o latou tausaga.

I se siitaga lata mai nei o le kanesa o le kolone i tagata ua taʻi 40 o latou tausaga, ua fautuaina ai e le American Cancer Society le amataina o suʻesuʻega a tamaloloa ma fafine soifua maloloina i le 45 o tausaga. Talanoa i lau tautua pe a fai o e popole.

Suʻega filifiliga mo tagata e masani ona aʻafia ile kanesa ole kolone:

• Kolisi faʻataʻitaʻi i le taʻi 10 tausaga amata ile tausaga 45 poʻo le 50
• FOBT poʻo le FIT i tausaga uma (e manaʻomia le kolone peʻa lelei ona faʻaiuga)
• sDNA taʻi 1 pe 3 tausaga (e manaʻomia le kolone pe a lelei ni faʻaiuga)
• Fetuutuunai sigmoidoscopy uma 5 i le 10 tausaga, masani ai ma nofoa faʻataʻitaʻi FOBT faia uma 1 i le 3 tausaga
• Virtual colonoscopy uma 5 tausaga

SAUNIGA MO TAGATA LELEI FUAFUAGA

Tagata e iai faʻafitauli mautinoa mo le kanesa kanesa atonu e manaʻomia muamua (ae le i oʻo ile 50 tausaga) pe sili atu suʻesuʻega masani.

O mea masani e masani ona aʻafia ai:

• O se talafaʻasolopito o aiga o measina o le kanesa o le colorectal syndrome, e pei o le familial adenomatous polyposis (FAP) poʻo le hereditary nonpolyposis colorectal cancer (HNPCC).
• O se malosi aiga talaʻaga o colorectal kanesa po o polyps. Lenei masani o lona uiga aiga vavalalata (matua, tei, poʻo se tamaititi) oe na atiina ae nei tulaga laʻititi ifo i le 60 tausaga.
• O se oe lava talafaʻasolopito o colorectal kanesa po o polyps.
• O se talaaga o le tagata lava ia mo se taimi umi (tumau) faʻamaʻi o le manava o le manava (mo se faʻataʻitaʻiga, ulcerative colitis poʻo Crohn maʻi).

Suʻega mo nei kulupu e tele lava ina faia i le faʻaaogaina o kolone.

Suʻega mo le kanesa kanesa; Colonoscopy - siakiina; Sigmoidoscopy - siakiina; Virtual colonoscopy - siakiina; Suʻesuʻega ole tui puipuia ole tama; Suega DNA nofoa; sDNA suʻega; Kanesa o le Colorectal - siakiina; Kanesa kanesa - siakiina

• Ulcerative colitis - faʻateʻaina

• Kolone tetele
• Anatosi o le manava lapoʻa
• Kanesa o le Sigmoid colon - x-ray
• Suʻesuʻega faʻataulaitu toto

Garber JJ, Chung DC. Colonic polyps ma polyposis syndromes. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma Fordtran's Gastrointestinal ma le Maʻi o le ate. 11th lomiga. Filatelefia, PA: Elsevier; 2021: mata 126

'Upega Tafaʻilagi a le National Cancer Institute. Suʻesuʻega ole kanesa ole Colorectal (PDQ) www.cancer.gov/types/colorectal/hp/colorectal-screening-pdq. Faʻafouina Mati 17, 2020. Avanoa ia Novema 13, 2020.

Rex DK, Boland CR, Dominitz JA, et al. Suʻega ole kanesa ole Colorectal: faʻutua mo fomaʻi ma tagata mamaʻi mai le U.S. Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 pubmed.ncbi.nlm.nih.gov/28555630/.

'Upega Tafaʻilagi a le US Preventive Services Task Force. Faʻamatalaga mulimuli. Suʻega ole kanesa ole Colorectal. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Lolomiina Iuni 15, 2016. Avanoa ia Aperila 18, 2020.

Wolf AMD, Fontham ETH, Church TR, et al. Suʻesuʻega ole kanesa ole Colorectal mo tagata matutua e ono aʻafia: 2018 faʻafouga taiala mai le American Cancer Society. CA Kanesa J Clin. 2018; 68 (4): 250-281. PMID: 29846947 pubmed.ncbi.nlm.nih.gov/29846947/.