I ka wā o ka nānā ʻana i ka lāʻau lapaʻau, ʻaʻole pinepine ʻia kekahi mau hoʻāʻo pilikino a ʻano pilikia paha, e like me ka hoʻāʻo koko fecal occult.(FOBT).

He nui ka poʻe, i ka wā e kū ai i ka ipu a me ka lāʻau laʻana no ka hōʻiliʻili ʻana i ka ʻili, ʻaʻole lākou e ʻae iā ia ma muli o ka "makaʻu i ka lepo," "hilahila," a i ʻole "manaʻo he hana ʻoi loa ia." Eia nō naʻe, hiki i kēia "hoʻāʻo ʻana i ka pahu" ke lilo i mea ola i nā manawa koʻikoʻi.

Ua kipa ʻo Ms. Wu, he 59 makahiki, i ke keʻena maʻi ma hope o ka loaʻa ʻana o hoʻokahi pule o ke kahe koko. ʻAʻole ʻo ia i manaʻo ʻo ka hoʻāʻo āna i hoʻokuʻu ai no ʻekolu mau makahiki ʻekolu, no ka manawa mua, e nānā maikaʻi ʻia ma o ke ʻano immunochemical, e alakaʻi ana i kahi hōʻike mua o ka maʻi maʻi ʻaʻai ma o ka colonoscopy. Ma hope o ka wehe ʻia ʻana, ʻoi aku ka nui o kona ola ʻelima makahiki ma mua o 90%.

I ka hoʻohālikelike ʻana, ʻo kona hoalauna, ʻo Mr. Zhang, ka mea i mālama ʻole i kēia "koho pilikia" ma kāna palapala hōʻoia olakino, ua ʻike ʻia me ka maʻi maʻi colorectal holomua wale nō ma hope o ka loaʻa ʻana o ka ʻeha o ka ʻōpū a me nā ʻōpū koko, e hōʻemi ana i kona ola ola ma lalo o 10%.

No ke aha ʻoe ʻaʻole e hoʻokuʻu i kahōʻike koko fecal occult?
Ka waiwai nui oFOBTaia i ka ʻike ʻana (micro-bleeding) ma ka ʻāpana digestive. Ke loaʻa ke koko liʻiliʻi (2-5ml wale nō i kēlā me kēia lā), ua ʻeli ʻia a wāwahi ʻia nā keʻena koko ʻulaʻula, e hana maʻamau ka ʻili me ke koko ʻike ʻole a ʻike ʻole ʻia ma lalo o kahi microscope. Eia nō naʻe, ʻo ka luku ʻana i nā keʻena koko ʻulaʻula e hoʻokuʻu i ka hemoglobin, hiki ke ʻike ʻia ma o nā hana kemika a immunochemical.

ʻO kēia kahe koko liʻiliʻi he hōʻailona mua ia o nā maʻi ʻōpū o ka digestive (e like me ka colorectal a i ʻole ka maʻi maʻi ʻōpū). Ua ʻike ʻia nā haʻawina he 87% o nā maʻi me nā ʻōpū o ka digestive tract i loaʻa i kahi hōʻike koko fecal occult maikaʻi. Ma muli o ke kahe koko ʻana o ke koko, ʻaʻole hiki i kahi hōʻike hoʻokahi ke hala i ka maʻi. Eia nō naʻe, hiki i ka nānā ʻana i nā makahiki ke hoʻomaikaʻi nui i ka nui o ka ʻike ʻana i nā ʻeha. Wahi a nā ʻikepili piha ʻole, hiki i ka screening FOBT maʻamau ke hōʻemi i ka make ʻana o ka maʻi maʻi colorectal e 10% -30%. I kēia manawa, nui nā alakaʻi pale e ʻōlelo ikaika nei ma ke ʻano he mea nānā.

Hoʻonui ka hoʻāʻo ʻana i ka pololei

Hōʻike ka noiʻi i ka hoʻāʻo ʻana no ka hemoglobin (Hb) a me hoʻololi (Tf)hiki ke uhi i nā hiʻohiʻona koko hou aʻe a hoʻomaikaʻi i ka pololei ʻike.

Transferrinʻoi aku ka paʻa o ka pahu ma mua o ka hemoglobin, no laila hiki i ka hoʻāʻo ʻana no nā mea ʻelua ke hōʻemi i nā mea hoʻopunipuni wahaheʻe ma muli o ka nalowale ʻana o ka hemoglobin antigenicity. Hāʻawi ka hoʻāʻo hui ʻana i kēia mau pōmaikaʻi: kikoʻī ikaika, ʻike kiʻekiʻe, hana maʻalahi, hoʻopau hoʻokahi ʻanuʻu, a me ka wehewehe ʻana i ka hopena maʻalahi.

ʻO wai ka pono e komo i kēia hoʻokolohua?

Pono nā kānaka he 40 a ʻoi aʻe e hoʻāʻo i ke koko fecal occult ma kahi o hoʻokahi manawa i ka makahiki.

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e hoʻonui i ka pinepine o ka hoʻāʻo ʻana i ke koko fecal occult:

A. Mo'olelo 'ohana no ka ma'i 'a'ai 'ai 'ole.

B. Mo'olelo o ka ma'i 'a'ai kala, adenoma kala, a i 'ole ka polypectomy.

C. Moolelo o ka ma'i colitis.

D. Moʻolelo o nā maʻi maʻi gynecological me ka radiotherapy pelvic.

E. Ma mua o 10 mau makahiki ma hope o ka cholecystectomy.

F. Anemia pernicious mau.

G. Ka ma'i 'a'a'a ma'i ma'i, 'a'ai ma'i 'a'ai, polyps opu, a i 'ole ka mo'olelo o ke oki 'opu.

H. Nā kāne he 20-25 kg ke kaumaha a i ʻole ka uahi.

I. Helicobacter pylori maʻi: hoʻonui i ka pilikia o ka maʻi maʻi ʻōpū e 2-3 mau manawa.

Ka hopena mai Xiamen Baysen Medical

Loaʻa iā mākou baysene MedicalFOB pahu hoʻāʻoaʻO ka pahu hoʻāʻo Transferrin. Eia mākou baysen meidcal e nānā mau i nā ʻenehana diagnostic e hoʻomaikaʻi i ka maikaʻi o ke ola.