Whakamātautau Toto Huna o te Tūtae (FOBT)
He aha te Whakamātautau Toto Ngaro mō te Tūtae?
Mā te whakamātautau toto huna o te paru (FOBT) ka tirohia he tauira o tō paru hei tirotiro mēnā he toto. Ko te toto huna te tikanga kāore e taea te kite mā te kanohi tahanga. Ā, ko te paru te tikanga kei roto i tō paru.

Ko te toto i roto i tō tūtae he tohu kei te toto kei roto i te ara kai. Tērā pea ka puta te toto i ngā āhuatanga maha, tae atu ki:

Ngā polyp, ngā tipu rerekē i runga i te arai o te koroni, o te rectum rānei
He hemorrhoids, he uaua pupuhi i roto i tō nono, i tō rectum rānei
Te diverticulosis, he āhua kei roto ngā putea iti i te pakitara o roto o te koroni
Ngā mate pukupuku, ngā mate pāwera i roto i te arai o te ara nakunaku
Ko te Colitis, he momo mate mumura o te whekau
Te mate pukupuku repeure, he momo mate pukupuku e tīmata ana i te koroni, i te rectum rānei
Ko te mate pukupuku koroni tētahi o ngā momo mate pukupuku e tino kitea ana i te Hononga o Amerika. Mā te whakamātautau toto huna o te paru ka taea te tirotiro mō te mate pukupuku koroni hei āwhina i te kimi wawe i te mate i te wā e tino whai hua ai te maimoatanga.

Ngā ingoa kē atu: FOBT, toto huna tūtae, whakamātautau toto huna, whakamātautau Hemoccult, whakamātautau parāoa guaiac, gFOBT, immunochemical FOBT, iFOBT; FIT

He aha te whakamahinga?
He mea noa te whakamātautau toto huna i roto i te paru hei whakamātautau tirotiro hei āwhina i te kimi i te mate pukupuku koroni i mua i te puta o ngā tohu. He maha atu anō ngā whakamahinga o te whakamātautau. Tērā pea ka mahia mēnā he āwangawanga mō te toto i roto i te ara nakunaku mai i ētahi atu mate.

I ētahi wā, ka whakamahia te whakamātautau hei āwhina i te kimi i te pūtake o te anemia. Ā, ka taea hoki te āwhina ki te wehewehe i waenga i te mate puku irritable (IBS), e kore nei e puta he toto, me te mate puku mumura (IBD), e puta ai pea he toto.

Engari kāore e taea e te whakamātautau toto huna o te paru anake te tautuhi i tētahi mate. Mena ka kitea he toto i roto i tō paru i ngā hua o tō whakamātautau, tera pea ka hiahiatia ētahi atu whakamātautau hei tautuhi i te tino take.

He aha ahau me whai whakamātautau toto huna mō te paru?
Tērā pea ka tonoa e tō rata he whakamātautau toto huna mō te paru mena kei a koe ngā tohu o tētahi mate e puta ai te toto i roto i tō ara kai. Tērā pea ka whai whakamātautau koe hei tirotiro mō te mate pukupuku koroni i te wā kāore he tohu.

E tino taunaki ana ngā rōpū hauora tohunga kia whakamātauria ngā tāngata ki te tirotiro i te mate pukupuku koroni i ia wā, i ia wā. Ko te nuinga o ngā rōpū hauora e taunaki ana kia tīmata koe i ngā whakamātautau tirotiro i te 45, i te 50 rānei o ō tau mēnā he mōrearea noa tōu ki te pāngia e te mate pukupuku koroni. E taunaki ana rātou kia whakamātauria tonutia tae noa ki te 75 tau te pakeke. Kōrero ki tō kaiwhakarato ratonga hauora mō tō mōrearea ki te mate pukupuku koroni me te wā me whakamātau koe.

Ko te whakamātautau toto huna o te paru he momo whakamātautau tirotiro colorectal kotahi, maha rānei. Ko ētahi atu whakamātautau ko:

He whakamātautau DNA mō te tūtae. Ka tirohia e tēnei whakamātautau tō tūtae mō te toto me ngā pūtau kei roto ngā huringa ira e tohu ana pea i te mate pukupuku.
Koronokopiko, ko sigmoidoscopy rānei. E rua ngā whakamātautau e whakamahi ana i tētahi ngongo angiangi me tētahi kāmera hei tirotiro i roto i tō koroni. Mā te koroni ka taea e tō kaiwhakarato te kite i tō koroni katoa. Mā te sigmoidoscopy ka kitea noa te wāhanga o raro o tō koroni.
Ko te CT colonography, e kiia ana ko te "virtual colonoscopy." Mō tēnei whakamātautau, ka inu koe i tētahi tae i mua i te whai i tētahi matawai CT e whakamahi ana i ngā hihi-x hei tango pikitia taipitopito 3-ahu o tō koroni katoa me te rectum.
He painga, he huakore hoki ia momo whakamātautau. Ka taea e tō kaiwhakarato te āwhina i a koe ki te whakatau ko tēhea whakamātautau te mea tika māu.

He aha te mea ka tupu i te wā e whakahaerehia ana he whakamātautau toto huna mō te paru?
I te nuinga o te wā, ka hoatu e tō kaiwhakarato he kete hei kohi tauira o tō tūtae (paru) ki te kāinga. Kei roto i te kete ngā tohutohu mō te whakahaere i te whakamātautau.

E rua ngā momo matua o ngā whakamātautau toto huna mō te paru:

Ko te whakamātautau toto huna paru guaiac (gFOBT) e whakamahi ana i tētahi matū (guaiac) hei kimi toto i roto i te tūtae. I te nuinga o te wā ka hiahiatia he tauira tūtae mai i ngā nekehanga puku e rua, e toru rānei.
Ka whakamahia e te whakamātautau ārai mate paru (iFOBT, FIT rānei) ngā paturopi hei kimi toto i roto i te tūtae. E whakaatu ana ngā rangahau he pai ake te whakamātautau FIT ki te kimi i ngā mate pukupuku colorectal i te whakamātautau gFOBT. Me tango he tauira tūtae mai i te kotahi ki te toru ngā nekehanga puku motuhake mō te whakamātautau FIT, i runga i te waitohu o te whakamātautau.
He mea tino nui kia whai i ngā tohutohu e haere tahi mai ana me tō kete whakamātautau. Ko te tukanga noa mō te kohikohi i tētahi tauira paru ko ēnei mahi whānui:

Te kohikohi i tētahi nekehanga o te puku. Kei roto pea i tō kete he pepa motuhake hei whakatakoto ki runga i tō wharepaku hei hopu i tō nekehanga o te puku. Ka taea rānei e koe te whakamahi i tētahi takai kirihou, i tētahi ipu ma, maroke rānei. Mēnā kei te mahi koe i tētahi whakamātautau guaiac, kia tūpato kei uru tētahi mimi ki roto i tō paru.
Te tango tauira tūtae mai i te totohu. Kei roto i tō kete he rākau rakau, he paraihe tāpiri rānei hei waru i te tauira tūtae mai i tō totohu. Whāia ngā tohutohu mō te wāhi hei kohi i te tauira mai i te tūtae.
Te whakarite i te tauira tūtae. Me pania te tūtae ki tētahi kāri whakamātautau motuhake, me whakauru rānei te taputapu tāpiri me te tauira tūtae ki roto i tētahi ngongo i tae mai me tō kete.
Te tāpiri tapanga me te hiri i te tauira e ai ki ngā tohutohu.
Me whakahoki anō te whakamātautau i tō puku e whai ake nei e ai ki ngā tohutohu mēnā e hiahiatia ana he nui atu i te kotahi tauira.
Te tuku i ngā tauira kia rite ki ngā tohutohu.
Me mahi ahau i tetahi mea hei whakarite mō te whakamātautau?
Kāore he whakaritenga e hiahiatia ana mō te whakamātautau ārai mate paru (FIT), engari e hiahiatia ana he whakaritenga e te whakamātautau toto huna paru guaiac (gFOBT). I mua i tō whakamātautau gFOBT, ka tono pea tō kaiwhakarato kia karohia e koe ētahi kai me ngā rongoā ka pā ki ngā hua o te whakamātautau.

Mō ngā rā e whitu i mua i te whakamātautau, me karo pea koe i:

Ngā rongoā kore-steroidal, anti-inflammatory (NSAID), pērā i te ibuprofen, te naproxen, me te aspirin. Mena kei te tango koe i te aspirin mō ngā raruraru o te ngākau, kōrero ki tō kaiwhakarato i mua i te whakamutu i tō rongoā. Tērā pea ka taea e koe te tango i te acetaminophen i tēnei wā engari me pātai ki tō kaiwhakarato i mua i te tango.
Huaora C neke atu i te 250 mg ia rā. Kei roto i tēnei ko te huaora C mai i ngā tāpiringa, i ngā wai hua, i ngā hua rānei.
Mō ngā rā e toru i mua i te whakamātautau, me karo pea koe i:

Mīti whero, pērā i te mīti kau, te reme, me te poaka. Tērā pea ka kitea he toenga toto mai i ēnei mīti i roto i tō tūtae.
He tūponotanga kei roto i te whakamātautau?
Kāore e mōhiotia he mōrearea o te whai whakamātautau toto huna mō te paru.

He aha te tikanga o ngā hua?
Mena kei roto i ngā hua o te whakamātautau toto huna he toto kei roto i tō tūtae, ko te tikanga tera pea he toto kei roto i tō ara kai. Engari ehara i te mea he mate pukupuku tōu. Ko ētahi atu āhuatanga ka puta ai he toto i roto i tō tūtae ko ngā mate pukupuku, ngā hemorrhoids, ngā polyps, me ngā pukupuku pai (ehara i te mate pukupuku).

Mena he toto kei roto i tō tūtae, tera pea ka tūtohu tō tākuta i ētahi atu whakamātautau hei kimi i te wāhi me te take o tō toto. Ko te whakamātautau whai muri ko te colonoscopy. Mena he pātai āu mō ngā hua o tō whakamātautau, kōrero ki tō tākuta.

Ako atu mō ngā whakamātautau taiwhanga, ngā awhe tohutoro, me te mārama ki ngā hua.

He mea anō kei te hiahia ahau ki te mōhio mō te whakamātautau toto huna mō te paru?
He taputapu nui ngā whakamātautau mate pukupuku koroni auau, pērā i ngā whakamātautau toto huna o te paru, hei whawhai ki te mate pukupuku. E whakaatu ana ngā rangahau ka taea e ngā whakamātautau tirotiro te āwhina i te kimi wawe i te mate pukupuku, ā, ka whakaiti pea i ngā mate mai i te mate.

Ki te whakatau koe ki te whakamahi i te whakamātautau toto huna mō te tirotiro i te mate pukupuku colorectal, me mahi e koe te whakamātautau i ia tau.

Ka taea e koe te hoko kete kohikohi tūtae gFOBT me te FIT, kāore he whakahaunga. Ko te nuinga o ēnei whakamātautau me tuku e koe he tauira o tō tūtae ki tētahi taiwhanga. Engari ko ētahi whakamātautau ka taea te mahi katoa i te kāinga kia tere ai ngā hua. Mena kei te whakaaro koe ki te hoko i tāu ake whakamātautau, pātai atu ki tō kaiwhakarato ko tēhea te mea pai rawa atu māu.

Whakaatuhia ngā tohutoro
Ngā Kaupapa Hauora e Pā Ana
Matepukupuku o te repeure
Te toto o te puku
Ngā Whakamātautau Hauora e Pā Ana
Anoskopia
Ngā Whakamātautau Hauora i te Kāinga
Ngā Whakamātautau Tirotiro Matepukupuku Repeure
Me pēhea te whakatau i te manukanuka i ngā whakamātautau hauora
Me pēhea te whakarite mō te whakamātautau taiwhanga
Me pēhea te mārama ki ngā hua o tō taiwhanga
Ngā Whakamātautau Osmolality
Ngā Pūtau Toto Ma (WBC) i roto i te Tūtae
Kaua ngā mōhiohio o tēnei pae tukutuku e whakamahia hei whakakapi mō te tiaki hauora ngaio, hei tohutohu rānei. Mēnā he pātai āu mō tō hauora, whakapā atu ki tētahi kaiwhakarato hauora.