He aha te Hiranga o te Toto Ngaro o te Tūtae

Ko te mate pukupuku koroni tētahi o ngā tino take o te mate me te matenga e pā ana ki te mate pukupuku puta noa i te ao. Ko te nuinga o ngā mate pukupuku koroni ka whanake haere mai i ngā polyp o mua i te mate pukupuku i roto i ētahi tau, ka hangaia he matapihi whai hua mō te kitenga wawe me te wawaotanga.

Ko tētahi o ngā tohu whakatūpato tuatahi kototo huna o te paru (FOB)—he toto iti kei roto i te tūtae e kore e kitea e te kanohi tahanga. Tērā pea ka puta te toto ngaro mai i ngā momo mate puku, tae atu ki:

• · Ngā adenoma me ngā polyp o te repeure
• · Matepukupuku korokoro
• · Ngā mate puku me ngā mate puku duodenal
• · Te mate puku mumura
• · Ētahi atu whara o te puku

Nā te mea he maha ngā tūroro kāore e whakaatu i ō rātou tohu i ngā wāhanga tōmua, kua noho ko te kimi toto huna hei wāhanga nui o te whakamātautau matepukupuku colorectal i runga i te taupori.

Te Taumahatanga Ao o te Mate Pukupuku Repeure

E ai ki te(Te Tari Rangahau mō te Mate Pukupuku o te Ao (IARC) GLOBOCAN 2022), ko te mate pukupuku koroni te tuatoru o ngā mate pukupuku e tino kitea ana i te ao katoa, ā, koia tonu te tuarua o ngā tino take o te mate pukupuku.

Ko te rongo whakatenatena, he tino taea te ārai i te mate pukupuku koroni me te rongoā ina kitea wawe. E rima tau te roa o te oranga o te mate ā-rohe e neke atu ana i te 90%, engari ko te mate horapa kua horapa haere tonu e pā ana ki ngā hua kino rawa atu. Nō reira, he mea nui te tirotiro auau ki te whakaiti i te auau me te mate o te CRC.

FIT: Te Tikanga Pai mō te Kimi Toto Ngaro i te Tūtae

I ngā wā o mua, i whakawhirinaki ngā whakamātautau toto huna o te paru ki ngā tikanga matū e hangai ana ki te guaiac (gFOBT), e kitea ai te mahi peroxidase o te hemoglobin. Heoi, ka pāngia pea ēnei whakamātautau e ngā āhuatanga kai, ētahi rongoā, me te hemoglobin ehara i te tangata, ka hua ake he hua teka-pai.

I tēnei rā,Whakamātautau Ārai Matū o te Para (FIT)kua noho hei tikanga tirotiro pai rawa atu i roto i te maha o ngā kaupapa tirotiro mate pukupuku colorectal ā-motu.

Ki te whakatauritea ki ngā whakamātautau matū tuku iho, he maha ngā painga nui o te FIT:

• · Teitei o te motuhaketangamā te kimi i te hemoglobin tangata me ngā paturopi monoclonal
• · Kāore he here kaii mua i te whakamātautau
• · Te whakapai ake i te tutuki o ngā whakaritenga a te tūroronā te kohikohinga tauira māmā noa iho
• · He nui ake te aro ki te toto o raro o te puku, ā, he tino whai hua mō te tirotiro i te mate pukupuku koroni

Nā ēnei painga kua whakatūria te FIThei tirotiro tuatahi kore-whakaekengatikanga i roto i te maha o ngā whenua.

Ngā Taunakitanga mō te Tirotiro ā-Ao

E taunaki ana ngā whakahaere nui o te ao i te tirotiro auau mō te mate pukupuku colorectal mō ngā pakeke mōrearea noa.

• · USPSTFe taunaki ana kia tirotirohia ngā pakeke45–75 tau, me te FIT ā-tau hei tētahi o ngā rautaki tātaritanga e taunakitia ana.
• · Te Rōpū Matepukupuku o Amerika (ACS)e taunaki ana hoki kia tīmatahia he tirotiro auau i te45 tau te pakeke.
• · Ngā aratohu tirotiro mate pukupuku koroni o Ūropitautoko i ngā kaupapa tirotiro FIT kua whakaritea, i ia rua tau mō ngā pakeke 50–74 tau te pakeke.

Ahakoa te rautaki tirotiro, me whai colonoscopy te hunga whai hua FIT pai hei aromatawai anō me te whakaū i ngā whara colorectal.

He aha ngā mea e hanga ana i tētahi Whakamātautau FIT kounga teitei?

I te wā e whiriwhiri ana i tētahi whakamātautau toto huna mō te paru, me whai whakaaro ngā tohunga hauora me ngā kaiwhakamahi ki ētahi āhuatanga matua:

• · Te aro nui ki te tātari mō te kimi i ngā kukū iti o te hemoglobin tangata
• · Te tino motuhake hei whakaiti i ngā hua teka-pai
• · Kohikohi tauira mā, watea hoki
• · Mahi pumau me te rokiroki i te pāmahana rūma
• · He mahinga rere ngāwari e tautoko ana i te whakamahinga kāinga me ngā tautuhinga ngaio

Kete Whakamātautau Toto Huna mō te Whakamātautau Makro me te Iti (Colloidal Gold)

Kua whakawhanakehia e Macro & Micro-Test tētahiKete Whakamātautau Toto Ngaro mō te Tūtae (Colloidal Gold)e hangai ana ki te hangarau immunochromatographic, e whakarato ana i tētahi otinga tere, watea, me te akuaku mō te tirotiro mate pukupuku colorectal.

Ko ngā āhuatanga matua ko:

• · He tere te hua kounga i roto i te 5–10 meneti
• · Te aro o te tātaritanga40 ng/mL te hemoglobin tangata
• · Hangarau kimi ārai mate, te whakaiti i te pokanoa mai i te kai me ngā rongoā
• · Ngongo tauira whakauru auahamō te kohikohinga tauira ma, akuaku ake i ngā hoahoa e hangai ana ki te rīpene tuku iho
• · He pai mō te whakamātautau-ā-koe me te whakamahi ngaio
• · Te rokiroki i te pāmahana rūma (4–30°C) me te roa o te oranga tae atu ki te 24 marama

I hangaia te kete hei whakapai ake i te urunga atu me te wheako kaiwhakamahi, e tautoko ana i te tirotiro watea me te pupuri tonu i te mahi tātari pono.

Mā te kitenga wawe ka ora ngā tāngata. Mā te whakangawari ake i te tirotiro mate pukupuku koroni, ka taea e te whakamātautau FIT te āwhina i te tautuhi i te mate i mua i te putanga mai o ngā tohu, ka taea ai te wawaotanga haumanu wawe me te pai ake o ngā putanga tūroro.

Ako atu mō te Macro &Kete Whakamātautau Toto Ngaro o te Tūtae Whakamātautau-iti: