Launin launi

Launin launi shine gwajin cutar kansar hanji da na dubura.

Coan hanji yana zubar da ƙwayoyin halitta daga lafinsa kowace rana. Waɗannan ƙwayoyin suna wucewa tare da tabon cikin hanji. Kwayoyin cutar kansa na iya samun canjin DNA a cikin wasu ƙwayoyin halitta. Launin launi yana gano DNA ɗin da aka canza. Kasancewar ƙwayoyin halitta marasa kyau ko jini a cikin kujerun na iya nuna kansar ko ciwan precancer.

Kayan aikin gwajin Cologuard don ciwon hanji da na dubura dole ne mai ba da sabis na kiwon lafiya ya ba da umarnin. Za a aiko ta da wasiƙa zuwa ga adireshinku. Kuna tattara samfurin a gida kuma aika shi zuwa dakin gwaje-gwaje don gwaji.

Kayan gwajin Cologuard zai kunshi kwandon samfurin, bututu, adana ruwa, lakabobi da umarnin yadda za'a tattara samfurin. Lokacin da ka shirya samun hanji, yi amfani da kayan gwaji na Cologuard don tattara samfurinka na mara.

Karanta umarnin da yazo da kayan gwajin a hankali. Jira har sai kun shirya don yin hanji. Tattara samfurin kawai lokacin da zai yiwu a aika shi cikin awanni 24. Dole ne samfurin ya isa lab a cikin awanni 72 (kwana 3).

KADA KA tattara samfurin idan:

• Kuna da gudawa
• Kuna jinin al'ada.
• Kuna da jinin dubura saboda basur.

Bi waɗannan matakan don tattara samfurin:

• Karanta duk umarnin da yazo da kayan aikin.
• Yi amfani da takalmin da aka bayar tare da kayan gwajin don gyara akwatin samfurin akan mazaunin bayan gida.
• Yi amfani da bandaki kamar yadda ka saba domin yin aikin hanji.
• Yi ƙoƙarin kada fitsari ya shiga cikin kwandon samfurin.
• Kada a saka takarda bayan gida a cikin jakar samfurin.
• Da zarar hanjinka ya wuce, cire akwatin samfurin daga maƙunannun ka ajiye shi a farfajiyar ƙasa.
• Bi umarnin don tattara ƙaramin samfuri a cikin bututun da aka bayar da kayan gwajin.
• Zuba ruwa mai adanawa a cikin kwandon samfurin kuma rufe murfin sosai.
• Yi wa tubes alama da kwandon samfurin bisa ga umarnin, ka sanya su cikin akwatin.
• Adana akwatin a zafin jiki na ɗaki, nesa da hasken rana kai tsaye da zafi.
• Sanya akwatin a cikin awanni 24 zuwa lab ta amfani da lambar da aka bayar.

Sakamakon gwajin za a aika zuwa ga mai ba da sabis a cikin makonni biyu.

Gwajin Cologuard baya buƙatar kowane shiri. Ba kwa buƙatar canza abincinku ko magunguna kafin gwajin.

Jarabawar tana buqatar ka samu hanji na al'ada. Ba zai ji wani bambanci da motsin hanji na yau da kullun ba. Zaka iya tattara samfurin a gidanka kai tsaye.

Ana yin gwajin ne domin auna kansar hanji da na dubura da kuma ci gaban al'ada (polyps) a cikin hanji ko dubura.

Mai ba ku sabis na iya ba da shawarar yin gwajin launuka sau ɗaya a kowace shekara 3 bayan shekara 50. Ana ba da shawarar gwajin idan ka kasance tsakanin shekaru 50 zuwa 75 kuma kana da matsakaicin haɗarin cutar kansa ta hanji. Wannan yana nufin cewa baku da:

• Tarihin mutum na ciwon polyps da ciwon kansa
• Tarihin iyali na kansar kansa
• Ciwon hanji mai kumburi (cututtukan Crohn, ulcerative colitis)

Sakamakon al'ada (sakamako mara kyau) zai nuna cewa:

• Gwajin bai gano ƙwayoyin jini ba ko DNA da aka canza a cikin kujerun ku ba.
• Ba kwa buƙatar ƙarin gwaji don ciwon kansar hanji idan kuna da matsakaicin haɗarin ciwon hanji ko hanji.

Sakamako mara kyau (sakamako mai kyau) yana nuna cewa gwajin ya sami wasu pre-cancer ko ƙwayoyin kansa a cikin samfurin ku. Koyaya, gwajin Cologuard baya tantance cutar kansa. Kuna buƙatar ƙarin gwaje-gwaje don yin gwajin cutar kansa. Wataƙila mai ba da sabis ɗinku zai ba da shawarar a binciko kayan ciki.

Babu haɗarin da ke tattare da ɗaukar samfurin don gwajin Cologuard.

Gwajin gwaji yana da ƙaramin haɗarin:

• Karya-tabbaci (sakamakon gwajin ku na al'ada ne, amma baku da cutar kansa ta hanji ko mummunar cutar polyps)
• Ativesarya-kwatancen ƙarya (gwajin ku na al'ada ne koda kuna da ciwon daji na hanji)

Har yanzu ba a sani ba ko amfani da Cologuard zai haifar da kyakkyawan sakamako idan aka kwatanta da sauran hanyoyin da ake amfani da su don bincika kansar ciki da ta dubura.

Launin launi; Nunawar kansar hanji - Cologuard; Gwajin DNA na Stool - Cologuard; FIT-DNA stool gwajin; Binciken hanzarin hanji - Cologuard

• Babban hanji (hanji)

Cotter TG, Burger KN, Maimaita ME, et al. Bincike na marasa lafiya na dogon lokaci da gwajin kwayar halitta ta DNA bayan an gama gano maganin rashin lafiya: binciken LONG-HAUL. Ciwon daji Epidemiol Biomarkers Prev. 2017; 26 (4): 614-621. PMID: 27999144 www.ncbi.nlm.nih.gov/pubmed/27999144

Johnson DH, Kisiel JB, Burger KN, et al. Gwajin DNA na Multitarget stool: aikin asibiti da tasiri a kan yawan amfanin ƙasa da ingancin colonoscopy don binciken kansar kai tsaye. Gastrointest Endosc. 2017; 85 (3): 657-665.e1. PMID: 27884518 www.ncbi.nlm.nih.gov/pubmed/27884518.

Yanar gizo Cibiyar Nazarin Ciwon Cutar Kasa (NCCN). Ka'idojin aikin asibiti a cikin ilimin ilimin kanji (NCCN Shawarwarin) Sigar 1.2018. www.nccn.org/professionals/physician_gls/pdf/colorectal_screening.pdf. An sabunta Maris 26, 2018. An shiga Disamba 1, 2018.

Prince M, Lester L, Chiniwala R, Berger B. Multitarget stool DNA gwaje-gwajen yana kara yawan cutar kansa a tsakanin marasa lafiya na marasa lafiya. Duniya J Gastroenterol. 2017; 23 (3): 464-471. PMID: 28210082. www.ncbi.nlm.nih.gov/pubmed/28210082.

Yanar gizo Task Force na Rigakafin Ayyukan Amurka. Bayanin shawarwarin ƙarshe: cutar kansa mai launi: nunawa. Yuni 2017. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/colorectal-cancer-screening2.