00:07Mga ka-RSPs, sa patuloy na pagtaas ng health risks,
00:10mahalaga na maging aware tayo sa mga sakit na hindi natin agad nararamdaman.
00:15Isa na rito, ang colorectal cancer.
00:18Kaya naman ngayong umaga, makakasama po natin si Dr. Star De Lunas,
00:22isang gastroenterologist at hepatologist para pag-usapan ang sintomas at sanhi
00:28at kung paano natin maiiwasan ang sakit na ito.
00:31Good morning, Doc. Welcome to Rise and Shine, Pilipinas.
00:33Welcome, Doc. Good morning, po.
00:35Hi, Doc.
00:36Doc, marami sa atin na hindi po nakakalam tungkol dito.
00:39What is colorectal cancer?
00:41So, ang colorectal cancer po, ito ay isang uri ng cancer na nagmumula o tumutubo sa malaking bituka or colon.
00:49Okay.
00:49So, ayon sa huling datos, ang colorectal cancer ay pangatlo sa pinakakomon na uri ng cancer in the Philippines.
00:57And it's the fourth most common cause of cancer-related death.
01:02And so, every March po, we celebrate the colorectal cancer awareness month
01:06para po i-increase yung awareness, increase yung screening, and the health promotion among our viewers.
01:14Okay, Doktora. Para maiwasan ang ating mga kababayan nito,
01:18ano po ba yung pinakakomon na mga sintomas na dapat bantayan?
01:23Okay. So, maaari pong walang sintomas.
01:26Pero kung mayroon po yung pagbago sa character of stools.
01:31Okay.
01:31So, ipagnuminipis yung stools or parang dumi ng kambing, katulad ng sinasabi nila,
01:35or sa ibang pasyente kung basa ang dumi.
01:38Another is kung merong dugo.
01:40Passage of blood, either fresh or dark-colored blood per rectum.
01:46Another is abdominal pain.
01:48Yung ibang pong pasyente, they characterize it as bloatedness,
01:51parang butod sila, or yung iba naman, dine-describe it as crampy.
01:56Yung hindi po sinasadyang pag-loose ng timbang, pag-bawas ng timbang, that's what.
02:02And another is yung pagbaba ng pula ng dugo.
02:06So, these patients would complain of fatigue, para silang nanghihina, laging pagod.
02:12So, those are the signs po na kailangan natin bantayan.
02:15Okay, we're talking about also kanina yung normal bowel changes.
02:19So, aside doon sa pagkambing, yung parang hugis-kambing na klase ng dumi,
02:24na madalas naramdaman, what are the other red flags na dapat i-check?
02:28So, most dosing sa dimension.
02:30Now, balikan ko lang yung kung ano yung normal na pagdumi.
02:34So, it's very variable.
02:36Iba-iba po siya per patient.
02:38So, if you notice any change in your usual bowel habits, whether you pass your stools three times a week,
02:46for example,
02:47tapos naging once a week for two to three weeks.
02:50Okay.
02:51So, kailangan po ay mag-suspet siya na tayo na baka meron hong problema sa bitukan.
02:57Paano screening doon do?
02:58So, okay.
02:59Thank you for that question because that is actually what we want to raise awareness of.
03:04So, ang screening po, iba-ibang klase.
03:07So, meron pong, to me, I think the pinaka-cause effective would be colonoscopy.
03:12Because colonoscopy po allows direct visualization.
03:16Nakikita po namin talaga yung loob ng lining ng large intestines.
03:20Okay.
03:20But if you prefer the lesser invasive ones, so we can do stool tests, fecal immunohistochemical testing for the stools.
03:29But this screening would require you to do it every year.
03:32Whereas, yung colonoscopy po, pwede po siyang every 10 years kung normal naman yung initial colonoscopy.
03:37Meron pa pong ibang methods, less common would be yung mga CT scan, ng colon, maaari din po yan.
03:43Fecalysis hindi?
03:46Hindi po. Yung fecalysis po kasi would detect yung mga bacteria, mga parasites.
03:51But yung advantage po nung sinabi kong FIT, nagdetect po siya ng blood, ng human RBC po siya.
03:59Okay.
04:00Sa pangkaraniwang tao, hindi mo naman talaga ipapacheck up kag may pagkakaiba lang yung mga stools mo.
04:07Dahil minsan nangyayari naman talaga yun.
04:09So minsan nagkakambing din yung ano?
04:11Hindi. I mean, sa lahat ng tao.
04:12Pasintabi sa mga nagbibletfasa.
04:13Sa lahat ng tao, di ba? Minsan pa iba-iba yung stool mo, depende sa kinain mo or depende sa
04:17bowel movement mo.
04:18Naranasok kayo na pamameha.
04:20Pero eto, Doktora, ano ba yung ano, para maiwasan po natin ito, ano yung pangonahing sanhi ng colorectal cancer?
04:28So yung mga pangonahing sanhi po would be, one is genes.
04:32So genes.
04:33And that includes a family history as well.
04:36Pero yung, hindi natin mababago yun eh.
04:39Ang mababago po natin yung ating lifestyle.
04:41So kung mahilig ka ng mga highly processed foods, tapos yung mga red meat, kung low ang consumption mo ng
04:50fiber, if your lifestyle is sedentary.
04:54Also yun, kung meron ho kayong bisyo, sigarilyo, alkohol.
04:58So those primarily puts you at risk for having colon cancer po.
05:05Okay.
05:05Mas mataas po ba yung kaso nito sa kalalakihan o sa kababaihan?
05:09Dito sa Pilipinas?
05:09Yes, sa Pilipinas po, mas predominant po to among men.
05:14Okay.
05:15But for both sexes, colon cancer is the second leading common cause of, most common cause of cancer.
05:23Okay doc, I don't know if I should ask this, pero what's the difference with colon cancer and colorectal?
05:28So, this rectum is a part of the colon.
05:33But it pertains to the most distal part of the colon.
05:38Okay.
05:38Ayun, yung yung different dalawa.
05:40Okay.
05:41Some kasi doc, kapag ako sabi nyo kanina men, medyo laliman na natin mga ka-RSP, lagayin natin ng unting
05:50gender expression.
05:51Ayan.
05:52So ako po yung isang bading, iba't ibang klase ng forma ng pagmamahalan, ganyan.
05:57And there is some kinds of, you know, activities na ginagawa ang mga kapwa members ko, doc.
06:03Is that also a risk for this kind of sakit?
06:07Katulad na nabanggit ko kanina, siguro maaari because of you are prone to some certain infections, ganyan.
06:15So, in that sense, maaari.
06:18But I would like to focus more on yung sa genes, the lifestyle, the vices, etc.
06:25Ayun, mas ano pa rin yun, predominantly symptoms.
06:27I mean, practices na pwede maging daylaan.
06:31Meron po bang mga dapat na itake para maiwasan ito?
06:34Halimbawa, mga herbal or klase ng pagkain?
06:38I would like to say, having a healthy lifestyle po.
06:42So, higher fiber intake, lesser of the processed and the consumption of red meats.
06:47I would say those things.
06:49Tapos, iwas sa mga bisyo, alcohol, sigarilyo.
06:54Having an active lifestyle po, pag-i-ersisyo.
06:57So, matanong ko lang ano, kasi napag-uusapan lang minsan, yung mga part daw ng karne na medyo sunog,
07:04lalo na sa mga barbecue, sa mga steak, yun daw yung mataas na may posibilidad na magkaroon?
07:08Maaari po, maaari.
07:10Oh, okay.
07:11Well, ang dami natin nalaman, in fairness naman.
07:15On that note, Dr. Star Dalunas, maraming salamat po sa pagbigay na informasyon patungkol sa colorectal cancer.
07:23Maraming salamat, Dr. Thank you.
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