Momma yensua wo nsu mu nhwehwɛmu no ho ade. Eyi nyɛ biribi a ɛsɛ sɛ yesuro!

Nokwarem no, asɛmfua "stool test" no betumi ayɛ te sɛ nea ɛyɛ nwonwa kakra ama nnipa binom, na ebia ɛyɛ aniwu kakra mpo. Nanso ɛnnɛ yɛbɛka sɛnea sɔhwɛ yi ho hia, nea enti a wɔyɛ, ne sɛnea wɔyɛ no ho asɛm. Enti momma yɛnka ho asɛm a yensuro biara, ɛyɛ?

Dɛn ne nsu mu nhwehwɛmu? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, nsu mu nhwehwɛmu yɛ sɔhwɛ a wɔfa wo nsu mu nsu mu nhwɛsode bi na wɔhwehwɛ ɔyare mmoawa , te sɛ mmoawa , mmoawa , anaa mmoawa a wɔsɛe nnɔbae, a ebetumi ama yɛyare. Ɛsan nso hwehwɛ mogya a ɛretu ho sɛnkyerɛnne afoforo a aniwa ntumi nhu. Eyi betumi aboa nnuruyɛfo ma wɔahu ɔhaw ahorow pii wɔ yɛn aduan mu (Gastrointestinal - GI) , efi ɔyare mmoawa so kosi tebea horow a emu yɛ den te sɛ kokoram so.

Bere bɛn na oduruyɛfo ka kyerɛ wo sɛ yɛ wo nsu mu nhwehwɛmu?

Wo duruyɛfo betumi ahyɛ nhwehwɛmu yi sɛ wowɔ sɛnkyerɛnne ahorow te sɛ:

• Sɛ wuhu mogya wɔ wo nsu mu a .
• Sɛ nsuo wɔ nsuo no mu a.
• Sɛ wowɔ atiridiinini a ɛkɔ so bɛboro nnansa (akisikuru).
• Sɛ wo yafunu yɛ wo yaw anaasɛ wo ho yɛ wo yaw a .
• Sɛ wote nka sɛ wo ho ayɛ wo yaw anaasɛ wofe nna pii a .
• Sɛ wowɔ atiridiinini a .

Sɛ wowɔ biribi te sɛ eyi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn, woate ase?

Dɛn na wobetumi ahu wɔ saa nsu mu nhwehwɛmu yi mu?

Saa sɔhwɛ yi betumi ama yɛanya nneɛma pii a ɛkɔ so wɔ yɛn nipadua mu ho nsɛnkyerɛnne. Susuw tebea horow a ɛte sɛ eyinom ho hwɛ:

• So kuru ketewaa bi wɔ akyi berɛmo no mu (anal fissure) ?
• Anemia , a ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ ho yɛ na.
• Colitis , a ɛkyerɛ sɛ akyi berɛmo no fã bi ahonhon anaasɛ apira.
• Nneɛma te sɛ colon polyps .
• Eyi boa ma wohu kokoram te sɛ kokoram a ɛwɔ akyi berɛmo mu no ntɛm.
• Sɛ mogya tu fi dwensɔtwaa mu a (Gastrointestinal Bleeding) .
• Tebea horow te sɛ akisikuru .
• Nyarewa ahorow – eyinom betumi ayɛ ɔyare mmoawa , mmoawa, anaa mmoawa a wɔde nyarewa ba .
• Tebea horow a ɛyɛ hyew a ɛkɔ so wɔ dwensɔtwaa no mu, te sɛ IBD (Inflammatory Bowel Disease) .
• Sɛ wode srade pii fa wo nsu mu (Steatorrhea) .
• Yafunu mu akisikuru .
• Exocrine Pancreatic a Ɛnyɛ Den (EPI) ., a ɛkyerɛ sɛ wontumi nwe aduan yiye.
• Wubetumi nso ahwɛ sɛ nkotoku nketewa (diverticulosis) wɔ dwensɔtwaa no mu anaa .

Woahu, hwɛ sɛnea wobetumi de sɔhwɛ biako ahu nneɛma pii!

Akwan bɛn na wɔfa so hwehwɛ nsu mu?

Akwan pii wɔ hɔ a wobɛfa so asɔ wo nsu a ɛwɔ wo nsu mu ahwɛ. Wo duruyɛfo no begyina wo sɛnkyerɛnne ahorow so apaw ɔkwan a eye sen biara:

• Fecal Occult Blood Test (FOBT): Eyi hwɛ sɛ mogya nketenkete bi wɔ nsu mu a ɛyɛ ketewaa dodo sɛ wɔde aniwa betumi ahu anaa. Sɛ nea efi mu ba no yɛ ``positive`` a, ɛkyerɛ sɛ mogya retu wɔ baabi wɔ aduannoa nhyehyɛe no mu.
• FIT-DNA Test: Eyi te sɛ `(FOBT)`, nanso ɛnyɛ mogya nko na ebetumi ahu, na mmom DNA asinasin a asesa wɔ ɔkwan bi so a ebetumi ne kokoram nkwammoaa abata nso. (Ɛha na `FIT` gyina hɔ ma `Fecal Immunochemical Test`).
• Nhwehwɛmu a wɔyɛ de hu sɛ obi anya ɔyare mmoawa: Wɔnam akwan horow pii so na ɛyɛ eyinom. Ɛtɔ da bi a wɔnyin mmoawa no na wɔhwɛ wɔ ``Amammerɛ'' mu, wɔhwɛ wɔ microscope mu, anaasɛ wɔhwehwɛ mmoawa no ``DNA'' so.

So ɛsɛ sɛ meyɛ biribi titiriw bi ansa na wɔayɛ me nsu mu nhwehwɛmu?

Mpɛn pii no, ɛho renhia sɛ woyɛ biribi titiriw biara. Nanso, ma ɛntra w’adwenem sɛ ɛtɔ mmere bi a wo duruyɛfo betumi aka akyerɛ wo sɛ gyae nnuru bi a wobɛnom nna kakraa bi , anaasɛ kwati nnuan bi (te sɛ nam kɔkɔɔ ne nhabannuru bi) nna kakraa bi . Saa nneɛma yi betumi ayɛ soronko wɔ sɔhwɛ biara mu ne onipa biara mu. Enti ɛho hia sɛ wubisa wo duruyɛfo sɛ ebia ɛsɛ sɛ woyɛ biribi titiriw bi ansa na woayɛ nhwehwɛmu no anaa.

Wobɛyɛ dɛn aboaboa nsu a ɛwɔ fie ano? Eyi te sɛ nea ɛyɛ basaa kakra, ɛnte saa?

Yiw, eyi betumi ayɛ osuahu a ɛyɛ nwonwa kakra ama nnipa binom. Nanso mma ɛnhaw wo, oduruyɛfo anaa lab no bɛma wo biribiara a wuhia ama eyi. Wɔbɛma wo toa ketewa bi a ɛho tew a ɛwɔ akataso a wode nhwɛsode no bɛhyɛ mu (ahina a wɔde yɛ nhwɛsode). Ɛsɛ sɛ wɔkyerɛw wo din ne da a wɔwoo wo nso wɔ so.

Anamɔn ahorow bi a ɛsɛ sɛ wudi akyi wɔ ɔkwan a ɛkɔ akyiri so ni:

1. Nea edi kan no, sɛ ɛho hia sɛ woto wo ho , yɛ. Ade a ɛho hia sen biara ne sɛ woremma nsu ne nsu no nfra. Saa a wobɛyɛ no betumi asakra sɔhwɛ no mu aba.

2. Afei, ɛsɛ sɛ wode biribi gu tiafi mu na ama woatumi akyere nsu no. Ebia wo duruyɛfo bɛma wo tray anaa ade titiriw bi a wode bɛyɛ eyi. Sɛnea ɛbɛyɛ foforo no, wubetumi de plastic a wɔde kyekyere nneɛma ho asi tiafi no ne tiafi kuruwa no ntam. Anaasɛ wubetumi de ade a ɛho tew na ɛyɛ nwunu (te sɛ ice cream kuruwa dedaw) ahyɛ tiafi no mu. (Nanso, sɛ wowɔ nsu a ɛho ayɛ hare te sɛ akisikuru a, ebia ɔkwan a wɔfa so de plastic kyekyere nneɛma ho no nyɛ nea eye sen biara.)

3. Nea ɛho hia sen biara no! Mma nsuo nnka nsuo no anaa tiafi kuruwa no mu.Sɛ eyi ba a, ebia nhwɛsode no bɛyɛ fĩ na wɔrennya nea efi mu ba a edi mu.

4. Afei, fa plastic scoop a lab de ama, anaa plastic spoon a wotumi de tow a wubetumi de adi dwuma, fa nsu a wɔde yɛ nsu no mu kakraa bi na fa gu specimen container a wɔde ama no mu. Mpɛn pii no, oduruyɛfo no bɛkyerɛ wo dodow a ɛsɛ sɛ wonom, anyɛ saa a wɔbɛkyerɛw saa dodow no agyirae wɔ ade a wɔde gu mu no so.

5. To toa no mu denneennen.

6. Sɛ wofa nhwɛsode no wie a, fa ahwɛyiye fa nsu a aka no gu tiafi mu na hohoro mu.

7. Fa biribiara a wode boaboa nhwɛsode no ano (nsake, plastic a wɔde kyekyere nneɛma ho, ne nea ɛkeka ho) gu plastic bag mu, kyekyere no denneennen, na tow gu nwura mu.

8. Nea etwa to no, fa samina ne nsu a ɛsen hohoro wo nsa yiye bɛyɛ simma biako.

9. Ɛsɛ sɛ wɔde nhwɛsode no kɔ lab anaa oduruyɛfo adwumayɛbea ntɛm ara sɛnea wobetumi. Sɛ biribi nti wuntumi mfa mma ntɛm ara a, wubetumi de ahyɛ frigye mu bere tiaa bi ( nnɔnhwerew kakraa bi). Nanso, sɛ wɔamfa amma wɔ nnɔnhwerew 24 ntam a , ebia wɔrensɔ nhwɛ.

Kae sɛ, kenkan akwankyerɛ no yiye na di akyi sɛnea wo duruyɛfo anaa lab de ma wo no pɛpɛɛpɛ. Ebia wɔbɛma wo akwankyerɛ titiriw nso.

Bere tenten ahe na egye ansa na nea efi nsu mu nhwehwɛmu mu ba no asan aba?

Mpɛn pii no wubetumi anya wo aba no wɔ nna biako kosi abiɛsa ntam , nanso egyina nea wɔresɔ ahwɛ so no, ɛtɔ mmere bi a ebetumi agye bere tenten kakra.

Mɛyɛ dɛn asɔ me sample no ahwɛ wɔ lab?

Ɛsono nso gyina sɔhwɛ ko a wɔreyɛ so.

• Wɔ sɔhwɛ ahorow bi mu no, wɔde nsu kakraa bi gu sɔhwɛ krataa titiriw bi so.
• Wɔ sɔhwɛ foforo mu no, wɔde nsu kakraa bi gu ahwehwɛ a wɔde twetwe nneɛma so na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu.
• Ɛtɔ da bi a, wɔde nsuo gu ``culture plate'' a aduanenuru a ɛhia na mmoawa no anyin wɔ mu so, na wohu sɛ mmoawa no nyin.
• Esiane sɛ ɛyɛ den sɛ wobehu mmoawa bi nti, wɔma wɔn DNA yɛ kɛse denam mfiri titiriw bi a wɔyɛ no mpɛn pii so.

Dɛn na nea efi mu ba no ka? Aane? Negetifu?

Nea efi nsu mu nhwehwɛmu mu ba no betumi ayɛ ``Positive`` anaa ``Negative``.

• ``Negative`` result kyerɛ sɛ wo nsuo no yɛ nea ɛfata, na lab no anhunu biribiara te sɛ mogya anaa mmoawa a wɔde yareɛ ba. Ɛno kyerɛ sɛ ɛda adi kɛse sɛ ɔhaw biara nni hɔ.
• Nea efii mu bae ``pa`` kyerɛ sɛ wohuu mmoawa anaa yare ho sɛnkyerɛnne (e.g., mogya a ɛyɛ asumansɛm). Ebia mmoawa a wohuu no no din mpo bɛka amanneɛbɔ no ho.

Sɛ nea efi mu ba no yɛ papa a, dɛn na woyɛ akyi?

Sɛ wo nsuo mu nhwehwɛmu yɛ ``pa,'' ɔyare ho ɔbenfoɔ (ɔbenfoɔ a ɔhwɛ lab amanneɛbɔ no mu) bɛka ho asɛm akyerɛ wo duruyɛfoɔ. Nea ɛka eyi ho ne ɔyare mmoawa ko a wohuu, ne sɛ ebia sɛnkyerɛnne afoforo bi wɔ hɔ a ɛkyerɛ sɛ ɔyare no wɔ hɔ (e.g., mogya dodow a ɛwɔ nsu mu, srade dodow).

Wo duruyɛfo no begyina saa nsɛm yi so ahu nea ɛde wo sɛnkyerɛnne ahorow no ba ankasa na wakyerɛw aduru a ɛfata ama wo.

Eyi ho hia paa: Ɛtɔ mmere bi a, sɛ nea efi mu ba no kyerɛ biribi te sɛ kokoram a, mma wo ho nnpopo. Wo duruyɛfo de wo bɛkɔ oncologist nkyɛn akɔyɛ nhwehwɛmu foforo ne ayaresa biara a ɛho hia.

So nsu mu nhwehwɛmu ye te sɛ colonoscopy?

Ɛyɛ nokware sɛ nsu mu nhwehwɛmu betumi ama nnuruyɛfo anya nsɛm a ɛho hia pii. Nanso, ɛtɔ mmere bi a nsakrae nketenkete paa a ɛba akyi berɛmo no mu (sɛ nhwɛso no, polyps nketewa paa) betumi ayɛ ntɛm dodo sɛ wɔde nsu mu nhwehwɛmu behu.

Wɔ tebea horow a ɛtete saa mu no, titiriw sɛ wo nsu mu nhwehwɛmu no nyɛ papa nanso wokɔ so nya sɛnkyerɛnne ahorow (te sɛ yafunu mu yaw anaa mogya a ɛretu) a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo dwensɔtwaa mu nhwehwɛmu . Sɛ yɛbɛka no tiawa a, nea ɛka ho ne sɛ wode afiri tenten bi a ɛyɛ mmerɛw a mfoninitwa afiri ketewaa bi fa wo akyi berɛmo mu, na ɛma wo duruyɛfo no hwɛ wo akyi berɛmo no mu tẽẽ. Eyi betumi aboa ma wɔahu nnua nketenkete biara a enyin (polyps) a ɛnyɛ den sɛ wobeyi afi hɔ ansa na ayɛ kɛse a ɛbɛma ɔhaw aba, na sɛ ɛho hia a, ebetumi nso afa nhwɛsode nketenkete (biopsies).

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Sɛ yɛbɛka nokware a, sɛ obi yɛ ne nsu mu nhwehwɛmu a, ɛnyɛ osuahu a ‘ɛyɛ anigye’ kɛse ma obiara. Ɛyɛ ade a ɛfata nso sɛ wobɛte ehu nka kakra, wo ho atɔ wo, anaasɛ w’ani awu sɛ woanyɛɛ bi da a.

Nanso, mma saa ehu no ntwentwɛn wo nan ase sɛ wobɛkɔ sɔhwɛ a ɛho hia yi mu. Sɛ wote nka sɛ biribi "ɛnyɛ papa," wo yafunu taa yɛ wo yaw, anaasɛ wuhu mogya wɔ wo nsu mu a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.

Saa nsu mu nhwehwɛmu a ɛnyɛ den yi betumi ama wo duruyɛfo anya nea ɛde wo aduan mu haw ahorow ba no ho nsɛm a ɛsom bo. Ɛdenam mmoawa a ɛwɔ wo nsu mu ne sɛ ebia ɔhaw afoforo wɔ hɔ a wubehu so no, wo duruyɛfo betumi ama woahu yare no pɛpɛɛpɛ sen biara na wafi ayaresa a etu mpɔn sen biara ase . Enti, eyi ho hia paa ma w’akwahosan!

` Nsuo mu nhwehwɛmu, Nsuo mu nhwehwɛmu, aduane mu nhyehyɛeɛ, mmoawa, atiridiinini, yafunu mu haw, yareɛ a wɔhunu