Sɛ oduruyɛfo ka kyerɛ wo sɛ wowɔ "akuru" bi wɔ wo nipadua mu baabi a, so wo nipadua nyinaa nnyɛ nwini? Ade a edi kan a ɛba w'adwenem ne suro a ɛne sɛ "So eyi yɛ kokoram?" Nanso ɛnyɛ akuru nyinaa na ɛyɛ kokoram. Ɛnnɛ yɛrebɛka akuru bi a ɛnyɛ kokoram, nanso ɛhia sɛ wɔhwɛ so ho asɛm. Ɛno ne adenoma.
Dɛn ankasa ne adenoma?
Sɛ yɛbɛka no tiawa a, adenoma yɛ akisikuru a ɛnyɛ kokoram (a ɛnyɛ hu) . Wofi ntini a ɛwɔ nipadua no mu a ɛkata yɛn nipadua no akwaa ne ntini ahorow so no mu na ɛba. Saa akisikuru yi taa nyin akuwakuw. Sɛ wohwɛ yiye a, wɔte sɛ nsenia nketewa a ne dua ketewaa bi wɔ.
Adenoma yɛ onyin bi a wɔfrɛ no polyp. Ɛtɔ mmere bi a nnuruyɛfo nso frɛ no adenomatous polyp .
Ade a ɛho hia ne sɛ adenomas nyɛ kokoram. Nanso, ɛtɔ mmere bi a, titiriw adenomas akɛse no, ebetumi adan kokoram bere a bere kɔ so no. Ɛno nti na ɛho hia kɛse sɛ oduruyɛfo hwɛ wo so wɔ eyinom ho no.
Adenomas ahorow bɛn na ɛwɔ hɔ?
Adenomas dodow no ara nyin wɔ yɛn nipadua mu ntini ahorow mu. Ntini no yɛ nnuru a wɔfrɛ no hormone a ɛho hia ma yɛn nipadua no dwumadi na eyi fi mu. Nea ɛne eyi hyia no, adenoma ahorow pii wɔ hɔ. Ma yɛnhwɛ nea ɛyɛ ahorow atitiriw no.
| Adenoma no su | Beae a esii ne nkyerɛkyerɛmu tiawa |
|---|---|
| Adrenal adenomas a ɛwɔ nipadua no mu | Eyinom na ɛba wɔ adrenal glands a ɛwɔ yɛn asaabo atifi no mu. |
| Adenomas a ɛwɔ akyi berɛmo mu | Eyinom yɛ polyp bi a ɛba wɔ akyi berɛmo no mu. Wɔn a wɔn kɛse boro mm 10 na ɛte sɛ cauliflower no, wɔfrɛ wɔn ‘advanced adenomas’. |
| Parathyroid adenomas a ɛwɔ nipadua no mu | Wɔyɛ eyinom wɔ parathyroid ntini a ɛbɛn thyroid ntini no mu. Eyi betumi ama parathyroid hormone ayɛ kɛse dodo. |
| Pituitary adenomas a ɛwɔ nipadua no mu | Eyinom nyin wɔ pituitary gland a ɛwɔ amemene no mu no mu. Wɔfrɛ nea esua sen sɛntimita 1 no microadenomas, na wɔfrɛ nea ɛsõ sen sɛntimita 1 no macroadenomas. |
| Adenomas a ɛwɔ nipadua no mu | Eyinom na ɛba yɛn nnompe mu. |
| Sebaceous adenomas (adenomas a ɛwɔ srade ntini mu) . | Eyinom ba wɔ ntini a ɛma ngo wɔ honam ani no mu. |
Bio nso, adenomas betumi ayɛ nea "ɛyɛ adwuma" anaasɛ "ɛnyɛ adwuma." Adenoma a ɛyɛ adwuma no ma nkwaadɔm pii ba sen nea ehia. Adenoma a ɛnyɛ adwuma no ntumi nnya hormone biara. Enti sɛ wowɔ adenoma a ɛnyɛ adwuma a, ebia worennya yare no ho sɛnkyerɛnne biara.
Wɔkyekyɛ saa nnuaba yi nso mu sɛnea enyin te.
Nnuruyɛfo nso kyekyɛ adenomas yi mu denam afiri a wɔde hwɛ nneɛma nketenkete a wɔhwɛ na wogyina sɛnea nkwammoaa hyehyɛ so kyekyɛ mu no so. Eyi ho hia wɔ ayaresa a wɔbɛkyerɛ mu.
| Nkɔso nhyehyɛe | Sɛnea ɛte ne ne su |
|---|---|
| Tubular a ɛyɛ ntini | Wonyin yɛ kurukuruwa anaa kurukuruwa. Wɔtaa hu wɔn wɔ adenomas a esua sen nsateakwaa 0.5 mu. |
| Villous a ɛyɛ fɛ | Wonyin wɔ ɔkwan a ɛyɛ asorɔkye a ɛyɛ basabasa so, te sɛ kabege nhwiren. Saa nhyehyɛe yi abu so wɔ adenoma akɛse mu. |
| Ntini a ɛyɛ ntini | Atifi hɔ nhwɛso abien no nyinaa a wɔadi afra. |
| Sessile a ɛnyɛ hwee | Enyin a enni dua, ɛyɛ tratraa, na ne nnyinaso yɛ kɛse. |
| Serrated na ɛwɔ hɔ | Sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ a, wohu nsusuwso bi a ɛte sɛ saw sẽ. |
Dɛn ne adenoma ho sɛnkyerɛnne ahorow?
Nsɛnkyerɛnne no gyina beae a adenoma no wɔ ne ne kɛse so. Ebia adenomas nketewa bi remma yare no ho sɛnkyerɛnne biara mma koraa. Nanso, nsɛnkyerɛnne bi wɔ hɔ a wɔtaa hu a wobetumi ahu:
- Yafunu mu yaw
- Nipadua mu ɔbrɛ a ɛboro so
- Tipaeɛ
- mogya a ɛtɔ kɔ nipadua mu a dade nnim
- Ntini mu mmerɛwyɛ
- Akisikuru anaa ɔfe
- Mogya a ɛba akyi berɛmo mu
Dɛn nti na yenya adenomas?
Nea enti a ɛte saa ne sɛ nkwammoaa a ɛwɔ yɛn nipadua mu no fi ase nyin na ɛpaapae a yentumi nni so. Mpɛn pii no, wɔka kyerɛ nkwammoaa a ɛwɔ yɛn nipadua mu no sɛ wonwu bere pɔtee bi. Wɔfrɛ eyi sɛ nkwammoaa a wowuwu a wɔayɛ ho nhyehyɛe . Sɛ saa adeyɛ yi nkɔ yiye a, nkwammoaa no bom yɛ akisikuru. Kokoram nkwammoaa nso nyin wɔ saa kwan yi so. Nanso, adenomas nyɛ basabasa te sɛ kokoram nkwammoaa na enyin brɛoo kɛse.
Nneɛma a ɛma asiane kɔ soro
Nneɛma bi betumi ama asiane a ɛwɔ hɔ sɛ obi benya adenoma no ayɛ kɛse.
- Mfe a wɔadi: Nnipa a wɔadi mfe 30 ne 40 no taa nya pituitary adenomas.
- Awosu mu nsakrae: Awosu mu tebea horow bi te sɛ Multiple Endocrine Neoplasia type 1 (MEN1) betumi ama adenoma aba. Eyinom yɛ nea wonya fi awo mu.
- Awosu mu yare: Abusua mu Adenomatous Polyposis (FAP) .Nyarewa bi te sɛ nea ɛkɔ so wɔ mmusua mu nso ma adenoma ho asiane no yɛ kɛse.
- Bɔbeasu: Mmea taa nya parathyroid adenomas sen mmarima mmɔho abien.
Ɔkwan bɛn so na oduruyɛfo no hu eyi?
Wo duruyɛfo bedi kan ahwɛ wo na wabisa w’ayaresa ho abakɔsɛm. Afei, ebia wɔbɛhyɛ sɛ wɔnyɛ sɔhwɛ ahorow bi de si eyi so dua.
- CT scan ahorow a wɔyɛ
- MRI mfonini ahorow
- PET scan ahorow a wɔde hwehwɛ nneɛma mu
Sɔhwɛ a ɛho hia sen biara ne biopsy . Nea ɛka eyi ho ne sɛ wobeyi ntini ketewaa bi afi akuru no mu na wɔde akɔ aduruyɛdan mu de ahu sɛ ebia ɛyɛ adenoma anaa biribi foforo.
Dɛn ne ayaresa ahorow no?
Ɛsono sɛnea wɔde sa yare no gyina adenoma no su, ne kɛse, ne beae a ɛwɔ so.
- Nnuru: Sɛ adenoma no de hormone mu haw ahorow reba a, oduruyɛfo no bɛkyerɛw nnuru a wɔde besiw ano.
- Oprehyɛn: Mpɛn pii no, adenoma akɛse taa dan kokoram. Enti, wɔde oprehyɛn yi nneɛma te sɛ polyps a ɛsõ sen mm 5. Afei nso, sɛ akisikuru no de akwahosan ho haw afoforo reba a, wobetumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn.
- Nhwɛsoɔ a ɛyɛ nnam: Sɛ adenoma no sua koraa na ɛmfa akwahosan ho haw biara mma a, wo duruyɛfoɔ no bɛtumi afa "hwɛ-na-twɛn" kwan so. Eyi kyerɛ sɛ wɔrensa, na mmom wɔbɛhwɛ akisikuru no so bere nyinaa ahwɛ sɛ ɛsakra anaa.
So wobetumi asiw eyinom ano na amma?
Esiane sɛ yentumi nni awosu mu nneɛma a ɛboa ma adenomas nyin no so nti, yentumi nsiw ano 100%. Nanso, ade a eye sen biara a yebetumi ayɛ ne sɛ yɛbɛkɔ akɔyɛ kokoram ho nhwehwɛmu daa . Bisa wo duruyɛfo mpɛn dodow a ɛsɛ sɛ woyɛ saa nhwehwɛmu ahorow yi, titiriw sɛ wowɔ asiane mu sɛ wubenya adenomas a.
Nea ɛka ho no, saa nneɛma yi bɛboa ma wɔakɔ so anya akwahosan pa wɔ ne nyinaa mu:
- Sigaretnom a wɔbɛkwati
- Aduan a nnuaba, nhabannuru, ne aburow pii wom a wobedi
- Apɔw-mu-teɛteɛ a ɛkɔ soro
- Nsã a wɔnom ano hye
Nkrasɛm a Wɔde Kɔ Fie
- Adenoma yɛ akisikuru a ɛnyɛ kokoram, nanso ahorow bi, titiriw akɛse, betumi abɛyɛ kokoram.
- Ɛnyɛ bere nyinaa na sɛnkyerɛnne ahorow no da adi, enti aduruyɛ mu nhwehwɛmu a wɔyɛ wɔ mfe a ɛfata mu, te sɛ colonoscopy, ho hia yiye.
- Sɛ wuhu sɛ wowɔ akisikuru a, mma wo ho nnyɛ wo hu. Wo ne wo duruyɛfo nkasa pefee mfa nea ɛyɛ ne nea ɛsɛ sɛ woyɛ wɔ ho.
- Sɛ wɔsa adenoma yare yiye na wɔhwɛ so yiye a, ɛyɛ tebea a wɔhwɛ so yiye.
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