So wunim Duodenal Cancer ho asɛm? Momma yɛnka ho asɛm tiawa!

So ɛtɔ mmere bi a wo yafunu mu yɛ wo yaw, wo ho yɛ wo yaw, na w’ani nnye aduan ho? Mpɛn pii no, yɛmfa yɛn adwene nsi saa nneɛma yi so kɛse, na yesusuw sɛ ɛyɛ nea ɛfata, anaasɛ ebia aduan mu awuduru. Nanso ɛntaa mma koraa sɛ saa sɛnkyerɛnne nketenkete yi betumi ayɛ tebea bi a emu yɛ den wɔ yɛn dwensɔtwaa mu ho sɛnkyerɛnne. Ɛnnɛ, yɛrebɛka kokoram bi a ɛntaa nsi koraa a ɛsɛ sɛ obiara hu ho asɛm. Ɛno ne duodenal kokoram, anaa ``Duodenal Cancer``.

Dɛn ne Duodenal Kokoram?

Sɛ yɛbɛka no tiawa a, eyi yɛ kokoram a ɛba yɛn dwensɔtwaa ketewa no mu. Wɔ yɛn aduan mu nhyehyɛe mu no, aduan fi yafunu mu kɔ dwensɔtwaa ketewa no mu. Wɔfrɛ dwensɔtwaa ketewa yi fã a edi kan no duodenum . Sɛ yɛbɛka no pɛpɛɛpɛ a, duodenum ne beae titiriw a aduan a efi yafunu mu ba no ne enzyme ahorow a yɛn nipadua no yɛ te sɛ bile, bom ma efi ase yɛ aduan.

Duodenal Cancer yɛ tebea a ɛntaa nsi koraa. Mpɛn pii no, sɛ yɛka yafunu mu kokoram ho asɛm a, yɛtaa te kokoram a ɛba akyi berɛmo, yafunu, ne dwensɔtwaa mu ho asɛm. Ɛho hia sɛ wohu saa tebea yi efisɛ ebetumi atrɛw ntɛmntɛm.

Dɛn ne nneɛma a ɛde kokoram yi ba ne nneɛma a ɛde asiane ba?

Nnuruyɛfo da so ara nnim nea ɛde kokoram yi ba ankasa, nanso te sɛ kokoram afoforo no, wogye di sɛ nsakrae bi a ɛba nipadua no nkwammoaa mu awosu mu nkwaadɔm mu (awosu mu nkwaadɔm mu nsakrae) betumi ama saa nkwammoaa no anyin a wontumi nni so, na ɛde kokoram akisikuru aba.

Nhwehwɛmufo ahu nneɛma bi a ɛma asiane yi yɛ kɛse.

• Mfe a wɔadi: Wɔtaa hu saa kokoram yi wɔ nnipa a wɔn mfe akɔ anim, a wɔadi fi mfe 60 kosi 70. Ebia eyi te saa efisɛ egye bere ansa na awosu mu nsakrae aboaboa ano.
• Abusua abakɔsɛm: Ɛtɔ mmere bi a, awosu mu tebea horow a wonya fi awofo hɔ betumi ama asiane yi ayɛ kɛse. Tebea horow yi bi ne:
• Cystic Fibrosis a Ɛyɛ Fɛ
• Abusua mu Adenomatous Polyposis (FAP) a Ɛyɛ Fɛ .
• Peutz-Jeghers Ayaresa (PJS) .
• polyposis a ɛne MUTYH wɔ abusuabɔ
• Lynch Syndrome a Ɛyɛ Fɛ
• Aduan: Nam kɔkɔɔ, asikre, ne carbohydrates a wɔayɛ no yiye te sɛ paanoo ne pasta a wubedi dodo, ne nhabannuru ne nnuaba kakraa bi a wubedi nso betumi ama asiane no ayɛ kɛse.
• Sigaretnom ne nsanom: Ɛwom sɛ ɛnyɛ nhwehwɛmu nyinaa na wogye tom wɔ eyi ho de, nanso nhwehwɛmu bi kyerɛ sɛ sigaretnom anaa nsanom, anaa n’abien nyinaa betumi ama asiane a ɛwɔ hɔ sɛ obi benya kokoram wɔ dwensɔtwaa mu no ayɛ kɛse.
• Akuru afoforo a ɛba awotwaa mu:Sɛ wowɔ akisikuru a ɛnyɛ kokoram (a ɛnyɛ papa) anaasɛ akisikuru nketenkete (polyps) wɔ w’awotwaa mu a, asiane kɛse wom sɛ wubenya kokoram wɔ hɔ.
• Nyarewa afoforo a ɛba dwensɔtwaa mu: Ebia nnipa a wɔwɔ dwensɔtwaa mu nyarewa te sɛ Crohn yare, dwensɔtwaa mu yare a ɛma obi ho hyehye no, ne celiac yare nso betumi anya kokoram yi ho asiane kɛse kakra.

Dɛn ne sɛnkyerɛnne ahorow no? Woyɛ dɛn hu no?

Ɔhaw kɛse a ɛwɔ kokoram yi ho ne sɛ yare no ho sɛnkyerɛnne no mu nna hɔ koraa na ɛnyɛ den sɛ wobɛpa ho kyɛw wɔ ne mfiase. Ebia worenhu nsakrae biara kosi sɛ kokoram no nyin wɔ wo nipadua mu asram pii.

Momma yɛnhwɛ saa pon yi na yɛnte saa sɛnkyerɛnne ahorow yi ase yiye.

Ɔkwan bɛn so na oduruyɛfo no hu yare yi pɛpɛɛpɛ?

Wɔtaa hu kokoram yi bere a yare no atrɛw kakra akyi. Eyi te saa efisɛ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no nso betumi afi nyarewa afoforo pii a ɛtaa ba.

Nanso sɛ wohu kokoram yi ntɛm , ansa na atrɛw a, hokwan kɛse wɔ hɔ sɛ wɔde ayaresa bɛsa koraa. Ɛno nti na ɛho hia sɛ wohu sɛnkyerɛnne ahorow no.

Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii na ama woahu tebea no, te sɛ:

Mfoninitwa Sɔhwɛ ahorow

• Endoscopy (Esophagogastroduodenoscopy): Wɔ eyi mu no, wɔde afiri teateaa bi a mfoninitwa afiri ne hann wom fa ano no mu na wɔhwehwɛ aduannoa, yafunu, ne akyi berɛmo mu.
• Ultrasound scan: Eyi boa ma wohu sɛ akisikuru no ahonhon ne baabi a kokoram no atrɛw akodu.
• CT scan (Computed Tomography Scan): Ebia eyi rentumi nhu kokoram no tẽẽ, nanso ebetumi ahu nneɛma te sɛ akwanside ahorow a akisikuru no de aba na ahwɛ sɛ kokoram no atrɛw akɔ mmeae afoforo anaa.

Nhwehwɛmu a Wɔyɛ wɔ Laboratory

• Biopsy: Bere a wɔreyɛ endoscopy no, woyi ntini ketewaa bi fi baabi a ɛyɛ hu na wɔhwehwɛ mu hwɛ sɛ ebia ɛyɛ kokoram anaa.
• Mogya mu nhwehwɛmu: Esiane sɛ kokoram yi betumi ama mogya atɔ mogya nti, wɔkan mogya no nyinaa de hwɛ mogya mu nkwammoaa kɔkɔɔ dodow a ɛwɔ mogya no mu. Wɔyɛ mogya mu nhwehwɛmu nso de hwɛ sɛnea nipadua no akwaa te sɛ mmerɛbo ne asaabo reyɛ adwuma.

Dɛn ne ayaresa ahorow no?

Awotwaa mu kokoram ayaresa titiriw ne oprehyɛn .

• Whipple Procedure: Eyi ne oprehyɛn a wɔtaa yɛ sen biara. Nea ɛka ho ne sɛ woyi dwensɔtwaa ti, duodenum, yafunu no fã, akisikuru, ne bile duct no fi hɔ. Eyi yɛ oprehyɛn a ɛyɛ den kakra.
• Ntini a ɛwɔ nipadua no mu a wobeyi afi hɔ: Sɛ kokoram no atrɛw akɔ ntini a ɛma mogya tu no mu a, oprehyɛn a wɔde yi fi hɔ no ma hokwan a ɔyarefo no wɔ sɛ obenya nkwa no yɛ kɛse.
• Oprehyɛn a wɔbɛyɛ de ayi sɛnkyerɛnne ahorow no afi hɔ: Sɛ ɔyarefo no te ɛyaw kɛse esiane nneɛma te sɛ dwensɔtwaa a asiw nti a, wobetumi ayɛ oprehyɛn nso de agye saa tebea no afi hɔ.
• Nnuru a wɔde sa yare: Esiane sɛ kokoram yi ho yɛ na nti, wɔmfa nnuru a wɔde sa yare no ntaa nni dwuma. Nanso, nhwehwɛmu kyerɛ sɛ saa ayaresa yi betumi aboa wɔ nsɛm a wontumi nyɛ oprehyɛn no mu.

Nneɛma a yebetumi ayɛ de atew asiane yi so

Ɔkwan biara nni hɔ a wɔada no adi sɛ yɛbɛfa so asiw kokoram yi ano, nanso nneɛma pii wɔ hɔ a yebetumi ayɛ de atew yɛn kokoram ho asiane nyinaa so.

• Kura aduan pa mu: Di nnuaba, nhabannuru, ne aburow a ɛyɛ foforo pii. Aduannuru, vitamin, ne nneɛma a ɛko tia ɔyare mmoawa a ɛwɔ saa nnuan yi mu no boa ma kokoram ho asiane no so tew.
• Apɔw-mu-teɛteɛ na kura mu duru a ɛfata mu: Ɛkame ayɛ sɛ wo nipadua mu duru a wobɛma ayɛ ketewaa sɛnea wubetumi a, ebetumi aboa ma woabɔ wo ho ban afi kokoram ahorow nyinaa ho. Bɔ mmɔden sɛ anyɛ yiye koraa no, wobɛteɛteɛ w’apɔw mu simma 30 da biara, te sɛ nantew a ɛyɛ ntɛmntɛm, a ɛma wo ho fifiri yɛ adwuma.
• Wo ne wo duruyɛfo nkasa: Sɛ wowɔ awosu mu yare bi a ɛma nyini nketenkete (polyps) ba w’awotwaa mu a, ebia oprehyɛn a wobɛyɛ de ayi afi hɔ no bɛyɛ adwene pa na ama asiane a ɛwɔ hɔ sɛ wubenya kokoram daakye no so atew. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho na woasi gyinae.