Sɛ wuhu mogya kakra bere a worekɔ tiafi no, anaasɛ wo yafunu mu yɛ wo yaw a ɛyɛ nwonwa a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra. "So eyi yɛ kokoram a ɛwɔ akyi berɛmo mu?" Ebia adwenem naayɛ no ahintaw w’adwene mu. Eyi yɛ asɛmmisa a nnipa pii wɔ. Enti ɛnnɛ, momma yɛnka nsɛmmisa a wotaa bisa fa colorectal cancer ho no bi ho asɛm, wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ adamfofa su so.
Ɛkame ayɛ sɛ madi mfe 50 na obiara nni m’abusua mu a wanya kokoram. So ɛsɛ sɛ meyɛ sɔhwɛ?
Eyi yɛ asɛmmisa a ɛho hia paa. Sɛ obiara nni w’abusua mu a wanya kokoram anaa polyps wɔ w’abusua mu a, wobu wo sɛ wowɔ “asiane a wɔkyekyem pɛpɛɛpɛ mu.” Mpɛn pii no, wɔkamfo kyerɛ sɛ mmarima ne mmea a wɔwɔ asiane a wɔkyekyem yi mu nyinaa mfi ase nhwehwɛ kokoram yi mu nhwehwɛmu bere a wɔadi mfe 50 akyi .
Sɛ yɛbɛka no tiawa a, wɔayɛ nhwehwɛmu ahorow yi sɛnea ɛbɛyɛ a wobehu nneɛma nketenkete a enyin (polyps) na wɔayi afi hɔ ansa na abɛyɛ kokoram. Eyi betumi asiw kokoram ano.
Afei ma yɛnhwɛ nea sɔhwɛ ahorow yi yɛ. Wubetumi ne wo duruyɛfo akasa na woapaw nhwehwɛmu a ɛfata wo kɛse.
| Sɔhwɛ no din | Sɛnea wɔyɛ no tiawa | Bere a wɔde yɛ (asiane ahorow a wɔkyekyem pɛpɛɛpɛ) . |
|---|---|---|
| Colonoscopy a wɔde hwɛ nipadua no mu | Eyi ne ɔkwan a ɛyɛ pɛpɛɛpɛ na wɔkamfo kyerɛ sen biara. Wɔde afiri a ɛyɛ mmerɛw a mfoninitwa afiri ketewaa bi abata ho fa akyi berɛmo no mu na wɔhwehwɛ akyi berɛmo no nyinaa mu. Sɛ wohu polyps biara a, wobetumi ayi afi hɔ bere koro no ara mu. | Pɛnkoro wɔ mfe 10 biara mu. |
| Sigmoidoscopy a Ɛyɛ Nsakrae | Te sɛ colonoscopy, nanso dwensɔtwaa kɛse no fã a ɛwɔ fam nkutoo na wɔhwehwɛ mu. | Pɛnkoro wɔ mfe 5 biara mu. |
| Nsu mu Nkwammoaa a Ɛko Tia Nyarewa Ho Nhwehwɛmu (FIT) . | Sɔhwɛ a wɔde hwɛ sɛ mogya a aniwa nhu wɔ nsu a wɔde yɛ nsu mu. Wobetumi ayɛ eyi wɔ fie. | Afe biara. |
| Nsu mu DNA nhwehwɛmu | Wɔsɔ nsu a wɔde yɛ nsu mu nhwehwɛmu hwɛ sɛ ebia awosu mu nsakrae (DNA nsakrae) afi kokoram nkwammoaa mu aba anaa. | Pɛnkoro wɔ mfe 3 biara mu. |
Metwam mogya bi bere a na merekɔ tiafi no. So eyi betumi ayɛ kokoram?
Mogya a ɛwɔ nsu mu bere a worekɔ aguaree no betumi ayɛ kokoram a ɛwɔ akyi berɛmo mu ho sɛnkyerɛnne ntɛm. Nanso mma ɛnhaw wo. Mpɛn pii no, ɛnyɛ kokoram ankasa na ɛde eyi ba. Tebea afoforo te sɛ hemorrhoids (piles) nso betumi ama mogya atu saa.
Nea ɛho hia paa ne sɛ, sɛ worekɔ tiafi a, sɛ wuhu mogya a, mmu w’ani ngu so. Sɛ wopɛ sɛ wuhu nea ɛde ba ankasa a, akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn. Ɔbɛhwehwɛ wo mu na waka nea ehia akyerɛ wo.
Bio nso, sɛ wususuw sɛ kokoram wɔ akyi berɛmo mu a, ma w’ani nna hɔ wɔ sɛnkyerɛnne ahorow yi ho:
- Nsakrae a ɛba dwensɔtwaa mu (akisikuru anaa nsu a ɛyɛ mmerɛw sen kan no) .
- Yafunu mu yaw a ɛyɛ soronko anaasɛ ɛnyɛ dɛ a ɛte sɛ yafunu mu yare.
- Nsuo a ɛfa mu no yɛ teateaa te sɛ pɛnsere.
- Sɛ wote nka sɛ wo yafunu mu da mpan koraa, bere a woakɔ tiafi mpo akyi.
- Mu duru a wɔtew so a ntease pɔtee biara nni ho.
- Ɔbrɛ ne ɔbrɛ a ɛkɔ so daa.
Wɔkae sɛ woyii adenoma bi fii hɔ bere a na mereyɛ me colonoscopy no. Dɛn ne ɛno?
Asɛmmisa pa. Sɛ yɛbɛka no tiawa a, adenoma yɛ onyin ketewaa bi a ɛnyɛ kokoram (a ɛnyɛ papa) a ɛba wɔ dwensɔtwaa kɛse no mu. Yɛtaa frɛ eyinom nso sɛ polyps.
Wobu saa adenomas yi sɛ ɛyɛ nea edi kokoram anim. Eyi kyerɛ sɛ bere kɔ so no, wɔn mu binom betumi anya kokoram. Nanso nea ɛho hia ne sɛ ɛnyɛ adenoma nyinaa na ɛbɛyɛ kokoram. Nokwarem no, nnipa kakraa bi pɛ, bɛyɛ 100 biara mu 1 anaa 2 na wɔdan wɔn a wɔyɛ hu. Saa adeyɛ yi gye mfe pii.
Sɛ oduruyɛfo hu polyp te sɛ eyi bere a ɔreyɛ colonoscopy a, ɛyɛ den sɛ obehu sɛ ɛyɛ kokoram anaasɛ ɛnte saa. Asiane no yɛ kɛse titiriw ma polyp akɛse. Enti, a nnuruyɛfo mfa wɔn ho nto asiane biara mu no, woyi polyp biara a wohu no fi hɔ ntɛm ara. Eyi ne ɔkwan a eye sen biara a wɔfa so siw kokoram ano.
So wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya kokoram yi so denam w’aduan a wobɛsakra no so?
Yiw, ɛde besi baabi no, ebetumi aba. Abusuabɔ bi da aduan ne kokoram a ɛwɔ akyi berɛmo mu ntam.
Nnipa pii gye di sɛ aduan a ahoɔdennuru pii wom betumi atew kokoram ho asiane so. Ɛwom sɛ nhwehwɛmu ahorow bi nkyerɛe sɛ ennyaa nkɛntɛnso kɛse de, nanso abusuabɔ a ɛda adi pefee wɔ aduan a srade ne srade pii wom a wobedi ne kokoram ho asiane a ɛkɔ soro no ntam.
Enti, eye bere nyinaa sɛ wubedi nnuan a ahoɔdennuru wom (nhabannuru, nnuaba, atoko, aburow a wɔayam) efisɛ ɛboa ma wɔbɔ wo ho ban fi nyarewa afoforo pii te sɛ komayare, mogya mmoroso, ne asikreyare ho.
Kae sɛ ɔkwan a eye sen biara a wobɛfa so asiw kokoram ano ne sɛ wubedi aduan a ɛkari pɛ, ayɛ nnam (apɔw-mu-teɛteɛ), na woakura mu duru a ɛfata mu. Ɛho hia nso sɛ wɔyɛ nhwehwɛmu daa wɔ mfe 50 akyi (anaasɛ ntɛm sɛ abusua abakɔsɛm bi a asiane wɔ hɔ a).
Dɛn na woyɛ wɔ ɔbrɛ a ɛtra so a ɛba bere a woasa kokoram akyi no ho?
Ɔbrɛ a kokoram de ba no yɛ ade bɔne a ɛtaa ba kɛse wɔ kokoram ayaresa mu. Sɛ wo kunu, wo yere, anaa wo dɔfo bi wɔ saa tebea yi a, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ de aboa wɔn.
- Yɛ w’ahoɔden ho kyerɛwtohɔ: Bɛyɛ dapɛn biako, kyerɛw bere a wote nka sɛ woabrɛ kɛse ne bere a wote nka sɛ wowɔ ahoɔden kɛse no to hɔ. Kyerɛw nneɛma biara a wususuw sɛ ebia ɛde ba nso nsow.
- Sie w’ahoɔden: Di kan yɛ w’adwuma ho nhyehyɛe. Fa bere si hɔ a wode bɛhome awiabere. Kyɛ adwuma no mu sen sɛ wobɛbɔ mmɔden sɛ wobɛyɛ nneɛma pii prɛko pɛ.
- Ma aduan pa: Ɛho hia paa sɛ wudi yiye bere a woreyɛ ayaresa no. Ɛyɛ papa sɛ wobɛkɔ akɔhwehwɛ aduannuru ho ɔbenfo bi nkyɛn wɔ eyi ho.
- Apɔw-mu-teɛteɛ: Ebia ɛbɛyɛ te sɛ nea ɛyɛ nwonwa, nanso apɔw-mu-teɛteɛ a ɛkɔ fam na emu nyɛ den betumi aboa ma ɔbrɛ so atew. Biribi te sɛ nantew mpo ye. Nanso wo ne wo duruyɛfo nkasa ansa na woafi apɔw-mu-teɛteɛ biara ase.
- Tew adwennwen so: Fa w’adwene si nneɛma a ɛma w’adwene mu dwo so. Nneɛma te sɛ adwendwene, nnwom tie, anaa nhoma akenkan betumi aboa.
- Wo ne wo duruyɛfo nkasa: Ɛwom sɛ ɔbrɛ yi yɛ ade a ɛfata de, nanso ɛho hia sɛ woka ho asɛm kyerɛ wo duruyɛfo. Ɛtɔ mmere bi a, ebetumi ayɛ akwahosan ho haw foforo ho sɛnkyerɛnne. Wo duruyɛfo nso betumi atu wo fo wɔ nnuru anaa akwan foforo a wobɛfa so adi ɔbrɛ yi ho dwuma ho.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛho hia yiye sɛ nnipa a sɛ wɔkyekyem pɛpɛɛpɛ a, wofi ase hwehwɛ kokoram a ɛwɔ wɔn akyi berɛmo mu bere a wɔadi mfe 50 akyi.
- Sɛ mogya tu wo bere a wokɔ tiafi a, ebetumi afi biribi foforo a ɛde ba te sɛ akisikuru, nanso mmu w’ani ngu so da na kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Bere a wɔreyɛ colonoscopy no, woyi nyini nketenkete (polyps/adenomas) fi hɔ na ama asiane a ɛwɔ hɔ sɛ ɛbɛdan kokoram daakye no so atew.
- Aduan a ɛkari pɛ, asetra kwan a ɛyɛ nnam, ne mu duru a ɛfata a wobɛkɔ so akura mu no betumi atew kokoram ho asiane no so.
- Wo ne wo duruyɛfo nkasa pefee wɔ ɔhaw biara a ebetumi afi kokoram ayaresa mu aba, te sɛ ɔbrɛ, ho.
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