So wohaw wo ho anaasɛ wohaw wo ho wɔ kokoram ho? Ebia wo duruyɛfo de wo akɔma sɛ wɔnkɔyɛ nhwehwɛmu kakraa bi. Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ woayɛ basaa bere a wote kokoram yi fã ahorow ho asɛm, titiriw Ɔfã IV no. Nanso mma ɛnhaw wo. Eyi nkyerɛ sɛ wontumi nsa. Ɛkyerɛ kɛkɛ sɛ wo duruyɛfo no betumi aboa wo ma woapaw ayaresa a eye sen biara ama wo. Momma yɛnka eyi ho asɛm tiawa na emu nna hɔ.
Sɛ yɛbɛka no tiawa a, Ɔfã IV kyerɛ sɛ mprempren kokoram a efii ase wɔ wo dwensɔtwaa mu no atrɛw akɔ akyiri asen saa bere no, akɔ wo nipadua no afã afoforo. Sɛ nhwɛso no, ebia kokoram nkwammoaa atrɛw akɔ wo mmerɛbo, w’ahurututu, anaa wo akwaa afoforo mu. Sɛ wuhu baabi pɔtee a kokoram no atrɛw a, ebetumi aboa wo nnuruyɛfo ma wɔasi ayaresa a etu mpɔn kɛse ma wo ho gyinae.
Dɛn ne kokoram a ɛtaa ba wɔ akyi berɛmo mu?
Mpɛn pii no, dwensɔtwaa mu kokoram nkyerɛ sɛnkyerɛnne biara wɔ ne mfiase. Ɛno nti na ɛho hia sɛ wɔyɛ nhwehwɛmu a wɔyɛ daa. Nanso sɛ sɛnkyerɛnne ahorow no da adi ampa a, ebia nea ɛka ho ne:
- Mogya a ɛwɔ nsu mu: Saa mogya yi taa yɛ kɔkɔɔ tuntum anaa tuntum.
- Akisikuru ne akisikuru a ɛsesa: Eyinom nso betumi afi aduruyɛ mu tebea nketenkete afoforo mu aba. Nanso sɛ saa tebea yi kɔ so a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
- Nsu a ɛyɛ tratraa na ɛte sɛ pɛnsere: Eyi kyerɛ sɛ biribi resiw wo dwensɔtwaa kwan. Ebetumi ayɛ akisikuru anaa biribi foforo.
- Ɔbrɛ ne mmerɛwyɛ kɛse: Sɛ wote nka sɛ woabrɛ sen sɛnea wotaa yɛ a, ebetumi afi dade a enni mu esiane mogya a efi kokoram no mu ba nti.
- Yafunu mu yaw anaasɛ ɛyɛ ma: Sɛ akisikuru siw dwensɔtwaa no ano a, ebetumi ayɛ den sɛ wobɛfa nsu mu koraa. Eyi betumi ama obi ate nka sɛ ne yafunu no ayɛ ma.
- Sɛ wo mu duru so tew a wontumi nkyerɛkyerɛ mu: Sɛ wo mu duru so tew mpofirim kilogram 4-5 anaa nea ɛboro saa a wonsakra w’aduan anaa w’apɔw-mu-teɛteɛ nhyehyɛe a, ebetumi ayɛ kokoram ho sɛnkyerɛnne, titiriw sɛ sɛnkyerɛnne afoforo ka ho a.
- Akisikuru ne ɔfe: Sɛ akisikuru bi siw dwensɔtwaa no kwan a, saa tebea yi betumi aba.
Nea ɛho hia sen biara ne sɛ, nsuro sɛ wowɔ kokoram esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi nti. Nanso mmu w’ani ngu wɔn nso so. Ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na woakɔhwɛ.
Ɔkwan bɛn so na ɛsono sɛnkyerɛnne ahorow a egyina baabi a kokoram no atrɛw so?
Sɛ kokoram a ɛwɔ akyi berɛmo mu trɛw kɔ nipadua no afã afoforo a, sɛnkyerɛnne afoforo betumi aba a egyina akwaa a ɛka ho no so. Mpɛn pii no, kokoram yi trɛw kɔ mmerɛbo, ahurututu, ne yafunu no mu (peritoneum) mu. Ɛtɔ da bi nso a, ɛtumi trɛw kɔ nnompe no mu.
| Akwaa a Ɛka Ho | Nsɛnkyerɛnne a Ebetumi Aba |
|---|---|
| Brɛboɔ Kokoram tumi fa mogya ntini bi mu trɛw fi dwensɔtwaa mu kɔ mmerɛbo mu. | Ebia mfiase no yare no ho sɛnkyerɛnne biara nni hɔ. Akyiri yi, sɛnkyerɛnne ahorow no betumi ayɛ aduan ho akɔnnɔ a ɛyera, ɔte nka sɛ obi ayɛ ma bere a wadi kakra mpo, ɔbrɛ, atiridiinini, ɛyaw, yafunu mu yaw, nan a ɛho ahonhon, ne mu duru so tew, ne honam ani hwɛbea anaa aniwa fitaa a ɛyɛ kɔkɔɔ (jaundice). |
| Ahrawa Kokoram nkwammoaa tumi fa mogya no mu kɔ ahurututu no mu. | Ebia ɛbɛyɛ den sɛ ɔbɛhome. Nsɛnkyerɛnne no bi ne ɔfe a ɛkɔ so, koko mu yaw, mogya a ɛtɔ, ahome a ɛyɛ tiaa, ne mu duru a ɛso tew. |
| Peritoneum (yafunu no mu ade a wɔde kata so) . Nkwammoaa a ɛpaapae fi akisikuru titiriw no mu no betumi atrɛw akɔ saa ntini yi mu wɔ yafunu no mu. | Nsɛnkyerɛnne no betumi ayɛ yafunu mu yaw, aduan ho akɔnnɔ a ɛyera, ne mu duru a ɛso tew anaasɛ ɛkɔ soro (esiane nsu a ɛtwetwe nti). |
| Nnompe Sɛ kokoram trɛw kɔ nnompe no mu a, ɛyɛ mmerɛw. | Nnompe mu yaw, nnompe a ɛyɛ mmerɛw sɛ ɛbɛpaapae, akyi anaa kɔn mu yaw. Calcium dodow a ɛkɔ soro wɔ mogya mu no betumi ama akisikuru, akisikuru, na wahwere aduan ho akɔnnɔ. Anan anaa abasa nso betumi ayɛ mmerɛw anaasɛ ayɛ mmerɛw. |
Ɔkwan bɛn so na wohu kokoram yi? (Nyare a Wɔahu) .
Wo duruyɛfo bedi kan abisa wo nsɛm bi a ɛfa w’akwahosan ho wɔ ɔkwan a ɛkɔ akyiri so na afei wahyɛ sɛ wɔnyɛ nhwehwɛmu yi biako anaa nea ɛboro saa.
Sɔhwɛ atitiriw
- Colonoscopy: Wɔyɛ eyi wɔ ayaresabea anaa ayaresabea. Wɔde mfoninitwa afiri ketewaa bi a ɛwɔ afiri a ɛyɛ tratraa a ɛyɛ mmerɛw so di dwuma de hwehwɛ wo dwensɔtwaa ne wo dwensɔtwaa nyinaa mu. Da a edi sɔhwɛ no anim no, ebehia sɛ wonom nsu titiriw bi de tew wo dwensɔtwaa ho. Wɔbɛma wo aduru a ɛma wo ho dwo ansa na wɔayɛ sɔhwɛ no sɛnea ɛbɛyɛ a worente nka sɛ wo ho nyɛ wo dɛ. Wobetumi de bɛyɛ simma 30 awie sɔhwɛ no.
- Biopsy: Bere a oduruyɛfo no reyɛ colonoscopy no, ogye ntini ketewaa bi fi baabi a ɛyɛ adwenem naayɛ na ɔde kɔma wɔnkɔyɛ nhwehwɛmu. Wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ eyi mu hwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa. Ɛtɔ mmere bi a, sɛ wosusuw sɛ kokoram no atrɛw akɔ mmeae afoforo te sɛ mmerɛbo anaa ahurututu mu a, wobetumi de CT scan anaa ultrasound scan agye ntini bi denam ade a wɔde bɛfa honam ani no so.
Nhwehwɛmu a wɔyɛ de hwɛ sɛ kokoram no atrɛw anaa
- Chest X-ray: Eyi boa ma wohu sɛ kokoram no atrɛw akɔ ahurututu mu anaa.
- CT Scan (CT - Computed Tomography): Eyi betumi ama nipadua no mu mfonini a ɛwɔ afã abiɛsa a emu da hɔ yiye. Ebetumi aboa ma wɔahu sɛ ebia kokoram no atrɛw akɔ mmerɛbo, ahurututu, anaa akwaa afoforo mu anaa.
- MRI (Magnetic Resonance Imaging): Eyi de magnet ne radio asorɔkye di dwuma de yɛ akwaa a ɛwɔ nipadua no mu no ho mfonini a emu da hɔ. Eyi ho hia yiye ma nhwehwɛmu a wɔbɛyɛ sɛ kokoram atrɛw wɔ yafunu ne akyi berɛmo no mu anaa.
- Ultrasound: Eyi de nnyigyei asorɔkye di dwuma de yɛ akwaa ahorow ho mfonini. Eyi betumi aboa ma wɔahu sɛ kokoram atrɛw akɔ mmerɛbo anaa akyi berɛmo no mu anaa.
Ɔkwan bɛn so na wohu kokoram no fã?
Ɔyare ho ɔbenfo bɛhwɛ ntini a efi wo biopsy no mu wɔ microscope ase na wasiesie amanneɛbɔ. Amanneɛbɔ no bɛka nea edidi so yi ho:
- Nkwammoaa su: Sɛnea kokoram nkwammoaa no te.
- Nkwammoaa no hwɛbea (Grade): Sɛnea kokoram nkwammoaa no yɛ soronko wɔ nkwammoaa a ɛteɛ ho ne sɛnea ɛpaapae ntɛmntɛm.
- Kokoram a ɛtrɛw: Sɛ́ ebia kokoram no atrɛw akɔ ntini a atwa ho ahyia, ntini a ɛma mogya tu, anaa akwaa afoforo mu.
Ebia ebegye da koro anaa nnanu ansa na biopsy amanneɛbɔ no aba. Wo duruyɛfo de amanneɛbɔ yi ne scan amanneɛbɔ afoforo nyinaa bedi dwuma de ahu kokoram no gyinabea.
Nsuro da sɛ wobɛbisa wo duruyɛfoɔ biribiara a wonte aseɛ afa w’ayaresa anaa daakye tebea ho. Ɛyɛ wo hokwan sɛ wuhu biribiara pefee.
Wo duruyɛfo begyina wo kokoram no gyinabea, nea efii nhwehwɛmu mu bae, ne w’akwahosan nyinaa so akyerɛ ayaresa a ɛfata wo sen biara.
Nkrasɛm a Wɔde Kɔ Fie
- Stage IV colon cancer nkyerɛ sɛ ne nyinaa aba awiei. Ɛkyerɛ kɛkɛ sɛ wɔkyerɛ wo nnuruyɛfo kwan ma wɔpaw ayaresa a ɛkɔ akyiri sen biara mma wo.
- Nsɛnkyerɛnne a wɔaka ho asɛm wɔ asɛm no mu no nso betumi afi nneɛma afoforo mu aba. Enti, mma wo ho nnyɛ wo hu a ɛho nhia, na sɛ yare no ho sɛnkyerɛnne no kɔ so a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo.
- Sɛ sɛnkyerɛnne biara nni hɔ mpo a, ɛho hia yiye sɛ wɔyɛ nhwehwɛmu de hwehwɛ kokoram a ɛwɔ akyi berɛmo mu wɔ bere a ɛfata mu, sɛnea mfe a obi adi te.
- Wo ne wo duruyɛfo nka wo tebea ne ayaresa ho asɛm pefee. Nsuro sɛ wubebisa nsɛm biara a wowɔ.
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