So wowɔ colon polyps? Mma ɛnhaw wo, momma yɛnka ho asɛm!

So woate ‘colon polyps’ ho asɛm pɛn? Ebia wo duruyɛfo aka wɔn ho asɛm, anaasɛ ebia wahyɛ nyansa sɛ wɔnyɛ nhwehwɛmu. Nnipa pii suro kakra bere a wɔte din no, efisɛ wɔate sɛ wobetumi anya kokoram. Nanso dɛn ankasa na wɔyɛ? So polyps nyinaa yɛ asiane? Momma yɛnka eyi ho asɛm tiawa na emu nna hɔ na ama nsɛmmisa biara a ebia wowɔ wɔ wɔn ho no mu ada hɔ.

Dɛn ne saa colon polyps yi?

Sɛ yɛbɛka no tiawa a, eyinom yɛ nyini nketenkete a ɛboro so a ɛba wo dwensɔtwaa anaa wo dwensɔtwaa no mu ɔfasu so. Fa no sɛ akuru nketenkete a ɛwɔ wo honam ani. Eyinom mu dodow no ara yɛ nnua a enyin a asiane biara nni ho na ɛnyɛ hu .

Nanso, akisikuru ahorow bi betumi ayɛ kokoram sɛ wɔansa bere tenten a. Eyi nti na nnuruyɛfo tu fo sɛ woyi fi hɔ bere a woahu no ara pɛ no. Adeɛ a ɛho hia ne sɛ mpaninfoɔ 15% kɔsi 40% betumi anya saa akisikuru ahodoɔ yi. Eyi kyerɛ sɛ ɛnyɛ nea ɛntaa nsi sɛnea ebia wubesusuw no. Nnipa a wɔadi boro mfe 50 ne mmarima titiriw na ɛda adi sɛ wobenya bi.

Dɛn nti na eyinom ba? Dɛn ne nneɛma a ɛde asiane ba?

Mpɛn pii no, nsakrae (nsakrae) bi a ɛba yɛn dwensɔtwaa mu nkwammoaa mu awosu mu nkwaadɔm mu na ɛde saa akisikuru yi ba. Ɛwom sɛ wontumi nka nea enti a nsakrae yi ba ankasa de, nanso nneɛma bi betumi ama asiane a ɛwɔ hɔ sɛ obi benya saa akisikuru yi ayɛ kɛse.

Obiara betumi anya eyinom, nanso asiane no yɛ kɛse sɛ wowɔ tebea horow a edidi so yi a:

Nea ɛka ho no, awosu mu tebea horow bi a wɔntaa nhu nso betumi ama asiane yi ayɛ kɛse. Sɛ nhwɛso no, tebea bi a wɔfrɛ no `Familial Adenomatous Polyposis (FAP)` betumi ama polyps ɔhaha pii anaa mpempem pii mpo aba wɔ mmofraase. `Lynch Syndrome` yɛ awosu mu tebea foforo a ɛte saa. Sɛ w’abusua wɔ eyi ho abakɔsɛm a, ɛho hia sɛ wo ne wo duruyɛfo kasa fa awosu mu nhwehwɛmu ne nhwehwɛmu a wɔyɛ ntɛm ho.

So dwensɔtwaa mu akisikuru ahorow bi wɔ hɔ?

Yiw, ɛnyɛ akisikuru nyinaa na ɛyɛ pɛ. Nnuruyɛfo gyina sɛnea wɔhwɛ wɔ afiri a wɔde hwɛ nneɛma nketenkete mu so kyekyɛ wɔn mu. Ahorow binom taa nya kokoram, bere a afoforo nso nyɛ saa.

• Adenomatous polyps / Adenomas: Bɛyɛ 70% wɔ colon polyps mu no yɛ saa. Kokoram dodow no ara fi ase wɔ saa polyp yi mu . Nanso, mpɛn pii no egye mfe pii ansa na polyp a ɛte sɛɛ abɛyɛ kokoram. Ɛno nti na ɛho hia sɛ wuhu na woyi fi hɔ ntɛm no.
• Serrated polyps: Wɔtoo eyinom din efisɛ wɔn anoano te sɛ saw sẽ. Subtypes a ɛte sɛɛ nso wɔ hɔ a ebetumi abɛyɛ kokoram.
• Hyperplastic polyps: Ɛnyɛ nea ɛda adi sɛ eyinom bɛdan kokoram.
• Inflammatory polyps: Eyinom nyɛ polyps ankasa ankasa. Wɔba de bua nyarewa a ɛtra hɔ kyɛ anaasɛ ɔfe a ɛba akyi berɛmo no mu. Wɔnnyɛ kokoram.

Dɛn ne eyi ho sɛnkyerɛnne?

Nea ɛma nnipa pii ho dwiriw wɔn ni: Akisikuru a ɛwɔ akyi berɛmo mu dodow no ara nni sɛnkyerɛnne biara. Ebia wunnim mpo sɛ wowɔ bi. Mpɛn pii no, wohu wɔn bere a wɔreyɛ sɔhwɛ bi esiane biribi foforo nti.

Nanso ɛtɔ mmere bi a, titiriw bere a akisikuru no ayɛ kɛse kakra no, sɛnkyerɛnne ahorow a edidi so yi betumi ada adi:

• Mogya a ɛwɔ nsu mu: Nneɛma te sɛ mogya a wubehu wɔ tiafi mu, mogya a ɛwɔ tiafi krataa so.
• Nsesa a ɛba nsu mu kɔla mu: nsu a ɛyɛ tuntum anaasɛ ɛwɔ nsensanee kɔkɔɔ (eyi kyerɛ sɛ wɔde mogya afra mu).
• Nsakrae a ɛba dwensɔtwaa dwumadi mu: akisikuru anaa akisikuru a ɛtra hɔ bɛboro dapɛn biako.
• Yafunu mu yaw anaa ɛyaw: Ɛtɔ mmere bi a, akisikuru kɛse betumi ama dwensɔtwaa no asiw na ama yafunu ayɛ no yaw.
• Ɔbrɛ ne ɔbrɛ a ɛtra so: Eyi ba efisɛ mogya a ɛkɔ so fi akisikuru no mu no ma dade nni nipadua no mu, na ɛde mogya a ɛtɔ kɔ nipadua no mu ba.

Nea ɛho hia yiye: Nsuro sɛ wubesusuw sɛ wowɔ akyi berɛmo mu akisikuru anaa kokoram esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi nti. Nneɛma afoforo a ɛnyɛ den te sɛ akisikuru nso betumi de saa sɛnkyerɛnne ahorow yi aba. Nanso, sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, mmu w’ani ngu so na akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu.

Ɔkwan bɛn so na wohu eyinom na wɔsa wɔn yare?

Ɔkwan a eye sen biara a wobɛfa so asiw kokoram a ɛwɔ akyi berɛmo mu ano ne sɛ wubehu saa akisikuru yi ntɛm na woayi afi hɔ. Akwan pii wɔ hɔ a wɔfa so hwehwɛ eyi mu.

• Colonoscopy: Eyi ne ɔkwan a wɔtaa fa so na ɛyɛ pɛpɛɛpɛ sen biara. Wɔ eyi mu no, wɔma wo aduru a wɔde kum wo (enti worente biribiara nka), na wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri abata ho fa wo dwensɔtwaa mu de hwehwɛ wo dwensɔtwaa kɛse no nyinaa mu.
• Ɔfã a eye sen biara: Wɔ sɔhwɛ yi mu no, oduruyɛfo no betumi ayi polyps biara a ɛwɔ hɔ nso afi hɔ (polypectomy) . Afei wɔde polyps no kɔ adwumayɛbea hɔ kɔhwɛ sɛ ebia kokoram nkwammoaa wɔ hɔ anaa.
• Nhwehwɛmu afoforo: Ɛwom sɛ akwan bi wɔ hɔ te sɛ `CT Colonography` (virtual colonoscopy) ne nsu mu nhwehwɛmu de, nanso sɛ wosusuw sɛ akisikuru bi wɔ hɔ a, ɛsɛ sɛ wɔyɛ colonoscopy de si so dua na woyi fi hɔ.

Sɛ woyi akisikuru bi fi hɔ pɛ a, ɛrensan mma bio. Nanso, sɛ obi nya akisikuru pɛ a, ɛbɛyɛ sɛ akisikuru foforo bɛba wɔ beae foforo bɛyɛ 30%.Enti, wo duruyɛfo bɛtaa kamfo akyerɛ wo sɛ wɔnyɛ nhwehwɛmu foforo wɔ mfe 3-5 mu. Ɛho hia paa sɛ yedi saa akwankyerɛ ahorow no akyi.

So wobetumi asiw eyinom ano na amma?

Ɛwom sɛ yentumi nsakra awosu mu nneɛma a ɛde ba de, nanso yebetumi atew asiane a ɛwɔ hɔ sɛ yebenya saa akisikuru yi so denam yɛn asetra kwan a yɛbɛsakra no so.

• Aduan pa: Di nnuaba, nhabannuru, ne nnuan a ahoɔdennuru wom (ban, atoko, akutu, aburow a ɛyɛ bruu) pii.
• Wo mu duru a wobɛhwɛ so: Sɛ wo mu duru boro so a, bɔ mmɔden sɛ wobɛtew wo mu duru so.
• Nneɛma a ɛsɛ sɛ woto ano hye: To nam kɔkɔɔ, nam a wɔayam (te sɛ soseji, bacon), ne nnuan a srade wom ano hye.
• Sigaretnom ne nsa: Ɛyɛ papa sɛ wubegyae saa suban ahorow yi koraa.
• Apɔw-mu-teɛteɛ: Anyɛ yiye koraa no, teɛteɛ w’apɔw mu nna kakraa bi dapɛn biara.
• Wo ne wo duruyɛfo nkasa: Bisa wo duruyɛfo sɛ ebia nnuru te sɛ calcium, vitamin D, anaa aspirin a wobɛnom no fata wo, a egyina w’abusua abakɔsɛm so. Mfa nnuru nni dwuma bere tenten da a wunni aduruyɛ mu afotu.