Yɛn nyinaa pɛ sɛ yɛkɔ so nya apɔwmuden, ɛnte saa? Nanso, ɛtɔ mmere bi a nneɛma betumi asi wɔ yɛn nipadua mu a yennim mpo. Wɔ wo dwensɔtwaa kɛse—wo aduan mu nneɛma no fã a nwura fa mu—no mu no, ɛtɔ mmere bi a nnua nketenkete betumi anyin wɔ emu ntini no so. Eyinom ne nea nnuruyɛfo frɛ no (Colon Polyps) . Yɛsrɛ sɛ mma edin no nnyɛ wo hu! Saa polyps yi mu dodow no ara nyɛ asiane biara. Nanso, ahorow bi betumi anya nkɔso abɛyɛ kokoram sɛ bere kɔ so no, wɔansa a. Ɛno nti pɛpɛɛpɛ na ɛho hia sɛ yɛn nyinaa nya (Colon Polyps) ho nsɛm pa no .
Enti, dɛn ankasa ne Colon Polyps?
Sɛ yɛbɛka no tiawa a, (Colon Polyps) yɛ nkwammoaa a enyin wɔ ɔkwan a ɛnteɛ so a ɛba wo dwensɔtwaa kɛse no mu ntini (mucous lining) so. Wɔda adi te sɛ akuru nketenkete anaa akuru. Wɔtaa fi ase sɛ nkwammoaa akuwakuw ketewaa bi na bere kɔ so no, wotumi nyin kɛse. Polyp a ɛte saa ara betumi aba nipadua no afã afoforo te sɛ yafunu, hwene, anaa mmea awo nhyehyɛe nso.
Ade a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ sɛ wowɔ polyp a, ɛnkyerɛ sɛ wowɔ kokoram ara kwa. Nanso, kokoram a ɛwɔ akyi berɛmo mu dodow no ara fi saa polyps ahorow yi ara mu. Eyi nti na, bere a wɔreyɛ (Colonoscopy) , nnuruyɛfo de ahwɛyiye hwehwɛ saa nnua a enyin yi na sɛ wohu a, woyi fi hɔ no.
So polyps ahorow ahorow wɔ hɔ? Ɔkwan bɛn so na ɛsono wɔn?
Yiw, ɛsono sɛnea akyi berɛmo mu polyps, na nnuruyɛfo gyina nneɛma atitiriw abien so kyekyɛ mu.
Biako ne sɛnea polyp no te :
- Ebinom te sɛ nsenia nketenkete, a dua ketewaa bi wɔ so na wɔde kyɛw wɔ so. Wɔfrɛ eyinom (Pedunculated) polyps.
- Ɔfoforo no yɛ petee, na ɛda fam a ɛne dwensɔtwaa no fasu no hyia a enni dua. Wɔfrɛ eyinom (Sessile) polyps.
Ade a ɛto so abien ne sɛnea wɔda adi wɔ microscope (microscopic features) ase. Ɔkwan a nkwammoaa yi nyin no na ɛkyerɛ sɛ ebia polyp betumi adan kokoram anaa. Ne saa nti, ɛsono sɛnea kokoram betumi anya no kɛse wɔ ahorow ahorow mu.
Polyps ahorow a ɛtaa ba no bi ne:
- Adenomatous polyps (anaa adenomas): Eyinom na ɛtaa ba. Wɔn nso wɔ sub-types:
- Adenomas a ɛwɔ ntini mu
- Adenomas a ɛyɛ villous
- Adenomas a ɛwɔ ntini mu
- Serrated polyps: Eyinom nso wɔ ahorow ahorow:
- Hyperplastic polyps a ɛwɔ nipadua no mu
- Sessile serrated akuru
- Adenomas a ɛyɛ serrated a wɔde di dwuma wɔ amanne kwan so
- Hamartomas (anaasɛ mmofra polyps): Wɔtaa hu eyinom wɔ nkumaa mu.
- Inflammatory polyps (anaasɛ pseudopolyps): Eyinom nyɛ polyps ankasa; yɛbɛka eyinom ho asɛm akyiri yi.
Nkyekyɛmu sɛnea kokoram ho asiane te: Neoplastic ne Non-neoplastic
Eyi ne nkyekyem a ɛho hia sen biara. (Neoplastic) polyps ne nea ebetumi adan kokoram, bere a (Non-neoplastic) polyps ne nea entumi (anaasɛ asiane a ɛwɔ hɔ sɛ ɛbɛyɛ saa no sua koraa).
- (Neoplastic) polyps ( kokoram ho asiane a ɛwɔ hɔ):
- Adenomatous polyps (Adenomas) nyinaa .
- Sessile serrated akuru
- Adenomas a ɛyɛ serrated a wɔde di dwuma wɔ amanne kwan so
- (Non-neoplastic) polyps (kokoram ho asiane a ɛba fam/enni hɔ):
- Hyperplastic polyps a ɛwɔ nipadua no mu
- Mmofra a wɔfrɛ wɔn polyps (Hamartomas) .
- Pseudopolyps a ɛma obi ho hyehye no
colon polyps abu so dɛn?
Eyi yɛ tebea a abu so sen sɛnea ebia wubesusuw, titiriw bere a worenyin no. Mpɛn pii no, mpanyimfo bɛyɛ 20% —kyerɛ sɛ nnipa baanum biara mu biako —betumi anya saa polyps yi. Wɔ wɔn a wɔadi boro mfe 50 mu no, nea ɛtrɛw no betumi akɔ soro akodu 40%. Nea ɛyɛ nwonwa no, ebetumi aba mmofra bɛyɛ 6% mpo mu. Ɛmfa ho abusuakuw, ɔsom, anaa ɔbarima anaa ɔbea, obiara wɔ asiane bi a ɛne sɛ obenya kokoram a ɛwɔ akyi berɛmo mu ne kokoram a ɛwɔ akyi berɛmo mu. Mpɛn pii no, dodow a ɛba no dɔɔso wɔ Atɔe Fam aman mu.
Polyp dodow ahe na ɛdan kokoram?
Yɛsrɛ sɛ te eyi ase yiye: Polyp ahorow pii tumi yɛ kokoram. Eyi nti pɛpɛɛpɛ na nnuruyɛfo yi wɔn bere a wɔreyɛ (Colonoscopy) . Nanso, ɔha biara mu kakraa bi pɛ na ɛdan kokoram ankasa, na egye bere tenten ansa na polyp abɛyɛ ɔyare bɔne. Eyi nti na nhwehwɛmu a wɔyɛ no daa (Colonoscopy) wɔ bere a wɔkamfo kyerɛ mu no ho hia kɛse na wɔakyere na wɔayi afi hɔ ansa na wɔadan asiane no.
Sɛ yɛbɛka no tiawa a, kokoram a ɛwɔ akyi berɛmo mu no bɛyɛ 75% fi ase sɛ adenomatous polyps, na polyps a wohu nyinaa mu bɛyɛ 80% yɛ adenoma su. Nanso, saa adenomas yi mu bɛyɛ 5% pɛ na ɛbɛyɛ (asɛmmɔne) ankasa . Wobu akontaa sɛ polyp a wɔtaa de di dwuma no wɔ asiane 8% sɛ ɛbɛyɛ kokoram wɔ mfe 10 mu ne bɛyɛ 24% wɔ mfe 20 mu.
Dɛn ne sɛnkyerɛnne ahorow a ɛwɔ akyi berɛmo mu polyps ho?
Eyi ne ɔfã a ɛyɛ anifere no. Mpɛn pii no, polyps nkyerɛ sɛnkyerɛnne biara koraa. Kokoram a ɛwɔ akyi berɛmo mu a ɛba ntɛm mpo betumi ayɛ nea enni sɛnkyerɛnne biara, na ɛno nti na nhwehwɛmu a wɔyɛ de hwehwɛ nipadua mu ho hia kɛse no. Edu bere a sɛnkyerɛnne ahorow no bɛda adi no, ebia na polyp no anya nkɔso dedaw abɛyɛ kokoram.
Nanso, wɔ nsɛm a ɛntaa nsi mu no, ebia wubehyia:
- Mogya a ɛtɔ wɔ awotwaa mu anaa sɛnkyerɛnne ahorow a ɛfa ho: Ebia wubehu mogya wɔ wo nsu mu anaa tiafi krataa no so. Ɛtɔ mmere bi a mogya a ɛtɔ no yɛ ketewaa bi araa ma wontumi nhu, nanso bere kɔ so no, ebetumi ama obi anya (Iron deficiency anemia) , na ɛde ɔbrɛ a ɛtra so (ɔbrɛ) ne mmerɛwyɛ aba.
- Nsakrae a wontumi nkyerɛkyerɛ mu wɔ dwensɔtwaa mu: Ɛntaa mma sɛ nnipa binom benya (akisikuru) anaa (akisikuru) , anaasɛ wobehu sɛ nsu a ɛyɛ nwini no kɔ soro. Bere a nneɛma afoforo pii wɔ hɔ a ɛde saa sɛnkyerɛnne ahorow yi ba no, sɛ wuhu nsakrae bi a wontumi nkyerɛkyerɛ mu a, ɛbɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn.
Nea ɛwom ara ne sɛ: Ntwɛn mma wohu yare no ho sɛnkyerɛnne. Sɛ wudi mfe 45-50 pɛ (anaasɛ sɛ wowɔ abusua abakɔsɛm a, ɛno ansa na aba) a, nyansa wom sɛ wo ne wo duruyɛfo bɛkasa na woayɛ nhyehyɛe sɛ wobɛyɛ (Colonoscopy) .
Dɛn nti na yenya colon polyps?
Mpɛn pii no, saa polyps yi ba bere ne bere mu, a ɛkyerɛ sɛ ɛba a enni nea ɛde ba a emu da hɔ a wotumi hu. Nanso, wɔ ankorankoro binom fam no, awosu mu yare betumi ama wɔanya nkɔso. Wɔ tebea horow a ɛtete saa mu no, ebia ɛbɛyɛ yiye sɛ obi benya polyps pii, na ɛno nso betumi ama asiane a ɛwɔ hɔ sɛ obenya kokoram a ɛwɔ akyi berɛmo mu no ayɛ kɛse.
Dɛn ne ade titiriw a ɛde polyps ba?
Nea ɛde ba no ntini ne awosu mu nsakrae . Sɛ yɛbɛka no tiawa a, sɛ yɛn nkwammoaa mu paapae yɛ foforo a, mfomso nketenkete betumi aba wɔ wɔn awosu mu. Esiane sɛ nkwammoaa a ɛkata akyi berɛmo no so no resan ayɛ foforo bere nyinaa nti, ɛyɛ mmerɛw sɛ wobedi mfomso ahorow yi. Sɛ awosu mu nsakrae yi ba a, ɛsakra sɛnea nkwammoaa nyin na wɔyɛ wɔn ade.
Awosu mu nsakrae bi fa mmusua mu (agyapade mu yare), bere a ɛte sɛ nea afoforo ba kwa, ɛwom sɛ eyinom mpo betumi afa awosu mu nneɛma ne nneɛma a atwa yɛn ho ahyia ho asiane ahorow a wɔaka abom ho de.
Nneɛma foforo bɛn na ɛma polyp nyin?
1. Awosu mu Nneɛma:
Sɛ abusua muni bi a ɔbɛn no (awofo, anuanom, anaa mmofra) anya polyps a, akontaabu kyerɛ sɛ asiane a ɛwɔ hɔ no dɔɔso. Bio nso, awo mu tebea pɔtee bi betumi ama woanya polyps, te sɛ:
- Abusua mu Adenomatous Polyposis (FAP) a Ɛyɛ Fɛ .
- Peutz-Jeghers yare a ɛma obi nya ɔyare no
- polyposis a ɛne MUTYH wɔ abusuabɔ
- Gardner yare a ɛma obi nya ɔyare no
- PTEN hamartoma akisikuru a ɛma obi nya akisikuru
- Turcot yare a ɛma obi nya ɔyare no
- Serrated polyposis yare a ɛma obi nya ɔyare mmoawa
- Mmofra a wɔyɛ polyposis syndrome
2. Nneɛma a Atwa Yɛn Ho Ahyia ne Asetra Mu Nneɛma:
Nneɛma a atwa wo ho ahyia ne wo da biara da su nya w’akwahosan so nkɛntɛnso kɛse na ebetumi aboa ma polyps anyin:
- Mpanyinyɛ: Asiane a ɛwɔ wo mu no yɛ kɛse bere a worenyin no.
- Sigaretnom.
- Nsã a wɔnom boro so.
- Aduan a srade pii wom, a ahoɔdennuru nnim: Aduan a nam kɔkɔɔ anaa nea wɔayɛ no foforo pii wom na nnuaba ne nhabannuru kakraa bi na ɛwom.
- Nipadua mu dwumadi a wɔnyɛ.
- Obolo.
- Asikyireyareɛ.
- Inflammatory Bowel Disease (IBD): Tebea horow te sɛ Crohn yare anaasɛ akisikuru a ɛma obi ho yɛ hyew.
Asɛm Titiriw Bi: Pseudopolyps a Ɛma Ɔhyew
Sɛnea yɛadi kan aka no, eyinom nyɛ "nokware" polyps a awosu mu nsakrae na ɛde ba. Wɔyɛ akuru akuwakuw a ɛba esiane akuru a ɛwɔ akyi berɛmo no mu a ɛsa nti ankasa. Ɔfe a enni sabea a mpɛn pii no ɛne IBD wɔ abusuabɔ no ne ade titiriw a ɛde saa akuru yi ba. Nea ɛho hia no, eyinom nnan kokoram.
Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya polyps?
Sika kɔkɔɔ gyinapɛn a wɔde hu akisikuru a ɛwɔ akyi berɛmo mu ne akyi berɛmo mu nhwehwɛmu. Wɔ saa adeyɛ yi mu no, wɔde afiri a ɛyɛ mmerɛw a kanea wom (colonoscope) a mfoninitwa afiri ketewaa bi wom hyɛ akyi berɛmo no mu de hwehwɛ akyi berɛmo no nyinaa mu. Bere a mfoninitwa nhwehwɛmu afoforo tumi hu polyps no, mfaso titiriw a ɛwɔ colonoscopy so ne sɛ wo duruyɛfo betumi ahu polyps na ayi afi hɔ, anaasɛ wafa ntini mu nhwɛsode (biopsy) de ayɛ nhwehwɛmu wɔ bere koro no ara mu.
Wɔde saa biopsy nhwɛsode ahorow yi kɔ aduruyɛdan bi mu baabi a ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛnea polyp no te ne sɛ ebia kokoram nkwammoaa bi wɔ hɔ anaa.
Sɛ wobɛsiesie wo ho ama colonoscopy a, ɛhwehwɛ sɛ wodi kan siesie wo dwensɔtwaa no, na esiane sɛ wɔbɛma wo aduru a ɛma wo ho dwo wo nti, ebia ayarefo binom behu sɛ adeyɛ no yɛ den. Enti, ɛtɔ mmere bi a nnuruyɛfo betumi de nhwehwɛmu a ɛnyɛ den a wɔde hwehwɛ nneɛma mu afi ase. Nanso sɛ nhwehwɛmu foforo biara kyerɛ sɛ polyps wɔ hɔ a, ɛho behia sɛ wɔyɛ colonoscopy di akyi na wɔayi afi hɔ.
Sɔhwɛ afoforo a wɔde hwehwɛ polyps a wosusuw sɛ ɛyɛ mu no bi ne:
- Mogya mu nhwehwɛmu: Complete Blood Count (CBC) betumi ahu mogya a ɛtɔ kɔ nipadua mu a mogya a ɛtɔ bere tenten de ba, bere a nipadua mu nneɛma a ɛsakra no ho kuw titiriw bi hu sɛ electrolyte a ɛnkari pɛ no. Sɛ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ wowɔ awosu mu polyposis a, awosu mu nhwehwɛmu betumi ahu sɛ ebia wowɔ awosu mu nkwaadɔm mu nsakrae pɔtee bi anaa.
- Nsu mu nhwehwɛmu: Fecal Occult Blood Test (FOBT) hwɛ sɛ mogya dodow a ɛwɔ afiri ketewaa bi mu anaa. Ebia nhwehwɛmu afoforo bɛhwehwɛ DNA a ɛwɔ nsu mu nhwɛsode mu no mu de ahwehwɛ kokoram agyiraehyɛde ahorow.
- Mfoniniyɛ mu sɔhwɛ ahorow: Nneɛma foforo a wobetumi de asi akyi berɛmo mu nhwehwɛmu a wɔtaa yɛ no ananmu ne virtual colonoscopy (CT scan bi) ne capsule endoscopy (baabi a womene capsule ketewaa bi a mfoninitwa afiri ahyɛ mu). Barium enema X-ray nso betumi ahu polyps.
Polyp dodow ahe na wobu no sɛ "ɛyɛ nea ɛfata" bere a wɔreyɛ colonoscopy no?
Sɛnea ɛbɛyɛ yiye no, anka wubenya polyps zero. Nanso, sɛ obi nya biako anaa abien, anaasɛ ɛtɔ mmere bi a ɛboro saa kakra a, ebetumi ayɛ nea abu so. Wo duruyɛfo no bɛhwɛ sɛnea polyps no dodow, ne kɛse, beae, ne ne su. Esiane sɛ mpɛn pii no polyps nyin brɛoo yiye nti, polyp nketewa kakraa bi taa kyerɛ sɛ asiane a ɛwɔ hɔ sɛ wubenya kokoram wɔ wo menewa mu no da so ara sua.
Nanso, wobetumi abu wo sɛ wowɔ asiane kɛse mu sɛ:
- Wowɔ polyps bɛboro abiɛsa.
- Polyp kɛse boro milimita 10 (sentimita 1).
- Polyps wɔ mmeae pɔtee bi wɔ akyi berɛmo no mu (sɛ nhwɛso no, sigmoid anaa transverse colon).
- Wɔyɛ adenoma a ɛyɛ villous anaa tubulovillous.
- Wɔyɛ akuru a ɛwɔ nsensanee a enni ntini anaasɛ adenomas a ɛwɔ nsensanee.
- Wowɔ awosu mu polyposis syndrome a ɛhyɛ wo ase.
Ɔkwan bɛn so na wɔsa colon polyps?
Ayaresa a wɔtaa de di dwuma ne sɛ wobeyi polyps no afi hɔ. Sɛ wowɔ polyps a ɛnyɛ neoplastic (ɛnyɛ kokoram) a, ebia wo duruyɛfo bɛpaw sɛ ɔrenyi mfi hɔ; nanso esiane sɛ mpɛn pii no ɛrentumi nyɛ yiye sɛ wobehu nsonsonoe a ɛda polyps a ɛyɛ neoplastic ne nea ɛnyɛ neoplastic ntam a wɔmfa afiri ketewaa bi nhwehwɛ mu nti, mpɛn pii no, sɛ woyi fi hɔ ne ɔkwan a ahobammɔ wom sen biara. Mpɛn pii no, nea efi nipadua mu nhwehwɛmu mu ba no gye dapɛn biako anaa abien.
Sɛ woyi neoplastic polyps fi hɔ a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya kokoram a ɛwɔ akyi berɛmo mu no so bɛyɛ 80%! Nanso, sɛ wonya nya polyps wie a, asiane wɔ hɔ sɛ ɛbɛsan aba bio. Wo duruyɛfo no begyina nea wɔayi afi hɔ dedaw no su so asusuw asiane a ɛwɔ hɔ ma daakye polyps ho na obegyina saa nhwehwɛmu no so akyerɛ nhyehyɛe a wɔbɛyɛ ama wo colonoscopy a edi hɔ no.
Colon Polyp a Woyi Fi Hɔ
Bere a woreyɛ wo colonoscopy , no, wo duruyɛfo—a mpɛn pii no ɔyɛ yafunu mu oprehyɛn anaa oprehyɛn a ɔyɛ yafunu mu oprehyɛn —tumi yi polyps pii fi hɔ bere a woreyɛ oprehyɛn no ankasa. Wɔfrɛ saa adeyɛ a ɛnyɛ den yi sɛ polypectomy . Nanso, sɛ wowɔ polyps akɛse anaa nea ɛyɛ den a, ebia ɛho behia sɛ wo duruyɛfo de akwan titiriw te sɛ EMR (Endoscopic Mucosal Resection) anaa ESD (Endoscopic Submucosal Dissection) di dwuma de hwɛ hu sɛ wɔayi afi hɔ dwoodwoo.
Colonoscopy Nhwehwɛmu a Wɔyɛ
Sɛ wo colonoscopy da no adi sɛ neoplastic polyps biara nni hɔ a, ebia ɛho renhia sɛ wɔyɛ nhwehwɛmu foforo bɛyɛ mfe 10. Nanso, sɛ woyii neoplastic polyps fii hɔ a, wɔbɛyɛ nsakrae wɔ nhyehyɛe a wode bedi akyi no mu. Ɛdenam asiane ahorow a ɛwɔ w’ankasa wo so so no, wo duruyɛfo betumi akamfo akyerɛ sɛ wɔnsan nyɛ nhwehwɛmu bio wɔ mfe biako, abiɛsa, anum, anaa ason mu.
So wubetumi asiw colon polyps ano?
Bere a wuntumi nsiw awosu mu nsakrae a ɛde polyps bi ba no ano no, wubetumi atew asiane a ɛwɔ hɔ no so kɛse denam w’akwahosan nyinaa a wode bedi kan no so:
- Di aburow a wɔayam, nnuaba, ne nhabannuru pii.
- To mmoa srade ano hye (titiriw nam kɔkɔɔ ne nea wɔayɛ ho adwuma).
- Kɔ so yɛ apɔw-mu-teɛteɛ daa.
- Kwati sigaretnom na to nsanom boro so ano hye.
Saa suban ahorow yi nso di dwuma titiriw wɔ kokoram a wɔde siw akyi berɛmo mu no ano.
Aniberesɛm bɛn na colon polyps yɛ?
Wɔfa colon polyps aniberesɛm efisɛ ebi betumi abɛyɛ kokoram. Nanso, kae sɛ sɛ wohu a, polyp dodow no ara nyɛ kokoram. Ebinom betumi anya kokoram bere tenten sɛ wɔansa wɔn yare a, ɛno nti pɛpɛɛpɛ na nnuruyɛfo yi wɔn fi hɔ bere a wɔahu wɔn ara pɛ no.
Dɛn na ɛsɛ sɛ mibisa me duruyɛfo fa me dwensɔtwaa mu polyps ho?
Susuw ho sɛ wubebisa wo duruyɛfo nsɛm a edidi so yi:
- colon polyps bɛn na mewɔ?
- So me polyps no yɛ neoplastic (ebetumi aba ansa na kokoram aba) anaasɛ ɛnyɛ neoplastic ?
- So asiane a ɛwɔ hɔ sɛ menya kokoram wɔ menewam no sua, sɛ wɔkyekyem pɛpɛɛpɛ a, anaasɛ ɛdɔɔso?
- So ɛsɛ sɛ meyɛ awosu mu nhwehwɛmu de hwehwɛ awosu mu polyposis syndromes ?
- Ɛda adi dɛn sɛ saa polyps yi bɛsan aba bio bere a wɔayi afi hɔ awie no?
- Bere bɛn na ɛsɛ sɛ meyɛ nhyehyɛe ma me colonoscopy a edi hɔ ?
Nnipa pii te dadwen nka wɔ wɔn akyi berɛmo mu nhwehwɛmu a wɔayɛ ho nhyehyɛe no ho na ebia ɛbɛsɔ wɔn ahwɛ sɛ wɔbɛtwentwɛn so. Ebia wubebisa sɛ, "So mmɔdenbɔ yi nyinaa fata sɛ mede besi so dua kɛkɛ sɛ minni polyps?" Mmuae no ne yiw. Sɛ wowɔ polyps ampa a, colonoscopy ne ɔkwan a eye sen biara a wobɛfa so ahu na woasa no ntɛm, mpɛn pii no ansa na woahu sɛnkyerɛnne biara mpo.
Ɛyɛ awosu sɛ wobɛte dadwen nka sɛ wɔka kyerɛ wo sɛ wowɔ colon polyps a, nanso yɛsrɛ sɛ hu sɛ eyi yɛ ade a wɔtaa hu, na wɔ nnipa dodow no ara fam no, eyinom nkɔ kokoram da. Sɛ wohu polyp bi na woyi fi hɔ pɛ a, ɛnyɛ asiane bio. Anamɔn a ɛho hia sen biara ne sɛ wobɛkyere saa nyini yi ntɛm.
Nkrasɛm a Wɔde Kɔ Fie
Seesei de, woate pii ase wɔ colon polyps ho . Ɛho nhia sɛ wobɔ hu.
Nea ɛho hia sen biara a wode bɛkɔ ne sɛ wo ne wo duruyɛfo bɛkasa —titiriw bere a woadi mfe 45–50 akyi —na woayɛ nhwehwɛmu te sɛ colonoscopy bere a wɔkamfo kyerɛ no. Eyi ma nnuruyɛfo tumi hu polyps na woyi fi hɔ wɔ ɔkwan a ɛnyɛ den so, bere tenten ansa na wɔatumi abɛyɛ kokoram.
Asetra kwan a ahoɔden wom a wobɛkɔ so akura mu no ne wo ho banbɔ a eye sen biara. Aduan a ɛkari pɛ, apɔw-mu-teɛteɛ daa, ne tawa ne nsa mmoroso a wobɛkwati no so wɔ mfaso ma wo dwensɔtwaa akwahosan ne wo yiyedi nyinaa.
Sɛ wowɔ nsɛmmisa foforo biara a, ntwentwɛn wo nan ase sɛ wobɛkɔ wo oduruyɛfo titiriw anaa yafunu mu ɔyaresafo a ɔwɔ Nirogi Lanka anaa wo mpɔtam hɔ aduruyɛbea nkyɛn. Sɛ wohyia tebea a egye ntɛmpɛ a, yɛsrɛ wo, di nkitaho wɔ 911 anaa wo mpɔtam hɔ adwumayɛbea a ɛhwɛ ntɛmpɛ so ntɛm ara. Kɔ so nya apɔwmuden!
