So wusuro sɛ wɔbɛyɛ wo colonoscopy? Momma yɛnka eyi ho asɛm tiawa.

So wo duruyɛfo aka akyerɛ wo sɛ yɛ colonoscopy? Ebia bere a ɔkaa saa no, wotee ehu ne ehu kakra nka. Ɛyɛ ade a ɛfata sɛ wubesusuw nneɛma te sɛ, "Dɛn ne eyi? So ɛbɛyɛ yaw? Minnim nea mɛyɛ." Nanso eyi nyɛ biribi a ɛsɛ sɛ wosuro ankasa. Eyi yɛ sɔhwɛ a ɛho hia yiye ma w’akwahosan, titiriw sɛnea ɛbɛyɛ a ɛbɛbɔ wo ho ban afi nyarewa a emu yɛ den te sɛ kokoram a ɛwɔ akyi berɛmo mu ho. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so, te sɛ nea wo ne w’adamfo bi rekasa.

Sɛ yɛbɛka no tiawa a, dɛn ne colonoscopy?

Fa no sɛ oduruyɛfo no pɛ sɛ ohu biribi wɔ wo nipadua mu a wuntumi mfi akyi nhu. Colonoscopy yɛ saa ara. Ɛhwehwɛ wo dwensɔtwaa kɛse no mu , a ɛyɛ dwensɔtwaa kɛse no ne ne dwensɔtwaa ne ne dwensɔtwaa a ɛka bom no.

Wɔde afiri a ɛyɛ tratraa paa na ɛyɛ mmerɛw na ɛyɛ eyi. Mfoninitwa afiri ketewaa bi ne kanea bi wɔ saa afiri yi awiei. Yɛfrɛ saa adwinnade yi ‘colonoscope’. Wɔde saa afiri yi fa wo dwensɔtwaa mu na ɛde nkakrankakra kɔ wo dwensɔtwaa kɛse no mu. Afei oduruyɛfo no betumi afi mfoninitwa afiri no so ahwɛ mfonini ahorow no wɔ screen kɛse bi so. Ɛte sɛ nea worehwɛ TV so dwumadi bi wɔ wo dwensɔtwaa mu. Eyi yɛ sɔhwɛ bi a wɔfrɛ no endoscopy ankasa . Endoscopy yɛ sɔhwɛ biara a ɛfa sɛ wode afiri bi a mfoninitwa afiri wom bɛhyɛ wo nipadua mu.

Dɛn nti na ɛsɛ sɛ yɛyɛ colonoscopy?

Nneɛma atitiriw abiɛsa nti na wɔyɛ colonoscopy. Ɛtɔ mmere bi a, wobetumi adi saa ntease abiɛsa yi nyinaa ho dwuma wɔ sɔhwɛ biako mu.

1. Siw a Wosiw Ano na Wohu no Ntɛm (Screening): Yare bi a ebetumi aba daakye, titiriw, kokoram a ɛwɔ akyi berɛmo mu, a enni sɛnkyerɛnne biara a wobehu.

2. Nhwehwɛmu: Hwehwɛ nea ɛde sɛnkyerɛnne bi a worehyia dedaw no ba ankasa (e.g. yafunu mu yaw, mogya a ɛwɔ nsu mu).

3. Ayaresa: Sɛ wohu ɔhaw bi wɔ nhwehwɛmu no mu a, di ho dwuma wɔ hɔ ara.

Momma yɛnhwɛ eyinom mu biara mu nkɔ akyiri kakra.

1. Hu nyarewa ntɛm, sɛ mpo enni sɛnkyerɛnne biara a (Screening) .

Nnipa pii yɛ wɔn colonoscopy a edi kan esiane eyi nti. Bere a wɔrenyin no, asiane a ɛwɔ hɔ sɛ wobenya kokoram a ɛwɔ wɔn akyi berɛmo mu no kɔ soro kɛse. Ade a ɛyɛ hu sen biara wɔ kokoram yi ho ne sɛ mpɛn pii no ɛnna sɛnkyerɛnne biara adi wɔ ne mfiase . Edu bere a sɛnkyerɛnne ahorow no bɛda adi no, ebia ɛbɛkyɛ dodo sɛ wɔbɛsa.

Mpɛn pii no, oduruyɛfo betumi akamfo akyerɛ wo sɛ wɔnyɛ wo colonoscopy wɔ nsɛm a edidi so yi mu:

• Sɛ woadi boro mfe 45 na wonyɛɛ sɔhwɛ yi da a.
• Mfeɛ 10 ni a wɔyɛɛ sɔhwɛ yi nea etwa to.
• Sɛ woyii polyp bi wɔ wo colonoscopy a etwa to no mu a.
• Sɛ obi wɔ w’abusua mu (ɛna, agya, anuanom) anya kokoram wɔ akyi berɛmo mu a .
• Sɛ wowɔ awosu mu tebea bi (e.g. Familial Adenomatous Polyposis - FAP anaa Lynch syndrome).
• Sɛ wowɔ dwensɔtwaa mu yare a enni sabea te sɛ Inflammatory Bowel Disease (IBD) a.

2. Hwehwɛ nea ɛde sɛnkyerɛnne ahorow no ba (Diagnosis) .

Ɛtɔ mmere bi a, ebia wubenya yare no ho sɛnkyerɛnne ahorow bi. Ɛsɛ sɛ wo duruyɛfo nya adwene a emu da hɔ na ama wahu nea ɛde wɔn ba ankasa. Colonoscopy betumi ahu wo dwensɔtwaa kɛse no mu yiye sen mfonini afoforo.

Oduruyɛfo betumi akyerɛ sɛ sɛ wowɔ yare no ho sɛnkyerɛnne te sɛ eyinom a:

• Mogya anaa nsu foforo a efi akyi berɛmo mu ba a ntease biara nnim.
• Nsakrae a wontumi nkyerɛkyerɛ mu wɔ wo dwensɔtwaa mu (e.g., akisikuru a ɛkɔ so, akisikuru).
• Yafunu mu yaw a ɛkɔ so yɛ no yaw a ntease biara nnim .
• Mu duru a ɛso tew a ntease biara nnim.

Wɔ sɔhwɛ yi mu no, sɛ oduruyɛfo no hu baabi a ɛyɛ hu a, obetumi afa ntini ketewaa bi (biopsy) de akɔma lab. Eyi betumi aboa ma yɛasi sɛnea yare no te ankasa.

3. Sa bere koro no ara mu ne sɔhwɛ no.

Eyi yɛ mfaso akɛse a ɛwɔ colonoscopy so no mu biako. Sɛ oduruyɛfo no hu ɔhaw biara bere a wɔreyɛ nhwehwɛmu no a, ebia wobetumi ayɛ ho adwuma wɔ hɔ ara.

• Polyps a Woyi: Polyps yɛ nneɛma nketenkete a enyin a ɛnyɛ ne kwan so a ɛba akyi berɛmo no afasu so. Eyinom mu dodow no ara nyɛ kokoram. Nanso, ebinom betumi anya kokoram bere a bere kɔ so no. Enti, sɛ oduruyɛfo bi hu polyp a, wobeyi afi hɔ (a `polypectomy`). Eyi betumi asiw kokoram ano daakye.
• Kuru a ɛsa: Wobetumi atoto mmeae nketenkete a mogya tu no ano.
• Injection: Wubetumi de nnuru ahyɛ mmeae a ɛho hia no tẽẽ.
• Akwanside ahorow a wobeyi afi hɔ: Wobetumi ayi akwanside bi a ɛwɔ dwensɔtwaa no mu afi hɔ anaasɛ wɔatrɛw mu.

Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama sɔhwɛ no? (Ahosiesie no) .

Eyi ne adeyɛ no nyinaa fã a ɛho hia sen biara ne ɔfã a ɛsɛ sɛ woyɛ adwumaden kakra . Sɛ sɔhwɛ no bɛyɛ yiye a, ɛsɛ sɛ wo dwensɔtwaa no ho tew koraa. Ɛte sɛ nea woreprapra ofie na woreprapra mu. Sɛ nsu bi aka wɔ akyi berɛmo no mu a, oduruyɛfo no bɛyɛWorentumi nhu emu no yiye. Sɛ ɛba saa a, twe sɔhwɛ no to nkyɛn, na ebia ɛho behia sɛ wosan fa ahosiesie nhyehyɛe yi mu bio.

Wo duruyɛfo anaa ayaresabea bɛma wo akwankyerɛ ahorow a ɛsɛ sɛ wudi akyi. Ɛho hia paa sɛ wudi wɔn akyi pɛpɛɛpɛ. Mpɛn pii no, ɛkɔ so sɛ:

1. Adidi: Wɔbɛka akyerɛ wo sɛ di aduan a ahoɔdennuru nnim nna abien kosi abiɛsa ansa na wɔayɛ sɔhwɛ no. Eyi kyerɛ sɛ wobɛtwe wo ho afi nneɛma te sɛ nhabannuru, nhabannuru pii, ne nnuaba ho, na woadi nneɛma te sɛ paanoo, aburow, ne soup.

2. Nsu a wɔde di dwuma: Da a edi sɔhwɛ no anim no, wɔma kwan ma wodi nsu nkutoo. Sɛ nhwɛso no, nsu, akutu a nkyene wom, soup a emu da hɔ, ne smoothies.

3. Nnuru a wɔde bɔ akisikuru: Anwummere anaa anadwo ansa na wɔayɛ sɔhwɛ no, wɔbɛma wo nsu bi anom. Eyi ne ɔfã a ɛyɛ den sen biara. Sɛ wonom eyi wie a, biribiara a ɛwɔ wo dwensɔtwaa mu no bɛtotɔre sɛ nsuo.

• Yiw, ɛho behia sɛ wokɔ aguaree mpɛn kakraa bi. Siesie wo ho ma ɛno, fa nhoma anaa biribi, na gye w’ahome. Fa eyi sɛ biribi a wuhia.

Sɛ woyɛ eyi yiye a, wo dwonku no ho bɛtew koraa da a wɔbɛyɛ nhwehwɛmu no.

Dɛn na ɛba da a wɔbɛyɛ sɔhwɛ no?

Wo nkutoo rentumi nkɔ ayaresabea da a wɔbɛyɛ nhwehwɛmu no. Ɛsɛ sɛ wowɔ obi ka wo ho a obetumi de wo akɔ fie. Nea enti a ɛte saa ne sɛ egye bɛyɛ nnɔnhwerew 24 ansa na nnuru a wɔde kum nipadua no aduru a wɔde yɛ nhwehwɛmu no asɛe koraa. Enti, worentumi nka kar.

Sɛ wokɔ ayaresabea a, wɔbɛma wo ayaresabea atade a wobɛhyɛ. Afei ɔyarehwɛfo bi de kankyee ketewaa bi (IV line) bɛhyɛ ntini bi mu wɔ wo basa mu. Wɔnam so de nnuru a ɛma obi dwensɔ ne ɛyaw bɛma.

So woda hɔ bere a woyɛ eyi no? So ɛyɛ yaw?

Eyi ne ɔhaw kɛse ma nnipa pii. Dabi, worente ɛyaw biara nka. Wubetumi apaw nnuru ahorow abien a wɔde kum nipadua no.

• General Anesthesia: Eyi ma woda na worenhu kosi sɛ sɔhwɛ no bɛba awiei.
• Conscious Sedation: Eyi ma wokɔ tebea a ɛte sɛ nna a emu nyɛ den mu. Ebia wobɛte nka sɛ woada, nanso ebia worenkae akyiri yi.

Nanso, worente ɛyaw biara, sɛ woyi ntini bi fi wo dwensɔtwaa mu mpo a. Ebia wobɛte nhyɛso kakra nka na woate nka sɛ woayɛ ma bere a wɔde afiri no hyɛ mu na wɔbɔ mframa kakra kɔ mu na ama woatumi ahu wo dwensɔtwaa no yiye no. Nanso ɛnyɛ ɛyaw a wontumi nnyina ano.

Wɔ sɔhwɛ no ne nea efii mu bae akyi

Mpɛn pii no sɔhwɛ no gye bɛyɛ simma 30 kosi 45 . Ebia ebegye bere tenten kakra sɛ wɔreyi biribi te sɛ polyps afi hɔ a. Sɛ wɔyɛ wie a, wɔbɛhwɛ wo bɛyɛ dɔnhwerew biako kosi sɛ wobɛsɔre afi aduru a wɔde kum wo no mu.

Sɛ wosan nya w’adwene a, oduruyɛfo no bɛba abɛka nea wohui bere a wɔreyɛ nhwehwɛmu no akyerɛ wo. Sɛ wɔyɛɛ biopsy na wɔde kɔmaa wɔn sɛ wɔnkɔyɛ nhwehwɛmu a, ebia ebegye nna kakraa bi anaa dapɛn biako anaa abien ansa na nea efii mu bae no asan aba.

Sɛ wokɔ fie wie a, gye w’ahome yiye da koro anaa nea ɛte saa. Ebia wobɛte nka sɛ wo yafunu ho ayɛ wo hyew kakra na wo ho nyɛ wo dɛ, nanso ɛno befi hɔ bere tiaa bi akyi. Wubetumi adidi sɛnea ɛsɛ bere a ɔkɔm de wo ara pɛ.

Kae sɛ asiane ahorow yi sua koraa. Mfaso a ɛwɔ colonoscopy so no boro asiane ahorow yi so koraa.

So akwan foforo biara nni hɔ a wɔbɛfa so ayɛ no sen sɛ wɔbɛyɛ colonoscopy?

Yiw, akwan foforo pii wɔ hɔ a wɔfa so hu kokoram.

• Nsu mu nhwehwɛmu: Wɔhwɛ nsu a wɔde yɛ nsu mu nhwehwɛmu sɛ ebia mogya anaa DNA mu nsakrae a ahintaw a ɛne kokoram wɔ abusuabɔ anaa. Ɛsɛ sɛ wɔyɛ eyinom mfe biako kosi abiɛsa biara. Sɛ nhwehwɛmu ahorow yi kyerɛ sɛ ɔhaw bi wɔ hɔ a, ade a edi hɔ ne colonoscopy.
• Virtual Colonoscopy a Wɔde Yɛ Nneɛma:Eyi yɛ CT scan titiriw bi. Eyi nhwehwɛ sɛ wɔde afiri bi bɛhyɛ nipadua no mu. Nanso, ɛhwehwɛ nso sɛ wɔhohoro akyi berɛmo no ho, te sɛ nea wɔyɛ no daa akyi berɛmo mu nhwehwɛmu no ara pɛ. Sɛ wohu polyps wɔ saa adeyɛ yi mu a, ɛho behia sɛ woyɛ colonoscopy foforo daa na woayi afi hɔ.

Wɔ saa akwan yi nyinaa akyi no, wobu colonoscopy sɛ "Gold Standard" efisɛ, .

• Ɛyɛ nea ɛyɛ nkate kɛse . Etumi hu nsonsonoe ketewaa bi mpo.
• Ɛhu yare no na ɛsa bere koro mu . Sɛ nhwehwɛmu foforo kyerɛ sɛ ɔhaw bi wɔ hɔ a, ɛho da so ara hia sɛ wɔyɛ colonoscopy de si so dua na wɔsa.
• Sɛ nea efi mu ba no ye a, ebia ebegye bɛyɛ mfe 10 ansa na wɔayɛ sɔhwɛ a edi hɔ no .