So woasuro pɛn bere a wuhu mogya wɔ wo nsu mu anaa wuhu mogya nkekae wɔ wo tiafi krataa so no? Anaasɛ wo yafunu mu yɛ wo yaw a ɛyɛ nwonwa bere nyinaa, wote nka sɛ wo ho ayɛ wo ma? Nnipa pii a wɔwɔ yɛn man yi mu susuw sɛ saa sɛnkyerɛnne ahorow yi yɛ nea ɛfata te sɛ "piles" na wɔmfa wɔn adwene nsi so kɛse. Nanso ɛtɔ mmere bi a, ebia eyinom renyɛ ade ketewaa bi sɛnea yesusuw no. Ebia eyinom nso ne kokoram a ɛwɔ akyi berɛmo mu ho sɛnkyerɛnne a edi kan. Nsuro anaasɛ mma wo ho nnpopo mprempren. Nea ɛho hia sen biara ne sɛ wubehu yare yi yiye na w’ani da hɔ. Momma yɛnka biribiara ho asɛm pefee na ɛnyɛ den.
Sɛ yɛbɛka no tiawa a, dɛn ne kokoram a ɛwɔ akyi berɛmo mu?
Kokoram a ɛwɔ akyi berɛmo mu, anaasɛ wɔ aduruyɛ mu no, kokoram a ɛwɔ akyi berɛmo mu, yɛ kokoram a ɛba yɛn akyi berɛmo anaa akyi berɛmo, yɛn aduan mu nneɛma a etwa to no mu. Ɛnyɛ biribi a ɛba da koro pɛ.
Fa no sɛ, wɔ yɛn dwensɔtwaa no mu ɔfasu no so no, akuru nketenkete te sɛ nwansena nketewa na edi kan ba. Yɛfrɛ eyinom ``Polyps``. Ɛnyɛ akuru yi nyinaa na ɛbɛyɛ kokoram. Nanso, akuru ahorow bi tumi sesa nkakrankakra wɔ mfe pii mu (mpɛn pii no bɛyɛ mfe 10) na abɛyɛ kokoram nkwammoaa.
Nea eye sen biara ne sɛ, sɛ wotumi hu saa akuru yi na woyi fi hɔ ansa na abɛyɛ kokoram a, wobetumi asiw kokoram ano koraa. Afei nso, sɛ wohu kokoram ntɛm a, hokwan a ɛwɔ hɔ sɛ wɔbɛsa no na wɔasa no koraa no yɛ kɛse koraa.
Hwɛ saa sɛnkyerɛnne ahorow yi nso yiye!
Esiane sɛ kokoram a ɛwɔ akyi berɛmo mu nyin nkakrankakra nti, ebia ɛrenna sɛnkyerɛnne biara adi wɔ ne mfiase. Sɛ sɛnkyerɛnne ahorow da adi ampa a, ebetumi ayɛ te sɛ nyarewa afoforo a ɛtaa ba. Enti ɛho hia sɛ wuhu saa sɛnkyerɛnne ahorow yi.
| Nsɛnkyerɛnne a ɛkyerɛ | Eyi ho nsɛm kakra |
|---|---|
| Nsakrae a ɛba wɔ dwensɔtwaa mu | Ɔyare anaa akisikuru a ɛtra hɔ nna pii. Nsu a ɛyɛ tratraa sen kan no, te sɛ pɛnsere. |
| Mogya a ɛwɔ nsu mu | Mogya kɔkɔɔ anaa tuntum tuntum a ɛwɔ nsu mu. Mogya nkekae a wubehu wɔ tiafi kuruwa mu anaa tiafi krataa so. |
| Yafunu mu a ɛyɛ mmerɛw | Yafunu a ɛtaa yɛ no yaw, ne ho popo, na ne yafunu mu yɛ no yaw. |
| Sɛ́ wobɛte nka sɛ nsu da so ara wɔ hɔ bere a woakɔ tiafi akyi no | Bere a woakɔ wo dwensɔtwaa mu mpo no, woda so ara te nka te sɛ nea wo dwensɔtwaa no nnyaa mpan koraa. |
| Ɔbrɛ ne mmerɛwyɛ a ntease biara nnim | Ɔbrɛ a ɛtra so a wɔte nka ɛmfa ho sɛ wogye wɔn ahome sɛnea ɛsɛ no. Nea enti a ɛte saa ne sɛ kokoram betumi ama mogya atɔ afi nipadua no mu dodo, na ɛde mogya a ɛtɔ kɔ nipadua no mu aba. |
| Mu duru a wɔtew so a ntease biara nnim | Sɛ wo nipadua mu duru so retew a wuntumi nhu a wunhia aduan anaa woteɛteɛ w’apɔw mu a, ma ɛhaw wo. |
Kae sɛ ɛnyɛ obiara a ɔwɔ saa sɛnkyerɛnne ahorow yi na ɔwɔ kokoram. Yafunu mu yare ne akisikuru betumi afi yafunu mu mmoawa a ɛnyɛ den mu aba. Nanso sɛ saa sɛnkyerɛnne ahorow yi kyɛ boro nna kakraa bi, titiriw sɛ mogya wɔ wo nsu mu a, yɛsrɛ wo mmu w’ani ngu so na kɔ wo duruyɛfo nkyɛn ntɛm ara.
Dɛn nti na kokoram yi nya? Dɛn ne nneɛma a ɛde asiane ba?
Biribiara pɔtee biara nni hɔ a ɛde kokoram ba wɔ akyi berɛmo mu. Nanso, ɛba bere a nsakrae bi ba nkwammoaa a ɛwɔ apɔwmuden a ɛwɔ akyi berɛmo mu no awosu mu nneɛma mu (Genetic Mutations), na ɛma saa nkwammoaa no mu paapae na ɛdɔɔso a wontumi nni so. Kokoram nkwammoaa a ɛba saa kwan yi so no bom yɛ polyps ne akisikuru.
Aduruyɛ mu nhwehwɛmu ahu nneɛma pii a ɛma asiane a ɛwɔ hɔ sɛ obi benya kokoram yi yɛ kɛse. Momma yɛnhwɛ nea wɔyɛ.
| Asiane a ɛde ba | Nkyerɛmu |
|---|---|
| Sɛ́ wadi boro mfe 50 | Wɔtaa hu saa yare yi wɔ nnipa a wɔadi boro mfe 50. Nanso, nnansa yi, nnipa dodow a wɔbɔ amanneɛ wɔ nnipa a wonnii saa bere no mu no akɔ soro. |
| Abusua abakɔsɛm | Sɛ w’abusuafo a wɔbɛn wo mogya mu biako (ɛna, agya, nuanom, mmofra) anya kokoram wɔ akyi berɛmo mu anaasɛ polyps akɛse a, wo nso wowɔ asiane kɛse mu. Eyi te saa titiriw sɛ wonyaa yare no ansa na wɔredi mfe 45 a. |
| Awosu mu tebea horow | Awosu mu tebea horow te sɛ Lynch syndrome ne Familial Adenomatous Polyposis (FAP) ma asiane a ɛwɔ hɔ sɛ obi benya kokoram yi yɛ kɛse. |
| Obolo | Nhwehwɛmu ada no adi sɛ nnipa a wɔn nipadua mu duru (BMI) boro mfe 25 no wɔ asiane kɛse mu. |
| Sigaretnom ne nsa a wɔnom | Sigaretnom ne nsa a wɔtaa nom (a ɛyɛ kakraa bi mpo) ma asiane no yɛ kɛse. |
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Sɛ wokɔ oduruyɛfo nkyɛn kɔkyerɛ wo yare no ho sɛnkyerɛnne a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne no ho asɛm akɔ akyiri. Afei ɔbɛhwehwɛ wo nipadua mu. Nea ɛka ho no, ɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii na ama woahu nea ɛde wo yare no ba ankasa.
- Mogya mu Nhwehwɛmu: Wɔbɛhwɛ sɛ wo mogya mu mogya atɔ mu denam mogya a wɔbɛkan koraa (CBC) a wɔbɛyɛ so. Wobetumi ayɛ nhwehwɛmu titiriw te sɛ kokoram agyiraehyɛde (CEA nhwehwɛmu) nso.
- Mfoniniyɛ mu Sɔhwɛ: Wobetumi de nhwehwɛmu te sɛ CT scan (Computed Tomography) ne MRI scan (Magnetic Resonance Imaging) adi dwuma de ahu sɛ ebia kokoram akisikuru bi wɔ nipadua no mu ne baabi a atrɛw akodu.
- Diagnostic Colonoscopy: Eyi ne sɔhwɛ a eye sen biara na ɛyɛ pɛpɛɛpɛ sen biara a wɔde hu kokoram a ɛwɔ akyi berɛmo mu. Wɔ sɔhwɛ yi mu no, yafunu mu ɔyaresafo de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (a mfoninitwa afiri abata ho) fa akyi berɛmo no mu na ɔnam screen so hwehwɛ akyi berɛmo no nyinaa mu.
- Saa bere yi, sɛ akisikuru bi a ɛyɛ hu (polyp) wɔ hɔ a, wobetumi ayi afi hɔ koraa anaasɛ wobetumi ayi ne fã ketewaa bi (biopsy) na wɔde akɔ aduruyɛdan mu de akyerɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.
Sɛ wɔnam nhwehwɛmu ahorow yi so si yare no so dua wie a, wogyina baabi a kokoram no wɔ, sɛ ebia atrɛw akɔ ntini a ɛma mogya tu mu, ne sɛ ebia atrɛw akɔ akwaa afoforo mu so na ɛkyerɛ baabi a kokoram no wɔ. Wogyina saa fã yi so na ɛyɛ ayaresa ho nhyehyɛe.
Dɛn ne ayaresa ahorow no?
Mma ɛnhaw wo, mprempren ayaresa a etu mpɔn yiye na ɛkɔ akyiri wɔ hɔ a wɔde sa yare yi. Ɔkwan a wɔfa so sa yare no gyina baabi a wo kokoram no wɔ, beae a ɛwɔ, ne w’akwahosan nyinaa so.
Ayaresa titiriw ne oprehyɛn .
- Polypectomy: Nneɛma a enyin ansa na kokoram aba (polyps) a woyi fi hɔ bere a wɔreyɛ colonoscopy no.
- Colectomy: Oprehyɛn a wɔde yi akyi berɛmo no fã a kokoram no wɔ no fi hɔ.
Wɔ oprehyɛn akyi, anaasɛ ansa na wɔreyɛ oprehyɛn ne bere a wɔayɛ oprehyɛn akyi no, ebia ayaresa ahorow yi nso ho behia:
- Nnuru a wɔde sa yare: Nnuru a wɔde ma de sɛe kokoram nkwammoaa.
- Radiation Therapy: Wɔde mframa a ahoɔden kɛse wom sɛe kokoram nkwammoaa.
- Targeted Therapy: Nnuru a wɔde si molecule pɔtee bi a ɛka kokoram nkwammoaa nyin so a wɔde ma.
Wo duruyɛfo ne wo bɛbɔ nkɔmmɔ na wasi ayaresa nhyehyɛe a eye ma wo ho gyinae.
Ɔkwan bɛn so na wobetumi asa yare yi?
Eyi yɛ asɛmmisa a nnipa pii wɔ wɔn adwenem. "Survival Rate" yɛ ayarefoɔ ɔha biara mu nkyekyɛmu a wɔte ase mfeɛ 5 wɔ berɛ a wɔahu sɛ wɔwɔ yareɛ no. Eyi gyina bere a wohu yare no so kɛse.
- Wɔ mfiase (Localized): Sɛ kokoram no yɛ nea ɛwɔ akyi berɛmo no mu nkutoo a, mfe 5 a wɔde tra ase no dɔɔso kodu 91% .
- Ɔmantam: Sɛ kokoram no atrɛw akɔ ntini anaa ntini a atwa ho ahyia mu a, ɔha biara mu nkyem yi bɛyɛ 73% .
- Akyirikyiri: Sɛ kokoram no atrɛw akɔ akwaa a ɛwɔ akyirikyiri te sɛ mmerɛbo ne ahurututu mu a, ɔha biara mu nkyem yi so tew kodu 13% .
Mma akontaabu ahorow yi nnyɛ wo hu. Eyinom yɛ akontaabu a ɛfa nneɛma nyinaa ho a egyina nsɛm a efi ayarefo mpempem pii hɔ so ara kwa. Wo tebea no betumi ayɛ soronko koraa. Nea ɛho hia sen biara ne sɛ wobehu yare no ntɛm sɛnea wobetumi na wɔafi ase ayɛ ayaresa a ɛfata. Afei hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no dɔɔso yiye.
Dɛn na ɛsɛ sɛ yɛyɛ na yɛatumi anyɛ kokoram?
Ɛwom sɛ ɔkwan biara nni hɔ a yɛbɛfa so asiw kokoram ano 100% de, nanso nneɛma pii wɔ hɔ a yebetumi ayɛ de atew asiane no so.
- Aduan pa: Tew ngo, asikre, esiam, nam kɔkɔɔ (nantwinam, mprako nam), ne nam a wɔayɛ (soseji, bacon) a wudi so. Mmom no, di nnuan a ahoɔdennuru wom pii te sɛ nhabannuru, nnuaba, atoko, ne aburow a wɔayam .
- Kwati sigaretnom: Sɛ wonom sigaret a, hwehwɛ mmoa na woagyae. Eyi yɛ mfaso akɛse a ɛwɔ w’akwahosan nyinaa so no mu biako.
- To nsa ano hye: Ɛho hia sɛ wugyae nsa nom koraa anaasɛ wode di dwuma kakraa bi koraa.
- Kura wo mu duru a ɛfata mu: Di wo nipadua mu duru so denam apɔw-mu-teɛteɛ a wobɛyɛ daa ne aduan a ɛkari pɛ a wubedi so.
- Nya Screening wɔ Mfe a Ɛfata Mu: Eyi ne ade a ɛho hia sen biara. Sɛ mpo wunni sɛnkyerɛnne biara a, ɛho hia sɛ woyɛ screening colonoscopy sɛ wowɔ kokoram a ɛwɔ akyi berɛmo mu bɛyɛ mfe 45-50. Sɛ obi a ɔwɔ w’abusua mu wɔ yare no a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wubefi ase ayɛ nhwehwɛmu ntɛm mpo.
Saa nhwehwɛmu ahorow yi tumi hu polyps a ebetumi abɛyɛ kokoram ntɛm na wɔayi afi hɔ, na ɛnam so asiw kokoram a ɛbɛba no ano.
Nkrasɛm a Wɔde Kɔ Fie
- Mma w’ani ngu sɛnkyerɛnne ahorow te sɛ nsakrae a ɛba wo dwensɔtwaa mu, yafunu mu yaw, ne titiriw no mogya a ɛwɔ nsu mu no so. Sɛ wɔkɔ so tra hɔ bɛboro nna kakraa bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
- Kokoram a ɛwɔ akyi berɛmo mu yɛ yare a wotumi sa koraa sɛ wohu no ntɛm a. Mma ehu nti ntwentwɛn wo nan ase sɛ wobɛsɔ ahwɛ.
- Sɛ wowɔ asiane ahorow anaasɛ woadi boro mfe 45 a, wo ne wo duruyɛfo nkasa mfa nhwehwɛmu a wɔbɛyɛ wɔ kokoram ho, sɛ wunni sɛnkyerɛnne biara mpo a.
- Asetra pa (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom ne nsa a wɔkwati) betumi atew asiane a ɛwɔ hɔ sɛ obi benya kokoram no so.
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