Yɛn mu pii suro bere a yɛte asɛmfua kokoram no. Nanso kokoram ahorow bi wɔ hɔ a, sɛ yenim no yiye na yɛyɛ nhwehwɛmu a ɛho hia wɔ bere ano a, yebetumi abɔ yɛn ho ban koraa afi ho na yebetumi ahu mpo na yɛasa no ntɛm. Kokoram a ɛwɔ akyi berɛmo mu yɛ yare a ɛte saa no mu biako. Ebetumi ayɛ komm wɔ nipadua no mu a enni sɛnkyerɛnne biara wɔ ne mfiase. Enti, ɛnnɛ yɛbɛka eyi ho asɛm biara, tiawa koraa, wɔ ɔkwan a mubetumi ate ase so.
Dɛn ne kokoram a ɛwɔ akyi berɛmo mu?
Sɛ yɛbɛka no tiawa a, eyi yɛ kokoram a ɛba yɛn akyi berɛmo anaa yɛn akyi berɛmo mu. N’abien nyinaa yɛ yɛn aduan a yɛde di dwuma no afã horow. Sɛ aduan a yedi no fa yafunu ne dwensɔtwaa ketewa no mu wie a, ɛkɔ dwensɔtwaa kɛse no mu. Ɛhɔ na nipadua no twe nsu ne aduannuru a ehia fi saa aduan no mu. Afei wɔde nwura a ɛyɛ den a aka a ɛyɛ nsu a ɛyɛ fĩ no sie bere tiaa bi wɔ akyi berɛmo no mu na afei woyi fi nipadua no mu.
Kokoram ba bere a nkwammoaa a ɛwɔ akyi berɛmo anaa akyi berɛmo mu no fi ase nyin a wontumi nni so no. Eyi taa yɛ akisikuru a enyin brɛoo yiye, a "ɛyɛ komm" . Enti ebia worenhu sɛnkyerɛnne biara kosi sɛ akisikuru no bɛyɛ kɛse paa. Nanso nea eye sen biara ne sɛ nhwehwɛmu a wɔyɛ daa de hwehwɛ kokoram no betumi ahu kokoram yi anaasɛ nyini nketenkete (polyps) a ebetumi abɛyɛ kokoram ntɛm.
So kokoram ahorow bi wɔ hɔ a ɛma obi nya kokoram?
Yiw, kokoram yi ahorow atitiriw pii wɔ hɔ, a egyina nkwammoaa ko a efi ase no so. Nanso nsusuw ho ntra so na w’adwene nkɔ wo so. Wo duruyɛfo bɛkyerɛkyerɛ eyinom mu akyerɛ wo.
| Kokoram su | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Adenocarcinoma a ɛma obi nya kokoram | Eyi ne ɔkwan a ɛtaa ba (bɛyɛ 96%). Efi ase wɔ nkwammoaa a ɛyɛ nsu a ɛwɔ dwensɔtwaa mu no mu. |
| Carcinoid akisikuru | Kokoram a efi ase wɔ nkwammoaa soronko a ɛma hormone ahorow mu. |
| Yafunu mu akisikuru (GIST) . | Efi nkwammoaa a ɛwɔ dwensɔtwaa no fasu mu a ɛde nsɛnkyerɛnne kɔ ntini ahorow a ɛboa ma aduan fa mu no mu. |
| Lymphoma a ɛma mogya tu | Kokoram a efi ase wɔ nipadua no mu nkwammoaa a ɛko tia nyarewa no mu. |
Hena na ɔwɔ asiane kɛse mu sɛ obenya kokoram yi?
Obiara betumi anya saa yare yi, nanso nneɛma bi betumi ama asiane a ɛwɔ hɔ no ayɛ kɛse. Hwɛ sɛ eyinom mu bi fa wo ho anaa.
- Sɛ wo anaa obi a ɔwɔ w’abusua mu anya kokoram a ɛwɔ akyi berɛmo mu anaa polyps (nnyinsɛn nketenkete) bere bi a atwam a.
- Sɛ wudi nam a wɔayɛ no foforo ne nam kɔkɔɔ pii a .
- Sɛ wowɔ dwensɔtwaa mu yare a ɛma obi ho hyehye (IBD) , te sɛ Crohn yare anaasɛ akisikuru a ɛma obi ho hyehye no a.
- Sɛ wowɔ awosu mu ayaresa tebea horow bi (e.g. Familial Adenomatous Polyposis - FAP, HNPCC).
- Obolo .
- Sigaretnom .
- Apɔw-mu-teɛteɛ a wonnya .
- Nsã a wɔnom boro so .
- Asikreyare a Ɛto so Abien a Wonya .
Nea ɛho hia ne sɛ obi a onni asiane ahorow yi mu biara mpo betumi anya kokoram yi. Ɛno nti na nhwehwɛmu a wɔyɛ no daa wɔ mfe 45 akyi no ho hia kɛse no.
Dɛn ne eyi ho sɛnkyerɛnne?
Sɛnea yɛadi kan aka no, ebia sɛnkyerɛnne biara nni hɔ wɔ mfiase no mu. Nanso, bere a kokoram no kɔ so no, saa sɛnkyerɛnne ahorow yi betumi ada adi. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa bere tenten a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn .
- Nsakrae a ɛtra hɔ kyɛ wɔ wo dwensɔtwaa mu (e.g. nsakrae a ɛba wo dwensɔtwaa ne akisikuru ntam).
- Sɛ wokɔ so te nka sɛ wo yafunu nnyaa mpan koraa bere a woakɔ aguaree awie no a.
- Mogya a efi akyi berɛmo mu anaa mogya a ɛwɔ nsu mu.
- Nsu a ɛyɛ tratraa sen sɛnea ɛtaa yɛ.
- Yafunu mu a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw bere nyinaa.
- Mu duru a wɔtew so a ntease biara nnim.
- Ɔbrɛ ne honam ani hwɛbea a ɛtra so a mogya mu nkwammoaa kɔkɔɔ a ɛso tew (anemia ).
- Akisikuru a wɔkyere wɔ yafunu anaa akyi berɛmo mu.
Ɔkwan bɛn so na wobetumi ahu yare no? - Nsɔhwɛ ahorow
Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛhwɛ wo, ɔde ne nsa bɛka wo yafunu, na sɛ ɛho hia a, ɔbɛkamfo nhwehwɛmu yi biako anaa nea ɛboro saa akyerɛ wo.
- Colonoscopy: Eyi ne sika kɔkɔɔ gyinapɛn . Ɛyɛ sɔhwɛ a eye sen biara na ɛyɛ pɛpɛɛpɛ sen biara. Wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri (colonoscope) wom fa akyi berɛmo no mu na wɔhwehwɛ akyi berɛmo no nyinaa mu. Sɛ polyps (nnyin) wɔ hɔ a, wobetumi ayi afi hɔ bere koro mu na wɔafa ketewaa bi (biopsy) akɔyɛ nhwehwɛmu.
- Nsu mu Nhwehwɛmu: Wɔyɛ saa nhwehwɛmu yi de hwɛ sɛ mogya kakraa bi wɔ nsu mu a ɛyɛ ketewaa dodo sɛ aniwa betumi ahu. FIT sɔhwɛ no yɛ sɔhwɛ a ɛte saa no mu biako.
- Biopsy: Bere a wɔreyɛ colonoscopy no, woyi ntini ketewaa bi fi baabi a ɛyɛ adwenem naayɛ na wɔde afiri ketewaa bi hwehwɛ mu hwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.
- CT Scan: Wobetumi ayɛ CT scan de ahwɛ sɛ kokoram no atrɛw akɔ akwaa afoforo a ɛwɔ akyi berɛmo no akyi mu anaa.
Dɛn ne ayaresa ahorow no?
Sɛ wohu sɛ wowɔ kokoram a, mma wo ho nnyɛ wo hu. Ɛnnɛ, ayaresa a etu mpɔn pii wɔ hɔ a wɔde sa eyi. Nnuruyɛfo besusuw nneɛma pii ho, te sɛ baabi a wo kokoram no wɔ ne w’akwahosan nyinaa, na wɔahu ayaresa a ɛfata wo sen biara.
Sɛɛgyiri
Wobetumi ayi kokoram a edi kan ne polyps afi hɔ bere a wɔreyɛ colonoscopy no. Sɛ kokoram no yɛ kɛse a, wɔyɛ oprehyɛn de yi akyi berɛmo no fã a kokoram no wom no (partial colectomy).
Nnuru a wɔde sa yare
Nea ɛka eyi ho ne sɛ wɔde nnuru a ekum kokoram nkwammoaa anaasɛ ɛmma ennyin mma nipadua no. Wɔde eyinom ma sɛ nnuru a wɔde kum ɔyare mmoawa anaasɛ wɔnam IV so. Wɔde saa ayaresa yi tew akisikuru bi so ansa na wɔayɛ no oprehyɛn anaasɛ wɔde kum kokoram nkwammoaa biara a aka wɔ oprehyɛn akyi.
Mframa a Wɔde Yɛ Ayaresa
Nea ɛka eyi ho ne sɛ wɔde mframa a ahoɔden wom kɛse (te sɛ X-ray) bedi dwuma de asɛe kokoram nkwammoaa. Wɔtaa de saa kwan yi di dwuma de ka nnuru a wɔde sa kokoram a ɛwɔ akyi berɛmo mu ho.
Targeted Therapy ne Nkwammoaa a Ɛko Tia Nyarewa
Eyinom yɛ ayaresa foforo koraa na etu mpɔn yiye. Ayaresa ahorow a wɔde wɔn ani asi so de nnuru a ɛtow hyɛ nneɛma pɔtee bi a wohu wɔ kokoram nkwammoaa nkutoo so no ma. Nkwammoaa a ɛko tia nyarewa no kanyan yɛn ankasa nipadua mu tumi a ɛko tia nyarewa ma ɛko tia kokoram nkwammoaa.
Wobɛyɛ dɛn akwati kokoram?
Wɔka sɛ "ɛyɛ papa sɛ wobesiw yare no ano ansa na ayɛ kɛse sen sɛ wɔbɛsa no bere a ayɛ kɛse akyi." Enti nneɛma pii wɔ hɔ a yebetumi ayɛ de abɔ yɛn ho ban afi kokoram yi ho.
1. Asetra kwan a ahoɔden wom:
- Kwati sigaretnom ne nsanom.
- Anyɛ yiye koraa no, yɛ apɔw-mu-teɛteɛ a emu yɛ den simma 150 dapɛn biara (te sɛ nantew a ɛyɛ ntɛmntɛm, mmirikatu, sakre so).
- Kura mu duru a ɛfata mu .
2. Aduan a ɛfata: .
- Di nnuan a ahoɔdennuru wom pii (nnuaba, nhabannuru, atoko, aburow a wɔayam).
- Tow nam kɔkɔɔ ne nam a wɔayɛ (te sɛ soseji, nam a wɔayam) ano hye.
3. Nhwehwɛmu a Wɔyɛ Daa:
- Eyi ne ade a ɛho hia sen biara . Mprempren wɔkamfo kyerɛ sɛ sɛ woankɔ asiane mu a, ɛsɛ sɛ wufi ase yɛ nhwehwɛmu daa fi bere a woadi mfe 45 .
- Ɔkwan a eye sen biara ne sɛ wɔbɛyɛ colonoscopy mfe 10 biara.
- Sɛ obi a ɔwɔ w’abusua mu anya kokoram yi a, ebia wobɛpɛ sɛ wufi ase hwehwɛ mu wɔ wo mfe a esua mpo mu. Wo ne wo duruyɛfo nka eyi ho asɛm.
| Kɔ wo duruyɛfo nkyɛn ntɛm ara! | |
|---|---|
Sɛ wokɔ so nya atifi hɔ sɛnkyerɛnne ahorow no mu biara, titiriw mogya a ɛwɔ wo nsu mu, yafunu mu yaw, anaa nsakrae a wontumi nkyerɛkyerɛ mu wɔ wo dwensɔtwaa mu a, yɛsrɛ sɛ mmu w’ani ngu so. Sɛ obi ani wu anaa osuro a, ebetumi ama tebea no asɛe kɛse. Kɔ oduruyɛfo nkyɛn ntɛm ara na woanya afotu. |
Nkrasɛm a Wɔde Kɔ Fie
- Mpɛn pii no, kokoram a ɛwɔ akyi berɛmo mu no yɛ komm wɔ ne mfiase. Ntwɛn nkosi sɛ yare no ho sɛnkyerɛnne bɛda adi.
- Nhwehwɛmu a wɔyɛ no daa (titiriw colonoscopies) bere a wɔadi mfe 45 akyi no ne ɔkwan a eye sen biara a wɔfa so siw kokoram ano anaasɛ wohu ntɛm.
- Wubetumi atew asiane a ɛwɔ hɔ no so denam aduan pa a wubedi, apɔw-mu-teɛteɛ daa, ne sigaretnom a wobɛkwati so.
- Sɛ wuhu mogya wɔ wo nsu mu anaasɛ wuhu sɛ nsakrae aba wo tiafi mu a, nsuro anaa w’ani nnye wo ho a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Kae sɛ kokoram a ɛwɔ akyi berɛmo mu yɛ yare a wotumi sa koraa sɛ wohu ntɛm a . Enti nsuro sɛ wobɛyɛ nhwehwɛmu, abɔ wo amanneɛ, na woanya apɔwmuden.
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