Nea ɛsɛ sɛ wuhu fa Tubular Adenoma ho

So woayɛ wo colonoscopy pɛn de ahwɛ sɛ wowɔ akyi berɛmo mu kokoram anaa ? Bere a woyɛɛ saa no, ebia wo duruyɛfo no ka kyerɛɛ wo sɛ wowɔ nneɛma nketenkete a enyin a wɔfrɛ no polyps wɔ wo dwensɔtwaa mu. Eyinom yɛ nnua nketenkete a enyin wɔ wo dwensɔtwaa no so ankasa. Mpɛn pii no, asiane biara nni ho. Nanso ɛtɔ mmere bi a, wobetumi ama obi anya kokoram wɔ akyi berɛmo mu . Ɛno nti na ɛho hia sɛ wohu wɔn.

Sɛ yɛbɛka no tiawa a, dɛn ne Tubular Adenoma?

Wɔfrɛ colon polyp a wɔtaa yi fi hɔ bere a wɔreyɛ colonoscopy no ``Tubular Adenoma.'' Edin no fi nokwasɛm a ɛyɛ sɛ nkwammoaa a ɛwɔ saa polyps yi mu no te sɛ nsukorade nketewa bere a wɔde microscope hwɛ no.

Asɛmpa no ne sɛ saa `(Tubular Adenoma)`s yi mu nnu 10% dan kokoram. Nanso, sɛ wowɔ saa aduru yi anaa aduru foforo biara a ɛwɔ akyi berɛmo mu a, akyinnye biara nni ho sɛ wo duruyɛfo beyi afi hɔ. Eyi yɛ nea wɔde beyi hokwan ketewaa bi mpo a ɛwɔ hɔ sɛ kokoram benya daakye no afi hɔ.

Ɔkwan bɛn so na saa polyps yi yɛ?

Ɛtɔ mmere bi a, yɛn nipadua mu nkwammoaa fi ase nyin a yentumi nni so. Yɛfrɛ saa adeyɛ yi mutation . Saa nkwammoaa a ɛnteɛ yi bɛyɛ akisikuru te sɛ polyps. Mpɛn pii no, tubular adenomas yɛ nketewa, na ne kɛse nnu nsateakwaa fã.

Abenfo da so ara nnim nea enti a eyi ba ankasa, nanso wogye di sɛ awosu ne nneɛma a atwa yɛn ho ahyia a wɔaka abom na ɛde tebea no ba.

Nea ɛka ho no, nnipa a wɔn akyi berɛmo mu ɔfe a enni sabea te sɛ akisikuru anaa Crohn yare , betumi anya saa akisikuru yi sɛ nea wɔde yɛ ɔfe no ho biribi. Nanso, akisikuru a ɛba esiane ɔfe yi nti no ntaa nyɛ kokoram. Nanso, tebea horow yi ma asiane a ɛwɔ hɔ sɛ obi benya kokoram wɔ akyi berɛmo mu no nyinaa yɛ kɛse. Nea enti a ɛte saa ne sɛ saa nyarewa yi sɛe akyi berɛmo no mu nneɛma na ɛma nkwammoaa mu paapae ntɛmntɛm de bɔ mmɔden sɛ wobesiesie wɔn ho.

Nsonsonoe bɛn na ɛda Tubular ne Villous Adenoma ntam?

Adenomas nyin wɔ akyi berɛmo no mu titiriw abien. Momma yɛnte nsonsonoe a ɛda abien no ntam ase denam pon so.

Ebia akisikuru bi wɔ nhwɛso abien no nyinaa a wɔaka abom. Yɛfrɛ wɔn ``Tubulovillous Adenomas.`` Bɛyɛ 15% a ɛyɛ akisikuru a ɛba wɔ akyi berɛmo mu no yɛ ``Villous`` anaa ``Tubulovillous``.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyinom?

Sɛ wowɔ nea edidi so yi a, ɛyɛ mmerɛw kakra sɛ wubenya `(Tubular Adenoma)`:

• Sɛ́ wadi mfe 50 anaa nea ɛboro saa.
• Nipadua mu duru a ɛkɔ soro (BMI) anaasɛ kɛseyɛ mmoroso .
• Sɛ́ obi yɛ ɔbarima.
• Sɛ obi a ɔwɔ abusua no mu adi kan anya akisikuru anaa kokoram wɔ akyi berɛmo mu a.
• Asikreyare a obi wɔ.
• Sigaretnom.
• Nsã a wɔnom boro so.
• Ɛnyɛ apɔw-mu-teɛteɛ.

Dɛn ne eyi ho sɛnkyerɛnne?

Nanso, ɛtɔ mmere bi a, wubetumi ahu sɛnkyerɛnne ahorow te sɛ eyinom:

• Mogya a ɛba akyi berɛmo mu.
• Nsu a ɛte sɛ nsu a ɛtɔ gu mu a nwura wom.
• Atiridiinini anaa akisikuru a ɛtaa ba.
• Yafunu mu yaw.
• Mogya a ɛtɔ kɔ nipadua mu a mogya a ɛyera ka nneɛma a wɔsɛe no ho de ba.

Ɔkwan bɛn so na wohu yare no na wɔsa?

Ɔkwan a eye sen biara na ɛyɛ pɛpɛɛpɛ a wɔfa so hwehwɛ na woyi `(Tubular Adenoma)` fi hɔ ne `(Colonoscopy)` sɔhwɛ .

Wɔ sɔhwɛ yi mu no, oduruyɛfo no de afiri tenten bi a ɛyɛ mmerɛw a mfoninitwa afiri bi abata w’akyi berɛmo mu hyɛ mu na ɔde nkakrankakra kyerɛ no kwan kɔ wo dwensɔtwaa mu. Wubetumi ahwɛ mfonini ahorow a ɛwɔ wo colon mu no wɔ video screen so. Sɛ saa akisikuru yi bi wɔ hɔ a, wotumi hu no pefee.

Afei oduruyɛfo no de adwinnade ketewaa bi betwitwa akisikuru no na ayi afi hɔ, anaasɛ ɔde hama bɛtwa ho ahyia na ɔde anyinam ahoɔden ahyew. Wɔyɛ eyi bere a wɔde aduru a ɛma obi dwensɔ ahyɛ wo mu, a ɛkyerɛ sɛ woada kɛse, enti worente ɛyaw biara.

Afei wɔde akisikuru a wɔayi afi hɔ no kɔ adwumayɛbea bi, na ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛ ebia kokoram nkwammoaa wɔ mu anaa.

Ɛwom sɛ nhwehwɛmu afoforo pii wɔ hɔ a wɔde hu eyinom de, nanso ɛho da so ara hia sɛ wɔyɛ colonoscopy na wɔayi afi hɔ. Saa sɔhwɛ ahorow yi ne:

• CT colonography a wɔde yɛ nhwehwɛmu
• Sigmoidoscopy a wɔde yɛ ade a ɛyɛ mmerɛw
• Nsu mu nhwehwɛmu

Dɛn na ɛba bere a wɔayi akisikuru no afi hɔ akyi?

Sɛ woanya `(Tubular Adenoma)` anaa adenoma foforo na wɔayi afi hɔ a, ɛho behia sɛ woyɛ `(Colonoscopy)` nhwehwɛmu mpɛn pii na woahu sɛ ɛsan ba anaa. Wɔfrɛ eyi `(Follow-up)`.

Sɛ na wowɔ ketewa biako anaa abien (a ennu milimita 10) a, ebia ebehia sɛ woyɛ wo sɔhwɛ a edi hɔ no wɔ bɛyɛ mfe 7-10 mu .

Nanso,

• Sɛ wowɔ nnuaba abiɛsa anaa anan a, .
• Sɛ wɔn kɛse boro milimita 10 a, .
• Sɛ oduruyɛfo no antumi annyi wɔn koraa a, .
• Sɛ obi a ɔwɔ w’abusua mu anya akisikuru anaa kokoram wɔ w’abusua mu a, .

Ebia wo duruyɛfo betu wo fo sɛ yɛ nhwehwɛmu no bio ntɛm, ebia wɔ mfe 3-5 mu . Ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Ɔkwan bɛn so na wobetumi asiw eyinom ano na wɔanhyehyɛ na wɔamfa kokoram aba?

Bɛyɛ 95% wɔ kokoram a ɛwɔ akyi berɛmo mu no fi ase sɛ nyini nketenkete (polyps) te sɛ eyinom. Eyinom betumi agye mfe du anaa nea ɛboro saa ansa na abɛyɛ kokoram.

Mpɛn pii no, nnuruyɛfo kamfo kyerɛ sɛ ɛsɛ sɛ woyɛ wo colonoscopy nea edi kan bere a woadi mfe 45. Nanso, .

• Sɛ obi a ɔwɔ w’abusua mu anya kokoram anaa akisikuru wɔ w’abusua mu a, .
• Sɛ wowɔ Yare a Ɛma Wo Ho Yɛ Fɛ (IBD) a, .
• Sɛ awosu mu tebea bi wɔ hɔ a ɛma asiane yi yɛ kɛse a, .

Ebia ebehia sɛ wufi ase yɛ sɔhwɛ ntɛm mpo, bɛyɛ mfe 40 .

Nea ɛka ho no, wubetumi nso atew asiane a ɛwɔ hɔ no so denam nneɛma yi a wobɛyɛ so:

• Tew nam a srade pii wom ne nea wɔayɛ no foforo a wudi so.
• Di nhabannuru, nnuaba a wɔayɛ no foforo, ne nnuan a ahoɔdennuru pii wom pii.
• Kura mu duru a ɛfata mu ma wo ho.
• Kwati sigaretnom koraa.
• Sɛ wonom nsa a, to ano hye kɛse.
• Wo ne wo duruyɛfo nkasa mfa sɛ ebia aspirin a wobɛnom da biara no betumi aboa ma kokoram ho asiane a ɛwɔ hɔ no so atew anaa, na hu mfaso ne ɔhaw ahorow a ɛwom. Mfi ase nnom aduru yi da a wunni aduruyɛ mu afotu.