So wowɔ kokoram wɔ wo yafunu mu? Momma yensua Duodenal Cancer ho ade!

Ɛnnɛ yɛrebɛka tebea bi a wɔntaa nte ho asɛm, nanso ɛtɔ da bi a ebetumi ayɛ nea ɛho hia yiye ho asɛm. So woate biribi a wɔfrɛ no ‘Duodenal Cancer’ ho asɛm pɛn ? Ebia bere nyinaa na wo yafunu yɛ wo yaw, wo ho ayɛ wo hyew, na woafe, na wunnim nea ɛyɛ. Wɔ asɛm yi mu no, yɛbɛhwɛ nea saa kokoram a ɛwɔ akyi berɛmo mu yi yɛ, nea enti a ɛba, sɛnea yehu, ne ayaresa ahorow a wɔde sa no.

So wunim nea Duodenal Cancer yɛ?

Sɛ yɛbɛka no tiawa a, Duodenal Cancer yɛ akisikuru a ɛba bere a nkwammoaa a ɛwɔ yɛn dwensɔtwaa ketewaa no fã a edi kan , duodenum , nyin wɔ ɔkwan a ɛnteɛ so na ɛyɛ ntɛmntɛm no. Sɛ akisikuru a ɛte sɛɛ ba a, ebia yɛn dwensɔtwaa no rentumi nwe aduan yiye, na ebetumi asiw ɔkwan a ɛbɛma aduan akɔ fam wɔ dwensɔtwaa no mu nso.

Fa no sɛ, wɔ mfiase no, ebia worenhu kokoram yi ho sɛnkyerɛnne biara. Nanso bere a akisikuru no nyin no, sɛnkyerɛnne ahorow a ɛfa wo aduan mu , te sɛ akisikuru, yafunu mu yaw, ne akisikuru fi ase da adi.

Ɛhe na duodenum no wɔ wɔ yɛn nipadua mu? Dɛn na ɛkɔ so wɔ mu?

Yɛwɔ dwensɔtwaa ketewa no wɔ yɛn yafunu mu, ɛnte saa? Wɔfrɛ ne fã a edi kan no duodenum anaa duodenum . Ɛyɛ ɔfã ketewaa bi a wɔayɛ no sɛ ɔpɔnkɔ nan. Sɛ aduan a yedi no fi yafunu no mu wie a, ɛkɔ saa duodenum yi mu tẽẽ.

Dwumadi titiriw a duodenum yɛ ne sɛ ebefi ase ayam aduan yiye. Nnuru ne enzyme ahorow a ɛboa wɔ eyi mu no fi duodenum no mu. Eyinom paapae aduan no mu yiye na esiesie vitamin ne aduannuru a ɛwɔ mu no wɔ ɔkwan bi so a nipadua no betumi atwe. Ɛno akyi no, duodenum no de aduan a wɔayam yi kɔ dwensɔtwaa ketewaa no fã a edi hɔ a ɛne jejunum . So wote ase?

So kokoram ahorow bi wɔ hɔ a ɛwɔ akyi berɛmo mu?

Yiw, esiane sɛ nkwammoaa ahorow wɔ duodenum no mu nti, kokoram ahorow pii wɔ hɔ a ebetumi aba wɔ hɔ. Nnuruyɛfo ka nneɛma ahorow anan ho asɛm titiriw:

• Adenocarcinoma: Eyi ne kokoram a ɛtaa ba wɔ akyi berɛmo mu. Enyin wɔ nkwammoaa a ɛyɛ nnuru ne enzymes a ɛboa ma wɔyam aduan no mu.
• Carcinoid tumors: Eyinom yɛ akisikuru bi a ɛtaa nyin nkakrankakra. Wɔtaa fi ase wɔ yɛn aduan mu ntini (GI tract) , nanso bere kɔ so no, ebetumi atrɛw akɔ nipadua no afã afoforo.
• Lymphoma: Kokoram a ɛte sɛɛ fi ase wɔ yɛn nipadua mu nkwammoaa a ɛko tia nyarewa no mu.
• Sarcoma:Efi ase wɔ yɛn nnompe, yɛn ntini, ne yɛn ntini a ɛyɛ mmerɛw te sɛ mogya ntini mu. Sarcoma a ɛtaa ba wɔ aduan mu ne nea wɔfrɛ no gastrointestinal stromal tumor .

Hena na ɛda adi sɛ obenya kokoram wɔ akisikuru mu?

Nnuruyɛfo da so ara ntumi nka nea enti a nnipa binom nya kokoram yi na afoforo nnya bi no yiye. Nanso, nneɛma bi wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya kokoram yi yɛ kɛse . Momma yɛnhwɛ nea wɔyɛ:

• Mfe a wɔadi: Wɔtaa hu kokoram yi wɔ nnipa a wɔadi fi mfe 60 kosi 80 mu .
• Abusuakuw: Wɔ United States no, nhwehwɛmu ada no adi sɛ abibifo taa nya kokoram yi. Wɔ Sri Lanka no, eyi ho nsɛm pɔtee bi da so ara nni hɔ.
• Akwahosan tebea horow: Nnipa a wɔwɔ dwensɔtwaa mu tebea horow bi te sɛ celiac yare anaa Crohn yare no wɔ asiane mu kakra.
• Akwahosan ho su horow: Sigaretnom, nsa a wɔnom, ne nnuan a nkyene pii wom a wodi daa nso betumi ama wɔanya kokoram yi.
• Tebea horow a wonya fi awosu mu: Awosu mu tebea horow bi nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya kokoram a ɛwɔ akyi berɛmo mu no ayɛ kɛse. Sɛ nhwɛso no, tebea horow te sɛ Familial Adenomatous Polyposis (FAP) , Lynch syndrome , ne cystic fibrosis .
• Bɔbeasu: Mmarima betumi anya kokoram yi kakra sen mmea.

Dɛn ne Duodenal Cancer ho sɛnkyerɛnne ahorow?

Mpɛn pii no, sɛ kokoram no sua a, ebia ɛrenna sɛnkyerɛnne biara adi . Ɛno ne ne fã a ɛyɛ hu sen biara. Nanso bere a akisikuru no nyin no, ebia wubehu sɛnkyerɛnne ahorow te sɛ:

• Yafunu mu yaw.
• Koma a ɛyɛ yaw (acid reflux).
• Mogya a ɛwɔ wo nsu mu.
• Ayamtim.
• Akisikuru anaa ɔfe.
• Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛnkyerɛ sɛ wowɔ kokoram. Nanso, sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, nyansa wom bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.

Dɛn nti na kokoram a ɛwɔ akyi berɛmo mu no nya?

Nokwarem no, nnuruyɛfo da so ara nnim nea ɛde duodenal kokoram ba ankasa . Wosusuw sɛ ɛyɛ nnua nketenkete a enyin (a wɔfrɛ no polyps) a ɛtɔ mmere bi a ɛba yɛn dwensɔtwaa mu no nti.(Kokoram yi fi ase wɔ akyi berɛmo no mu.) Nanso, wɔda so ara nni ntease a emu da hɔ wɔ nea enti a saa polyps no ba no ho. Ɛno nti na ɛho hia sɛ wohu nneɛma a ɛde asiane ba no.

Ɔkwan bɛn so na oduruyɛfo no hu kokoram yi? (Nyaresa a Wohu ne Nea Wɔde Yɛ Adwuma) .

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no a, ade a edi kan a wo duruyɛfo bɛyɛ ne sɛ obebisa wo nsɛm na wahwehwɛ wo mu. Afei, sɛ wosusuw sɛ kokoram a, ebia wɔbɛyɛ nhwehwɛmu pii de asi so dua na wɔahu ɔfã a ɛwɔ.

Sɛnea wobehu kokoram no fã (staging) .

Nnuruyɛfo de ɔkwan bi a wɔfrɛ no "staging" di dwuma de hu kokoram:

• Afã 0 kosi 1: Eyi kyerɛ sɛ kokoram no wɔ baabi biako pɛ wɔ wo nipadua mu.
• Afã 2 kosi 3: Eyi kyerɛ sɛ kokoram no atrɛw afa ntini no mu ne/anaasɛ akɔ akwaa/nhyehyɛe ahorow a ɛbɛn hɔ, te sɛ ɔmantam no mu ntini a ɛma mogya tu mu .
• Ɔfã 4: Eyi kyerɛ sɛ kokoram no atrɛw akɔ nipadua no afã horow a ɛwɔ akyirikyiri.

Nhwehwɛmu ahorow a wɔde hu yare no

Sɛnea ɛbɛyɛ na wo duruyɛfo ahu sɛ ebia wowɔ kokoram ankasa na woahu sɛnea ɛkɔ so no, ebia wode nhwehwɛmu ahorow te sɛ eyinom bedi dwuma:

• Mfoninitwa nhwehwɛmu: Sɛ nhwɛso no, MRI ne CT mfoninitwa . Eyinom betumi atwa wo aduan mu ntini no ho mfonini a ɛkɔ akyiri.
• Upper endoscopy: Eyi hwehwɛ sɛ wode afiri ketewaa bi a ɛyɛ mmerɛw (a mfoninitwa afiri ka ho) bɛhyɛ w’anom mu de ahwehwɛ wo aduan mu ntini a ɛwɔ soro a ɛka ho ne aduannoa kwan, yafunu, ne duodenum no mu.
• Barium mene sɔhwɛ: Wɔ sɔhwɛ yi mu no, wɔma wo nnuru bi a wɔfrɛ no barium kakraa bi sɛ wobɛnom. Esiane sɛ ɛda adi yiye wɔ X-ray so nti, ebetumi atwa wo aduan mu ntini a ɛwɔ soro no ho mfonini a ɛkɔ akyiri.
• Biopsy: Wɔ nhwehwɛmu te sɛ endoscopy mu no, woyi ntini ketewaa bi fi baabi a ɛyɛ hu na wɔsɔ hwɛ wɔ aduruyɛdan mu hwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa. Eyi nkutoo ne ɔkwan a wɔfa so si so dua sɛ kokoram wɔ hɔ anaa.

Dɛn ne nnuru a wɔde sa Duodenal Cancer?

Ayaresa nhyehyɛe no bɛsono a egyina kokoram no gyinabea so. Ebia wo duruyɛfo bɛkamfo ayaresa ahorow te sɛ:

• Oprehyɛn: Oduruyɛfo a ɔyɛ oprehyɛn yi kokoram no pii sɛnea obetumi, nanso ɔhwɛ yiye na ansɛe ntini a ɛte apɔw. Wɔ tebea horow bi a emu yɛ den mu no, wobetumi ayɛ oprehyɛn kɛse bi a wɔfrɛ no Whipple ayaresa . Nea ɛka eyi ho ne sɛ wubeyi wo duodenum, gallbladder, ne wo dwensɔtwaa no fã ketewaa bi afi hɔ .
• Nnuru a wɔde sa yare:Nea ɛka eyi ho ne nnuru a wɔde ma de kum nkwammoaa a enyin ntɛmntɛm te sɛ kokoram nkwammoaa. Wobetumi ayɛ nnuru a wɔde sa yare no mpɛn pii, na wɔde ahomegye bere wɔ ntam.
• Mframa a wɔde sa yare: Mframa ho ɔbenfo bi kyerɛ mframa a ano yɛ den kwan kɔ wo menewam. Saa mframa a wɔde sa yare yi brɛ kokoram nkwammoaa ase anaasɛ ɛsɛe.

Nea ɛho hia: Ɛho hia yiye sɛ wo ne wo duruyɛfo susuw ayaresa ahorow yi nyinaa ho yiye na wote ase, a mfaso ne nea enye ka ho.

Akwan bɛn na yebetumi afa so akwati kokoram yi? (Ayaresa a wɔde siw ano) .

Ɔkwan biara nni hɔ a wobetumi afa so asiw duodenal kokoram ano koraa . Nanso, nneɛma pii wɔ hɔ a wubetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ wubenya kokoram wɔ aduan mu no so atew:

• Aduan a nam kɔkɔɔ nnim na protein a ɛnyɛ srade, nnuaba, nhabannuru, ne aburow a ɛnyɛ den pii wom a wubedi .
• Gyae sigaretnom ne tawa ho nneɛma a wɔde di dwuma koraa.
• Nsã a wɔnom so tew.

Ɛnyɛ kokoram nko na saa nneɛma yi boa ma wobɔ wo ho ban fi nyarewa afoforo pii ho.

Asetra te dɛn wɔ Duodenal Cancer ho? (Nsusuwii) .

Sɛnea ɛte wɔ kokoram biara ho no, dodow a wohu no ntɛm no, dodow no ara na ɛda adi sɛ wɔbɛsa no na wɔasa . Dodow a ɛkɔ akyiri no, dodow no ara na ɛyɛ den sɛ wɔbɛsa na ɛnyɛ den sɛ wɔbɛsa.

Enti, ɛho hia sɛ wɔyɛ aduruyɛ mu nhwehwɛmu daa . Sɛ wowɔ sɛnkyerɛnne bi a ɛyɛ soronko a ɛfa wo aduan mu, anaasɛ wuhu sɛ nsakrae aba w’adidi mu a, kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi . Sɛ obi a ɔwɔ w’abusua mu anya kokoram a, ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu a ebetumi aboa ma wɔahu yare no ntɛm.

So ebetumi aba sɛ wobɛtra ase a duodenum no nka ho?

Yiw, wubetumi atra ase. Sɛ wowɔ Whipple adeyɛ a yɛadi kan aka ho asɛm no a, woyi duodenum no fi hɔ. Nanso sɛ duodenum no fi hɔ a, nneɛma te sɛ aduan a wɔyam ne aduannuru a wɔtwe no betumi aka kakra. Afei ebia oduruyɛfo no bɛma wo aduannuru a ɛma wunya aduannuru, anaasɛ ebia aduannuru a wɔde fa wo anom mpo, na ama woatumi asiw aduan pa a wunni ano. Aduruyɛ kuw no bɛkyerɛkyerɛ wo eyi ho ade yiye.

So kokoram a ɛwɔ akyi berɛmo mu ne kokoram a ɛwɔ akyi berɛmo mu yɛ ade koro?

Yiw, eyinom yɛ kokoram ahorow abien a ɛsono emu biara koraa . Duodenal Cancer ba wɔ duodenum, yɛn dwensɔtwaa ketewa no fã a edi kan no mu. Pancreatic KokoramƐyɛ dwensɔtwaa, akwaa bi a ɛwɔ yɛn yafunu akyi ne ase. Nanso, esiane sɛ akwaa abien yi bɛn wɔn ho wɔn ho paa nti, ɛtɔ mmere bi a, yare no ho sɛnkyerɛnne betumi ayɛ pɛ. Ɛno nti na ɛho hia sɛ wohu yare no pɛpɛɛpɛ.

Nsɛm bɛn na wubetumi abisa wo duruyɛfo?

Sɛ wususuw sɛ wowɔ duodenal cancer, anaasɛ wɔahu sɛ wowɔ bi a, wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• Dɛn na ɛda adi sɛ ɛde me aduan mu yare no ho sɛnkyerɛnne ahorow ba?
• Bere bɛn na saa duodenal kokoram yi wɔ?
• Dɛn ne ayaresa a wobetumi apaw ama Duodenal Cancer?
• Sɛ mannya ayaresa a, dɛn na ebetumi asi?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ asetra mu na ama asiane a ɛwɔ hɔ sɛ menya kokoram a ɛwɔ akyi berɛmo mu no so atew?

Wɔ nsɛmmisa yi akyi no, nsuro sɛ wo ne wo duruyɛfo bɛkasa afa biribiara a ɛwɔ w’adwenem ho.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Duodenal cancer yɛ kokoram a ɛba yɛn dwensɔtwaa ketewa no fã a edi kan no mu. Ebetumi asiw aduan a wɔyam ne aduannuru a ɛtwetwe no kwan. Esiane sɛ ebia yare no renda sɛnkyerɛnne biara adi wɔ mfiase nti , sɛ wokɔ so nya yafunu mu yaw soronko, wo ho yɛ wo yaw, wo ho yɛ wo yaw, anaasɛ wofe a, ɛho hia yiye sɛ wobɛhwehwɛ aduruyɛ mu afotu a ɛnkyɛ.

Ayaresa a wobetumi apaw bi ne oprehyɛn, nnuru a wɔde sa yare, anaa mframa a wɔde sa yare. Dodow a wohu no ntɛm no, dodow no ara na ɛda adi sɛ wɔbɛsa no yiye. Enti, hwɛ wo nipadua na sɛ wuhu biribi a ɛyɛ soronko a, kɔ oduruyɛfo nkyɛn. Ɛmmra sɛ yɛn nyinaa benya ahoɔden a yɛde bɛtra ase a ahoɔden wom!

` Duodenal Cancer, Duodenal Cancer, Colon Cancer, Dwonkura mu Kokoram, Kokoram Nsɛnkyerɛnne, Kokoram Ayaresa, Digestive System