Ebia woayɛ ultrasound scan ama yafunu mu haw foforo bi na amanneɛbɔ no kaa sɛ "Gallbladder Polyp" na wohaw wo ho kakra. Anaasɛ ebia woate din no nkyɛe. Dɛn ankasa ne nneɛma a enyin wɔ akisikuru mu yi? So wɔn ho yɛ hu sɛnea wɔte no? So wobetumi anya kokoram? Momma yɛnkyerɛkyerɛ wo nsɛmmisa a ɛfa eyi ho nyinaa mu nnɛ.
Nea edi kan no, ma yɛnhwɛ, dɛn ne akisikuru yi?
Ansa na yɛbɛka saa nnuaba yi ho asɛm no, momma yɛnte baabi a wɔyɛ saa nnua yi, kyerɛ sɛ, akisikuru no ase kakra. Fa no sɛ yɛn nipadua te sɛ adwumayɛbea kɛse bi. Mmɛn a ɛwɔ adwumayɛbea yi mu no na ɛma nsu bi a wɔfrɛ no bile. Saa bile yi ho hia yiye ma yɛn sɛ yɛbɛyam nnuan a srade wom a yedi no.
Afei, bile a mmerɛbo no yɛ no nkɔ dwensɔtwaa no mu tẽẽ. Wɔde sie akwaa ketewaa bi a ɛte sɛ kotoku mu. Ɛno ne nea yɛfrɛ no akisikuru . Ɛyɛ akwaa ketewaa bi a ne nsɛso te sɛ borɔdɔma, a ɛwɔ mmerɛbo no ase. Akisikuru no sie bile bi, ɛtwe nsu a ɛwɔ mu no, na ɛma ɛyɛ den. Sɛ yedi nnuan a srade wom a, akisikuru no twetwe na ɛde saa mogya a ayɛ den yi kɔ dwensɔtwaa no mu. Sɛ yɛbɛka no tiawa a, akisikuru ne ‘bile adekoradan’ a ɛwɔ yɛn nipadua mu.
Enti dɛn ne saa gallbladder polyps yi?
Okay, seesei yɛnim nea gallbladder yɛ. Gallbladder polyps yɛ ntini a enyin wɔ ɔkwan a ɛnteɛ so a ɛba wɔ akisikuru no mucous lining so. Fa no sɛ biribi te sɛ yɛn honam ani akisikuru a enyin wɔ akisikuru no mu. Nneɛma ahorow betumi de aba.
Nea ɛho hia ne sɛ saa akisikuru yi mu dodow no ara nyɛ asiane biara na asiane biara nni ho . Nanso, ɛntaa mma koraa sɛ wobetumi ama akisikuru no ayɛ hyew. Afei nso, wɔn mu kakraa bi pɛ, bɛyɛ 5%, wɔ tumi a wɔde bɛyɛ kokoram.
Nhwehwɛmu kyerɛ sɛ mpanyimfo 4% kosi 7% nya akisikuru wɔ akisikuru mu. Nanso, saa akisikuru yi mu 5% pɛ na ɛyɛ kokoram. Enti ɛho nhia sɛ wobɔ hu bere a wote din no.
Saa nnuaba yi ahorow ahe na ɛwɔ hɔ?
Yiw, saa akisikuru yi nyinaa nyɛ pɛ. Wobetumi akyekyɛ mu ayɛ no ahorow atitiriw pii. Ma yɛnhwɛ nea wɔyɛ.
| Polyp Ɔkwan a Wɔfa so Yɛ | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Pseudopolyps a wɔde yɛ nneɛma | Eyinom na ɛtaa ba (bɛyɛ 60%-90%). Eyinom nyɛ akisikuru ankasa. Wɔhyehyɛ bere a srade a ɛboro so a ɛwɔ yɛn nipadua mu no kɔhyɛ akisikuru no fasu mu no. Wɔsan frɛ eyinom srade akisikuru. Eyinom nyɛ kokoram koraa. |
| Polyps a Ɛma Ɔhyew | Wohu eyinom wɔ bɛyɛ 5%-10% mu. Eyinom ne ntini a ɛte sɛ akuru a ɛba bere a akisikuru no ho ayɛ no mpɛn pii (cholecystitis), a ɛkyerɛ sɛ ɛho ahonhon. Eyinom nso nyɛ kokoram. |
| Adenomas a ɛma nipadua no yɛ adwuma | Wobu eyinom sɛ akisikuru a ɛnyɛ hu. Wɔnnyɛ kokoram. Nanso, saa akisikuru ahorow yi mu kakraa bi pɛ (bɛyɛ 0.5%) wɔ asiane sɛ ɛbɛyɛ kokoram. |
| Polyps a Ɛyɛ Hu | Eyinom ne ahorow a asiane wom sen biara. Nanso wɔn ho yɛ na koraa. Mpɛn pii no wɔyɛ kokoram bi a wɔfrɛ no adenocarcinoma . |
So akisikuru a ɛwɔ akisikuru mu no betumi ama obi ate ɛyaw? Dɛn ne sɛnkyerɛnne ahorow no?
Eyi nso yɛ ɔhaw ma nnipa pii. Nea ɛyɛ nwonwa no, akisikuru 99% mfa sɛnkyerɛnne biara mma . Mpɛn pii no, wohu wɔn wɔ akwanhyia mu bere a wɔyɛ ultrasound scan a wɔyɛ esiane biribi foforo nti no.
Nanso, ɛntaa mma koraa sɛ sɛ cystic duct anaa bile duct siw a, sɛnkyerɛnne ahorow betumi aba. Eyi betumi ama bile aboaboa ano wɔ akisikuru no mu, na ama akisikuru no ahonhon. Wɔ tebea horow yi mu no, wubetumi anya yare no ho sɛnkyerɛnne te sɛ:
- Ɛyaw a ɛba yafunu no atifi nifa so.
- Huraeɛ.
- Akisikuru ne ɔfe.
- Wora ne aniwa a ɛyɛ kɔkɔɔ (Jaundice).
Nanso kae sɛ ɛda adi kɛse sɛ abo a ɛwɔ akisikuru mu na ɛde saa sɛnkyerɛnne ahorow yi ba sen akisikuru. Enti nsusuw sɛ akisikuru no na ɛde ba esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi nti.
Dɛn nti na akisikuru te sɛ eyi ba? So asiane ahorow bi wɔ hɔ?
Nyansahufo da so ara nnim nea enti a wɔyɛ no ankasa, te sɛ akisikuru ankasa. Wɔyɛ nipadua no nkwammoaa a enyin wɔ ɔkwan a ɛnteɛ so.
Nanso, ahorow abien a abu so sen biara, cholesterol polyps ne inflammatory polyps, a yɛadi kan aka ho asɛm no, ba sɛ aduruyɛ mu tebea afoforo mu nsunsuanso bɔne. Wɔde srade a ɛdɔɔso ne akisikuru a ɛtaa yɛ hyew (cholecystitis) na ɛde ba.
Nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya akisikuru no yɛ kɛse:
- Abo a ɛwɔ akisikuru a wowɔ.
- Akisikuru a ɛtaa hohoro (Cholecystitis).
- Ntini a ɛma mogya tu no mu ɔfe (Cholangitis).
- Hepatitis B yare mmoawa.
- Awosu mu tebea horow bi (e.g. Abusua mu Adenomatous Polyposis - FAP).
- Cholesterol dodow a ɛkɔ soro wɔ nipadua no mu.
- Wɔadi boro mfe 50.
Asɛmmisa kɛse a ɛwɔ obiara adwene mu: So eyinom betumi ayɛ kokoram?
Okay, afei momma yɛnkɔ ade a ɛho hia sen biara no so. Sɛ wo scan amanneɛbɔ ka sɛ 'gallbladder polyp' a, asɛmmisa a edi kan a ɛba w'adwene mu ne sɛ, "Oh, so eyi betumi ayɛ kokoram?"
Nokwasɛm ne sɛ, oduruyɛfo ntumi mfa awerɛhyem 100% mfi scan mu sɛ ebia akisikuru bi yɛ kokoram anaasɛ ɛnte saa. Ɔkwan biako pɛ a wobɛfa so ahu no yiye ne sɛ wɔbɛyɛ oprehyɛn ayi akisikuru no na wɔde akisikuru no akɔ baabi a wɔyɛ nhwehwɛmu (biopsy).
Nanso, ɛnyɛ obiara a ɔwɔ akisikuru no na wɔayi ne gallbladder, ɛnte saa? Ɛno nti na nnuruyɛfo susuw asiane a ɛwɔ hɔ sɛ akisikuru no bɛyɛ kokoram no ho. Nea ɛbɛyɛ na wɔayɛ eyi no, wosusuw nneɛma kakraa bi ho titiriw:
1. Akisikuru no kɛse: Eyi ne ade a ɛho hia sen biara. Mpɛn pii no, akisikuru a ɛnyɛ kokoram no yɛ nketewa. Kokoram akisikuru taa yɛ akɛse wɔ ne kɛse mu.
Sɛnea mmara kyerɛ no, sɛ akisikuru bi sõ sen sɛntimita 1 (milimita 10) , wobu no sɛ asiane kɛse wom sɛ ɛbɛyɛ kokoram. Wɔ tebea horow a ɛtete saa mu no, nnuruyɛfo taa kamfo kyerɛ sɛ wonyi akisikuru no mfi hɔ.
2. Nkɔanim: Sɛ wuhu sɛ wowɔ akisikuru wie a, ɛda adi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ wɔnyɛ wo ultrasound scan afe biara anaa nea ɛte saa na ama woahu sɛnea akisikuru no nyin ntɛmntɛm. Mpɛn pii no, akisikuru a ɛnyɛ hu no nyin nnu milimita 2 afe biara. Nanso, kokoram akisikuru betumi anyin ntɛmntɛm koraa.
3. Nsɛnkyerɛnne:Sɛ sɛnkyerɛnne ahorow te sɛ ɛyaw ne atiridiinini wɔ hɔ a, wosusuw ɛno nso ho.
4. Ɔyarefo mfe: Wɔde adwene si akisikuru a ɛba nnipa a wɔadi boro mfe 50 so kɛse.
Enti, wo duruyɛfo no bɛhwɛ eyinom nyinaa na wasi gyinae sɛ ebia wuhia ayaresa, anaasɛ scan kɛkɛ bɛdɔɔso.
Dɛn ne ayaresa ahorow a wɔde sa akisikuru a ɛwɔ akisikuru mu?
Akwan titiriw abien na ɛwɔ hɔ a wɔfa so sa akisikuru a ɛwɔ akisikuru mu.
1. Nneɛma a wɔhwɛ
Eyi ne nea ɛkɔ so mpɛn pii. Sɛ wo akisikuru no sua (ennu cm 1), enni sɛnkyerɛnne biara, na enni asiane foforo biara a, wo duruyɛfo no bɛka akyerɛ wo sɛ biribiara nni hɔ a wubetumi ayɛ mprempren, na yɛbɛhwɛ ara kwa. Wei kyerɛ sɛ wɔbɛyɛ ultrasound scan asram 6 anaa afe biara de ahwɛ sɛ akisikuru no kɛse resakra anaa. Sɛ nsakrae biara mma a, wɔbɛkɔ so ahwɛ wo so.
2. Oprehyɛn - Cholecystectomy
Sɛ adwenem naayɛ bi wɔ hɔ sɛ ebia wo akisikuru no yɛ kokoram a, ayaresa a eye sen biara na ɛno nkutoo ne sɛ wobeyi akisikuru no nyinaa afi oprehyɛn so. Worentumi nyi akisikuru no mfi akisikuru no mu kɛkɛ. Ɛsɛ sɛ wuyi akisikuru no ankasa fi hɔ.
Nsɛm a wɔkamfo kyerɛ sɛ wɔnyɛ oprehyɛn:
- Sɛ akisikuru no sõ sen sɛntimita 1 a.
- Sɛ akisikuru no renyin ntɛmntɛm a.
- Sɛ gallstones ka akisikuru no ho a.
- Sɛ akisikuru no de sɛnkyerɛnne ahorow a emu yɛ den ba a.
Wɔnam akwan titiriw abien so nso yɛ oprehyɛn yi.
| Oprehyɛn ko a wɔyɛ | Sɛnea wɔyɛ ne mfaso horow |
|---|---|
| Laparoscopic Cholecystectomy a wɔde yi nipadua no mu | Wɔsan frɛ eyi sɛ "keyhole surgery." Sɛ́ anka wɔbɛtwa yafunu no mu kɛse no, wɔtwa nketenkete paa 3 anaa 4 , wɔde mfoninitwa afiri (laparoscope) fa ntwitwiridii no biako mu, na wɔde nnwinnade pa fa ntwitwiridii afoforo no mu, na woyi akisikuru no fi afiri a ɛhwɛ nneɛma so no aniwa a ɛhwɛ so no ase. Mfaso a ɛwɔ eyi so ne: ɛyaw a ɛba fam, ayaresabea a ɔntra hɔ pii, ne ho tɔ no ntɛmntɛm (bɛyɛ adapɛn 2), ne akuru nketenkete paa. Eyi ne ɔkwan a wɔtaa fa so di dwuma mprempren. |
| Bue Cholecystectomy a Wɔyɛ no | Nea ɛka eyi ho ne sɛ wobetwa ade kɛse kakra wɔ mpampam a ɛwɔ ɔfã nifa no ase, abue yafunu no, na woyi akisikuru no afi hɔ. Sɛ wosusuw sɛ kokoram wɔ hɔ na sɛ ɛsɛ sɛ woyi ntini a atwa ho ahyia no nso a, wɔde saa kwan yi di dwuma. Eyi gye bere kakra ansa na ayɛ yiye (bɛyɛ adapɛn 6-8). Ɛyaw ne akuru pii wɔ hɔ. |
So ɛyɛ den sɛ wobɛtra ase bere a wɔayi wo akisikuru awie no?
Eyi nso yɛ biribi a nnipa pii suro. Wosusuw sɛ, "Oh, sɛ miyi akwaa bi fi me nipadua mu a, ɔhaw bi bɛba, ɛnte saa?"
Nokwarem no, akisikuru nyɛ akwaa a yentumi ntra ase a yenni. Sɛ woyi fi hɔ wie a, wubetumi abɔ bra a ɛfata koraa. Sɛ woyi akisikuru no a, bile a ɛba mmerɛbo no mu no nkora so, na mmom ɛsen kɔ dwensɔtwaa no mu tẽẽ nkakrankakra.
Sɛ wɔyɛ oprehyɛn wie a, nnipa binom betumi anya yafunu mu yaw bi anaasɛ wɔn ho bɛhoro bere a wɔadi nnuan a srade wom akyi. Ɛno nti na wo duruyɛfo bɛka akyerɛ wo sɛ tew nnuan a wɔayam ne ngo so wɔ adapɛn kakraa a edi kan no mu no. Nanso bere bi akyi no, wo nipadua no bɛfa ɔkwan foforo a wɔfa so didi yi ayɛ ne su. Ɛno akyi no, nnipa dodow no ara tumi di aduan biara sɛnea ɛsɛ a ɔhaw biara nni ho.
Nkrasɛm a Wɔde Kɔ Fie
- Nsuro sɛ wobɛte din gallbladder polyps no. Eyinom mu dodow no ara yɛ nyin a asiane biara nni ho a srade a ɛwɔ nipadua no mu na ɛde ba.
- Mpɛn pii no, eyinom mfa sɛnkyerɛnne biara mma. Wɔnam akwanhyia mu na wohu wɔn.
- Eyinom wɔ asiane a ɛba fam koraa sɛ wɔbɛyɛ kokoram (ennu 5%).
- Wo duruyɛfo nam ultrasound scan so bɛhwɛ sɛnea saa akisikuru yi kɛse ne sɛnea enyin no .
- Sɛ ɛsɛ sɛ wɔyɛ wo oprehyɛn de yi wo gallbladder mpo a, mma ɛnhaw wo. Wubetumi atra ase a ahoɔden wom koraa, a ɛfata a wunni akisikuru .
- Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi wɔ wo scan amanneɛbɔ anaa ayaresa ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Mma ehu a ɛho nhia denam nneɛma a wobɛkenkan wɔ intanɛt so no so.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho