Akuru a ɛyɛ nwonwa a ɛba nipadua no mu ne asiane a ɛwɔ hɔ sɛ wobenya kokoram - Momma yensua Gardner Syndrome ho ade

So worenya akisikuru a ɛyɛ nwonwa wɔ mmeae ahorow wɔ wo nipadua no so? Ebia wowɔ sẽ pii sen sɛnea ɛsɛ sɛ wunya bere a woreyɛ sẽ no? Ɛwom sɛ eyinom betumi ayɛ te sɛ nneɛma a ɛfata de, nanso ɛtɔ mmere bi a asɛm bi a anibere wom betumi aba akyi. Ɛnnɛ yɛreka aduruyɛ tebea a ɛntaa nsi, nanso ɛho hia yiye a ɛsɛ sɛ obiara hu ho asɛm. Ɛno ne Gardner Syndrome a ɛyɛ yare no.

Sɛ yɛbɛka no tiawa a, dɛn ne Gardner Syndrome?

Sɛ yɛbɛka no tiawa a, eyi yɛ tebea a ɛntaa nsi a yebetumi anya afi yɛn awofo hɔ denam awosu mu nkwaadɔm so. Ɛyɛ yare a wonya fi awo mu. Obi a ɔwɔ saa yare yi fi ase nya akisikuru a ɛnyɛ ne kwan so wɔ ne nipadua afã horow.

Nea ɛba ne sɛ nnua nketenkete ɔhaha pii nyin wɔ akyi berɛmo no mu. Wɔ aduruyɛ mu frɛ saa nnua a enyin yi polyps . Ade a ɛyɛ hu sen biara ne sɛ sɛ wɔansa saa polyps yi nyinaa yare a, asiane kɛse wom sɛ ɛbɛdan kokoram wɔ akyi berɛmo mu .

Wɔ akyi berɛmo akyi no, akisikuru a ɛnyɛ kokoram nso betumi aba nnompe, dwensɔtwaa, honam ani, ne ntini afoforo a ɛyɛ mmerɛw mu. Nnipa a wɔwɔ saa yare yi nso wɔ asiane mu sɛ wobenya kokoram ahorow afoforo pii.

Saa tebea yi abu so dɛn? Hena na onya?

Eyi yɛ tebea a ɛntaa nsi koraa ankasa. Sɛ nhwɛso no, wɔ ɔman bi te sɛ Amerika mu no, nnipa ɔpepem biako biara mu biako pɛ na wohu sɛ ɔwɔ saa yare yi.

Esiane sɛ ɛyɛ awosu mu yare nti, nnipa pii a wɔwɔ Gardner syndrome no wɔ hokwan kɛse sɛ wobenya ɛna anaa agya a ɔwɔ yare no. Eyi kyerɛ sɛ ɛnam awosu mu nkwaadɔm so fi awo ntoatoaso so kɔ awo ntoatoaso so.

Dɛn ne eyi ho sɛnkyerɛnne?

Gardner yare no ho sɛnkyerɛnne sesa bere a bere kɔ so no. Nsɛnkyerɛnne ahorow bi betumi ada adi wɔ mmofraase.

Tebea afoforo bɛn na ɛne Gardner yare no wɔ abusuabɔ?

Obi a ɔwɔ Gardner yare no wɔ asiane kɛse mu sɛ obenya tebea horow a edidi so yi:

• Nse a ɛboro so
• Osteomas (nnompe mu akisikuru) .
• Desmoid tumors - Ɛwom sɛ eyinom nyɛ kokoram de, nanso ebetumi anyin ntɛmntɛm na asɛe ntini a atwa ho ahyia.
• Srade a ɛwɔ nipadua no mu (Lipomas) .
• Fibromas a ɛma nipadua no yɛ adwuma
• Adenomas - Ntini a ɛnyɛ kokoram a ɛba wɔ ntini mu.
• Epithelial cysts a ɛwɔ nipadua no mu
• Tebea bi a ɛka aniwa no retina (CHRPE - congenital hypertrophy of retinal pigment epithelium) .
• Yafunu mu kokoram
• mmerɛbo mu kokoram
• Kokoram a ɛwɔ akyi berɛmo mu

Dɛn nti na eyi rekɔ so? Dɛn nti na ɛte saa?

Nea enti a ɛte saa ne sintɔ bi a ɛwɔ yɛn awosu mu nkwaadɔm no biako mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, awosu mu abɔde bi wɔ hɔ a wɔfrɛ no APC awosu mu abɔde . N’adwuma titiriw ne sɛ ɛbɛhwɛ nkwammoaa a ɛwɔ yɛn nipadua mu no so na amma ankyɛ na ɛnnɔɔso ntɛmntɛm dodo. Te sɛ breki a ɛwɔ kar mu no ara pɛ. Wɔfrɛ awosu mu nkwaadɔm a ɛte sɛɛ tumor suppressor genes , a ɛkyerɛ sɛ esiw akisikuru ano.

Obi a ɔwɔ Gardner yare no wɔ APC awosu mu abɔde a enni mu. Eyi kyerɛ sɛ breki a ɛhwɛ nkwammoaa mu mpaapaemu so no nyɛ adwuma. Ne saa nti, nkwammoaa mu paapae a wontumi nni so na wofi ase yɛ akisikuru ne polyps.

Ɔkwan bɛn so na oduruyɛfo hu yare yi?

Esiane sɛ yare yi wɔ sɛnkyerɛnne ahorow nti, oduruyɛfo bi de nhwehwɛmu ahorow pii di dwuma de hu sɛ obi anya bi.

• Awosu mu nhwehwɛmu: Wɔyɛ nhwehwɛmu yi de hwɛ sɛ ebia wowɔ sintɔ bi wɔ wo APC awosu mu abɔde mu anaa. Ebia wo duruyɛfo bɛkamfo eyi akyerɛ, titiriw sɛ obi wɔ w’abusua mu yare no a.
• Mfoninitwa afiri mu sɔhwɛ ahorow: Eyinom hwehwɛ sɛ wɔde mfoninitwa afiri ketewaa bi hyɛ nipadua no mu de hwɛ dwensɔtwaa no mu.
• Sigmoidoscopy a wɔde hwɛ ade
• Endoscopy a wɔde hwɛ nipadua no mu
• Colonoscopy - Wei ne nea ehu pefee sɛ polyps wɔ colon no mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa no gyina wo sɛnkyerɛnne ahorow so.

Fa no sɛ wowɔ sẽ foforo. Ɛno betumi ayɛ yare yi ho sɛnkyerɛnne a edi kan. Afei ɛsɛ sɛ woma wo sẽ ho oduruyɛfo yi saa sẽ no na osiesie wo sẽ a aka no. Sɛ wowɔ desmoid tumors a, wubetumi anya ayaresa te sɛ chemotherapy de atew so.

Nanso, ɔhaw titiriw a ɛyɛ hu sen biara wɔ yare yi ho ne polyps a ɛba wɔ akyi berɛmo mu no. Ɛsɛ sɛ wɔyɛ oprehyɛn na amma eyinom adan kokoram.

So wobetumi asa yare yi koraa?

Nea ɛyɛ awerɛhow no, wontumi nsa Gardner yare no koraa.

Nanso, wobetumi adi eyi ho dwuma yiye. Sɛ wɔyɛ ayaresa a ɛfata na wɔhwɛ wɔn daa a, wobetumi ahu tebea horow a emu yɛ den te sɛ kokoram na wɔasa no ntɛm. Enti ɛho nhia sɛ wobɔ hu.

So ebetumi aba sɛ obi bɛtra ase sɛnea ɛsɛ wɔ yare yi ho?

Yiw, wubetumi. Nanso, ebia nsakrae bi bɛba w’asetra kwan mu wɔ oprehyɛn akyi. Sɛ nhwɛso no, sɛ woyi wo dwensɔtwaa fi hɔ a, ɛbɛsakra ɔkwan a wofa so yam aduan na wofa nsu mu. Ebia ɛho behia nso sɛ wunya ɔkwan soronko bi a wobɛfa so ne ostomy bag a wode bɛhyɛ wo yafunu akyi. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.

Oprehyɛn a wɔbɛyɛ de asiw kokoram a ɛwɔ akyi berɛmo mu esiane yare yi nti no betumi ama obi nkwa nna akyɛ. Nhwehwɛmu bi kyerɛɛ sɛ nnipa a wɔyɛɛ wɔn proctocolectomy no mu 100% da so te ase wɔ mfeɛ 5 akyi.

Wobɛyɛ dɛn ahwɛ wo ho?

Gardner syndrome a wobɛtra ase no kyerɛ sɛ wobɛtra ase a asiane a ɛwɔ hɔ sɛ obenya kokoram wɔ ne mmofraase. Ɛnyɛ mmerɛw. Saa adwenem naayɛ no ho dwuma a wobedi no betumi ayɛ den wɔ adwene mu.

Enti, ɛho hia sɛ wɔyɛ kokoram nhwehwɛmu wɔ bere a ɛfata mu. Eyi kyerɛ sɛ, sɛ kokoram ba a, wobetumi ahu na wɔasa no ntɛm.

Sɛ eyi rehaw wo a, wo ne wo duruyɛfo nka ho asɛm. Sɛ ɛho hia a, hwehwɛ afotufo.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu nsakrae foforo biara wɔ wo nipadua mu, sɛ nhwɛso no, akisikuru foforo, anaa nsakrae a ɛba wo dwensɔtwaa mu, titiriw sɛ wuhu sɛ mogya wɔ wo nsu mu a , kɔ oduruyɛfo nkyɛn ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Sɛ wokɔ wo duruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm yi.

• Dɛn ne mprempren ayaresa ahorow a wɔde sa me yare no ho sɛnkyerɛnne ahorow?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Sɔhwɛ bɛn na ɛsɛ sɛ meyɛ? Mpɛn ahe na ɛsɛ sɛ minya?
• Nsakrae bɛn na ɛsɛ sɛ mehwɛ so titiriw wɔ me nipadua mu?
• So ɛyɛ adwene pa sɛ m’abusua mufo a aka no bɛyɛ awosu mu nhwehwɛmu?

Gardner syndrome nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛyɛ tebea a ɛsɛ sɛ wɔde ahwɛyiye ne di ho dwuma yiye hyia. Sɛ wonya aduruyɛ mu afotu ne nhwehwɛmu a ɛfata a, wubetumi atra ase apɔwmuden, akyɛ.