So woate biribi a wɔfrɛ no ‘polyps’ ho asɛm pɛn? Ebia wo duruyɛfo no ahwɛ wo na waka akyerɛ wo sɛ wowɔ bi. Sɛ yɛbɛka no tiawa a, eyinom yɛ nnua nketenkete a enyin wɔ akwaa ahorow a ɛwɔ yɛn nipadua mu (sɛ nhwɛso no, dwensɔtwaa, awotwaa) no mu afasu so. Ɛwom sɛ eyinom mu dodow no ara nyɛ nea asiane wom de, nanso bere kɔ so no, ebi betumi adan kokoram, enti ɛbɛyɛ papa sɛ wubeyi afi hɔ na wɔama wɔayɛ mu nhwehwɛmu. Enti ɛnnɛ yɛbɛka aduruyɛ kwan a wɔfrɛ no ‘polypectomy’, a ɛyi saa polyps yi fi hɔ no ho asɛm.
Dɛn ankasa ne polypectomy?
Polypectomy yɛ aduruyɛ mu adeyɛ a woyi polyp anaa onyin a ayɛ wɔ wo nipadua mu akwaa bi mu no fi hɔ. Saa polyps yi betumi ayɛ kokoram (kokoram) anaasɛ ɛnyɛ kokoram (a ɛnyɛ bɔne).
Mpɛn pii no, eyinom yɛ nea ɛnyɛ hu . Nanso wo duruyɛfo no betumi ahu no yiye bere a wayi afi hɔ na ɔde akɔ aduruyɛdan mu akɔyɛ nhwehwɛmu akyi nkutoo. Polyp ahorow bi yɛ "precancerous." Eyi kyerɛ sɛ wonni kokoram mprempren, nanso wɔwɔ tumi a ɛbɛma wɔabɛyɛ kokoram daakye.
Dɛn nti na ɛsɛ sɛ woyi saa polyps yi fi hɔ?
Ebia nneɛma pii nti na woyi polyp fi hɔ.
- Sɛ wowɔ sɛnkyerɛnne ahorow a: Polyps bi betumi ama woanya sɛnkyerɛnne ahorow te sɛ yafunu mu yaw, mogya a ɛtɔ, anaa nsakrae a ɛba wo dwensɔtwaa mu.
- Sɛ asiane wɔ hɔ sɛ obi benya kokoram a: Sɛ oduruyɛfo no hwehwɛ mu na osusuw sɛ ebia ɛyɛ kokoram anaasɛ osusuw sɛ ebia ɛyɛ kokoram a.
- Sɛ wopɛ sɛ woyɛ nhwehwɛmu a: Sɛ wobɛhunu akisikuru ko pɔtee a ɛyɛ a, ɛhia sɛ woyi na wode kɔ lab (``biopsy`').
Nnuruyɛfo pii gye di sɛ ɛsɛ sɛ woyi polyps a ɛnyɛ hu a sɛnkyerɛnne biara nni ho mpo ntɛm na wɔasiw ɔhaw ahorow a ɛbɛba daakye ano.
Baabi a Polyps taa Ba ne Hia a Ɛho Hia sɛ Woyi Fi Hɔ
Polyps betumi ayɛ akwaa biara a ɛyɛ tokuru wɔ yɛn nipadua mu. Momma yɛnte ho nsɛm pii ase mfi pon a ɛwɔ ase ha no so.
| Baabi a polyps ba | Hia a ɛho hia sɛ woyi fi hɔ (kokoram a wotumi siw ano) . |
|---|---|
| Colon Polyps a ɛwɔ akyi berɛmo mu | Kokoram a Ɛwɔ Akyi berɛmo mu |
| Awotwaa mu Polyps | Awotwaa mu kokoram ne awotwaa mu kokoram |
| Yafunu mu Polyps | Yafunu mu Kokoram |
| Gallbladder Polyps a Wɔde Yɛ Akisikuru | Kokoram a Ɛwɔ Akisikuru Mu |
So eyi yɛ oprehyɛn kɛse? So ɛbɛyɛ yaw?
Eyi yɛ asɛmmisa a nnipa pii wɔ. Dabi, mpɛn pii no, polypectomy yɛ oprehyɛn ketewaa bi. Ɛyɛ ``adeyɛ a ɛnyɛ den pii''. Ɛno kyerɛ sɛ wɔyɛ no a wɔntwitwa nneɛma so kɛse biara.
Wɔtaa yi saa polyps yi bere a wɔreyɛ colonoscopy anaa endoscopy no. Eyi hwehwɛ sɛ wode afiri tenten bi a ɛyɛ mmerɛw a mfoninitwa afiri wom bɛhyɛ mu afa abɔde mu abue bi a ɛwɔ wo nipadua mu (sɛ nhwɛso no, akyi berɛmo, ano) na wode nnwinnade nketewa afa mu de ayi polyp no afi hɔ.
Afei nso, ade a nnipa pii suro ne ɛyaw. Worente ɛyaw biara nka wɔ saa adeyɛ yi mu. Oduruyɛfo no bɛma wo nnuru a wɔde kum wo yare ne nnuru a wɔde kum ɛyaw na ama woahwɛ ahu sɛ wo ho atɔ wo. Wobetumi ama wo aduru a wɔde kum nipadua no nyinaa (aduru bi a wɔde kum nipadua no) sɛ wopɛ a. Anaasɛ wɔbɛma wo nnuru a ɛma wo ho dwo (aduru bi a ɛma woda). Ebia wobɛte nhyɛso kakra nka bere a woyi polyp no, nanso ɛnyɛ yaw.
Dɛn na ɛba ansa na wɔreyɛ oprehyɛn no ne bere a wɔreyɛ no oprehyɛn no?
Ahosiesie a wɔyɛ ansa na wɔayɛ oprehyɛn
- Wo dwensɔtwaa a wɔhohoro: Titiriw sɛ wo dwensɔtwaa mu nhwehwɛmu betumi ayi polyps a ɛwɔ dwensɔtwaa kɛse no mu afi hɔ a, ɛsɛ sɛ wo dwensɔtwaa mu da mpan koraa na ɛho tew. Eyi nti, wo duruyɛfo bɛma wo nsu titiriw bi (`(bowel prep formula)`) a wobɛnom. Ɛho behia nso sɛ wudi aduan titiriw bi akyi nna kakraa bi.
- Nnuru a wɔde yɛ:Oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bedi kan asusuw aduru ko a wɔde bɛma wo no ho. Ebia ɔbɛka akyerɛ wo nso sɛ gyae nnuru bi (te sɛ nea ɛma mogya tu) nom da a wɔbɛyɛ oprehyɛn no.
Bere a wɔreyɛ oprehyɛn no
Wɔde endoscope a ɛyɛ afiri a wɔde mfoninitwa afiri abata ho na ɛyɛ polypectomy a ɛnyɛ den.
1. Oduruyɛfo no de saa tube yi bɛhyɛ wo nipadua mu na wakɔ baabi a polyp no wɔ.
2. Afei, wɔde mframa ketewaa bi a wɔfrɛ no carbon dioxide gu akwaa no mu ma ɛyɛ hyew sɛnea ɛbɛyɛ a wobetumi ahu akwaa no mu yiye.
3. Afei, wɔde adwinnade ketewaa bi (te sɛ afiri a wɔde hyɛ mu anaa waya a wɔde fa nhama mu) a wɔde fa afiri no mu di dwuma no, wodi kan twa polyp no na woyi fi mu.
4. Sɛ woyi polyp no wie a, wɔhyew beae no bere tiaa bi (electrocautery) na ama mogya no agyae na woyi ntini biara a aka no fi hɔ. Eyi nso mma polyp no ntumi nsan nnyin bio.
Ɔkwan bɛn so na woyi polyps a ɛyɛ den bi fi hɔ?
Ebia ɛbɛyɛ den sɛ wɔbɛfa akwan a ɛnyɛ den so ayi polyp bi afi hɔ efisɛ ɛsõ, ɛyɛ petee, anaasɛ ɛwɔ baabi a ɛma ɛyɛ den sɛ wobeyi afi hɔ. Wɔ nsɛm a ɛtete saa mu no, wɔfa akwan foforo so.
| Ɔkwan a wɔfa so yɛ adwuma | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Oprehyɛn a Wɔde Laparoscopic Yɛ | Ntwitwiridii nketenkete paa pii a wɔyɛ wɔ yafunu no mu, mfoninitwa afiri ne nnwinnade a wɔde yi polyp no bɛhyɛ mu. |
| Endoscopic mucosal a wɔde twa nipadua no mu (EMR) . | Fa nkyene aduru gu ntini a ɛwɔ polyp no ase no mu, na ma ɛnyɛ den sɛ wobeyi polyp no afi hɔ bere a asɔre awie no. |
| Endoscopic submucosal dissection (ESD) a wɔde twitwiw nipadua no mu. | Woyi polyps akɛse anaa kokoram fi mu biako, ne ntini a emu dɔ a ɛwɔ ase no. |
Dɛn na ɛba wɔ oprehyɛn no akyi na so asiane ahorow bi wɔ hɔ?
Wɔ oprehyɛn akyi
Mpɛn pii no wubetumi akɔ fie da koro no ara. Nanso, esiane sɛ worentumi nka kar esiane nea efi aduru a wɔde kum nipadua no mu ba nti, ɛho hia sɛ wunya obi a ɔbɛka wo. Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra nna kakraa bi esiane mframa a akɔhyɛ wo yafunu mu nti. Wɔde polyp a wɔayi afi hɔ no bɛkɔ aduruyɛdan mu, na wɔde amanneɛbɔ no bɛba wɔ adapɛn biako kosi abien mu.
Asiane ne nsɛnnennen a ɛwɔ mu
Nsɛnnennen ntaa mma koraa, nanso ɛho hia sɛ wohu.
- Mogya a ɛretu (`(Mogya a ɛretu)`) .
- Nyarewa (`(Ɔyare mmoawa)`) .
- Akwaa no mu tokuru (`(Perforation)`) .
- Ɔhyew a anyinam ahoɔden mfiri de ba
Tebea foforo a ɛntaa nsi koraa ne Postpolypectomy Coagulation Syndrome (PPCS) . Eyi ne bere a ɔhyew a efi polyp no mu no hyew ntini a ɛwɔ ase no, na ɛde sɛnkyerɛnne ahorow te sɛ yafunu mu yaw ne atiridiinini ba. Eyi nyɛ aniberesɛm te sɛ tokuru a wɔtow. Mpɛn pii no, sɛ wɔde nnuru di dwuma a, ɛsa wɔ nna kakraa bi mu. Nanso, sɛ wuhu saa sɛnkyerɛnne ahorow yi bi wɔ nna kakraa bi akyi wɔ oprehyɛn no akyi a, ka kyerɛ wo duruyɛfo ntɛm ara.
Mpɛn pii no, wo ho bɛtɔ wo koraa wɔ nna kakraa bi mu. Ɛho behia sɛ wonom nnuru a wɔde kum ɛyaw da koro anaa nnanu. Mogya kakraa bi betumi afa wo nsu anaa wo nsu mu, na ɛno yɛ ade a ɛfata. Nanso, sɛ mogya no mu yɛ duru anaasɛ ɛkɔ so a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.
Nkrasɛm a Wɔde Kɔ Fie
- Polypectomy yɛ aduruyɛ mu adeyɛ a ɛnyɛ den na ahobammɔ wom a eyi polyps, onyin bi a ɛba nipadua no mu no fi hɔ.
- Ɛwom sɛ polyp dodow no ara nyɛ asiane de, nanso ɛho hia sɛ woyi fi hɔ na wɔhwehwɛ mu esiane asiane a ɛwɔ hɔ sɛ ɛbɛdan kokoram nti.
- Saa adeyɛ yi nyɛ yaw, na akwan a wɔfa so de nnuru a ɛma wo dwensɔ no ma wo ho nyɛ wo dɛ no so tew.
- Bere a obi ho tɔ no no yɛ tiaa koraa, mpɛn pii no ɛyɛ nna kakraa bi pɛ.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko (ɛyaw a ɛboro so, atiridiinini, mogya a ɛtɔ kɛse) wɔ oprehyɛn no akyi a, ka kyerɛ wo duruyɛfo ntɛm ara.
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