Nea ɛsɛ sɛ wuhu fa Rectal Cancer ho

So woahu sɛ mogya kakra bi wɔ wo nsu mu bere a wokɔ tiafi no pɛn? Anaasɛ wotaa nya nsakrae mpofirim wɔ wo dwensɔtwaa mu, wo yafunu mu yaw, anaa wo dwensɔtwaa? Mmu eyinom ngu sɛ ɛyɛ nea ɛfata. Efisɛ wobetumi ayɛ tebea bi a emu yɛ den te sɛ kokoram a ɛwɔ akyi berɛmo mu ho sɛnkyerɛnne a edi kan. Ebia ɛbɛyɛ te sɛ nea ɛyɛ fɛre kakra sɛ wobɛka ho asɛm, nanso ɛho hia sɛ wuhu w’akwahosan. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri, wɔ ɔkwan a ɛyɛ mmerɛw yiye so.

Sɛ yɛbɛka no tiawa a, dɛn ne kokoram a ɛwɔ akyi berɛmo mu?

Kokoram a ɛwɔ akyi berɛmo mu ne nkwammoaa a ɛnteɛ a ɛwɔ akyi berɛmo no fasu mu, a akyi berɛmo no ka ho, nyin a wontumi nni so. Mpɛn pii no, eyi yɛ kokoram a ɛkɔ so brɛoo paa.

Mpɛn pii no, efi ase sɛ nnua nketenkete a enyin (polyps) a ɛba wɔ akyi berɛmo no fasu a ɛwɔ mu no so. Yɛfrɛ saa nyin ahorow yi adenomas . Ebetumi agye mfe 10 kosi 15 ansa na onyin ketewaa bi te sɛ eyi abɛyɛ kokoram. Yiw, ɛyɛ nokware. Ɛno kyerɛ sɛ ɛnsi da koro pɛ.

Nea eye sen biara ne sɛ nhwehwɛmu te sɛ colonoscopy tumi hu saa polyps yi na wɔayi afi hɔ ansa na abɛyɛ kokoram. Enti, sɛ wɔyɛ nhwehwɛmu ahorow yi bere ano a, ebetumi atew asiane a ɛwɔ hɔ sɛ wobenya kokoram a ɛwɔ akyi berɛmo mu no so kɛse. Sɛ kokoram anya mpo a, sɛ wohu no ntɛm a, wobetumi asa no koraa denam oprehyɛn a wɔbɛyɛ de ayi polyp no so.

Wɔ kokoram ahorow a ɛba yɛn aduan mu no mu no, kokoram a ɛwɔ akyi berɛmo mu na abu so sen biara, wɔ kokoram a ɛwɔ akyi berɛmo mu ne kokoram a ɛwɔ akyi berɛmo mu akyi.

Hwɛ saa sɛnkyerɛnne ahorow yi yiye.

Mpɛn pii no, saa kokoram yi betumi atra nipadua no mu mfe pii a ɛnna sɛnkyerɛnne biara adi wɔ ne mfiase. Nanso, nnipa binom betumi anya kɔkɔbɔ nsɛnkyerɛnne bi. Ɛho hia sɛ wuhu eyinom.

Dɛn ne asiane ahorow a ɛma obi nya kokoram a ɛwɔ akyi berɛmo mu?

Wonnya nhuu nea ɛde kokoram yi ba ankasa. Nanso, nnuruyɛfo ahu nneɛma bi a ɛma asiane a ɛwɔ hɔ sɛ obi benya yare yi yɛ kɛse. Momma yɛnhwɛ nea wɔyɛ.

Ɔkwan bɛn so na wohu kokoram yi?

Mpɛn pii no, wofi ase hwehwɛ yare no mu denam oduruyɛfo a ɔyɛ nhwehwɛmu wɔ ɔkwan a ɛkɔ akyiri so, na afei wɔhyɛ sɛ wɔnyɛ nhwehwɛmu ahorow sɛnea ɛho hia.

Sɔhwɛ atitiriw

Nea edi kan no, wo duruyɛfo bebisa wo wo yare no ho sɛnkyerɛnne na wayɛ wo nipadua mu nhwehwɛmu, a ebia nea ɛka ho ne dijitaal rectal examination (DRE) .

Afei, sɔhwɛ a ɛho hia sen biara a wɔde besi so dua sɛ wɔahu yare no ne colonoscopy . Wɔ sɔhwɛ yi mu no, wɔde afiri teateaa bi a mfoninitwa afiri wom fa akyi berɛmo no mu na wɔhwehwɛ akyi berɛmo no mu ne akyi berɛmo no mu koraa. Sɛ wohu akisikuru (polyp) a ɛyɛ adwenem naayɛ saa bere yi a, wɔfa ntini ketewaa bi ma wɔhwehwɛ mu. Yɛfrɛ eyi biopsy .

Nhwehwɛmu ahorow a ɛsɛ sɛ wɔyɛ sɛ wohu sɛ kokoram wɔ hɔ a

Sɛ biopsy no si so dua sɛ kokoram nkwammoaa wɔ hɔ a, oduruyɛfo no de wo bɛkɔ oncologist nkyɛn, na ɔbɛyɛ nhwehwɛmu pii bio de ahu kokoram no fã pɔtee.

Mogya mu Nhwehwɛmu

• Mogya Dodow a Edi Mu (CBC): Eyi boa ma wɔhwɛ tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu, a ebia mogya a wɔhwere esiane kokoram nti na ɛde ba.
• Comprehensive Metabolic Panel (CMP): Eyi betumi ama woanya adwene wɔ sɛnea akwaa te sɛ w’asaabo ne wo mmerɛbo yɛ adwuma ho.
• Liver Enzyme Test: Eyi ho hia na ama wɔahu sɛ kokoram no atrɛw akɔ mmerɛbo no mu anaa.
• Tumor Marker Tests: Eyinom hwɛ sɛnea nneɛma bi (tumor markers) a kokoram nkwammoaa gyae kɔ mogya no mu no dodow. Wɔ kokoram a ɛwɔ akyi berɛmo mu mu no, agyiraehyɛde CEA (Carcinoembryonic Antigens) ne nea wɔhwɛ mu titiriw.

Sɔhwɛ afoforo

• Proctoscopy: Nhwehwɛmu a ɛhwɛ akyi berɛmo no mu nkutoo.
• CT scan (Computed Tomography scan): Eyi boa ma wohu sɛ kokoram no atrɛw akɔ akwaa afoforo a ɛwɔ yafunu no mu anaa.
• MRI scan (Magnetic Resonance Imaging): MRI scan ho hia yiye na ama wɔahu baabi a kokoram no atrɛw akɔ ntini a atwa akyi berɛmo no ho ahyia no mu pefee.
• Pelvic Ultrasound: Wɔde eyi nso di dwuma de hu sɛnea kokoram atrɛw wɔ pelvic cavity no mu.

Ɔkwan bɛn so na wohu kokoram no fã ahorow?

Nnuruyɛfo gyina nsɛm a wonya fi nhwehwɛmu ahorow yi mu biara mu so kyerɛ baabi a kokoram no wɔ. Eyi ho hia yiye ma ayaresa ho nhyehyɛe. Nneɛma 5 titiriw na ɛwɔ hɔ.

• Ɔfã 0: Kokoram nkwammoaa wɔ akyi fã a ɛwɔ akyi berɛmo no mu ɔfasu no mu nkutoo.
• Ɔfã 1: Kokoram no anyin atwam atwa ɔfasu no ani na anyin kakra akɔ ɔfasu no mu.
• Ɔfã 2: Akisikuru no anyin afa akyi berɛmo no fasu no mu na ebia atrɛw akɔ ntini a atwa ho ahyia no mu.
• Ɔfã 3: Kokoram no atrɛw akɔ ntini a ɛbɛn akyi berɛmo no mu.
• Ɔfã 4: Kokoram no atrɛw (atrɛw) akɔ akwaa a ɛwɔ akyirikyiri te sɛ mmerɛbo ne ahurututu mu.

Dɛn ne ayaresa a wobetumi apaw?

Ayaresa ahorow pii wɔ hɔ a wɔde sa kokoram a ɛwɔ akyi berɛmo mu. Wo nnuruyɛfo kuw no begyina nneɛma pii so akyerɛ ayaresa a eye sen biara ama wo, a nea ɛka ho ne wo kokoram no fã ne ne kɛse, ne w’akwahosan nyinaa.

Sɛɛgyiri

Ayaresa a wɔtaa yɛ ne sɛ wobeyi kokoram akisikuru no afi hɔ. Oprehyɛn ahorow pii wɔ hɔ.

Ayaresa ahorow a wɔde ka oprehyɛn ho

Ɛtɔ mmere bi a, wɔde ayaresa afoforo di dwuma ansa na wɔayɛ oprehyɛn de atew akisikuru no so anaasɛ wɔsɛe kokoram nkwammoaa biara a aka wɔ oprehyɛn akyi.

• Chemotherapy: Nnuru a wɔde sa yare a ɛsɛe kokoram nkwammoaa.
• Radiation Therapy: Wɔde mframa a ahoɔden kɛse wom sɛe kokoram nkwammoaa.
• Nkwammoaa a ɛko tia nyarewa: Nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa a ɛkanyan no ma ɛko tia kokoram nkwammoaa.
• Targeted Therapy: Nnuru a wɔde si molecule pɔtee bi a ɛka kokoram nkwammoaa nyin so.

Dɛn na yebetumi ayɛ de abɔ yɛn ho ban afi kokoram yi ho?

Ɛwom sɛ ɔkwan biara nni hɔ a yɛbɛfa so asiw kokoram yi ano 100% de, nanso nneɛma pii wɔ hɔ a yebetumi ayɛ de atew asiane no so.

• Kura mu duru a ɛfata a ɛfata wo mu. Sɛ wunnim a, kɔ oduruyɛfo nkyɛn.
• Yɛ apɔw-mu-teɛteɛ daa.
• Kwati nam a wɔayɛ no foforo. Mmom no, di aduan a ɛkari pɛ a nam a ɛnyɛ den, aburow a wɔayam, ne nhabannuru ne nnuaba a ɛyɛ ahabammono pii wom.
• Kwati nsa a wobɛnom.
• Sɛ wonom sigaret a, gyae.

Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ kokoram mu wɔ bere a ɛfata mu. Efisɛ ɛnam eyi so no, wobetumi ahu polyps na wɔayi afi hɔ ansa na abɛyɛ kokoram. Afei nso, sɛ kokoram anya nkɔso mpo a, wobetumi ahu no ntɛm ara. Afei hokwan a ɛwɔ hɔ sɛ wɔbɛsa no yare na wɔasa no dɔɔso kɛse.

Colonoscopy ne sɔhwɛ titiriw no. Nea ɛka ho no, sɔhwɛ afoforo pii wɔ hɔ:

• Fecal Occult Blood Test (FOBT): Nhwehwɛmu a wɔde hwɛ sɛ mogya a ɛwɔ nsu mu a aniwa ntumi nhu.
• Fecal DNA test: Ɛhwɛ sɛ awosu mu nsakrae ne mogya mu nneɛma a ɛwɔ nsu mu a ɛne kokoram wɔ abusuabɔ anaa.
• Sigmoidoscopy: Wɔyɛ akyi berɛmo ne akyi berɛmo no fã a ɛwɔ fam no mu nhwehwɛmu.
• Virtual Colonoscopy: CT scan hwɛ sɛ akisikuru bi wɔ akyi berɛmo ne akyi berɛmo mu anaa.

Mpɛn pii no, ɛsɛ sɛ obiara a wadi boro mfe 45 yɛ nhwehwɛmu ahorow yi. Wo ne wo duruyɛfo nkasa mfa nhwehwɛmu a ɛfata wo ne bere a ɛsɛ sɛ woyɛ no ho, a egyina w’abusua abakɔsɛm ne asiane afoforo so.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm?

Sɛ wɔresa wo kokoram yi yare a, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ ayaresabea ntɛm ara :Bɔ wo duruyɛfo amanneɛ anaa kɔ ayaresabea no Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) .

• Atiridiinini a ɛyɛ digrii Celsius 38 (100.4 Fahrenheit) anaa nea ɛboro saa.
• Tiyɛ a emu yɛ den.
• Awɔw a wɔte nka na wo ho popo.
• Mogya a ɛwɔ nsu mu.
• Koko mu yaw.
• Ɔhome a ɛyɛ den.
• Kesereneeyɛ.

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wohu sɛ wowɔ saa yare yi a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii wɔ w’adwenem. Enti, a wunsuro anaasɛ wontwentwɛn wo nan ase, bisa wo duruyɛfo no saa nneɛma yi ho asɛm na hu.

• Kokoram fã bɛn na mewɔ?
• Kokoram no atrɛw akodu he?
• Ayaresa ahorow bɛn na mewɔ?
• Sɛ wɔyɛ me oprehyɛn a, so ebehia sɛ wɔyɛ me colostomy?

Kokoram a ɛwɔ akyi berɛmo mu betumi ayɛ asɛmti a ɛyɛ den sɛ wɔbɛka ho asɛm. Na sɔhwɛ ahorow no betumi ayɛ hu kakra. Nanso kae sɛ, w’asetra som bo sen w’aniwu anaa w’ahometew. Mmu w’ani ngu yare no ho sɛnkyerɛnne ahorow so. Dodow a wokyere no ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wobɛsa wo yare na woasa wo yare no yɛ kɛse. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo a, wo ne wo duruyɛfo nkasa nnɛ.