So wɔayɛ wo colonoscopy pɛn? Anaasɛ ebia woate bi ho asɛm afi w’abusuafo anaa wo nnamfo hɔ. Ɛtɔ da bi a, wɔ sɔhwɛ yi akyi no, oduruyɛfo no ka sɛ, "Wowɔ polyp wɔ wo dwensɔtwaa mu." Ɛyɛ ade a ɛfata sɛ obiara te ehu nka kakra anaasɛ ne ho dwiriw no bere a ɔte saa nsɛm yi no. Nanso ɛsɛ sɛ wusuro ankasa? So polyps yi nyinaa yɛ nea asiane wom na ɛyɛ kokoram? Dabi Ɛnnɛ yɛreka polyp soronko bi a ɛba wɔ akyi berɛmo mu a wɔfrɛ no serrated polyps ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne serrated polyps?
Serrated polyps yɛ ntini nketenkete a enyin, anaasɛ yɛbɛka no yiye a, polyps nketewa, a ɛba wo dwensɔtwaa no mu ɔfasu so. Wɔfrɛ wɔn "serrated" efisɛ wɔn ani te sɛ saw-toothed bere a wɔde microscope hwɛ no.
Nea ɛho hia ne sɛ saa polyps yi nyɛ kokoram bere a edi kan a ɛba no. Mpɛn pii no, wɔyɛ nea ɛnyɛ hu. Nanso, polyps bi a ɛwɔ nsensanee betumi adan kokoram bere a bere kɔ so no. Ɛno nti na nnuruyɛfo yi saa polyps yi fi hɔ bere a wohu no ara pɛ no. Eyi boa ma wɔasiw kokoram a ɛwɔ akyi berɛmo mu no ano daakye.
Ɔkwan a saa polyps a ɛwɔ nsensanee yi fa so nyin no yɛ soronko kakra wɔ ɔkwan a polyps afoforo a abu so a wɔfrɛ no adenomas fa so nyin no ho. Na ɔkwan a wɔfa so dan kokoram nso yɛ soronko. Bɛyɛ 25% na kokoram a ɛwɔ akyi berɛmo mu no fi saa serrated polyps yi mu. Nanso sɛ wonya kokoram a, wobetumi anyin ntɛmntɛm kakra asen kokoram ahorow afoforo.
Dɛn ne serrated polyps ahorow atitiriw?
Wiase Nyinaa Akwahosan Ahyehyɛde (WHO) akyekyɛ serrated polyps mu ayɛ no ahorow atitiriw anan. Wɔkyekyɛ eyinom mu gyina sɛnea ɛte ne sɛnea nkwammoaa no yɛ wɔn ade so. Ɛnyɛ saa ahorow yi nyinaa na ɛdan kokoram. Enti, ɛho hia yiye sɛ wo duruyɛfo no kyekyɛ wɔn mu pɛpɛɛpɛ na ohu wɔn.
Saa ahorow anan no ho nkyerɛkyerɛmu tiawa ni.
| Polyp Ɔkwan a Wɔfa so Yɛ | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Hyperplastic polyps a ɛwɔ nipadua no mu | Eyi ne ɔkwan a wɔtaa de di dwuma . Bɛyɛ 75% a serrated polyps yɛ saa. Asɛmpa no ne sɛ, eyinomƐnyɛ nea epira, na ɛrendan kokoram. Ɛyɛ tebea a ɛfata a nkwammoaa a ɛdɔɔso dodo kakra na ɛde ba. |
| Sessile serrated akuru (SSLs) a ɛwɔ akuru a ɛwɔ nsensanee (SSLs) . | Eyi ne serrated polyp a ɛtaa ba a ɛda adi kɛse sɛ ɛbɛdan kokoram . "Sessile" kyerɛ "sessile" efisɛ wɔyɛ tratraa na wɔbata ɔfasu no ho. Eyi nti na ɛtɔ mmere bi a ɛyɛ den sɛ wobehu wɔn bere a wɔreyɛ colonoscopy no. Nnuruyɛfo bu SSL ahorow yi nyinaa sɛ asiane wom sɛ wobenya kokoram. |
| Adenomas a ɛyɛ serrated a wɔde di dwuma wɔ amanne kwan so | Eyinom ho yɛ na koraa . Ɛwom sɛ wɔte sɛ adenomas a ɛteɛ de, nanso wɔwɔ "serrated" features nso, te sɛ saw teeth. Wɔyɛ kokoram bi nso . |
| Adenomas a ɛwɔ serrated a wɔankyekyɛ mu | Eyi yɛ polyp bi a ɛnyɛ ahorow abiɛsa a yɛaka ho asɛm wɔ atifi hɔ no mu biara dea ankasa, nanso ɛwɔ su ahorow a ɛyɛ afrafra. Eyi nso ho yɛ na. Nnuruyɛfo kɔ so reyɛ eyinom mu nhwehwɛmu. |
Saa akisikuru yi abu so dɛn? So sɛnkyerɛnne ahorow bi wɔ hɔ?
Fa no sɛ, sɛ woyɛ colonoscopies 100 a, wubetumi ahu saa serrated polyp yi wɔ emu bɛyɛ 30 mu. Nanso mma ɛnhaw wo, nea wohu no mu dodow no ara yɛ hyperplastic polyps a asiane biara nni ho . Wohu ahorow te sɛ SSL ahorow a ɛwɔ asiane mu sɛ wobenya kokoram no kakraa bi, bɛyɛ 10%.
Nea ɛho hia ne sɛ saa polyps ahorow yi mu biara ntaa mfa sɛnkyerɛnne biara mma . Wubetumi anya wɔn wɔ wo nipadua mu a wunhu mpo.
Ɛntaa mma koraa sɛ sɛ akisikuru bi nyin a, wubetumi anya mogya kakraa bi wɔ wo nsu mu, anaasɛ wobɛhohoro anaasɛ wo ho ayɛ wo hyew. Nanso ɛda adi sɛ nneɛma afoforo wɔ hɔ a ɛde saa sɛnkyerɛnne ahorow yi ba. Ɛno nti na nnuruyɛfo kamfo kyerɛ sɛ ɛsɛ sɛ woyɛ colonoscopy wɔ wo mmofraase, sɛ mpo wunni sɛnkyerɛnne biara a.
Dɛn ne serrated polyposis syndrome (SPS) a ɛwɔ nipadua no mu?
Eyi yɛ tebea soronko mmom a ɛntaa nsi. Wɔ tebea yi mu no, obi nya serrated polyps pii (ɛtɔ mmere bi a ɛboro 20) wɔ ne dwensɔtwaa nyinaa mu. Eyinom betumi ayɛ akɛse asen sɛnea ɛte daa na ebetumi ayɛ nea asiane kɛse wom sɛ wobenya kokoram. Obi a ɔwɔ saa tebea yi, SPS, wɔ asiane 25% sɛ obenya kokoram.
Dɛn ne nneɛma a ɛde eyinom ba ne nea ɛde asiane ba?
Biribiara nni hɔ a ɛde colon polyps ba. Wɔtaa ba bere a yɛrenyin no. Wosusuw sɛ nea ɛde ba titiriw ne awosu mu nsakrae a ɛba bere a yɛn nkwammoaa mu paapae na ɛyɛ nkwammoaa foforo no. Sɛnea ɛtɔ mmere bi a afiri a wɔde yɛ mfonini di mfomso nketenkete no. Saa awosu mu nsakrae yi ma nkwammoaa nyin a wontumi nni so na ɛyɛ akisikuru.
Nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya saa polyps yi yɛ kɛse:
- Sɛ́ wadi boro mfe 50
- Sigaretnom
- Nsã a wɔnom boro so
- Nam kɔkɔɔ (te sɛ nantwinam ne mprako nam) a wodi daa .
- Mu duru a ɛkɔ soro (kɛse mmoroso) .
- Sɛ obi wɔ dwensɔtwaa mu yare a enni sabea, te sɛ dwensɔtwaa mu yare a ɛma obi ho hyehye no (IBD) .
Ɔkwan bɛn so na wohu eyinom na wɔyɛ ho adwuma?
Ɔkwan a eye sen biara ne ɔkwan biako pɛ a wɔfa so hu serrated polyps ne sɛ wɔbɛyɛ colonoscopy . Saa sɔhwɛ yi de afiri a ɛyɛ tratraa a mfoninitwa afiri abata ho na ɛhwehwɛ wo dwensɔtwaa nyinaa mu.
Nanso ɛtɔ mmere bi a, ebetumi ayɛ den kakra sɛ wubenya wɔn. Efisɛ ahorow te sɛ SSL yɛ petee, kɔla yɛ pɛ ne ntini a atwa ho ahyia no, na ahye no mu nna hɔ. Ɛno nti na ɛho hia sɛ wɔma oduruyɛfo a ne ho akokwaw na ne ho akokwaw de mfoninitwa mfiri a wɔde mfiri a ɛkorɔn (high resolution colonoscopes) yɛ sɔhwɛ yi.
Dɛn na ɛba wɔ sɔhwɛ no akyi?
1. Detection: Sɛ oduruyɛfo no hu polyp bere a wɔreyɛ colonoscopy na osusuw sɛ ɛyɛ nea asiane kɛse wom a, obeyi afi hɔ ntɛm ara. Wɔfrɛ saa adeyɛ yi sɛ polypectomy .
2. Sɔhwɛ: Wɔde polyp a wɔayi afi hɔ no kɔ adwumayɛbea bi, na ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛnea ɛyɛ polyp pɔtee na ɔde amanneɛbɔ ma.
3. Daakye nhyehyɛe: Wo duruyɛfo begyina saa amanneɛbɔ no so asi ntɛm a ɛsɛ sɛ woyɛ wo colonoscopy a edi hɔ no ho gyinae.
| Polyp no su a wohu | Bere a wɔkamfo kyerɛ sɛ wɔmfa nyɛ colonoscopy a edi hɔ no |
|---|---|
| Asiane a ɛba fam (e.g. hyperplastic polyps nketewa) . | Mpɛn pii no wɔ mfe 10 mu |
| Asiane a ɛwɔ mfinimfini (e.g. SSL ahorow pii) . | Wɔ bɛyɛ mfe 5 mu |
| Asiane akɛse (e.g. SSL akɛse anaa nea ɛdɔɔso) . | Wɔ bɛyɛ mfe 3 mu |
| Sɛ SPS tebea no wɔ hɔ a | Afe biara |
Ebia wo duruyɛfo bɛsakra saa mmere yi a egyina wo tebea so, enti ɛho hia sɛ wudi n’akwankyerɛ akyi.
Mma wo werɛ mmfi sɛ, sɛ wuyi polyp a ɛwɔ asiane mu sɛ wubenya kokoram no fi hɔ a, ɛkyerɛ sɛ wowɔ ahobammɔ koraa mprempren. Yɛayi sɛnea ebetumi aba sɛ saa onyin no bɛkɔ so abɛyɛ kokoram no afi hɔ. Nanso, ɛho hia sɛ wɔsan hwɛ mu bio wɔ bere a ɛfata mu, efisɛ saa nkɔso ahorow yi betumi asan aba bio.
Nkrasɛm a Wɔde Kɔ Fie
- Serrated polyps yɛ onyin bi a ɛba wɔ akyi berɛmo no mu. Eyinom mu dodow no ara nyɛ asiane biara .
- Nanso, ahorow bi te sɛ SSL betumi adan kokoram bere a bere kɔ so no, enti ɛbɛyɛ papa sɛ wubeyi afi hɔ bere a woahu ara pɛ.
- Saa akisikuru yi mfa sɛnkyerɛnne biara mma . Ɛno nti na ɛho hia sɛ woyɛ colonoscopy bere a woadi mfe 45 akyi, sɛnea wo duruyɛfo kamfo kyerɛ no.
- Sɛ wohu sɛ polyp bi a wohuu bere a woreyɛ wo nhwehwɛmu no yɛ kokoram na woyii no a, mma ɛnhaw wo. Ɛkyerɛ sɛ wo duruyɛfo no huu no wɔ bere ano na osiw ano sɛ ankɔyɛ kokoram.
- Ade a ɛho hia sen biara ne sɛ wobɛyɛ wo nhwehwɛmu a edi hɔ no bere a oduruyɛfo no bɛka akyerɛ wo no pɛpɛɛpɛ . Mma ɛnmpa wo ti so.
- Wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya eyinom no so denam sigaretnom, nsa a wobɛnom boro so, ne asetra a ahoɔden wom akyi a wobɛkwati so.
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