So wunim saa polyps a ɛwɔ nsensanee yi wɔ wo dwensɔtwaa mu? Momma yɛmfa nsɛm a ɛnyɛ den nka wɔn ho asɛm!

So woayɛ `(Colonoscopy)` sɔhwɛ pɛn? Anaasɛ, ebia woate sɛ obi reka sɛ, ``Wɔyii nnua nketenkete bi a enyin wɔ akyi berɛmo no mu.'' Mpɛn pii no, eyinom ne nea yɛfrɛ no `(Colon Polyps)`` anaa polyps a enyin wɔ akyi berɛmo no mu. Wɔn mu no, ɔkwan soronko bi wɔ hɔ a wɔfrɛ no `(Serrated Polyps).`` So edin no te sɛ nea ɛyɛ hu kakra? Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm wɔ ɔkwan a ɛnyɛ den so a wubetumi ate ase.

Dɛn ne saa `(Serrated Polyps)` yi? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, serrated polyps yɛ nyini a ɛba wo dwensɔtwaa no mu ɔfasu so na ɛte sɛ nyini a ɛte sɛ saw sẽ wɔ afiri a wɔde hwɛ nneɛma nketenkete mu. Wɔyɛ akisikuru ankasa, nanso ɛnyɛ hu. Eyi kyerɛ sɛ wonni kokoram bere a wodi kan ba no. Nanso, serrated polyps bi betumi abɛyɛ kokoram bere a bere kɔ so no. Ɛno nti na nnuruyɛfo yi nyini yi fi hɔ bere a wohu sɛ ɛmma kokoram siw akyi berɛmo mu kokoram ano ara pɛ no.

Saa `(Serrated Polyps)` yi a ɛyɛ serrated no ne ɔkwan a wɔfa so yɛ no wɔ abusuabɔ. Ɔkwan a wɔfa so yɛ no yɛ soronko kakra wɔ polyps ahorow foforo a yɛtaa hu wɔ akyi berɛmo mu, `(Adenomas) ho. Afei nso, sɛ `(Serrated Polyps)` dan kokoram a, ɛsono ɔkwan a wɔfa so yɛ no wɔ ɔkwan a `(Adenomas)` fa so dan kokoram no ho. Wɔka sɛ 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 titiriw?

Wiase Nyinaa Akwahosan Ahyehyɛde (WHO) akyekyɛ serrated polyps mu ayɛ no ahorow atitiriw anan. Wɔkyekyɛ eyinom mu sɛnea wɔn honam ani hwɛbea te, kyerɛ sɛ, wɔn nipadua su. Saa su ahorow yi kyerɛ sɛnea ɛsono sɛnea nkwammoaa mu nneɛma a ɛma saa polyps yi nyin no yɛ soronko. Nea ɛho hia no, ɛnyɛ saa ahorow yi nyinaa na ɛba ansa na kokoram aba . Nnuruyɛfo kyekyɛ wɔn mu bere a wohu wɔn sɛnea ɛbɛyɛ a wobehu sɛnea ɛbɛyɛ yiye sɛ wobenya kokoram no.

Saa ahorow anan no ni:

• `(Hyperplastic Polyps)` Nneɛma a wɔde yɛ aduru a ɛboro so
• `(Sessile Serrated Lesions - SSLs)` Akuru a Ɛyɛ Akuru a Ɛnyɛ Den
• Amanneɛ kwan so Serrated Adenomas
• Serrated Adenomas a Wɔnkyekyɛ Mu

`(Hyperplastic Polyps)` Nneɛma a wɔde yɛ aduru a ɛboro so

Eyinom ne serrated polyps a ɛtaa ba, na ɛyɛ bɛyɛ 75% wɔ nsɛm no mu. Asɛmpa no ne sɛ saa hyperplastic polyps yi nyɛ asiane biara na ɛnyɛ kokoram . "Hyperplastic" kyerɛ kɛkɛ sɛ nkwammoaa nyin boro so. Ɛkyerɛ sɛ nkwammoaa pii na ɛbom nyin dodo ara kwa. Polyp pii a edi kokoram anim no bɛyɛ "dysplastic," a ɛkyerɛ sɛ ɛwɔ nsakrae a ɛnteɛ wɔ nkwammoaa no mu. Nsakrae a ɛba nkwammoaa no mu yi betumi ama obi anya kokoram.

`(Sessile Serrated Lesions - SSLs)` Akuru a Ɛyɛ Akuru a Ɛnyɛ Den

Bɛyɛ 20% wɔ serrated polyps mu no yɛ subtype a wɔfrɛ no Sessile Serrated Lesions (SSLs). Eyi ne serrated polyp a asiane kɛse wom sɛ ɛbɛyɛ kokoram . "Sessile" kyerɛ nokwasɛm a ɛyɛ sɛ wɔyɛ tratraa, wɔte sɛ diski, anaasɛ wɔama so kakra. Nanso, wobetumi ahu saa nsusuwii yi nso wɔ hyperplastic polyps a asiane biara nni ho no mu. Enti, ɛyɛ den kakra sɛ wobɛkyerɛ nsonsonoe a ɛda abien no ntam denam sɛnea ɛte so. Nanso, animdefo betumi ahu nsonsonoe ahorow bi wɔ wɔn nhyehyɛe mu.

Saa `(Sessile Serrated Lesions)` yi kan no na ɛwɔ din ahorow pii. Seesei wɔde din foforo yi di dwuma de tew adwene a ɛyɛ basaa a ɛho nhia so. Ade foforo ne sɛ saa `(SSLs)` yi bi wɔ `(Dysplasia)` (cell abnormalities) features a yɛadi kan aka ho asɛm no, bere a afoforo nni bi. Nnuruyɛfo san kyekyɛ wɔn a wɔwɔ `(Dysplasia)` mu sɛ "sessile serrated lesions with dysplasia". Nanso, wobu `(SSLs)` nyinaa sɛ tebea horow a edi kokoram anim .

Amanneɛ kwan so Serrated Adenomas

Eyinom ne `(Serrated Polyps)` a wɔntaa nhu, a wohu wɔ nnipa dodow a ennu 1% mu . Eyinom nso yɛ tebea horow a edi kokoram anim . Wɔn honam ani hwɛbea te sɛ `(Adenomas)` a ɛyɛ daa, kyerɛ sɛ, wɔwɔ nsɛso te sɛ nsenia, na wɔwɔ `(Dysplasia)` su a ɛfata nso. Nanso, wɔsan nso wɔ `(Serrated)` nneɛma te sɛ saw anoano. Bere bi a atwam no, na wɔtaa di mfomso bu eyinom sɛ ɛyɛ `(Adenomas)` a ɛyɛ daa. Nnansa yi ara na wɔagye atom sɛ `(Serrated Polyp)` bi.

Serrated Adenomas a Wɔnkyekyɛ Mu

Nea etwa to ne polyps a ɛnyɛ nea ɛfata wɔ atifi hɔ akuw no mu biara mu. Ebia wɔwɔ anim a ɛyɛ tratraa, ɛyɛ serrated, nanso wobetumi nso anya nneɛma a ɛte sɛ ``Dysplasia'' anaa ``Adenomas.'' Ɛwom sɛ wɔntaa nyɛ de, nanso nnuruyɛfo gye di sɛ ɛho hia sɛ wohu saa polyps yi a wontumi nkyekyɛ mu pefee, efisɛ daakye nhwehwɛmu betumi ada pii afa wɔn ho adi. Yɛda so ara resua ``Serrated Polyps'' ho ade.

Serrated Polyps abu so dɛn?

Wohu serrated polyps wɔ bɛyɛ 30% wɔ colonoscopies mu. Mpɛn pii no, eyinom yɛ hyperplastic polyps a asiane biara nni ho. Nanso, bɛyɛ 10% yɛ polyps a ɛba ansa na kokoram aba, te sɛ Sessile Serrated Lesions (SSLs). Bere a wɔreyɛ colonoscopy no, ebia ɛnyɛ bere nyinaa na oduruyɛfo no ntumi nhu nsonsonoe a ɛda abien no ntam. Ɛno nti na sɛ adwenem naayɛ bi wɔ hɔ a, woyi ntini no, de kɔ aduruyɛdan mu, na ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu no.

Dɛn ne `(Serrated Polyposis Syndrome - SPS)`?

Serrated Polyposis Syndrome (SPS) yɛ tebea a ɛntaa nsi. Eyi ne nea ɛba bere a woSerrated polyps dɔɔso wɔ akyi berɛmo no nyinaa mu. Kan no na wɔfrɛ eyi Hyperplastic Polyposis Syndrome. Ebia wowɔ polyps bɛboro 20, anaasɛ ebetumi ayɛ kɛse asen sɛnea ɛte daa. Ɛda adi nso sɛ wobetumi anya kokoram ansa na wɔanya bi. Nnipa a wɔwɔ saa tebea yi wɔ hokwan 25% sɛ wobenya kokoram. Saa tebea yi ka nnipa dodow bɛyɛ 0.4% .

So serrated polyps de sɛnkyerɛnne ahorow ba?

Mpɛn pii no, polyps a ɛwɔ akyi berɛmo no mu, a serrated polyps ka ho no, mfa sɛnkyerɛnne biara mma . Ɛntaa mma sɛ polyps akɛse betumi ama mogya atɔ wo anaasɛ nsakrae aba wo dwensɔtwaa mu. Ebia nnipa binom behu mogya wɔ wɔn nsu mu, anaasɛ wɔanya akisikuru anaa akisikuru a wontumi nkyerɛkyerɛ mu. Nanso nneɛma afoforo nso betumi de saa sɛnkyerɛnne ahorow yi aba. Nnipa pii a wɔwɔ polyps no nnim mpo sɛ wɔwɔ bi . Ɛno nti na nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ wɔn akyi berɛmo mu nhwehwɛmu daa no.

Dɛn na ɛma saa `(Serrated Polyps)` yi hyehyɛ?

Serrated polyps yɛ tebea a ɛtaa ba a ɛtaa ba bere a yɛrenyin no. Yennim nea enti a wɔhyehyɛ no ankasa. Nanso yenim sɛ awosu mu nsakrae ka ho . Awosu mu nkwaadɔm mu nsakrae yɛ mfomso a ɛba wɔ wo nkwammoaa no mmara mu bere a ɛpaapae na ɛyɛ nkwammoaa foforo no. Saa mfomso ahorow yi ma nkwammoaa foforo no nyin wɔ ɔkwan soronko so sen sɛnea ɛsɛ sɛ enyin. Serrated polyps fi awosu mu nsakrae soronko bi mu sen polyp ahorow afoforo.

Dɛn ne asiane ahorow a ɛma obi nya `(Serrated Polyps)`?

Asiane ahorow a ɛma obi nya serrated polyps no te sɛ nea ɛma obi nya polyps wɔ dwensɔtwaa kɛse no mu no ara pɛ. Wɔne:

• Sɛ́ wadi boro mfe 50.
• Sigaretnom.
• Nsã a wɔnom boro so.
• Nam kɔkɔɔ (te sɛ nantwinam, abirekyi nam) a wodi boro so.
• Obolo.
• Tebea horow te sɛ dwensɔtwaa mu yare a ɛma obi ho hyehye no a obenya.

Ɔkwan bɛn so na wobehu `(Serrated Polyps)`?

Ɔkwan a eye sen biara a wobɛfa so ahu serrated polyps ne sɛ wobɛfa colonoscopy so . Nanso, ɛtɔ mmere bi a, wobetumi ayera wɔn. Eyi te saa efisɛ serrated polyps ahorow abien a ɛtaa ba, hyperplastic polyps ne sessile serrated lesions (SSLs), no nna adi kɛse. Wɔtaa yɛ nketewa (bɛyɛ mm 5) , ɛyɛ tratraa anaasɛ ɛkɔ soro kakra, na wɔn kɔla te sɛ ntini a atwa ho ahyia no, na wonni ahye a emu da hɔ.

Fa no sɛ ɛte sɛ nea worehwehwɛ nkekae ketewaa bi a ɛkame ayɛ sɛ wontumi nhu wɔ ɔfasu bi a ne kɔla ne paint no yɛ pɛ. Ɛno nyɛ mmerɛw, ɛnte saa?

Foforɔ,Colonoscopes a ɛwɔ nsusuwii a ɛkorɔn na ɛma ɛyɛ kɛse no ye wɔ serrated polyps a wohu mu sen nnwinnade dedaw. Adwennwen a wosiesie ne oduruyɛfo ntetee nso ho hia. Ɛsɛ sɛ nnuruyɛfo hu akwankyerɛ a aba foforo a wɔde hu sɛnea wobehu polyps a ɛwɔ nsensanee no. Wɔahu sɛ akwan bi a wɔfa so hwɛ colonoscopy no yɛ adwuma yiye sen afoforo na ebetumi asakra sɛnea polyps te.

Bere a woreyɛ wo colonoscopy no, ebia wo duruyɛfo besusuw sɛ wowɔ Sessile Serrated Lesion anaa Serrated Polyp, a ɛyɛ kokoram bi a ebetumi abɛyɛ polyp. Sɛ adwenem naayɛ bi wɔ hɔ a, obeyi afi hɔ bere a wɔreyɛ no (Polypectomy) . Afei wɔde polyp no bɛkɔ aduruyɛdan bi mu ma Pathologist bi ahwɛ mu. Ɛno ansa na oduruyɛfo no betumi ahu polyp ko pɔtee a ɛyɛ na wahu nea etwa to.

Nanso, sɛ wowɔ Serrated Polyposis Syndrome (SPS) a, ebia wo duruyɛfo betumi ahu bere a wɔreyɛ wo colonoscopy no. Ɔkwan a wɔfa so hu SPS ne sɛ wɔbɛhwɛ serrated polyps dodow a wɔahu, ne kɛse, ne baabi a ɛwɔ wɔ akyi berɛmo no mu. Akontaabu mu no, sɛ wɔhwehwɛ mu yiye a, ɛda adi sɛ polyps a ɛwɔ nsensanee a ɛsõ sen sɛnea ɛte daa anaasɛ ɛwɔ mmeae a ɛyɛ soronko wɔ akyi berɛmo no mu no yɛ nea edi kokoram anim.

Sɛ wohu `(Serrated Polyps)` wɔ `(Colonoscopy)` mu a, dɛn na ɛba?

Hyperplastic polyps abu so na biribiara nni hɔ a ɛsɛ sɛ ɛhaw adwene . Nanso, sɛ wo duruyɛfo susuw sɛ wowɔ serrated polyp a, ɛsɛ sɛ woyi fi hɔ . Eyi yɛ sɛnea ɛbɛyɛ a wobehu ɔkwan pɔtee a ɛyɛ na wɔasiw kokoram ano. Sɛ wosi so dua sɛ ɛyɛ polyp a edi kokoram anim ampa a, wo duruyɛfo bɛyɛ wo colonoscopy a edi hɔ no ho nhyehyɛe nnansa yi ara , sɛnea ɛbɛyɛ a wubetumi ahwɛ ahu sɛ wobɛhwɛ foforo biara.

Ntɛm ahe na ɛsɛ sɛ wɔyɛ me colonoscopy esiane serrated polyp nti?

Nnuruyɛfo kyekyɛ asiane a ɛwɔ hɔ sɛ wobenya kokoram a ɛwɔ akyi berɛmo mu no mu sɛ ɛba fam, ɛkɔ fam, anaasɛ ɛkɔ soro, a egyina polyps a ɛwɔ nsensanee a wohu so. Wɔde saa asiane no di dwuma de hu bere a ɛsɛ sɛ wɔyɛ colonoscopy a edi hɔ no. Sɛnea mprempren akwankyerɛ ahorow kyerɛ no, .

• Sɛ asiane a ɛkɔ fam wɔ hɔ a , pɛnkoro wɔ mfe anum biara mu .
• Sɛ asiane kɛse bi wɔ hɔ a, mfe abiɛsa biara .
• Sɛ wowɔ `(SPS)` a, wɔkamfo kyerɛ sɛ wobɛsɔ ahwɛ pɛnkoro afe biara .
• ``(Hyperplastic Polyps)'' a asiane kakraa bi na ɛwɔ mu no nhia sɛ wɔhwɛ so titiriw.

Dɛn na wobɛhwɛ kwan sɛ wowɔ ``Serrated Polyps'' a edi kokoram anim a?

Sɛ wo duruyɛfo yii precancerous serrated polyps bere a woreyɛ wo colonoscopy no a, wowɔ ahobammɔ mprempren . Sɛ woyi fi hɔ a, ɛbɛtew asiane a ɛwɔ hɔ sɛ wobenya kokoram no so. Nanso, wo duruyɛfo no bɛpɛ sɛ ɔhwɛ wo dwonku no yiye esiane nneɛma pii nti. Ade biako nti a ɛte saa ne sɛ , ebetumi ayɛ den sɛ wɔde polypectomy beyi saa sessile serrated polyps yi koraa esiane sɛ ɛyɛ tratraa na wɔn ano yɛ fuzzy nti.

Fa no sɛ ɛte sɛ nea worefa jelly asinasin bi a ahwe fam. Ɛtɔ mmere bi a, asinasin nketenkete bi aka, ɛnte saa? Saa na ɛte.

Sɛ wogyaw nkwammoaa nketenkete bi wɔ akyi bere a woyi fi hɔ no, anaasɛ sɛ polyps bi wɔ hɔ a wɔantumi ankɔ so wɔ bere a wɔadi kan ayɛ colonoscopy mu na na ɛnda adi saa a, ebetumi akɔ so anyin akɔ tebea horow a edi kokoram anim mu. Ebia wobenyin ntɛmntɛm nso asen polyp foforo. Nea ɛka ho no, ɛda adi sɛ serrated polyps betumi ayɛ kokoram sen ahorow afoforo. Ɛda adi nso sɛ wobenya kokoram wɔ mmeae bɛboro biako bere koro mu .

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn wɔ dwensɔtwaa mu polyps ho?

Sɛ wɔkyekyem pɛpɛɛpɛ a, asiane mu wɔ hɔ a, nnuruyɛfo kamfo kyerɛ sɛ ɛsɛ sɛ woyɛ wo akyi berɛmo mu nhwehwɛmu mfe 10 biara, na efi ase bere a woadi mfe 45. Sɛ obi a ɔwɔ w’abusua mu anya kokoram anaa polyps (a ɛyɛ awosu mu abusuabɔ), anaasɛ wowɔ akwahosan tebea bi a ɛma asiane a ɛwɔ hɔ sɛ wubenya polyps, te sɛ dwensɔtwaa mu yare a ɛma wo ho yɛ hyew no yɛ kɛse a, ebia ebehia sɛ woyɛ wo akyi berɛmo mu nhwehwɛmu ntɛm. Bisa wo duruyɛfo bere a bere aso sɛ woyɛ wo colonoscopy daa.

Te sɛ colon polyps dodow no ara no, serrated polyps abu so na mpɛn pii no ɛnyɛ asiane biara . Wɔn mu binom wɔ asiane ketewaa bi sɛ bere kɔ so no, wobepira wɔn. Ɛno nti na yɛwɔ colonoscopies no. Bere tenten a yɛhwehwɛ wɔn mu na sɛ wohu a, yeyi fi hɔ no, serrated polyps nni hokwan sɛ ɛbɛyɛ kokoram. Yɛda so ara resua serrated polyps ne sɛnea ɛyɛ wɔn ade ho ade, nanso mprempren yenim nea ɛdɔɔso a ɛbɛma yɛanya ayaresa a wɔde siw ano .

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti momma yɛnhwɛ nneɛma a ɛho hia paa a ɛsɛ sɛ yɛma ɛtra yɛn adwenem mfi nea yɛaka ho asɛm no mu:

• Serrated polyps yɛ nam nyin bi a ɛba wɔ dwensɔtwaa kɛse no mu na ɛte sɛ saw anoano.
• Serrated polyps ahorow bi, titiriw sessile serrated lesions (SSLs) betumi abɛyɛ kokoram bere a bere kɔ so no.
• Mpɛn pii no, eyinom nni sɛnkyerɛnne biara , enti ɛho hia yiye sɛ wɔyɛ wɔn akyi berɛmo mu nhwehwɛmu daa.
• Ɛdenam eyinom a wobehu na woyi afi hɔ bere a wɔreyɛ colonoscopy so no, wobetumi asiw kokoram ano .
• Sɛ wohu sɛ wowɔ `(Serrated Polyps),` a, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Ɛho hia sɛ wɔkɔyɛ nhwehwɛmu a wɔde di akyi bere ne bere mu.
• Don’t be afraid , adeɛ a ɛho hia paa ne sɛ wobɛhunu yeinom na woahu wɔn ntɛm.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Obetumi atu wo fo wɔ ɔkwan a ɛfata sen biara so.

` Serrated Polyps, Colon Polyps, Colonoscopy, Ntini mu Kokoram, Hyperplastic Polyps, Akuru a Nnua a Ɛnyɛ Den, Yafunu mu Nnuruyɛ