So wunim Kokoram a Ɛwɔ Dwonku Nketewa mu? Momma yɛnkasa nkɔ akyiri!

Ɛnnɛ yɛrebɛka yareɛ bi a wɔntaa nte ho asɛm, nanso ɛbɛtumi ayɛ nea ɛho hia paa. Ɛno yɛ dwensɔtwaa ketewaa mu kokoram. Ebia wunni eyi ho adwene pii. Nanso ɛnyɛ hwee, momma yɛnka ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Kokoram a Ɛwɔ Nkwammoaa Kɛse Mu?

Sɛ yɛbɛka no tiawa a, Small Intestine Cancer yɛ kokoram nkwammoaa a enyin wɔ wo dwensɔtwaa ketewa no mu, anaa nea yɛfrɛ no " small intestine ". So wunim sɛ dwensɔtwaa ketewaa no yɛ yɛn aduan mu nneɛma a ɛho hia yiye ? Saa nhyehyɛe yi nso ka akwaa afoforo pii te sɛ mmerɛbo ne dwensɔtwaa ho . Dwonku ketewa no wɔ yɛn yafunu (GI) kwan no mu . Ɛne sɛ, ɛwɔ kwan a efi ano no mu, fa aduan mu, kɔ yafunu mu, afei ɛkɔ dwensɔtwaa ketewa no mu, na efi hɔ kɔ dwensɔtwaa kɛse no mu (colon). Sɛ yɛbɛka no pɛpɛɛpɛ a, dwensɔtwaa ketewa yi na ɛka yafunu ne dwensɔtwaa kɛse no bom. Afã atitiriw abiɛsa na ɛwɔ dwensɔtwaa ketewa no mu:

• Duodenum : Eyi ne ɔfã a edi kan a ɛbɛn yafunu no kɛse.
• Jejunum: Eyi ne dwensɔtwaa ketewa no mfinimfini fã.
• Ileum: Eyi ne dwensɔtwaa ketewa no fã a etwa to na ɛware sen biara.

Kokoram a ɛba dwensɔtwaa mu dodow no ara ba wɔ akyi berɛmo anaa ileum mu.

Kokoram yi abu so dɛn?

Nokwarem no, kokoram a ɛwɔ dwensɔtwaa mu yɛ tebea a ɛntaa nsi koraa . Sɛnea Amerika nsɛm kyerɛ no, kokoram a ɛte sɛɛ yɛ kokoram a ɛwɔ aduan mu no nyinaa mu bɛyɛ 3%. Colon cancer , akyi berɛmo mu kokoram, aduan mu kokoram, ne yafunu mu kokoram abu so. Enti, wubetumi asusuw sɛ eyi sua kakra.

Dɛn ne kokoram ahorow a ɛwɔ dwensɔtwaa mu ?

Kokoram ahorow pii wɔ hɔ a ɛba dwensɔtwaa ketewa no mu. Wɔgyina nkwammoaa ko a kokoram no fi ase wɔ mu so na ɛkyekyɛ eyinom mu.

• Carcinoid tumors: Eyinom fi ase wɔ wo neuroendocrine nkwammoaa mu . Saa nkwammoaa yi boa wo nipadua no ma ɛyɛ hormone na ɛhwɛ ma aduan mu nsu a ɛba dwensɔtwaa ketewa no mu no so. Carcinoid tumors na ɛyɛ dwensɔtwaa ketewaa mu kokoram nyinaa mu bɛyɛ fã.
• Adenocarcinomas: Eyinom fi ase wɔ ntini mu nkwammoaa a ɛhyehyɛ dwensɔtwaa ketewa no mu. Wɔyɛ dwensɔtwaa ketewaa mu kokoram nyinaa mu bɛyɛ nkyem abiɛsa mu biako.
• Sarcomas: Eyinom fi ase wɔ ntini mu.anaasɛ ntini a ɛka bom te sɛ ntini. Sarcoma a ɛtaa ka dwensɔtwaa ketewa no ne yafunu mu stromal tumor (GIST) . Kan no na wɔfrɛ no leiomyosarcoma.
• Lymphoma: Eyinom fi ase wɔ nkwammoaa a wɔfrɛ no lymphocytes mu . Ntini mu nkwammoaa fitaa yɛ mogya mu nkwammoaa fitaa bi a ɛwɔ wo mogya mu nkwammoaa mu . Ntini a ɛma mogya tu no yɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no fã a ɛho hia yiye. Ɛboa nipadua no ma wɔko tia nkwammoaa a epira ne mmoawa a wɔde nyarewa ba.

Dɛn ne kokoram yi ho sɛnkyerɛnne?

Kokoram a ɛwɔ dwensɔtwaa mu no ho sɛnkyerɛnne betumi ayɛ soronko. Wogyina akisikuru ko a ɛwɔ ne beae a ɛwɔ so. Ɛtɔ mmere bi a, akisikuru betumi aba nanso ɛmma yare no ho sɛnkyerɛnne biara mma (ɛnyɛ sɛnkyerɛnne biara) . Sɛ nhwɛso no, mpɛn pii no, akisikuru a ɛma kokoram no mma wonhu yare no ho sɛnkyerɛnne biara. Ɛtɔ mmere bi a wohu wɔn wɔ akwanhyia mu bere a wɔreyɛ mfonini a wɔde hwehwɛ tebea foforo bi mu no. Nsɛnkyerɛnne a ɛtaa ba no bi ne:

• Yafunu mu yaw anaasɛ akisikuru.
• Akuru bi a ɛwɔ yafunu mu a ɛte sɛ nea wɔakyere no wɔ nsa mu.
• Akisikuru, ɔfe, ne akisikuru.
• Mu duru a wɔtew so a ntease biara nnim.
• Anemia ( mogya a enni nipadua mu).
• Jaundice ( aniwa anaa honam ani a ɛyɛ kɔkɔɔ).
• Nsu a mogya ayɛ no ma (ebetumi ayɛ kɔkɔɔ anaa tuntum wɔ tiafi mu).
• Wora a ɛyɛ kɔkɔɔ, titiriw nsa ne nipadua no atifi, na ɛdan kɔkɔɔ.

Dɛn na ɛde dwensɔtwaa mu kokoram ba?

Akisikuru bɔne a ɛwɔ dwensɔtwaa ketewa no mu ba bere a kokoram nkwammoaa mu paapae ntɛmntɛm na wɔbom nyin yɛ ade kɛse no. Bere kɔ so no, saa kokoram nkwammoaa yi betumi atetew afi akisikuru a edi kan no ho na afa ntini anaa mogya no mu akɔ nipadua no afã afoforo, baabi a ebetumi ayɛ akisikuru foforo (akisikuru a ɛto so abien). Wɔfrɛ saa adeyɛ yi sɛ metastasis . Kokoram nkwammoaa nyin esiane awosu mu nsakrae nti . Eyi kyerɛ sɛ nsakrae ba nkwammoaa bi DNA mu, na ɛma nkwammoaa no mu paapae a wontumi nni so. Nhwehwɛmufo da so ara nnim nea ɛde nsakrae yi ba ankasa.

Dɛn ne nneɛma a ɛde kokoram yi ba?

Ade a ɛde asiane ba ne biribiara a ɛma hokwan a ɛwɔ hɔ sɛ obi benya yare no yɛ kɛse. Nanso, sɛ wowɔ asiane bi a, ɛnkyerɛ sɛ wubenya kokoram. Saa ara na sɛ wunni asiane biara a, ɛnkyerɛ sɛ worennya kokoram. Asiane ahorow pii wɔ hɔ a ebetumi aka dwensɔtwaa mu kokoram:

• Mfe a obi adi: Asiane a ɛwɔ hɔ sɛ obi benya kokoram a ɛwɔ dwensɔtwaa mu no mu dodow no ara no yɛ kɛse bere a obi nyin no. Sɛ wɔkyekyem pɛpɛɛpɛ a, mfe a obi adi ansa na wɔahu yare no bɛyɛ mfe 65.
• Bɔbeasu: Mmarima betumi anya kokoram yi kakra.
• Abusuakuw: Sɛnea nsɛm a efi United States kyerɛ no, yare yi abu so kakra wɔ abibifo mu, bere a lymphoma abu so wɔ aborɔfo mu.
• Awosu mu tebea horow: Sɛ w’awofo, wo nuanom, anaa wo mma wɔ tebea horow bi a, ebia wo nso wobɛkɔ asiane kɛse mu. Nhwɛso ahorow bi ne (Abusua mu Adenomatous Polyposis - FAP) , (Peutz-Jeghers yare) , (Awosu mu Nonpolyposis Colorectal Cancer - HNPCC) , ne (Lynch yare) .
• Tebea horow a ɛma obi ho hyehyee: Nyarewa a ɛma dwensɔtwaa no yɛ hyew bere tenten te sɛ Crohn yare ne Celiac yare , betumi ama asiane no ayɛ kɛse.
• Nyarewa a nipadua no tumi ko tia nyarewa anaa nipadua no mu tumi a ɛko tia nyarewa a ayɛ mmerɛw: Nyarewa a ɛma nipadua no tumi ko tia nyarewa, te sɛ HIV/AIDS , Crohn yare , ne Celiac yare no betumi ama asiane a ɛwɔ hɔ no ayɛ kɛse. Afei nso, ayaresa te sɛ mframa a wɔde sa yare no betumi ama nipadua no mu tumi a ɛko tia nyarewa no ayɛ mmerɛw, na ama asiane a ɛwɔ hɔ sɛ wubenya kokoram wɔ dwensɔtwaa mu no ayɛ kɛse. Nnuru a esiw nipadua no mu tumi a ɛko tia nyarewa ano bere a wɔde akwaa foforo ama obi awie no nso betumi ama asiane a ɛwɔ hɔ no ayɛ kɛse.

Nhwehwɛmu ahorow bi kyerɛ sɛ aduan a wodi (nnuan a nkyene pii wom anaa wusiw wom ne nam kɔkɔɔ), tawanom, ne nsa a wɔnom nso betumi aka asiane a ɛwɔ hɔ sɛ obi benya kokoram wɔ dwensɔtwaa mu no.

Sɛ wususuw sɛ wowɔ asiane ahorow yi bi a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa .

Ɔkwan bɛn so na wohu sɛ obi anya kokoram wɔ dwensɔtwaa mu?

Kokoram a ɛwɔ dwensɔtwaa mu no betumi ayɛ den sɛ wobehu efisɛ ɛntaa nsi koraa. Afei nso, ɛsono sɛnkyerɛnne ahorow a egyina akisikuru no so. Ebia ɛho behia sɛ woyɛ nhwehwɛmu ne ayaresa ahorow pii ansa na wɔahu sɛ wowɔ wo yare no.

Nipadua mu nhwehwɛmu ne aduruyɛ ho abakɔsɛm

Oduruyɛfo no bɛhwɛ wo, ahwɛ w’akwahosan nyinaa, ahwɛ sɛ yare ho sɛnkyerɛnne bi wɔ hɔ, na wabisa wo nyarewa a atwam, ayaresa, ne w’akwahosan ho su horow.

Mogya mu nhwehwɛmu

• Mogya mu nnuruyɛ ho nhwehwɛmu: Eyinom susuw nneɛma bi a efi akwaa ne ntini ahorow mu kɔ mogya no mu dodow. Sɛ ade bi dodow a ɛnteɛ (ɛkɔ soro anaa ɛba fam) wɔ hɔ a, ebetumi akyerɛ sɛ yare bi wɔ akwaa anaa ntini a ɛma saa ade no mu. Sɛ nhwɛso no, wobetumi ayɛ mmerɛbo dwumadi ho nhwehwɛmu ahwɛ sɛ kokoram atrɛw akɔ mmerɛbo no mu anaa.
• Mogya dodow a edi mũ (CBC): Saa nhwehwɛmu yi ma wo duruyɛfo nya nkwammoaa a ɛwɔ wo mogya mu no ho nsɛm. Dwotwaa mu akisikuru betumi ama mogya atu, na ɛno betumi ama mogya mu nkwammoaa kɔkɔɔ dodow so atew, na ɛde mogya a ɛtɔ kɔ nipadua no mu aba.

Mfonini a wɔde yɛ mfonini

• Endoscopy: Eyi hwehwɛ sɛ wɔde adwinnade a ɛyɛ tratraa a ɛte sɛ afiri (endoscope) hwɛ yafunu (GI) no mu. Saa tube yi wɔ kanea ne mfoninitwa afiri wɔ so.Bere a oduruyɛfo no reyɛ ɔsoro endoscopy no, ɔde endoscope fa ano no mu na ɔhwehwɛ aduannoa mu, yafunu, ne dwensɔtwaa ketewa (duodenum) no fã a edi kan no mu. Endoscope soronko bi a wɔfrɛ no double-balloon enteroscopy betumi ahwɛ dwensɔtwaa ketewa no mu kɔ akyiri. Bere a oduruyɛfo no reyɛ endoscopy no, obetumi afa ntini ahorow ( biopsies ) na ɔde akɔma wɔakɔyɛ nhwehwɛmu. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ wɔn mu hwɛ sɛ yare ho sɛnkyerɛnne bi wɔ hɔ anaa.
• Capsule endoscopy (pill camera): Eyi hwehwɛ sɛ wɔmene capsule a mfoninitwa afiri ketewaa bi wom. Bere a capsule no fa nipadua no mu no, ɛtwa GI tract no mfonini. Wobetumi atwe mfonini ahorow yi akɔ kɔmputa so na oduruyɛfo no ahwɛ. Ɛwom sɛ ebia edin no bɛma adwene atu afra kakra de, nanso wɔmfa endoscope nni dwuma wɔ saa adeyɛ yi mu.
• CT scan (CT scan - CAT scan): Eyi yɛ ɔkwan a wɔfa so twa nipadua no mu mfonini a ɛkɔ akyiri fi mmeae ahorow. Wɔde saa mfonini ahorow yi kyerɛ wɔ kɔmputa a wɔde abɔ X-ray afiri ho so. Ɛtɔ mmere bi a, wobetumi de aduru bi ahyɛ ntini bi mu anaa wɔama no anom. Eyi ma wotumi hu akwaa anaa ntini ahorow no yiye.
• MRI (magnetic resonance imaging): Eyi de magnet, radio asorɔkye, ne kɔmputa yɛ nipadua no mu mfonini ahorow a ɛkɔ akyiri. Ɛwom sɛ MRI ne CT scan nyinaa de nsɛm a ɛte saa ara ma wɔ sɛnea akisikuru renya ntini a ɛyɛ mmerɛw no ho de, nanso wɔtaa de CT scan di dwuma de hu dwensɔtwaa mu kokoram.
• Yafunu mu X-ray: X-ray a wɔde kyerɛ akwaa a ɛwɔ yafunu no mu. X-ray yɛ ahoɔden a ɛfa nipadua no mu na ɛdannan kɔ sini mu, na ɛma nipadua no mu mfonini.
• Barium X-ray: Nea ɛka eyi ho ne sɛ wode ade bi a ɛte sɛ chalk a wɔfrɛ no barium bɛkata wo GI kwan no so. Barium no ma wotumi hu GI kwan no wɔ X-ray so. Wɔ upper GI series , mu no, wɔtwa X-ray mfonini ahorow bere a barium no fa GI kwan (esophagus, yafunu, dwensɔtwaa ketewa) no mu no. Wɔ GI series a ɛba fam (barium enema) mu no, wɔde barium a ɛyɛ nsu hyɛ akyi berɛmo no mu. Wɔtwe X-ray mfonini bere a barium no kata GI kwan a ɛwɔ fam no so no.

Sɛɛgyiri

Sɛ nhwehwɛmu afoforo mma nsɛm a ɛdɔɔso a ɛbɛma wɔahu yare no a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ oprehyɛn. Saa akwan yi ma wo duruyɛfo tumi hwehwɛ w’akwaa mu tẽẽ. Sɛ ntini a ɛyɛ adwenem naayɛ bi wɔ hɔ a, wɔyɛ nipadua mu nhwehwɛmu de hwɛ sɛ ebia kokoram ho sɛnkyerɛnne bi wɔ hɔ anaa. Wobetumi ayɛ oprehyɛn de:

• Laparoscopy: Wɔ saa adeyɛ yi mu no, wɔde afiri a ɛyɛ tratraa a ɛte sɛ afiri a wɔde hwɛ akyirikyiri (laparoscope) fa ntwitwiridii nketenkete biako anaa nea ɛboro saa mu wɔ yafunu no mu. Laparoscope no ma oduruyɛfo no tumi hu yafunu no mu akwaa ahorow no sɛ ebia kokoram ho sɛnkyerɛnne bi wɔ hɔ anaa.
• Laparotomy a wɔde yɛ adwuma:Wɔ eyi mu no, oduruyɛfo no twa yafunu no fasu mu na ɔhwehwɛ yafunu no mu akwaa ahorow no mu hwɛ sɛ ebia kokoram ho sɛnkyerɛnne bi wɔ hɔ anaa.

Dɛn ne kokoram a ɛba wɔ dwensɔtwaa mu?

Kokoram no fã bi kyerɛ wo sɛnea akisikuru no kɛse te, baabi a ɛwɔ, ne sɛ ebia atrɛw (a akɔ mmeae afoforo). Wɔtaa yɛ nhwehwɛmu ne akwan a wɔfa so hu baabi a kokoram a ɛwɔ dwensɔtwaa mu no te bere a wɔahu sɛ ɔwɔ kokoram no. Kokoram a wowɔ wɔ dwensɔtwaa mu (carcinoid tumor, adenocarcinoma, sarcoma, anaa lymphoma) na ɛkyerɛ nhyehyɛe a wo duruyɛfo de di dwuma no.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa a wo nsa ka no gyina kokoram ko a wowɔ, ne gyinabea, faako a akisikuru no wɔ, ne nkwammoaa a ɛwɔ akisikuru no mu no su so. Nea wopɛ nso nya ayaresa ho gyinaesi ahorow so nkɛntɛnso.

Sɛɛgyiri

Oprehyɛn ne ade a wɔtaa de sa dwensɔtwaa mu kokoram. Ebia oprehyɛn no bi ne:

• Resection: Oprehyɛn a wɔyɛ de yi akwaa a kokoram no wɔ no nyinaa anaa ne fã bi fi hɔ. Sɛ kokoram no atrɛw a, oduruyɛfo no betumi ayi dwensɔtwaa ketewa no afã horow ne akwaa a ɛbɛn hɔ no afi hɔ. Afei, wobetumi ayɛ anastomosis (a wɔsan de dwensɔtwaa no ano a wɔatwa no bom). Wobetumi ayi ntini a ɛbɛn dwensɔtwaa ketewa no nso na wɔayɛ mu ahwɛ sɛ kokoram no atrɛw anaa.
• Bypass: Oprehyɛn a ɛma aduan a ɛwɔ dwensɔtwaa ketewa no mu tumi twa akisikuru no ho hyia sɛ akisikuru bi siw dwensɔtwaa no kwan nanso wontumi nyi mfi hɔ a.

Nnuru a wɔde sa yare

Nnuru a wɔde sa yare yɛ nnuru a wɔde siw kokoram nkwammoaa nyin ano. Wokum nkwammoaa no anaasɛ wosiw wɔn kwan sɛ wɔbɛpaapae. Ɛdenam nnuru a wɔde sa yare so no, nnuru no betumi de wɔn ani asi kokoram nkwammoaa a ɛwɔ nipadua no fã pɔtee bi so (ɔmantam mu nnuru a wɔde sa yare) anaasɛ ekum kokoram nkwammoaa a ɛwɔ nipadua no nyinaa mu (systemic chemotherapy). Ebia wo duruyɛfo bɛkyerɛw nnuru a wɔde kum kokoram nkwammoaa biara a ebetumi aka wɔ oprehyɛn akyi (adjuvant therapy) . Sɛ wo kokoram no atrɛw (akɔ mmeae afoforo) a, wobetumi ama wo nnuru a wɔde sa wo wɔ nhyehyɛe mu.

Mframa a wɔde sa yare

Mframa a wɔde sa yare ne X-ray a ahoɔden wom anaa mframa ahorow afoforo a wɔde kum kokoram nkwammoaa anaasɛ ɛmma wontumi nnyin. Ebia wo duruyɛfo bɛkamfo mframa a wɔde sa yare akyerɛ wo sɛ wontumi mfa oprehyɛn nyi wo kokoram no mfi hɔ a. Wobetumi de mframa a wɔde sa yare nso ama sɛ ɔhwɛ a ɛma obi ho dwo no fã na aboa ma yare no ho sɛnkyerɛnne ahorow no afi hɔ. Ɛtɔ mmere bi a, wɔde mframa a wɔde sa yare ka nnuru a wɔde sa yare (chemoradiation therapy) ho de kum kokoram nkwammoaa biara a aka wɔ oprehyɛn akyi.

Somatostatin a ɛne ne ho di nsɛ

Oduruyɛfo no de somatostatin analogs sa dwensɔtwaa ketewa no mu akisikuru a ɛte sɛ kokoram.Saa nnuru yi mma wo nipadua no ntumi nyɛ hormone pii dodo. Eyi betumi aboa ma yare no ho sɛnkyerɛnne so atew na asiw yare no so. Nnuru yi ho nhwɛso bi ne lanreotide ne octreotide.

Nhwehwɛmu foforo ho hia wɔ mfaso a ɛwɔ so sɛ wɔde mframa a wɔde sa yare ne nnuru a wɔde sa yare bɛka abom bere a wɔayɛ oprehyɛn ama dwensɔtwaa ketewaa mu kokoram akyi.

Ayaresa a wɔde wɔn ani asi so

Ayaresa ahorow a wɔde wɔn ani asi so no yɛ adwuma denam mmerɛwyɛ ahorow a wohu wɔ kokoram nkwammoaa mu na wɔde saa mmerɛwyɛ ahorow no di dwuma de sɛe no so. Mprempren nhwehwɛmufo reyɛ ayaresa ahorow a wɔde wɔn ani asi so a ebetumi aboa ma wɔasa adenocarcinomas, GISTs, ne lymphomas ho ade.

Nnuru a ɛko tia nyarewa

Nkwammoaa a ɛko tia nyarewa no yɛ adwuma denam wo nipadua mu tumi a ɛko tia nyarewa a ɛhyɛ mu den na ɛma tumi a etumi ko tia kokoram nkwammoaa no yɛ kɛse no so. Wo nipadua mu tumi a ɛko tia nyarewa no fi awosu mu ko tia nkwammoaa a ɛnyɛ ne kwan so ne ntuafo a wɔn ho yɛ hu te sɛ mmoawa. Nanso, ɛtɔ mmere bi a kokoram nkwammoaa tumi twa nipadua no mu tumi a ɛko tia nyarewa no ho ban. Nkwammoaa a ɛko tia nyarewa no ma ɛyɛ mmerɛw ma nipadua no mu tumi a ɛko tia nyarewa no sɛ ebehu kokoram nkwammoaa na asɛe no. Ɛdenam awosu mu nkwaadɔm mu nsakrae ko a ɛwɔ wo akisikuru no mu so no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔmfa nipadua no mu tumi a ɛko tia nyarewa no nyɛ adwuma.

Ayaresa mu sɔhwɛ ahorow

Ayaresa mu sɔhwɛ ahorow yɛ nhwehwɛmu ahorow a wɔde hu sɛ ebia kokoram ayaresa foforo yɛ nea asiane biara nni ho, etu mpɔn, anaasɛ eye sen ayaresa a wɔtaa de di dwuma. Mprempren, wɔreyɛ nnuru a wɔde boa, ayaresa a wɔde wɔn ani asi so, ne nipadua mu ahoɔden a ɛko tia nyarewa ho nhwehwɛmu wɔ ayaresabea sɔhwɛ ahorow mu. Bisa wo duruyɛfo sɛ ebia woyɛ obi a ɔfata sɛ wobɛyɛ ayaresabea sɔhwɛ anaa.

Dɛn ne dwensɔtwaa mu kokoram a wɔsa?

Ɛsono sɛnea obi nya nkwa no gyina kokoram a ɛwɔ dwensɔtwaa mu, ne gyinabea, ne baabi a kokoram no fii ase wɔ dwensɔtwaa ketewa no mu so. Sɛ nhwɛso no, nnipa a wɔahu sɛ wɔwɔ adenocarcinomas a edi kan no mu 65% te ase wɔ mfe anum akyi. Saa dodow yi sua koraa, ɛyɛ 4%, wɔ kokoram a ɛba akyiri yi ho. Mfeɛ anum nkwa nna wɔ carcinoid akisikuru a ɛdi kan no mu yɛ 95%, berɛ a kokoram a ɛdi akyiri no yɛ 42%.

Bisa wo duruyɛfo sɛnea wo kokoram no ho sɛnkyerɛnne ka wo nkɔmhyɛ.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wɔ bere a ɛte sɛɛ mu no, ebia nsɛmmisa pii bɛba w’adwenem. Nsuro. Wo ne wo duruyɛfo nkasa pefee. Nsɛmmisa a ɛho hia a wubetumi abisa ni:

• Akisikuru bɛn na mewɔ?
• Mpɛn bɛn na me kokoram no wɔ?
• Nneɛma bɛn na ɛka hokwan a mewɔ sɛ me ho bɛtɔ me?
• Ayaresa bɛn na wokamfo kyerɛ?
• Asiane ne mfaso bɛn na ɛwɔ saa ayaresa ahorow yi so?
• Bere tenten ahe na ebegye ansa na me ho atɔ me wɔ m’ayaresa nhyehyɛe no mu?
• Dɛn na ɛsɛ sɛ mehwɛ kwan sɛ ebefi mu aba a egyina me kokoram, m’akwahosan nyinaa, ne sɛnea m’ade wɔ ayaresa ho?

Esiane sɛ dwensɔtwaa mu kokoram ho yɛ na nti, ebetumi ayɛ den sɛ yɛbɛte nea ebefi mu aba ne ayaresa a wobetumi apaw ase. Nneɛma pii ka wo hwɛ nhyehyɛe ne sɛnea ɛbɛyɛ yiye sɛ ayaresa no bedi nkonim. Siesie wo ho sɛ wo ne wo duruyɛfo bɛkasa afa sɛnea akisikuru ko a wowɔ no ka ayaresa a wubetumi apaw ho. Ɛdenam wo kokoram so no, wo duruyɛfo betumi akamfo oprehyɛn ne nnuru a wɔde sa yare a wɔaka abom de ayi wo akisikuru no na amma antrɛw.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Intestin Cancer yɛ tebea a wɔntaa nte ho asɛm, nanso ɛfata sɛ wɔde adwene si so.

• Eyi ho yɛ na yiye , nanso sɛ yare no ho sɛnkyerɛnne bi ba a, ɛho hia sɛ wohwehwɛ nnuruyɛfo afotu ntɛm ara.
• Hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ yafunu mu yaw, mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu, ne nsu a mogya wom ho.
• Sɛ wowɔ asiane ahorow a , wo ne oduruyɛfo nkasa na yɛ nhwehwɛmu a ɛho hia.
• Nhwehwɛmu ahorow wɔ hɔ a wɔde hu yare no . Mma ɛnhaw wo, nnuruyɛfo bɛboa wo.
• Ayaresa ahorow pii wɔ hɔ a wubetumi apaw , a egyina wo tebea so.
• Sɛ wohu ntɛm a, hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no yɛ kɛse.

Nea ɛho hia sen biara ne sɛ sɛ wowɔ adwenem naayɛ anaa ehu bi wɔ eyi ho a, mma wo nkutoo nhu amane, na mmom wo ne oduruyɛfo a wowɔ ne mu ahotoso nkasa . Wɔbɛma wo akwankyerɛ ne mmoa a wuhia. Kɔ so nya apɔwmuden!

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Kokoram a Ɛwɔ Dwontwaa Mu, Kokoram, Nnuan a Wɔyam, Nsɛnkyerɛnne, Kokoram Ayaresa, Dwontwaa, Dwontwaa Mu Kokoram