Yɛn nyinaa suro kakra bere a yɛte nsɛmfua “ colon cancer, ” no, ɛnte saa? Nanso nea nnipa pii nnim ne sɛ mpɛn pii no, saa kokoram yi nnya prɛko pɛ. Mmom no, ansa na abɛyɛ kokoram no, nsakrae ahorow bi ba yɛn akyi berɛmo mu. Nea eye sen biara ne sɛ, sɛ yetumi hu “ tebea horow a edi kokoram anim ” yi ntɛm a, yebenya hokwan asiw kokoram ano. Enti ɛnnɛ, momma yɛnka kɔkɔbɔ ahorow a wɔde ma yɛn ansa na yare a ɛyɛ hu yi aba yi ho asɛm.
Tebea horow bɛn na ɛba ansa na kokoram yi aba?
Sɛ yɛbɛka no tiawa a, eyinom yɛ nkwammoaa a enyin wɔ ɔkwan a ɛnteɛ so a ɛba yɛn dwensɔtwaa afasu mu. Eyinom nyɛ kokoram mprempren, nanso sɛ bere kɔ so no, wɔansa a, ebetumi adan kokoram. Tebea atitiriw pii wɔ wɔn mu. Momma yɛnhwɛ emu biara.
1. Adenomatous Polyps: Asiane a Ɛtaa Ba
Ebia woate asɛmfua " polyps ." Eyinom yɛ nnua nketenkete a enyin wɔ akyi berɛmo no mu ɔfasu no so. Wɔte sɛ akisikuru a ɛwɔ honam ani, te sɛ akisikuru. Polyps ahorow pii wɔ hɔ, nanso nea wɔfrɛ no adenomatous no ne nea asiane kɛse wom sɛ ɛbɛyɛ kokoram.
Nea ɛho hia ne sɛ ebia saa polyps yi renkyerɛ akyi sɛnkyerɛnne biara. Ɛno nti na aduruyɛ mu nhwehwɛmu ho hia kɛse no.
Ɔkwan bɛn so na wohu eyinom na wɔyɛ ho adwuma?
Ɔkwan a eye sen biara a wobɛfa so ahwɛ sɛ saa polyps yi te ne sɛ wobɛhwɛ colonoscopy.Nhwehwɛmu. Wɔ eyi mu no, oduruyɛfo de afiri ketewaa bi a wɔde mfoninitwa afiri (scope) ahyɛ mu a wɔde fa akyi berɛmo no mu hwehwɛ dwensɔtwaa kɛse no nyinaa mu. Saa nhwehwɛmu yi tumi hu nneɛma te sɛ polyps pefee.
Ayaresa no te sɛ nea edidi so yi:
- Polyp a woyi fi hɔ: Asɛmpa no ne sɛ sɛ wohu polyps bere a wɔreyɛ colonoscopy a, wobetumi atwitwa na wɔayi afi hɔ ntɛm ara. Eyi nhia oprehyɛn kɛse.
- Wɔde kɔ aduruyɛdan mu: Wɔde polyp a wɔayi afi hɔ no kɔ aduruyɛdan mu kɔhwɛ sɛ ɛyɛ adenomatous anaasɛ ɔkwan foforo a asiane biara nni ho.
- San a wɔbɛsan ahwehwɛ mu : Sɛ wohu polyp biako a, ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ colonoscopy a edi mũ na ama woahwɛ sɛ ebia pii wɔ hɔ anaa. Ɛno akyi no, wɔtaa kamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu a wɔde di akyi wɔ mfe 1 kosi 3 mu , bere a akyi berɛmo no “ho atew” koraa awie no. Sɛ wo nhwehwɛmu no mu aba kɔ so yɛ papa a, wo duruyɛfo na obesi bere a wobɛyɛ wo nhwehwɛmu a edi hɔ no ho gyinae.
2. Abusua mu Adenomatous Polyposis (FAP) .
Eyi yɛ tebea soronko kakra, na ɛyɛ aniberesɛm kɛse. FAP yɛ awosu mu, anaa awosu mu tebea a obi a ɔwɔ saa tebea yi nya polyps ɔhaha pii, sɛ ɛnyɛ mpempem pii mpo wɔ ne dwensɔtwaa mu.
Fa no sɛ, eyi yɛ aniberesɛm araa ma sɛ wɔannya obi a ɔwɔ FAP no yare a, hokwan a ɛwɔ hɔ sɛ obenya kokoram wɔ akyi berɛmo mu bere a wadi mfe 40 no bɛn 100%.
Enti, sɛ wohu sɛ FAP wɔ hɔ a, akyinnye biara nni ho sɛ ebehia sɛ wɔyɛ no oprehyɛn. Wɔabobɔ oprehyɛn ne ayaresa a wɔde ma eyi wɔ pon a ɛwɔ ase ha no mu.
| Ɔyarefo tebea | Ɔkwan a wɔfa so sa yare ne oprehyɛn |
|---|---|
| Sɛ polyps biara nni rectum no mu a | Total colectomy: Wɔyɛ oprehyɛn yi dwensɔtwaa no fã kɛse no ara, na wɔsan de dwensɔtwaa ketewaa (ileum) no fã bi bata akyi berɛmo no ho. Sɛ wɔyɛ oprehyɛn wie a, wɔhwehwɛ akyi berɛmo no mu asram 6 biara (proctoscopy). |
| Sɛ wowɔ rectal polyps anaasɛ wompɛ sɛ wode wo ho to asiane mu sɛ wubenya kokoram a | Ileal pouch-anal anastomosis: Woyi dwensɔtwaa kɛse ne akyi berɛmo no nyinaa fi hɔ. Afei, wɔde dwensɔtwaa ketewaa no yɛ kotoku ketewaa bi na wɔde bata akyi berɛmo no awiei. Eyi ma ɔyarefo no kɔ so nya ne dwensɔtwaa a ɛfata. |
3. Yare a Ɛma Ɔyare a Ɛma Ɔyare (IBD) .
IBD yɛ dwensɔtwaa mu ɔfe a enni sabea. Eyi ho nhwɛso ne nyarewa te sɛ ulcerative colitis . Sɛ dwensɔtwaa no ho hyew kyɛ a, asiane wɔ hɔ sɛ nkwammoaa a ɛwɔ saa afã horow no bɛsakra na abɛyɛ kokoram .
Wobɛyɛ dɛn adi obi a ɔwɔ IBD ho dwuma?
- Nhwehwɛmu a wɔyɛ no daa: Ɛsɛ sɛ wɔyɛ nnipa a wɔwɔ IBD no mu nhwehwɛmu daa de hwɛ sɛ ebia kokoram ho sɛnkyerɛnne bi wɔ hɔ anaa. Eyi betumi aboa ma wɔakyere nsakrae biara ntɛm.
- Prophylactic Colectomy: Ayarefo binom si gyinae sɛ wɔbɛyɛ oprehyɛn ayi akyi berɛmo no ansa na kokoram aba, sen sɛ wɔbɛtwɛn ma ayɛ kɛse. Ɛha nso, wobetumi ayɛ oprehyɛn a yɛadi kan aka ho asɛm ``ileal pouch-anal anastomosis`` no de akura asetra pa mu.
Eyi nyinaa ma ɛda adi pefee sɛ kokoram a ɛwɔ akyi berɛmo mu nyɛ biribi a ɛba anadwo biako pɛ. Yɛn nipadua ma yɛn nsɛnkyerɛnne ahorow ansa na aba. Nea ɛho hia sen biara ne sɛ yebehu saa nsɛnkyerɛnne no, akɔ oduruyɛfo nkyɛn wɔ bere a ɛfata mu, na yɛayɛ nhwehwɛmu ne ayaresa a ɛho hia.
Nkrasɛm a Wɔde Kɔ Fie
- Kokoram dodow no ara fi ase sɛ tebea horow a wotumi sa, a ɛnyɛ kokoram (tebea horow a edi kokoram anim).
- Nhwehwɛmu te sɛ colonoscopy betumi ahu tebea horow yi ntɛm na wɔayi afi hɔ ansa na abɛyɛ kokoram. Sɛ wo duruyɛfo kamfo kyerɛ a, ntwa nhwehwɛmu ahorow yi so.
- Sɛ obi wɔ w’abusua mu anya tebea horow te sɛ kokoram a ɛwɔ akyi berɛmo mu, polyps, anaa FAP a, ɛho hia sɛ woma wo duruyɛfo hu. Eyi bɛboa wɔn ma wɔasusuw asiane a ɛwɔ mu no ho.
- Ɛkame ayɛ sɛ wobetumi asiw kokoram a ɛwɔ akyi berɛmo mu no ano koraa sɛ wohu ntɛm na wɔsa no yiye a. Enti nsuro, ma w’ani nna hɔ.
Kokoram a Ɛma Kokoram, Tebea Ahorow a Ɛba Ansa na Kokoram Ba, Adenomatous Polyps, Colonoscopy, FAP, Abusua mu Adenomatous Polyposis , IBD, Dwonku mu Yare a Ɛyɛ Ɔhyew, Oprehyɛn
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