So wowɔ akisikuru te sɛ eyi nso wɔ wo dwonku mu? Momma yensua (Tubular Adenomas) ho ade!

Ɛtɔ da bi a sɛ yɛyɛ `(Colonoscopy)` a, nnuruyɛfo tumi hu nnua nketenkete a enyin wɔ yɛn akyi berɛmo mu. Ɛno ne nea wɔfrɛ no `(Polyps)`. Saa `(Tubular Adenomas)` yi nso yɛ nyini nketenkete bi a ɛba wɔ akyi berɛmo mu, ansa na abɛyɛ kokoram. Ebia wobɛte ehu nka kakra bere a wote eyinom ho asɛm no, nanso mma ɛnhaw wo. Eyinom mu nea ennu 9% dan kokoram. Nanso eyi te sɛ kɔkɔbɔ a ɛba ntɛm paa a wunya. Saa kɔkɔbɔ yi betumi aboa kɛse ma asiane a ɛwɔ hɔ sɛ wubenya kokoram a ɛwɔ akyi berɛmo mu no so atew.

So eyinom (Tubular Adenomas) ne (Villous Adenomas) yɛ pɛ? Anaasɛ ɛsono wɔn?

Afei ebia wobɛdwene sɛ saa `(Tubular Adenomas)` ne `(Villous Adenomas)` yi yɛ pɛ anaa. Nokwarem no, sɛ wode afiri a wɔde hwɛ nneɛma nketenkete hwɛ a, abien no nyinaa te sɛ akuru nketenkete a ɛwɔ wo dwensɔtwaa no mu, anaasɛ ɛte sɛ kɔla nketenkete. Fa no sɛ nhwiren nketewa a wɔfrɛ no cauliflower a ɛbata wo dwensɔtwaa no fasu ho. Nanso nsonsonoe a ɛda adi pefee wɔ sɛnea abien no nyin no mu .

Sɛ yɛbɛka no tiawa a, ``Tubular Adenomas`` te sɛ sɔhwɛ nsuo nketenkete a wɔde wo dwensɔtwaa no akatasoɔ ayɛ. Eyi kyerɛ sɛ wɔahyehyɛ wɔn nkwammoaa no wɔ ɔkwan a ɛyɛ fɛ yiye a ɛte sɛ ntini.

Nanso nea wɔfrɛ no ``Villous Adenomas'' no yɛ soronko. Wɔte sɛ fern nkorabata a afifi kwa wɔ mmeae ahorow, ayɛ basabasa kakra, na ɛwɔ nsensanee pii a ɛte sɛ nsateaa.

Afei ebia woresusuw nea enti a nsonsonoe a ɛwɔ onyin mu yi ho hia no ho. Sɛ nnuruyɛfo te sɛnea onyin yi ase a, ɛma wotumi hu sɛnea ɛbɛyɛ yiye sɛ wo adenoma no bɛyɛ kokoram. Sɛ nhwɛso no, Villous Adenomas nyin ntɛmntɛm sen Tubular Adenomas na ɛda adi sɛ ɛbɛyɛ kokoram. Enti, ɛho hia sɛ wuhu nsonsonoe a ɛda abien no ntam.

Dɛn nti na eyinom (Tubular Adenomas) nyin? Dɛn ne nneɛma a ɛde asiane ba?

Nokwarem no, obiara betumi anya saa `(Tubular Adenomas)` yi. Nanso nnipa binom wɔ asiane kɛse mu sɛ wobenya bi. Ma yɛnhwɛ nnipa ko a wɔyɛ:

• Sɛ wode sigaret anaa tawa nneɛma foforo di dwuma a: Sigaretnom yɛ ade titiriw a ɛde nyarewa pii ba. Ɛka eyi nso tẽẽ. Nnuru a ɛwɔ tawa mu no sɛe nkwammoaa a ɛwɔ akyi berɛmo no mu, na ɛhyɛ polyps te sɛ eyi nyin ho nkuran.
• Sɛ wo nipadua mu duru boro dodow a wɔkamfo kyerɛ no so a (Obesity): Kɛse mmoroso nso yɛ nneɛma a ɛde eyi ba no mu biako. Nsakrae a ɛba nkwaadɔm mu ne ɔfe a ɛnam nipadua no mu duru a ɛboro so so ba no betumi aboa ma saa ``Adenomas`` yi anyin.
• Sɛ woadi mfe 50 anaa nea ɛboro saa a: Asiane a ɛwɔ hɔ sɛ wubenya nyarewa bi no yɛ kɛse bere a obi nyin no. Esiane sɛ yɛn nipadua mu nkwammoaa a wosiesie no brɛ ase bere a yɛrenyin nti, ɛda adi sɛ yebenya nkwammoaa a ɛnteɛ.
• Sɛ woyɛ ɔbarima a:Akontaabuo mu no, wɔahu sɛ mmarima wɔ asiane kɛseɛ mu kakra sɛ wɔbɛnya saa ``Adenomas'' yi sene mmaa.
• Abusua abakɔsɛm a ɛfa kokoram ho: Sɛ w’awofo, wo nuanom, anaa wo mma anya kokoram wɔ akyi berɛmo mu a, ɛda adi sɛ wubenya bi bɛyɛ mmɔho abien. Eyi kyerɛ sɛ awosu mu nkɛntɛnso bi wɔ hɔ.
• Ayaresa mu tebea horow bi a na ɛwɔ hɔ dedaw: Sɛ nhwɛso no, sɛ wowɔ dwensɔtwaa mu yare a ɛma obi ho hyehye no (IBD) te sɛ Crohn yare anaa akisikuru a ɛma obi ho kyere no, wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ kokoram wɔ akyi berɛmo mu, anaa awotwaa mu kokoram a, wo nso wowɔ asiane mu.
• Nsakrae bi a wonya fi awo mu: Tebea horow bi wɔ hɔ a ɛntaa nsi a ebetumi de kokoram ne polyps aba, te sɛ Familial Adenomatous Polyposis (FAP) anaa MUTYH-associated Polyposis (MAP). Eyinom yɛ awosu mu tebea horow a ebetumi aka abusua mufo.

"Ɛnsɛ sɛ wunya asiane ahorow yi nyinaa. Sɛ wowɔ biako anaa abien mpo a, ɛtɔ mmere bi a ebetumi anya nkɔso a ntease biara nni mu. Ɛno nti na ɛho hia kɛse sɛ wo ne oduruyɛfo kasa na wusua `(Screening)` sɔhwɛ ahorow ho ade, titiriw bere a woadi mfe 45-50 akyi."

Dɛn ne (Tubular Adenomas) ho sɛnkyerɛnne? Ɔkwan bɛn so na wohu wɔn?

Mpɛn pii no, saa `(Tubular Adenomas)` yi nkyerɛ sɛnkyerɛnne biara . Ɛno ne ade a asiane wom sen biara. Esiane sɛ yare no ho sɛnkyerɛnne biara nni hɔ nti, yennim mpo sɛ biribi a ɛte sɛɛ rekɔ so wɔ nipadua no mu. Wotumi nyin komm. Nanso, ɛntaa nsi koraa sɛ sɛ sɛnkyerɛnne ahorow no da adi ampa a, sɛnkyerɛnne a ɛtaa ba ne mogya kɔkɔɔ tuntum anaa kɔkɔɔ a ɛyɛ hann a ɛmfa yaw bere a wɔretu dwensɔtwaa no. Wobetumi de mogya yi afra nsu no mu anaasɛ wɔde apete nsu no ani.

Ebia sɛnkyerɛnne afoforo bi wɔ hɔ a ɛka ho, nanso eyinom ntaa mma kɛse:

• Akisikuru anaa akisikuru: Sɛ nsakrae bi aba wo tiafi mu mpofirim a wontumi nkyerɛkyerɛ mu adapɛn pii a.
• Wo mu duru a wɔanhyɛ da: Sɛ wo mu duru so tew a wunnni adidi, bere mpo a wudidi sɛnea wotaa di no.
• Aduan ho akɔnnɔ a ɛyera: Nkate a ɛkyerɛ sɛ ɔmpɛ sɛ odidi.
• Yafunu mu yaw: Yafunu mu yaw anaa ɛyaw a ɛkɔ so daa, a emu nna hɔ.
• mogya a ɛtɔ kɔ nipadua no mu a dade nnim: Esiane sɛ mogya tu nkakrankakra wɔ polyps mu nti, ɛtɔ mmere bi a dade a ɛwɔ nipadua no mu no so tew, na ɛde sɛnkyerɛnne ahorow te sɛ ɔbrɛ ne honam ani hwɛbea ba.

Nanso kae sɛ, esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi nti, ɛnkyerɛ sɛ wowɔ Tubular Adenomas. Akwahosan ho haw afoforo te sɛ akisikuru ne dwensɔtwaa mu nyarewa afoforo nso betumi de saa sɛnkyerɛnne ahorow yi aba. Enti, sɛ wokɔ so nya biribi te sɛ eyi a, akyinnye biara nni ho sɛ eye sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya afotu. Mma wo ho nnyɛ wo ho nhwehwɛmu.

Ɔkwan bɛn so na nnuruyɛfo hu eyinom (Tubular Adenomas)?

Mpɛn pii no, sɛ oduruyɛfo hwehwɛ wo mu a, Digital Rectal Exam betumi ahu Tubular Adenoma sɛ ɛbɛn rectum no a. Nanso , mpɛn pii no, wohu Tubular Adenomas bere a wɔreyɛ Colonoscopy, nhwehwɛmu a wɔde hwehwɛ kokoram a ɛwɔ akyi berɛmo mu no.

``(Colonoscopy)`` yɛ adeyɛ a wɔde adwinnade a ɛyɛ mmerɛw a ɛte sɛ afiri a ɛyɛ tratraa (a mfoninitwa afiri ketewaa bi ne hann abata n'awiei) fa akyi berɛmo no mu na wɔhwehwɛ dwensɔtwaa kɛse (colon) ne akyi berɛmo no nyinaa mu. Wɔ eyi mu no, oduruyɛfo no tumi hu nsakrae nketenkete mpo wɔ dwensɔtwaa no mu pefee, te sɛ ``(Polyps)``, wɔ monitor so. Enti ɛyɛ bere a wohwɛ no na wɔkyere saa ``(Adenomas)`` yi. Ansa na wobɛyɛ nhwehwɛmu yi no, ɛsɛ sɛ wohohoro wo dwensɔtwaa ho yiye, na ɛno nti oduruyɛfo no bɛma wo anonne anaa aduru titiriw bi.

Dɛn ne ayaresa a wɔde sa Tubular Adenomas?

Ayaresa titiriw a etu mpɔn sen biara ma eyi ne sɛ wubeyi saa `(Adenomas)` yi afi wo dwensɔtwaa mu. Asɛmpa no ne sɛ mpɛn pii no woyi saa `(Adenomas)` yi fi hɔ bere koro no ara mu ne `(Colonoscopy)` sɔhwɛ a ehuu wɔn no. Eyi kyerɛ sɛ ɛnsɛ sɛ wokɔ mu kɔyɛ oprehyɛn kɛse a ɛyɛ soronko da a ɛyɛ soronko. Wɔfrɛ saa adeyɛ yi `(Polypectomy)`.

Nnuruyɛfo taa de nnwinnade titiriw te sɛ wire loop snare anaa biopsy forceps a wɔde fa colonoscope no mu de yi adenoma no fi akyi berɛmo no mu di dwuma. Wobetumi atwitwa polyp akɛse mu asinasin pii na wɔayi afi hɔ. Ebia wobɛte nka sɛ worepiapia wo ho anaasɛ woretwe wo ho kakra, nanso esiane sɛ wɔtaa de nnuru a wɔde kum ɛyaw ne nnuru a ɛma obi dwo na ɛyɛ colonoscopy nti , worente ɛyaw kɛse.

Afei oduruyɛfo no fa adenoma no asinasin a oyii no de kɔ aduruyɛdan mu ma wɔde afiri a wɔde hwɛ nneɛma nketenkete (Histopathology/Biopsy) hwehwɛ mu. Eyi ne baabi a wobetumi asi so dua pɛpɛɛpɛ sɛ ebia kokoram nkwammoaa wɔ mu ne adenoma ko a ɛyɛ. Eyi ne adeyɛ a wɔtaa yɛ.

So metumi atew asiane a ɛwɔ hɔ sɛ menya Tubular Adenomas no so?

Sɛ wuhu sɛ wowɔ `(Tubular Adenomas) a, ɛkyerɛ sɛ wowɔ asiane a ɛkɔ soro kakra sɛ wubenya kokoram a ɛwɔ wo colorectal mu.Ɛte saa. Nanso mma ɛnhaw wo. Asiane pii wɔ hɔ a ɛde kokoram a ɛwɔ akyi berɛmo mu ba. Ebinom nso yebetumi asesa, na ebinom nso yentumi (e.g., mfe a wɔadi, abusua abakɔsɛm, awosu mu nkwaadɔm).

Nanso, nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so :

• Sɛ wonom nsa, tew dodow a wonom so, anaasɛ wugyae koraa a: eye sɛ wobɛto ano hye sɛnea wubetumi.
• Gyae sigaretnom ne tawa ho nneɛma a wode di dwuma koraa: Eyi yɛ biribi a ɛsɛ sɛ woyɛ koraa. Sɛ wuhia mmoa wɔ eyi ho a, wo ne oduruyɛfo nkasa.
• Nya mu duru a ɛfata: Apɔw-mu-teɛteɛ ne aduan a ɛkari pɛ betumi aboa wɔ eyi mu. Wubetumi de biribi a ɛnyɛ den te sɛ nantew simma 30 da biara afi ase.
• Di aduan a ahoɔden wom: Di nhabannuru, nnuaba, atoko, ne aburow a ahoɔdennuru wom pii. Tow nam kɔkɔɔ (te sɛ nantwinam, mprako nam) ne nam a wɔayɛ ho adwuma (te sɛ soseji, bacon) ano hye.
• Apɔw-mu-teɛteɛ daa: Anyɛ yiye koraa no, fa wo ho hyɛ apɔw-mu-teɛteɛ a emu yɛ den mu nna kakraa bi dapɛn biara.

"Ebia saa nneɛma yi a wɔbɛyɛ no rensiw `(Tubular Adenomas)` a ɛsan ba no ano koraa, nanso ɛbɛboa kɛse ma asiane a ɛwɔ hɔ sɛ wobenya kokoram a ɛwɔ akyi berɛmo mu no nyinaa so atew. Afei nso, ɛho hia yiye sɛ wɔyɛ `(Colonoscopy)` nhwehwɛmu wɔ bere a wɔahyɛ no mu, sɛnea oduruyɛfo no ka no."

Sɛ mewɔ (Tubular Adenomas) a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Tubular adenomas yɛ nyin a edi kokoram anim wɔ wo dwensɔtwaa ne wo akyi berɛmo mu. Mpɛn pii no, wohu wɔn bere a wɔreyɛ colonoscopy, nhwehwɛmu a wɔde hwehwɛ kokoram a ɛwɔ akyi berɛmo mu no. Enti, sɛ wo duruyɛfo hu saa polyps yi bere a woreyɛ colonoscopy a, ɛda adi sɛ ebehia sɛ woyɛ colonoscopy mpɛn pii kakra sen afoforo. Ɛno kyerɛ sɛ bere a ebia wɔbɛkamfo akyerɛ obi a onni tubal adenoma sɛ ɔnyɛ colonoscopy mfe 5 kosi 10 biara no, ebia wɔbɛka akyerɛ wo sɛ nsan mmra nkɔhwɛ wo bio mpɛn pii, te sɛ mfe 1 kosi 3 biara.

Saa ``Follow-up`` ntamgyinafoɔ yi, wo duruyɛfoɔ na ɔkyerɛ. Nneɛma pii wɔ hɔ a ɛka no:

• `(Adenomas)` dodow a wohu wo wo mu.
• Wɔn kɛse.
• Wɔn microscopic hwɛbea (`Histology`), kyerɛ sɛ, sɛ ebia wɔwɔ ``Villous`` features anaasɛ wɔwɔ nsakrae a emu yɛ den te sɛ ``High-grade dysplasia``.
• W’abusua abakɔsɛm a ɛfa kokoram a ɛwɔ akyi berɛmo mu ho.
• W’akwahosan nyinaa.

Enti, ade a ɛho hia sen biara ne sɛ wobɛyɛ colonoscopy sɛnea nhyehyɛe a oduruyɛfo no ka kyerɛ wo no te.

So Tubular Adenomas betumi asan aba bio?

Yiw, awerɛhosɛm ne sɛ, Tubular Adenomas betumi asan aba bio.Ɛrentumi nyɛ yiye sɛ yɛbɛka sɛ colonoscopy rennyin bio esiane sɛ wɔayi afi hɔ pɛnkoro nti. Titiriw sɛ woyɛ obi a ɔnom sigaret anaasɛ woda so ara wɔ asiane ahorow a yɛadi kan aka ho asɛm no a, asiane a ɛwɔ saa onyin yi mu no yɛ kɛse mpo. Ɛno nti na nnuruyɛfo kamfo kyerɛ sɛ wosan yɛ ``Colonoscopy`` bio wɔ bere ne bere mu de hwɛ sɛ ebia nyini foforo anaa. Saa ``Surveillance Colonoscopy`` anaa ``Follow-up Colonoscopy`` yi ho hia efisɛ ebetumi ahu na ayi nyini foforo afi hɔ ntɛm, ansa na abɛyɛ kokoram.

Sɛ mewɔ (Tubular Adenomas) a, ɛsɛ sɛ mehwɛ me ho dɛn?

Nokwarem no, ɛdenam `(Colonoscopy)` a wobɛyɛ na woahu sɛ wowɔ `(Tubular Adenomas)` so no, woatu anammɔn kɛse bi de ahwɛ wo ho. Sɛ wohaw wo ho kakra anaasɛ wosuro wɔ nea efi `(Colonoscopy)` mu ba no ho a, ebetumi aboa sɛ wobɛkae nokwasɛm kakraa yi a ɛfa `(Tubular Adenomas)` ho:

• Nnuruyɛfo a wɔyɛ colonoscopy taa yi wo tubular adenomas no bere koro no ara a wɔyɛ nhwehwɛmu no. Enti wodi ɔhaw kɛse bi ho dwuma ntɛm ara.
• Bɛyɛ 90% a wɔahu `(Tubular Adenomas)` no nnyɛ kokoram. Eyi yɛ ahotɔ kɛse, ɛnte saa? Ɛno kyerɛ sɛ dodow no ara nyɛ asiane.
• Sɛ wɔyɛ colonoscopy wɔ nhyehyɛe a wɔyɛ no daa mu a, ɛkyerɛ sɛ sɛ Tubular Adenomas foforo ba mpo a, nnuruyɛfo betumi ahu na wɔayi afi hɔ ansa na wɔabɛyɛ kokoram. Eyi kyerɛ sɛ wowɔ nhyehyɛe a ahobammɔ wom a wotumi hu ntɛm mu.

"Enti, ade a ɛho hia sen biara ne sɛ wubedi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Sɛ wobɛkɔ akɔyɛ nhwehwɛmu a edi akyi wɔ bere ano, asetra mu nsakrae a ɛho hia a wobɛyɛ (te sɛ sigaretnom a wubegyae, aduan pa a wubedi, apɔw-mu-teɛteɛ) ne nneɛma a eye sen biara a wubetumi ayɛ ama wo ho. Wo ne wo duruyɛfo nkasa wɔ nsɛmmisa anaa dadwen biara a wowɔ ho."

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Bere a woretwɛn wo ``Follow-up Colonoscopy`` a woayɛ nhyehyɛe no, sɛ wuhu nsakrae foforo biara wɔ wo nipadua mu, titiriw sɛ wususuw sɛ ebia wowɔ ``Tubular Adenomas`` foforo, anaasɛ wususuw sɛ ebia wowɔ kokoram a ɛwɔ akyi berɛmo mu ho sɛnkyerɛnne ahorow a, kɔ wo duruyɛfo nkyɛn a ɛnkyɛ.

Kae sɛ, mpɛn pii no, Tubular Adenomas nni sɛnkyerɛnne biara. Nanso, sɛ sɛnkyerɛnne ahorow no ba a, sɛnkyerɛnne a ɛtaa ba ne mogya a ɛnyɛ yaw, kɔkɔɔ tuntum anaa kɔkɔɔ a ɛyɛ hann bere a obi akɔ dwensɔtwaa akyi. Sɛ wuhu biribi a ɛte sɛɛ a, mmu w’ani ngu so. Hwɛ hu sɛ wobɛka akyerɛ oduruyɛfo. Afei nso, hu sɛnkyerɛnne foforo biara anaa nea ɛreyɛ kɛse a yɛadi kan aka ho asɛm (te sɛ yafunu mu yaw, nsakrae a ɛba wo dwensɔtwaa mu, wo mu duru a ɛso tew).

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) bere a wɔayɛ me colonoscopy awie no?

Nsɛnnennen atitiriw a ɛba bere a wɔayɛ colonoscopy akyi no ntaa mma. Nanso, sɛ ɛba a, ɛho hia sɛ yɛyɛ ho biribi ntɛm. Sɛ wuhyia ɔhaw ahorow a edidi so yi mu biara wɔ colonoscopy akyi (mpɛn pii no wɔ nna kakraa bi mu) a, ɛsɛ sɛ wokɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ ntɛmpɛ so ntɛm ara, anaa wofrɛ wo duruyɛfo :

• Ɛyaw a emu yɛ den anaasɛ yafunu mu a ɛyɛ mmerɛw a ɛreyɛ kɛse. (Sɛ obi ho popo anaa mframa kakra wɔ sɔhwɛ no akyi a, ɛyɛ ade a ɛfata, nanso ɛnyɛ ɛyaw a emu yɛ den.)
• Sɛ wo yafunu te nka sɛ ɛyɛ den, te sɛ ɔbotan, na ɛyaw no mu yɛ den bere a wode wo nsa mia so no.
• Ɔhaw a ɛkɔ so yɛ den sɛ wobɛfa gas anaasɛ wobɛtow wo ho.
• Atiridiinini a emu yɛ den (mpɛn pii no ɛboro 100.4°F anaa 38°C).
• Sɛ wote nka sɛ wo ho ayɛ wo hyew anaasɛ woatɔ piti a.
• Sɛ worefe bere nyinaa a.
• Ntini a ɛtaa ba anaasɛ mogya tu kɛse.
• Sɛ wontumi nnyae mogya a ɛba akyi berɛmo mu, anaasɛ mogya bɛboro nkaribo abien repue a.

Saa sɛnkyerɛnne ahorow yi kyerɛ sɛ ɔhaw bi betumi aba, nanso ɛntaa nsi koraa (sɛ nhwɛso no, dwensɔtwaa mu a ɛpaapae, mogya a ɛtɔ dodo) wɔ akyi berɛmo mu nhwehwɛmu akyi. Enti hwɛ eyinom so yiye.

Nsɛmmisa bɛn na ɛsɛ sɛ mibisa me duruyɛfo fa Tubular Adenoma ho?

Sɛ wuhu sɛ wowɔ Tubular Adenomas wɔ wo colonoscopy a woyɛ daa no mu a, wubetumi abisa wo duruyɛfo saa nsɛm yi. Saa nsɛm yi a wubebisa no betumi aboa wo ma woate tebea no ase yiye na aboa wo ma wo suro no so atew:

• "Oduruyɛfo, dɛn ankasa ne `(Tubular Adenoma)`? Wubetumi de nsɛm a ɛnyɛ den akyerɛkyerɛ mu akyerɛ me?"
• "So eyi kyerɛ sɛ mewɔ colorectal cancer? Anaasɛ menya bi daakye?"
• "Dɛn ne ayaresa a wɔde sa saa `(Tubular Adenomas)` yi? So woyii nea wohuu wɔ me nipadua mu no? So woyii ne nyinaa?"
• "Dɛn na biopsy amanneɛbɔ no ka faa adenomas a woyii no ho? So nsakrae bi a ɛyɛ hu te sɛ high-grade dysplasia bae?"
• "So mewɔ awosu mu su a ɛma menya kokoram a ɛwɔ akyi berɛmo mu esiane tebea yi nti? So ɛsɛ sɛ mebɔ m'abusua nso amanneɛ wɔ eyi ho?"
• "Ɛnkyɛ dɛn na ɛsɛ sɛ meyɛ me colonoscopy a edi hɔ?"
• "Dɛn na metumi ayɛ de atew asiane a ɛwɔ hɔ sɛ menya kokoram a ɛwɔ me akyi berɛmo mu no so? Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m'asetra kwan mu?"
• "Hokwan bɛn na ɛwɔ hɔ sɛ saa `(Adenomas)` yi bɛsan anyin?"

"Nsuro anaasɛ ntwentwɛn wo nan ase da sɛ wubebisa saa nsɛm yi. Wowɔ hokwan biara sɛ wuhu w'akwahosan ho asɛm. Oduruyɛfo no bɛkyerɛkyerɛ biribiara mu akyerɛ wo. Sɛ woante ase a, bisa bio."

Nea etwa to no, nea ɛsɛ sɛ yɛkae fi eyinom nyinaa mu (Take-Home Message) .

Wobetumi asusuw sɛ Tubular Adenomas yɛ kokoram a ɛwɔ akyi berɛmo mu ho kɔkɔbɔ sɛnkyerɛnne a edi kan . Tubular Adenomas nyɛ kokoram, na hokwan a ɛwɔ hɔ sɛ wɔbɛyɛ kokoram no sua koraa, titiriw sɛ ɛyɛ nketewa na ɛmma wonnya yare no ho sɛnkyerɛnne biara a.

Nanso, sɛ wowɔ saa nneɛma yi a, ɛkyerɛ sɛ woreka sɛ, ‘Hey, ɛsɛ sɛ meyɛ nhwehwɛmu bi wɔ nea metumi ayɛ de atew asiane a ɛwɔ hɔ sɛ menya kokoram a ɛwɔ me menewa mu no so, na ɛsɛ sɛ meyɛ akyi a oduruyɛfo no ka no.’ Wo ne wo duruyɛfo nkasa na bisa nneɛma a wubetumi ayɛ ho asɛm. Wobetumi aka nhyehyɛe ne nnwuma a ebetumi aboa wo ho asɛm akyerɛ wo. Ebetumi ayɛ mmoa a ɛbɛma wagyae sigaretnom, anaasɛ ebetumi ayɛ mmoa a ɛbɛma obi mu duru akɔ so ayɛ nea ɛfata, anaasɛ ɛbɛma obi ayɛ ne su sɛ obenya aduan pa.

Nea ɛho hia sen biara ne sɛ ɛnsɛ sɛ wusuro, ɛnsɛ sɛ wobɔ hu, na mmom wubedi aduruyɛ mu afotu a ɛteɛ akyi na woanhuruw nhwehwɛmu a wɔhwehwɛ no. Afei wubetumi adi asiane yi ho dwuma yiye, akɔ so anya apɔwmuden, na w’ani agye!

` Tubular adenoma, akyi berɛmo mu polyps, colonoscopy, akyi berɛmo mu kokoram, polyps, akyi berɛmo mu polyps, mogya a ɛwɔ nsu mu, kokoram ho asiane, akwahosan ho nhwehwɛmu