Wubetumi nso anya yafunu mu yaw, akisikuru, anaa akisikuru bere ne bere mu. Mpɛn pii no yɛmfa yɛn adwene nsi eyinom so kɛse, ɛnte saa? Nanso ɛtɔ mmere bi a yare no ho sɛnkyerɛnne a ɛkɔ so te sɛ eyinom betumi ayɛ biribi a emu yɛ den kɛse ho sɛnkyerɛnne. Ɛnnɛ yɛrebɛka asɛmti bi a nnipa pii mpɛ sɛ wɔbɛka ho asɛm, nanso ɛsɛ sɛ yɛn nyinaa hu. Ɛno ne kokoram a ɛwɔ akyi berɛmo ne akyi berɛmo mu, anaa yareɛ a yɛfrɛ no `(Colorectal Cancer)`. Mma ɛnhaw wo, sɛ wuhu eyi a, ɛno ne ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban afi ho.
Sɛ yɛbɛka no tiawa a, dɛn ne kokoram a ɛwɔ akyi berɛmo mu yi?
Kokoram a ɛwɔ akyi berɛmo mu ne bere a nkwammoaa a ɛkata akyi berɛmo anaa akyi berɛmo mu no fi ase nyin a wontumi nni so. Eyi taa yɛ "akisikuru a ɛyɛ komm" a enyin brɛoo yiye, a enni sɛnkyerɛnne biara. Ɛno nti na ebia na kokoram no anya nkɔso akodu baabi dedaw bere a yare no ho sɛnkyerɛnne ahorow no da adi no.
Susuw yɛn aduan mu nneɛma ho hwɛ. Aduan a yedi no fa yafunu ne dwensɔtwaa ketewa no mu, na sɛ yɛtwe aduannuru no wie a, nwura a aka no ba dwensɔtwaa kɛse no mu. Dwotwaa kɛse no twe nsu ne aduannuru a aka no. Afei wɔde nwura a ɛyɛ den a aka a wɔfrɛ no nsu a ɛyɛ fĩ no sie bere tiaa bi wɔ akyi berɛmo no mu na afei efi nipadua no mu. Ɛyɛ dwensɔtwaa kɛse anaa akyi berɛmo mu na kokoram nkwammoaa yi fi ase.
Nanso asɛm a eye sen biara ne sɛ , sɛ wɔyɛ nhwehwɛmu a ɛfata wɔ bere a ɛfata mu a , wobetumi asiw kokoram yi ano, na sɛ wohu ntɛm a, wobetumi asa koraa.
Dɛn ne kokoram yi ahorow atitiriw?
Kokoram a ɛwɔ akyi berɛmo mu no gu ahorow pii, nanso biako na abu so sen biara.
| Kokoram su | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Adenocarcinoma a ɛma obi nya kokoram | Eyi ne ɔkwan a ɛtaa ba (bɛyɛ 96%) . Efi ase wɔ nkwammoaa a ɛma nsu a ɛyɛ nwini wɔ dwensɔtwaa mu no mu. |
| Carcinoid akisikuru | Kokoram bi a efi ase wɔ nkwammoaa soronko a ɛma hormone ahorow mu. |
| Yafunu mu stromal tumor | Efi nkwammoaa a ɛwɔ dwensɔtwaa no fasu mu a ɛkyerɛ sɛ aduan fa mu no mu. |
| Lymphoma a ɛma mogya tu | Kokoram a ɛba nipadua no mu nkwammoaa a ɛko tia nyarewa no mu. |
So akuru no nyinaa yɛ kokoram?
Dabi, nokwarem no, ɛkame ayɛ sɛ kokoram a ɛba akyi berɛmo mu nyinaa fi ase sɛ polyps , nneɛma nketenkete a ɛyɛ nam a enyin wɔ akyi berɛmo no mu. Ɛnyɛ polyp nyinaa na ɛyɛ kokoram.
- Adenomas: Eyinom yɛ polyps a edi kokoram anim a sɛ wɔansa a, bere kɔ so no, ebetumi ayɛ kokoram kɛse.
- Hyperplastic ne inflammatory polyps: Mpɛn pii no, eyinom nnyɛ kokoram. Nanso, ɛtɔ mmere bi a, sɛ ɛbɛyɛ akɛse a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ yi fi hɔ.
Hena na ɔwɔ asiane kɛse mu sɛ obenya kokoram yi?
Nokwarem no, obiara betumi anya saa yare yi. Nanso nnipa binom wɔ asiane kɛse mu. Sɛ nea edidi so yi mu biako anaa nea ɛboro saa fa wo ho a, ɛbɛyɛ papa sɛ wobɛma w’ani ada hɔ kakra.
| Nneɛma a Ɛde Asiane Ba | |
|---|---|
| Abusua abakɔsɛm | Sɛ obi wɔ w’abusua mu (awofo, anuanom, mmofra) anya kokoram a ɛwɔ akyi berɛmo mu anaasɛ polyps. |
| Adidie | Nam kɔkɔɔ (nantwinam, mprako nam) ne nam a wɔayɛ ho adwuma (soseji, bacon) a wobedi dodo. |
| Ayaresa mu tebea afoforo | Nyarewa a ɛma obi ho hyehye no te sɛ Crohn yare anaasɛ ulcerative colitis , ne asikreyare a ɛto so abien. |
| Awosu mu nyarewa | Awosu mu tebea horow te sɛ FAP (Familial Adenomatous Polyposis) ne HNPCC. |
| Asetra kwan | Mfe a wɔadi boro mfe 50, kɛseyɛ mmoroso, sigaretnom, apɔw-mu-teɛteɛ a wɔnyɛ, ne nsa a wɔnom boro so. |
Dɛn ne yare yi ho sɛnkyerɛnne? Hwɛ eyinom so yiye!
Sɛnea yɛadi kan aka no, mpɛn pii no, sɛnkyerɛnne biara nni hɔ wɔ mfiase. Nanso, bere a kokoram no kɔ so no, saa sɛnkyerɛnne ahorow yi betumi ada adi. Sɛ eyinom mu biako anaa nea ɛboro saa kɔ so a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
- Nsakrae a ɛba dwensɔtwaa mu su mu: akisikuru a ɛkɔ so daa anaasɛ akisikuru.
- Te a wobɛte nka sɛ yafunu no nnyaa mpan koraa: Te a wobɛte nka sɛ ɛsɛ sɛ woda so ara yi wo ho gu bere a woakɔ tiafi awie no.
- Mogya a ɛba akyi berɛmo mu: Mogya a ɛba bere a nsu fi mu anaasɛ enni mu.
- Nsakrae a ɛba sɛnea nsu no te: Nsu a ɛyɛ tratraa sen sɛnea ɛtaa ba, te sɛ pɛnsere.
- Yafunu mu yaw anaa ne ho nyɛ no dɛ: Nneɛma te sɛ yafunu mu akisikuru, yafunu mu a ɛyɛ den, ne nea ɛkeka ho.
- Mu duru a wɔtew so a ntease biara nnim.
- Ɔbrɛ ne mmerɛwyɛ: Ebia eyi fi mogya a ɛtɔ kɔ nipadua mu.
- Sɛ wote nka sɛ akisikuru bi wɔ yafunu anaa akyi berɛmo mu.
Ɔkwan bɛn so na wobetumi ahu yare no? (Nyare a Wɔahu) .
Wo duruyɛfo bebisa wo yare no ho sɛnkyerɛnne na wayɛ wo nipadua mu nhwehwɛmu. Afei, ebia wɔbɛyɛ nhwehwɛmu ahorow yi mu biako anaa nea ɛboro saa de ahu sɛ ebia wowɔ kokoram anaa polyps anaa.
- Colonoscopy: Eyi ne sɔhwɛ a wɔahyɛ da ayɛ na eye sen biara. Wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri (colonoscope) wom fa akyi berɛmo no mu de hwehwɛ dwensɔtwaa kɛse no nyinaa mu. Sɛ wohu polyps a, wobetumi ayi afi hɔ bere koro mu na wɔafa nhwɛsode ketewaa bi (biopsy) de ayɛ nhwehwɛmu.
- Sigmoidoscopy: Ɛte sɛ colonoscopy, nanso wɔhwehwɛ akyi berɛmo ne dwensɔtwaa kɛse no fã a etwa to nkutoo.
- Nsuo mu Sɔhwɛ:Nhwehwɛmu ahorow bi wɔ hɔ a ɛhwehwɛ mogya a aniwa nhu wɔ nsu mu (FIT, gFOBT) ne nhwehwɛmu ahorow a ɛhwehwɛ awosu mu nsakrae (DNA) wɔ kokoram nkwammoaa mu. Sɛ eyinom hu mogya anaa nneɛma afoforo a ɛnteɛ a, wɔbɛhyɛ sɛ wɔnyɛ wɔn akyi berɛmo mu nhwehwɛmu akyi.
- CT colonography: Eyi yɛ `CT scan` sɔhwɛ titiriw bi. Wɔsan frɛ no `Virtual colonoscopy`.
Dɛn ne ayaresa ahorow no?
Sɛ wohu sɛ wowɔ kokoram a, ayaresa no gyina nneɛma pii so. Wo duruyɛfo no besusuw nneɛma te sɛ kokoram no fã ne w’akwahosan nyinaa ho na ama wahu ayaresa a eye sen biara ma wo.
1. Oprehyɛn a wɔyɛ
Wobetumi ayi akisikuru nketenkete ne polyps a ɛwɔ mfiase no afi hɔ bere a wɔreyɛ colonoscopy no. Sɛ kokoram no atrɛw kakra a, wɔyɛ oprehyɛn yi saa akyi berɛmo no fã (partial colectomy).
2. Nnuru a wɔde sa yare
Eyinom yɛ nnuru a wɔde ma de kum kokoram nkwammoaa anaasɛ ɛmma ɛntrɛw. Wɔde saa ayaresa yi ma de kum kokoram nkwammoaa biara a ebetumi aka wɔ oprehyɛn akyi, anaasɛ wɔde tew akisikuru no so ansa na wɔayɛ oprehyɛn.
3. Mframa a Wɔde Yɛ Ayaresa
Nea ɛka eyi ho ne sɛ wɔde mframa a ahoɔden wom kɛse (te sɛ X-ray) bedi dwuma de asɛe kokoram nkwammoaa. Wɔtaa de saa ayaresa yi di dwuma ma kokoram a ɛwɔ akyi berɛmo mu.
4. Ayaresa a Wɔde Si N’ani So
Nea ɛka eyi ho ne nnuru a wɔde si awosu mu nkwaadɔm anaa protein pɔtee bi a ɛwɔ kokoram nkwammoaa mu a ɛrempira nkwammoaa a ɛteɛ no ma.
5. Nnuru a ɛko tia nyarewa
Eyi yɛ ayaresa a ɛyɛ anigye yiye. Nea woyɛ wɔ ha ne sɛ wobɛkanyan wo nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa no na woama ako atia kokoram nkwammoaa.
6. Ɔhwɛ a Wɔde Ma Wɔn Ho Dwudwo
Ɛnyɛ botae no ne sɛ wɔbɛsa kokoram no, na mmom sɛ wobedi ɛyaw, ɔhaw, ne sɛnkyerɛnne afoforo a kokoram no de ba no so, na wɔama ɔyarefo no anya asetra a eye sen biara.
Dɛn na yebetumi ayɛ de asiw kokoram ano?
Eyi ne ɔfã a ɛho hia sen biara. Sɛ yɛsakra yɛn asetra kwan a, ebetumi atew asiane a ɛwɔ hɔ sɛ yebenya kokoram yi so kɛse.
- Aduan pa: Di nhabannuru, nnuaba, ne atoko a ahoɔdennuru wom pii. Tew nam kɔkɔɔ ne nam a wɔayam (te sɛ soseji) a wudi so.
- Apɔw-mu-teɛteɛ: Anyɛ yiye koraa no, teɛteɛ w’apɔw mu simma 150 dapɛn biara. Nantew, mmirikatu, anaa sakre so a wobɛtra yɛ nneɛma pa a wubetumi apaw.
- Kura mu duru a ɛfata mu: Kɛse mmoroso yɛ ade a ɛde kokoram pii ba.
- Sigaretnom ne nsa: Ɛyɛ papa sɛ wubegyae saa suban abien yi nyinaa koraa.
- Nhwehwɛmu: Eyi ho hia yiye. Mpɛn pii no, wɔ mfe 45-50 akyi no, wɔn a wonni asiane mu mpo kɔ so nya biƐsɛ sɛ wɔsɔ wo hwɛ. Ɛyɛ papa sɛ wɔbɛyɛ colonoscopy mfe 10 biara. Sɛ wowɔ asiane ahorow a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wobɛyɛ nhwehwɛmu ntɛm na woayɛ no mpɛn pii.
Nkrasɛm a Wɔde Kɔ Fie
- Kokoram a ɛwɔ akyi berɛmo mu yɛ yare a "ɛyɛ komm" a mpɛn pii no ɛnkyerɛ ne sɛnkyerɛnne wɔ ne mfiase.
- Mmu w’ani ngu sɛnkyerɛnne ahorow te sɛ nsakrae a ɛba wo dwensɔtwaa mu, mogya a ɛba nsu mu, anaa yafunu mu yaw a ɛkɔ so daa so da . Kɔ oduruyɛfo nkyɛn ntɛm ara.
- Nhwehwɛmu a wɔyɛ no bere ano, titiriw bere a wɔadi mfe 45-50 akyi no, betumi ahu na wɔayi polyps ansa na abɛyɛ kokoram.
- Sɛ wohu kokoram yi ntɛm a, wobetumi asa koraa. Enti nsuro anaa n’ani nnwu, hu eyi, na wo ne wo duruyɛfo nkasa.
- Asetra pa (aduan pa, apɔw-mu-teɛteɛ) betumi atew asiane no so.
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