Sɛ yɛte asɛmfua kokoram a, yɛn nyinaa suro kakra, ɛnte saa? Ɛno yɛ ade a ɛfata. Nanso kokoram ahorow bi wɔ hɔ a, sɛ yedi kan hu na yɛyɛ nhwehwɛmu a ɛho hia a, hokwan a ɛwɔ hɔ sɛ yɛbɛsa koraa no yɛ kɛse koraa. Ɛnnɛ yɛreka kokoram a ɛte saa biako ho asɛm. Ɛno ne kokoram a ɛba yɛn akyi berɛmo ne yɛn akyi berɛmo mu. Esiane sɛ eyi kɔ so nkakrankakra na ɛnna sɛnkyerɛnne atitiriw adi wɔ mfiase nti, ɛho hia yiye sɛ wuhu eyi.
Dɛn ne kokoram a ɛwɔ akyi berɛmo mu?
Sɛ yɛbɛka no tiawa a, eyi ne bere a nkwammoaa a ɛkata yɛn dwensɔtwaa anaa yɛn akyi berɛmo mu no fi ase nyin a wontumi nni so. Sɛ aduan a yedi no kɔ yafunu no mu na wɔtwe aduannuru no fi dwensɔtwaa ketewa no mu wie a, aduan a aka no kɔ dwensɔtwaa kɛse no mu. Ɛhɔ na nsu ne aduannuru a aka no twetwe na ɛyɛ poop (nsu). Wɔde saa poop yi sie bere tiaa bi wɔ akyi berɛmo no mu ansa na afi nipadua no mu. Enti, saa afã abien yi ne baabi a kokoram yi ba.
Mpɛn pii no, saa kokoram ahorow yi fi ase sɛ akisikuru a "ɛyɛ komm". Ɛno kyerɛ sɛ ebia worenhu sɛnkyerɛnne biara kosi sɛ ɛbɛyɛ kɛse. Nanso nea eye sen biara ne sɛ nhwehwɛmu a ɛfata betumi ahu kokoram anaa tebea horow a edi kokoram anim yi ntɛm. Sɛ wohu a, wobetumi asa wɔn yare na wɔasa wɔn yare koraa mpo.
Ɔkwan bɛn so na kokoram yi nya? Dɛn ne polyps?
Ɛkame ayɛ sɛ kokoram a ɛwɔ akyi berɛmo mu nyinaa fi ase sɛ "polyps." Eyinom yɛ nnua nketenkete a ɛyɛ nam a enyin wɔ akyi berɛmo no fasu no mu. Nanso kae sɛ ɛnyɛ polyps nyinaa na ɛyɛ kokoram.
Polyps ahorow atitiriw abien na ɛwɔ hɔ:
- Hyperplastic ne inflammatory polyps: Mpɛn pii no, eyinom nsakra kokoram. Nanso ɛtɔ mmere bi a sɛ wɔyɛ akɛse, titiriw wɔ akyi berɛmo no nifa so a, oduruyɛfo betumi akamfo akyerɛ sɛ wonyi mfi hɔ.
- Adenomas anaa adenomatous polyps: Eyinom yɛ nneɛma a edi kokoram anim . Sɛ wɔansa wɔn yare a, bere kɔ so no, wobetumi anya kokoram kɛse.
Ɛno nti na nnuruyɛfo yɛ nhwehwɛmu daa de hwɛ sɛ ebia polyps te sɛ eyinom wɔ hɔ na sɛ ɛwɔ hɔ a, woyi fi hɔ no.
Nneɛma bɛn na ɛma asiane a ɛwɔ hɔ sɛ obi benya kokoram yi yɛ kɛse?
Ɛwom sɛ obiara betumi anya saa kokoram yi de, nanso nnipa binom wɔ asiane mu kakra. Asiane no kɔ soro titiriw wɔ mfe 45-50 akyi. Hwɛ pon a ɛwɔ ase ha no mu hwɛ sɛ wowɔ asiane ahorow yi bi anaa.
| Asiane a ɛde ba | Nkyerɛmu |
|---|---|
| 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 wɔayam (soseji, bacon) a wobedi dodo. |
| Ayaresa mu tebea afoforo | Sɛ obi wɔ dwensɔtwaa mu yare a ɛma obi ho hyehye no (IBD) te sɛ Crohn yare anaa akisikuru a ɛma obi ho kyere no. |
| Agyapade mu gyinabea | Awosu mu tebea horow te sɛ FAP (Familial Adenomatous Polyposis) anaa HNPCC. |
| Asetra kwan | Kɛse mmoroso, sigaretnom, apɔw-mu-teɛteɛ a wɔnyɛ, nsa a wɔnom boro so. |
| Nyarewa afoforo | Asikreyare a ɛto so abien a obi wɔ. |
Dɛn ne kokoram yi ho sɛnkyerɛnne?
Sɛnea yɛadi kan aka no, ebia sɛnkyerɛnne biara nni hɔ wɔ mfiase no mu. Nanso, bere a kokoram no kɔ so no, sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa betumi ada adi.
Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛnkyerɛ sɛ wowɔ kokoram. Ntease afoforo a ɛnyɛ den nso betumi de aba. Nanso, sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu.
| Nsɛnkyerɛnne a ɛkyerɛ | Kyerɛ |
|---|---|
| Nsakrae a ɛba tiafi ho su mu | Akisikuru anaa akisikuru a ɛkɔ so daa. |
| Mogya a ɛba akyi berɛmo mu | Mogya a ɛtwam a nsuo ka ho anaasɛ enni mu bere a wɔrekɔ tiafi no. Ebia nsu a wɔde gu mu no kɔla yɛ tuntum tuntum anaa kɔkɔɔ tuntum. |
| Yafunu mu a ɛyɛ mmerɛw | Yafunu mu yaw a ɛkɔ so tra hɔ, ne ho a ɛyɛ hyew, anaasɛ ɔte nka sɛ ɛyɛ ma. |
| Mu duru a ɛso tew | Mu duru a wɔtew so a ntease biara nnim. |
| Ɔbrɛ ne ɔbrɛ | Ɔbrɛ kɛse a wɔte nka bere nyinaa. Eyi fi mogya a ɛtɔ kɔ nipadua mu. |
Ɔkwan bɛn so na oduruyɛfo hu yare yi?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo yare no ho sɛnkyerɛnne na wayɛ wo nipadua mu nhwehwɛmu. Afei, wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu yi biako anaa nea ɛboro saa de si so dua sɛ wɔahu yare no.
- Nsuo mu Nhwehwɛmu: Sɔhwɛ a wɔde hwɛ sɛ mogya a aniwa nhu wɔ nsuo mu anaa.
- Colonoscopy: Eyi ne nhwehwɛmu a eye sen biara na ɛyɛ pɛpɛɛpɛ sen biara. Wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri abata ho fa akyi berɛmo no mu de hwehwɛ akyi berɛmo no nyinaa mu. Sɛ polyps wɔ hɔ a, wobetumi afa ketewaa bi bere koro mu de ayɛ biopsy, na wobetumi ayi polyps bi afi hɔ koraa.
- Sigmoidoscopy: Ɛte sɛ colonoscopy, nanso wɔhwehwɛ dwensɔtwaa kɛse no fã a etwa to nkutoo mu.
- CT Scan: Saa nhwehwɛmu yi boa ma wohu sɛ kokoram no atrɛw wɔ akyi berɛmo no akyi anaa.
Dɛn ne ayaresa ahorow no?
Ayaresa a wobetumi apaw no gyina beae a kokoram no wɔ, baabi a atrɛw akodu (ɔfã), ne ɔyarefo no akwahosan nyinaa so. Wo duruyɛfo no ne wo bɛka ayaresa nhyehyɛe a eye sen biara ama wo ho asɛm.
Sɛɛgyiri
Eyi ne ayaresa titiriw. Wɔde oprehyɛn yi akyi berɛmo no fã a kokoram no wɔ ne ntini a atwa ho ahyia no. Kokoram a ɛba mfiase no, oprehyɛn nkutoo na wobetumi asa koraa.
Nnuru a wɔde sa yare
Eyinom yɛ nnuru a wɔde ma de kum kokoram nkwammoaa. Wɔde ma sɛ wɔmfa ntew akisikuru no so ansa na wɔayɛ oprehyɛn, anaasɛ wɔde kum kokoram nkwammoaa biara a ebetumi aka wɔ oprehyɛn akyi. Wɔyɛ ayaresa titiriw nso bere a kokoram no atrɛw no.
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 ka nnuru a wɔde sa kokoram a ɛwɔ akyi berɛmo mu no ho.
Targeted Therapy ne Nkwammoaa a Ɛko Tia Nyarewa
Eyinom yɛ ayaresa foforo koraa a ɛde n’ani si kokoram nkwammoaa so titiriw bere a ɛnsɛe nkwammoaa a ɛteɛ no kɛse, anaasɛ ɛkanyan yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no ma ɛko tia kokoram.
Dɛn na ɛsɛ sɛ wɔyɛ na wɔasiw kokoram ano ne bere a wɔasa no yare awie no?
Sɛ wɔwie ayaresa wie mpo a, ɛho hia paa sɛ wobɛkɔ wo duruyɛfoɔ nkyɛn akɔyɛ nhwehwɛmu a ɛdi akyire wɔ nhyehyɛeɛ a wɔyɛ no daa mu. Eyi bɛboa wo ma woahu ntɛm sɛ kokoram no asan aba bio anaa.
Afei nso, nneɛma pii wɔ hɔ a yebetumi ayɛ de abɔ yɛn ho ban afi kokoram yi ho:
- Aduan a ahoɔden wom: Di nhabannuru, nnuaba, ne nhabannuru a ahoɔdennuru wom pii. Tow nam kɔkɔɔ ne nam a wɔayɛ ho adwuma ano hye.
- Apɔw-mu-teɛteɛ: Fa wo ho hyɛ apɔw-mu-teɛteɛ a ɛma fifiri mu anyɛ yiye koraa no simma 30, anyɛ yiye koraa no nnafua 5 dapɛn biara.
- Kura mu duru a ɛfata mu: Kɛse mmoroso yɛ ade titiriw a ɛde kokoram ba.
- Gyae sigaretnom ne nsanom: Ne nyinaa ma asiane a ɛwɔ hɔ sɛ wubenya kokoram no yɛ kɛse.
- Yɛ nhwehwɛmu wɔ mfe a ɛfata mu: Mpɛn pii no ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa nhwehwɛmu te sɛ colonoscopy a wobɛyɛ wɔ mfe 45 akyi ho.Sɛ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ asiane bi wɔ hɔ a, ebia ebehia sɛ wufi ase yɛ nhwehwɛmu ntɛm mpo.
Nkrasɛm a Wɔde Kɔ Fie
- Ebia kokoram a ɛwɔ akyi berɛmo mu no renkyerɛ sɛnkyerɛnne ahorow wɔ ne mfiase, enti ntwɛn.
- Sɛ nsakrae a ɛkɔ so wɔ wo tiafi mu, mogya a ɛwɔ wo nsu mu, anaasɛ wo mu duru so tew a wontumi nkyerɛkyerɛ mu a, .Kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Sɛ obi a ɔwɔ w’abusua mu anya kokoram yi a, ka ho asɛm kyerɛ wo duruyɛfo. Ebia wobɛpɛ sɛ wufi ase yɛ nhwehwɛmu bere a woadi ntɛm.
- Sɛ obi di mfe 45 akyi a, nhwehwɛmu a wɔyɛ no daa no betumi ahu na wɔayi polyps a edi kokoram anim no afi hɔ na wɔahu kokoram ntɛm.
- Wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya kokoram yi so denam asetra pa a wobɛtra so.











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