Èse ‘colon polyps’ ŋkɔ kpɔa? Ðewohĩ wò ɖɔkta yɔ wo, alo ɖewohĩ èse nya sia le teƒe bubu. Enye nusi sɔ kura be nàtsi dzi vie ne èse nya sia, gake ne ènya nu tso eŋu nyuie la, àte ŋu akpɔ ɖokuiwò ta tso lãmesẽnya veviwo me. Egbea, mina míaƒo nu tso esia ŋu gaglãa eye míaƒo nu tso eŋu bɔbɔe abe Nirogi Lanka nutoa me tɔwo ƒe akpa aɖe ene.
Nuka tututue nye Colon Polyps?
Kpuie ko la, esiawo nye lãmeka suesuesue siwo tsina ɖe wò dɔgbo ƒe akpa si le eme (dɔgbo gã) la dzi. Bu wo abe ŋutigbalẽ ƒe dzesi sue aɖe si le wò nuɖuɖumeŋusẽ me ene. Nu siawo dometɔ geɖe megblẽa nu le ame ŋu o. Gake ne womewɔ atike na polyp ƒomevi aɖewo o ɣeyiɣi didi aɖe la, ate ŋu ava zu dɔgbo me kansa.
Esia tututu tae ɖɔktawo kafui be woaɖe tsitsi siawo ɖa ne wonya de dzesi wo ko.
Wobɔ ŋutɔ; wobu akɔnta be ame tsitsi 15% va ɖo 40% ate ŋu axɔ wo le ɣeyiɣi aɖe me. Afɔkua lolo vie le ŋutsuwo kple amesiwo xɔ wu ƒe 50 gome.
Nukatae wowɔa nu? Amekawoe le afɔku me?
Zi geɖe la, domenyiŋusẽfianu ƒe tɔtrɔ le wò lãmenugbagbeviwo me tae polyp siawo dzɔna. Ðɔktawo gale numekuku wɔm tso nusiwo tututu he tɔtrɔ siawo vɛ ŋu.
Togbɔ be ame sia ame ate ŋu axɔ wo hã la, nu aɖewo ate ŋu ana wò afɔkua nadzi ɖe edzi. Kpɔe ɖa be nusiwo gbɔna dometɔ aɖe ku ɖe ŋuwò hã:
- Ƒome ŋutinya: Ne ƒomea me tɔ aɖe xɔ dɔgbo me dɔdzẽ alo dɔgbo me dɔdzẽ kpɔ .
- Ƒe si nèxɔ: Èxɔ ƒe 50 alo wu nenema.
- Kpekpeme: Lolo akpa ( BMI wu 25) alo lolo akpa (BMI wu 30).
- Sigaretnono .
- Ahanono (vevietɔ gbesiagbe zazã vevie).
- Nuɖuɖu: Nuɖuɖu si me ami sɔ gbɔ ɖo eye fibre mesɔ gbɔ ɖe eme o.
- Ame ŋutɔ ƒe ŋutinya si ku ɖe polyp alo dɔgbo me kansa ŋu va yi.
- Dɔgbo ƒe dɔléle si naa dɔdzẽ abe `(Ulcerative Colitis )` alo `(Crohn ƒe dɔléle)` ene ƒe amesinɔnɔ.
- Suklidɔ Ƒomevi 2 si dzi womekpɔ nyuie o .
- Agbenɔnɔ si me wonɔa anyi kpoo eye womewɔa kamedede boo aɖeke o.
Gakpe ɖe eŋu la, domenyiŋusẽfianu ƒe nɔnɔme aɖewo siwo mebɔ o abe `(Familial Adenomatous Polyposis – FAP)` alo `(Lynch syndrome)` ate ŋu ana wò afɔkua nadzi ɖe edzi ŋutɔ. Ne nɔnɔme siawo le wò ƒomea me la, ele vevie ŋutɔ be nàdzro esia me kple wò ɖɔkta.
Ðe nuɖuɖu wɔa akpa aɖea?
Ẽ, vaseɖe afi aɖe. Numekukuwo ɖee fia be ne èɖo seɖoƒe na nusiwo gbɔna la, ate ŋu akpe ɖe ŋuwò nàɖe wò afɔkua dzi akpɔtɔ:
- Lã siwo ŋu wotrɔ asi le (le kpɔɖeŋu me, soseti, bacon).
- Lã dzĩwo (le kpɔɖeŋu me, nyilã, haƒoƒo).
- Nuɖuɖu siwo me ami sɔ gbɔ ɖo (le kpɔɖeŋu me, nusiwo wofli nyuie).
Ðe polyp ƒomevi vovovowo lia?
Ẽ, menye polypwo katãe sɔ o, eye menye wo katãe nye kansa o. Ðɔktawo daa wo ɖe hatsotsowo me ne wodo wo kpɔ le nusuekpɔmɔ̃ me vɔ. Mina míalé ŋku ɖe ƒomevi veviawo ŋu:
| Polyp Ƒomevi | Numeɖeɖe Kple Eƒe Vevienyenye |
|---|---|
| Adenomatous polyps ƒe ƒuƒoƒo | Esiae nye ƒomevi si bɔ wu (anɔ abe 70%). Dɔgbo me kansa akpa gãtɔ dzea egɔme abe esia ene, togbɔ be zi geɖe la, exɔa ƒe geɖe hafi wozua kansa hã. |
| Polyps siwo me aŋgbawo le | Wotsɔ ŋkɔ na wo le woƒe dzedzeme si le abe aŋe ƒe aɖu ene ta. Wobua amesiawo dometɔ aɖewo be wodo ŋgɔ na kansa eye woate ŋu atrɔ azu kansa. |
| Hyperplastic polyp siwo wotsɔa lãgbalẽ wɔe | Zi geɖe la, esiawo nɔa sue eye afɔku si le wo me be woaxɔ kansa la medea ame dzi kura o. Zi geɖe la, womenyea nusiwo ŋu woatsi dzi ɖo vevie o. |
| Dzoxɔxɔ ƒe polyps | Esiawo menye dɔdzẽ vavãwo o ke boŋ wonye dɔdzẽ si nɔa anyi didi le dɔgboa me ƒe ŋuɖoɖo. Wometrɔna zua kansa o. |
Aleke woƒe dzedzeme le?
Ðɔktawo nɔa te ɖe woƒe lolome kple nɔnɔme dzi daa woƒe sesẽme si ate ŋu adzɔ la kpɔ:
- Agbɔsɔsɔme: Zi geɖe la, zi alesi polyp la loloe la, zi nenemae kansa ƒe afɔkua dzina ɖe edzii.
- Nɔnɔme: Wo dometɔ aɖewo le gbadzaa ɖe dɔgboa ƒe gli ŋu (`(Sessile)`), gake bubuwo tsina ɖe atikutsetse aɖe dzi abe lãmi ene (`(Pedunculated)`). Zi geɖe la, woɖea polyp siwo ƒe alɔwo le bɔbɔe wu.
Nukawoe nye dzesiawo?
Esiae nye akpa vevitɔ kekeake: Le go geɖe me la, dɔgbo me dɔdzẽ meɖea dzesi aɖeke fiana kura o! Ðewohĩ mànya gɔ̃ hã be wole ye si o vaseɖe esime woke ɖe wo ŋu le dodokpɔ si wowɔna edziedzi me.
Gake ame aɖewo ate ŋu ato nusiwo gbɔna me:
- Ʋu si le dodom le dɔgboa me: Ne ède dzesi ʋu le nugododeƒe alo le tissue paper dzi la, ate ŋu afia be ʋu le dodom le dɔgboa me.
- Tɔtrɔ le aɖuɖɔ ƒe amadede ŋu: Aɖuɖɔ si dze abe yibɔ alo fli dzĩ ene ate ŋu afia be ʋu le eme.
- Tɔtrɔ siwo vaa dɔgbo ƒe nɔnɔmewo me: Aɖuɖɔtoe alo aɖuɖɔtoe si nɔa anyi didi wu kwasiɖa ɖeka.
- Ƒodo ƒe vevesese alo ƒodo ƒe ʋuʋu.
- Ðeɖiteameŋu alo gbɔgbɔtsixetsixe: Ʋu si dona le ame ŋu atraɖii, si mebɔ o tso polyps me ate ŋu ana iron nagbɔdzɔ eye ʋu nasɔ gbɔ ɖe lãme na ame.
Ne ède dzesi dzesi siawo dometɔ aɖe la, taflatse yi ɖɔkta gbɔ enumake. Ne èse veve vevie alo ʋu le dodom le wò dɔgboa me vevie la, te ɖe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ alo yi dɔwɔƒe si te ɖe ŋuwò enumake.
Vevietɔ: Ne èkpɔ dzesi siawo la, mefia kokoko be dɔgbo me dɔdzẽ le ŋuwò o. Nɔnɔme bɔbɔe bubuwo abe ʋusisi ene hã ate ŋu anye nusi gbɔ wòtso. Ke hã, ele vevie ŋutɔ be nàbia wò ɖɔkta enumake be nànya nusi tututu gbɔ wòtso. Taflatse mègahe atikewɔlawo ƒe aɖaŋuɖoɖo didi ɖe megbe o.
Aleke wokpɔa nusiawo dzea sii hewɔa nu ɖe wo ŋui?
De dzesii kabae nye mɔ nyuitɔ kekeake si dzi woato axe mɔ ɖe dɔdzẽ si le dɔgboa me nu. Dodokpɔmɔnu geɖe li na esia wɔwɔ.
| Dodokpɔ | Nusi wòlɔ ɖe eme |
|---|---|
| Dɔgbomeŋutinunya (Colonoscopy) ƒe dɔwɔwɔ | Esiae nye "Sika ƒe Dzidzenu." Ne wole alɔ̃ dɔm na wò la, wozãa mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ le tsɔ léa ŋku ɖe wò dɔgbo bliboa ŋu. Ne wokpɔ polyps la, zi geɖe la, woate ŋu aɖe wo le dɔwɔwɔ ma ke me. Emegbe woɖoa lãkusia ɖa be woaɖe lãmenugbagbeviwo ɖa be woatsɔ akpɔe ɖa be kansa lãmenugbagbeviwo le eme hã. |
| Virtual Colonoscopy (CT Dɔdzẽ Ŋuti Nusɔsrɔ̃) . | Esia zãa CT scan mɔ̃ɖaŋununya. Womedea mɔ̃ aɖeke ŋutilãa me o. Gake womate ŋu aɖe polyps ɖa le dodokpɔ sia me o; ne woke ɖe wo ŋu la, ahiã be woawɔ dɔ na wò le dɔgboa me hafi woaɖe wo ɖa. |
| Sigmoidoscopy si te ŋu trɔna bɔbɔe | Eɖi dɔgbomekpɔkpɔ, gake esia ku ɖe dɔgboa ƒe akpa si le ete la me dzodzro ŋu koŋ. |
| Aɖuɖɔ Dodokpɔwo | Dodokpɔwo abe FIT/FOBT ene léa ŋku ɖe ʋu ƒe dzesi suesuesue siwo le aɖuɖɔ me ŋu. Ne dodokpɔ siawo ɖee fia be dɔlélea le ŋuwò la, ahiã godoo be woawɔ dɔ na wò le dɔgboa me akplɔ wò ɖo. |
Atikewɔwɔ bia be woaɖe tsitsia ɖa, si woyɔna be Polypectomy . Le go geɖe me la, wowɔa esia vevesesemanɔmee le dɔgbome dodokpɔ me. Ne wonya ɖe polyp la ɖa keŋkeŋ ko la, afɔku si li be wòagadzɔ ake la mebɔ o. Gake esi wònye be àte ŋu axɔ polyp yeyewo bɔbɔe ta la, ele vevie be nàtrɔ ayi ɖawɔ dodokpɔ siwo akplɔ wò ɖo abe alesi wò ɖɔkta kafui ene (le kpɔɖeŋu me, ƒe 3-5 ɖesiaɖe).
Aleke nàwɔ axe mɔ ɖe wo nu?
Togbɔ be màte ŋu aɖu domenyiŋusẽfianu dzi o hã la, agbe nyui nɔnɔ ate ŋu aɖe wò afɔkua dzi akpɔtɔ ŋutɔ.
- Ðu nuɖuɖu si me atikutsetsewo, amagbewo, kple fibre sɔ gbɔ ɖo (abe gbe, lãmi, kple koklozi ene).
- Ne èlolo akpa la, dze agbagba nàlé wò lolome si sɔ me ɖe asi.
- Ðe lã dzĩ, lã siwo ŋu wotrɔ asi le, kple nuɖuɖu siwo me ami sɔ gbɔ ɖo ɖuɖu dzi kpɔtɔ.
- Ƒo ɖokuiwò ɖe kamedede edziedzi me.
- Ƒo asa na atamanono kple ahanono fũu akpa.
- Ƒo nu kple wò ɖɔkta be nàkpɔ egbɔ be yele calcium kple Vitamin D agbɔsɔsɔme si sɔ xɔm.
- Ne èxɔ wu ƒe 50, alo ƒome ŋutinya le asiwò la, bia wò ɖɔkta tso dodokpɔ ƒe ɖoɖowɔɖi siwo sɔ ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Dɔgbo me tsiwo bɔ eye woate ŋu akpɔ wo dzi, gake mele be woaŋe aɖaba aƒu wo dzi o.
- Zi geɖe la, polyps meɖea dzesi aɖeke fiana o, si tae dodokpɔ edziedzi ne èle tsitsim le vevie ŋutɔ ɖo.
- Dɔgbomekpɔkpɔ na woate ŋu ade dzesi polyps kple eɖeɖe enumake siaa.
- Agbenɔnɔ ƒe tɔtrɔ bɔbɔe ate ŋu akpe ɖe ŋuwò nàɖe wò afɔku dzi akpɔtɔ.
- Ne ède dzesi dzesi aɖewo siwo ɖea fu na wò abe ʋu le wò aɖuɖɔ me ene la, mègatsi dzodzodzoe o, gake mègalala o— yi wò ɖɔkta gbɔ enumake.
Nirogi Lanka: Dɔgbo me polyps, dɔgbo me nukpɔkpɔ, ʋu le aɖuɖɔ me, ƒodo me vevesese, dɔgbo me dɔdzẽ
