Àdi be yeanya nu geɖe tso wò dɔgbo me dɔlékuiwutikewo ŋua? Mègavɔ̃ o, na míaƒo nu!

Mí katã míedi be míanɔ lãmesẽ me, alo? Gake ɣeaɖewoɣi la, nuwo ate ŋu adzɔ le míaƒe ŋutilã me le míaƒe manyamanya me. Wò dɔgbo, si nye dɔgbo gã si me nuɖuɖu si míeɖuna le kple gbeɖuɖɔ siwo míegblẽna ɖe megbe la ate ŋu adzi tsitsi suesuesuewo le ememe ɣeaɖewoɣi. Emae nye nusi ɖɔktawo yɔna be `(Colon Polyps)`. Mègavɔ̃ ne èse ŋkɔ sia o, enyoa? Elabena polyp siawo ƒe akpa gãtɔ megblẽa nu le ame ŋu o. Gake ƒomevi aɖewo li siwo ate ŋu atrɔ azu kansa ne womewɔ atike nɛ ɣeyiɣi didi o. Esia tae wòle vevie ŋutɔ be mí katã míanya nu tso `(Colon Polyps)` siawo ŋu.

Eyata nukae nye dɔgbo me dɔlékui siawo?

Kpuie ko la, `(Colon Polyps)` siawo nye lãmenugbagbeviwo ƒe tsitsi si mesɔ o siwo dzɔna ɖe wò dɔgbo gã ƒe gli ememetɔ dzi, si nye mucous lining. Wole abe dɔdzẽ sue aɖe ene. Woate ŋu adze egɔme abe lãmenugbagbevi ɖeka ene eye vivivi la, woalolo ɖe edzi. Polyp siawo ate ŋu adzɔ le míaƒe ŋutilã ƒe akpa bubuwo hã, le kpɔɖeŋu me, le dɔgbo, ŋɔti, alo nyɔnuwo ƒe vidzidzi ƒe ɖoɖoa me.

Nu vevitɔe nye be, esi polyp siawo le ŋuwò ta la, mefia be kansae wonye o. Gake zi geɖe la, dɔdzẽ si le dɔgboa me dzea egɔme tso polyp abe esia ene dzi. Esia tae ɖɔktawo dia polyp siawo le dɔgbomekpɔkpɔ me eye woɖea wo ɖa ne wole nenema.

Ðe polyp ƒomevi vovovowo lia? Aleke woto vovoe?

Ẽ, polyp ƒomevi vovovowo li siwo dzɔna le dɔgboa me. Ðɔktawo nɔa te ɖe nu vevi eve dzi daa wo ɖe hatsotsowo me.

Ðekae nye alesi polyp la le .

• Polyp aɖewo li siwo le abe lãmi sue siwo mie ene. Ema fia be atikutsetse sue aɖe le wo si eye ta le edzi. Woyɔa esiawo be ``Pedunculated`` polyps.
• Ƒomevi bubue nye tsitsi gbadza si le abe ƒunukpeƒe ene si léna ɖe dɔgboa ƒe gli ŋu eye atikutsetse aɖeke mele eŋu o. Woyɔa esiawo be ``Sessile`` polyps.

Mɔ bubue nye to nusuekpɔmɔ̃ ƒe nɔnɔme siwo le polyp siawo me dzi. Eyae nye be, to alesi wowɔ lãmenugbagbeviawoe dzi. Alesi lãmenugbagbevi siawo tsinae ye afia nenye be polyp ate ŋu atrɔ azu kansa alo mate ŋu atrɔ o. Eyata kansa ƒe ŋutete si le polyp ƒomevi ɖesiaɖe ŋu la to vovo.

Polyp ƒomevi vevi siwo wokpɔ la dometɔ aɖewoe nye esi:

• Adenomatous polyps (adenomas): Esiawoe nye esiwo bɔ wu. Esiawo ƒe hatsotso suewo hã li:
• Tubular adenomas (Adenoma siwo le ʋukawo me).
• Adenomas siwo me lãkusiwo le
• Tubulovillous adenomawo ƒe ƒuƒoƒo
• Serrated polyps: Esiawo ƒomevi vovovowo hã li.
• Hyperplastic polyp siwo wotsɔa lãgbalẽ wɔe
• Sessile serrated abi siwo ŋu abi le
• Adenomas siwo ƒe aŋgbawo le blema
• Hamartomas (juvenile polyps): Zi geɖe la, sɔhɛwo ŋue wokpɔa esiawo le.
• Inflammatory polyps (alo pseudopolyps): Esiawo menye polyps ŋutɔŋutɔ o, míaƒo nu tso ema ŋu emegbe.

Polyps ƒe hatsotsowo me toto le kansa ƒe afɔku nu: Neoplastic kple Non-neoplastic

Esiae nye hatsotso vevitɔ kekeake. ``Neoplastic`` polyps nye ƒomevi siwo ateŋu azu kansa. ``Non-neoplastic`` polyps nye ƒomevi siwo menye (alo woƒe mɔnukpɔkpɔ le sue ŋutɔ) be woazu kansa o.

• (Neoplastic) polyps ( kansa ƒe afɔku ):
• Adenomatous polyps (Adenomas) katã .
• Sessile serrated abi siwo ŋu abi le
• Adenomas siwo ƒe aŋgbawo le blema

• (Non-neoplastic) polyps (kansa ƒe afɔku mele eme o/afɔku aɖeke mele eme o):
• Hyperplastic polyp siwo wotsɔa lãgbalẽ wɔe
• Ðeviwo ƒe polyp (Hamartomas) .
• Dzoxɔxɔ ƒe pseudopolyps

Aleke gbegbee dɔgbo me dɔlékui siawo bɔe?

Le nyateƒe me la, esia nye nɔnɔme si bɔ wu alesi nàsusui, vevietɔ ne èle tsitsim. Le mama dedie nu la, ame tsitsi siwo ade 20%, alo abe ɖeka le atɔ̃ ɖesiaɖe me, ate ŋu akpɔ polyp siawo. Le amesiwo xɔ wu ƒe 50 gome la, amesiwo ade 40%, alo abe ene le ewo ɖesiaɖe me, ate ŋu axɔ nɔnɔme sia. Megawɔ nuku o, ɖevi aɖewo hã xɔa wo, wo dometɔ siwo ade 6%. Ame sia ame, eɖanye ameƒomevi, subɔsubɔha, alo ŋutsu alo nyɔnu o, ate ŋu axɔ polyp siawo kple dɔgbo me kansa. Nɔnɔme sia bɔ ɖe Ɣetoɖoƒedukɔwo me vie.

Dɔgbo me polyp nenie va zua kansa?

Nusiwo gɔme wòle be nàse lae nye esi. Polyp ƒomevi geɖe ate ŋu azu kansa. Esia tae ɖɔktawo ɖea wo le dɔgboa me toto me. Gake ame ʋɛ aɖewo koe va zua kansa ŋutɔŋutɔ. Azɔ hã, exɔa ɣeyiɣi didi hafi polyp va zua kansa. Esia tae wòle vevie be woado dɔgboa kpɔ edziedzi eye woaɖe polyp siawo ɖa hafi woazu kansa.

Ne míagblɔe gbadzaa la, dɔgbo me kansa siwo ade 75% dzea egɔme abe adenomatous polyps ene. Azɔ hã, polyp siwo katã wokpɔ la ƒe 80% lɔƒo nye adenomas. Gake adenoma siawo dometɔ siwo ade 5% koe va zua dɔléle vɔ̃ɖi ŋutɔŋutɔ. Wobu akɔnta be polyp si bɔ la ƒe afɔku nye 8% be wòazu kansa le ƒe 10 me eye afɔku 24% le ƒe 20 me.

Nukae nye dɔgbo me ʋu ƒe sisi ƒe dzesiwo?

Afisiae wòtɔtɔna vie le. Zi geɖe la, polyp siawo meɖea dzesi aɖeke fiana o, togbɔ be wole afima hã.Ðewohĩ dɔgbo me dɔdzẽ maɖe dzesi aɖeke afia le eƒe gɔmedzedze o. Esia tae dodokpɔ siwo wowɔna tsɔ doa ame kpɔ le vevie ŋutɔ ɖo. Zi geɖe la, kaka dzesiawo nadze la, ɖewohĩ polyp la trɔ zu kansa xoxo.

Gake ƒã ŋutɔ la, dzesi siwo gbɔna ate ŋu ado mo ɖa:

• Ʋu le aɖuɖɔ me alo dzesi bubuwo: Ne ʋu le dodom le polyp ŋu la, àte ŋu akpɔ ʋu le wò aɖuɖɔ me alo ʋu anɔ wò nugododeƒegbalẽ dzi. Ɣeaɖewoɣi la, ʋua dona blewu ale gbegbe be màde dzesii gɔ̃ hã o. Gake le ɣeyiɣi aɖe megbe la, wò ŋutilã adze ede dzesii. Àte ŋu axɔ ʋusɔgbɔdɔ si me iron mele o , si ate ŋu ahe dzesiwo abe ɖeɖiteameŋu si gbɔ eme kple gbɔdzɔgbɔdzɔ ene vɛ.
• Tɔtrɔ siwo womeɖe o le dɔgbo ƒe nɔnɔmewo me: Ƒã hafi ame aɖewo ate ŋu axɔ aɖuɖɔtoe alo dɔgbo ƒe dɔmawɔmawɔ nyuie si nɔa anyi ɖaa zi ɖeka . Alo ate ŋu anye be tsi si le abe ʋuʋudedi ene si dona le woƒe aɖuɖɔ me la dzina ɖe edzi. Nu bubu geɖewo hã li siwo gbɔ dzesi siawo tsona tsɔ wu polyps. Gake anyo be nàyi ɖɔkta gbɔ, vevietɔ ne màte ŋu anya nusi gbɔ tɔtrɔa tso o.

Nu vevitɔ: Nunya le eme be nàƒo nu kple ɖɔkta eye nàwɔ dodokpɔ abe dɔgbomekpɔkpɔ ene le ƒe 45-50 xɔxɔ vɔ megbe (alo do ŋgɔ ne dɔléle sia dze wò ƒomea me) tsɔ wu be nàlala be dzesiawo nadze.

Nukatae míexɔa dɔgbo me dɔlékui siawo?

Zi geɖe la, polyp siawo dona ɣeaɖewoɣi. Eyae nye be, nusi gbɔ wòtso koŋ manɔmee. Gake ame aɖewo ate ŋu axɔ polyp siawo le domenyiŋusẽfianu ƒe dɔlélewo ta. Le nɔnɔme mawo me la, ate ŋu adzɔ be polyp gbogbo aɖewo nado eye kansa xɔxɔ ƒe afɔkua nadzi ɖe edzi.

Nuka koŋue hea polyps vɛ?

Nusi koŋ gbɔ wòtsoe nye domenyiŋusẽfianu ƒe tɔtrɔ . Kpuie ko la, ne míaƒe lãmenugbagbeviwo ma hewɔ lãmenugbagbevi yeyewo la, vodada suesuesuewo dzɔna le lãmenugbagbevi mawo ƒe domenyiŋusẽfianu me. Esi ŋutigbalẽ me lãmenugbagbeviwo, siwo dome dɔgboa hã le, le wo ɖokui yeyem ɣesiaɣi ta la, vodada siawo ate ŋu adzɔ bɔbɔe. Ne domenyiŋusẽfianu siawo trɔ la, ale si lãmenugbagbeviwo tsina hewɔa nui la trɔna.

Domenyiŋusẽfianu ƒe tɔtrɔ aɖewo tso ƒome me yi ƒome me (domenyiŋusẽ ƒe dɔlélewo). Edze abe bubuwo dzɔna le vome ene, gake nu geɖe li siwo ate ŋu atso wo gbɔ. Numekulawo xɔe se be domenyiŋusẽfianu hã gbɔe polyps siwo wowɔna le vome, kpakple afɔku siwo le nutoa me hã tsona.

Nukawoe nye nu bubu siwo hea polyps vɛ?

1. Domenyiŋusẽfianu:

Ne ƒometɔ kplikplikpli aɖe (dzila, nɔviwò, vi) xɔ polyps la, anɔ eme be àxɔe. Azɔ hã, domenyiŋusẽfianu aɖewo ate ŋu ahe polyps vɛ. Kpɔɖeŋu aɖewoe nye:

• Ƒome ƒe Adenomatous Polyposis (FAP) ƒe Dɔléle .
• Peutz-Jeghers ƒe dɔlélea
• MUTYH-si do ƒome kple polyposis
• Gardner ƒe dɔlélea
• PTEN hamartoma ƒe dɔdzẽ ƒe dɔléle
• Turcot ƒe dɔlélea
• Serrated polyposis ƒe dɔléle si nye Serrated polyposis ƒe dɔléle
• Ðeviwo ƒe polyposis ƒe dɔléle

2. Nutome Kple Agbenɔnɔ Ŋuti Nudzɔdzɔwo:

Esia fia nuwo abe nuto si me míele, míaƒe agbenɔnɔ ƒe nɔnɔmewo, kple bubuawo Esiawo ate ŋu akpɔ ŋusẽ ɖe polyps ƒe tsitsi hã dzi.

• Tsitsi: Afɔkua dzina ɖe edzi ne ame tsi.
• Sigaretnono.
• Ahanono fũu akpa.
• Nuɖuɖu si me ami sɔ gbɔ ɖo, si me fibre mesɔ gbɔ ɖo o: Lã dzĩ, lã siwo ŋu wotrɔ asi le, kple atikutsetse kple amagbe ʋɛ aɖewo ɖuɖu.
• Kamedede ƒe anyimanɔmanɔ.
• Amidada.
• Suklidɔ.
• Dɔgbo ƒe Dɔléle (IBD): Nɔnɔmewo abe Crohn ƒe dɔléle alo dɔgbo ƒe dɔléle ene.

Nya tɔxɛ: Dzoxɔxɔ ƒe aʋatso-polyps

Abe alesi míegblɔe va yi ene la, esiawo menye polyp “vavãtɔwo” siwo domenyiŋusẽfianu ƒe tɔtrɔ gbɔe wòtso o. Wotsoa abi siwo le dɔgboa me ƒe dɔyɔyɔ gbɔ, eye wogblẽa abi siwo le abe ŋutigbalẽ ƒe ʋuʋudedi ene ɖi. Dɔgbo ƒe dɔdzẽ (alo dɔgbo ƒe dɔléle) si nɔa anyi didie nye nu vevitɔ si gbɔ abi siawo tsona. Zi geɖe la, wodoa ƒome kple nɔnɔmewo abe dɔgbo ƒe dɔléle (IBD) ene. Wometrɔna zua kansa o.

Aleke ɖɔktawo wɔa ke ɖe polyp siawo ŋui?

Mɔ nyuitɔ kekeake si sɔ wu si dzi woato ake ɖe polyps le dɔgboa me ŋue nye dɔgbomekpɔkpɔ. Le esia me la, wotsɔa mɔ̃ si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ sue aɖe kple kekeli (colonoscope) le la toa aɖuɖɔtoea me eye wodoa dɔgbo bliboa kpɔna. Togbɔ be ``nɔnɔmetata dodokpɔ`` bubuwo ateŋu akpɔ polyps hã la, viɖe tɔxɛ si le ``colonoscopy`` ŋu enye be ateŋu ake ɖe polyps ŋu, aɖe wo ɖa le ɣeyiɣi ɖeka me, eye wòaxɔ kakɛ suewo hena dodokpɔ (biopsy).

Woɖoa lãmenugbagbevi siwo woɖe le mɔ sia nu la ɖe nudokpɔƒe eye dɔléleŋutinunyala aɖe doa wo kpɔ le nusuekpɔmɔ̃ me. Ema ko hafi míate ŋu anya polyp ƒomevi si tututu wònye kple ne kansa lãmenugbagbeviwo le eme.

Dɔgbomekpɔkpɔ bia be woadzra ɖo etɔxɛe be woatsɔ akɔ dɔgboa ŋu ŋkeke si do ŋgɔ na dodokpɔa, eye wowɔa dodokpɔa le atike si naa alɔ̃dɔdɔ ame me, si ate ŋu ana ame aɖewo ƒe dzi nadze eme vie. Eyata ɣeaɖewoɣi la, ɖɔktawo ate ŋu awɔ dodokpɔ siwo le bɔbɔe wu gbã. Gake ne wokpɔ polyps le dodokpɔ bubu me la, ahiã be woawɔ dɔgbomekpɔmɔ̃ atsɔ aɖe wo ɖa.

Dodokpɔ bubu geɖewo li siwo woate ŋu awɔ ne wosusu be polyps le wo ŋu:

• Ʋudodokpɔ: Ne woxlẽ ʋu bliboe (CBC) la, ate ŋu ade dzesi ʋusɔgbɔdɔ si ʋu si dona le ame ŋu ɣeyiɣi didi aɖe hena vɛ. Lãmetsiŋusẽ ƒe akpa vevi aɖe ate ŋu ade dzesi elektrikŋusẽ ƒe masɔmasɔ le ŋutilãa me. Ne domenyinyi ƒe dɔléle si nye polyposis syndrome le wò ƒomea me la, àte ŋu ado domenyiŋusẽfianu hã kpɔ be domenyiŋusẽfianu ƒe tɔtrɔ le ŋuwò hã.
• Aɖuɖɔ dodokpɔ: ``Fecal occult blood test (FOBT)`` léa ŋku ɖe ʋu suesuesue siwo le aɖuɖɔ me siwo le sue akpa be woate ŋu akpɔ kple ŋku dzro ko ŋu. Dodokpɔ bubuwo léa ŋku ɖe ``DNA`` le aɖuɖɔ me be woakpɔe ɖa be kansa ƒe tɔtrɔ aɖewo li hã.
• Nɔnɔmetatawo dodokpɔ: Abe dɔgbomekpɔkpɔ edziedzi teƒe ene la, woate ŋu awɔ virtual colonoscopy (CT scan ƒomevi aɖe) kple capsule endoscopy (atike sue aɖe si nèmi be yealé ŋku ɖe wò dɔgbo ŋu). Barium enema hã ate ŋu aɖe polyps afia ɣeaɖewoɣi.

Polyp nenie wokpɔna le dɔgbo me dodokpɔ si wowɔna edziedzi me?

Enyo wu be polyps aɖeke nanɔ asiwò kura o. Ke hã, esɔ be woawɔ polyp ɖeka alo eve, alo ʋɛ bubuwo gɔ̃ hã. Ðɔktawo léa ŋku ɖe polyp agbɔsɔsɔme si le ŋuwò, woƒe lolome, teƒe si wole, kple ƒomevi ŋu. Esi wònye be polyps tsina blewu ŋutɔ ta la, polyp sue ʋɛ aɖewo ƒe amesinɔnɔ fia be afɔku si le dɔgboa me kansa xɔxɔ me gakpɔtɔ le asiwò.

Gake woate ŋu abu wò be afɔku le eme vie be nàxɔ kansa le nɔnɔme siwo gbɔna me:

• Ne polyp siwo wu etɔ̃ le eme.
• Ne polyp-awo lolo wu milimeta 10 (sentimeta 1).
• Ne polyps la le dɔgboa ƒe ɖusime (e.g., sigmoid colon alo transverse colon).
• Ne polyp siwo nye `(Villous)` alo `(Tubulovillous adenomas)` ƒomevi le asiwò.
• Ne polyp siwo nye ``Sessile serrated lesions'' alo ``Serrated adenomas'' ƒomevi le ŋuwò.
• Ne domenyiŋusẽfianu ƒe dɔléle si nye polyposis syndrome le ŋuwò.

Aleke wowɔa dɔ na dɔgbo me dɔlékui siawo?

Atikewɔwɔ si wozãna ɖaae nye be woaɖe polyps siwo le dɔgboa me ɖa.. Gake ne non-neoplastic polyps, siwo me kansa ƒe afɔku mele o, koe le ŋuwò la, ɖewohĩ màte ŋu aɖe wo ɖa o. Gake zi geɖe la, manya wɔ be woanya kple kakaɖedzi nenye be polyp nye neoplastic alo menye neoplastic o vaseɖe esime wodoe kpɔ le nusuekpɔmɔ̃ me. Ðewohĩ axɔ kwasiɖa ɖeka alo eve hafi wò lãmenugbagbeviwo ƒe dɔwɔwɔ me tsonu natrɔ ava.

Ne èɖe neoplastic polyps ɖa la, àte ŋu aɖe afɔku si le dɔgboa me kansa xɔxɔ me dzi akpɔtɔ abe 80% ene! Gake ne polyps nya dze ŋuwò ko la, woate ŋu atrɔ ava. Wò ɖɔkta alé ŋku ɖe polyp ƒomevi si nèxɔ ŋu eye wòada afɔku si le eme be polyps xɔxɔ le etsɔme la akpɔ. Woanɔ te ɖe afɔku ma dzi awɔ ɖoɖo ɖe dɔgbomekpɔkpɔ si kplɔe ɖo ŋu.

Colon Polyp ɖeɖeɖa

Ðɔkta si wɔa dɔgbomekpɔkpɔ – zi geɖe la, dɔgboŋutinunyala alo dɔgbomedɔdala – ateŋu aɖe polyp geɖe ɖa le wò dɔwɔwɔ me. Woyɔa dɔ bɔbɔe sia be polypectomy. Gake ne polyp gãwo alo esiwo ɖeɖe sesẽ le ŋuwò la, woate ŋu azã mɔnu tɔxɛwo (endoscopic mucosal resection alo endoscopic submucosal dissection) atsɔ aɖe wo ɖa.

Colonoscopy Kpɔkpɔ

Ne wò dɔgbomekpɔkpɔ mekpɔ neoplastic polyps aɖeke o la, ɖewohĩ ahiã be nàwɔ wò dodokpɔ si kplɔe ɖo le abe ƒe 10 ene megbe. Gake ne woɖe wò neoplastic polyps ɖa la, ɣeyiɣi si woawɔ wò dodokpɔ si kplɔe ɖo ate ŋu ato vovo. Wò ɖɔkta ate ŋu aɖo aɖaŋu be nàgawɔ dodokpɔa ake le ƒe ɖeka, etɔ̃, atɔ̃, alo adre megbe, le wò ame ɖekaɖekawo ƒe afɔkuwo nu.

Ðe woate ŋu axe mɔ ɖe dɔgbo me ʋu ƒe sisi nua?

Mɔ aɖeke meli si dzi woato axe mɔ ɖe domenyiŋusẽfianu ƒe tɔtrɔ siwo hea polyps vɛ nu o. Gake beléle na wò lãmesẽ bliboa nyuie ate ŋu akpe ɖe ŋuwò nàɖe afɔku si le eme be nàxɔ polyps dzi akpɔtɔ va ɖo afi aɖe.

• Nuku blibowo, amagbewo, kple atikutsetsewo ɖuɖu geɖe wu.
• Lãwo ƒe ami dzi ɖeɖe kpɔtɔ (vevietɔ lã dzĩ, lã si ŋu wotrɔ asi le).
• Kamedede edziedzi.
• Ƒo asa na ahanono fũu akpa kple atamanono.

Nu siawo kpena ɖe ame ŋu hã be woaxe mɔ ɖe dɔgbo me dɔdzẽ nu.

Eyata aleke gbegbee dɔgbo me dɔlékui siawo sesẽe?

Dɔgbo me dɔlékuiwutikewo ate ŋu anye nu sesẽ elabena ŋutete le wo ŋu be woatrɔ azu kansa. Gake ɖo ŋku edzi be polyp akpa gãtɔ menye kansa ne woke ɖe wo ŋu o. Wo dometɔ aɖewo ate ŋu azu kansa le ɣeyiɣi aɖe megbe ne womewɔ atike na wo o. Esia tae ɖɔktawo ɖea wo ɖa ne woke ɖe wo ŋu ɖo.

Nukae wòle be mabia nye ɖɔkta tso nye dɔgbo me dɔlékuiwutikewo ŋu?

Àte ŋu abia nya aɖewo abe:

• `(Colon Polyps)` ƒomevi kae le asinye?
• Ðe nye polyps nye ``neoplastic`` (si me kansa ƒe afɔku le) alo ``non-neoplastic`` (si me kansa ƒe afɔku mele o)?
• Ðe afɔku si le nye dɔgbo me dɔdzẽ xɔxɔ me le sue, ɖe wòsɔ, alo loloa?
• Ðe wòle be woado domenyiŋusẽfianu kpɔ be domenyiŋusẽfianu ƒe polyposis syndromes le ŋunyea?
• Aleke gbegbee polyps ate ŋu agbugbɔ atsi kaba ne woɖee ɖa?
• Ɣekaɣie wòle be woawɔ nye dɔgbomekpɔkpɔ si kplɔe ɖo?

Ame geɖe vɔ̃na na yewoƒe dɔgbomekpɔkpɔ si ŋu wowɔ ɖoɖo ɖo eye wobiaa wo ɖokui be ɖe yewoate ŋu ahee ɖe megbe hã. “Nukatae mayi kuxi siawo katã me be makpɔ egbɔ ko be polyps mele ŋunye o?” ɖewohĩ àbia ɖokuiwò be. Gake ne polyps le ŋuwò la, dɔgbomekpɔkpɔe nye mɔ nyuitɔ si dzi nàto ade dzesi wo ahada wo hafi nànya gɔ̃ hã.

Ate ŋu ado vɔvɔ̃ na wò be nànya be polyps le wò dɔgbo me. Ke hã, dɔléle sia le ame geɖe ŋu, eye kansa medzea wo dometɔ geɖe ŋu gbeɖe o. Mehiã be nàtsi dzi ɖe polyp si ŋu woke ɖo heɖe ɖa ŋu o. Nu vevitɔe nye be nàke ɖe eŋu eye nàɖee ɖa le ɣeyiɣi nyuitɔ dzi, hafi wòazu kansa.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Eyata, ènya nu geɖe tso dɔgbo me dɔlékuiwutikewo ŋu fifia, alo? Esia menye naneke si ŋu wòle be woavɔ̃ ɖo o.

Nu vevitɔ enye be nàƒo nu kple ɖɔkta le ɣeyiɣi nyuitɔ dzi, vevietɔ le ƒe 45-50 xɔxɔ vɔ megbe, eye nàwɔ dodokpɔwo abe ``colonoscopy'' ene ne ehiã. Emegbe woate ŋu ade dzesi polyp siawo eye woaɖe wo ɖa ko hafi woazu kansa.

Agbenɔnɔ si me lãmesẽ le me léle ɖe asi hã ate ŋu akpe ɖe ame ŋu be woaɖe afɔku sia dzi akpɔtɔ. Nuwo abe nuɖuɖu si da sɔ, kamedede, kple atamanono kple ahatsunono fũu akpa ene nyo na wò dɔgbo ƒe lãmesẽ, kpakple wò ŋutilã bliboa.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le wò ƒomea ƒe ɖɔkta alo dɔgboŋutinunyala biam o. Nɔ lãmesẽ me!