Ðe wowɔ dɔ na wò kpɔ? Alo ɖewohĩ èse ɖeka ŋu nya tso wò ƒometɔwo alo xɔlɔ̃wo gbɔ kpɔ. Ɣeaɖewoɣi le dodokpɔ sia megbe la, ɖɔkta gblɔna be, "Polyp le wò dɔgbo me." Enye nusi sɔ be ame aɖe navɔ̃ vie alo wòatsi dzodzodzoe ne ese nya siawo. Gake ɖe wòle be nàvɔ̃ nyateƒea? Ðe polyp siawo katã nye afɔku kple kansa? Ao, egbea míele nu ƒom tso polyp ƒomevi tɔxɛ aɖe si dzɔna le dɔgboa me si woyɔna be serrated polyps ŋu.
Kpuie ko la, nukae nye serrated polyps?
Serrated polyps nye lãkusi suesuesue siwo tsina, alo ne míagblɔe tututu la, polyp suesuesuewo, siwo dzɔna ɖe wò dɔgbo ƒe gli ememetɔ dzi. Woyɔa wo be "serrated" elabena woƒe gota dzena abe saw-toothed ene ne wokpɔ wo le nusuekpɔmɔ̃ me.
Nu vevitɔe nye be polyp siawo menye kansa ne wodzɔ zi gbãtɔ o. Zi geɖe la, womewɔa dɔ nyuie o. Gake serrated polyp aɖewo ate ŋu atrɔ azu kansa le ɣeyiɣi aɖe megbe. Esia tae ɖɔktawo ɖea polyp siawo ɖa ne wonya kpɔ wo ko. Esia kpena ɖe ame ŋu be dɔgbo me kansa nagadzɔ le etsɔme o.
Alesi serrated polyp siawo tsinae la to vovo vie tso alesi polyp bubu siwo bɔ, siwo woyɔna be adenomas, tsinae gbɔ. Eye alesi wotrɔna zua kansa hã to vovo. Dɔgbo me kansa siwo ade 25% dzɔna tso serrated polyps siawo me. Gake ne wova zu kansa la, woate ŋu atsi kabakaba vie wu ƒomevi bubuwo.
Nukawoe nye serrated polyps ƒomevi veviwo?
Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) ma serrated polyps ɖe ƒomevi vevi ene me. Woda nusiawo ɖe hatsotsowo me le woƒe dzedzeme kple alesi lãmenugbagbeviawo wɔa nui nu. Menye ƒomevi siawo katãe trɔna zua kansa o. Eyata ele vevie ŋutɔ be wò ɖɔkta nade wo hatsotsowo me pɛpɛpɛ ahade dzesi wo.
Numeɖeɖe bɔbɔe aɖe tso ƒomevi ene mawo ŋue nye esi.
| Polyp Ƒomevi | Kpuie ko la,... |
|---|---|
| Hyperplastic polyp siwo wotsɔa lãgbalẽ wɔe | Esiae nye ƒomevi si bɔ wu . Serrated polyps ƒe 75% lɔƒo nye esia ƒomevi. Nya nyuiae nye be, esiawoMegblẽa nu le ame ŋu o, eye matrɔ azu kansa hã o. Enye nɔnɔme si sɔ si lãmenugbagbevi siwo sɔ gbɔ vie hena vɛ. |
| Sessile serrated lesions (SSLs) ƒe ʋuʋudediwo . | Esiae nye serrated polyp ƒomevi si bɔ wu si ate ŋu atrɔ azu kansa wu . "Sessile" gɔmee nye "sessile" elabena wole gbadzaa eye wobla ɖe gli ŋu. Esia tae wòsesẽna ɣeaɖewoɣi be woake ɖe wo ŋu ne wole dɔgboa me dzrom. Ðɔktawo bua SSL siawo katã be woate ŋu axɔ kansa. |
| Adenomas siwo ƒe aŋgbawo le blema | Esiawo mebɔ kura o . Togbɔ be wodze abe adenoma siwo sɔ ene hã la, nɔnɔme siwo "serrated" hã le wo ŋu, abe aɖu siwo wotsɔ aŋe wɔe ene. Wonye kansa ƒomevi aɖe hã . |
| Adenomas siwo me lãkusi le siwo womeɖo ɖe hatsotsowo me o | Esia nye polyp ƒomevi aɖe si menye ƒomevi etɔ̃ siwo míeyɔ ɖe etame la dometɔ aɖeke tɔ tututu o, gake eƒe nɔnɔmewo nye esiwo wotsɔ tsaka. Esia hã mebɔ o. Ðɔktawo yi edzi le numekuku wɔm le esiawo ŋu. |
Aleke gbegbee dɔdzẽ siawo bɔe? Ðe dzesi aɖewo lia?
Bu eŋu kpɔ, ne èwɔ dɔgbomekpɔkpɔ 100 la, àte ŋu akpɔ serrated polyp sia ƒomevi le wo dometɔ siwo ade 30 me. Gake mègatsi dzi o, esiwo ŋu woke ɖo ƒe akpa gãtɔ nye hyperplastic polyps siwo megblẽa nu le ame ŋu o . Wokpɔa ƒomeviwo abe SSL ene, siwo le afɔku me be woaxɔ kansa, le xexlẽme sue aɖe me, abe 10% ene.
Nu vevitɔe nye be zi geɖe la , polyp ƒomevi siawo dometɔ aɖeke mehea dzesi aɖeke vɛ o . Àte ŋu anɔ wò ŋutilã me evɔ mànya gɔ̃ hã o.
Ƒã ŋutɔ hafi ne dɔdzẽ aɖe tsi la, àte ŋu akpɔ ʋu sue aɖe le wò aɖuɖɔ me, alo àte ŋu akpɔ ʋuʋudedi alo aɖuɖɔtoe. Gake anɔ eme be nu bubuwo hã li siwo gbɔ dzesi siawo tsona. Esia tae ɖɔktawo kafui be woawɔ dɔ na wò le eƒe ɖevime, ne dzesi aɖeke mele ŋuwò o gɔ̃ hã.
Nukae nye dɔléle si nye serrated polyposis syndrome (SPS)?
Esia nye nɔnɔme tɔxɛ aɖe si mebɔ kura o. Le nɔnɔme sia me la, ame ƒe aɖuɖɔtoe geɖe (si wua 20 ɣeaɖewoɣi) va nɔa eƒe dɔgbo bliboa me. Esiawo ate ŋu alolo wu alesi wòle dzɔdzɔmee eye woate ŋu anye kansa ƒomevi si me afɔku le wu. Ame si ŋu dɔléle sia le, si nye SPS, ate ŋu axɔ kansa 25%.
Nukawoe hea nusiawo vɛ kple nusiwo ate ŋu ahe afɔku vɛ?
Nu ɖeka aɖeke meli si gbɔ dɔgbo me ʋu ƒe sisi tsona o. Wobɔ ɖe edzi ne míele tsitsim. Wosusu be nusi koŋ gbɔ wòtsoe nye domenyiŋusẽfianu ƒe tɔtrɔ siwo dzɔna ne míaƒe lãmenugbagbeviwo ma hewɔ lãmenugbagbevi yeyewo. Abe alesi ko kɔpimɔ̃ wɔa vodada suesuesuewo ɣeaɖewoɣi ene. Domenyiŋusẽfianu siawo ƒe tɔtrɔ nana lãmenugbagbeviwo tsina le wo ɖokui si eye wozua dɔdzẽ.
Nu geɖe li siwo nana afɔku si le polyp siawo xɔxɔ me dzina ɖe edzi:
- Ƒe 50 kple edzivɔ xɔxɔ
- Sigaretnono
- Ahanono fũu akpa
- Lã dzĩ (abe nyilã kple haƒoƒo ene) ɖuɖu edziedzi .
- Kpekpeme ƒe dzidziɖedzi (lolo akpa) .
- Dɔgboa ƒe dɔdzẽ ƒe nɔnɔme siwo nɔa anyi didi, abe dɔgbo ƒe dɔléle (IBD) ene, ƒe amesinɔnɔ .
Aleke wokpɔa nusiawo dzea sii hewɔa nu ɖe wo ŋui?
Mɔ nyuitɔ kple ɖeka kolia si dzi woato ade dzesi aŋe siwo me lãkusiwo le enye dɔgbomekpɔkpɔ . Dodokpɔ sia zãa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le tsɔ léa ŋku ɖe wò dɔgbo bliboa ŋu.
Gake ɣeaɖewoɣi la, ate ŋu asesẽ vie be woake ɖe wo ŋu. Elabena ƒomeviwo abe SSLwo ene le gbadzaa, woƒe amadede sɔ kple lãkusi siwo ƒo xlãe, eye liƒoawo me mekɔ o. Esia tae wòle vevie be woana ɖɔkta bibi si si nuteƒekpɔkpɔ geɖe nawɔ dodokpɔ sia to mɔ̃ɖaŋununya deŋgɔwo (high resolution colonoscopes) zazã me.
Nukae dzɔna le dodokpɔa megbe?
1. De dzesii: Ne ɖɔktaa kpɔ polyp le dɔgbo me dodokpɔ me eye wòsusu be enye ƒomevi si me afɔku le ŋutɔ la, aɖee ɖa enumake. Woyɔa dɔ sia be polypectomy .
2. Dodokpɔ: Woɖoa polyp si woɖe ɖa la ɖe dodokpɔxɔ aɖe, afisi dɔléleŋutinunyala aɖe léa ŋku ɖe eŋu le nusuekpɔmɔ̃ me be yeanya polyp ƒomevi si tututu wònye eye wònaa nyatakaka.
3. Ðoɖo siwo nàwɔ le etsɔme: Wò ɖɔkta anɔ te ɖe nyatakaka ma dzi atso nya me le ɣeyiɣi didi si wòahiã be woawɔ wò dɔgbomekpɔkpɔ si kplɔe ɖo ŋu.
| Polyp ƒomevi si wokpɔ | Ɣeyiɣi si wokafu na dɔgbomekpɔkpɔ si kplɔe ɖo |
|---|---|
| Afɔku sue aɖe (e.g. hyperplastic polyps suewo) . | Zi geɖe la, le ƒe 10 megbe |
| Afɔku si le titina (e.g. SSL geɖe) . | Le abe ƒe 5 ene me |
| Afɔku gãwo (e.g. SSL gãwo alo geɖe) . | Le abe ƒe 3 ene me |
| Ne SPS ƒe nɔnɔme li | Ƒe sia ƒe |
Wò ɖɔkta ate ŋu atrɔ ɣeyiɣi siawo le wò nɔnɔmea nu, eyata ele vevie be nàwɔ ɖe eƒe mɔfiamewo dzi.
Mègaŋlɔ be o, ne èɖe polyp si ate ŋu axɔ kansa la ɖa la, efia be èle dedie keŋkeŋ fifia. Míeɖe alesi wòate ŋu adzɔe be dzidziɖedzi ma nava zu kansa ɖa. Gake ele vevie be woagakpɔe ake le ɣeyiɣi si sɔ me, elabena dzidziɖedzi siawo ate ŋu agava.
Gbedasi si Wotsɔ Yi Aƒeme
- Serrated polyps nye tsitsi ƒomevi aɖe si dzɔna le dɔgboa me. Esiawo dometɔ akpa gãtɔ mewɔa nuvevi ame o .
- Gake ƒomevi aɖewo, abe SSL ene, ate ŋu atrɔ azu kansa le ɣeyiɣi aɖe megbe, eyata anyo wu be nàɖe wo ɖa ne ènya kpɔ wo ko.
- Dɔdzẽ siawo mehea dzesi aɖeke vɛ o . Esia tae wòle vevie be woawɔ dɔ na wò le dɔgboa me le ƒe 45 xɔxɔ vɔ megbe, abe alesi wò ɖɔkta kafui ene.
- Ne wokpɔe be kansa le polyp si wokpɔ le wò dodokpɔa me eye woɖee ɖa la, mègatsi dzi o. Efia be wò ɖɔkta kpɔe le ɣeyiɣi nyuitɔ dzi eye wòxe mɔ nɛ be megava zu kansa o.
- Nu vevitɔe nye be nàwɔ wò dodokpɔ si kplɔe ɖo le ɣeyiɣi si tututu ɖɔktaa gblɔe na wò la me . Mègato eme o.
- Àte ŋu aɖe afɔku si le esiawo xɔxɔ me dzi akpɔtɔ ne èƒo asa na atamanono, ahanono fũu akpa, eye nèzɔ ɖe agbe nyui nɔnɔ dzi.
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