Ðe nènya nu tso aɖuɖɔtoe siawo siwo le wò dɔgbo me ŋua? Mina míaƒo nu tso wo ŋu le nya bɔbɔewo me!

Ðe wowɔ `(Colonoscopy)` dodokpɔ na wò kpɔa? Alo, ɖewohĩ èse ame aɖe gblɔ be, ``Woɖe tsitsi sue aɖewo ɖa le dɔgboa me.'' Zi geɖe la, esiawoe míeyɔna be `(Colon Polyps)`` alo polyps siwo tsina le dɔgboa me. Le wo dome la, ƒomevi tɔxɛ aɖe li si woyɔna be `(Serrated Polyps).`` Ðe ŋkɔa ɖi vɔvɔ̃ viea? Mègatsi dzi o, míaƒo nu tso nusianu ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nukae nye `(Serrated Polyps)` siawo? Mina míase egɔme bɔbɔe!

Kpuie ko la, serrated polyps nye tsitsi siwo dzɔna ɖe wò dɔgbo ƒe gli ememetɔ dzi eye wodzena abe aɖu siwo wotsɔ aŋe wɔe ene le nusuekpɔmɔ̃ me. Le nyateƒe me la, wonye dɔdzẽ, gake womewɔa dɔ nyuie o. Esia fia be menye kansa le wo ŋu ne wodzi wo zi gbãtɔ o. Gake serrated polyp aɖewo ate ŋu azu kansa le ɣeyiɣi aɖe megbe. Esia tae ɖɔktawo ɖea tsitsi siawo ɖa ne wonya kpɔe be woxea mɔ na dɔdzẽ si le dɔgboa me ko.

`(Serrated Polyps)` siawo ƒe dzedzeme si nye serrated do ƒome kple alesi wowɔa woe. Alesi wowɔa woe la to vovo vie tso polyp ƒomevi bubu si míekpɔna zi geɖe le dɔgboa me, `(Adenomas) gbɔ. Azɔ hã, ne `(Serrated Polyps)` trɔ zu kansa la, dɔwɔwɔa to vovo tso alesi `(Adenomas)` trɔna zua kansa gbɔ. Wogblɔ be dɔgbo me kansa siwo ade 25% dona tso `(Serrated Polyps)` siawo me. Gake ne wova zu kansa la, woate ŋu atsi kabakaba vie wu ƒomevi bubuwo.

Nukae nye `(Serrated Polyps)` ƒe ƒomevi veviwo?

Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) ma serrated polyps ɖe ƒomevi vevi ene me. Woda amesiawo ɖe hatsotsowo me le woƒe dzedzeme nu, si fia be woƒe ŋutilã ƒe nɔnɔmewo. Nɔnɔme siawo ɖe alesi lãmenugbagbeviwo ƒe dɔwɔwɔ siwo kpɔa ŋusẽ ɖe polyp siawo ƒe tsitsi dzi to vovoe fia. Vevietɔ la, menye ƒomevi siawo katãe do ŋgɔ na kansa o . Ðɔktawo daa wo ɖe hatsotsowo me ne wokpɔ wo be yewoanya alesi wòanya wɔ be woaxɔ kansa.

Ƒomevi ene mawoe nye esi:

• `(Hyperplastic Polyps)` Nusiwo wotsɔna ƒoa ƒui
• `(Sessile Serrated Lesions - SSLs)` Abi siwo me ʋuʋudedi mele o
• Denoma Siwo Wotsɔa Serrated Dea Kɔkɔe Me
• Serrated Adenomas siwo womeɖo ɖe hatsotsowo me o

`(Hyperplastic Polyps)` Nusiwo wotsɔna ƒoa ƒui

Esiawoe nye serrated polyps ƒomevi siwo bɔ wu, eye woxɔa abe 75% ene le dɔléleawo me. Nya nyuiae nye be hyperplastic polyp siawo mewɔa nuvevi ame o eye womezua kansa o . "Hyperplastic" gɔmee nye lãmenugbagbeviwo ƒe tsitsi fũu akpa ko. Efia be ɖeko lãmenugbagbevi siwo le tsitsim ɖekae fũ akpa. Polyp geɖe siwo do ŋgɔ na kansa va zua "dysplastic," si fia be tɔtrɔ siwo mesɔ o le lãmenugbagbeviwo me. Tɔtrɔ siawo siwo vaa lãmenugbagbeviwo me ate ŋu ahe kansa vɛ.

`(Sessile Serrated Lesions - SSLs)` Abi siwo me ʋuʋudedi mele o

Anɔ abe 20% ene le serrated polyps me nye subtype si woyɔna be Sessile Serrated Lesions (SSLs). Esiae nye serrated polyp ƒomevi si me kansa xɔxɔ ƒe afɔku le wu . "Sessile" fia nyateƒe si wònye be wole gbadzaa, wole abe disk ene, alo wodo ɖe dzi vie. Gake woate ŋu akpɔ nɔnɔme sia le hyperplastic polyps siwo megblẽa nu le ame ŋu o hã me. Eyata esesẽna vie be woade vovototo eveawo dome le dzedzeme nu. Gake eŋutinunyalawo ate ŋu ade dzesi vovototo aɖewo le woƒe wɔwɔme me.

Tsã la, ŋkɔ geɖe nɔa `(Sessile Serrated Lesions)` siawo ŋu. Fifia wozã ŋkɔ yeye sia tsɔ ɖea tɔtɔ si mehiã o dzi kpɔtɔna. Nu bubu enye be `(SSL)` siawo dometɔ aɖewo ƒe `(Dysplasia)` (lãmenugbagbeviwo ƒe masɔmasɔ) ƒe nɔnɔme siwo míeyɔ va yi la le wo si, gake bubuwo ya mele wo si o. Ðɔktawo gade amesiwo ŋu `(Dysplasia)` le hatsotso me be "sessile serrated lesions with dysplasia". Ke hã, wobua `(SSL)` katã be wonye nɔnɔme siwo do ŋgɔ na kansa .

Denoma Siwo Wotsɔa Serrated Dea Kɔkɔe Me

Esiawoe nye `(Serrated Polyps)` ƒomevi si mebɔ o wu, si wokpɔna le amewo ƒe xexlẽme si mede 1% o me . Esiawo hã nye nɔnɔme siwo do ŋgɔ na kansa . Woƒe dzedzeme sɔ kple `(Adenomas)` si sɔ, si fia be woƒe nɔnɔme le abe lãmi ene, eye `(Dysplasia)` ƒe nɔnɔme siwo sɔ hã le wo si. Ke hã, `(Serrated)` ƒe nɔnɔmewo hã le wo si abe aŋe ƒe gowo ene. Tsã la, wobua esiawo vodadatɔe zi geɖe be wonye `(Adenomas)` si sɔ. Nyitsɔ laa koe wokpɔ wo dze sii be wonye `(Serrated Polyp)` ƒomevi aɖe.

Serrated Adenomas siwo womeɖo ɖe hatsotsowo me o

Ƒomevi mamlɛtɔe nye polyp siwo mesɔ ɖe hatsotso siwo le etame dometɔ aɖeke me nyuie o. Woateŋu akpɔ woƒe dzedzeme gbadzaa, si nye serrated, gake woateŋu akpɔ nɔnɔme siwo sɔ kple ``Dysplasia'' alo ``Adenomas.'' Togbɔ be womebɔ o hã la, ɖɔktawo xɔe se be ele vevie be woade dzesi polyp siawo siwo womateŋu ade hatsotso me nyuie o, elabena numekuku siwo woawɔ le etsɔme ateŋu aɖe nu geɖe afia tso wo ŋu. Míegale nu srɔ̃m tso ``Serrated Polyps'' ŋu.

Aleke gbegbee Serrated Polyps bɔe?

Wokpɔa Serrated polyps le dɔgbomekpɔkpɔ ƒe 30% lɔƒo me. Zi geɖe la, esiawo nyea hyperplastic polyps siwo megblẽa nu le ame ŋu o. Gake abe 10% ene nye polyps siwo do ŋgɔ na kansa, abe Sessile Serrated Lesions (SSLs) ene. Le dɔgbomekpɔkpɔ me la, ɖewohĩ ɖɔkta mate ŋu ade dzesi vovototo si le wo ame evea dome ɣesiaɣi o. Esia tae, ne ɖikeke aɖe li la, woɖea lãkusia, ɖoa wo ɖe nudokpɔƒe, eye dɔléleŋutinunyala doa wo kpɔna le nusuekpɔmɔ̃ me.

Nukae nye `(Serrated Polyposis Syndrome - SPS)`?

Serrated Polyposis Syndrome (SPS) nye dɔléle si mebɔ o. Esiae dzɔna ne wò...Serrated polyps dzɔna le agbɔsɔsɔ gã me le dɔgboa katã me. Woyɔa esia tsã be Hyperplastic Polyposis Syndrome. Ðewohĩ polyp siwo wu 20 le ŋuwò, alo woate ŋu alolo wu alesi wòle dzɔdzɔmee. Anɔ eme hã be woanye esiwo do ŋgɔ na kansa. Ame siwo ŋu dɔléle sia le la ƒe mɔnukpɔkpɔ 25% be woaxɔ kansa. Nɔnɔme sia gblẽa nu le ame siwo ade 0.4% ŋu.

Ðe serrated polyps hea dzesiwo vɛa?

Zi geɖe la, polyp siwo le dɔgboa me, siwo dome serrated polyps hã le, mehea dzesi aɖeke vɛ o . Ƒã ŋutɔ hafi polyp gãwo ate ŋu ana ʋu nado le ŋuwò alo natrɔ wò dɔgbo ƒe nɔnɔmewo. Ame aɖewo ate ŋu ade dzesi ʋu le woƒe aɖuɖɔ me, alo aɖuɖɔtoe alo dɔmeɖui si womenya o le wo ŋu. Gake nu bubuwo hã ate ŋu ahe dzesi siawo vɛ. Ame geɖe siwo ŋu polyps le menya gɔ̃ hã be wole yewo ŋu o . Esia tae ɖɔktawo kafui be woado dɔgboa kpɔ edziedzi.

Nukae nana `(Serrated Polyps)` siawo dzɔna?

Serrated polyps nye dɔléle si bɔ si doa mo ɖa zi geɖe ne míele tsitsim. Míenya nusita tututu wodzɔna o. Gake míenya be domenyiŋusẽfianu ƒe tɔtrɔwoe le eme . Domenyiŋusẽfianu ƒe tɔtrɔ nye vodada siwo dzɔna le wò lãmenugbagbeviwo ƒe nuŋɔŋlɔ me ne woma hewɔ lãmenugbagbevi yeyewo. Vodada siawo nana lãmenugbagbevi yeyeawo tsina le mɔ bubu nu wu alesi wòle be woatsi. Domenyiŋusẽfianu ƒe tɔtrɔ si to vovo na polyp ƒomevi bubuwo gbɔe serrated polyps tsona.

Nukae nye afɔku siwo ate ŋu ana woaxɔ `(Serrated Polyps)`?

Afɔku siwo dona tso serrated polyps xɔxɔ me sɔ kple esiwo dona tso polyps ƒe dzɔdzɔ le dɔgbo gã me me ŋutɔ. Woawoe nye:

• Ƒe 50 kple edzivɔ xɔxɔ.
• Sigaretnono.
• Ahanono fũu akpa.
• Lã dzĩ (abe nyilã, gbɔ̃lã ene) ɖuɖu fũ akpa.
• Amidada.
• Nɔnɔmewo abe Inflammatory Bowel Disease ene ƒe amesinɔnɔ.

Aleke woawɔ ade dzesi `(Serrated Polyps)`?

Mɔ nyuitɔ si dzi woato ake ɖe serrated polyps ŋue nye to dɔgbomekpɔkpɔ me . Ke hã, ɣeaɖewoɣi la, woate ŋu ato wo ŋu. Esia le alea elabena serrated polyps ƒomevi eve siwo bɔ wu, hyperplastic polyps kple sessile serrated lesions (SSLs), medzena tututu o. Zi geɖe la, wonɔa sue (anɔ abe milimeta 5 ene) , wole gbadzaa alo kɔ vie, eye woƒe amadede sɔ kple lãkusi siwo ƒo xlã wo, eye liƒo aɖeke mekɔ o.

Bu eŋu abe ɖiƒoƒo sue aɖe si womekpɔna tututu o dim le gli si ƒe amadede sɔ kple amadedea ene. Ema mele bɔbɔe o, alo?

Yɛye,Colonoscopes, siwo ƒe nukpɔkpɔ deŋgɔ eye woƒe lolome lolo la nyo wu le serrated polyps kpɔkpɔ me wu dɔwɔnu xoxowo. Dzadzraɖo ɖe dɔgbo ŋu kple ɖɔkta ƒe hehexɔxɔ hã le vevie. Ele be ɖɔktawo nanya mɔfiame yeye siwo woatsɔ ade dzesi aŋe siwo me lãkusi le. Wokpɔe be dɔgbomekpɔkpɔ ƒe mɔnu aɖewo wɔa dɔ nyuie wu bubuwo eye woate ŋu atrɔ polyp ƒe dzedzeme.

Le wò dɔgbomekpɔkpɔ me la, wò ɖɔkta ate ŋu asusui be Sessile Serrated Lesion alo Serrated Polyp, si nye kansa ƒomevi aɖe si ate ŋu ava zu polyp. Ne ɖikeke aɖe li la, aɖee ɖa le dɔwɔwɔ nɛ me (Polypectomy) . Emegbe woaɖo polyp la ɖe nudokpɔƒe be Dɔléleŋutinunyala nadoe kpɔ. Ema ko hafi ɖɔktaa ate ŋu anya polyp ƒomevi si tututu wònye eye wòakpɔ dɔléle mamlɛtɔ.

Gake ne Serrated Polyposis Syndrome (SPS) le ŋuwò la, wò ɖɔkta ate ŋu ade dzesii le dɔgboa me toto me. Mɔ si dzi woato anya SPS enye be woalé ŋku ɖe serrated polyps xexlẽme si wokpɔ, woƒe lolome, kple afisi wole le dɔgboa me ŋu. Le akɔntabubu nu la, anɔ eme be aɖuɖɔtoe siwo lolo wu esiwo sɔ alo le teƒe siwo mebɔ o le dɔgboa me la ate ŋu anye esiwo do ŋgɔ na kansa ne wodo wo kpɔ nyuie.

Nukae dzɔna ne wokpɔ `(Serrated Polyps)` le `(Colonoscopy)` me?

Hyperplastic polyps bɔ eye naneke meli si ŋu woatsi dzi ɖo o. Gake ne wò ɖɔkta susui be serrated polyp le ŋuwò la, ele be woaɖe wo ɖa . Esia nye be woanya nusi tututu wònye eye woaxe mɔ nɛ be wòagazu kansa o. Ne woɖo kpe edzi be enye polyp si do ŋgɔ na kansa vavã la, wò ɖɔkta awɔ ɖoɖo ɖe wò dɔgbomekpɔkpɔ si kplɔe ɖo ŋu kpuie , ale be nàte ŋu aka ɖe edzi be yeado yeye ɖesiaɖe kpɔ.

Aleke gbegbee wòle be woawɔ dɔ nam kaba le dɔgboa me le serrated polyp ta?

Ðɔktawo bua afɔku si le dɔdzẽ si le dɔgboa me xɔxɔ me be enye esi mebɔ o, esi le titina, alo esi lolo, le alesi wokpɔa ʋuka siwo me aŋe le ƒomevi si wokpɔna nu. Wozãa afɔku ma tsɔ nyaa ɣeyiɣi si wòle be woawɔ dɔgbomekpɔkpɔ si kplɔe ɖo. Le mɔfiame siwo li fifia nu la, .

• Ne afɔku si le titina li la , zi ɖeka le ƒe atɔ̃ ɖesiaɖe me .
• Ne afɔku gã aɖe li la, ƒe etɔ̃ ɖesiaɖe .
• Ne `(SPS)` le ŋuwò la, wokafui be nàdoe kpɔ zi ɖeka le ƒea me .
• ``(Hyperplastic Polyps)'' siwo me afɔku mele o mehiã be woalé ŋku ɖe wo ŋu etɔxɛe o.

Nukae nàkpɔ mɔ na ne ``Serrated Polyps'' si do ŋgɔ na kansa le ŋuwò?

Ne wò ɖɔkta ɖe ʋumenugbagbevi dzĩ siwo ƒe aŋgbawo do ŋgɔ na kansa la ɖa le wò dɔgbomekpɔkpɔ me la, ke èle dedie fifia . Wo ɖeɖe ɖa aɖe afɔku si le wo me be woazu kansa dzi akpɔtɔ. Gake wò ɖɔkta adi be yealé ŋku ɖe wò dɔgbo ŋu nyuie le susu geɖe ta. Susu ɖekae nye be sessile serrated polyps siawo ate ŋu asesẽ be woaɖe ɖa keŋkeŋ ne woɖe polypectomy le woƒe nɔnɔme gbadzaa kple woƒe go siwo me mekɔ o ta.

Bu eŋu abe jelly kakɛ aɖe si ge ɖe anyigba fɔfɔ ene. Ɣeaɖewoɣi la, kakɛ suesuesuewo susɔna, alo? Aleae wòle.

Ne wogblẽ lãmenugbagbevi suesuesuewo ɖi ne woɖe wo ɖa, alo ne polyp aɖewo li siwo to le dɔgbome dodokpɔ si wowɔ va yi me eye womedze ƒã nenema gbegbe o la, woate ŋu ayi edzi anɔ tsitsim azu nɔnɔme siwo me kansa nɔna do ŋgɔ. Woate ŋu atsi kabakaba wu polyp yeye hã. Tsɔ kpe ɖe eŋu la, anɔ eme be kansa nate ŋu azu serrated polyps wu ƒomevi bubuwo. Anɔ eme hã be woava zu kansa le teƒe siwo wu ɖeka le ɣeyiɣi ɖeka me .

Ɣekaɣie wòle be makpɔ ɖɔkta tso dɔgbo me ʋu ƒe sisi ŋu?

Ne èle afɔku me le mama dedie nu la, ɖɔktawo kafui be nàdo dɔgboa kpɔ ƒe 10 ɖesiaɖe, adze egɔme tso esime nèxɔ ƒe 45. Ne dɔgbo me dɔdzẽ alo polyps (si nye domenyiŋusẽfianu ƒe kadodo aɖe) le wò ƒomea me, alo ne lãmesẽkuxi aɖe le ŋuwò si nana be dɔgbo me dɔdzẽ, abe dɔgbo ƒe dɔléle si naa dɔdzẽ ene, xɔxɔ ƒe afɔkua dzina ɖe edzi la, ahiã be nàwɔ dɔgbo me dodokpɔ kaba. Bia wò ɖɔkta ne ɣeyiɣia de be woawɔ wò dɔgbomekpɔkpɔ edziedzi.

Abe alesi wòle le dɔgboa me ƒe akpa gãtɔ gome ene la, aɖuɖɔtoe siwo me aŋe le bɔ eye zi geɖe la, womegblẽa nu le ame ŋu o . Afɔku sue aɖe le wo dometɔ aɖewo ŋu be woagblẽ nu le ame ŋu le ɣeyiɣi aɖe megbe. Esia tae míewɔa dɔgbomekpɔmɔ̃wo ɖo. Zi alesi míedo wo kpɔ eye míeɖe wo ɖa ne wokpɔ wo ko la, mɔnukpɔkpɔ meli be serrated polyps nazu kansa o. Míegale nu srɔ̃m tso serrated polyps kple alesi wowɔa nui ŋu, gake fifia míenya nu geɖe be míate ŋu ana atike si woatsɔ axe mɔ ɖe enu .

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata mina míalé ŋku ɖe nu vevi aɖewo siwo wòle be wòanɔ susu me na mí tso nusiwo ŋu míeƒo nu tsoe me ŋu:

• Serrated polyps nye lã ƒomevi aɖe si tsina le dɔgbo gã la me eye wòdzena abe aŋe ƒe gowo ene.
• Serrated polyp ƒomevi aɖewo, vevietɔ sessile serrated lesions (SSLs) ate ŋu azu kansa le ɣeyiɣi aɖe megbe.
• Zi geɖe la, dzesi aɖeke menɔa esiawo ŋu o , eyata ele vevie ŋutɔ be woado dɔgboa kpɔ edziedzi.
• Ne wode dzesi esiawo heɖe wo ɖa le dɔgbomekpɔkpɔ me la, woate ŋu axe mɔ ɖe kansa nu .
• Ne wokpɔe be `(Serrated Polyps) le ŋuwò la, wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Ele vevie be woayi aɖawɔ dodokpɔ siwo akplɔe ɖo le ɣeyiɣi aɖewo me.
• Don't be afraid , nu vevitɔe nye be nànya nusiawo eye nàde dzesi wo kaba.

Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o. Ate ŋu aɖo aɖaŋu na wò le mɔ si sɔ wu nu.

` Serrated Polyps, Dɔgbo me Polyps, Dɔgbomekpɔkpɔ, Dɔgbo me Kansa, Hyperplastic Polyps, Sessile Serrated Lesions, Dɔgboŋutinunya