Yu dɔn ɛva yɛri yu fambul ɔ padi se, "A gɛt smɔl tumbu na mi kɔlon?" Ɔ yu dɔn ɛva tɛl yu bɔt sɔntin lɛk dat? We wi yɛri di wɔd dɛn "colon polyps," bɔku pan wi kin tink bɔt kansa. Bɔt yu tink se ɔl dɛn tumbu ya rili gɛt kansa? Wetin mek dɛn kin fɔm? Yu tink se wi fɔ fred dɛn? Okay, tide wi go fain ansa to ol di kweshon dem we yu get abaut dis. Nɔ wɔri, a go ɛksplen am to yu insay wan rili simpul we.
Fɔ tɔk am simpul wan, wetin na dɛn kɔlon polip ya?
Tink bɔt wi kɔlon lɛk wan lɔng tiub. di sכm sכm fכs we de gro pan di layn fכ dis tכb dεn kכl dεm ``Kכlon Polips.'' fכ bi prεsis, dεn ya na abnכmal growth dεm fכ di sεl dεm we dכn gro tכgeda.
Dɛn tin ya kin gɛt difrɛn shep dɛn. Sɔm dɛn tan lɛk smɔl bɔl dɛn we dɛn mek wit waks, we gɛt " ed " ɛn "stalk." Dɔktɔ dɛn kin kɔl dɛn tin ya ``pedunculated.'' Ɔda wan dɛn kin flat, dɛn kin rayz lɛk lump, we nɔ gɛt stɔl. Dɛn kɔl dɛn ``sɛsil.''
Di impɔtant tin na dat, if yu gɛt tumbu na yu kɔlon, dat nɔ min se yu gɛt kansa. Bɔku pan dɛn tin ya na tumbu dɛn we nɔ de du bad ɛn we nɔ de du bad. Bɔt sɔm kayn tumbu dɛn, if dɛn nɔ trit dɛn fɔ lɔng tɛm, dɛn kin gɛt smɔl chans fɔ gɛt kansa. Na dat mek dɔktɔ dɛn kin du kɔlon skɔpi fɔ chɛk fɔ si if dɛn gɛt dɛn tumbu ya. Mɛmba se, lɛk ɔl di kɔlon kansa dɛn kin bigin wit wan smɔl tumbu. So if wi pul di tumbu kwik kwik wan, wi kin stɔp di kansa fɔ mek i nɔ kam.
Yu tink se difrɛn kayn nɛt dɛn de?
Yɛs, dɛn kin sheb dɛn tumbu ya difrɛn we dɛn. Di klas we impɔtant pas ɔl na if di tumbu go gɛt kansa ɔ nɔ go gɛt kansa. Na dɔktɔ kin no dis afta i dɔn chɛk di tumbu we dɛn dɔn pul ɔnda maykroskɔp.
| Polip Tayp | Wetin dis min? (Wetin i min?) |
|---|---|
| Tayp dɛm wae kin tɔn to kansa (Neoplastic Polyps) . | |
| Adenomatous Polips we de na di bɔdi | Dis na di kayn tumor wae kin pasmak. bכt 75% pan di kכlon kεnsar dεm de stat wit dεn kayn tכmכro dεm ya. So, if yu si dɛn tin ya, dɛn kin rili pul dɛn. |
| Pɔlip dɛn we gɛt Serrated | dis kayn we de gεt risk fכ kεnsar bak, spεshal wan di tu tכp dεm we dεn kכl ``Sessile serrated lesions'' εn ``Traditional serrated adenomas''. |
| Di kayn dɛn we nɔ kin tɔn to kansa (Non-neoplastic Polyps) . | |
| Haypaplastik Polips dɛn | Bɔku tɛm, dɛn tin ya kin smɔl ɛn dɛn nɔ kin mek pɔsin gɛt kansa. |
| Inflammatory Polips we de mek pɔsin in bɔdi | Dis nɔto rili tumbu. Dɛn kin tan lɛk skata we lɛf afta ɔlsa dɔn wɛl. Dɛn nɔ kin tɔn to kansa. |
| Hamartomas we de na di wɔl | Dɛn tin ya bak jɔs nɔr kin bi wan kayn kansa. |
Di tin we impɔtant pas ɔl na dat na yu dɔktɔ nɔmɔ go tɛl yu uskayn tumbu yu gɛt ɛn aw i denja. So nɔ wɔri bɔt fɔ gɛs.
Aw i kɔmɔn fɔ mek dɛn tumbu ya kam?
Dis kin apin mɔ pas aw yu tink. Ɛspɛshali as yu de ol. Jɔs tink bɔt, lɛk 20% pan di big pipul dɛm, ɔr lɛk 1 pan ɛvri 5 pipul dɛm, kin gɛt dɛn tin ya. Dis risk kin go ɔp mɔr afta dɛn dɔn ol 50. Na lɛk 40% pan pipul dɛm wae gɛt da ej de, ɔr lɛk 40 pan 100, kin gɛt dɛn tumbu ya.
Bɔt nɔ wɔri. As a bin dɔn tɔk bifo tɛm, na smɔl pasɛnt pan dɛn tumbu ya kin tɔn to kansa. Ɛn dat kin tek lɔng tɛm. Bɔku tɛm, na lɛk 10 to 20 ia so. di onli tin we wi de du wit di ``(Colonoscopy)`` tεst dεm na fכ fכn εn pul dεn tכmכro dεm ya insay da tεm de, fכ mek kεnsar nכ de divεlכp.
Aw a go no if a gɛt dɛn tin ya? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Dis na di tin we denja pas ɔl ɛn we impɔtant pas ɔl bɔt dis. Bɔku tɛm, dɛn tumbu ya nɔ kin sho ɛni sayn. Yɛs, yu nɔ go fil ɛni difrɛns ɔ yu nɔ go fil fayn. Bay di tɛm we di sik bigin fɔ sho, di tumbu kin dɔn tɔn to kansa. Na dat mek i impɔtant fɔ mek dɛn chɛk yu kwik kwik wan, ɛn yu nɔ fɔ wet fɔ mek di sik sho.
Bɔt, na smɔl tɛm nɔmɔ, sɔm sayn dɛn kin apia. Dɛn na:
- Blɔd na di stɔl: Yu kin notis blɔd na yu stɔl we yu de go na tɔylɛt, ɔ yu kin si blɔd na di tɔylɛt pepa. Sɔntɛnde, dis blɔd nɔ kin si wit di yay. Bɔt we yu kɔntinyu fɔ lɔs blɔd smɔl smɔl, yu kin gɛt anemia we yu nɔ gɛt ayɔn . Dɔn yu kin fil taya ɔltɛm, yu kin fil lɛk se yu nɔ gɛt bɛtɛ kɔlɔ, ɛn yu kin fil lɛk se yu nɔ gɛt bɛtɛ kɔlɔ.
- Chenj na yu bɔdi: Yu kin gɛt kɔnstipɛshɔn ɔ dayarɛa ɔltɛm fɔ no rizin wantɛm wantɛm. Yu kin notis bak se mɔ mכkus de na yu stɔl pas aw yu bin de du bifo.
Dɛn sayn ya kin kam wit bɔrku ɔda sik dɛm. So nɔ panik we yu si dɛn. Bɔt if yu notis sɔntin lɛk dis, go mɔs go to dɔktɔ ɛn tɛl am bɔt am.
Wetin mek dɛn tumbu ya kin fɔm? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
di men rizin fכ dis na di chenj dεm na wi jin dεm (Jεnεtik mכtεshכn). Fɔ tɔk am simpul wan, di sɛl dɛn we de na wi insay de nyu ɔltɛm. We dɛn sɛl ya sheb ɛn mek nyu wan dɛn, sɔntɛnde smɔl mistek dɛn kin apin. di abnכmal sεl dεm we de fכm bikoz fכ dεn mistek dεm na dεn de gro insay dεn tכmכro dεm ya.
Bɔku tin dɛn de we kin mek dis prɔblɛm bɔku. Lɛ wi luk dɛn na wan tebul.
| Risk Factor | Simpul ɛksplen |
|---|---|
| Tin dɛn we pɔsin nɔ ebul fɔ kɔntrol | |
| We pɔsin de ol | Di risk kin go ɔp bad bad wan afta di ej fɔ 50 ia. |
| Famili istri | If yu mama, papa, ɔ yu brɔda ɛn sista dɛn dɔn gɛt dɛn tumbu ɔ kɔlon kansa, yusɛf de pan big risk. |
| Di kɔndishɔn dɛn we de na di jɛnɛtiks | sכm jεnεtik sik dεm we nכ kin kכmכt lεk ``Familial adenomatous polyposis (FAP),'' kin mek כndrεd polip dεm fכm na di kכlon. |
| Tin dɛn we pɔsin kin kɔntrol we i de liv in layf | |
| Lɛ yu bɔdi kam dɔŋ | Fɔ it bɔku ɔyl, fat, ɛn rɛd mit (bif, bɔd) ɛn tu smɔl fayv (lɛgim, vɛjitebul, frut). |
| Smok ɛn rɔm | Dɛn tu tin ya kin rili inkrisayz di risk fɔ gɛt kɔlon tumor ɛn kansa. |
| Nɔ ɛksesaiz ɛn fɔ fat | We yu nɔ de du bɔku tin fɔ du wit yu bɔdi ɛn we yu de gɛt bɔku bɔku bɔdi na di men tin dɛn bak we kin mek yu gɛt prɔblɛm. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Pipul wae gɛt dayabitis ɛn inflammatory bowel disease kin gɛt mɔ risk bak. |
Aw dɔktɔ kin no ɛn trit dɛn tin ya?
di bεst εn kכrekt we fכ no dεn tכmכro dεm ya na bay we dεn kכl kכlon sכkכpi .
Wetin na kɔlonɔskɔpi tɛst?
Bɔrku pipul kin si dis tɛst kin frayd ɛn nɔr kin fil fayn. Bɔt i nɔ de mek pɔsin fred lɛk aw yu go tink. I min fɔ gi yu anestezi (lɛk layt slip), put wan tint, fleksibul tyub wit kamɛra we dɛn tay tru yu an, ɛn chɛk insay yu wan ol kɔlon.
Di big bɛnifit we dis tɛst gɛt na, .If di dɔktɔ si pɔlip, i kin pas wan smɔl inschrumɛnt tru di tiub ɛn kɔt am ɛn pul am we i de du di tɛst. dis dεn kכl am ``Polypectomy''. Dis min se dɛn kin du ɔl tu di diagnosis ɛn tritmɛnt di sem tɛm.
afta dat dεn kin sεnd di tכmכro we dεn pul fכ ``bayopsi.'' Dis min se fכ luk am כnda maykroskכp fכ no us kayn tכmכro i bi εn if i gεt kεnsar sεl dεm.
Ɛni ɔda tɛst dɛn de?
yes, tεst dεm de fכ chεk fכ ayd blכd na di stכl, lεk `(Stכl tεst)` εn `(Virtual colonoscopy)`, εn `(CT scan)`. Bɔt if ɛni wan pan dɛn we ya sɔspɛkt se na tumbu, yu go dɔn gɛt fɔ mek dɛn du `(Colonoscopy)` fɔ pul am.
Wetin kin apin afta dɛn dɔn trit am?
Afta dɛn dɔn pul yu sist, yu dɔktɔ go disayd ustɛm dɛn fɔ du yu nɛks kɔlonɔskopi bay di bayɔpsi rizɔlt. I kin bi insay wan ia, 3, 5, ɔ 10 ia. I dipen pan di nɔmba, di kayn, di saiz, ɛn ɔda tin dɛn we kin mek yu gɛt di sist.
Wi kin mek dɛn tumbu ya nɔ fɔm?
Wi nɔr kin chenj tin dɛm lɛk jɛnɛtik factor ɛn ol, bɔt wi kin rili ridyus dis risk bay we wi chenj wi layf.
- Gud it: Put grɛn, vɛjitebul, frut, ɛn ɔl di tin dɛn we yu kin it we gɛt fayv. Kɔntrol ɔyl, fat, shuga, ɛn rɛd mit.
- Ɛksesaiz: Du ɛksɛsayz fɔ at le 30 minit fɔ mek yu swet ɛvride. Ivin fɔ waka fayn.
- Mek yu gɛt wɛlbɔdi wet.
- Lɛf fɔ smok ɛn drink rɔm kpatakpata. Dis go protɛkt yu frɔm kɔlon kansa nɔmɔ, bɔt bɔku ɔda sik dɛn bak.
Nɔ put kɔlon skɔpi bifo bikɔs yu de fred ɔ yu de shem. I kin sev yu layf. Fɔ fɛn wan tumbu ɛn pul am min se yu dɔn pul sɔntin we bin fɔ dɔn de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Kɔlon polip kin bɔku pas aw yu kin tink, mɔ as yu de ol. Bɔku pan dɛn tin ya nɔto kansa.
- Bɔku tɛm, dɛn tumbu ya nɔ kin sho ɛni sayn, so fɔ skan di pikin di rayt ej rili impɔtant.
- Kolonoskopi na di bɛst we fɔ fɛn dɛn tumbu ya ɛn pul dɛn wantɛm wantɛm .
- If yu gɛt blɔd na yu stɔl ɔ yu bɔdi chenj wantɛm wantɛm, nɔ panik ɛn go to yu dɔktɔ.
- Yu kin ridyus yu risk bay wae yu de liv fayn layf (gud it, ɛksesaiz, ɛn avɔyd fɔ smok ɛn drink rɔm).
- Nɔ mis yu chɛk-ap ɔltɛm, lɛk aw yu dɔktɔ se. Dat na di bɛst we fɔ protɛkt yusɛf.
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