Yu want fɔ no mɔ bɔt yu kɔlon polip? Nɔ fred, lɛ wi tɔk!

Wi ɔl want fɔ gɛt wɛlbɔdi, nɔto so? Bɔt sɔntɛnde, tin kin apin insay wi bɔdi we wi nɔ no. yu kכlon, di big intestכn usay di it we wi de it de daygεst εn di west prכdak dεm we wi de lεf biεn, kin mek sכmtεm sכm sכm growth dεm na di insay. Na dat dɔktɔ dɛn kin kɔl `(Colon Polyps)`. No fred wen yu hie dis nem, okay? Bikɔs bɔku pan dɛn polip ya nɔ de du bad. Bɔt sɔm kayn dɛn de we kin tɔn to kansa if dɛn nɔ trit am fɔ lɔng tɛm. Na dat mek i rili impɔtant fɔ mek wi ɔl no bɔt dɛn `(Colon Polyps)` ya.

So wetin na dɛn kɔlon polip ya?

fכ sכmtεm, dεn `(Colon Polyps)` dεm na abnכmal sεl dεm we de fכm pan di insay wכl na yu big intestin, dat na di mכkus layn. Dɛn tan lɛk smɔl tumbu. Dɛn kin bigin as wan sɛl mas ɛn smɔl smɔl dɛn kin big. dis polip dεm kin fכm bak na כda pat dεm na wi bכdi, fכ egzampl, na di bεlε, nos, כ na di uman riprodaktiv sistεm.

Di impɔtant tin na dat, jɔs bikɔs yu gɛt dɛn polyp ya nɔ min se na kansa. Bɔt bɔku tɛm, kɔlorektal kansa kin bigin wit pɔlip lɛk dis. Na dat mek dɔktɔ dɛn kin luk fɔ dɛn polip ya we dɛn de du kɔlon skɔpi ɛn pul dɛn if na so dɛn de.

Difrɛn kayn pɔlip dɛn de? Aw dɛn difrɛn?

Yes, difrεn kayn polip dεm de we de fכm na di kכlon. Dɔktɔ dɛn kin put dɛn na difrɛn say dɛn bay tu men tin dɛn.

Wan pan dɛn na di shep we di pɔlip gɛt .

• Sɔm polip dɛn de we tan lɛk smɔl smɔl mɔs we dɔn gro. Dat min se dɛn gɛt smɔl stik ɛn ed pan am. Dɛn kɔl dɛn tin ya ``Pedunculated`` polyps.
• di כda tכp na flat, lεk lכmp we de atak di intestinal wכl we nכ gεt stכl. Dɛn kɔl dɛn tin ya ``Sessile`` polyps.

di כda we na bay di maykroskכpik fכm dεm f כ dεn polip dεm ya. Dat min se, bay di we aw dɛn mek di sɛl dɛn. na di prכsεs we dεn sεl dεm ya de gro de sho if wan polip kin tכn to kεnsar כ nכ. fכ dat, di kεnsar pכtεnshal fכ εvri kayn polip difrεn.

Na sɔm pan di men kayn polip dɛm we dɛn kin si:

• Adenomatous polyps (adenomas): na dεn wan ya we kכmכn pas כl. Sɔbtayp dɛn de bak fɔ dɛn tin ya:
• Tubular adenoma dɛn
• Di adenoma dɛn we gɛt vilɔs
• Tubulovillous adenoma dɛn we de na di bɔdi
• Serrated polyps: Difrɛn kayn dɛn de bak.
• Polip dɛn we gɛt haypaplastik
• Sεsεl sεrat lεsin dεm
• Tradishכnal sεrat adenoma dεm
• Hamartomas (juvenile polyps): Dɛn kin si dɛn tin ya pan yɔŋ pipul dɛn.
• Inflammatory polyps (ɔ pseudopolyps): Dis nɔto rili polyps, wi go tɔk bɔt dat leta.

Klasifikɛshɔn fɔ di polip dɛn akɔdin to di risk fɔ gɛt kansa: Nioplastik ɛn Nɔn-nioplastik

Dis na di klas we impɔtant pas ɔl. ``Neoplastic`` polyps na di kayn dεm we kin bi kεnsar. ``Nכn-nioplastik`` polyp dεm na di tכp dεm we nכ de (כ gεt rili lכw) chans fכ bi kεnsar.

• (Nioplastik) polip ( kansa risk ):
• Ɔl di adenomatous polip dɛn (Adenomas) .
• Sεsεl sεrat lεsin dεm
• Tradishכnal sεrat adenoma dεm

• (Nɔn-nioplastik) pɔlip dɛn (lɔ/nɔ gɛt risk fɔ gɛt kansa):
• Polip dɛn we gɛt haypaplastik
• Juvenail polip (Hamartomas) .
• Pseudopolyps we de mek pɔsin inflammatory

Aw kɔmɔn dɛn kɔlon polyp ya kin bi?

Dis na rili wan sik wae kin pasmak pas aw yu kin tink, mɔr lɛk wae yu de ol. pan avrej, lεk 20% pan di big pipul dεm, כ lεk wan pan fayv pipul dεm kin gεt dεn polip ya. Na pipul dɛm wae dɔn pas 50 ia, lɛk 40%, ɔr lɛk 4 pan ɛvri tɛn, kin gɛt dis sik. Nɔ sɔprayz, sɔm pikin dɛnsɛf kin gɛt dɛn, lɛk 6% pan dɛn. Ɛnibɔdi, ilɛksɛf na in kɔlɔ, rilijɔn, ɔ man ɔ uman, de pan denja fɔ gɛt dɛn polyp ya ɛn kansa na in kɔlon. Dis sik kin bɔrku smɔl na Wɛstinian kɔntri dɛm.

Ɔmɔs kɔlon polip dɛn kin bi kansa?

Na dis na wetin yu nid fɔ ɔndastand. Bɔrku kayn polip kin gɛt di potenshal fɔ bi kansa. Na dat mek dɔktɔ dɛn kin pul dɛn we dɛn de du kɔlon skɔpi. Bɔt na smɔl pipul dɛn nɔmɔ kin rili gɛt kansa. Dɔn bak, i kin tek lɔng tɛm fɔ mek pɔlip gɛt kansa. Na dat mek i impɔtant fɔ mek dɛn de du kɔlon skɔpi ɛgzam ɔltɛm ɛn pul dɛn polip ya bifo dɛn bi kansa.

fכ tכk roughly, lεk 75% pan di kכlon kεnsar dεm de stat as adenomatous polyps. כlso, lεk 80% pan כl di polip dεm we dεn fכnshכn na adenomas. כltu, na כnli lεk 5% pan dεn adenoma ya kin rili bi malignant. Dɛn se wan tipik polip gɛt 8% risk fɔ bi kansa insay 10 ia ɛn 24% risk insay 20 ia.

Wetin na di sayn dɛm fɔ kɔlon polyp?

Na ya i kin kɔnfyus smɔl. Bɔrku tɛm, dɛn polyp ya nɔr kin sho ɛni sayn, pan ɔl we dɛn kin de.Kɔlɔn kansa nɔ kin sho ɛni sayn we i bigin. Na dat mek di skrinin tɛst rili impɔtant. Bɔku tɛm, bay di tɛm we di sayn dɛn de sho, wan pɔlip dɔn ɔlrɛdi tɔn to kansa.

Bɔt, na smɔl tɛm nɔmɔ, dɛn sayn ya kin apin:

• Blɔd na yu stɔl ɔ ɔda sayn dɛm: If pɔlip de blɔd, yu kin si blɔd na yu stɔl ɔ yu kin gɛt blɔd na yu tɔylɛt pepa. Sɔntɛnde, di blɔd kin so slo dat yu nɔ kin ivin notis am. Bɔt as tɛm de go, yu bɔdi go bigin fɔ notis am. Yu kin gɛt ayrɔn deficiency anemia , we kin mek yu gɛt sɔm sayn dɛn lɛk fɔ taya pasmak ɛn fɔ wik.
• Di chenj dɛn we kin apin na di bɔdi we dɛn nɔ kin ɛksplen: Nɔto ɔltɛm, sɔm pipul dɛn kin gɛt dayarɛa ɔ kɔnstipɛshɔn we nɔ de dɔn . Ɔ dɛn kin gɛt bɔku bɔku wata we tan lɛk mɔkus we kin kɔmɔt wit dɛn stɔl. Bɔrku ɔda tin de wae kin mek pɔrsin gɛt dis sik pas pɔlip. Bɔt i fayn fɔ go to dɔktɔ, mɔ if yu nɔ ebul fɔ no wetin de mek di chenj.

Di tin we impɔtant pas ɔl: I fayn fɔ tɔk to dɔktɔ ɛn gɛt tɛst lɛk kɔlon skɔpi afta yu dɔn ol 45-50 ia (ɔ bifo dat if pɔsin na yu famili dɔn gɛt dis sik) pas fɔ wet fɔ mek di sayn dɛn sho.

Wetin mek wi kin gɛt dɛn kɔlon polip ya?

Bɔrku tɛm, dɛn polip ya kin divɛlɔp wan wan tɛm. Dat min se, we nɔ gɛt ɛni patikyula rizin. Bɔt sɔm pipul dɛn kin gɛt dɛn polyp ya bikɔs ɔf di sik we dɛn kin gɛt frɔm dɛn mama ɛn papa. Insay dɛn kayn kes ya, i pɔsibul fɔ mek bɔku bɔku polip dɛn de divɛlɔp ɛn di risk fɔ gɛt kansa go bɔku.

Wetin na di men tin we kin mek pɔsin gɛt pɔlip?

Di men tin we kin mek i apin na di chenj dɛn we de apin na di jɛnɛtiks . Fɔ tɔk am simpul wan, we wi sɛl dɛn sheb ɛn mek nyu sɛl dɛn, smɔl mistek dɛn kin apin na di jenɛtik kɔd fɔ dɛn sɛl dɛn de. Bikɔs di sɛl dɛn na di skin, ivin di kɔlon, de ridyus dɛnsɛf ɔltɛm, dɛn mistek ya kin apin mɔ. We dɛn jin ya chenj, di we aw di sɛl dɛn de gro ɛn biev kin chenj.

sכm jεnεtik mכtεshכn dεm de pas dכn frכm famili to famili (hεreditary syndromes). I tan lɛk se ɔda wan dɛn kin apin bay wilful, bɔt bɔku tin dɛn de we kin mek dɛn apin. Risach pipul dεm biliv se random polyps dεn kin kכz dεm bak bay jεnεtik fכktכr dεm, εn bak fכ di envayroment risk factor dεm.

Wetin na di ɔda tin dɛn we kin mek pɔsin gɛt pɔlip?

1. Jɛnɛtiks:

If pɔsin we de nia yu fambul (mama ɔ papa, brɔda ɛn sista, pikin) dɔn gɛt polyp, yu go gɛt am. Dɔn bak, sɔm tin dɛn we de apin na di jɛnɛtiks kin mek pɔsin gɛt pɔlip. Sɔm ɛgzampul dɛn na:

• Familial Adenomatכs Pכlyposis (FAP) .
• Di sik we dɛn kɔl Peutz-Jeghers sindrom
• Poliposis we gɛt fɔ du wit MUTYH
• Gardner sindrom we gɛt di sik
• PTEN hamartoma tumor sindrom we yu kin gɛt
• Turcot sindrom we gɛt di sik
• Serrated polyposis sindrom we gɛt di sik
• Juvenile polyposis sindrom we gɛt di sik

2. Tin dɛn we de mek di envayrɔmɛnt ɛn di we aw pipul dɛn de liv:

Dis min tin dεm lεk di envayroment we wi de liv, wi layf stεyl abit dεm, εtk dεm kin afekt bak di divεlכpmεnt fכ polyp.

• We pɔsin de ol: Di prɔblɛm kin bɔku we pɔsin de ol.
• Fɔ smok.
• Fɔ drink rɔm pasmak.
• It we gɛt bɔku fat, we nɔ gɛt bɔku fayv: Fɔ it mɔ rɛd mit, mit we dɛn dɔn prosɛs, ɛn nɔ it bɔku frut ɛn vɛjitebul.
• Nɔ ebul fɔ du ɛksɛsayz.
• Fat.
• Shuga.
• Inflammatory Bowel Disease (IBD): Na tin dɛm lɛk Crohn’s disease ɔ ulcerative colitis.

Speshal kes: Inflammatory pseudopolyps

As wi bin dɔn tɔk, dɛn tin ya nɔto “rial” polyp dɛn we dɛn kin mek bikɔs ɔf di chenj dɛn we dɛn kin chenj dɛn jɛnɛtiks. Dɛn kin kam bikɔs ɔlsa na di kɔlon kin wɛl, we kin lɛf biɛn ska tisu we tan lɛk skin bɔmp. di krכnik inflameshn na di kכlon (כ kolכt) na di men tin we de mek dεn lεsin dεm ya. Bɔrku tɛm dɛn kin gɛt fɔ du wit tin dɛm lɛk inflammatory bowel disease (IBD). Dɛn nɔ kin tɔn to kansa.

Aw dɔktɔ dɛn kin fɛn dɛn polip ya?

di bεst εn akכrd we fכ fכn polip dεm na di kכlon na fכ kכlon sכkכpi. insay dis, dεn de put wan fleksibul tכb wit sכmכl kεmεra εn layt (kolonoskop) tru di an εn dεn de egzamin di כl kכlon. pan tap we כda ``imaging test`` kin fכn polyp, di spεshal advantej fכ ``colonoscopy`` na dat i kin fכn polyp, pul dεm di sem tεm, εn tek sכm sכm pat dεm fכ egzamin (bayopsi).

di tisu sεmpl dεm we dεn tek dis we dεn kin sεnd dεm to labכtכri εn wan patכlayzm de egzamin dεm כnda maykroskכp. Na da tɛm de nɔmɔ wi go no ustɛm i bi ɛn if i gɛt kansa sɛl dɛn.

Kolonoskopi nid spɛshal pripia fɔ klin di kɔlon di de bifo di tɛst, ɛn dɛn kin du di tɛst ɔnda anestezi, we kin mek sɔm pipul dɛn nɔ fil fayn smɔl. So, sɔntɛnde, dɔktɔ dɛn kin fɔs du simpul tɛst fɔ chɛk pɔsin. Bɔt if dɛn fɛn polip dɛn na ɔda tɛst, dɛn go nid fɔ du kɔlonɔskɔpi fɔ pul dɛn.

Bɔku ɔda tɛst dɛn de we dɛn kin du if dɛn sɔprayz se dɛn gɛt polyp:

• Blɔd tɛst: If yu kɔnt blɔd kɔmplit wan (CBC) i kin no se blɔd nɔ de kɔmɔt biɛn pɔsin we i de blɔd fɔ lɔng tɛm. wan besik mεtabolik panεl kin dεtekt εlektrolayt imbalans na di bכdi. If sɔmbɔdi na yu famili gɛt hereditary polyposis syndrome, yu kin du yu jenɛtik tɛst bak fɔ si if yu gɛt di jin mutation.
• stכl tεst: wan ``Fecal occult blood test (FOBT)`` de chεk fכ sכm sכm bכdi na di stכl we tu sכm fכ si wit yu yay. כda tεst dεm de chεk fכ ``DNA`` na di stכl fכ si if εni kεnsar chenj de.
• Imej tɛst: As ɔda we pas fɔ du kɔlon skɔpi ɔltɛm, dɛn kin du vayrɔyal kɔlonɔskopi (wan kayn CT skan) ɛn kapsul ɛndoskopi (smɔl kapsul we yu kin swɛla fɔ luk yu kɔlon). Barium enema kin sho bak sɔmtɛm polyp.

כl di polip dεm dεn kin fכn we dεn de du routine colonoscopy?

I bεst fɔ nɔr gɛt pɔlip atɔl. Bɔt, i nɔmal fɔ gɛt wan ɔ tu polip, ɔ ivin sɔm mɔ. Dɔktɔ dɛn kin luk di nɔmba fɔ di polip dɛn we yu gɛt, dɛn saiz, usay dɛn de, ɛn di kayn we aw dɛn de. Bikɔs di polip dɛn kin gro sloslo, if yu gɛt sɔm smɔl smɔl polip dɛn, dat min se yu stil de pan smɔl risk fɔ gɛt kɔlon kansa.

Bɔt dɛn kin tek yu fɔ gɛt kansa smɔl pan dɛn kayn tin ya:

• If i pas tri polip dɛn.
• if di polip dεm big pas 10 milimita (1 sεntimita).
• if di polip dεm de na di rayt say na di kכlon (e.g., sigmoid kכlon כ transvas kכlon).
• If yu gɛt polip dɛn we gɛt di kayn `(Villous)` ɔ `(Tubulovillous adenomas)`.
• if yu gεt di polip dεm we di ``Sεsεl sεrat lεshכn'' כ ``Sεrayt adenomas'' tכp.
• If yu gɛt hereditary polyposis syndrome.

Aw dɛn kin trit dɛn kɔlon polyp ya?

di standad tritmεnt na fכ pul di polip dεm na di kכlon.. Bɔt if yu jɔs gɛt nɔ-nioplastik polip, we nɔ de pan denja fɔ gɛt kansa, yu nɔ go ebul fɔ pul dɛn. כltu, bכku tεm, i nכ posεbul fכ no fכ sכri if wan polip na nioplastik כ nכn nioplastik te dεn egzamin am כnda maykroskכp. I kin tek wan ɔ tu wik fɔ mek yu bayɔpsi rizɔlt kam bak.

If yu pul di nioplastik polip, yu kin ridyus yu risk fɔ gɛt kɔlon kansa bay lɛk 80%! Bɔt, wans yu gɛt polip, dɛn kin kam bak. Yu dɔktɔ go luk di kayn polyp we yu dɔn gɛt ɛn asɛs yu risk fɔ gɛt polyp tumara bambay. Dɛn go schedul di nɛks kɔlonɔskɔpi bay da risk de.

Kɔlɔn Polip Rimoval

Di dɔktɔ we de du di kɔlonɔskopi – we kin bi gastroenterologist ɔ colorectal surgeon – kin pul bɔku polyp dɛn we yu de du yu prɔsidyu. Dɛn kɔl dis simpul we fɔ du tin, polypectomy. כltu, if yu gεt big כ we i at fכ pul di polip dεm, yu kin yuz spεshal prכsidכs (εndoskopik mכkus rεsεkshכn כ εndoskopik sabmכkus dεsεkshכn) fכ pul dεm.

Kolonoskopi Sɔvɛlayshɔn

If yu kɔlonɔskɔpi nɔ fɛn ɛni niɔplastik polip, yu go mɔs nid fɔ du yu nɛks tɛst insay lɛk 10 ia so. Bɔt if dɛn pul yu niɔplastik polip dɛn, di tɛm fɔ yu nɛks tɛst kin difrɛn. Yu dɔktɔ kin se yu fɔ ripit tɛst insay wan, tri, fayv, ɔ sɛvin ia, i go dipen pan yu wan wan risk factors.

Yu tink se dɛn kin mek dɛn nɔ gɛt kɔlon polip?

No we nɔ de fɔ mek dɛn nɔ gɛt di jɛnɛtik muteshon we de mek pɔlip. Bɔt if yu tek kia ɔf yu ɔl wɛl bɔdi fayn fayn wan, dat kin ɛp fɔ ridyus yu risk fɔ gɛt pɔlip to sɔm mak.

• Fɔ it mɔ ɔl grens, vɛjitebul, ɛn frut dɛn.
• Ridyus di animal fat (especially red mit, proses mit).
• Fɔ du ɛksasaiz ɔltɛm.
• Nɔ drink rɔm pasmak ɛn nɔ smok pasmak.

Dɛn tin ya kin ɛp bak fɔ mek yu nɔ gɛt kansa na yu kɔlon.

So aw siriɔs dɛn kɔlon polip ya kin bi?

Kɔlon polip kin siriɔs bikɔs i gɛt di potenshal fɔ tɔn to kansa. Bɔt mɛmba se bɔku pan di polip dɛn nɔ kin gɛt kansa we dɛn fɛn dɛn. Sɔm kin gɛt kansa as tɛm de go if dɛn nɔ trit dɛn. Na dat mek dɔktɔ dɛn kin pul dɛn we dɛn fɛn dɛn.

Wetin a fɔ aks mi dɔktɔ bɔt mi kɔlon polip?

Yu kin aks di dɔktɔ sɔm kwɛstyɔn dɛn lɛk:

• Us kayn `(Colon Polyps)` a gɛt?
• Mi polyps na ``nioplastik`` (wit risk fɔ kansa) ɔ ``nɔ-nioplastik`` (we nɔ gɛt risk fɔ kansa)?
• Di risk we a gɛt fɔ gɛt kansa na mi kɔlon smɔl, nɔmal, ɔ i bɔku?
• A fɔ gɛt jenɛtik tɛst fɔ di hereditary polyposis syndromes?
• Aw kwik di polip kin gro bak afta dɛn dɔn pul am?
• Ustɛm a fɔ du mi nɛks kɔlonɔskɔpi?

Bɔku pipul dɛn kin fred fɔ du di kɔlon skɔpi we dɛn bin dɔn plan fɔ du ɛn dɛn kin wɔnda if dɛn go ebul fɔ put am bifo. “Wetin mek a go to ɔl dis trɔbul jɔs fɔ mek shɔ se a nɔ gɛt polip?” yu go de wɔnda. Bɔt if yu gɛt pɔlip, kɔlon skɔpi na di bɛst we fɔ no ɛn trit dɛn bifo yu ivin no.

I kin mek yu fred fɔ no se yu gɛt polip na yu kɔlon. Bɔt bɔku pipul dɛn kin gɛt dis sik, ɛn bɔku pan dɛn nɔ kin ɛva gɛt kansa. Yu nɔ nid fɔ wɔri bɔt wan pɔlip we dɛn dɔn fɛn ɛn pul. Di impɔtant tin na fɔ fɛn am ɛn pul am insay di rayt tɛm, bifo i bi kansa.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, yu no bɔku tin naw bɔt kɔlon polip, nɔto so? Dis nɔto natin fɔ fred.

Di tin we impɔtant pas ɔl na fɔ tɔk to dɔktɔ di rayt tɛm, mɔ afta yu dɔn ol 45-50 ia, ɛn gɛt tɛst lɛk kɔlon skɔpi if nid de. Dɔn dɛn kin no dɛn polip ya ɛn jɔs pul dɛn bifo dɛn bi kansa.

If yu kɔntinyu fɔ liv fayn layf, dat kin ɛp bak fɔ mek yu nɔ gɛt dis prɔblɛm. Tin dɛn lɛk fɔ it fayn, ɛksesaiz, ɛn fɔ avɔyd fɔ smok ɛn fɔ drink pasmak, fayn fɔ yu kɔlon wɛlbɔdi, ɛn fɔ yu wan ol bɔdi.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu famili dɔktɔ ɔ dɔktɔ we de mɛn yu bɛlɛ. Stay wit wɛlbɔdi!