Yu de fred fɔ mek dɛn du yu kɔlon skɔpi? Lɛ wi tɔk bɔt dis simpul wan.

Yu dɔktɔ dɔn tɛl yu fɔ mek dɛn du kɔlon skɔpi? Sɔntɛm yu bin de fred smɔl ɛn fred we i tɔk dat. Na nɔmal tin fɔ tink tin lɛk, "Wetin na dis? I go at? A nɔ no wetin fɔ du." Bɔt dis rili nɔto natin fɔ fred. Dis na rili impɔtant tɛst fɔ yu wɛl bɔdi, mɔ fɔ protɛkt yu frɔm siriɔs sik lɛk kɔlon kansa. Tide, wi go tɔk bɔt dis rili simpul wan, di we we yu go ɔndastand, lɛk se yu de tɔk to yu padi.

Fɔ tɔk am simpul wan, wetin na kɔlon skɔpi?

Imajin se di dɔktɔ want fɔ si sɔntin insay yu bɔdi we yu nɔ go si frɔm do. Kolonoskopi na jɔs dat. I de chɛk di insay pat pan yu big intestinal , we na di big intestinal ɛn in rɛktum ɛn an we gɛt kɔnekshɔn.

Dɛn kin du dis bay we dɛn de yuz wan tiub we rili tan ɛn we kin chenj. Wan smɔl kamɛra ɛn layt de na di ɛnd pan dis tiub. Wi kin kɔl dis inschrumɛnt ‘kolonoskɔp’. dis tכb de insay yu an εn sכmtεm i de pas כp yu big intestin. Dɔn di dɔktɔ kin wach di pikchɔ dɛn frɔm di kamɛra pan big skrin. I tan lɛk se yu de wach TV sho insay yu kɔlon. Dis na rili wan kayn tɛst we dɛn kɔl ɛndoskɔpi . Ɛndoskopi na ɛni tɛst we gɛt fɔ du wit fɔ put tiub wit kamɛra insay yu bɔdi.

Wetin mek wi nid fɔ du kɔlon skɔpi?

Tri men rizin dɛn de fɔ mek dɛn du kɔlon skɔpi. Sɔntɛnde, dɛn kin mit ɔl dɛn tri rizin ya insay wan tɛst.

1. Fɔ mek yu nɔ gɛt am ɛn fɔ no am kwik kwik wan (Screening): Fɔ no bɔt sik we go kam tumara bambay, mɔ di kɔlon kansa, we nɔ gɛt ɛni sayn.

2. Diagnosis: Fɛn di rayt kɔz fɔ wan sayn we yu dɔn ɔlrɛdi gɛt (e.g. bɛlɛ at, blɔd na di stɔl).

3. Tritmɛnt: If dɛn si ɛni prɔblɛm we dɛn de du di ɛgzam, trit am wantɛm wantɛm.

Lɛ wi luk ɛni wan pan dɛn tin ya smɔl mɔ.

1. Fɔ no bɔt sik dɛn kwik kwik wan, ivin if dɛn nɔ gɛt ɛni sayn (Screening) .

Bɔrku pipul kin gɛt dɛn fɔs kɔlon skɔpi fɔ dis rizin. As dɛn de ol, di risk fɔ gɛt kɔlorektal kansa de bɔku pasmak. Di tin we denja pas ɔl bɔt dis kansa na dat bɔku tɛm i nɔ kin sho ɛni sayn we i bigin . Bay di tɛm we di sayn dɛn de sho, i kin dɔn let fɔ trit am.

Dɔktɔ kin tɛl yu fɔ du kɔlon skɔpi fɔ dɛn kayn tin ya:

• If yu dɔn pas 45 ia ɛn yu nɔ bin dɔn du dis tɛst bifo.
• I dɔn pas 10 ia we dɛn las du dis tɛst.
• If dɛn pul wan pɔlip we dɛn bin de du yu las kɔlonɔskɔpi.
• If ɛnibɔdi na yu famili (mama, papa, brɔda ɛn sista dɛn) dɔn gɛt kansa na yu kɔlon .
• If yu gɛt wan sik we yu kin gɛt frɔm yu mama ɛn papa (e.g. Familial Adenomatous Polyposis - FAP ɔ Lynch syndrome).
• If yu gɛt wan sik we de mek yu bɔdi wam lɛk Inflammatory Bowel Disease (IBD).

2. Fɛn di tin wae de mek yu gɛt di sik (Diagnosis) .

Sɔntɛnde, yu kin gɛt sɔm sayn dɛn. Yu dɔktɔ nid fɔ si klia wan fɔ no di rayt tin we de mek dɛn gɛt dɛn. Kolonoskopi kin si insay yu big intestin klia wan pas ɔda skan dɛn.

Dɔktɔ kin tɛl yu fɔ du kɔlon skɔpi if yu gɛt sɔm sayn dɛn lɛk dis:

• Blɔd ɔ ɔda tin we de kɔmɔt na di an fɔ no rizin.
• Wan chenj we yu nɔ ɛksplen na yu bɔdi abit (e.g., dayarɛa we de kɔntinyu, kɔnstipɛshɔn).
• Bɛlɛ de pen ɔltɛm fɔ no rizin .
• We yu de lɔs yu wet we yu nɔ gɛt rizin.

We dɛn de du dis tɛst, if di dɔktɔ si say we dɛn nɔ biliv, i kin tek wan smɔl tisu (bayopsi) ɛn sɛn am na di lɛb. Dis kin ɛp fɔ no di rayt kayn sik.

3. Trit di sem tɛm we yu de du di tɛst.

Dis na wan pan di big big bɛnifit dɛn we pɔsin kin gɛt we i de du kɔlon skɔpi. If di dɔktɔ si ɛni prɔblɛm we dɛn de du di ɛgzam, sɔntɛm dɛn go ebul fɔ trit am rayt de.

• Pɔlips we yu de pul: Polips na abnɔmal, smɔl smɔl tin dɛn we de gro na di wɔl dɛn na di kɔlon. Bɔku pan dɛn tin ya nɔto kansa. Bɔt sɔm kin gɛt kansa as tɛm de go. So, if dכkta fכn polip, dεn go pul am (a `polypectomy`). Dis kin mek kansa nɔ kam bifo tumara bambay.
• Wund we de wɛl: Dɛn kin sidɔm smɔl say dɛn we blɔd de kɔmɔt.
• Injɛkshɔn: Yu kin injekt mɛrɛsin dairekt na di say dɛn we yu nid.
• Fɔ pul di tin dɛn we de ambɔg di bɔdi: Dɛn kin pul wan tin we de ambɔg di insay ɔ mek i big.

Aw fɔ rɛdi fɔ di tɛst? (Di Prep)

Dis na di pat we impɔtant pas ɔl pan di wan ol prɔses ɛn di pat usay yu go gɛt fɔ wok tranga wan smɔl . Fɔ mek di tɛst go bifo, yu kɔlon fɔ klin ɔlsay. I tan lɛk se yu de swip ɛn mop os. If ɛni stɔl lɛf na di kɔlon, di dɔktɔ go du amYu nɔ go ebul fɔ si klia wan insay. If dat apin, put di tɛst bifo tɛm, ɛn yu kin gɛt fɔ go tru dis pripiamɛnt prɔses bak.

Yu dɔktɔ ɔ ɔspitul go gi yu sɔm tin dɛn we yu fɔ fala. I rili impɔtant fɔ fala dɛn di rayt we. Bɔku tɛm, i kin go lɛk dis:

1. Di it: Dɛn go aks yu fɔ it tin we nɔ gɛt bɔku fayv fɔ tu to tri dez bifo dɛn du di tɛst. Dis min se yu fɔ de fa frɔm tin dɛn lɛk grɛn, bɔku vɛjitebul, ɛn frut, ɛn it tin dɛn lɛk bred, rays, ɛn sup.

2. Liquid diet: Di de bifo di test, na liquids nɔmɔ dɛn alaw fɔ it. Fɔ ɛgzampul, wata, pɔrit we gɛt sɔl, klia sup, ɛn smoothies.

3. Laxative: Di ivintɛm ɔ nɛt bifo di tɛst, dɛn go gi yu wata fɔ drink. Dis na di pat we at pas ɔl. Afta yu dɔn drink dis, ɔltin na yu insay go pas lɛk stɔl.

• Yɛs, yu go gɛt fɔ go na di bafa sɔm tɛm. Rɛdi fɔ dat, grap buk ɔ sɔntin, ɛn rilaks. Tink bɔt dis as sɔntin we yu nid.

If yu du dis kɔrɛkt wan, yu kɔlon go klin ɔlsay bay di de we dɛn go du di tɛst.

Wetin kin apin di de we dɛn de du di tɛst?

Yu nɔ go ebul fɔ go na ɔspitul yu wan di de we dɛn go du di tɛst. Yu fɔ gɛt pɔsin wit yu we go ebul fɔ kɛr yu go na os. Dis na bikɔs i kin tek lɛk 24 awa so fɔ mek di anestetik drɔgs we dɛn yuz fɔ di tɛst ful-ɔp. So, yu nɔ go ebul fɔ drayv.

We yu go na ɔspitul, dɛn go gi yu ɔspitul gɔn fɔ wɛr. Dɔn wan nɔs go put wan smɔl kanula (IV layn) insay wan vein na yu an. Dɛn go gi anestetik ɛn pen mɛrɛsin tru am.

Yu de wek we yu de du dis? Yu tink se i de mek pɔsin fil bad?

Dis na di big prɔblɛm fɔ bɔku pipul dɛn. Nɔ, yu nɔ go fil ɛni pen. Yu kin pik frɔm tu kayn anestezi.

• Jɛnɛral Anestesia: Dis kin mek yu slip ɛn yu nɔ go no bɔt am te di tɛst dɔn.
• Conscious Sedation: Dis kin put yu na layt slip-layk stet. Yu go fil se yu wek, bɔt yu nɔ go mɛmba am leta.

Bɔt yu nɔ go fil ɛni pen, ilɛksɛf dɛn pul wan pat pan yu bɔdi. Yu kin fil smɔl prɛshɔn ɛn fil se yu ful-ɔp we dɛn put di tiub ɛn blo smɔl briz insay fɔ mek yu si yu insay fayn fayn wan. Bɔt i nɔto pen we pɔsin nɔ go ebul fɔ bia.

Afta di tɛst ɛn di rizɔlt

Di tɛst kin tek lɛk 30 to 45 minit so . I kin tek smɔl tɛm if dɛn de pul sɔntin lɛk polip. Afta dɛn dɔn du am, dɛn go de wach yu fɔ lɛk wan awa so te yu wek frɔm di anestezi.

Afta yu dɔn gɛt kɔnshɛns bak, di dɔktɔ go kam tɛl yu wetin dɛn bin si we dɛn bin de du di ɛgzam. If dɛn tek bayɔpsi ɛn sɛn am fɔ tɛst, i kin tek sɔm dez ɔ wan ɔ tu wik fɔ mek di rizɔlt kam bak.

Afta yu dɔn go na os, rɛst fayn fɔ wan de ɔ so. Yu kin fil lɛk yu bɛlɛ blo smɔl ɛn yu nɔ kin fil fayn na yu bɛlɛ, bɔt dat go dɔn afta sɔm tɛm. Yu kin it nɔmal wan jɔs afta yu fil angri.

Mɛmba se dɛn prɔblɛm ya rili smɔl. Di bɛnifit dɛn we pɔsin kin gɛt we i de du kɔlon skɔpi pas dɛn prɔblɛm dɛn ya fa fawe.

Nɔto ɔda we dɛn de we dɛn kin yuz fɔ du kɔlon skɔpi?

Yɛs, bɔku ɔda we dɛn de fɔ no if pɔsin gɛt kansa.

• Fecal test: Dɛn kin chɛk wan stɔl sɛmpul fɔ si if di blɔd ɔ DNA chenj dɛn we ayd we gɛt fɔ du wit kansa. Dɛn fɔ du dɛn tin ya ɛvri wan to tri ia. If dɛn tɛst ya sho se prɔblɛm de, di nɛks tin we dɛn fɔ du na fɔ du kɔlon skɔpi.
• Virtual Kolonoskopi: .Dis na spɛshal CT skan. Dis nɔ min se dɛn fɔ put tiub insay di bɔdi. Bɔt i nid bak fɔ klin di kɔlon, jɔs lɛk aw dɛn kin du kɔlon skɔpi ɔltɛm. If dɛn fɛn polip dɛn we dɛn de du dis, yu go nid fɔ du ɔda kɔlonɔskɔpi ɔltɛm fɔ pul dɛn.

Pan ɔl dɛn opshɔn ya, dɛn kin tek kɔlonɔskɔpi as "Gold Standard" bikɔs, .

• I rili sɛnsitiv . I kin no ivin di smɔl difrɛns.
• I de no ɛn trit di sik di sem tɛm . If ɔda tɛst sho se prɔblɛm de, dɛn stil nid fɔ du kɔlon skɔpi fɔ kɔnfɔm ɛn trit am.
• If di rizɔlt fayn, i kin tek lɛk 10 ia so fɔ mek dɛn du di nɛks tɛst .