Yu dɔn ɛva du kɔlon skɔpi? Ɔ sɔntɛm yu dɔn yɛri bɔt wan frɔm yu famili ɔ padi dɛn. Sɔntɛnde afta dis tɛst, di dɔktɔ kin se, "Yu gɛt pɔlip na yu kɔlon." Na nɔmal tin fɔ mek ɛnibɔdi fil smɔl fɔ fred ɔ shɔk we i yɛri dɛn wɔd ya. Bɔt yu fɔ rili fred? Ɔl dɛn polip ya denja ɛn gɛt kansa? Nɔ, tide wi de tɔk bɔt wan spɛshal kayn polip we de fɔm na di kɔlon we dɛn kɔl sɛrrated polyps .
Fɔ tɔk am simpul wan, wetin na serrated polyps?
Serrated polyps na sכm sכm tisu dεm we de gro, כ fכ tru, sכm sכm polyp dεm, we de fכm na di insay wכl na yu kכlon. dεn kכl dεm "serrated" biכs dεn sεf de luk lεk saw-tut we dεn si dεm כnda maykroskכp.
Di impɔtant tin na dat dɛn polyp ya nɔ kin gɛt kansa we dɛn fɔs fɔm. Bɔku tɛm, dɛn nɔ kin gɛt bɛtɛ wɛlbɔdi. Bɔt sɔm polip dɛn we gɛt sɛrat kin tɔn to kansa as tɛm de go. Na dat mek dɔktɔ dɛn kin pul dɛn polip ya jɔs afta dɛn si dɛn. Dis kin ɛp fɔ mek kɔlon kansa nɔ kam bifo tumara bambay.
di we aw dεn sεrat polip dεm ya de divεlכp difrεn sכmtεm frכm di we aw כda kכmכn polip dεm we dεn kכl adenomas de divεlכp. Ɛn di we aw dɛn kin tɔn to kansa bak difrɛn. bכt 25% pan di kכlon kεnsar dεm de divεlכp frכm dεn sεrat polip dεm ya. Bɔt if dɛn bigin fɔ gɛt kansa, dɛn kin gro kwik kwik wan pas ɔda kayn kansa dɛn.
Wetin na di men kayn serrated polyps?
Di Wol Ɛlth Ɔganayzeshɔn (WHO) dɔn sheb di polip dɛn we gɛt sɛrat to 4 men kayn dɛn. Dɛn kin sheb dɛn tin ya bay aw dɛn tan ɛn di we aw di sɛl dɛn de biev. Nɔto ɔl dɛn kayn tin ya kin tɔn to kansa. So, i rili impɔtant fɔ mek yu dɔktɔ klas dɛn kɔrɛkt wan ɛn no udat dɛn bi.
Na dis na simpul ɛksplen bɔt dɛn 4 kayn dɛn de.
| Polip Tayp | Fɔ tɔk am simpul wan... |
|---|---|
| Polip dɛn we gɛt haypaplastik | Dis na di kayn we we pipul dɛn kin gɛt mɔ . bכt 75% pan di sεrat polip dεm na dis kayn. Di gud nyus na, dɛn tin yaI nɔ bad, ɛn i nɔ go tɔn to kansa. Na nכmal kכndyushכn we sכm sכm sεl dεm de kכz. |
| Sεsεl sεrat lεsin dεm (SSL dεm) . | Dis na di kayn sεrat polyp we kin tכn to kεnsar . "Sessile" min "sessile" bikɔs dɛn flat ɛn tay pan di wɔl. Dis na di rizin we mek sɔntɛnde i nɔ kin izi fɔ fɛn dɛn we dɛn de du kɔlon skɔpi. Dɔktɔ dɛn kin tink se ɔl dɛn SSL ya kin gɛt kansa. |
| Tradishכnal sεrat adenoma dεm | Dɛn tin ya nɔ kin apin so ɔltɛm . pan tap dεn lεk nכmal adenoma dεm, dεn gεt "sεrat" fכm dεm bak, lεk saw tit dεm. Dɛn na wan kayn kansa bak . |
| Adenomas we nɔ gɛt klas we gɛt sɛrat | dis na wan kayn polip we nכ de εksakכt pan εni wan pan di tri tכp dεm we wi bin dכn tכk bכt i gεt haybrid kכntribyushכn. Dis kin apin bak we nɔ kin apin so ɔltɛm. Dɔktɔ dɛn de kɔntinyu fɔ du risach bɔt dɛn tin ya. |
Aw kɔmɔn dɛn tumbu ya kin bi? Ɛni sayn de we de sho se yu gɛt dis sik?
Imajin, if yu du 100 colonoscopies, yu kin si dis kayn serrated polyp na lek 30 pan dem. Bɔt nɔ wɔri, bɔku pan di wan dɛn we dɛn kin fɛn na haypaplastik polip dɛn we nɔ de du bad . Tayp dɛm lɛk SSL, we de pan risk fɔ gɛt kansa, dɛn kin si am na smɔl nɔmba, lɛk 10%.
Di impɔtant tin na dat nɔr pan dɛn kayn polip ya kin mek yu gɛt ɛni sayn . Yu kin gɛt dɛn insay yu bɔdi we yu nɔ ivin no.
Na smɔl tɛm nɔmɔ, if tumbu gro, yu kin gɛt smɔl blɔd na yu stɔl, ɔ yu kin gɛt blo ɔ kɔnstipɛshɔn. Bɔt ɔda tin dɛn de we kin mek pɔsin gɛt dɛn sik ya. Na dat mek dɔktɔ dɛn kin se yu fɔ du kɔlon skɔpi we yu smɔl, ilɛksɛf yu nɔ gɛt ɛni sayn.
Wetin na di sik we dɛn kɔl sɛrrated polyposis syndrome (SPS)?
Dis na wan spɛshal tin we nɔ kin apin so ɔltɛm. insay dis kכndyushכn, pכsin de divεlכp bכku sεrat polip dεm (sכmtεm i pas 20) ɔlsay na in kכlon. Dɛn tin ya kin big pas aw i kin bi ɛn kin bi wan kayn kansa we gɛt bɔku risk. Pɔsin wae gɛt dis sik, SPS, gɛt 25% risk fɔ gɛt kansa.
Wetin na de tin wae kin mek pɔrsin gɛt dis sik ɛn wae kin mek pɔrsin gɛt dis sik?
No wan tin nɔ de we kin mek pɔsin gɛt kɔlon polyp. Dɛn kin bɔku mɔ ɛn mɔ as wi de ol. Dɛn tink se di men tin we kin mek wi gɛt dis sik na di chenj we de apin na di jɛnɛtiks we kin apin we wi sɛl dɛn sheb ɛn mek nyu sɛl dɛn. Jɔs lɛk aw kɔpi mashin kin mek smɔl mistek sɔntɛnde. dis jεnεtik mכtεshכn dεm de mek di sεl dεm gro we dεn nכ de kכntrכl εn fכm tכmכro.
difrεn tin dεm de we de mek di risk fכ gεt dεn polyp dεm ya bכku:
- Bikɔs i dɔn pas 50 ia
- Fɔ smok
- Fɔ drink pasmak
- Fɔ it rɛd mit ɔltɛm (lɛk bif ɛn bɔd) .
- We yu de gɛt bɔku bɔku wet (we yu fat pasmak) .
- Fɔ gɛt sik dɛn we de mek yu bɔdi wam, lɛk inflammatory bowel disease (IBD) .
Aw dɛn kin no ɛn trit dɛn tin ya?
di bεst εn כnli we fכ no di sεrrated polyps na wit kכlonoskopi . Dis tɛst de chɛk yu ɔl kɔlon bay we dɛn de yuz wan tin tiub we gɛt kamɛra we dɛn tay.
Bɔt sɔntɛnde, i kin tranga smɔl fɔ fɛn dɛn. Bikɔs di kayn dɛn lɛk SSL dɛn flat, di sem kɔlɔ lɛk di tisu we de rawnd, ɛn di bɔda dɛn nɔ klia. Na dat mek i impɔtant fɔ mek dɔktɔ we sabi du am ɛn we gɛt ɛkspiriɛns fɔ du dis tɛst we i de yuz ay-tek kamɛra (hay rɛsɔlɔshɔn kɔlonɔskɔp).
Wetin kin apin afta di tɛst?
1. Ditekshɔn: If di dɔktɔ si pɔlip we dɛn de du kɔlonɔskɔpi ɛn i sɔprayz se na kayn we we gɛt ay risk, i go pul am wantɛm wantɛm. Dɛn kɔl dis we aw dɛn kin du am polypectomy .
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3. Plan fɔ du tumara bambay: Bays pan da ripɔt de, yu dɔktɔ go disayd aw kwik yu nid fɔ du yu nɛks kɔlon skɔpi.
| Tayp fɔ di polip we dɛn fɛn | Di tεm we dεn rεkomεnd fכ di nεks kכlonoskopi |
|---|---|
| Lכw risk (e.g. sכm sכm haypaplastik polip dεm) . | Nɔmal wan insay 10 ia |
| Midul risk (e.g. bɔku SSL dɛn) . | Insay lɛk 5 ia so |
| High risk (e.g. big SSL ɔ bɔku wan) . | Insay lɛk 3 ia so |
| If SPS stetus de | Ɛvri ia |
Yu dɔktɔ kin chenj dɛn tɛm ya dipen pan yu sik, so i impɔtant fɔ fala wetin i tɛl yu fɔ du.
Nɔ fɔgɛt, fɔ pul wan pɔlip we de pan denja fɔ gɛt kansa min se yu dɔn rili sef fɔ naw. Wi dɔn pul di pɔsibiliti fɔ mek da growth de divɛlɔp to kansa. Bɔt i impɔtant fɔ mek dɛn chɛk yu bak di rayt tɛm, bikɔs dɛn tin ya we de gro kin kam bak.
Mɛsej we dɛn kin kɛr go na os
- Serrated polyps na wan kayn growth we de fכm na di kכlon. Bɔku pan dɛn tin ya nɔ bad .
- Bɔt sɔm kayn, lɛk SSL, kin tɔn to kansa as tɛm de go, so i bɛtɛ fɔ pul dɛn jɔs afta yu si dɛn.
- Dɛn tumbu ya nɔ kin mek pɔsin gɛt ɛni sayn . Na dat mek i impɔtant fɔ mek yu du kɔlon skɔpi afta yu dɔn ol 45 ia, lɛk aw yu dɔktɔ se.
- If dɛn si se wan pɔlip we dɛn bin fɛn we dɛn bin de du yu ɛgzam, gɛt kansa ɛn dɛn pul am, nɔ wɔri. I min se yu dɔktɔ si am insay di tɛm ɛn mek i nɔ mek i bi kansa.
- Di tin we impɔtant pas ɔl na fɔ du yu nɛks tɛst jɔs di tɛm we di dɔktɔ tɛl yu . Nɔ mis am.
- Yu kin ridyus di risk fɔ gɛt dɛn tin ya if yu nɔ smok, drink pasmak, ɛn fala wɛlbɔdi layf.
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