Yu no bɔt dɛn serrated polyps ya na yu kɔlon? Lɛ wi tɔk bɔt dɛn insay simpul wɔd dɛn!

Yu don eva geht `(Colonoscopy)` tehst? Ɔ, yu kin yɛri sɔmbɔdi se, ``Dɛn pul sɔm smɔl smɔl tin dɛn we de gro na di kɔlon.'' Bɔku tɛm, na dɛn tin ya wi kin kɔl `(Kɔlɔn Polips)`` ɔ polip dɛn we de gro na di kɔlon. Fo dem, wan speshal taip de we dem kol `(Serrated Polyps).`` Yu tink se di nem de soun likl frayd? Nɔ wɔri, wi go tɔk bɔt ɔltin simpul we we yu go ɔndastand.

Wetin na dɛn `(Serrated Polyps)` ya? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, serrated polyps na growth dɛn we de fɔm na di insay wɔl na yu kɔlon ɛn i tan lɛk saw-toothed growths ɔnda maykroskɔp. Dɛn rili na tumbu, bɔt dɛn nɔ gɛt wan prɔblɛm. Dis min se dɛn nɔ kin gɛt kansa we dɛn fɔs fɔm. Bɔt sɔm serated polyps kin bi kansa as tɛm de go. Na dat mek dɔktɔ dɛn kin pul dɛn tin ya we de gro jɔs afta dɛn dɔn si se dɛn kin mek dɛn nɔ gɛt kansa na dɛn kɔlon.

di serrated apinans fכ dεn `(Serrated Polyps)` dεm de riliyt to di we aw dεn de fכm. di prכsεs we dεn de fכm de difrεn sכmtεm frכm di כda kayn polip dεm we wi kin si na di kכlon, `(Adenomas). כlso, if `(Serrated Polyps)` tכn to kεnsar, di prכsεs difrεn frכm di prכsεs we `(Adenomas)` de tכn to kεnsar. dεn se lεk 25% pan di kכlon kεnsar dεm de kכmכt frכm dεn `(Serrated Polyps)` 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 akɔdin to aw dɛn luk, dat na, dɛn bɔdi. dis kכntribyushכn dεm de sho aw difrεn di sεl prכsεs dεm we de infכlכ di growth fכ dεn polyp dεm ya de. Di impɔtant tin na dat, nɔto ɔl dɛn kayn tin ya kin apin bifo kansa . Dɔktɔ dɛn kin put dɛn na klas we dɛn fɛn dɛn fɔ no aw dɛn go gɛt kansa.

Na dɛn 4 kayn dɛn de:

• `(Haypaplastik Polip)` Haypaplastik polip
• `(Sεsεl sεratεd lεshכn dεm - SSL dεm)` Sεsil sεrayt lεshכn dεm
• Tradishɔnal Sɛrɛt Adenomas
• Serrated Adenomas we nɔ gɛt klas

`(Haypaplastik Polip)` Haypaplastik polip

dis na di mכst kכmכn tכp fכ sεrat polip dεm, we de mek lεk 75% pan di kes dεm. Di gud nyus na dat dɛn haypaplastik polip ya nɔ de du bad ɛn dɛn nɔ kin bi kansa . "Hyperplastic" jכs min se di sεl dεm de gro pasmak. I min se na jɔs tumɔs sɛl dɛn de we de gro togɛda. כl di polip dεm we de bifo kansa kin bi "dysplastic," we min se dεn gεt abnכmal chenj dεm na di sεl dεm. Dɛn chenj ya we de apin na di sɛl dɛn kin mek pɔsin gɛt kansa.

`(Sεsεl sεratεd lεshכn dεm - SSL dεm)` Sεsil sεrayt lεshכn dεm

כlmost 20% pan di sεrat polip dεm na di sכbtayp we dεn kכl Sεsil sεrayt Lεshכn (SSL dεm). Dis na di kayn serrated polyp we gɛt di ay risk fɔ gɛt kansa . "Sessile" de tכk bכt di fכs we dεn flat, lεk disk, כ rayz sכmtεm. כltu, yu kin si dis shep bak na di haypaplastik polip dεm we nכ de du bad. So, i at smɔl fɔ no difrɛns bitwin dɛn tu bay aw dɛn luk. Bɔt spɛshal pipul dɛn kin no sɔm difrɛns dɛn pan dɛn strɔkchɔ.

Dɛn `(Sessile Serrated Lesions)` ya bin de gɛt sɔm nem dɛn. Naw dɛn de yuz dis nyu nem fɔ ridyus kɔnfyushɔn we nɔ nid. כda tin na dat sכm pan dεn `(SSL)` dεm gεt di `(Dysplasia)` (sεl abnכmaliti) fכm dεm we wi bin dכn tכk bכt, we כda wan dεm nכ gεt. di dכkta dεm de klas dεn wan dεm we gεt `(Dysplasia)` as "sessile serrated lesions with dysplasia". Bɔt dɛn kin tek ɔl di `(SSL)` dɛn as prɛkansa kɔndishɔn dɛn .

Tradishɔnal Sɛrɛt Adenomas

Dis na di kayn `(Serrated Polyps)` we nɔ bɔku pas ɔl, we dɛn kin si pan less dan 1% pan di pipul dɛm . Dɛn tin ya na tin dɛn bak we kin mek pɔsin gɛt kansa . di we aw dεn de luk sכm kayn we lεk nכmal `(Adenomas)`, dat min se dεn gεt shep we lεk mכshכm, εn dεn gεt di nכmal `(Dysplasia)` fכm dεm bak. Bɔt dɛn gɛt di `(Serrated)` tin dɛn bak lɛk di ed dɛn na saw. Trade, bɔku tɛm dɛn bin de mistek kɔl dɛn tin ya fɔ nɔmal `(Adenomas)`. Dɛn jɔs dɔn no dɛn as wan kayn `(Serrated Polyp)`.

Serrated Adenomas we nɔ gɛt klas

di las tכp na di polip dεm we nכ fit fayn fayn wan insay εni wan pan di kategori dεm we de oba. Dɛn kin gɛt flat, sɛrrated appearance, bɔt dɛn kin gɛt ficha dɛn bak we fiba ``Dysplasia'' ɔ ``Adenomas.'' Pan ɔl we dɛn nɔ kin bɔku, dɔktɔ dɛn biliv se i impɔtant fɔ no dɛn polyp ya we dɛn nɔ kin ebul fɔ klas klia wan, bikɔs di risach we dɛn go du tumara bambay kin sho mɔ bɔt dɛn. Wi stil de lan bɔt ``Serrated Polyps.''

Aw kɔmɔn tin dɛn we dɛn kɔl Serrated Polyps?

sεrayt polip dεm de fכn insay lεk 30% pan di kכlonoskopi dεm. Bɔku tɛm, dɛn wan ya na haypaplastik polip dɛn we nɔ de du bad. כltu, lεk 10% na prεkansa polip dεm, lεk Sessile Serrated Lesions (SSLs). We dɛn de du kɔlon skɔpi, di dɔktɔ nɔ kin ebul fɔ no di difrɛns bitwin dɛn tu ɔltɛm. Na dat mek, if ɛni dawt de, dɛn kin pul di tisu, sɛn am na lɛbɔraytri, ɛn wan dɔktɔ we de stɔdi bɔt sik dɛn kin chɛk am ɔnda maykroskɔp.

Wetin na `(Sɛrat Pɔlipɔsis Sindrom - SPS)`?

Serrated Polyposis Syndrome (SPS) na wan sik we nɔ kin apin so ɔltɛm. Dis na wetin kin apin we yudi sεrat polip dεm de fכm bכku nכmba כlsay na di kכlon. Fɔs, dɛn bin de kɔl dis Hyperplastic Polyposis Syndrome. Yu kin gɛt pas 20 polip, ɔ dɛn kin big pas aw i kin bi. Dɛn kin gɛt bak prɛkansa. Pipul wae gɛt dis sik kin gɛt 25% chans fɔ gɛt kansa. Dis kכndyushכn de afekt bכt 0.4% pan di pipul dεm.

Yu tink se serrated polyps kin mek yu gɛt di sik?

Bɔrku tɛm, di polip dɛm na di kɔlon, inklud di polip dɛm we gɛt sɛrrated, nɔ kin kɔz ɛni sayn . Na smɔl tɛm nɔmɔ, big big pɔlip kin mek yu blɔd ɔ chenj yu bɔdi. Sɔm pipul kin notis blɔd na dɛn stɔl, ɔr kin gɛt dayarɛa ɔ kɔnstipɛshɔn we dɛn nɔ kin ɛksplen. Bɔt ɔda tin dɛn bak kin kam wit dɛn sayn ya. Bɔrku pipul dɛm wae gɛt polyp nɔr kin ivin no se dɛn gɛt am . Na dat mek dɔktɔ dɛn kin se dɛn fɔ du ɛgzam fɔ kɔlon skɔpi ɔltɛm.

Wetin kin mek dɛn `(Serrated Polyps)` ya fɔm?

Serrated polyps na wan kכmכn kכndyushכn we kin kכmכt we wi de ol. Wi nɔ no di rayt tin we mek dɛn kin fɔm. Bɔt wi no se di chenj dɛn we de apin na di jɛnɛtiks kin apin . jεnεtik mכtεshכn na mistek dεm we de mek yu sεl dεm kכd we dεn de sheb εn mek nyu sεl dεm. Dɛn mistek ya kin mek di nyu sɛl dɛn gro difrɛn we pas aw dɛn fɔ gro. di sεrat polip dεm de kכz difrεn jεnεtik mכtεshכn pas כda kayn polip dεm.

Wetin na di risk fכ divεlכpmεnt fכ divεlכp `(Serrated Polyps)`?

di risk fכ divεlכpmεnt fכ divεlכp sεrat polip dεm rili sכm lεk di wan dεm fכ divεlכp di polip dεm na di big intestin. Dɛn na:

• Bikɔs i dɔn pas 50 ia.
• Fɔ smok.
• Fɔ drink rɔm pasmak.
• Fɔ it pasmak rɛd mit (lɛk bif, got mit).
• Fat.
• Fɔ gɛt kɔndishɔn lɛk inflammatory bowel disease.

Aw fɔ no `(Serrated Polyps)`?

di bεst we fכ fכn sεrat polip dεm na fכ kכlכnoskopi . Bɔt, sɔntɛnde, pɔsin kin mis dɛn. dis na biכs di tu tכp dεm we kכmכn fכ sεrat polip dεm, haypaplastik polip dεm εn sεsil sεrat lεshכn dεm (SSL), nכ de rili klia. Dɛn kin smɔl (lɛk 5 mm) , dɛn kin flat ɔ dɛn kin rayz smɔl, ɛn dɛn kin gɛt di sem kɔlɔ lɛk di tisu we de rawnd, ɛn dɛn nɔ kin gɛt klia bɔda.

Tink bɔt am lɛk se yu de luk fɔ wan smɔl smɔl dɔti we yu nɔ go ebul fɔ si na di wɔl we gɛt di sem kɔlɔ wit di pent. Dat nɔ izi, nɔto so?

Nyu,di kolonoskop dεm we gεt hכy rεsכlushכn εn magnifyushכn, bεtε fכ no di sεrrat polip dεm pas ol instrכmεnt dεm. Fɔ pripia fɔ di bɔdi ɛn di trenin we di dɔktɔ gɛt impɔtant bak. Dɔktɔ dɛn fɔ no di laytst gaydlain fɔ no serrated polyps. Dɛn dɔn si se sɔm we dɛn we dɛn kin yuz fɔ kɔlonoskɔpi kin wok fayn pas ɔda wan dɛn ɛn dɛn kin chenj di we aw di pɔlip dɛn kin tan.

We yu de du yu kɔlon skɔpi, yu dɔktɔ kin sɔprayz se yu gɛt Sessile Serrated Lesion ɔ Serrated Polyp, we na wan kayn kansa we kin tɔn to polyp. If ɛni dawt de, i go pul am we dɛn de du di ɔpreshɔn (Polypectomy) . Dɔn dɛn go sɛn di polip to wan lɛbɔraytri fɔ mek wan Pathologist chɛk am. Na da tɛm de nɔmɔ di dɔktɔ go ebul fɔ no uskayn kayn polip i bi ɛn mek di las diagnosis.

Bɔt if yu gɛt Serrated Polyposis Syndrome (SPS), yu dɔktɔ kin ebul fɔ no am we dɛn de du kɔlonɔskopi. di we fכ no SPS na fכ luk di nכmba fכ di sεrat polip dεm we dεn fכnshכn, dεn saiz, εn usay dεn de na di kכlon. stεdi, sεrat polip dεm we big pas nכmal כ na כnusual lכkεshכn dεm na di kכlon kin mכr fכ bi prεkansa we dεn egzamin dεm klos wan.

Wetin kin apin if dɛn fɛn `(Serrated Polyps)` di tɛm we dɛn de du `(Colonoscopy)`?

Hyperplastic polyps na tin we kɔmɔn ɛn nɔto natin fɔ wɔri bɔt. Bɔt if yu dɔktɔ tink se yu gɛt wan polip we gɛt ser, dɛn fɔ pul dɛn . Dis na fɔ no ustɛm i bi ɛn fɔ stɔp am fɔ mek i nɔ gɛt kansa. If dɛn kɔnfyus se na tru tru polip we nɔ gɛt kansa, yu dɔktɔ go sɛtul yu nɛks kɔlon skɔpi kwik kwik wan , so dat yu go shɔ se yu go chɛk ɛni nyu wan.

Aw kwik a fɔ du kɔlonɔskɔpi bikɔs ɔf wan sɛrrated polyp?

Dɔktɔ dɛn kin klas di risk fɔ gɛt kɔlorektal kansa as lɔw, mɔdaret, ɔ ay, dipen pan di kayn serated polyps we dɛn fɛn. Dɛn kin yuz da risk de fɔ no ustɛm dɛn fɔ du di nɛks kɔlon skɔpi. Frɔm di gaydlain dɛn we de naw, .

• If midul risk de , wan tɛm ɛvri fayv ia .
• If big risk de, ɛvri tri ia .
• If yu gɛt `(SPS)`, i fayn fɔ mek yu du tɛst wan tɛm insay di ia .
• Low-risk ``(Hyperplastic Polyps)'' nɔ nid spɛshal monitarin.

Wetin fɔ ɛkspɛkt if yu gɛt prɛkansa ``Serrated Polyps''?

If yu dɔktɔ pul di prɛkansa serrated polyps we yu de du yu kɔlon skɔpi, yu sef fɔ naw . If yu pul dɛn, dat go mek yu nɔ gɛt kansa. Bɔt yu dɔktɔ go want fɔ wach yu kɔlon fɔ sɔm rizin dɛn. wan rizin na dat dεn sεsil sεrat polip dεm ya kin at fכ pul kכmplit wan wit polipεktכmi biכs fכ dεn flat shep εn fכz ed dεm.

Tink bɔt am lɛk we yu de pik wan pat pan jeli we dɔn fɔdɔm na grɔn. Sɔntɛnde, smɔl smɔl tin dɛn kin lɛf, nɔto so? Na so i bi.

if dεn lεf sכm sכm sεl dεm we dεn pul dεm, כ if pכlip dεm de we dεn bin mis di tεm we dεn bin de du kכlon sכkכp bifo εn nכ bin so klia, dεn kin kכntinyu fכ gro to prεkansa kכndishכn dεm. Dɛn kin gro fast bak pas nyu polip. pan tap dat, di polip dεm we gεt sεrat kin bi kεnsar pas כda kayn dεm. Dɛn kin gɛt kansa bak pas wan ples di sem tɛm .

Ustɛm a fɔ go to dɔktɔ bɔt intestinal polyps?

If yu de pan avrej risk, dɔktɔ dɛn kin se yu fɔ du kɔlon skɔpi ɛvri 10 ia, ɛn bigin we yu ol 45. If pɔsin na yu famili dɔn gɛt kɔlon kansa ɔ polyp (we na wan jenɛtik link), ɔ if yu gɛt wɛlbɔdi prɔblɛm we de mek yu gɛt mɔ risk fɔ gɛt polyp, lɛk inflammatory bowel disease, yu kin nid fɔ du kɔlon skɔpi bifo tɛm. Aks yu dɔktɔ ustɛm na di tɛm fɔ du yu kɔlon skɔpi ɔltɛm.

Lɛk bɔku pan di kɔlon polip dɛn, di polip dɛn we gɛt sɛrat kin bɔku ɛn bɔku tɛm dɛn nɔ kin du bad . Sɔm pan dɛn kin gɛt smɔl risk fɔ mek dɛn bad as tɛm de go. Na dat mek wi gɛt kɔlonɔskɔpi. As lɔng as wi de screen fɔ dɛn ɛn pul dɛn if dɛn fɛn dɛn, serrated polyps nɔ gɛt chans fɔ bi kansa. Wi stil de lan bɔt serrated polyps ɛn aw dɛn de biev, bɔt naw wi no inof fɔ gi tritmɛnt fɔ mek dɛn nɔ gɛt dis sik .

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi luk sɔm pan di impɔtant tin dɛn we wi fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Serrated polyps na wan kayn flesh growth we de fכm na di big intestin εn i lεk di ed dεm fכ saw.
• sכm kayn sεrat polip dεm, spεshal wan sεshal sεrat lεshכn (SSL dεm), kin bi kεnsar as tεm de go.
• Bɔrku tɛm, dɛn tin ya nɔr kin gɛt ɛni sayn , so i rili impɔtant fɔ mek dɛn du kɔlon skɔpi tɛst ɔltɛm.
• If dɛn no ɛn pul dɛn tin ya we dɛn de du kɔlon skɔpi, dɛn kin mek dɛn nɔ gɛt kansa .
• If dɛn no se yu gɛt `(Serrated Polyps),` fala yu dɔktɔ in instrɔkshɔn ɛksaktɔli. I impɔtant fɔ go fɔ fala-ɔp ɛgzam ɔltɛm.
• Nɔr frayd , de tin wae impɔtant pas ɔl na fɔ no bɔt dɛn tin ya ɛn no dɛn kwik kwik wan.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. I kin advays yu di rayt we.

` Serrated Polyps, Colon Polyps, Kolonoskopi, Kɔlɔn Kansa, Haypaplastik Polips, Sεshal Sεrat Lεshכn, Gastroenterology