Yu gɛt tumbu lɛk dis bak na yu kɔlon? Mek wi lan bɔt (Tubular Adenomas)!

sכmtεm we wi du `(Colonoscopy)`, dכkta kin fכn sכm sכm sכm tin dεm we de gro insay wi kכlon. Na dat dem de kol `(Polyps)`. dis `(Tubular Adenomas)` dεm dεn tu na wan kayn sכm sכm sכm sכm sכm sכm sכm dεm we de fכm na di kכlon, bifo dεn bi kεnsar. Yu kin fil fɔ fred smɔl we yu yɛri bɔt dɛn tin ya, bɔt nɔ wɔri. Les dan 9% pan dεn tin ya kin tכn to kεnsar. Bɔt dis tan lɛk wɔnin we yu kin gɛt kwik kwik wan. Dis wɔnin kin bi big ɛp fɔ ridyus yu risk fɔ gɛt kɔlorektal kansa.

Dɛn wan ya (Tubular Adenomas) na di sem wit (Villous Adenomas)? Ɔ dɛn difrɛn?

Naw yu kin de wɔnda if dɛn `(Tubular Adenomas)` ɛn `(Villous Adenomas)` ya na di sem. Fɔ tru, we yu luk dɛn wit maykroskɔp, dɛn ɔl tu tan lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Tink bɔt am lɛk smɔl smɔl kɔliflawa flawa dɛn we dɛn tay na di wɔl na yu kɔlon. Bɔt klia difrɛns de pan di we aw dɛn tu de gro .

fכ simpul wan, ``Tubular Adenomas`` de luk lεk wan siriכs sכm sכm tεst tyub dεm we dεn mek frכm di layn fכ yu kכlon. dis min se dεn sεl dεm dεn arenj insay wan rili nit, tכbul shep.

Bɔt wetin dɛn kɔl ``Villous Adenomas'' difrɛn. Dɛn tan lɛk di branch dɛn na wan fɛn we dɔn gro random wan na difrɛn say dɛn, dɛn kin mɛs smɔl, ɛn dɛn gɛt bɔku bɔku tin dɛn we tan lɛk finga.

Naw yu go de wɔnda wetin mek dis difrɛns pan aw pɔsin de gro impɔtant. We yu ɔndastand dɛn kayn we ya we yu de gro, dat de mek dɔktɔ dɛn ebul fɔ no if yu adenoma go bi kansa. fכ egzampl, Villous Adenomas de gro fast pas Tubular Adenomas εn i kin bi kεnsar. So, i impɔtant fɔ no di difrɛns bitwin dɛn tu.

Wetin mek dɛn tin ya (Tubular Adenomas) de divɛlɔp? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

fכ tru, enibodi kin divεlכp dεn `(Tubular Adenomas)` ya. Bɔt sɔm pipul dɛn kin gɛt dɛn prɔblɛm ya. Lɛ wi si udat dɛn bi:

• If yu de yuz sigrɛt ɔ ɔda tin dɛn we yu kin yuz fɔ smok: Fɔ smok na di men tin we kin mek yu gɛt bɔku sik dɛn. I kin afɛkt dis wan bak dairekt wan. di kεmikכl dεm we de insay tabak de pwεl di sεl dεm na di kכlon, we de inkכrej fכ mek di polip dεm lεk dis gro.
• If yu bɔdi wet pas di wan we dɛn kin se (Obesity): Fat na wan pan di rizin dɛn bak fɔ dis. di כmon chenj dεm εn inflameshn we de kכz fכ di εksyכs wet na di bכdi kin kכntribyut fכ di growth fכ dεn ``Adenomas`` dεm ya.
• If yu ol 50 ia ɔ pas dat: Yu kin gɛt sɔm sik dɛn kin bɔku we yu de ol. Bikɔs di we aw wi bɔdi de ripɛnt di sɛl dɛn kin slo as wi de ol, dat kin mek wi gɛt sɛl dɛn we nɔ fayn.
• If yu na man:stεdi, dεn fכnshכn se man dεm de pan sכm hεvi risk fכ divεlכp dεn ``Adenomas'' ya pas uman dεm.
• Famili histri bɔt kansa: If yu mama ɛn papa, yu brɔda ɛn sista, ɔ pikin dɛn dɔn gɛt kansa na yu kɔlorektal, yu go gɛt am lɛk tu tɛm pas dat. Dis sho se sɔntin de we de mek pɔsin gɛt sɔntin fɔ du wit in jɛnɛtiks.
• Sɔm mɛrɛsin dɛn we bin dɔn de bifo: Fɔ ɛgzampul, if yu gɛt inflammatory bowel disease (IBD) lɛk Crohn’s disease ɔ ulcerative colitis, yu gɛt histri fɔ gɛt kansa na yu kɔlon, ɔ ovarian kansa, yu de pan denja bak.
• sכm chenj dεm we dεn kin chenj na di jin dεm we dεn kin gεt: sכm kכndyushכn dεm de we nכ kin apin we kin mek yu gεt kכlon kεnsar εn polyp dεm, lεk Familial Adenomatous Polyposis (FAP) כ MUTYH-associated Polyposis (MAP). Dis na tin dɛn we kin apin to pipul dɛn na di famili we kin afɛkt di wan dɛn we de na di famili.

"Yu nɔ nid fɔ gɛt ɔl dɛn risk factor ya. Ivin if yu gɛt wan ɔ tu, sɔm tɛm dɛn kin divɛlɔp fɔ no rizin. Na dat mek i impɔtant fɔ tɔk to dɔktɔ ɛn lan bɔt `(Screening)` tɛst, mɔ afta yu dɔn ol 45-50 ia."

Wetin na di sayn dɛm fɔ (Tubular Adenomas)? Aw dɛn kin no dɛn?

Bɔku tɛm, dɛn `(Tubular Adenomas)` ya nɔ kin sho ɛni simptom . Dat na di tin we denja pas ɔl. Bikɔs no sayn nɔ de, wi nɔ kin ivin no se sɔntin lɛk dis de apin insay di bɔdi. Dɛn kin gro kwayɛt wan. Bɔt nɔto ɔltɛm, if di sayn dɛn de sho, di sayn we kin apin pas ɔl na we dak rɛd ɔ layt rɛd blɔd de pas we nɔ de mek pɔsin fil pen we i de muv in bɔdi. Dɛn kin miks dis blɔd wit di stɔl ɔ dɛn kin smɛl am na di stɔl.

Sɔm ɔda sayn dɛn kin de apat frɔm dat, bɔt dɛn tin ya nɔ kin bɔku:

• Kɔnstipɛshɔn ɔ dayarɛa: If chenj dɔn apin wantɛm wantɛm na yu tɔylɛt fɔ sɔm wiks we yu nɔ ɛksplen.
• Fɔ lɔs yu wet we yu nɔ bin want: If yu lɔs yu wet we yu nɔ de it, ivin we yu de it lɛk aw yu kin it.
• I nɔ kin want fɔ it igen: I kin fil se i nɔ want fɔ it.
• Bɛlɛ pen: Na di bɛlɛ we nɔ de fil fayn ɔ we nɔ de mek pɔsin fil pen.
• Iron-deficiency anemia: Bikɔs di pɔlip dɛn kin blɔd smɔl smɔl, sɔm tɛm dɛn de di ayron lɛvɛl na di bɔdi kin go dɔŋ, ɛn dis kin mek yu gɛt sɔm sayn dɛn lɛk fɔ taya ɛn fɔ mek yu bɔdi nɔ gɛt bɛtɛ blɔd.

Bɔt mɛmba se, jɔs bikɔs yu gɛt dɛn sik ya nɔ min se yu gɛt Tubular Adenomas. Dɛn sayn ya kin kam bak bikɔs ɔf ɔda wɛl bɔdi prɔblɛm, lɛk ɛmoroyd ɛn ɔda infekshɔn na intestinal. So, if yu kɔntinyu fɔ gɛt sɔntin lɛk dis, i go mɔs bi se yu go to dɔktɔ ɛn gɛt advays. Nɔ fɔ no yusɛf.

Aw dɔktɔ dɛn kin no dɛn tin ya (Tubular Adenomas)?

Bɔku tɛm, we dɔktɔ de chɛk yu, Dijital Rɛktal Ɛgzam kin fɛn Tubular Adenoma if i de nia di rɛktum. Bɔt bɔku tɛm, dɛn kin si Tubular Adenomas we dɛn de du Colonoscopy, we na wan skrinin tɛst fɔ kɔlorektal kansa.

``(Colonoscopy)`` na di prosidכs we dεn de put wan fleksibul, tכn tכb lεk instrכmεnt (wit sכmכl kεmεra εn layt we dεn tay na di εnd) tru di an εn dεn de egzamin di כl big intestin (kכlon) εn rεktum. insay dis, di dכkta kin si klia wan ivin sכm sכm chenj dεm na di intestinal, lεk ``(Polyps)``, pan mכnitor. So na wen yu luk am na im dem de kech dis ``(Adenomas)``. Bifo yu du dis tɛst, yu nid fɔ klin yu insay fayn fayn wan, ɛn di dɔktɔ go gi yu spɛshal drink ɔ mɛrɛsin fɔ dat.

Wetin na di tritmɛnt fɔ Tubular Adenomas?

di men εn mכst ifektiv tritmεnt fכ dis na fכ pul dεn `(Adenomas)` dεm ya na yu kכlon. di gud nyus na dat mכst tεm dεn kin pul dεn `(Adenomas)` dεm di sem tεm we di `(Colonoscopy)` tεst we fכnshכn dεm. Dis min se yu nɔ nid fɔ go insay fɔ wan sɛpret, big ɔpreshɔn pan wan sɛpret de. dis prosidכs dεn kכl am `(Polypectomy)`.

Dɔktɔ dɛn kin yuz spɛshal tin dɛn lɛk waya lɔp snɛr ɔ bayɔpsi fɔspɛs, we dɛn kin pas tru di kɔlonɔskɔp fɔ pul di adenoma frɔm di layn na di kɔlon. Dɛn kin kɔt big big polip dɛn to sɔm pat dɛn ɛn pul dɛn. Yu kin fil se yu de swɛt ɔ pul smɔl, bɔt bikɔs dɛn kin du kɔlon skɔpi wit mɛrɛsin fɔ mek yu fil pen ɛn fɔ mek yu fil pen , yu nɔ go fil bɔku pen.

Dɔn di dɔktɔ kin tek di pat dɛn pan di adenoma we i pul ɛn sɛn dɛn na lɛbɔtri fɔ mek dɛn chɛk dɛn ɔnda maykroskɔp (Histopathology/Biopsy). dis na di say we dεn kin kכnfכm εksεkεkt if kεnsar sεl dεm de insay εn us kayn adenoma i bi. Dis na di nɔmal tin we dɛn kin du.

A kin ridyus di risk fɔ gɛt Tubular Adenomas?

we yu fכnכt se yu gεt `(Tubular Adenomas), i min se yu gεt sכm hεvi risk fכ gεt kכlכrektal kεnsar.Na so i bi. Bɔt nɔ wɔri. Bɔku tin dɛn de we kin mek pɔsin gɛt kansa na in kɔlon. Sɔm pan dɛm wi kin chenj, ɛn sɔm wi nɔ kin chenj (e.g., ej, famili histri, jin).

Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus yu risk :

• If yu de drink rɔm, ridyus di we aw yu de drink, ɔ stɔp fɔ drink am kpatakpata: i bɛtɛ fɔ lɛ yu stɔp am as yu ebul.
• Lɛf fɔ smok ɛn yuz tabak prɔdak dɛn kpatakpata: Dis na sɔntin we yu fɔ rili du. Tɔk to dɔktɔ if yu nid ɛp fɔ du dis.
• Gɛt wɛl bɔdi wet: Ɛksesaiz ɛn it fayn fayn it kin ɛp fɔ dis. Yu kin bigin wit sɔntin we simpul lɛk fɔ waka fɔ 30 minit ɛvride.
• It fayn it: It mɔ vegjetabul, frut, ligɛm, ɛn ɔl gren we gɛt fayv. Limit rɛd mit (lɛk bif, bɔd) ɛn prosɛs mit (lɛk sosish, bekin).
• Ɛksesaiz ɔltɛm: Du ɛksɛsayz we nɔ gɛt bɛtɛ trɛnk fɔ sɔm dez insay di wik.

"Fɔ du dɛn tin ya nɔ kin stɔp di `(Tubular Adenomas)` fɔ kam bak ɔltogɛda, bɔt i go ɛp fɔ ridyus di ɔl risk fɔ gɛt kɔlon kansa. Dɔn bak, i rili impɔtant fɔ mek dɛn du `(Colonoscopy)` tɛst di tɛm we dɛn dɔn sɛtul, lɛk aw di dɔktɔ se."

If a gɛt (Tubular Adenomas), wetin a fɔ ɛkspɛkt?

Tubular adenomas na wan kayn prεkansa we de gro na yu kכlon εn rεktum. Bɔku tɛm, dɛn kin si dɛn we dɛn de du kɔlon skɔpi, we na wan tɛst we dɛn kin yuz fɔ chɛk fɔ si if pɔsin gɛt kansa na in kɔlon. So, if yu dɔktɔ fɛn dɛn polip ya we dɛn de du kɔlon, yu go nid fɔ du kɔlon skɔpi smɔl pas ɔda wan dɛn. Dat min se pan ɔl we dɛn kin se pɔsin we nɔ gɛt tubal adenoma fɔ du kɔlonɔskɔpi ɛvri 5 to 10 ia, dɛn kin aks yu fɔ kam bak fɔ ɔda chɛk-ap smɔl smɔl, lɛk ɛvri 1 to 3 ia.

Dis ``Fɔl-ɔp`` intaval na yu dɔktɔ de disayd. Bɔku tin dɛn de we kin afɛkt am:

• Di nɔmba fɔ `(Adenomas)` we dɛn fɛn insay yu.
• Dɛn saiz.
• di maykroskopik apinεns (`Histology`), dat na if dεn gεt ``Villous`` fכm dεm כ if dεn gεt siriכs chenj dεm lεk ``High-grade dysplasia``.
• Yu famili histri bɔt kɔlon kansa.
• Yu ɔl wɛlbɔdi biznɛs.

So, di tin we impɔtant pas ɔl na fɔ mek dɛn du kɔlon skɔpi akɔdin to di schedule we di dɔktɔ tɛl yu.

Yu tink se di Tubular Adenomas kin kam bak?

Yes, i sɔri fɔ no se, Tubular Adenomas kin kam bak.I nɔ pɔsibul fɔ se kɔlonɔskɔpi nɔ go gro bak jɔs bikɔs dɛn dɔn pul am wan tɛm. Ɛspɛshali if yu na pɔsin we de smok ɔ if yu stil gɛt di risk factor dɛm we wi bin dɔn tɔk bɔt, di risk fɔ dis growth kin ivin bɔku. Na dat mek dɔktɔ dɛn kin se yu fɔ du ``Colonoscopy`` bak ɔltɛm fɔ chɛk fɔ nyu growth. dis ``Surveillance Colonoscopy`` כ ``Follow-up Colonoscopy`` imכtant biכs i kin no εn pul nyu growth dεm we dεn bigin, bifo dεn bi kεnsar.

Aw a fɔ tek kia ɔf misɛf if a gɛt (Tubular Adenomas)?

infakt, bay we yu du `(Colonoscopy)` εn fכ no se yu gεt `(Tubular Adenomas)`, yu dכn tek big step fכ tek kia כf yusεf. If yu de wɔri ɔr de fred smɔl bɔt di rizɔlt fɔ `(Colonoscopy)`, i kin fayn fɔ mɛmba dɛn smɔl tin ya bɔt `(Tubular Adenomas)`:

• Dɔktɔ dɛn we de du kɔlonɔskopi kin pul yu tubular adenomas di sem tɛm we dɛn de du di prɔsidyu. So dɛn kin sɔlv wan big prɔblɛm da tɛm de.
• כlmost 90% pan di `(Tubular Adenomas)` dεm we dεn dεtekt nכ de bi kεnsar. Dis na big big rilif, nɔto so? Dat min se bɔku pan dɛn nɔ denja.
• If yu gɛt kɔlonɔskopi ɔltɛm, dat min se ivin if nyu Tubular Adenomas fɔm, dɔktɔ dɛn kin no ɛn pul dɛn bifo dɛn bi kansa. Dis min se yu de na say we sef, we pɔsin kin no kwik kwik wan.

"So, di tin we impɔtant pas ɔl na fɔ fala di dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli. Fɔ go fɔ fala-ap tɛst dɛn di rayt tɛm, fɔ mek di chenj dɛn we yu nid fɔ chenj yu layf (lɛk fɔ lɛf fɔ smok, it fayn it, fɔ du ɛksɛsayz) na di bɛst tin dɛn we yu kin du fɔ yusɛf. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we yu de wɔri bɔt."

Ustɛm a fɔ go to dɔktɔ bak?

We yu de wet fɔ yu scheduled ``Follow-up Colonoscopy``, if yu notis ɛni nyu chenj na yu bɔdi, mɔ if yu tink se yu kin gɛt nyu ``Tubular Adenomas``, ɔ if yu tink se yu kin gɛt simptom dɛm fɔ kɔlon kansa, go to yu dɔktɔ witout delay.

Mɛmba se bɔku tɛm, Tubular Adenomas nɔ kin gɛt sɔm sayn dɛn. Bɔt if di sayn dɛn apin, di sayn we kin apin mɔ na di blɔd we nɔ de mek pɔsin fil pen, we gɛt dak rɛd ɔ layt rɛd blɔd afta yu dɔn muv yu bɔdi. If yu notis sɔntin lɛk dis, nɔ ignore am. Mek shɔ se yu tɛl dɔktɔ. Dɔn bak, no bɔt ɛni nyu ɔr sik we de wɔs we wi bin dɔn tɔk bɔt (lɛk we yu bɛlɛ de pen, we yu de chenj yu bɔdi, we yu de lɔs yu wet).

Us tɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) afta dɛn dɔn du kɔlon skɔpi?

Big big kɔmplikɛshɔn dɛn afta dɛn dɔn du kɔlonɔskɔpi nɔ kin bɔku. Bɔt if dɛn apin, i impɔtant fɔ du sɔntin kwik kwik wan. If yu gɛt ɛni wan pan dɛn prɔblɛm ya afta dɛn dɔn du kɔlon skɔpi (bɔku tɛm insay sɔm dez), yu fɔ go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm, ɔ kɔl yu dɔktɔ :

• Bɔrku pen ɔr kramp na di bɛlɛ we de wɔs. (Fɔ blo smɔl ɔ gas afta di tɛst na nɔmal tin, bɔt nɔto bad bad pen.)
• If yu bɛlɛ fil tranga, lɛk rɔk, ɛn di pen kin tranga we yu prɛs am wit yu an.
• I nɔ kin izi fɔ pas gas ɔ fɔ pul dɔti ɔltɛm.
• Ay fiva (bɔku tɛm i kin pas 100.4°F ɔ 38°C).
• If yu fil se yu diziz ɔ yu de fil fɔdɔm.
• If yu de vɔmit ɔltɛm.
• We yu de muv yu bɔdi ɔltɛm ɔ yu kin gɛt blɔd bad bad wan.
• If dɛn nɔ ebul fɔ stɔp di blɔd we de kɔmɔt na di rɛktal, ɔ if pas tu-tri tebul spɔnj blɔd de kɔmɔt.

dis simptom dεm de sho se posεbul, bכt rili rare, komplikashכn (e.g., bכwel perforeshכn, bכku bכku bכdi) afta dεn dכn kכlכskopi. So na fɔ no bɔt dɛn tin ya.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ bɔt Tubular Adenoma?

If yu kam fɔ no se yu gɛt Tubular Adenomas we yu de du yu rutin colonoscopy, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya. We yu aks dɛn kwɛstyɔn ya, dat go ɛp yu fɔ ɔndastand di sik fayn fayn wan ɛn ɛp yu fɔ mek yu nɔr de fred:

• "Dɔkta, wetin rili bi `(Tubular Adenoma)`? Yu kin ɛksplen am to mi insay simpul wɔd?"
• "Dis min se a gɛt kolorektal kansa? Ɔ a go gɛt am tumara bambay?"
• "Wetin na di tritmɛnt fɔ dɛn `(Tubular Adenomas)` ya? Dɛn pul di wan dɛn we dɛn fɛn na mi bɔdi? Dɛn pul dɛn ɔl?"
• "Wetin di bayopsi ripɔt se bɔt di adenomas we dɛn pul? Ɛni denja chenj dɛn bin de lɛk ay-grɛd displasia?"
• "A gɛt jenɛtik prɛdispɔzishɔn fɔ gɛt kɔlon kansa bikɔs ɔf dis kɔndishɔn? A fɔ tɛl mi famili bak bɔt dis?"
• "Aw kwik a fɔ du mi nɛks kɔlonɔskɔpi?"
• "Wetin a go du fɔ ridyus mi risk fɔ gɛt kɔlon kansa? Us chenj a fɔ mek to mi layf?"
• "Wetin na di chans fɔ mek dɛn `(Adenomas)` ya gro bak?"

"Nɔ ɛva fred ɔ shem fɔ aks dɛn kwɛstyɔn ya. Yu gɛt ɔl di rayt fɔ no bɔt yu wɛlbɔdi. Di dɔktɔ go ɛksplen ɔltin to yu. If yu nɔ ɔndastand, aks bak."

Fɔ dɔn, wetin wi nid fɔ mɛmba frɔm ɔl dis (Take-Home Message) .

Yu kin tink bɔt di tubular Adenomas as wan sayn we de wɔn pipul dɛn kwik kwik wan fɔ kɔlorektal kansa. Tubular Adenomas nɔto kansa, ɛn di chans fɔ mek dɛn gɛt kansa rili smɔl, mɔ if dɛn smɔl ɛn nɔ de mek dɛn gɛt ɛni sayn.

Bɔt, fɔ gɛt dɛn tin ya min se yu de se, ‘Ei, a nid fɔ du sɔm risach bɔt wetin a go du fɔ ridyus mi risk fɔ gɛt kɔlon kansa, ɛn a nid fɔ du di fɔlɔp we di dɔktɔ se.’ Tɔk to yu dɔktɔ ɛn aks bɔt tin dɛn we yu kin du. Dɛn kin tɛl yu bɔt program ɛn savis dɛn we go ɛp yu. I kin ɛp fɔ lɛf fɔ smok, ɔr kin ɛp fɔ mek yu gɛt wɛl bɔdi, ɔr fɔ yus to fayn it.

Di tin we impɔtant pas ɔl na fɔ nɔ fred, nɔ fɔ panik, bɔt fɔ fala di kɔrɛkt advays we di dɔktɔ gi yu ɛn nɔ fɔ skip di tɛst dɛn we yu fɔ du. Dɔn yu kin ebul fɔ kɔntrol dis prɔblɛm fayn fayn wan, gɛt wɛlbɔdi, ɛn gladi!

` Tubular adenoma, kכlon polip, kכlon sכkכpi, kכlon kεnsar, polip, kכlon polip, blכd na stכl, kεnsar risk, hεlth skrinin