Sɛ oduruyɛfo no ka kyerɛ wo anaa obi a wunim no sɛ "wɔ prostate cancer" a, nea ɛba w'adwenem ntɛm ara ne nneɛma te sɛ oprehyɛn, nnuru a wɔde sa yare, anaa mframa a wɔde sa yare? Ɛyɛ ade a ɛfata ankasa sɛ wobɛte ehu ne dadwen nka bere a wote biribi a ɛte saa no. Nanso so wunim sɛ ɛnyɛ obiara a ɔwɔ prostate cancer no na ɛsɛ sɛ ofi ayaresa akɛse a ɛte saa ase ntɛm ara? Ɛnnɛ, yɛrebɛka ɔkwan bi a wɔfa so yɛ adwuma wɔ nsɛm a ɛtete saa mu ho asɛm, na nnipa pii nnim ho hwee.
Sɛ yɛbɛka no tiawa a, dɛn ne ‘Active Surveillance’?
Sɛnea edin no kyerɛ no, ‘ani a wɔde hwɛ kokoram no denneennen’ kyerɛ sɛ wɔde nsiyɛ bɛhwɛ kokoram no a wonnya ayaresa, kyerɛ sɛ, wɔbɛhwɛ so yiye. Eyi nkyerɛ sɛ wobebu wɔn ani agu kokoram no so. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛkyerɛ sɛ wɔhwɛ obi a ɔwɔ prostate kokoram a asiane nnim, a ɛnyɛ nea ɛyɛ hu no so daa hwɛ sɛnea kokoram no reyɛ a wɔmfa ayaresa ntɛm te sɛ oprehyɛn mma no.
Susuw ho saa kwan yi so. Abarimaa ketewa bi a ɔyɛ ɔkwasea wɔ fie hɔ. Bere tenten a odi agoru wɔ dan no mu no, yenni ɔhaw biara. Nanso yɛhwɛ bere nyinaa sɛ ebia ɔbɛyɛ biribi a ɛyɛ hu, anaasɛ ɔbɛka nsu a ɛreworo so no anaa. Sɛ ɔbɔ mmɔden sɛ ɔbɛyɛ biribi a ɛyɛ hu a ɛte saa nkutoo a, yɛde yɛn ho gye mu ntɛm. ‘Active surveillance’ yɛ biribi a ɛte saa. Yɛtwɛn kosi sɛ kokoram no bɛkɔ prostate no mu , nanso sɛ ɛda sɛnkyerɛnne ahorow adi sɛ ɛreyɛ kɛse nkutoo na yefi ase sa yare.
Eyi botae titiriw ne sɛ ɛbɛtwentwɛn nneɛma te sɛ oprehyɛn ne mframa a wɔde sa yare mu nsunsuanso bɔne no ase kosi sɛ ɛho behia. Eyi bɛboa wo ma woakɔ so anya asetra pa.
Henanom na saa kwan yi fata paa?
Ɔkwan a wɔfrɛ no ‘active surveillance’ no mfata obiara. Sɛ wo duruyɛfo ka ɔkwan yi ho nyansahyɛ ma wo a, ɛsɛ sɛ wudi nneɛma pii ho dwuma.
- Ebia kokoram no ntrɛwee wɔ wo prostate gland no akyi.
- Kokoram no ntumi nyɛ basabasa. Sɛnea ɛbɛyɛ na nnuruyɛfo ahu eyi no, wɔde nneɛma te sɛ ‘Gleason score’ a ɛyɛ sɔhwɛ a wɔfa kokoram nkwammoaa na wɔsɔ hwɛ di dwuma. Ɛsɛ sɛ saa nkontaahyɛde yi sua.
- Ɛsɛ sɛ akisikuru no yɛ ketewaa wɔ ne kɛse mu.
Sɛ yɛbɛka no tiawa a, sɛ wowɔ kokoram ntɛm, enyin brɛoo, na ɛnyɛ nea ɛyɛ hu , ebia ɔkwan yi bɛyɛ ɔkwan pa a wobɛfa so.
Dɛn na ɛkɔ so wɔ ‘active surveillance’ bere mu?
Wɔrennyaw wo nkutoo wɔ saa bere yi mu. Wo oncologist bɛhwɛ wo yiye paa. Nhyehyɛe pɔtee bi wɔ hɔ, anaa ‘protocol’, ma eyi. Eyi ne nea ɛtaa si wɔ saa bere yi mu.
| Sɔhwɛ / Adeyɛ | Bere a wɔtaa de di dwuma |
|---|---|
| Digital Rectal Sɔhwɛ | Mpɛn pii no pɛnkoro anaa mprenu afe biara. |
| PSA mogya mu nhwehwɛmu (PSA Nhwehwɛmu) . | Pɛnkoro anaa mprenu afe biara. Eyi ma yenya prostate ntini no akwahosan ho adwene. |
| Prostate Biopsy a Wɔde Yɛ Nneɛma | Pɛnkoro wɔ mfe 1 kosi 5 biara mu. Eyi yɛ nea wɔde bɛhwɛ sɛ nsakrae biara aba kokoram no mu anaa. |
| MRI mfonini ahorow | Ɛtɔ mmere bi a, oduruyɛfo no nso betumi akamfo akyerɛ sɛ wɔnyɛ MRI scan mfa nkyerɛ biopsy no kwan. |
Saa nhyehyɛe yi betumi ayɛ soronko a egyina wo tebea so. Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ na woanhuw nhwehwɛmu biara so.
Mfaso ne asiane bɛn na ɛwɔ saa kwan yi so?
Sɛnea ɛte wɔ aduruyɛ biara mu no, mfaso ne asiane nyinaa wɔ so. Ɛho hia sɛ wote abien no nyinaa ase ansa na woasi gyinae.
Mfasoɔ
Mfaso titiriw a ɛwɔ so ne hokwan a wobenya sɛ wɔbɛkwati anaasɛ wɔbɛtwentwɛn nsunsuanso bɔne a ebetumi aba wɔ nneɛma te sɛ oprehyɛn ne mframa a wɔde sa yare mu no ase. Nhwɛsoɔ:
- Ɛyɛ den sɛ wobedi nsu a wɔde gu nsu mu (urinary incontinence) .
- Ɔbarima ne ɔbea nna a ɛnyɛ adwuma yiye
- Nyarewa ne ɛyaw
Ɛyɛ ade kɛseɛ sɛ wobɛtumi abɔ w’asetena sɛdeɛ ɛteɛ, a nneɛma te sɛ yei nni mu.
Asiane ahorow a ɛwɔ mu
Asiane titiriw ne sɛ ebetumi aba sɛ kokoram no benyin na atrɛw (akɔ mmeae afoforo) wɔ bere a yɛretwɛn no mu.Sɛ eyi ba a, ayaresa a edi hɔ no betumi ayɛ den kɛse. Nanso, wobetumi adi asiane yi ho dwuma kɛse denam nhwehwɛmu a wɔbɛyɛ no daa so.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka sɛ worennya kokoram ayaresa ɛmfa ho sɛ wunim sɛ wowɔ bi de. Ebia wubesusuw sɛ, "Oo, minnim sɛ eyi benyin wɔ me mu anaa." Sɛ wote nka saa a, wo ne wo duruyɛfo nka ho asɛm pefee. Ɔbɛte wo nkate ase.
Nsonsonoe bɛn na ɛda ‘nhwɛso a ɛyɛ nnam’ ne ‘ɔwɛn a wɔtwɛn’ ntam?
Nnipa pii ma nsɛmfua abien yi yɛ basaa efisɛ ɛne ne ho di nsɛ kakra. Nanso, nsonsonoe kɛse da akwan abien yi ntam.
| Su a ɛwɔ hɔ | 'Nneɛma a Wɔde Hwɛ Nneɛma So'. | 'Twɛn a Wɔwɛn'. |
|---|---|---|
| Botae titiriw | Bere a eye sen biara a wɔde befi ayaresa ase a wɔbɛtwɛn, a wɔn botae ne sɛ wɔbɛsa kokoram no. | Ɛnyɛ botae no ne sɛ wɔbɛsa kokoram, na mmom sɛ wobedi yare no ho sɛnkyerɛnne ahorow so na wɔakura asetra pa mu. |
| Sɔhwɛ | Wɔyɛ nhwehwɛmu te sɛ PSA ne biopsy daa . | Wɔnyɛ nhwehwɛmu daa na sɛ ɛda adi nkutoo a, wɔsa yare no ho sɛnkyerɛnne. |
| Nea ɛfata sen biara | Wɔn a wonnyinii koraa, wɔwɔ apɔwmuden, na wobetumi ahwɛ kwan sɛ wɔbɛtra ase akyɛ no fam. | Wɔ wɔn a wɔn mfe akɔ anim, wɔn a wɔwɔ nyarewa afoforo a emu yɛ den, ne wɔn a ɛyɛ den ma wɔn sɛ wobegyina ayaresa a ɛde ba no ano. |
Sɛ yɛbɛka no tiawa a, ‘Active Surveillance’ kyerɛ sɛ wobɛma w’ani ada hɔ na woatwɛn ayaresa. ‘Wɔwɛn Twɛn’ kyerɛ sɛ wɔrensa yare no ho sɛnkyerɛnne no na sɛ ɛba nkutoo a, wɔbɛsa.
Bere bɛn na ɛsɛ sɛ me ne oduruyɛfo no kasa?
Wɔ ‘active surveillance’ bere no mu no, ɛho hia yiye sɛ wohwɛ nsakrae a ɛba wo nipadua mu no yiye. Sɛ wunya sɛnkyerɛnne foforo biara, anaasɛ wote nka sɛ sɛnkyerɛnne bi a ɛwɔ hɔ dedaw no reyɛ kɛse a, ma wo duruyɛfo nhu ntɛm ara .
Nhwɛsoɔ,
- Ɛyɛ den kɛse sen sɛnea ɛtaa ba bere a woretow nsu no
- Ɛho hia sɛ wɔtaa tow nsu
- Akyi anaa nnompe mu yaw
Hwɛ yiye wɔ nneɛma te sɛ: Nsuro da sɛ wubebisa wo duruyɛfo nsɛmmisa biara a wowɔ, ɛmfa ho sɛnea ɛyɛ ketewaa no. Wowɔ dwuma kɛse nso wɔ gyinaesi ahorow a ɛfa w’ayaresa ho no mu.
Nkrasɛm a Wɔde Kɔ Fie
- ‘Active Surveillance’ yɛ ɔkwan a wɔfa so di prostate kokoram a ɛnyɛ hu, a enyin brɛoo ho dwuma.
- Ɛnyɛ botae a ɛwɔ ha ne sɛ wobebu wɔn ani agu kokoram no so, na mmom wɔbɛtwentwɛn ayaresa no mu nsunsuanso bɔne a ebetumi aba no ase kosi sɛ ɛho behia.
- Wɔ saa bere yi mu no, wɔyɛ aduruyɛ mu nhwehwɛmu (PSA, biopsy) daa de hwɛ sɛnea kokoram no yɛ wɔn ade yiye.
- Ɛyɛ ade a ɛfata sɛ wobɛte ehu anaa dadwen nka sɛ worennya kokoram na worennya ayaresa. Ɛho hia sɛ wo ne wo duruyɛfo bɛka eyi ho asɛm pefee.
- Eyi yɛ soronko wɔ ɔkwan a wɔfrɛ no ‘ɔwɛn a wɔtwɛn’ no ho. ‘Ahwɛyiye a ɛyɛ nnam’ botae ne sɛ sɛ ɛho hia a, wɔbɛsa yare no na wɔasa.
- Ansa na wubesi gyinae a etwa to no, wo ne wo duruyɛfo susuw mfaso horow, asiane ahorow, ne sɛ ebia ɔkwan yi fata wo ho yiye.
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