Sɛ oduruyɛfo ka kyerɛ wo anaa obi a wunim no sɛ ɔwɔ "prostate cancer" a, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ahodwiriw kɛse nka bere a wote saa nsɛm no. Sɛ yɛte asɛmfua "kokoram" a, yedwen nneɛma te sɛ oprehyɛn, nnuru a wɔde sa yare, ne mframa a wɔde sa yare ho. Nanso so wunim sɛ ɛnyɛ prostate kokoram nyinaa na ehia sɛ wɔsa no kɛse saa ntɛm ara? Ɛnnɛ, yɛrebɛka ɔkwan titiriw bi a wɔfa so yɛ adwuma wɔ nsɛm a ɛtete saa mu ho asɛm.
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Sɛ yɛbɛka no tiawa a, dɛn ne Active Surveillance?
"Active Surveillance" kyerɛ kɛkɛ sɛ "active observation." Ɛne sɛ, ɛnsɛ sɛ wofi oprehyɛn anaa mframa a wɔde sa prostate kokoram ase ntɛm ara, na mmom wɔhwɛ sɛnea kokoram no yɛ adwuma bere nyinaa wɔ oduruyɛfo hwɛ a emu yɛ den ase.
Eyi botae titiriw ne sɛ wɔbɛtwentwɛn ayaresa no ase kosi sɛ ɛho behia ankasa. Wɔde saa kwan yi di dwuma ma kokoram a asiane nnim , kyerɛ sɛ, enyin brɛoo, a ɛba ntɛm nkutoo. Nhwehwɛmu bi a wɔyɛe nnansa yi kyerɛe sɛ mmarima 10 biara a wɔwɔ prostate kokoram a asiane nnim no mu 6 wɔ Active Surveillance kwan yi ase. Eyi kyerɛ sɛ mprempren eyi yɛ ɔkwan a wɔde di dwuma kɛse, a wogye tom.
Henanom na saa Active Surveillance kwan yi fata ma?
Eyi nyɛ ɔkwan a wɔfa so yɛ ade biako pɛ. Sɛ wo duruyɛfo bɛkamfo ɔkwan yi akyerɛ wo a, ɛsɛ sɛ wo kokoram no nya saa su ahorow yi:
- Kokoram no ntrɛwee wɔ prostate gland no akyi .
- Ebia kokoram no renyɛ basabasa , egyina akisikuru no kɛse, sɛnea enyin, ne wo Gleason nkyerɛwde (ɔkwan titiriw a wɔfa so susuw sɛnea kokoram nkwammoaa no yɛ basabasa bere a wɔayɛ wɔn nipadua mu nhwehwɛmu akyi) so.
Sɛ wuhu sɛ wowɔ kokoram a, ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ, ‘Oo, ɛsɛ sɛ mesa eyi na wowie ntɛm.’ Nsuro sɛ wo ne wo duruyɛfo bɛka eyi ho asɛm pefee.
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Check Availability →Dɛn na ɛba bere a wɔreyɛ Active Surveillance no?
Wɔ nhyehyɛe yi ase no, ɛnyɛ fie kɛkɛ na wobɛtra. Wo oncologist bɛhwɛ wo daa. Te sɛ nea wɔreyɛ kar ho adwuma no, wɔbɛhwɛ sɛnea wo nipadua te daa.
| Sɔhwɛ | Mpɛn dodoɔ sɛn? (Mpɛn dodoɔ) |
|---|---|
| Digitals Rectal Nhwehwɛmu (DRE) . | Mpɛn pii no pɛnkoro anaa mprenu afe biara |
| PSA mogya mu nhwehwɛmu (PSA Nhwehwɛmu) . | Mpɛn pii no pɛnkoro anaa mprenu afe biara |
| Prostate Ultrasound ne Biopsy a Wɔde Yɛ Nneɛma | Mfe 1-5 biara (sɛnea oduruyɛfo no kyerɛ) . |
| MRI a wɔde kyerɛ nipadua mu nkwaadɔm mu nhwehwɛmu | Wɔ tebea horow bi mu no, oduruyɛfo bi betumi akamfo akyerɛ. |
Saa nhwehwɛmu ahorow yi bɛboa wo duruyɛfo ma wahwɛ wo kokoram no so ahu sɛ ɛreyɛ kɛse anaasɛ ɛretrɛw anaa. Sɛ wunya sɛnkyerɛnne foforo biara anaasɛ wo nhwehwɛmu kyerɛ sɛ wo kokoram no reyɛ kɛse a, wo duruyɛfo no ne wo bɛkasa na wagyae Active Surveillance, na ɔde wo akɔ ayaresa a ɛfata nkyɛn.
Mfaso ne asiane bɛn na ɛwɔ saa kwan yi so?
Mfaso titiriw a ɛwɔ so
Mfaso kɛse a ɛwɔ eyi so ne sɛ wubetumi atra ase a ayaresa mu nsunsuanso bɔne biara nka ho. Oprehyɛn ne mframa a wɔde sa prostate kokoram betumi ama nneɛma te sɛ ɔhaw a ɛyɛ den sɛ ɔbɛtow ne nna mu ɔhaw aba. Active Surveillance betumi akora w’asetra mu yiyedi so denam saa ayaresa ahorow yi a wobɛtwentwɛn so kosi sɛ ebehia ankasa no so.
Ahudeɛ
Asiane titiriw ne sɛ, sɛ kokoram no fi ase nyin a, ebia ɛbɛkyɛ wɔ ayaresa a wobefi ase no mu. Ɛtɔ da bi a kokoram no tumi nyin na ɛtrɛw kɔ nipadua no afã afoforo (metastasize). Nanso, sɛ woyɛ nhwehwɛmu wɔ bere a ɛfata mu a, asiane yi betumi atew kɛse. Ɛno nti na wɔfrɛ eyi "active surveillance."
Nsonsonoe bɛn na ɛda Active Surveillance ne Watchful Waiting ntam?
Saa nsɛmfua abien yi di nsɛ kakra, na ebetumi ama nnipa binom adwene atu afra. Ɛwom sɛ abien no nyinaa yɛ akwan a wɔfa so "hwɛ" de, nanso nsonsonoe kɛse da wɔn ntam.
| Su a ɛwɔ hɔ | Nneɛma a Wɔhwɛ So a Ɛyɛ Nnam | Twɛn a Wɔwɛn |
|---|---|---|
| Botae titiriw | Kokoram no nneyɛe a wɔbɛhwɛ so de afi ayaresa ase wɔ bere a ɛfata mu, a botae no ne sɛ wɔbɛsa kokoram no. | Sɛ́ anka wɔbɛsa kokoram no, ɛfa sɛnkyerɛnne ahorow a ɛba no a wobedi so ho. Sɛ yare no ho sɛnkyerɛnne ahorow ba nkutoo a, wɔde ayaresa ma. |
| Sɔhwɛ ahorow a wɔyɛe | Wɔyɛ nhwehwɛmu te sɛ PSA, DRE, ne Biopsy wɔ nhyehyɛe kwan so sɛnea nhyehyɛe a wɔahyɛ ato hɔ te. | Wɔnnyɛ sɔhwɛ biara a wɔayɛ no nhyehyɛe so. Sɛ wonya yare no ho sɛnkyerɛnne nkutoo a, wɔsɔ ɔyarefo no hwɛ. |
| Henanom na ɛfata? | Wɔ wɔn a wɔwɔ apɔwmuden, wɔn nkwa nna tenten na asiane a ɛwɔ hɔ sɛ wobenya kokoram no sua fam no. | Wɔn a wɔn mfe akɔ anim, wɔwɔ nyarewa afoforo a emu yɛ den, na wɔn nkwa nna yɛ tiaa no fam no. |
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wowɔ Active Surveillance so a, sɛ wunya sɛnkyerɛnne foforo biara (e.g., ɛyɛ den sɛ wobɛtow nsu, nnompe mu yaw) anaasɛ sɛ wo sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den a, bɔ wo duruyɛfo amanneɛ ntɛm ara. Afei nso, hwɛ hu sɛ wobɛkɔ ayaresabea a woahyɛ da ayɛ nhyehyɛe no.
Nkrasɛm a Wɔde Kɔ Fie
- Active Surveillance yɛ ɔkwan a wɔfa so di prostate kokoram a asiane nnim na enyin brɛoo ho dwuma .
- Botae titiriw a ɛwɔ ha ne sɛ wɔbɛkwati ayaresa no mu nsunsuanso bɔne na wɔakɔ so akura asetra pa mu, .Ayaresa a wɔbɛtwentwɛn so kosi bere a ɛho hia no.
- Eyi nyɛ adeyɛ a wɔde twɛn na wɔhwɛ kɛkɛ, na mmom ɛyɛ adeyɛ a wɔyɛ nhwehwɛmu te sɛ PSA, DRE, ne nipadua mu nhwehwɛmu daa wɔ oduruyɛfo hwɛ mu yiye .
- Sɛ kokoram ho sɛnkyerɛnne da adi a, oduruyɛfo no befi ase sa yare no ntɛm ara.
- Eyi yɛ gyinae a ɛsɛ sɛ wo ne wo duruyɛfo bom si. Wo ne wo duruyɛfo nsusuw wo haw ne wo suro nyinaa ho, na fa ntease a edi mũ si gyinae yi.
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