Sɛ wo duruyɛfo hwehwɛ wo mu na ɔka sɛ, "Wo yafunu ase akisikuru bi" a, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen kɛse nka. Sɛ yɛte asɛmfua "mass" a, yɛn adwene dwen biribi a ɛyɛ hu ho ntɛm ara. Nanso mma ɛnhaw wo. Ntini dodow no ara a wohu sɛ ɛwɔ saa kwan yi so, a wɔfrɛ no "adnexal masses" no nyɛ kokoram. Enti momma yɛnka eyi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ tẽẽ so.
Dɛn ankasa ne Adnexal Mass yi?
Sɛ yɛbɛka no tiawa a, ``adnexal mass'' yɛ onyin anaa akisikuru a ɛba wɔ baabi a ɛbɛn w'awotwaa, kyerɛ sɛ, wɔ akwaa a ɛbata ho no mu. Nnuruyɛfo de saa din yi kyerɛkyerɛ akisikuru ahorow a ɛba wo hwene mu no mu.
Asɛmfua "adnexa" kyerɛ "afã horow a ɛbata ho." Wɔ eyi mu no, ɛkyerɛ awotwaa, awotwaa mu ntini, ne ntini a ɛka bom a ɛboa akwaa yi . Enti, wɔfrɛ akisikuru biara a ɛba saa afã horow yi sɛ "adnexal mass."
Kae sɛ nsu betumi ahyɛ saa akuru yi bi ma (yɛfrɛ saa akisikuru yi), bere a afoforo nso betumi ayɛ den. Adeɛ a ɛho hia ne sɛ saa ``Adnexal Masses`` yi mu dodoɔ no ara nyɛ kokoram (benign). Na wɔn mu binom ankasa kɔ wɔ asram kakraa bi mu a wonnya ayaresa biara.
Dɛn ne tebea yi ho sɛnkyerɛnne?
Ɛnyɛ obiara na onya yare no ho sɛnkyerɛnne. Ɛtɔ mmere bi a, wohu wɔn wɔ akwanhyia mu bere a wɔreyɛ scan esiane biribi foforo nti no. Nanso sɛ sɛnkyerɛnne ahorow no ba ampa a, sɛnkyerɛnne ahorow no betumi ayɛ soronko a egyina faako a akisikuru no wɔ ne nea ɛde ba so.
Hwɛ pon a ɛwɔ ase ha no mu na hwɛ sɛnkyerɛnne ahorow a wɔtaa hu.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɛyaw a ɛba akyi berɛmo mu | Ebetumi ayɛ ɛyaw a ɛyɛ mmerɛw bere nyinaa anaasɛ ɛyaw a emu yɛ den mpofirim. |
| Ɛyɛ den sɛ wobɛtow nsu | Ebia ɛbɛyɛ den ama wo sɛ wobɛtow wo ho anaasɛ ɛho behia sɛ wotaa tow wo ho. |
| Brayɛ a ɛnkɔ so daa | Ebia ɔsram biara brayɛ no nyɛ nea ɛkɔ so daa na ɛnyɛ sɛnea ɛtaa ba no. |
| Nneɛma a ɛho ayɛ fĩ | Sɛ wote nka sɛ wo ho ayɛ wo hyew, te sɛ nea gas ayɛ yafunu no ma. |
| Ayamtim | Ɛyɛ den sɛ wobɛtow nsu mu sɛnea wɔtaa yɛ no. |
| Ɛyaw a ɛba bere a obi reda | Ɛyaw a wobɛte nka bere a wo ne wo kunu reda. |
Dɛn ne nneɛma a ɛde adnexal mass formation ba?
Saa akisikuru yi betumi aba esiane mmea ne nea ɛnyɛ mmea nyinaa nti. Nanso, mpɛn pii no, esiane nneɛma a ɛfa awo nhyehyɛe ho nti na ɛba .
Mmea Ho Nneɛma a Wɔde Ba
Eyinom ne nneɛma a ɛtaa ba.
- Ovarian Cysts: Nsuo ahyɛ mu ma a ɛba awotwaa no ani. Eyinom abu so yiye. Mpɛn pii no, ɛnyɛ yaw na wɔmfa sɛnkyerɛnne biara mma.
- Awotwaa mu akisikuru a ɛnyɛ kokoram: Nkwammoaa a ɛwɔ awotwaa mu no nyin wɔ ɔkwan a ɛnteɛ so, na ɛyɛ akisikuru a ɛyɛ den. Eyinom nyɛ nea asiane biara nni ho na ɛntaa ntrɛw nkɔ mmeae afoforo.
- Nyinsɛn a Ɛwɔ Awotwaa no Akyi: Nkwaa a wɔayam no de ne ho hyɛ baabi foforo, te sɛ awotwaa mu, sen sɛ ɛbɛhyɛ awotwaa mu. Eyi yɛ tebea a ɛyɛ hu paa. Ebetumi ama mogya atu obi wɔ ne mu na wate ɛyaw a emu yɛ den. Sɛ wɔansa a, ebetumi de ɛna no nkwa mpo ato asiane mu.
- Corpus Luteum Cyst: Akisikuru a ɛnyɛ asiane biara a ɛnyɛ yaw a ɛba bere a ovulation rekɔ so no. Eyinom ankasa kɔ bere a wɔayi ovulation akyi.
- PCOS (Polycystic Ovary Syndrome): Eyi yɛ hormone tebea a ebetumi ama akisikuru nketewa pii ayɛ wɔ awotwaa no so.
- Endometriomas: Eyinom ne tebea bi a wɔfrɛ no endometriosis wɔ abusuabɔ. Eyi ne baabi a ntini a nsu ahyɛ mu ma a brayɛ mu mogya ahyɛ mu ma no ba wɔ awotwaa no mu.
- Hydrosalpinx: Tebea a ɛma nsu hyɛ awotwaa mu ma na ɛyɛ nea ɛte sɛ kotoku. Ɛwom sɛ mpɛn pii no enni sɛnkyerɛnne biara de, nanso ɛtɔ mmere bi a ebetumi ama yafunu ase ayɛ no yaw anaasɛ ayɛ den sɛ obenyinsɛn.
- Ovarian Cancer: Sɛ akisikuru bi a ɛba awotwaa mu no yɛ nea ɛyɛ hu a, ebetumi anyin na atrɛw akɔ nipadua no afã afoforo. Nanso kae sɛ, adnexal masses no mu ɔha biara mu kakraa bi pɛ na ɛbɛyɛ kokoram.
Nneɛma a Ɛnyɛ Gynecologic De Ba
Mpɛn pii no, eyinom fi aduannoa anaa nsu a wɔde gu nipadua mu no afã horow. Wɔn ne awotwaa, awotwaa, anaa awotwaa mu ntini nni abusuabɔ biara.
- Akisikuru a ɛwɔ akyi berɛmo, akisikuru, ne akyi berɛmo mu.
- Wɔ tebea horow a ɛntaa nsi mu no, saa akisikuru ahorow yi nso betumi aba bere a kokoram afoforo te sɛ nufu mu kokoram anaa akyi berɛmo mu kokoram trɛw (ɛtrɛw) kɔ akyi berɛmo no mu no.
So adnexal mass betumi ayɛ nea asiane wom?
Adnexal masses dodow no ara nyɛ nea asiane wom. Nanso, akisikuru bi betumi de nsɛnnennen a emu yɛ den aba. Nyinsɛn a ɛwɔ awotwaa no akyi, kokoram a ɛyɛ den, akyi berɛmo mu ntini a apaapae, ne awotwaa anaa awotwaa mu ntini a ɛkyinkyin (adnexal torsion) yɛ tebea horow a ɛsɛ sɛ wɔde kɔ ayaresabea ntɛm ara.
Sɛ wowɔ ``Adnexal Mass'' na wo nso worenya sɛnkyerɛnne te sɛ yafunu ase yaw a emu yɛ den, akisikuru anaa ɔfe, ne atiridiinini a, ebetumi ayɛ ntɛmpɛ ho sɛnkyerɛnne. Wɔ tebea horow a ɛtete saa mu no, kɔ oduruyɛfo nkyɛn ntɛm ara anaa kɔ ayaresabea no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) hɔ.
Esiane sɛ wowɔ akuru nti ɛnkyerɛ sɛ ɛyɛ kokoram. Nkuru dodow no ara nyɛ kokoram (ɛnyɛ bɔne). Nanso, adnexal mass a ɛba mmea mu bere a wɔagyae brayɛ akyi no wɔ asiane a ɛkɔ soro kakra sɛ ɛbɛyɛ kokoram (malignant).
Ɔkwan bɛn so na oduruyɛfo no hu eyi na ɔsa?
Mpɛn pii no, oduruyɛfo bi susuw sɛ wowɔ akisikuru bere a wɔreyɛ wo akyi berɛmo mu nhwehwɛmu no. Afei wɔbɛkra sɛ wɔnyɛ ultrasound scan na wɔahwɛ no yiye. Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ nipadua mu nhwehwɛmu anaa oprehyɛn de hwɛ sɛ kokoram nkwammoaa wɔ akisikuru no mu anaa.
Bio nso, wobetumi ayɛ nhwehwɛmu te sɛ nyinsɛn mu nhwehwɛmu, mogya mu nhwehwɛmu, ne sɛ ɛho hia a, CT scan anaa MRI scan de akyerɛ sɛ nyinsɛn a ɛwɔ awotwaa no akyi nni hɔ.
Ayaresa no gyina nneɛma pii so, a nea ɛde akisikuru no ba, ne kɛse, ne wo sɛnkyerɛnne ahorow ka ho. Ayaresa atitiriw abiɛsa na ɛwɔ hɔ.
| Ɔkwan a wɔfa so sa yare | Bere bɛn na wɔbɛyɛ eyi? |
|---|---|
| Sɛ wɔannya ayaresa a | Sɛ akisikuru no sua, ɛnyɛ yaw, na oduruyɛfo no wɔ awerɛhyem sɛ ɛnyɛ kokoram a, ebia ɔbɛkamfo akyerɛ sɛ ɛnsɛ sɛ wɔsa no yare. |
| Hwɛ a wɔbɛhwɛ so yiye | Sɛ wɔanhu nea ɛde akisikuru no ba ankasa, anaasɛ sɛ akisikuru no kɛse anaa ne sɛnkyerɛnne ahorow ho dadwen bi wɔ hɔ a, oduruyɛfo no bɛtaa ayɛ nhwehwɛmu de ahwɛ nsakrae a aba no. |
| Sɛɛgyiri | Sɛ wosusuw sɛ akisikuru no yɛ kokoram, ne kɛse yɛ kɛse (ɛtaa boro sɛntimita 6-10), ɛrema wote ɛyaw kɛse, anaasɛ ɛyɛ nyinsɛn a ɛwɔ awotwaa no akyi a, wɔbɛyɛ oprehyɛn ayi afi hɔ. |
Nneɛma a ɛsɛ sɛ wubisa wo duruyɛfo
Sɛ wohu sɛ wowɔ ``(Adnexal Mass)`` wie a, bisa wo duruyɛfoɔ nsɛm biara a wowɔ. Nhwɛsoɔ:
- So ebehia sɛ wɔyɛ me oprehyɛn?
- Mpɛn ahe na wohwɛ saa akisikuru yi mu?
- So hokwan ketewaa bi wɔ hɔ sɛ eyi betumi ayɛ kokoram?
- Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mebɔ ho amanneɛ ntɛm ara sɛ ɛba a?
Bere a ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wote asɛmfua "akisikuru" no, bɔ mmɔden sɛ woremmɔ hu kosi sɛ wo ne wo duruyɛfo bɛkasa na woanya nsɛm a ɛfata. Kae sɛ, nneɛma yi mu dodow no ara nyɛ nea asiane wom, na ebinom ankasa ho tɔ wɔn.
Nkrasɛm a Wɔde Kɔ Fie
- ``Adnexal Mass`` yɛ akisikuru a ɛba akwaa a atwa awotwaa no ho ahyia no mu. Eyinom mu dodow no ara nyɛ kokoram.
- Mma wo ho nnpopo esiane sɛ wote asɛmfua "akisikuru" nti kɛkɛ. Yɛ komm kosi sɛ wubehu sɛ wowɔ yare no yiye.
- Ebia nnipa binom renhu yare no ho sɛnkyerɛnne biara. Sɛ sɛnkyerɛnne ahorow no ba ampa a, ebia wɔn yafunu ase yɛ wɔn yaw na ɛbɛyɛ den sɛ wɔbɛtow nsu.
- Ayaresa no gyina nea ɛde akisikuru no ba, ne kɛse, ne wo sɛnkyerɛnne ahorow so. Mpɛn pii no, nea wɔhwɛ no dɔɔso.
- Di wo duruyɛfo akwankyerɛ akyi na kɔhwɛ wo ho wɔ nna a wɔahyɛ ato hɔ no mu.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ yafunu mu yaw a emu yɛ den, atiridiinini, akisikuru, anaa ɔfe a, hwehwɛ aduruyɛfo afotu ntɛm ara efisɛ ebia ɛbɛyɛ nea egye ntɛmpɛ.
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