So wunim kokoram a ɛwɔ akyi berɛmo mu? Momma yɛnka ho asɛm!

So ɛtɔ mmere bi a, wo ho yɛ wo yaw bere nyinaa wɔ akyi berɛmo no ho, anaasɛ mogya kakra bere a worekɔtow wo ho? Ɛyɛ aniwu ankasa sɛ wo ne obiara bɛka saa nneɛma yi ho asɛm, ɛnte saa? Nanso ebia eyinom nyɛ nneɛma nketenkete a ɛnyɛ den bere nyinaa. Ɛnnɛ, momma yɛnka yare bi a wɔfrɛ no anal cancer ho asɛm. Eyi yɛ biribi a ɛsɛ sɛ yɛn nyinaa hu.

Dɛn ne anal kokoram?

Sɛ yɛbɛka no tiawa a, kokoram wɔ akyi berɛmo mu yɛ kokoram a ɛba w’akyi ntini mu, anaa wo akyi berɛmo mu ntini a ɛkata so no mu. Wunim, anal canal no ne tube a ɛka wo anus (abue a nwura fi mu ba) ne wo rectum (wo digestive system no fã a ɛba fam sen biara) bom. Sɛ yɛbɛka no pɛpɛɛpɛ a, wo nsu a ɛwɔ wo nsu mu no fa saa afiri yi mu fi wo nipadua mu. Nea eye sen biara ne sɛ, sɛ wohu kokoram yi na wɔsa no ntɛm a, wobetumi asa no koraa.

So kokoram ahorow bi wɔ hɔ a ɛwɔ akyi berɛmo mu?

Yiw, kokoram atitiriw abien na ɛwɔ akyi berɛmo mu.

• Squamous Cell Carcinoma: Eyi ne kokoram a abu so sen biara wɔ akyi berɛmo mu. Nanso, ɛsono honam ani kokoram a ɛba honam ani fã a ɛwɔ soro no.
• Adenocarcinoma: Eyi nso ne ɔkwan foforo no.

So eyi yɛ yare a abu so?

Dabi, nokwarem no, kokoram a ɛwɔ akyi berɛmo mu no ntaa mma saa. Susuw eyi ho hwɛ: Sɛnea Amerika Kokoram Fekuw kyerɛ no, nnipa bɛyɛ 9,000 pɛ na wobehu yare no wɔ United States wɔ afe 2023. (Eyi ka kokoram a ɛwɔ akyi berɛmo mu, kokoram a ɛwɔ akyi berɛmo mu, ne kokoram a ɛwɔ akyi berɛmo mu.) Nanso, wobu akontaa sɛ nnipa bɛyɛ 153,000 na wobehu sɛ wɔanya kokoram wɔ akyi berɛmo mu. Enti wubetumi ahu sɛ eyi sua koraa.

Dɛn ne eyi ho sɛnkyerɛnne?

Ɛtɔ mmere bi a, kokoram a ɛwɔ akyi berɛmo mu ho sɛnkyerɛnne betumi ate nka sɛ tebea horow a ɛfata. Sɛ nhwɛso no, ɛyaw a ɛkɔ so wɔ akyi berɛmo mu. Nsɛnkyerɛnne afoforo betumi ayɛ:

• Mogya a efi akyi berɛmo mu , titiriw bere a wɔretu dwensɔtwaa no.
• Biribi te sɛ akisikuru anaa honam a ɛyɛ kurukuruwa a wobɛte nka. (Wobetumi ahu saa akuru yi nso wɔ baabi a ɛbɛn baabi a wobue akyi berɛmo no.)
• Yeaw.
• Nsakrae a ɛba wɔ dwensɔtwaa mu. Ɛne sɛ, nsakrae a ɛba mpɛn dodow a dwensɔtwaa mu, anaasɛ sɛnea nsu a ɛkɔ nipadua no mu no yɛ pɛpɛɛpɛ (ne kɛse).
• Nsu a ɛkɔ nipadua no mu a wontumi nni so.
• Nkate a ɛba bere nyinaa sɛ ɛsɛ sɛ wɔtow nsu (wɔfrɛ eyi ``Tenesmus'' wɔ aduruyɛ mu).

Nea ɛho hia ne sɛ esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa nti, ɛnkyerɛ sɛ wowɔ kokoram wɔ akyi berɛmo mu. Nneɛma afoforo pii betumi de saa sɛnkyerɛnne ahorow yi aba. Nanso, sɛ saa sɛnkyerɛnne ahorow yi ano antew wɔ nna kakraa bi mu anaasɛ emu yɛ den kɛse a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu.

Ɛyɛ ade a ɛfata sɛ wobɛte aniwu kakra anaa w’ani awu sɛ wo ne wo duruyɛfo bɛkasa afa sɛnkyerɛnne ahorow bi te sɛ akyi berɛmo mu a ɛyɛ wo yaw ho. Nanso kae sɛ nneɛma ahorow pii na ɛde akisikuru ba wɔ akyi berɛmo mu. Enti biribiara nni hɔ a enti ɛsɛ sɛ ɛyɛ yɛn aniwu sɛ yebenya saa sɛnkyerɛnne ahorow yi. Wo nnuruyɛfo wɔ ha sɛ wɔbɛboa wo wɔ w’akwahosan ho haw nyinaa ho, a saa akyi berɛmo mu kokoram ho sɛnkyerɛnne ahorow yi ka ho.

Dɛn na ɛde eyi ba? Dɛn ne nneɛma a ɛde asiane ba?

Wonnya nhuu nea ɛde kokoram a ɛwɔ akyi berɛmo mu ba ankasa. Nanso, wɔahu nneɛma bi a ɛde asiane ba a ɛne yare no wɔ abusuabɔ. Sɛ nhwɛso no, kokoram dodow no ara a ɛba akyi berɛmo mu no ne ɔyare mmoawa a wɔfrɛ no human papillomavirus (HPV) ahorow bi wɔ abusuabɔ . Nanso, nea ɛho hia ne sɛ ɛnyɛ obiara a ɔwɔ HPV no na obenya kokoram wɔ akyi berɛmo mu.

HPV akyi no, nneɛma afoforo pii wɔ hɔ a ebetumi ama asiane a ɛwɔ hɔ sɛ wubenya kokoram a ɛwɔ akyi berɛmo mu no ayɛ kɛse:

• Nnuru a ɛma nipadua no tumi ko tia nyarewa a wɔde di dwuma. Eyinom yɛ nnuru a ɛma wo nipadua mu tumi a ɛko tia nyarewa no nsɛe nkwammoaa a ɛte apɔw.
• HIV (Human Immunodeficiency Virus) a obi anya. Esiane sɛ HIV ka wo nipadua mu tumi a ɛko tia nyarewa no na nna a wommɔ ho ban wɔ akyi no betumi de HIV aba nti, asiane a ɛwɔ hɔ sɛ wubenya akyi berɛmo mu kokoram no yɛ kɛse.
• Sɛ́ wobɛyɛ ɔhokafo a ogye no bere a ɔne ɔbarima da wɔ akyi berɛmo mu no. Eyi abu so wɔ obiara fam, ɛmfa ho sɛ ɔyɛ ɔbarima anaa ɔbea. Sɛ obi nya ahokafo pii ma nna mu abusuabɔ biara a, ɛma asiane a ɛwɔ hɔ sɛ obenya HPV no yɛ kɛse, na ɛno nti asiane a ɛwɔ hɔ sɛ obenya kokoram wɔ akyi berɛmo mu no yɛ kɛse.
• Sɛ wɔmfa nnuru a wɔde bɔ HPV ho ban. HPV ahorow bi yɛ ade titiriw a ɛde kokoram ba wɔ akyi berɛmo mu.
• Mfe 55 anaa nea ɛboro saa. Mpɛn pii no, nnuruyɛfo hu kokoram a ɛwɔ akyi berɛmo mu wɔ nnipa a wɔadi mfe yi mu.
• Sigaretnom. Nnipa a wɔnom sigaret no taa nya kokoram ahorow nyinaa.
• Yare bi a obi wɔ anaa nnuru a ɛma nipadua no tumi ko tia nyarewa a ɔnom. Sɛ nhwɛso no, ebia ɛho behia sɛ nnipa a wɔde wɔn akwaa foforo ahyɛ wɔn nsa no nom nnuru na amma wɔapow akwaa a wɔde ahyɛ wɔn nsa no.
• Sɛ wowɔ bue a ɛnyɛ ne kwan so (`Anal Fistula`) a efi akyi berɛmo no mu kɔ honam ani a atwa akyi berɛmo no ho ahyia no.
• Kokoram afoforo a wobenya. Sɛ nhwɛso no, awotwaa mu kokoram, ɔbea awotwaa mu kokoram, anaa awotwaa mu kokoram.

Sɛ wɔamfa ayaresa amma a, dɛn na ɛba? (Nsɛnnennen a ɛba) .

Sɛ wɔansa no yiye a, kokoram a ɛwɔ akyi berɛmo mu no betumi atrɛw akɔ ntini a ɛbɛn hɔ mu (wɔfrɛ eyi ``metastasize''). Ɛntaa mma sɛ ebetumi atrɛw akɔ w’ahurututu anaa wo mmerɛbo mu nso.

Wobɛyɛ dɛn ahu eyi?

Oduruyɛfo bi bebisa wo wo yare no ho sɛnkyerɛnne ahorow, bere tenten a ɛwɔ hɔ, w’ayaresa ho abakɔsɛm, a tebea horow a ɛka wo nipadua mu ahoɔden a ɛko tia nyarewa ka ho, na ebia obebisa wo nna ho dwumadi nso.

Nhwehwɛmu bɛn na wɔyɛ de hu tebea yi?

Wo duruyɛfo bɛyɛ dijitaal rectal nhwehwɛmu . Afei, wɔbɛfa nkwammoaa na wɔde akɔma ɔyaresafo bi ma wahwɛ wɔ afiri a wɔde hwɛ nneɛma nketenkete mu. Wɔbɛyɛ anal Pap nhwehwɛmu anaasɛ biopsy . (Wɔ mmea fam no, wobetumi ayɛ wɔn akyi berɛmo mu nhwehwɛmu nso.) Nea ɛka ho no, wo duruyɛfo bɛyɛ endoscopic nhwehwɛmu ne mfoninitwa nhwehwɛmu .

Nhwehwɛmu a Wɔyɛ wɔ Endoscopic

Nnuruyɛfo de endoscopy di dwuma de hwɛ wo akyi berɛmo ne wo akyi berɛmo mu. Wɔde nnwinnade titiriw na ɛyɛ sɔhwɛ ahorow yi. Eyinom yɛ nsukorade a ɛyɛ tratraa a ɛyɛ mmerɛw a ɛwɔ kanea, ahwehwɛ, ne video mfoninitwa afiri. Saa berɛ yi mu no, wɔbɛtumi afa ntini nhwɛsoɔ (a wɔfrɛ no `biopsies`) na ɔyareɛ ho ɔbenfoɔ ahwɛ mu. Endoscopy nhwehwɛmu ahorow no bi ne:

• Anoscopy: Nnuruyɛfo de afiri tiawa bi a kanea wom a wɔfrɛ no anoscope di dwuma de hwɛ wo akyi berɛmo ne wo akyi berɛmo a ɛwɔ fam.
• Flexible Sigmoidoscopy: Ɛhwɛ wo akyi berɛmo ne wo akyi berɛmo mu sɛ kokoram nyin ne polyps anaa.
• Colonoscopy: Wɔhwɛ wo dwensɔtwaa nyinaa mu sɛ kokoram anyin ne polyps anaa.

Mfoninitwa Sɔhwɛ ahorow

Mfoninitwa nhwehwɛmu betumi aboa nnuruyɛfo ma wɔahu pii afa kokoram akisikuru te sɛ ne kɛse ne beae pɔtee a ɛwɔ ho. Ebia sɔhwɛ ahorow yi bi ne:

• Magnetic Resonance Imaging (MRI) a wɔde hwɛ nneɛma so.
• Transrectal Ultrasound a Wɔde Yɛ Adwuma.
• Kɔmputa so Tomography (CT) a wɔde yɛ nhwehwɛmu.
• Positron Emission Tomography (PET) a wɔde yɛ nhwehwɛmu.

Anal Kokoram Staging

Nnuruyɛfo de kokoram gyinabea nhyehyɛe ahorow di dwuma de yɛ ayaresa ho nhyehyɛe na wɔma nkɔmhyɛ, kyerɛ sɛ, nea wubetumi ahwɛ kwan wɔ ayaresa akyi. Wosusuw nneɛma te sɛ akisikuru no kɛse, sɛ ebia kokoram no wɔ ntini a ɛma mogya tu no mu, ne sɛ ebia akisikuru no atrɛw (a akɔ mmeae afoforo) ho. Kokoram a ɛwɔ akyi berɛmo mu no akwan anum na ɛwɔ hɔ:

• Ɔfã 0: .

Nkwammoaa a ɛnyɛ ne kwan so wɔ wo rectum no mucous membrane (mucosal lining) mu. Saa nkwammoaa a ɛnteɛ yi nyɛ kokoram, nanso ebetumi abɛyɛ kokoram. Wɔsan frɛ kokoram a ɛwɔ akyi berɛmo mu a ɛto so 0 no sɛ high-grade squamous intraepithelial lesion (HSIL) .

• Ɔfã I:

Kokoram nkwammoaa aboaboa wɔn ho ano ayɛ akuru a ne kɛse bɛyɛ sɛntimita 2 anaa nea ennu saa, a ne kɛse bɛyɛ sɛ atoko.

• Ɔfã II:

Wɔakyekyɛ kokoram a ɛwɔ akyi berɛmo mu no mu abien:

• Stage IIA kyerɛ sɛ akuru bi wɔ hɔ a ɛsõ sen sɛntimita 2 nanso ɛsua sen sɛntimita 5.
• Stage IIB kyerɛ sɛ akisikuru no bɛyɛ sɛntimita 5 – ɛno kɛse bɛyɛ sɛ lemon – nanso ɛntrɛw nsen wo akyi berɛmo.

• Ɔfã III:

Wɔakyekyɛ Ɔfã III no mu abiɛsa:

• Ɔfã IIIA: Akisikuru no yɛ sɛntimita 5 anaa nea ennu saa, na atrɛw akɔ ntini a ɛwɔ wo akyi anaa wo hwene mu no mu.
• Ɔfã IIIB: Kokoram a ɛwɔ akyi berɛmo mu atrɛw akɔ akwaa a ɛbɛn wo te sɛ wo awotwaa, wo nsu a ɛkɔ wo nsu mu, anaa wo akisikuru mu.
• Ɔfã IIIC: Kokoram no wɔ akwaa a ɛbɛn wo mu, na atrɛw akɔ ntini a ɛbɛn wo akyi berɛmo anaa w’asen mu.

• Ɔfã IV:

Kokoram no wɔ ntini a ɛwɔ akyirikyiri fi w’akyi berɛmo mu ne akwaa a ɛwɔ akyirikyiri te sɛ w’ahurututu anaa mmerɛbo mu.

Ɔkwan bɛn so na wɔsa kokoram a ɛwɔ akyi berɛmo mu?

Ayaresa a wɔde sa kokoram a ɛwɔ akyi berɛmo mu no gyina kokoram no su ne ne gyinabea so, nanso ebia nea ɛka ho ne:

Mframa a Wɔde Yɛ Ayaresa

Nnuruyɛfo de abɔnten so mframa a wɔde sa yare (EBRT) sa akyi berɛmo mu kokoram. EBRT ahorow pii wɔ hɔ:

• Intensity-Modulated Radiation Therapy (IMRT): Eyi de mframa a ano yɛ den pii a ɛsono ahoɔden di dwuma de si akisikuru no so.
• Stereotactic Body Radiation Therapy (SBRT): Eyi de n’ani si akisikuru nketewa so a ɛnsɛe ntini a ɛbɛn a ɛte apɔw.
• Three-Dimensional Conformal Radiation Therapy (3D-CRT): Eyi ma wonya akisikuru no ho mfonini wɔ afã abiɛsa.
• Brachytherapy: Eyi yɛ mframa a wɔde sa yare a ɛwɔ nipadua no mu.

Nnuru a wɔde sa yare

Nnuruyɛfo taa de nnuru a wɔde sa yare ne mframa a wɔde sa yare bom di dwuma sɛ aduru titiriw a wɔde sa kokoram a ɛwɔ akyi berɛmo mu. Mpɛn pii no, saa ayaresa a wɔaka abom yi betumi ayi kokoram a ɛwɔ akyi berɛmo mu no afi hɔ, enti enhia sɛ wɔyɛ wo oprehyɛn.

Nanso, sɛ wuhia oprehyɛn a, wobetumi ama wo nnuru ansa na wɔayɛ wo oprehyɛn de atew akisikuru no so (`Neoadjuvant Chemotherapy`), anaasɛ wɔ oprehyɛn akyi de asɛe kokoram nkwammoaa biara a aka (`Adjuvant Chemotherapy`).

Sɛɛgyiri

Sa kokoram a ɛwɔ akyi berɛmo mu a asan aba anaasɛ ennyaa mframa a wɔde sa yare ne/anaasɛ nnuru a wɔde sa yare no ho dwuma.Wɔde oprehyɛn a ɛnyɛ den pii a wɔfrɛ no laparoscopic abdominoperineal resection di dwuma. Nea ɛka eyi ho ne sɛ wubeyi wo akyi berɛmo, wo akyi berɛmo, ne wo dwensɔtwaa no fã bi afi hɔ.

Sɛ wɔyɛ wo oprehyɛn yi a, wo oprehyɛn ho ɔbenfo no nso bɛyɛ colostomy a ɛbɛtra hɔ daa . Wei kyerɛ sɛ wo nsuo bɛfa bag anaa kotokuo bi a wɔde abata wo nipadua ho mu. Ɛwom sɛ ebia eyi bɛyɛ te sɛ nea ɛyɛ den kakra de, nanso ɛnyɛ wo nkutoo. Wo nnuruyɛfo kuw no bɛboa wo ma woayɛ wo su.

Nnuru a ɛko tia nyarewa

Sɛ wowɔ kokoram a ɛkɔ akyiri wɔ wo menewam a, ebia wo duruyɛfo bɛkamfo aduru a ɛko tia nyarewa akyerɛ wo na aboa ma woadi wo sɛnkyerɛnne ahorow no so. Saa ayaresa yi boa wo nipadua ma ko tia kokoram no.

Dɛn ne ayaresa no mu nsunsuanso bɔne?

Kokoram ayaresa pii betumi de ɔhaw ahorow aba. Sɛ nhwɛso no, nsunsuanso bɔne a efi nnuru a wɔde sa yare ne mframa a wɔde sa yare mu ba no betumi ayɛ honam ani akisikuru, ɛyaw a ɛba akyi berɛmo mu, ɔbrɛ, amemene mu sum a nnuru a wɔde sa yare de ba, akisikuru, ne ɔfe.

Dɛn ne nsɛnnennen a ɛwɔ ayaresa mu?

Nnuruyɛfo betumi de oprehyɛn asa akyi berɛmo mu kokoram. Oprehyɛn mu nsɛnnennen betumi ayɛ:

• Sɛnea wɔyɛ wɔn ade wɔ aduru a wɔde kum nipadua no ho.
• Mogya a ɛtɔ dodo.
• Ɔyare mmoawa bi.

Dɛn ne nkwa a wonya fi kokoram a ɛwɔ akyi berɛmo mu no mu?

Nnipa dodow a wonya kokoram wɔ akyi berɛmo mu no yɛ akontaabu a ɛkyerɛ sɛnea nnipa dodow a wɔtra ase mfe anum akyi a wɔahu sɛ wɔanya bi no. Saa dodow yi gu ahorow gyina sɛ ebia wohuu yare no na wɔsaa no yare ansa na ɛretrɛw anaa. Sɛ yɛka ne nyinaa bom a, sɛnea Ɔman Kokoram Asoɛe kyerɛ no, nnipa a wɔwɔ kokoram a ɛwɔ akyi berɛmo mu no mu 70% te ase wɔ mfe anum akyi bere a wɔahu sɛ wɔwɔ kokoram no.

Nanso, ɛho hia sɛ yɛkae sɛ saa nneɛma a ɛma obi ho tɔ no yi gyina nnipa kuw kɛse bi a wɔwɔ akwahosan ho haw ahorow suahu so. Ebia nea ɛyɛ nokware ma wɔn no renyɛ nokware mma wo. Sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo ma ɔnkyerɛkyerɛ nea wubetumi ahwɛ kwan mu.

Wobɛyɛ dɛn asiw eyi ano? (Ayaresa a wɔde siw ano) .

Ɔkwan biara nni hɔ a wobetumi afa so asiw kokoram a ɛwɔ akyi berɛmo mu ano. Nanso, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya bi no so denam anammɔn ahorow yi a wubedi akyi so:

• Mma nnom sigaret. Sɛ wonom sigaret a, hwehwɛ akwan a wobɛfa so aboa wo ma woagyae. Wo duruyɛfo nso betumi aboa wo.
• Fa nna a ahobammɔ wom di dwuma. Sɛ wo ne obi da wɔ akyi a, hwɛ hu sɛ wode kɔndɔm bedi dwuma.
• Sɛ wofata a, nya Human Papillomavirus (HPV) vaccine no. Ɛnyɛ akyi berɛmo mu kokoram nko na saa vaccine yi betumi asiw ano, na mmom ano ne menewa mu kokoram, awotwaa mu kokoram, ne akyi berɛmo mu kokoram nso.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wɔresa wo kokoram a ɛwɔ akyi berɛmo mu a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ no mu na wo ne wɔn di nkitaho sɛnea wɔakyerɛ wo no. Sɛ nhwɛso no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ sɛ wote ɛyaw anaa atiridii bi a, frɛ.

Ɛtɔ mmere bi a, nea ɛka ho ne sɛ wobeyi wo menewa mu kokoram no afã horow na wɔayɛ colostomy a ɛtra hɔ daa (oprehyɛn bi) na ama nsu atumi afa mu. Sɛ́ wobɛtra ase a wowɔ colostomy a ɛtra hɔ daa no betumi ayɛ den. Nanso ɛnyɛ wo nko ara. W’aduruyɛfo kuw no betumi aboa wo ma woahwɛ wo dwensɔtwaa so na woayɛ wo su sɛ wobɛtra ase a edi mũ, a ɛfata wɔ wo akyi berɛmo mu kokoram oprehyɛn akyi.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wowɔ kokoram a ɛwɔ akyi berɛmo mu a, ebia wobɛpɛ sɛ wubisa wo duruyɛfo nsɛm yi:

• Kokoram bɛn na mewɔ wɔ me menewam?
• Ɔkwan bɛn so na me kokoram no wɔ?
• Ayaresa ahorow bɛn na mewɔ?
• Sɛ mihia oprehyɛn a, oprehyɛn bɛn na wobɛkamfo akyerɛ?

Nsonsonoe bɛn na ɛda kokoram a ɛwɔ akyi berɛmo mu ne akyi berɛmo mu dysplasia ntam?

Nsonsonoe no ne sɛ, anal dysplasia nyɛ kokoram, nanso ebetumi ama obi anya anal kokoram. Wɔ anal dysplasia mu no, nkwammoaa a ɛwɔ wo akyi berɛmo mu no bɛyɛ nea ɛnteɛ. Bere kɔ so no, saa nkwammoaa a ɛnteɛ yi betumi afi ase adɔɔso na ayɛ kokoram akisikuru.

Ɔkwan bɛn so na ɛsono kokoram a ɛwɔ akyi berɛmo mu ne kokoram a ɛwɔ akyi berɛmo mu ne kokoram a ɛwɔ akyi berɛmo mu?

Wo akyi berɛmo, wo akyi berɛmo, ne wo dwensɔtwaa nyinaa yɛ wo aduane mu nneɛma akwaa. Nanso nkwammoaa a ɛka bom yɛ ntini a ɛwɔ ɔfã biara mu no yɛ soronko koraa. Ɛno kyerɛ sɛ nnuruyɛfo sa kokoram ahorow yi wɔ akwan horow so.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Anal cancer yɛ kokoram a ɛba wo akyi berɛmo mu – wo nipadua no fã a wopopa bere a woakɔ dwensɔtwaa akyi. Nsɛnkyerɛnne a ɛtaa ba ne mogya a efi akyi berɛmo mu anaasɛ ɛyaw. Eyinom betumi ama woatwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa afa saa nneɛma yi ho. Nanso, sɛ wohu na wɔsa no ntɛm, ansa na atrɛw a, wotumi sa akyi berɛmo mu kokoram. Sɛ wowɔ sɛnkyerɛnne bi te sɛ akyi berɛmo mu akisikuru a ɛkɔ so na ɛnkɔ a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa. Wɔwɔ ha sɛ wɔrebɛboa wo. Ɛho nhia sɛ yesuro anaa yɛn ani wu. W’akwahosan ne ade a ɛho hia sen biara.

` Anal Cancer, Anal Cancer, Kokoram Nsɛnkyerɛnne, HPV, Anal Health, Kokoram Ayaresa, Kokoram a Wosiw Ano