So wowɔ akisikuru bi a ɛyɛ nwonwa wɔ wo dompe mu? Momma yɛnka eyi ho asɛm (Aneurysmal Bone Cyst - ABC)!

So wo ba no afiri agodie aba fie pɛn na waka sɛ, "Maame/Papa, ɛyɛ yaw wɔ ha, ɛte sɛ akisikuru ketewaa bi"? Anaasɛ ebia ɛtɔ mmere bi a w’ankasa wunya akisikuru nketenkete ne akisikuru wɔ wo nipadua no afã horow. Mpɛn pii no, wɔkɔ wɔ nna kakraa bi mu. Nanso, ɛtɔ mmere bi a, sɛ akisikuru no kɔ so, anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, ɛyɛ papa sɛ wobɛhwehwɛ mu kakra. Ɛnnɛ yɛrebɛka akisikuru a ɛte saa ara, nanso ɛntaa nsi kakra, a ɛba nnompe mu ho asɛm. Wɔfrɛ eyi `(Aneurysmal Bone Cyst)` anaa `(ABC)` tiawa.

So wunim nea saa ``Aneurysmal Bone Cyst (ABC)'' yi yɛ?

Sɛ yɛbɛka no tiawa a, `(Aneurysmal Bone Cyst)` yɛ akisikuru a ɛnyɛ hu, ɛnyɛ kokoram a ɛba yɛn nnompe mu. Saa akisikuru yi wɔ amena nketenkete a mogya ahyɛ mu ma (cysts) wɔ mu. Asɛmfua "Aneurysmal" kyerɛ sɛ yɛn mogya ntini biako fasu mu ayɛ kurukuruwa. "Cyst" kyerɛ abura a nsu ahyɛ mu ma. Enti sɛ woka abien yi bom a, wubetumi ate nea eyi kyerɛ ase, ɛnte saa?

Saa tebea a wɔfrɛ no `(ABC)` yi ho yɛ na ankasa. Nnompe mu akisikuru nso ntaa mma, na wɔn mu no, saa `(ABC)` yi wɔ hɔ ɔha biara mu kakraa bi pɛ. Saa tebea yi ka mmofra ne mpanyimfo nkumaa a wonnii mfe 20 kɛse .

Ɛhe na eyinom nyin kɛse?

Saa akisikuru yi betumi ayɛ dompe biara a ɛwɔ nipadua no mu ankasa, nanso wɔtaa hu wɔ mmeae yi:

• Dompe kɛse a ɛwɔ w’asen mu (Femur) .
• Shin dompe `(Tibia)`
• Dompe a ɛwɔ abasa atifi `(Humerus)`
• Vertebrae a ɛwɔ akyi berɛmo mu
• Nnompe a ɛwɔ wo akyi berɛmo mu

Eyinom ne mmeae a wotaa hu saa `(ABC)` nnuaba yi.

So `ABC` ahorow bi wɔ hɔ?

Yiw, ``Aneurysmal Bone Cysts'' ahorow atitiriw abien na ɛwɔ hɔ.

1. Primary `ABC`: Wɔ eyi mu no, akisikuru no ankasa nyin, a enni biribi foforo biara a ɛde ba.

2. `ABC` a ɛtɔ so mmienu: Eyi ba bere a wowɔ tebea anaa akisikuru foforo a ɛfa nnompe ho dedaw, na saa `(ABC)` yi nyin esiane eyi nti.

Nnompe mu nyarewa ne kokoram ahorow bi a ebetumi de ABC a ɛto so abien aba ne:

• `Nhama a ɛyɛ mmerɛw`
• Nkwammoaa mu akisikuru kɛse
• Nnompe mu ntini a ɛyɛ mmerɛw
• Chondrosarcoma a ɛwɔ nipadua no mu
• Nnompe mu yare

Secondary `(ABC)` ba ne tebea afoforo te sɛ eyi.

Dɛn ne eyi ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Mpɛn pii no, sɛnkyerɛnne ahorow no da adi sɛ nsakrae a ɛba wo nsa, wo nan, w’asen, anaa w’akyi mu. Eyinom bi ne:

• Wo de ma woWubetumi de wo nsa ate nka, na ebia akisikuru anaa akisikuru bi a wotumi hu wɔ hɔ.
• Ebia ɛyaw bɛba saa beae no. Ɛtɔ mmere bi a ɛyaw yi betumi akɔ soro ntɛmntɛm paa .
• Wubehu sɛ akisikuru atwa baabi a akisikuru no wɔ no ho ahyia.

Fa no sɛ, wo ba fi agodie mu ba fie da bi na ɔka sɛ ne nan yɛ no yaw. Ɔhonhon ketewaa bi ne akisikuru bi wɔ hɔ a wubetumi ate nka wɔ wo nsam. Sɛ ɛnkɔ wɔ nnansa anaa nnansa akyi, na ɛyaw no kɔ soro nkakrankakra a, ɛnde ɛsɛ sɛ wohaw wo ho kakra.

Titiriw no, sɛ saa `(ABC)` akisikuru yi ba akyi berɛmo no mu na ɛhyɛ akyi berɛmo mu ntini ahorow no so a, sɛnkyerɛnne afoforo betumi aba:

* Nnipa a wɔyɛ mmerɛw

* Nkate a ɛte sɛ ntɛtea a wɔretu mmirika akɔ akyirikyiri, anaasɛ pin ne nnade (Paresthesia) .

* Ntini mu mmerɛwyɛ

* Wɔ tebea horow bi mu no, ebetumi ama wabubu mpo .

Enti, sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom ka akyi yaw ho a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Adɛn nti na wɔhyehyɛɛ saa `ABC` yi? Dɛn nti na ɛte saa?

Sɛ yɛbɛka nokware a, aduruyɛ ho abenfo nnya nhuu nea ɛde saa `(ABC)` ahorow yi ba ankasa . Nanso, nneɛma pii wɔ hɔ a wosusuw sɛ ɛma ɛba:

• Ebia efi ɔhaw ahorow bi a ɛwɔ mogya ntini a ɛwɔ nnompe no mu no mu.
• Ebia efi nsakrae bi a ɛba awosu mu nkwaadɔm a ɛhwɛ sɛnea yɛn nkwammoaa nyin na ɛpaapae no mu nso.

Eyinom ne nsɛm atitiriw a mprempren wosusuw ho.

Nsɛnnennen bɛn na ebetumi afi eyi mu aba?

Saa tebea yi a wɔfrɛ no ``Aneurysmal Bone Cyst'' betumi de nsɛnnennen bi aba .

• Titiriw sɛ eyi to mmofra a, ebetumi asɛe wɔn nnompe nyin . Sɛ nhwɛso no, eyi kyerɛ sɛ ebia nsa anaa nan biako bɛyɛ tiaa kakra asen foforo no.
• Sɛ akisikuru no nyin nkakrankakra na ɛma dompe no yɛ mmerɛw a, hokwan kɛse wɔ hɔ sɛ dompe no bebubu . Sɛ obi hwe ase kakra mpo a, ebetumi abubu dompe.

Enti, ɛho hia sɛ wohwɛ eyi nso so.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wo anaa wo ba kɔ oduruyɛfo nkyɛn a ɔwɔ saa sɛnkyerɛnne ahorow yi a, ade a edi kan a ɔbɛyɛ ne sɛ ɔbɛyɛ nipadua mu nhwehwɛmu a edi mũ . Ɔbɛhwehwɛ akuru biara a wubetumi ahu anaa woate nka no mu yiye.

, ‍ (imaging tests) :

• Nnompe mu nhwehwɛmu
• CT mfonini (Computed Tomography mfonini) .
• MRI mfonini (Magnetic Resonance Imaging mfoninitwa afiri) .
• X-ray ahorow a wɔde yɛ

Saa scan ahorow yi betumi ada nneɛma pii adi, te sɛ sɛnea akisikuru no te, ne kɛse, ne nkɛntɛnso a enya wɔ dompe no so.

Nea ɛka ho no, ɛtɔ mmere bi a oduruyɛfo no betumi asi gyinae sɛ ɔbɛyɛ nipadua no mu nhwehwɛmu . Eyi kyerɛ sɛ wobegye ntini ketewaa bi afi akisikuru no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu. Eyi yɛ de si so dua sɛ ebia kokoram nkwammoaa wɔ akisikuru no mu anaasɛ enni mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi? (Ayaresa)

Asɛmpa no ne sɛ ayaresa ahorow wɔ hɔ ma saa ``ABC'' tebea yi. Ayaresa no gyina nneɛma pii so, te sɛ akisikuru no kɛse, beae a ɛwɔ, ne mfe a woadi.

Sɛɛgyiri

Ayaresa a wɔtaa yɛ ne oprehyɛn a wɔfrɛ no curettage . Eyi hwehwɛ sɛ nnompe ho oprehyɛn ho oduruyɛfo bi twa honam ani baabi a akisikuru no wɔ no, bue mu, na ɔpopa ntini a ɛwɔ akisikuru no mu ne nea ɛkata so no. Afei dompe, ebia dompe bi a efi obi a ɔde mae hɔ, anaa dompe a efi wo nipadua no fã foforo mu hyɛ beae no ma.

Ayaresa a ɛnyɛ oprehyɛn

Wɔ nsɛm a oprehyɛn ntumi nyɛ yiye, anaasɛ oprehyɛn akyi no, ayaresa afoforo te sɛ:

• Arterial embolization: Nea ɛka eyi ho ne sɛ wobesiw mogya ntini a ɛde mogya kɔ akisikuru no mu no ano. Eyi ma akisikuru no hwere mogya na efi ase tew.
• Doxycycline injection: Wɔde saa aduru yi gu akisikuru no mu, na ɛma ɛyɛ ketewaa na ɛmma akisikuru no nnyin nkɔ akyiri.
• Nnuru a ɛhyɛ nnompe mu den: Wobetumi de nnuru te sɛ Denosumab (Prolia®) nso ama de ahyɛ nnompe mu den.
• Mframa a wɔde sa yare: Wɔde eyi sɛe nkwammoaa a ɛwɔ akisikuru no mu no. Nanso, mpɛn pii no, sɛ ayaresa afoforo anyɛ adwuma nkutoo a, wɔde di dwuma.
• Sclerotherapy: Eyi nso yɛ ɔkwan a wɔfa so de aduru bi gu akisikuru no mu. Saa aduru yi ma akisikuru no so tew.

Wo duruyɛfo bɛpaw ayaresa a eye sen biara ama wo.

Bere tenten ahe na egye na obi ho atɔ no? (Pɛ deɛ ayera)

Bere a wo anaa wo ba no ho bɛtɔ no no gyina ayaresa ko a wɔyɛe no so. Sɛ nhwɛso no, sɛ wɔma dompe no curettage wie a, ebetumi agye asram abiɛsa kosi asia ansa na ayɛ yiye.Ebetumi agye bere kakra, enti ɛho hia sɛ wubisa wo duruyɛfo nea ɛsɛ sɛ wohwɛ kwan, nea ɛsɛ sɛ woyɛ, ne nea ɛnsɛ sɛ woyɛ bere a wo ho retɔ wo wɔ oprehyɛn no akyi.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Saa tebea yi a wɔfrɛ no ``Aneurysmal Bone Cyst'' yi ɛtɔ mmere bi a ebetumi asan aba bio wɔ ayaresa akyi mpo. Enti, sɛ wote nka sɛ woanya akisikuru foforo wɔ baabi a na wɔadi kan ayɛ no, anaasɛ wote ɛyaw a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara . Mfa no adewa.

Eyi te dɛn? So wobetumi asa no yare? (Nkɔmhyɛ) .

Aneurysmal Bone Cysts yɛ tebea a wotumi sa kɛse wɔ nsɛm dodow no ara mu. Ɛno yɛ asɛmpa, ɛnte saa? Nanso sɛnea yɛadi kan aka no, nnipa 5 biara mu bɛyɛ 1 wɔ hokwan sɛ obenya bi bio . Mpɛn pii no, ɛsan ba bio wɔ afe a edi kan wɔ ayaresa akyi. Ɛno nti na nnuruyɛfo ka sɛ ɛho hia sɛ wɔkɔ so hwɛ (follow-up).

Adeɛ a ɛho hia paa - nneɛma a ɛsɛ sɛ wode sie w’adwene mu (Take-Home Message) .

Okay, enti momma yɛnkae wo nneɛma a ɛho hia paa a ɛsɛ sɛ wode sie w’adwene mu wɔ nea yɛaka ho asɛm no mu.

• Ɛyɛ ade a ɛfata sɛ wubenya akuru ne akuru wɔ wo nipadua so. Sɛ wobɔ ɔpon bi mu anaasɛ wohwe ase bere a woredi agoru a, eyi betumi aba. Nanso, sɛ akisikuru bi ankɔ nna kakraa bi mu, ɛkɔ so, anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn .
• `Aneurysmal Bone Cyst (ABC)` nyɛ kokoram . Mma ɛnhaw wo wɔ ho. Nanso, ebetumi de ɔhaw ahorow a emu yɛ den te sɛ nnompe a ɛpaapae aba.
• Saa tebea yi ka mmofra ne mmerante ne mmabaa kɛse.
• Ayaresa pa wɔ hɔ a wɔde sa eyi, enti mma wo ho nnyɛ wo hu, na sɛ wunya yare no ho sɛnkyerɛnne bi a, hwehwɛ aduruyɛfo afotu ntɛm ara.

Sɛ wo anaa w’abusua mu obi wɔ saa ɔhaw yi a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu ne ayaresa. Kɔ so nya apɔwmuden!

`Nnompe mu akisikuru, Aneurysmal Bone Cyst, ABC, Mmofra nnompe mu yare, Nnompe mu yaw, Nnompe mu akisikuru, Nnompe mu akisikuru a ɛnyɛ kokoram