So biopsy amanneɛbɔ no kae sɛ ADH? Mma ɛnhaw wo, momma yɛnka eyi ho asɛm! (Atypical Ductal Hyperplasia) .

Ebia woahu nsakrae bi wɔ wo nufu mu, anaasɛ ebia wo duruyɛfo akamfo akyerɛ sɛ wɔnyɛ biopsy bere a wɔayɛ mammogram awie no. Sɛ wunya saa biopsy amanneɛbɔ no na wuhu sɛ wɔakyerɛw so sɛ "Atypical Ductal Hyperplasia" anaa "ADH" a, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka. "So eyi yɛ kokoram?" "Dɛn na ɛbɛto me seesei?" Ebia nsɛmmisa pii wɔ w’adwenem. Nanso mma ɛnhaw wo. Ɛnnɛ, yɛbɛka nea ADH yɛ, nea enti a ɛba, ne nea ɛsɛ sɛ yɛyɛ wɔ ho wɔ ɔkwan a ɛnyɛ den na ntease wom so.

Dɛn ankasa ne Atypical Ductal Hyperplasia (ADH)?

Sɛ yɛbɛka no tiawa a, ADH yɛ nkwammoaa a enyin wɔ ɔkwan a ɛnteɛ so wɔ wo nufu mu nufusu ntini mu. Ɛnyɛ kokoram. Nanso ɛnyɛ ade a ɛfata nso.

Fa no sɛ, nufusu ntini a ɛwɔ yɛn nufu mu no te sɛ nhama nketewa. Nkwammoaa na ɛyɛ saa nsukorade yi mu ɔfasu. Wɔ obi a ɔwɔ apɔwmuden mu no, wɔahyehyɛ nkwammoaa yi abien, na wɔayɛ no fɛfɛɛfɛ yiye, na wɔahyehyɛ no fɛfɛɛfɛ.

Nanso wɔ obi a ɔwɔ ADH fam no, saa nkwammoaa yi yɛ basabasa kakra, ɛboaboa ano wɔ wɔn ho wɔn ho so, na enyin wɔ ntoatoaso pii. Na sɛnea nkwammoaa yi te nso yɛ soronko kakra. Saa nkwammoaa yi nyɛ kokoram nkwammoaa, a ɛkyerɛ sɛ wɔyɛ ‘benign’. Nanso, wɔn su ahorow bi te sɛ nkwammoaa a ɛwɔ tebea bi a wɔfrɛ no ``DCIS - Ductal Carcinoma In Situ'', a ɛyɛ nufu mu kokoram mfiase pɛɛ.

Eyi te sɛ kanea kɔkɔɔ bi a ɛwɔ kwan so. Ɛnkyerɛ sɛ akwanhyia bi asi, nanso ɛkyerɛ sɛ ɛsɛ sɛ wohwɛ yiye paa bere a worekɔ w’anim no.

ADH ne ALH: Nsonsonoe bɛn na ɛda saa abien yi ntam?

Ebia wobɛte asɛmfua ‘Atypical Hyperplasia’ nso. Eyi ne din titiriw a wɔde frɛ nkwammoaa a enyin a ɛnteɛ yi. Eyi ahorow atitiriw abien na ɛwɔ hɔ. Ɛho hia sɛ wuhu nsonsonoe a ɛda abien no ntam.

Ahorow abien no nyinaa ma asiane a ɛwɔ hɔ sɛ wobenya kokoram daakye no yɛ kɛse. Nhwehwɛmu ahorow ada no adi sɛ ebia ɔbea a ɔwɔ saa tebea horow yi mu biara benya nufu mu kokoram mmɔho anan asen obi a onni bi.

Dɛn ne ADH ho sɛnkyerɛnne ahorow?

Mpɛn pii no, ADH mfa sɛnkyerɛnne pɔtee biara mma. Wɔtaa hu no wɔ akwanhyia mu. Wɔtaa hu ADH bere a wohu nufu bi a ɛnyɛ ne kwan so (e.g., microcalcifications) bere a wɔreyɛ mammogram esiane biribi foforo nti na wɔyɛ biopsy de hwehwɛ nea ɛnteɛ no mu kɔ akyiri.

Nanso, ɛntaa mma koraa sɛ nnipa binom nso betumi anya yare no ho sɛnkyerɛnne te sɛ eyinom:

• Wɔte akuru bi a ɛwɔ nufu no mu nka wɔ nsa no mu.
• Ɛyaw a wɔte nka wɔ nufu no mu.
• Nsu a ɛnteɛ (titiriw mogya) a efi nufu no mu.

Sɛ wowɔ sɛnkyerɛnne te sɛ eyi a, ɛnyɛ nea efi ADH. Nanso, sɛ wuhu nsakrae bi a ɛyɛ soronko wɔ wo nufu mu a , nyansa wom sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara na woakɔhwɛ.

Nea ɛde ADH ba ne nea ɛde asiane ba

Nnuruyɛfo da so ara nnim nea enti a nufusu mu nkwammoaa yi yɛ wɔn ade wɔ ɔkwan a ɛnteɛ so no ankasa. Nanso wogye di sɛ nneɛma bi a ɛma nufu mu kokoram ho asiane yɛ kɛse nso ne asiane a ɛwɔ hɔ sɛ obi benya ADH no wɔ abusuabɔ.

Dɛn ne asiane ahorow yi?

• Abusua abakɔsɛm: Sɛ abusua muni bi (titiriw obusuani bi a ɔbɛn no te sɛ ɛna, onuawa, anaa ɔbabea) anya nufu mu kokoram a.
• Awosu mu nsakrae: Awosu mu nsakrae te sɛ `(BRCA1, BRCA2)` a ɛma asiane a ɛwɔ hɔ sɛ wobenya nufu mu kokoram no yɛ kɛse.
• Ankorankoro abakɔsɛm: Sɛ woanya kokoram foforo biara pɛn a.
• Kɛse mmoroso: Sɛ obi nkura nipadua mu duru a ɛfata mu.
• Asetra kwan:Nsa a wɔtaa nom ne tawa mu nneɛma a wɔde di dwuma.

Ɛho hia sɛ yɛkae sɛ obi a onni asiane ahorow yi mu biara mpo betumi anya ADH anaa nufu mu kokoram.

Adeyɛ a wɔde hu ADH na wɔsa

Momma yɛnhwɛ nea wo duruyɛfo taa yɛ akyi bere a wahu sɛ wowɔ ADH no.

1. Oprehyɛn / Excisional Biopsy

Wɔtaa de ‘needle biopsy’ di kan hu ADH, a nea ɛka ho ne sɛ wɔde adwinnade a ɛte sɛ nnade yi ntini ketewaa bi fi nufu no mu na wɔhwehwɛ mu.

Sɛ wosi ADH so dua wie a, ade a edi hɔ a nnuruyɛfo betumi ayɛ ne sɛ wɔbɛyɛ ‘oprehyɛn mu nipadua mu nhwehwɛmu’ anaa ‘aduru a wɔde twa nipadua no mu nhwehwɛmu’ . Eyi hwehwɛ sɛ wɔyɛ oprehyɛn yi nkwammoaa a ɛnyɛ ne kwan so no fã nyinaa, ne ntini bi a ɛte apɔw a atwa wɔn ho ahyia no.

Enti, sɛ woyi beae no nyinaa na wohwehwɛ mu a, wubetumi anya awerɛhyem 100% sɛ nkwammoaa afoforo a ɛyɛ hu biara nni hɔ a atwa ho ahyia. Wɔ oprehyɛn a wɔyɛ wɔ saa kwan yi so no bɛyɛ 20% mu no, wɔahu kokoram nkwammoaa de aka ADH ho. Enti wɔyɛ oprehyɛn yi ma w’ahobammɔ.

2. Nnuru a Ɛtew Asiane So

Sɛ wɔhwehwɛ ntini no mu wɔ oprehyɛn akyi na kokoram nkwammoaa biara nkae a, mpɛn pii no ɛho nhia sɛ wɔde sa yare foforo biara. Nanso, sɛ wo duruyɛfo susuw sɛ asiane a ɛwɔ hɔ sɛ wubenya kokoram daakye no dɔɔso yiye , a egyina nneɛma te sɛ w’ankasa ne w’abusua abakɔsɛm so a, ebia ɔbɛkyerɛw nnuru ama wo de aboa ma saa asiane no so atew.

Saa nnuru yi yɛ adwuma denam estrogen hormone a ɛwɔ nipadua no mu a wonim sɛ ɛboa ma nufu mu kokoram ahorow bi nyin no dwumadi a esiw ano no so.

• Tamoxifen a wɔde ma mmea a wɔagyae brayɛ.
• Nnuru te sɛ Raloxifene anaa Anastrozole a wɔde ma mmea a wɔagyae brayɛ akyi.

Wɔtaa kamfo nnuru yi kyerɛ sɛ wɔmfa nni dwuma bɛyɛ mfe 5. Ɛwom sɛ wobetumi de ɔhaw ahorow bi aba de, nanso nsunsuanso bɔne a anibere wom ntaa mma. Sɛ́ ebia saa aduru yi fata wo anaasɛ ɛnte saa no yɛ biribi a ɛsɛ sɛ wo ne wo duruyɛfo susuw ho .

3. Nhwehwɛmu a Wɔyɛ no Yie

Sɛ wohu sɛ wowɔ ADH wie a, ade a ɛho hia sen biara ne sɛ wobɛhwɛ wo nufu yiye. Ebia wo duruyɛfo bɛkamfo nea edidi so yi akyerɛ wo:

• Afe Biara Mammogram: Mma eyi ntwa so da.
• Nufu mu Nhwehwɛmu a Wɔyɛ wɔ Ayaresa mu: Sɛ wobɛma oduruyɛfo ahwɛ wo nufu mu asram 6 kosi 12 biara.
• Nufu mu MRI: Sɛ asiane a ɛwɔ hɔ no yɛ kɛse a, wobetumi akamfo akyerɛ sɛ wɔnyɛ MRI mfonini pɛnkoro afe biara de ka nufu mu nhwehwɛmu ho.
• Wo ankasa Nufu mu Nhwehwɛmu: Sua sɛnea wobɛhwehwɛ wo nufu mu wɔ fie pɛnkoro ɔsram biara na ma ayɛ wo su. Sɛ wuhu nsakrae bi a, ka kyerɛ wo duruyɛfo ntɛm ara.

Asiane bɛn na ɛwɔ hɔ sɛ obi benya kokoram ama obi a ɔwɔ ADH?

ADH nyɛ kokoram, nanso ɛma asiane no yɛ kɛse daakye. Mma akontaabu yi nnyɛ wo hu, ɛnkyerɛ sɛ obiara a ɔwɔ ADH no benya kokoram.

• Wɔ mfe 5 akyi bere a wɔahu sɛ ɔwɔ ADH no, nnipa 100 biara mu bɛyɛ 7 (7%) benya nufu mu kokoram.
• Mfe 10 akyi no , nnipa 100 biara mu bɛyɛ 13 (13%) betumi anya bi.
• Mfe 25 akyi no , nnipa 100 biara mu bɛyɛ 30 (30%) betumi anya bi.

Eyi kyerɛ sɛnea nhwehwɛmu a wɔyɛ no daa ho hia , bere a asiane no kɔ soro bere kɔ so no. Efisɛ sɛ kokoram nya nkɔso wɔ ɔkwan bi so mpo a, nhwehwɛmu a wɔyɛ no daa wɔ saa kwan yi so no betumi ahu no ntɛm ara. Afei hokwan a ɛwɔ hɔ sɛ wɔbɛsa no yare na wɔasa no koraa no dɔɔso kɛse.

Dɛn na metumi ayɛ de atew asiane no so?

Bere a ɔkwan biara nni hɔ a ɛyɛ nokware a wobɛfa so asiw ADH ano no, nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram daakye no so. Eyinom nso ye yiye ma w’akwahosan nyinaa.

• Kura mu duru a ɛfata mu: Bɔ mmɔden sɛ wobɛkɔ so ayɛ wo mu duru a ɛfata ma wo tenten.
• Apɔw-mu-teɛteɛ da biara: Anyɛ yiye koraa no, fa simma 30 teɛteɛ w’apɔw mu denneennen da biara.
• To nsa ano hye: Sɛ wonom nsa a, to ano hye sɛnea wubetumi biara. Sɛ ɛbɛyɛ yiye a, ɛbɛyɛ papa sɛ wubegyae asanom koraa.
• Kwati sigaretnom: Gyae sigaretnom ne tawa ho nneɛma a wode di dwuma koraa.
• Aduan a ahoɔden wom: Di aduan a nhabannuru, nnuaba, ne nhabannuru pii wom, na ngo, asikre, ne nkyene nnim.