Momma yɛnka sɛ wo duruyɛfo no yɛɛ wo nufu mu nhwehwɛmu wiei no, ɔfaa ntini ketewaa bi de kɔmaa sɛ wɔnkɔhwɛ. Yɛfrɛ eyi biopsy. Sɛ amanneɛbɔ no san ba nna kakraa bi akyi na ɛka sɛ "Atypical Ductal Hyperplasia" anaa "ADH" a, ebia mpofirim ara wobɛte ehu ne dadwen kɛse nka. Ɛyɛ ade a ɛfata sɛ wubesusuw sɛ, "So eyi yɛ kokoram?" Nanso mma ɛnhaw wo. ADH nyɛ kokoram. Nanso, ɛyɛ tebea a ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram daakye no yɛ kɛse kakra. Ɛno nti na ɛho hia paa sɛ yɛma yɛn ani da hɔ no. Ɛnnɛ, momma yɛnka nea ADH yɛ, nea ɛkyerɛ ankasa, ne nea ɛsɛ sɛ yɛyɛ ho asɛm tiawa na emu nna hɔ.
Sɛ yɛbɛka no tiawa a, dɛn ne Atypical Ductal Hyperplasia (ADH)?
Sɛ yɛbɛte eyi ase a, ma yenni kan nhwɛ sɛnea nufu no te. Yɛn nufu no wɔ ntini (lobules) a ɛma nufusu ne ntini nketenkete (ducts) a ɛde saa nufusu no kɔ nufusu no mu. Mpɛn pii no, wɔhyehyɛ nufusu ntini yi mu afasu fɛfɛɛfɛ, na nkwammoaa abien na ɛwɔ mu.
Nanso, wɔ tebea bi a wɔfrɛ no Atypical Ductal Hyperplasia (ADH) mu no, eyi ne nea ɛba:
- Hyperplasia: Nkwammoaa a ɛwɔ nufusu ntini yi mu no kɛse yɛ kɛse. Asɛmfua "hyperplasia" kyerɛ ankasa sɛ "nkwaboaa dodow a ɛkɔ soro."
- Atypical: Saa nkwammoaa yi nte sɛ nkwammoaa a ɛte apɔw a ɛteɛ. Wɔn nsusuwii, wɔn kɛse, ne ɔkwan a wɔfa so boaboa nkwammoaa no ano no yɛ "atypical." Eyi kyerɛ sɛ sɛ́ anka wɔbɛhyehyɛ no ntoatoaso abien no, wɔaboaboa ano wɔ ɔkwan a ɛyɛ basabasa a ɛwɔ ntoatoaso pii so.
Nea ɛho hia ne sɛ saa nkwammoaa yi nyɛ kokoram . Wɔyɛ nkwammoaa a ɛnyɛ hu. Nanso, wɔne nkwammoaa a ɛwɔ tebea bi a wɔfrɛ no Ductal Carcinoma in Situ (DCIS) a ɛyɛ kokoram a edi kan koraa no di nsɛ kakra. Ɔkwan foforo so no, saa nkwammoaa yi wɔ baabi a ɛda nkwammoaa a ɛteɛ ne kokoram nkwammoaa ntam. Eyi nti na wɔka sɛ obi a ɔwɔ ADH no wɔ asiane kɛse kakra sɛ obenya nufu mu kokoram daakye sen obi a onni ADH no.
Nea ɛho hia: ADH nyɛ kokoram. Ɛyɛ "agyiraehyɛde" ara kwa a ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no yɛ kɛse. Ɛte sɛ nea wo nipadua rema wo kɔkɔbɔ kakra.
Dɛn na ɛkyerɛ sɛ obi anya ADH?
Sɛ wo biopsy amanneɛbɔ ka sɛ ADH a, ɛnkyerɛ sɛ wowɔ kokoram. Nanso, nnuruyɛfo bu tebea yi sɛ ade a ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram daakye no yɛ kɛse. Nhwehwɛmu ahorow ada no adi sɛ ebia ɔbea a ɔwɔ ADH betumi anya nufu mu kokoram bɛyɛ mpɛn anan asen ɔbea a onni tebea no.
Esiane eyi nti, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wobɛyɛ nufu mu kokoram ho nhwehwɛmu a ɛbɛn wo bere nhyehyɛe a wotaa yɛ no kakra. Nhwɛsoɔ:
- Mammogram a wɔbɛyɛ afe biara.
- Ebia nufu mu ultrasound anaa MRI scan.
- Ma oduruyɛfo nyɛ nufu mu nhwehwɛmu daa (clinical breast exams).
Botae a ɛwɔ nhwehwɛmu a wɔyɛ no daa wɔ saa kwan yi so ne sɛ wɔbɛhwɛ ahu sɛ sɛ kokoram ba da bi a, wobetumi ahu no ntɛm ara na wɔasa no yiye.
Dɛn ne ADH ho sɛnkyerɛnne ahorow?
Mpɛn pii no, ADH ho sɛnkyerɛnne pɔtee biara nni hɔ. Eyi kyerɛ sɛ ebia worenhu biribiara. Wohu sɛ nnipa dodow no ara wɔ tebea no bere a wɔyɛ nipadua mu nhwehwɛmu esiane biribi a ɛnteɛ a wohu wɔ mammogram mu esiane biribi foforo nti.
Nanso, ɛntaa mma koraa sɛ nnipa binom behu sɛnkyerɛnne ahorow a edidi so yi. Ɛyɛ den sɛ wobɛka sɛ ebia ADH na ɛde eyinom ba anaasɛ ɛnte saa, nanso sɛ wuhu biribi te sɛ eyi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Nufu no mu akisikuru anaasɛ ɛyɛ den | Akuru foforo anaasɛ ɛyɛ den a wubetumi ate nka bere a wote nufu no nka. |
| Nufusu mu nsu a ɛtɔ | Titiriw mogya anaasɛ nsu a ɛyɛ soronko a efi nufu no mu ba. |
| Nufu mu yaw | Ɛyaw a ɛyɛ soronko, a ɛkɔ so daa. |
Nea ɛde ba ne asiane ahorow a ɛma obi nya ADH
Nnuruyɛfo da so ara nnim nea enti a nkwammoaa a ɛwɔ nufusu ntini yi mu no yɛ wɔn ade wɔ ɔkwan a ɛnteɛ yi so no ankasa. Nanso wogye di sɛ asiane koro no ara a ɛde nufu mu kokoram ba no nso betumi aboa ma ADH anya nkɔso.
Asiane ahorow a ebetumi aka ADH
- Abusua abakɔsɛm: Sɛ wowɔ abusua muni bi (titiriw ɛna, onuawa, ɔbabea) a ɔwɔ nufu mu kokoram.
- Awosu mu nsakrae: Awosu mu nsakrae a ɛma nufu mu kokoram ho asiane yɛ kɛse, te sɛ `BRCA1` anaa `BRCA2` a wowɔ.
- Ankorankoro abakɔsɛm: Esiane sɛ na wanya kokoram foforo pɛn.
- Kɛse mmoroso: Sɛ obi nkura nipadua mu duru a ɛfata mu.
- Asetra kwan: Nsã a wɔnom ne tawa ho nneɛma a wɔde di dwuma.
Ɔkwan bɛn so na wɔsa ADH?
Sɛ wo biopsy no si so dua sɛ wowɔ ADH wie a, mpɛn pii no wo duruyɛfo bɛkamfo ayaresa ketewaa foforo akyerɛ sɛ adeyɛ a edi hɔ. Wɔfrɛ eyi sɛ excisional biopsy .
Ɛnyɛ ntini no fã a wohu nkwammoaa a ɛnteɛ (ADH) no nko na eyi hwehwɛ sɛ woyi fi hɔ, na mmom ntini kakraa bi a ɛte apɔw a atwa ho ahyia nso. Dɛn nti na wɔyɛ eyi? Efisɛ ɛtɔ da bi a, ɛbɛn baabi a wohu ADH no yiye no, ebia tebea bi a emu yɛ den kɛse wɔ hɔ, te sɛ kokoram mfiase te sɛ `DCIS`, anaa kokoram nkwammoaa a wɔde asie.
Nhwehwɛmu ahorow ada no adi sɛ wɔ oprehyɛn ahorow a wɔyɛ ma ADH yi mu bɛyɛ 20% mu no, wohu kokoram nkwammoaa a ahintaw wɔ mpɔtam hɔ. Ɛno nti na oprehyɛn yi ho hia no.
Sɛ wɔsan de ntini a woyii bere a wɔreyɛ oprehyɛn no kɔ aduruyɛdan mu na wohu sɛ kokoram nkwammoaa nni mu a, worenhia ayaresa bio. Efi saa bere no, nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛyɛ wo nufu mu nhwehwɛmu daa sɛnea wo duruyɛfo kamfo kyerɛ no.
Nnuru a Ɛtew Asiane So
Sɛ asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no dɔɔso yiye esiane wo ADH tebea ne nneɛma afoforo (te sɛ abusua abakɔsɛm) nti a, ebia wo duruyɛfo bɛkyerɛw nnuru bi ama wo na ama asiane a ɛwɔ hɔ no so atew. Saa nnuru yi yɛ adwuma denam estrogen hormone a ɛwɔ nipadua no mu no dwumadi a esiw ano no so.
- Tamoxifen: Wɔde ma mmea a wɔankɔ brayɛ mu.
- Raloxifene (Evista®), Exemestane (Aromasin®), Anastrozole (Arimidex®): Wɔde ma mmea a wɔagyae brayɛ akyi.
Wobetumi akamfo nnuru yi akyerɛ mfe anum. Nanso, esiane sɛ nnuru yi nyinaa wɔ ɔhaw ahorow bi nti, ɛho hia sɛ wo ne wo duruyɛfo susuw ho yiye de si gyinae sɛ ɛfata wo anaa.
Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo
Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii bere a wuhu sɛ wowɔ ADHD no. Mma ntwentwɛn wo nan ase sɛ wubebisa nsɛm yi bere a woakɔ wo duruyɛfo nkyɛn no.
- "Oduruyɛfo, dɛn ankasa na me sɔhwɛ amanneɛbɔ yi kyerɛ?"
- "So mihia oprehyɛn ankasa?"
- "Asiane bɛn na ɛwɔ me sɛ menya nufu mu kokoram daakye?"
- "Mpɛn ahe na ɛsɛ sɛ meyɛ nhwehwɛmu te sɛ mammogram?"
- "Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m'asetra kwan mu?"
- "So ɛyɛ adwene pa sɛ menya awosu mu afotu?"
Wobɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ no so bere a wo ne ADHD te no?
Ɛwom sɛ wuntumi nni wo ADH tebea no so de, nanso nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya kokoram daakye no so. Eyinom nso betumi aboa wo ma woanya apɔwmuden.
- Kura mu duru a ɛfata mu: Apɔw-mu-teɛteɛ ne aduan a ɛkari pɛ ho hia yiye.
- Apɔw-mu-teɛteɛ: Bɔ mmɔden sɛ wobɛkɔ so ayɛ nnam da biara.
- To nsa ano hye: Tew nsa a wobɛnom so sɛnea wubetumi biara anaa gyae koraa.
- Kwati sigaretnom: Sigaretnom ne tawa mu nneɛma a wɔde di dwuma no ma kokoram ho asiane no yɛ kɛse.
Afei nso, fa nyɛ wo su sɛ wobɛyɛ wo ho nhwehwɛmu wɔ wo nufu mu . Anyɛ yiye koraa no, hwɛ sɛnea wo nufu te sɛ nea ɛfata pɛnkoro ɔsram biara. Saa kwan yi so no, wubetumi ahu akuru foforo biara, nea ɛyɛ den, anaa nsakrae biara ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- ADH nyɛ kokoram. Ɛyɛ kɔkɔbɔ a efi nipadua no hɔ ara kwa sɛ ebia ɛbɛma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no ayɛ kɛse daakye.
- Sɛ wuhu sɛ wowɔ ADH a, mma wo ho nnpopo. Nanso mmu w’ani ngu so nso. Ɛho hia yiye sɛ wudi wo duruyɛfo afotu akyi.
- Yɛ nufu mu nhwehwɛmu a wo duruyɛfo kamfo kyerɛ nyinaa wɔ bere ano. Sɛ wohu ntɛm a, ɛno ne ahobammɔ a eye sen biara.
- Asetra a ahoɔden wom (mu duru a ɛfata, apɔw-mu-teɛteɛ, nsa ne sigaretnom a wobɛkwati) betumi atew kokoram ho asiane a ɛwɔ hɔ nyinaa so.
- Wo ne wo duruyɛfo nka nsɛmmisa, ehu, anaa nsɛm biara a ɛhaw wo ho asɛm pefee.
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