Sɛ oduruyɛfo bi ka kyerɛ wo sɛ, "Wowɔ akisikuru wɔ w'ahurututu mu a, wobɛte nka dɛn?" Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka na wo ho adwiriw wo bere a wote saa asɛmfua no. Sɛ yɛte asɛmfua "akisikuru" a, ntɛm ara yɛn adwene huruw kɔ kokoram tebea a ɛyɛ hu no mu. Nanso biribi a ɛho hia wɔ hɔ a ɛsɛ sɛ meka kyerɛ wo. Ɛnyɛ akisikuru nyinaa na ɛyɛ kokoram. Akuru bi betumi ayɛ nea asiane biara nni ho na ɛnyɛ kokoram (ɛnyɛ bɔne). Enti ɛnnɛ yɛreka akisikuru a ɛnyɛ kokoram wɔ ahurututu mu a enhia sɛ wohaw wo ho ho asɛm.
Dɛn ankasa ne ‘akisikuru’?
Sɛ yɛbɛka no tiawa a, akisikuru yɛ ntini a ɛnyɛ ne kwan so a wɔaboaboa ano a ɛba bere a yɛn nipadua mu nkwammoaa ka bom no. Mpɛn pii no, nkwammoaa a ɛwɔ yɛn nipadua mu no mu paapae, enyin, na awiei koraa no ewu. Eyi yɛ adeyɛ a wɔhwɛ so yiye. Nanso ɛtɔ mmere bi a, saa adeyɛ yi nkɔ yiye. Nkwammoaa fi ase paapae ntɛmntɛm dodo, anaasɛ nkwammoaa a ɛsɛ sɛ wowuwu no bom bom mmom sen sɛ wobewuwu. Ɛno ne nea yɛfrɛ no akisikuru. Saa akisikuru yi tumi ba ahurututu mu anaa mframa kwan a ɛde mframa kɔ ahurututu mu no mu.
Wobetumi akyekyɛ saa nnuaba yi mu ayɛ no ahorow atitiriw abien:
1. Akisikuru a Ɛyɛ Hu: Eyinom ne nea yɛfrɛ no Kokoram . Wonyin ntɛmntɛm, wɔhyɛn ntini a atwa ho ahyia no mu, na wotumi trɛw kɔ nipadua no afã afoforo.
2. Benign Tumors : Eyinom nyɛ kokoram. Wɔntrɛw nkɔ nipadua no afã afoforo.
Afei, sɛ wo duruyɛfo ka sɛ, "Akisikuru a ɛwɔ w'ahurututu mu no te sɛ nea ɛnyɛ hu ," dɛn na ɛno kyerɛ ankasa? Momma yɛnhwɛ mu nkɔ akyiri.
| Su ahorow a ɛwɔ akisikuru a ɛnyɛ kokoram (a ɛnyɛ papa) ho | Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya akisikuru a ɛyɛ hu |
|---|---|
| Eyinom nyɛ kokoram, enti ɛntrɛw nkɔ nipadua no afã afoforo. | Eyinom yɛ kokoram a ebetumi atrɛw (atrɛw) akɔ nipadua no afã afoforo. |
| Nkɔso a ɛrenyinNkakrankakra paa. Ebia onyin gyae anaasɛ ɛso tew mpo. | Mpɛn pii no enyin ntɛmntɛm yiye . |
| Mpɛn pii no ɛnyɛ nea ɛde nkwa to asiane mu . | Sɛ wɔansa no yiye a, ebetumi de nkwa ato asiane mu . |
| Mpɛn pii no, ɛho nhia sɛ wɔde oprehyɛn yi fi hɔ . | Mpɛn pii no, ɛsɛ sɛ woyi fi hɔ anaasɛ wɔhwehwɛ ayaresa afoforo . |
| Ɛwom sɛ ɛde nhyɛso ba ntini a atwa ho ahyia no so de, nanso ɛntow hyɛ so anaasɛ ɛnsɛe . | Ɛtow hyɛ ntini a ɛwɔ apɔwmuden a atwa ho ahyia no so na ɛsɛe . |
So akisikuru bi wɔ hɔ a ɛnyɛ kokoram a ɛba ahurututu mu?
Yiw, koraa. Wɔakyekyɛ wɔn mu nso sɛnea wɔn kɛse te. Mpɛn pii no, wɔfrɛ akisikuru a ne kɛse boro sɛntimita 3 (bɛyɛ nsateakwaa 1.2) no ``masses'', na wɔfrɛ akisikuru a ne kɛse boro sɛntimita 3 no `` nodules ''. Saa akisikuru nketewa a ɛba ahurututu mu yi nso, wɔfrɛ no ``pulmonary nodules''.
Akisikuru ahorow a ɛnyɛ kokoram a ɛtaa ba no bi ni.
Hamartomas na ɔkyerɛwee
Eyinom ne nyini a ɛnyɛ kokoram a wɔtaa hu wɔ ahurututu mu. Wɔyɛ ntini ahorow a ɛteɛ te sɛ ntini a ɛyɛ mmerɛw , srade , ne ntini . Nanso ntini no aboaboa ano wɔ ɔkwan a ɛnteɛ so. Wɔ X-ray so no, wobetumi ayɛ te sɛ sika kurukuruwa. Ɛtɔ da nso a, wotumi te sɛ popcorn. Mpɛn pii no, wɔnmpira ntini a atwa ho ahyia no.
Ahurututu mu adenoma ahorow
Eyinom yɛ akisikuru foforo a ɛtaa ba a ɛnyɛ kokoram. Wɔyɛ kɛse wɔ yɛn mframa kwan (bronchi) ne mucous glands mu.
Papillomas a ɛyɛ mmerɛw
Eyinom ho yɛ na kakra. Wonyin fi mframa kwan no mu na wopue kɔ abɔnten. Papillomas ahorow abiɛsa na ɛwɔ hɔ:
- Squamous papillomas a ɛyɛ mmerɛw:Eyinom betumi afi ɔyare mmoawa bi a wɔfrɛ no ``Human Papillomavirus - HPV'' a obi anya mu aba. Saa HPV mmoawa yi yɛ mmoawa koro no ara a ɛde akisikuru ne nna mu nyarewa bi ba. Ɛtɔ mmere bi a, saa nyini ahorow yi wɔ hokwan ketewaa bi sɛ ɛbɛyɛ kokoram.
- Glandular papillomas: Eyinom ho yɛ na sen squamous papillomas. Wonnya nhuu nea ɛde bae ankasa.
- Squamous ne glandular papillomas a wɔadi afra: Ntini a efi ahorow abien a yɛaka ho asɛm wɔ atifi hɔ no mu wɔ eyinom mu. Eyinom nso ntaa ntumi nyɛ kokoram.
Adeɛ a ɛho hia ne sɛ, ɛwom mpo sɛ ɛka sɛ "ebetumi adan kokoram" de, nanso ɛntaa nsi koraa. Enti ɛyɛ papa sɛ wobɛyɛ nhwehwɛmu sɛnea oduruyɛfo no ka no.
Saa nnuaba yi abu so dɛn?
Saa akuru nketenkete yi a ɛwɔ ahurututu mu (ahurututu mu ntini) yi abu so kɛse ankasa sen sɛnea ebia wubesusuw. Wohu wɔn wɔ koko mu X-ray bɛyɛ 500 biara mu biako mu. Afei nso, CT scans (Computed Tomography scans) 80%-90% kyerɛ saa akuru nketenkete yi.
Asɛmpa no ne sɛ, saa akisikuru a wohu wɔ X-ray so yi mu bɛboro 60% ne nea wohu wɔ CT scan mu no mu 99% nyɛ kokoram (ɛnyɛ bɔne). Sɛ woadi boro mfe 50 na wonom sigaret a, ɛda adi kakra sɛ wubehu bi wɔ CT scan mu.
Dɛn ne ahurututu mu akisikuru a ɛnyɛ kokoram ho sɛnkyerɛnne?
Ade a ɛyɛ nwonwa wɔ ha ne sɛ nnipa pii nhu sɛnkyerɛnne biara . Wohu saa akisikuru yi bɛboro 90% wɔ akwanhyia mu bere a wɔreyɛ ahurututu mu X-ray anaa CT scan de ahu tebea foforo no.
Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne bi, a nea ɛka ho ne:
- Ɔfe a emu nyɛ den a ɛtra hɔ kyɛ.
- Ɔhome a ɛyɛ den (dyspnea).
- Ɔhaw anaa ɛyaw biara a ɛba wo koko mu.
- Ahomegye yɛ nnyigyei a wɔde bɔ abɛn bere a wɔrehome no.
- Nnyigyei a ɛyɛ rasping te sɛ nsu a efi ahurututu mu reba.
- Mogya a wɔfefe (hemoptysis).
Sɛ wowɔ saa sɛnkyerɛnne yi bi a, mmu w’ani ngu so. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn.
Dɛn na ɛde akisikuru a ɛte sɛɛ ba?
Nneɛma pii betumi de ahurututu mu akisikuru a ɛnyɛ kokoram aba.
- Granulomas: Eyinom yɛ nkwammoaa nketenkete a ɛyɛ hyew a ɔyare mmoawa bi na ɛde ba. Ebetumi afi mmoawa a wɔde nyarewa ba, te sɛ nsamanwaw (TB), anaa fungal yare mmoawa.
- Ahurututu mu akisikuru: Ɔyare mmoawa a akisikuru ahyɛ mu ma wɔ ahurututu no mu.
- Ahonhono:Saa akisikuru yi nso betumi aba esiane ɔfe tebea horow te sɛ ntini mu yare anaa sarcoidosis nti.
- Nyarewa: Ahurututu mu akisikuru betumi afi ɔyare mmoawa ahorow mu aba.
- Tebea horow a wonya fi awo mu: Tebea ahorow bi a ɛwɔ hɔ bere a wɔawo no, sɛ nhwɛso no, kotoku a nsu ahyɛ mu ma wɔ ahurututu mu (ahurututu mu cyst).
Wɔ tebea horow bi mu no, ebia wɔrenhu biribi pɔtee bi a ɛde ba.
Mɛyɛ dɛn ahu no yiye sɛ saa akisikuru yi nyɛ kokoram?
Nnuruyɛfo de nneɛma pii di dwuma de hu sɛ ebia akisikuru bi yɛ kokoram anaasɛ ɛnte saa.
Mpɛn pii no, CT scan no tumi gyina sɛnea akisikuru no te so hu sɛ ɛnyɛ kokoram. Nanso, sɛ adwenem naayɛ bi wɔ hɔ a, oduruyɛfo no betumi akyerɛ sɛ wɔnyɛ ahurututu mu nhwehwɛmu. Nea ɛka eyi ho ne sɛ wɔde afiri a ɛyɛ tratraa a mfoninitwa afiri wom bɛfa menewa no mu akɔ ahurututu no mu de ahwɛ akisikuru no mu. Wobetumi nso afa ntini bi de ayɛ nhwehwɛmu (biopsy). Wɔbɛma wo aduru a wɔde kum nipadua no ansa na wɔayɛ nhwehwɛmu yi, enti worente nka sɛ wo ho nyɛ wo dɛ.
| Ade a wɔresɔ ahwɛ no | Nsonsonoe a ɛda akisikuru a ɛnyɛ hu ne nea ɛyɛ hu ntam |
|---|---|
| Akisikuru no kɛse | Dodow a akisikuru no sua no, dodow no ara na ɛda adi sɛ ɛnyɛ kokoram. Akuru a ɛnyɛ kokoram no nyin brɛoo koraa anaasɛ ɛnnyin koraa. Kokoram akisikuru betumi ayɛ kɛse mmɔho abien wɔ asram 4 pɛ mu. |
| Nneɛma a ɛwɔ Nut no mu ne sɛnea ɛte | Ebia calcium (a ɛda adi fitaa wɔ CT scan mu) wɔ akisikuru a ɛnyɛ kokoram mu. Mpɛn pii no, calcium nni kokoram akisikuru mu. Afei nso, akisikuru a ɛnyɛ kokoram no taa yɛ torotoro na ɛyɛ kurukuruwa, bere a akisikuru a kokoram wom no taa yɛ nea ɛnyɛ pɛpɛɛpɛ na ɛyɛ mmerɛw. |
Ɔkwan bɛn so na wɔsa? So ɛsɛ sɛ woyi akisikuru no fi hɔ?
Asɛmpa no ne sɛ ahurututu mu akisikuru dodow no ara a ɛnyɛ kokoram no nhia ayaresa biara.Nnuruyɛfo taa kamfo "hwɛ na twɛn" kwan kyerɛ. Eyi kyerɛ sɛ wɔbɛyɛ X-ray anaa CT scan asram anaa mfe kakraa biara de ahwɛ sɛ ebia akisikuru no kɛse anaa ne nsusuwii sesa anaa.
Nanso, wɔ nsɛm a edidi so yi mu no, oduruyɛfo no betumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn nyi akisikuru no anaasɛ wɔnyɛ biopsy:
- Sɛ woyɛ obi a ɔnom sigaret anaasɛ wowɔ asiane kɛse sɛ wubenya kokoram a.
- Sɛ wunya yare no ho sɛnkyerɛnne te sɛ ɛyɛ den sɛ wobɛhome a.
- Sɛ nhwehwɛmu ahorow da adwenem naayɛ bi adi sɛ ebetumi ayɛ kokoram a.
- Sɛ akisikuru no kɔ so nyin a.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Bere a worehwɛ akisikuru bi, anaasɛ ne nyinaa mu no, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Sɛ wunya ɔfe foforo, sɛ wo ɔfe a wowɔ dedaw no mu yɛ den, anaasɛ wofe mogya a.
- Sɛ sɛnkyerɛnne foforo te sɛ ahome a ɛyɛ tiaa, atiridiinini, atiridiinini, anaa koko mu yaw da adi a.
- Sɛ wo mu duru so tew bɛboro kilogram 5 (nkaribo 10) a ntease biara nnim a.
Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo
Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii bere a woresua tebea bi a ɛte sɛɛ ho ade no. Nsuro anaasɛ ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo saa nsɛm yi.
- Wobɛyɛ dɛn ahu sɛ mewɔ akisikuru wɔ m’ahurututu mu?
- Wobɛyɛ dɛn ahu no yiye sɛ saa akisikuru yi nyɛ kokoram?
- Akisikuru a ɛnyɛ kokoram bɛn na mewɔ?
- So ɛsɛ sɛ meyɛ sɔhwɛ pii?
- So mihia ayaresa?
- Mpɛn ahe na ɛsɛ sɛ meba bɛdi akyi?
- So ɛsɛ sɛ mekɔ ahurututu ho oduruyɛfo nkyɛn?
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wote sɛ wowɔ "beae bi wɔ w'ahurututu so." Ɛyɛ ade a ɛfata nso sɛ wobɛhaw wo ho wɔ ho. Nanso kae sɛ akuru nketenkete dodow no ara nyɛ kokoram. Sɛ wɔyɛ nea enye koraa mpo, a ɛkyerɛ sɛ wɔyɛ kokoram a, wɔtaa yɛ nea edi kan koraa. Enti hokwan a ɛwɔ hɔ sɛ wɔbɛsa no yare koraa no yɛ kɛse bere a wɔsa no yare no.
Nkrasɛm a Wɔde Kɔ Fie
- Nsuro bere a wote asɛmfua "tumor" no. Akuru dodow no ara a ɛwɔ ahurututu mu no nyɛ nea asiane biara nni ho na asiane biara nni ho.
- Saa akisikuru a ɛnyɛ kokoram yi mu pii mfa yare no ho sɛnkyerɛnne biara mma. Wɔtaa hu wɔn wɔ akwanhyia mu bere a wɔreyɛ nhwehwɛmu a wɔyɛ no daa no.
- Mpɛn pii no, wo duruyɛfo no bɛhwɛ akisikuru no denam CT scan anaa X-ray a ɔbɛkra bere ne bere mu no so.
- Mma bere biara a wobɛkɔ akɔhwɛ wo duruyɛfo no nmpa wo ti so. Wɔho hia paa ma w’akwahosan.
- Sɛ wonom sigaret a, gyae a wubegyae no ne ade a eye sen biara a wubetumi ayɛ ama w’ahurututu.
- Sɛ wunya yare no ho sɛnkyerɛnne te sɛ ɔfe, ɛyɛ den sɛ wobɛhome, wo koko mu yaw, anaa mogya a wobɛfe a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
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