Ɛyɛ den sɛ wobɛka ehu ne ahodwiriw a wote bere a wo duruyɛfo ka kyerɛ wo sɛ wowɔ nufu mu kokoram no ho asɛm. "Ɛyɛɛ dɛn na minyaa eyi?", "So eyi bɛsa?", "Dɛn na ɛbɛto me mma?" Ebia nsɛmmisa apem a ɛte sɛ eyinom reka w’adwene mu. Eyi yɛ osuahu a nnipa pii hyia. Enti ɛnnɛ, momma yɛnka eyi ho asɛm pefee na yɛmfa eyi wo suro no mfi hɔ ara kwa.
Ɔkwan bɛn so na nufu mu kokoram fi ase nya nipadua no mu?
Nokwarem no, kokoram nyinaa fi ase wɔ ɔkwan koro so. Ɛne sɛ, nkwammoaa a ɛwɔ yɛn nipadua mu no fi ase kyekyɛ ntɛmntɛm dodo, a wontumi nni so. Susuw yɛn nipadua ho sɛ ɔdan kɛse bi a wɔde birikisi ayɛ. Ɛha yi, birikisi no yɛ "nkwaboaa." Mpɛn pii no, bere a birikisi (nkwaboaa) dedaw no wuwu no, wɔyɛ birikisi foforo de hyɛ baabi a ɛda hɔ no ma. Eyi yɛ adeyɛ a ɛyɛ nhyehyɛe yiye .
Nanso wɔ kokoram nkwammoaa mu no, wɔsɛe nhyehyɛe yi. Awosu mu nsɛm, kyerɛ sɛ, DNA a ɛwɔ saa nkwammoaa no mu no bɛyɛ nea mfomso wom . Wobetumi de DNA a asɛe yi afi awofo hɔ akɔ mma mu. Anaasɛ, DNA betumi asɛe denam nneɛma bi a yɛde bɛto baabi a yɛte mu no so.
Eyi ne ɔkwan a nkwammoaa a wontumi nni so no mu paapae ntɛmntɛm dodo na wɔboaboa wɔn ho ano ma ɛyɛ akuru ketewaa bi. Wɔ nufu mu kokoram mu no, saa nkwammoaa a ɛnteɛ yi nyin wɔ ntini a ɛde nufusu kɔ nufusu no mu, anaasɛ nufu no mu ntini a ɛma nufusu (lobules) no mu. Yɛfrɛ saa nkwammoaa akuwakuw yi akisikuru .
Ɔkwan bɛn so na nufu mu kokoram trɛw kɔ nipadua no mu nyinaa?
Kokoram nkwammoaa te sɛ aba bɔne. Wofi ase wɔ baabi biako, nufu no, na bere bi akyi no, wɔtetew mu na wofi ase trɛw kɔ nipadua no afã afoforo. Saa nkwammoaa yi tumi fa mogya anaa ntini a ɛma mogya tu mu kɔ nipadua no afã horow a ɛwɔ akyirikyiri na enyin nkwammoaa foforo.
Mmeae a ɛda adi sɛ nufu mu kokoram nkwammoaa bɛtrɛw ne:
Sɛ kokoram trɛw kɔ nipadua no afã afoforo wɔ saa kwan yi so a, yɛfrɛ no kokoram a ɛkɔ mmeae afoforo anaa kokoram a ɛto so abien. Ebia nnipa binom benya kokoram a ɛkɔ akyiri yi bere a wɔahu sɛ wɔanya bi no. Wɔ tebea afoforo mu no, sɛ wohu kokoram no ntɛm mpo a, ebetumi asan aba bere a wɔasa no yare awie no.
Ɛno nti na sɛ wuhu nsakrae biara wɔ wo nufu mu, anaasɛ akisikuru foforo , kɔ oduruyɛfo nkyɛn ntɛm ara.Ɛne sɛ, dodow a wohu no ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wɔbɛsa no yare na wɔasa no yɛ kɛse.
So hormone ahorow boa ma obi nya kokoram?
Eyi yɛ nea ɛyɛ den kakra, nanso ɛho hia yiye. Nufu mu kokoram nkwammoaa bi wɔ protein soronko bi a wɔfrɛ no "receptors" wɔ wɔn ani. Susuw saa agyefo yi ho sɛ "keyholes." Nnuru abien a yɛn nipadua fi awosu mu yɛ , estrogen ne progesterone, te sɛ "nsafe" a ɛhyɛ saa safe ntokuru yi mu.
Sɛ saa hormone yi a wɔfrɛ no safe no ne safe tokuru a wɔfrɛ no receptor a ɛwɔ kokoram nkwammoaa no so no di nkitaho a, kokoram nkwammoaa no nya sɛnkyerɛnne bi sɛ “ɛnyin kɛse.” Ɔkwan foforo so no, saa nkwaadɔm yi ma kokoram no nyin ntɛmntɛm mpo.
- Kokoram ahorow bi yɛ hormone estrogen nkutoo.
- Afoforo nso yɛ wɔn ade wɔ hormone progesterone ho .
- Kokoram ahorow bi yɛ wɔn ade wɔ saa nkwaadɔm abien yi nyinaa ho.
Yɛfrɛ eyi nufu mu kokoram a ɛma hormone receptor-positive . Wo duruyɛfo bɛsɔ wo kokoram nkwammoaa no ahwɛ sɛ ebia ɛyɛ adwuma wɔ hormone ahorow ho anaa. Sɛ wɔyɛ saa a, ayaresa pɔtee bi wɔ hɔ a ɛyɛ adwuma ma no.
Dɛn ne nnuru a wɔde sa nufu mu kokoram?
Ɛnnɛ, nnuru a etu mpɔn pii wɔ hɔ a wɔde sa nufu mu kokoram. Ayaresa a wubenya no begyina kokoram ko a wowɔ, baabi a atrɛw akodu, ne w’akwahosan nyinaa so. Wobetumi de ayaresa bɛboro biako adi dwuma.
| Ayaresa | Sɛ yɛbɛka no tiawa a, dɛn na ɛba? |
|---|---|
| Sɛɛgyiri | Kokoram a ɛyɛ kurukuruwa no dodow biara a wobeyi afi nipadua no mu. Sɛ kokoram no sua a, akuru no fã nkutoo na woyi fi hɔ (lumpectomy) . Sɛ kokoram no yɛ kɛse a, wobetumi ayi nufu no nyinaa (mastectomy) anaa nufu abien no nyinaa (double mastectomy) afi hɔ. |
| Nnuru a wɔde sa yare | Nea ɛka eyi ho ne nnuru a ano yɛ den a wɔde gu nipadua no mu a ekum kokoram nkwammoaa anaasɛ ɛmma ɛnkyɛ. Esiane sɛ saa nnuru yi fa mogya mu fa nipadua no nyinaa mu nti, ebetumi akum kokoram nkwammoaa a atrɛw mpo. |
| Mframa a Wɔde Yɛ Ayaresa | Wɔde mframa a ahoɔden wom kɛse di dwuma de sɛe kokoram nkwammoaa. Wɔde saa kwan yi sɛe nkwammoaa biara a ebetumi aka wɔ oprehyɛn akyi. |
| Hormone Ayaresa a Wɔde Yɛ Adwuma | Wɔde eyi ma kokoram ahorow a ɛyɛ wɔn ade wɔ nkwaadɔm a wɔfrɛ no estrogen anaa progesterone ho nkutoo. Saa nnuru yi ma estrogen dodow a ɛwɔ nipadua no mu no so tew anaasɛ esiw tumi a estrogen tumi kyekyere kokoram nkwammoaa no ano. |
| Ayaresa a Wɔde Si N’ani So | Saa ayaresa yi te sɛ ‘atopae’. Ɛde n’ani si protein pɔtee bi te sɛ HER2 , so wɔ kokoram nkwammoaa so a ɛnpira nkwammoaa a ɛteɛ. |
| Nnuru a ɛko tia nyarewa | Nea ɛka eyi ho ne sɛ yɛbɛkanyan yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no, na ama atumi ahu kokoram nkwammoaa na asɛe no. |
Hokwan ahorow bɛn na ɛwɔ hɔ sɛ ne ho bɛtɔ no?
"Mɛtena ase akosi da bɛn?" Ɛtaa ba sɛ wubesusuw ho. Nnuruyɛfo de nea wɔfrɛ no "mfe 5 nkwa nna dodow" susuw eyi. Sɛ yɛbɛka no tiawa a, ɛyɛ nnipa dodow a wɔwɔ 100 a wɔwɔ nufu mu kokoram wɔ bere pɔtee bi mu a wɔda so te ase wɔ mfe 5 akyi (sɛ wɔde toto nnipa dodow a wonni yare no ho a).
- Kokoram a edi kan: 99% (kyerɛ sɛ, nnipa 100 biara mu 99 tra ase mfe 5) .
- Sɛ kokoram no atrɛw akɔ ntini a atwa ho ahyia no mu a: 86% .
- Sɛ ɛtrɛw kɔ akwaa a ɛwɔ akyirikyiri wɔ nipadua no mu (Metastatic): 30% .
Ade a ɛho hia sen biara:Eyinom yɛ akontaabu a egyina nsɛm a efi nnipa kuw kɛse bi hɔ so ara kwa. Ebia w’ankasa wo tebea bɛyɛ soronko koraa. Eyi nyinaa gu ahorow gyina mfe a woadi, w’akwahosan, ne sɛnea wo nipadua yɛ n’ade wɔ ayaresa ho so. Enti mma dodow yi mma w’abam mmu da.
So kokoram betumi asan aba bio?
Wɔ ayaresa akyi no, wɔka sɛ yɛwɔ ahotɔ mu bere a wontumi nhu kokoram nkwammoaa biara wɔ nipadua no mu no. Nanso, hokwan wɔ hɔ sɛ kokoram no bɛsan aba daakye. Yɛfrɛ eyi sɛ ɛsan ba bio .
Asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no yɛ kɛse wɔ mfe abien a edi kan wɔ ayaresa akyi. Saa asiane no so tew nkakrankakra bere a bere kɔ so no. Eyi nti na wo duruyɛfo bɛhwɛ wo wɔ bere pɔtee bi mu no . Enti, ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi na wokɔ ayaresabea ahorow wɔ nna a wɔahyɛ ato hɔ no mu.
Nsuro da sɛ wubebisa wo duruyɛfo anaa w’ayaresa kuw no mufo afoforo biribiara a wonte ase anaasɛ wusuro ho asɛm. Sɛ wote nka sɛ ade ada wo so a, hwehwɛ mmoa fi ɔfotufo bi hɔ. Ɛnsɛ sɛ wo nkutoo fa akwantu yi mu.
Nkrasɛm a Wɔde Kɔ Fie
- Nufu mu kokoram yɛ nkwammoaa a enyin a wontumi nni so. Ɛnyɛ wo mfomso.
- Dodow a wohu kokoram ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wɔbɛsa no yare na wɔasa no koraa. Enti ma w’adwene nkɔ nufu a wobɛhwehwɛ wo ho mu no yiye.
- Ɛnnɛ, ayaresa akwan a ɛkɔ akyiri na edi mu pii wɔ hɔ, te sɛ oprehyɛn, nnuru a wɔde sa yare, ne mframa a wɔde sa yare.
- Wo ne wo duruyɛfo nkasa pefee wɔ nsɛmmisa anaa nsɛm biara a ɛhaw wo ho.
- Ɛnyɛ wo nko ara na woretu kwan yi. W’abusua, wo nnamfo, ne nnuruyɛfo kuw no ka wo ho. Mma akokoduru nnhwere.
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