Sɛ yɛte asɛmfua nufu mu kokoram a, yɛn mu pii te nka sɛ ehu aka yɛn kakra. Titiriw sɛ wo maame, wo nuabea, anaa wo wɔfase anya saa yare yi a, ɛyɛ ade a ɛfata sɛ wubenya suro a ɛne sɛ "Oh, so me nso mɛnya bi?". Enti awosu mu nhwehwɛmu titiriw bi wɔ hɔ a ebetumi ahu sɛ ebia asiane bi wɔ hɔ a efi awosu mu sɛ obi benya kokoram te sɛ eyi anaa. Ɛno ne nea yɛreka ho asɛm nnɛ. Nanso so eyi yɛ biribi a obiara hia? Momma yɛnte ase pefee na yɛnte ase wɔ ɔkwan a ɛnyɛ den so.
So nufu mu kokoram nyinaa fi awosu mu ankasa?
Nea edi kan no, momma yennyi saa adwene a ɛnteɛ yi mfi hɔ. Nufu mu kokoram dodow no ara nyɛ awosu. Nokwarem no, nufu mu kokoram a wohu no mu dodow no ara fi nsakrae (nsakrae) a ɛba yɛn nipadua mu nkwammoaa mu awosu mu bere a yɛrenyin no. Sɛ yɛbɛka no tiawa a, sɛ yɛn nipadua mu nkwammoaa mu paapae a, ɛtɔ mmere bi a mfomso nketenkete sisi. Saa mfomso ahorow yi betumi ayɛ kɛse bere a yɛrenyin no. Ɛno na ɛde kokoram dodow no ara ba.
Nanso, wɔ ɔha biara mu kakraa bi pɛ mu no, mmea 100 biara mu 5 kosi 10 a wonya nufu mu kokoram , nea ɛde kokoram yi ba ne awosu mu abɔde a ɛnteɛ a wonya fi awo mu. Ɔkwan foforo so no, asiane a ɛwɔ hɔ sɛ wobenya kokoram yi wɔ wɔn abusua mu no fi awo ntoatoaso so kɔ awo ntoatoaso so.
Nea ɛho hia ne sɛ esiane sɛ obiara nni w’abusua mu a wanya nufu mu kokoram nti, ɛnkyerɛ sɛ worennya bi. Na esiane sɛ obi a ɔwɔ w’abusua mu anya bi nti, ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wo nso wubenya bi.
Dɛn ne saa awosu mu nkwaadɔm yi a wɔfrɛ no BRCA1 ne BRCA2?
Sɛ yɛka nufu mu kokoram a wonya fi awo mu ho asɛm a, edin abien a yɛtaa te ne BRCA1 (Braca One) ne BRCA2 (Braca Two) . Eyinom yɛ awosu mu nkwaadɔm a ɛfata wɔ yɛn nipadua mu ankasa. Wɔn adwuma titiriw ne sɛ wobesiesie nkwammoaa bere a asɛe no na wɔadi kokoram nkwammoaa a ɛba no so. Ɛte sɛ nipadua no ankasa nipadua no ahobammɔ.
Nanso ɛtɔ mmere bi a, sintɔ, anaa nkwaadɔm mu nsakrae betumi aba saa BRCA awosu mu nkwaadɔm yi mu. Sɛ wonya awosu mu nkwaadɔm a asɛe saa fi awo ntoatoaso mu kɔ awo ntoatoaso so a, saa ahobammɔfo no nyɛ adwuma yiye. Ɛno ne bere a asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram ne awotwaa mu kokoram no kɔ soro kɛse.
Susuw ho hwɛ, .
- Sɛ wɔkyekyem pɛpɛɛpɛ a, asiane a ɛwɔ hɔ sɛ ɔbea bi benya nufu mu kokoram wɔ ne nkwa nna nyinaa mu no bɛyɛ 13%.
- Nanso wɔ obi a ɔwɔ BRCA1 awosu mu nkwaadɔm mu nsakrae fam no, asiane yi kɔ soro kodu 55% kosi 85% .
- Asiane a ɛwɔ hɔ sɛ obenya awotwaa mu kokoram nso kɔ soro kɛse.
- Ade foforo a ɛho hia ne sɛ saa kokoram ahorow a ɛne BRCA awosu mu nkwaadɔm wɔ abusuabɔ yi betumi aba wɔ mmofraase sen sɛnea wɔtaa yɛ no.
Nnipa te sɛ odiyifo a wagye din wɔ wiase nyinaa Angelina Jolie, bere a wohui sɛ ɔwɔ BRCA awosu mu nkwaadɔm mu nsakrae yi akyi no, wɔyɛɛ wɔn oprehyɛn de yii wɔn nufu ne wɔn awotwaa ansa na kokoram renya esiane saa asiane kɛse no nti.
Enti hena na ɛsɛ sɛ osusuw sɔhwɛ yi ho?
Eyi ne asɛmmisa a ɛho hia sen biara. Mmuae no ne sɛ, ɛnyɛ obiara na ɛsɛ sɛ wɔsɔ no hwɛ. Sɛ wunni abusua abakɔsɛm a ɛkyerɛ sɛ wowɔ kokoram a, hokwan a ɛwɔ hɔ sɛ wubenya BRCA awosu mu nkwaadɔm mu nsakrae yi sua koraa.
Nanso, sɛ wowɔ nea edidi so yi mu biara wɔ w’abusua abakɔsɛm mu a , ɛfata sɛ wo ne wo duruyɛfo kasa fa sɔhwɛ yi ho.
| Abusua abakɔsɛm a ɛma asiane kɔ soro | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Sɛ wowɔ obusuani bi a odi kan a ɔwɔ nufu mu kokoram | Sɛ wo maame, wo nuabea, anaa wo babea anya nufu mu kokoram, titiriw ansa na ɔredi mfe 50 a . |
| Nnipa pii a wɔwɔ abusua no fã koro no anya nufu mu kokoram | Sɛ nhwɛso no, sɛ nnipa pii a wɔwɔ wo maame afã te sɛ wo nanabea, wo maame, ne wo maame nuabea anya kokoram a. |
| Abusua muni bi a ɔwɔ awotwaa mu kokoram | Ovarian kokoram ho yɛ na kakra sen nufu mu kokoram, enti sɛ obi wɔ abusua abakɔsɛm a ɛkyerɛ sɛ ɔwɔ yare no a, ɛyɛ asiane a emu yɛ den. |
| Abusua no muni bi a ɔyɛ ɔbarima wɔ nufu mu kokoram | Eyi nso ho yɛ na koraa. Enti, sɛ ɔbarima bi a ɔwɔ abusua no mu anya nufu mu kokoram a, wobu ɛno nso sɛ asiane a emu yɛ den yiye. |
Dɛn na ɛsɛ sɛ woyɛ ansa na woayɛ sɔhwɛ no?
Sɛ wowɔ asiane ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi a, mma wo ho nnyɛ wo hu. Ade a edi kan na ɛho hia sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ w’abusua oduruyɛfo anaa mmea ho ɔyaresafo nkyɛn na woasusuw eyi ho kɔ akyiri.
Mma nkɔ lab tẽẽ da na wɔnyɛ awosu mu nhwehwɛmu te sɛ eyi, efisɛ nea efi nhwehwɛmu yi mu ba no betumi aka w’asetra ne w’abusuafo a aka no nso.
Wo duruyɛfo bɛhwɛ w’abusua abakɔsɛm mu na wasi gyinae sɛ ebia wuhia nhwehwɛmu yi anaa. Sɛ ɛho hia a, obetumi de wo akɔma wo akɔyɛ awosu ho afotu . Ɛhɔ no, ɔbenfo bi bɛkyerɛkyerɛ biribiara a ɛsɛ sɛ wuhu fa sɔhwɛ no ho, nea nea efi mu ba no kyerɛ, ne anammɔn a ɛsɛ sɛ wugyina nea efi mu ba no so tu mu.
Nhwehwɛmu afoforo a ɛkyerɛ asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba
Wɔ BRCA nhwehwɛmu akyi no, awosu mu nhwehwɛmu afoforo wɔ hɔ a ebetumi aboa obi a wanya nufu mu kokoram dedaw (ɔfã 1 anaa 2) na ɔreyɛ ayaresa ma wahu asiane a ɛwɔ hɔ sɛ kokoram no bɛsan aba ne baabi a nnuru a wɔde sa yare no akodu. Eyinom bi ne:
- Oncotype DX: Sɔhwɛ a wɔde di dwuma kɛse a ɛhwehwɛ awosu mu nkwaadɔm 21 mu de nya nkontabuo wɔ asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba bio no ho.
- Mammostrat: Ɛhwehwɛ awosu mu nkwaadɔm 5 mu na ɔkyekyɛ asiane mu sɛ ɛba fam, mfinimfini, anaa kɛse.
- MammaPrint: Ɛhwehwɛ awosu mu nkwaadɔm 70 mu na ɛkyekyɛ mu sɛ asiane sua anaasɛ asiane kɛse wom.
Kokoram ho ɔyaresafo a ɔresa wo yare no na osi gyinae ahorow a ɛfa nhwehwɛmu ahorow yi ho. Enti sɛ wowɔ nsɛmmisa bi fa eyi ho a, wubetumi abisa no.
Nkrasɛm a Wɔde Kɔ Fie
- Nufu mu kokoram dodow no ara nyɛ awosu. Ebetumi afi nsakrae a ɛba yɛn awosu mu bere a yɛrenyin no na ɛde aba.
- BRCA awosu mu nhwehwɛmu nyɛ biribi a ɛsɛ sɛ obiara yɛ. Wɔkamfo kyerɛ wɔn a wɔwɔ abusua abakɔsɛm a emu yɛ den a wɔanya kokoram nkutoo.
- Sɛ obusuani bi a ɔbɛn wo te sɛ wo maame anaa wo nuabea anya nufu mu kokoram ansa na wadi mfe 50, anaasɛ w’abusua abakɔsɛm wɔ awotwaa mu kokoram anaa mmarima nufu mu kokoram a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu.
- Mma nnsi gyinae da sɛ w’ankasa wobɛyɛ awosu mu nhwehwɛmu. Bere nyinaa di kan ne wo duruyɛfo nsusuw ho.
- Kae sɛ nea efi awosu mu nhwehwɛmu mu ba no yɛ akwankyerɛ a ɛbɛma woate asiane a ɛwɔ wo mu ase kɛkɛ. Ɛnyɛ nkɔmhyɛ a ɛyɛ nokware 100%.
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