Sɛ wuhu sɛ wo anaa obi a wunim no wɔ nufu mu kokoram a, nsɛmmisa ne ehu akɛse a ɛba w'adwenem no mu biako ne sɛ, "Ɛbɛtrɛw ntɛmntɛm dɛn?" Ɛyɛ ade a ɛfata sɛ wubenya adwene wɔ sɛnea kokoram nkwammoaa no mu paapae ntɛmntɛm, a ɛkyerɛ sɛnea akisikuru no nyin ntɛmntɛm no ho. "Bere tenten ahe na eyi adi wɔ me nipadua mu?" "Bere tenten ahe na egyee ansa na ɛrenyin akɔ ne kɛse a ɛwɔ hɔ mprempren no mu?" Ebia woresusuw ho nso.
Sɛ yɛbɛka nokware a, nnuruyɛfo mpo nni ɔkwan biara a wɔbɛfa so ahu bere pɔtee a kokoram fii ase nyin wɔ wo nipadua mu. Enti, ɛyɛ den sɛ yɛbɛka bere tenten pɔtee a egyee ansa na ɛrenyin akɔ ne kɛse a ɛwɔ hɔ mprempren no mu. Ebetumi ayɛ adapɛn kakraa bi, asram kakraa bi, anaa nea ɛboro saa mpo. Mpɛn pii no, bere a wɔahu kokoram akisikuru awie no, nnuruyɛfo de oprehyɛn yi fi hɔ koraa sɛnea wobetumi, enti ɔkwan biara nni hɔ a wobɛfa so ahu sɛnea ebenyin ntɛmntɛm wɔ ɛno akyi. Nanso, nyansahu mu nokwasɛm ahorow bi wɔ hɔ a ebetumi aboa yɛn ma yɛate eyi ase.
Nneɛma bɛn na ɛka sɛnea kokoram nyin no?
Ɛwom sɛ ɛrentumi nyɛ yiye sɛ yɛbɛka sɛnea nufu mu kokoram benyin ntɛmntɛm ankasa de, nanso nnuruyɛfo betumi ahwɛ akisikuru no su ahorow bi de anya adwene sɛ ebia ɛyɛ akisikuru a enyin ntɛmntɛm anaasɛ enyin brɛoo. Saa nneɛma yi na ɛbɛkyerɛ sɛnea wobɛyɛ ntɛm ne ayaresa ko a wuhia.
Sɛ yɛbɛka no tiawa a, ɛsono obiara ne kokoram biara. Nneɛma atitiriw a ɛbɛkyerɛ sɛnea wo kokoram no benyin ntɛmntɛm no bi ni.
| Sɛnti | Sɛnea Ɛka |
|---|---|
| Kokoram Subtype | Nufu mu kokoram ahorow nketewa ahorow wɔ hɔ. Ahorow bi nyin ntɛmntɛm sen afoforo. Sɛ nhwɛso no, triple-negative yɛ ntɛmntɛm sen hormone receptor-positive . Wo duruyɛfo no behu ɔkwan a wɔfa so yɛ no denam wo akisikuru no fã ketewaa bi a ɔbɛhwehwɛ mu (biopsy) so. |
| Prama | Wɔnam sɛ ebia kokoram no da so ara wɔ nufusu ntini no mu anaasɛ atrɛw akɔ nufu mu ntini, ntini a ɛwɔ abasa no mu, anaa akwaa afoforo mu na ɛkyerɛ sɛnea ɛbɛkɔ. Nneɛma ahorow bi wɔ hɔ a efi 0 kosi IV (anan). Ɔfã IV kyerɛ sɛ kokoram no atrɛw akɔ akyiri sen nufu no akɔ akwaa a ɛwɔ akyirikyiri te sɛ amemene anaa mmerɛbo mu. Kokoram a atrɛw akɔ akyiri sen nufusu ntini no taa nyin ntɛmntɛm. |
| Adesua (Grade) . | Wo duruyɛfo bɛma wo kokoram no abasobɔde fi 1 kosi 3. Sɛnea kokoram nkwammoaa no yɛ ‘nwanwa’ wɔ afiri a wɔde hwɛ nneɛma nketenkete mu na ɛkyerɛ eyi. Kokoram nkwammoaa a ɛte sɛ nkwammoaa a ɛteɛ (Grade 1) tumi trɛw ntɛmntɛm, bere a nkwammoaa a ɛte sɛ nea ɛnyɛ ne kwan so koraa na wɔadi dɛm (Grade 3) tumi nyin na ɛtrɛw ntɛmntɛm yiye. |
| Wo Mfe a Wo Mfe | Nufu mu kokoram taa ba mmea a wɔadi boro mfe 50. Nanso, sɛ aberante bi nya nufu mu kokoram a, ɛda adi sɛ ɛyɛ nea ɛyɛ basabasa. |
| Awosu mu nneɛma | Wɔwo nnipa binom a awosu mu nsakrae a ɛma wɔn ho yɛ den sɛ wobenya kokoram na wɔanya bi ntɛmntɛm. Titiriw no, nsakrae a ɛba awosu mu nkwaadɔm (BRCA1) ne (BRCA2) mu no ne nufu mu kokoram a enyin ntɛmntɛm no wɔ abusuabɔ. Sɛ ɛho hia a, wo duruyɛfo betumi de wo akɔma wɔnyɛ awosu mu nhwehwɛmu na wɔahu. |
Nufu mu kokoram ahorow ne sɛnea enyin
Afei momma yɛnhwɛ nufu mu kokoram ahorow a abu so no bi ne sɛnea enyin no. Eyi bɛboa wo ma woate wo tebea no ase yiye.
| Kokoram Su | Nkɔso ne nneɛma titiriw a ɛwɔ mu |
|---|---|
| Ductal Carcinoma a Ɛwɔ Nea Ɛwɔ Hɔ (DCIS) . | Eyi yɛ kokoram a edi kan koraa a wɔfrɛ no Stage 0. Kokoram nkwammoaa no ntrɛwee wɔ nufusu ntini no akyi. Sɛnea wɔkyerɛ ase no, eyi nyɛ kokoram a ɛrenya nkɔso ntɛmntɛm. Nanso, ɛtɔ mmere bi a eyi betumi abɛyɛ kokoram a ɛba nipadua no mu. |
| Hormone Receptor (HR)-a ɛyɛ papa | Nufu mu kokoram dodow no ara yɛ saa kokoram yi dea. Saa kokoram nkwammoaa yi wɔ nneɛma a ɛma nipadua no nya nkwaadɔm a wɔfrɛ no estrogen ne/anaasɛ progesterone no ho biribi. Saa ɔkwan yi taa nyin wɔ mmea mu. Ayaresa a esiw hormone kwan no betumi ahyɛ wɔn nyin so kɛse. |
| HER2-a ɛyɛ papa | Nufu mu kokoram bɛyɛ 20% yɛ saa kokoram yi. Wɔwɔ protein bi a wɔfrɛ no HER2 a ɛdɔɔso. Saa protein yi ma kokoram no nyin ntɛmntɛm. Nanso mprempren, esiane ayaresa a wɔde wɔn ani asi so a wɔde wɔn ani si HER2 protein yi so nti, nnipa a wɔwɔ saa protein yi nso nya nea eye. |
| Mmiɛnsa-asɛmmɔne | Saa kokoram nkwammoaa yi nni hormone receptors (HR) anaa HER2 protein no. Enti, ɛyɛ den sɛ wɔbɛsa. Saa ɔkwan yi nyin na ɛtrɛw ntɛmntɛm yiye (ɛyɛ basabasa kɛse). |
| Nufu mu Kokoram a Ɛyɛ Ɔhyew | Eyi yɛ ɔkwan a ɛntaa nsi na ɛtrɛw ntɛmntɛm yiye . Nufu no yɛ kɔkɔɔ, ɛho ahonhon, na ɛtɔ mmere bi a, ne honam ani yɛ ntokuru, te sɛ borɔdɔma a wɔayam. |
Kokoram a ɛba ne hia a ɛho hia sɛ wɔyɛ nhwehwɛmu
Botae titiriw a ɛwɔ nufu mu kokoram nhwehwɛmu mu ne sɛ wɔbɛkyere kokoram ntɛm, ansa na ayɛ kɛse na atrɛw wɔ nipadua no mu nyinaa. Kokoram a wohu bere a wɔreyɛ nufu mu nhwehwɛmu daa no taa yɛ nketewa na ɛnyɛ den sɛ ɛbɛtrɛw.
Kae sɛ ɛmfa ho sɛnea kokoram no mu yɛ den no, sɛ wotumi kyere no ntɛm na ɛwɔ baabi biako a, hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no koraa no dɔɔso kɛse.
Esiane sɛ ɛyɛ den sɛ wobehu kokoram a enyin ntɛmntɛm wɔ mfiase nti, ebia wɔn a wɔwɔ kokoram ahorow yi nkwa nna sua. Enti, ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban afi kokoram a ɛrenyin ntɛmntɛm na ɛyɛ den ho ne sɛ wobɛyɛ mammogram bere ne bere mu fi mfe a ɛfata mu.
Sɔhwɛ ahorow bɛn na ɛfata wo?
Wɔtaa kamfo kyerɛ sɛ mmea a asiane kakraa bi na wɔwɔ no mfi ase yɛ nufu mu nhwehwɛmu bere a wɔadi mfe 40. Nanso, sɛ obi a ɔwɔ w’abusua mu anya nufu mu kokoram, wowɔ awosu mu su bi, anaasɛ wowɔ asiane afoforo a, ebia ebehia sɛ wufi ase yɛ nhwehwɛmu ntɛm.
Afotu a eye sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa w’ankasa asiane ahorow ho na woayɛ nhwehwɛmu nhyehyɛe a ɛbɛyɛ adwuma ama wo. Nsuro sɛ wubebisa wo duruyɛfo nsɛm biara a wowɔ.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛsono sɛnea nufu mu kokoram biara nyin no. Ɛyɛ soronko wɔ wo nipadua ne kokoram no su ho.
- Nneɛma pii ka saa dodow yi, a nea ɛka ho ne kokoram no su ketewaa, ne fã, ne fã, mfe a woadi, ne awosu mu nneɛma.
- Kokoram ahorow a ano yɛ den ne kokoram ahorow a enyin brɛoo yiye nso wɔ hɔ.
- Ɛmfa ho kokoram ko a ɛyɛ no, dodow a wohu no ntɛm no, dodow no ara na ɛda adi sɛ wɔbɛsa no na wɔasa.
- Nhwehwɛmu a wɔyɛ no daa , te sɛ mammograms, ne ɔkwan a eye sen biara a wobɛfa so ahu kokoram ntɛm. Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa nhwehwɛmu nhyehyɛe a ɛfata wo ho.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho