Nufu mu kokoram wɔ ne mmofraase? (Early-Onset Breast Cancer) Momma yɛnhwɛ eyi!

So woasusuw pɛn sɛ nufu mu kokoram betumi anya wɔ mmofraase saa, wɔ mfe 18 kosi 45 ntam? Nokwarem no, eyi nyɛ nea ɛkɔ akyiri sɛnea ebia wubesusuw no. Ɛtɔ mmere bi a, tebea horow a ɛtete saa betumi aba yɛn nnamfo paa nso mu. Enti, ɛho hia paa sɛ wohu eyi. Ɛnnɛ, yɛbɛka nufu mu kokoram a efi ase ntɛm ho asɛm kɔ akyiri na ɛnyɛ den koraa .

Dɛn ne Nufu mu Kokoram a Efi Ase Mfiase?

Sɛ yɛbɛka no tiawa a, mmerantebere mu nufu mu kokoram ne bere a nnuruyɛfo hu sɛ wowɔ nufu mu kokoram a woadi fi mfe 18 kosi 45. Yɛtaa te sɛ nufu mu kokoram abu so kɛse wɔ mmea a wɔadi boro mfe 50. Ɛno yɛ nokware. Nanso ɛno nkyerɛ sɛ mmerante ne mmabaa ntumi nnya bi. Ɛtɔ da bi a, mmabun ne mmerante ne mmabaa a wɔadu mpanyin afe so nso betumi anya bi.

Ɔkwan bɛn so na ɛsono nufu mu kokoram wɔ mmabaa mu?

Asɛm a ɛho hia ni. Sɛ ababaa bi nya nufu mu kokoram a, ebia ɛbɛkɔ anim kakra sen sɛ ɛbɛba obi a wadi boro mfe 45. Ade biako nti a ɛte saa ne sɛ ɛda adi sɛ kokoram no atrɛw kakra bere a wohui wɔ mfe a wɔadi yi mu no. Mpɛn pii no, wofi ase yɛ nufu mu kokoram ho nhwehwɛmu daa bere a wɔadi mfe 40. Ade foforo nti a ɛte saa ne sɛ ebia mmabaa renhu sɛnkyerɛnne ahorow no yiye na ebia wɔrenka nkyerɛ oduruyɛfo kosi akyiri yi.

Afei nso, ɛtɔ mmere bi a nufu mu kokoram a ɛwɔ mmea a wonnii mfe 45 mu no tumi yɛ den kɛse na ɛyɛ den sɛ wɔbɛsa. Nneɛma te sɛ akisikuru agyiraehyɛde na ɛkyerɛ eyi .

Dɛn ne nufu mu kokoram ahorow a abu so wɔ mmabaa mu?

Mmabaa betumi anya nufu mu kokoram biara, nanso ahorow abien na ɛtaa ba:

• Invasive Ductal Carcinoma: Eyi ne nufu mu kokoram a wɔtaa hu wɔ mfe biara mu.
• Nufu mu Kokoram a Ɛyɛ Mmiɛnsa: Eyi yɛ nufu mu kokoram a ɛntaa nsi na ɛyɛ basabasa. Ebetumi nso ayɛ den kɛse sɛ wɔbɛsa.

Eyi abu so dɛn wɔ mmabaa mu?

Nufu mu kokoram ntaa mma mmea nkumaa mu sen wɔn a wɔadi boro mfe 45. Nanso, ɛno nkyerɛ sɛ ɛntaa nsi. Sɛ yɛbɛka no tiawa a, nnipa a wɔahu sɛ wɔanya nufu mu kokoram foforo no mu bɛyɛ 10% wɔ mmea nkumaa mu.

Sɛnea nsɛm a efi United States kyerɛ no, mmea 196 biara mu bɛyɛ 1 a wɔadi fi mfe 15 kosi 39 benya nufu mu kokoram a ɛyɛ hu. Enti, ɛho hia sɛ wohu eyi.

Dɛn ne sɛnkyerɛnne ahorow no?

Nufu mu kokoram ho sɛnkyerɛnne a ɛwɔ mmabaa mu no te sɛ nea ɛwɔ mfe afoforo mu no. Sɛ wowɔ eyinom mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛ mu afotu a woremmɔ hu.

• Akuru a ɛwɔ nufu mu anaasɛ akuru a ɛwɔ abasa no mu.
• Nufu mu yaw (Mastalgia).
• Nsakrae a ɛba nufu no honam ani: ɛyɛ kɔkɔɔ, ɛyɛ mmerɛw, anaasɛ ɛyɛ akisikuru.
• Nipple a wɔadan no.
• Nipple discharge - betumi ayɛ yaw anaasɛ ɛnyɛ yaw.
• Ntini a ɛma mogya tu a ahonhon.
• Sɛ wote nka sɛ nufu no were anaa nufu no ayɛ kɛse anaasɛ ɛho ahonhon.

Kae sɛ, esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi nti, ɛnkyerɛ sɛ ɛyɛ kokoram. Nanso, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo.

Dɛn na ɛde kokoram yi ba wɔ ne mmofraase?

Nufu mu kokoram a ɛba mmabaa nyinaa mu bɛyɛ fã ne awosu mu nsakrae a ɛba awosu mu nkwaadɔm a wɔfrɛ no BRCA1 anaa BRCA2 mu no wɔ abusuabɔ . Mpɛn pii no, saa awosu mu nkwaadɔm yi hwɛ nkwammoaa a ɛnteɛ a ebetumi de kokoram aba no nyin so. Te sɛ switch a wɔde twitwiw nneɛma. Nanso sɛ wɔsakra saa awosu mu nkwaadɔm yi a, saa nkwammoaa a ɛnteɛ no nyin a wontumi nni so. Sɛ wowɔ BRCA1 anaa BRCA2 awosu mu nkwaadɔm mu nsakrae , a, asiane kɛse wom sɛ wubenya nufu ne awotwaa mu kokoram.

Nhwehwɛmufo da so ara rehwehwɛ awosu mu nsakrae afoforo a ɛma asiane a ɛwɔ hɔ sɛ mmabaa benya nufu mu kokoram no yɛ kɛse. Nsakrae a ɛba awosu mu nkwaadɔm te sɛ TP53, PTEN, STK11, PALB2, ne CDH1 mu no ne asiane kɛse wɔ abusuabɔ. Awosu mu nkwaadɔm afoforo te sɛ eyinom wɔ hɔ, na yɛwɔ anidaso sɛ yebehu saa fekubɔ ahorow yi pii wɔ mfe a ɛreba no mu.

Nanso, ɛho hia sɛ yɛhyɛ no nsow sɛ ɛnyɛ nufu mu kokoram a ɛba mmabaa mu nyinaa na efi awosu mu nneɛma. Kokoram ahorow bi nso betumi aba ara kwa .

Dɛn ne nneɛma a ɛde asiane ba?

W’abusua aduruyɛ ho abakɔsɛm nya asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram wɔ wo mmofraase no so nkɛntɛnso kɛse. Sɛ obi a ɔwɔ w’abusua mu anya tebea horow a edidi so yi mu biara anaasɛ ɔwɔ bi a, ebia wobɛkɔ asiane kɛse mu:

• Obi a onyaa nufu mu kokoram ansa na ɔredi mfe 50.
• Obi a ɔwɔ kokoram wɔ ne nufu abien no nyinaa mu.
• Obi a ɔwɔ mmarima nufu mu kokoram.
• Ɔbarima bi a ɔwɔ prostate kokoram a ɛtrɛw kɔ mmeae afoforo.
• Obi a wanya awotwaa mu kokoram wɔ mfe biara mu.
• Obi a ɔwɔ dwensɔtwaa mu kokoram.
• Obi a ɔwɔ nufu mu kokoram a ɛnyɛ papa mprɛnsa.

Nneɛma afoforo a ɛde asiane ba:

• Awosu mu nkwaadɔm mu nsakrae te sɛ BRCA1 ne BRCA2 , anaasɛ abusua muni bi a ɔwɔ saa nkwaadɔm mu nsakrae yi.
• Esiane sɛ na wɔadi kan anya mframa a wɔde sa yare wɔ ne koko no fã hɔ nti.
• Nufu mu tebea horow a ɛba ansa na kokoram aba te sɛ Atypical Hyperplasia anaaSɛ́ wubenya tebea horow te sɛ Lobular Carcinoma in Situ (LCIS) .
• Sɛ wofi Ashkenazi Yudafo abusua mu a.

Sɛ wowɔ nufu mu kokoram wɔ w’abusua mu a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ awosu mu nhwehwɛmu . Eyi yɛ mogya mu nhwehwɛmu. Ebetumi ahu sɛ ebia wowɔ awosu mu nsakrae bi a ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram anaa kokoram afoforo no yɛ kɛse anaa. Sɛ wowɔ nkwaadɔm mu nsakrae a, ebia wo duruyɛfo de wo bɛkɔ akɔma wo awosu mu afotu . Eyi betumi aboa wo ma woate asiane a ɛwɔ mu no ase yiye. Wobetumi nso de wo akɔ nufu ayaresabea a asiane kɛse wom ma wɔadi asiane ho dwuma na wɔadi akyi.

Ɔkwan bɛn so na wohu yare no?

Ɛmfa ho mfe a woadi no, ɔkwan a nnuruyɛfo fa so hu nufu mu kokoram no da so ara yɛ nea ɛte saa ara. Nea edi kan no, oduruyɛfo no bɛyɛ nufu mu nhwehwɛmu . Afei, wobebisa wo yare no ho sɛnkyerɛnne, w’ankasa wo aduruyɛ ho abakɔsɛm, ne w’abusua aduruyɛ ho abakɔsɛm. Wobetumi ayɛ mfoninitwa nhwehwɛmu nso de ahwehwɛ sɛ wo nufu mu nyin a ɛnyɛ ne kwan so biara. Sɛ wohu ɔhaw biara a, oduruyɛfo no betumi afa wo nufu mu ntini ketewaa bi akɔyɛ nhwehwɛmu (wɔyɛ biopsy) .

Nufu mu nhwehwɛmu bɛn na ɛwɔ hɔ ma mmabaa?

Sɛ wunnii mfe 40 na asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram akɔ soro a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu te sɛ eyinom akyerɛ:

• Nufu mu MRI nhwehwɛmu.
• Mammogram a wɔtaa yɛ.

So ɛsɛ sɛ mmea a wonnii mfe 40 yɛ wɔn nufu mu nhwehwɛmu?

Wɔntaa nkamfo nkyerɛ mma mmea a wonnii mfe 40 sɛ wɔnyɛ nufu mu nhwehwɛmu . Sɛ wɔkamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu foforo a, mma wo ho nnyɛ wo hu.

Mfaso a ɛwɔ nhwehwɛmu a wɔyɛ no ntɛm so ne sɛ sɛ wunya nufu mu kokoram a, wobetumi ahu no ntɛm, ansa na atrɛw (akɔ mmeae afoforo) akɔ akwaa afoforo mu , a ɛkyerɛ sɛ ɛyɛ nea eye sen biara wɔ ayaresa ho.

Ɔkwan bɛn so na wɔsa mmabaa nufu mu kokoram?

Ayaresa no fi ase denam nkɔmmɔbɔ a wo ne wo duruyɛfo ntam. Wɔbɛka nneɛma te sɛ wo kokoram ko, baabi a kokoram no wɔ, ne sɛ ebia wowɔ anidaso sɛ wubefi abusua ase anaasɛ wobɛwo mma ho asɛm. Bere a moasusuw eyinom nyinaa ho awie no, mo baanu bɛbom ayɛ ayaresa nhyehyɛe a eye ma mo.

Ɛdenam wo tebea ne akisikuru agyiraehyɛde ahorow so , ayaresa nhyehyɛe no betumi ayɛ:

• Nufu mu kokoram oprehyɛn: Woyi akuru no nkutoo fi hɔ (Lumpectomy) anaasɛ woyi nufu no nyinaa fi hɔ (Mastectomy).
• Nnuru a wɔde sa yare.
• Hormone ayaresa.
• Nnuru a ɛko tia nyarewa a wɔde sa yare.
• Mframa a wɔde sa yare.
• Ayaresa a wɔde wɔn ani asi so.

Dɛn ne nsɛnnennen a ɛwɔ ayaresa mu?

Nnuru anaa mframa a wɔde sa yare betumi aka sɛnea wubenya nyinsɛn a ahoɔden wom . Sɛ woreyɛ nhyehyɛe afi abusua ase a, ɛho hia sɛ wo ne wo duruyɛfo kasa fa akwan horow a wobɛfa so akora awo so ansa na woafi ase ayɛ nufu mu kokoram ayaresa.

Sɛ wofa nnuru a esiw estrogen ano sɛ hormone ayaresa no fã a , ebia wubehu brayɛ ho sɛnkyerɛnne ahorow .

Bio nso, nufu mu kokoram ayaresa betumi de ɔhaw afoforo aba, te sɛ:

• Dadwen anaa adwenemhaw.
• Nipadua mfonini ho nsɛm.
• Kokoram ho ɔbrɛ.
• Kokoram ho ɛyaw.
• Lymphedema - Wei kyerε sε nsa anaa ne koko ho ahonhon.

So wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram wɔ ne mmofraase no so?

Ɔkwan biara nni hɔ a wobetumi afa so asiw nufu mu kokoram ano koraa wɔ mfe biara mu. Nanso, sɛ wohu sɛ asiane kɛse wom sɛ wubenya nufu mu kokoram a, ɛho hia sɛ woyɛ wo nufu mu nhwehwɛmu ntɛm na woyɛ no daa. Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔmfa awosu ho afotu mma .

Sɛ wuhu sɛ akisikuru, ɛyaw, anaa nsakrae foforo bi aba wo nufu mu a, kɔ oduruyɛfo nkyɛn ntɛm ara. Wɔ kokoram fam no, sɛ wohu no ntɛm a , ɛno ne hokwan a eye sen biara a ɛbɛma wɔasa no yiye.

Sɛ mewɔ kuw a asiane kɛse wom no mu a, akwan bɛn na mewɔ?

Sɛ wowɔ awosu mu nsakrae na asiane kɛse wom sɛ wubenya nufu mu kokoram a, wo ne wo duruyɛfo nkasa. Ɔbɛka asiane pɔtee a ɛwɔ wo ho no ho asɛm na wayɛ nhyehyɛe a wɔde bɛyɛ nhwehwɛmu. Wɔ tebea horow bi mu no, wobetumi atu wo fo nso sɛ susuw nufu a wɔde siw ano ho .

Nkwa dodow ahe na mmabaa nya nufu mu kokoram?

Sɛ ɛba sɛ wo ho bɛtɔ wo afi nufu mu kokoram mu a, kokoram no ko ne faako a ɛkɔ so no ho hia sen mfe a woadi.

Mfeɛ anum nkwa nna a mmea a wɔwɔ nufu mu kokoram a ɛyɛ hu a ɛntrɛw (a ɛkɔ mmeae afoforo) no bɛyɛ 91%. Eyi kyerɛ sɛ nnipa dodow no ara a wohu sɛ wɔwɔ yare no fã yi da so te ase wɔ mfe anum akyi wɔ bere a wɔahu sɛ wɔwɔ yare no akyi.

Sɛ kokoram no trɛw kɔ akyiri sen nufu no - kɔ ntini a ɛma mogya tu anaa akwaa afoforo mu a - nkwa a wonya no so tew. Mfeɛ anum a wɔde tra ase wɔ nufu mu kokoram a atrɛw akɔ ntini a ɛma mogya tu mu no yɛ 86%.

Sɛ kokoram no trɛw kɔ wo nipadua no fã bi a ɛwɔ akyirikyiri te sɛ nnompe, mmerɛbo, ahurututu, anaa amemene , mfe anum a wobɛtra ase no betumi akɔ fam akodu 31%.

Esiane sɛ ɛsono obiara tebea nti, ɛbɛyɛ papa sɛ wubebisa wo kokoram ho ɔyaresafo no wo kokoram no su, ne gyinabea, ne nea wobɛhwɛ kwan wɔ mfe a ɛreba no mu.

Mɛyɛ dɛn ahwɛ me ho?

Ebia sɛ wubehu sɛ wowɔ kokoram a, ɛno ne ade a ɛyɛ den sen biara a wubehyia wɔ w’asetra mu. Nkate pii bɛba, nneɛma a ɛyɛ den sɛ wobɛka ho asɛm, ne awia ne anadwo a ɛsɛ sɛ wotwɛn ansa na woahu nnuruyɛfo. Nna a emu yɛ den bɛba, wɔ honam ne adwene mu nyinaa. Nanso, sɛ wonya mmoa a ɛfata a, wobetumi ayɛ akwantu yi.

Wo duruyɛfo betumi de wo abɔ akuw a wɔboa , de nsɛm a ɛfa wɔn a wonya kokoram ho ama, na ɔde nyansahyɛ ahorow a aboa mmabaa a wɔwɔ nufu mu kokoram ama.

Mfe bɛn na nufu mu kokoram betumi anya?

Nokwarem no, nufu mu kokoram betumi anya wɔ mmerantebere ne mmabaabere mu (ɛwom sɛ ɛntaa nsi koraa de). Nufu mu kokoram a wɔahu foforo no mu bɛyɛ 10% wɔ nnipa a wonnii mfe 45 mu.

Bere pa biara nni hɔ a wubetumi anya kokoram da. Nanso, sɛ wuhu wɔ wo mmofraase a, ebetumi ayɛ ankonamyɛ a ɛyɛ nwonwa. Ebia wobɛte nka sɛ wo ne obi a ɔyɛ kumaa sen biara wɔ oduruyɛfo no dan a wɔtwɛn mu no mu. Nanso ɛnyɛ wo nko ara. Wo kokoram hwɛ kuw no bɛka wo ho wɔ anammɔn biara a wobɛtu. Bisa wɔn nneɛma a ɛwɔ hɔ ma mmea a wɔwɔ nufu mu kokoram wɔ wɔn mmofraase ho asɛm. Sɛ wo ne obi a wanya osuahu a ɛte saa ara bɛkasa a, ebetumi aboa wo ma woate nea ɛsɛ sɛ wohwɛ kwan no ase, na nea ɛho hia sen biara no, woate nka sɛ wɔate wo ase.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Wiɛ, nneɛma bi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem fi nea yɛaka ho asɛm no mu ni:

• Nufu mu kokoram betumi anya wɔ ne mmofraase mpo. Enti, ɛho hia paa sɛ wohwɛ wo nufu so na sɛ wuhu nsakrae bi a, wohwehwɛ aduruyɛfo afotu.
• Sɛ wowɔ abusua mu abakɔsɛm a ɛkyerɛ sɛ wowɔ kokoram a, wo ne wo duruyɛfo nka ho asɛm. Ebia wɔbɛkamfo nneɛma te sɛ awosu mu nhwehwɛmu akyerɛ.
• Hwɛ yare no ho sɛnkyerɛnne ahorow. Mma w’ani ngu akuru, ɛyaw, honam ani nsakrae, anaa nufusu mu nsu a ɛba no so.
• Sɛ wuhu ntɛm a, eye sen biara. Dodow a wohu no ntɛm no, dodow no ara na ɛda adi sɛ ayaresa no bedi nkonim.
• Ɛnyɛ wo nko ara. Sɛ worehyia tebea a ɛte sɛɛ a, hwehwɛ mmoa fi nnuruyɛfo, abusuafo, nnamfo, ne akuw a wɔboa wɔn hɔ. Adwene mu akwahosan nso ho hia paa.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

` Nufu mu kokoram, kokoram wɔ mmofraase, BRCA awosu mu nkwaadɔm, kokoram ho sɛnkyerɛnne, kokoram ayaresa, nufu akwahosan, awosu mu nsakrae