Sɛ wuhu sɛ wowɔ nufu mu kokoram a, ebetumi ayɛ osuahu a ɛyɛ den yiye, ɛyɛ hu, na ɛyɛ awerɛhow wɔ w’asetra mu. Ɛyɛ ade a ɛfata sɛ nsɛmmisa apem bɛsɔre wɔ w’adwene mu wɔ bere a ɛte sɛɛ mu. Nwoma a ɛho hia paa a wobɛnya wɔ akwantuo yi mu no mu baako ne wo pathology report , anaa sɛdeɛ yɛn nyinaa nim no, Pathology Report . Ebia wo nsa bɛka amanneɛbɔ yi ansa na wo ne wo duruyɛfo akasa mpo. Sɛ wuhu aduruyɛ mu kasakoa a ɛwɔ mu a, ebetumi ama woayɛ basaa kɛse mpo. Nanso mma ɛnhaw wo, momma yɛnte nneɛma a ɛwɔ amanneɛbɔ yi mu ase mmiako mmiako, wɔ ɔkwan a ɛnyɛ den so.
Dɛn na ɛwɔ ɔyare ho amanneɛbɔ yi mu ankasa?
Sɛ yɛbɛka no tiawa a, eyi yɛ amanneɛbɔ a ɛfa nea ɔyare ho ɔbenfo bi a ɔhwehwɛɛ ntini bi a woyii fii wo nipadua mu (biopsy) anaa woyii bere a wɔreyɛ oprehyɛn no hui ho. Ɛte sɛ detective bi a ɔrehwehwɛ adanse mu na ɔde amanneɛbɔ rema. Mpɛn pii no, egye bɛyɛ dapɛn biako anaa abien ansa na wɔanya amanneɛbɔ yi bere a wɔayɛ wɔn nipadua mu nhwehwɛmu awie no.
Ɛwom sɛ ɛsono sɛnea wɔyɛ amanneɛbɔ yi kakra wɔ ayaresabea biara mu de, nanso mpɛn pii no, nneɛma yi ka ho.
| Amanneɛbɔ no fã bi | Nea ɛkyerɛ ara kwa |
|---|---|
| Wo ho nsɛm | Nea ɛka eyi ho ne nsɛm atitiriw te sɛ wo din, mfe a woadi, wo aduruyɛ ho abakɔsɛm, ne da a wɔfaa ntini no. |
| Nhwehwɛmu a wɔyɛe | Wɔaka no pefee wɔ ha sɛ ebia ntini a wɔhwɛɛ mu no yɛ kokoram (ɛnyɛ bɔne anaasɛ ɛyɛ hu). Ɛnyɛ akuru a ɛba nufu no mu nyinaa na ɛyɛ kokoram. Sɛ ɛyɛ kokoram a, wɔaka ne su nso ho asɛm wɔ ha. |
| Tumor Nkyerɛkyerɛmu | Wɔakyekyɛ eyi mu abien. "Gross description" ne sɛnea akisikuru no hwɛ aniwa a ɛda hɔ (kɛse, ne nsusuwii). "Microscopic description" ne sɛnea nkwammoaa no hwɛ wɔ microscope ase. |
| Hormone Receptor Gyinabea | Wɔhwɛ sɛ ebia kokoram nkwammoaa no wɔ ntini ahorow a etumi kyekyere hormone ahorow a wɔfrɛ no estrogen anaa progesterone no anaa. Eyi ho hia yiye wɔ ayaresa ho gyinaesi mu. |
| Tumor Grade a Wɔde Di Dwuma | Wɔma akisikuru no abasobɔde fi 1 kosi 3. Gyinapɛn 1 yɛ kokoram a enyin brɛoo a asiane biara nni ho sɛ ɛbɛtrɛw. Grade 3 ne nea ɛkɔ so ntɛmntɛm sen biara. |
Kakraa bi fa sɛnea wɔahu yare no ho
Wɔ ɔfã a wɔde hu yare no mu no, wobetumi akyerɛw wo tebea no sɛ abiɛsa no mu biako:
- Benign (non-cancerous): Eyi ne asɛmpa no. Ɛkyerɛ sɛ akisikuru no nyɛ kokoram. Nufu no mu akuru dodow no ara yɛ saa.
- Nufu mu kokoram a ɛnyɛ nea ɛkɔ nipadua no mu: Eyi kyerɛ sɛ kokoram nkwammoaa no da so ara wɔ baabi a efii ase (sɛ nhwɛso no, wɔ nufusu kwan bi mu) na ɛntrɛw nkɔ ntini a atwa ho ahyia no mu. Ductal Carcinoma In Situ (DCIS) yɛ nea ɛte saa no mu biako.
- Nufu mu kokoram a ɛba nipadua mu : Eyi kyerɛ sɛ kokoram nkwammoaa atrɛw afi baabi a efii ase (nufusu ntini anaa ntini ahorow) akɔ nufu mu ntini a atwa ho ahyia no mu. Ebia wɔatrɛw akɔ ntini a ɛwɔ nan anaa nipadua no afã afoforo nso mu. Kokoram ahorow abien na ɛwɔ hɔ a wobetumi abɔ ho amanneɛ.
- Invasive Ductal Cancer: Kokoram a efi ase wɔ nufusu ntini mu na ɛtrɛw.
- Invasive Lobular Cancer: Kokoram a efi ase wɔ ntini a ɛma nufusu (lobules) no mu na ɛtrɛw.
Dɛn nti na kokoram no fã nni amanneɛbɔ yi mu?
Ebia woresusuw nea enti a amanneɛbɔ yi nka kokoram no fã (Ɔfã 1, 2, 3, anaa 4) ho asɛm. Ntease bi wɔ hɔ a enti ɛte saa.
Nyarewa ho amanneɛbɔ no yɛ anammɔn biako pɛ a ɛho hia wɔ ɔkwan a wɔfa so hu kokoram no fã a ɛkɔ so no mu. Ɛmma mfonini a edi mũ no mma.
Nea ɛbɛyɛ na nnuruyɛfo ahu baabi a kokoram no wɔ no pɛpɛɛpɛ no, wɔde ɔyare ho amanneɛbɔ yi bedi dwuma.Nneɛma kakraa bi bio a ɛsɛ sɛ wode ka nsɛm no ho . Eyinom ne:
- So kokoram no atrɛw akɔ ntini a ɛbɛn hɔ mu?
- So kokoram no atrɛw akɔ nipadua no akwaa a ɛwɔ akyirikyiri (e.g. mmerɛbo, ahurututu, nnompe)?
Sɛ wobɛhunu saa nneɛma yi a, ebia ɛho bɛhia sɛ woyɛ nhwehwɛmu foforɔ (e.g. CT scan, MRI scan , bone scan). Enti, pathology amanneɛbɔ no nyɛ asɛm no nyinaa, ɛyɛ asɛm no fã titiriw bi kɛkɛ.
Nneɛma a ɛsɛ sɛ wubisa wo duruyɛfo
Sɛ wo ne wo duruyɛfo rekasa afa wo pathology amanneɛbɔ ho a, nsuro sɛ wubebisa nsɛm biara a wowɔ. Bisa no ma ɔmma biribiara a wonte ase no mu nna hɔ.
Nnuruyɛfo pii ka sɛ ayarefo kyinhyia na wɔde kɔla gu wɔn amanneɛbɔ no afã horow a wɔnte ase no mu, efisɛ wɔpɛ sɛ wohu biribiara pɛpɛɛpɛ. Eyi yɛ su pa ara. Ɛkyerɛ sɛnea wudwen w’akwahosan ho kɛse.
Afotu foforo a ɛho hia ne sɛ wode abusua muni bi anaa w’adamfo bi a wowɔ ne mu ahotoso bɛka wo ho aba nkɔmmɔbɔ yi mu. Efisɛ ebetumi ayɛ den sɛ wobɛkae biribiara a oduruyɛfo no ka bere a woayɛ basaa no. Sɛ wunya obi a ɔto so abien a, ɛbɛboa wo kɛse na ɛbɛboa wo nso ma woakyerɛw nsɛm.
Dɛn na ɛba wɔ ɔyare ho amanneɛbɔ no akyi?
Sɛ wohu sɛ wowɔ nufu mu kokoram wie a, wo duruyɛfo de wo bɛkɔ nufu ho ɔbenfo anaa kokoram ho ɔyaresafo nkyɛn.
Saa oduruyɛfo titiriw no ne nea ɔbɛka wo tebea no nyinaa abom. Ɛno kyerɛ sɛ, sɛ wɔfa biribiara fi wo nipadua mu nhwehwɛmu, mammogram ne ultrasound amanneɛbɔ, MRI amanneɛbɔ, ne ɔyare ho amanneɛbɔ yi mu a, wɔbɛyɛ ayaresa nhyehyɛe a ɛfa wo pɔtee ho .
Abenfo ka sɛ: “Ayaresa nhyehyɛe ahorow no yɛ nea ɛfa ankorankoro ho kɛse sen sɛnea na ɛte kan no.” Ɛno kyerɛ sɛ ebia ayaresa koro no ara a w’adamfo no nyae no rennyɛ adwuma mma wo. Wo nsa bɛka wo kokoram no ho ayaresa a eye sen biara.
Sɛ wɔyɛ wo oprehyɛn foforo anaasɛ wɔyɛ wo nipadua mu nhwehwɛmu daakye a, wo nsa bɛka ɔyare ho amanneɛbɔ foforo wɔ emu biara ho. Eyinom mu biara bɛyɛ nneɛma atitiriw a ɛho hia wɔ w’ayaresa akwantu no mu.
Nkrasɛm a Wɔde Kɔ Fie
- Pathology Report yɛ krataa a ɛho hia paa wɔ w’ayaresa akwantuo mu. Nanso sɛ w’ankasa wuntumi nkenkan na wonte ase a, mma ɛnhaw wo.
- Amanneɛbɔ yi kyerɛ wo kokoram no ko ne ne su , na ɛnyɛ faako a kokoram no wɔ. Wɔkyerɛ ɔfã no bere a wɔayɛ sɔhwɛ afoforo pii akyi.
- Wo ne wo duruyɛfo nsusuw amanneɛbɔ yi ho. Mma ntwentwɛn wo nan ase sɛ wubebisa nsɛm biara a wowɔ, ɛmfa ho sɛnea ɛyɛ ketewaa no.
- Ɛyɛ ahoɔden ne mmoa kɛse sɛ wobɛnya abusua muni anaa adamfo a wowɔ ne mu ahotoso ka wo ho bere a worekɔ nkɔmmɔbɔ a ɛho hia te sɛ eyi.
- Amanneɛbɔ yi nyɛ biribi a ɛsɛ sɛ yesuro. Ɛyɛ adwinnade titiriw a wɔde yɛ ayaresa nhyehyɛe a eye ma wo. Eyi ne anammɔn a edi kan wɔ akwantu a ɛkɔ ahotɔ mu no mu.
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