Anyɛ yiye koraa no, asɛmmisa biako a ɛba obiara a ɔrenya nufu mu kokoram ayaresa adwene mu pɛnkoro ne sɛ, ‘So yare yi afi hɔ koraa mprempren?’ Saa ehu no yɛ nea ntease wom yiye. Nanso asɛmpa no ne sɛ mpɛn pii no, nufu mu kokoram nsan mma bio. Nanso, ɛtɔ mmere bi a ebetumi aba saa.
Sɛ ɛsan ba a, yɛfrɛ no ' sanba' . Akwan pii wɔ hɔ a eyi betumi afa so aba. Biako ne sɛ ɛsan ba nufu koro no ara mu sɛnea kokoram a edi kan no wɔ no anaasɛ beae bi a ɛbɛn hɔ. Ɛtɔ mmere bi a, ebetumi atrɛw akɔ ntini a ɛbɛn hɔ a ɛma mogya tu no mu. Mmere foforo nso, ebetumi atrɛw akɔ nipadua no afã horow a ɛwɔ akyirikyiri te sɛ nnompe anaa ahurututu mu.
Dɛn na oduruyɛfo no de n’adwene asi so?
Efi bere a wodii kan hu sɛ wowɔ nufu mu kokoram no, wo nnuruyɛfo bɛhwɛ nneɛma bi a ɛma asiane a ɛwɔ hɔ sɛ ɛbɛsan aba no yɛ kɛse anaa. Saa nsɛm yi bɛboa wɔn ma wɔasi ayaresa a eye ma wo ho gyinae.
"Yɛrentumi nka awerɛhyem 100% sɛ kokoram bɛsan aba. Nanso mprempren yebetumi ahyɛ nkɔm a ɛbɛyɛ yiye kɛse sen kan no," oduruyɛfo bi a ɔyɛ ɔbenfo ka.
Nkɔso kɛse aba wɔ saa asɛm yi mu wɔ mfe 10 a atwam no mu, titiriw wɔ kokoram ahorow a estrogen -receptor positive wom mu.
Sɛ yɛbɛka no tiawa a, dodow a akisikuru no yɛ kɛse no, dodow no ara na atrɛw akɔ ntini afoforo mu no, dodow no ara na asiane a ɛwɔ hɔ sɛ ɛbɛsan aba bio no yɛ kɛse. Afei nso, kokoram no abɔde a nkwa wom ho hia yiye. Ɛne sɛ, nneɛma pɔtee bɛn na ɛwɔ kokoram nkwammoaa no so. Sɛ nhwɛso no, nufu mu kokoram bi a wɔfrɛ no ``triple-negative'' (kyerɛ sɛ, kokoram a enni estrogen, progesterone, ne HER2 agyefo abiɛsa no nyinaa) no yɛ nea ɛda adi sɛ ɛbɛsan aba bio kakra.
| Nneɛma a ɛsɛ sɛ wususuw ho bere a wɔresusuw asiane ho no | Dɛn nti na ɛno ho hia? |
|---|---|
| Mfe a woadi ne sɛ ebia woafa brayɛ mu anaa | Mfe a obi adi ne hormone dodow betumi aka asiane no. |
| Tumor kɛse | Mpɛn pii no, akisikuru akɛse ne asiane kɛse a ɛwɔ hɔ sɛ ɛbɛsan aba bio no wɔ abusuabɔ. |
| Sɛ́ ebia atrɛw akɔ ntini a ɛma mogya tu no mu anaa | Kokoram nkwammoaa a ɛwɔ nsu mu no kyerɛ sɛ kokoram betumi atrɛw. |
| Receptor tebea a ɛwɔ kokoram ho | Ayaresa ne asiane a ɛwɔ hɔ no gu ahorow gyina sɛ ebia kokoram no yɛ ER, PR, HER2, anaa mprɛnsa a enye so. |
Sɔhwɛ titiriw a ɛhwɛ asiane no mu kɔ akyiri
Ɛtɔ mmere bi a, sɛ kokoram no sõ koraa anaasɛ atrɛw akɔ ntini a ɛma mogya tu no mu a, ɛyɛ den sɛ yɛbɛka asiane a ɛwɔ mu no ankasa. Nnuruyɛfo frɛ eyi ‘beae a ɛyɛ fitaa.’
Wɔ nsɛm a ɛte sɛɛ mu no, sɔhwɛ titiriw bi wɔ hɔ a ebetumi ama wɔanya nsɛm pii . Nanso, ɛnyɛ nhwehwɛmu yi nyinaa na ɛfata ma kokoram biara.
- Oncotype DX: Eyi ne sɔhwɛ a wɔtaa de di dwuma. Ɛhwɛ awosu mu nkwaadɔm 21 a ɛwɔ wo kokoram no nhwɛso ketewaa bi mu. Ɛdenam sɛnea saa awosu mu nkwaadɔm no yɛ adwuma yiye so no, wunya ‘nkonimdi a ɛsan ba bio’ a efi 0 kosi 100. Saa nkontaahyɛde yi betumi aboa wo duruyɛfo ma wate sɛnea ɛda adi sɛ wo kokoram no bɛsan aba daakye ne sɛ ebia wubenya nnuru a wɔde sa yare no so mfaso no ase. Nanso, wobetumi ayɛ nhwehwɛmu yi ama kokoram ahorow a estrogen-receptor positive na ɛntrɛw nkɔ lymph nodes nkutoo mu.
- Sɔhwɛ afoforo: Sɔhwɛ ahorow nso wɔ hɔ a wɔfrɛ no `(MammaPrint)`, `(Nufu mu Kokoram Index)`, `(Pam50)`, ne `(EndoPredict)`. Eyinom bi boa ma wɔkyerɛ asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba wɔ mfe anum akyi.
Mogya mu nhwehwɛmu a wɔbɛyɛ daakye
Mprempren nhwehwɛmufo kuw bi rebɔ mmɔden sɛ wɔbɛyɛ mogya mu nhwehwɛmu bi a ebetumi ahu sɛ ebia kokoram betumi asan aba bio anaa.
Saa sɔhwɛ yi ho hia yiye bere a wɔawie ayaresa no nyinaa akyi, bere a kokoram ntini biara nni hɔ a wɔbɛhwehwɛ mu no.
Nyansahufo a wɔde wɔn ho hyɛɛ nhwehwɛmu no mu no mu biako ka sɛ: "Sɛ yetumi hu wɔn a wobenya kokoram no bio a, yebetumi asi gyinae sɛ ebia wohia ayaresa foforo anaa. Afei yebetumi afi ase ayɛ nhwehwɛmu wɔ ayaresa foforo a ɛyɛ adwuma ma wɔn ntɛmntɛm no mu." "Yɛn botae titiriw ne sɛ yebesiw nufu mu kokoram a ɛkɔ mmeae afoforo a ɛyɛ den sɛ wobedi ho dwuma na ɛma nufu mu kokoram a wowuwu no mu 90% no ano."
Nanso, wɔka sɛ ebegye mfe pii bio ansa na wɔayɛ mogya mu nhwehwɛmu a nnuruyɛfo betumi de adi dwuma .
Dɛn na wubetumi ayɛ?
Enkosi sɛ nyansahufo benya sɔhwɛ foforo te sɛ eyi no, nneɛma bi wɔ hɔ a wubetumi ayɛ. Wo da biara da nneyɛe betumi aboa ma asiane yi so atew. Sɛ nhwɛso no, ɛho hia sɛ woteɛteɛ w’apɔw mu daa na wokura mu duru a ɛfata mu .
Ade foforo a ɛsɛ sɛ yɛkae ne sɛ asiane a ɛwɔ hɔ sɛ ɛbɛsan aba bio ne nkwa a wobenya no yɛ nneɛma abien . Eyi ho hia paa. Fa no sɛ obi a ɔwɔ nufu mu kokoram, onya ayaresa, na afei kokoram no san ba mfe abien akyi. Nanso sɛ wohu no ntɛm a, saa onipa no betumi atra ase yiye mfe du du pii.
Enti, mma wo bere a wode bedi akyi no biara nmpa wo ti so . Sɛ wowɔ nsɛmmisa anaa biribi a ɛhaw wo a, hwɛ hu sɛ wubebisa wo duruyɛfo.
"Ɛho hia sɛ wo ne wo duruyɛfo kasa na wote nea w'ankasa asiane yɛ ne nea ɛkyerɛ ase ankasa. Eyi bɛboa wo ma woasisi gyinae pa wɔ w'ayaresa ho. Kokoram a wubedi ho dwuma no betumi ayɛ osuahu a ɛyɛ hu, a ɛyɛ basaa. Enti ɛsɛ sɛ wote nka sɛ wo ho tɔ wo sɛ wo ne wo duruyɛfo bɛkasa afa wo suro ho."
Nkrasɛm a Wɔde Kɔ Fie
- Mpɛn pii no, nufu mu kokoram nsan mma bio wɔ ayaresa akyi, enti nsuro a ɛho nhia.
- Asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no gyina nneɛma te sɛ akisikuru no kɛse, sɛnea ɛtrɛw kɔ ntini a ɛbɛn hɔ mu, ne kokoram a efi abɔde mu so.
- Sɛnea ɛbɛyɛ na nnuruyɛfo ahu asiane pɔtee a ɛwɔ mu na wɔapaw ayaresa a eye sen biara no, wobetumi de nhwehwɛmu titiriw te sɛ Oncotype DX adi dwuma.
- Wubetumi nso aboa ma asiane yi so atew denam apɔw-mu-teɛteɛ a wobɛyɛ daa ne wo nipadua mu duru a wobɛkɔ so akura mu no so.
- Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa pefee. Tie wo suro ne wo nsɛmmisa nyinaa. Ɛho hia paa nso ma w’adwene mu akwahosan.
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