Momma yɛnka sɛ wɔasa wo nufu mu kokoram na biribiara kɔɔ yiye. Wo duruyɛfo ka sɛ, "Seesei wowɔ remission mu." Ɛno yɛ asɛmpa kɛse. Nanso ebia woresusuw nea "fafiri" kyerɛ ankasa ho. So eyi kyerɛ sɛ kokoram no ayera koraa? Momma yɛmma ɛnyɛ mmerɛw na emu nna hɔ.
Dɛn ne bɔne fafiri yi?
Sɛ yɛbɛka no tiawa a, fafiri kyerɛ sɛ kokoram ho sɛnkyerɛnne ne sɛnkyerɛnne ahorow so atew anaasɛ ayera koraa. Fa no sɛ, na kokoram bi wɔ wo nufu mu, na bere a wɔsaa wo yare wiei no, ɛso tewee anaasɛ ɛyerae. Ɛno ne nea yɛfrɛ no bɔne fafiri.
Ɛtɔ da bi a wo duruyɛfoɔ nso bɛtumi de asɛmfua ‘mmuaeɛ’ adi dwuma ama yei. Nneɛma abien no nyinaa kyerɛ ade koro.
Nanso biribi a ɛho hia paa ni. Fafiri nkyerɛ sɛ wɔasa wo yare koraa. Sɛ wɔsa wo yare wie mpo a, ebia kokoram nkwammoaa kakraa bi pɛ na aka wɔ wo nipadua mu. Bere kɔ so no, saa nkwammoaa a aka no betumi afi ase anyin bio.
Wo duruyɛfo na ɔbɛhwɛ sɛ ebia wowɔ remission mu anaa. Wɔbɛyɛ eyi denam wo sɔhwɛ mu aba ne bere tenten a woanya yare no ho sɛnkyerɛnne biara a wɔbɛhwɛ so. Mpɛn pii no, wobu wo sɛ wowɔ ahotɔ mu bere a wo yare no ho sɛnkyerɛnne no afi hɔ ɔsram biako anaa nea ɛboro saa no.
Nsonsonoe bɛn na ɛwɔ bɔne fafiri a edi mũ ne nea ɛyɛ fã bi ntam?
Fafiri ahorow atitiriw abien na ɛwɔ hɔ. Ɛho hia paa sɛ wubehu nsonsonoe a ɛda abien no ntam.
| Remission type | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Fafiri a Edi Mu | Eyi kyerɛ sɛ aduruyɛ mu nhwehwɛmu ntumi nhu kokoram ho sɛnkyerɛnne biara wɔ wo nipadua mu. Wo kokoram no ayera koraa, anaasɛ ɛyɛ ketewaa araa ma wontumi nhu wɔ scan so. Wɔsan frɛ eyi sɛ ‘Mmuae a Edi Mu’. |
| Fafiri a Ɛfa Fam | Eyi kyerɛ sɛ kokoram no so atew bere a wɔsa no yare no, nanso ennyae koraa. Mpɛn pii no, sɛ kokoram akisikuru so atew 50% anaa nea ɛboro saa a, nnuruyɛfo bu no sɛ ɛyɛ nea wɔagyae no fã bi. Wɔsan frɛ eyi sɛ ‘mmuae a ɛyɛ fã bi’. |
So kokoram betumi asan aba bio? (Wɔsan ba bio) .
Eyi ne suro kɛse a nnipa pii wɔ. Yiw, kokoram betumi asan aba bio. Yɛfrɛ eyi sɛ nea ɛsan ba bio .
Nanso kae sɛ, sɛ wowɔ remission mu a, ɛkyerɛ sɛ ɛnyɛ den koraa sɛ wo nufu mu kokoram no bɛsan aba bio. Nnipa dodow no ara a wɔwɔ nufu mu kokoram no nnya bio.
Nanso, ɛtɔ mmere bi a kokoram nkwammoaa a ɛka wɔ ayaresa akyi no tumi fi ase dɔɔso bio wɔ asram pii akyi, mfe pii akyi mpo. Akwan abien na ɛwɔ hɔ a saa sanba yi betumi aba.
1. Mpɔtam Hɔ a Ɛsan Ba
Eyi kyerɛ sɛ kokoram no asan aba wo nufu, wo moma so fasu, anaa ntini a ɛbɛn wo mu .
- Sɛ wɔatwa wo lumpectomy a, ebia kokoram no bɛsan aba nufu no mu ntini a aka no mu.
- Sɛ wɔatwa wo nufu a, kokoram no betumi asan aba honam ani anaa wo moma so fasu mu.
- Sɛ ɛsan ba bio wɔ lymph nodes a ɛbɛn hɔ mu a , nnuruyɛfo frɛ no ‘ɔmantam mu sanba’.
Saa mpɔtam hɔ sanba yi taa ba wɔ mfe 5 a edi kan wɔ bere a wɔahu sɛ yare no akyi no mu.
2. Akyirikyiri Recurrence
Eyi ne nea yɛfrɛ no metastasis . Eyi ne bere a nufu mu kokoram trɛw kɔ akyiri sen nufu no ne ntini a ɛbɛn no kɔ nipadua no afã afoforo. Sɛ nhwɛso no, ebetumi atrɛw akɔ akwaa afoforo te sɛ nnompe, mmerɛbo, ahurututu, ne amemene mu.
Nanso mma ɛnhaw wo. Sɛ kokoram no san ba mpo a, mprempren ayaresa a etu mpɔn yiye wɔ hɔ a wɔde sa no. Wo duruyɛfo bɛhwɛ sɛ kokoram asan aba bio ho sɛnkyerɛnne bi wɔ wo nsrahwɛ a wodi akyi daa no mu. Wo ne wo duruyɛfo nka w’ankasa asiane ne nea wubetumi ayɛ wɔ ho no ho nkɔmmɔ pefee.
Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no so?
Nea eye ne sɛ, nneɛma bi wɔ hɔ a yebetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ nufu mu kokoram bɛsan aba no so. Nhwehwɛmu ada no adi sɛ ayaresa ahorow bi ne asetra mu nsakrae betumi atew asiane yi so.
Asiane a wɔbɛtew so denam ayaresa so
Sɛ woyɛ wo ayaresa a edi kan wie a, wo duruyɛfo betumi akyerɛw wo ayaresa foforo te sɛ:
- Nnuru a ɛma nnompe yɛ kɛse: Eyinom betumi atew asiane a ɛwɔ hɔ sɛ kokoram bɛtrɛw akɔ nnompe mu no so.
- Nnuru a wɔde sa yare: Nhwehwɛmu ada no adi sɛ nnipa a wɔde nnuru sa wɔn yare no, asiane a ɛwɔ hɔ sɛ kokoram bɛsan anya no sua.
- Hormone ayaresa: Sɛ wowɔ nufu mu kokoram a ɛwɔ hormone-receptor-positive a, hormone ayaresa a wɔde sa wo yare a edi kan akyi no betumi atew asiane a ɛwɔ hɔ sɛ ɛbɛsan aba bio no so.
- Mframa a wɔde sa yare: Mframa a wɔde sa kokoram akɛse anaa kokoram ahorow a ɛkɔ akyiri no ma asiane a ɛwɔ hɔ sɛ ɛbɛsan aba bio no so tew.
- Ayaresa a wɔde wɔn ani asi so: Sɛ wo kokoram yɛ kokoram bi a ɛma protein bi a wɔfrɛ no HER2 boro so a, nnuru a wɔde sa yare a wɔde si saa protein no so no betumi atew asiane a ɛwɔ hɔ no so.
Asiane a wɔbɛtew so denam asetra mu nsakrae so
Saa nneɛma yi wɔ wo nsam. Sɛ wode saa suban a ɛnyɛ den yi di dwuma a, wubetumi ama nsakrae kɛse aba.
- Di aduan a ahoɔden wom: Di nhabannuru, nnuaba, ne aburow pii. Bɔ mmɔden sɛ wobɛma nsa a wobɛnom no ano hye ma anonne biako da biara.
- Apɔw-mu-teɛteɛ daa: Kɔ so yɛ nnam da biara. Fa biribi te sɛ nantew, mmirikatu, anaa asuguare ka wo da biara da dwumadi ho.
- Mu duru a ɛfata a wobɛkɔ so akura mu: Nipadua mu duru a wobɛhwɛ so ho hia yiye.
Wo ne wo duruyɛfo nka eyinom nyinaa ho asɛm na fa nhyehyɛe a eye sen biara ma wo.
Nkrasɛm a Wɔde Kɔ Fie
- ‘Remission’ kyerɛ sɛ kokoram ho sɛnkyerɛnne ayera anaasɛ ɛso atew. Ɛnkyerɛ sɛ "wɔasa no yare koraa."
- Bisa wo duruyɛfo no ma onhu no yiye sɛ ebia wo ho atɔ wo koraa anaasɛ wo ho atɔ wo fã bi.
- Kokoram betumi asan aba bio, nanso nnipa dodow no ara a wɔanya nufu mu kokoram no nyɛ saa. Enti nsuro a ɛho nhia.
- Hwɛ hu sɛ wobɛkɔ bere a wo duruyɛfo de ma wo no akyi. Ɛho hia paa.
- Wubetumi atew asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no so denam aduan pa a wubedi, apɔw-mu-teɛteɛ daa, ne wo mu duru a wobɛkɔ so akura mu no so.
- Wo ne wo duruyɛfo nka nsɛmmisa, ehu, anaa adwenem naayɛ biara a wowɔ ho asɛm pefee.
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