Ɛyɛ ade a ɛfata sɛ yɛn mu pii bɛte ehu ne ehu nka kakra bere a yɛte asɛmfua "kokoram" no. Nanso so wunim sɛ sɛ yenim nyarewa bi, titiriw nufu mu kokoram, na yɛte asiane a ɛwom no ase a, yebetumi asiw ɔhaw kɛse a ebetumi de aba no ano? Ɛnnɛ yɛrebɛka asɛmti bi a ɛho hia paa ho asɛm. Ɛno ne Nufu mu Kokoram Asiane Ho Nhwehwɛmu. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne nufu mu kokoram ho asiane ho nhwehwɛmu yi?
Fa no sɛ wim tebea ho amanneɛbɔ. Wim tebea ho amanneɛbɔ no nka sɛ "osu bɛtɔ nnɛ," ɛka sɛ "osu betumi atɔ." Saa na ɛte. Nufu mu kokoram ho asiane ho nhwehwɛmu yɛ ɔkwan a wɔfa so bu akontaa sɛnea ɛbɛyɛ yiye, anaa hokwan a ɛwɔ hɔ sɛ wubenya nufu mu kokoram wɔ w’asetra mu. Ɛrentumi nka 100% pɛpɛɛpɛ da sɛ "wubenya kokoram" anaasɛ "worennya."
Wɔyɛ eyi de hwɛ sɛ asiane a ɛwɔ hɔ no dɔɔso anaasɛ ɛba fam sen sɛnea ɛte daa bere a wɔde toto mmea afoforo a wɔadi mfe ne wo fibea ho no. Saa nsɛm yi ho hia wo duruyɛfo yiye. Efisɛ ebetumi aboa wo ma wusi gyinae dodow a ɛsɛ sɛ wode w’adwene si wo nufu akwahosan so ne nhwehwɛmu a ɛsɛ sɛ woyɛ. Mprempren, wɔayɛ akwan a wɔfa so hwehwɛ asiane mu yi ama mmea nkutoo. Wɔmfa nni dwuma mfa nsusuw asiane a ɛwɔ hɔ sɛ mmarima benya nufu mu kokoram.
Enti, ɔkwan bɛn so na akwan horow a wɔfa so hwehwɛ asiane mu yi yɛ adwuma?
Mprempren mfiri ahorow bɛboro 24 na ɛwɔ hɔ a ɛkyerɛ asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram. Eyinom mu dodow no ara yɛ nsɛmmisa a ɛwɔ Intanɛt so a w’ankasa wubetumi awie wɔ simma kakraa bi mu. Sɛ wubua nsɛmmisa yi wie a, softwea no gyina asiane ahorow a ɛwɔ hɔ so bu nkontaahyɛde bi .
Ade a ɛde asiane ba ne biribi a ɛma hokwan a ɛwɔ hɔ sɛ obi benya yare no yɛ kɛse. Momma yɛnhwɛ nneɛma atitiriw a ɛde nufu mu kokoram ba. Sɛ wopɛ sɛ wote eyi ase yiye a, hwɛ pon a ɛwɔ ase hɔ no.
| Asiane a Ɛde Ba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mfeɛ | Asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no kɔ soro nkakrankakra bere a obi nyin no. |
| Abusua Abakɔsɛm | Sɛ obi a ɔwɔ w’abusua mu, titiriw obusuani bi a ɔbɛn wo te sɛ wo maame, wo nuabea, anaa wo babea anya nufu mu kokoram a, asiane a ɛwɔ hɔ no yɛ kɛse. |
| Awosu mu Nsakrae | Asiane no kɔ soro kɛse sɛ wowɔ BRCA1 anaa BRCA2 awosu mu nkwaadɔm a wɔayɛ no foforo no bi a. Eyinom betumi afi awo mu. |
| Nufu a Ɛyɛ Den | Mmea a wɔn nufu mu ntini a ɛyɛ den sen srade ntini no wɔ asiane mu kakra. Wobetumi de mammogram ahu eyi. |
| Nufu mu nhwehwɛmu a wɔadi kan ayɛ | Asiane no yɛ kɛse sɛ wɔabɔ amanneɛ sɛ nufu mu nhwehwɛmu a wɔadi kan ayɛ no wɔ nkwammoaa a ɛnyɛ ne kwan so (e.g., atypical hyperplasia). |
| Hormone a Wɔde Di Dwuma | Asiane no kɔ soro bere a wɔde nipadua no mu nkwaadɔm a wɔfrɛ no estrogen ne progesterone di dwuma bere tenten no. Eyi betumi afi awosu mu afi brayɛ mu, ne awo ano aduru bi anaa hormone replacement therapy (HRT) nso. |
| Mfe a obi adi wɔ Menarche mu | Sɛ mmerantebere ne mmabaabere fi ase wɔ mmofraase pɛɛ (e.g. ansa na wɔadi mfe 12) a, asiane no kɔ soro esiane sɛ wɔde wɔn ho hyɛ hormone mu bere tenten nti. |
| Mfe a obi adi wɔ Menopause mu | Asiane no yɛ kɛse sɛ wokɔ so kɔ brayɛ mu kosi sɛ wubenyin kɛse (sɛ nhwɛso no, bere a woadi mfe 55 akyi), na ɛma bere a wode wo hormone ahorow di dwuma no yɛ kɛse. |
| Awo Ho Abakɔsɛm | Mmea a wɔnwo mma da no wɔ asiane kɛse mu. Mmea a wɔwo wɔn ba a odi kan wɔ mfe 35 akyi nso wɔ asiane kɛse mu. Mmofra a wobɛwo, titiriw wɔ wɔn mmofraase no, brɛ asiane no ase. |
Nanso kae sɛ ɛnyɛ nneɛma a ɛde asiane ba nyinaa na ɛyɛ pɛ. Sɛ nhwɛso no, bere a asiane no kɔ soro kakra bere a obi nyin no, sɛ wowɔ BRCA1 awosu mu nkwaadɔm mu nsakrae a, ebetumi ama asiane a ɛwɔ hɔ sɛ wubenya kokoram no akɔ soro akodu 60%. Ɛno nkutoo dɔɔso sɛ wode obi bɛto asiane kɛse mu.
Dɛn ne asiane ho nhwehwɛmu atitiriw a wɔde di dwuma?
Akwan ahorow a wɔfa so yɛ nhwehwɛmu no ma asiane ahorow yi mu duru gu ahorow. Ɛne sɛ, ɛsono sɛnea wobu nkontaahyɛde ahorow no ho akontaa. Ma yɛnhwɛ akwan a wɔtaa fa so yɛ adwuma no bi.
Gail Nhwɛsode (BCRAT) no .
Eyi ne ɔkwan a wonim no yiye na wɔde di dwuma kɛse wɔ wiase. Ɔman Kokoram Asoɛe a ɛwɔ United States na ɛyɛɛ no. Saa nsɛmmisa kratasin yi gye nea ennu simma anum ansa na wɔawie. Ɛma wonya asiane a ɛwɔ hɔ sɛ obi benya kokoram wɔ mfe anum a edi hɔ no mu ne bere a wadi mfe 90 no ho adwene titiriw.
Nsɛmmisa titiriw a wobisa wɔ eyi mu ne:
- wo mfe a woadi
- Abusuakuw/abusuakuw
- Abakɔsɛm a ɛfa mma a wɔwo ho
- Sɛ́ ebia wɔadi kan ayɛ nufu mu nhwehwɛmu anaa
- Mfe a obi adi wɔ brayɛ a edi kan no mu
- Abusua abakɔsɛm a ɛfa nufu mu kokoram ho
Sɛ eyi de mfe anum asiane a ɛyɛ 1.67% anaa nea ɛboro saa ba a, wobu no sɛ "asiane kɛse." Sɛ saa a, ebia wo duruyɛfo bɛkyerɛw aduru bi te sɛ Tamoxifen a ɛtew kokoram ho asiane so. Nanso, saa kwan yi mfata mma nnipa a wɔanya kokoram pɛn anaasɛ wonim sɛ wɔwɔ awosu mu nsakrae te sɛ BRCA.
IBIS (Tyrer-Cuzik Nhwɛsode) .
Saa kwan yi yɛ nea ɛkɔ akyiri kakra sen Gail nhwɛso no. Ɛbu asiane a ɛwɔ hɔ wɔ mfe 10 a edi hɔ no mu ne nkwa nna nyinaa mu ho akontaa. Ɛsan nso susuw nneɛma te sɛ:
- Nufu a ɛyɛ den
- Nipadua Mu Nsõ Ho Nsɛnkyerɛnne (BMI) .
- Abakɔsɛm a ɛfa awotwaa mu kokoram ho
- Hormone therapy (HRT) a wɔde di dwuma .
- BRCA1 anaa BRCA2 awosu mu nkwaadɔm mu nsakrae ho nimdeɛ
Nnuruyɛfo betumi agyina nea ebefi mu aba no so asi mpɛn dodow a ɛsɛ sɛ wɔyɛ nufu mu nhwehwɛmu, anaasɛ sɛ ebia ɛsɛ sɛ woyɛ BRCA awosu mu nkwaadɔm mu nhwehwɛmu anaa.
BRCAPRO na ɛyɛ adwuma
Eyi yɛ nea ɛyɛ pɔtee kakra. Saa nhwehwɛmu yi hwɛ sɛnea ɛbɛyɛ yiye sɛ wubenya BRCA1 anaa BRCA2 awosu mu nkwaadɔm mu nsakrae titiriw wɔ wo nipadua mu. Ɛkame ayɛ sɛ eyi gyina w’abusua abakɔsɛm a ɛfa kokoram ho no so koraa. Ɛhwehwɛ sɛ wonya nsɛm a emu dɔ pii, titiriw mfe a abusua no mufo nyaa kokoram, awosu mu nhwehwɛmu a wɔayɛ, ne oprehyɛn a wɔde yi nufu anaa awotwaa mu. Wubetumi agyina nea afi eyi mu aba so asi gyinae sɛ ebia ɛsɛ sɛ woyɛ awosu mu nhwehwɛmu anaasɛ ɛnsɛ sɛ woyɛ.
Ɔkwan bɛn so na me duruyɛfo de nea afi mu aba yi bedi dwuma?
Eyi ne ade a ɛho hia sen biara. Sɛ wofa intanɛt so nhwehwɛmu te sɛ eyi na ɛka sɛ wowɔ "asiane kɛse" a, mma wo ho nnpopo anaasɛ nsuro. Ɛnkyerɛ sɛ wowɔ kokoram. Ɛyɛ beae pa ara kwa a wubetumi afi nkɔmmɔbɔ ase wɔ wo ne wo duruyɛfo ntam.
Wo duruyɛfo betumi agyina nea afi mu aba yi so ayɛ nneɛma te sɛ eyinom:
- Kamfo a wɔkamfo kyerɛ sɛ wɔnyɛ nufu mu nhwehwɛmu mpɛn pii: Ebia wɔbɛka akyerɛ wo sɛ yɛ nufu mu nhwehwɛmu anaa nhwehwɛmu afoforo (e.g., MRI) mpɛn pii sen sɛnea wɔtaa yɛ.
- Awosu mu Afotu a Wɔde Kɔma: Ebia wɔde wo bɛkɔ oduruyɛfo titiriw bi nkyɛn ma wakyerɛkyerɛ mu sɛ ebia nhwehwɛmu a wɔbɛyɛ de ahu awosu mu nsakrae a ɛma kokoram ho asiane yɛ kɛse no fata ne sɛnea nea ebefi mu aba no bɛka w’asetra ne w’abusua.
- Nnuru a ɛtew asiane so a wɔkyerɛw ma: Nnuru te sɛ Tamoxifen betumi asiw kokoram nkwammoaa a enyin no ano.
- Oprehyɛn a Wɔde Siw Ano Ho Nkɔmmɔbɔ: Wɔ obi a ɔwɔ asiane kɛse mu (sɛ nhwɛso no, obi a ɔwɔ BRCA awosu mu nkwaadɔm mu nsakrae) fam no, wobetumi aka nufu a wɔde siw ano ho asɛm ansa na kokoram aba. Eyi betumi atew asiane no so kɛse.
Nea efi nhwehwɛmu ahorow yi mu ba no yɛ nea wotumi de ho to so dɛn?
Eyi yɛ biribi a ɛsɛ sɛ yɛde nokwaredi ka ho asɛm. Saa nhwehwɛmu akwan yi gyina nsɛm a wɔaboaboa ano afi nnipa dodow bi hɔ so. Ɛne sɛ, wɔde nsɛm a efi mmea ɔpehaha pii a wɔanya kokoram hɔ no toto wo nsɛm ho, na wɔde nea afi mu aba yi ma. Nanso yɛn mu biara nyɛ akontaabu. Sɛ yɛwɔ asiane koro mpo a, nnipa baanu biara nipadua nyɛ pɛ.
Enti, akwan horow yi wɔ anohyeto ahorow pii:
- Nsɛm a Nsonsonoe: Nsɛm a wɔde di dwuma wɔ nhwehwɛmu akwan bi mu no betumi ayɛ nea ɛfa mmirikatu biako ho, enti ebia nea efi mu ba no rennyɛ pɛpɛɛpɛ mma obiara.
- Ɛnyɛ nea ɛfa kokoram nyinaa ho: Saa akwan yi dodow no ara bu kokoram a ɛba nipadua mu no ho akontaa. Afei nso, wontumi mfa obi a wanya kokoram dedaw ho nsɛm mma.
- Asiane ahorow nyinaa a wonsusuw ho:Ɛnyɛ asiane ahorow nyinaa na wɔde nhwehwɛmu biako ka ho asɛm. Ebinom fi awosu mu kɛse, bere a afoforo nso yɛ asetra kwan. Ɛno nti na ɛtɔ da bi a wo duruyɛfoɔ bɛka akyerɛ wo sɛ yɛ nhwehwɛmu bɛboro baako.
Ɛmfa ho anohyeto ahorow yi no, asiane ho nhwehwɛmu ahorow yi tu mpɔn araa ma ɛma wonya asiane a obi betumi anya ho akontaabu a ntease wom, na ɛno nti na nnuruyɛfo kɔ so de di dwuma wɔ ayaresabea no.
Awiei koraa no, nufu mu kokoram ho asiane ho nhwehwɛmu ntumi nkyerɛ sɛ ebia wubenya kokoram anaa. Nanso ebetumi abɔ wo duruyɛfo kɔkɔ wɔ asiane a ɛwɔ mu no ho. Nufu mu kokoram a wɔbɛhwehwɛ mu no ho hia ma obiara. Saa nhwehwɛmu yi yɛ adwinnade biako bio a ɛbɛboa wo ma woasi sɛnea wobɛhwɛ w’akwahosan ho gyinae. Ebetumi nso aboa wo ma woakɔhwɛ wo daa. Botae no ne sɛ wobehu kokoram ntɛm, bere a wobetumi asa no.
Nkrasɛm a Wɔde Kɔ Fie
- Nufu mu kokoram ho asiane ho nhwehwɛmu yɛ ɔkwan a wɔfa so susuw hokwan (a ebetumi aba) sɛ wubenya kokoram, na ɛnyɛ nea wobehu.
- Mma wo ho nnpopo wɔ nea ebefi mu aba no ho, wo ne wo duruyɛfo nsusuw ho . Ɛno ne ade a ɛho hia sen biara.
- Nea efi mu ba a asiane kɛse wom nkyerɛ sɛ wubenya kokoram. Na ɛnyɛ adwene pa sɛ wubegyae sɔhwɛ a wobɛyɛ esiane sɛ wunyaa nea asiane biara nni ho nti.
- Saa akwan a wɔfa so yɛ nhwehwɛmu yi boa wo ne wo duruyɛfo ma moyɛ nnam kɛse na wodwen w’akwahosan ho.
- Hokwan a ɛwɔ hɔ sɛ sɛ wohu ntɛm a kokoram bi bɛsa koraa no dɔɔso yiye. Enti, mma nufu mu nhwehwɛmu nmpa wo ti so da wɔ mfe a ɛfata mu.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho