Ɛnnɛ yɛreka asɛmti bi a abu so wɔ mmaa mu paa wɔ yɛn man yi mu, na ɛbɔ nnipa pii hu. Ɛno ne nufu mu kokoram. Nanso mma nsuro. Efisɛ sɛ wohu kokoram yi ntɛm a, wobetumi asa no koraa. Enti yɛbɛyɛ dɛn ahu eyi ntɛm? Ɛno nti na nhwehwɛmu soronko bi wɔ hɔ a wɔde hwehwɛ nufu mu kokoram, a wɔfrɛ no ‘Nufu mu kokoram Nhwehwɛmu’. Ɛnnɛ, yɛbɛka biribiara ho asɛm tiawa koraa, wɔ ɔkwan a wobɛtumi ate aseɛ so.
Dɛn ne nufu mu kokoram ho nhwehwɛmu ahorow yi?
Sɛ yɛbɛka no tiawa a, eyinom yɛ aduruyɛ mu nhwehwɛmu a wɔyɛ de hwɛ sɛ wowɔ kokoram wɔ wo nufu mu anaa. Ade titiriw a ɛwɔ nhwehwɛmu ahorow yi ho ne sɛ mpɛn pii no etumi hu sɛnea kokoram nkwammoaa nyin ansa na woate sɛnkyerɛnne biara mpo te sɛ akisikuru .
Susuw sɛnea ɛbɛyɛ kɛse sɛ yebetumi akyere ɔhaw bi wɔ yɛn nipadua mu bere a efi ase ara pɛ no ho hwɛ? Saa na sɔhwɛ ahorow yi yɛ. Saa nhwehwɛmu ahorow yi boa ma wohu kokoram ntɛm, ansa na anyin na atrɛw, bere a ɛyɛ mmerɛw sɛ wɔbɛsa no. Nhwehwɛmu a wɔayɛ wɔ wiase nyinaa ada no adi mpɛn pii sɛ saa sɔhwɛ ahorow yi agye mmea mpempem pii nkwa.
Adeɛ a ɛho hia ne sɛ, ɛnam sɛ wowɔ saa sɔhwɛ yi nti, ɛnkyerɛ sɛ wowɔ kokoram 100%. Nea nhwehwɛmu ahorow yi yɛ ne sɛ ɛma oduruyɛfo no sɛnkyerɛnne bi a ɛka sɛ, "Akyinnyegye kakra wɔ ha, momma yɛnhwɛ mu nkɔ akyiri kakra."
Enti, ɛho hia yiye sɛ wususuw nneɛma te sɛ mfe a woadi ne w’abusua aduruyɛ ho abakɔsɛm ho, na afei wo ne wo duruyɛfo susuw nhwehwɛmu a ɛfata wo kɛse ne bere a ɛsɛ sɛ wɔyɛ no ho.
Akwan ahorow bɛn na wɔfa so hwehwɛ nufu mu?
Nnuruyɛfo de mfoniniyɛ mu nhwehwɛmu ahorow di dwuma de hwɛ wo nufu mu. Ɛtɔ mmere bi a, wobetumi ayɛ sɔhwɛ bɛboro biako. Mfonini ahorow a efi sɔhwɛ ahorow yi mu no, oduruyɛfo bi a ɔhwɛ mframa so na ɔhwehwɛ mu. Momma yɛnhwɛ akwan titiriw a wɔfa so yɛ no.
| Ɔkwan a wɔfa so sɔ hwɛ | Sɛ yɛbɛka no tiawa a, dɛn na ɛhwehwɛ? |
|---|---|
| Mammogram ho nhwehwɛmu | Eyi ne ɔkwan a wɔfa so hu nufu mu kokoram.Sika kɔkɔɔ gyinapɛn no . X-ray afiri titiriw bi twa wo nufu mu ntini no mu mfonini. Wɔde wo nufu no si mprɛte abien a ɛyɛ tratraa ntam na wɔde mia so brɛoo. Yiw, ebia ɛbɛyɛ wo dɛ kakra, nanso saa sikani kakraa no betumi agye wo nkwa. Mprempren ɛwɔ ahorow abien, 2D ne 3D (Nufu mu Tomosynthesis). 3D betumi ama mfonini ahorow a emu da hɔ. |
| Nufu mu Ultrasound a Wɔde Yɛ Nneɛma | Sɛ wo duruyɛfo hu biribi a ɛyɛ soronko wɔ wo mammogram so anaasɛ ɔte nka sɛ akisikuru bi wɔ hɔ a, ebia ɔbɛkamfo nhwehwɛmu yi akyerɛ. Eyi de nnyigyei asorɔkye di dwuma de yɛ wo nufu no mu mfonini na ɛda adi wɔ screen so. Ɛnyɛ yaw. |
| Nufu mu MRI | Eyi yɛ adeyɛ a wɔde magnetic field ne radio asorɔkye di dwuma de yɛ nufu no ho mfonini a emu da hɔ yiye na ɛkɔ akyiri. Wɔtaa de di dwuma ma mmea a asiane kɛse wom sɛ wobenya kokoram anaasɛ wɔde nya nsɛm pii bere a nea efi nufu mu nhwehwɛmu mu ba no nyɛ nea ɛfata no. |
| Molekyul Nufu ho Mfonini (MBI) . | Wɔ eyi mu no, wɔde radioactive tracer bi gu nipadua no mu, na mfoninitwa afiri titiriw bi ma mmeae a kokoram nkwammoaa no “hyerɛn” no yɛ. Eyi betumi ayɛ nea mfaso wɔ so kɛse ama mmea a wɔn nufu yɛ den. |
Akwan a ɛnyɛ mfoninitwa sɔhwɛ akwan
Wɔ akwan a wɔfa so de akwan a yɛaka ho asɛm wɔ atifi hɔ no di dwuma akyi no, akwan foforo abien wɔ hɔ.
- Nufu mu Nhwehwɛmu a Wɔyɛ wɔ Ayaresa mu: Wɔ eyi mu no, oduruyɛfo bi bɛhwɛ wo nufu ne wo nsateaa mu wɔ nipadua mu de ahwɛ sɛ ebia akuru anaa nsakrae afoforo bi wɔ hɔ anaa.
- Nufu mu Ho Nhwehwɛmu: Eyi hwehwɛ sɛ wode nsa hwehwɛ wo nufu mu hwɛ sɛ biribi soronko bi wɔ hɔ (te sɛ akisikuru anaa honam ani nsakrae).
Nanso biribi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni. Bere a nsaano nhwehwɛmu abien yi nyɛ asiane biara no, wɔankyerɛ sɛ etu mpɔn kɛse wɔ kokoram ano a wosiw mu. Mmu wɔn sɛ wɔde besi mammogram ananmu da. Ɛho hia sɛ wokyerɛkyerɛ wo ho fa wo nufu tebea a ɛfata ho. Afei, sɛ wuhu nsakrae foforo biara a, wubetumi aka akyerɛ wo duruyɛfo ntɛm ara.
Enti, bere bɛn na ɛsɛ sɛ meyɛ saa sɔhwɛ ahorow yi?
Eyi ne asɛmmisa a nnipa pii wɔ. "So ɛsɛ sɛ meyɛ mammogram? Bere bɛn na ɛsɛ sɛ mifi ase? Mpɛn ahe na ɛsɛ sɛ meyɛ?"
Eyi ho mmuae biako biara nni hɔ a ɛfata obiara. Wo duruyɛfo no bɛyɛ nhyehyɛe bi a eye ma wo a egyina wo nufu mu kokoram ho asiane ho nhwehwɛmu so . Nneɛma te sɛ:
- Mfe a obi adi: Asiane no kɔ soro bere a obi nyin no.
- Sɛ́ ebia obi a ɔwɔ abusua no mu anya nufu mu kokoram: titiriw ɛna, onuawa, anaa ɔbabea.
- BRCA awosu mu nkwaadɔm mu nsakrae a obi wɔ: Eyinom yɛ awosu mu nkwaadɔm a ɛma kokoram ho asiane yɛ kɛse.
- Wo nufu a ɛyɛ den.
Wo duruyɛfo begyina saa nneɛma yi so ahu asiane a ɛwɔ hɔ na watu wo fo. Nyansahyɛ ahorow a wogye tom kɛse ne nea edidi so yi:
- Sɛ wɔkyekyem pɛpɛɛpɛ a, mmea a wɔwɔ asiane mu (mfe 40-74): Wɔkamfo kyerɛ sɛ wɔnyɛ wɔn nufu mu nhwehwɛmu afe anaa abien biara . Ɛyɛ papa sɛ wɔbɛyɛ mammogram a edi kan bere a wɔadi mfe 40 .
- Mmea a asiane kɛse wom: Sɛ wowɔ asiane ahorow te sɛ abusua abakɔsɛm anaa BRCA awosu mu abɔde a, wobetumi akamfo akyerɛ sɛ wubefi ase ayɛ nhwehwɛmu ansa na woadi mfe 40 na woayɛ nhwehwɛmu afe biara .
Afotu a eye sen biara wɔ eyi ho fi w’abusua oduruyɛfo hɔ, enti nsuro da sɛ wo ne no bɛbɔ eyi ho nkɔmmɔ pefee.
Dɛn ne mfaso ne ɔhaw ahorow a ɛwɔ sɔhwɛ ahorow yi so?
Mfaso titiriw a ɛwɔ so ne sɛ, sɛnea yɛadi kan aka no, wobetumi akyere kokoram ntɛm ara. Ɛno ma hokwan a ɛwɔ hɔ sɛ wobegye nnipa nkwa no yɛ kɛse.
Sɛ yɛreka asiane ahorow ho asɛm a , sɛ wɔde toto mfaso horow a ɛwɔ so no ho a, ɛyɛ nketewa koraa.
- Nhwehwɛmu te sɛ mammogram ma wohu mframa kakraa bi pɛ, nanso saa dodow no wɔ anohyeto a ahobammɔ wom mu.
- Ɛtɔ mmere bi a, nea efi mu ba a ɛdaadaa obi betumi aba. Ɛne sɛ, ebetumi ayɛ te sɛ nea kokoram biara nni hɔ (False Positive). Eyi betumi de ehu ne dadwen a ɛho nhia aba. Wɔ tebea horow a ɛtete saa mu no, nnuruyɛfo bɛyɛ nhwehwɛmu foforo te sɛ ultrasound de asi so dua.
Dɛn na ɛba bere a sɔhwɛ no aba akyi?
Nnuruyɛfo taa de nhyehyɛe bi a wɔahyɛ da ayɛ a wɔfrɛ no BI-RADS di dwuma de bɔ nufu mu nhwehwɛmu aba ho amanneɛ. Wei ma wo amanneɛbɔ no nya nkyekyɛmu firi 0 kɔsi 6. Nnɔmba biara wɔ nteaseɛ pɔtee bi.
Sɛ woante biribi ase wɔ w’amanneɛbɔ mu a, bisa wo duruyɛfo ma ɔnkyerɛkyerɛ mu. Mpɛn pii no, wonya nea efi mu ba no wɔ nna kakraa bi mu.
Sɛ nea efi mu ba no nyɛ nea ɛfata a, so ɛsɛ sɛ mehaw me ho?
Ɛnyɛ saa koraa. Kae eyi yiye.
Esiane sɛ sɔhwɛ biako mu aba no nyɛ nea ɛfata nti, ɛnkyerɛ sɛ wowɔ kokoram. Ɛkyerɛ kɛkɛ sɛ "ɛsɛ sɛ yɛhwɛ eyi mu kakra."
Sɔhwɛ biako pɛ a ebetumi asi so dua koraa sɛ ebia kokoram wɔ hɔ anaasɛ enni hɔ ne nufu mu nhwehwɛmu . Nea ɛka eyi ho ne sɛ wɔbɛfa ntini a ɛyɛ adwenem naayɛ ketewaa bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Ɛho hia yiye sɛ wuhu wo nufu akwahosan. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn sɛ wuhyia nea edidi so yi mu biara a:
- Sɛ wuhu sɛ akisikuru foforo bi wɔ wo nufu anaa wo nsateaa mu a.
- Sɛ nsu a ɛyɛ soronko (titiriw mogya) fi nufu no mu ba a.
- Sɛ wuhu nsakrae bi te sɛ nufu a wɔadan no a.
- Sɛ nufu no honam ani kɔla ne sɛnea ɛte no asesa (ɛbɛyɛ mmerɛw, ɛyɛ kɔkɔɔ, anaasɛ ɛte sɛ borɔdɔma a wɔabɔ no akuturuku).
- Sɛ wunnim bere a ɛsɛ sɛ woyɛ wo sɔhwɛ ahorow anaa nea efii mu bae no.
- Sɛ ɛho hia sɛ woyɛ wo mammogram a edi hɔ no ho nhyehyɛe a.
Sɛ asetra mu yɛ den a, ɛtɔ mmere bi a yɛn werɛ fi sɛ yebesusuw yɛn akwahosan ho. Nanso sɔhwɛ a ɛte sɛɛ ne akyɛde a ɛsom bo sen biara a wubetumi de ama wo ho. Ebetumi agye wo nkwa. Enti wo ne wo duruyɛfo nkasa nnɛ fa nhwehwɛmu ahorow yi ne bere a ɛsɛ sɛ woyɛ no ho. Sɛ wohu ntɛm a, ɛno ne ahobammɔ a eye sen biara.
Nkrasɛm a Wɔde Kɔ Fie
- Nufu mu kokoram ho nhwehwɛmu ne ɔkwan a eye sen biara a wɔfa so hu kokoram ansa na ne sɛnkyerɛnne ahorow ada adi.
- Mammogram ne sɔhwɛ titiriw ne nea ɛho hia sen biara ma eyi.
- Mfe a ɛsɛ sɛ wufi ase yɛ nhwehwɛmu ne mpɛn dodow a ɛsɛ sɛ woyɛ nhwehwɛmu no begyina w’ankasa asiane ahorow (mfe, abusua abakɔsɛm) so. Wo ne wo duruyɛfo nka eyi ho asɛm.
- Sɛ wunya sɔhwɛ mu aba a "ɛnyɛ ne kwan so" a, ɛnkyerɛ sɛ wowɔ kokoram. Nea ɛkyerɛ ara ne sɛ sɔhwɛ foforo ho hia.
- Sɛ wuhu sɛ wo nufu mu ayɛ kurukuruwa, wo honam ani sesa, anaa biribi a ɛnteɛ wɔ wo nufu mu a, hwehwɛ aduruyɛ mu afotu a ɛnkyɛ.
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