Sɛ wo duruyɛfo ka kyerɛ wo sɛ ɛsɛ sɛ woyɛ oprehyɛn wɔ nufu mu kokoram ho a, ɛyɛ ade a ɛfata sɛ wobɛte ehu, dadwen, ne adwenem naayɛ pii nka. Ebia nsɛmmisa apem wɔ w’adwene mu, te sɛ, ‘Oprehyɛn bɛn na wɔbɛyɛ me?’, ‘So wobeyi me nufu koraa?’, ‘Dɛn na ɛbɛba akyi?’ Eyinom nyinaa yɛ nea ntease wom. Enti nsuro, ɛnnɛ yɛbɛka eyinom nyinaa ho asɛm, wɔ Sinhala kasa a ɛnyɛ den a wubetumi ate ase mu, te sɛ nea wo ne w’adamfo paa bi rekasa.
Dɛn ne oprehyɛn atirimpɔw titiriw?
Sɛ yɛbɛka no tiawa a, nufu mu kokoram oprehyɛn botae titiriw ne sɛ wobeyi akisikuru no ne ntini kakraa bi a ɛte apɔw a atwa ho ahyia no afi hɔ koraa . Wɔyɛ eyi sɛnea ɛbɛyɛ a kokoram nkwammoaa biara bɛka. Wɔhwɛ kwan sɛ eyi remma kokoram no nsan mma bio na ɛntrɛw nkɔ nipadua no afã afoforo. Nnuruyɛfo nso bɔ mmɔden biara sɛ wɔbɛkora sɛnea nufu no te so sɛnea wobetumi biara.
Oprehyɛn ko a wobɛyɛ no begyina nneɛma pii so. Sɛ nhwɛso no, akisikuru no kɛse, baabi a ɛwɔ nufu no mu, baabi a kokoram no atrɛw, ne w’ankasa nsusuwii ne nkate a wowɔ wɔ ho. Sɛ wo ne wo susuw eyinom nyinaa ho wie a, wo duruyɛfo no bɛpaw oprehyɛn a eye ma wo.
Oprehyɛn ahorow atitiriw a wɔyɛ ma nufu mu kokoram
Wobetumi akyekyɛ nufu mu kokoram oprehyɛn mu ayɛ no ahorow atitiriw abien. Biako yɛ oprehyɛn a woyi nufu no fã bi pɛ, na biako nso yɛ oprehyɛn a woyi nufu no nyinaa. Momma yɛnhwɛ eyinom mu biara wɔ ɔkwan soronko so.
| Oprehyɛn no Edin | Sɛ yɛbɛka no tiawa a, dɛn na ɛrekɔ so? | Henanom na wɔtaa kamfo kyerɛ wɔn? |
|---|---|---|
| Lumpectomy a wɔtwa (Wɔsan frɛ no Partial Mastectomy) . | Kokoram akisikuru no ne ntini kakraa bi a ɛte apɔw a atwa ho ahyia nkutoo na woyi fi hɔ, na ɛma nufu no fã a aka no yɛ nea enni dɛm. | Eyi yɛ ɔkwan pa a wɔn a wɔn kokoram nyɛ kɛse koraa na wobetumi anya mframa a wɔde sa yare wɔ oprehyɛn akyi no betumi afa so. |
| Nufu a Wɔtwa a Ɛnyɛ Den/Ne nyinaa | Woyi nufu no nyinaa, a nufu no ka ho. Ɛtɔ mmere bi a, wobetumi ayi ntini biako anaa nea ɛboro saa a ɛwɔ abasa no mu nso afi hɔ. | Wɔn a asiane kakraa bi na ɛwɔ hɔ sɛ kokoram bɛtrɛw akɔ ntini a ɛma mogya tu mu anaasɛ wɔreyɛ wɔn oprehyɛn de atew asiane a ɛwɔ hɔ sɛ wobenya kokoram daakye so no fam no. |
| Radical Mastectomy a Wɔayɛ no Mu nsakrae | Woyi nufu no nyinaa, nufusu, ne srade dodow no ara a ɛwɔ asen no ase no fi hɔ, nanso wogyaw koko mu ntini ahorow no hɔ. | Ebia eyi bɛfata nnipa a wɔwɔ nufu mu kokoram a ɛba wɔn so. |
| Radical Nufu a Wɔtwa | Woyi nufu no nyinaa, asen mu nhwi, ne koko mu ntini a ɛwɔ nufu no ase mpo. | Mprempren oprehyɛn yi ho yɛ na koraa na sɛ kokoram no atrɛw akɔ koko mu ntini ahorow no mu nkutoo a, mpɛn pii no wɔkamfo kyerɛ. |
| Nufu a Wɔtwa a Ɛmma Wora Nsɛe | Ɛwom sɛ woyi ntini a ɛwɔ nufu no mu no fi hɔ de, nanso wogyaw were a ɛkata so no fã kɛse no ara. Wobetumi de were a aka no ayɛ nufu no oprehyɛn. | Ɛfata wɔn a wɔn kokoram nkwammoaa nbɛn honam ani kɛse na wɔreyɛ wɔn oprehyɛn de asan ayɛ nufu no nnansa yi ara. |
| Nufu a Wɔtwa a Ɛmma Nufu Nsɛe | Ɛwom sɛ woyi nufu mu ntini fi hɔ de, nanso wogyaw nufu no ne honam ani (areola) a atwa ho ahyia no hɔ. Eyi nso ma wotumi yɛ sɛnea ɛte wɔ abɔde mu bere a wɔresan ayɛ nufu no. | Ebia eyi fata nnipa a wɔn kokoram nkwammoaa ntrɛw nkɔ nufu anaa honam ani a atwa ho ahyia no mu. |
Dɛn nti na woyi abasa mu ntini a ɛma mogya tu no fi hɔ?
Eyi yɛ ɔhaw a nnipa pii wɔ. Fa no sɛ akuru yɛ mmeae nketenkete a wɔhwɛ yɛn nipadua mu. Sɛ kokoram nkwammoaa fi ase trɛw wɔ nipadua no mu nyinaa a, wodi kan tu kwan kɔ mmeae a wɔhwɛ nneɛma so yi na ɛkɔhyɛ mu. Enti, sɛ wuyi akuru kakraa bi fi asen no ase na wohwehwɛ mu a, wubetumi ahu no yiye sɛ ebia kokoram no atrɛw wɔ nufu no akyi anaasɛ ɛnte saa. Saa nsɛm yi ho hia yiye ma wo duruyɛfo no sɛ obesi ayaresa foforo (e.g. chemotherapy, radiation) a wuhia wɔ oprehyɛn akyi no ho gyinae.
Akwan titiriw abien na ɛwɔ hɔ a wɔfa so yi akisikuru:
- Sentinel Lymph Node Biopsy: Eyi hwehwɛ sɛ wohu "first checkpoint" anaa sentinel node a ɛda adi sɛ kokoram no bɛkɔ hɔ sɛ ɛtrɛw a, na woyi saa node no nkutoo fi hɔ ma wɔyɛ mu nhwehwɛmu. Sɛ kokoram nkwammoaa nni mu a, enhia sɛ woyi ntini afoforo no fi hɔ. Saa kwan yi ma asiane a ɛwɔ hɔ sɛ abasa no bɛhon (lymphedema) no so tew.
- Axillary Lymph Node Dissection (ALND): Wɔ saa adeyɛ yi mu no, woyi ntini a ɛwɔ abasa no ase bɛyɛ 10 kosi 20 na wɔhwehwɛ sɛ ebia kokoram nkwammoaa wɔ hɔ anaa.
Nufu a Wɔsan Yɛ
Mmea pii a wɔyɛ wɔn nufu no si gyinae sɛ wɔbɛyɛ wɔn nufu no oprehyɛn de asan ayɛ wɔn nufu. Eyi yɛ obi ankasa gyinaesi koraa.
Wobetumi ayɛ saa oprehyɛn yi bere koro no ara a wobɛyɛ wo kokoram oprehyɛn no, anaasɛ wobetumi ayɛ no asram anaa mfe bi akyi. Ebetumi de nufu a wɔde hyɛ mu anaa ntini a wɔagye afi wo nipadua no fã foforo (a mpɛn pii no efi wo yafunu mu) adi dwuma. Wo ne wo duruyɛfo nkasa pefee wɔ nneɛma a wubetumi apaw ho.
Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?
Ɛmfa ho oprehyɛn ko a wobɛyɛ no, egye sɛ wudi kan siesie wo ho kakra.
Nea edi kan no, wo duruyɛfo bebisa w’aduruyɛ ho abakɔsɛm nyinaa ho asɛm .
- Ɛsɛ sɛ woka nnuru a wonom nyinaa (a vitamin ne nnuru a wɔde ka aduan ho ka ho) kyerɛ wo duruyɛfo.
- Sɛ woadi kan anya nnuru anaa nnuru a wɔde kum nipadua no ho akisikuru bi a, ka kyerɛ yɛn.
- Sɛ wowɔ ayaresa mu tebea foforo biara te sɛ komayare, asikreyare, anaa mogya mmoroso a, hwɛ hu sɛ wobɛma yɛahu.
Bere a worebɛn oprehyɛn no, oduruyɛfo no bɛhwɛ sɛ wo nipadua no ayɛ krado sɛ wɔbɛyɛ oprehyɛn anaa.Ɔka sɛ wɔnyɛ sɔhwɛ ahorow bi .
- Koko so X-ray a wɔyɛ
- EKG sɔhwɛ
- Mogya ne nsu mu nhwehwɛmu
- Wobetumi ayɛ CT scan anaa nufu mu MRI de ahu akisikuru no kɛse ne beae pɔtee a ɛwɔ.
Bere tenten ahe na ɛsɛ sɛ metra ayaresabea?
Nna dodow a ɛsɛ sɛ wotra ayaresabea no gyina nneɛma te sɛ oprehyɛn ko a woyɛ ne w’akwahosan tebea wɔ oprehyɛn no akyi so.
- Wɔtaa yɛ oprehyɛn a wɔde twa akisikuru no wɔ ayarefo a wɔda abɔnten. Eyi kyerɛ sɛ wɔbɛhwɛ wo nnɔnhwerew kakraa bi wɔ oprehyɛn no akyi na ebia wubetumi akɔ fie da koro no ara.
- Sɛ wotwa wo nufu anaa ALND a, ɛho behia sɛ wotra ayaresabea da koro anaa nnanu.
Saa akwantu yi nyɛ nea obiako na tu kwan. W’abusua, wo nnamfo, ne titiriw no w’aduruyɛfo kuw no ka wo ho. Mma ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa afa nsɛmmisa anaa dadwen biara a ebia wowɔ ho.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wote nufu mu kokoram oprehyɛn ho asɛm no. Wo ne wo duruyɛfo nkasa pefee wɔ nneɛma a wubetumi apaw ho.
- Oprehyɛn ko a ɛfata wo no gyina nneɛma pii so, te sɛ kokoram no su ne baabi a ɛkɔ, ne nea w’ankasa wopɛ.
- Ntini a ɛwɔ abasa no mu a wɔbɛhwɛ no yɛ anammɔn a ɛho hia a wɔde hu sɛ ebia kokoram no atrɛw na wɔayɛ ho nhyehyɛe sɛ wɔbɛsa no daakye.
- Sɛ woyi nufu bi fi hɔ koraa a, akwan horow wɔ hɔ a wobetumi afa so ayɛ oprehyɛn a wɔde bɛsan ayɛ nufu no. Wo ne wo duruyɛfo nsusuw eyi ho.
- Kae sɛ wowɔ nnuruyɛfo kuw bi a wɔbɛboa wo ansa na wɔayɛ oprehyɛn ne bere a wɔayɛ oprehyɛn akyi. Ka nea ɛhaw wo ho asɛm kyerɛ wɔn.
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