So wo nufu akwahosan ho asɛm haw wo? Momma yɛnhwɛ yiye wɔ nufu mu kokoram ho!

Ɛnnɛ yɛrebɛka akwahosan ho haw bi a ɛbɛtumi aka mmaa bebree, na ɛtɔ da bi a mmarima nso. Ɛno ne nufu mu kokoram. Ebia sɛ wote saa din yi a, ehu ka wo kakra. Nanso nsuro, adeɛ a ɛho hia paa ne sɛ wɔbɛbɔ wo amanneɛ yie wɔ yei ho. Momma yɛnka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne nufu mu kokoram? Sɛ yɛbɛka no tiawa a...

Wo de susuw ho hwɛ, nkwammoaa a ɛwɔ yɛn nipadua mu no mu paapae, enyin, na awiei koraa no ewu. Eyi yɛ adeyɛ a ɛyɛ daa. Nanso, wɔ nufu mu kokoram mu no, nufu no mu nkwammoaa bi fi ase paapae ntɛmntɛm na enyin a wontumi nni so, na ɛyɛ akisikuru. Saa kokoram nkwammoaa yi betumi akɔ nufu no mu, anaasɛ ɛtɔ mmere bi a ebetumi atrɛw wɔ nufu no akyi akɔ nipadua no afã afoforo (invasive). Nokwarem no, nufu mu kokoram bɛyɛ 80% yɛ nea ebetumi atrɛw wɔ saa kwan yi so.

Saa tebea yi taa ba mmea a wɔadi boro mfe 50 so, nanso ebetumi aba mmea a wonnii saa nso mu. Mmarima nso tumi nya nufu mu kokoram, nanso ɛntaa mma kakra.

Dɛn ne nufu mu kokoram ahorow?

Nnuruyɛfo kyekyɛ kokoram ahorow yi mu sɛnea ɛbɛyɛ a ɛbɛyɛ mmerɛw sɛ wɔbɛyɛ ayaresa ho nhyehyɛe. Efisɛ ayaresa ahorow a ɛfata ma ɔkwan biara so no betumi ayɛ soronko. Momma yɛnhwɛ ahorow atitiriw a wohu no:

• Invasive Ductal Carcinoma (IDC): Eyi ne nea abu so sen biara. Efi ase wɔ nufusu ntini a ɛwɔ nufu no mu no mu na ɛtrɛw kɔ nufu no mu ntini a ɛbɛn hɔ no mu.
• Lobular Breast Cancer: Eyi ne nea ɛto so abien a abu so sen biara. Efi ase wɔ nufu no ntini (lobules) a ɛma nufusu no mu na ebetumi atrɛw akɔ ntini a atwa ho ahyia no mu.
• Ductal Carcinoma in Situ (DCIS): Eyi nso yɛ kokoram a efi ase wɔ nufusu ntini mu . Nanso, nea ɛnte sɛ IDC no, ɛntrɛw nkɔ nufusu ntini no akyi. Eyi kyerɛ sɛ kokoram no da so ara wɔ baabi.

Eyinom akyi no, kokoram ahorow bi nso wɔ hɔ a ɛntaa nsi:

• Triple-Negative Breast Cancer (TNBC): Eyi yɛ nea ɛyɛ hu kɛse, na ɛtrɛw ntɛmntɛm.
• Nufu mu Kokoram a Ɛyɛ Ɔhyew (IBC): Eyi ntaa mma. Wora a ɛwɔ nufu no so no yɛ kɔkɔɔ na ɛho ahonhon, te sɛ akisikuru.
• Paget yare a ɛwɔ nufu mu: Eyi nso ho yɛ na. Ɛka nufu no honam ani na ebetumi ayɛ te sɛ akisikuru.

So ɛsɛ sɛ yesua kokoram ahorow nketenkete nso ho ade?

Nnuruyɛfo nso kyekyɛ kokoram mu nketenkete a egyina protein (receptors) a ɛwɔ kokoram nkwammoaa no so no so. Nea enti a ɛte saa ne sɛ hormone ahorow bi te sɛ estrogen ne progesterone boa ma kokoram nkwammoaa nyin. Enti, sɛ wuhu sɛ ebia kokoram nkwammoaa wɔ protein (receptors) a ɛyɛ adwuma wɔ saa hormone ahorow yi ho a, ebetumi aboa kɛse wɔ ayaresa ho nhyehyɛe mu.

• ER-positive (ER+) kokoram: Saa kokoram yi wɔ protein ahorow a ɛyɛ adwuma wɔ hormone estrogen ho.
• PR-positive (PR+) kokoram: Saa kokoram yi wɔ protein ahorow a ɛyɛ adwuma wɔ hormone progesterone no ho.
• HR-positive (HR+) kokoram: Saa kokoram yi wɔ protein ahorow a ɛyɛ adwuma wɔ hormone estrogen ne progesterone nyinaa ho.
• HR-negative (HR-) kokoram: Saa kokoram yi nni protein ahorow a ɛyɛ adwuma wɔ saa hormone ahorow yi mu biara ho.
• HER2-positive (HER2+) cancer: Saa kokoram yi wɔ protein bi a wɔfrɛ no HER2 pii sen sɛnea ɛte daa. Saa protein yi nso boa ma kokoram nkwammoaa nyin.

Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea nsɛm yi mu dɔ kakra de, nanso wo duruyɛfo no bɛkyerɛkyerɛ eyinom mu akyerɛ wo kɔ akyiri.

Dɛn ne nufu mu kokoram ho sɛnkyerɛnne?

Nufu mu kokoram ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho. Nsɛnkyerɛnne ahorow bi da adi yiye , bere a afoforo nso nna adi saa. Ɛtɔ mmere bi a, ebia yare no ho sɛnkyerɛnne biara nni hɔ koraa. Nanso, sɛ sɛnkyerɛnne ahorow no da adi ampa a, ebia wubehu nneɛma te sɛ:

• Nsakrae a ɛba nufu no kɛse, ne nsɛso, anaa ne hwɛbea mu: So nufu biako te nka sɛ ɛsõ sen foforo no, anaasɛ ɛte sɛ nea ne nsusuwii resakra?
• Akuru anaa akuru: Ebia ɛyɛ ketewaa te sɛ pea.
• Nufu anaa abasa no fã a ɛyɛ kurukuruwa anaasɛ ɛyɛ den: Eyi haw adwene titiriw sɛ ɛkɔ so wɔ brayɛ bere no nyinaa mu a.
• Nsakrae a ɛba sɛnea nufu anaa nufu no honam ani hwɛbea te anaa sɛnea ɛte mu: Ebia honam ani yɛ te sɛ nea ɛyɛ nsensanee, ayɛ kurukuruwa, ayɛ mmerɛw, anaasɛ ɛho ayɛ hyew. Honam ani nso betumi ayɛ kɔkɔɔ, kɔkɔɔ, anaa tuntum asen nufu no fã a aka no.
• Bea a ɛyɛ den wɔ honam ani, te sɛ abotan: Ebetumi ayɛ den araa ma wubetumi ate nka wɔ wo nsam.
• Mogya anaa nsu a emu da hɔ a efi nufu no mu ba.

Ade a ɛho hia sen biara ne sɛ wubehu sɛnea wo nufu no te. Anyɛ yiye koraa no, yɛ nufu no mu nhwehwɛmu pɛnkoro ɔsram biara. Eyi bɛboa wo ma woahu biribiara a ɛyɛ soronko ntɛm.

Dɛn na ɛde nufu mu kokoram ba?

Ɛyɛ den sɛ yɛbɛka nea ɛde nufu mu kokoram ba ankasa. Nyansahufo gye di sɛ nufu mu nkwammoaa kɔ awosu mu nsakrae bi mu, a wɔfrɛ no mutation, na ɛma ɛyɛ kokoram na ɛpaapae a wontumi nni so, na ɛyɛ akisikuru. Nanso, wonnya nhuu nea ɛde awosu mu nsakrae yi ba.

Nanso, nhwehwɛmu ahu nneɛma pii a ɛde asiane ba a ɛma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no yɛ kɛse . Wɔne:

• Mfe a wɔadi: Mmea a wɔadi mfe 55 anaa nea ɛboro saa wɔ asiane kɛse mu.
• Bɔbeasu: Mmea taa nya nufu mu kokoram sen mmarima.
• Abusua abakɔsɛm: Sɛ w’awofo, wo nuanom, wo mma, anaa w’abusuafo afoforo a wɔbɛn wo no anya nufu mu kokoram a, wo nso wowɔ asiane mu.
• Awosu mu nkɛntɛnso: Nufu mu kokoram a ɛba no mu bɛyɛ 15% fi awosu mu nsakrae a wonya fi awo mu. Eyinom mu nea abu so kɛse ne nkwaadɔm mu nsakrae a ɛba BRCA1 ne BRCA2 awosu mu nkwaadɔm mu .
• Sigaretnom: Tawanom ne kokoram ahorow ahorow, a nufu mu kokoram ka ho, wɔ abusuabɔ.
• Nsã a wɔnom: Nhwehwɛmu ada no adi sɛ nsa a wɔnom nso ma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no yɛ kɛse.
• Kɛse mmoroso: Nipadua mu duru a ɛkɔ soro dodo nso yɛ asiane.
• Mframa a wɔde ma: Sɛ woadi kan anya mframa a wɔde sa yare, titiriw wɔ wo ti, wo kɔn, anaa wo moma so a, asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no yɛ kɛse.
• Hormone Replacement Therapy (HRT): Saa ayaresa yi a mmea binom fa bere a wɔagyae brayɛ no nso betumi ama asiane no ayɛ kɛse.

Dɛn ne nsɛnnennen a ebetumi afi nufu mu kokoram mu aba?

Ɔhaw a ɛyɛ hu sen biara ne kokoram a ɛtrɛw kɔ nipadua no afã afoforo (nufu mu kokoram a ɛtrɛw kɔ mmeae afoforo). Eyi kyerɛ sɛ kokoram nkwammoaa fi nufu no mu kɔ akwaa a ɛho hia te sɛ amemene, nnompe, mmerɛbo, ne ahurututu mu. Nhwehwɛmu ahorow kyerɛ sɛ bɛyɛ mmea baasa biara a wɔwɔ kokoram a edi kan no mu biako benya kokoram a ɛte sɛɛ awiei koraa.

Ɔkwan bɛn so na wohu sɛ obi anya nufu mu kokoram?

Mpɛn pii no, nnuruyɛfo di kan yɛ nipadua mu nhwehwɛmu na sɛ ɛho hia a, wɔyɛ wɔn nufu mu nhwehwɛmu. Sɛ eyinom ma adwenem naayɛ sɔre a, wɔbɛyɛ nhwehwɛmu ahorow a edidi so yi de akyerɛ sɛ wɔahu yare no:

• Nufu mu Ultrasound: Ɛde nnyigyei asorɔkye di dwuma de hwɛ nufu no mu.
• Nufu mu Magnetic Resonance Imaging (MRI) a wɔde yɛ nhwehwɛmu.
• Nufu mu Nhwehwɛmu: Eyi hwehwɛ sɛ woyi ntini ketewaa bi fi nufu no fã bi a ɛyɛ adwenem naayɛ mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ mu. Eyi nkutoo ne ɔkwan a wobɛfa so ahu sɛ ɛyɛ kokoram anaasɛ ɛnte saa.
• Immunohistochemistry sɔhwɛ: Eyi hwɛ sɛ protein ahorow a ɛyɛ adwuma wɔ hormone ahorow (hormone receptors) ho wɔ hɔ anaa.
• Awosu mu nhwehwɛmu: Hwɛ sɛ awosu mu nsakrae bi a ebetumi ama obi anya kokoram anaa.

Nneɛma bɛn na nufu mu kokoram ba?

Nnuruyɛfo gyina kokoram no gyinabea so na wɔyɛ ayaresa ho nhyehyɛe. Saa fã yi nso ho hia ma ɔyarefo no adwene wɔ nea ɔbɛhwɛ kwan daakye (nkɔmhyɛ). Wogyina kokoram ko, sɛnea akisikuru no kɛse ne baabi a ɛwɔ, ne sɛ ebia kokoram no atrɛw akɔ nipadua no afã afoforo so na ɛkyerɛ baabi a nufu mu kokoram no wɔ.

• Ɔfã 0: Kokoram no ntrɛwee. Ɛne sɛ, ɛntrɛw nkɔ nufusu nhama no akyi.
• Ɔfã I: Kokoram nkwammoaa atrɛw akɔ nufu mu ntini a ɛbɛn hɔ mu.
• Ɔfã II: Kokoram nkwammoaa abom anyin ayɛ akuru anaa akuru. Ebia akuru no sua sen sɛntimita 2 na ebia atrɛw akɔ ntini a ɛwɔ abasa no mu no mu, anaasɛ akisikuru no betumi ayɛ kɛse asen sɛntimita 5 nanso ebia ɛntrɛw nkɔ ntini a ɛma mogya tu no mu. Saa bere yi de, ebia akuru no kɛse bɛyɛ sɛntimita 2 kosi 5 na ebia ɛkaa ntini a ɛma mogya tu no anaasɛ enni hɔ.
• Ɔfã III: Kokoram no atrɛw akɔ ntini ne ntini a ɛbɛn hɔ mu. Wɔtaa frɛ eyi sɛ "nufu mu kokoram a ɛkɔ anim wɔ mpɔtam hɔ."
• Ɔfã IV: Kokoram no atrɛw wɔ nufu no akyi akɔ akwaa a ɛwɔ akyirikyiri te sɛ nnompe, mmerɛbo, ahurututu, anaa amemene mu.

Ɔkwan bɛn so na wɔsa nufu mu kokoram?

Oprehyɛn ne ayaresa titiriw, nanso nnuruyɛfo taa de ka ayaresa afoforo ho.

Nufu mu kokoram oprehyɛn ahorow:

• Mastectomy: Woyi nufu no nyinaa anaa ne fã bi fi hɔ.
• Lumpectomy: Woyi kokoram akisikuru no ne ntini kakraa bi a atwa ho ahyia no nkutoo fi hɔ.
• Nufu a wɔsan yɛ: Nufu no a wɔsan yɛ no foforo bere a wɔayɛ no oprehyɛn akyi.

Ayaresa afoforo a wɔde ka oprehyɛn ho:

• Nnuru a wɔde sa yare: Nnuru a wɔde ma de kum kokoram nkwammoaa.
• Mframa a wɔde sa yare: Mframa a ahoɔden wom kɛse a wɔde sɛe kokoram nkwammoaa. Afei nso, mframa a wɔde sa yare bi wɔ hɔ a wɔfrɛ no Intraoperative Radiation Therapy (IORT).
• Nkwammoaa a ɛko tia nyarewa: Nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa a ɛkanyan no ma ɛko tia kokoram nkwammoaa.
• Hormone therapy: Nnuru a wɔde ma de siw kokoram a egyina hormone so no nyin ano. Sɛ nhwɛso no, Selective Estrogen Receptor Modulator (SERM) ayaresa.
• Ayaresa a wɔde wɔn ani asi so: Nnuru a wɔde wɔn ani si molecule pɔtee bi a ɛwɔ kokoram nkwammoaa mu so na ɛma wogyae nyin a wɔde ma.

Dɛn ne ayaresa no mu nsunsuanso bɔne?

Nnuru a wɔde sa yare ne mframa a wɔde sa yare no mu nsunsuanso bɔne a ɛtaa ba ne ɔbrɛ, akisikuru, ne ɔfe.Ayaresa a wɔde wɔn ani asi so, nipadua no mu tumi a ɛko tia nyarewa, ne hormone ayaresa nso betumi anya saa nsunsuanso bɔne yi. Yafunu mu haw te sɛ akisikuru ne akisikuru nso betumi aba.

Ɛnyɛ obiara na onya nsunsuanso bɔne wɔ ɔkwan koro so. Sɛ worenya ayaresa a, bisa wo duruyɛfo sɛnea ayaresa no bɛka wo ne sɛnea ɛbɛka wo da biara da asetra. Afei nso, bisa ayaresa a ɛma obi ho dwo no ho asɛm . Wɔyɛ eyi de boa wo ma wo ho tɔ wo sɛnea wubetumi denam ayaresa ho sɛnkyerɛnne ne nsunsuanso bɔne a wobedi so no so.

Nsɛnnennen a ɛba wɔ nufu mu kokoram oprehyɛn mu

Oprehyɛn biara de asiane ahorow bi ba. Nufu mu kokoram oprehyɛn nso nyɛ nea ɛka ho. Nanso, ɛho hia sɛ yɛkae sɛ oprehyɛn reyi akisikuru bi a ebetumi de nkwa ato asiane mu afi hɔ. Mpɛn pii no, asiane a ɛwɔ nufu mu kokoram mu no dɔɔso sen oprehyɛn mu nsɛnnennen.

Ansa na wobɛyɛ wo oprehyɛn no, bisa wo duruyɛfo no nsɛnnennen a ebetumi aba ho asɛm. Ebia eyinom bi ne:

• Nyarewa a ɛwɔ baabi a wɔyɛ oprehyɛn no.
• Mogya a ɛtɔ wɔ oprehyɛn akyi.
• Ntini a ɛsɛe.
• Lymphedema - Eyi yɛ nsa anaa koko a ɛho ahonhon esiane nsu a ɛboaboa ano nti.

Nkwa dodow ahe na wonya wɔ nufu mu kokoram mu?

Sɛnea nufu mu kokoram nya nkwa no gyina nneɛma pii so, a nea ɛka ho ne sɛ ebia kokoram no yɛ nea ɛkɔ nipadua no mu anaasɛ ɛnyɛ nea ɛkɔ nipadua no mu, kokoram ko a ɛwɔ hɔ, ne baabi a kokoram no kɔ. Sɛ yɛka ne nyinaa bom a, nnipa a wɔwɔ nufu mu kokoram no mu 91% te ase wɔ mfe anum akyi wɔ bere a wɔahu sɛ wɔwɔ kokoram no akyi, sɛnea nsɛm a efi Ɔman Kokoram Asoɛe hɔ kyerɛ no.

Saa ɔha biara mu nkyem yi te sɛ nea edidi so yi, a egyina kokoram no fã so:

• Mpɔtam hɔ: Kokoram no ntrɛwee wɔ nufu no akyi. (Eyinom wɔ mfe 5 nkwa nna bɛyɛ 99%) .
• Ɔmantam: Kokoram no atrɛw akɔ ntini ne ntini a ɛbɛn hɔ mu.
• Akyirikyiri: Kokoram no atrɛw akɔ akwaa a ɛwɔ akyirikyiri te sɛ mmerɛbo ne ahurututu mu.

Sɛ woresusuw akontaabu ahorow yi ho a, ɛho hia sɛ wokae sɛ eyinom yɛ akontaabu ara kwa. Wogyina afoforo suahu so. Kokoram nka obiara wɔ ɔkwan koro so. Sɛ wowɔ nsɛmmisa pɔtee bi fa eyi ho a, wo ne wo duruyɛfo nkasa. Ɔno na onim wo tebea no yiye.

Dɛn ne nufu mu kokoram ho anidaso?

Sɛnea nneɛma te no, nnipa pii rehu nufu mu kokoram ntɛm, bere a wotumi sa no kɛse no. Na nnipa dodow a nufu mu kokoram kunkum wɔn nso so atew.

Nsɛm a wɔanya kyerɛ sɛ nnipa a wɔwɔ nufu mu kokoram a edi kan no mu 99% te ase wɔ mfe anum akyi wɔ bere a wɔahu no akyi. Wɔ tebea horow bi mu no, wobetumi abu wɔn sɛ wɔasa wɔn nufu mu kokoram koraa. Nanso, nufu mu kokoram betumi asan aba (ɛsan ba bio).Sɛ ɛsan ba bio a, ebetumi ayɛ nufu mu kokoram a ɛkɔ mmeae afoforo.

So wobetumi asiw nufu mu kokoram ano? Ɔkwan bɛn so na wobetumi atew asiane no so?

Ebia wɔrentumi nsiw nufu mu kokoram ano koraa. Nanso wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya bi no so. Ɛho hia nso sɛ wobɛhwɛ wo nufu mu daa (wɔyɛ wo ho nhwehwɛmu) na woyɛ mammograms, a ebetumi aboa ma woahu nufu mu kokoram ntɛm. Afei ɛyɛ mmerɛw sɛ wɔbɛsa.

Dɛn na ɛsɛ sɛ meyɛ na ama asiane no so atew?

Ɛwom sɛ ɔkwan biara nni hɔ a wobetumi afa so atew asiane a ɛwɔ hɔ sɛ wobenya nufu mu kokoram so de, nanso Amerika Kokoram Fekuw (ACS) de afotu a edidi so yi ma mmea nyinaa:

• Kura mu duru a ɛfata mu: Mu duru a ɛfata wo. Kɔ oduruyɛfo nkyɛn wɔ eyi ho.
• Di aduan a ahoɔden wom: Fa nhabannuru, nnuaba, nufusu a calcium pii wom, ne nam a srade nnim ka w’aduan ho. Sɛ wotwe wo ho fi nam kɔkɔɔ ne nam a wɔayɛ no foforo ho a, ebetumi aboa ma asiane a ɛwɔ hɔ no so atew nso.
• Yɛ nnam: Nhwehwɛmu ahorow kyerɛ sɛ apɔw-mu-teɛteɛ daa ma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no so tew.
• Twe wo ho fi nsa ho: Nhwehwɛmu ada no adi sɛ abusuabɔ bi da nufu mu kokoram ne nsa ntam. Wɔkamfo kyerɛ sɛ ɛsɛ sɛ wonom nsa biako da biara.
• Yɛ nhwehwɛmu: Mammogram tumi hu akisikuru nketenkete mpo a ɛyɛ nketewa dodo sɛ wobɛte nka.
• Yɛ wo ho nhwehwɛmu daa: Sɛ wohwehwɛ wo nufu mu daa a, ebetumi aboa ma wo nufu no anya akwahosan pa na woahu kokoram akisikuru ntɛm.

Mmea binom wɔ asiane kɛse mu sɛ wobenya nufu mu kokoram efisɛ wɔwɔ abusua abakɔsɛm a ɛkyerɛ sɛ wɔanya yare no anaasɛ wɔanya awosu mu nsakrae bi. Sɛ eyi ne wo tebea a, ebia wobɛpɛ sɛ wususuw nea edidi so yi ho:

• Awosu mu nhwehwɛmu a wɔyɛ de hwehwɛ nufu mu kokoram awosu mu nkwaadɔm.
• Nnuru a ɛtew nufu mu kokoram ho asiane so te sɛ tamoxifen, raloxifene, anaa aromatase inhibitors a wɔnom.
• Prophylactic mastectomy de siw asiane ano.
• Nya nufu mu kokoram nhwehwɛmu ne nipadua mu nhwehwɛmu daa . Sɛ asiane kɛse wom sɛ wubenya nufu mu kokoram, titiriw sɛ wunnii mfe 40 a, bisa wo duruyɛfo nhwehwɛmu foforo a wɔbɛyɛ de ahu kokoram ho asɛm.

Mɛyɛ dɛn ahwɛ me ho?

Nufu mu kokoram a wobɛtra ase no nyɛ mmerɛw. Ebia nna bi wɔ hɔ a wobɛte nka sɛ woayɛ basaa. Susuw nyansahyɛ ahorow yi ho na aboa wo ma woahwɛ wo ho bere a wɔrehu wo yare no na woasa wo yare no:

• Gye w’ahome pii: Nufu mu kokoram ne n’ayaresa betumi abrɛ paa. Gye w’ahome bere biara a wobɛte nka sɛ wopɛ, na ɛnyɛ bere a woanya bere nkutoo.
• Didi yiye:Ayaresa betumi ama obi ahwere aduan ho akɔnnɔ. Aduan a nnuaba, nhabannuru, nam a ɛnyɛ den, ne aburow a ahoɔden wom pii wom betumi aboa wo ma woakɔ so ayɛ den bere a woresa wo yare no.
• Di adwennwen ho dwuma: Kokoram yɛ ade titiriw a ɛde adwennwen ba. Apɔw-mu-teɛteɛ betumi aboa wɔ eyi mu. Biribiara fi nantew a ɛnyɛ den so kosi apɔw-mu-teɛteɛ nhyehyɛe so.
• Hwehwɛ mmoa: Woayɛ obi a onyaa nufu mu kokoram fi bere a wohui sɛ wowɔ no. Bisa wo duruyɛfo no nhyehyɛe ahorow a wɔyɛ de nya kokoram no ho asɛm. Eyinom betumi aboa wo ma woadi nsɛnnennen a ɛwɔ nufu mu kokoram asetra mu no ho dwuma.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wote nka sɛ wo yare no ho sɛnkyerɛnne reyɛ kɛse, anaa sɛ wunya sɛnkyerɛnne foforo te sɛ ɛyaw anaa mmerɛwyɛ wɔ wo nipadua mu baabi foforo a, kɔ wo duruyɛfo nkyɛn.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?

Ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu sɛ sɛnea wo nipadua no yɛ n’ade wɔ kokoram ayaresa ho no nye sen sɛnea na wohwɛ kwan a. Sɛ nhwɛso no, sɛ wo ho nsu atɔ wo kɛse esiane ɔfe a ɛkɔ so daa nti.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Nnipa pii wɔ nsɛmmisa pii bere a wohu sɛ wɔwɔ nufu mu kokoram no. Nsɛmmisa bi a wubetumi abisa wo duruyɛfo ni:

• Nufu mu kokoram bɛn na mewɔ?
• Dɛn ne akisikuru no fã, ne kɛse, ne ne fã?
• Dɛn ne me estrogen ne progesterone agyefo tebea?
• Dɛn ne me HER2 tebea?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Ayaresa foforo bɛn na ɛwɔ hɔ?
• So ayaresabea sɔhwɛ bi wɔ hɔ a ɛfata me?

Bere tenten ahe na wontumi nhu nufu mu kokoram?

Nufu mu kokoram betumi atra hɔ mfe pii ansa na woahu nsakrae bi, te sɛ akuru a ɛwɔ wo nufu mu. Nanso, ɛnyɛ akisikuru anaa ntini biara na ɛyɛ kokoram. Sɛ wowɔ akisikuru anaa ntini bi a ɛyɛ soronko a ɛnkɔ nna kakraa bi mu a, kɔ oduruyɛfo nkyɛn.

Nufu mu kokoram trɛw ntɛmntɛm dɛn?

Egyina nneɛma pii so. Nneɛma te sɛ nufu mu kokoram ko a wowɔ, sɛ́ ɛyɛ awosu mu kokoram, ne baabi a akisikuru no te ne sɛnea ɛkɔ. Sɛ wowɔ nufu mu kokoram a, wo ne wo duruyɛfo nkasa mfa nea wubetumi ahwɛ kwan.

So mmarima nso nya nufu mu kokoram?

Yiw, mmarima nso betumi anya nufu mu kokoram. Nanso ɛnyɛ nea ɛtaa ba. Afe biara, mmarima bɛyɛ 2,600 na wonya mmarima nufu mu kokoram. Ɛno nnu nufu mu kokoram a wɔanya nyinaa mu 1%.

Awiei koraa no, kae...

Bere a worekenkan asɛm yi no, ebia woresusuw sɛ eyi mfa me ho koraa. Nanso, nhumu ho hia ma obiara. Sɛ wuhu sɛ wowɔ nufu mu kokoram a, kae sɛ ɛnyɛ wo nkutoo. Nnipa ɔpepem pii wɔ Sri Lanka ne wiase nyinaa a wɔn ho atɔ wɔn wɔ saa yare yi mu na wɔn ho retɔ wɔn. Wɔreyɛ ayaresa foforo ho nhwehwɛmu bere nyinaa.

W’aduruyɛ kuw no wɔ ha sɛ wɔbɛboa wo na wɔama wo ayaresa a eye sen biara ama wo. Wɔbɛka wo ho fi bere a wɔahu yare no, wɔ w’ayaresa no nyinaa mu, ne akyiri yi. Mma w’abaw. Sɛ wuhu ntɛm na wosa wo yare yiye a, wubenya hokwan kɛse sɛ wubedi yare yi so na wo ho atɔ wo.

` Nufu mu kokoram, nufu mu kokoram, kokoram ho sɛnkyerɛnne, kokoram ayaresa, nufu akwahosan, mmea akwahosan, kokoram nhwehwɛmu