So wo nufu te sɛ nea ɛyɛ akisikuru? Momma yensua Nufu mu Ntini ho ade!

So woate biribi te sɛ akisikuru ketewaa bi nka wɔ wo nufu mu pɛn? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a ɛba saa, ɛnte saa? Nnipa pii susuw sɛ, "Oh, so kokoram yi?" Nanso, so wunim sɛ ɛnyɛ akuru a ɛba nufu mu nyinaa na ɛyɛ kokoram? Ɛnnɛ yɛrebɛka biribi a mmaa bebree nya, nanso ɛnyɛ hu saa, nanso ɛfata paa sɛ wohu ho asɛm. Ɛno ne `(Breast Cysts)`, anaa sɛnea yɛka wɔ Sinhala kasa mu no, ɛfa nufu mu cysts ho.

Dɛn ne Nufu mu Ntini?

Sɛ yɛbɛka no tiawa a, `(Breast Cyst)` yɛ kotoku ketewa bi a nsu ahyɛ mu ma a ɛba wo nufu mu. Eyinom nyɛ kokoram tebea horow (ɛyɛ `(Benign)`). Wɔba bere a nufusu ntini a ɛwɔ wo nufu mu no mu da mpan, na nsu hyɛ baabi a hwee nni hɔ no ma no. `(Cysts)` bi sua koraa na wontumi nte nka. Nanso, ebinom tumi nyin bɛyɛ nsateakwaa pii. Sɛ wɔyɛ kɛse saa a, wubetumi ate wɔn nka na ɛtɔ mmere bi a wobetumi ama wo ho ayɛ wo yaw. Ebetumi aba sɛ saa ntini yi mu bɛboro biako bɛba nufu biako anaa abien no nyinaa mu, anaasɛ ayɛ akuwakuw.

Adeɛ a ɛho hia paa ne sɛ saa `(Breast Cysts)` yi mma asiane a ɛwɔ hɔ sɛ wobɛnya nufu mu kokoram no nkɔ soro. Na bere kɔ so no, wɔnsakra nkɔ yare foforo biara a emu yɛ den mu. Enti mma wo ho nnyɛ wo hu a ɛho nhia, ɛyɛ?

Wɔtaa hu saa tebea yi wɔ:

• Wɔ mmea a wɔadi fi mfe 35 kosi 50 fam.
• Wɔ mmea a wɔda so ara kɔ nna ɔsram biara (`(Premenopausal)`) fam.
• Mmea a wɔagyae brayɛ nanso wɔrenom hormone therapy (HRT) (Postmenopausal).

So nufu mu akisikuru ahorow wɔ hɔ?

Yiw, nufu mu akisikuru atitiriw abiɛsa na ɛwɔ hɔ. Ma yɛnhwɛ nea wɔyɛ.

1. Nufu mu Nkwammoaa a Ɛnyɛ Den

Eyinom ne nea ɛtaa ba, na ɛyɛ nufu mu akisikuru nyinaa mu bɛyɛ 90%. Nsu ahyɛ mu ma koraa. Wɔnnyɛ kokoram da. Ade a ɛyɛ den biara nni saa akuru yi mu, na akuru no fasu yɛ torotoro yiye.

2. Nufu mu Ntini a Ɛyɛ Den

Ebia nneɛma a ɛyɛ nsu ne nea ɛyɛ den nyinaa na ɛwɔ saa akuru ahorow yi mu. Saa akuru ahodoɔ yi mu bɛyɛ 20% wɔ hokwan sɛ ɛbɛyɛ nufu mu kokoram. Enti, sɛ wowɔ akisikuru te sɛ eyi a, mpɛn pii no wo duruyɛfo no bɛfa ntini bi na ɔde akɔma wɔn akɔyɛ biopsy. Afei wubetumi ahu no yiye sɛ ebia ɛyɛ kokoram anaasɛ ɛnte saa.

3. Nufu mu Ntini a Ɛyɛ Den

Nsu nso ahyɛ saa akisikuru ahorow yi ma. Nanso ɛtɔ mmere bi a nsu no betumi ayɛ mununkum kakra, anaasɛ akisikuru no anoano betumi ayɛ nea ɛnkɔ so kakra. Ɛtɔ da bi a, wɔde ade (`(Aspiration)`) yi nsuo a ɛfiri saa cysts yi mu no na wɔde kɔma wɔnkɔhwɛ mu. Mmere foforo nso, ebia oduruyɛfo no bɛka akyerɛ wo sɛ san bra bɛyɛ asram asia akyi na wɔakɔhwɛ wo. Eyi te saa efisɛ hokwan a ɛwɔ hɔ sɛ eyinom bɛyɛ kokoram no sua koraa (ennu 2%).

Wɔ saa nkyekyɛmu yi akyi no, wɔsan frɛ nufu mu ntini ``Microcysts`` ne ``Macrocysts`` a egyina ne kɛse so. ``Microcysts`` yɛ cysts nketewa paa. Ɛtɔ da bi a, wɔde ``Ultrasound`` sɔhwɛ anaa microscope nkutoo na wotumi hu. ``Macrocysts`` yɛ cysts a ɛsõ kakra a wotumi te nka.

Nufu mu akisikuru abu so dɛn? Dɛn ne sɛnkyerɛnne ahorow no?

Nufu mu akisikuru abu so ankasa sen sɛnea ebia wubesusuw. Sɛ wɔkyekyɛ mu a, mmea bɛyɛ 7% benya saa tebea yi wɔ wɔn asetra mu bere bi.

Afei ma yɛnhwɛ nea ɛyɛ sɛnkyerɛnne ahorow no.

Akuru no bi sua araa ma ebia worente biribiara nka. Nanso sɛ wowɔ nufu mu akisikuru kɛse a, ebia wubehu sɛnkyerɛnne ahorow te sɛ:

• Akuru a wotumi te nka wɔ nsa mu: Ɛtɔ mmere bi a eyi betumi ayɛ mmerɛw, ɛtɔ mmere bi a ɛyɛ den kakra. Nanso mpɛn pii no ɛyɛ mmerɛw.
• Nsusuwii: Ɛtaa yɛ te sɛ akuru kurukuruwa, ɛyɛ torotoro, a wɔakyerɛkyerɛ mu yiye.
• Ɛyaw anaa akisikuru: Wubetumi ate ɛyaw anaa akisikuru nka wɔ baabi a saa akisikuru yi wɔ no, titiriw ansa na wo nna ɔsram biara.
• Nsakrae kɛse: Ebia akuru no bɛte nka sɛ ɛyɛ kɛse kakra bere a wo nna fi ase no, na ebetumi ate nka sɛ ɛyɛ ketewaa wɔ wo nna akyi.
• Ɛnyɛ den sɛ wobɛfa: Titiriw sɛ akisikuru no sõ a, ebia ɛbɛyɛ te sɛ nea wobetumi de akɔ honam ani.

Saa nufu mu akisikuru yi betumi ayɛ nketewa te sɛ aburow aba anaa bankye a ɛyɛ ahabammono, anaasɛ ɛsõ te sɛ golf bɔɔl. Mmea pii nya nsakrae ne ɛyaw wɔ saa akuru yi mu bere a wɔn ɔsram biara bere rebɛn no, na ɛno ne bere a hormone dodow sesa. Ebinom nso betumi ate nufu mu nsu anaasɛ ɛyaw wɔ beae hɔ.

Dɛn nti na saa nufu mu ntini yi ba?

Wonnya nhuu nea ɛde nufu mu kokoram ba ankasa. Abenfo gye di sɛ efi abɔde mu nsakrae a ɛba yɛn nipadua mu nkwaadɔm mu. Titiriw no, wosusuw sɛ hormone `(Oestrogen)` na ɛka ho. Bere a obi agyae brayɛ akyi no, `(Oestrogen)` dodow so tew, enti nufu mu kokoram ntaa mma.

Wosusuw nso sɛ wobetumi ayɛ nufu no asetra a ɛfata no fã. Ɛne sɛ, sɛ ntini a ɛma nufusu no twetwe (adeyɛ a wɔfrɛ no ``involution'') a, ɛtɔ mmere bi a nsu betumi akɔkyere na ayɛ cysts te sɛ eyinom.

So Nufu mu Nsõ So De Nsɛnnennen Ba?

Mpɛn pii no, saa nufu mu akisikuru yi mfa ɔhaw ahorow a emu yɛ den a ɛde nkwa to asiane mu mma. Mmom,

• Ɛtɔ mmere bi a saa akisikuru yi betumi anya ɔyare mmoawa .
• Anaasɛ, ebia akisikuru no bɛyɛ kɛse yiye, ayɛ den, na ayɛ yaw . Sɛ ɛba saa a, ebia ɛho behia sɛ wɔde ade (`(Aspiration)`) yi nsu no fi hɔ.

Sɛ asiane kɛse wom sɛ wubenya nufu mu kokoram (sɛ nhwɛso no, sɛ obi a ɔwɔ w’abusua mu anya kokoram a) a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii anaasɛ wɔnyɛ nhwehwɛmu foforo.

Ɔkwan bɛn so na wubehu no yiye sɛ wowɔ Nufu mu Ntini? (Nyare a Wɔahu) .

Mpɛn pii no, nnuruyɛfo hu nufu mu akisikuru yi wɔ akwanhyia mu bere a wɔreyɛ nufu mu kokoram ho nhwehwɛmu a wɔyɛ no daa, te sɛ mammogram. Nanso, ɛtɔ mmere bi a w’ankasa wubetumi ahu nufu mu akisikuru kɛse bi.

Sɛnea ɛbɛyɛ na woahu no yiye sɛ wowɔ nufu mu akisikuru no, wo duruyɛfo betumi ayɛ nea edidi so yi:

1. Nipadua mu nhwehwɛmu a wobɛyɛ: Wɔbɛhwehwɛ wo nufu mu na wɔahyɛ sɛnea akuru no te (ɛyɛ den, ɛyɛ mmerɛw, sɛnea anoano te) ne beae pɔtee a ɛwɔ no nsow.

2. Nufu mu Ultrasound: Eyi nkutoo ne ɔkwan a wɔfa so hu sɛ ebia akuru no yɛ den anaasɛ ɛyɛ nsu. Ɛde biribi te sɛ sonar mframa na edi dwuma.

3. Mammogram: Sɛ woadi boro mfe 30, anaasɛ bere aso sɛ woyɛ mammogram a, wɔbɛka akyerɛ wo sɛ yɛ nhwehwɛmu yi. Eyi yɛ X-ray soronko bi.

Sɛ asiane kɛse wom sɛ wubenya kokoram a, ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔnyɛ nufu mu MRI (Magnetic Resonance Imaging). Eyi ne sɔhwɛ a ɛyɛ mmerɛw sen biara a wɔde hu nufu mu kokoram ntɛm wɔ mmea a asiane kɛse wom mu.

Ɔkwan bɛn so na wɔyɛ needle aspiration (anaasɛ needle biopsy)?

Nea ɛba ne sɛ oduruyɛfo anaa obi a wɔatete no fa ade a ɛyɛ tratraa yiye a ɛyɛ tokuru na ɔde hyɛ akisikuru no mu. Afei, wɔde syringe na ɛtwe nsu a ɛwɔ akisikuru no mu no nkakrankakra. Afei akisikuru no so tew. Mpɛn pii no, eyi yɛ adeyɛ a wɔyɛ no ntɛmntɛm na ɛnyɛ yaw.

Dɛn ne ayaresa a wɔde sa Nufu mu Ntini?

Mpɛn pii no, saa nufu mu akisikuru yi nhia ayaresa biara. Nufu mu akisikuru a ɛnyɛ den titiriw no mpira hwee, na ɛtɔ mmere bi a ɛkɔ kɛkɛ. So ɛno nyɛ nwonwa?

Nanso, sɛ worehyia ɔhaw anaa ɛyaw esiane akisikuru no nti a, wo duruyɛfo betumi de ade ayi nsu no afi mu sɛnea yɛadi kan aka ho asɛm no. Nanso, hokwan wɔ hɔ sɛ nsu no bɛhyɛ ma bio bere a wɔayi afi hɔ awie no. Sɛ ɛkɔ so nyin na ɛma ɛyɛ yaw a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi akisikuru no fi hɔ. Nanso, eyi ho yɛ na koraa.

Sɛ wowɔ nufu mu akisikuru a yɛadi kan aka ho asɛm no a, ɛho behia sɛ wokɔhwɛ wo daa de hwɛ sɛ nsakrae bi aba anaa.

So nufu mu akisikuru yi kɔ kɛkɛ?

Yiw, mpɛn pii no, saa nufu mu akisikuru yi ankasa fi hɔ bere kɔ so no. Mmom,Sɛ wuhu nsakrae foforo biara wɔ wo nufu mu (te sɛ akuru, ɛyaw, anaa nsu a efi nufu no mu) a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ wo. Nufu mu nhwehwɛmu a wɔyɛ no daa, wo duruyɛfo nkyɛn a wobɛkɔ afe biara, ne nufu mu nhwehwɛmu sɛ ɛho hia a, ebetumi aboa ma woahu nsakrae yi ntɛm.

Sɛ wɔansa nufu mu akisikuru a, dɛn na ɛba?

Sɛ nufu mu akisikuru sua koraa na worennya ɛyaw anaa ɔhaw biara a, ebia wo duruyɛfo no besi gyinae sɛ ɔbɛhwɛ no bere tiaa bi a ɔrennya ayaresa biara. Ebetumi aba sɛ ɛbɛkɔ ara kwa. Nanso, sɛ wo ho nyɛ wo dɛ, anaasɛ akisikuru no kɔ so nyin a, ebia nsu no a wubeyi no bɛyɛ ayaresa a eye sen biara ama wo sɛnkyerɛnne ahorow no.

So yentumi nsiw nufu mu ntini yi a ɛbɛba no ano?

Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a wɔbɛfa so asiw saa nufu mu akisikuru yi ano. Nanso, sɛnea yɛadi kan aka no, nufu mu nhwehwɛmu a wɔyɛ daa ne nufu mu nhwehwɛmu a wɔyɛ no daa ne akwan a eye sen biara a wɔfa so kura nufu akwahosan pa mu. Sɛ wuhu akuru foforo da a, mmu w'ani ngu so kɛkɛ na nka sɛ, "Oh, ebia ɛyɛ akuru kɛkɛ." Nyansa wom bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo.

Nsɛmmisa ne mmuae ahorow bi a nnipa pii wɔ

So Nufu mu Ntini betumi Abɛyɛ Kokoram?

Eyi yɛ asɛm a nnipa pii bisa. Hokwan a ɛwɔ hɔ sɛ obi benya kokoram no sua koraa.

• Ɛnyɛ bere nyinaa na nufu mu akisikuru a ɛnyɛ den no yɛ kokoram (ɛnyɛ bɔne). Wɔn na wɔyɛ nufu mu akisikuru 90%.
• Nufu mu akisikuru a ɛyɛ den nso taa nyɛ kokoram. Asiane a ɛwɔ hɔ sɛ obi benya kokoram no nnu 2%.
• Nufu mu ntini a ɛyɛ den ne nea asiane kɛse wom sɛ wobenya kokoram. Saa bere no mpo, ɛba wɔ nsɛm no mu 14% kosi 23% pɛ mu. Ɛno nti na wɔde wɔn adwene si wɔn so kɛse no.

So Nufu mu Nkwammoaa Ma Asiane a Ɛwɔ Nufu mu Kokoram Yɛ Kɛse?

Dabi, sɛ wunya nufu mu akisikuru a, ɛmma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no nkɔ soro. Ma eyi ntra w’adwenem.

So Nufu Mu Ntini Betumi Abɛyɛ Akisikuru?

Dabi Nufu mu akisikuru a ɛnyɛ kokoram (`(Benign breast cyst)`) rennyɛ kokoram akisikuru (`(Tumor)`) da. Eyi yɛ adwene a ɛnteɛ wɔ nnipa pii mu.

Enti, so nufu mu akisikuru yɛ aniberesɛm? Bere bɛn na ɛsɛ sɛ yɛhaw yɛn ho wɔ wɔn ho?

Nufu mu akisikuru abu so kɛse wɔ mmea mu. Mpɛn pii no, ɛnyɛ ɔhaw a emu yɛ den ho sɛnkyerɛnne. Enti mma ɛnhaw wo a ɛho nhia. Nanso, sɛnea yɛadi kan aka no, sɛ wuhu sɛ akisikuru anaa nsakrae foforo bi aba a, ɛbɛyɛ papa bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ. Saa kwan no so no, wubetumi nso agye w’ahome.

Nsɛmmisa a Ɛho Hia a Ɛsɛ sɛ Wubisa Wo Oduruyɛfo Fa Nufu mu Ntini Ho

Sɛ oduruyɛfo bi ka kyerɛ wo sɛ wowɔ nufu mu akisikuru a, ɛho hia paa sɛ wubisa nsɛm yi:

• Nufu mu akisikuru bɛn na eyi yɛ (`(Simple, Complicated, or Complex)`)?
• So eyi hwehwɛ sɛ woyi nsu (`(Aspirate)`), yɛ ntini mu nhwehwɛmu (`(Biopsy)`), anaasɛ oprehyɛn yi fi hɔ?
• So ɛho behia sɛ wɔyɛ me mammogram anaa ultrasound daa?
• Sɛ merenom Hormone Replacement Therapy (HRT) a, ɛsɛ sɛ mekɔ so nom?

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Nufu mu akisikuru abu so kɛse, titiriw wɔ mmea a wɔadi mfe 40 mu. Asɛmpa no ne sɛ saa akuru yi mu dodow no ara nyɛ asiane biara na biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Nanso, kae sɛ, ɛwom sɛ nufu mu akisikuru abu so de, nanso sɛ wote nka sɛ akisikuru foforo, akisikuru, anaa nsakrae bi aba wo nufu mu a, ma oduruyɛfo nhwɛ mu bere nyinaa. Mma w'ani ngu so, nsusuw sɛ, "Ebia eyi yɛ asɛm a ɛbae ara kwa." Ɛyɛ papa bere nyinaa sɛ wobɛhwɛ w’akwahosan so na woahwɛ yiye. Sɛ w’adwene mu yɛ wo naa a, nsuro da sɛ wo ne oduruyɛfo bɛkasa.

` Nufu mu Ntini, Mmea Akwahosan, Nufu mu Nsuo, Mammogram, Ultrasound, Hormones