Sɛ wowɔ kokoram, woanya ayaresa a ɛyɛ den, na afei wususuw sɛ biribiara aba awiei, sɛ biribiara ye... ebia biribiara nni hɔ a ɛyɛ awerɛhow sen sɛ wubehu sɛ kokoram koro no ara asan aba. Eyi yɛ asɛnnennen a wontumi nsusuw ho a nnipa pii hyia ampa. Enti, dɛn na ɛkyerɛ sɛ kokoram bɛsan aba, anaasɛ ‘ɛsan ba bio’? Dɛn nti na ɛba saa? Dɛn na ɛsɛ sɛ yehu wɔ tebea a ɛte saa mu? Momma yɛnte eyi nyinaa ase kɛkɛ, te sɛ nea yɛne yɛn adamfo paa bi rekasa.
Sɛ yɛbɛka no tiawa a, dɛn na kokoram a ɛsan ba no kyerɛ?
Kokoram a ɛsan ba bio ne bere a kokoram a na wowɔ kan no san ba bere a wɔasa wo yare awie no. Eyi betumi asi wɔ asram kakraa bi anaa mfe mpo akyi wɔ ayaresa akyi.
Ɛtɔ mmere bi a wo duruyɛfo betumi aka akyerɛ wo sɛ wowɔ ‘remission’ mu . Eyi kyerɛ sɛ wunni kokoram ho sɛnkyerɛnne biara na wontumi nhu kokoram nkwammoaa biara wɔ nhwehwɛmu ahorow mu. Nanso, sɛ kokoram fi hɔ mpo a, kokoram da so ara tumi san ba.
Nanso kae sɛ kokoram a ɛsan ba no nkyerɛ sɛ ne nyinaa aba awiei. Ɛnam nnɛyi ayaresa a ɛkɔ akyiri so no, nnipa pii atumi adi sɛnea ɛsan ba no so na wɔatra ase yiye mfe pii.
Akwan bɛn na kokoram betumi afa so asan aba bio?
Nnuruyɛfo kyekyɛ akwan a kokoram fa so san ba no mu, a egyina baabi a ɛsan fi ba so. Ebetumi aba wɔ akwan atitiriw abiɛsa so.
| Resurfacing type | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mpɔtam Hɔ a Ɛsan Ba | Eyi kyerɛ sɛ kokoram no san ba beae koro no ara a na ɛwɔ kan no mu anaasɛ ɛbɛn hɔ . Sɛ nhwɛso no, bere a wɔayɛ oprehyɛn de ayi prostate kokoram afi hɔ akyi no, kokoram nkwammoaa tumi san nyin wɔ baabi koro no ara a woyii no. |
| Ɔmantam no mu Nsɛm a Wɔsan Yɛ | Eyi ne bere a kokoram no san ba ntini anaa ntini a ɛbɛn baabi a na ɛwɔ kan no mu. Sɛ nhwɛso no, kokoram ahorow bi, nufu mu kokoram nketewa bi (nufu mu kokoram a ɛnyɛ papa abiɛsa), taa san ba saa kwan yi so. |
| Akyirikyiri a Ɛsan Ba | Eyi ne bere a kokoram no trɛw kɔ akwaa anaa ntini foforo a ɛwɔ akyirikyiri fi baabi a wodii kan huu no no. Sɛ nhwɛso no, obi a ɔwɔ ahurututu mu kokoram betumi anya kokoram koro no ara a atrɛw akɔ amemene no mu na asan aba bio. |
Kokoram ahorow bɛn na ɛda adi sɛ ɛbɛsan aba bio?
Nokwarem no, kokoram biara betumi asan aba bio. Enti, ɛrentumi nyɛ yiye sɛ yɛbɛka no pen sɛ ahurututu mu kokoram nkutoo na ɛsan ba bio. Nanso, nhwehwɛmu ada no adi sɛ kokoram ahorow bi betumi asan aba bio. Eyinom bi ne:
- Kokoram a ɛwɔ awotwaa mu
- Honam ani kokoram a atrɛw akɔ nipadua no afã afoforo bere a wɔahu (Metastatic melanoma) .
- Peripheral T-cell lymphoma (PTCL), kokoram bi a wɔfrɛ no non-Hodgkin lymphoma
Nanso, ɛho hia sɛ wokae sɛ saa ɔha biara mu nkyem yi yɛ akontaabu ara kwa , ɛmfa ho kokoram ko a na wowɔ no. Asiane yi gu ahorow gyina nneɛma pii so, te sɛ kokoram ko a na wowɔ, gyinabea a na ɛwɔ bere a wodii kan huu no, ne ayaresa a edi kan a wonyae. Enti, wo duruyɛfo nkutoo na obetumi ama wo eyi ho nsɛm a eye sen biara.
Dɛn ne kokoram a ɛresan aba no ho sɛnkyerɛnne?
Ɛtɔ da bi a, kokoram a ɛsan ba no ho sɛnkyerɛnne betumi ayɛ te sɛ nyarewa afoforo a ɛtaa ba no. Ɛno nti na ɛho hia sɛ wohwɛ wo nipadua so bere a woasa wo yare awie no. Wo ne wo duruyɛfo nkasa mfa sɛnkyerɛnne ahorow a ebia wubehu sɛ wo kokoram no san ba a. Sɛ wowɔ sɛnkyerɛnne a ɛwɔ ase ha no bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
| Nsɛnkyerɛnne a ɛsɛ sɛ yɛhwɛ yiye wɔ ho |
|---|
| - nsenkyerennee koro no ara a na ewo ho bere a kokoram no dii kan bae no san pue bio (se nhwɛso no, akuru anaa akisikuru foforo pue wɔ baabi a na kokoram no wɔ) . |
| - yaw a ewo daa a ennye. |
| - a ewo ho daa a ennye yie. |
| - a wode tew wo mu duru so a ntease biara nni ho. |
| - a epira sene nea etaa tu anaa mogya a etu a ennye ne kwan so. |
| - atiridii a enni fam. |
| - a ɛtaa yɛ tiyɛ . |
| - a ɛyɛ den sɛ wobɛhome (Dyspnea). |
| - a ewo mogya a efiri nsuo anaase nsuo mu . |
| - a ɛyɛ akisikuru ne akisikuru . |
| - a ɛyɛ den sɛ wobɛmene (Dysphagia). |
Dɛn nti na kokoram san ba bio?
Eyi yɛ den kakra sɛ yɛbɛte ase. Susuw kokoram nkwammoaa ho sɛ atamfo a wɔde wɔn ho ahintaw. Ayaresa a yɛde ma (te sɛ oprehyɛn, nnuru a wɔde sa yare, mframa a wɔde ma) sɛe kokoram nkwammoaa biara a yebetumi ahu na yɛahu.
Nanso, ɛtɔ mmere bi a, ebia kokoram nkwammoaa nketenkete paa kakraa bi a wontumi nhu no bɛkɔ so atra nipadua no mu baabi. Sɛ nhwɛso no, sɛ woyi kokoram akisikuru bi fi hɔ bere a wɔreyɛ oprehyɛn a, ebia nkwammoaa kakraa bi bɛka ho a aniwa ntumi nhu na ɛyɛ den sɛ wobehu, wɔ afiri a wɔde hwɛ nneɛma nketenkete mpo mu.
Nkwammoaa a aka yi a ɛda so ara da hɔ bere tenten no fi ase nyin bio wɔ asram anaa mfe pii akyi. Ɛno na yɛka sɛ kokoram no asan aba bio.
Wobɛyɛ dɛn ahu kokoram a asan aba bio?
Nea ɛbɛyɛ na nnuruyɛfo ahu sɛ kokoram asan aba anaa no, wɔde nhwehwɛmu ahorow a wɔyɛe de huu kokoram no wɔ nea edi kan no ara mu.
Mogya mu Nhwehwɛmu
- Mogya Dodow a Edi Mu (CBC): Eyi kyerɛ nkwammoaa kɔkɔɔ, nkwammoaa fitaa, ne mogya mu nkwammoaa dodow a ɛwɔ wo mogya mu. Eyi betumi ama woanya w’akwahosan nyinaa ho adwene bi ne sɛ ebia kokoram asan aba bio anaa.
- Tumor Marker Tests: Saa nhwehwɛmu ahorow yi hwehwɛ nneɛma bi (tumor markers) wɔ mogya no mu a kokoram nkwammoaa anaa nkwammoaa afoforo a ɛwɔ nipadua no mu yɛ de bua kokoram. Sɛ saa dodow yi kɔ soro a, ebia ɛbɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ kokoram no asan aba bio.
- Liquid Biopsy: Eyi yɛ ɔkwan foforo a wɔfa so yɛ ade. Sɔhwɛ a wɔde hwehwɛ kokoram nkwammoaa asinasin anaa kokoram DNA a aboaboa ano wɔ wo mogya mu.
Mfoninitwa Sɔhwɛ ahorow
- Computed Tomography (CT) scan: Eyi twa nipadua no mu mfonini kɔ akyiri de hu sɛ ebia kokoram foforo bi wɔ hɔ, sɛnea ɛsõ, ne baabi a ɛwɔ.
- Magnetic Resonance Imaging (MRI): Eyi nso betumi ama nipadua no mu mfonini a emu da hɔ yiye. Eyi ho wɔ mfaso titiriw ma akisikuru a wobehu wɔ mmeae te sɛ amemene ne akyi berɛmo mu.
- Positron Emission Tomography (PET) scan: Nea ɛka eyi ho ne sɛ wɔde asikre soronko bi gu nipadua no mu. Kokoram nkwammoaa twetwe asikre yi ntɛmntɛm sen nkwammoaa a ɛteɛ, enti ɛnyɛ den sɛ scan no betumi ahu mmeae a kokoram wɔ.
Biopsies a wɔde yɛ nipadua no
Sɔhwɛ a ɛho hia sen biara a ɛbɛma woahu sɛ kokoram asan aba bio 100% ne biopsy. Nea ɛka eyi ho ne sɛ wobegye ntini ketewaa bi afi baabi a ɛyɛ hu no na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu ahwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa.
Dɛn ne ayaresa a wɔde sa kokoram a ɛsan ba bio?
Kokoram a asan aba no ayaresa gu ahorow kɛse a egyina wo tebea so. Ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ nneɛma te sɛ:
- Ayaresa koro no ara a wɔsan yɛ (e.g. nnuru a wɔde sa yare) a wɔde yɛɛ nea edi kan no.
- Oprehyɛn a wɔde yi kokoram akisikuru a aba foforo no fi hɔ.
- Nnuru ahorow a wɔde sa yare anaa nnuru a wɔaka abom a wɔde bedi dwuma.
- Ayaresa foforo a wɔbɛsɔ ahwɛ, te sɛ ayaresa a wɔde wɔn ani asi so anaasɛ nipadua no mu tumi a ɛko tia nyarewa.
Sɛ yɛresi ayaresa ho gyinae a, yesusuw nneɛma a edidi so yi nso ho:
- Kokoram ko a wowɔ: Ɛnyɛ kokoram nyinaa na ɛyɛ pɛ.
- Bere a kokoram no san bae: Sɛ kokoram no san bae wɔ ayaresa akyi bere tiaa bi a, ebia ɛbɛyɛ den kɛse sɛ wɔbɛsa.
- Baabi a kokoram no asan aba: Ebia kokoram a asan aba baabi a na ɛwɔ mfiase no a wɔbɛsa no bɛyɛ mmerɛw asen kokoram a atrɛw akɔ akwaa bi a ɛwɔ akyirikyiri mu a wɔbɛsa.
- W’akwahosan tebea nyinaa:Ɛsɛ sɛ wo nipadua no yɛ den sɛnea ɛbɛyɛ a ebetumi agyina ayaresa foforo a ɛde ba no ano.
Nea ɛka saa ayaresa ahorow yi ho no, ɛho hia sɛ wususuw ayaresa a wɔde brɛ ase ho . Eyi nsa kokoram no, na mmom ɛboa ma wo ho tɔ wo sɛnea wubetumi denam sɛnkyerɛnne ahorow te sɛ ɛyaw, akisikuru, ne ɔbrɛ a kokoram de ba ne ayaresa mu nsunsuanso bɔne a wubedi so.
Kokoram a ɛsan ba bio a wɔbɛtra ase
Ɛte sɛ nkae dedaw bi a ɛresan aba abɛhaw wo. Bere a woako atia kokoram pɛnkoro na woasusuw sɛ woadi nkonim akyi no, ɛsɛ sɛ wufi ɔko koro no ara ase bio. Ɛyɛ ade a ɛfata sɛ wobɛte abasamtu, ehu, na anidaso biara nni mu wɔ saa bere yi mu. Saa nkate horow no yɛ nea ɛwɔ hɔ ankasa, na ɛho hia.
Sɛ wuhu sɛ wo kokoram no asan aba ara pɛ a, ma wo ho bere kakra susuw ho na te tebea no ase. Afei, fi ase susuw nea wubetumi ayɛ de atra ase yiye sɛnea wubetumi biara ho.
- Di aduan a ahoɔden wom na ɛkari pɛ. Ɛyɛ papa sɛ wobɛhwehwɛ mmoa afi aduannuru ho ɔbenfo hɔ na wayɛ aduan ho nhyehyɛe a ɛfata wo.
- Nya apɔw-mu-teɛteɛ kakra. Biribi a ɛnyɛ den te sɛ nantew mpo betumi aboa ma adwennwen so atew na ama nipadua mu ahoɔden akɔ soro. Nanso, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn ansa na woafi apɔw-mu-teɛteɛ biara ase.
- Sɛ wonom sigaret anaa wonom nsa a, bɔ mmɔden sɛ wubegyae saa nneɛma no yɛ.
- Da yiye. Ahomegye ho hia ma nipadua no.
Mɛyɛ dɛn asi gyinae sɛ mepɛ sɛ mesan nya ayaresa anaasɛ mempɛ?
Eyi nyɛ gyinaesi a ɛyɛ mmerɛw. Nneɛma bi a ebetumi aboa wo wɔ saa bere yi mu ni:
1. Te ayaresa a wubetumi apaw ne nea efi mu ba no ase: Wo ne wo oncologist ne aduruyɛ kuw no nkasa. Bisa nsɛm biara a ɛsɛ sɛ wuhu.
2. Ka eyi ho asɛm kyerɛ w’abusua ne w’adɔfo: Wɔn mmoa no bɛhyɛ wo den wɔ gyinae biara a wubesi mu.
3. Susuw ho sɛ wubenya adwene a ɛto so abien afi oduruyɛfo foforo hɔ: Ebia ayaresa ahorow wɔ hɔ a ɛfata wo wɔ ayaresabea foforo.
4. Bisa wo duruyɛfo sɛ wubetumi de wo ho ahyɛ ayaresabea sɔhwɛ ahorow mu anaa: Eyinom yɛ nhwehwɛmu ahorow a ɛhwehwɛ ahobammɔ ne mfaso a ɛwɔ ayaresa foforo mu.
Awiei koraa no, gyinae a wubesi sɛ wobɛhwehwɛ ayaresa anaasɛ worenhwehwɛ no yɛ wo de. Ɛsɛ sɛ wo duruyɛfo, w’abusua, ne obiara susuw w’adwene ho, nanso gyinae a etwa to no yɛ wo de. Ɛyɛ obiara asɛde sɛ ɔkyerɛ obu ma saa gyinaesi no.
Nkrasɛm a Wɔde Kɔ Fie
- Kokoram a ɛsan ba bio ne kokoram koro no ara a ɛsan ba bere a wɔasa no yare akyi.
- Eyi betumi ayɛ beae koro no ara a na kokoram no wɔ ansa na (ɛhɔnom), ɛbɛn (ɔmantam), anaa akyirikyiri (akyirikyiri) wɔ nipadua no mu.
- Hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ wo mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu, ɛyaw anaa ɔfe a ɛkɔ so daa, ne akisikuru foforo. Sɛ wowɔ biribi a ɛhaw wo a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Ayaresa ahorow bi wɔ hɔ a wobetumi apaw ama kokoram a asan aba bio. Mma anidasoɔ nnyae.
- Gyinae a wubesi sɛ wobɛhwehwɛ ayaresa anaasɛ worenhwehwɛ no yɛ wo dea. Nya nsɛm a wuhia nyinaa, ne wo nnamfo nkasa, na si gyinae a ɛte sɛ nea ɛfata wo.
- Mma wo nkutoo nkɔ akwantu yi mu. Nya mmoa fi w’aduruyɛ kuw, w’abusua, ne wo nnamfo hɔ.
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