Nea ɛsɛ sɛ wuhu fa ahurututu mu kokoram akisikuru ho

So woafefe kakra? Ebia ɛne phlegm ka ho? Anaasɛ wote nka sɛ wo home yɛ wo yaw kakra? Yɛn werɛ taa fi saa nneɛma yi, na yesusuw sɛ ɛyɛ atiridii ara kwa. Nanso ɛntaa mma koraa sɛ ebia biribi foforo bi wɔ sɛnkyerɛnne ketewaa a ɛte saa akyi a ɛsɛ sɛ yɛhwɛ so. Ɛnnɛ yɛrebɛka kokoram tebea bi a ɛntaa nsi nanso ɛho hia yiye a ɛwɔ ahurututu mu ho asɛm. Ɛno ne Ahurututu mu Kokoram Akisikuru.

Sɛ yɛbɛka no tiawa a, dɛn ne saa ahurututu mu kokoram akisikuru yi?

Eyi hia nkyerɛkyerɛmu kakra. Nkwammoaa soronko bi wɔ yɛn nipadua mu a ɛyɛ ntini ne hormone nhyehyɛe no dea. Yɛfrɛ eyinom neuroendocrine nkwammoaa. Fa no sɛ saa nkwammoaa yi ne wɔn a wɔyɛ nhyehyɛe wɔ yɛn nipadua mu. Sɛ nkrasɛm bi fi ntini ahorow no mu ba a, wɔn adwuma ne sɛ wɔbɛyɛ hormone ahorow de ayɛ ho biribi na wɔadi dwumadi ahorow a ɛwɔ nipadua no mu so. Sɛ nhwɛso no, saa nkwammoaa yi boa ma yɛhwɛ ɔkwan a yɛn home kɔ ahurututu mu ne ɔkwan a aduan fa so fa aduan mu.

Enti, biribi nti, sɛ neuroendocrine nkwammoaa yi fi ase kyekyɛ na ɛdɔɔso a wontumi nni so a, akisikuru ba wɔ saa mmeae no. Yɛfrɛ ahurututu mu kokoram akisikuru kokoram a efi ase wɔ saa neuroendocrine nkwammoaa a ɛwɔ ahurututu no mu yi mu.

Nanso nsuro bere a wote asɛmfua "kokoram" no. Efisɛ saa akisikuru a ɛma kokoram yi gu ahorow abien. Ɛsono wɔn baanu no nneyɛe soronko koraa.

Cassinoid cyst ahorow atitiriw abien no

Wɔakyekyɛ wɔn mu ahorow abien titiriw a egyina sɛnea enyin ne sɛnea wotumi trɛw so.

Dɛn na ebetumi ayɛ tebea yi ho sɛnkyerɛnne?

Mpɛn pii no, titiriw wɔn a wɔwɔ akisikuru a ɛtaa ba no, wonni sɛnkyerɛnne biara . Wohu wɔn wɔ akwanhyia mu bere a wɔreyɛ wɔn koko X-ray esiane biribi foforo nti. Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne a edidi so yi:

• Ɔfe a ɛkɔ so daa (ɛtɔ mmere bi a mogya anaa nsu a ɛwɔ mu) .
• Koko mu yaw
• Ɔhome a ɛyɛ den (dyspnea) .
• ‘Abɛn’ nnyigyei a ɛyɛ mmerɛw a wobɛte bere a worehome (ahomegye) .

Tebea titiriw bi a wɔfrɛ no Carcinoid Syndrome

Ɛntaa mma koraa sɛ saa akisikuru yi fi ase yɛ hormone serotonin no pii dodo. Eyi betumi ama hormone ahorow a ɛnkari pɛ wɔ nipadua no mu, na ɛde sɛnkyerɛnne ahorow aba. Wɔfrɛ eyi carcinoid syndrome . Ne sɛnkyerɛnne ahorow no bi ne:

• Atiridiinini a emu yɛ den
• Anim ne kɔn a ɛyɛ kɔkɔɔ anaasɛ ɛyɛ hyew (a ɛyɛ hyew) .
• Mu duru a ɛkɔ soro a ntease nnim
• Ɔhome a ɛyɛ den anaasɛ sɛnkyerɛnne a ɛte sɛ ayamtu

Sɛ saa sɛnkyerɛnne ahorow yi wɔ hɔ a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Dɛn nti na akisikuru te sɛ eyi ba? So asiane ahorow bi wɔ hɔ?

Nokwarem no, wonnya nhuu nea enti pɔtee a saa neuroendocrine nkwammoaa yi fi ase kyekyɛ mpofirim a wontumi nni so .

Nanso, wɔahu sɛ nnipa binom wɔ asiane mu kakra sɛ wobenya saa tebea yi. Saa nneɛma yi bi ne:

• Sɛ́ obi wɔ awosu mu tebea bi a ɛntaa nsi a wonya fi awo mu a wɔfrɛ no Multiple Endocrine Neoplasia type 1 (MEN1) .
• Sigaretnom (titiriw ma atypical type) .
• Ɔbea a obi yɛ (mmea taa nya saa tebea yi kakra) .
• Being between the ages of 45 and 55. Ɛwom sɛ wɔtaa hu yare no wɔ nnipa a wɔadi mfe yi mu de, nanso saa tebea yi betumi aba wɔ mfe biara mu, wɔ mmofra nkumaa paa mpo mu.

Ɔkwan bɛn so na wobehu tebea yi?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi a, ɛsɛ sɛ wudi kan kɔ wo duruyɛfo nkyɛn. Obebisa wo wo yare no ho sɛnkyerɛnne ahorow, de afiri a wɔde tie asɛm atie wo moma so, na sɛ w’adwene mu yɛ wo naa a, ɔkamfo nhwehwɛmu ahorow bi a ɛbɛma woahu sɛ wowɔ wo yare no so dua.

1. Mfoninitwa: Ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛyɛ wo koko X-ray . Sɛ wohu sɛ biribi a ɛnteɛ a, wobetumi akra sɛ wɔnyɛ CT scan (Computed Tomography scan) . CT scan betumi ama ahurututu no ho mfonini a emu da hɔ yiye a wɔatwa no tiaa, na ama wɔatumi ahu akisikuru no kɛse ne beae a ɛwɔ.

2. Mogya ne nsu mu nhwehwɛmu: Wɔyɛ nhwehwɛmu yi de hwɛ sɛ ebia hormone ahorow bi a saa akisikuru yi yɛ no wɔ mogya anaa nsu mu anaa.

3. Biopsy: Eyi ne sɔhwɛ a ɛho hia sen biara a wɔde si yare no so dua 100%. Ɛha yi, woyi ntini ketewaa bi fi akisikuru no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Eyi betumi ahu pɛpɛɛpɛ sɛ ebia akisikuru no yɛ akisikuru a ɛte sɛ kokoram, a ɛtaa ba anaasɛ ɛnyɛ nea ɛtaa ba. Ɔkwan a wɔtaa fa so nya saa ntini nhwɛsode yi ne ahurututu mu nhwehwɛmu . Ɛha yi, wɔde afiri a ɛyɛ tratraa bi a mfoninitwa afiri ketewaa bi wom fa mframa kwan no mu kɔhwɛ akisikuru no na wɔfa ketewaa bi.

Dɛn ne ayaresa a wobetumi apaw?

Ayaresa a eye sen biara ma wo no begyina akisikuru no su, ne kɛse, beae a ɛwɔ, ne w’akwahosan nyinaa so. Asɛmpa no ne sɛ wobetumi asa ahurututu mu kokoram akisikuru dodow no ara koraa denam oprehyɛn nkutoo so.

Ayaresa atitiriw pii wɔ hɔ a wobetumi apaw:

• Sɛɛgyiri:
• Lobectomy: Woyi ahurututu no fã a ɛwɔ baabi a akisikuru no wɔ no koraa.
• Wedge Resection: Woyi akisikuru no ne ntini kakraa bi a atwa ho ahyia nkutoo fi hɔ.
• Pneumonectomy: Ɛntaa mma koraa sɛ ebia ɛho behia sɛ woyi ahurututu no nyinaa.
• Ntini mu ntini a woyi: Ebia oduruyɛfo a ɔyɛ oprehyɛn no besi gyinae sɛ obeyi ntini a ɛbɛn no ahwɛ sɛ kokoram no atrɛw anaa na amma antrɛw bio anaa.

• Radiation Therapy: Sɛ oprehyɛn no ntumi nyi akisikuru no mfi hɔ koraa anaasɛ ɔyarefo no wɔ ayaresa tebea bi mu a ɛmma wontumi nyɛ oprehyɛn no a, wɔde saa ayaresa yi ma. Ɛfa abɔnten so mframa a ɛma hann anaasɛ nneɛma nketenkete a ɛma mframa bɔ kɛse a wɔde bɛbɛn akisikuru no ho (brachytherapy).

• Nnuru a wɔde sa yare:Esiane sɛ saa akisikuru yi nyin nkakrankakra nti, nnuru a wɔde sa yare a wɔtaa de di dwuma a wɔde wɔn ani si nkwammoaa a enyin ntɛmntɛm so no ntumi nyɛ adwuma yiye. Enti, wɔntaa mfa saa ayaresa yi mma nnuru ahorow a wɔtaa de di dwuma. Nanso, ebia saa ayaresa yi ho behia ma atypical ahorow a ɛrenyin ntɛmntɛm anaasɛ bere a atrɛw akɔ akwaa afoforo mu no.

• Nnuru afoforo:
• Octreotide: Wɔde saa hormone aduru yi ma de siw sɛnkyerɛnne ahorow a carcinoid syndrome de ba no so.
• MTOR inhibitors (e.g. Everolimus): Aduru bi a esiw akisikuru nyin ano.

Dɛn ne sɛnea wɔn ho bɛtɔ wɔn ne nea wɔhwɛ kwan?

Eyi yɛ ɔhaw ma nnipa pii.

Atypical carcinoid tumors yɛ nea ɛyɛ den kakra sɛ wɔbɛsa. Asiane a ɛwɔ hɔ sɛ ɛbɛsan anya bi no dɔɔso kakra. Nanso, wobetumi adi tebea yi nso so yiye denam ayaresa ahorow a wɔaka abom a wɔde bedi dwuma so.

Sɛ yɛka ne nyinaa bom a, mfe anum a wɔde tra ase wɔ ahurututu mu kokoram akisikuru ahorow nyinaa mu no yɛ 89% a ɛkɔ soro yiye . Eyi kyerɛ sɛ, nnipa 100 a wohu sɛ wɔwɔ saa yare yi mu no, 89 da so ara wɔ apɔwmuden wɔ mfe 5 akyi.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wuhu sɛnkyerɛnne foforo anaa nea ɛreyɛ kɛse, titiriw ahome a ɛyɛ tiaa, akisikuru, anaa wo mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu a, ma wo duruyɛfo nhu. Mma ntwentwɛn wo nan ase sɛ wobɛka nsɛmmisa anaa nsɛm biara a ɛhaw wo ho asɛm.

Bere a ɛsɛ sɛ wokɔ ETU (Emergency Treatment Unit) ntɛm ara

Sɛ wowɔ sɛnkyerɛnne a emu yɛ den a edidi so yi a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara:

• Sɛ wote nka sɛ wo home yɛ tiaa paa (bere a woagye w’ahome mpo).
• Mogya a wɔfefe.
• Koko mu yaw foforo anaasɛ ɛreyɛ kɛse.
• Adwene a ɛyɛ basaa anaasɛ adwene a ɛsakra.
• Honam ani, anofafa, anaa nsateaa nnadewa a ɛsakra bruu (cyanosis).

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa bere a woanya yare a wɔahu te sɛ eyi no. Ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa wo duruyɛfo nsɛm te sɛ eyinom:

• So eyi yɛ nea ɛtaa ba anaasɛ ɛnyɛ nea wɔtaa yɛ?
• So eyi atrɛw akɔ mmeae afoforo?
• Ayaresa bɛn na wokamfo kyerɛ?
• Dɛn ne akisikuru a ɛte sɛɛ ho anidaso?
• Ɔkwan bɛn so na wobedi sɛnkyerɛnne ahorow ho dwuma wɔ fie?

Sɛ́ wobenya kokoram biara a wobehu no yɛ osuahu a emu yɛ den. Nanso kae sɛ ahurututu mu kokoram dodow no ara yɛ nea wotumi sa yiye na asiane a ɛwɔ hɔ sɛ ɛbɛsan aba bio no sua. Wo ne w’aduruyɛfo kuw no nkasa pefee mfa nea wobɛhwɛ kwan wɔ wo tebea no ho. Wɔbɛkyerɛkyerɛ ayaresa a eye sen biara mu akyerɛ wo na wɔabua nsɛmmisa biara a ebia wowɔ.