Momma yensua kokoram bi a ɛyɛ nwonwa a ɛbata nyinsɛn ho ho ade? (Akoma mu kokoram) .

So woate edin Choriocarcinoma ho asɛm pɛn? Ebia eyi bɛyɛ asɛmfua foforo ama wo. Eyi yɛ kokoram a ɛntaa nsi koraa na ɛyɛ hu kakra ankasa. Nanso mma ɛnhaw wo, momma yɛnka ho asɛm nkɔ akyiri. Mpɛn pii no, saa tebea yi ne nyinsɛn wɔ abusuabɔ. Enti, ɛho hia paa sɛ yehu eyi.

Dɛn ne Choriocarcinoma?

Sɛ yɛbɛka no tiawa a, choriocarcinoma yɛ kokoram bi a ɛba wo awotwaa anaa wo mmadwoa mu na ebetumi atrɛw ntɛmntɛm. Eyi nso yɛ ahorow atitiriw abien.

Wɔfrɛ choriocarcinoma a ɛtaa ba bere a wɔyem no Gestational Choriocarcinoma . Eyi yɛ kuw bi a wɔfrɛ no Gestational Trophoblastic Disease (GTD) dea. GTD yɛ kokoram tebea a ɛba nkwammoaa a efi awotwaa mu bere a wɔyem no mu. Sɛnea wunim no, awotwaa no ne nipadua no fã a ɛho hia sen biara a ɛnam awotwaa no mu ma akokoaa no nya mframa pa ne aduannuru.

Wɔtaa hu choriocarcinoma wɔ mmea a wɔanyinsɛn wɔ anom so . Nyinsɛn a ɛwɔ awotwaa mu yɛ tebea a ɛma hydatidiform mole nyin wɔ awotwaa mu sen sɛ ɛbɛyɛ awotwaa esiane sintɔ bi a ɛwɔ nkesua ne mmadwoa a ɛwo mu nti. Ebetumi aba nso wɔ nyinsɛn a ɛwɔ awotwaa no akyi , nyinsɛn a atu, anaa awo a ɛfata mpo akyi.

Ade a ɛyɛ hu sen biara wɔ kokoram yi ho ne sɛ ebetumi atrɛw ntɛmntɛm yiye akɔ nipadua no afã afoforo. Nhwɛsoɔ:

• Ahrawa
• Awotwaa mu ntini a ɛwɔ nipadua no mu
• Ntini a ɛma mogya tu
• Mmɛn anaa asaabo
• Adwene
• Mogya ntini ahorow

Nanso asɛmpa no ne sɛ wɔ nsɛm dodow no ara mu no, wobetumi de nnuru a wɔde sa yare asa choriocarcinoma tebea yi koraa .

Dɛn ne choriocarcinoma ahorow?

Sɛnea yɛadi kan aka no, choriocarcinoma ahorow abien na ɛwɔ hɔ:

1. Gestational Choriocarcinoma: Eyi ne nea abu so sen biara. Ebetumi aba bere a wɔyem anaa nyinsɛn akyi bere tiaa bi.

2. Choriocarcinoma a ɛnyɛ nyinsɛn mu: Eyi betumi aka mmarima ne mmea nyinaa. Ɛyɛ ɔyare mmoawa nkwammoaa akisikuru bi. Wɔ mmea mu no, ebetumi aba wɔ awotwaa mu anaa awotwaa no mu, nanso ɛne awotwaa no nni abusuabɔ. Wɔ mmarima mu no, ebetumi aba wɔ mmadwoa mu.

Saa yare yi abu so dɛn?

Gestational Choriocarcinoma (GCT) yɛ bɛyɛ 5% wɔ GTD nsɛm mu. Wɔ ɔman te sɛ United States mpo mu no, GTD nsɛm no ba wɔ nyinsɛn nyinaa mu bɛyɛ 0.1% mu. Enti, susuw eyi ho: GCT ho yɛ na mpo. Ɛba wɔ nyinsɛn 100,000 biara mu a ennu 7 mu wɔ United States. Eyi kyerɛ sɛ ɛyɛ tebea a ɛntaa nsi koraa wɔ Sri Lanka nso.

Dɛn ne Choriocarcinoma ho sɛnkyerɛnne ahorow?

Obi a ɔwɔ choriocarcinoma, titiriw nea wanyinsɛn nnansa yi no betumi anya yare no ho sɛnkyerɛnne te sɛ:

• Mogya a ɛba ɔbea no awotwaa mu a ɛnkɔ so daa
• Ɛyaw a ɛba akyi berɛmo mu

Sɛ kokoram no trɛw kɔ nipadua no afã afoforo a, sɛnkyerɛnne afoforo betumi aba, te sɛ:

• Sɛ ɛtrɛw kɔ ahurututu mu a: ɔfe, ɛyɛ den sɛ wobɛhome.
• Sɛ ɛtrɛw kɔ ɔbea no awotwaa mu a: mogya a ɛtɔ kɛse, nsu a ɛtɔ a ɛnyɛ ne kwan so, ne awotwaa mu akisikuru.
• Sɛ ɛtrɛw kɔ amemene no mu a: Akisikuru, tiyɛ.
• Sɛ ɛtrɛw kɔ asaabo anaa mmerɛbo mu a: yafunu mu yaw.

Dɛn ne nea enti a ɛte saa?

Choriocarcinoma ba bere a nkwammoaa a ɛyɛ awotwaa (a wɔfrɛ no trophoblasts) no dan kokoram no. Ebetumi aba ntɛm wɔ nyinsɛn mu anaa akyiri yi. Nnipa a wonya choriocarcinoma no mu bɛyɛ 50% adi kan anya nyinsɛn a ɛyɛ molar. Nyinsɛn a ɛwɔ awotwaa mu ne bere a kotoku a nsu ahyɛ mu ma nyin wɔ awotwaa no mu sen sɛ ɛbɛyɛ akokoaa.

Wɔ choriocarcinoma a ɛnyɛ nyinsɛn mu no, nkwammoaa a ɛwɔ awotwaa, awotwaa, anaa awotwaa mu no fi ase yɛ hormone bi a wɔfrɛ no human chorionic gonadotropin (hCG) . Sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ saa nkwammoaa yi a, ɛte sɛ trophoblast nkwammoaa.

Gestational Choriocarcinoma nyin ntɛmntɛm dɛn?

Bere pɔtee biara nni hɔ a eyi betumi anya nkɔso. Ebetumi ada adi wɔ nyinsɛn akyi asram anaa mfe pii mpo. Nanso, wobu no sɛ kokoram a ɛtrɛw ntɛmntɛm yiye, a ano yɛ den.

Dɛn ne asiane ahorow a ɛde tebea yi ba?

Obiara a wanyinsɛn (sɛ́ ɛyɛ nyinsɛn a wotu gu, nyinsɛn a ɛwɔ awotwaa no akyi, nyinsɛn a wogyae, anaa awo a ɛfata) betumi anya choriocarcinoma. Nanso, sɛ woanya nyinsɛn a ɛyɛ molar a, wowɔ asiane kɛse mu.

Nneɛma afoforo a ɛde asiane ba ne:

• Sɛ́ obi nni mfe 20 anaa boro mfe 40 bere a onyinsɛn no.

Dɛn ne nsɛnnennen a ɛwɔ tebea yi mu?

Sɛ wɔansa choriocarcinoma a, ebetumi akum obi, efisɛ kokoram a ɛte sɛɛ trɛw ntɛmntɛm paa.Nanso sɛ wɔde sa yare a, nnipa pii betumi anya yare anaa ayaresa koraa. Sɛnea ɛte wɔ kokoram afoforo ho no, wonya nea eye sen biara bere a wohu na wɔsa no ntɛm no.

Ɔkwan bɛn so na wohu Choriocarcinoma?

Oduruyɛfo de nhwehwɛmu ahorow yi di dwuma de hu choriocarcinoma:

• Wɔyɛ akyi berɛmo mu nhwehwɛmu anaa nipadua mu nhwehwɛmu de hwɛ sɛ akisikuru biara wɔ hɔ anaa.
• Wɔyɛ mogya mu nhwehwɛmu de hwɛ sɛnea hCG (human chorionic gonadotropin) dodow te. Nnipa a wɔwɔ choriocarcinoma no wɔ hCG dodow a ɛkɔ soro yiye.
• Mogya mu nhwehwɛmu de hwɛ sɛnea mmerɛbo ne asaabo yɛ adwuma.
• Mogya a Wɔkan a Edi Mu (CBC).
• Pelvic ultrasound a wɔde yɛ nhwehwɛmu.
• CT scan (Kɔmputa so Tomography - CT mfoninitwa).
• MRI scan (Magnetic Resonance Imaging - MRI) a wɔde hwehwɛ nneɛma mu.
• Koko so X-ray a wɔyɛ.

Saa nhwehwɛmu ahorow yi nso betumi aboa oduruyɛfo no ma wahu sɛ kokoram no atrɛw anaa.

Ɔkwan bɛn so na wɔsa Choriocarcinoma?

Nnuruyɛfo gyina sɛnea ɛkɔ so no so sa choriocarcinoma. Kokoram no fã ne sɛnea oduruyɛfo no kyekyɛ kokoram no mu, a egyina nneɛma te sɛ akisikuru no kɛse ne sɛ ebia atrɛw wɔ awotwaa no akyi so. Wosusuw w’akwahosan nyinaa ne nea w’ankasa wopɛ nso ho bere a wɔreyɛ ayaresa nhyehyɛe no.

Ayaresa titiriw a wɔde sa choriocarcinoma ne nnuru a wɔde sa yare. Nnuru a wɔde sa yare yɛ aduru bi a ekum kokoram nkwammoaa.

Ebia nnipa binom behia sɛ wotwa awotwaa no, wɔde mframa a wɔde sa yare, anaa ayaresa yi a wɔaka abom.

Sɛ wɔsa wo yare wie a, wo duruyɛfoɔ bɛkɔ so ahwɛ wo sɛ ebia ɛsan ba bio (nhwehwɛmu a wɔdi akyire).

So wobetumi asa choriocarcinoma kokoram?

Yiw, wobetumi asa choriocarcinoma. Mpɛn pii no, wobetumi de nnuru a wɔde sa yare asa. Sɛ wɔkyere no ntɛm, ansa na atrɛw akɔ nipadua no afã afoforo a, hokwan a ɛwɔ hɔ sɛ wɔbɛsa no yɛ kɛse koraa.

Ayaresa betumi ayɛ den kakra wɔ nsɛm yi mu:

• Sɛ woadi kan anya nnuru a wɔde sa yare na anyɛ yiye a.
• Sɛ saa yare yi ba wɔ nyinsɛn a edi mũ anaa awo akyi a.
• Sɛ hCG dodow boro 40,000 mIU/ml (milli-international units per milliliter) ansa na wɔafi ayaresa ase a. (hCG yɛ hormone a awotwaa no yɛ bere a nyinsɛn no).
• Sɛ wunyaa sɛnkyerɛnne ahorow bɛboro asram anan ansa na worefi ayaresa ase anaasɛ na woanyinsɛn a.

So wobetumi asiw choriocarcinoma ano?

Dabi, wontumi nsiw choriocarcinoma ano. Nanso , sɛ woanya nyinsɛn a ɛyɛ molar a, ɛho hia yiye sɛ wo ne wo duruyɛfo kasa fa asiane a ɛwɔ hɔ sɛ wubenya choriocarcinoma ho.

Bere tenten ahe na wubetumi atra ase wɔ Choriocarcinoma ho?

Choriocarcinoma a ɛwɔ ne mfiase no wɔ adwene pa. Ɛkame ayɛ sɛ nnipa a wɔwɔ nyinsɛn mu choriocarcinoma a asiane nnim no nkwa nna yɛ 100%. Nnipa a wɔwɔ nyinsɛn mu choriocarcinoma a asiane kɛse wom no nkwa nna yɛ 94%.

Non-gestational choriocarcinoma (a ɛne nyinsɛn/awotwaa mu ntini a na ɛnteɛ a atwam no nni abusuabɔ) wɔ nkɔmhyɛ a enye kakra. Ɛnyɛ nnuru a wɔde sa yare nso kɛse, a ɛkyerɛ sɛ ebia nnuru a wɔde sa yare no rentumi nkum kokoram nkwammoaa mu saa.

So wobetumi asa Stage 4 Choriocarcinoma?

Stage 4 choriocarcinoma kyerɛ sɛ kokoram no atrɛw akɔ wo nipadua no afã afoforo te sɛ w’amemene anaa wo mmerɛbo mu. Wo nnuruyɛfo ne wo bɛkasa afa eyi ho. Nanso , hokwan da so ara wɔ hɔ sɛ yare no bɛkɔ akɔyɛ mmerɛw.

Sɛ mewɔ choriocarcinoma a, so metumi awo akokoaa foforo?

Ebia. Nnipa pii atumi awo mma bio bere a wɔasa choriocarcinoma yare no akyi. Egyina sɛnea wohu yare no so. Sɛ wopɛ sɛ wowo mma a, wo ne wo duruyɛfo nka ho asɛm. Afei wobetumi ama wo ayaresa a eye sen biara.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ mogya tu wo awotwaa mu a ɛnyɛ ne kwan so anaasɛ wo yafunu ase yɛ wo yaw, titiriw sɛ woanyinsɛn wo awotwaa mu pɛn a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.

Choriocarcinoma yɛ kokoram a ɛntaa nsi nanso emu yɛ den. Ɛyɛ ade a ɛfata sɛ wobɛte adwennwen nka bere a wɔahu sɛ wowɔ yare no te sɛ eyi no. Nanso, mpɛn pii no, nkɔmhyɛ a ɛfa choriocarcinoma ho no ye yiye. Wo ne wo duruyɛfo nkasa mfa nsɛm biara a ɛhaw wo anaa nsɛmmisa biara a ebia wowɔ ho. Wɔwɔ hɔ sɛ wobebua wo nsɛmmisa na wɔama wo ayaresa a eye sen biara.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

• Choriocarcinoma yɛ kokoram a ɛntaa nsi na ɛtrɛw ntɛmntɛm a ebetumi abata nyinsɛn ho.
• Wɔn a wɔanya nyinsɛn a wɔde anom ayɛ no wɔ asiane kɛse mu.
• Hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ mogya a ɛtɔ wɔ ɔbea no awotwaa mu a ɛyɛ soronko ne yafunu ase yaw ho.
• Saa tebea yiWobetumi de nnuru a wɔde sa yare no asa no kɛse.
• Sɛ wohu no ntɛm na wɔsa yare a, ɛho hia yiye.
• Sɛ wowɔ adwenem naayɛ anaa sɛnkyerɛnne bi a, hwehwɛ aduruyɛfo afotu ntɛm ara. Mma ɛnhaw wo, nnuruyɛfo ayɛ krado sɛ wɔbɛboa wo.

` Choriocarcinoma, kokoram, nyinsɛn, awotwaa, nnuru a wɔde sa yare, molar nyinsɛn, hCG