Na sɛ kokoram a ɛwɔ akyi berɛmo mu trɛw kɔ mmerɛbo no mu nso ɛ? (Colon Cancer with Liver Metastasis) Momma yɛnhwɛ eyi

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka na wo ho adwiriw wo bere a wo anaa obi a wunim no anya kokoram wɔ akyi berɛmo mu na afei woahu sɛ atrɛw akɔ mmerɛbo no mu no. Nnuruyɛfo frɛ saa kokoram a ɛkɔ mmeae afoforo, anaasɛ kokoram a ɛto so IV. Ɛtɔ mmere bi a, ebia kokoram no trɛw kɔɔ mmerɛbo no mu bere a wodii kan hui no. Anaasɛ, ebia kokoram no bɛsan aba na atrɛw akɔ mmerɛbo no mu bere a wɔasa no yare awie no. Ɛyɛ awosu sɛ wobɛte ehu nka bere a wote eyi no, nanso mma ɛnhaw wo. Sɛ wode nnɛyi ayaresa a ɛkɔ akyiri di dwuma a, wubetumi adi wo yare no ho sɛnkyerɛnne so, ama w’asetra atu mpɔn, na aboa wo ma woatra ase akyɛ. Ɛnnɛ, yɛbɛka eyi ho asɛm akɔ akyiri.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Nsɛnkyerɛnne no betumi ayɛ soronko a egyina sɛnea kokoram no kɛse te ne baabi a atrɛw wɔ nipadua no mu so. Nea ɛyɛ nwonwa no, nnipa binom nhu sɛnkyerɛnne biara sɛ wɔn dwensɔtwaa mu kokoram atrɛw akɔ mmerɛbo mu mpo a. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba a wotumi hu.

Nea ɛho hia ne sɛ wobetumi ahu saa sɛnkyerɛnne ahorow yi wɔ ayaresa tebea afoforo mu nso. Enti nsuro sɛ wubenya saa sɛnkyerɛnne ahorow yi biako anaa nea ɛboro saa. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn na woanya afotu.

Nsɛnkyerɛnne a ɛtaa ba no bi kyerɛ pon a ɛwɔ ase ha no.

Ɔkwan bɛn so na wobetumi ahu yare no pɛpɛɛpɛ?

Sɛnea ɛbɛyɛ na woahu no yiye sɛ wo dwensɔtwaa mu kokoram no atrɛw akɔ wo mmerɛbo mu no, wo duruyɛfo no bɛyɛ nhwehwɛmu kakraa bi. Nea edi kan no, wobebisa wo nsɛm kakraa bi. Afei, wɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu bi mfa nhwɛ sɛnea wo mmerɛbo no yɛ adwuma na wɔnyɛ scan ahorow bi de hwɛ baabi pɔtee a kokoram no wɔ ne sɛnea ɛsõ.

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Dɛn ne ayaresa a wobetumi apaw?

Ade a ɛho hia sɛ yɛte ase wɔ ha ne sɛ, sɛ kokoram no atrɛw akɔ mmerɛbo no mu mpo a, saa kokoram nkwammoaa no da so ara yɛ kokoram nkwammoaa a ɛwɔ akyi berɛmo mu , na ɛnyɛ mmerɛbo mu kokoram nkwammoaa. Enti, wɔbɛsa wo yareɛ sɛdeɛ wɔbɛyɛ wo yareɛ wɔ kokoram a ɛwɔ akyi berɛmo mu no. Ebia ebehia sɛ woyɛ ayaresa biako anaa nea ɛboro saa bere koro mu.

Sɛɛgyiri

Bere biara a ɛbɛyɛ yiye no, ayaresa titiriw ne sɛ wɔde oprehyɛn beyi kokoram no afi hɔ. Oduruyɛfo a ɔyɛ oprehyɛn no bɔ mmɔden sɛ obeyi kokoram no dodow biara afi mmerɛbo ne akyi berɛmo no mu. Sɛ kokoram biako pɛ na ɛwɔ mmerɛbo no mu a, hokwan a ɛwɔ hɔ sɛ obenya nkwa wɔ oprehyɛn akyi no yɛ kɛse yiye.

Nnuru a wɔde sa yare

Eyi ne nea yɛn nyinaa nim sɛ ‘chemo’. Wobetumi de chemo ama ansa na wɔayɛ oprehyɛn de atew kokoram nkwammoaa no so sɛnea ɛbɛyɛ a wobetumi ayi afi hɔ ntɛm. Wobetumi de chemo nso ama wɔ oprehyɛn akyi de akum kokoram nkwammoaa biara a aka.

Mframa a Wɔde Yɛ Ayaresa

Mframa a wɔde sa yare ne X-ray a ahoɔden kɛse wom a wɔde sɛe kokoram nkwammoaa. Sɛ oprehyɛn ntumi nyi akisikuru no mfi hɔ anaasɛ mfa ntew yare no ho sɛnkyerɛnne so a, wɔde di dwuma.

• Radioembolization: Wɔ eyi mu no, wɔde nhama nketenkete a ɛyɛ radioactive fa mogya no mu kɔ ntini a ɛde mogya kɔ mmerɛbo mu kokoram no mu no mu. Eyinom kɔ hɔ na wɔma mframa a ɛbɔ wɔ baabi a kokoram no wɔ nkutoo.
• Brachytherapy: Wɔ eyi mu no, wɔde nneɛma nketenkete a ɛma anyinam ahoɔden kɔ akisikuru no mu tẽẽ denam afiri a wɔde fa nsu mu so na wogyaw wɔ hɔ simma kakraa bi.

Ayaresa a Wɔde Wɔn Ani Ahyɛ So

Eyinom yɛ nnuru foforo a ɛkɔ akyiri. Nea ɛnte sɛ chemo a wɔyɛ no daa no, nnuru yi de wɔn ani si molecule pɔtee bi a ɛboa ma kokoram nkwammoaa nyin na ɛtrɛw so tẽẽ. Eyi mma nkwammoaa a ɛwɔ apɔwmuden no nsɛe pii. Cetuximab (Erbitux) ne Bevacizumab (Avastin) yɛ nnuru abien a ɛte saa.

Nnuru a ɛko tia nyarewa

Eyi nso yɛ ayaresa a ɛkɔ akyiri yiye. Sɛ yɛbɛka no tiawa a, saa nnuru yi boa wo nipadua no ankasa nipadua mu tumi a ɛko tia nyarewa no ma wohu kokoram nkwammoaa na ɛtow hyɛ wɔn so. Nivolumab (Opdivo) ne Pembrolizumab (Keytruda) yɛ nnuru yi ho nhwɛso.

Ɔkwan bɛn so na ɛsɛ sɛ wohwɛ wo ho?

Kokoram a wobɛtra ase no yɛ ɔko kɛse, wɔ nipadua ne adwene nyinaa mu. Ɛho hia sɛ wohwɛ wo ho yiye wɔ saa bere yi mu.

• Gye w’ahome na nna: Gye w’ahome pii na ama woako atia ɔbrɛ.
• Aduan pa: Bere a wɔreyɛ ayaresa no, ebetumi ayɛ den ama wo nipadua sɛ ɛbɛtwe aduannuru. Enti, ka kyerɛ wo duruyɛfo sɛ ɔnkɔhwɛ aduan ho ɔbenfo. Wobetumi aboa wo ma woayɛ aduan ho nhyehyɛe a ɛbɛma woanya calories ne aduannuru a wuhia.
• Adwene mu akwahosan:Eyi ho hia paa. Wo ne w’adamfo anaa w’abusua muni bi a wowɔ ne mu ahotoso nka wo nkate, wo suro, ne wo dadwen ho asɛm. Ebia wonnim ɔkwan a wɔbɛfa so aboa wo. Enti ka nea wuhia kyerɛ wɔn. Bisa wɔn sɛ, "Me ho atɔ me nnɛ. So ɛbɛyɛ wo yaw sɛ wubetie me?" Bisa wo duruyɛfo no afotufo ne asetra mu nsɛm ho adwumayɛfo a wobetumi aboa wo ho asɛm.