So mogya nso wɔ wo nsu mu? Anaasɛ wote nka sɛ ɛsɛ sɛ wotaa tow wo ho? Sɛ wuhu eyinom a, ebia wosuro paa, na wususuw sɛ, ‘Oo, so mewɔ akisikuru a me nso mewɔ akisikuru?’ Nanso mma nsuro. Ɛnyɛ sɛnkyerɛnne nyinaa na ɛkyerɛ kokoram. Enti, ɔkwan bɛn so ankasa na oduruyɛfo hu sɛ wowɔ saa yare yi anaa? Sɔhwɛ ahorow bɛn na wɔyɛ ma eyi? Yɛbɛka ho asɛm akɔ akyiri nnɛ, wɔ ɔkwan a wubetumi ate ase so.
Dɛn na oduruyɛfo no di kan yɛ?
Enti sɛ wokɔ oduruyɛfo nkyɛn a wowɔ saa sɛnkyerɛnne yi a, ade a obedi kan ayɛ ne sɛ ɔne wo bɛkasa. Obebisa w’akwahosan nyinaa, aduruyɛ mu tebea foforo biara a wowɔ, nnuru a wonom, ne sɛ ebia obi wɔ w’abusua mu anya akisikuru pɛn . Eyi bɛma oduruyɛfo no anya w’ayaresa ho abakɔsɛm ho adwene pa.
Afei, wo duruyɛfo no bɛyɛ wo nipadua mu nhwehwɛmu. Saa bere yi de, wobetumi ayɛ mmea akyi berɛmo mu nhwehwɛmu ne dijitaal akyi berɛmo mu nhwehwɛmu (DRE) ama mmarima. Ebia eyi bɛyɛ te sɛ nea ɛnyɛ dɛ kakra, nanso ɛyɛ sɔhwɛ a ɛho hia yiye. Ɛtɔ mmere bi a ebetumi ama wɔanya adwene a ɛyɛ den sɛ ebia wotumi de wɔn nsa ka akisikuru bi a ɛwɔ akisikuru no mu, sɛnea ɛsõ, ne sɛ ebia atrɛw anaa.
Sɛ oduruyɛfo no nya adwenem naayɛ foforo wɔ nhwehwɛmu ahorow a edi kan yi akyi a, obetumi de wo akɔ oduruyɛfo titiriw bi nkyɛn, oduruyɛfo a ɔhwɛ ntini mu yare, na afei ɔbɛyɛ nhwehwɛmu ahorow.
Dɛn na wobetumi ahu wɔ nsu mu nhwehwɛmu mu?
Nsu a wɔde yɛ nhwehwɛmu betumi ada nneɛma pii adi. Mpɛn pii no, eyi ne sɔhwɛ a edi kan a wɔyɛ.
| Sɔhwɛ Edin | Dɛn na wuhu wɔ eyi mu? |
|---|---|
| Nsu mu nhwehwɛmu | Sɛ yɛbɛka no tiawa a, eyi yɛ amanneɛbɔ a edi mũ. Ɛhwɛ wo nsu mu sɛ nneɛma te sɛ mogya, asikre, ne protein anaa. Etumi hu mogya kakraa bi mpo a ɛyɛ ketewaa dodo sɛ wɔde aniwa betumi ahu. |
| Nsuo mu Nkwammoaa Ho Nhwehwɛmu | Nea woyɛ wɔ ha ne sɛ wode afiri a wɔde hwɛ nneɛma nketenkete bɛhwehwɛ wo nsu mu nhwehwɛmu mu ahwɛ sɛ kokoram nkwammoaa bi wɔ mu anaa. |
| Nsuo Amammerɛ | Wobegyaw wo nsu a woayɛ no ma anyin wɔ lab nna kakraa bi de ahwehwɛ mmoawa a ebetumi de ɔyare mmoawa aba. Eyi bɛma woahu sɛ wowɔ nsu mu yare bi anaa. |
| Nsuo mu Tumor Marker Nhwehwɛmu | Ɛtɔ mmere bi a, akisikuru nkwammoaa yi nneɛma pɔtee bi gu nsu no mu. Saa sɔhwɛ yi hwehwɛ saa nneɛma yi. |
Cystoscopy (wɔde mfoninitwa afiri a wɔde hwehwɛ akisikuru mu) .
Ebia saa din yi bɛyɛ te sɛ nea ɛyɛ hu kakra, nanso eyi ne ɔkwan titiriw a wɔfa so hu akisikuru a ɛyɛ pɛpɛɛpɛ sen biara.
Fa no sɛ tube a ɛyɛ fɛ yiye na ɛyɛ tratraa. Ɛwɔ mfoninitwa afiri ketewaa bi ne kanea bi wɔ n’awiei. Oduruyɛfo no de ahwɛyiye de saa afiri yi (a wɔfrɛ no cystoscope) hyɛ wo nsu a ɛkɔ wo nsu mu ne wo akisikuru mu. Afei, ɔfa afiri no mu de nkyene nsu hyɛ akisikuru no ma, na ɛma ɛhohoro kakra. Afei, mfoninitwa afiri no tumi hu wo akisikuru no mu yiye.
Ansa na wɔbɛyɛ eyi no, wo urethra ne wo akisikuru no yɛ mmerɛw. Ɛtɔ mmere bi a, sɛ wɔyɛ no wɔ oprehyɛn dan mu a, wɔma wo akisikuru koraa, a ɛkyerɛ sɛ wunnim hwee. Enti wonte biribiara nka.
Beae a adwenem naayɛ a woyi fi hɔ na wɔsɔ hwɛ (TURBT) .
Sɛ oduruyɛfo no hu baabi a ɛte sɛ nea ɛyɛ adwenem naayɛ te sɛ akisikuru bere a ɔrehwɛ mfoninitwa afiri no mu a, ntɛm ara obegye emu ketewaa bi na ɔde akɔma wɔakɔyɛ nhwehwɛmu. Eyi ne nea yɛfrɛ no biopsy .
Ɛtɔ mmere bi a, oduruyɛfo no bɛyɛ oprehyɛn bi a wɔfrɛ no TURBT (Transurethral Resection of Bladder Tumor) . Wɔ eyi mu no, bere a mfoninitwa afiri no wɔ nea ɛwɔ hɔ no, ɛkame ayɛ sɛ wɔde adwinnade titiriw bi twa akisikuru a ɛyɛ hu no na woyi fi hɔ koraa. Bere koro no ara mu no, woyi akisikuru ntini a atwa akisikuru no ho ahyia no fã bi nso fi hɔ. Afei, wɔde saa asinasin yi kɔ adwumayɛbea hɔ kɔhwɛ sɛ ebia ɛyɛ kokoram ankasa anaa, na sɛ ɛte saa a, sɛnea atrɛw akɔ akyiri.
Scan ne X-ray (Mfonini Ho Sɔhwɛ) .
Sɛ wohu sɛ kokoram wɔ hɔ a, wɔde mfonini ahorow di dwuma de hwɛ baabi a atrɛw akodu ne sɛ ebia atrɛw akɔ akwaa afoforo mu anaa. Eyinom twa nneɛma a ɛwɔ wo nipadua mu ho mfonini.
| Sɔhwɛ Edin | Dɛn na woyɛ na wusua fi eyi mu? |
|---|---|
| Pyelogram a Wɔde Fa Ntini Mu (IVP) . | Eyi yɛ X-ray bi. Wɔde aduru titiriw bi gu wo ntini mu. Bere a saa aduru yi fa w’asaabo mu na ɛkɔ wo nsu mu no, X-ray no kyerɛ nneɛma te sɛ akisikuru pefee. |
| CT Scan a wɔde yɛ nhwehwɛmu | Eyi betumi atwa w’asaabo, akisikuru, ne nsu a ɛkɔ wo nsu mu ho mfonini wɔ 3D mu. Etumi hu akisikuru a ɛwɔ nsu a ɛkɔ nsu mu ne ntini a ɛma mogya tu mu nso pefee de hwɛ sɛ kokoram no atrɛw anaa. |
| MRI Scan a Wɔde Yɛ Adwuma | Magnetic resonance imaging (MRI) de magnetic asorɔkye di dwuma de twa nipadua no mu mfonini. Eyi nso betumi aboa ma wɔahu sɛnea nsu a ɛkɔ nipadua no mu ne ntini a atwa ho ahyia no te yiye. |
| Ultrasound Scan a Wɔde Yɛ Adwuma | Ɛde nnyigyei asorɔkye twa akisikuru no mfonini. Eyi tumi susuw nneɛma te sɛ akisikuru a ɛwɔ akisikuru no mu kɛse. |
| Chest X-ray ne Nnompe mu Nhwehwɛmu | Ɛtɔ mmere bi a, akisikuru tumi trɛw kɔ ahurututu anaa nnompe mu. Wɔyɛ saa X-ray ne nnompe mu nhwehwɛmu yi de kyerɛ sɛ ebia eyi asi anaa. |
Ɛnam nsɛm a efi nhwehwɛmu ahorow yi nyinaa mu a ɔka bom so na oduruyɛfo no du wo tebea no ho asɛm a etwa to na osi ayaresa kwan a ɛfata wo kɛse ho gyinae.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wowɔ sɛnkyerɛnne bi te sɛ mogya wɔ wo nsu mu a , mmu w’ani ngu so da. Mfa no sɛ ɛyɛ ade a ɛfata. Hwɛ oduruyɛfo ntɛm ara sɛnea wubetumi.
- Nhwehwɛmu ahorow (te sɛ cystoscopy ne biopsy) a wɔyɛ bere a wosusuw sɛ akisikuru wɔ akisikuru mu no betumi ayɛ hu kakra. Nanso, wɔyɛ no wɔ ɔkwan bi so a worente ɛyaw anaa wo ho nyɛ wo dɛ biara, na sɛ ɛho hia a, wɔde aduru a wɔde kum nipadua no na ɛyɛ.
- Wɔayɛ sɔhwɛ biara sɛnea ɛbɛyɛ a wobehu nea ɛyɛ ɔhaw no ankasa. Enti nsuro sɛ wobɛyɛ nhwehwɛmu a wo duruyɛfo kamfo kyerɛ no. Ɛyɛ w’ankasa wo yiyedi nti.
- Wo ne wo duruyɛfo nkasa pefee wɔ nsɛmmisa, ehu, anaa dadwen biara a ebia wowɔ ho. Mma ɛnhaw wo sɛ "nea oduruyɛfo no besusuw sɛ mibisa wo eyi a." Ɛyɛ wo hokwan sɛ wobɔ wo tebea no ho amanneɛ yiye.
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