So wowɔ nsensanee kɔkɔɔ wɔ w’anom? Wunnim sɛ ɛyɛ erythroplakia! Momma yɛnka eyi ho asɛm.

So woahyɛ no nsow pɛn wɔ ahwehwɛ mu bere a worehohoro wo sẽ anaa worehohoro w’ano no, baabi kɔkɔɔ anaa nsensanee bi wɔ w’ano mu, ebia wo tɛkrɛma, wo hwene mu, anaa wo tɛkrɛma ase? Ɛtɔ mmere bi a, ebia eyinom rentaa mma saa. Nanso m’adamfo, nsensanee kɔkɔɔ bi te sɛ eyi, sɛ yɛka aduruyɛ mu asɛm a, ebia efi tebea bi a wɔfrɛ no erythroplakia . Eyi yɛ biribi a ɛtɔ mmere bi a ɛsɛ sɛ wohaw wo ho kakra.

Dɛn ne Erythroplakia, adamfo?

Sɛ yɛbɛka no tiawa a, erythroplakia yɛ tebea a ɛma nsensanee kɔkɔɔ anaa nsensanee nyin wɔ w’ano a ɛyɛ mmerɛw (a wɔfrɛ no anom ntini) no so. Eyinom betumi apue wɔ wo tɛkrɛma so, wo hwene mu, wo tɛkrɛma ase, anaa mpo wo menewam.

Susuw ho hwɛ, were a ɛwɔ yɛn ano no yɛ mmerɛw yiye, ɛnte saa? Ɛhɔ na saa nsensanee kɔkɔɔ yi ba. Mpɛn pii no, saa erythroplakia nsensanee yi nyɛ asiane biara. Nanso, nea ɛho hia sen biara ne sɛ emu bi betumi ayɛ kokoram tebea horow, anaasɛ ebetumi ayɛ nea edi kokoram anim. Ɛno nti na ɛho hia sɛ woka kyerɛ oduruyɛfo sɛ wuhu biribi a ɛyɛ soronko wɔ w’anom a.

Hena na ɛda adi kɛse sɛ obenya eyi?

Erythroplakia betumi aba obiara mu ankasa. Nanso, nnipa binom taa nya bi.

• Wɔn a wɔnom sigaret: Nnipa a wɔnom sigaret no taa nya saa tebea yi.
• Wɔn a wɔnom tawa (wɔn a wɔnom tawa a wɔwe): Nnipa a wɔwe tawa a wɔde betel nhaban ayɛ no nso wɔ asiane mu.
• Nnipa a wɔadi boro mfe 40: Mpɛn pii no, tebea yi taa ba bere a obi nyin no.

Wɔ Sri Lanka no, betel nut a wodi ne tawa a wɔnom no dɔɔso kakra, ɛnte saa? Enti eye sɛ wɔn a wɔwɔ suban a ɛte saa no behu eyi titiriw.

Erythroplakia abu so dɛn?

Ɛnyɛ nea abu so te sɛ leukoplakia (yare a ɛma ano yɛ fitaa). Sɛ yɛbɛka no tiawa a, wɔka sɛ mpanyimfo 2,500 biara mu bɛyɛ 1 wɔ United States. Nanso esiane sɛ ɛnyɛ nea ɛtaa ba nti, ɛnkyerɛ sɛ yɛn nso yentumi nnya.

So Erythroplakia yɛ nea asiane wom? So ɛsɛ sɛ ɛhaw yɛn?

Ade a ɛho hia ni. Nnuruyɛfo bu erythroplakia sɛ tebea a edi kokoram anim . Eyi kyerɛ sɛ saa nsensanee yi bi betumi abɛyɛ kokoram, anaasɛ adan kokoram.

Nanso mma ɛnhaw wo! Erythroplakia nsensanee dodow no ara nyɛ asiane biara. Nanso, sɛ wubehu no yiye a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn na wokɔhwɛ.

Sɛ wuhu sɛ nsensanee anaa nsensanee bi a ɛyɛ soronko wɔ w’anom a, kɔ oduruyɛfo anaa nsensan ho oduruyɛfo nkyɛn ntɛm ara. Wobetumi ayɛ biopsy (ntini ketewaa bi a wɔfa de yɛ nhwehwɛmu) sɛ ɛho hia a, ahwɛ sɛ ɛyɛ kokoram anaa.

Dɛn ne eyi ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Nnipa dodow no ara a wɔwɔ erythroplakia no nnya ɛyaw anaa sɛnkyerɛnne afoforo a ɛda adi pefee mfiase no. Ɛno nti na ebia wunnim mpo sɛ wowɔ bi no. Nanso, ebia wubehu nneɛma te sɛ:

• Nsonsonoe kɔkɔɔ biako anaa nea ɛboro saa a ɛyɛ nsensanee wɔ ano no mu .
• Ebia saa nsensanee yi bɛkɔ soro kakra anaasɛ ayɛ petee .
• Ebia ntini a nsensanee no wɔ no bɛyɛ torotoro te sɛ velvet anaasɛ ebetumi ayɛ sɛ nea ɛyɛ granular .
• Ɛtɔ mmere bi a, sɛ wopetepete saa nsensanee yi ase a, mogya betumi afi mu aba .

Sɛ wuhu biribi te sɛ eyi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wode kyerɛ oduruyɛfo.

Dɛn nti na erythroplakia ba? Dɛn na ɛde ba?

Nneɛma atitiriw pii nti na ɛte saa:

• Sigaretnom: Eyi ne ɔtamfo titiriw.
• Tawa a wɔwe: Tawa a wɔwe ka betel nhaban ho nso yɛ ade titiriw a ɛde ba.
• Nsã a wɔnom boro so: Te sɛ biribiara no, nsa betumi de ɔhaw aba bere a wɔnom boro so no.
• Nsõ a ɛmfata: Ɛtɔ mmere bi a, sẽ a yɛn nananom de maa yɛn no ntumi nkɔ yiye na ebetumi asɛe ano. Saa ɔsɛe a ɛtra hɔ kyɛ yi nso betumi ayɛ nea ɛde ba.

Bio nso, ɛtɔ mmere bi a erythroplakia betumi aba sɛ ɔyare mmoawa a ɛto so abien a fungal yare wɔ ano (candidiasis anaa thrush). Nea ɛyɛ nwonwa no, ɛtɔ mmere bi a tebea yi ba a ntease biara nnim .

Nneɛma afoforo a ɛma asiane no yɛ kɛse:

• Ano mu ahotew a enye: Nnipa a wɔnhohoro wɔn sẽ yiye anaasɛ wɔnhohoro wɔn ano nso wɔ asiane kɛse mu.
• Wɔadi boro mfe 40.
• Sɛ obi anya Human Papillomavirus (HPV) yare mmoawa .

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Mpɛn pii no, ɛyaw nni erythroplakia, enti mpɛn pii no, wohu bere a wɔreyɛ nhwehwɛmu daa bere a wokɔ sẽ ho oduruyɛfo nkyɛn no. Sɛ oduruyɛfo bi susuw sɛ biribi anyɛ yiye a, ɛda adi sɛ wɔbɛyɛ biopsy . Nea ɛka eyi ho ne sɛ wobegye ntini ketewaa bi afi baabi a ɛhɔ yɛ kɔkɔɔ no na wɔde akɔma afiri a wɔde yɛ nhwehwɛmu akɔhwɛ nkwammoaa no mu.

Saa nipadua mu nhwehwɛmu yi betumi aboa ma wɔahu sɛ ebia mole bi yɛ kokoram, enni kokoram, anaasɛ ɛnyɛ hu. Ebetumi nso aboa ma wɔayi tebea afoforo a ebia ɛwɔ sɛnkyerɛnne a ɛte saa ara (te sɛ lichen planus, acute atrophic candidiasis, hemangioma, lupus, ne pemphigus) afi hɔ.

Dɛn ne nnuru a wɔde sa erythroplakia?

Wogyina nea efi biopsy no mu ba so na ɛkyerɛ ɔkwan a wɔfa so sa yare no.

• Tebea a asiane biara nni ho na ɛnyɛ den ne:Ebia wo duruyɛfo bɛhwɛ wo tebea no denam nsrahwɛ a wobɛkɔ akɔhwɛ wo daa so. Ebia ayaresa foforo biara ho nhia.
• Sɛ tebea no mu yɛ den, ɛsan ba bio, anaasɛ kokoram nkwammoaa wom a: Oduruyɛfo betumi akyerɛ ayaresa te sɛ:
• Laser oprehyɛn: Nea ɛka eyi ho ne sɛ wɔde laser hann bedi dwuma de asɛe nkwammoaa a ɔhaw wom no. Ɔsɛe a ɛba ntini a ɛwɔ apɔwmuden a atwa ho ahyia no so no sua koraa.
• Cryosurgery: Nea ɛka eyi ho ne sɛ wɔde awɔw a ano yɛ den (te sɛ nitrogen a ɛyɛ nsu) di dwuma de sɛe ntini a ɛka no.
• Kokoram ayaresa: Sɛ nea efi nipadua mu nhwehwɛmu no mu ba no kyerɛ sɛ kokoram a, wo duruyɛfo de wo bɛkɔ kokoram ho ɔyaresafo nkyɛn, na ebia ɔbɛkamfo ayaresa te sɛ mframa a wɔde sa yare, nnuru a wɔde sa yare, anaa nipadua mu ahoɔden a ɛko tia nyarewa akyerɛ .

Bere tenten ahe na egye na obi ho atɔ no wɔ ayaresa akyi?

Eyi gu ahorow wɔ onipa biara mu. Egyina nneɛma pii so, a nea ɛka ho ne oprehyɛn ko a wobɛyɛ, akuru no kɛse, ne sɛnea wo nipadua no tumi sa yare. Mpɛn pii no, wubetumi ahwɛ kwan sɛ wo ho bɛtɔ wo koraa wɔ adapɛn abiɛsa kosi anan mu wɔ laser ayaresa anaa cryotherapy akyi. Nanso, wɔ obi a ɔreyɛ kokoram ayaresa fam no, ebetumi agye adapɛn anaa asram pii ansa na ne ho atɔ no koraa. Bisa wo duruyɛfo bere tenten a ebegye a egyina wo tebea no so.

So yebetumi asiw eyi ano?

Esiane sɛ ɛtɔ mmere bi a erythroplakia ba a ntease biara nnim nti, ebia ɛrentumi nyɛ yiye sɛ wobesiw ano koraa. Nanso, nneɛma bi wɔ hɔ a yebetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Kwati tawa nneɛma nyinaa: sigaret, bidis, sigaret, tawa a wɔwe.
• Tew nsanom so anaa gyae koraa.
• Kura w’ano akwahosan pa mu: Hohoro wo sẽ mprenu da biara na hohoro w’ano yiye.
• Hwɛ nsensan ho oduruyɛfo daa: Anyɛ yiye koraa no, kɔ nsensan ho oduruyɛfo nkyɛn pɛnkoro afe biara kɔhwɛ wɔn.
• Sɛ wohyɛ sẽ a wɔde yɛ sẽ a: Ma wɔnhwɛ mu mfe abien kosi abiɛsa biara na sɛ ɛho hia a, wɔmfa nhyɛ mu bio. Nea enti a ɛte saa ne sɛ bere kɔ so no, w’anom ntini a ɛwɔ w’anom no sesa, na ɛno betumi ama wo sẽ sẽ no ntumi nhyɛ mu yiye.

Sɛ wowɔ erythroplakia a, dɛn na ɛba? So ɛsɛ sɛ wohaw wo ho?

Erythroplakia yɛ tebea a ebetumi ama obi anya kokoram. Nanso, nnipa dodow no ara nnya kokoram mfi mu. Enti mma ɛnhaw wo a ɛho nhia. Nanso, ade a ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn, anya yare no ho nhwehwɛmu a edi mu, na sɛ ɛho hia a, wobɛyɛ ayaresa ho nhyehyɛe.

Ɛtɔ mmere bi a, erythroplakia no ankasa bɛkɔ. Nanso, sɛ emu yɛ den anaasɛ ɛtaa ba a, ebia wo duruyɛfo bɛkamfo biribi te sɛ laser ayaresa anaa cryotherapy akyerɛ wo.

Nea ɛho hia sen biara no, sɛ nea efii biopsy mu bae no si so dua sɛ kokoram a, oduruyɛfo no de wo bɛkɔ oncologist nkyɛn akɔyɛ nhwehwɛmu foforo na wasa wo yare. Sɛ wohu no ntɛm a, ɛnyɛ den sɛ wɔbɛsa.

So ɛsɛ sɛ wohwɛ yiye wɔ aduan ne anonne ho?

Ɛwom sɛ nnipa dodow no ara nnya ɛyaw biara mfi erythroplakia mu de, nanso ebinom ano betumi ayɛ wɔn yaw anaasɛ wɔbɛhyew bere a wodi nnuan a ɛyɛ nnuhwam anaa nea ɛyɛ hyew no. Enti sɛ wote nka saa ara a, ɛbɛyɛ papa sɛ wobɛtwe wo ho afi nnuan ne anonne a ɛtete saa ho kakra.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu sɛ akuru, nsensanee, akuru, anaa akuru bi a ɛyɛ soronko wɔ w’anom a, kɔ wo sẽ ho oduruyɛfo anaa oduruyɛfo a ɔhwɛ wo sẽ so ntɛm ara. Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ aduruyɛ mu nhwehwɛmu na ama woahu sɛ ebia eyi yɛ biribi ketewaa bi anaasɛ aniberesɛm anaa. Afei wobetumi ahwɛ sɛ wowɔ nyarewa afoforo a emu yɛ den na wɔaka nea ɛhaw wo pɛpɛɛpɛ akyerɛ wo.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wuhu sɛ wowɔ erythroplakia a, wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• Wunim nea ɛde eyi ba?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’asetra kwan mu?
• So mewɔ leukoplakia (nsa fitaa) nso?
• So mihia ayaresa? Sɛ saa a, ayaresa bɛn?
• Wususuw sɛ bere tenten ahe na ebegye ansa na wo ho atɔ wo?
• Hokwan ahorow bɛn na ɛwɔ hɔ sɛ erythroplakia yi bɛsan aba bio?

Ɛho hia paa sɛ wubisa nsɛm te sɛ eyinom na ama woanya wo tebea no ho ntease pa.

Nsonsonoe bɛn na ɛda Erythroplakia ne Leukoplakia ntam?

Ɛtɔ mmere bi a, ne nsensanee kɔkɔɔ (erythroplakia) a ɛwɔ w’anom no, ebia wubehu nsensanee fitaa nso. Wɔfrɛ saa nsensanee fitaa no leukoplakia . Eyi yɛ tebea foforo a ɛba wɔ ano no mu ntini a ɛyɛ mmerɛw no mu.

Sɛ yɛbɛka no tiawa a:

• Erythroplakia yɛ tebea a ɛma ntini kɔkɔɔ anaa nsensanee kɔkɔɔ ba ano. Eyinom betumi ayɛ nea wɔama so anaasɛ wɔayɛ petee. Ɛtɔ da bi a, mogya betumi atu wɔn bere a wɔde wɔn nsa aka wɔn anaa wɔasesa wɔn.
• Leukoplakia yɛ tebea a ɛma ano yɛ nsensanee fitaa anaa nsensanee. Wontumi mfa ntwitwiridii mfi eyinom mfi hɔ.

Ɛho hia sɛ wohwɛ eyinom abien no nyinaa so.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti yɛaka erythroplakia ho asɛm pii, ɛnte saa? Nneɛma atitiriw bi a ɛsɛ sɛ wokae ni:

• Erythroplakia yɛ tebea a ɛma nsensanee kɔkɔɔ anaa nsensanee bi ba w’ano anaa w’anom.
• Ɛwom sɛ mpɛn pii no, eyinom nyɛ asiane biara de, nanso .Ɛho hia paa sɛ wohu eyi efisɛ wɔn mu binom betumi abɛyɛ kokoram (precancerous).
• Sɛ wuhu sɛ nsensanee anaa akuru bi a ɛyɛ soronko wɔ w’anom a, kɔ wo sẽ ho oduruyɛfo anaa oduruyɛfo a ɔhwɛ wo so ntɛm ara.
• Sigaretnom ne tawa a wɔwe ne nneɛma atitiriw a ɛde tebea yi ba.
• Sɛ wohu na wɔsa no ntɛm a, wobetumi anya nea eye paa.

Enti, hwɛ yie wɔ w'ano akwahosan ho, ɛfiri sɛ asɛm bi wɔ hɔ a ɛka sɛ, "Ano yɛ nipadua no ahwehwɛ"!

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

` Erythroplekia, ano mu nsensanee kɔkɔɔ, anom kokoram, sigaretnom, betel nut, nsensan akwahosan, leukoplakia