So woate akuru bi nka pɛn wɔ wo nufu mu bere a w’ankasa woreyɛ mu nhwehwɛmu, anaasɛ bere a woreguare no? Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen pii nka bere a wote biribi a ɛte saa nka no. "So eyi yɛ kokoram?" yɛ asɛmmisa a ɛba w’adwenem bere nyinaa. Nanso momma yenni kan nka sɛ ɛnyɛ akuru a ɛwɔ nufu no mu nyinaa na ɛyɛ kokoram. Nokwarem no, emu pii nyɛ asiane biara na ebetumi ayɛ nneɛma a ɛnyɛ den. Ɛnnɛ yɛreka fibroadenoma, akisikuru bi a abu so kɛse wɔ mmea mu, nanso ɛnyɛ kokoram ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne fibroadenoma?
Fibroadenoma yɛ akisikuru a ɛnyɛ hu na ɛyɛ den a ɛba nufu no mu. Ne titiriw no, ɛyɛ ntini a ɛyɛ nhama ne ntini a ɛwɔ nufu no mu a wɔadi afra. Saa akuru yi taa yɛ kurukuruwa, sɛ woka a, ɛyɛ mmerɛw, na ebetumi akɔ honam ani kakra. Wɔte nka sɛ abohene ketewaa bi a ɛyɛ torotoro wɔ nufu no mu.
Ade a ɛho hia ne sɛ fibroadenomas nyɛ kokoram. Gye sɛ nsɛm a ɛntaa nsi koraa, a wontumi nsusuw ho mu no, wɔnyɛ kokoram.
Mpɛn pii no, bere kɔ so no, saa akuru yi bɛtew a wɔansa no yare biara, anaasɛ ebetumi ayera koraa. Ɛtɔ da bi a, wo duruyɛfo betumi ahwɛ akuru no so kakra ahwɛ sɛ ɛsakra anaa, anaasɛ obetumi akamfo akyerɛ sɛ sɛ ɛho hia a, ɔnyɛ oprehyɛn yi.
So fibroadenomas ahorow bi wɔ hɔ?
Yiw, ahorow atitiriw pii wɔ hɔ. Ma yɛnhwɛ nea wɔyɛ.
| Fibroadenoma no su | Nneɛma a ɛsɛ sɛ wuhu fa eyi ho |
|---|---|
| Fibroadenoma a Ɛnyɛ Den | Eyi ne ɔkwan a wɔtaa de di dwuma. Wɔtaa yɛ nketewa wɔ wɔn kɛse mu. Nea ɛho hia sen biara no, saa akisikuru ahorow yi mma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram. Sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ a, nkwammoaa a ɛwɔ saa ntini yi mu no hwɛbea yɛ pɛ wɔ baabiara, na ɛyɛ pɛ. |
| Fibroadenoma a Ɛyɛ Den | Eyinom taa ba mmea a wɔadi boro mfe 35. Ebetumi nso ayɛ akɛse koraa. Sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ a, wotumi kyerɛ nsakrae nketenkete a aba nkwammoaa no mu. Ebia wubehu calcifications anaa cysts nso wɔ wo mammogram no so. Saa akisikuru yi betumi ama asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no ayɛ kɛse kakra bere a wode toto obi a onni akisikuru biara ho no. Nanso ɛnyɛ asiane kɛse. |
| Fibroadenoma Kɛse a Ɛyɛ Fɛ | Eyinom yɛ fibroadenoma bi a enyin boro sɛntimita 5. |
| Mmofra a Wɔyɛ Fibroadenoma | Eyinom yɛ nea ɛntaa nsi koraa a ɛba mmeawa nkumaa a wɔadi fi mfe 10 kosi 18 mu. |
Saa tebea yi abu so dɛn?
Eyi abu so yiye ankasa. Fibroadenomas ne akisikuru a ɛnyɛ kokoram a ɛtaa ba nufu no mu. Wɔtaa ba mmea a wɔadi fi mfe 15 kosi 35 mu titiriw. Sɛnea nhwehwɛmu ahorow kyerɛ no, anyɛ yiye koraa no, mmea 10 biara mu biako (10%) benya fibroadenoma biako wɔ wɔn nkwa nna mu.
Dɛn ne fibroadenoma ho sɛnkyerɛnne ahorow?
Sɛ wowɔ fibroadenoma a, ebia wubehyia:
- Akuru a ɛyɛ den: Eyinom nte sɛ akisikuru a nsu ahyɛ mu ma, nanso ɛyɛ den wɔ abɔde mu.
- Ɛyaw biara nni hɔ: Mpɛn pii no, eyinom nyɛ yaw, nanso ɛtɔ mmere bi a, wubetumi ate ɛyaw ne akisikuru kakra nka nna kakraa bi ansa na wo nna afi ase.
- Ɛnyɛ den sɛ ɛkɔ: Sɛ wode wo nsateaa mia so a, wobɛte nka sɛ saa akisikuru yi rekɔ anim ne akyi wɔ honam ani.
- Nwene a ɛyɛ torotoro na ɛte sɛ rɔba: Sɛ wokura nsa mu a, ɛyɛ mmerɛw, na ɛtɔ mmere bi mpo a ɛte sɛ rɔba bɔɔl.
- Ahye a emu da hɔ: Wɔahyehyɛ akuru no anoano pefee, a ɛkyerɛ sɛ ɛte sɛ nea ɛne ntini a atwa ho ahyia no nfrafra.
Saa akuru yi taa nyin kɛse paa. Ɛtɔ da bi a wonnyin koraa, nanso wɔtra hɔ kɛse, na bere kɔ so no, wotumi so tew. Ɛda adi sɛ eyinom so tew, titiriw sɛ woyɛ abofra anaa woreyɛ agyae brayɛ a. Nanso, wɔ nyinsɛn mu no, wobetumi ayɛ kɛse kakra esiane nkwaadɔm mu nsakrae nti.
Dɛn nti na saa fibroadenomas yi ba?
Nnuruyɛfo ntumi nhu nea ɛde eyi ba ankasa, nanso nnipa pii gye di sɛ ɛne sɛnea obi te nka wɔ hormone estrogen ho no wɔ abusuabɔ .
Fa no sɛ, sɛ estrogen dodow a ɛwɔ yɛn nipadua mu kɔ soro (sɛ nhwɛso no, wɔ nyinsɛn mu, bere a yɛrenom hormone ayaresa) a, saa akuru yi taa nyin. Afei nso, sɛ estrogen dodow so tew bere a wagyae brayɛ akyi a, ɛso tew. Ɛha na adwene a ɛfa saa hormone nkitahodi yi ho no fi.
Wobɛyɛ dɛn ahu eyi? Nhwehwɛmu bɛn na oduruyɛfo no bɛyɛ?
Sɛ wuhu sɛ akisikuru bi wɔ wo nufu mu a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Mma wo ho nnyɛ wo hu, nanso akyinnye biara nni ho sɛ ɛho hia sɛ wobɛma wɔahwɛ mu. Wo duruyɛfo betumi ahwɛ wo na wayɛ nhwehwɛmu te sɛ eyinom de ahu nea akuru no yɛ ankasa.
1. Nufu mu Nhwehwɛmu a Wɔyɛ wɔ Ayaresa mu: Nea edi kan no, oduruyɛfo no bɛhwɛ wo nufu abien no nyinaa mu wɔ nipadua mu. Eyi bɛma woanya akisikuru no kɛse, ne nsusuwii, ne sɛnea ɛkɔ baabiara ho adwene.
2. Mfoninitwa Scan:
- Ultrasound Scan: Eyi de nnyigyei asorɔkye di dwuma de yɛ akuru no ho mfonini a emu da hɔ. Eyi betumi aboa ma wɔahu sɛ ebia akuru no yɛ den anaasɛ ɛyɛ akisikuru a nsu ahyɛ mu ma.
- Mammogram: Eyi yɛ X-ray nhwehwɛmu a wɔyɛ wɔ nufu no mu. Wɔtaa kamfo kyerɛ mmea a wɔadi boro mfe 35-40.
3. Biopsy (Image-guided core needle biopsy): Nnipa binom suro bere a wɔte asɛmfua "biopsy," nanso ɛyɛ mmerɛw yiye. Wɔhwɛ akuru no wɔ scan so, de ade ketewaa bi hyɛ mu, na wɔfa ntini ketewaa bi. Afei wɔde kɔ lab bi ma wɔsɔ hwɛ nhwɛ nkwammoaa ko a ɛwɔ mu. Eyi betumi akyerɛ wo 100% ampa sɛ ɛyɛ fibroadenoma anaa biribi foforo.
Ɔkwan bɛn so na wɔsa fibroadenomas? So ɛsɛ sɛ woyi fi hɔ?
Eyi ho ayaresa gyina mfe a woadi, akisikuru no kɛse, wo sɛnkyerɛnne ahorow, ne nea efi biopsy amanneɛbɔ no mu ba so.
- Hwɛ: Sɛ biopsy no si so dua sɛ ɛyɛ fibroadenoma a ɛnyɛ asiane, a ɛnyɛ den, na ɛnyɛ ɔhaw biara mma wo (te sɛ ɛyaw) a, wo duruyɛfo bɛtaa aka sɛ:"Momma yɛnhwɛ eyi kakra kɛkɛ." Ɛno kyerɛ sɛ ɛsɛ sɛ woba mu kɔhwɛ wo asram 3-6 biara. Saa bere no, oduruyɛfo no de ne nsa bɛhwɛ mu na sɛ ɛho hia a, ɔbɛyɛ scan de ahwɛ sɛ nsakrae aba akuru no kɛse mu anaa. Mpɛn pii no, eyinom ankasa bɛtew, enti ɛho nhia sɛ wɔyɛ oprehyɛn.
- Oprehyɛn a Wɔde Twitwa: Wɔ tebea horow bi mu no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn yi fi hɔ esiane nneɛma a edidi so yi nti:
- Sɛ biopsy amanneɛbɔ no kyerɛ "complex fibroadenoma" ho nneɛma a.
- Sɛ akuru no yɛ kɛse wɔ ne kɛse mu (e.g. ɛboro 3-4 cm).
- Sɛ ɛno ma wote ɛyaw anaasɛ wo ho nyɛ wo dɛ a.
- Sɛ akuru no kɔ so nyin ntɛmntɛm a.
- Sɛ wowɔ dadwen anaa ehu bi wɔ eyi ho a.
Saa oprehyɛn yi yɛ mmerɛw yiye. Wɔtwa ketewaa bi na woyi akuru no nkutoo.
- Cryoablation: Eyi yɛ ɔkwan foforo a wɔfa so sa yare. Wɔ eyi mu no, wɔde afiri ketewaa bi yɛ nwini na wɔsɛe akisikuru no. Nanso, wɔmfa saa kwan yi nni dwuma kɛse wɔ Sri Lanka.
Ade a ɛho hia sen biara ne sɛ gyinae a wubesi sɛ wobeyi fibroadenoma no yɛ biribi a ɛsɛ sɛ wo ne wo duruyɛfo bom si. Nsuro sɛ wubebisa wo duruyɛfo nsɛm biara a wowɔ.
Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?
Sɛ yɛkɔ oduruyɛfo nkyɛn a, ɛtɔ da bi a yɛn werɛ fi nea yɛpɛ sɛ yebisa. Enti ɛyɛ papa sɛ wobɛkyerɛw nsɛmmisa bi te sɛ eyinom.
- Akuru bɛn na mewɔ?
- Dɛn ne ayaresa a eye sen biara ma me? So ɛsɛ sɛ miyi eyi fi hɔ?
- Sɛ wɔannyi saa akisikuru yi amfi hɔ a, dɛn na ɛbɛba?
- So eyi bɛma asiane a ɛwɔ hɔ sɛ menya nufu mu kokoram daakye no ayɛ kɛse?
- Mpɛn ahe na ɛsɛ sɛ meyɛ nhwehwɛmu (te sɛ mammogram)?
- So nneɛma titiriw foforo bi wɔ hɔ a ɛsɛ sɛ mede me nufu hwɛ so?
| Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara | |
|---|---|
| Sɛ wuhu sɛ akuru foforo bi aba a | Sɛ wote nka sɛ akuru foforo bi wɔ hɔ a na enni hɔ kan a, ɛsɛ sɛ woma wɔhwɛ. |
| Sɛ akuru a ɛwɔ hɔ dedaw no sesa a | Sɛ akuru no yɛ kɛse, ɛsakra ne nsusuwii, anaasɛ ɛde ɛyaw a na enni hɔ kan no ba a. |
| Nufu mu nsakrae afoforo | Nufusu mu nsu a ɛtɔ, nufu a ɛdannan, honam ani kɔla a ɛsakra, honam ani a ɛyɛ borɔdɔma honam ani, anaasɛ honam ani akisikuru. |
So wobetumi asiw fibroadenomas ano?
Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a ɛyɛ nokware a wɔbɛfa so asiw fibroadenomas ano, efisɛ ɛne hormone dwumadi wɔ abusuabɔ. Nanso, wubetumi ahwɛ wo nufu akwahosan nyinaa so, na ɛno nso betumi atew asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no so.
- Yɛ wo nufu mu nhwehwɛmu daa: Anyɛ yiye koraa no, hwɛ wo nufu mu pɛnkoro ɔsram biara. Eyi bɛma woanya wo nufu tebea nyinaa ho adwene pa na aboa wo ma woahu nsakrae foforo biara ntɛm.
- Asetra a ahoɔden wom: Aduan a ɛkari pɛ a wubedi, apɔw-mu-teɛteɛ daa, wo mu duru a wobɛhwɛ so, ne nsa ne sigaretnom a wobɛkwati nyinaa ye ma akwahosan nyinaa ne nufu akwahosan nso.
- Aduruyɛ mu nhwehwɛmu daa: Yɛ nhwehwɛmu te sɛ mammogram wɔ bere a wo duruyɛfo kamfo kyerɛ no mu a egyina mfe a woadi ne asiane a ɛwɔ hɔ so.
Nkrasɛm a Wɔde Kɔ Fie
- Fibroadenoma yɛ akisikuru a abu so yiye, ɛnyɛ kokoram (a ɛnyɛ papa) a ɛba nufu no mu.
- Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wuhu sɛ akuru bi wɔ wo nufu mu no. Nanso ɛnyɛ akuru no nyinaa na ɛyɛ kokoram.
- Mpɛn pii no, saa akuru yi nyɛ yaw, ɛyɛ mmerɛw, na ɛkɔ anim ne akyi wɔ honam ani.
- Fibroadenomas dodow no ara nhia ayaresa. Ebia bere kɔ so no, wɔn ankasa bɛtew.
- Sɛ wuhu sɛ akisikuru foforo bi aba anaasɛ wuhu nsakrae bi wɔ akisikuru bi a ɛwɔ hɔ dedaw mu a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ɛyɛ ade a ahobammɔ wom na eye sen biara a wubetumi ayɛ.
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