Sɛ wo anaa obi a wunim no reka nufu mu kokoram ho asɛm a, ebia woate sɛ nnuruyɛfo reka nhwehwɛmu ahorow ho asɛm. Ɛtɔ mmere bi a, saa nsɛm yi betumi ayɛ te sɛ nea emu yɛ den kakra. Ɛnnɛ yɛbɛka injection soronko bi a wɔde yɛ sɔhwɛ a ɛte saa ho asɛm. Eyi nyɛ ayaresa, nanso ebetumi aboa wo duruyɛfo ma wapaw ayaresa a eye ma wo.
Sɛ yɛbɛka no tiawa a, dɛn ne Fluoroestradiol F 18?
Okay, saa din yi te sɛ nea ɛware kakra, ɛnte saa? Momma yɛmma ɛnyɛ mmerɛw. Ɛwom sɛ Fluoroestradiol F 18 yɛ aduru de, nanso ɛnyɛ biribi a wɔde sa kokoram. Ɛyɛ adwuma te sɛ "detection agent" . Sɛ yɛbɛka no tiawa a, ɛte sɛ "dye" a ɛyɛ radioactive kakra a wɔde gu nipadua no mu ansa na wɔayɛ ``(PET Scan)`` soronko bi.
" Oh, ɛyɛ radioactive?" ebia wubesusuw sɛ. Nte saa koraa. Eyi de nneɛma ketewaa bi a ahobammɔ wom na edi dwuma. Efi nipadua no mu wɔ nnɔnhwerew kakraa bi mu. Eyi atirimpɔw titiriw ne sɛ ɛbɛkyerɛ oduruyɛfo no sɛnea wo nufu mu kokoram nkwammoaa te ankasa. Ɛne sɛ, sɛnea ɛbɛyɛ a wobehu sɛ ebia saa kokoram nkwammoaa no de hormone bi a wɔfrɛ no ``(Oestrogen)`` di dwuma de nyin anaasɛ ɛnte saa.
Ɔkwan bɛn so na eyi yɛ adwuma? Ɛyɛ nwonwa!
Sɛ yɛbɛte eyi ase a, momma yɛmfa nhwɛso ketewaa bi. Susuw kokoram nkwammoaa bi ho sɛ apon a "apon nketenkete a wubetumi de safe ahyɛ mu" pii wom. Wɔfrɛ saa nkɔnsɔnkɔnsɔn yi "estrogen receptors" (anaa "ER") . Estrogen hormone a ɛwɔ yɛn nipadua mu no te sɛ "safe" a ɛfata saa nkɔnsɔnkɔnsɔn yi. Sɛ wɔde saa safe yi hyɛ lock no mu, kyerɛ sɛ, sɛ estrogen hormone no kyekyere kokoram nkwammoaa no lock no a, kokoram nkwammoaa no nya sɛnkyerɛnne bi sɛ enyin na ɛpaapae. Yɛfrɛ kokoram a ɛte saa `(ER-positive)` kokoram.
Afei, wunim nea ɛwɔ `Fluoroestradiol F 18` injection a yɛde ma no mu? Ɛwɔ ``fake key'' a ɛte sɛ estrogen key no pɛpɛɛpɛ. Nanso saa atoro safe yi wɔ biribi titiriw kakra. Ɛwɔ radioactive fã bi a wɔfrɛ no ``F 18`` a ɛbata ho, a ɛyɛ adwuma te sɛ ``kanea bɔlɔb ketewa.''
Sɛ wɔma wo saa injection yi a, saa "atoro nsafe a wɔde kanea abɔ ho" yi fa mogya no mu fa nipadua no nyinaa mu, na ɛbata "locks" (`Estrogen Receptors`) a ɛwɔ saa kokoram nkwammoaa no so nyinaa ho.
Afei, bɛyɛ dɔnhwerew biako akyi no, wɔde wo bɛhyɛ ``PET Scan'' afiri mu. Saa scanner yi te sɛ mfoninitwa afiri titiriw bi a etumi hu hann a efi saa "anyinam ahurututu" no mu ba. Sɛ wode saa mfoninitwa afiri yi hwɛ a, sɛ saa ``ER-positive'' kokoram nkwammoaa no wɔ nipadua no mu baabiara a, ne nyinaa bɛhyerɛn fɛfɛɛfɛ.
Ɛdenam saa kwan yi so no, oduruyɛfo no betumi ahu baabi a kokoram no wɔ, sɛ ebia atrɛw akɔ nipadua no afã afoforo, ne nea ɛho hia sen biara no, sɛ ebia ɛyɛ kokoram a ɛwɔ ER.
Dɛn nti na wuhia sɔhwɛ yi?
Mpɛn pii no, sɛ wosusuw sɛ nufu mu kokoram wɔ hɔ a, oduruyɛfo no fa akisikuru no fã ketewaa bi na ɔyɛ nhwehwɛmu. Wɔfrɛ eyi ``biopsy.'' Eyi betumi akyerɛ kokoram ko.
Nanso nsɛm bi wɔ hɔ a saa `Fluoroestradiol F 18` sɔhwɛ yi ho wɔ mfaso kɛse.
- Bere a wopɛ sɛ wuhu ankasa sɛ ebia kokoram no atrɛw akɔ nipadua no afã afoforo (metastasis).
- Bere a adwenem naayɛ bi wɔ hɔ sɛ kokoram bi a wɔadi kan ayɛ no asan aba no.
- Sɛ kokoram wɔ baabi a ɛyɛ den sɛ wɔbɛyɛ biopsy a.
- Hwɛ hu sɛ kokoram no reyɛ n’ade wɔ mprempren hormone ayaresa ahorow no ho.
Wo duruyɛfo no begyina saa nsɛm yi so ahu sɛ ebia ayaresa te sɛ hormone therapy fata wo anaasɛ ɛnsɛ.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode saa vaccine yi ama wo
Eyi ho hia paa. Ansa na wɔbɛma wo saa vaccine yi no, w’aduruyɛ kuw no bebisa wo nsɛm kakraa bi. Ɛho hia ma w’ahobammɔ sɛ wubua wɔn nyinaa nokware mu.
- Allergies: Sɛ wowɔ allergies biara wɔ saa `Fluoroestradiol F 18` anaa aduru foforo biara, aduan, anaa dye ho a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ yɛn.
- Nyinsɛn: Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Nea enti a ɛte saa ne sɛ wɔde mframa kakraa bi na ɛyɛ adwuma, na ɛnyɛ nea asiane biara nni ho mma akokoaa a ɔwɔ awotwaa mu no.
- Sɛ woyɛ ɛna a ɔma nufu a: Ɛsɛ sɛ woka kyerɛ wo duruyɛfo nso sɛ worema nufu a. Ebia wobetu wo fo sɛ gyae nufu a wode ma nnɔnhwerew kakraa bi anaa da koro bere a woanya saa aduru yi akyi.
- Nnuru afoforo a worenom: Sɛ worenom nnuru a wɔde sa nufu mu kokoram anaa tebea foforo biara a, ka nnuru a worenom nyinaa kyerɛ wo duruyɛfo, titiriw nnuru a ɛfa hormone ho.
| Ebia nnuru bi ne saa aduru yi bedi nkitaho. |
|---|
Nnuru bi wɔ hɔ a ebetumi aka nea efi sɔhwɛ yi mu ba no. Sɛ worenom nnuru yi bi a, ka kyerɛ wo duruyɛfo. Ɔbɛka akyerɛ wo sɛ ɛho hia sɛ wugyae nom nna kakraa bi ansa na wɔayɛ sɔhwɛ no a. Nhwɛso ahorow bi ne:
|
| Hyɛ no nsow: Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Ka nnuru, vitamin, anaa nnuru a wɔde di dwuma wɔ amanne kwan so mpo ho asɛm kyerɛ wo duruyɛfo. |
So nsunsuanso bɔne bi wɔ hɔ?
Sɛnea ɛte wɔ aduruyɛ biara mu no, ebetumi aba sɛ nneɛma nketenkete bi befi mu aba, nanso ɛntaa nsi koraa na ɛnyɛ aniberesɛm.
| Nsunsuanso bɔne | Dɛn na ɛsɛ sɛ woyɛ? |
|---|---|
| Nneɛma a ɛsɛ sɛ wobɔ w’aduruyɛfo kuw no amanneɛ ntɛm ara | |
Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den
| Eyinom ho yɛ na koraa nanso ebetumi ayɛ aniberesɛm. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ntɛm ara . |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ | |
| Nsakrae a ɛba wɔ dɛ mu wɔ anom | Eyi taa kɔ bere tiaa bi akyi. Sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. |
| Ɛyaw, kɔkɔɔ, anaa ɔfe wɔ baabi a wɔde aduru no guu no | Eyi nso taa siesie wɔ n’ankasa so. Sɛ ɛyaw anaa ɔfe no yɛ kɛse a, bɔ nnuruyɛfo kuw no amanneɛ. |
Sɛ nnuru no dodow kɔ soro a, dɛn na ɛsɛ sɛ woyɛ?
Eyi nyɛ aduru a wubetumi de adi dwuma wɔ fie. Aduruyɛfoɔ a wɔatete wɔn na wɔde saa vaccine yi ma wɔ ayaresabea anaa ayaresabea. Enti, hokwan a ɛwɔ hɔ sɛ wobenya dodow a ɛnteɛ no sua koraa. Sɛ wususuw sɛ eyi asi, wɔ tebea a ɛntaa nsi mpo mu a, kɔ ETU (Emergency Treatment Unit) ntɛm ara. Sɛ ɛho hia a, wubetumi nso afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ akɔhwehwɛ afotu.
Nkrasɛm a Wɔde Kɔ Fie
- `Fluoroestradiol F 18` nyɛ kokoram ayaresa. Ɛyɛ aduru a wɔde twitwiw nipadua mu a wɔde di dwuma wɔ sɔhwɛ titiriw bi mu a ɛboa ma wohu sɛnea nufu mu kokoram te.
- Eyi titiriw hwɛ sɛ ebia wo kokoram nkwammoaa no yɛ ``Estrogen Receptor-Positive'' (ER-positive) , a ɛkyerɛ sɛ ebia hormone estrogen boa kokoram no ma enyin anaa.
- Saa nsɛm yi ho hia yiye ma wo duruyɛfo no na ama wahu ayaresa a ɛfata wo sen biara, titiriw hormone ayaresa.
- Eyi yɛ nea asiane biara nni ho koraa efisɛ wɔde ma wɔ aduruyɛfo hwɛ ase wɔ ayaresabea. Nneɛma bɔne a efi mu ba no ho yɛ na koraa.
- Ansa na wobɛyɛ nhwehwɛmu no, hwɛ hu sɛ wobɛbɔ oduruyɛfo no amanneɛ wɔ wo akisikuru, nyinsɛn, ne nnuru foforo biara a worenom nyinaa ho.
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