Nnipa dodoɔ bi a wɔwɔ m’abusua mu anya kokoram... enti me nso mɛnya bi? Saa suro yi, saa asɛmmisa yi yɛ biribi a ɛwɔ yɛn mu pii adwene mu. Yɛate sɛ kokoram ahorow bi fi awo ntoatoaso so kɔ awo ntoatoaso so, kyerɛ sɛ, efi awosu mu, ɛnte saa? Wiɛ, ɛnnɛ yɛrebɛka ɔkwan titiriw bi a ebetumi aboa wo ma woahu sɛ ebia wowɔ kokoram ho asiane a efi awosu mu ho asɛm.
Dɛn ne awosu mu nhwehwɛmu yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ sɔhwɛ a ɛhwɛ DNA a ɛwɔ yɛn nipadua mu. Fa yɛn nipadua no sɛ nkyerɛkyerɛ nhoma kɛse. Nhoma yi ka yɛn nipadua mu nkwammoaa biara sɛnea ɛsɛ sɛ ɛyɛ adwuma, sɛnea ɛsɛ sɛ ɛpaapae, ne bere a ɛsɛ sɛ wowu. Saa akwankyerɛ ahorow yi ne nea yɛfrɛ no awosu mu nkwaadɔm .
Ɛtɔ da bi a, ebia mfomsoɔ anaa mfomsoɔ foforɔ bi wɔ akwankyerɛ yi mu. Wɔ aduruyɛ mu no, yɛfrɛ saa awosu mu nsakrae yi . Kokoram ba bere a nkwammoaa a ɛteɛ no fi ase kyekyɛ a wontumi nni so esiane awosu mu nsakrae a ɛte sɛɛ nti.
Mpɛn pii no, ɛnyɛ awosu mu nsakrae a ɛde kokoram ba yi fi awo mu. Nanso, kokoram nyinaa mu 5% kosi 10% fi awosu mu nsakrae a yenya fi yɛn awofo hɔ. Nea ɛka awosu mu nhwehwɛmu ho ne sɛ wobɛfa wo mogya anaa wo nnompe na woahwehwɛ awosu mu nsakrae bi wɔ wo nipadua mu.
Nanso ma eyi ntra w’adwenem. Sɛ nhwehwɛmu yi hu sɛ wowɔ awosu mu nsakrae bi a ɛma asiane a ɛwɔ hɔ sɛ wubenya kokoram no yɛ kɛse mpo a, ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wubenya kokoram. Ɛkyerɛ kɛkɛ sɛ ‘asiane’ a ɛwɔ hɔ sɛ wubenya kokoram no dɔɔso kakra sen nnipa afoforo.
Awosu ho ɔfotufo betumi akyerɛkyerɛ sɛnea nea afi mu aba yi betumi aka w’akwahosan mu pɛpɛɛpɛ.
Kokoram ahorow bɛn na wobetumi anya afi awo mu?
Kokoram ahorow pii wɔ hɔ a awosu mu nsakrae a wonya fi awo mu betumi de aba. Wɔn titiriw ne:
- Nufu mu kokoram
- Kokoram a ɛwɔ akyi berɛmo mu
- Asaabo mu kokoram
- Kokoram a ɛwɔ awotwaa mu
- Kokoram a ɛwɔ dwensɔtwaa mu
- Prostate kokoram
- Yafunu mu kokoram
- Thyroid kokoram
- Awotwaa mu kokoram
Saa awosu mu nhwehwɛmu ahorow yi nsɔ kokoram nhwɛ. Mmom no, wɔsɔ awosu mu nsakrae pɔtee bi a ebetumi de kokoram aba no hwɛ. Ɛde besi nnɛ no, nyansahufo ahu awosu mu nkwaadɔm bɛboro 400 a ɛne kokoram a wonya fi awo mu wɔ abusuabɔ. Yebetumi akyekyɛ eyinom mu akuw atitiriw abiɛsa.
| Awosu mu nkwaadɔm | Sɛ yɛbɛka no tiawa a, nea woyɛ | Sɛ ɛkyinkyim a, dɛn na ɛba? |
|---|---|---|
| Awosu mu nkwaadɔm a esiw akisikuru ano Ex: BRCA, P53 awosu mu nkwaadɔm | Eyinom te sɛ kar ‘breki’. Wɔn adwuma ne sɛ wobesiw kokoram nkwammoaa a enyin no ano. | Sɛnea kar ntumi nnyina bere a breki no gyae adwumayɛ no, saa ara na sɛ wɔsakra saa awosu mu nkwaadɔm yi a, kokoram nkwammoaa nyin a wontumi nni so. |
| Proto-oncogenes a ɛma nipadua no yɛ adwuma | Eyinom te sɛ ‘accelerator’ a ɛwɔ kar mu. Wɔboa ma nkwammoaa nyin ntɛmntɛm sɛnea ɛsɛ, sɛnea ɛho hia. | Sɛnea sɛ accelerator no ayɛ basaa a, wontumi nni kar no ahoɔhare so no, sɛ wɔkyinkyim eyinom a, kokoram nkwammoaa no nyin ntɛmntɛm. |
| DNA a wosiesie awosu mu nkwaadɔm | Eyinom te sɛ ‘garage’ a wɔyɛ kar ahorow no. Wosiesie mfomso ne ɔsɛe a ɛba yɛn DNA mu. | Sɛnea wontumi nsiesie kar bere a wɔato kar dan mu no, sɛ wɔsakra saa awosu mu nkwaadɔm yi a, wontumi nsiesie DNA mu mfomso ahorow, na ɛbue kwan ma kokoram ba. |
Hena na ɔpɛ sɛ ɔyɛ sɔhwɛ a ɛte sɛɛ?
Sɛ wo duruyɛfo susuw sɛ ebia wowɔ kokoram ho asiane a efi awosu mu a egyina w’ankasa aduruyɛ ho abakɔsɛm anaa w’abusua aduruyɛ ho abakɔsɛm so a, ebia ɔbɛkamfo nhwehwɛmu yi akyerɛ.
Sɛnea w’ankasa w’aduruyɛ ho abakɔsɛm kyerɛ no:
- Sɛ woanya kokoram ahorow pii a .
- Sɛ wo nyaa kokoram wɔ wo mmofraase pɛɛ a .
- Sɛ wɔahu sɛ obi a ɔne wo bɔ tipɛn anaa wo bɔbeasu anya kokoram bi a ɛnyɛ nea ɛtaa ba a .
- Wɔ akwaa abien abien no nyinaa mu , te sɛ asaabo abien ne nufu abienSɛ wowɔ kokoram a.
- Sɛ wowɔ sɛnkyerɛnne afoforo a ɛbata kokoram a wonya fi awo mu ho (sɛ nhwɛso no, obi a ɔwɔ Neurofibromatosis Type 1 nso betumi anya akisikuru a ɛnyɛ kokoram).
Sɛnea w’abusua aduruyɛ ho abakɔsɛm kyerɛ no:
- Sɛ nnipa pii a wɔwɔ w'abusua mu anya kokoram koro no ara a .
- Sɛ abusua no mufo pii anya kokoram wɔ wɔn mmofraase a .
- Sɛ abusuafo pii a wɔwɔ abusua no fã koro no anya kokoram koro (e.g., ɛna no afã).
- Sɛ wɔahu sɛ obi wɔ w’abusua mu dedaw sɛ ɔwɔ awosu mu nsakrae a ɛma asiane a ɛwɔ hɔ sɛ wubenya kokoram no yɛ kɛse a.
"Abusuafo a ɔbɛn wo" betumi ayɛ basaa kakra, ɛnte saa? Nnuruyɛfo taa bu w’abusuafo a wodi kan no kɛse. Ɛno kyerɛ sɛ wo maame, wo papa, wo nuanom, ne wo mma . Nanso wɔ tebea horow bi mu no, abusuafo a wɔwɔ akyirikyiri no aduruyɛ ho abakɔsɛm nso betumi ayɛ nea ɛho hia.
Sɛ wunnim sɛ wuhia nhwehwɛmu yi anaasɛ wunhia a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo anaa awosu ho ɔfotufo bi bɛka ho asɛm .
Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi?
Ade a edi kan ne nea ɛho hia sen biara ansa na wɔayɛ sɔhwɛ yi ne awosu mu afotu . Ɔfotufo a wɔatete no titiriw bɛkyerɛkyerɛ biribiara mu akyerɛ wo.
- So sɔhwɛ yi fata wo ankasa?
- Sɔhwɛ bɛn na ɛfata wo paa sɛ woyɛ?
- Dɛn ne mfaso ne ɔhaw ahorow a ɛwɔ sɔhwɛ yi so?
- Nea ebefi mu aba no betumi aka w’akwahosan ne w’asetra.
- Ɔkwan bɛn so na nea afi mu aba yi ka w’abusua?
Sɛ yɛka eyinom nyinaa ho asɛm wie a, wogyina nea wopɛ so na ɛyɛ sɔhwɛ no. Mpɛn pii no, wogye mogya anaa nnompe bi fi wo hɔ na wɔde kɔ aduruyɛdan mu. Ɛhɔ no, mfiridwumayɛfo hwehwɛ w’awosu mu nkwaadɔm mu hwɛ sɛ nsakrae bi aba anaa. Sɛ nea efi mu ba no ba wie a, wɔde amanneɛbɔ no kɔma wo duruyɛfo.
Ebia woahu nneɛma a wɔde sɔ hwɛ wɔ fie. Nanso ɛnyɛ bere nyinaa na nea efi mu ba a wɔde ma no di mũ anaasɛ ɛyɛ nokware. Afei nso, sɛ ɛnam oduruyɛfo so yɛ a , mmara bɔ w’aduruyɛ ho nsɛm a ɛyɛ kokoamsɛm ho ban . Enti ɛyɛ nea ahobammɔ wom na eye sen biara bere nyinaa sɛ wo ne oduruyɛfo anaa awosu ho ɔfotufo bi asusuw ho na wobɛyɛ eyi .
Mpɛn pii no, egye bɛyɛ adapɛn abien anaa abiɛsa ansa na wɔanya nea efi mu ba.
Ɔkwan bɛn so na yɛbɛte mmuae a ɛwɔ sɔhwɛ amanneɛbɔ no mu ase?
Yebetumi akyekyɛ nea efi mu ba no mu akuw atitiriw abiɛsa.
| Nsunsuansoɔ | Dɛn na eyi kyerɛ? |
|---|---|
| Aane | Wɔahu sɛ wowɔ awosu mu nsakrae bi a ɛma asiane a ɛwɔ hɔ sɛ wubenya kokoram no yɛ kɛse. Ɛno nkyerɛ sɛ akyinnye biara nni ho sɛ wubenya kokoram, nanso asiane no dɔɔso . |
| Negetifu | Awosu mu nkwaadɔm a wɔsɔɔ hwɛe no anhu nkwaadɔm mu nsakrae bi a ɛma asiane a ɛwɔ hɔ sɛ obi benya kokoram no yɛ kɛse. Sɛ wunim sɛ obi wɔ w'abusua mu wɔ saa mutation yi, nanso wunni bi a, wɔfrɛ no "nokware negative." |
| Nkyerɛase a Ɛnyɛ Pii (VUS) no Nsonsonoe . | Wɔahu nsakrae (nsakrae) bi wɔ w’awosu mu, nanso nyansahufo nnya nhuu sɛ ebia ɛma asiane a ɛwɔ hɔ sɛ wubenya kokoram no yɛ kɛse anaa. Ebetumi ayɛ nsakrae a ɛfata a asiane biara nni ho, anaasɛ ebetumi ayɛ nea wobetumi ahu sɛ ɛne kokoram wɔ abusuabɔ daakye. |
Dɛn na woyɛ bere a woanya nea efi mu ba no?
Ɛmfa ho nea ebefi mu aba biara no, awosu ho ɔfotufo no bɛka ho asɛm akyerɛ wo akɔ akyiri. Sɛ nea efi mu ba no yɛ papa a , wobɛka:
- Nsakrae a ɛba w’akwahosan nhyehyɛe mu: Ka nhwehwɛmu titiriw a wɔyɛ de hu kokoram ntɛm, te sɛ mammogram anaa colonoscopie a wɔyɛ daa, ne nneɛma a wubetumi ayɛ de atew kokoram ho asiane so ho asɛm.
- Abusua nhyehyɛe: Wɔka awosu mu nsakrae yi ho asɛm wɔ hokwan ahorow a ɛwɔ hɔ sɛ wode bɛma wo ba no ho.
- Abusua a wobɛbɔ amanneɛ: Eyi bɛka sɛnea nea ebefi mu aba no bɛka wo mogya abusuafo (awofo, anuanom, mma) ne anammɔn a ɛsɛ sɛ wotu ho asɛm.
Sɛ nea efi mu ba no nyɛ papa anaasɛ VUS mpo a, ebia ebehia sɛ wokɔ wo duruyɛfo nkyɛn mpɛn pii anaasɛ woyɛ nhwehwɛmu afoforo. Sɛ nyansahu mu nsɛm foforo ba a ɛfa VUS aba ho a, wo duruyɛfo no bɛma woahu.
Mfaso ne nsɛnnennen bɛn na ɛwɔ sɔhwɛ yi so?
Te sɛ aduruyɛ mu nhwehwɛmu biara no, eyi wɔ mfaso horow ne nsɛnnennen bi nso.
| Mfasoɔ | Mfomso / Nsɛnnennen |
|---|---|
| Ehu ne adwenem naayɛ a ɛwɔ me koma mu no yera na mete ahotɔ bi nka. | Ehu, dadwen, ne adwennwen a ɛho nhia wɔ nea ebefi mu aba ho betumi asɔre. |
| Wubetumi ayɛ nneɛma bi de atew asiane a ɛwɔ hɔ sɛ wubenya kokoram no so na woahu ntɛm. | Eyi a yɛbɛka akyerɛ abusua no betumi aka abusuabɔ. |
| Wo duruyɛfo bɛboa wo ma woayɛ akwahosan ho nhyehyɛe a ɛfa wo pɔtee ho. | Afobu betumi afi biribi a wonya fi awo mu mu aba. |
| W’abusua nso nya hokwan hu wɔn akwahosan ho asiane ahorow. | Sɔhwɛ no gye sika kakra. |
Awosu mu ɔfotufo betumi aboa wo ma woadi saa nkate horow yi ho dwuma na wakyerɛ wo kwan wɔ sɛnea wo ne w’abusua bɛkasa afa eyi ho, ɛno nti na ɛho hia kɛse sɛ wubenya wɔn mmoa wɔ saa adeyɛ yi nyinaa mu no.
Nkrasɛm a Wɔde Kɔ Fie
- Awosu mu nhwehwɛmu a wɔde hwehwɛ kokoram no nkyerɛ wo sɛ wowɔ kokoram, na ɛfa asiane a ɛwɔ awosu mu sɛ wubenya kokoram ho nkutoo.
- Ɛho hia yiye sɛ wo ne awosu ho ɔfotufo bɛkasa ansa na woanya sɔhwɛ yi mu aba ne bere a woanya akyi.
- Sɛ nea efi mu ba no yɛ papa mpo a, mma wo ho nnpopo na yɛ nneɛma a ɛho hia na ama asiane a ɛwɔ hɔ no so atew na woahu kokoram ntɛm, sɛnea wo duruyɛfo kamfo kyerɛ no.
- Sɛ wo ne wo duruyɛfo bɛkasa pefee na woadi nokware afa w’abusua kokoram abakɔsɛm ho a, ɛyɛ anammɔn a eye sen biara a wubetumi ayɛ de abɔ w’akwahosan ho ban no mu biako.











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