So wo nufu mu kokoram no yɛ HER2-Positive? Momma yɛnka eyi ho asɛm nkɔ akyiri!

So woate nufu mu kokoram ho asɛm pɛn? Ebia w’adamfo anaa w’abusuafo bi anya bi. Nufu mu kokoram ahorow ahorow wɔ hɔ ankasa. Ɛnnɛ yɛrebɛka wɔn mu baako ho asɛm, a ɛyɛ soronko na ɛtumi trɛw ntɛmntɛm kakra. Ɛno ne nufu mu kokoram a ɛwɔ HER2-Positive (HER2-positive) . Sɛ wote saa din yi a, ebia wubesusuw sɛ ɛyɛ den kakra, nanso mma ɛnhaw wo. Yɛbɛka ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne HER2-Positive (HER2+) Nufu mu Kokoram?

Sɛ yɛbɛka no tiawa a, nufu mu kokoram a HER2-positive (HER2+) yɛ kokoram bi a enyin ntɛmntɛm na ebetumi atrɛw ntɛmntɛm wɔ nufu no akyi (`invasive`) . Sɛ nnuruyɛfo ka sɛ wowɔ kokoram a ɛte sɛɛ a, ɛkyerɛ sɛ wo kokoram nkwammoaa no wɔ protein soronko bi a ɛhwɛ nkwammoaa nyin ne mpaapaemu so wɔ wo nipadua mu – a wɔfrɛ no ``Human Epidermal Growth Factor Receptor 2`` , anaa HER2 tiawa. Saa HER2 protein yi te sɛ ``sɛnkyerɛnne'' a ɛka kyerɛ nkwammoaa sɛ wonnyin. Sɛ ɛdɔɔso dodo a, nkwammoaa no mu paapae ntɛmntɛm a wontumi nni so, na ɛde kokoram ba.

Saa nufu mu kokoram yi taa trɛw (ɛtrɛw) fi nufu no mu kɔ wo nipadua no afã afoforo te sɛ ntini a ɛma mogya tu, mmerɛbo, ahurututu, anaa w’amemene mpo. Nanso nea ɛho hia ne sɛ, sɛ wohu kokoram yi ntɛm, ansa na atrɛw akɔ nipadua no afã afoforo a, nnuruyɛfo betumi de ayaresa a ɛkɔ akyiri a ɛwɔ hɔ nnɛ no asa no yiye. Ɛno nti na ɛho hia kɛse sɛ wobehu no ntɛm no.

Nufu mu kokoram a ɛwɔ HER2 abu so dɛn?

Sɛnea Amerika Kokoram Fekuw kyerɛ no, wobehu sɛ mmea bɛboro 290,000 anya nufu mu kokoram a ɛba nipadua mu (invasive ductal carcinoma ne lobular breast cancer) wɔ afe 2023 nkutoo mu. Eyinom mu , 15% kosi 20% yɛ HER2-a ɛyɛ papa. Mmarima nso betumi anya nufu mu kokoram, nanso nufu mu kokoram a HER2 wom no ntaa mma mmarima mu koraa.

Dɛn ne nufu mu kokoram a HER2 wɔ mu no ho sɛnkyerɛnne?

Te sɛ nufu mu kokoram ahorow pii no, ɛtɔ mmere bi a saa HER2-positive subtype yi nkyerɛ sɛnkyerɛnne ahorow a ɛda adi pefee mfiase no. Nanso sɛ sɛnkyerɛnne ahorow no da adi ampa a, ɛte sɛ nea wohu wɔ nufu mu kokoram daa mu no. Momma yɛnhwɛ nea wɔyɛ:

• Nsakrae a ɛba nufu bi kɛse, ne nsusuwii, anaa ne nsusuwii mu . Ebia nufu biako bɛte nka sɛ ɛsõ sen foforo no, anaasɛ ne nsusuwii betumi asesa.
• Akuru anaa akuru a ɛwɔ nufu anaa abasa no mu. Eyi betumi ayɛ ketewaa te sɛ pea. Sɛ akisikuru no kɔ so bere a wo brayɛ no aba awiei a, ɛsɛ sɛ wohaw wo ho.
• Nsakrae a ɛba sɛnea nufu anaa nufu no honam ani hwɛbea te anaasɛ ɛte nka mu . Honam ani betumi ayɛ mmerɛw, ayɛ mmerɛw anaasɛ ayɛ kurukuruwa, anaasɛ ebetumi ate nka sɛ ɛyɛ mmerɛw anaasɛ ɛho ayɛ hyew. Ɛtɔ mmere bi a, honam ani betumi ayɛ kɔkɔɔ anaasɛ ayɛ tuntum asen sɛnea ɛte daa.
• Sɛ wote nka sɛ wowɔ baabi a ɛyɛ den wɔ honam ani, te sɛ marble .
• Mogya anaa nsu a emu da hɔ a efi nufu no mu ba.

Fa no sɛ, w'adamfo, ma yɛmfrɛ no "Sunita". Da bi, bere a Sunita reguare no, ohui sɛ nsakrae ketewaa bi aba ne nufu mu. Ná ɛte sɛ akuru ketewaa bi. Mfiase no, wamfa n'adwene ansi so kɛse, na osusuwii sɛ, "Ɛbɛkɔ kɛkɛ." Nanso adapɛn kakraa bi akyi no, na ɛda so ara wɔ hɔ. Akyiri yi, bere a ɔde kyerɛɛ oduruyɛfo bi no, ohui sɛ ɛyɛ nufu mu kokoram ho sɛnkyerɛnne. Enti, sɛ wuhu nsakrae bi a ɛyɛ soronko wɔ wo nufu mu a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu a wummu w’ani ngu so.

Dɛn na ɛde nufu mu kokoram a ɛwɔ HER2 ba?

Nufu mu kokoram a ɛwɔ HER2 no fi awosu mu nkwaadɔm bi a wɔfrɛ no HER2 mu nsakrae. Saa HER2 awosu mu abɔde yi na ɛyɛ HER2 protein a yɛadi kan aka ho asɛm no. Saa HER2 proteins yi (a wɔsan frɛ no `receptors`) no, wɔtaa hu wɔ nufu mu nkwammoaa nyinaa ani.

Wɔ tebea horow a ɛfata mu no, saa HER2 protein ahorow yi hwɛ nufu mu nkwammoaa nyin na wosiesie so, na ɛhwɛ hu sɛ nkwammoaa foforo mu paapae dodow a ɛdɔɔso a wɔde besi nkwammoaa a asɛe anaasɛ ɛrewuwu ananmu.

Nanso, sɛ wɔsakra HER2 awosu mu abɔde no a, ɛyɛ ne ho mfonini pii dodo. Sɛ wɔda HER2 awosu mu abɔde no adi boro so a, ɛno nso ma HER2 protein no dɔɔso dodo. Sɛ HER2 protein no dɔɔso dodo a, nufu mu nkwammoaa mu paapae ntɛmntɛm na enyin a wontumi nni so, na ɛbɛyɛ kokoram akisikuru.

Dɛn ne asiane ahorow a ɛde eyi ba?

Te sɛ nufu mu kokoram no, asiane ahorow a ɛwɔ nufu mu kokoram a ɛwɔ HER2 mu no te sɛ nea ɛwɔ nufu mu kokoram a ɛba daa mu no. Wubetumi akɔ so anya nufu mu kokoram sɛ́ ebia wowɔ saa nneɛma a ɛde asiane ba yi anaasɛ wunni bi no. Nanso, saa nneɛma yi betumi ama asiane a ɛwɔ hɔ no ayɛ kɛse:

• Awosu mu nsakrae a wonya fi awo mu a wobenya . Sɛ nhwɛso no, nkwaadɔm mu nsakrae a ɛba awosu mu nkwaadɔm BRCA1 anaa BRCA2 mu.
• Esiane sɛ na wanya nufu mu kokoram pɛn.
• Sɛ wowɔ tebea afoforo a ɛfa nufu ho te sɛ `atypical ductal hyperplasia`.
• Brayɛbea fi ase ntɛm sen sɛnea ɛte daa.
• Menopause ba akyiri sen mfe a ɛfata.
• Aduru a wɔde si hormone ananmu a wɔnom.
• Nsã a ɛboro biako a wobɛnom da biara.
• Bere a wɔayɛ no mframa a wɔde sa yare wɔ tebea horow bi te sɛ lymphoma (kokoram a ɛwɔ ntini mu) ho.

Dɛn ne nsɛnnennen a ɛwɔ nufu mu kokoram a ɛwɔ HER2 mu no mu?

HER2-Nufu mu kokoram a ɛyɛ papa no betumi atrɛw akɔ nipadua no afã afoforo, anaasɛ ‘ɛkɔ mmeae afoforo’. Wɔ nnipa a wɔwɔ nufu mu kokoram a ɛte sɛɛ mu bɛyɛ fã mu no, bere a wohu sɛ kokoram no atrɛw akɔ nipadua no afã afoforo dedaw, titiriw amemene no. Nufu mu kokoram a atrɛw akɔ amemene no mu (‘nufu mu kokoram a ɛtrɛw kɔ w’amemene mu’) betumi de nkwa ato asiane mu. Ɛno nti na ɛho hia sɛ wohu ntɛm na wɔsa no yare ntɛm no.

Ɔkwan bɛn so na wohu sɛ obi anya nufu mu kokoram a ɔwɔ HER2?

Nnuruyɛfo titiriw de nufu mu nhwehwɛmu di dwuma de hu nufu mu kokoram nyinaa. Nea ɛka eyi ho ne sɛ wobegye ntini ketewaa bi afi nufu no fã bi a ɛyɛ hu na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu.

Sɛ nufu mu nhwehwɛmu no si so dua sɛ kokoram wɔ hɔ a, aduruyɛ mu ɔyare ho ɔbenfo (oduruyɛfo a ne ho akokwaw wɔ nyarewa a wohu mu) bɛyɛ nhwehwɛmu titiriw bi de ahwɛ sɛ ebia HER2 protein no wɔ nufu no mu nkwammoaa mu anaa. Sɔhwɛ ahorow atitiriw abien na ɛwɔ hɔ ma eyi:

1. Immunohistochemistry (IHC): Saa sɔhwɛ yi ma ɔyare ho animdefo tumi hwehwɛ HER2 protein a ɛwɔ nufu mu kokoram nkwammoaa mu. Saa sɔhwɛ yi de aduru titiriw bi (immunostaining) di dwuma de hwɛ HER2 protein dodow a ɛwɔ kokoram nkwammoaa no mu.

2. Fluorescence in situ hybridization (FISH): Ɛtɔ da bi a wɔde FISH sɔhwɛ yi di dwuma de si nea efii IHC sɔhwɛ no mu bae no so dua. Saa sɔhwɛ yi betumi ahu sɛ ebia HER2 awosu mu abɔde no mfonini foforo wɔ hɔ anaa.

Wɔ nhwehwɛmu ahorow yi akyi no, nnuruyɛfo san kyekyɛ kokoram no mu. Wɔde `scoring system` na edi dwuma. Eyi hwɛ sɛnea HER2 protein no dodow kɔ soro wɔ nufu mu ntini nhwɛsode no mu, ne kokoram nkwammoaa dodow a ɛwɔ hɔ nso. Susuw ho saa kwan yi so:

• Sɛ sɔhwɛ no kyerɛ sɛ HER2 protein dodow no sua a, wɔbɛma no nkontaa sɛ 0 anaa 1+ . Afei ɔyare ho ɔbenfo no bɛka sɛ ɛyɛ HER2 a ɛnyɛ papa .
• Sɛ kokoram nkwammoaa wɔ hɔ na protein dodow no yɛ nea ɛfata a, wubetumi anya nkontaa 2+ . Afei ɔyare ho ɔbenfo no nso bɛsi `FISH` sɔhwɛ a yɛadi kan aka ho asɛm no so dua.
• Sɛ kokoram nkwammoaa pii wɔ hɔ na protein dodow no dɔɔso yiye a, wubenya nkontaa 3+ . Ɛno ne bere a ɔyare ho ɔbenfo no ka sɛ ɛyɛ HER2 positive .

Saa nkontabuo nhyehyɛeɛ yi na ɛkyerɛ pɛpɛɛpɛ sɛ wowɔ HER2-positive anaa HER2-negative.

Dɛn ne ayaresa ahorow a wɔde sa nufu mu kokoram a ɛwɔ HER2?

Esiane sɛ eyi yɛ nufu mu kokoram a ɛyɛ `invasive` nti, nneɛma pii na ɛkyerɛ ayaresa a wobetumi apaw, te sɛ kokoram no gyinabea ne HER2 tebea. Wobetumi de ayaresa ahorow a edidi so yi adi dwuma:

• Ayaresa a wɔde asi wɔn ani so:Eyi ne aduru pɔtee a wɔde sa kokoram a ɛwɔ HER2. Nea ɛka ho ne nnuru a wɔde si HER2 protein no so na ekum kokoram nkwammoaa no ma. Ayaresa ahorow atitiriw pii wɔ eyi ase:
• Monoclonal antibody therapy: Eyinom kyekyere HER2 protein no na ɛma kokoram nkwammoaa nnyin.
• Tyrosine kinase inhibitor therapy: Saa nnuru yi hyɛn kokoram nkwammoaa mu na esiw nsɛnkyerɛnne akwan a ɛboa ma nkwammoaa nyin no ano.
• Antibody-drug conjugates (ADCs): Eyi yɛ ɔkwan a ɛkɔ akyiri yiye. Wɔ eyi mu no, wɔde aduru bi a ɛko tia kokoram bata nipadua mu nkwammoaa a ɛko tia kokoram a ɛhwehwɛ kokoram nkwammoaa ho. Afei saa aduru yi kɔ kokoram nkwammoaa no mu tẽẽ na ɛma aduru no fi adi, na ɛnsɛe nkwammoaa a ɛte apɔw no kɛse.
• Nnuru a wɔde sa yare: Wɔde nnuru a wɔde sa yare ma ansa na wɔayɛ oprehyɛn de atew akisikuru no so (neoadjuvant therapy) anaasɛ wɔde kum kokoram nkwammoaa biara a aka wɔ oprehyɛn no akyi (adjuvant therapy). Ɛtɔ mmere bi a, wɔde nnuru a wɔde sa yare ka ayaresa a wɔde wɔn ani asi so ho ma.

Sɛ eyi da nkyɛn a, egyina kokoram no gyinabea so no, wobetumi ayɛ nneɛma te sɛ `oprehyɛn`, `mframa a wɔde sa yare`, anaa `hormone therapy` nso.

Dɛn ne ayaresa ahorow no mu nsunsuanso bɔne?

Nneɛma bɔne a efi mu ba no betumi ayɛ soronko a egyina ayaresa no so. Sɛ worenya ayaresa a, wo ne wo duruyɛfo nkasa mfa sɛnea ayaresa no bɛka wo ne sɛnea ɛbɛka wo da biara da asetra ho asɛm. Afei nso, bisa wo duruyɛfo fa ayaresa a ɛma obi ho dwo no ho . Palliative care yɛ ɔsom a ɛboa wo ma wudi kokoram ho sɛnkyerɛnne ne ayaresa mu nsunsuanso bɔne ho dwuma na ɛma wo ho tɔ wo sɛnea wubetumi bere a wɔreyɛ ayaresa no. Ɛnyɛ nnipa a wontumi nsa kokoram nko, na mmom ebetumi aboa obiara a ɔrenya ayaresa.

So saa ayaresa ahorow yi betumi asa nufu mu kokoram a ɛwɔ HER2 no koraa?

Sɛ nnuruyɛfo ka sɛ "wɔsa" kokoram bi a, ebia wɔkyerɛ sɛ ayaresa ama kokoram no agyae mfe pii. Fafiri kyerɛ sɛ wo nni kokoram no ho sɛnkyerɛnne biara na wontumi nhu kokoram biara wɔ nhwehwɛmu mu. Wobu obi a wohu sɛ ɔwɔ nufu mu kokoram a ɛwɔ HER2, wɔasa no yare, na ɔtra ase mfe anum sɛ "wɔasa no yare."

Sɛnea U.S. Ɔman Kokoram Asoɛe (NCI) kyerɛ no, nnipa a wɔahu sɛ wɔwɔ nufu mu kokoram a ɛwɔ HER2 no mu bɛboro 90% da so te ase wɔ mfe anum akyi. Wobetumi abu wɔn sɛ wɔasa wɔn kokoram. Nanso, kokoram a ɛwɔ HER2 no betumi asan aba bio na atrɛw akɔ nipadua no afã afoforo. Enti, ɛho hia sɛ wokɔ so kɔ aduruyɛ mu nhwehwɛmu.

Nkwa dodow ahe na wonya wɔ nufu mu kokoram a HER2 wɔ mu no mu?

Hokwan a ɛwɔ hɔ sɛ wobenya nufu mu kokoram a HER2 wɔ mu no nso gu ahorow gyina sɛ ebia kokoram no yɛ hormone receptor-positive (HR+) anaasɛ hormone receptor-negative (HR-) so . (Saa hormone receptors yi ne receptors a ɛwɔ nkwammoaa no ani a etumi kyekyere hormone. Kokoram a ɛwɔ HER2 nyinaa mu bɛyɛ fã na ɛwɔ saa receptors yi. NCI kyekyɛ saa hokwan ahorow yi mu sɛnea kokoram no fã te: local (a ɛtrɛw kɔ nufu mu nkutoo), regional (ɛtrɛw kɔ lymph nodes a ɛbɛn hɔ), ne akyirikyiri (ɛtrɛw kɔ nipadua no afã horow a ɛwɔ akyirikyiri). Wubetumi ne wo duruyɛfo akasa afa eyi ho na woasua pii.

So wobetumi asiw nufu mu kokoram a ɛwɔ HER2 ano?

Ɛda adi kɛse sɛ ɛnyɛ saa. Ɛwom sɛ nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram so de, nanso nufu mu kokoram a ɛwɔ HER2 no fi nsakrae bi a ɛba HER2 awosu mu abɔde mu a ɛma kokoram nkwammoaa hyehyɛ mu. Nhwehwɛmufo da so ara resua nea enti a eyi ba no ho ade, enti wonnya ntumi nka nea wobetumi ayɛ de asiw kokoram a ɛwɔ HER2 ano no ankasa.

Nanso, wubetumi ayɛ saa nneɛma yi de atew asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram wɔ ɔkwan a ɛkɔ akyiri so no so:

• Hwɛ wo nufu akwahosan so yiye. Yɛ nufu mu nhwehwɛmu daa, na yɛ nufu mu nhwehwɛmu wɔ mfe ne bere a wo duruyɛfo kamfo kyerɛ no mu. Hwɛ nsakrae biara a ɛbɛba wo nufu mu. Saa kwan yi so no, wobetumi ahu kokoram ntɛm na wɔasa no ntɛm.
• Kura mu duru a ɛfata mu. Ɛsɛ sɛ eyi yɛ mu duru a ɛbɛma wo ho atɔ wo. Bisa wo duruyɛfo ma ɔmma no afotu wɔ sɛnea wobɛma wo mu duru ayɛ yiye ho.
• Di aduan a ahoɔden wom. Nhwehwɛmu ahorow bi ada no adi sɛ aduan a nhabannuru, nnuaba, nufusu mu nneɛma a calcium wom, ne protein a ɛnyɛ den pii wom betumi atew asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no so. Ɛyɛ adwene pa nso sɛ wobɛto nam kɔkɔɔ ne nam a wɔayɛ ho adwuma ano hye.
• Yɛ nnam. Nhwehwɛmu ahorow ada no adi sɛ apɔw-mu-teɛteɛ daa ma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no so tew. Sɛ obi nantew simma 30 kɛkɛ da biara mpo ye.
• Kwati nsa a ano yɛ den. Nhwehwɛmu kyerɛ sɛ abusuabɔ bi da nufu mu kokoram ne nsa ntam. Amerika Aduruyɛ Fekuw no kamfo kyerɛ sɛ mmea nnom nsa biako pɛ da biara.

Mɛyɛ dɛn ahwɛ me ho?

Nufu mu kokoram a wobɛtra ase no kyerɛ sɛ wode kokoram ho sɛnkyerɛnne, ayaresa ahorow, ne ayaresa mu nsunsuanso bɔne bɛtra ase. Na, ɛtɔ mmere bi a, ebia ɛho behia sɛ wode daakye ho adwenem naayɛ tra ase. Ebia ɛtɔ mmere bi a wobɛte nka sɛ woayɛ basaa na w’abam abu. Sɛ wote nka saa a, susuw nyansahyɛ ahorow a ɛfa sɛnea wobɛhwɛ wo ho yi ho:

• Nya ahomegye a ɛdɔɔso.Nufu mu kokoram ne ayaresa yɛ ɔbrɛ kɛse. Kae sɛ wobɛhome bere biara a wopɛ, na ɛnyɛ bere a woanya bere nko.
• Didi yiye. Ebia ayaresa a ɛbɛtew w’akɔnnɔ so, nanso sɛ wudi aduan a nnuaba, nhabannuru, protein a ɛnyɛ den, ne aburow a ahoɔden wom pii a, ɛbɛboa wo ma woakɔ so ayɛ den bere a wɔreyɛ ayaresa no.
• Di w’adwennwen ho dwuma. Kokoram yɛ ade titiriw a ɛde adwennwen ba. Apɔw-mu-teɛteɛ betumi aboa wɔ eyi mu. Nantew a wobɛkɔ daa ne apɔw-mu-teɛteɛ nhyehyɛe ahorow te sɛ yoga mu a wode wo ho bɛhyɛ mu no ye.
• Nya mmoa. Woyɛ obi a woanya nufu mu kokoram, na ɛno fi ase da a wobehu sɛ wowɔ wo no. Bisa wo duruyɛfo nhyehyɛe ahorow a wɔyɛ de nya kokoram no ho asɛm . Eyinom betumi aboa wo ma woadi nsɛnnennen a ɛwɔ nufu mu kokoram asetra mu no so. Sɛ wo ne w’abusuafo ne wo nnamfo bɛkasa nso yɛ ɔkwan pa a wobɛfa so ahwɛ wo ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛho behia sɛ wokɔ wo duruyɛfo nkyɛn daa bere a wɔreyɛ ayaresa no. Nanso, sɛ wuhu nsakrae foforo biara wɔ wo nufu anaa wo nipadua mu a ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ wo kokoram a ɛwɔ HER2 no atrɛw a, ka kyerɛ wo duruyɛfo ntɛm ara. Sɛ nhwɛso no, sɛ nufu mu kokoram atrɛw akɔ ahurututu mu a, wubetumi ahu sɛnkyerɛnne ahorow te sɛ koko mu yaw, koko mu yare a ɛtaa ba, ɛyɛ den sɛ wobɛhome, anaa mogya a wobɛfe.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?

Sɛ sɛnea wo nipadua yɛ wɔ kokoram ayaresa ho no nye sen sɛnea na wohwɛ kwan a, ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu. Sɛ nhwɛso no, sɛ wo ho nsu atɔ wo kɛse esiane ɔfe a ɛkɔ so daa nti a, kɔ ayaresabea ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wo nhwehwɛmu kyerɛ sɛ wowɔ nufu mu kokoram a ɛwɔ HER2 a, ebia wobɛpɛ sɛ wubisa wo duruyɛfo nsɛm te sɛ:

• Dɛn ankasa ne me HER2 tebea ? (i.e. dɛn ne me IHC/FISH nkontabuo?)
• Dɛn ne me hormone receptor tebea ? (HR + anaa HR-?)
• Ɔkwan bɛn so na saa HER2 ne hormone receptor tebea horow yi ka me nkɔmhyɛ (i.e., nkɔmhyɛ ne daakye kwan a yare no bɛkɔ so)?
• Ayaresa bɛn na wokamfo kyerɛ me? Adɛn?
• So ɛsɛ sɛ misusuw ho sɛ mede me ho bɛhyɛ ayaresabea sɔhwɛ bi a wɔde bɛsa nufu mu kokoram a HER2 wom mu ?

Nkɔso a ɛba wɔ kokoram ayaresa mu no ntaa mma. Ɛno nti na kokoram ho nhwehwɛmufo ani gyei kɛse bere a nhwehwɛmu ahorow kyerɛe sɛ nkwaadɔm mu nsakrae a ɛba HER2 awosu mu abɔde mu no ma nkwammoaa mu paapae ntɛmntɛm sen sɛnea ɛte daa no. Wohuu abusuabɔ bi a ɛda HER2 awosu mu nkwaadɔm mu nsakrae ne nufu mu kokoram ahorow bi a ɛrenya nkɔso ntɛmntɛm ntam ntɛm ara. Wofii hɔ yɛɛ ayaresa ahorow a ebetumi asa nufu mu kokoram a ɛwɔ HER2 a edi kan no yiye. Seesei nhwehwɛmufo de wɔn adwene asi ayaresa a etu mpɔn kɛse a ebetumi ama kokoram atrɛw brɛoo anaasɛ asiw ano no so. Ayaresa mu sɔhwɛ ahorow ne baabi a nneɛma foforo a wɔahu yi kɔ so. Sɛ wowɔ nufu mu kokoram a ɛtrɛw (‘ɛtrɛw’) a HER2 wɔ mu a, wo ne wo duruyɛfo nkasa mfa wo ho bɛhyɛ ayaresabea sɔhwɛ mu. Wobetumi aboa wo.

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Nufu mu kokoram a HER2 wɔ no yɛ kokoram a emu yɛ den a ɛtrɛw ntɛmntɛm. Nanso, sɛ wohu no pɛpɛɛpɛ na wohu ntɛm na wɔpaw ayaresa a ɛkɔ akyiri a, mprempren wobetumi adi tebea yi so na wɔasa no yiye.

• Hwɛ wo nipadua yiye bere nyinaa, titiriw wo nufu. Sɛ wuhu nsakrae bi a ɛyɛ soronko a, mmu w’ani ngu so na hwehwɛ aduruyɛfo afotu ntɛm ara.
• Di nhwehwɛmu ne ayaresa ahorow a wo duruyɛfo kamfo kyerɛ no akyi pɛpɛɛpɛ. Nsuro sɛ wo ne wo duruyɛfo bɛkasa afa nsɛmmisa anaa dadwen biara a ebia wowɔ ho.
• Ɛho hia yiye sɛ wobɛkɔ so anya adwempa. Ɛnyɛ wo nko ara. Abusua, nnamfo, nnuruyɛfo, ne afotu adwumayɛbea ahorow wɔ hɔ a wɔbɛboa wo.

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

` Nufu mu kokoram, HER2-Positive, kokoram ho sɛnkyerɛnne, kokoram ayaresa, mmea akwahosan, awosu mu nsakrae, mammogram