Menewa mu kokoram? Momma yɛnhwɛ yare a ɛyɛ hu yi (Hypopharyngeal Cancer) .

So wo menewam yɛ wo yaw bere nyinaa, wo nne sesa, anaasɛ wote nka sɛ biribi akɔhyɛ wo menewam? Yɛtaa bu eyinom sɛ ɛyɛ ade a ɛfata. Nanso ɛtɔ mmere bi a ebetumi ayɛ tebea bi a emu yɛ den sen sɛnea yesusuw ho sɛnkyerɛnne. Ɛnnɛ yɛreka Hypopharyngeal Cancer , menewam kokoram a ɛntaa nsi nanso ɛtrɛw ntɛmntɛm ho asɛm. Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm wɔ ɔkwan a ɛnyɛ den na emu da hɔ so.

Sɛ yɛbɛka no tiawa a, dɛn ne Hypopharyngeal Cancer?

Eyi yɛ kokoram a ɛba yɛn menewa no ase (pharynx), titiriw wɔ ɔfã a wɔfrɛ no larynx a ɛma yɛn nne no akyi. Nea ɛba wɔ asɛm yi mu ne sɛ nkwammoaa a ɛwɔ saa beae no bɛyɛ nea ɛnteɛ, ɛpaapae a wontumi nni so, na ɛyɛ akisikuru. Ade biako a ɛyɛ hu sen biara wɔ kokoram a ɛte sɛɛ ho ne sɛ ebetumi atrɛw ntɛmntɛm (akɔ mmeae afoforo) akɔ nipadua no afã afoforo . Afei nso, esiane sɛ ɛnkyerɛ yare no ho sɛnkyerɛnne atitiriw wɔ mfiase nti, ebia nnipa pii bɛka akyi kakra sɛ wobehu.

Nanso eyi nyɛ kokoram a abu so kɛse. Sɛ nhwɛso no, sɛ wɔde toto ahurututu mu kokoram ho a, wɔmmɔ yare yi ho amanneɛ kɛse. Nanso, ɛwom mpo sɛ ɛntaa nsi de, nanso ɛho hia paa sɛ yehu eyi.

Dɛn ne kokoram yi ho sɛnkyerɛnne?

Sɛnea yɛadi kan aka no, ebia sɛnkyerɛnne atitiriw biara nni hɔ wɔ mfiase no. Nanso, bere a yare no kɔ so no, sɛnkyerɛnne ahorow a edidi so yi betumi ada adi. Sɛ wowɔ eyinom mu biako anaa nea ɛboro saa bɛboro adapɛn abien a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn .

Dɛn nti na kokoram yi nya? Dɛn ne nneɛma a ɛde asiane ba?

Wonnya nhuu nea ɛde kokoram yi ba ankasa. Nanso, wɔahu nneɛma atitiriw pii a ɛma asiane a ɛwɔ hɔ sɛ obi benya yare yi yɛ kɛse.

• Sigaretnom: Eyi ne ade titiriw ne ade kɛse a ɛma obi nya menewam kokoram. Ɛnyɛ sigaret, sigaret, ne beedis nko na ɛka eyi ho, na mmom biribiara te sɛ tawa a wɔwe ne snuff a wɔde di dwuma nso.
• Nsã a wɔnom boro so: Asiane yi dɔɔso kɛse ma nnipa a wɔnom nsa da biara da na wɔnom pii no. Asiane no yɛ kɛse mpo sɛ wonom nsa ka sigaretnom ho a.
• HPV Yareɛ: HPV gyina hɔ ma Human Papillomavirus. Ɛyɛ ɔyare mmoawa a wonya fi nna mu (STI). Saa mmoawa yi tumi nam anom nna a wɔne obi a ɔwɔ ɔyare no bɛda so akɔ menewa mu na ɛde kokoram nkwammoaa aba.

Ɔkwan bɛn so na wobetumi ahu yare no?

Sɛ wokɔ oduruyɛfo bi a ɔwɔ sɛnkyerɛnne ahorow a woaka ho asɛm wɔ atifi hɔ no nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne ne bere tenten a atra hɔ no ho asɛm. Ebia wobebisa wo sigaretnom ne nsa a wonom nso ho asɛm. Afei, wɔbɛhwɛ sɛ wo kɔn mu ayɛ akuru anaa.

Ɛno akyi no, ebia wɔde wo bɛkɔ aso, hwene, ne menewa (ENT) ho ɔbenfo bi nkyɛn, na obetumi ayɛ nhwehwɛmu pii de akyerɛ sɛ woahu sɛ wowɔ yare no.

1. Endoscopy: Eyi hwehwɛ sɛ wode afiri a ɛyɛ tratraa bi a mfoninitwa afiri bi abata wo menewam ho bɛhyɛ wo menewam de ahwɛ wo menewa ne wo menewam fã a ɛwɔ fam no mu. Eyi ma wo duruyɛfo tumi hwɛ sɛ kokoram tebea biara wɔ hɔ anaa.

2. Biopsy: Sɛ wosusuw sɛ kokoram a, woyi ntini ketewaa bi fi beae no na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Wobetumi de akwan te sɛ ``Fine-Needle Aspiration (FNA)`` ayɛ eyi. Eyi nkutoo ne ɔkwan a wobɛfa so anya awerɛhyem 100% sɛ kokoram nkwammoaa wɔ hɔ anaasɛ enni hɔ.

3. Mfoniniyɛ mu nhwehwɛmu: Sɛ nipadua mu nhwehwɛmu no si so dua sɛ kokoram wɔ hɔ a, wɔyɛ mfonini mu nhwehwɛmu de hwɛ baabi a kokoram no atrɛw akodu ne sɛ ebia atrɛw akɔ akwaa afoforo mu anaa. Wobetumi de CT scan, MRI scan, anaa PET scan adi dwuma ama eyi.

Kokoram a Wɔde Di Dwuma

Sɛ ɔyɛ nhwehwɛmu ahorow yi nyinaa wie a, kokoram ho ɔyaresafo no bɛkyerɛ sɛnea wo kokoram no te ne sɛnea ɛte.

• Ɔfã: Eyi ma wuhu sɛnea kokoram no kɛse te ne baabi a atrɛw akodu. Wɔakyekyɛ mu afi Ɔfã I (ɔfã a edi kan) kosi Ɔfã IV (ɔfã a ɛkɔ akyiri sen biara).
• Abasobɔde: Eyi kyerɛ sɛnea ɛda adi sɛ kokoram nkwammoaa no nyin ntɛmntɛm na ɛtrɛw.

Dɛn ne ayaresa a wobetumi apaw?

Ayaresa a wubetumi apaw no gyina baabi a wo kokoram no wɔ, baabi a atrɛw akodu, ne w’akwahosan nyinaa so. Ayaresa titiriw ne oprehyɛn, mframa a wɔde sa yare, ne nnuru a wɔde sa yare.

Sɛɛgyiri

Nea ɛka eyi ho ne oprehyɛn a wɔde yi kokoram no ne ntini a atwa ho ahyia no fi hɔ.

• Pharyngectomy: Woyi menewa no fã bi anaa ne nyinaa fi hɔ.
• Laryngectomy: Woyi ahurututu no fi hɔ (nne adaka). Sɛ wɔyɛ eyi a, wubehia akwan foforo a wobɛfa so akasa na woahome. Ɛho behia sɛ wobue wo kɔn mu daa (stoma) na ama woatumi ahome.
• Neck dissection: Sɛ kokoram no atrɛw a, woyi ntini a ɛwɔ kɔn no mu no fi hɔ.
• Transoral robotic surgery (TORS): Wɔde robɔt mfiridwuma di dwuma de yi akisikuru a ɛwɔ mmeae a ɛyɛ den sɛ wobenya denam ano no so.
• Oprehyɛn a wɔde san yɛ: Oprehyɛn a wɔyɛ de san yɛ adwuma (a ɛboa ma mene aduan, kasa) bere a wɔayi menewa no afã horow awie no.

Dɛn na ɛba wɔ ayaresa akyi?

Saa kokoram yi betumi `san aba bio` wɔ ayaresa akyi. Asiane nso wɔ hɔ sɛ obi benya kokoram foforo wɔ nipadua no fã foforo. Enti, ɛho hia paa sɛ wɔbɛkɔ so ahwɛ aduruyɛfo so bere a wɔasa wɔn yare mpo akyi.

W’aduruyɛ kuw no bɛka akyerɛ wo sɛ bra bɛhwɛ wo akyi wɔ nhyehyɛe pɔtee bi mu.

• Asram abien biara wɔ afe a edi kan no mu.
• Pɛnkoro asram anan biara wɔ afe a ɛto so abien no mu.
• Pɛnkoro asram asia biara wɔ afe a ɛto so abiɛsa no mu.
• Afei pɛnkoro afe biara mfe anum.

Ɛtɔ mmere bi a, ebia sɔhwɛ ahorow yi ho behia wɔ nkwa nna nyinaa mu.

So akwan bi wɔ hɔ a wobɛfa so abɔ wo ho ban afi yare yi ho?

Yiw, koraa. Nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya kokoram yi so.

• Kwati sigaretnom koraa. Afei nso, kwati sɛ wobɛhome wusiw a wɔde adi dwuma bere a obi foforo renom sigaret no.
• Gyae nsa nom anaasɛ to ano hye kɛse.
• Bɔ wo ho ban fi HPV mmoawa no ho. Wubetumi anya HPV vaccine no ama eyi. Na di nna ho nneyɛe a ahobammɔ wom akyi.