So wowɔ akisikuru te sɛ eyi wɔ wo nufu so? Momma yɛnka (Intraductal Papilloma) ho asɛm!

So woahyɛ biribi a ɛyɛ nwonwa nsow, te sɛ akisikuru ketewaa bi a ɛwɔ wo nufu mu, anaasɛ woahu biribi te sɛ nsu a efi wo nufu mu reba na woahaw kakra? Sɛ ɛba saa a, yedwen nneɛma ahorow nyinaa ho, ɛnte saa? Nanso ɛnyɛ akisikuru anaa nsakrae biara na ɛyɛ kokoram a asiane wom. Ɛnnɛ yɛrebɛka tebea bi a ɛba nufu mu, nanso ɛnyɛ kokoram, nanso ɛfata sɛ yɛhwɛ so yiye. Ɛno yɛ tebea bi a wɔfrɛ no `(Intraductal Papilloma)`. Ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra bere a wote no, nanso momma yɛnte ase kɛkɛ.

Dɛn ne eyi (Intraductal Papilloma)? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, Intraductal Papilloma yɛ onyin a ɛnyɛ hu a ɛba nufusu ntini a ɛwɔ wo nufu mu no mu. Fa no sɛ, yɛn nufu wɔ nsukorade nketewa nhyehyɛe bi a ɛma nufusu na ɛde kɔ nufusu no mu, ɛnte saa? Saa nsukorade yi, kyerɛ sɛ, nufusu ntini no, ne baabi a saa nyini yi ba. Asɛmfua "Papilloma" kyerɛ nyin a ɛte sɛ akisikuru. Eyinom yɛ nkwammoaa bi a wɔfrɛ no "Epithelial cells." Saa "Epithelial cells" yi yɛ nkwammoaa bi a ɛkata yɛn nipadua no mu ne akyi. "Intraductal" kyerɛ sɛ "wɔ duct mu" (intra - mu, ductal - a ɛfa duct bi ho). Enti, eyi nyinaa ka bom a, Intraductal Papilloma yɛ onyin a ɛnyɛ hu a ɛba nufusu ntini no mu, te sɛ akisikuru.

Adeɛ a ɛho hia ne sɛ saa akuru a wɔfrɛ no ``Intraductal Papilloma`` yi nyɛ kokoram (benign). Nanso, wo duruyɛfo bɛhwehwɛ saa akuru yi mu ahwɛ ahu sɛ nkwammoaa biara a ɛnyɛ nea wɔtaa yɛ a ebetumi abɛyɛ kokoram nni mu. Enti ɛho hia paa sɛ wohu eyi.

So eyi ahorow bi wɔ hɔ (Intraductal Papilloma)?

Yiw, ahorow abien titiriw na ɛwɔ hɔ:

1. Papilloma a ɛyɛ ankonam:

• Eyi ne ɔkwan a wɔtaa de di dwuma. Sɛnea edin no kyerɛ no, ɛyɛ akuru biako.
• Eyi taa ba wɔ nufusu ntini akɛse a ɛbɛn wo nufu no mu.
• Sɛ akuru no yɛ kɛse kakra a, wubetumi ate nka sɛ ɛwɔ nufu no akyi anaa ɛbɛn no, te sɛ akuru ketewaa bi.
• Asɛmpa no ne sɛ papilloma a ɛte sɛɛ mma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no nkɔ soro wɔ wo nkwa nna nyinaa mu.

2. Papillomas pii anaa Papillomatosis:

• Wɔ saa ɔkwan yi so no, akisikuru bɛboro biako na ɛba.
• Wɔyɛ eyinom wɔ nufusu nhama nketewa a ɛwɔ akyirikyiri kakra fi nufusu no ho.
• Ebia nnipa a wɔwɔ saa kokoram no betumi anya nufu mu kokoram a ɛkɔ soro kakra wɔ wɔn nkwa nna nyinaa mu. Nanso mma ɛnhaw wo, wo duruyɛfo bɛkyerɛkyerɛ mu pii akyerɛ wo nea eyi "kakra" kyerɛ no ho.
• Papillomas a wɔahu no mu bɛyɛ 10% pɛ na ɛyɛ saa ɔkwan yi dea, a wɔfrɛ no ``Papillomatosis.'' Ɛno kyerɛ sɛ ɛntaa nsi kakra.

Intraductal Papilloma abu so dɛn?

Intraductal papillomas yɛ bɛyɛ 10% wɔ nufu mu akuru a ɛnyɛ hu no mu. Wohu eyinom mu dodow no ara sɛ papillomas a ɛyɛ ankonam. Enti, eyi nyɛ tebea a ɛntaa nsi.

Dɛn ne tebea yi ho sɛnkyerɛnne? Yɛbɛyɛ dɛn ahu?

Ɛnyɛ papillomas nyinaa na ɛde sɛnkyerɛnne ahorow ba. Ɛtɔ da bi a, oduruyɛfo bi hu akisikuru bi a ɛyɛ soronko bere a woreyɛ nhwehwɛmu te sɛ mammogram, esiane biribi foforo nti. Ebia na wunnim mpo saa bere no.

Nanso, papillomas bi betumi ama nsakrae aba nufu no mu. Hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ eyinom ho:

• Nsu a efi nufu no mu a emu da hɔ anaasɛ mogya wom: Mpɛn pii no, eyi ka nufu biako pɛ. Sɛ wuhu sɛ eyi rekɔ so mpofirim a, mma wo ho nnpopo na kɔ oduruyɛfo nkyɛn.
• Akuru ketewaa bi a wɔte nka wɔ nufu no akyi: Ebia saa akuru yi bɛyɛ yaw anaasɛ ɛrenyɛ yaw.
• Ɛyaw anaa ahotɔ a wobɛte nka wɔ nufu no fã biako: Sɛ wo ho yɛ wo yaw bere nyinaa wɔ baabi koro no ara a, hu ɛno nso.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, akyinnye biara nni ho sɛ hwehwɛ aduruyɛfo afotu. Ɛno ne ade a eye sen biara a ɛsɛ sɛ woyɛ. Ɛho hia kɛse sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya afotu a ɛfata sen sɛ wobɛhwehwɛ nsɛm wɔ intanɛt so kɛkɛ.

Dɛn na ɛde Intraductal Papilloma ba?

Intraductal Papilloma fi epithelial nkwammoaa a enyin dodo wɔ nufusu ntini mu, a yɛadi kan aka ho asɛm no. Ɛte sɛ afifide a enyin ntɛmntɛm dodo. Nanso, abenfo da so ara nnim nea enti a saa nkwammoaa yi nyin ntɛmntɛm saa no ankasa. Nhwehwɛmu da so ara kɔ so.

Nnipa binom, sɛ wɔte asɛmfua "papilloma" a, wosusuw sɛ ɛne mmoawa `(Human Papillomavirus - HPV)` wɔ biribi yɛ. Nanso abusuabɔ biara nni hɔ a ɛte saa. Ɛyɛ nokware sɛ HPV mmoawa ahorow bi a asiane kɛse wom no ma asiane a ɛwɔ hɔ sɛ wobenya kokoram ahorow no yɛ kɛse. Nanso, HPV yareɛ mma `(Intraductal Papilloma)`, na saa ara nso na ɛmma asiane no nkɔ soro. Ɛyɛ papa sɛ worenfrafra abien no, ɛnte saa?

Dɛn ne asiane ahorow a ɛka eyi?

Nhwehwɛmu da so ara kɔ so de kyerɛ asiane ahorow pɔtee a ɛma `(Intraductal Papilloma) ba.` Nea wonim mprempren ne sɛ nea edidi so yi betumi ama asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi ayɛ kɛse:

• Mfe a woadi: Sɛ woadi fi mfe 35 kosi 55 a, ɛda adi sɛ wubenya Intraductal Papilloma. Nnipa dodow no ara a wohu sɛ wɔwɔ bi no yɛ wɔn a wɔagyae brayɛ. Nanso, ebia wɔn a wɔwɔ papilloma pii no sua sen wɔn a wɔwɔ papilloma biako no.
• Hormone a wɔfrɛ no estrogen a wɔde wɔn ho hyɛ mu:Asiane a wowɔ no betumi ayɛ kɛse sɛ woanya hormone `(Oestrogen)` wɔ wo nkwa nna nyinaa mu a. Sɛ nhwɛso no, mmerantebere ne mmabaabere ntɛm, bratwa a ɛba akyiri, ne mma a wonwo no ma bere dodow a wo nipadua no nya `(Oestrogen)` no yɛ kɛse. Afei nso, awo ano aduru a `(Oestrogen)` wom a wɔde di dwuma no yɛ ade a ɛde ba.
• Abusua abakɔsɛm: Sɛ obi a ɔwɔ w’abusua mu anya nufu mu kokoram a, asiane kɛse wom sɛ wubenya nufu mu kokoram. Eyi nso betumi ama asiane a ɛwɔ hɔ sɛ wubenya nufu mu tebea horow a ɛnyɛ kokoram te sɛ intraductal papilloma no ayɛ kɛse.

So Intraductal Papilloma ma kokoram ho asiane no yɛ kɛse?

Eyi ne ɔhaw kɛse ma nnipa pii. Sɛnea yɛadi kan aka no, Intraductal Papilloma nyɛ kokoram. Nanso, nnuruyɛfo dwen saa akuru yi ho efisɛ wobu no sɛ “akuru a edi kan a asiane kɛse wom.” Eyi kyerɛ sɛ ɛtɔ mmere bi a nnuruyɛfo tumi hu nkwammoaa a ebetumi abɛyɛ kokoram (ade bɔne) wɔ papilloma no mu anaa nea ɛbɛn hɔ.

Nanso eyi ntaa nsi koraa. Ɛtɔ mmere bi a nnuruyɛfo behu nneɛma a ɛte sɛɛ:

• Atypical cells, anaa Atypical Ductal Hyperplasia (ADH): Eyi ne bere a nkwammoaa a ɛwɔ wo nufusu ntini mu no mu paapae ntɛmntɛm na enyin wɔ ɔkwan a ɛnteɛ so. Akyiri yi saa nkwammoaa yi betumi adan kokoram nkwammoaa. Nanso, Intraductal Papillomas no mu ɔha biara mu kakraa bi pɛ, bɛyɛ 3%, na ɛkɔ ADH.
• Ductal Carcinoma In Situ (DCIS): DCIS yɛ kokoram a ɛnyɛ nea ɛkɔ nipadua no mu anaasɛ ɛmma obi ntumi nkɔ nipadua no mu. Eyi kyerɛ sɛ ɛntrɛw nkɔ akyiri nsen nufusu ntini no te sɛ kokoram afoforo. DCIS yɛ ɔha biara mu nkyem ketewaa bi mpo, bɛyɛ 2.5%, a ɛwɔ intraductal papillomas mu.

Nnipa a wɔwɔ papillomas pii no taa nya nkwammoaa a ɛnyɛ nea wɔtaa yɛ yi sen wɔn a wɔwɔ papillomas a ɛyɛ ankonam no. Papillomas pii nso ma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no yɛ kɛse kakra bere a bere kɔ so no. Nhwehwɛmufo da so ara reyɛ nea enti a wɔyɛɛ saa no mu nhwehwɛmu.

Nanso ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne sɛ ADH ne DCIS nyinaa yɛ nea wotumi sa koraa. Enti sɛ wohu ntɛm a, biribiara nni hɔ a ɛsɛ sɛ ɛhaw adwene.

Ɔkwan bɛn so na wohu sɛ obi anya Intraductal Papilloma?

Ɔkwan biako pɛ a wobɛfa so ahu no yiye sɛ wowɔ Intraductal Papilloma ne sɛ wobɛyɛ wo nufu mu nhwehwɛmu . Wɔ biopsy mu no, wo duruyɛfo yi akuru no nyinaa anaa ne fã bi na ɔde kɔ lab. Ɛhɔ no, ɔyare ho ɔbenfo bi hwehwɛ mu hwɛ sɛ nkwammoaa bi a ɛnteɛ wɔ hɔ anaa.

Mfoninitwa ho nhwehwɛmu a wɔtaa yɛ te sɛ mammogram, ultrasound, anaa magnetic resonance imaging (MRI) betumi ada onyin a ɛnteɛ adi. Nanso, ɛrentumi nyɛ yiye sɛ yɛbɛka no pen sɛ akisikuru no yɛ papilloma a wɔannyɛ biopsy.

Sɛ nhwɛso no, Intraductal Papilloma betumi ada adi sɛ ade kɛse, ntini, anaasɛ calcifications wɔ mammogram mu. Wobetumi ahu saa nneɛma yi wɔ nufu mu akisikuru ahorow pii mu, a kokoram ne nea enni kokoram nyinaa.

Enti, sɛ oduruyɛfo no betumi ahu Intraductal Papilloma no pɛpɛɛpɛ a, ɛsɛ sɛ ɔhwehwɛ ntini no mu tẽẽ.

Woyɛ dɛn sa akisikuru ahorow yi a ɛwɔ nufu mu?

`(Intraductal Papilloma)` ayaresa gyina nneɛma pii so, te sɛ akuru dodow a wowɔ, sɛ ebia nkwammoaa a ɛnteɛ wom, wo sɛnkyerɛnne, akuru no kɛse, ne asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram.

• Solitary papillomas: Sɛ eyinom wɔ nkwammoaa a ɛnyɛ ne kwan so anaasɛ ɛde sɛnkyerɛnne ahorow reba a, ebia ebehia sɛ woyi fi hɔ. Akuru no kɛse ne asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram nso bɛka sɛ ebia ɛho hia sɛ wɔyɛ oprehyɛn anaa. Ɛtɔ mmere bi a, nnuruyɛfo si gyinae sɛ wɔde x-ray bɛhwɛ papillomas a ɛyɛ ankonam.
• Multiple papillomas: Ɛsɛ sɛ woyi eyinom fi hɔ efisɛ, ɛwom sɛ ɛnyɛ kokoram de, nanso ɛwɔ hokwan kɛse sɛ wobenya nsakrae ansa na kokoram aba.

So ɛsɛ sɛ woyi intraductal papillomas nyinaa fi hɔ?

Ɛtɔ mmere bi a wo duruyɛfo betumi akamfo akyerɛ sɛ hwɛ papillomas nketewa a enni sɛnkyerɛnne biara a ɛyɛ biako. Nanso, ɛho behia sɛ woyi intraductal papillomas dodow no ara fi hɔ.

Ayaresa ahorow pii wɔ hɔ a wɔde yi papillomas fi hɔ:

• Vacuum-assisted excision (VAE): Nea ɛka eyi ho ne sɛ wɔde ade ketewaa bi a wɔde abɔ afiri a wɔde suw nsu mu yi akuru no.
• Excisional breast biopsy (a wɔsan frɛ no Lumpectomy): Wɔ oprehyɛn yi mu no, woyi akisikuru no ne ntini ketewaa bi a ɛwɔ apɔwmuden a atwa ho ahyia (afã bi) na ama wɔahwɛ ahu sɛ nkwammoaa a ɛnteɛ biara nni hɔ.
• Mastectomy: Sɛ wowɔ papillomas pii na asiane kɛse wom sɛ wubenya nufu mu kokoram a, ebia ebehia sɛ woyi nufu no nyinaa (mastectomy). Nanso, eyi ho yɛ na koraa na wɔyɛ no wɔ nsɛm titiriw bi mu nkutoo.

Wo duruyɛfo no begyina wo biopsy amanneɛbɔ so akyerɛkyerɛ ayaresa ahorow a ɛfata wo kɛse mu akyerɛ wo.

Intraductal Papilloma yɛ aniberesɛm dɛn?

Bio nso, Intraductal Papilloma nyɛ kokoram. Nanso, wɔ tebea horow a ɛntaa nsi mu no, ebia nkwammoaa a ɛnteɛ a ebia ebehia sɛ wɔsa no wɔ akuru yi mu. Sɛ wowɔ papillomas pii a, ebia asiane a ɛwɔ hɔ sɛ wubenya kokoram no bɛkɔ soro kakra wɔ wo nkwa nna nyinaa mu. Eyi kyerɛ sɛ ebia ɛho behia sɛ wɔhwɛ wo so mpɛn pii sɛ wowɔ kokoram anaa.

Asɛmpa no ne sɛ wobetumi asiw nkwammoaa a ɛnyɛ ne kwan so, anaa nkwammoaa a edi kokoram anim yi ano denam ayaresa a woyi fi hɔ so. Na sɛ wowɔ nkwammoaa a ɛnteɛ mpo a, oprehyɛn betumi asiw kokoram ano. Enti mma ɛnhaw wo.

So wobetumi asiw papillomas a ɛba no ano?

Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a wobɛfa so asiw `(Intraductal Papilloma) a ɛbɛba no ano.` Nanso, ɛdenam nufu mu kokoram nhwehwɛmu a wobɛyɛ daa so no, wo duruyɛfo betumi ahwɛ wo nufu akwahosan so. Ɛboa paa nso sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu bere a woahu nsakrae biara wɔ wo nufu mu ara pɛ.

Ɛdenam nsakrae a wobehu ntɛm na wɔanya ayaresa a ɛfata so no, wobetumi asiw nufu mu tebea horow a ɛnyɛ kokoram ano na ankɔyɛ kokoram da.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wohu sɛ wowɔ Intraductal Papilloma a, hwɛ hu sɛ wubebisa wo duruyɛfo nsɛm yi:

• Bumps dodow ahe na mewɔ?
• Mfoninitwa akwan bɛn na ebehia sɛ meyɛ na ama mahu papillomas no nyinaa?
• Dɛn na nea efii me `(Biopsy)` amanneɛbɔ no mu bae no kyerɛ?
• So asiane kɛse wom sɛ menya nufu mu kokoram?
• So ebehia sɛ wɔyɛ me oprehyɛn anaa ayaresa foforo de yi saa papilloma yi fi hɔ?
• Mpɛn ahe na ebehia sɛ wɔyɛ nufu mu kokoram ho nhwehwɛmu bere a wɔasa me yare awie no?

Wɔ nsɛmmisa yi akyi no, wo ne wo duruyɛfo nkasa biribiara a woredwen ho, ehu, anaa adwenem naayɛ biara a wowɔ ho asɛm pefee. Ɛno ansa na wobɛtumi anya nteaseɛ a emu da hɔ.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Intraductal papillomas yɛ nyin a ɛnyɛ kokoram. Nanso, sɛ wowɔ papillomas biako anaa nea ɛboro saa a, ɛda adi sɛ wubehia ayaresa anaasɛ wɔbɛhwɛ wo daa. Intraductal papillomas dodow no ara nyɛ kokoram da, nanso ɛntaa mma sɛ entumi nkɔ nkwammoaa a ɛnyɛ ne kwan so. Nea ebefi wo biopsy mu aba, papillomas dodow a wowɔ, ne asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram wɔ wo nkwa nna nyinaa mu no na ɛbɛkyerɛ ayaresa a wubetumi apaw.

Enti, sɛ wuhu nsakrae bi wɔ wo nufu mu a, mmu w’ani ngu so. Kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ wohu ntɛm a, ɛno ne ɔkwan a eye sen biara a wobɛfa so ama wo ho atɔ wo. Wo duruyɛfo bɛma wo afotu ne ayaresa a eye sen biara. Mma ɛnhaw wo, ɛnyɛ wo nko ara!

` Intraductal Papilloma, Nufu mu Nsuo, Nufu mu Nsuo, Nufu mu Akwahosan, Akisikuru a Ɛnyɛ kokoram, Mmea Akwahosan, Biopsy