So wowɔ akisikuru wɔ w’asaabo mu? (Kidney Tumor) Nsuro, momma yɛnhwɛ eyi!

So oduruyɛfo bi aka akyerɛ wo pɛn sɛ wowɔ akisikuru ketewaa bi wɔ w’asaabo mu? Anaasɛ wɔaka akyerɛ wo pɛn sɛ wowɔ ɔhaw bi wɔ w'asaabo ho esiane biribi soronko bi a ɛwɔ wo nipadua mu nti, anaasɛ bere a wɔreyɛ `scan` nhwehwɛmu a ɛkyerɛ biribi foforo? Ɛyɛ ade a ɛfata sɛ wote ehu ne dadwen kakra nka bere a wote biribi a ɛte sɛɛ no. Nanso mma ɛnhaw wo. Ɛnnɛ yɛbɛka saa asaabo mu akisikuru yi ho asɛm, anaa sɛnea nnuruyɛfo frɛ no `(Asaabo mu Akisikuru)` anaa `(Renal Tumors)`, wɔ ɔkwan tiawa so.

Dɛn ankasa ne asaabo mu akisikuru?

Sɛ yɛbɛka no tiawa a, asaabo mu akisikuru yɛ nkwammoaa kuw bi a ɛnyɛ ne kwan so, anaa nea yɛfrɛ no nkwammoaa kurukuruwa, a ɛba w’asaabo so anaa emu. Ɛtɔ mmere bi a eyinom betumi ayɛ nea ɛnyɛ kokoram (benign) , anaasɛ ebetumi ayɛ kokoram (malignant) , a ɛkyerɛ sɛ ebetumi ayɛ kokoram.

Eyi yɛ aniberesɛm dɛn? So ɛyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho?

Sɛnea eyi mu yɛ den no gyina akisikuru no so ankasa. Kae sɛ asaabo mu akisikuru bi nyɛ kokoram. Mpɛn pii no, wɔyɛ nketewa sen kokoram akisikuru (nea ennu sɛntimita 4, anaa bɛyɛ nsateakwaa 1.6, bɛyɛ sɛ walnut). Saa akisikuru a ɛnyɛ kokoram yi ntrɛw nkɔ nipadua no afã afoforo. Nanso, asaabo mu akisikuru akɛse (nea ɛsõ sen sɛntimita 4) no taa yɛ kokoram. Wɔtaa nyin ntɛmntɛm na wotumi trɛw kɔ nipadua no afã afoforo.

Ade a ɛho hia sen biara ne sɛ sɛ́ ebia w’asaabo mu akisikuru no yɛ kokoram anaasɛ ɛnte saa no, ɛbɛyɛ papa sɛ wobɛkɔ ayaresabea ntɛm ara sɛnea wubetumi . Dodow a wohu no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wɔbɛsa.

Ɛda adi sɛ asaabo mu akisikuru bɛyɛ kokoram dɛn?

Akontaabu kyerɛ sɛ asaabo mu akisikuru bɛyɛ 75% yɛ kokoram . Nanso, mpɛn pii no, akisikuru nketewa nyɛ wɔn ade denneennen saa.

Saa nnuaba yi nyin ntɛmntɛm dɛn?

Nhwehwɛmu ahorow ada no adi sɛ sɛ wɔkyekyem pɛpɛɛpɛ a, asaabo mu akisikuru tumi nyin bɛyɛ sɛntimita 0.3 afe biara . Ɛno kyerɛ sɛ wonyin nkakrankakra.

Hena na ɛda adi sɛ obenya eyinom?

Obiara betumi anya asaabo mu akisikuru. Nanso, nnipa binom wɔ asiane kɛse mu. Nhwɛsoɔ:

• Wɔn a wɔadi boro mfe 65 no fam.
• Wɔ mmarima fam no .
• Wɔ wɔn a wɔwɔ awosu mu su ahorow bi fam (ɛtaa de eyi bata abusua abakɔsɛm a ɛfa yare no ho).

Asaabo mu abo abu so dɛn?

Asaabo mu akisikuru a ɛyɛ kokoram yɛ kokoram a abu so wɔ aman bi mu. Ɛho hia sɛ wuhu tebea yi wɔ Sri Lanka nso. Ɛno nti na eye sɛ yebehu eyi no.

Dɛn ne asaabo mu akisikuru ho sɛnkyerɛnne?

Mfiase no, nnipa pii nni ɛyaw anaa sɛnkyerɛnne foforo biara.Ɛnyɛ nea wotumi hu. Mpɛn pii no, oduruyɛfo bi hu saa asaabo mu akisikuru yi wɔ akwanhyia mu bere a ɔreyɛ nhwehwɛmu ahwɛ sɛ ɔwɔ tebea foforo no. Nanso, ɛtɔ mmere bi a, yare no ho sɛnkyerɛnne betumi ada adi. Eyinom bi ne:

• Ebia mogya wɔ wo nsu mu (nnuruyɛfo frɛ eyi ``hematuria''). Ebia wo nsu no bɛyɛ kɔkɔɔ, pink, anaa bruu.
• Ɛyaw a wobɛte nka wɔ baabi a ɛda wo mpampam ne w’asen ntam (asen no fã) , titiriw bere a wode wo nsa ka no.
• Ɛyaw a ɛba akyi berɛmo mu .
• Aduan ho akɔnnɔ a ɛyera .
• Ɔbɛyɛ teateaa a ntease biara nnim.
• Huraeɛ .
• Mogya a ɛtɔ kɔ nipadua mu yɛ tebea a ɛma mogya nkɔ nipadua no mu .

Dɛn na ɛde asaabo mu akisikuru ba?

Nnuruyɛfo ne nhwehwɛmufo da so ara nnim nea ɛde asaabo mu abo ba ankasa . Nanso, wɔahu sɛ nneɛma bi ma asiane a ɛwɔ hɔ sɛ obi benya asaabo mu abo no yɛ kɛse. Eyinom bi ne:

• Tawa nneɛma ( sigaret , beedis, ne nea ɛkeka ho) a wɔde bedi dwuma.
• ‍ ‍ ‍ .
• Kɛse mmoroso kyerɛ sɛ nipadua mu duru boro dodow a wɔkamfo kyerɛ no so koraa.
• Sɛ obi a ɔwɔ abusua no mu wɔ mogya mmoroso a .
• Sɛ obi a ɔwɔ abusua no mu anya asaabo mu akisikuru anaa kokoram a .
• Wɔn a wɔtaa ne nnuru a chlorine wom di nkitaho no fam no .

Sɛ ɛyɛ kokoram a, ɛyɛ dɛn na ɛtrɛw kɔ nipadua no afã afoforo?

Asaabo mu akisikuru a ɛnyɛ hu ntrɛw nkɔ nipadua no afã afoforo. Wɔtra baabi a wɔwɔ. Nanso, asaabo mu akisikuru a ɛyɛ hu betumi atrɛw akɔ srade a atwa asaabo no ho ahyia, mogya ntini, anaa adrenal gland a ɛwɔ asaabo no atifi no mu. Afei wotumi fa mogya anaa ntini a ɛma mogya tu no mu kɔ nipadua no afã afoforo na wɔyɛ akisikuru foforo. Nnuruyɛfo frɛ saa adeyɛ yi sɛ metastasis .

Wobɛyɛ dɛn ahu sɛ wowɔ asaabo mu akisikuru anaasɛ wonni bi?

Esiane sɛ asaabo mu akisikuru ntaa mma wonnya yare no ho sɛnkyerɛnne nti, nnuruyɛfo taa hu bere a wɔreyɛ wɔn nhwehwɛmu ahwɛ sɛ wɔwɔ tebea afoforo no. Sɛ wowɔ sɛnkyerɛnne ahorow a, wo duruyɛfo bedi kan ayɛ nhwehwɛmu a edi mũ. Wɔbɛbisa wo nso sɛ wo anaa w’abusua mu obiara anya asaabo mu akisikuru anaa kokoram pɛn anaa. Nea ɛka ho no, wobetumi ayɛ nhwehwɛmu ahorow bi de aboa ma wɔahu sɛ wowɔ asaabo mu kokoram anaa. Eyinom bi ne:

• `scans` nhwehwɛmu ahorow: Eyinom yɛ nhwehwɛmu a ɛnyɛ yaw na ɛnyɛ nea wɔde hyɛ nipadua mu a ebetumi ama woahwɛ w’asaabo yiye. Sɛ nhwɛso no, `CT. Scan (CT - kɔmputa so tomography scan), `MRI. Wobetumi ayɛ scan (MRI - magnetic resonance imaging) scan` ne `ultrasound scan`.
• Nsuo mu nhwehwɛmu: Wogye nsuo bi fi wo hɔ na wɔde kɔ aduruyɛdan mu kɔhwɛ sɛ mogya kakraa bi wɔ mu a ɛyɛ ketewaa dodo sɛ wɔde aniwa bɛhunu.
• Mogya mu nhwehwɛmu: Wɔde nnade fa wo mogya no mu kakraa bi na wɔhwehwɛ mu wɔ aduruyɛdan mu. Wɔkan nkwammoaa ahorow a ɛwɔ mogya no mu, wɔhwɛ sɛnea electrolytes ahorow a ɛwɔ nipadua no mu no te, na wɔhwɛ sɛnea creatinine (aduru a efi ntini dwumadi mu ba) dodow hwɛ sɛ ebia w’asaabo reyɛ adwuma yiye anaa.
• Renal mass biopsy: Oduruyɛfo de ade teateaa bi yi asaabo no mu ntini ketewaa bi . Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu wɔ aduruyɛdan mu hwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa. Nanso, ɛnyɛ bere nyinaa na saa biopsy yi yɛ pɛpɛɛpɛ 100%, enti ebia nnuruyɛfo renkamfo nkyerɛ.

Wiɛ, ɛnde dɛn ne ayaresa ahorow a wɔde sa eyi?

Asaabo mu akisikuru a wɔsa no gyina akisikuru no kɛse, sɛ ebia ɛyɛ kokoram, ne sɛ ebia atrɛw akɔ nipadua no afã afoforo so. Ayaresa ahorow pii wɔ hɔ a wobetumi apaw:

1. Nneɛma a wɔde hwɛ nneɛma so denneennen

Wɔ asaabo mu akisikuru nketenkete paa a ɛntrɛw nkɔ nipadua no afã afoforo ho no, ebia wo duruyɛfo bɛkamfo nea wɔfrɛ no active surveillance . Eyi kyerɛ sɛ wonsa akisikuru no, nanso wode scan a wɔyɛ no daa hwɛ so yiye. Sɛ sɔhwɛ no mu aba sesa nkutoo a, wofi ase sa yare. Wobetumi ayɛ eyi asram abiɛsa biara, asram asia biara, anaa pɛnkoro afe biara.

2. Oprehyɛn a wɔyɛ

Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo oprehyɛn nyi w’asaabo no fã bi anaa ne nyinaa. Oprehyɛn ahorow pii wɔ hɔ:

• Nephrectomy fã bi: Oduruyɛfo no yi asaabo no fã a akisikuru no wom nkutoo, na ɛma ɔfã a ɛte apɔw no yɛ nea enni dɛm. Wɔtaa yɛ eyi ma akisikuru nketewa a ɛntrɛwee.
• Asaabo no nyinaa a wobeyi afi hɔ (Radical nephrectomy):Oduruyɛfo a ɔyɛ oprehyɛn no beyi w’asaabo nyinaa ne ntini a atwa ho ahyia no bi afi hɔ. Ebia wobeyi ntini a atwa asaabo no ho ahyia no nso afi hɔ. Wɔtaa yɛ eyi ma akisikuru akɛse a ɛbɛn mogya ntini atitiriw no.

3. Ablation ayaresa

Wɔ asaabo mu akisikuru nketenkete ho no, ebia wo duruyɛfo bɛkamfo ablation therapy , a wɔde ɔhyew a ano yɛ den anaa awɔw a ano yɛ den di dwuma de sɛe akisikuru no nkwammoaa no akyerɛ.

• Cryoablation: Oduruyɛfo de ade bi fa honam ani hyɛ akisikuru no mu na afei ɔde mframa a ɛyɛ nwini kɛse di dwuma de ma akisikuru no nkwammoaa no yɛ nwini na ɛsɛe.
• Radiofrequency ablation: Wɔ saa adeyɛ yi mu no, wɔde ade bi hyɛ akisikuru no mu na wɔde anyinam ahoɔden fa mu ma ɛyɛ hyew na ɛsɛe akisikuru no nkwammoaa.

4. Mframa a wɔde sa yare

Sɛ wowɔ asaabo biako pɛ, anaasɛ sɛ worentumi nyɛ oprehyɛn a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔde mframa a wɔde sa yare ma . Eyi de mframa a ano yɛ den sɛe asaabo mu akisikuru nkwammoaa.

5. Nnuru a wɔde sa yare a wɔde wɔn ani asi so

Wobetumi de saa ayaresa yi adi dwuma bere a wontumi nyɛ oprehyɛn no. Anaasɛ wobetumi de asiw kokoram no ano bio wɔ oprehyɛn akyi. Saa nnuru yi boa ma asaabo mu akisikuru nkwammoaa nyin na ɛtrɛw.

6. Nnuru a ɛko tia nyarewa

Nea ɛka eyi ho ne sɛ wode nnuru a ɛma wo nipadua no ankasa tumi a ɛko tia nyarewa a ɛboa no hu asaabo mu akisikuru nkwammoaa na ɛsɛe no.

So biribi wɔ hɔ a yebetumi ayɛ de asiw asaabo mu akisikuru ano?

Asaabo mu akisikuru pii ba a ntease biara nnim. Nanso, afotu yi a wubedi akyi no betumi aboa ma asiane a ɛwɔ hɔ sɛ wubenya asaabo mu akisikuru no so atew:

• Gyae sigaretnom ne tawa ho nneɛma a wode di dwuma.
• To nsa dodow a wonom ano hye.
• Yɛ apɔw-mu-teɛteɛ daa.
• Kura wo nipadua mu duru a ɛfata a ɛfata wo mu.

Sɛ mewɔ asaabo mu akisikuru a, dɛn na ɛba? Dɛn na ɛsɛ sɛ mehwɛ kwan?

Wo ho a wobɛsan anya ne ayaresa nhyehyɛe no begyina sɛnea w’asaabo mu akisikuru no kɛse te, sɛ ebia ɛyɛ kokoram, ne sɛ ebia atrɛw akɔ wo nipadua no afã afoforo so. Eyi nso begyina mfe a woadi ne w’akwahosan nyinaa so.

So wobetumi asa asaabo mu abo koraa?

Sɛ wohu ntɛm na wɔsa no yiye a, wobetumi asa asaabo mu akisikuru.

Mpɛn pii no, asaabo mu akisikuru a ɛnyɛ hu no de nkwa to asiane mu. Asaabo mu akisikuru a ɛyɛ hu mpo ne sɛ, sɛ wohu ansa na atrɛw akɔ akyiri asen asaabo no akyi kataso a, hokwan kɛse wɔ hɔ sɛ wɔbɛsa no yare na wɔasa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Wowɔ asaabo mu akisikuru ho sɛnkyerɛnne te sɛ mogya a ɛwɔ wo nsu mu, ɛyaw a ɛba w’asen anaa w’akyi ase, anaasɛ wo mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu.Sɛ wuhu saa sɛnkyerɛnne yi bi a, kɔ oduruyɛfo nkyɛn ntɛm ara. Wo duruyɛfo betumi ayɛ nhwehwɛmu ahwɛ sɛ ebia asaabo mu akisikuru na ɛde saa sɛnkyerɛnne ahorow yi reba anaa.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wuhu sɛ wowɔ asaabo mu akisikuru a, mma wo werɛ mmfi sɛ wubebisa wo duruyɛfo nsɛm yi:

• Ɛhe na m’asaabo mu akisikuru wɔ?
• So eyi yɛ kokoram anaasɛ ɛnte saa?
• M’asaabo mu akisikuru no kɛse te dɛn?
• So eyi atrɛw akɔ me nipadua akwaa afoforo?
• So oduruyɛfo no susuw sɛ eyi bɛtrɛw akɔ akyiri?
• Ayaresa ahorow bɛn na wokamfo kyerɛ?
• So akisikuru yi betumi asan aba bere a wɔasa no yare awie no?
• Sɛ ayaresa no ankɔ yiye a, dɛn na ɛsɛ sɛ meyɛ?
• So wubetumi akamfo Urologist anaa Oncologist pa akyerɛ?
• Ɔkwan bɛn so na m’asaabo reyɛ adwuma wɔ ayaresa akyi?

Awiei koraa no, kae eyi...

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wuhu sɛ wowɔ asaabo mu akisikuru no, titiriw sɛ ɛyɛ kokoram a. Esiane sɛ asaabo mu akisikuru ntaa mfa yare no ho sɛnkyerɛnne mma nti, ebia wunnim mpo sɛ wowɔ bi. Nanso, nea ehia paa ne sɛ wobɛkyere yare no ntɛm. Eyi ma ayaresa no di yiye. Wo duruyɛfo betumi akyerɛkyerɛ wo ayaresa akwan nyinaa mu, na wakyerɛ wo baabi a wubetumi anya mmoa nso. Obetumi nso abua nsɛmmisa biara a ebia wowɔ na waboa wo ma woanya adwempa bere a woresusuw ayaresa ho no. Enti mma biribiara nhaw wo ho na wo ne wo duruyɛfo nkasa.

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