Ɛtɔ mmere bi a yɛn nne yɛ den kakra, anaasɛ yɛte nka sɛ emu yɛ duru, ɛnte saa? Ɛte sɛ atiridiinini na ɛyɛ yiye wɔ nnansa anaa nnansa mu. Nanso so nsakrae a ɛba wo nne mu yi so antew wɔ adapɛn abien anaa abiɛsa akyi mpo? Sɛ wo menewa mu yɛ wo yaw na ɛyɛ den sɛ wobɛmene a, ɛnyɛ papa sɛ wubebu w’ani agu so kɛkɛ. Ɛnnɛ yɛreka biribi a ebetumi afi ase afi saa sɛnkyerɛnne ahorow yi so na ɛsɛ sɛ wohwɛ yiye kakra wɔ ho - ɛno ne anom kokoram, anaasɛ wɔ aduruyɛ mu no, tebea bi a wɔfrɛ no Laryngeal Cancer .
Sɛ yɛbɛka no tiawa a, dɛn ne ahurututu mu kokoram?
Larynx yɛ akwaa ketewaa bi nanso ɛho hia yiye wɔ yɛn menewam. Ɛwɔ yɛn kɔn anim, mframa afiri no atifi. Ɛyɛ ahurututu no fã a ɛbɔ yɛn ho ban na yɛanmene aduan, nkasa, ne mframa afiri. Ɛnne nhama a ɛka bom yɛ yɛn nne nso kura mu.
Enti dɛn ne kokoram? Ɛyɛ bere a nkwammoaa a ɛwɔ yɛn nipadua mu no mu paapae na ɛdɔɔso a yentumi nni so, na ɛyɛ akisikuru. Sɛ eyi si wɔ ahurututu mu a, yɛfrɛ no ahurututu mu kokoram. Saa nkwammoaa bɔne yi de nkakrankakra tow hyɛ ntini a ɛwɔ apɔwmuden a atwa ho ahyia no so na ɛsɛe.
Wɔakyekyɛ ahurututu no mu ayɛ no afã atitiriw abiɛsa. Kokoram betumi afi ase wɔ afã horow yi mu biara mu:
- Supraglottis: Ahurututu no fã a ɛwɔ soro. Kokoram bɛyɛ 35% fi ase wɔ ha.
- Glottis: Mfinimfini fã no. Yɛn nne nhama no wɔ ha. Kokoram dodow no ara, bɛyɛ 60%, fi ase wɔ ha.
- Subglottis: Ɛyɛ ahurututu no fã a ɛba fam sen biara. Kokoram bɛyɛ 5% fi ase wɔ ha.
Dɛn ne ahurututu mu kokoram ho sɛnkyerɛnne? Hwɛ yiye wɔ eyinom ho!
Ɛnyɛ den sɛ wobetumi adi mfomso aka sɛ kokoram yi ho sɛnkyerɛnne a edi kan no yɛ menewa mu yare anaa atiridiinini a ɛtaa ba, enti ɛho hia sɛ wuhu eyi.
Ade a ɛho hia sen biara ne sɛ sɛ wo nne yɛ wo dede anaasɛ wo nne sesa bɛboro adapɛn abien a , akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn, a wunsusuw sɛ ɛyɛ ade a ɛfata.
Momma yɛnkyerɛ nsonsonoe a ɛda saa sɛnkyerɛnne ahorow yi ntam pefee wɔ pon a ɛwɔ ase ha no ho.
| Nsɛnkyerɛnne no su | Nkyerɛmu |
|---|---|
| Nsɛnkyerɛnne a ebia ɛtaa ba kan | |
| Nsakrae a ɛba wɔ nne mu | Nteɛteɛm, nkate a ɛte sɛ nea emu yɛ duru, ne kasa a ɛyɛ den, titiriw sɛ ɛtra hɔ bɛboro adapɛn abien a . |
| Menewa mu yaw anaa ɔfe a ɛkɔ so tra hɔ | Menewa mu yaw anaa ɔfe a ɛkɔ so tra hɔ a ɛnyɛ nea nnuru a wɔde di dwuma daa no nyɛ adwuma. |
| Ɛyɛ den sɛ wobɛmene ade (Dysphagia) . | Ɛyaw anaa atenka a ɛma obi mene bere a ɔremene aduan anaa anonne no. |
| Akuru a ɛwɔ kɔn anaa menewa mu | Sɛ wote nka sɛ wo kɔn mu ayɛ kurukuruwa anaasɛ ɛho ahonhon a ebetumi akyere nsa no. |
| Aso mu yaw | Ɛyaw a efi menewam kɔ aso mu. |
| Nsɛnkyerɛnne a emu yɛ den a ɛsɛ sɛ wɔde kɔ ayaresabea ntɛm ara | |
| Ɔhome a ɛyɛ den (Dyspnea) . | Ɛyɛ den sɛ wobɛhome, wobɛte nka sɛ wo ho atɔ wo. |
| Nnyigyei a wɔbɔ bere a wɔrehome (Stridor) . | Nnyigyei a ano yɛ den a wobɛte bere a worehome no. |
| Sɛ obi te nka sɛ biribi akɔhyɛ wo menewam (Globus sensation) . | Sɛ obi te nka bere nyinaa sɛ biribi akɔhyɛ menewam. |
| Mogya a wɔfe (Hemoptysis) . | Mogya a ɛyɛ fĩ a ɛwɔ ɔfe. |
Sɛ wowɔ saa sɛnkyerɛnne ahorow a emu yɛ den yi bi a, kɔ oduruyɛfo nkyɛn ntɛm ara a ɛnkyɛ . Sɛ ɛho hia a, wubetumi nso akɔ ayaresabea Emergency Treatment Unit (ETU).
Dɛn nti na kokoram yi nya? Henanom na wɔwɔ asiane kɛse mu?
Mfomso atitiriw abien na wɔboa ma kokoram yi ba. Wɔyɛ sigaretnom ne nsa a wɔnom boro so . Asiane a ɛwɔ obi a ɔbom yɛ eyinom abien no nyinaa mu no dɔɔso sen obi a ɔyɛ biako pɛ. Enti, obi a ɔwɔ saa suban abien yi nyinaa wɔ hokwan kɛse paa sɛ obenya ahurututu mu kokoram.
Nea ɛka ho no, asiane afoforo pii wɔ hɔ:
- HPV yareɛ: HPV (Human Papillomavirus) ahorow bi, ɔyare mmoawa a wonya fi nna mu nso betumi ama obi anya menewam kokoram.
- Mfe a wɔadi: Nnipa a wɔadi boro mfe 55 wɔ asiane kɛse mu.
- Bɔbeasu: Mmarima betumi anya kokoram yi bɛyɛ mpɛn anum sen mmea. Ebia eyi fi sigaretnom ne nsa a wɔnom abu so wɔ mmarima mu no.
- Kokoram abakɔsɛm a atwam: Obi a wadi kan anya ti anaa kɔn mu kokoram no wɔ asiane bɛyɛ 25% sɛ obenya kokoram bio wɔ saa beae yi.
- Adwuma: Nnipa a wɔde wɔn ho hyɛ nneɛma te sɛ sulfuric acid wusiw, nnua mfutuma, nikel, ne asbestos mu wɔ adwumam no wɔ asiane kɛse mu.
Ɔkwan bɛn so na oduruyɛfo tumi hu kokoram pɛpɛɛpɛ?
Sɛ wokɔ oduruyɛfo bi a ɔwɔ sɛnkyerɛnne ahorow a woaka ho asɛm wɔ atifi hɔ no nkyɛn a, obedi kan abisa wo asɛm a ɛkɔ akyiri afa wo sɛnkyerɛnne ahorow no ho na wahwɛ wo menewa ne wo kɔn mu. Afei, ebia wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si so dua sɛ wɔahu yare no.
- Mfoninitwa: Te sɛ yɛn nipadua mu mfonini a emu da hɔ no, CT scan anaa MRI scan betumi akyerɛ kokoram no kɛse ne beae pɔtee a ɛwɔ. Wobetumi nso ayɛ kokoram X-ray de ahwɛ sɛ kokoram no atrɛw akɔ ahurututu mu anaa.
- Laryngoscopy: Wɔ saa adeyɛ yi mu no, oduruyɛfo no de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (endoscope) a mfoninitwa afiri bi fa wo hwene anaa w’ano abata ho hyɛ mu na ɔhwɛ wo hwene ne mmeae a atwa ho ahyia no yiye.
- PET Scan: Eyi yɛ scan soronko bi. Wɔyɛ saa scan yi denam radioactive ade a ahobammɔ wom a wɔde gu ntini bi mu a ɛma nipadua no mmeae a kokoram nkwammoaa wom no ‘hyerɛn’ so.
- Biopsy: Eyi ne sɔhwɛ a ɛho hia sen biara na ɛyɛ nokware sen biara a wɔde hu yare no.Bere a wɔreyɛ laryngoscopy no, woyi ntini ketewaa bi fi baabi a ɛyɛ hu no na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Eyi betumi akyerɛ pɛpɛɛpɛ 100% sɛ ɛyɛ kokoram anaasɛ ɛnte saa, na sɛ ɛte saa a, kokoram ko a ɛyɛ.
Dɛn ne ayaresa ahorow no?
Sɛ wohu sɛ yare no a, wo duruyɛfo no begyina kokoram no fã, ne kɛse, ne trɛw, ne w’akwahosan nyinaa so akyerɛ ayaresa nhyehyɛe a eye sen biara ama wo. Ebia eyi bɛhwehwɛ ayaresa biako anaa nea wɔaka abom.
| Ɔkwan a wɔfa so sa yare | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Mframa a Wɔde Yɛ Ayaresa | Wɔde mframa a ano yɛ den (te sɛ X-ray) si akisikuru no so na ɛsɛe kokoram nkwammoaa. |
| Nnuru a wɔde sa yare | Nnuru a ano yɛ den a ekum kokoram nkwammoaa anaasɛ ɛma wogyae nyin a wɔde fa ntini mu (ɛnam nkyene so) anaa aduru a wɔde yɛ nnuru a wɔde ma. |
| Sɛɛgyiri | Kokoram akisikuru ne ntini a atwa ho ahyia no a woyi fi hɔ. Wɔ mfiase no, wobetumi akora ahurututu no so. Wɔ tebea horow a emu yɛ den mu no, ebia ɛho behia sɛ woyi ahurututu no nyinaa (Total Laryngectomy). |
| Ayaresa a Wɔde Si N’ani So | Nnuru a ɛde n’ani si protein pɔtee bi a ɛho hia ma kokoram nkwammoaa nyin nkutoo so na ɛtow hyɛ so, bere a ɛmma nkwammoaa a ɛwɔ apɔwmuden no sɛe no kɛse no. |
| Nnuru a ɛko tia nyarewa | Yɛn nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa a ɛkanyan, ma ehu kokoram nkwammoaa na ɛko tia. |
So metumi akasa wɔ oprehyɛn akyi?
Eyi yɛ ɔhaw a nnipa pii wɔ. Egyina oprehyɛn ko a wɔyɛ so.
- Wɔ kokoram a edi kan ho: Sɛ wɔyɛ oprehyɛn yi akisikuru no anaa ahurututu no fã ketewaa bi nkutoo (sɛ nhwɛso no, cordectomy, partial laryngectomy) akyi no, ebia wubetumi akasa. Ebia wo nne bɛsesa kakra, nanso wobetumi asan de eyi aba denam ɔkasa ho ɔyaresafo mmoa so.
- Wɔ kokoram a emu yɛ den ho: Wɔ tebea horow bi mu no, ebia ɛho behia sɛ woyi ahurututu no nyinaa (Total Laryngectomy). Eyi bɛma yɛrentumi nkasa te sɛ kan no. Nanso mma ɛnhaw wo. Mprempren akwan foforo wɔ hɔ a wɔfa so sua kasa (e.g. valve soronko, ɛlɛtrɔnik mfiri).
Asetra te dɛn wɔ ayaresa akyi?
Sɛ wowie ayaresa no yie a, wo duruyɛfoɔ bɛkɔ so ahwɛ wo (akyi) de ahwɛ sɛ wo ho retɔ wo yie. Saa bere yi mu no, .
- Nnuru a wɔde ma de siw ɛyaw ano.
- Nsɛnnennen a ɛwɔ menewa mu ano aduru a wɔde bɛma.
- Afotu a wɔde bɛma wɔ aduan a ahoɔden wom a ɛfata wo ho.
- Wɔde wɔn bɛkɔ kasa ayaresa anaa nipadua mu ayaresa sɛ ɛho hia a.
Ade a ɛho hia sen biara ne sɛ wubegyae sigaretnom ne nsanom koraa bere a wɔasa wo yare awie no. Nnipa a wɔkɔ so nom sigaret no wɔ asiane kɛse paa sɛ wobenya kokoram bio. Sɛ wugyae saa suban ahorow yi a, saa asiane no so tew kɛse.
So ɔkwan bi wɔ hɔ a wobɛfa so anya nkwa wɔ kokoram yi mu?
Ɛwom sɛ ɛnyɛ kokoram nyinaa na yebetumi asiw ano de, nanso yebetumi adi nneɛma atitiriw a ɛde ahurututu mu kokoram ba no so.
- Gyae sigaretnom ne tawanom mu nneɛma koraa. Eyi ne anammɔn a eye sen biara na ɛho hia sen biara a wubetumi ayɛ.
- To nsa a wonom no ano hye. Sɛ ɛbɛyɛ yiye a, gyae koraa.
- Di aduan a ahoɔden wom na ɛkari pɛ. Aduan a nhabannuru ne nnuaba pii wom boa ma kokoram ho asiane no so tew.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wo nne yɛ dede anaa ɛsakra bɛboro adapɛn abien a , mmu w’ani ngu so. Kɔ oduruyɛfo nkyɛn ntɛm ara.
- Nneɛma atitiriw a ɛde ahurututu mu kokoram ba ne sigaretnom ne nsa a wɔnom boro so . Ahobammɔ a eye sen biara ne sɛ wobɛkwati saa suban ahorow yi.
- Sɛ wohu ntɛm a, ahurututu mu kokoram wɔ hokwan kɛse paa sɛ wɔbɛsa koraa. Wubetumi nso akora sɛnea wotumi kasa no so.
- Sɛ wowɔ biribi a ɛhaw wo wɔ sɛnkyerɛnne biara ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Dodow a wohu yare no ntɛm no, dodow no ara na ɛda adi sɛ ayaresa no bɛyɛ yiye.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho