Nsonsonoe fitaa a ɛwɔ ano no mu? So eyi betumi ayɛ leukoplakia? Momma yenhu!

So woahwɛ w’ano mu pɛn na woahu sɛ nsensanee fitaa bi wɔ wo tɛkrɛma anaa w’afono mu? Ebia wobɔɔ mmɔden sɛ wobɛpetepete so, nanso na ɛrenkɔ. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na wopɛ sɛ wuhu bere a wuhu biribi a ɛte sɛɛ no. "Deɛn ni?" Ebia wubesusuw sɛ. Enti, ɛnnɛ yɛrebɛka tebea bi a ebia wubehu wɔ w’anom, nanso ebia woremfa w’adwene nsi so kɛse, nanso ɛno yɛ biribi a ɛsɛ sɛ wohwɛ so yiye. Ɛno ne leukoplakia.

Dɛn ankasa ne Leukoplakia?

Sɛ yɛbɛka no tiawa a, leukoplakia yɛ tebea a ɛma nsensanee fitaa a ɛyɛ den pue wɔ w’anom, a wo tɛkrɛma, wo ntini, w’afono mu, ne ɛtɔ mmere bi a w’ano mu ka ho. Mpɛn pii no, saa nsensanee yi nyɛ yaw, nanso wontumi nyi mfi hɔ denam nea wɔde bɛpetepete so anaasɛ wɔbɛbɔ so. Mpɛn pii no, biribi a ɛwɔ w’anom abufuw a ɛkɔ so daa na ɛde ba. Sɛ nhwɛso no, sẽ a ɛnyɛ pɛpɛɛpɛ, ano a ano yɛ nnam a efi ɛse a abubu mu, anaasɛ hwene a wɔtaa we.

Nea ɛho hia ne sɛ leukoplakia nsensanee bi wɔ hokwan sɛ ɛbɛyɛ anom kokoram , enti sɛ wo sẽ ho oduruyɛfo hu bi a, mmu w’ani ngu so na ebia wode wo bɛkɔ oduruyɛfo titiriw nkyɛn. Ɛno ansa na wubetumi ahu nea tebea no yɛ ankasa na sɛ ɛho hia a, woafi ase sa yare.

Dɛn ne Leukoplakia ahorow atitiriw?

Leukoplakia ahorow atitiriw abien na ɛwɔ hɔ. Momma yɛnka saa asɛm no ho asɛm kakra.

Leukoplakia a ɛyɛ pɛ

Eyi ne ɔkwan a wɔtaa de di dwuma. "Homogeneous" kyerɛ sɛ "ɛyɛ ɔkwan koro no ara." Enti, wɔ saa su yi mu no, nsensanee a epue wɔ ano no mu no taa yɛ tratraa, fitaa, na ne hwɛbea yɛ pɛ. Saa beae yi ani betumi ayɛ torotoro, anaasɛ ebetumi ayɛ asorɔkye kakra anaasɛ ayɛ te sɛ abon nketenkete. Asɛmpa no ne sɛ mpɛn pii no, ɛnyɛ nea ɛda adi koraa sɛ saa ɔkwan a ɛyɛ pɛ yi bɛyɛ kokoram. Ɛno kyerɛ sɛ mpɛn pii no, asiane biara nni ho.

Leukoplakia a ɛnyɛ pɛ

"Non-homogeneous" yɛ nea ɛne nea atwam no bɔ abira, a ɛkyerɛ sɛ "ɛnyɛ ade koro." Wɔ saa su yi mu no, nsensanee a ɛda adi wɔ ano no mu no betumi ayɛ nea ɛnkɔ so pɛpɛɛpɛ kakra, ɛsono ne nsusuwii, ɛtɔ mmere bi a ɛyɛ fitaa, ɛtɔ mmere bi a ɛyɛ kɔkɔɔ (ɛtɔ mmere bi a wɔfrɛ eyi `erythroleukoplakia`). Eyinom betumi ayɛ petee, anaasɛ wobetumi akɔ soro na ayɛ kurukuruwa. Nhwehwɛmu ahorow ada no adi sɛ saa ɔkwan a ɛnyɛ biako yi betumi adan kokoram bɛyɛ mpɛn ason sen nea yɛadi kan aka ho asɛm no. Enti, ɛsɛ sɛ wohwɛ yiye kakra wɔ saa ɔkwan yi ho.

So ɛsɛ sɛ yesua Leukoplakia ahorow nketewa no nso ho ade?

Wɔ ahorow atitiriw abien no akyi no, ahorow nketewa pii wɔ hɔ a ɛsɛ sɛ wɔde adwene si so titiriw.

Leukoplakia a ɛma mogya tu a ɛdɔɔso (PVL) .

Eyi yɛ subtype a ɛntaa nsi nanso ebetumi ayɛ aniberesɛm a ɛsɛ sɛ wɔde adwene si so. Nhwehwɛmu ahorow bi kyerɛ sɛ awiei koraa no nnipa a wɔwɔ PVL no mu bɛboro 60% benya anom kokoram . Eyinom fi ase sɛ nsensanee fitaa nketenkete a ɛwɔ ano no mu. Wotumi pue wɔ tɛkrɛma, anom, ntini a ɛyɛ mmerɛw a ɛda ano ne anom ntam, ne afono mu. PVL nsensanee tumi nyin na ɛtrɛw ntɛmntɛm yiye, na ɛda adi sɛ akuru nketenkete anaa akisikuru a ɛte sɛ cauliflower. Sɛ wowɔ saa tebea yi a, ɛho behia sɛ wɔyɛ wo aduruyɛ mu nhwehwɛmu daa.

Leukoplakia a ɛyɛ nhwi a ɛwɔ anom

Sɛnea edin no kyerɛ no, eyinom yɛ nsensanee fitaa a nhwi wɔ so. Ɛtɔ mmere bi a wɔma so, enti ebia ɛbɛyɛ te sɛ nea nhwi no refifi afi mpopaho no mu. Saa nsensanee yi taa ba tɛkrɛma no nkyɛnkyɛn, nanso ebetumi aba ano no afã afoforo nso. Nea ɛho hia sen biara no, saa leukoplakia a ɛwɔ anom a nhwi wom yi nyɛ kokoram. Ɛtaa ba nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw so. Saa su yi abu so titiriw wɔ nnipa a wɔwɔ tebea horow te sɛ HIV/AIDS anaa wɔn a wɔanya Epstein-Barr mmoawa no mu. Ɛyɛ nea efi mmoawa bi mu ba ankasa.

So Leukoplakia dan kokoram bere nyinaa?

Eyi yɛ asɛmmisa a nnipa pii bisa, na ɛyɛ hu. Dabi, ɛnte saa. Ɛnyɛ obiara a ɔwɔ leukoplakia na obenya anom kokoram. Nhwehwɛmu kyerɛ sɛ nnipa a wɔwɔ leukoplakia no mu nnu 15% na wobenya anom kokoram. Ɛno kyerɛ sɛ nsensanee dodow no ara renyɛ kokoram.

Aduruyɛ mu nhwehwɛmufo da so ara rehu ɔkwan a leukoplakia bɛyɛ kokoram ne bere a ɛbɛyɛ no. Sɛ nhwɛso no, leukoplakia a ɛwɔ wo sẽ so no ntaa nyɛ kokoram sen nea ɛwɔ wo tɛkrɛma ase anaa w’ano fam no. Afei nso, nsensanee a ɛnyɛ pɛ a yɛadi kan aka ho asɛm no taa bɛyɛ kokoram.

Kae: Ɛnyɛ nsensanee fitaa a ɛwɔ w’anom nyinaa na ɛyɛ kokoram. Sɛ wowɔ leukoplakia a, wo duruyɛfo bɛkyerɛ wo nea wobɛhwɛ kwan ne sɛnea wobɛhwɛ so. Mma wo ho nnyɛ wo hu, nanso mmu w’ani ngu so nso.

So tebea yi a wɔfrɛ no Leukoplakia abu so?

Leukoplakia nyɛ tebea a ɛtaa ba ankasa. Ɛka wiase nnipa a wonnu 5%. Enti, sɛ wowɔ bi a, ɛntaa nsi koraa.

Dɛn ne Leukoplakia ho sɛnkyerɛnne ahorow?

Leukoplakia ho sɛnkyerɛnne titiriw ne nsensanee fitaa a ɛba ano no mu na wontumi nyi mfi hɔ. Saa patches yi:

• Ebetumi aba wo tɛkrɛma, wo hwene, ne wo hwene mu .
• Ebia ɛbɛyɛ te sɛ nea ɛyɛ tratraa anaasɛ ɛkɔ soro kakra na ɛyɛ den wɔ soro.
• Ebetumi nso ada adi sɛ fitaa, fitaa, anaa fitaa a nsensanee nketenkete kɔkɔɔ (speckled leukoplakia) wɔ so.
• Mpɛn pii no, ɛyaw biara nni hɔ , nanso ɛtɔ mmere bi a, ebia wobɛte nka sɛ wo ho yeraw wo kakra na wote nka bere a woredi anaa worenom biribi a ɛyɛ hyew no.

Dɛn ne nneɛma a ɛde Leukoplakia ba?

Nneɛma atitiriw pii na ɛde leukoplakia ba.

• Ntini a ɛwɔ ano no mu a ɛyɛ hyew bere tenten: Eyi ne ade titiriw a ɛde ba.
• Tawa a wɔde di dwuma: Sigaretnom, tawa a wɔwe (te sɛ betel nhaban, lime, ne tawa a wɔwe), ne tawa a wusiw nnim a wɔde di dwuma. Nnuru a eyinom yi fi mu ba no betumi asɛe ano a ɛyɛ mmerɛw no.
• Nsã a wɔnom boro so: Nsã a wɔnom daa ne boro so nso yɛ asiane titiriw. Asiane no yɛ kɛse mpo ma obi a ɔnom sigaret na ɔnom nsa nyinaa.
• Mfiri a wɔde di dwuma ɔkwammɔne so: Nneɛma te sɛ sẽ a ɛnyɛ den, ɛse a abubu ano a ano yɛ nnam a ɛbɔ hwene anaa tɛkrɛma so bere nyinaa, ne hwene a ɛyɛ ne su.
• Awosu mu nneɛma: Ɛtɔ mmere bi a, nsakrae a ɛba kwa (nsakrae) a ɛba yɛn nipadua mu awosu mu nkwaadɔm bi mu no betumi ama ntini mu nkwammoaa a ɛwɔ anom no mu apaapae ntɛmntɛm sen sɛnea ɛte daa, na ama saa nsensanee yi ayɛ.
• Nyarewa bi a efi mmoawa mu: Ɛte sɛ nea Epstein-Barr mmoawa no na ɛde leukoplakia a ɛyɛ nhwi a ɛwɔ anom a yɛadi kan aka ho asɛm no ba.

Nneɛma bɛn na ɛma asiane a ɛwɔ hɔ sɛ obi benya leukoplakia no yɛ kɛse?

Wɔ ntease ahorow a yɛaka ho asɛm wɔ atifi hɔ no akyi no, nneɛma yi betumi ama asiane a ɛwɔ hɔ sɛ wubenya leukoplakia no ayɛ kɛse:

• Tawa a wɔnom anaa wɔwe ne tawa a wusiw nnim: Eyi ne ade kɛse a ɛde asiane ba.
• Asanom bebrebe a wɔtaa nom.
• Ayaresa mu tebea horow bi a ɛka wo nipadua mu ahoɔden a ɛko tia nyarewa , te sɛ Epstein-Barr mmoawa anaa HIV a wubenya .
• Mfe a wɔadi: Saa tebea yi taa ba nnipa a wɔadi boro mfe 40 so, titiriw mmarima.

Susuw ho hwɛ, so yɛn nnamfo binom nni hɔ a wɔde tawa di dwuma saa ne betel nnuaba? Anaasɛ nnipa a wɔnom sigaret da biara da? Nnipa a wɔwɔ suban a ɛte saa no wɔ asiane kɛse mu. Enti, ɛho hia paa sɛ yɛtwe yɛn ho fi saa suban ahorow yi ho.

Ɔkwan bɛn so na nnuruyɛfo hu leukoplakia?

Sɛ wokɔ nsensan ho oduruyɛfo anaa oduruyɛfo a ɔhwɛ wo nyinaa nkyɛn esiane sɛ w’ano ayɛ fitaa nti a, ade a edi kan a wɔbɛyɛ ne sɛ wɔbɛhwɛ w’ano yiye. Wɔbɛhwɛ beae fitaa a ɛyɛ soronko no na wɔahyɛ ne kɛse, ne nsusuwii, beae a ɛwɔ, ne sɛnea ɛte no nsow. Wɔbɛbɔ mmɔden sɛ wobehu nea ɛde wo sɛnkyerɛnne ahorow no reba. Sɛ nhwɛso no, sɛ wode aduru a wɔde yɛ sẽ di dwuma a, wɔbɛhwɛ sɛ ɛkyekyere w’anom na ɛrepete wo sẽ anaa w’afono so anaa.

Afei, wɔtaa kamfo kyerɛ sɛ wɔnyɛ biopsy . Eyi kyerɛ sɛ woyi ntini ketewaa bi (ntini nhwɛsode) fi mole no mu na wɔde kɔma animdefo a wɔfrɛ wɔn nyarewa ho animdefo ma wɔmfa afiri a wɔde hwɛ nneɛma nketenkete nhwehwɛ mu. Ɛno nkutoo na yebetumi ahu nea tebea no yɛ pɛpɛɛpɛ, nsakrae (`dysplasia`) a ɛwɔ nkwammoaa no mu, ne sɛnea ɛda adi sɛ ɛbɛyɛ kokoram.

So ɛsɛ sɛ wɔyɛ baabiara a wosusuw sɛ ɛyɛ leukoplakia no nipadua mu nhwehwɛmu?

Yiw, mpɛn pii no, ɛno ne nea wɔkamfo kyerɛ. Biopsy nkutoo ne ɔkwan a wobɛfa so ahu no yiye sɛ ebia wowɔ leukoplakia a ebetumi abɛyɛ anom kokoram, anaasɛ ɛyɛ tebea a asiane biara nni ho ara kwa. Enti sɛ wo duruyɛfo kyerɛ sɛ wɔnyɛ biopsy a, ɛho hia sɛ woboa na wonsuro.

Dɛn ne nnuru a wɔde sa Leukoplakia?

Wɔnam ano no mu nsensanee a woyi fi hɔ so sa leukoplakia. Nanso, wɔde nneɛma pii te sɛ sɛnea nsensanee no te, nea efi nipadua mu nhwehwɛmu amanneɛbɔ no mu ba, ne asiane a ɛwɔ hɔ sɛ nsensanee no bɛdan kokoram no so na ɛkyerɛ ɔkwan a wɔfa so sa yare no.

• Nea ɛde ba no a wɔbɛsa: Ade a edi kan ne sɛ wobeyi nea ɛde leukoplakia ba no afi hɔ, sɛ wotumi hu a. Sɛ nhwɛso no, sɛ wonom sigaret, gyae sigaretnom, anaa sɛ wo sẽ ho haw bi a, siesie. Ɛtɔ mmere bi a, sɛ woyi nea ɛde ba no fi hɔ pɛ a, ebia nsɔe no ankasa yera.
• Oprehyɛn a wɔde yi akuru no fi hɔ:
• Nnuruyɛfo betumi de scalpel , sekan a ano yɛ nnam a wɔde di dwuma wɔ oprehyɛn mu, atwitwa na ayi nsensanee no afi hɔ.
• Wɔtaa de laser yiyi nso di dwuma de yi nsensanee fi hɔ . Eyi ma mogya a ɛba no so tew na ɛsa ntɛmntɛm.
• Ɔkwan bi a wɔfrɛ no cryotherapy a wɔde bedi dwuma . Nea ɛka eyi ho ne sɛ wɔde awɔw a ano yɛ den (te sɛ nitrogen a ɛyɛ nsu) bedi dwuma de ayɛ nwini na wɔasɛe nkwammoaa a ɛnyɛ ne kwan so no, na wɔnam saayɛ so ayi nsensanee no afi hɔ.
• Sɛ wode ade a anyinam ahoɔden yɛ hyew anaa afiri foforo (electrocauterization) yi nsensanee.
• Ayaresa afoforo: Ɛtɔ mmere bi a, wobetumi de nnuru a wɔde gu nipadua no so anaa wɔnom te sɛ vitamin A (retinoids) adi dwuma, nanso eyinom mfata obiara esiane nea efi mu ba nti. Wɔde photodynamic therapy a wɔde hann di dwuma de sa kokoram nso di dwuma wɔ tebea horow bi mu.

Sɛ wɔsa wo yare wie mpo a, leukoplakia betumi asan aba bio, enti ɛho hia yiye sɛ wobɛkɔ akɔhwɛ wo daa sɛnea wo duruyɛfo kyerɛ no.

So wobetumi asiw Leukoplakia ano?

Ɛnyɛ bere nyinaa na wobetumi asiw leukoplakia ano koraa efisɛ ɛnyɛ bere nyinaa na wonim nea ɛde ba ankasa. Nanso, yenim sɛ tebea no ne tawanom ne nsanom wɔ abusuabɔ kɛse. Enti, wubetumi ayɛ saa nneɛma yi de atew asiane a ɛwɔ hɔ no so:

• Kwati a wobɛkwati tawanom koraa. Nea ɛka eyi ho ne sigaretnom, tawa a wɔwe, ne tawa a wusiw nnim. Eyi ne ade a eye sen biara a wubetumi ayɛ.
• Nsã dodow a wobɛnom ano hye, anaasɛ wobɛgyae koraa. Sɛnea Amerika Kokoram Fekuw no akwankyerɛ kyerɛ no, sɛ wonom nsa ampa a, ɛnsɛ sɛ mmarima nom nsa boro mprenu da biara na ɛnsɛ sɛ mmea nom nsa boro biako da biara.
• Aduan a ɛkari pɛ a wobedi. Nnuaba ne nhabannuru pii a wubedi no ye ma w’ano akwahosan ne wo nipadua nyinaa nso.
• W’ano akwahosan a wobɛhwɛ so no ho hia. Wo sẽ a wobɛhohoro da biara da ne wo sẽ ho oduruyɛfo a wobɛkɔ akɔhwɛ wo daa no ho hia.

So Leukoplakia betumi asan aba bio?

Yiw, ebetumi aba. Nhwehwɛmu kyerɛ sɛ sɛ woyi leukoplakia fi hɔ wie a, ɛyɛ 10% kosi 20% sɛ ɛbɛsan aba. Ɛtɔ da bi a, ɛtumi san nyin wɔ baabi a na ɛwɔ kane no, anaa ano no fã foforɔ. Ɛno nti na ɛho hia sɛ wokɔ so kɔ wo duruyɛfo nkyɛn bere a woasa wo yare no.

So Leukoplakia ankasa bɛyɛ yiye?

Mpɛn pii no, dabi, ɛnte saa. Wobetumi ayɛ oprehyɛn ayi leukoplakia nsensanee no afi hɔ, titiriw sɛ ɛsõ anaasɛ biopsy kyerɛ nsakrae wɔ nkwammoaa no mu (dysplasia). Nanso, ɛtɔ mmere bi a, nsensanee nketenkete betumi ayera nkakrankakra bere a wɔayi nea ɛde abufuw no bae (sɛ nhwɛso no, sigaretnom, ɛse a abubu) afi hɔ no. Nanso, ɛsɛ sɛ wɔyɛ eyi wɔ oduruyɛfo hwɛ ase.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu sɛ nsensanee fitaa foforo, nsensanee kɔkɔɔ, anaa nsensanee fitaa ne kɔkɔɔ a adi afra wɔ w’anom, titiriw sɛ ɛwɔ hɔ bɛboro adapɛn abien a, hwɛ hu sɛ wobɛkɔ nsensan ho oduruyɛfo anaa oduruyɛfo a ɔhwɛ wo so.

Sɛ wɔayɛ wo oprehyɛn de ayi leukoplakia afi hɔ a, ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ wo sɛ bra bɛkɔ akɔhwɛ wo daa mfe pii. Mpɛn pii no asram 3-6 biara anaa pɛnkoro afe biara. Afei nso, mma wo werɛ mmfi sɛ wobɛkɔ wo sẽ ho oduruyɛfo nkyɛn asram asia biara akɔhwɛ wo sẽ daa.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wowɔ leukoplakia a, wubetumi abisa wo duruyɛfo nsɛm yi na ama woate tebea no ase yiye:

• Leukoplakia bɛn na mewɔ?
• Dɛn na ebetumi ayɛ nea enti a ɛte saa?
• Ayaresa bɛn na wokamfo kyerɛ? Adɛn?
• So saa nsensanee yi befi hɔ koraa bere a wɔsa yare no?
• So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ? Dɛn ne wɔn?
• Hokwan bɛn na ɛwɔ hɔ sɛ saa leukoplakia yi bɛdan anom kokoram?
• Hokwan ahorow bɛn na ɛwɔ hɔ sɛ ɛbɛsan asi bio? Sɛ ɛba a, dɛn na ɛsɛ sɛ meyɛ?
• Dɛn na metumi ayɛ na ama asiane a ɛwɔ hɔ sɛ menya anom kokoram no so atew?
• Mpɛn ahe na ɛsɛ sɛ meba bɛsɔ ahwɛ?

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae

Leukoplakia yɛ tebea a ɛma nsensanee fitaa ba wo tɛkrɛma, wo hwene, anaa wo hwene mu. Saa nsensanee yi nyɛ yaw, nanso ɛnyɛ n’ankasa nkɔ. Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea leukoplakia nyɛ asiane biara wɔ nea edi kan mu de, nanso hokwan wɔ hɔ sɛ tebea yi betumi abɛyɛ anom kokoram.

Enti, sɛ wuhu nsensanee fitaa, nsensanee kɔkɔɔ, anaa kuru bi a ɛnsa wɔ w’ano mu, na ɛwɔ hɔ bɛboro adapɛn abien a, hwɛ hu sɛ wobɛka akyerɛ wo sẽ ho oduruyɛfo anaa oduruyɛfo a ɔhwɛ wo sẽ so.

Ɔbɛhwɛ w’ano na sɛ ɛho hia a, ɔde wo bɛkɔ oduruyɛfo bi nkyɛn ma wakɔyɛ nhwehwɛmu bio na wasa wo yare. Saa nneɛma yi a wubehu ntɛm, ayaresa a ɛfata a wubenya, ne wo duruyɛfo akwankyerɛ a wubedi akyi no ne akwan a eye sen biara a wobɛfa so abɔ w’akwahosan ho ban. Mma wo ho nnyɛ wo hu, nanso ɛho hia sɛ wohu.

` leukoplakia, ano fitaa, ano kokoram, ano kokoram, sigaretnom, nsa, nsensan ho oduruyɛfo