Sɛ yɛdwene ‘nufu mu kokoram’ ho a, yɛtaa susuw akuru bi a ɛwɔ nufu no mu ho, ɛnte saa? Nanso so wunim sɛ ɛnyɛ nufu mu kokoram nyinaa na epue sɛ akisikuru? Ɛnnɛ, yɛrebɛka kokoram bi a ɛyɛ soronko kakra, a ɛtrɛw sum ase wɔ nipadua no mu ho asɛm. Wɔfrɛ eyi Invasive Lobular Carcinoma, anaa (ILC) tiawa.
Sɛ yɛbɛka no tiawa a, dɛn ne Invasive Lobular Carcinoma (ILC)?
Okay, momma yɛmfa no saa kwan yi so. Wo nufu wɔ ntini ahorow a ɛma nufusu. Nnuruyɛfo frɛ eyinom "lobules." Saa kokoram yi fi ase wɔ saa ntini a ɛma nufusu yi mu.
Nea ɛnte sɛ nufu mu kokoram ahorow afoforo no, sɛ́ anka ILC kokoram nkwammoaa yi bɛbom ayɛ akisikuru no, ɛtrɛw fa nufu no mu ntini no mu wɔ nkwammoaa ankorankoro a ɛtoatoa so mu . Fa no sɛ nwansena a wɔabɔ wɔn ho ban. Eyi nti na akisikuru trɛw saa kwan yi so no.
ILC yɛ nufu mu kokoram bɛyɛ 10% kosi 15%. Mpɛn pii no, ɔbea hormone estrogen na ɛkanyan kokoram a ɛte sɛɛ. Ɛyɛ kokoram a enyin brɛoo paa nso. Ebetumi atra hɔ mfe pii ansa na woanya yare no ho sɛnkyerɛnne biara anaasɛ wɔde mammogram ahu. Te sɛ kokoram afoforo no, ILC betumi atrɛw afa nufu mu ntini mu anaasɛ akɔ nipadua no afã afoforo.
Sɛ akisikuru biara nni hɔ a, wobɛyɛ dɛn ahu eyi ho sɛnkyerɛnne?
Eyi ne ade a ɛho hia sen biara. Esiane sɛ ILC kokoram nnyɛ akuru nti, ɛsɛ sɛ wohwɛ yiye kɛse wɔ nsakrae afoforo a ɛnyɛ anifere a ɛba nufu no mu no ho. Ebia worenhu nsakrae biara wɔ mfiase no mu. Nanso bere a kokoram no kɔ so no, saa sɛnkyerɛnne ahorow yi betumi ada adi.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nufu no honam ani a ɛyɛ den anaasɛ ɛsakra | Ebia honam ani hwɛbea a ɛwɔ nufu no fã biako no bɛyɛ te sɛ nea ɛyɛ den sen sɛnea ɛtaa yɛ no. Ebia dimpling wɔ hɔ, a ɛte sɛ were a ɛwɔ akutu a wɔabɔ no so. |
| Nufu a ɛho ahonhon anaasɛ ɛyɛ ma | Sɛ akuru bi fi hɔ mpo a, nufu no fã biako anaa ne fã bi betumi ate nka sɛ ahonhon anaasɛ ayɛ ma sen sɛnea ɛtaa yɛ no. Ebia nsakrae bɛba nufu no nsusuwii anaa ne kɛse nso mu. |
| Nipple a wɔadan no | Nufusu a ɛtaa ba akyi no te sɛ nea ɛrekɔ fam. |
| Akuru bi a ɛwɔ abasa mu | Sɛ wunni akisikuru wɔ wo nufu mu mpo a, wubetumi ate akisikuru bi nka wɔ wo nsateaa mu. |
| Nufu mu yaw anaa ɔhyew | Ebia wobɛte nufu mu yaw anaasɛ ɔhyew bere a wode wo nsa aka no a ntease pɔtee biara nni ho. |
| Nufusu mu nsu a ɛtɔ | Nsu biara a efi nufu no mu (titiriw mogya a ɛyɛ fɛ) ba, gye sɛ woyɛ ɛna a ɔma nufu. |
Nea ɛho hia paa ne sɛ obiara nnim wo nufu yiye sen wo, enti sɛ wuhu nsakrae ketewaa bi mpo a, mmu w’ani ngu so.
Dɛn ne asiane ahorow a ɛma obi nya kokoram yi?
Sɛnea ɛte wɔ kokoram biara ho no, ɛyɛ den sɛ yɛbɛka nea ɛde eyi ba ankasa. Ɛyɛ awosu mu nsakrae a ɛma nkwammoaa a ɛte apɔw no dan kokoram. Nanso nhwehwɛmufo ahu nneɛma pii a ɛma asiane a ɛwɔ hɔ sɛ obi benya ILC no yɛ kɛse.
- Sɛ́ wadi boro mfe 55.
- Wo ba a odi kan a wobɛwo bere a woadi mfe 30 akyi anaasɛ worenwo.
- Esiane sɛ na wanya nufu mu kokoram pɛn.
- Abusua muni bi a wowɔ (titiriw ɛna, onuawa, ɔbabea) a ɔwɔ nufu mu kokoram anaa awotwaa mu kokoram.
- Tebea bi a wɔfrɛ no Lobular Carcinoma In Situ (LCIS) a obi benya: Eyi nyɛ kokoram, na mmom nkwammoaa mu nsakrae a ɛma asiane a ɛwɔ hɔ sɛ obenya kokoram daakye no yɛ kɛse.
- Awosu mu nsakrae ahorow bi fi awo mu.
- Mmabunbere ansa na wadi mfe 12.
- Menopause ba bere a wadi mfe 55 akyi.
- Hormone ayaresa bi a wɔnom de hwehwɛ sɛnkyerɛnne ahorow a ɛba bere a obi agyae brayɛ akyi.
Dɛn ne nsɛnnennen pɔtee a ɛwɔ ILC mu?
Nsɛnnennen abien a ɛsono emu biara kakra wɔ ILC kokoram mu a ɛsɛ sɛ wɔde adwene si so titiriw.
1. Ɛtrɛw kɔ nipadua no mmeae a ɛyɛ soronko: Nufu mu kokoram ahorow afoforo taa trɛw kɔ amemene, nnompe, mmerɛbo, ne ahurututu mu. ILC kokoram nso betumi atrɛw akɔ saa mmeae no. Nanso nea ɛka ho no, ebetumi atrɛw akɔ mmeae a ɛyɛ soronko nso a kokoram ntaa ntrɛw.
- Nnuan a wɔyam (dwensɔtwaa, yafunu) .
- Mmea awo nhyehyɛe (ovaries, awotwaa) .
- Yafunu no mu aduru (peritoneum) .
- Nkataso a atwa amemene ne akyi berɛmo (Leptomeninges) ho ahyia .
- Ntini a atwa aniwa no ho ahyia
2. Ɛsan ba bio bere a wɔasa no yare bere bi akyi: Eyi ne ade a asiane wom sen biara wɔ kokoram yi ho. Sɛ wɔsa kokoram no yare na wosusuw sɛ wɔasa mpo a, ebetumi asan aba nipadua no fã bi a ɛwɔ akyirikyiri wɔ mfe 10 kosi 15 akyi mpo . Yɛfrɛ eyi `(Metastatic Invasive Lobular Carcinoma)`.
Ɔkwan bɛn so na nnuruyɛfo hu eyi?
Sɛ wokɔ oduruyɛfo nkyɛn fa nufu mu akisikuru ho asɛm a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne na wahwɛ wo nufu ne wo nsateaa mu. Esiane sɛ ILC nyɛ akisikuru nti, ebia wɔremfa nhwehwɛmu a wɔyɛ no daa so nhu. Enti, ebia wɔde wo bɛkɔ akɔyɛ sɔhwɛ ahorow te sɛ eyinom.
- Mammogram: X-ray a wɔde yɛ nufu no. Nanso, esiane ɔkwan a ILC kokoram fa so trɛw nti, ɛtɔ mmere bi a wontumi nhu no pefee wɔ mammogram mu.
- Nufu mu Ultrasound: Eyi boa ma wotumi hwɛ nufu no fã pɔtee bi yiye.
- Nufu mu MRI mfonini: Eyi betumi ama wɔanya nufu mu ntini ho mfonini a emu da hɔ yiye na ɛkɔ akyiri. MRI ho hia yiye ma kokoram ahorow a ɛyɛ den sɛ wobehu te sɛ ILC.
Sɛ adwenem naayɛ bi sɔre fi nhwehwɛmu ahorow yi mu a, ade a edi hɔ ne sɛ wɔbɛyɛ nipadua mu nhwehwɛmu . Eyi kyerɛ sɛ woyi ntini ketewaa bi fi nufu no mu wɔ aduru a wɔde kum nipadua no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Saa biopsy yi nkutoo na ebetumi asi so dua 100% sɛ kokoram nkwammoaa wɔ hɔ anaasɛ enni hɔ.
Kokoram no fã ahorow
Sɛ biopsy no si so dua sɛ ɛyɛ kokoram pɛ a, wohu baabi a kokoram no kodu na wohu sɛnea kokoram no te. Wogyina saa fã yi so na ɛyɛ ayaresa ho nhyehyɛe.
| Prama | Nkyerɛmu |
|---|---|
| Ɔfã I | Kokoram no sua sen sɛntimita 2. Ebia atrɛw akɔ ntini a ɛbɛn hɔ mu anaasɛ ebia enni hɔ bio. |
| Ɔfã II | Kokoram no kɛse yɛ sɛntimita 2-5 na atrɛw akɔ ntini a ɛbɛn hɔ mu. Anaasɛ ɛsõ sen sɛntimita 5 nanso ɛntrɛw nkɔ ntini a ɛma mogya tu mu. |
| Ɔfã III | Kokoram no atrɛw akɔ ntini pii a ɛwɔ nufu no mu ne ntini a ɛbɛn no mu. |
| Ɔfã IV | Kokoram no atrɛw akɔ nipadua no akwaa a ɛwɔ akyirikyiri te sɛ ahurututu, mmerɛbo, anaa nnompe mu. (Nea ɛtrɛw kɔ mmeae afoforo) . |
Dɛn ne ayaresa ahorow a wɔde sa ILC?
Wo duruyɛfo no besusuw nneɛma pii ho, a nea ɛka ho ne wo kokoram no fã, sɛ ebia ɛyɛ nea ɛma wo ho yɛ hyew (ER+), ne w’akwahosan nyinaa, na wayɛ ayaresa nhyehyɛe a eye ma wo. Mpɛn pii no, eyi betumi ayɛ ayaresa biako anaa nea wɔaka abom.
- Oprehyɛn: Woyi nufu no fã anaa nufu no nyinaa a kokoram nkwammoaa wom no fi hɔ.
- Nnuru a wɔde sa yare: Nnuru a ano yɛ den a wɔde ma de kum kokoram nkwammoaa. Wobetumi de ama ansa na wɔayɛ oprehyɛn anaa bere a wɔayɛ no oprehyɛn akyi.
- Radiation Therapy: Wɔde mframa a ahoɔden wom kɛse di dwuma de sɛe kokoram nkwammoaa biara a ebetumi aka wɔ oprehyɛn akyi.
- Hormone Therapy: Sɛ kokoram no yɛ estrogen-sensitive (ER+) a, wɔde nnuru a esiw saa hormone ahorow no dwumadi kwan ma.
- Targeted Therapy: Nnuru a wɔde si awosu mu nsakrae pɔtee bi a ɛka kokoram nkwammoaa nyin so.
Bere a wo ho bɛtɔ wo wɔ ayaresa akyi no gu ahorow wɔ onipa biara mu na egyina ayaresa a wo nsa ka so. Wo ne wo duruyɛfo nka eyi ho asɛm pefee.
Hokwan ahorow bɛn na ɛwɔ hɔ sɛ obi benya yare yi?
Yɛn nyinaa suro bere a yɛte asɛmfua kokoram no. Nanso ɛho hia sɛ wuhu saa nneɛma yi. Saa ``nkwa dodow'' yi yɛ nnipa ɔha biara mu nkyem a wonya nkwa mfe 5 anaa 10 wɔ bere a wɔahu sɛ wɔwɔ kokoram akyi.
Nhwehwɛmu kyerɛ sɛ mmea a wɔahu sɛ wɔwɔ ILC kokoram no mu 94% da so te ase wɔ mfe 5 akyi. Mfe 10 akyi no, saa ɔha biara mu nkyem yi kɔ soro kodu bɛyɛ 86% . Sɛ wɔde toto nufu mu kokoram ahorow afoforo ho a, mfe 10 a wɔde tra ase no sua kakra. Nnuruyɛfo kɔ so yɛ nhwehwɛmu de hu nea ɛde ba na wɔma ayaresa no tu mpɔn.
Kae sɛ eyinom yɛ akontaabu ara kwa. Ɛnyɛ nkɔmhyɛ ahorow a ɛfa w’ankasa tebea ho. Wo duruyɛfo nkutoo na obetumi ama wo wo tebea no ho nkyerɛkyerɛmu a eye sen biara.
Nkrasɛm a Wɔde Kɔ Fie
- Invasive Lobular Carcinoma (ILC) yɛ nufu mu kokoram bi a ɛnyɛ bere nyinaa na ɛda adi sɛ akisikuru.
- Hu nsakrae a ɛnyɛ anifere a ɛba nufu no honam ani te sɛ nufu no a ɛyɛ den, ɛho ahonhon, nsakrae a ɛba ne nsusuwii mu, ne nufu no a ɛkɔ mu no yiye.
- Ɛho hia yiye sɛ wuhu sɛnea wo nufu no te. Yɛ nufu mu nhwehwɛmu ɔsram biara.
- Sɛ wuhu nsakrae ketewaa bi anaasɛ ɛyɛ soronko a, mmu w'ani ngu so nsusuw sɛ, "Ebia ɛnyɛ hwee." Kɔ oduruyɛfo nkyɛn ntɛm ara.
- Te sɛ kokoram biara no, dodow a wohu eyi ntɛm no, dodow no ara na ɛda adi sɛ ayaresa no bedi nkonim.
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