Sɛ oduruyɛfo no ka kyerɛ wo sɛ wowɔ kokoram, na afei ɔka sɛ, "Ɛsɛ sɛ miyi ntini bi a ɛma mogya tu ka akisikuru no ho" a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra. "Dɛn nti na wɔreyi saa nodes yi afi hɔ? Dɛn na ɛbɛba wɔ eyi ho? So eyi yɛ oprehyɛn kɛse ?" Ebia nsɛmmisa pii te sɛ eyinom bɛba w’adwenem. Nsuro. Ɛnnɛ, yɛreka oprehyɛn yi a wɔfrɛ no Lymphadenectomy de bua saa nsɛmmisa no ho asɛm.
Nea edi kan koraa no, dɛn ne Lymphadenectomy?
Sɛ yɛbɛka no tiawa a, lymphadenectomy yɛ oprehyɛn a wɔde yi ntini biako anaa nea ɛboro saa fi wo nipadua mu. Wɔ yɛn kasa a yɛtaa ka mu no, wɔsan frɛ eyi "lumpectomy."
Fa no sɛ yɛn nipadua te sɛ kurow kɛse bi. Akwan (mogya ntini) ayɛ akuwakuw wɔ kurow yi mu baabiara. Afei nso, nhyehyɛe soronko bi wɔ hɔ a wɔde beyi nwura afi hɔ na wɔahwɛ ahu sɛ ahobammɔ wɔ kurow yi mu. Saa na ntini a ɛwɔ yɛn nipadua mu no te. Saa nhyehyɛe yi wɔ mmeae nketenkete a wɔhwɛ ahobammɔ so. Yɛfrɛ saa mmeae a wɔhwɛ nneɛma so no lymph nodes .
Wɔn adwuma titiriw ne sɛ wɔbɛyi ntini a ɛsen fa ntini no mu no mu na wɔahohoro. Ɛne sɛ, wɔkyere mmoawa, nkwammoaa a asɛe, ne titiriw no kokoram nkwammoaa a ɛwɔ saa nsu yi mu na wɔsɛe no. Enti wɔyɛ yɛn nipadua mu tumi a ɛko tia nyarewa no fã a ɛho hia paa.
Afei dɛn nti na woyi saa ntini a ɛma mogya tu yi fi obi a ɔwɔ kokoram ho?
Ade titiriw nti a ɛte saa ne sɛ wobehu sɛ ebia kokoram no atrɛw akɔ nipadua no afã afoforo anaa. Ɔkwan titiriw a saa trɛw (metastasis) yi fa so fa so ne ntini a ɛma mogya tu no.
Wo de susuw eyi ho hwɛ. Wowɔ akisikuru wɔ wo nipadua no fã biako. Ɛte sɛ ogya ketewaa bi a ɛrehyew wɔ ofie dan biako mu. Afei yɛpɛ sɛ yehu sɛ ogya yi atrɛw akɔ adan afoforo mu anaa. Enti dɛn na yɛyɛ? Yɛkɔ adan a ɛbɛn hɔ no mu kɔhwɛ sɛ ogya no atrɛw wɔ hɔ anaa.
Saa ara na nnuruyɛfo nso hwehwɛ ntini a ɛbɛn akisikuru no mu hwɛ sɛ kokoram nkwammoaa atrɛw wɔ hɔ anaa.
Saa oprehyɛn yi di botae atitiriw pii ho dwuma:
- Kyerɛ kokoram no fã: Nnuruyɛfo betumi agyina sɛ ebia kokoram nkwammoaa wɔ ntini a ɛma mogya tu no mu anaasɛ enni hɔ so ahu baabi a kokoram no wɔ. Eyi ho hia yiye ma daakye ayaresa ho nhyehyɛe.
- Sɛ́ ayaresa: Sɛ kokoram nkwammoaa wɔ ntini a ɛma mogya tu no mu a, sɛ woyi saa ntini no fi hɔ a, eyi nso yi saa kokoram nkwammoaa no fi nipadua no mu. Eyi kyerɛ sɛ eyi yɛ nea wɔde hu yare no ne ayaresa.
- Ma kokoram no ntrɛw nkɔ akyiri: Sɛ woyi ntini a kokoram nkwammoaa wom fi hɔ a, ɛmma kokoram no ntrɛw nkɔ akyiri wɔ nipadua no mu.
- Siw kokoram a ɛbɛsan aba no ano:Sɛ woyi akisikuru no fi hɔ wie a, sɛ woyi kokoram nkwammoaa biara a ebetumi aka wɔ ntini a atwa ho ahyia no mu a, ebetumi atew asiane a ɛwɔ hɔ sɛ kokoram no bɛsan aba daakye no so.
Kokoram ahorow bɛn na ɛtaa hwehwɛ sɛ wɔyɛ saa oprehyɛn yi?
Wɔkamfo oprehyɛn yi kyerɛ ma kokoram ahorow pii a ɛda adi sɛ ɛbɛtrɛw afa ntini a ɛma mogya tu no mu. Kokoram ahorow atitiriw a edi dwuma titiriw ne:
- Nufu mu kokoram
- Melanoma honam ani kokoram
- Ti ne kɔn mu kokoram
- Thyroid kokoram
- Ahurututu mu kokoram
- Yafunu mu kokoram
- Kokoram a ɛwɔ akyi berɛmo mu
- Kokoram a ɛwɔ awotwaa mu ne awotwaa mu
- Akisikuru, akyi berɛmo, ne prostate kokoram
Dɛn ne oprehyɛn ahorow atitiriw a wɔde yi lymphadenectomy?
Akwan abien na ɛwɔ hɔ a wɔfa so yɛ oprehyɛn yi. Ɛte sɛ nea polisifo rebisa sɛ ebia wɔbɛhwɛ beae a adwenem naayɛ wom no nkutoo anaasɛ wɔbɛhwɛ beae no nyinaa.
| Oprehyɛn ko a wɔyɛ | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Ɔmantam (a Wɔpaw) Lymphadenectomy | Eyi hwehwɛ sɛ woyi nhwɛsode bi nkutoo, kyerɛ sɛ, kakraa bi pɛ, fi ntini a ɛbɛn kokoram akisikuru no kɛse no mu. |
| Radical (Edi mũ/Ne nyinaa) Lymphadenectomy | Nea ɛka eyi ho ne sɛ wobeyi ntini a ɛwɔ beae no nyinaa afi hɔ. Wɔyɛ eyi sɛ adwenem naayɛ bi wɔ hɔ sɛ kokoram no atrɛw akɔ akyiri sɛnea ɛsɛ a. |
Ɛtɔ mmere bi a, nnuruyɛfo di kan yɛ Sentinel Node Biopsy.Nea wɔfrɛ no. Ɛne sɛ, sɛ wobehu "sentinel" lymph node, baabi a ɛda adi sɛ kokoram nkwammoaa di kan tu kwan fi akisikuru no mu, na woyi saa biako no nkutoo na wɔhwehwɛ mu. Sɛ kokoram nkwammoaa nni mu a, wɔtaa si gyinae sɛ wɔrenyi afoforo no mfi hɔ. Sɛ ɛba saa a, ɛsɛ sɛ woyi node pii fi hɔ.
Ɛhe na woyi nwansena fi nipadua no so wɔ saa kwan yi so?
Eyi gyina baabi a wo kokoram no wɔ so, efisɛ kokoram biara trɛw fa ntini pɔtee bi a ɛwɔ nipadua no mu mu.
| Oprehyɛn no din | Baabi a nwansena wɔ a ɛsɛ sɛ woyi fi hɔ | Mpɛn pii no, kokoram ahorow a ɛbata ho |
|---|---|---|
| Akyillary Lymphadenectomy a Wɔyɛ | Armpit beae a ɛwɔ | Nufu mu kokoram, nsa mu melanoma |
| Inguinal Lymphadenectomy a Wɔde Yɛ Apɔw-mu-teɛteɛ | Groin mpɔtam hɔ | Kokoram a ɛba ɔbarima akyi berɛmo ne awotwaa mu |
| Awotwaa mu Lymphadenectomy a Wɔyɛ | Ne kɔn mu beae | Ti, kɔn ne thyroid kokoram |
| Ntini a Wɔde Twa Ntini a Ɛwɔ Akyi Akyi | Yafunu no akyi (yafunu no mu) . | Kokoram a ɛwɔ awotwaa mu ne awotwaa mu |
| Pelvic Lymphadenectomy a Wɔyɛ no Yiye | Pelvis a ɛwɔ akyi | Akisikuru, akyi berɛmo, prostate kokoram |
| Mediastinal Lymphadenectomy a Wɔde Yɛ Adwuma | Koko no fã a ɛwɔ mfinimfini | Ahurututu mu kokoram, Lymphoma |
Dɛn na ɛba ansa na wɔreyɛ oprehyɛn no, bere a wɔreyɛ no ne bere a wɔreyɛ no oprehyɛn no akyi?
Ansa na wɔreyɛ no oprehyɛn
Ansa na wobɛyɛ wo oprehyɛn ho nhyehyɛe no, ɛda adi sɛ wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ scan mfa nhwɛ sɛnea wo ntini a ɛma mogya tu no te. Wobetumi ayɛ needle biopsy nso, a nea ɛka ho ne sɛ woyi ntini ketewaa bi de yɛ nhwehwɛmu. Sɛ nhwehwɛmu ahorow yi da kokoram ho sɛnkyerɛnne adi a, wɔyɛ lymphadenectomy.
Bere a wɔreyɛ oprehyɛn no
Wɔtaa yɛ oprehyɛn yi wɔ aduru a wɔde kum nipadua no nyinaa mu. Wei kyerɛ sɛ worente biribiara nka, wobɛda koraa. Akwan abien na wobetumi afa so ayɛ oprehyɛn no.
1. Oprehyɛn a Wɔbue: Wɔ eyi mu no, wɔtwa bere tenten biako wɔ beae a ɛfa ho no na woyi ntini a ɛma mogya tu no fi hɔ.
2. Oprehyɛn a Wɔde Laparoscopic: Eyi hwehwɛ sɛ wɔyɛ ntwitwiridii nketenkete pii, wɔde mfoninitwa afiri fa biako mu, na wɔde nnwinnade fa ntwitwiridii afoforo mu. Saa kwan yi wɔ bere tiaa a wɔde sa yare ne akuru nketenkete.
Sɛ wɔyɛ oprehyɛn wie a, oduruyɛfo no de afiri ketewaa bi a wɔfrɛ no drain bɛhyɛ nea wɔatwa no mu na ɔde abata afiri bi ho. Eyi yɛ nea ɛbɛma nsu a ɛho nhia anboaboa ano wɔ beae a wɔyɛ oprehyɛn no. Ɛho behia sɛ wogyaw saa nsu a ɛkɔ nsu mu yi wɔ nea ɛwɔ hɔ nna anaa adapɛn pii.
Wɔ oprehyɛn no akyi
Sɛ wɔyɛɛ wo safe ho oprehyɛn ketewaa bi a, wubetumi akɔ fie da koro no ara. Sɛ wɔyɛɛ wo oprehyɛn a wɔabue ano a, ebehia sɛ wotra ayaresabea hɔ da koro kosi nnansa. Sɛ wokɔ fie a, wɔbɛma wo akwankyerɛ a ɛkɔ akyiri a ɛfa sɛnea wobɛhwɛ kuru no ne sɛnea wobɛnom wo nnuru no ho. Ɛho behia sɛ wokɔ oduruyɛfo nkyɛn bio ma woyi nsu a ɛkɔ nsu mu no, twa nhama no, na wogye biopsy amanneɛbɔ no.
Mfaso, asiane, ne nsunsuanso bɔne bɛn na ɛwɔ oprehyɛn yi so?
Te sɛ oprehyɛn biara no, eyi wɔ mfaso horow ne asiane ne ɔhaw ahorow bi nso.
| Mfasoɔ | Asiane & Nsunsuanso bɔne a efi mu ba |
|---|---|
| Wubetumi ahu pɛpɛɛpɛ sɛ ebia kokoram no atrɛw anaa. | Kuru mu ɔyare mmoawa. |
| Sɛ wohu baabi a kokoram no wɔ a, ɛboa ma wɔpaw ayaresa a eye sen biara. | Ntini ne mogya ntini a atwa ho ahyia a ɛsɛe. |
| Ɛyi kokoram nkwammoaa fi ntini a ɛma mogya tu no mu na ɛmma ɛntrɛw. | Ɛyɛ mmerɛw na ɛyɛ den wɔ baabi a wɔatwa no ho. |
| Ɛtew asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba bio no so. | Nsu a ɛboaboa ano wɔ beae a wɔyɛ oprehyɛn no (Seroma). |
| Lymphedema: Eyi yɛ ɔyare bɔne a ɛsɛ sɛ wuhu. Sɛ woyi ntini pii fi hɔ a, nsu a ɛsen no betumi asɛe, na ama akwaa bi te sɛ abasa anaa nan ho ahonhon daa. Saa tebea yi to obiara. Nanso ɛho hia sɛ wohwɛ so yiye. |
Bere a ɛsɛ sɛ wofrɛ wo duruyɛfo
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi wɔ wo oprehyɛn no akyi a, frɛ wo duruyɛfo ntɛm ara .
- Sɛ kuru no yɛ kɔkɔɔ, akisikuru a ɛretu, anaasɛ atiridiinini (eyinom yɛ ɔyare mmoawa ho sɛnkyerɛnne).
- Sɛ wowɔ ɛyaw a wuntumi nnyina ano, wo ho yɛ wo yaw, anaasɛ wo ho yɛ wo den a.
- Sɛ akwaa bi te sɛ abasa anaa nan hohoro dodo a.
- Sɛ ɛyɛ den sɛ wɔbɛyɛ kankyee ahorow bi a.
Lymphadenectomy yɛ anammɔn a ɛho hia yiye wɔ kokoram ayaresa nhyehyɛe no mu. Ɛma wonya wo tebea no ho nsɛm a ɛsom bo na ebetumi aboa ma kokoram no asiw ano. Sɛnea ɛte wɔ oprehyɛn nyinaa ho no, asiane ahorow wɔ hɔ, nanso mfaso a ɛwɔ so no fata asiane ahorow no. Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa ho na woabisa nsɛm biara a ebia wowɔ.
Nkrasɛm a Wɔde Kɔ Fie
- Lymphadenectomy yɛ oprehyɛn a wɔde yi lymph nodes (nodes) a ebia kokoram nkwammoaa wom no fi hɔ.
- Eyi botae titiriw ne sɛ wobehu sɛ kokoram no atrɛw anaa (wɔahu) na wɔayi nkwammoaa a atrɛw no afi hɔ (ayaresa).
- Nsɛm a wubenya afi oprehyɛn yi mu no ho hia na ama woahu baabi a wo kokoram no te na woayɛ daakye ayaresa ho nhyehyɛe.
- Nsunsuanso bɔne titiriw biako a ebetumi aba wɔ oprehyɛn akyi ne lymphedema, tebea a ɛma nipadua no akwaa hohoro. Nanso, eyi nsi wɔ obiara mu.
- Bere a wo ho retɔ wo no, hu sɛnkyerɛnne biara a ɛkyerɛ sɛ wowɔ ɔyare mmoawa, wo hohoro dodo, anaa ɛyaw a wuntumi nnyina ano. Sɛ eyi ba a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Wo ne wo duruyɛfo nkasa pefee wɔ ehu anaa adwenem naayɛ biara a ebia wowɔ ho.
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