Ebia woate sɛ oduruyɛfo no reka sɛ, "Ɛsɛ sɛ yeyi akuru bi fi hɔ" bere a wuhu sɛ wo anaa obi a wunim no wɔ kokoram no. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na wopɛ sɛ wuhu nneɛma pii saa bere no. Dɛn ne saa akuru yi? Dɛn nti na woyi fi hɔ bere a wɔreyɛ kokoram ayaresa no? So oprehyɛn yi yɛ nea asiane wom? Ɛnnɛ, yɛbɛka eyinom nyinaa ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ne Lymph Nodes ne Lymphadenectomy oprehyɛn?
Okay, di kan ma yɛnhwɛ nea saa mmarima nkumaa yi yɛ. Yɛwɔ ntini ahorow a ɛwɔ yɛn nipadua nyinaa mu, te sɛ mogya ntini ahorow no ara pɛ. Yɛfrɛ eyi Lymphatic System . Dwumadi titiriw biako a nhyehyɛe yi yɛ ne sɛ ɛbɛboa ma yɛabɔ yɛn nipadua ho ban.
Fa no sɛ ntini a ɛma mogya tu no te sɛ akwan a wɔayɛ wɔ yɛn man yi mu. Afei ntini a ɛma mogya tu no te sɛ polisifo mmeae a wɔhwɛ nneɛma so a ɛwɔ saa akwan no ho. Saa mmeae a wɔhwɛ nneɛma so yi kyere nwura, mmoawa, nkwammoaa a asɛe, ne titiriw no kokoram nkwammoaa a ɛwɔ yɛn nipadua mu na yiyi mu. Enti eyinom te sɛ awɛmfo a wɔwɔ yɛn nipadua mu no.
Sɛ yɛbɛka no tiawa a, Lymphadenectomy yɛ oprehyɛn a wɔde yi ntini a ɛma mogya tu yi mu biako anaa nea ɛboro saa fi hɔ.
Dɛn nti na wuhia oprehyɛn yi?
Mpɛn pii no, oduruyɛfo bɛkamfo oprehyɛn yi akyerɛ obi a wɔahu sɛ ɔwɔ kokoram dedaw. Nneɛma atitiriw abien nti na ɛte saa.
1. Nhwehwɛmu ne Nea Wɔde Di Dwuma: Ntini a ɛma kokoram no ne ɔkwan titiriw a kokoram nkwammoaa fa so trɛw fi baabi kɔ foforo. Enti, sɛ yeyi ntini kakraa bi a ɛbɛn akisikuru no na yɛhwehwɛ mu a, yebetumi ahu ankasa sɛ ebia kokoram no atrɛw wɔ akisikuru no akyi anaa (Metastasis). Yɛfrɛ eyi sɛ ɛkyerɛ kokoram no gyinabea (Cancer Staging). Nnuruyɛfo gyina saa fã yi so si ɔkwan a wɔfa so sa yare (e.g., nnuru a wɔde sa yare, mframa a wɔde sa yare) a ɛfata wo kɛse no ho gyinae.
2. Sɛ́ ayaresa: Sɛ wohu sɛ kokoram nkwammoaa wɔ akuru a wɔayi afi hɔ no mu a, ɛkyerɛ sɛ woyii kokoram nkwammoaa no nso bere a wɔreyɛ oprehyɛn no. Afei nso, sɛ kokoram no atrɛw a, oprehyɛn yi betumi aboa ma wɔayi akuru pii afi hɔ na asiw kokoram no kwan na antrɛw bio wɔ nipadua no mu.
Ɛno kyerɛ sɛ oprehyɛn yi yɛ sɔhwɛ ne ayaresa nyinaa.
Oprehyɛn ahorow atitiriw bɛn na wɔyɛ?
Wobetumi akyekyɛ oprehyɛn yi mu ayɛ no ahorow atitiriw abien. Ɔkwan titiriw bi nso wɔ hɔ.
| Oprehyɛn ko a wɔyɛ | Nkyerɛase a Ɛyɛ Mmerewa |
|---|---|
| Ɔmantam (a Wɔpaw) Lymphadenectomy | Nkwammoaa kakraa bi pɛ a ɛbɛn beae a kokoram no wɔ no a wobeyi afi hɔ sɛ nhwɛsode. |
| Radical (Nea Edi Mu) Lymphadenectomy | Ntini a ɛwɔ beae a kokoram no wɔ no nyinaa anaa dodow no ara a wobeyi afi hɔ koraa. |
Sentinel Node Biopsy a Wɔde Yɛ Nneɛma a Wɔde Yɛ Adwuma
Ɛtɔ mmere bi a, nnuruyɛfo a wɔyɛ oprehyɛn bedi kan ayi na wɔahwehwɛ ntini a ɛbɛn akisikuru no nkutoo mu, a ɛte sɛ "beae a edi kan a wɔhwɛ" a kokoram nkwammoaa betumi adi kan atrɛw. Wɔfrɛ eyi sɛ Sentinel Node Biopsy . Sɛ saa ntini no nni kokoram nkwammoaa a, ɛnyɛ nea ɛda adi koraa sɛ ntini afoforo nso benya kokoram nkwammoaa. Sɛ ɛba saa a, ebia ɛho renhia sɛ wɔyɛ oprehyɛn kɛse.
Ɛhe na wuyi nwansena fi nipadua no so?
Nwansena nni baabi biako wɔ yɛn nipadua no so, na mmom ɛyɛ akuwakuw. Akuwakuw a wobeyi afi hɔ no gyina baabi a kokoram no wɔ so. Kokoram ahorow ahorow trɛw faa nwansena akuwakuw ahorow mu.
| Wɔfrɛ beae a ɛsɛ sɛ woyi fi hɔ no Kuddeti mpɔtam. | Kokoram ahorow a ɛtaa ba |
|---|---|
| Akyila a ɛwɔ akyi | Nufu mu kokoram, honam ani kokoram a ɛwɔ nsa so (Melanoma) . |
| Inguinal hernia a ɛyɛ mmerɛw | Kokoram a ɛwɔ ɔbarima no akyi, ɔbea no awotwaa mu, akyi berɛmo mu |
| Awotwaa mu | Ti ne kɔn mu kokoram, thyroid kokoram |
| Pelvic a ɛwɔ akyi (Pelvic) . | Kokoram a ɛba akisikuru, akyi berɛmo, prostate, ne awotwaa mu |
| Retroperitoneal akisikuru a ɛwɔ akyi | Kokoram a ɛba mmadwoa, awotwaa, ne asaabo mu |
| Mediastinal a ɛwɔ nipadua no mu | Ahurututu mu kokoram, Lymphoma |
Nea ɛho hia: Asɛmfua "Cervical" no wɔ ntease abien!
Wɔfrɛ oprehyɛn a wɔde yi ntini a ɛwɔ kɔn no mu no `(Cervical Lymphadenectomy). Ɛha yi, ``Cervical'' kyerɛ sɛ ɛfa kɔn ho. Wɔfrɛ awotwaa mu kokoram ``Awotwaa mu Kokoram.'' Saa abien yi yɛ soronko koraa. Enti mma wo ho nnyɛ wo hu denam asɛm no a wobɛte so. Wo duruyɛfo bɛkyerɛkyerɛ mu akyerɛ wo.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no ne bere a wɔreyɛ no oprehyɛn no?
Ansa na wobɛyɛ oprehyɛn no, wo duruyɛfo bɛyɛ nneɛma te sɛ scans de ahwɛ sɛnea mmadwoa no te. Wobetumi ayɛ needle biopsy nso, a nea ɛka ho ne sɛ wɔbɛfa ntini ketewaa bi.
Wɔde aduru a wɔde kum nipadua no na ɛyɛ oprehyɛn no, enti worente ɛyaw biara. Wobetumi ayɛ no sɛ oprehyɛn a wɔabue ano (denam ntwitwiridii biako so) anaasɛ laparoscopic oprehyɛn (denam ntwitwiridii nketenkete pii a wɔde mfoninitwa afiri di dwuma so). Sɛ woyi nhama no wie a, wɔde nsuo a ɛkɔ kuru no mu gu kuru no mu na ama nsuo atumi aboaboa ano. Oduruyɛfo no yi eyi fi hɔ wɔ nna anaa adapɛn kakraa bi akyi.
Ɛho behia sɛ wotra ayaresabea hɔ da koro anaa nnanu wɔ oprehyɛn no akyi. Mpɛn pii no, ɛyaw no nyɛ den na wobetumi de nnuru a wɔde kum ɛyaw a ɛnyɛ den adi dwuma.
Asiane ne nsɛnnennen bɛn na ebetumi afi oprehyɛn yi mu aba?
Te sɛ oprehyɛn biara no, asiane nketenkete wɔ eyi mu.
- Kuru mu ɔyare mmoawa.
- Ntini a ɛsɛe no ma beae no yɛ mmerɛw anaasɛ ɛyɛ den.
- Mogya a ɛtwetwe.
Ɔhaw a ɛtaa ba na ɛtra hɔ kyɛ a ebetumi aba wɔ oprehyɛn akyi ne tebea bi a wɔfrɛ no Lymphedema .
Dɛn ne Lymphedema?
Sɛ woyi srade pii fi mu a, nsu a ɛsen no siw. Afei saa nsu no boaboa ano wɔ abasa anaa nan bi mu, na ɛma ɛho hohoro. Wɔfrɛ eyi `Lymphedema`. Ebia eyi bɛba na akɔ bere tiaa bi ama ebinom, nanso ebinom fam no, ebetumi ayɛ nea ɛtra hɔ daa. Asiane yi yɛ kɛse kakra sɛ wo nso worenya nnuru anaa mframa a wɔde sa yare a. Nanso mprempren ayaresa ne apɔw-mu-teɛteɛ pa wɔ hɔ a wɔde bedi ho dwuma.
Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wokɔ fie bere a wɔayɛ wo oprehyɛn awie a, hwɛ yiye wɔ sɛnkyerɛnne ahorow a edidi so yi ho. Sɛ wowɔ eyinom mu bi a, frɛ wo duruyɛfo ntɛm ara.
- Kuru no yɛ kɔkɔɔ, akisikuru a ɛretu, anaasɛ ɛwɔ atiridiinini (ɔyare mmoawa ho sɛnkyerɛnne) .
- Ɛyaw a wontumi nni so, akisikuru, anaa akisikuru.
- Ɛyɛ den sɛ wobɛkanyan nsateaa ne nsateaa yiye.
- Abasa, nan, anaa nsateaa a ɛho ahonhon soronko wɔ oprehyɛn no fã (ebia ɛbɛyɛ lymphedema ho sɛnkyerɛnne).
Nkrasɛm a Wɔde Kɔ Fie
- Lymphadenectomy yɛ anammɔn a ɛho hia yiye wɔ kokoram ayaresa nhyehyɛe no mu. Ɛde nsɛm a ɛsom bo a ɛfa wo kokoram no fã ho ma.
- Wɔde saa oprehyɛn yi di dwuma de hwɛ sɛ kokoram no atrɛw anaa, na wɔboa ma wɔsa yare no denam kokoram nkwammoaa a atrɛw no a woyi fi hɔ no so.
- Bere a asiane nketenkete wɔ hɔ te sɛ oprehyɛn biara no, ɔhaw titiriw a ɛtra hɔ kyɛ a ebetumi aba ne Lymphedema (akwaa a ɛho ahonhon). Ɛho hia sɛ wohu eyi.
- Di wo duruyɛfo akwankyerɛ akyi yiye bere a woayɛ wo oprehyɛn no. Fa sɛnkyerɛnne biara a ɛyɛ soronko ho amanneɛ kyerɛ wo duruyɛfo ntɛm ara.
- Mma ntwentwɛn wo nan ase da sɛ wo ne wo duruyɛfo bɛkasa afa nsɛmmisa anaa dadwen biara a ebia wowɔ wɔ eyi ho no ho.
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