Sɛ wuhu sɛ wowɔ nufu mu kokoram na wo duruyɛfo ka nufu a wobetwa ho asɛm kyerɛ wo a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka, wo ho adwiriw wo, na woadi awerɛhow. "Dɛn na mɛyɛ mprempren?", "So eyi bɛyɛ yaw?", "M'asetra bɛyɛ dɛn wɔ oprehyɛn no akyi?" Ebia nsɛmmisa pii retu mmirika w’adwene mu. Saa nkate horow yi nyinaa yɛ nea ɛfata. Enti, momma yɛnka eyi ho asɛm pefee a yensuro. Sɛ wohu oprehyɛn yi ho asɛm yiye a, wo suro betumi atew kɛse.
Dɛn ankasa ne nufu a wotwa?
Sɛ yɛbɛka no tiawa a, nufu a wotwa yɛ nufu mu kokoram oprehyɛn bi a ɛhwehwɛ sɛ wɔyɛ oprehyɛn yi ntini a ɛwɔ wo nufu mu no. Mpɛn pii no, woyi nufu biako anaa abien no nyinaa ntini nyinaa fi hɔ.
Eyi yɛ aduru titiriw a wɔde sa nufu mu kokoram ahorow ne ne fã ahorow pii. Afei nso, nnipa binom wɔ asiane kɛse mu sɛ wobenya nufu mu kokoram, sɛ nhwɛso no, esiane awosu mu nneɛma nti. Wɔ nnipa a wɔte saa fam no, wobetumi ayɛ saa oprehyɛn yi nso sɛ ade a wɔde besiw ano ansa na kokoram no aba.
Gyinae a wosi sɛ wɔbɛyɛ saa oprehyɛn yi yɛ ankorankoro de ankasa. Sɛnea ɛte no, ɛyɛ ade a ɛfata sɛ wubenya nkate ahorow a adi afra wɔ ho. Bere a ebia wobɛte nka sɛ ɛsɛ sɛ woyɛ oprehyɛn no ntɛm na ama woayi kokoram no afi hɔ no, ebia wobɛte awerɛhow ne ahonu nso sɛ woahwere wo nufu biako. Eyinom nyinaa yɛ nneyɛe a ɛfata na ntease wom.
Ɔkwan bɛn so na wɔde nufu a wotwa sa kokoram?
Sɛ wowɔ nufu mu kokoram a, ɔkwan pa a wobɛfa so asiw kokoram nkwammoaa no kwan sɛ ɛrentrɛw nkɔ nipadua no afã afoforo ne sɛ wubeyi afi hɔ. Nufu a wotwa no yi nufu mu ntini a ebia kokoram nkwammoaa wom no nyinaa fi hɔ. Eyi hwɛ hu sɛ kokoram nkwammoaa biara nni akyi .
Nufu mu kokoram ahorow atitiriw a wɔde oprehyɛn yi sa no bi ne:
- Ductal Carcinoma a Ɛkɔ Nnipa Mu
- Nufu mu Kokoram a Ɛyɛ Ɔhyew
- Lobular Carcinoma a Ɛkɔ Nnipa Mu
- Paget Yare a Ɛwɔ Nufu Mu
- Nufu mu Kokoram a Ɛyɛ Mmiɛnsa
Mpɛn pii no, wobetumi ayɛ oprehyɛn yi wɔ kokoram no fã biara ansa na adu Ɔfã IV. Ɔfã IV ne bere a kokoram no atrɛw (ɛtrɛw) akɔ nipadua no afã afoforo a ɛwɔ nufu no akyi. Saa bere yi de, ebia nufu no nkutoo a wobeyi afi hɔ no rennɔɔso sɛ ɛbɛma kokoram no atrɛw.
Dɛn ne oprehyɛn ahorow a wɔyɛ de twa nufu no?
Wɔkyekyɛ oprehyɛn ahorow yi mu ahorow pii a egyina ntini dodow a woyi fi mu so. Ɛdenam wo tebea so no, wo duruyɛfo no ne wo bɛbɔ nkɔmmɔ na wasi ɔkwan a eye ma wo ho gyinae.
| Oprehyɛn ko a wɔyɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nufu no fã bi a Wɔtwa (Lumpectomy) . | Eyi nyi nufu no nyinaa mfi hɔ. Kokoram akisikuru no ne ntini kakraa bi a ɛte apɔw a atwa ho ahyia nkutoo na woyi fi hɔ. Eyi yɛ ɔkwan pa a wobetumi afa so ama kokoram a edi kan. |
| Total Mastectomy (Num a Wɔtwa a Ɛnyɛ Den) . | Wɔ saa adeyɛ yi mu no, woyi nufu no mu ntini nyinaa, nanso wonyi koko mu ntini a ɛwɔ nufu no ase no mfi hɔ. |
| Nufu a Wɔtwa Mmienu (Nufu a Wɔtwa Wɔ Afã Abien) . | Sɛ kokoram wɔ nufu abien no nyinaa mu, anaasɛ asiane kɛse wɔ hɔ sɛ kokoram bɛkɔ nufu biako mu atrɛw akɔ foforo mu a, woyi nufu abien no nyinaa bere koro mu. |
| Skin-sparing / Nufu a ɛnyɛ den Mastectomy | Ɛwom sɛ woyi nufu mu ntini fi hɔ de, nanso wogyaw honam ani ne/anaasɛ nufu no. Sɛ akyiri yi wɔsan yɛ nufu no a, wobetumi de eyinom adi dwuma. |
| Radical Mastectomy a Wɔayɛ no Mu nsakrae | Ɛha yi, woyi nufu no mu ntini ne axillary lymph nodes no nyinaa fi hɔ, bere a nufu mu kokoram di kan trɛw kɔ saa ntini ahorow yi mu no. |
| Nufu a Wɔde Siw Ano | Wɔyɛ eyi a atirimpɔw ne sɛ wobesiw kokoram ano. Wɔkamfo oprehyɛn yi kyerɛ nnipa a asiane kɛse wom sɛ wobenya kokoram esiane awosu mu nsakrae bi nti (e.g. BRCA, p53 ). |
Yɛyɛ dɛn siesie yɛn ho ansa na wɔayɛ oprehyɛn?
Wo duruyɛfo bɛkyerɛkyerɛ oprehyɛn ko a wɔbɛyɛ wo, sɛ ebia wɔbɛsan ayɛ wo nufu wɔ ɛno akyi anaasɛ wɔrenyɛ saa, ne bere a wo ho bɛtɔ wo no mu nsɛm nyinaa mu. Wubetumi ayɛ wo da biara da dwumadi ho nhyehyɛe sɛnea ɛfata.
Nneɛma a ɛsɛ sɛ wusiesie:
- Sigaretnom a wubegyae: Sɛ wonom sigaret a, akyinnye biara nni ho sɛ ɛsɛ sɛ wugyae. Sigaretnom betumi asɛe mogya a ɛkɔ nipadua no mu na ama akuru no akyɛ.
- Mmuadadi: Wo duruyɛfo betu wo fo sɛ kwati sɛ wubedidi anaa wonom nsa nnɔnhwerew kakraa bi ansa na woayɛ wo oprehyɛn. Di saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.
- Ayaresabea a wobɛtra ho nhyehyɛe: Ɛho behia sɛ wotra ayaresabea hɔ da koro anaa nnanu. Yɛ nhyehyɛe ma obi nhwɛ wo fie ne adwuma mu nnwuma so wɔ saa bere no mu.
- Obi a ɔbɛboa wo wɔ fie: Ɛho hia sɛ wunya obi a ɔbɛboa wo wɔ nna kakraa a edi kan wɔ oprehyɛn no akyi. Ebetumi ayɛ den sɛ wobɛyɛ nneɛma te sɛ nneɛma a emu duru so anaasɛ wo nsa a wobɛma so, enti ɛyɛ mmoa kɛse sɛ wubenya obi a ɔbɛboa wo ma woasiesie aduan na woayɛ ofie nnwuma.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?
Da a wɔbɛyɛ oprehyɛn no, wɔbɛma wo aduru a wɔde kum nipadua no nyinaa (`General Anesthesia`). Wei kyerɛ sɛ worente biribiara nka, wobɛda.
1. Anesthesia: Wɔde wo da koraa.
2. Oprehyɛn: Oduruyɛfo a ɔyɛ oprehyɛn no yi nufu mu ntini no na sɛ ɛho hia a, oyi abasa no mu akisikuru no.
3. Biopsy: Wɔde ntini a wɔayi afi mu no kɔ aduruyɛdan mu kɔhwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.
4. Nnuru a Wɔsan Si: Sɛ woasi gyinae sɛ wobɛsan ayɛ wo nufu a, oduruyɛfo a ɔyɛ oprehyɛn no betumi afi oprehyɛn no ase ntɛm ara anaasɛ ebia wɔbɛyɛ no akyiri yi.
5. Kuru no a wɔbɛpam: Awiei koraa no, wɔpam kuru no na wɔde bere tiaa mu nsuo gu mu na ama nsuo biara a ɛbɛboaboa ano wɔ kuru no mu no akɔ. Ɛho behia sɛ wogyaw saa nsu a ɛkɔ nsu mu yi wɔ nea ɛwɔ hɔ bɛyɛ dapɛn biako anaa abien.
Dɛn ne nsɛnnennen ne asiane ahorow a ebetumi aba?
Te sɛ oprehyɛn biara no, nufu a wotwa betumi de nsɛnnennen nketenkete aba, nanso mpɛn pii no, wotumi di eyinom ho dwuma.
Nsɛnnennen a ebetumi aba wɔ mfiase no:
- Kuru mu yare: Eyi yɛ ade a ɛntaa nsi koraa, na nnuruyɛfo dwen ho paa.
- Hematoma: Mogya a wɔboaboa ano wɔ kuru no ase. Eyi nso ho yɛ na koraa.
- Seroma: Ɔhonhon a nsu a ɛboaboa ano wɔ kuru no mu de ba.
- Mogya a ɛyera kɔ ntini no mu (Flap Necrosis): Sɛ wotwa mogya a ɛkɔ ntini a wɔatwa no mu a, ntini no betumi awu. Sɛ ɛba saa a, oduruyɛfo no beyi ntini a awuwu no na ɔde were a wɔayi afi baabi foforo akata baabi no so.
Nsɛnnennen a ebetumi aba akyiri yi:
- Ɛyaw a ɛba bere a wɔatwa nufu no akyi (PMPS):Ntini a ɛsɛe no betumi de sɛnkyerɛnne ahorow te sɛ akisikuru, ɔhyew, ɛyaw, anaa ɛyaw a emu yɛ den aba. Wobetumi de nnuru asa eyinom.
- Lymphedema: Sɛ lymphatic system no sɛe bere a wɔreyi abasa no mu nhwi a, lymph nsu betumi aboaboa ano wɔ abasa no mu na ama ahonhon. Apɔw-mu-teɛteɛ ne aduru a wɔde twitwiw nipadua no betumi aboa ma wɔadi saa sɛnkyerɛnne ahorow yi ho dwuma.
Bere a obi ho bɛtɔ no ne nea ɛboro saa
Ɛho behia sɛ wotra ayaresabea hɔ bɛyɛ da koro wɔ oprehyɛn no akyi. Ebegye bɛyɛ adapɛn abiɛsa ansa na kuru no asa koraa. Saa bere no mu no, oduruyɛfo ne ayarehwɛfo no bɛkyerɛ wo sɛnea wobɛma kuru no ho atew na woahwɛ nsu a ɛkɔ nsu mu no so.
Wɔ adapɛn kakraa a edi kan no mu no , ebia wobɛte nka sɛ woabrɛ, wo ho ayɛ wo yaw, na wo nsa, wo mmati, ne wo moma so ayɛ wo den . Ɛbɛyɛ den sɛ wobɛyɛ nneɛma te sɛ nneɛma a emu duru a wobɛma so anaasɛ wobɛma wo nsa so akɔ soro. Enti nya ahomegye pii. Nnuru a wɔde kum ɛyaw betumi aboa ma wɔadi ɛyaw no so. Wo duruyɛfo bɛka apɔw-mu-teɛteɛ a ɛnyɛ den a ɛsɛ sɛ woyɛ na aboa ma wo ho atɔ wo no ho asɛm akyerɛ wo. Saa apɔw-mu-teɛteɛ yi a wobɛyɛ no ho hia yiye na ama wo nsa asan ayɛ adwuma.
Egye bere kakra ansa na ntini no ayɛ yiye, enti ebia wo moma so ayɛ wo yaw na ayɛ wo yaw kakra asram kakraa bi. Eyi yɛ ade a ɛfata.
Bere a wo nipadua no sa yare no, ma w’adwene bere ma ɛsa yare nso. Nkate a ɛba saa osuahu yi mu ho asɛm, wo ne ɔfotufoɔ anaa mmoa kuw bi a wo ne afoforɔ a wɔafa osuahu korɔ no ara mu sɛ wo bɛhyia no bɛtumi aboa paa.
Nkrasɛm a Wɔde Kɔ Fie
- Nufu mu kokoram yɛ aduru a etu mpɔn yiye a wɔde sa nufu mu kokoram. Nsuro no.
- Sɛ wuhu oprehyɛn no ne ɔkwan a wɔfa so yɛ no yiye a, ebetumi aboa ma ehu ne adwenem naayɛ a wowɔ no so atew.
- Sɛ wosiesie wo ho yiye ansa na wɔayɛ wo oprehyɛn a, ɛbɛma ayaresa no ayɛ mmerɛw. Ɛho hia sɛ yɛkwati sigaretnom.
- Egye bere ansa na obi ho atɔ no. Ma wo nipadua ne w’adwene home. Di wo duruyɛfo apɔw-mu-teɛteɛ ho akwankyerɛ akyi pɛpɛɛpɛ.
- Sɛ wowɔ nneɛma bi a ɛhaw wo, te sɛ ɛyaw, ɛho wosow, anaa ɔyare mmoawa ho sɛnkyerɛnne (kɔkɔɔ, atiridiinini) a, ma wo duruyɛfo nhu ntɛm ara. Kae sɛ ɛnyɛ wo nko ara.

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