Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na wo ho adwiriw wo bere a wo duruyɛfo ka kyerɛ wo sɛ wowɔ honam ani kokoram no. Yɛn nyinaa ho dwiriw yɛn bere a yɛte asɛmfua "kokoram" no. Nanso mma ɛnhaw wo. Esiane nnɛyi aduruyɛ ho nyansahu a ɛkɔ anim nti, ayaresa ahorow a etu mpɔn yiye na wotumi sa, titiriw wɔ honam ani kokoram ho. Ɛnnɛ, yɛrebɛka ayaresa biako a ɛte saa, a ɛyɛ pɛpɛɛpɛ yiye, etu mpɔn yiye ho asɛm. Ɛno ne ‘Mohs Oprehyɛn’.
Sɛ yɛbɛka no tiawa a, dɛn ne Mohs Oprehyɛn?
Fa no sɛ ɛte sɛ nea woreyi ayɛyɛde kɛse bi fã bi a aporɔw afi hɔ. Yɛyi ɔfã a aporɔw no nkutoo, nkakrankakra, a yɛntow ayɛyɛde no nyinaa ngu, ɛnte saa? Mohs oprehyɛn yɛ adeyɛ a ɛyɛ mmerɛw yiye.
Eyi hwehwɛ sɛ wo duruyɛfo a ɔyɛ oprehyɛn no beyi kokoram no afi hɔ ntoatoaso. Nea edi kan no, wotwa kokoram a wotumi hu ne honam ani a ɛyɛ tratraa paa a atwa ho ahyia no. Afei, wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ were a wɔayi afi hɔ no ase ne anoano a atwa ho ahyia no mu wɔ hɔ ara ne afei.
Sɛ sɔhwɛ yi kyerɛ sɛ kokoram nkwammoaa da so ara wɔ saa anoano no a, oduruyɛfo no nim baabi pɔtee a kokoram no da so ara wɔ. Afei, woyi honam ani fã foforo a ɛyɛ tratraa fi baabi a na kokoram nkwammoaa no wɔ no pɛpɛɛpɛ . Wɔsan de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Wɔsan yɛ saa adeyɛ yi kosi sɛ ɛbɛyɛ 100% sɛ kokoram nkwammoaa biara nni honam ani fã biara a woyi fi hɔ no anoano.
Mfaso kɛse a ɛwɔ eyi so ne sɛ eyi kokoram ntini no nkutoo fi hɔ pɛpɛɛpɛ, na ɛmma wo honam ani a ɛte apɔw no sɛe. Eyi nti na saa kwan yi so wɔ mfaso kɛse ma honam ani kokoram a ɛba mmeae a ɛyɛ mmerɛw te sɛ anim, ti nhwi, aso, nsa, anan, ne awotwaa mu mmeae a ɛyɛ mmerɛw no.
Adɛn nti na wɔfrɛ eyi ‘Mohs’?
Oduruyɛfo bi a wɔfrɛ no Frederic E. Mohs na ohui na ɔyɛɛ saa oprehyɛn yi wɔ 1930 mfe no mu. Enti wɔfrɛ no ‘Mohs oprehyɛn’ de hyɛ no anuonyam. Ɛwom sɛ na saa adeyɛ yi yɛ den kakra na ɛyɛ yaw mfiase no de, nanso bere kɔ so no, anya nkɔso kɛse na abɛyɛ adeyɛ a ahobammɔ wom na edi mu yiye nnɛ.
Ɔkwan bɛn so na eyi yɛ soronko wɔ sɛnea wɔtaa yi kokoram akisikuru no ho?
Eyi yɛ asɛmmisa a nnipa pii wɔ. Ebia wubesusuw sɛ, "Dɛn nti na wode ɔkwan titiriw yi di dwuma sen sɛ wode twitwa a wɔtaa yɛ no?" Momma yɛnhwɛ nsonsonoe titiriw a ɛda akwan abien yi ntam. Sɛ wote eyi ase wie a, wobɛte mfaso a ɛwɔ Mohs oprehyɛn so no ase.
| Asɛm a wɔde toto ho | Standard Excision a Wɔyɛ no | Mohs Oprehyɛn a Wɔyɛ |
|---|---|---|
| Wora a ɛwɔ apɔwmuden a woyi fi hɔ | Wobu honam ani apɔwmuden dodow a ɛho hia a atwa kokoram no ho ahyia ho akontaa na wotwa na woyi fi hɔ. | Woyi honam ani fã ketewaa bi a atwa kokoram no ho ahyia nkutoo fi hɔ, na ɛma honam ani hwɛbea a ɛte apɔw pii sɛnea wobetumi. |
| Edge nhwehwɛmu | Wɔde ɔfã a wɔayi afi hɔ no kɔ lab, baabi a wɔtaa sɔ ano nyinaa a ennu 1% hwɛ. | Oduruyɛfo a ɔyɛ oprehyɛn no hwehwɛ afã horow no nyinaa 100% wɔ beae a wɔayi no ase ne nea atwa ho ahyia wɔ microscope ase wɔ beae hɔ. |
| Nea efi mu ba bere | Egye nna kakraa bi ansa na nea efi mu ba no asan aba. Sɛ kokoram nkwammoaa da so ara wɔ hɔ a, ɛho behia sɛ wɔyɛ oprehyɛn foforo. | Wobetumi ahu nea afi mu aba wɔ dɔnhwerew biako mu. Wɔtoa ayaresa no so da koro no ara kosi sɛ kokoram no befi hɔ koraa. |
| Nnipa dodow a wɔn ho bɛtɔ wɔn | Ɛkorɔn, nanso ɛba fam kakra sen Mohs oprehyɛn no. Hokwan wɔ hɔ sɛ kokoram no bɛsan aba bio. | Ɛwɔ ayaresa dodow a ɛkɔ soro a ɛkɔ soro kodu 99%. Ɛyɛ honam ani kokoram ayaresa a edi mu sen biara no mu biako. |
Kokoram ahorow bɛn na wɔtaa yi fi hɔ denam Mohs oprehyɛn so?
Wɔtaa de oprehyɛn yi di dwuma kɛse ma honam ani kokoram ahorow abien a abu so wɔ yɛn man yi mu.
- Basal Nkwammoaa mu Kokoram (BCC) .
- Nkwammoaa a Ɛma Nkwammoaa Mu Kokoram (SCC) .
Eyinom akyi no, ɛtɔ mmere bi a nnuruyɛfo betumi akamfo saa kwan yi akyerɛ wɔ honam ani kokoram afoforo a emu yɛ den te sɛ melanoma ne kokoram afoforo pii a wɔntaa nhu ho.
Dɛn na ɛba ansa na wɔayɛ oprehyɛn no?
Ansa na wɔbɛyɛ wo Mohs oprehyɛn no, wo honam ani yare ho oduruyɛfo bɛhwɛ wo. Mo baanu besusuw nea edidi so yi ho:
- W’aduruyɛ ho abakɔsɛm a edi mũ, nnuru, ne vitamin ahorow a wonom.
- Amanneɛbɔ a ɛfa biopsy a wɔadi kan ayɛ wɔ wo honam ani.
- Wɔbɛka wo honam ani kokoram ho asɛm pefee, ayaresa ahorow a wubetumi apaw, ne mfaso ne asiane ahorow a ɛwɔ Mohs oprehyɛn mu.
Saa bere yi ho hia paa. Sɛ wowɔ nsɛmmisa bi, ehu anaa adwenem naayɛ ketewaa bi mpo a, bisa oduruyɛfo no ho asɛm. Mfa biribiara nsie wo ho.
Ɛdenam w’akwahosan tebea ne beae a wɔbɛyɛ oprehyɛn no so no, wobetumi aka akyerɛ wo sɛ fa nnuru a ekum ɔyare mmoawa ansa na wɔayɛ oprehyɛn no.
Momma yensua sɛnea wɔyɛ oprehyɛn no anammɔn biara.
Wobɛda wɔ oprehyɛn yi mu, nanso worente ɛyaw biara. Ma yɛnhwɛ sɛnea eyi kɔ so.
1. Ahodwiriw: Nea edi kan no, oduruyɛfo no de aduru a ɛma obi dwensɔ bɛhyɛ baabi a kokoram no wɔ ne baabi a atwa ho ahyia no, na ama ayɛ mmerɛw koraa. Wobɛte nhyɛso ne nkate nka sɛ wobɛka wo ho wɔ saa beae no, nanso worente ɛyaw biara.
2. Nea edi kan no a wobeyi afi hɔ: Afei, wotwa kokoram a wotumi hu ne honam ani fã a ɛyɛ tratraa yiye a atwa ho ahyia no na woyi fi hɔ.
3. Asase mfonini: Nea ɛbɛyɛ na wahwɛ ahu sɛ honam ani hwɛbea a wɔayi afi hɔ no renfrafra nea ɛwɔ soro, ase, nifa, anaa benkum no, oduruyɛfo no bɛhyɛ no agyirae wɔ ɔkwan titiriw bi so na wayɛ ho mfonini. Eyi yɛ anammɔn a ɛho hia paa.
4. Microscopic nhwehwɛmu: Afei, wɔde honam ani nhwɛsode no gu nwini mu ntɛm ara wɔ aduruyɛdan mu, twa no asinasin a ɛyɛ tratraa yiye, de nkekae gu so, na wɔde microscope hwehwɛ mu. Mpɛn pii no, saa adeyɛ yi tumi gye bɛyɛ dɔnhwerew biako.
5. Ntini a aka no a wobeyi: Sɛ oduruyɛfo no hu sɛ kokoram nkwammoaa da so ara wɔ beae no ano a, sɛnea asase mfonini no kyerɛ no, obehu baabi pɔtee a ɛsɛ sɛ otwa akyi. Afei ɔbɛsan de wo akɔ oprehyɛn dan no mu na wayi ntini foforo a ɛyɛ tratraa afi baabi a na kokoram nkwammoaa no wɔ no pɛpɛɛpɛ .
6. Wɔsan hwehwɛ mu: Wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ asinasin a wɔayi afi hɔ foforo no mu sɛnea na wɔyɛ kan no. Saa adeyɛ yi kɔ so kosi sɛ wobesi so dua sɛ kokoram nkwammoaa biara nni hɔ.
Wubetumi atra ahomegye dan mu bere a wɔreyɛ sɔhwɛ ahorow yi. Wowɔ ahofadi sɛ wobɛkenkan nhoma, atie nnwom, anaa wode wo fon bedi dwuma wɔ saa bere yi mu. Oprehyɛn yi betumi agye nnɔnhwerew kakraa bi, anaasɛ sɛ kokoram no sõ anaasɛ emu dɔ a, ebetumi agye da mũ nyinaa.
Dɛn na wɔbɛyɛ wɔ kuru a ɛba bere a wɔayi kokoram no akyi no ho?
Sɛ woyi kokoram no fi hɔ 100% wie a, wo duruyɛfo no ne wo bɛkasa afa sɛnea wobɛsa wo kuru no yiye ho. Nneɛma pii wɔ hɔ a wubetumi apaw ama ɛno.
- Ayare a ɛba ara kwa: Sɛ kuru no sua a, ɛtɔ da bi a, ɛno ara bɛsa.
- Nhama: Wɔtaa yɛ eyi denam kuru no anoano a wɔde bɛka abom na wɔapam no so.
- Skin flap anaa graft: Sɛ kuru no sõ a, wobetumi ayi honam ani a ɛte apɔw asinasin afi mmeae a ɛbɛn hɔ na wɔde ato kuru no mu. Anaasɛ, wobetumi ayi were asinasin bi afi nipadua no fã foforo (e.g., aso akyi) na wɔde ahyɛ mu.
- Abenfo mmoa: Ɛtɔ mmere bi a, titiriw sɛ kuru no sõ, titiriw wɔ aniwa no ho anaa mmeae te sɛ hwene no a, ebia wubehia oduruyɛfo a ɔyɛ oprehyɛn a wɔde yɛ oprehyɛn no mmoa.
Bere a wɔde bɛsan anya ahoɔden ne ɔhwɛ a wɔhwɛ wɔ oprehyɛn akyi
Ɛyaw no te dɛn wɔ oprehyɛn no akyi?
Nnipa dodow no ara te ɛyaw a emu nyɛ den kosi nea ɛkɔ fam . Eyi bɛbrɛ ase nkakrankakra wɔ nna kakraa bi mu. Wobetumi de aduru a ɛnyɛ den a wɔde kum ɛyaw te sɛ Paracetamol adi ɛyaw yi so yiye.
Bere tenten ahe na egye ansa na kuru no asa?
Ebetumi agye asram 12 kosi 18 ansa na akuru no ayɛ yiye koraa na ayera, enti ɛho hia sɛ wunya abotare.
Ɔkwan bɛn so na wɔbɛhwɛ kuru bi wɔ fie?
Wo duruyɛfo betu wo fo wɔ sɛnea wobɛhwɛ kuru no bere a wɔayɛ wo oprehyɛn awie no ho.
- Sɛ wokɔ fie a, wobɛma wɔde aduru bi ahyɛ kuru no so. Mfa nnɔnhwerew 24-48 nyi mfi hɔ.
- Afei, fa samina a emu nyɛ den anaa biribi a wo duruyɛfo kamfo kyerɛ, tew kuru no ho mprenu da biara sɛnea wo duruyɛfo kyerɛ no.
- Sɛ wohohoro wie a, fa petroleum jelly (te sɛ Vaseline®) gu kuru no so na fa aduru a ɛnyɛ nnam kata so. Eyi bɛboa ma kuru no ayɛ nwini, asa ntɛmntɛm, na akuru no so atew.
- Kwati apɔw-mu-teɛteɛ a emu yɛ den ne nneɛma a emu yɛ duru a wobɛma so anyɛ yiye koraa no dapɛn biako wɔ oprehyɛn no akyi.
- Sɛnea ɛbɛyɛ a wobɛtew ɔfe ne akuru so no, fa nsukyenee gu so nna kakraa a edi kan no. Nanso mfa nsukyenee no nhyɛ honam ani tẽẽ, fa ntama kyekyere ho.
- Sɛ kuru no sa mpo a, hwɛ hu sɛ wode aduru a ɛbɔ wo ho ban fi owia ho a SPF 30 anaa nea ɛboro saa bɛhyɛ wo ho bere a worekɔ abɔnten wɔ baabi a akuru no wɔ no.
Bere a ɛsɛ sɛ wo ne oduruyɛfo no kasa
Ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ ntɛm ara sɛ wuhyia ɔhaw bi wɔ oprehyɛn akyi a. Hwɛ hu sɛ wobɛfrɛ wo duruyɛfo sɛ nea edidi so yi mu biara ba a:
| Tebea a ɔhaw wom | Nea ɛsɛ sɛ woyɛ/features a ɛsɛ sɛ wohwɛ yiye |
|---|---|
| Mogya a ɛretu a ɛrennyae | Ɛyɛ ade a ɛfata sɛ mogya bɛtɔ no kakra wɔ nnɔnhwerew kakraa a edi kan wɔ oprehyɛn no akyi. Nanso, sɛ mogya no annyae bere a wode nhyɛso ahyɛ kuru no so mpo akyi a, frɛ wo duruyɛfo ntɛm ara. |
| Ɛyaw a wontumi nnyina ano | Sɛ acetaminophen (Tylenol®) a wobɛnom no ntumi nni ɛyaw no so, sɛ ɛyaw no ano antew wɔ nna kakraa bi akyi, anaasɛ ɛyaw no ano brɛ ase na afei ɛsan ba a, ka kyerɛ wo duruyɛfo. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa |
|
Asɛmfua "kokoram" yɛ ade a ɛyɛ hu sɛ wobɛte. Nanso sɛ wohu wo honam ani kokoram ntɛm, ansa na atrɛw akɔ mmeae afoforo a, ɔkwan pɔtee bi a wɔfrɛ no Mohs Oprehyɛn betumi asa wo yare koraa da koro. Enti, sɛ wo duruyɛfo kamfo ayaresa yi kyerɛ a, nsuro. Ebetumi ayɛ ayaresa a eye sen biara a wubetumi anya.
Nkrasɛm a Wɔde Kɔ Fie
- Mohs Oprehyɛn yɛ aduru a ɛyɛ pɛpɛɛpɛ yiye na ɛyɛ yiye 99% ma honam ani kokoram.
- Nea ɛka eyi ho ne sɛ wobeyi kokoram nkwammoaa no afi hɔ ntoatoaso biara kosi sɛ wobeyi afi hɔ koraa na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu.
- Mfaso kɛse a ɛwɔ so ne sɛ kokoram no nkutoo na woyi fi hɔ , na ɛmma honam ani hwɛbea a ɛte apɔw no sɛe . Eyi nso gyaw akuru ketewaa bi.
- Wɔde aduru a wɔde kum nipadua no na ɛyɛ oprehyɛn no, enti worente ɛyaw biara. Na wobetumi awie ayaresa no da koro.
- Di wo duruyɛfo akwankyerɛ a ɛfa sɛnea wobɛhwɛ wo kuru bere a wɔayɛ oprehyɛn akyi no akyi yiye. Sɛ wuhyia ɔhaw biara (mogya a ɛretu, ɛyaw a emu yɛ den, ɔyare mmoawa ho sɛnkyerɛnne) a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Wo ne wo duruyɛfo nka nsɛmmisa anaa ehu biara a wowɔ ho asɛm pefee.











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