So wunya akisikuru te sɛ eyi nso wɔ wo mmadwoa mu? (Ovarian Germ Cell Tumors) Momma yɛnka eyi ho asɛm!

So woate pɛn sɛ akisikuru ahorow bi wɔ hɔ a ɛba awotwaa mu? Ebinom nyɛ nea asiane wom, nanso ebinom yɛ biribi a ɛsɛ sɛ wodwen ho. Ɛnnɛ yɛrebɛka akisikuru soronko bi a ɛba mmea awotwaa mu ho asɛm. Wɔfrɛ eyinom ‘Ovarian Germ Cell Tumors’. Ɛwom sɛ edin no yɛ den kakra de, nanso momma yɛnte ase kɛkɛ.

Dɛn ne saa ‘Ovarian Germ Cell Tumors’ a ɛba wɔ awotwaa mu yi?

Sɛ yɛbɛka no tiawa a, akisikuru a ɛte sɛɛ fi mmoawa nkwammoaa a ɛwɔ ɔbea mmadwoa mu no mu. Sɛnea wunim no, awotwaa yɛ akwaa abien a ɛho hia sen biara wɔ mmea awo nhyehyɛe mu. Eyinom ne nea ɛma nkesua wɔ w’awo mfe mu. Enti, mmoawa nkwammoaa a ɛwɔ saa mmadwoa yi mu no ne nea akyiri yi ɛbɛyɛ nkesua. Nanso, ɛtɔ mmere bi a, saa nkwammoaa yi mu dodow bi bom yɛ akisikuru a ɛnyɛ ne kwan so. Ɛno ne nea yɛfrɛ no ‘germ cell tumors’.

Mpɛn pii no, saa akisikuru yi nyin wɔ awotwaa biako pɛ mu, nanso ɛntaa mma koraa, wobetumi ahu wɔ awotwaa abien no nyinaa mu.

Nea ɛho hia ne sɛ saa mmoawa nkwammoaa akisikuru yi mu dodow no ara nyɛ nea asiane biara nni ho . Ɛne sɛ, wɔnyɛ kokoram. Nanso, ɛntaa mma koraa sɛ wobetumi abɛyɛ ɔyare bɔne . Sɛ ɛba saa a, saa akisikuru yi betumi atrɛw na asɛe ntini a ɛte apɔw. Saa kokoram mmoawa nkwammoaa akisikuru yi yɛ awotwaa mu kokoram a ɛntaa nsi koraa.

So saa ‘mmofra nkwammoaa akisikuru’ yi ahorow wɔ hɔ?

Yiw, saa nnuaba yi nso ahorow ahorow wɔ hɔ. Momma yɛnhwɛ nea ɛyɛ ahorow atitiriw a wohu:

• Teratoma a ɛho akokwaw (dermoid cyst): Eyinom ne ɔyare mmoawa nkwammoaa akisikuru a abu so sen biara, a ɛnyɛ hu . Wɔtaa ba nnipa a wɔadi mfe aduonu, aduonu, anaa aduasa so. Ɛtɔ da bi a wɔfrɛ wɔn teratoma efisɛ etumi kura nhwi anaa sẽ. Nanso mma ɛnhaw wo, wɔnyɛ kokoram.
• Dysgerminoma: Eyi ne ɔyare mmoawa nkwammoaa mu akisikuru a ɛyɛ hu a abu so sen biara. Nanso, wɔka sɛ eyinom mu 70% nyɛ basabasa. Wɔn nso yɛ nea wotumi sa wɔn yare yiye. Wɔtaa nya nkɔso wɔ nnipa a wɔadi mfe aduonu ne aduasa mu.
• Teratoma a ennyinii: Eyi yɛ kokoram (a ɛyɛ hu) akisikuru bi a enyin brɛoo . Ebetumi atrɛw afi awotwaa no mu akɔ nipadua no afã afoforo (metastasis). Ɛtaa ba nnipa a wɔadi mfe 20 anaa nea ennu saa so.
• Yolk sac tumors (a wɔsan frɛ no endodermal sinus tumors): Eyinom nso yɛ nea ɛyɛ hu.Akisikuru bi. Eyinom nyin ntɛmntɛm paa na ɛtrɛw ntɛmntɛm. Wɔtaa ba nnipa a wɔadi mfe 20 anaa nea ennu saa mu. Wobetumi nso aba mmofra nkumaa a wonnya mfii brayɛ ase (bɛyɛ 40%) mu.
• Mixed germ cell tumors: Eyinom yɛ akisikuru a ɛyɛ hu . Ebia akisikuru ahorow foforo biako anaa nea ɛboro saa na ɛwɔ mu. Mpɛn pii no, wɔyɛ dysgerminoma ne yolk sac tumors a wɔaka abom.

Wɔ saa ahorow atitiriw yi akyi no, mmoawa nkwammoaa mu akisikuru ahorow afoforo pii wɔ hɔ a wɔntaa nhu koraa:

• Nkwaboaa mu kokoram
• Choriocarcinoma a ɛma obi nya kokoram
• Polyembryoma a ɛma obi nya ɔyare mmoawa

Saa tebea yi abu so dɛn?

Ovarian germ cell tumors ne akisikuru a abu so sen biara wɔ mmea a wɔadu awo mfe mu ne nea ennu saa mu. Sɛ nhwɛso no, awotwaa mu akisikuru a ɛwɔ mmea a wɔadi fi mfe 10 kosi 30 mu no mu 70% yɛ saa. Nanso, wɔntaa mma mmea a wɔadi boro mfe 40 mu.

Asɛmpa no ne sɛ saa mmoawa nkwammoaa akisikuru yi mu bɛyɛ 95% yɛ teratomas a ɛnyɛ hu na ɛho akokwaw . Germ cell tumors yɛ ovarian kokoram 2% kosi 3% pɛ.

Dɛn ne sɛnkyerɛnne ahorow no? Woyɛ dɛn hu no?

Ebetumi ayɛ den sɛ wobehu saa mmoawa nkwammoaa akisikuru yi wɔ mfiase. Ebia akisikuru a ɛnyɛ hu remma yare no ho sɛnkyerɛnne biara mma kosi sɛ ɛbɛyɛ kɛse. Ebia akisikuru a ɛyɛ hu renkyerɛ yare no ho sɛnkyerɛnne kosi sɛ kokoram no bɛtrɛw.

Enti, ɛho hia sɛ wohwɛ saa sɛnkyerɛnne ahorow yi so:

• Yafunu mu yaw, ɛnyɛ dɛ, anaa ɛyaw bere a wɔahyɛ no. (Eyi betumi afi ase mpofirim na ayɛ nea emu yɛ den.)
• Yafunu a ɛyɛ ma, ɛtɔ mmere bi a yafunu no nkutoo na ɛyɛ kɛse bere a nipadua no afã afoforo yɛ teateaa.
• Nsakrae a ɛba dwensɔtwaa dwumadi mu , te sɛ akisikuru anaa akisikuru.
• Nsakrae a ɛba wɔ adidi mu , te sɛ aduan ho akɔnnɔ a ɛyera.
• Mogya a ɛba ɔbea no awotwaa mu a ɛnkɔ so daa , a ɛkyerɛ sɛ mogya tu wɔ brayɛ akyi anaasɛ bere a wagyae brayɛ akyi.

Saa nnuaba yi tumi yɛ hormone ahorow bi, na ebetumi ama nsakrae bi aba wo nipadua mu. Nhwɛsoɔ:

• Nyinsɛn mfiase sɛnkyerɛnne te sɛ ɔbrɛ, akisikuru, ne nufu a ɛyɛ mmerɛw.
• Mmabunbere mfiase , nanso eyi yɛ ade a ɛntaa nsi koraa.

Dɛn nti na ‘mmofra nkwammoaa akisikuru’ yi ba?

Ovarian germ cell tumors fi nsakrae a ɛba ɔbarima ne ɔbea nna mu nkwammoaa, anaa awo nkwammoaa , a ɛka bom yɛ akisikuru no mu. Abenfo da so ara reyɛ nea enti a eyi ba ne onii a ɛda adi sɛ obenya bi no mu nhwehwɛmu.

Ɛwom sɛ saa akisikuru yi betumi aba obiara a ɔwɔ mmadwoa mu de, nanso wɔtaa hu wɔ mmea a wɔadi mfe a wɔde bɛwo ne nea ennu saa mu.

Nsɛnnennen bɛn na eyi betumi de aba?

Ayaresa ho hia yiye efisɛ, sɛ akisikuru bi nyɛ hu mpo a , ebetumi apaapae anaasɛ ama awotwaa no akyeakyea . Dodow a akisikuru no yɛ kɛse no, dodow no ara na eyi betumi asi.

Sɛ woyi akisikuru no fi hɔ a, ebetumi asiw nsɛnnennen yi ano.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wo bisa wo yare no ho sɛnkyerɛnne wie a, wo duruyɛfo no bɛyɛ nhwehwɛmu pii. Eyinom mu nea ɛho hia sen biara ne wo akyi berɛmo mu nhwehwɛmu de hwɛ sɛ akisikuru anaa nneɛma afoforo a ɛnteɛ wɔ wo yafunu, wo akyi berɛmo, ne wo awotwaa mu anaa. Ebia ɛho behia nso sɛ woyɛ scan ne mogya mu nhwehwɛmu.

• Mfonini a wɔde yɛ nhwehwɛmu: Sɛ wosusuw sɛ akisikuru bi wɔ awotwaa mu mmoawa nkwammoaa mu a, nnuruyɛfo bedi kan ayɛ transvaginal ultrasound . Eyi betumi ahwɛ wo yafunu mu ahwɛ sɛ akisikuru bi wɔ hɔ anaa. Bio nso, wobetumi ayɛ CT scan (Computed Tomography - CT scan) anaa MRI (Magnetic Resonance Imaging - MRI) nso de aboa ma wɔahu tebea no. Saa scan ahorow yi betumi ada nsɛm pii adi sen ultrasound.
• Mogya mu nhwehwɛmu: Ebia wobɛyɛ mogya mu nhwehwɛmu a wɔfrɛ no serum tumor marker test . Eyi hwɛ sɛnea nneɛma bi wɔ wo nipadua mu. Nneɛma te sɛ alpha-fetoprotein (AFP) , lactate dehydrogenase (LDH) , anaa human chorionic gonadotropin (HCG) a ɛdɔɔso wɔ mogya mu no betumi ayɛ awotwaa mu mmoawa nkwammoaa akisikuru ho sɛnkyerɛnne.

Sɛ oduruyɛfo no betumi ahu yare no pɛpɛɛpɛ a, ɛho behia sɛ oyi akisikuru no anaa awotwaa a ɛka no nyinaa ma wɔyɛ mu nhwehwɛmu. Ɔyare ho ɔbenfo , oduruyɛfo a ne ho akokwaw wɔ ntini mu nhwehwɛmu mu, bɛhwehwɛ nkwammoaa yi mu wɔ afiri a wɔde yɛ nhwehwɛmu mu de ahu akisikuru ko a ɛyɛ ne sɛ ebia ɛyɛ hu anaasɛ ɛnyɛ hu.

Sɛ ɛyɛ kokoram tebea a, dɛn ne ne ‘afã horow’?

Sɛ akisikuru bi yɛ nea ɛyɛ hu a , nnuruyɛfo bɛkyekyɛ kokoram no mu sɛ nea ɛka nea wobehu no ho. Wɔfrɛ eyi sɛ staging . Wɔde mfiri te sɛ CT scan anaa PET scan (positron emission tomography scan) bedi dwuma de asusuw akisikuru no kɛse na wɔahu baabi pɔtee a ɛwɔ. Saa nsɛm yi bɛboa wo duruyɛfo ma wasi ayaresa ko a wuhia ne nea ebefi ayaresa mu aba no ho gyinae.

Mpɛn pii no, dodow a ‘ɔfã’ no ba fam no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wɔbɛsa kokoram no.

Nneɛma a kokoram wɔ awotwaa mu mmoawa nkwammoaa mu akisikuru no mu ne nea edidi so yi:

• Ɔfã 1: Kokoram no wɔ wo mmadwoa nkutoo mu.
• Ɔfã 2: Kokoram no atrɛw akɔ ntini afoforo a ɛwɔ wo hwene mu, te sɛ fallopian tubes anaa awotwaa mu.
• Ɔfã 3: Kokoram no atrɛw akɔ ntini a ɛma mogya tu anaa wo yafunu akwaa anaa yafunu no mu ( peritoneum ), nanso ɛntrɛw nkɔ akyiri nsen yafunu no.
• Ɔfã 4 (kokoram a ɛkɔ mmeae afoforo): Kokoram no atrɛw akɔ wo mmerɛbo anaa wo dwonku mu, anaasɛ ntini ne akwaa ahorow a ɛwɔ wo yafunu akyi, te sɛ w’ahurututu mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Wobetumi asa mmoawa nkwammoaa mu akisikuru dodow no ara na wɔasa. Ayaresa nhyehyɛe a wo nsa bɛka no begyina sɛnea akisikuru no kɛse te ne sɛ ebia ɛyɛ hu (asiane wom) anaasɛ ɛnyɛ hu (ɛnyɛ bɔne).

Nanso, sɛ woadi mfe a wode bɛwo a, wo duruyɛfo no bɛbɔ mmɔden sɛ ɔbɛkora wo mmadwoa so sɛnea obetumi biara na ama w’awo atumi akora so.

Awotwaa mu mmoawa nkwammoaa akisikuru a ɛnyɛ hu a wɔsa

Nnuruyɛfo bɛyɛ oprehyɛn ayi akisikuru a ɛnyɛ hu no afi hɔ. Ɛtɔ mmere bi a, ebia ɛho behia sɛ woyi awotwaa no nyinaa ( oophorectomy ) anaa awotwaa no fã bi ( ovarian cystectomy ) na ama wɔayi akisikuru no afi hɔ koraa. Ebia wɔbɛkamfo oprehyɛn a wɔabue ano ( laparotomy ) anaa oprehyɛn a ɛnyɛ den pii a wɔde ntwitwiridii nketenkete di dwuma ( laparoscopy ) nso akyerɛ.

Ɛntaa mma koraa sɛ akisikuru a ɛnyɛ hu bɛsan anyin bere a wɔayi afi hɔ awie no.

Awotwaa mu mmoawa nkwammoaa mu akisikuru a ɛyɛ hu a wɔsa

Ayaresa no gyina akisikuru ko ne faako a kokoram no wɔ so. Ayaresa a wɔtaa yɛ no bi ne:

• Oprehyɛn: Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ yi wo mmadwoa anaa wo mmadwoa mu ntini biako anaa abien no nyinaa ( oophorectomy ). Sɛ kokoram no atrɛw akɔ akyiri asen awotwaa ne awotwaa no a, wobetumi atwa wo awotwaa no nyinaa nso, na wɔayi w’awotwaa ne w’awotwaa no afi hɔ .
• Nnuru a wɔde sa yare: Wɔ nnuru a wɔde sa yare mu no, wo duruyɛfo ma wo nnuru kɔ wo ntini mu, mpɛn pii no ɔnam aduru a wɔde hyɛ wo mu so . Nnuru a wɔde sa yare kunkum kokoram nkwammoaa na ɛmma ɛnnɔɔso. Ebia wobɛma wo nnuru a wɔde sa yare adapɛn anaa asram pii.

Tebea no te dɛn wɔ ayaresa akyi? (Nsusuwii) .

Ɛnyɛ bɔneNea efi awotwaa mu mmoawa nkwammoaa akisikuru a wɔsa mu ba no ye yiye. Mpɛn pii no, saa akisikuru a ɛnyɛ hu yi nsan mma bio bere a wɔayi afi hɔ awie no.

Nea efi mmoawa nkwammoaa akisikuru a ɛyɛ hu mu ba no gu ahorow gyina akisikuru ko ne kokoram no gyinabea so. Kokoram ho animdefo hu eyi denam nnipa dodow a wɔwɔ kokoram pɔtee bi a wɔte ase wɔ mfe anum akyi a wohu sɛ wɔwɔ kokoram no akyi no so. Wɔfrɛ eyi mfe anum nkwa nna.

Sɛ nhwɛso no, sɛ kokoram no ntrɛw nsen awotwaa no a, nkwa a wonya no yɛ 94% kosi 98%. Wɔ kokoram a atrɛw akɔ akyiri sen beae a edi kan no fam no, mfe anum a wɔde tra ase no bɛyɛ 73%. Saa bere yi mu no, wo duruyɛfo no bɛhwɛ wo yiye na sɛ kokoram no san ba a , wasa wo yare .

So wobetumi asa ‘nkwaboaa nkwammoaa kokoram’ yi koraa?

Egyina akisikuru no ko ne faako a ɛkɔ so nso so. Sɛ nhwɛso no, wobetumi de nnuru a wɔde sa dysgerminoma a ɛba ntɛm no yare, na ne ayaresa dodow bɛyɛ 100%. Ebia wɔrentumi nsa akisikuru ahorow a emu yɛ den kɛse te sɛ akisikuru a ɛwɔ akisikuru kotoku mu no koraa, nanso ayaresa betumi asiw akisikuru no nyin ne kokoram no trɛw so.

Wo duruyɛfo betumi akyerɛkyerɛ adwene a ɛwɔ hɔ (a sɛnea wobetumi asa no ka ho) akyerɛ wo wɔ awotwaa mu mmoawa nkwammoaa mu kokoram ho, a egyina sɛnea woahu sɛ wowɔ no so.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw eyinom ano?

Wontumi nsiw mmoawa nkwammoaa mu akisikuru ano. Nanso, wubetumi aboa wo duruyɛfo ma wahwɛ w’akwahosan na wahwɛ asiane a ɛwɔ hɔ sɛ kokoram wɔ mu denam kɔ ​​a wobɛkɔ akɔhwɛ wo daa no so .

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wo anaa wo ba no wɔ awotwaa mu mmoawa nkwammoaa mu akisikuru ho sɛnkyerɛnne a , kɔ oduruyɛfo nkyɛn ntɛm ara . Mmoawa nkwammoaa akisikuru bi nyin ntɛmntɛm paa. Sɛ wuhu wɔn ntɛm na wonya ayaresa ntɛm ara a, ebetumi ama hokwan a wowɔ sɛ wo ho bɛtɔ wo no ayɛ kɛse.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wuhu sɛ wowɔ ovarian germ cell tumor a, nsɛmmisa bi a ɛsɛ sɛ wubisa wo duruyɛfo ni:

• So saa akisikuru yi yɛ hu anaasɛ ɛnyɛ hu?
• Sɔhwɛ afoforo bɛn na ɛsɛ sɛ meyɛ na ama mahu ayaresa ko a mihia?
• Ayaresa bɛn na wokamfo kyerɛ?
• Dɛn na metumi ahwɛ kwan wɔ ayaresa akyi?
• So sɛnea wobehu me yare anaa ayaresa no bɛka sɛnea metumi awo ba no?

Fa nkrasɛm kɔ fie

Sɛ wo anaa wo ba wɔ ovarian germ cell tumor ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm ara.. Mpɛn pii no, eyinom nyɛ nea asiane wom (benign). Oprehyɛn betumi asiw nsɛnnennen te sɛ akisikuru kɛse bi a ɛpaapae anaasɛ ɛkyinkyin ano. Ɛntaa mma sɛ sɛ akisikuru bi yɛ nea ɛyɛ hu a, sɛ wohu no ntɛm na wɔsa no a, ebetumi ama hokwan a wowɔ sɛ wo ho bɛtɔ wo no ayɛ kɛse. Sɛ wunni sɛnkyerɛnne biara mpo a, wo ne wo duruyɛfo nkasa mfa nhwehwɛmu a wobɛkɔ akɔhwɛ wo daa de ahwɛ w’awo akwahosan ne w’akwaa ahorow ho.

` Ovarian cysts, germ cell tumors, ovarian kokoram, mmea akwahosan, teratoma, dysgerminoma, kokoram ho sɛnkyerɛnne