So wowɔ nsakrae bi te sɛ eyi wɔ wo nufu mu? Momma yensua Paget Nufu mu Yare no ho ade!

So woahyɛ nsakrae ketewaa bi, ɛyaw, anaa biribi a ɛte sɛ akisikuru wɔ wo nufu mu pɛn? Ebetumi ayɛ honam ani yare a ɛfata, nanso sɛ w’adwene mu yɛ wo naa kakra a, ɛho hia sɛ wode w’adwene si so. Efisɛ, ɛntaa mma sɛ saa sɛnkyerɛnne ahorow yi betumi ayɛ nufu mu kokoram ho sɛnkyerɛnne a edi kan. Ɛno yɛ saa tebea horow a ɛntaa nsi, nanso ɛho hia yiye a yɛbɛka ho asɛm nnɛ no mu biako.

Dɛn ne Paget Yare a Ɛwɔ Nufu Mu?

Sɛ yɛbɛka no tiawa a, Paget Nufu mu Yare yɛ kokoram a ɛntaa nsi koraa a ɛba wo nufu honam ani . Ɛtɔ mmere bi a ebetumi aka honam ani a ɛyɛ tuntum a atwa nufu no ho ahyia a wɔfrɛ no areola .

Susuw ho sɛ, ɛtɔ mmere bi a eyi betumi ayɛ nufu no nkutoo, sɛ nufu mu kokoram mfiase (nufu mu kokoram fã 0) , a wɔfrɛ no `ductal carcinoma in situ` (DCIS) . Anaasɛ, ebetumi de `nufu mu kokoram a ɛyɛ hu` a ɛyɛ hu kɛse a ɛtrɛw kɔ nufusu ntini a ɛwɔ nufu koro no ara mu no aka ho. Wɔsan frɛ eyi nufu mu Paget yare .

Eyi te saa efisɛ honam ani hwɛbea a ɛwɔ nufu no so no te sɛ `eczema` , enti mfiase no nnipa pii susuw sɛ ɛyɛ akisikuru a ɛyɛ daa ara kwa. Nsɛnkyerɛnne no betumi ayɛ ɛyaw, honam ani a ɛyɛ mmerɛw, kɔkɔɔ, ɛtɔ mmere bi a ɛyɛ yaw, ne nsu a efi nufu no mu . Nanso kae sɛ ɛnyɛ obiara a ɔwɔ saa sɛnkyerɛnne ahorow yi na ɔwɔ Paget yare no. Nanso, sɛ wowɔ saa tebea yi a, eyinom betumi ayɛ nufu mu kokoram a ɛda adi no ho sɛnkyerɛnne a edi kan .

Hena na obetumi anya eyi?

Paget yare a ɛwɔ nufu mu no ka mmea kɛse . Nanso, ɛntaa mma koraa sɛ wɔabɔ amanneɛ sɛ mmarima nya bi. Sɛ wɔkyekyem pɛpɛɛpɛ a , mfe a obi adi ansa na wɔahu yare no bɛyɛ mfe 57 . Nanso, wɔahu wɔ nnipa a wonnyinii koraa na wɔn mfe akɔ anim sen saa no mu. Paget yareɛ no nnu nufu mu kokoram nyinaa mu 4% . Enti, sɛnea wubetumi asusuw ho no, eyi yɛ tebea a ɛntaa nsi koraa.

Saa yare yi trɛw ntɛmntɛm/ɛyɛ den dɛn?

Egyina sɛ ebia wowɔ ductal carcinoma wɔ ase anaa, na sɛ ɛte saa a, gyinabea bɛn na ɛwɔ mu Sɛ nhwɛso no, sɛ wowɔ kokoram wɔ wo nufusu ntini nkutoo mu na ɛntrɛw nkɔ nufu ntini a atwa wo ho ahyia no mu a, yɛfrɛ no ductal carcinoma in situ (DCIS) . Wobu eyi sɛ ɔfã 0. Wɔtaa yɛ oprehyɛn de yi akuru (akuru) no ne nufusu no sa kokoram a ɛte sɛɛ, na wɔde mframa a wɔde sa yare di akyi.

Nanso, sɛ saa `ductal carcinoma` yi trɛw kɔ akyiri sen nufusu ntini no a, wɔfrɛ no `infiltrating ductal carcinoma`.Anaasɛ `invasive ductal carcinoma` . Saa kokoram yi mu yɛ den nkakrankakra . Wɔ mfiase no, wobetumi asa denam nufu mu ntini a ɛka no ne `axillary lymph nodes` a ɛwɔ abasa no mu a wobeyi afi hɔ no so. Nanso, sɛ saa `nufu mu kokoram a ɛba mu` yi trɛw kɔ akyiri sen nufu no, kyerɛ sɛ, wɔ akyiri yi , ɛbɛyɛ basabasa kɛse na ɛyɛ den sɛ wɔbɛsa.

Dɛn ne sɛnkyerɛnne ahorow no?

Saa sɛnkyerɛnne ahorow yi taa ba wo nufusu ne/anaasɛ honam ani tuntum a atwa ho ahyia (areola) no so . Mpɛn pii no, nufu biako pɛ na ɛka, nanso ɛntaa nsi koraa sɛ abien no nyinaa betumi aka. Mfiase no, ebia ɛbɛyɛ te sɛ nea saa sɛnkyerɛnne ahorow yi ba na ɛkɔ, nanso bere kɔ so no , ebetumi asɛe kɛse . Ebia sɛnkyerɛnne ahorow no bi ne:

• Nufu no mu a ɛyɛ no yaw , na akyiri yi ebetumi ama obi ayɛ ɔfe .
• Wora a ɛyɛ nwunu, honam ani a ɛyɛ mmerɛw (wɔ nufu no so anaa ne ho ahyia).
• Ebia honam ani akisikuru bi bɛda adi. Ebia ɛbɛyɛ kɔkɔɔ, akɔ soro, ayɛ kurukuruwa, ayɛ kurukuruwa, anaasɛ mogya retu .
• Ɔfe ne ɛyaw a ɛba .
• Te sɛ eczema a ɛyɛ nsu no, akisikuru bi ba na nsu bi fi mu .
• Mogya anaa nsu a ɛte sɛ akisikuru a efi nufu no mu ba .
• Nufu a ɛyɛ tratraa anaasɛ ɛdannan .
• Nufu mu akisikuru a wotumi de wɔn nsa ka wɔ honam ani.

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa abien a, mma wo ho nnpopo. Nanso, sɛ ɛkɔ so anaasɛ ɛyɛ kɛse a, akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu.

Dɛn ne nea enti a ɛte saa? Dɛn nti na eyi ba?

Nokwarem no, nyansahufo da so ara nnim nea ɛde kokoram ba ankasa . Nanso wɔreyɛ nhwehwɛmu foforo bere nyinaa de ahu. Nea yenim ne sɛ nkwammoaa a ɛwɔ yɛn nipadua mu no bi yɛ nsakrae a ɛnteɛ , na ɛde mpaapaemu ne nea ɛdɔɔso a yentumi nni so ba . Mprempren nhwehwɛmu kyerɛ sɛ ebia nkwammoaa mu nsakrae yi befi ase wɔ yɛn DNA (awosu mu mmara) mu . Nanso yennim nea enti a nsakrae yi ba ankasa, anaa bere a ɛba.

Nyansahufo ahu sɛ mpɛn pii no "asiane ahorow" bi wɔ hɔ a ɛma kokoram nya. Wogye di sɛ ebia saa nneɛma yi di dwuma wɔ yare no mu. Sɛ nhwɛso no, sɛ wuhyia awuduru a ɛwɔ nneɛma a atwa yɛn ho ahyia mu , anaasɛ wotaa nom sigaret anaa wonom nsa a, ɛda adi sɛ wubenya yare no. Nanso, nea ɛyɛ nwonwa no, nufu mu kokoram 85% ba nnipa a wonnim asiane biara so .

Ɔkwan bɛn so na wohu yare yi pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo nkyɛn a, ebia obedi kan abɔ mmɔden sɛ ɔde aduru koro no ara a ɛte sɛ eczema bɛsa wo yare no . Sɛ ɛno anyɛ adwuma, anaasɛ osusuw sɛ Paget Nyarewa a Ɛwɔ Nufu mu a, ebia ɛho behia sɛ ɔfa nufu mu ntini bi na ɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Ɛnyɛ den sɛ wobehu paget nkwammoaa wɔ saa kwan yi so. Ɛda adi sɛ ɔbɛyɛ punch biopsy . Nea ɛka eyi ho ne sɛ wɔde adwinnade a wɔde twa kurukuruwa (te sɛ tokuru a wɔde tow) yi ntini ketewaa bi a ɛyɛ kurukuruwa.

Sɛ wohu sɛ wowɔ Paget Nufu mu Yare wie a, wo duruyɛfo no bɛpɛ sɛ ohu sɛ ebia wowɔ ductal carcinoma wɔ baabi a wowɔ no, na sɛ ɛte saa a, baabi a atrɛw akodu . Nea ɛbɛyɛ na wayɛ eyi no, obedi kan de mfoninitwa nhwehwɛmu ahwɛ wo nufu mu ntini mu . Sɛ nhwɛso no , wobetumi ayɛ mammogram anaa nufu mu ultrasound . Sɛ wohu baabi a ɛyɛ adwenem naayɛ a, ebia ɔbɛkamfo akyerɛ sɛ wɔnyɛ ade a wɔde twitwiw nufu no mu nhwehwɛmu mfa nnye nufu mu ntini bi.

Ɔkwan bɛn so na wɔsa?

Ayaresa ahorow no bi ne oprehyɛn ne ɛtɔ mmere bi a kokoram ayaresa afoforo .

Sɛɛgyiri

Ɛsɛ sɛ wɔyɛ oprehyɛn yi kokoram biara a ɛwɔ wo nufu mu. Nanso, ntini dodow a woyi fi hɔ no gyina wo tebea no so. Sɛ Paget’s Disease of the Breast nkutoo na wowɔ, na akisikuru foforo biara nni hɔ a, ebia wɔbɛyɛ wo oprehyɛn kakraa bi a ɛmma nufu no nsɛe . Eyi kyerɛ sɛ wo duruyɛfo a ɔyɛ oprehyɛn no bɛbɔ mmɔden sɛ obeyi ntini a asɛe no nkutoo afi hɔ. Obeyi wo nufu, honam ani tuntum a atwa ho ahyia (areola), ne ntini kakraa bi a ɛteɛ a atwa ho ahyia no afi hɔ .

Ɛdenam baabi a kokoram no atrɛw so no, ebia oduruyɛfo a ɔyɛ wo oprehyɛn no bɛkamfo akyerɛ sɛ wontwa nufu no (oprehyɛn a wɔbɛyɛ de ayi nufu no nyinaa) . Sɛ wopɛ a, wubetumi nso ayɛ wo nufu no oprehyɛn wɔ ɛno akyi.

Ayaresa a Wɔde Boa

Sɛ wɔyɛ oprehyɛn wie a, ɛda adi sɛ wɔbɛma wo ayaresa foforo a ɛka ho na amma kokoram no ansan amma bio. Saa `ayaresa a ɛboa` yi betumi ayɛ:

• Mframa a wɔde sa yare: Wɔde mframa a ahoɔden wom kɛse di dwuma de sɛe kokoram nkwammoaa.
• Nnuru a wɔde sa yare: Wɔde nnuru di dwuma de kum kokoram nkwammoaa anaasɛ wɔmma ɛnnyin.
• `Hormone ayaresa`: .Hormone ahorow boa ma nufu mu kokoram ahorow bi nyin. Saa ayaresa yi siw saa nkwaadɔm no ano.
• Nnuru a ɛko tia nyarewa: Ɛboa w’ankasa nipadua mu ahoɔden a ɛko tia nyarewa no ma wɔko tia kokoram.

So wobetumi asa yare yi koraa?

Hokwan a ɛwɔ hɔ sɛ obi benya nkwa afi nufu mu kokoram mu no gyina baabi a kokoram no wɔ bere a wɔahu sɛ ɔwɔ no so . Sɛ wowɔ Paget yare a ɛfa nufusu mu a ɛwɔ nufu no mu nkutoo, anaasɛ ductal carcinoma in situ (afã 0) , a ɛntrɛw nkɔ akyiri nsen nufusu ntini no a, wo nkɔmhyɛ no ye yiye . Nnipa dodow no ara a wohu na wɔsa wɔn yare ntɛm wɔ tebea horow yi mu no ho tɔ wɔn koraa . Nanso, sɛ nufu mu kokoram trɛw wie a, ɛbɛyɛ den kɛse sɛ wobedi so.

Ɛno nti na ɛho hia kɛse sɛ wobɛma w’ani aku nsakrae ketewaa bi mpo ho na woahwehwɛ aduruyɛ mu afotu no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu nsakrae bi wɔ wo nufu mu, sɛ́ ɛyɛ nsakrae a ɛba wo honam ani anaa nsakrae a ɛba wo honam ani a, kɔ oduruyɛfo nkyɛn bere nyinaa. Mpɛn pii no ebia ɛnyɛ kokoram, nanso ɛyɛ papa bere nyinaa sɛ wobɛhwɛ . Sɛ wowɔ sɛnkyerɛnne te sɛ eczema wɔ nufu anaa areola no so anaa ne ho, na w’ankasa woabɔ mmɔden sɛ wobɛsa na ɛnyɛ mmoa a , akyinnye biara nni ho sɛ yɛ nhyehyɛe sɛ wobɛkɔ oduruyɛfo nkyɛn akɔyɛ nhwehwɛmu foforo.

Sɛ wowɔ saa yare yi a, wobɛyɛ dɛn ahwɛ wo ho?

Ade a eye sen biara a wubetumi ayɛ ama wo ho ne sɛ wubefi ase ayɛ ayaresa ntɛm ara sɛnea wubetumi . Nanso, wuhia mmoa nso . Anyɛ yiye koraa no , hwehwɛ obi a wowɔ ne mu ahotoso sɛ wo ne no bɛkasa, kɔ baabi a woahyɛ da, anaa boa wɔ ofie nnwuma mu.

Fa nsɛmmisa a wɔahyehyɛ a wubebisa oduruyɛfo no bra, na siesie wo ho sɛ wobɛkyerɛw nea wɔaka no, anaa ka kyerɛ obi sɛ ɔnkyerɛw mma wo. Mo baanu nyinaa betumi asan ahwɛ mu akyiri yi.

Ɛho hia nso sɛ wobɛkɔ so ayɛ den wɔ w’adwene mu wɔ mmere a ɛte sɛɛ mu. Yɛ nneɛma a ɛde awerɛkyekye brɛ wo, wo ne w’abusuafo ne wo nnamfo nkasa, na sɛ ɛho hia a, hwehwɛ afotu.

So abusuabɔ bi wɔ Paget nufu mu yare ne ‘Paget’ nyarewa’ afoforo ntam?

Eyi yɛ asɛm a nnipa pii bisa. Sir James Paget, Engiresini oprehyɛn ho ɔbenfo bi a ɔtraa ase wɔ afeha a ɛto so 19 awiei mu hɔ no huu nneɛma pii wɔ aduruyɛ mu. Nyarewa pii wɔ hɔ a wɔde ne din ato so, nanso ɛnyɛ ne nyinaa na ɛne wɔn ho wɔn ho wɔ abusuabɔ .

Sɛ nhwɛso no, `Paget yare a ɛwɔ dompe mu` yɛ nnompe mu yare a ɛnyɛ kokoram. Ɛne Paget yare a ɛwɔ nufu mu no nni abusuabɔ.

Nanso,Kokoram foforo bi wɔ hɔ a ɛntaa nsi a wɔfrɛ no `extramammary Paget's disease` (EMPD), a ɛte sɛ nea ɛwɔ abɔde mu kakra.

Paget yare a ɛwɔ nufu mu no yɛ nea kokoram nkwammoaa soronko bi a ɛwɔ nufu no honam ani a wotumi hu wɔ afiri a wɔde hwɛ nneɛma nketenkete mu. Wɔfrɛ no Paget nkwammoaa efisɛ Paget na odii kan kaa ho asɛm. Extramammary Paget yare (EMPD) nso wɔ saa Paget nkwammoaa yi. Ɛwɔ akisikuru a ɛte saa ara nso, nanso ɛnyɛ nufu no so, na mmom ɛwɔ ɔbarima ne ɔbea nna ho . Ɛwom sɛ nyarewa abien yi di nsɛ de, nanso ɛyɛ nyarewa ahorow a ɛsono emu biara . Wɔnkɔ bom.

Nkrasɛm a Wɔde Kɔ Fie

Okay, enti nneɛma a ɛho hia paa a yɛaka ho asɛm nnɛ a ɛbɛboa wo ma woakae no bi ni:

• Paget Nufu mu Yare yɛ kokoram a ɛba mfiase wɔ nufusu ntini a ɛwɔ nufu no mu no mu . Ɛtɔ mmere bi a, nufu mu kokoram a ɛkɔ akyiri kɛse betumi aka ho.
• Ebia wubehu nsakrae wɔ wo nufu mu, te sɛ akisikuru a ɛyɛ kurukuruwa, honam ani a ɛrepaapae, nsu a ɛretu, anaa kuru a ɛnsa .
• Dodow a wuhu eyi ntɛm na wosa no, dodow no ara na nea ebefi wo ho atɔ wo mu no ye.
• Nnipa dodow no ara ho tɔ wɔn koraa , nanso ebia ebehia sɛ wɔyɛ oprehyɛn na wɔayi afi hɔ .
• Sɛ wuhu nsakrae biara a ɛyɛ soronko wɔ wo nufu mu, titiriw wo nufu mu a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu a worensɛe bere .

Yɛwɔ anidaso sɛ wɔde saa nsɛm yi abɔ wo amanneɛ. Kɔ so nya apɔwmuden!

` Nufu mu kokoram, Paget yare, nufu mu sɛnkyerɛnne, nufu akwahosan, mmea akwahosan, kokoram a wohu, kokoram ayaresa