So nsakrae bi aba wo nufu no honam ani? Momma yensua Paget Nufu mu Yare no ho ade

So woahyɛ no nsow sɛ wo nufu ho ayɛ kɔkɔɔ kakra, ayɛ wo yaw, anaasɛ ɛrepaapae nnansa yi? Ebia wubesusuw sɛ ɛyɛ honam ani yare a ɛtaa ba ara kwa, te sɛ eczema. Ebia ebefi hɔ mpo a wɔansa no yare. Nanso mma w’ani ngu so kɛkɛ sɛ asɛm ketewaa bi, yɛreka tebea bi a ɛntaa nsi a wɔfrɛ no nufu mu kokoram a akyinnye biara nni ho sɛ ɛsɛ sɛ wohwɛ so yiye ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Paget yare a ɛwɔ nufu mu no?

Paget Nufu mu Yare yɛ kokoram a ɛntaa nsi koraa a ɛba honam ani a atwa wo nufu ho ahyia no mu. Ɛyɛ nufu mu kokoram nyinaa mu 1% kosi 4%. Eyi ne bere a kokoram nkwammoaa nyin wɔ nufu no honam ani.

Nea ɛho hia no, nnipa pii a wɔwɔ Paget yare (bɛboro 90%) nso wɔ kokoram foforo a afi ase wɔ nufu koro no ara mu. Ebetumi ayɛ ductal carcinoma in situ (DCIS) , anaasɛ nufu mu kokoram a ɛba nipadua mu . Eyi kyerɛ sɛ ebia saa sɛnkyerɛnne a wotumi hu yi wɔ honam ani no yɛ ɔhaw kɛse bi a ɛwɔ mu no ho sɛnkyerɛnne ankasa.

Hena na ɔwɔ asiane kɛse sɛ obenya saa yare yi?

Ɛwom sɛ obiara betumi anya nufu mu kokoram de, nanso nneɛma bi betumi ama asiane no ayɛ kɛse. Momma yɛnhwɛ nea wɔyɛ.

• Mfe a obi adi: Asiane no kɔ soro nkakrankakra bere a obi nyin no, titiriw bere a wadi mfe 50. Sɛ wɔkyekyem pɛpɛɛpɛ a, mfe a obi adi ansa na wahu sɛ ɔwɔ yare no bɛyɛ mfe 57.
• Bɔbeasu: Mmea taa nya saa yare yi sen mmarima.
• Abusua abakɔsɛm: Sɛ wo maame, wo nuabea, anaa wo babea anya nufu mu kokoram a, wowɔ asiane mu kakra.
• Awosu mu Nsakrae: Ebia nnipa binom benya awosu mu nsakrae te sɛ `(BRCA1)` ne `(BRCA2)` a ɛma asiane a ɛwɔ hɔ sɛ wobenya nufu mu kokoram no yɛ kɛse.
• Nipadua mu duru a ɛboro so: Sɛ obi mu duru boro so, titiriw bere a wagyae brayɛ akyi no nso yɛ asiane.
• Nsã a wɔnom: Nsã a wɔnom boro so no ma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no yɛ kɛse.
• Nufu a Ɛyɛ Den: Sɛ wowɔ ntini pii wɔ wo nufu mu (wobetumi de mammogram ahu eyi) a, ɛno nso ma asiane a ɛwɔ hɔ no yɛ kɛse.
• Hormone ayaresa: Sɛ obi nom hormone ayaresa a estrogen wom bere tenten wɔ bratwa akyi a, ebetumi ama asiane no ayɛ kɛse.
• Mframa a wɔde sa yare: Sɛ wɔde mframa a wɔde sa yare maa wo koko no fã bi esiane biribi nti wɔ wo mmofraase anaa wo mmerantebere ne mmabaabere mu a, asiane kɛse wom sɛ wubenya nufu mu kokoram akyiri yi.

Dɛn ne Paget yare no ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Yare yi ho sɛnkyerɛnne yɛ anifere koraa mfiase no. Ɛno nti na nnipa pii bu wɔn ani gu so no. Nanso ɛho hia yiye sɛ wuhu saa sɛnkyerɛnne ahorow yi.

Momma yɛnhwɛ saa pon yi so nhu saa sɛnkyerɛnne ahorow yi pefee.

Mpɛn pii no, saa yare yi fi ase wɔ nufu no mu na ɛtrɛw kɔ honam ani baabi a ɛyɛ tuntum (areola) a atwa ho ahyia no.

Oduruyɛfo, wobɛyɛ dɛn ahu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ yare no ho sɛnkyerɛnne te sɛ eyi a, obedi kan ahwɛ wo yiye. Afei, ɔbɛkamfo nhwehwɛmu pii akyerɛ na ama wɔahu yare no yiye.

Sɔhwɛ a ɛho hia na ɛho hia sen biara ne biopsy . Eyi hwehwɛ sɛ woyi ntini ketewaa bi fi nufu no honam ani na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ mu hwɛ sɛ ebia ‘Paget nkwammoaa’ wɔ mu anaa. Wobetumi ayɛ saa biopsy yi wɔ akwan horow pii so:

• Surface biopsy: Wɔpopa nkwammoaa ketewaa bi fi honam ani.
• Shave biopsy: Wɔde adwinnade a ano yɛ nnam yi honam ani fã a ɛwɔ soro no.
• Punch biopsy a wɔde yɛ nipadua no:Wɔde adwinnade a ɛyɛ kurukuruwa fa were ketewaa bi a ɛyɛ kurukuruwa.
• Wedge biopsy: Oprehyɛn ketewaa bi a wɔyɛ de yi ntini bi.

Esiane sɛ mpɛn pii no kokoram afoforo a ɛwɔ nufu no mu ka Paget yare no ho nti, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo mfa nhwehwɛ ɛnonom nso. Ebia eyinom bi ne:

• Mammogram: X-ray nhwehwɛmu a wɔyɛ wɔ nufu no mu.
• Breast Ultrasound: Sɔhwɛ a wɔde nnyigyei asorɔkye di dwuma de yɛ nufu no mu mfonini.
• Breast MRI Scan: Sɔhwɛ a ɛma wonya nufu no ho mfonini a emu da hɔ yiye na ɛkɔ akyiri.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Wɔnam baabi a wo yare no kɔ so na ɛkyerɛ ɔkwan a wɔfa so sa yare no. Ɛne sɛ, oduruyɛfo no begyina nneɛma te sɛ sɛ ebia Paget yare nkutoo na wowɔ, anaasɛ kokoram foforo bi wɔ nufu no mu, ne sɛ ebia atrɛw so apaw ayaresa a eye sen biara.

Wobɛyɛ dɛn atumi abɔ wo ho ban afi kokoram ahorow yi ho?

Ɛwom sɛ ɔkwan biara nni hɔ a yɛbɛfa so asiw kokoram ano 100% de, nanso yebetumi atew asiane a ɛwɔ hɔ no so denam yɛn asetra kwan a yɛbɛsakra so.

• Kura mu duru a ɛfata mu.
• Yɛ apɔw-mu-teɛteɛ daa.
• To nsa a wonom ano hye.
• Nhwehwɛmu ahorow bi ada no adi sɛ mmofra a wɔma wɔn nufu nso brɛ asiane a ɛwɔ hɔ sɛ wobenya nufu mu kokoram no ase.

Sɛ wowɔ ade biako anaa nea ɛboro saa a ɛde nufu mu kokoram ba a, ɛho hia yiye sɛ wo ne wo duruyɛfo kasa fa ho na wunya afotu wɔ nneɛma te sɛ nhwehwɛmu a wɔyɛ no daa ho.