Momma yensua dwensɔtwaa mu kokoram ho ade pɛpɛɛpɛ. Saa nneɛma yi ho hia wo nso!

Ɛnnɛ yɛrebɛka yareɛ bi a ɛyɛ hu kakra ho asɛm, nanso ɛsɛ sɛ yɛn nyinaa hu. Ɛno ne kokoram a ɛwɔ dwensɔtwaa mu , anaasɛ `(Dɔnkɔnsɔn mu Kokoram)`. Wɔ eyi mu no, akwaa a wɔfrɛ no dwensɔtwaa a ɛwɔ yɛn nipadua mu no nkwammoaa fi ase yɛ wɔn ade wɔ ɔkwan a ɛnteɛ so. Esiane sɛ eyi yɛ yare a ɛyɛ sum ase kakra ankasa nti, nea ɛho hia sen biara ne sɛ wubehu bere a ɛsɛ mu.

Dɛn ne dwensɔtwaa mu kokoram?

Sɛ yɛbɛka no tiawa a, dwensɔtwaa mu kokoram ne bere a nkwammoaa a ɛwɔ wo dwensɔtwaa mu no mu paapae ntɛmntɛm na enyin yɛ akisikuru, anaa akisikuru. Seesei ebia woresusuw nea dwensɔtwaa no yɛ ne baabi a ɛwɔ ho, ɛnte saa? Ɛyɛ ntini bi a ɛwɔ yɛn yafunu mu, wɔ akyi berɛmo ne yafunu ntam. Ɛma hormone ahorow a ɛhwɛ asikre dodow a ɛwɔ yɛn mogya mu so , ne enzymes a ɛboa yɛn ma yɛyam aduan.

Saa dwensɔtwaa mu kokoram ahorow yi mu dodow no ara fi ase wɔ dwensɔtwaa no ntini mu. Pancreatic duct titiriw no na ɛka pancreas no ne yɛn bile duct a yɛtaa yɛ no bom.

Nea ɛyɛ awerɛhow no, ɛnyɛ mmerɛw sɛ wobehu kokoram yi denam mfoninitwa nhwehwɛmu so wɔ ne mfiase. Enti ebedu bere a nnipa dodow no ara behu sɛ wɔwɔ bi no, na kokoram no atrɛw dedaw, anaasɛ akɔ mmeae afoforo. Ade foforo nti a ɛte saa ne sɛ saa kokoram yi tumi ko tia nnuru pii a wɔde ko tia kokoram. Enti ɛyɛ den kakra sɛ wɔbɛsa.

Wɔda so ara reyɛ nhwehwɛmu wɔ eyi ho, titiriw denam awosu mu nhwehwɛmu ne mfoninitwa akwan foforo so, nanso yɛda so ara wɔ pii a ɛsɛ sɛ yesua.

Dɛn ne kokoram ahorow a ɛwɔ dwensɔtwaa mu?

Kokoram titiriw abien na ɛwɔ dwensɔtwaa mu :

• Exocrine tumors: Kokoram a ɛwɔ dwensɔtwaa mu bɛboro 90% yɛ saa. Wɔfrɛ nea abu so sen biara no adenocarcinoma. Saa ɔkwan yi fi ase wɔ nkwammoaa a ɛhyehyɛ yɛn akwaa ahorow no mu no mu.
• Neuroendocrine tumors (NETs): Saa akisikuru yi nnu akisikuru nyinaa mu 10%. Wɔsan frɛ no islet cell carcinoma.

Kokoram yi abu so dɛn?

Wɔ ɔman te sɛ Amerika mu no, kokoram ahorow 100 biara mu 3 na wɔfrɛ no dwensɔtwaa mu kokoram. Ɛyɛ kokoram a ɛto so 10 a ɛtaa ba mmarima mu na ɛto so 8 a ɛtaa ba mmea mu. Awerɛhosɛm ne sɛ, nnipa dodow a kokoram yi ka wɔn no renya nkɔanim da biara da. Amanneɛbɔ ahorow bi kyerɛ no, ebia ɛbɛyɛ nea ɛto so abien a ɛde kokoram akunkum nnipa wɔ Amerika wɔ afe 2030. Eyi yɛ bere a ɛsɛ sɛ yɛhaw yɛn ho wɔ eyi ho wɔ Sri Lanka nso.

Dɛn ne dwensɔtwaa mu kokoram ho sɛnkyerɛnne?

Nea ɛyɛ awerɛhow no, kokoram yi ho sɛnkyerɛnne a edi kan no nna adi. Sɛ akisikuru no nyin kakra na efi ase ka yɛn aduan mu akwaa afoforo nkutoo a, na sɛnkyerɛnne ahorow no fi ase da adi.

Ebia dwensɔtwaa mu kokoram ho sɛnkyerɛnne bi ne:

• Jaundice (honam ani yɛ kɔkɔɔ): Eyi yɛ aniwa ne honam ani fitaa a ɛyɛ kɔkɔɔ. Nnipa binom nso frɛ no ‘yellow fever’.
• Nsu a ɛyɛ tuntum: Nsu dan kɔla tuntum, ɛtɔ mmere bi a ɛte sɛ tii nsu kɔla.
• Nsu a ɛwɔ kɔla a ɛyɛ hann: Ebia wubehu sɛ wo nsu a ɛyɛ dɔte anaa fitaa.
• Yafunu atifi yaw: Ebia wobɛte ɛyaw nka wɔ yafunu no atifi, titiriw wɔ awotwaa no atifi.
• Akyi mfinimfini yaw: Eyi nso yɛ biribi a nnipa pii bɔ amanneɛ. Nea ɛka yafunu mu yaw ho no, ɛyaw wɔ akyi berɛmo no mfinimfini.
• Ɔbrɛ: Ɛnyɛ ɔbrɛ nko, na mmom atenka a ɛne sɛ woabrɛ ɛmfa ho sɛnea wobɛda.
• Wora a ɛyɛ wo yaw: Eyi betumi aba titiriw wɔ jaundice ho.
• Akisikuru ne ɔfe: Aduan ho akɔnnɔ a ɛyera a akisikuru ne ɔfe ka ho.
• Ahohoro anaa ahurututu: Sɛ wote nka sɛ wo ho ayɛ wo ma bere a woadi aduan kakraa bi mpo a, wote nka sɛ wo yafunu no ayɛ ma.
• Anorexia: Ɔpɛ a obi hwere sɛ obedidi.
• Mogya a ɛtwetwe: Ɛtɔ mmere bi a, mogya tu wɔ nan no mu.
• Wo mu duru so tew: Wo mu duru so tew a ntease biara nnim, a wuntumi nni w’aduan so.
• Asikreyare a efi ase foforo: Eyi nso betumi ayɛ asikreyare ho sɛnkyerɛnne a ɛba mpofirim wɔ obi a onnyaa asikreyare da so.

Sɛ nnansa yi ara wɔahu sɛ wowɔ asikreyare, anaasɛ wowɔ tebea bi te sɛ dwensɔtwaa (dwensɔtwaa mu ɔfe a ɛyɛ yaw) a, ebia wo duruyɛfo besusuw sɛ dwensɔtwaa mu kokoram.

Nanso, dwensɔtwaa mu ntini mu kokoram ho sɛnkyerɛnne betumi ayɛ soronko kakra. Sɛ nhwɛso no, sɛ́ anka ɛbɛyɛ jaundice na ne mu duru so atew no, sɛnkyerɛnne ahorow te sɛ akisikuru ne mogya a ɛtɔ kɔ nipadua mu betumi aba.

Bere tenten ahe na egye na woahu sɛ wowɔ dwensɔtwaa mu kokoram anaa?

Sɛnea yɛadi kan aka no, yare no ho sɛnkyerɛnne biara nni hɔ a ɛda adi ntɛm. Wɔ nnipa binom fam no, ebia sɛnkyerɛnne ahorow no befi ase ada adi nkakrankakra, na ebetumi adi afe biako ansa na wɔahu yare no yiye.

Nnipa pii ka sɛ wodii kan huu akyi yaw anaa yafunu mu yaw. Saa ɛyaw yi betumi aba na akɔ mfiase no, nanso ebetumi ayɛ kɛse bere a woadi anaa woada awie no.

Dɛn na ɛde dwensɔtwaa mu kokoram ba?

Nokwarem no, mmuae biara nni hɔ a emu da hɔ ma eyi de besi nnɛ. Yennim nea ɛde ba ankasa. Nanso, abenfo ahu nneɛma pii a ebetumi de asiane aba.

Nneɛma a ɛde asiane ba sɛ obi benya kokoram wɔ dwensɔtwaa mu

Ade a ɛde asiane ba ne biribi a ɛma hokwan a ɛwɔ hɔ sɛ obi benya yare no yɛ kɛse. Nneɛma a ɛtaa de asiane ba ma obi nya dwensɔtwaa mu kokoram no bi ne:

• Sigaretnom: Asiane kɛse ne sigaret, sigaret, ne tawa ahorow afoforo a wɔde di dwuma.
• Kɛse mmoroso: Nnipa a srade boro so, titiriw wɔ yafunu ho no wɔ asiane kɛse mu.
• Asikreyare: Titiriw wɔ wɔn a wɔwɔ asikreyare a ɛto so abien no fam no, wɔaka sɛ asikreyare a efi ase mpofirim no nso betumi ayɛ dwensɔtwaa mu kokoram ho sɛnkyerɛnne.
• Nnuru bi a wɔde wɔn ho hyɛ mu: Nneɛma te sɛ nnuru a wɔde kum mmoawa ne nnuru a wɔde yɛ pɛtro.
• Pancreatitis a enni sabea: Ɛyɛ dwensɔtwaa mu ɔfe a ɛtra hɔ kyɛ.
• Awosu mu dwensɔtwaa mu yare a enni sabea: Tebea a efi awofo hɔ kɔ mmofra mu esiane awosu mu nkwaadɔm mu nsakrae nti.
• Awosu mu yare ahorow bi: Tebea horow a nsakrae a ɛba awosu mu nkwaadɔm te sɛ BRCA1 anaa BRCA2 mu de ba. Eyinom nso betumi afi awofo hɔ akɔ mmofra nkyɛn.

Dɛn ne nsɛnnennen a ɛwɔ dwensɔtwaa mu kokoram mu?

Mpɛn pii no, dwensɔtwaa mu kokoram trɛw kɔ mogya ntini ne ntini a ɛbɛn hɔ no mu. Afei ebetumi akɔ mmerɛbo, yafunu no mu (peritoneum), ne ahurututu mu.

Nea ɛho hia: Mpɛn pii no, bere a wobehu sɛ obi anya kokoram wɔ dwensɔtwaa mu no, na atrɛw wɔ dwensɔtwaa no akyi dedaw. Ɛno nti na ɛyɛ hu saa no.

Ɔkwan bɛn so na wohu sɛ obi anya dwensɔtwaa mu kokoram?

Ɛyɛ den yiye sɛ wobehu dwensɔtwaa mu kokoram wɔ mfiase efisɛ nnuruyɛfo ntumi nte dwensɔtwaa no nka bere a wɔreyɛ nhwehwɛmu a wɔyɛ no daa no. Saa ara nso na wontumi nhu saa akisikuru yi wɔ mfoninitwa nhwehwɛmu a wɔtaa yɛ mu.

Sɛ oduruyɛfo bi susuw sɛ dwensɔtwaa mu kokoram a, wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii mfa nhwɛ sɛnea dwensɔtwaa no yɛ adwuma. Ebia eyinom bi ne:

Mfoninitwa sɔhwɛ ahorow

Ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nea edidi so yi mu biako anaa nea ɛboro saa:

• CT scan (CT - kɔmputa so mfoninitwa afiri) .
• MRI scan `(MRI - magnetic resonance mfoninitwa)`
• PET scan `(PET - positron a ɛma nipadua no yɛ adwuma)`
• Endoscopic ultrasound (EUS): Nea ɛka eyi ho ne sɛ wɔde mfoninitwa afiri ketewaa bi fa ano no mu de hwɛ dwensɔtwaa no yiye.

Mogya mu nhwehwɛmu

Pancreatic mogya mu nhwehwɛmu betumi ahu akisikuru agyiraehyɛde ahorow. Tumo agyiraehyɛde yɛ ade a ɛkyerɛ sɛ kokoram wɔ hɔ.

Wɔ dwensɔtwaa mu kokoram ho no, wobetumi asusuw sɛ akisikuru bi wɔ hɔ sɛ protein bi a wɔfrɛ no ``Carbohydrate antigen (CA) 19-9'' (eyi yɛ biribi a dwensɔtwaa mu kokoram nkwammoaa gyae) wɔ mogya no mu dodow a ɛkɔ soro a.

Staging laparoscopy a wɔde yɛ ade

Ɛtɔ mmere bi a, nnuruyɛfo de ɔkwan bi a wɔfrɛ no laparoscopy di dwuma de hwɛ baabi a dwensɔtwaa mu kokoram atrɛw akodu ne sɛ ebia wobetumi ayi afi hɔ anaa.

Wɔ saa adeyɛ yi mu no, oduruyɛfo bi twa yafunu no mu nketenkete pii na ɔde afiri tenten bi a mfoninitwa afiri abata ho hyɛ mu. Eyi ma oduruyɛfo a ɔyɛ oprehyɛn no hwɛ yafunu no mu hwɛ sɛ ebia biribi a ɛnteɛ wɔ hɔ anaa. Mpɛn pii no, wɔfa nhwɛsode ketewaa bi saa bere yi de yɛ nhwehwɛmu (biopsy).

Awosu mu nhwehwɛmu

Sɛ wohu sɛ wowɔ dwensɔtwaa mu kokoram a, ebia wobɛpɛ sɛ wususuw awosu mu nhwehwɛmu ho. Nea enti a ɛte saa ne sɛ ebia wunya awosu mu su bi a ɛma wunya kokoram no. Ɛbɛboa wo duruyɛfo nso ma wahu ayaresa a eye ma wo.

Nnipa binom a wɔwɔ dwensɔtwaa mu kokoram wɔ awosu mu nkwaadɔm a wɔfrɛ no BRCA1 ne BRCA2 mu nsakrae. Ebia woate saa awosu mu nkwaadɔm yi ho asɛm sɛ "nufu mu kokoram awosu mu nkwaadɔm." Nanso ɛnyɛ nufu mu kokoram nko na nkwaadɔm a ɛsakra wɔ BRCA1 ne BRCA2 awosu mu nkwaadɔm mu no betumi de nufu mu kokoram aba, na mmom prostate kokoram, awotwaa mu kokoram, ne dwensɔtwaa mu kokoram nso.

Sɛ obi a ɔwɔ w’abusua mu (ɔwofo, abofra, onua) anya kokoram wɔ dwensɔtwaa mu a, susuw ho sɛ wobɛyɛ awosu mu nhwehwɛmu. Eyi betumi akyerɛ wo sɛ wowɔ `BRCA1` anaa `BRCA2` gene mutation anaa. Nanso kae sɛ, sɛ wowɔ awosu mu nkwaadɔm mu nsakrae a, ɛnkyerɛ sɛ wubenya kokoram. Nanso ɛho hia sɛ wuhu asiane a ɛwɔ hɔ.

Nsonsonoe bɛn na ɛda dwensɔtwaa mu kokoram a wotumi twa ne nea wontumi ntwa ntam?

Nnuruyɛfo kyekyɛ dwensɔtwaa mu kokoram mu akuw atitiriw anan:

• Resectable: Akisikuru no wɔ dwensɔtwaa no mu nkutoo. Ɛntrɛw nkɔ mogya ntini anaa akwaa afoforo a ɛbɛn hɔ mu. Wobetumi de oprehyɛn ayi afi hɔ koraa.
• Borderline resectable: Akisikuru no wɔ dwensɔtwaa no mu na ɛne mogya ntini a ɛbɛn hɔ no di nkitaho kakra, nanso oduruyɛfo a ɔyɛ oprehyɛn da so ara tumi yi fi hɔ.
• Ɛkɔ anim wɔ mpɔtam hɔ: Akisikuru no wɔ dwensɔtwaa no mu na atrɛw kɛse akɔ mogya ntini a ɛbɛn hɔ no mu. Wɔ tebea horow yi mu no, oprehyɛn a wɔde yi fi hɔ no betumi ayɛ den anaasɛ asiane wom mpo.
• Akyirikyiri a ɛtrɛw (Metastatic): .Kokoram no atrɛw akɔ nipadua no afã horow a ɛwɔ akyirikyiri te sɛ mmerɛbo, ahurututu, anaa yafunu mu. Ebia atrɛw akɔ akwaa, ntini, anaa ntini a ɛbɛn dwensɔtwaa no nso mu.

Sɛ wowɔ nsɛmmisa pɔtee bi fa sɛnea dwensɔtwaa mu kokoram no kɔ so ho a, wo ne wo duruyɛfo nkasa. Sɛ wote nea wɔahu no ase a, ɛbɛboa wo ma woasisi gyinae a ɛfata wɔ ayaresa ho.

So wobetumi asa dwensɔtwaa mu kokoram?

Ɛwom sɛ nnipa dodow a wonya nkwa wɔ dwensɔtwaa mu kokoram mu no sua de, nanso sɛ wohu na wɔsa no ntɛm a, ebetumi afi hɔ koraa. Ɔkwan biako pɛ a ɛyɛ nokware a wobetumi afa so asa dwensɔtwaa mu kokoram ne sɛ wobeyi kokoram no afi hɔ koraa denam oprehyɛn so.

Ɔkwan bɛn so na wɔsa dwensɔtwaa mu kokoram?

Ayaresa pɔtee no gyina nneɛma pii so, a nea ɛka ho ne:

• Beae pɔtee a akisikuru no wɔ.
• Kokoram no fã a ɛwɔ hɔ .
• W’akwahosan nyinaa .
• Sɛ́ ebia kokoram no atrɛw wɔ dwensɔtwaa no akyi anaa .

Nneɛma a wɔde sa dwensɔtwaa mu kokoram no bi ne:

Sɛɛgyiri

Oprehyɛn nkutoo ne ɔkwan a ɛyɛ nokware a wɔfa so sa dwensɔtwaa mu kokoram. Nanso sɛ wosusuw sɛ wobetumi ayi kokoram no afi hɔ koraa nkutoo a, nnuruyɛfo a wɔyɛ oprehyɛn kamfo kyerɛ. Sɛ ɛnte saa a, ɛrenyɛ papa pii.

Sɛ oprehyɛn no bɛyɛ yiye a, ɛsɛ sɛ kokoram no kɔ dwensɔtwaa no mu koraa. Saa bere no mpo, ebia ɛrentumi nyɛ yiye sɛ wobeyi kokoram no afi hɔ koraa.

Akwan ahorow wɔ hɔ a wɔfa so yɛ oprehyɛn a egyina beae a akisikuru no wɔ ne ne kɛse so:

• Whipple nhyehyɛe `(Whipple nhyehyɛe - pancreaticoduodenectomy)`:

Sɛ akisikuru no wɔ dwensɔtwaa no ti mu (dwensɔtwaa no fã a ɛtrɛw sen biara, bɛn dwensɔtwaa ketewaa no) a, ebia wo duruyɛfo bɛkamfo Whipple ayaresa akyerɛ wo. Nea ɛka eyi ho ne sɛ wubeyi dwensɔtwaa no ti, wo duodenum (dwensɔtwaa ketewaa no fã a edi kan), wo gallbladder, bile duct no fã, ne lymph nodes a ɛbɛn hɔ no afi hɔ. Afei oduruyɛfo a ɔyɛ oprehyɛn no de bile duct ne dwensɔtwaa a aka no bata wo dwensɔtwaa ketewaa no ho. Eyi san hyehyɛ wo aduan mu nhyehyɛe.

• Distal pancreatectomy a wɔtwe: .

Sɛ akisikuru no wɔ dwensɔtwaa no dua mu a, oduruyɛfo a ɔyɛ oprehyɛn betumi ayɛ oprehyɛn yi. Nea ɛka eyi ho ne sɛ wobeyi dwensɔtwaa no dua ne dwensɔtwaa no nipadua no fã bi afi hɔ. Mpɛn pii no, woyi akyi berɛmo no nso fi hɔ. Esiane sɛ akyi berɛmo boa yɛn ma yɛko tia nyarewa nti, ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ fa nnuru bi a wɔde bɔ wo ho ban ansa na woayɛ oprehyɛn yi.

• Pancreatectomy a wɔatwa no nyinaa:

Sɛ kokoram no atrɛw akɔ dwensɔtwaa no nyinaa mu nanso wɔda so ara tumi yi fi hɔ (twa) a, ebia wo duruyɛfo no besusuw ho sɛ obetwa dwensɔtwaa no nyinaa. Saa oprehyɛn yi yi wo dwensɔtwaa, akisikuru, akyi berɛmo, ne wo yafunu ne wo dwensɔtwaa ketewa no fã bi fi hɔ nyinaa.

Ebetumi aba sɛ wobɛtra ase a wonni dwensɔtwaa. Nanso ebetumi de ɔhaw ahorow a emu yɛ den aba. Wo dwensɔtwaa no yɛ nkwaadɔm te sɛ insulin a ɛboa ma asikre dodow a ɛwɔ wo mogya mu no yɛ nea ɛfata. Sɛ wo dwensɔtwaa hwere a, wunya asikreyare na ɛsɛ sɛ wofa insulin a wɔde twitwiw wo mu na ama woanya nkwa. Ɛsɛ sɛ wonom pancreatic enzyme pills nso na aboa wo ma woayam aduan.

Nnuru a wɔde sa yare

Nnuru a wɔde sa yare yɛ nnuru a wɔde kum kokoram nkwammoaa. Wɔde nnuru yi ma sɛ nnuru a wɔde hyɛ wo nsa mu anaasɛ wɔde IV (a wɔde fa ntini mu) gu ntini bi a ɛwɔ wo nsa mu mu.

Nnuruyɛfo nso de nnuru a wɔde sa yare ma sɛ ayaresa biako - titiriw ma nnipa a wɔn kokoram atrɛw. Ebia wɔbɛkamfo nnuru a wɔde sa yare nso akyerɛ ansa na wɔayɛ oprehyɛn de atew akisikuru no so anaasɛ wɔakum kokoram nkwammoaa biara a aka wɔ oprehyɛn no akyi.

Mframa a wɔde sa yare

Mframa a wɔde sa yare ne X-ray a ahoɔden kɛse wom a wɔde sɛe kokoram nkwammoaa. Wɔtaa de saa kwan yi di dwuma ma dwensɔtwaa mu kokoram.

Nnuruyɛfo taa de mframa a wɔde sa yare ne nnuru a wɔde sa yare (chemoradiation) bom. Wobetumi de ama ansa na wɔayɛ oprehyɛn, wɔ oprehyɛn akyi, anaasɛ sɛ kokoram ayaresa titiriw no fã. Mframa a wɔde sa yare nso betumi aboa ma dwensɔtwaa mu kokoram ho sɛnkyerɛnne so atew wɔ nnipa a wontumi nyɛ wɔn oprehyɛn (bere a kokoram no atrɛw) mu.

Ayaresa a wɔde wɔn ani asi so

Saa ayaresa yi de nnuru a ‘ɛde wɔn ani si’ protein ahorow bi so na edi dwuma. Saa protein ahorow yi na ɛkyerɛ sɛnea kokoram nkwammoaa nyin na ɛtrɛw. Nnuruyɛfo betumi de ayaresa a wɔde wɔn ani asi so aka ayaresa afoforo te sɛ mframa a wɔde sa yare ho.

Nnuru a wɔde sa yare a wɔde wɔn ani asi so a wɔtaa de sa dwensɔtwaa mu kokoram ne:

• `Erlotinib`
• `Olaparib`
• `Larotrectinib`
• `Entrectinib`

Ɛyaw ano aduru

Pancreatic cancer betumi ayɛ yaw kɛse efisɛ ebetumi aka ntini a ɛbɛn hɔ. Ebia wo duruyɛfo betumi aboa ma woadi wo yaw no so denam nnuru a wɔnom, nnuru a wɔde kum nipadua no, anaa steroid a wɔde twitwiw wo mu so.

Sɛ wowɔ dwensɔtwaa mu kokoram na wufi ase te ɛyaw a emu yɛ den a ɛkɔ so daa a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo . Obenya ayaresa bi a ɛbɛtew wo yare no ho sɛnkyerɛnne so.

So metumi asiw dwensɔtwaa mu kokoram ano?

Wontumi nsiw dwensɔtwaa mu kokoram ano koraa, nanso nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Nnom sigaret.
• To nsa a wonom ano hye.
• Di nnuaba, nhabannuru, ne aburow a wɔayɛ no foforo pii.
• Tew nam kɔkɔɔ, anonne a asikre wom, ne nnuan a wɔayɛ no foforo a wudi so.
• To nnuru a epira te sɛ asbestos, nnuru a ekum mmoawa, ne nnuru a wɔde yɛ pɛtro a wɔde di dwuma no ano hye.
• Kura mu duru a ɛfata mu ma wo.

Pancreatic kokoram ho nhwehwɛmu

Nnuruyɛfo ntaa nyɛ nhwehwɛmu a wɔyɛ daa wɔ dwensɔtwaa mu kokoram ho. Nanso nnuruyɛfo kamfo kyerɛ sɛ wɔmfa mfoninitwa nhwehwɛmu ne endoscopic ultrasounds nhwɛ nnipa a asiane kɛse wom sɛ wobenya dwensɔtwaa mu kokoram esiane awosu mu su bi nti no so daa.

Sɛ wo busuani bi a odi kan wɔ w’abusua mu (awofo anaa anuanom) anya dwensɔtwaa mu kokoram a, ɛsɛ sɛ wo ne oduruyɛfo kasa fa asiane a ɛwɔ hɔ sɛ wubenya dwensɔtwaa mu kokoram ne nhwehwɛmu a ɛfata ne awosu mu nhwehwɛmu ho.

Sɛ mewɔ dwensɔtwaa mu kokoram a, dɛn na metumi ahwɛ kwan?

Sɛ wuhu sɛ wowɔ dwensɔtwaa mu kokoram a, ebetumi ayɛ wo den. Ɛsono obiara, na ɛsono obiara tebea. Wo duruyɛfo no bɛboaboa nnuruyɛfo kuw bi ano na wɔahu ayaresa nhyehyɛe a eye sen biara a wɔde bɛyɛ wo tebea no. Ebia w’aduruyɛfo kuw no bi ne:

• Yafunu mu yafunu ho ɔyaresafo
• Ɔyare ho ɔbenfo
• Oncologists (aduruyɛ, oprehyɛn ne mframa a wɔde ma) .
• Asetra mu nsɛm ho dwumayɛni

Pancreatic cancer trɛw bere nhyehyɛe

Mpɛn pii no, egye mfe 10 kosi 20 ansa na kokoram nkwammoaa biako a ɛwɔ wo dwensɔtwaa mu no anyin abɛyɛ akisikuru. Mprempren nhwehwɛmu botae ne sɛ wobehu sɛnea wobehu dwensɔtwaa mu kokoram ntɛm, bere a wobetumi asa no kɛse no.

Nnipa dodow a wonya nkwa wɔ dwensɔtwaa mu kokoram ho

Wɔ ɔman te sɛ Amerika mu no, mfe anum a nnipa a wɔwɔ dwensɔtwaa mu kokoram nya nkwa no yɛ 11%. Ɛno kyerɛ sɛ nnipa 100 biara mu 11 te ase wɔ mfe anum akyi a wɔahu sɛ wɔanya bi no.

Nnipa dodow a wonya nkwa no yɛ akontaabu ara kwa. Wɔnka bere tenten a wobɛtra ase anaa sɛnea wobɛyɛ w’ade yiye wɔ ayaresa ho nkyerɛ wo. Sɛ wowɔ nsɛmmisa pɔtee bi fa saa dodow yi anaa sɛnea ebetumi aka wo ho a, wo ne wo duruyɛfo nkasa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Kokoram a ɛba dwensɔtwaa mu ntɛm no nni sɛnkyerɛnne biara a ɛda adi pefee. Nanso, sɛ wunya nea edidi so yi mu biara a, kɔ oduruyɛfo nkyɛn ntɛm ara:

• Jaundice a ɛyɛ mmerɛw
• Yafunu anaa akyi yaw
• Mu duru a wɔtew so a ntease biara nnim
• Asikreyare a efi ase mpofirim

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wo ne wo duruyɛfo no nya abusuabɔ a ɛda adi pefee a wobɛyɛ biako. Sɛ wo anaa wo dɔfo bi anya kokoram wɔ dwensɔtwaa mu a, wubetumi abisa nsɛm te sɛ eyinom:

• Kokoram no wɔ gyinabea bɛn mu? Dɛn na ɛbɛkyerɛ ama me?
• Ayaresa ahorow bɛn na mewɔ? Dɛn na wokamfo kyerɛ na dɛn ntia?
• Nneɛma bɔne bɛn na ebia menya afi ayaresa no mu?
• So awosu mu nhwehwɛmu fata ma me?
• So nnuruyɛ mu sɔhwɛ ahorow bi wɔ hɔ?
• So metumi akɔ so ayɛ adwuma na mayɛ me da biara da dwumadi ahorow?
• So wubetumi aka baabi a metumi anya sika fam mmoa akyerɛ me?
• So wubetumi aka mmeae a metumi anya adwene mu ahotɔ ho asɛm akyerɛ me?
• Dɛn na ɛsɛ sɛ meyɛ na ama manya apɔwmuden sɛnea metumi biara?

Dɛn ne nsɛnkyerɛnne a ɛkyerɛ sɛ dwensɔtwaa mu kokoram atrɛw?

Bere a dwensɔtwaa mu kokoram kɔ ​​so no, ebia wubenya sɛnkyerɛnne foforo. Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya dwensɔtwaa mu kokoram a akɔ anim no bi ne:

• Yafunu mu yaw
• Ɔbrɛ a ɛtra so
• Mu duru a wɔtew so a ntease biara nnim
• Jaundice a ɛyɛ mmerɛw
• Yafunu mu a ɛho ahonhon (ascites) .

Sɛ wubehu sɛ wowɔ dwensɔtwaa mu kokoram a, ebetumi ayɛ osuahu a ɛyɛ hu na asakra w’asetra. Wo duruyɛfo wɔ hɔ sɛ ɔbɛboa wo wɔ saa bere a emu yɛ den yi mu. Sɛ wubetumi a, kɔka kuw bi a wɔboa nnipa a wɔwɔ dwensɔtwaa mu kokoram ho wɔ mpɔtam hɔ anaa intanɛt so. Sɛ wo ne afoforo a wɔrefa ade koro no ara mu benya bere a, ebetumi ayɛ papa kɛse ama w’adwene mu akwahosan. Wubetumi nso ne ɔfotufo, ɔyaresafo, anaa asetra mu nsɛm ho dwumayɛni aka wo nkate ho asɛm. Nimdeɛ yɛ tumi. Nneɛma pii wɔ hɔ a ɛbɛboa wo ne w’abusua.

Sɛ yɛbɛbɔ no mua a, nneɛma a ɛsɛ sɛ yɛkae (Take-Home Message) .

Dwensɔtwaa mu kokoram yɛ yare a emu yɛ den na ɛyɛ anifere, nanso ɛho hia sɛ wohu. Esiane sɛ yare no ho sɛnkyerɛnne kakraa bi na ɛwɔ mfiase nti, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wubehu nneɛma a ɛde wo asiane ba na sɛ wuhu biribi a ɛyɛ soronko a, wobɛkɔ oduruyɛfo nkyɛn ntɛm ara. Kae sɛ, mmu w’ani ngu jaundice, yafunu/akyi yaw a ɛkɔ so tra hɔ, wo mu duru a ɛso tew mpofirim, anaa asikreyare a efi ase foforo so. Sɛ wowɔ awosu mu asiane bi a, wo ne wo duruyɛfo nka ho asɛm na yɛ nhwehwɛmu. Ayaresa ahorow wɔ hɔ a wobetumi de adi dwuma, na wɔreyɛ nhwehwɛmu foforo bere nyinaa. Ade a ɛho hia sen biara ne sɛ ɛnsɛ sɛ wusuro, sɛ w’adwene mu yɛ wo naa a, hwehwɛ aduruyɛ mu afotu, na wunya adwempa.

`Pancreatic Cancer, Pancreatic Cancer, Pancreas, Kokoram Nsɛnkyerɛnne, Kokoram Ayaresa, Jaundice, Asikreyare