So wo nso woanya akisikuru bi wɔ w’aso anim? Momma yensua saa (Parotid Gland Tumor) yi ho ade!

So woate biribi te sɛ akisikuru ketewaa bi nka wɔ w’aso anim, wɔ w’afono so pɛɛ pɛn? Anaasɛ woate sɛ obi reka saa? Ɛtɔ da bi a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu nneɛma a ɛte sɛɛ no. Nanso ɛnyɛ akuru nyinaa na asiane wom. Ɛnnɛ yɛrebɛka akuru bi a ɛbɛtumi ayɛ w’aso anim, kyerɛ sɛ, (Parotid Gland Tumor) ho asɛm.

Dɛn ne eyi (Parotid Gland Tumor)? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, Parotid Gland Tumor yɛ akisikuru anaa akisikuru a ɛnyɛ ne kwan so a ɛba parotid gland a ɛwɔ w’aso anim ne w’afono so no mu . Parotid gland no ne nnompe ntini atitiriw abiɛsa a ɛwɔ yɛn anom no mu kɛse sen biara. Ɛwɔ w’aso anim.

Afei saa nnuaba yi betumi ayɛ ahorow abien:

1. Akisikuru a ɛnyɛ kokoram (Benign): Eyinom na ɛtaa ba. Yɛsan frɛ eyinom "akisikuru a ɛho nni asɛm." Eyinom ntrɛw nkɔ nipadua no afã afoforo.

2. Akisikuru a ɛyɛ hu: Eyinom ne nea asiane wom sen biara. Esiane sɛ kokoram nkwammoaa na ɛwom nti, sɛ wɔansa a, ebetumi anyin na atrɛw akɔ nipadua no afã afoforo. Kokoram akisikuru a ɛba parotid ntini no mu ne kokoram a ɛtaa ba wɔ nnompe mu.

Nanso mma ɛnhaw wo, akisikuru ahorow abien no nyinaa ho yɛ na koraa . Wɔ wiase nyinaa no, aso mu akisikuru a ɛyɛ kokoram ba nnipa bɛyɛ 100,000 biara mu biako so. Ɛwom sɛ wonni nnipa dodow a wonya akisikuru a ɛnyɛ kokoram ho nsɛm pɔtee biara de, nanso nnuruyɛfo bu akontaa sɛ dodow no betumi afi nnipa biako kosi asia wɔ 100,000 biara mu.

Sɛ yɛwɔ akisikuru a ɛte sɛɛ a, sɛnkyerɛnne bɛn na yɛte nka?

Sɛ wowɔ parotid gland tumor a, sɛnkyerɛnne titiriw no ne sɛ aso no anim ayɛ kurukuruwa anaasɛ ɛho ahonhon . Eyi ne ade a edi kan a nnipa dodow no ara hyɛ no nsow.

Nanso, akisikuru a kokoram wom betumi ama obi ate yaw sen akisikuru a enni kokoram. Nea ɛka ho no, kokoram akisikuru nso betumi anya sɛnkyerɛnne ahorow a edidi so yi:

• Akuru no te sɛ kuru anaa akuru.
• Sɛ́ wobɛte nka sɛ woayɛ mmerɛw wɔ saa beae no.
• Ɛyɛ den sɛ wobebue ano, tebea a ɛte sɛ nea wɔatoto anom (Trismus).
• Anim no fã biako a ɛbɛyɛ kɛse anaa ketewaa sen foforo no (anim nsusuwii a ɛsakra).

Mpɛn pii no, saa aso mu akisikuru yi nyin nkakrankakra . Wubetumi anya saa akisikuru yi asram pii, mfe pii, anaa mfe du du mpo a wunhu sɛnkyerɛnne biara. Mpɛn pii no, wohu akisikuru no ara kwa bere a wɔreyɛ mfoninitwa nhwehwɛmu te sɛ CT scan anaa MRI scan de ahu akwahosan ho haw foforo no.

Dɛn nti na akisikuru te sɛ eyi ba? Dɛn na ɛde ba?

Nokwarem no, nnuruyɛfo da so ara nnim nea ɛma akisikuru a kokoram wom ne nea enni kokoram yi ba ankasa . Nanso, nneɛma bi wɔ hɔ a nhwehwɛmu ahu. Nhwɛsoɔ:

• Tawa a wɔnom: Ebia nnipa a wɔnom sigaret no betumi anya akisikuru ahorow yi kɛse.
• Mframa a wɔde sa yare: Sɛ woadi kan anya mframa a wɔde sa ti anaa kɔn mu kokoram a, wosusuw sɛ eyi nso betumi aka eyi.

Eyinom ne asiane atitiriw a wɔahu mprempren.

Ɔkwan bɛn so na oduruyɛfo hu Parotid Gland Tumor pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo a ne ho ayɛ kurukuruwa te sɛ eyi nkyɛn a, ade a edi kan a wɔbɛyɛ ne sɛ wɔbɛhwɛ wo ti ne wo kɔn mu yiye. Wobebisa wo bere tenten a woanya akisikuru no, sɛ ebia ɛreyɛ kɛse anaa, na ɛyɛ yaw anaa. Afei, ebia wɔbɛyɛ sɔhwɛ kakraa bi te sɛ:

• Mogya mu nhwehwɛmu: Nyarewa bi nso betumi ama parotid gland no ahonhon. Enti, wɔbɛhwɛ wo mogya mu sɛ mogya mu nkwammoaa fitaa ((Leukocytosis)) dodow akɔ soro anaa. Sɛ ɛte saa a, ebetumi aba sɛ efi ɔyare mmoawa bi.
• Mfoniniyɛ mu nhwehwɛmu: Ɛha na wɔde CT scan (Computed Tomography scan) anaa MRI scan (Magnetic Resonance Imaging scan) di dwuma. Eyi betumi aboa ma wɔahu sɛnea akisikuru no kɛse te, faako a ɛwɔ, ne sɛ ebia aka ntini a atwa ho ahyia no.
• Fine needle aspiration (FNA): Eyi ne sɔhwɛ a ɛho hia sen biara a wɔde hu sɛ ebia akisikuru bi yɛ kokoram anaasɛ ɛnte saa. Wɔde ade a ɛyɛ fɛ yiye hyɛ akuru no mu, na wɔfa nkwammoaa ketewaa bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Eyi nso betumi aboa ma wɔahu akisikuru ko. Kokoram akisikuru bɛboro 20 na ɛwɔ hɔ na akisikuru a ɛnyɛ kokoram bɛyɛ 11 na ɛwɔ hɔ.

Susuw ho hwɛ, te sɛ ɔsraani a ɔhwehwɛ nkurɔfo ho nsɛm mu no, nnuruyɛfo boaboa nsɛm ano fi nhwehwɛmu ahorow yi mu na wohu nea yare no yɛ ankasa.

Nea efi saa (FNA) sɔhwɛ yi mu ba nso kyerɛ kokoram no gyinabea ne ne gyinabea .

• Ɔfã: Wɔnam akisikuru no kɛse, beae a ɛwɔ, ne sɛ ebia atrɛw akɔ ntini a ɛbɛn hɔ anaa nipadua no afã horow a ɛwɔ akyirikyiri so na ɛkyerɛ eyi.
• Abasobɔde: Eyi kyerɛ sɛnea kokoram nkwammoaa no hwɛ wɔ afiri a wɔde hwɛ nneɛma nketenkete mu. Wɔakyekyɛ mu afi nea ɛba fam so kosi nea ɛkorɔn so. Kokoram a ɛkorɔn betumi atrɛw ntɛmntɛm kakra.

Ɛnam saa nsɛm yi nyinaa a ɔde bɛka abom so na oduruyɛfoɔ no si ayaresa nhyehyɛeɛ a ɛyɛ papa ma wo, ne tebea ko a wobɛtumi ahwɛ kwan wɔ ayaresa akyi, a wɔfrɛ no Prognosis''.

Dɛn ne ayaresa a wɔde sa saa (Parotid Gland Tumor) yi?

Ayaresa titiriw a wɔde sa saa akisikuru yi ne oprehyɛn a wɔyɛ de yi akisikuru no fi hɔ .

Sɛ ɛyɛ akisikuru a ɛnyɛ kokoram (a ɛnyɛ papa) a, wobetumi de oprehyɛn asa no koraa.

Sɛ akisikuru bi yɛ hu mpo a, hokwan kɛse wɔ hɔ sɛ wɔde oprehyɛn bɛsa no yare, titiriw sɛ wohu no ntɛm na wɔsa a. Nanso, ɛtɔ mmere bi a kokoram akisikuru betumi san aba bio.

Oprehyɛn a wɔtaa yɛ ne parotidectomy . Wɔ eyi mu no, woyi ntini no fã a akisikuru no wom anaa ntini no nyinaa fi hɔ. Wɔtaa ma nnipa a wɔwɔ kokoram akisikuru no mframa a wɔde sa yare bere a wɔayɛ wɔn oprehyɛn awie no na amma kokoram no ansan amma bio.

Sɛ mewɔ parotid gland tumor a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Eyi gyina sɛ ebia wowɔ akisikuru a ɛnyɛ kokoram anaasɛ akisikuru a kokoram wom so ankasa.

• A benign tumor: Usually heals completely after surgery. Ɔhaw akɛse biara nni hɔ wɔ ɛno akyi.
• Sɛ ɛyɛ akisikuru a ɛyɛ hu a: Sɛ wohu no ntɛm na wɔsa ansa na atrɛw a, hokwan kɛse wɔ hɔ sɛ ɛbɛsa. Nanso, ɛtɔ mmere bi a saa kokoram akisikuru yi tumi san ba bio wɔ mfe pii akyi wɔ ayaresa akyi. Ɛno nti na wɔkamfo kyerɛ sɛ wɔbɛkɔ so akɔyɛ aduruyɛ mu nhwehwɛmu no.

Sɛ wɔasa w’aso mu kokoram a, ɛda adi sɛ wo duruyɛfo bɛhwɛ wo daa . Ebia nea ɛka eyi ho ne mfoninitwa sɔhwɛ ahorow. Ebia ɛho behia sɛ wɔyɛ nhwehwɛmu ahorow yi kosi mfe 20 wɔ ayaresa akyi. Ebia nhyehyɛe no bɛyɛ te sɛ eyi (eyi yɛ adwene a ɛyɛ katee kɛkɛ, wo duruyɛfo bɛka akyerɛ wo pɛpɛɛpɛ):

• Mfe 2 a edi kan: Asram 3-6 biara.
• Mfeɛ 2-5 ntam: Asram 6-12 biara.
• Mfe 5 akyi: Pɛnkoro afe biara.

Nnipa a wɔwɔ aso mu akisikuru a ɛyɛ kokoram no nkwa nna yɛ dɛn?

Eyi yɛ asɛm a ɛka koma kakra. Nkwa a wonya yɛ akontaabu a ɛfa ayarefo ɔha biara mu nkyem a wɔte ase mfe anum akyi wɔ bere a wɔahu sɛ wɔwɔ yare no akyi. Eyi betumi ayɛ soronko kɛse wɔ onipa biara ho na egyina nneɛma ahorow bi so.

• Tumor subtype: Kokoram akisikuru ahorow bɛboro 20 na ɛwɔ hɔ. Ɛsono nea ɛbɛba daakye wɔ ɔkwan biara so.
• Tumor stage: Dodow a kokoram no kɔ anim (dodow a ɛkɔ soro) no, dodow no ara na hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no sua.
• Tumor grade: Nnipa a wɔwɔ kokoram a ɛba fam no wɔ hokwan kɛse sɛ wɔbɛtra ase akyɛ sen wɔn a wɔwɔ kokoram a ɛkɔ soro no.

Sɛ nhwɛso no, Mucoepidermoid carcinoma (MEC) ne kokoram a abu so sen biara wɔ parotid ntini no mu. Bere a mfe 5 a wɔde tra ase wɔ kokoram a ɛba fam ho no bɛyɛ 86% no, wɔ kokoram a ɛkorɔn mu no ebetumi ayɛ bɛyɛ 22%.

Sɛ woredwen saa nkwa dodow'' yi ho a, ma saa nneɛma yi ntra w'adwenem:

• Eyinom yɛ gyinapɛn ahorow a wɔkyekyem pɛpɛɛpɛ ara kwa . Ebia wo tebea no bɛyɛ papa anaasɛ asɛe.
• Eyinom yɛ akontaabu a egyina ayarefo afoforo osuahu ahorow so.
• Wɔyɛ saa data yi foforo mfe anum biara, enti mprempren gyinapɛn ahorow no betumi asesa.

If you are being treated for a cancerous eardrum, talk openly with your doctor about what to expect. Obetumi ama woanya wo tebea no ho adwene a eye sen biara.

So wobetumi asiw parotid gland akisikuru yi ano?

Ɔkwan biara nni hɔ a wɔbɛfa so asiw saa akisikuru yi ano koraa , efisɛ wonnim nea ɛde ba ankasa. Nanso, yebetumi atew asiane no so akodu baabi denam asiane ahorow a wonim te sɛ tawa a yɛbɛkwati a yɛbɛkwati so .

Mɛyɛ dɛn ahwɛ me ho? (Wɔ ayaresa akyi) .

Esiane sɛ aso a ɛyɛ kokoram betumi asan aba nti, ɛho hia sɛ wohwɛ wo ho yiye bere a woasa wo yare awie no. Nneɛma bi a ɛbɛboa ni:

• Kɔ bere a wɔahyɛ sɛ wobedi akyi: Nhwehwɛmu a wɔyɛ de hwehwɛ kokoram no betumi ahu kokoram ansa na atrɛw.
• Kwati tawanom: Abenfo susuw sɛ tawa a wɔnom no ma asiane a ɛwɔ hɔ sɛ wobenya kokoram yi yɛ kɛse. Sɛ woyɛ obi a ɔnom tawa a, srɛ wo duruyɛfo ma ɔmmoa wo mma wogyae. Dwumadi ahorow bi wɔ hɔ a ebetumi aboa.
• Susuw sɛnea obi nya kokoram no ho hwɛ: Nim a wunim sɛ ebia kokoram bɛsan aba no betumi ayɛ hu na akanyan dadwen. Kokoram mu nkwagye nhyehyɛe ahorow betumi aboa wo ma woadi saa adwennwen yi ho dwuma.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wɔasa wo aso mu kokoram a, wɔbɛyɛ follow-up nhwehwɛmu daa. Nanso sɛ wote nka sɛ akisikuru foforo bi wɔ w’aso anim , anaasɛ wuhu nsakrae foforo biara a ɛyɛ soronko a , kɔ oduruyɛfo nkyɛn ntɛm ara .

Parotid ntini no mu akisikuru ho yɛ na. Mpɛn pii no, ɛnyɛ kokoram (benign). Nanso, ɛtɔ mmere bi a wobetumi anya kokoram. Nsɛnkyerɛnne titiriw ne akisikuru a ɛwɔ aso no anim. Sɛ wuhu sɛ akisikuru anaa ɔfe bi wɔ saa beae no a, ntwentwɛn wo nan ase sɛ wo ne oduruyɛfo bɛkasa . Ɔbɛyɛ nhwehwɛmu a ɛho hia, ahu nea ɔhaw no yɛ, na wakyerɛw ayaresa a ɛfata sen biara ama wo.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae fi asɛm yi mu (Take-Home Message) .

• Sɛ wowɔ akisikuru bi wɔ w’aso anim anaa w’afono so a, ebetumi ayɛ Parotid Gland Tumor.
• Saa akisikuru yi taa nyɛ kokoram (ɛnyɛ bɔne) , nanso ebi betumi ayɛ kokoram (ɛyɛ bɔne).
• Sɛ wuhu sɛnkyerɛnne ahorow te sɛ ɛyaw, akisikuru, ɛyɛ den sɛ wubebue w’ano, anaa nsakrae a ɛba w’anim tebea mu a, hwehwɛ aduruyɛfo afotu ntɛm ara .
• FNA biopsy nkutoo na ebetumi ahu sɛnea akisikuru no te pɛpɛɛpɛ.
• Wɔde oprehyɛn ne mframa a wɔde sa yare di dwuma sɛ kokoram ayaresa.
• Ɛho hia sɛ wodi akyi daa , efisɛ kokoram akisikuru betumi asan aba bio.
• Sɛ wɔkwati tawanom a, ebetumi aboa ma asiane no so atew.

Kae sɛ, sɛ wuhu sɛ akisikuru anaa nsakrae bi a ɛyɛ soronko wɔ wo nipadua mu a, nyansa wom sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara, sen sɛ wobɛbɔ hu. Saa kwan no so no, sɛ ɔhaw bi wɔ hɔ a, wobetumi ahu na wɔasa no ntɛm.