So woahyɛ no nsow pɛn sɛ ɛtɔ mmere bi a wo nufu ho were no yɛ soronko kakra, te sɛ borɔdɔma a wɔayam a ntokuru nketenkete wom na ɛte sɛ nea ɛyɛ mmerɛw? Wɔ aduruyɛ mu no, yɛfrɛ eyi ‘Peau D’Orange’ (peau-d’orange). Wɔ Franse kasa mu no, eyi kyerɛ "orange peel". Nea ɛho hia paa ne sɛ eyi nyɛ yare. Nanso, ebetumi ayɛ tebea foforo a ɛda adi wɔ nipadua no mu ho sɛnkyerɛnne. Enti, ɛho hia paa sɛ yehu eyi na ɛnsɛ sɛ yesuro.
Dɛn na ɛde saa borɔdɔma honam ani (Peau D’Orange) yi ba ankasa?
Sɛ yɛbɛka no tiawa a, ade titiriw a ɛma eyi ba ne ɔfe a nsu a ɛboaboa ano wɔ honam ani no. Nnuruyɛfo nso frɛ eyi `(Edema)`. Fa no sɛ, sɛ nsuo boaboa ano wɔ honam ani no ase a, honam ani fã a ɛwɔ soro (yɛfrɛ no `epidermis`) no fi ase trɛw ma ɛyɛ baabi. Nanso yɛn honam ani ntini a ɛma fifiri pue no, honam ani hwɛbea no kura mu te sɛ bɔton a ɛwɔ atade so. Ɛno ne bere a honam ani hwɛbea te sɛ nsensanee nketenkete anaa abon .
Saa tebea yi betumi de ɛyaw, emu duru, ne nufu a ɛho ahonhon aka ho. Ɛtɔ da bi a, ebetumi ayɛ te sɛ nea ɛyɛ den na ɛyɛ den, te sɛ aboa nhoma, bere a wɔde wɔn nsa ka no.
So eyi yɛ kokoram bere nyinaa? So ɛsɛ sɛ mehaw me ho?
Dabi, eyi ne ade a edi kan a ɛsɛ sɛ yɛte ase. Nneɛma pii nti na nufu mu ntini betumi ahonhon, ayɛ kɔkɔɔ, ayɛ den, anaa ayɛ yaw. Sɛ nhwɛso no, ebetumi asi bere a wɔyem, bere a wɔrema nufu, bere a obi rekɔ brayɛ , anaa mpo esiane honam ani haw ahorow a ɛtaa ba nti. Nanso, anim pɔtee a wɔfrɛ no `Peau D'Orange`, kyerɛ sɛ, sɛnea ɛyɛ akutu a ɛyɛ dimpled no, ba bere a nsu a ɛboaboa ano (edema) wɔ ase no.
Nanso, ade a anibere wom sen biara a ɛsɛ sɛ yɛhaw yɛn ho kɛse ne tebea bi a wɔfrɛ no Inflammatory Breast Cancer (IBC) .
Eyi yɛ kokoram a ɛntaa nsi koraa nanso ɛtrɛw ntɛmntɛm yiye, enti ɛho hia yiye sɛ wuhu.
Ma w’ani nna hɔ wɔ Nufu mu Kokoram a Ɛho Hia (IBC) ho .
Ɛwom sɛ kokoram a ɛte sɛɛ yɛ nufu mu kokoram a wohu wɔ Sri Lanka nyinaa mu ɔha biara mu nkyem kakraa bi pɛ (ennu 5%) de, nanso ne su hwehwɛ sɛ wɔsa no ntɛm .
Wɔ IBC mu no, kokoram nkwammoaa siw ntini a ɛwɔ nufu no honam ani no kwan. Eyi mma nsu a ɛwɔ nufu no mu no ntumi mfi ntini a ɛwɔ abasa no ase anaa ne kɔn mu dompe no atifi no mu yiye, na ɛma ɛboaboa ano wɔ nufu no mu. Saa nsu a ɛboaboa ano yi na ɛma ‘peau d’orange’ no da adi.
Hwɛ yiye wɔ saa sɛnkyerɛnne ahorow yi a ɛtaa ba ntɛmntɛm wɔ nufu biako pɛ mu no ho.
| IBC Ho Nsɛnkyerɛnne Afoforo |
|---|
| * Ɛyaw, akisikuru, ne ɛyaw. |
| * Nufu a ɛyɛ kɛse anaasɛ te nka sɛ ɛyɛ duru. |
| * Ɔhyew a wɔte nka wɔ nufu no mu. |
| * Ɔhonhon a ɛda adi pefee. |
| * Nufu no bɛboro nkyem abiɛsa mu biako a ɛyɛ kɔkɔɔ. |
| * Nufu a ɛyɛ tratraa anaasɛ ɛdannan. |
Oduruyɛfo no gyina ɔyarefo no tebea so na ɛkyerɛ ayaresa a wobetumi apaw ama IBC. Ebia nea ɛka ho ne:
- Nnuru a wɔde sa yare
- Oprehyɛn – Mpɛn pii no ɛsɛ sɛ woyi nufu no nyinaa.
- Mframa a wɔde sa yare
- Ayaresa a wɔde wɔn ani asi so
- Hormone ayaresa
Dɛn ne nneɛma afoforo a ɛde ba a ɛnyɛ kokoram?
Sɛnea yɛaka ho asɛm dedaw no, ade titiriw a ɛma `Peau D'Orange` pue ne nsu a ɛboaboa ano wɔ honam ani (`Edema`). Saa `Edema` tebea yi betumi aba esiane nneɛma pii nti, ɛnyɛ kokoram nkutoo.
Nhwɛso bi ne tebea bi a wɔfrɛ no Lymphedema . Eyi ne bere a nsu a ɛma mogya tu no ntumi nkɔ yiye na ɛboaboa ano wɔ baabi biako. Saa tebea yi nso betumi aba bere a wɔasa nufu mu kokoram (oprehyɛn, mframa a wɔde sa yare) akyi. Ebetumi aba esiane nneɛma afoforo nso nti.
| Tebea afoforo a ɛnyɛ kokoram a ebetumi ama Peau D’Orange apue |
|---|
| * Nufusu ntini a esiw anaasɛ ɔyare mmoawa (`Mastitis`) . |
| * Ntini a ɛka bom yɛ nyarewa (te sɛ `Scleroderma`, `Sarcoidosis`) . |
| * Nufu mu nyarewa afoforo (`Infection`) . |
| * Koma a entumi nyɛ adwuma yiye |
| * Thyroid yare |
| * Nea wɔyɛ wɔ nnuru bi a wɔde kum ɛyaw anaa mogya mmoroso ho |
| * Nneɛma a ɛma obi ho yɛ no hyew |
| * Mogya a ɛtwetwe |
| * Nyinsɛn |
| * Akuru afoforo a ɛnyɛ kokoram (`Tumors`) a ɛnyɛ IBC |
Sɛ edema ba esiane biribi te sɛ eyi nti a, nea ɛka ɔfe ho no, wubetumi anya sɛnkyerɛnne ahorow te sɛ nea ɛyɛ mmerɛw, honam ani a ɛyɛ den, ne honam ani a ɛyɛ den nso . Wɔ tebea a ɛte saa mu no, wo duruyɛfo no bedi kan abɔ mmɔden sɛ ɔbɛsa nea ɛde ba no.
Nea ɛka ho no, wobetumi akyerɛw nnuru a wɔde sesa aduan , apɔw-mu-teɛteɛ , mu duru a ɛso tew , ne sɛ ɛho hia a , nnuru a wɔde siw nsu mu anaa nnuru a wɔde nsu gu mu .
Sɛ wuhu sɛnkyerɛnne bi a ɛte sɛɛ a, dɛn na ɛsɛ sɛ woyɛ?
Eyi ne ɔfã a ɛho hia sen biara. Sɛ wuhu sɛ wo nufu honam ani yɛ kurukuruwa, ɛho ahonhon, ɛyɛ kɔkɔɔ, ɛyaw, anaa nsakrae foforo biara a ɛyɛ soronko wɔ wo nufu honam ani a, yɛsrɛ wo mma wo ho nnpopo. Nanso mmu w’ani ngu so nso.
Ade a edi kan na ɛho hia sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara na wɔakɔhwɛ wo.
Sɛ́ anka wobɛhwehwɛ nsɛm wɔ intanɛt so na woasuro no, ano aduru a eye sen biara ne sɛ wobɛkɔ oduruyɛfo a ɔfata nkyɛn. Wo duruyɛfo bɛhwɛ wo na sɛ ɛho hia a, ɔde wo bɛkɔ akɔyɛ nhwehwɛmu te sɛ ultrasound scan, mammogram, anaa biopsy de ahu nea ɛde ba ankasa. Kae sɛ, sɛ wohu ntɛm a, ɛma hokwan a ɛwɔ hɔ sɛ wɔbɛsa tebea biara a edi mu no yɛ kɛse.
Nkrasɛm a Wɔde Kɔ Fie
- `Peau D'Orange` (orange peel skin) nyɛ yareɛ, na mmom ɛyɛ tebea bi a ɛwɔ aseɛ ho sɛnkyerɛnne.
- Ɛwom sɛ nea ɛde eyi ba a ɛyɛ hu sen biara ne `Inflammatory Breast Cancer (IBC),` de, nanso nneɛma afoforo pii a ɛnyɛ kokoram betumi aba, a ɔyare mmoawa, nyinsɛn, ne nea ɛkeka ho ka ho.
- Sɛ wuhu nsakrae biara wɔ wo nufu honam ani, te sɛ ɛho ahonhon, ɛyɛ kɔkɔɔ, anaa ɛyaw a , ntwentwɛn wo nan ase na hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ́ anka wobɛbɔ hu na woahwehwɛ nsɛm wɔ intanɛt so no, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn na woahu nea ɛde ba ankasa.
- Sɛ wohu ntɛm a, ɛma hokwan a ɛwɔ hɔ sɛ wɔbɛsa tebea biara yiye no yɛ kɛse.
Peau D'Orange Sinhala, Orange Peel Skin, Nufu mu Kokoram Nsɛnkyerɛnne, Nufu mu Kokoram a Ɛyɛ Ɔhyew Sinhala, Nufu a Ɛhonhon, Mmea Akwahosan, Edema Sinhala
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