Sɛ obi wɔ w’abusua mu, ebia wo maame, wo nuabea, anaa wo maame nuabea, anya nufu mu kokoram a, ehu bi wɔ w’adwene akyi sɛ, “Me nso mɛnya bi?” So eyi nyɛ ehu a nnipa pii wɔ? Mmea binom a asiane kɛse wom sɛ wobenya nufu mu kokoram no, wɔyɛ wɔn oprehyɛn yi wɔn nufu abien no nyinaa ansa na kokoram no anya mpo. Eyi ne nea yɛfrɛ no preventive mastectomy . Esiane sɛ eyi yɛ gyinaesi kɛse nti, momma yɛnka ho asɛm pefee na yɛnka no pɛpɛɛpɛ.
Dɛn ne Preventive Mastectomy?
Sɛ yɛbɛka no tiawa a, eyi ne oprehyɛn a wɔde yi nufu mu ntini a ebia kokoram nkwammoaa wom no fi hɔ na wɔayi hokwan a ɛwɔ hɔ sɛ wobenya nufu mu kokoram daakye no afi hɔ anaasɛ wɔbɛtew so kɛse. Wɔnyɛ eyi bere a kokoram anya nkɔso akyi, na mmom sɛ ahwɛyiye ansa na aba, esiane asiane kɛse a ɛwɔ hɔ sɛ wobenya kokoram nti. Wɔ aduruyɛ mu no, wɔsan frɛ eyi `Bilateral Prophylactic Mastectomy`.
Oprehyɛn yi botae titiriw ne sɛ wobeyi nufu mu ntini pii a ebetumi abɛyɛ kokoram, na wɔabɔ wɔn ho ban afi asiane ahorow a ɛbɛba daakye ho.
Henanom na oprehyɛn yi fata ankasa?
Eyi yɛ asɛmmisa a ɛho hia paa. Wɔnkamfo oprehyɛn yi nkyerɛ obiara. Ahyehyɛde ahorow te sɛ Ɔman Kokoram Asoɛe mpo kamfo kyerɛ sɛ mmea a asiane kɛse wom sɛ wobenya kokoram nkutoo nsusuw ho.
Kae sɛ eyi nyɛ biribi a woyɛ esiane sɛ wusuro sɛ wubenya nufu mu kokoram (kokoram ho suro) ara kwa nti. Ɛsɛ sɛ aduruyɛ mu ntease ahorow a emu da hɔ wɔ eyi ho.
Obiara a ɔwɔ asiane ahorow a ɛwɔ pon a ɛwɔ ase ha no mu biako anaa nea ɛboro saa no betumi ne ne duruyɛfo akasa afa eyi ho.
| Asiane a Ɛde Ba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| BRCA1 anaa BRCA2 awosu mu nkwaadɔm mu nsakrae | Eyinom yɛ awosu mu nkwaadɔm a ɛma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no yɛ kɛse. Wobetumi afa awosu mu nhwehwɛmu so ahu eyinom. |
| Abusua abakɔsɛm a emu yɛ den yiye | Sɛ abusuafo pii a wɔbɛn wɔn (ɛna, onuawa, ɔbabea) anya nufu mu kokoram, titiriw sɛ wonyaa yare no wɔ wɔn mmofraase a. |
| Lobular Carcinoma in Situ (LCIS) tebea a ɛwɔ hɔ | Ɛwom sɛ eyi nyɛ kokoram de, nanso ɛyɛ tebea a ɛma asiane a ɛwɔ hɔ sɛ obi benya kokoram daakye no yɛ kɛse. Asiane no yɛ kɛse mpo sɛ abusua abakɔsɛm wɔ eyi ho a. |
| Esiane sɛ wɔde mframa a ano yɛ den ayɛ wɔn koko ansa na wadi mfe 30 nti | Sɛ wonyaa mframa a wɔde sa yare wɔ wo moma so bere a na woyɛ abofra wɔ yare foforo (e.g. Hodgkin’s Lymphoma) ho a, ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram daakye no yɛ kɛse. |
| Kokoram a obi wɔ wɔ nufu biako mu na asiane kɛse wom sɛ obenya bi wɔ nufu foforo no mu | Bere a wɔasa kokoram dedaw wɔ nufu biako mu na asiane kɛse wɔ hɔ sɛ wobenya kokoram wɔ nufu foforo no mu esiane awosu anaa nneɛma afoforo nti. |
Ansa na wubesi gyinae te sɛ eyi no, ɛho hia sɛ wohwehwɛ awosu mu afotu ne adwene mu afotu , efisɛ eyi yɛ gyinaesi kɛse a ɛka nipadua ne adwene no nyinaa.
So eyi yi kokoram ho asiane no fi hɔ ankasa 100%?
Eyi ne nea nnipa pii bisa. Sɛ yɛbɛka nokware a, ɛyɛ den sɛ wode 100% guarantee bɛma. Nanso, wobetumi atew asiane no so ɔha biara mu nkyem a ɛkorɔn yiye, te sɛ 90% - 95% . Eyi te saa titiriw wɔ wɔn a wɔwɔ BRCA awosu mu nkwaadɔm mu nsakrae no fam.
Afei dɛn nti na ɛnyɛ 100%?
Susuw ho... Yɛn nufu mu ntini nni baabi biako sɛnea yesusuw no. Ɛtrɛw fi kɔla dompe no so kosi mpampam a ɛwɔ fam no so, na efi koko mfinimfini kosi asen no mu . Ntini a ɛma nufusu (nufusu ntini) ne nufusu ntini a ebetumi abɛyɛ kokoram no trɛw wɔ nufu mu ntini yi nyinaa mu, wɔ honam ani mpo.
Ɛmfa ho sɛnea oduruyɛfo a ɔyɛ oprehyɛn ho akokwaw no, ɛmfa ho sɛnea wɔde ahwɛyiye yɛ oprehyɛn no, ɛnyɛ nea mfaso wɔ so sɛ wobeyi nkwammoaa biara a ɛwɔ ntini no mu a atrɛw saa kwan yi so no afi hɔ. Enti, ebia wobegyaw ntini kakraa bi pɛ. Ɛno nti na asiane no mfi hɔ 100% no. Nanso asiane no so tew kɛse efisɛ dodow a aka no sua koraa.
Oprehyɛn akyi... so nnɛyi akwan bi wɔ hɔ a wobetumi apaw?
Aane. Nea eye ne sɛ, ɛnnɛ akwan a ɛkɔ akyiri kɛse wɔ hɔ a wɔfa so yɛ oprehyɛn yi. Nea ɛnte sɛ bere bi a atwam no, mprempren nea afi mu aba no di yiye kɛse.
Nufu a Wɔtwa a Ɛmma Wora Nsɛe
Eyi ne ɔkwan a wɔtaa fa so yɛ adwuma nnɛ. Wɔ saa adeyɛ yi mu no, nnuruyɛfo de ahwɛyiye yi ntini a ɛwɔ nufu no ase a ɛwɔ asiane mu sɛ wobenya kokoram no nkutoo, a ɛnsɛe honam ani. Eyi yi ntini pii paa a ebetumi abɛyɛ kokoram no fi hɔ.
Mpɛn pii no, woyi nufusu no ne were tuntum a atwa ho ahyia (areola) no fi hɔ. Nea enti a ɛte saa ne sɛ nufusu ntini no nyinaa bata nufu no ho, na ntini pii wɔ saa beae no. Nanso esiane sɛ wɔagyaw nufu no honam ani nti, ɛyɛ mmerɛw kɛse sɛ wɔbɛsan ayɛ nufu no (nufu a wɔsan yɛ).
Nufu a Wɔsan Yɛ Ntɛmara
Mpɛn pii no, mprempren wobetumi asan ayɛ nufu no bere koro no ara mu sɛnea wotwa nufu no, denam ntini a efi wo nipadua no mmeae afoforo anaa nneɛma titiriw a wɔde hyɛ wo mu so.
Sɛ wɔka akwan abien yi bom, kyerɛ sɛ, sɛ wɔkora were no so, woyi nufu no, na afei wɔsan yɛ no bere koro no ara mu a, nea efi mu ba no di yiye kɛse. Mmea pii a wɔyɛ wɔn oprehyɛn yi ani gye wɔn gyinaesi ne sɛnea wɔda wɔn ho adi wɔ oprehyɛn no akyi no ho yiye.
Nkrasɛm a Wɔde Kɔ Fie
- Preventive mastectomy nyɛ biribi a obiara betumi ayɛ. Wɔkamfo kyerɛ mmea a asiane kɛse wom sɛ wobenya nufu mu kokoram nkutoo.
- Ɛwom sɛ oprehyɛn yi nnyi kokoram ho asiane no mfi hɔ koraa (100%) de, nanso ebetumi atew so bɛboro 90% .
- Ansa na wubesi gyinae kɛse saa no, ɛho hia sɛ wohwehwɛ awosu mu afotu ne adwene mu afotu .
- Ɛdenam nnɛyi oprehyɛn a ɛmma honam ani nsɛe ne akwan a wɔfa so san kyekye ntɛm ara so no , wobetumi asan anya honam ani hwɛbea a eye paa.
- Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo besusuw nsɛmmisa ne ehu biara a wowɔ wɔ eyi ho no ho pefee. Ɔbɛkyerɛkyerɛ w’ankorankoro asiane ahorow ne akwan a eye sen biara a wubetumi apaw mu.
Nufu mu Kokoram, Nufu a Wɔde Siw Ano, Nufu a Wɔtwa, BRCA, Kokoram Asiane, Nufu a Wɔtwa, Mmea Akwahosan
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho