Ɛtɔ da bi a ebia wobɛte ehu bi nka wɔ wo koma mu, "Oh, me maame nso nyaa nufu mu kokoram, minnim sɛ me nso mɛnya bi...". So wo nso wowɔ ehu ne adwenem naayɛ a ɛte sɛɛ wɔ wo komam? Nokwarem no, nnipa binom taa nya nufu mu kokoram sen afoforo, kyerɛ sɛ, asiane kɛse wom. Enti wɔ wɔn a wɔwɔ asiane kɛse mu saa fam no, yɛreka aduruyɛ mu ɔkwan titiriw bi a ebetumi atew saa asiane no so sɛnea ɛbɛyɛ yiye biara ho asɛm nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne Prophylactic Mastectomy?
Ɛwom sɛ edin no te sɛ nea ɛyɛ den de, nanso nea ɛba no yɛ mmerɛw koraa. Prophylactic Mastectomy yɛ oprehyɛn a wɔde yi nufu biako anaa abien no nyinaa ansa na ayɛ kɛse, a wɔn botae ne sɛ wɔbɛtew asiane a ɛwɔ hɔ sɛ wobenya nufu mu kokoram no so. Wɔsan frɛ eyi sɛ "Preventative Mastectomy" anaa "Risk-reducing Mastectomy."
Nea ɛho hia ne sɛ, eyi nyɛ oprehyɛn a obiara yɛ. Wɔkamfo kyerɛ wɔn a nnuruyɛfo hu sɛ asiane kɛse wom sɛ wobenya nufu mu kokoram nkutoo.
Henanom na ɛsɛ sɛ wosusuw oprehyɛn yi ho?
Sɛ wususuw sɛ asiane kɛse wɔ hɔ sɛ wubenya nufu mu kokoram a, wubetumi ne wo duruyɛfo akasa afa eyi ho na woasi gyinae. Wɔtaa susuw oprehyɛn yi ho ma nnipa a asiane ahorow a edidi so yi:
- Abusua abakɔsɛm a ɛfa kokoram ho: Sɛ obi a ɔwɔ w’abusua mu, titiriw obusuani bi a ɔbɛn no te sɛ ɛna, onuawa, anaa ɔbabea anya nufu mu kokoram a, asiane a ɛwɔ hɔ no yɛ kɛse. Na asiane a ɛwɔ hɔ no yɛ kɛse mpo sɛ saa onipa no nyaa kokoram no ansa na ɔredi mfe 50 a.
- Nea efi awosu mu nhwehwɛmu mu ba: Awosu mu nhwehwɛmu betumi ahu awosu mu nkwaadɔm mu nsakrae bi a ɛma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no yɛ kɛse. Titiriw no, sɛ wosi nkwaadɔm mu nsakrae a ɛba BRCA1 ne BRCA2 awosu mu nkwaadɔm mu so dua a, asiane a ɛwɔ hɔ sɛ obi benya kokoram no yɛ kɛse yiye.
- W’ankasa wubenya kokoram: Sɛ wowɔ kokoram wɔ wo nufu biako mu dedaw a, nnipa binom paw sɛ wobeyi nufu foforo a ɛte apɔw no afi hɔ wɔ saa kwan yi so. Nanso, eyi nsakra kokoram a ɛwɔ hɔ dedaw no ayaresa anaa nea efi mu ba no.
- Mframa a wɔde sa yare a wɔde ma: Sɛ wode mframa a wɔde sa wo moma so esiane biribi foforo nti bere a na woyɛ abofra, a woadi mfe 10 kosi 30 a, ɛno nso yɛ ade a ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no yɛ kɛse.
Oprehyɛn yi di yiye dɛn?
Mfaso kɛse a ɛwɔ oprehyɛn yi so ne sɛ ebetumi atew asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no so kɛse.
- Obi a ɔwɔ awosu mu nsakrae te sɛ BRCA1 anaa BRCA2 no wɔ asiane 95% sɛ obenya kokoram wɔ oprehyɛn yi akyi.Ɛtew so bɛyɛ .
- Obi a ɔwɔ asiane kɛse mu esiane abusua abakɔsɛm nti betumi atew asiane a ɛwɔ mu no so bɛyɛ 90% .
Eyi nkyerɛ sɛ asiane no befi hɔ koraa, na mmom wobetumi atew so akodu baabi a ɛba fam koraa.
So oprehyɛn yi ahorow wɔ hɔ?
Yiw, wɔyɛ oprehyɛn yi wɔ akwan horow so a egyina ɔyarefo no ahiade ne nnuruyɛfo nyansahyɛ ahorow so. Ma yɛnhwɛ nea ɛyɛ ahorow atitiriw no.
| Oprehyɛn Ahorow a Wɔyɛ | Dɛn na ɛrekɔ so ara kwa? |
|---|---|
| Nufu a Wɔtwa Wɔ Afã Abien | Nufu abien no nyinaa a wobeyi afi hɔ koraa. |
| Contralateral Mastectomy a Wɔyɛ no Akyi | Sɛ woyi nufu a kokoram wom a, woyi nufu foforo a ɛwɔ apɔwmuden no nso fi hɔ. |
| Mastectomy a ɛnyɛ honam ani hwɛbea | Nufu no ne beae a ɛyɛ tumm a atwa ho ahyia (areola) a wobeyi afi hɔ, a wogyaw honam ani hwɛbea no sɛnea ɛte biara na woyi ntini a ɛwɔ mu no fi hɔ. |
| Nufu a wɔde twa nufusu a ɛnyɛ den | Nufu no mu ntini nkutoo a wobeyi afi hɔ, na woagyaw honam ani ne nufusu no a ɛnyɛ hwee. |
| Mastectomy a Wɔde Sisi Nnuru a Wɔsan Yɛ | Nufu a wɔsan yɛ denam ade a wɔde hyɛ nipadua no mu anaa ntini a wogye fi nipadua no mmeae afoforo so, ne nufu a woyi fi hɔ. |
Dɛn na ɛba ansa na wɔreyɛ oprehyɛn no ne bere a wɔreyɛ no oprehyɛn no?
Ansa na wɔreyɛ no oprehyɛn
Wo duruyɛfo ne nnuruyɛfo kuw no bɛma wo akwankyerɛ a wuhia nyinaa ansa na wɔayɛ oprehyɛn no. Da a wɔbɛyɛ oprehyɛn no, wɔbɛma wo ayaresabea atade. Afei, wɔde IV nhama bɛka wo basa ho na wɔama wo aduru a wɔde kum nipadua no. Eyi kyerɛ sɛ wobɛda koraa. Enti worente ɛyaw anaa biribiara nka bere a wɔreyɛ oprehyɛn no .
Bere a wɔreyɛ oprehyɛn no
Oduruyɛfo a ɔyɛ oprehyɛn no di anammɔn yi akyi:
- Wɔtwa honam ani (twitwa) wɔ beae a ɛfata wɔ nufu no so.
- Wɔde ahwɛyiye tetew nufu mu ntini no fi honam ani ne koko mu ntini ahorow no ho.
- Woyi nufu mu ntini a wɔatew mu no fi hɔ koraa.
- Sɛ woasi gyinae sɛ wobɛsan ayɛ wo nufu a, saa anammɔn no fi ase mprempren.
- Wɔde nsukorade nketewa biako anaa nea ɛboro saa (nsu a ɛkɔ nsu mu) si kuru no nkyɛn na ama nsu ne mogya a ɛboro so a ɛboaboa ano bere a kuru no sa no.
- Awiei koraa no, wɔsan pam nea wɔatwa no bom na wɔde aduru kata so.
Mpɛn pii no, oprehyɛn yi gye bɛyɛ nnɔnhwerew abien kosi abiɛsa, nanso sɛ wɔsan yɛ nufu no nso bere koro no ara mu a, ebetumi agye bere tenten.
Dɛn na ɛba wɔ oprehyɛn no akyi?
Sɛ wɔyɛ oprehyɛn no wie a, ɛho behia sɛ wotra ayaresabea hɔ da koro anaa nnanu. Saa bere yi begyina w’akwahosan ne sɛ ebia wɔyɛɛ wo oprehyɛn de san kyekyee wo anaa. Ansa na wubefi ayaresabea hɔ no, nnuruyɛfo kuw no bɛma wo akwankyerɛ wɔ sɛnea wobɛhwɛ wo kuru no wɔ fie ne sɛnea wobɛhwɛ wo nsu a ɛkɔ wo nsu mu no so.
Afei nso, wɔbɛkyerɛ wo apɔw-mu-teɛteɛ titiriw bi a ɛbɛma wo nsa ne wo mmati a ɛyɛ den no so atew bere a wɔayɛ wo oprehyɛn awie no. Ɛho hia paa sɛ yɛyɛ eyinom yiye.
Ɛsono bere a wɔde ma obi ho tɔ no wɔ onipa biara mu. Mpɛn pii no egye adapɛn 3-4 ansa na woafi ase ate nka sɛ wo ho tɔ wo kakra. Sɛ wɔyɛɛ wo oprehyɛn a ɛbɛma woasan asiesie wo ho a, ebetumi agye adapɛn 8 anaa nea ɛboro saa ansa na wo ho atɔ wo. Ebia ebegye asram pii ansa na woatumi asan afi wo dwumadi ahorow a wotaa yɛ no ase.
So asiane biara nni oprehyɛn yi mu?
Te sɛ oprehyɛn biara no, asiane ahorow bi wɔ eyi mu.
- Mogya a ɛretu
- Nsaneɛ
- Nufu mu honam ani nkate a ɛyera anaasɛ ɛso tew
Wɔ nipadua mu asiane ahorow yi akyi no, ɛsɛ sɛ yɛhwɛ nkɛntɛnso a ɛwɔ adwene mu no nso . Sɛ woyɛ wo oprehyɛn wie a, ebia wobɛte nka sɛ wo ho yeraw wo, woadi awerɛhow, na woayera wɔ sɛnea wo nipadua te no ho. Eyi yɛ ade a ɛfata koraa.
Sɛ wote nka sɛ woayɛ basaa na wo ho yeraw wo a, mma w’ani nwu ho. Mma wo nkutoo nko ntia saa nkate horow no. Adwene ne nneyɛe ho ɔbenfo anaa adwenemyare ho ɔfotufo a wo ne no bɛkasa no betumi ayɛ ahoɔden fibea kɛse.
Dɛn ne sɛnkyerɛnne ahorow a ɛhwehwɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi bere a woafi oprehyɛn aba fie akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara .
- Mogya a ɛtɔ dodo fi kuru no mu
- Huraeɛ
- Ɛyaw a ɛkɔ so anaasɛ ɛkɔ soro wɔ adapɛn pii mu
- Kuru no ho a ɛyɛ kɔkɔɔ anaasɛ ɛho ahonhon a ɛnkɔ
- Ɔhyew a ɛba bere a wɔde wɔn nsa ka kuru no ho no
Nkrasɛm a Wɔde Kɔ Fie
- Prophylactic Mastectomy nyɛ oprehyɛn a obiara yɛ. Wɔyɛ ma wɔn a asiane kɛse wom sɛ wobenya nufu mu kokoram nkutoo.
- Saa oprehyɛn yi betumi atew kokoram ho asiane so kɛse (90-95%), nanso ɛnnyi asiane no mfi hɔ 100%.
- Sɛ wususuw sɛ ebia wowɔ asiane mu a, wo ne wo duruyɛfo nkasa pefee mfa nneɛma te sɛ abusua abakɔsɛm ne awosu mu nhwehwɛmu (BRCA1/2) ho.
- Eyi yɛ gyinaesi kɛse. Ebegye bere ansa na wɔasa yare, wɔ honam ne adwene mu nyinaa. Mma ntwentwɛn wo nan ase da sɛ wobɛhwehwɛ adwenemyare ho mmoa sɛ ɛho hia a.
- Ansa na wubesi gyinae biara no, ɛho hia sɛ wo ne wo duruyɛfo susuw mfaso ne ɔhaw ahorow a ɛwɔ oprehyɛn mu, ne akwan afoforo a wubetumi afa so no ho yiye.











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