Sɛ yɛte asɛmfua "kokoram" a, yɛn nyinaa yɛ cringe kakra, ɛnte saa? Ɛyɛ ade a ɛfata sɛ yɛbɛte ehu nka kakra bere a yɛte nufu mu kokoram ho asɛm, a ɛyɛ asɛm a ɛtaa ka mmea ho asɛm no. Nanso, ansa na yebesuro no, ɛho hia sɛ yɛte eyi ase yiye . Asɛmpa no ne sɛ esiane nnuruyɛ mu nhwehwɛmu a ɛkɔ akyiri nnɛ, titiriw mammogram nti, wotumi hu nufu mu kokoram ntɛm ara. Sɛ wohu ntɛm a, hokwan a ɛwɔ hɔ sɛ wɔbɛsa no koraa no yɛ kɛse koraa. Enti momma yɛnka eyi ho asɛm nkɔ akyiri, tiawa koraa.
Dɛn ne nneɛma a ɛde nufu mu kokoram ba?
Biribiara nni hɔ a ɛde nufu mu kokoram ba. Nanso, nnuruyɛfo ahu nneɛma pii a ɛma asiane a ɛwɔ hɔ sɛ obi benya yare no yɛ kɛse. Yɛfrɛ eyinom ‘asiane nneɛma’. Sɛ wunya eyinom mu biako anaa nea ɛboro saa a, ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wubenya kokoram. Nanso ɛho hia sɛ yɛma yɛn ani da hɔ wɔ saa nneɛma yi ho.
Kae sɛ obi a onni asiane biara mpo betumi anya nufu mu kokoram. Saa ara nso na obi a ɔwɔ saa nneɛma a ɛde asiane ba yi pii betumi akɔ so ayɛ nea yare no nni ne nkwa nna nyinaa. Ade a ɛho hia sen biara ne sɛ wobɛma w’ani ada hɔ.
Nneɛma a ɛde asiane ba ho nsɛm a wɔahyehyɛ ni. Momma yɛnhwɛ eyi wɔ pon so na ama ayɛ mmerɛw sɛ yɛbɛte ase.
| Asiane a Ɛde Ba | Sɛ yɛbɛkyerɛkyerɛ mu tiawa a... |
|---|---|
| Ɔbea a obi yɛ | Nufu mu kokoram taa ba mmea so, nanso ɛntaa mma koraa sɛ ebetumi aba mmarima so. |
| Mpanyinyɛ | Asiane no kɔ soro bere a obi nyin no, titiriw bere a wadi mfe 50 akyi no. |
| Abusua abakɔsɛm | Sɛ wo busuani bi a ɔbɛn wo mogya, te sɛ wo maame, wo nuabea, anaa wo babea anya nufu mu kokoram a, asiane a ɛwɔ hɔ sɛ wubenya no dɔɔso kakra. |
| Ankorankoro abakɔsɛm | Sɛ woadi kan anya kokoram wɔ wo nufu biako mu a, asiane wɔ hɔ sɛ wubenya bi wɔ nufu foforo no nso mu. |
| Mmofra a wɔbɛwo ne nufu a wɔde ma | Sɛ wowo wo ba a odi kan wɔ mfe 30 akyi, wo mma koraa, anaasɛ womma wo mma nufu a, ebetumi ama asiane a ɛwɔ hɔ no ayɛ kɛse. |
| Brayɛ mu kyinhyia | Brayɛ fi ase ansa na wadi mfe 12 na bratwa (brayɛ a wogyae) ba bere a wadi mfe 55 akyi. |
| Awosu mu Nneɛma a Wɔasesa | Asiane no dɔɔso kɛse ma wɔn a wokura nkwaadɔm mu nsakrae wɔ awosu mu nkwaadɔm BRCA1 anaa BRCA2 mu no. Eyinom yɛ awosu mu nsakrae a wɔde kɔ awo ntoatoaso ahorow mu. |
| Nipadua mu duru | Sɛ obi mu duru boro so a, ɛde asiane ba, titiriw bere a wagyae brayɛ akyi. |
| Hormone ayaresa | Hormone replacement therapy (HRT) a estrogen ne progestin wom a wɔde di dwuma bere tenten ma obi a wagyae brayɛ, ne akwan bi a wɔfa so siw awo ano a hormone wom. |
| Nsã a wɔnom | Nnipa a wɔnom nsa da biara da no wɔ asiane kɛse mu sen wɔn a wɔnnom nsa no. Asiane no kɔ soro bere a dodow kɔ soro no. |
| Nneɛma afoforo | Esiane sɛ wɔde mframa a ano yɛ den ayɛ wɔn koko no fã bi bere bi a atwam, apɔw-mu-teɛteɛ a wɔnyɛ, aduan a srade pii wom na nnuaba ne nhabannuru nnim, ne nufu mu akisikuru afoforo a ɛnyɛ kokoram te sɛ fibroadenoma a ɛwɔ hɔ nti. |
So abusuakuw anaa asetra mu tebea ka asiane?
Eyi yɛ asɛmmisa a ɛyɛ den kakra. Mmuae a ɛyɛ mmerɛw ne sɛ nufu mu kokoram nyɛ yare a abusua, ɔsom, anaa abusua biara nkutoo na ɛba. Ebetumi aka ɔbea biara, wiase baabiara.
Nanso, nhwehwɛmu a wɔayɛ wɔ aman ahorow so wɔ wiase nyinaa ada no adi sɛ nsonsonoe wɔ nnipa akuw bi mu wɔ asiane a ɛwɔ hɔ sɛ wobenya saa yare yi na wɔawuwu no mu. Ɛnyɛ wɔn awosu mu nkwaadɔm nkutoo na ɛde eyi ba titiriw. Nea ɛho hia kɛse ne asetra, sikasɛm ne amammerɛ mu tebea a wɔte mu.
Susuw ho sɛ wɔ mmusuakuw bi mu no, wobetumi ahu sɛ mmea anya kokoram bere a yare no mu ayɛ den dedaw anaasɛ wɔn tebea a emu yɛ den no. Nneɛma pii nti na ɛte saa:
- Nhumu a wonni: Nimdeɛ a wonni wɔ nufu mu kokoram ho sɛnkyerɛnne a edi kan, sɛnea wobɛhwehwɛ wo ho mu ahwɛ wo nufu mu, ne nea enti a ɛsɛ sɛ wokɔ aduruyɛ mu.
- Ɛyɛ den sɛ wobenya ayaresa: Sikasɛm mu nsɛnnennen, kar a wonnya, ne abusua oduruyɛfo (Primary Care Provider) a wonni betumi ama nkurɔfo atwɛn akosi sɛ wɔn yare no mu bɛyɛ den.
- Amammerɛ mu gyidie: Nnipa binom dan kɔ atetesɛm anaa "akuraa ase aduruyɛ" foforɔ so berɛ a wɔyare ansa na wɔakɔ oduruyɛfoɔ nkyɛn. Ɛtɔ mmere bi a eyi betumi atwentwɛn wo nan ase sɛ wobehu yare no na wɔasa no. (Nea ɛho hia: Ɛnyɛ sɛ wɔrebu aduruyɛ a wɔde di dwuma wɔ amanne kwan so no animtiaa. Nanso, wɔ yare bi te sɛ kokoram fam no, sɛnea Atɔe Famfo nnuruyɛ kyerɛ no, ɛho hia sɛ wohu no ntɛm na wɔsa no.)
- Akwahosan nhyehyɛe no mu ahotoso a wonni: Ɛtɔ mmere bi a nkurɔfo de wɔn yare no ho sɛnkyerɛnne no sie esiane ehu anaa adwene a ɛnteɛ a wɔwɔ wɔ ayaresabea ne nnuruyɛfo ho nti mpo a.
Saa nsɛm yi nso fa yɛn ho wɔ Sri Lanka. Ebia nneɛma a obi a ɔwɔ kurow no mu betumi anya no rentumi mma obi a ɔwɔ akuraa a emu yɛ den ase. Enti nea ɛho hia sen biara ne sɛ, ɛmfa ho sɛnea wo asetra ne sikasɛm tebea te biara no, sɛ wuhu nsakrae bi wɔ wo nipadua mu a, nsuro anaa w’ani nnye ho, na mmom kɔ oduruyɛfo nkyɛn ntɛm ara na hwehwɛ afotu.
Dɛn na ɛsɛ sɛ woyɛ? Hia a ɛho hia sɛ wohu ntɛm
Sɛ wowɔ ehu bi bere a woakenkan asɛm yi awie a, yɛsrɛ sɛ fa to nkyɛn. Ɛnyɛ saa nsɛm yi atirimpɔw ne sɛ ɛbɛbɔ wo hu, na mmom sɛ ɛbɛkyerɛkyerɛ wo. Nhumu ne ahoɔden a ɛsen biara.
Nneɛma a ɛsɛ sɛ w’ankasa woyɛ
- Yɛ nufu mu nhwehwɛmu ɔsram biara:Pɛnkoro ɔsram biara, nnafua 5-7 wɔ wo nna akyi no, hwehwɛ nufu abien no nyinaa mu wɔ ahwehwɛ anim bere a woada fam no. Hwehwɛ akuru, honam ani nsakrae, nufu a ɛsakra, anaa nsu biara a ɛbɛtɔ. Sɛ wunnim sɛnea wobɛyɛ eyi a, bisa w’abusua oduruyɛfo.
- Hwɛ nsakrae a ɛba wo nipadua mu: Sɛ wuhu nsakrae biara wɔ wo nufu anaa wo nsateaa mu, te sɛ akuru foforo, ɛyɛ den, ɛho ahonhon, honam ani kɔla a ɛsakra (te sɛ borɔdɔma a wɔayam), nufu no mu a ɛkɔ mu, mogya anaa nsu foforo a efi nufu no mu, anaasɛ honam ani a ɛyɛ wo yaw anaasɛ ɛyɛ kɔkɔɔ a, mmu w’ani ngu so.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wuhu nsakrae a yɛaka ho asɛm wɔ atifi hɔ no bi , sɛ ɛyɛ ketewaa mpo a, kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Ɛnyɛ akisikuru biara na ɛyɛ kokoram. Nanso ɛsɛ sɛ oduruyɛfo si gyinae sɛ ebia ɛyɛ kokoram anaasɛ ɛnte saa.
Wo duruyɛfo betumi agyina mfe a woadi ne asiane ahorow so ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ mammogram anaa ultrasound scan.
Nkrasɛm a Wɔde Kɔ Fie
- Nufu mu kokoram nyɛ biribi a ɛsɛ sɛ wosuro, na mmom ɛyɛ biribi a ɛsɛ sɛ wohwɛ yiye.
- Hwɛ yiye wɔ nsakrae biara a ɛyɛ soronko a ɛba wo nufu mu (akuru, ɛho ahonhon, honam ani nsakrae). Sɛ wuhu eyinom mu bi a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Ma nufu a wobɛhwehwɛ wo ho mu ɔsram biara no nyɛ wo su. Ebetumi aboa ma woagye wo nkwa.
- Asetra a ahoɔden wom (aduan pa, apɔw-mu-teɛteɛ, nsa a wɔma ano hye) betumi atew asiane no so.
- Ɛdenam mfe a woadi ne w’abusua abakɔsɛm so no, yɛ nhwehwɛmu ahorow (e.g., mammogram) a wo duruyɛfo kamfo kyerɛ no wɔ bere ano. Sɛ wohu ntɛm a, ɛno ne ahobammɔ a eye sen biara.
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