Dɛn ne saa akisikuru a ɛyɛ nwonwa yi a ɛba asaabo mu? Momma yensua (Renal Oncocytoma) ho ade wɔ ɔkwan a ɛnyɛ den so!

So woate pɛn sɛ akisikuru ahorow betumi aba asaabo mu? Ɛtɔ mmere bi a, wohu eyinom wɔ akwanhyia mu, bere a wɔreyɛ sɔhwɛ foforo bi no. Ɛnnɛ yɛrebɛka akisikuru bi a ɛba asaabo mu, nanso mpɛn pii no ɛnyɛ kokoram, kyerɛ sɛ, `(benign)` akisikuru. Wɔfrɛ eyi `(Renal Oncocytoma)`. Nsuro, yɛbɛka eyi ho asɛm akɔ akyiri, tiawa koraa.

Dɛn ne eyi (Renal Oncocytoma)?

Sɛ yɛbɛka no tiawa a, Renal Oncocytoma yɛ akisikuru a ɛnyɛ hu a ɛba w’asaabo biako anaa abien no nyinaa mu. Fa no sɛ ɛte sɛ bɔɔl ketewaa bi. Ɛtɔ da bi a, saa akisikuru yi mfa sɛnkyerɛnne biara mma na enhia sɛ wɔsa. Mpɛn pii no, nnuruyɛfo hu wɔn wɔ akwanhyia mu, bere a wɔreyɛ nhwehwɛmu a wɔde hu yare foforo bi no. Sɛ nhwɛso no, na wɔreyɛ w’adamfo no papa CT scan de ahu yafunu mu haw na wohui sɛ akisikuru ketewaa bi wɔ n’asaabo mu.

Dɛn na nsɛmfua abien no kyerɛ?

Sɛ yɛkyekyɛ asɛmfua `(Renal Oncocytoma)` asekyerɛ mu a, ɛte sɛ nea edidi so yi:

• `(Renal)` kyerɛ `a ɛfa asaabo ho' wɔ Latin kasa mu. Wɔde asɛmfua yi di dwuma ma nneɛma a ɛfa yɛn asaabo ho.
• ``(Oncocytoma)`` kyerɛ akisikuru a ɛfiri nkwammoaa soronko bi a wɔfrɛ no ``(oncocytes)`` mu wɔ aduruyɛ ho nyansahu mu. Enti sɛ wɔka abien yi bom a, ɛkyerɛ akisikuru a efi oncocyte nkwammoaa a ɛwɔ asaabo no mu na ɛyɛe. So wote ase?

Eyi abu so dɛn (Renal Oncocytoma)?

Asaabo mu akisikuru bɛyɛ 7% yɛ Renal Oncocytoma. Ɛno kyerɛ sɛ asaabo mu akisikuru 100 biara mu bɛyɛ 7 yɛ saa. Nnipa binom, bɛyɛ wɔn a wɔwɔ Renal Oncocytoma no mu 13%, betumi anya akisikuru pii wɔ asaabo abien no nyinaa mu. Wɔfrɛ saa tebea yi Renal Oncocytosis.

Hena na ɔwɔ asiane kɛse mu sɛ obenya Renal Oncocytoma?

Saa akisikuru yi a wɔfrɛ no ``Renal Oncocytoma'' no betumi aba obiara mu ankasa. Nanso wohu sɛ hokwan a ɛwɔ hɔ sɛ wobenya bi no dɔɔso kakra wɔ mmarima ne nnipa a wɔadi boro mfe 60 mu .

Afei nso, awosu mu tebea horow bi, te sɛ `(Birt-Hogg-Dubé syndrome), betumi de `(Renal Oncocytoma) aba.` Saa awosu mu tebea yi, `(Birt-Hogg-Dubé syndrome),` ma asiane a ɛwɔ hɔ sɛ obi benya asaabo mu akisikuru, akisikuru a ɛnyɛ kokoram, te sɛ `(Renal Oncocytoma),` ne asaabo mu kokoram no yɛ kɛse.

So saa (Renal Oncocytoma) akisikuru yi betumi abɛyɛ ɔyare bɔne?

Eyi yɛ ɔhaw a nnipa pii wɔ. Hokwan a ɛwɔ hɔ sɛ saa akisikuru yi a wɔfrɛ no ``Renal Oncocytoma'' no bɛyɛ kokoram no sua koraa . Ɛne sɛ, wɔtaa yɛ ``benign''.

Nanso, ɛntaa mma koraa, kyerɛ sɛ, wɔ nsɛm a ɛntaa nsi mu no, wɔahu sɛ nnipa binom a wɔwɔ `(Renal Oncocytoma)` a wonni kokoram biara da kokoram nkwammoaa a atrɛw akɔ mmerɛbo anaa nnompe mu (kokoram a ɛkɔ mmeae afoforo). Eyi kyerɛ sɛ wɔn oncocytoma no abɛyɛ kokoram. Nanso, mesan ka bio sɛ, eyi ntaa nsi koraa, yiye . Enti mma wo ho nnyɛ wo hu a ɛho nhia.

Nsonsonoe bɛn na ɛda Renal Oncocytoma ne Renal Cell Carcinoma ntam?

Nea ɛsɛ sɛ wohwɛ so yiye ni. Saa akisikuru yi a wɔfrɛ no `(Renal Oncocytoma), sɛ yɛhwɛ no wɔ abɔnten, kyerɛ sɛ, sɛ yɛde `(CT scan)` anaa `(MRI)` hwɛ no a, ɛte sɛ `(Renal Cell Carcinoma)` a ɛyɛ asaabo mu kokoram a ɛtaa ba no yiye.

Nea ɛyɛ awerɛhow no, ɛyɛ den sɛ yɛbɛka no yiye afi saa `(mfonini sɔhwɛ ahorow)` yi nkutoo mu sɛ ebia akisikuru bi yɛ `(benign)`, a ɛkyerɛ sɛ ɛnyɛ kokoram, anaasɛ `(malignant)`, a ɛkyerɛ kokoram. Ɛno nti na nnuruyɛfo taa kamfo kyerɛ sɛ wɔnyɛ oprehyɛn na wɔayi akisikuru no afi hɔ no. Afei, wɔfa akisikuru no fã bi na wɔhwehwɛ mu `(biopsy)` de si so dua sɛ ɛyɛ `(Renal Oncocytoma)`, anaasɛ asaabo mu kokoram.

Nsonsonoe bɛn na ɛda akisikuru ne akisikuru ntam?

Nsɛdi ne nsonsonoe wɔ abien no ntam. Ma yɛnhwɛ nea wɔyɛ.

• Cysts yɛ kotoku nketewa a nsu, mframa, anaa nneɛma a ɛyɛ den betumi ayɛ mu. Nkwammoaa dodow no ara nyɛ kokoram.
• `(Tumors)` (Tumors) yɛ ntini a ɛyɛ den. `(Tumor)` betumi ayɛ kokoram anaasɛ ɛnyɛ saa. `(Renal Oncocytoma)` yɛ `(tumor)`, nanso mpɛn pii no ɛnyɛ kokoram.

Dɛn na ɛde Renal Oncocytoma ba?

Wonnim nea ɛde asaabo mu akisikuru dodow no ara te sɛ renal oncocytoma ba ankasa . Aduruyɛ ho abenfo binom gye di sɛ awosu mu nsakrae bi a ɛba bere a yɛawo yɛn akyi no ma nnipa binom yɛ mmerɛw kɛse sɛ wobenya saa akisikuru yi. Wɔda so ara reyɛ eyi ho nhwehwɛmu.

So (Renal Oncocytoma) fi awosu mu?

Wɔ mmusua bi mu no, awosu mu nkwaadɔm mu nsakrae anaa nkwaadɔm mu nsakrae a wonya fi awo mu no betumi ama asiane a ɛwɔ hɔ sɛ wobenya adwene mu oncocytomas pii wɔ asaabo abien no nyinaa mu no ayɛ kɛse. Tebea horow te sɛ tuberous sclerosis complex ne Birt-Hogg-Dubé syndrome betumi ama akisikuru ayɛ nipadua no afã horow, a asaabo ka ho. Sɛ w’abusua mufo bi wɔ saa tebea horow yi a, ɛho hia sɛ woka kyerɛ wo duruyɛfo.

Dɛn ne (Renal Oncocytoma) ho sɛnkyerɛnne?

Fa no sɛ, nnipa baanan biara mu baasa a wɔwɔ `(Renal Oncocytoma)` nnya sɛnkyerɛnne biara ! Ɛno kyerɛ sɛ wonnim mpo sɛ wɔwɔ bi.

Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba ampa a, ebetumi ayɛ sɛ asaabo mu kokoram de no ara pɛ. Nhwɛso kakraa bi ni:

• Mogya a ɛwɔ wo nsu mu (hematuria) . Ɛnsɛ sɛ eyi yɛ kɔkɔɔ prɛko pɛ, ɛtɔ mmere bi a ebetumi ayɛ pink anaa bruu.
• Flank pain yɛ ɛyaw a efi yafunu no nkyɛnmu . Saa ɛyaw yi betumi ayɛ nea ɛkɔ so daa anaasɛ ɛba na ɛkɔ.
• Akuru a ɛte sɛ nea ebetumi akyere nsa a ɛwɔ asaabo a ayɛ no yaw no nkyɛn. Nanso, ɛnyɛ obiara na ɔte eyi nka.

Ɔkwan bɛn so na wohu sɛ obi anya Renal Oncocytoma?

Mpɛn pii no, nnuruyɛfo hu `(Renal Oncocytoma)` wɔ akwanhyia mu bere a wɔresan ahwɛ `(mfonini nhwehwɛmu)`, te sɛ `(asaabo mu nnyigyei a ɛyɛ nwonwa)`, `(MRIs)`, anaa `(CT scans)`, de ahwɛ sɛ ebia ɔhaw afoforo bi wɔ hɔ, te sɛ asaabo mu abo.

Sɛnea madi kan aka no, kokoram akisikuru te sɛ `(Renal Oncocytoma)` ne `(Renal Cell Carcinoma)` hwɛ ade koro wɔ `(imaging scans). Esiane eyi nti, ɛyɛ den ma nnuruyɛfo sɛ wobehu ntɛm ara sɛ obi wɔ akisikuru a ɛnyɛ kokoram anaa kokoram. Ɔkwan baako pɛ a wɔbɛfa so ahu yareɛ no pɛpɛɛpɛ ne sɛ wɔbɛyɛ `(biopsy)`, a ɛhwehwɛ akisikuru no nkwammoaa mu. Wɔtaa yɛ saa `(biopsy)` yi wɔ oprehyɛn akyi de yi akisikuru no.

Sɛ nhwɛso no, wohu sɛ asaabo mu akisikuru bɛyɛ 45% nyɛ kokoram bere a wɔyɛ biopsy no. Enti, sɛ wo akisikuru no sua (mpɛn pii no ennu sɛntimita 3-4) na ɛnyɛ ɔhaw biara a, wo duruyɛfo betumi akamfo ``active surveillance'' mmom sen sɛ wɔbɛyɛ oprehyɛn. Wɔ saa ``active surveillance'' bere yi mu no, ɛho behia sɛ woyɛ ``imaging scans'' daa de hwɛ sɛ ebia akisikuru no renyin anaasɛ ɛresakra wɔ ɔkwan biara so a ebetumi ayɛ kokoram anaa.

So ɛsɛ sɛ woyi asaabo mu akisikuru a ɛnyɛ kokoram fi hɔ?

Sɛ akisikuru no nnyin anaasɛ ɛremma ɔhaw biara mma a, ebia ɛho renhia sɛ wɔsa . Nanso, sɛ adwenem naayɛ bi wɔ nea wɔahu no ho, sɛ akisikuru no renyin ntɛmntɛm, anaasɛ wowɔ sɛnkyerɛnne ahorow a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ no oprehyɛn.

Oprehyɛn betumi ayi akisikuru no nkutoo afi hɔ (nephrectomy fã bi) anaa asaabo no nyinaa (radical nephrectomy). Oduruyɛfo no begyina akisikuru no kɛse ne baabi a ɛwɔ so asi oprehyɛn ko a wɔbɛyɛ no ho gyinae. Sɛ woyi w’asaabo biako mpo a, wubetumi ne asaabo foforo no atra ase sɛnea ɛfata na ɛyɛ nnam. Biribiara nni hɔ a ɛsɛ sɛ yɛhaw yɛn ho.

Dɛn ne obi a ɔwɔ (Renal Oncocytoma) anim?

Adwene mu oncocytomas a ɛnyɛ kokoram, kyerɛ sɛ, ɛnyɛ hu, nni nkɛntɛnso kɛse wɔ w’asetra a ɛfata na ɛyɛ nnam no so. Hokwan a ɛwɔ hɔ sɛ oncocytoma bɛdan kokoram no sua koraa, koraa. Ɛnyɛ nea ɛda adi koraa sɛ oncocytomas a wɔde oprehyɛn ayi afi hɔ no bɛsan aba bio.

Nanso, sɛ wowɔ awosu mu tebea bi (te sɛ Birt-Hogg-Dubé syndrome) a ɛma akwaa mu akisikuru ba a, ɛnde tebea no betumi ayɛ soronko kakra. Wɔ nsɛm a ɛtete saa mu no, ɛho hia sɛ wo ne wo duruyɛfo kasa na wokɔhwɛ wo daa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn:

• Sɛ mogya wɔ wo nsu mu a.
• Sɛ wowɔ ɛyaw a ɛkɔ so wɔ w’afã anaasɛ akisikuru bi a wubetumi ate nka wɔ wo nsam a.
• Sɛ wowɔ atiridiinini a ntease biara nnim, anaasɛ wote nka sɛ wo mu duru so retew a, ɛnyɛ hwee.

Saa nsɛnkyerɛnne yi nyɛ `(Renal Oncocytoma)` pɔtee, nanso ebetumi ayɛ asaabo mu nyarewa afoforo nso ho sɛnkyerɛnne. Enti, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Wubetumi abisa oduruyɛfo no nsɛm te sɛ eyinom:

• Adɛn nti na minyaa saa `(Renal Oncocytoma)` yi?
• So ɛsɛ sɛ wɔyɛ me oprehyɛn? Anaasɛ metumi ayɛ ``active surveillance''?
• So mewɔ asiane mu sɛ menya kokoram?
• So ɛsɛ sɛ nsɛnnennen a ɛbɛba no haw me?
• So ɛsɛ sɛ meyɛ nsakrae bi wɔ m’asetra kwan mu?

Nsuro sɛ wubebisa nsɛm yi. Ɛho hia paa sɛ wunya wo tebea no ho ntease pa.

Momma yɛnhwɛ nsonsonoe a ɛda (Renal Oncocytoma) ne (Chromophobe Renal Cell Carcinoma) ntam .

Chromophobe Renal Cell Carcinoma yɛ asaabo mu kokoram a ɛntaa nsi koraa. Ɛyɛ ntini nketenkete (tubules) a ɛwɔ w’asaabo mu a ɛboa ma woyi nneɛma fĩ fi wo mogya mu no mu. Wɔnam wo nsu a wode gu mu no so yi saa nneɛma a wɔsɛe no yi fi nipadua no mu. Asaabo mu kokoram bɛyɛ 5% yɛ nea ɛyɛ chromophobe.

Nnipa a wɔwɔ Birt-Hogg-Dubé yare no taa nya asaabo mu akisikuru. Wɔn ho wɔ asiane kɛse mu sɛ wobenya akisikuru a ɛnyɛ kokoram (Renal Oncocytoma) ne akisikuru a ɛyɛ kokoram (Chromophobe Renal Cell Carcinoma) nyinaa. Oprehyɛn ne nipadua mu nhwehwɛmu nkutoo na wobetumi ahu akisikuru ko pɔtee.

Enti, dɛn na ɛsɛ sɛ yɛkae fi eyinom nyinaa mu?

Renal oncocytoma yɛ akisikuru bi a ɛnyɛ kokoram a ɛtaa ba asaabo mu na ɛmma wonhu sɛnkyerɛnne biara. Nnuruyɛfo taa hu no wɔ akwanhyia mu bere a wɔreyɛ nhwehwɛmu afoforo no. Esiane sɛ ɛte sɛ renal cell carcinoma, asaabo mu kokoram bi nti, ebia ɛho behia sɛ wɔyɛ oprehyɛn na wɔayi akisikuru no afi hɔ. Biopsy nkutoo ne ɔkwan a wobɛfa so ahu no yiye sɛ ebia wowɔ renal oncocytoma anaa asaabo mu kokoram. Mma wo ho nnyɛ wo hu, nanso sɛ wowɔ biribi a ɛhaw wo a, kɔ oduruyɛfo nkyɛn. Sɛ wohu ntɛm na wodi ho dwuma yiye a, ɛyɛ ade titiriw.

` Asaabo mu cysts, renal oncocytoma, a ɛnyɛ kokoram, asaabo mu kokoram, sɛnkyerɛnne, biopsy, asaabo oprehyɛn