So wowɔ akisikuru a ɛte sɛɛ wɔ w’aniwa anim? Momma yɛnka sebaceous carcinoma ho asɛm!

So woahyɛ no nsow pɛn sɛ akisikuru ketewaa bi wɔ w’aniwa anim a ɛnsa na ɛtɔ mmere bi a ɛyɛ kɛse? Anaasɛ akuru ketewaa bi a ɛyɛ kɔkɔɔ a ɛwɔ w'ani ntwea so ? Ɛtɔ da bi a yɛmfa yɛn adwene nsi saa nneɛma yi so pii, nanso ɛtɔ da bi a, ebetumi ayɛ biribi a ɛsɛ sɛ yɛhaw yɛn ho. Ɛnnɛ yɛrebɛka honam ani kokoram kokoram a ɛte saa a ɛntaa nsi, nanso ɛhaw adwene kakra ho asɛm.

Dɛn ne Sebaceous Carcinoma?

Sɛ yɛbɛka no tiawa a, `Sebaceous Carcinoma` yɛ kokoram a ɛntaa nsi a ɛba yɛn honam ani ntini a ɛma ngo , `sebaceous glands` no mu. So wunim sɛ asɛmfua `sebaceous` kyerɛ `oil-producing`. Saa kokoram yi ka aniwa no fã kɛse no ara . Nea enti a ɛte saa ne sɛ yɛn aniwa no wɔ saa ntini a ɛma ngo yi dɔɔso. Nanso, esiane sɛ ɛnyɛ aniwa mu nko na saa ntini ahorow yi wɔ hɔ, na mmom yɛn nipadua no baabiara a nhwi wɔ nso nti, saa kokoram yi betumi anya nipadua no afã afoforo. Saa ntini yi ma srade bi a wɔfrɛ no `sebum` . Saa srade yi bɔ yɛn honam ani ho ban fi mmoawa ho.

So eyi yɛ kokoram a emu yɛ den?

Yiw, `Sebaceous Carcinoma` yɛ kokoram bi a ebetumi atrɛw ntɛmntɛm, na ɛyɛ basabasa . Wɔfrɛ no saa efisɛ ɛtaa trɛw ntɛmntɛm fi baabi a edii kan fii ase kɔ nipadua no afã afoforo. Kokoram a atrɛw akɔ mmeae afoforo te sɛ eyi no, wɔfrɛ no `Metastatic cancer`.

Edin afoforo bɛn na wɔde frɛ eyi?

"Carcinoma" yɛ aduruyɛ mu asɛmfua a wɔde frɛ kokoram. Enti, nnuruyɛfo betumi afrɛ eyi "srade mu kokoram" "srade ntini mu kokoram" "srade ntini adenocarcinoma."

Eyi abu so dɛn?

Sebaceous carcinoma yɛ kokoram a ɛntaa nsi koraa . Susuw ho sɛ honam ani kokoram 5% kosi 10% yɛ akisikuru a ɛba aniwa no so. Saa akisikuru no mu no, bɛyɛ 1% pɛ na ɛyɛ sebaceous carcinoma. Ɛtaa ba mmea ne nnipa a wɔadi fi mfe 60 kosi 80. Nanso, ebetumi aba nkumaa, wɔn a wɔn mfe akɔ anim, ne ɛtɔ mmere bi mpo a mmofra nkumaa mpo so.

Dɛn na ɛde srade mu kokoram ba?

Abenfo nnim nea enti a nnipa binom nya sebaceous carcinoma ankasa. Nanso, te sɛ honam ani kokoram ahorow afoforo no, owia hann a epira a wɔfrɛ no ultraviolet (UV) a obi de ne ho bɛhyɛ mu no yɛ asiane.Wosusuw sɛ eyi yɛ ade biako nti a ɛte saa. Afei nso, nnipa a wɔde mframa a ano yɛ den ayɛ wɔn ti anaa wɔn kɔn, titiriw wɔ wɔn mmofraase no, wɔ asiane kɛse mu sɛ wobenya kokoram yi.

Dɛn ne nneɛma a ɛde asiane ba?

Nnipa binom wɔ asiane kɛse mu sɛ wobenya saa kokoram yi. Nhwɛsoɔ:

• Nnipa a wɔwɔ awosu mu yare bi a wɔntaa nhu a wɔfrɛ no Muir-Torre syndrome no wɔ asiane kɛse mu sɛ wobenya kokoram a srade wom . Wɔn nso wɔ asiane kɛse mu sɛ wobenya kokoram a ɛwɔ wɔn akyi berɛmo mu . Muir-Torre yare no yɛ Lynch yare bi a ɛma akisikuru ba srade ntini no mu.
• Nhwehwɛmu ahorow bi kyerɛ sɛ asiane yi nso dɔɔso kakra ma nnipa a wofi Asia .

Wɔ mfe a obi adi ne owia a obi nya akyi no, asiane afoforo pii wɔ hɔ:

• Sɛ́ obi tumi ko tia nyarewa a ayɛ mmerɛw esiane tebea horow te sɛ kokoram anaa HIV ne AIDS nti .
• Nnuru a ɛsɛ sɛ wɔnom bere a wɔde akwaa foforo ahyɛ obi foforo ananmu akyi.
• Nnuru a esiw nipadua no mu tumi a ɛko tia nyarewa ano a wɔde bedi dwuma ama tebea horow te sɛ ntini mu yare anaa honam ani yare a wɔfrɛ no psoriasis .

Dɛn ne sɛnkyerɛnne ahorow no?

Srade kokoram taa hu wɔ aniwa no atifi , efisɛ ɛha na srade ntini no wɔ. Nanso, ebetumi anyin wɔ aniwa no ase nso. Ɛtɔ mmere bi a, ebia ebehia sɛ wotwe w’aniwa ano hwɛ sɛ wowɔ bi anaa.

Nsɛnkyerɛnne a wohu wɔ aniwa no anim:

• Akuru a ɛyɛ den, kurukuruwa, kɔkɔɔ, a ɛnyɛ yaw a ɛte sɛ akisikuru.
• Kuru a mogya tu, ɛnsa, anaasɛ ɛsa na ɛsan ba bio.
• Wotumi hu honam ani a ɛyɛ den, kɔkɔɔ anaa kɔkɔɔ, a ɛyɛ kurukuruwa wɔ aniwa no ntwea so, wɔ baabi a ɛbɛn aniwa no.

Nsɛnkyerɛnne a ebetumi ada adi sɛ yare no mu yɛ den a:

Sɛ wɔannya saa ``Sebaceous Carcinoma'' yi a, tebea no betumi asɛe na ada sɛnkyerɛnne te sɛ eyinom adi:

• Aniwa nhwi a ɛrehwe ase.
• Nsuo a ɛyɛ nsuo a ɛyɛ nwansena a ɛba aniwa no atifi ne ase nyinaa.
• Aniwa no yɛ kɔkɔɔ, na ɛte sɛ aniwa mu yare .
• Aniwa a ɛyɛ mmerɛw.

So akisikuru a ɛwɔ aniwa no so nyinaa yɛ kokoram?

Sebaceous carcinoma ho yɛ na. Enti, sɛ wuhu sɛ akisikuru bi wɔ w’aniwa anim a, mma wo ho nnpopo . Nanso, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ. Mpɛn pii no, ɛnyɛ kokoram, na mmom honam ani yare a ɛtaa ba te sɛ eyi:

• Aniwa a ɛho ahonhon `(Blepharitis)`
• Chalazion (a wɔsan frɛ no ‘aniwa so akisikuru’) .
• Aniwa mu yare
• Akuru bi a ɛwɔ aniwa mu , yɛfrɛ no ‘stye’ (ɔyare mmoawa a ɛwɔ ngo ntini bi mu) .

Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛfo afotu sɛ wuhu sɛ akuru foforo bi wɔ w’ani so, kuru bi a ɛnsa, anaa biribi foforo biara a ɛsono sɛnea wotaa yɛ no a.

Ɛhe bio na eyinom betumi aba wɔ nipadua no so a ɛnyɛ aniwa no?

Sebaceous carcinoma nso betumi aba wo ti, w’aso, anaa wo kɔn mu . Nea ɛntaa nsi no, ebetumi aba w’akyi, wo moma so, wo yafunu, wo honam ani awotwaa, anaa w’asen nso so. Ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn sɛ wuhu nea edidi so yi mu biara a:

• Sɛ wuhu nsakrae bi wɔ awo agyiraehyɛde anaa baabi foforo bi a ɛwɔ wo honam ani a.
• Sɛ akisikuru foforo pue wɔ honam ani, wɔ aso no mu mpo a.
• Sɛ wuhu sɛ honam ani akuru a ɛreyɛ kɛse, ɛyɛ pink anaa kɔkɔɔ, na mogya tu ntɛmntɛm a .

Ɔkwan bɛn so na srade mu kokoram trɛw?

Ɛda adi kɛse sɛ Sebaceous Carcinoma bɛtrɛw akɔ ntini a ɛma mogya tu no mu . Eyinom yɛ ntini nketenkete a ɛyɛ yɛn ntini a ɛma nkwammoaa a asɛe no ho tew na eyi fi hɔ no fã.

Wobɛyɛ dɛn ahu eyi pɛpɛɛpɛ? (Nyare a Wɔahu) .

Sɛ wususuw sɛ wowɔ biribi a ɛte sɛɛ a, ɛsɛ sɛ wudi kan kɔ honam ani yare ho oduruyɛfo nkyɛn . Ɔbɛhwɛ akisikuru no, afa no ketewaa bi, na ɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu ahwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa. Wɔfrɛ nhwehwɛmu yi sɛ honam ani nipadua mu nhwehwɛmu . Sɛ akisikuru no wɔ aniwa no anim a, wubetumi akɔ aniwa ho oduruyɛfo nso nkyɛn . Obetumi nso ayɛ saa biopsy yi.

Wobɛyɛ dɛn ahwɛ sɛ kokoram no atrɛw anaa?

Sɛ wo honam ani nhwehwɛmu kyerɛ sɛ wowɔ sebaceous carcinoma a, ɛho behia sɛ wokɔ nnuruyɛfo kuw bi nkyɛn kɔhwehwɛ sɛ wowɔ wo yare no na wɔsa wo yare. Wo duruyɛfo bɛfa w’ayaresa ho abakɔsɛm, ayɛ wo nipadua mu nhwehwɛmu, na wahwɛ sɛ kokoram no atrɛw akɔ wo ntini anaa akwaa afoforo mu anaa. Aniwa ho oduruyɛfo bɛhwɛ w’ani mu ahwɛ sɛ akisikuru no atrɛw akɔ aniwa no mu anaa.

Dɛn ne ayaresa ahorow no?

Ayaresa titiriw a wɔde sa sebaceous carcinoma ne oprehyɛn.

Oprehyɛn a wobetumi apaw:

• Mpɔtam hɔ a wɔtwa no trɛw:Nea ɛka eyi ho ne sɛ wobetwa kokoram akisikuru no ne honam ani fã ketewaa bi a ɛwɔ apɔwmuden a atwa ho ahyia no. Wɔyɛ eyi de hwɛ hu sɛ wobeyi kokoram nkwammoaa no nyinaa afi hɔ.
• Mohs oprehyɛn: Eyi yɛ oprehyɛn soronko bi. Woyi kokoram no ne ntini a atwa ho ahyia a ɛte apɔw (afã no ano) no fi hɔ wɔ ntoatoaso pii mu. Bere a woyi ɔfa biara fi hɔ no, wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛ kokoram nkwammoaa bi da so ara wɔ hɔ anaa. Sɛ ebi wɔ hɔ a, woyi wɔn nso fi hɔ. Wɔsan yɛ saa adeyɛ yi kosi sɛ wobeyi kokoram nkwammoaa no nyinaa afi hɔ .
• Mframa a wɔde sa yare: Sɛ wuntumi nyɛ oprehyɛn a, wobetumi asusuw mframa a wɔde sa yare ho.

Ɛdenam baabi a oprehyɛn no kodu so no, ebia ɛho behia nso sɛ wɔyɛ wo oprehyɛn a wɔde bɛsan asiesie wo ho . Wɔyɛ eyi na ama akuru a ɛba wɔ oprehyɛn akyi no so atew na aboa ma aniwa anim ayɛ adwuma na anim ayɛ pɛpɛɛpɛ. Wo honam ani yare ho oduruyɛfo anaa aniwa ho oprehyɛn, sɛ ɛho hia a, obetumi ayɛ saa adeyɛ yi ntɛm ara bere a wɔayi akisikuru no afi hɔ akyi.

Kokoram a akɔ anim ho ayaresa

Sɛ sebaceous carcinoma atrɛw akɔ mmeae afoforo (metastatic) a, ɛsono ayaresa, a egyina baabi a kokoram no atrɛw so. Wobetumi ayɛ oprehyɛn de ayi ntini a ɛka ho no afi hɔ. Wobetumi de mframa a wɔde sa yare anaa kokoram ayaresa afoforo nso adi dwuma.

So eyi betumi akum obi? Hokwan ahorow bɛn na ɛwɔ hɔ sɛ ne ho bɛtɔ no?

Asɛmpa no ne sɛ, sɛ wɔsa yareɛ a, nnipa a wɔwɔ saa yareɛ yi bɛboro 90% nya nkwa. Wɔn a wonya ayaresa wɔ asram asia akyi bere a yare no ho sɛnkyerɛnne no afi ase no wɔ hokwan kɛse sɛ wɔn ho bɛtɔ wɔn. Nanso, sebaceous carcinoma betumi akum obi sɛ ɛtrɛw a. Sɛ wɔkyɛ wɔ sɛnea wobehu yare no na wɔasa wɔn yare no mu a, ebetumi ama nea ebefi mu aba no asɛe kɛse.

Dɛn na ɛba wɔ ayaresa akyi?

Esiane sɛ sebaceous carcinoma betumi ayɛ kokoram a emu yɛ den nti, wɔ ayaresa akyi mpo no, nnipa binom, bɛyɛ baanan biara mu biako, wɔ hokwan sɛ kokoram no bɛsan aba bio anaasɛ ɛbɛtrɛw (metastasizing).

Enti, ɛho hia sɛ wokɔ wo duruyɛfo nkyɛn kɔhwɛ no wɔ bere a wɔahyɛ no mu. Saa kwan yi so no, nnuruyɛfo betumi ahwɛ sɛ ɛsan ba bio, na sɛ sɛnkyerɛnne bi wɔ hɔ a ɛkyerɛ sɛ ɛsan ba bio a, wɔafi ayaresa ase ntɛm ara.

Dɛn na wubetumi ayɛ na ama w’akwahosan atu mpɔn?

Wubetumi ama hokwan a wowɔ sɛ wo ho bɛtɔ wo no ayɛ kɛse denam saa nneɛma yi a wobɛyɛ so:

• Yɛ wo honam ani nhwehwɛmu ɔsram biara. Eyi bɛboa wo ma woahu nsakrae a ɛba wo honam ani ntɛmntɛm.
• Yɛ wo honam ani nhwehwɛmu daa wɔ oduruyɛfo adwumayɛbea.
• Yɛ nneɛma bi na ama owia a wobɛbɔ no so atew. Ɛno kyerɛ sɛ, .Sɛ wɔde aduru a ɛbɔ wo ho ban fi owia ho di dwuma, kyɛw a ɛtrɛw a wɔhyɛ, ne ahwehwɛ a ɛbɔ owia ho ban fi UV ho a wɔhyɛ.

Nsonsonoe bɛn na ɛwɔ kokoram a ɛwɔ srade mu, srade a ɛboro so, ne srade a ɛma mogya tu ntam?

Saa din ahorow yi betumi ama adwene atu afra efisɛ ɛte sɛ nea ɛte saa, nanso eyinom yɛ tebea horow abiɛsa:

• Sebaceous hyperplasia: Eyi nyɛ kokoram. Ɛyɛ onyin a ɛnyɛ hu a ɛba wɔ nhwi a ɛyɛ mmerɛw mu. Ebia wowɔ abon pii a ɛyɛ mmerɛw na wotumi tu te sɛ eyinom. Mpɛn pii no, wohu eyinom wɔ asen, afono, moma so, hwene, anaa moma so, akyi, ne mmati so.
• Sebaceous cysts: Eyinom nso nyɛ kokoram. Wɔyɛ wɔ honam ani bere a srade ntini bi siw honam ani nkwammoaa a awuwu ne ngo a ɛboaboa ano no ano no. Wobetumi de wɔn akɔ baabiara ntɛm wɔ honam ani. Wɔtaa ba anim, kɔn, anaa dua so. Ebia ɛho behia sɛ wɔsa saa akisikuru yi sɛ ɛyɛ kɛse anaasɛ ɛyɛ ɔyare mmoawa a.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wuhu biribi te sɛ eyi a , akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn :

• Akuru anaa nyini a ɛwɔ w’aniwa anim.
• Nnyin foforo a ɛba honam ani anaasɛ nsakrae a ɛba awo agyiraehyɛde anaa nsensanee afoforo mu.
• Wora mu akisikuru a mogya tu ntɛmntɛm.

Nneɛma a ɛsɛ sɛ wobisa oduruyɛfo no

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm yi:

• Dɛn nti na minyaa honam ani kokoram yi?
• So mewɔ asiane mu sɛ menya honam ani kokoram ahorow afoforo?
• Dɛn ne ayaresa a eye sen biara ma me?
• So mewɔ asiane mu sɛ kokoram no bɛtrɛw (kokoram a ɛkɔ mmeae afoforo)?
• Mpɛn ahe na ɛsɛ sɛ meyɛ kokoram ho nhwehwɛmu?
• So mewɔ asiane mu sɛ menya kokoram ahorow afoforo wɔ me nipadua mu?

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Sɛ wuhu nsakrae bi wɔ wo honam ani a, ɛbɛyɛ papa sɛ wobɛka akyerɛ wo duruyɛfo. Mpɛn pii no, nsakrae yi nyɛ asiane biara. Nokwarem no, nneɛma te sɛ akuru ne akisikuru a ɛwɔ w’aniwa so nso betumi afi tebea horow a ɛnyɛ kokoram mu aba.

Nanso, `Sebaceous Carcinoma` yɛ yareɛ a ɛntaa nsi nanso ɛyɛ hu a ɛtumi trɛw ntɛmntɛm. Sɛ wohu yare no ntɛm na wosa wo yare a, ebetumi anya wo ho a wobɛtɔ no so nkɛntɛnso kɛse. Enti, akyinnye biara nni ho, hwehwɛ aduruyɛ mu afotu. W’akwahosan ne nea ɛho hia!

Sebaceous Carcinoma, Wora Kokoram, Aniwa mu Kokoram, Wora Kokoram, Kokoram Nsɛnkyerɛnne, Kokoram Ayaresa