Ɛtɔ da bi a, ebia woahyɛ biribi te sɛ akuru ketewaa bi nsow wɔ wo honam ani. Ebia w’anim, wo kɔn, anaa w’akyi. Sɛ womia so a, ɛte sɛ nea biribi wɔ mu, na ɛte sɛ bɔɔl ketewaa bi a wubetumi de wo nsa adi akɔneaba, ɛnte saa? Nnipa pii suro eyi, na wosusuw sɛ ebia ɛyɛ kokoram anaa yare a emu yɛ den. Nanso mpɛn pii no, eyinom nyɛ nneɛma a ɛsɛ sɛ yesuro. Ɛnnɛ yɛreka akisikuru bi a abu so yiye ho asɛm. Wɔ aduruyɛ mu no, yɛfrɛ eyi ‘Epidermal Inclusion Cyst’.
Dɛn ne Epidermal Inclusion Cyst?
Sɛ yɛbɛka no tiawa a, ɛyɛ kotoku ketewaa bi a nsu wom a ɛba wo honam ani fã a ɛwɔ soro (ɛwo honam ani) no ase. Ɛte sɛ balloon ketewaa bi a wɔde asie wo honam ani. Mole te sɛ akuru ketewaa bi a ɛwɔ wo honam ani.
Nnipa pii nso frɛ saa akisikuru yi ‘Sebaceous Cysts’. Nanso nokwarem no, ɛno yɛ mfomso kakra. Efisɛ asɛmfua ‘srade’ kyerɛ ntini a ɛma ngo wɔ yɛn honam ani. Yɛfrɛ srade a saa ntini yi yɛ no ‘sebum’. Nanso cysts a yɛreka ho asɛm no, ɛnyɛ 'sebum' ahyɛ mu ma.
Enti dɛn na ɛwɔ saa nnuaba yi mu?
Nea saa akisikuru yi ahyɛ mu ma ankasa ne protein bi a wɔfrɛ no ‘Keratin’ , a ɛyɛ honam ani nkwammoaa a awuwu. Keratin ne protein titiriw a ɛka bom yɛ yɛn honam ani, yɛn nnadewa, ne yɛn ti nhwi. Enti nea ɛwɔ saa akisikuru yi mu no nyɛ ngo, na mmom ade a ɛyɛ den a ɛte sɛ kyiisi. Sɛ oduruyɛfo yi akisikuru yi biako mu nsu a, nea efi mu ba ne ade kɔkɔɔ, ɛyɛ den, na ɛtɔ mmere bi a ɛyɛ huam kakra.
Ɔkwan ankasa a wɔfrɛ no ‘sebaceous cyst’ no ho yɛ na koraa. Wɔn na 'sebum' ahyɛ wɔn ma. Nanso ɔkwan a yehu da biara da na ɛtaa ba ne ‘epidermal inclusion cyst’.
Dɛn ankasa na saa akisikuru yi te?
Sɛ wowɔ akisikuru te sɛ eyi a, ebia wubehu saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa. Momma yɛnhwɛ pon bi na yɛate eyi ase yiye.
| Su a ɛwɔ hɔ | Nkyerɛmu |
|---|---|
| Bɔbea | Ɛtaa yɛ kurukuruwa anaa kurukuruwa na ɛte sɛ nea ɛkɔ soro wɔ honam ani. |
| Punctum a ɛyɛ adwuma | Mpɛn pii no, akisikuru no te sɛ nsensanee tuntum ketewaa bi wɔ mfinimfini. Eyi ne nhwi a asiw no ano. |
| Kɛseɛ | Wɔn kɛse betumi ayɛ ketewaa te sɛ nsateakwaa anan mu biako (0.25) kosi bɛboro nsateakwaa abien. Wɔtaa yɛ akɛse paa. |
| Ahosuo | Ɛtɔ da bi a, ebetumi ayɛ pink, kɔkɔɔ, anaa tuntum asen wo honam ani hwɛbea. |
| Ɛyaw/ɔhyew | Mpɛn pii no, ɛnyɛ yaw, nanso sɛ ɔyare no ka no a, ebetumi ayɛ yaw na sɛ woka no a, ɛbɛyɛ hyew. |
| Anamɔntuo | Sɛ wɔde wɔn nsa ka a, etumi kɔ anim ne akyi kakra wɔ honam ani. |
Ɛwom sɛ saa akisikuru yi betumi ayɛ nipadua no baabiara de, nanso wɔtaa hu no wɔ anim, koko, akyi, kɔn, ti nhwi, nsa, ne anan so .
Dɛn nti na akisikuru te sɛ eyi ba? Dɛn na ɛde ba?
Ade titiriw nti a ɛte saa ne nhwi a asiw yɛn honam ani. Nwi a ɛyɛ mmerɛw yɛ tokuru ketewaa bi a ɛwɔ yɛn nipadua mu a nhwi anaa aboa nhoma nam mu fi mu ba ara kwa.
Susuw ho hwɛ, yɛn honam ani yɛ foforo bere nyinaa. Honam ani nkwammoaa dedaw wuwu na ɛhwie gu. Eyi yɛ adebɔ mu adeyɛ. Nanso, biribi nti, sɛ nhwɛso no, kuru ketewaa bi, akisikuru, oprehyɛn mu akuru, akisikuru, anaa owia a ɛsɛe honam ani no, ɔkwan a nkwammoaa a awuwu yi fa so guan no siw. Afei saa nkwammoaa yi ne keratin fi ase boaboa ano wɔ kotoku ketewaa bi mu wɔ honam ani. Bere kɔ so no, saa kotoku yi nyin na yehu sɛ ɛyɛ akisikuru.
Fa no sɛ kar a akyeakyea wɔ ɔkwan bi so, te sɛ kar kuw bi a ɛkyere mpofirim. Saa na nkwammoaa yi kɔhyɛ baabi biako.
Hena na ɔwɔ asiane kɛse sɛ obenya saa akisikuru yi?
Ɛwom sɛ wobetumi anya nkɔso wɔ mfe biara mu de, nanso mpɛn pii no ɛba bere a wɔadi mfe 20 kosi 60.Ɛtaa ba nnipa a wɔn mfe akɔ anim mu. Ɛntaa mma koraa sɛ eyinom benyin ansa na wɔabɔ wɔn mpanyin afe so. Ɛtaa ba mmarima so kakra nso sen mmea.
Nea ɛka ho no, awosu mu tebea horow bi a wɔntaa nhu ne nyarewa afoforo nso betumi ama akisikuru yi pii ayɛ nipadua no.
- Gardner yare a ɛma obi nya ɔyare no
- Gorlin yare a ɛma obi nya ɔyare no
- Favre-Racouchot yare a ɛma obi nya ɔyare no
- Nnipa Papillomavirus (HPV) yare mmoawa
Saa asiane yi nso betumi akɔ soro kakra wɔ nnipa a wɔnom nnuru bi mu. Sɛ nhwɛso no, nnuru te sɛ `BRAF inhibitors`, `Imiquimod`, ne `Cyclosporine`.
Nea ɛho hia sen biara ne sɛ saa akisikuru yi ntumi nkɔ nnipa mu . Ɛne sɛ, wɔnam nsa a wɔde ka anaa ɔkwan foforo biara so ntrɛw mfi onipa biako mu nkɔ foforo mu.
So saa akisikuru yi betumi ayɛ nea asiane wom? Dɛn ne nsɛnnennen no?
Mpɛn pii no, saa akisikuru yi mpira hwee, nanso ɛtɔ mmere bi a ebetumi de nsɛnnennen bi aba.
| Nsɛnnennen a ɛba | Kyerɛ |
|---|---|
| Ɔfe a ɛba akisikuru no mu | Akuru no ahonhon, ɛyɛ kɔkɔɔ, na sɛ woka a, ɛyɛ yaw. Eyi nyɛ ɔyare mmoawa. |
| Nyarewa a ɛba akisikuru no mu | Mmoawa bi te sɛ mmoawa hyɛn akisikuru no mu na ɛyɛ akisikuru. Eyi betumi ama obi ate ɛyaw kɛse, ahohoro, na ne ho ayɛ kɔkɔɔ. |
| Akisikuru no a ɛpaapae | Nhyɛso a ɛwɔ akisikuru no mu no kɔ soro na ɛpae wɔ honam ani anaa honam ani. Afei ade kɔkɔɔ a ɛyɛ huam a ɛwɔ mu no betumi apue. Eyi nso de ɛyaw ne ɔfe ba. |
So eyi betumi ayɛ kokoram?
Eyi ne suro kɛse a nnipa pii wɔ. Ɛntaa mma koraa.Eyi ne sɛnea akisikuru a ɛte sɛɛ dan kokoram. Ɛne sɛ, nnipa mpempem pii a wɔwɔ akisikuru a ɛte sɛɛ biara mu biako nni hɔ a obenya asiane yi. Enti nsuro nea ebefi mu aba bere a wowɔ saa akisikuru yi. Nanso, wɔ nsɛm bi a ɛntaa nsi mu no, honam ani kokoram te sɛ `Squamous cell carcinoma` anaa `Basal cell carcinoma` betumi aba wɔ saa akisikuru yi mu.
Nanso, sɛ wo akisikuru no wɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.
- Sɛ sɛnkyerɛnne bi wɔ hɔ a ɛkyerɛ sɛ ɔyare mmoawa no wɔ hɔ (ɛyaw, kɔkɔɔ, ahurututu, akisikuru).
- Sɛ akisikuru no nyin ntɛmntɛm yiye a .
- Sɛ akisikuru no kɛse boro sɛntimita 5 wɔ ne kɛse mu a.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Mpɛn pii no, oduruyɛfo betumi ahwɛ wo akuru no mu, abisa wo ho asɛm, na waka sɛ ɛyɛ ‘epidermal inclusion cyst’.
Nanso ɛtɔ mmere bi a, titiriw sɛ akisikuru no sõ anaasɛ wosusuw sɛ ɔhaw foforo bi wɔ hɔ a, wobetumi ayɛ nhwehwɛmu foforo bi.
- Ultrasound scan: Eyi tumi hu nneɛma ko a ɛwɔ akisikuru no mu pefee.
- CT scan: Wɔ akisikuru akɛse ho no, eyi boa ma wohu sɛnea akisikuru no atrɛw akɔ akyiri ne sɛ ebia aka ntini a atwa ho ahyia no.
- Biopsy: Sɛ adwenem naayɛ ketewaa bi mpo wɔ hɔ sɛ ebia akisikuru no yɛ kokoram a, oduruyɛfo no bɛfa akisikuru no fã ketewaa bi pɛ na wahwɛ mu.
Ɔkwan bɛn so na wɔsa? So ɛsɛ sɛ woyi akisikuru no fi hɔ?
Mpɛn pii no, sɛ wunnya ɔhaw anaa ɛyaw biara mfi saa akisikuru yi mu a, wo duruyɛfo bɛka akyerɛ wo sɛ twɛn a wonnya ayaresa biara . Akisikuru bi tumi tra hɔ mfe pii.
Nanso sɛ akisikuru no ahonhon na ɛyɛ yaw a, ade tiawa bi wɔ hɔ a wubetumi ayɛ wɔ fie. Fa compress a ɛyɛ hyew gu so . Fa ntama a ɛho tew gu nsu a ɛyɛ hyew mu, twitwa fi mu, na fa gu akisikuru no so simma kakraa bi. Sɛ woyɛ eyi mpɛn pii da biara a, ebetumi aboa ma ɔfe ne ɛyaw no so atew.
Kɔkɔbɔ: Mma w’ankasa npiapia, nsɔ, anaa nsɛe saa akisikuru yi da wɔ fie! Saa a wɔbɛyɛ no betumi ama obi anya ɔyare mmoawa, ama tebea no asɛe kɛse, na agyaw akuru.
Sɛ wokɔ oduruyɛfo nkyɛn a, ogyina tebea no so si ayaresa ho gyinae.
- Sɛ ɔyare mmoawa wɔ cyst no mu a, wobetumi de nnuru a ekum ɔyare mmoawa ama.
- Sɛ akisikuru no ahonhon na ɛyɛ yaw a, wobetumi de steroid ahyɛ akisikuru no ankasa mu na ama akisikuru no so atew ntɛmntɛm.
Sɛ akisikuru no kɔ so haw wo, ɛyɛ kɛse, anaasɛ wopɛ sɛ wuyi fi hɔ esiane ahosiesie nti a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn yi. Akwan titiriw abien na ɛwɔ hɔ a wɔfa so yɛ eyi.
| Ɔkwan a wɔfa so sa yare | Dɛn na ɛrekɔ so? |
|---|---|
| Ntwitwiridii ne nsu a wɔde fa mu | Wɔtwa ketewaa bi wɔ akisikuru no so na wɔpiapia emu nneɛma no fi mu. Eyi ma ɛyaw ne ɔfe so tew ntɛmntɛm. Nanso esiane sɛ akisikuru no da so ara wɔ ne capsule no mu nti, hokwan kɛse wɔ hɔ sɛ akisikuru no bɛsan anyin bio. |
| Oprehyɛn a wɔde yi nipadua no mu | Wɔyɛ oprehyɛn ketewaa bi de yi akisikuru no fi ntini a atwa ho ahyia no ho koraa. Wɔnam beae no a wɔma ɛyɛ mmerɛw so na ɛyɛ eyi. Sɛ wɔfa saa kwan yi so a, hokwan a ɛwɔ hɔ sɛ akisikuru no bɛsan aba no sua koraa. |
Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?
Sɛ wowɔ asɛmmisa bi fa akisikuru a ɛte sɛɛ ho a, bisa wo duruyɛfo no saa nneɛma yi ho asɛm bere a worekɔ ne nkyɛn no.
- So mewɔ ‘epidermal inclusion cyst’ anaa biribi foforo?
- So eyi ankasa bɛyɛ yiye, anaasɛ ehia ayaresa?
- Wususuw sɛ saa akisikuru yi bɛyɛ kɛse?
- Ayaresa bɛn na eye ma me?
- Sɛ mepɛ sɛ miyi eyi fi hɔ a, ɛsɛ sɛ mekɔ oduruyɛfo a ɔhwɛ honam ani yare anaa oprehyɛn nkyɛn?
- Sɛ akisikuru no san ba bere a wɔayi afi hɔ awie no a, dɛn na mɛyɛ?
Nkrasɛm a Wɔde Kɔ Fie
- Epidermal inclusion cysts abu so kɛse, mpɛn pii no ɛnyɛ asiane biara, honam ani nyin. Nsuro sɛ wubehu wɔn.
- Saa nnuaba yi wɔ protein bi a wɔfrɛ no ‘keratin’, ɛnyɛ ngo.
- Mmɔ mmɔden sɛ wobɛpiapia anaasɛ wobɛbɔ saa akisikuru yi wɔ fie esiane biribiara nti. Eyi betumi ama obi anya ɔyare mmoawa.
- Sɛ wuhu sɛ akisikuru anaa akisikuru foforo bi wɔ wo honam ani a, mmɔ mmɔden sɛ w’ankasa wubehu, na mmom akyinnye biara nni ho sɛ fa kyerɛ oduruyɛfo.
- Sɛ akisikuru no renyin ntɛmntɛm, anaasɛ sɛ sɛnkyerɛnne ahorow te sɛ ɛyaw, ɔfe, anaa kɔkɔɔ a, hwehwɛ aduruyɛfo afotu a ɛnkyɛ.
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