So wowɔ nsensanee nketenkete a ɛyɛ bruu wɔ wo nipadua so, ebia wo kɔn, w’akyi, anaa w’anim? Wɔama so kakra, wɔte sɛ waxy, na ɛte sɛ biribi a ɛbata honam ani... Nnipa pii suro sɛ wohu eyinom, na wosusuw sɛ ebia ɛyɛ honam ani kokoram anaa. Nanso mma ɛnhaw wo, eyinom yɛ tebea horow a abu so yiye na asiane biara nni ho. Ɛnnɛ yɛreka saa ‘Seborrheic Keratosis’ yi a nnipa pii nya ho asɛm.
Dɛn ne Seborrheic Keratosis?
Sɛ yɛbɛka no tiawa a, ɛyɛ nyin a ɛnyɛ hu a ɛba honam ani a ɛte sɛ awo agyiraehyɛde. Nnipa dodow no ara nya bi wɔ wɔn asetra mu bere bi. Wɔtaa ba wɔ mfinimfini mfe mu. Wɔn dodow betumi akɔ soro bere a worenyin no. Ɛnyɛ asiane biara na enhia ayaresa. Nanso, sɛ ɛhaw wo anaa wɔma wote nka sɛ wo ho nyɛ fɛ a, wubetumi ama wɔayi afi hɔ.
Ɛtɔ da bi a nnuruyɛfo frɛ eyinom ‘epidermal tumors’. Mma saa din no nnyɛ wo hu. Ɛnkyerɛ sɛ ɛyɛ kokoram. Nneɛma te sɛ akisikuru ne akisikuru a yenim ho asɛm nso ka saa kuw yi ho. Nea ɛkyerɛ ara ne sɛ nkwammoaa bi a ɛwɔ yɛn honam ani fã a ɛwɔ soro (epidermis) no aboaboa ano na ayɛ nyin ketewaa bi. Wommu eyi sɛ asiane a ɛde honam ani kokoram ba.
Saa nsensanee yi te dɛn?
Eyinom taa yɛ kurukuruwa anaasɛ ɛyɛ kurukuruwa, na ɛte sɛ nea wɔde abata honam ani. Nnipa binom ka wɔn ho asɛm sɛ wɔyɛ waxy anaasɛ ɛte sɛ coral. Wɔma wɔn so sen honam ani. Ɛtɔ da a, ɛyɛ petee, nanso sɛ wode wo nsateaa ka wɔn a, wubetumi ate nsonsonoe no nka.
Mpɛn pii no, eyinom kɔla yɛ bruu. Nanso ɛtɔ mmere bi a, wobetumi ayɛ tuntum, bruu a ɛyɛ hare, pink, kɔkɔɔ, anaa fitaa. Mpɛn pii no, wotumi hu nea ɛboro biako wɔ bere koro mu.
Wɔde protein bi a wɔfrɛ no keratin na ɛyɛ nsensanee yi ani. Eyi ne ade koro no ara a ɛka bom yɛ yɛn nsateaa nnadewa ne mmoa mmɛn. Ɛno nti na wɔwɔ nkyerɛwee a ɛyɛ mmerɛw titiriw no. Nsonsonoe bi te sɛ ahurututu nketenkete anaa akisikuru wɔ mu. Ebinom te sɛ akutu anaa akisikuru. Afoforo nso te sɛ nwi a ɛwɔ amemene bi so.
| Su a ɛwɔ hɔ | Nkyerɛmu |
|---|---|
| Bɔbea | Kurukuruwa anaa kurukuruwa |
| Mmaeɛ | Sɛnea ɛte sɛ nea ɛbata ho, waxy, scaly |
| Ahosuo | Mpɛn pii no, ɛyɛ bruu, nanso ebetumi ayɛ tuntum, bruu a ɛyɛ hare, kɔkɔɔ, pink, anaa fitaa |
| Abɔdeɛ | Ɛpue fi honam ani, wubetumi de wo nsateaa ate nka. |
Hena na ɔyɛ eyinom?
Eyinom betumi ato obiara, nanso ɛtaa ba nnipa a wodi so yi so titiriw:
- Nnipa a wɔadi boro mfe 50: Eyinom taa fi ase da adi wɔ mfinimfini mfe mu. Mmabun ntaa nnya bi. Nnipa bɛyɛ 30% wɔ biako bere a wɔadi mfe 40, na bɛyɛ 75% wɔ mfe 70.
- Nnipa a wɔwɔ abusua abakɔsɛm: Sɛ wo maame, wo papa, anaa wo nuanom wɔ saa tebea horow yi a, ɛda adi sɛ wubenya bi. Eyi kyerɛ sɛ ebia awosu mu nkɛntɛnso bi wɔ hɔ.
- Nnipa a wɔn honam ani yɛ fitaa: Eyinom taa ba nnipa a wɔn honam ani yɛ fitaa no so. Nanso, honam ani yare a ɛte saa ara nanso ɛsono kakra a wɔfrɛ no ``Dermatosis Papulosa Nigra'' abu so wɔ nnipa a wɔn honam ani yɛ tuntum, te sɛ wɔn a wofi Afrika anaa Asia mu.
Dɛn na ɛma eyinom ba?
Wonnim nea ɛde eyinom ba ankasa. Nanso yenim sɛ wɔne onyin wɔ abusuabɔ. Nhwehwɛmu ahorow bi kyerɛ sɛ ebia owia a wɔde wɔn ho hyɛ mu nso na ɛma wɔn nyin. Awosu mu ade bi nso wɔ hɔ, efisɛ wɔtaa tu mmirika wɔ mmusua mu.
Nea ɛho hia paa ne sɛ ɛnyɛ mmoawa anaa mmoawa bi na ɛde eyinom ba. Enti, ɛnyɛ nea wɔde yare mmoawa ba na ɛntrɛw mfi onipa biako so nkɔ foforo so.
Saa nsensanee yi taa nyin nkakrankakra paa. Nanso sɛ mpofirim ara wuhu saa nsensanee yi pii wɔ wo nipadua nyinaa so wɔ bere tiaa bi mu a, ɛyɛ biribi a ɛsɛ sɛ wohaw wo ho. Ɛntaa mma koraa sɛ eyi betumi ayɛ kokoram ho sɛnkyerɛnne wɔ nipadua no mu. Nnuruyɛfo frɛ eyi sɛ ‘Leser-Trélat ho Nsɛnkyerɛnne’. Nanso wonnya nyɛɛ saa abusuabɔ yi ho adanse. Nanso sɛ wuhu biribi te sɛ eyi a, wo duruyɛfo bɛkamfo nhwehwɛmu afoforo bi akyerɛ wo.
So saa nsensanee yi de sɛnkyerɛnne afoforo ba?
Mpɛn pii no, yare no ho sɛnkyerɛnne biara nni hɔ, nanso nnipa binom bɔ nneɛma te sɛ:
- Ɛyɛ akisikuru
- Honam ani a ɛyɛ kɔkɔɔ na ɛyɛ hyew a ntade de ba
- Ɛtɔ mmere bi a, opira kakra ma mogya tu.
Sɛ saa sɛnkyerɛnne ahorow yi haw wo a, ebia wobɛpɛ sɛ wususuw ho sɛ wubeyi saa beae yi afi hɔ.
Ɔkwan bɛn so na wobetumi ahu nsonsonoe a ɛda eyinom ne kokoram tebea horow ntam?
Eyi ne ɔfã a ɛho hia sen biara. Efisɛ honam ani kokoram ahorow bi betumi ayɛ te sɛ `Seborrheic Keratosis`. Enti, ɛho hia paa sɛ wuhu nsonsonoe a ɛwɔ mu no pɛpɛɛpɛ.
Nsonsonoe a ɛda Seborrheic Keratosis ne Actinic Keratosis ntam
`Actinic Keratosis` nso yɛ honam ani kokoram bi a ɛda adi bere a worenyin no, na ɛte sɛ akorade. Nanso, ɛnyɛ nea epira te sɛ `Seborrheic Keratosis`. `Actinic Keratosis` no fi honam ani hwɛbea a ɛwɔ owia mu. Ɛsan nso wɔ asiane ketewaa bi (5%-10%) sɛ ɛbɛyɛ honam ani kokoram. Enti, ɛho hia sɛ wuhu nsonsonoe a ɛda abien no ntam. `Actinic Keratosis` taa yɛ petee, ɛyɛ mmerɛw, na ɛtaa ba mmeae a owia bɔ.
Nsonsonoe a ɛda Seborrheic Keratosis ne Melanoma (honam ani kokoram) ntam .
Seborrheic Keratosis renkɔ honam ani kokoram a emu yɛ den a wɔfrɛ no Melanoma da. Nanso, Melanoma kokoram ahorow bi betumi ayɛ te sɛ Seborrheic Keratosis. Enti hwɛ nsakrae yi.
| Su a ɛwɔ hɔ | Seborrheic Keratosis (a asiane biara nni ho) . | Melanoma (kokoram) . |
|---|---|---|
| Nɔma | Mpɛn pii no, nea ɛboro biako na ɛba. | Mpɛn pii no obi ankasa nya nkɔso. |
| Nneɛma a ɛwɔ soro | Waxy, scaly, ɛyɛ mmerɛw | Mpɛn pii no, ɛyɛ mmerɛw |
| Ntweaso | Ɛwɔ anoano a emu da hɔ na wɔakyerɛkyerɛ mu yiye | Ebia ɛwɔ ano a ɛyɛ fuzzy, a wɔatwe, a ɛnyɛ pɛpɛɛpɛ |
| Kɔla ne ne nsusuwii | Ɛwɔ nsusuwii koro, kɔla koro. | Nsusuwii no nsɛ, na ebia kɔla ahorow pii wɔ hɔ. |
| Onyini | Ɛsakra pii. | Ebetumi anyin ntɛmntɛm, asesa ne nsusuwii/kɔla |
Sɛ w’adwene mu yɛ wo naa wɔ akisikuru bi a ɛwɔ wo nipadua so ho a, yɛsrɛ sɛ fa kyerɛ oduruyɛfo ntɛm ara, titiriw honam ani yare ho oduruyɛfo. Mma wo ho nnyɛ wo ho nhwehwɛmu.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
- Nhwehwɛmu a wɔde aniwa hu: Mpɛn pii no, honam ani yare ho ɔbenfo betumi ahu sɛ eyi yɛ Seborrheic Keratosis denam hwɛ ara kwa so.
- Dermoscopy: Sɛ adwenem naayɛ bi wɔ hɔ a, oduruyɛfo no de adwinnade titiriw bi (`dermascope`) a ɛte sɛ nsa ahwehwɛ ketewa bi bedi dwuma de ama baabi a ɛwɔ no ayɛ kɛse.
- Biopsy: Sɛ wosusuw sɛ kokoram wɔ ɔkwan biara so a, oduruyɛfo no bɛfa akuru no fã ketewaa bi (anaasɛ ayi afi hɔ koraa) na ɔde akɔma afiri a wɔde yɛ nhwehwɛmu. Wɔfrɛ eyi biopsy.
Akwan a wɔfa so sa yare ne nea wɔde yi fi hɔ
Nea edi kan koraa no, kae sɛ eyi nyɛ asiane biara na enhia ayaresa. Nanso, sɛ ɛhaw wo sɛ ɛyɛ wo yaw, wopetepete ntade mu, anaasɛ wo ho nyɛ wo dɛ wɔ sɛnea ɛte no ho a, wubetumi ayi afi hɔ. Akwan kakraa bi wɔ hɔ a ɛnyɛ den a wubetumi ayɛ wɔ wo duruyɛfo adwumayɛbea hɔ pɛɛ.
- Cryotherapy: Wɔde ade bi a ɛyɛ nwini yiye a wɔfrɛ no liquid nitrogen di dwuma de ma mole no yɛ nwini. Ɛbɛhwe ase wɔ n’ankasa mu wɔ adapɛn kakraa bi mu.
- Electrodessication/Curettage: Wɔde anyinam ahoɔden hyew mole no na afei wɔde afiri titiriw bi twitwiw mu.
- Shave Excision: Sɛ wopɛ sɛ wode biopsy mena a, wɔde saa kwan yi di dwuma. Wɔde aduru bi a ɛma obi ho tɔ no gu mu na wɔde ahwɛyiye twitwiw akisikuru no fi hɔ.
- Laser Ayaresa:Laser hann no hyew na eyi mole no fi hɔ.
- Hydrogen Peroxide a wɔkyerɛw ma obi: Eyi yɛ aduru foforo. Oduruyɛfo bi de hydrogen peroxide aduru a ɛyɛ den kɛse gu baabi a ɛwɔ no so.
Nea ɛho hia: Mmɔ mmɔden da sɛ w’ankasa wubetwitwa, atwitwa, anaa woayi eyinom afi hɔ wɔ fie. Eyi betumi ama obi anya ɔyare mmoawa ne akuru.
Nkrasɛm a Wɔde Kɔ Fie
- Seborrheic Keratosis yɛ honam ani nyin a asiane biara nni ho a ɛtaa ba bere a yɛrenyin no.
- Eyinom nyɛ kokoram, na ɛrenyɛ kokoram.
- Wo honam ani kokoram ahorow bi a ɛyɛ hu betumi ayɛ te sɛ eyinom, enti sɛ w’adwene mu yɛ wo naa wɔ nsensanee foforo anaa nsakrae biara a ɛwɔ wo honam ani a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
- Ɛho nhia sɛ wɔsa eyinom yare. Sɛ woyi fi hɔ a, ɛyɛ ahosiesie nkutoo nti anaasɛ esiane ɔhaw ahorow te sɛ ɛyaw nti.
- Mmɔ mmɔden sɛ w’ankasa wobɛsa eyinom anaasɛ woayi afi hɔ a wunkɔ oduruyɛfo nkyɛn.
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