So nsakrae bi wɔ wo mmadwoa mu? Momma yensua Seminoma ho ade?

So woahyɛ biribi a ɛyɛ nwonwa te sɛ akisikuru ketewaa bi nsow pɛn bere a wohwɛ wo mmadwoa anaa wote nka no? Anaasɛ wote nka sɛ wo yafunu no mu yɛ duru anaasɛ wote yaw kakra kɛkɛ? Ebia woremfa w’adwene nsi saa nneɛma yi so kɛse. Nanso, ɛsɛ sɛ yɛdwen nsakrae nketenkete a ɛte saa ho kakra. Ɛnnɛ yɛrebɛka yareɛ bi a ɛbɛtumi ahyɛ aseɛ wɔ nsakraeɛ a ɛte saa mu, nanso sɛ wɔhunu no ntɛm a, ɛbɛtumi asa. Ɛno ne seminoma.

Dɛn ne Seminoma? So ɛyɛ kokoram?

Sɛ yɛbɛka no tiawa a, seminoma yɛ mmoawa nkwammoaa akisikuru . Ɛtaa ba wo mmadwoa biako anaa abien no nyinaa mu. Eyi kyerɛ sɛ ɛyɛ awotwaa mu kokoram bi. Wɔde mmoawa nkwammoaa yi na ɛyɛ ɔbarima mmadwoa. Enti yiw, seminoma yɛ kokoram.

Edin yi a wobɛte no betumi ayɛ hu kakra. Ɛno yɛ ade a ɛfata. Nanso asɛmpa no ne sɛ seminoma yɛ kokoram a mpɛn pii no wobetumi asa. Sɛ wɔsa no yiye a, ɛwɔ hokwan pa ara sɛ ebegye wo nkwa.

Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn yi awotwaa a asɛe no sɛ ayaresa. Nanso, mpɛn pii no, eyi nka tumi a wubetumi de ada, awo, anaa wo mma. Sɛ woyi awotwaa abien no nyinaa fi hɔ a, wubetumi akɔ so ada. Sɛ wopɛ sɛ wowo ba a, wubetumi de mmadwoa a wɔde sie anaa awo ho akwan a wɔboa te sɛ IVF (In Vitro Fertilization) adi dwuma.

Wɔ mmadwoa akyi no, ɛntaa mma koraa sɛ seminomas ntumi nkɔ nipadua no afã afoforo. Nhwɛsoɔ:

• Ahunmu a ɛwɔ wo moma so a wo koma wɔ (mediastinum).
• Beae a ɛwɔ yafunu no akyi, baabi a asaabo no wɔ no, wɔfrɛ no ``retroperitoneum``.

Dɛn ne seminoma ahorow atitiriw?

Seminoma ahorow nketewa atitiriw abien na ɛwɔ hɔ. Momma yɛnhwɛ nea wɔyɛ:

1. Seminoma a wɔde di dwuma wɔ tete mmere mu:

Saa ɔkwan yi taa ka nnipa a wɔadi fi mfe 25 kosi 45. Nea ɛyɛ soronko wɔ eyi ho ne sɛ protein bi a wɔfrɛ no `Alpha-fetoprotein (AFP)` dodow a ɛwɔ mogya mu no nkɔ soro. `AFP` yɛ protein a akokoaa mmerɛbo na ɛyɛ bere a ɛrenyin wɔ awotwaa mu. `AFP` mogya mu dodow a ɛkɔ soro wɔ ɔpanyin mu no betumi ayɛ kokoram ahorow bi ho sɛnkyerɛnne, titiriw no, awotwaa mu kokoram nketewa afoforo. Nanso, sɛ wowɔ `classic seminoma` a, wo `AFP` level no nkɔ soro.

2. Nkwammoaa mu nkwaadɔm a ɛma mogya tu:

Saa ɔkwan yi taa ka nnipa a wɔadi boro mfe 50. Ade titiriw a ɛwɔ saa ɔkwan yi so ne sɛ enyin nkakrankakra. Asiane a ɛba fam nso sɛ ɛbɛtrɛw (a ɛbɛtrɛw) akɔ nipadua no afã afoforo.

Seminoma abu so dɛn?

Wɔtaa bu awotwaa mu kokoram sɛ ɛyɛ yare a ɛntaa nsi – ɛka bɛyɛ mmarima 250 biara mu biako. Nanso, nsɛm a wɔanya kyerɛ sɛ nnipa dodow a wɔanya yare no renya nkɔanim nnansa yi. Ade titiriw nti a ɛte saa ne seminoma a ɛkɔ soro no. Sɛ nhwɛso no, sɛnea nsɛm a efi CDC (Centers for Disease Control and Prevention) a ɛwɔ United States kyerɛ no, kokoram a ɛwɔ awotwaa mu a wohuu wɔ afe 2001 ne 2020 ntam no mu 54% yɛ seminoma.

Ade a ɛho hia ne sɛ, ɛwom sɛ mpɛn pii no, awotwaa mu kokoram ho yɛ na de, nanso ɛyɛ kokoram a ɛtaa ba mmerante a wɔadi fi mfe 15 kosi 35. Enti, ɛho hia sɛ mmarima a wɔadi mfe yi hu eyi titiriw. Mpɛn pii no, seminoma ka mmarima a wɔadi mfe 30 kosi 60.

Dɛn ne seminoma ho sɛnkyerɛnne ahorow? So wowɔ eyinom nso?

Seminoma ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho, nanso sɛnkyerɛnne kakraa bi wɔ hɔ a ɛtaa ba.

Nsɛnkyerɛnne a wɔtaa hu:

• Akisikuru anaa akisikuru a ɛnyɛ yaw wɔ awotwaa mu: Eyi ne sɛnkyerɛnne titiriw ne nea ɛtaa ba. Nnipa dodow no ara hu eyi wɔ akwanhyia mu, bere a wɔreguare anaasɛ wɔte hɔ ara kwa.
• Te a wɔte nka sɛ emu yɛ duru wɔ awotwaa, akyi berɛmo, anaa awotwaa mu: Ebetumi ayɛ te sɛ nea biribi ahyɛ mu ma kɛkɛ, na ama ayɛ te sɛ nea emu yɛ duru.
• Ɛyaw a ɛba mmadwoa, yafunu ase, anaa awotwaa mu: Ebia nnipa binom rente ɛyaw a emu yɛ den, nanso ebia ɛbɛyɛ wɔn yaw a ɛyɛ mmerɛw anaasɛ ɛyaw a ɛyɛ mmerɛw bere nyinaa.

Ɛntaa mma sɛ nneɛma a ɛte sɛɛ betumi asi:

• Ɛyaw a emu yɛ den yɛ ɛyaw a ɛba mpofirim na ɛyɛ nnam wɔ awotwaa mu.
• Mogya a ɛwɔ mmadwoa mu (hematospermia).

Ɛtɔ da bi a, sɛ seminoma trɛw (ɛtrɛw) kɔ nipadua no afã afoforo, a ɛkyerɛ sɛ kokoram no nyin na ɛkɔ mmeae a ɛwɔ awotwaa no akyi a, sɛnkyerɛnne ahorow te sɛ:

• Nkuruwankuruwa a ɛwɔ ntini a ɛwɔ kɔn mu no mu.
• Ɔfe a ɛkɔ so daa.
• Ɔhome a ɛyɛ den (dyspnea).
• Akisikuru ne ɔfe.
• Mogya a ɛba yafunu mu.
• Ɛyaw a ɛba nnompe mu.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛnkyerɛ ankasa sɛ wowɔ seminoma. Nanso, ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo.

So seminoma yɛ kokoram a emu yɛ den a ɛtrɛw ntɛmntɛm?

Wɔ mfiase no, seminoma nyɛ aniberesɛm koraa na ɛntrɛw ntɛmntɛm. Nanso ɛtɔ da bi a, etumi nyin ntɛmntɛm. Ɛno nti na ɛho hia sɛ wohu ntɛm no. Sɛ wohu sɛ wowɔ seminoma a, oduruyɛfo bɛhwɛ wo daa ahwɛ sɛ atrɛw ne sɛnea ɛrekɔ so anaa.

Dɛn nti na saa seminoma yi ba? Dɛn na ɛde ba?

Eyi yɛ nea ɛyɛ den kakra. Sɛnea yɛadi kan aka no, wɔde mmoawa nkwammoaa na ɛyɛ mmarima mmadwoa. Mpɛn pii no, sɛ akokoaa nyin wɔ awotwaa mu a, saa mmoawa nkwammoaa yi ba, na wɔ abofra barima mu no, saa nkwammoaa no tu kwan kɔ awotwaa mu na ɛbɛyɛ mmadwoa.

Nanso wɔ obi a ɔwɔ seminoma mu no, saa mmoawa nkwammoaa yi nnyin nyɛ mmadwoa ankasa, na mmom ɛkyekyɛ na ɛdɔɔso wɔ ɔkwan foforo so, na awiei koraa no ɛyɛ akisikuru. Nnuruyɛfo da so ara nnim nea enti a ɛtɔ mmere bi a mmoawa nkwammoaa yi ntumi nnyin nkɔ mmadwoa mu no ankasa. Nhwehwɛmu da so ara kɔ so.

Hena na ɛda adi kɛse sɛ obenya seminoma? (Nneɛma a ɛde asiane ba) .

Obiara a ɔwɔ mmadwoa betumi anya seminoma bere biara a wadi. Nanso, wɔahu sɛ nnipa binom wɔ asiane mu kakra. Eyinom bi ne:

• Mfe: Mpɛn pii no, nnipa a wɔadi mfe 30 kosi 60.
• Abusuakuw: Ɛwom sɛ amannɔne nsɛm kyerɛ sɛ aborɔfo na wɔtaa nya bi de, nanso nhwehwɛmu foforo ho hia na ama yɛahu sɛnea eyi ka yɛn wɔ Sri Lanka.
• Abusua abakɔsɛm: Sɛ woanya seminoma pɛn, anaasɛ abusua muni bi a ɔbɛn wo (te sɛ agya anaa onua) anya seminoma a, asiane a ɛwɔ hɔ no yɛ kɛse.
• Nkwaboaa a ɛnsiane: Sɛ awotwaa biako anaa abien no nyinaa nsian nkɔ awotwaa no mu yiye wɔ mmofraase (awotwaa a ɛnsiane anaasɛ cryptorchidism) a, ɛno nso yɛ asiane.

Ɔkwan bɛn so na wubehu sɛ wowɔ seminoma anaa? (Nyare a Wɔahu) .

Sɛ wote biribi a ɛyɛ soronko nka wɔ wo mmadwoa mu a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn. Oduruyɛfo ne nea obetumi aka akyerɛ wo yiye sɛ wowɔ seminoma anaa. Mpɛn pii no ɔbɛyɛ nea edidi so yi:

• Wɔbɛhwɛ w’ayaresa ho abakɔsɛm mu: Bisa wo nyarewa a woadi kan anya ne sɛ ebia obi wɔ w’abusua mu anya tebea a ɛte saa ara anaa.
• Bisa wo yare no ho sɛnkyerɛnne: Bisa wo yare anaa nsakrae biara a worehyia ho asɛm.
• Nipadua mu nhwehwɛmu: Wɔbɛhwɛ wo mmadwoa mu yiye. Wɔbɛhwɛ sɛ akisikuru, ahonhon, anaa ɛyaw wɔ hɔ anaa. Ebia wɔbɛhwɛ nso sɛ ntini a ɛho ahonhon wɔ wo kɔn, wo nsateaa, anaa wo srɛ mu anaa.

Sɛ oduruyɛfo no susuw sɛ awotwaa mu kokoram a, ɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu titiriw foforo de si so dua sɛ wɔahu sɛ ɔwɔ awotwaa mu.

Dɛn ne sɔhwɛ titiriw yi?

Sɛnea ɛbɛyɛ na woahu no yiye sɛ wowɔ seminoma a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu yi biako anaa nea ɛboro saa:

• Testicular ultrasound: Eyi ne sɔhwɛ titiriw a edi kan. Eyi yɛ sɔhwɛ a ɛnyɛ yaw a wɔde nnyigyei asorɔkye di dwuma de yɛ bere ankasa mu mfonini ahorow a ɛfa awotwaa no mu ho. Ebetumi ahu sɛ akisikuru bi wɔ hɔ, sɛ ɛyɛ den anaasɛ nsu ahyɛ mu ma.
• Mfoninitwa sɔhwɛ afoforo:Wobetumi ayɛ CT scan (Computed Tomography scan), ahurututu mu X-ray, anaasɛ ɛntaa nsi, MRI (Magnetic Resonance Imaging) nhwehwɛmu de ahwɛ sɛ ebia kokoram no atrɛw afi awotwaa mu akɔ nipadua no afã afoforo anaa.
• Serum tumor marker test: Eyi yɛ mogya mu nhwehwɛmu. Kokoram nkwammoaa bi, anaa nkwammoaa a ɛte apɔw a wɔde bua kokoram no, gyae nneɛma pɔtee bi (akisikuru agyiraehyɛde) kɔ mogya no mu. Saa nhwehwɛmu yi hwehwɛ sɛ saa akisikuru agyiraehyɛde ahorow yi wɔ mogya no mu anaa. Wɔ seminomas mu no, wɔsusuw alpha-fetoprotein (AFP), beta-human chorionic gonadotropin (beta-HCG), ne lactate dehydrogenase (LDH) dodow pɔtee. Nkwammoaa mu kokoram ahorow ma akisikuru agyiraehyɛde ahorow ne dodow ahorow ba. Nanso, sɛ obi nya akisikuru agyiraehyɛde dodow a ɛfata wɔ mogya no mu a, ɛnkyerɛ ankasa sɛ kokoram nni hɔ. Seminomas binom (titiriw classic seminomas) mma AFP mma.
• Orchiectomy: Nokwarem no, eyi yɛ oprehyɛn. Oduruyɛfo a ɔyɛ oprehyɛn beyi wo mmadwoa a ayɛ wo yaw no nyinaa na ɔde akɔma ɔyare ho ɔbenfo bi ma wahwɛ sɛ kokoram nkwammoaa wɔ hɔ na wahu kokoram ko a ɛyɛ. Wɔde orchiectomy di dwuma de hu seminoma na ɛno nso ne ayaresa titiriw.

Sɛ wohu sɛ obi anya seminoma wie a, oduruyɛfo no bɛkyerɛ kokoram no fã (kokoram no gyinabea). Nea ɛka eyi ho ne sɛnea akisikuru no kɛse te, sɛ́ atrɛw akɔ awotwaa no akyi, akɔ ntini a ɛma mogya tu mu, anaa akwaa a ɛwɔ akyirikyiri no mu. Saa fã yi na ɛkyerɛ ayaresa a edi hɔ.

Dɛn ne seminoma no fã ahorow?

Nnuruyɛfo kyekyɛ awotwaa mu kokoram, seminomas ne nea ɛnyɛ seminomas nyinaa mu yɛ no fã 0 kosi 3. (Ɔfã 4 biara nni hɔ, sɛnea ɛte wɔ kokoram ahorow afoforo ho no.) Sɛ yɛbɛka no tiawa a, dodow a ɔfã no dodow sua no, dodow no ara na kokoram no wɔ baabi a ɛwɔ na ɛnyɛ den sɛ ɛbɛtrɛw. Afã 1 kosi 3 nso wɔ afã nketewa (A, B, C, anaa S), a ɛboa wo ma wote kokoram no su ase kɔ akyiri.

Bio nso, nnuruyɛfo nso de `TNM` nhyehyɛe no di dwuma. Sua pii:

• T (Tumor): Akisikuru no kɛse ne sɛ ebia ɛwɔ awotwaa no mu anaasɛ atrɛw akɔ ntini a atwa ho ahyia no mu.
• N (Node): Sɛ ebia kokoram no atrɛw akɔ ntini a ɛwɔ yafunu no akyi no mu ne baabi a atrɛw akodu.
• M (Metastasis): Sɛ ebia kokoram no atrɛw akɔ akwaa ahorow a ɛboro ntini a ɛma mogya tu no so (e.g. ahurututu, mmerɛbo, amemene, nnompe).
• S (Serum tumor markers): Mogya mu nhwehwɛmu kyerɛ sɛnea `tumor markers` (`AFP`, `beta-HCG`, `LDH`) dodow te.

Saa nsɛm yi betumi ama adwene atu afra kakra na ayɛ hu mpo. Nanso, ɛyɛ nsɛm a ɛho hia sɛ wo nnuruyɛfo betumi ahu wo yiye na wɔayɛ ayaresa a eye sen biara ama wo ho nhyehyɛe.Sɛ woante eyinom ase a, nsuro sɛ wubebisa wo duruyɛfo bio.

Ɔkwan bɛn so na wɔsa seminoma?

Seminoma ayaresa gyina nneɛma pii so, a kokoram ko (seminoma anaa nea ɛnyɛ seminoma), gyinabea, ne w’akwahosan nyinaa ka ho.

Ɛkame ayɛ sɛ ayaresa a edi kan a wɔde sa seminoma no fã ahorow nyinaa ne inguinal orchiectomy a emu yɛ den . Eyi yɛ oprehyɛn a wɔyɛ. Wɔ saa adeyɛ yi mu no, oduruyɛfo bi twa wo srɛ mu ketewaa bi na oyi wo mmadwoa a ɛka wo ne mmadwoa hama no fi hɔ koraa. Ɛnyɛ sɛ mmadwoa hama no yɛ afiri a ɛde mmadwoa fi awotwaa mu kɔ ɔbarima no akyi nko, na mmom mogya ntini, ntini, ne ntini a ɛma mogya kɔ awotwaa mu no nso wɔ mu. Oduruyɛfo a ɔyɛ oprehyɛn no to mogya ntini ne ntini a ɛma mogya tu yi mu na ama kokoram nkwammoaa no antrɛw akɔ nipadua no afã afoforo.

Ayaresa afoforo a wɔyɛ wɔ orchiectomy akyi no gyina baabi a wo kokoram no wɔ ne nea ebefi akisikuru a wɔayi afi hɔ no mu nhwehwɛmu mu aba so. Ebia nea edidi so yi mu biako anaa nea ɛboro saa ka ho:

• Ahwɛyiye a ɛyɛ nnam / Twɛn a wɔhwɛ yiye: Wɔ seminoma a edi kan (Stage I) ho no, wɔmfa ayaresa foforo biara mma wɔ orchiectomy akyi, na wɔyɛ aduruyɛ mu nhwehwɛmu daa (te sɛ nipadua mu nhwehwɛmu, mogya mu nhwehwɛmu, ne CT scan) de hwɛ yiye sɛ ebia ɛsan ba anaasɛ ɛtrɛw anaa. Mpɛn pii no, wɔsa kokoram no koraa wɔ saa bere yi mu.
• Nnuru a wɔde sa yare: Nea ɛka eyi ho ne sɛ wɔma nipadua no nnuru titiriw bi a ekum kokoram nkwammoaa. Wobetumi anom eyinom sɛ nnuru anaasɛ wɔde ahyɛ ntini mu. Sɛ kokoram no atrɛw akɔ ntini a ɛma mogya tu anaa akwaa a ɛwɔ akyirikyiri no mu a, wobetumi de nnuru ama bere a wɔatwa orchiectomy no awie no.
• Mframa a wɔde sa yare: Eyi de X-ray a ahoɔden wom di dwuma de sɛe kokoram nkwammoaa. Seminoma nkwammoaa no te nka kɛse wɔ mframa a ɛbɔ ho. Bere bi a atwam no, na wɔtaa de mframa a wɔde sa yafunu mu ntini a ɛwɔ yafunu no akyi no ma bere a wɔatwa orchiectomy ama stage II seminoma akyi. Nanso, mprempren wɔpɛ nnuru a wɔde sa yare esiane sɛ ɛde ɔhaw pii ba nti. Nanso, wɔda so ara de mframa a wɔde sa yare di dwuma wɔ nsɛm bi mu.

Sɛ mewɔ seminoma a, dɛn na ɛsɛ sɛ mehwɛ kwan? (Nneɛma a wɔbɛsan asiesie ne nea wɔhwɛ kwan) .

Eyi ne asɛm a ɛho hia na ɛma awerɛkyekye sen biara. Wɔ seminoma fam no, wobetumi ahwɛ kwan sɛ ebefi mu aba pa ara. Eyi yɛ yare a mpɛn pii no wotumi sa no yiye:

• Sɛ yɛka ne nyinaa bom a, mfe 5 a wɔde tra ase no boro 95%.
• Sɛ wohu ntɛm na kokoram no ntrɛw nsen awotwaa no (Stage I) a, hokwan a ɛwɔ hɔ sɛ wobenya nkwa no bɛyɛ 99%.
• Sɛ mpo atrɛw akɔ ntini a ɛbɛn hɔ mu (Stage II) a, hokwan wɔ hɔ sɛ ebenya nkwa 96%.
• Sɛ mpo nipadua no afã horow a ɛwɔ akyirikyiri no nya nkɛntɛnso (Stage III) a, nkwa a wonya boro 70% wɔ hɔ.

Enti wubetumi ahu, dodow a wuhu ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wo ho bɛtɔ wo no yɛ kɛse.

Sɛ wosa seminoma yare wie a, wo duruyɛfo no bɛma wo nhyehyɛe a ɛbɛma woadi akyi bere tenten. Ɛho behia sɛ wokɔhwɛ wo daa wɔ w’asetra nyinaa mu de hwɛ sɛ kokoram no asan aba bio anaa. Ebia nhwehwɛmu ahorow yi bi ne:

• Nipadua mu nhwehwɛmu a wɔyɛ wɔ akyi berɛmo a ɛne ne ho di nsɛ no ho.
• Hwɛ mogya mu nhwehwɛmu daa sɛ `tumor markers` anaa.
• Bere ne bere mu no, ɛnyɛ hwee sɛ wɔbɛyɛ ne koko X-ray anaa CT scan.

Hokwan bɛn na ɛwɔ hɔ sɛ obi bewu wɔ seminoma mu?

Sɛnea yɛadi kan aka no, mpɛn pii no, wotumi sa seminoma yiye. Nanso, te sɛ kokoram biara no, hokwan ketewaa bi wɔ hɔ sɛ ebetumi akum obi. Sɛnea Amerika Kokoram Fekuw kyerɛ no, nnipa 5,000 biara a wɔwɔ awotwaa mu kokoram bɛyɛ biako bewu. Ɛno kyerɛ sɛ nnipa dodow a wowuwu no sua koraa.

So wobetumi asiw seminoma ano?

Nokwarem no, ɔkwan biara nni hɔ a wɔada no adi sɛ wɔbɛfa so asiw awotwaa mu kokoram dodow no ara ano, a seminoma ka ho, efisɛ yɛda so ara nnim nea enti a ɛba no ankasa.

Nanso, sɛ wuntumi nsiw ano mpo a, sɛ wuhu ntɛm a, ebetumi ama nsakrae kɛse aba. Ɔkwan pa a wobɛfa so ayɛ eyi ne sɛ w’ankasa wobɛhwehwɛ wo mmadwoa mu (testicular self-exams - TSE) anyɛ yiye koraa no pɛnkoro ɔsram biara . Wubetumi abisa wo duruyɛfo sɛnea wobɛyɛ eyi. Ɛyɛ mmerɛw te sɛ nea wobɛguare. Afei w’ankasa wubetumi ahu sɛ nsakrae bi aba wɔn honam ani hwɛbea anaa wɔn nkate mu, akisikuru, ahonhon, anaa ɛyaw mu anaa. Sɛ wuhu sɛ akuru bi asi anaasɛ ne kɛse sesa a , mma wo ho nnyɛ wo hu na kɔ oduruyɛfo nkyɛn ntɛm ara.

Afei nso, ɛyɛ papa sɛ wobɛyɛ saa nneɛma yi na ama kokoram ho asiane a ɛwɔ hɔ no so atew wɔ ɔkwan a ɛkɔ akyiri so:

• Gyae sigaretnom ne vaping koraa.
• Anyɛ yiye koraa no, teɛteɛ w’apɔw mu denneennen simma 20-30 da biara.
• Fa nnuaba, nhabannuru, atoko, ne aburow a wɔayam no foforo pii ka w’aduan ho.
• Sɛ wonom nsa a, to ano hye.
• Kura wo nipadua mu duru a ɛfata a ɛfata wo tenten.

Mɛyɛ dɛn ahwɛ me ho? (Adwene mu yiyedi) .

Ɛwom sɛ seminoma sa yare yiye de, nanso ɛyɛ ade a ɛfata sɛ obiara te ehu ne dadwen nka bere a ɔte asɛmfua "kokoram" no. Sɛ wohu sɛ wowɔ testicular cancer a, ebia wobɛnya nkate ahodoɔ – abufuo, awerɛhoɔ, ehu, abasamtuo, mmoa a wontumi nyɛ. Biribiara a wote nka no yɛ ade a ɛfata, enti ma saa nkate no nkɔ.

Nna bi wɔ hɔ a wobɛte ahotoso ne ahoɔden kɛse nka. Nna foforo nso wobɛte nka sɛ woabrɛ wɔ biribiara ho. Ɛho hia paa sɛ wugye bere te wo nkate ase na wudi ho dwuma. Saa afotu yi bɛboa wo:

• Ahomegye: Sɛ wote nka sɛ woabrɛ a, ma wo nipadua ne w’adwene nnya ahomegye pa.
• Adwennwen a Wobedi Ho Adi: Hwehwɛ ɔkwan a wobɛfa so adi w’adwennwen ho dwuma a ɛyɛ adwuma ma wo. Apɔw-mu-teɛteɛ, yoga, nsusuwii, anigyede bi a w’ani gye ho a wode wo ho bɛhyɛ mu, anaa adwinni ho ayaresa betumi aboa.
• Ma wohu: Nya wo tebea ne ayaresa ho nsɛm yiye. Eyi betumi atew ehu a ɛho nhia so.
• Akuw a wɔboa: Hwɛ nhyehyɛe ahorow a wɔyɛ de nya kokoram. Afei nso, hwehwɛ kuw bi a wɔboa nnipa a wɔwɔ awotwaa mu kokoram. Sɛ wo ne nnipa a wɔafa nneɛma koro no ara mu a wo ne wo bɛkasa a, ebetumi ayɛ ahoɔden fibea kɛse.
• Mmoa a efi w’adɔfo hɔ: Hwehwɛ mmoa fi w’abusuafo, wo nnamfo paa, ne wɔn a wowɔ wɔn mu ahotoso hɔ. Ka wo nkate kyerɛ wɔn.
• Adwumayɛfo Afotu: Sɛ ɛho hia a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ mmoa afi ɔfotufo anaa adwene ho ɔbenfo hɔ.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Eyi da adi pefee. Wɔ wo mmadwoa mu no:

• Akuru a ɛyɛ kurukuruwa
• Rehono
• Nsonsonoe a ɛwɔ kɛseyɛ mu
• Nsakrae a ɛba wɔ nsusuwii mu
• Ɛyaw anaa emu duru a ɛyɛ soronko
• Biribi foforo a ɛte sɛ nea ɛyɛ nwonwa ma wo.

Sɛ wuhu biribi a ɛte sɛɛ a, ntwentwɛn wo nan ase na nsuro sɛ wobɛkɔ oduruyɛfo nkyɛn. Afei wobetumi ahu nea ɛyɛ na wɔakamfo nhwehwɛmu foforo ne ayaresa akyerɛ sɛ ɛho hia a. Dodow a wohu no ntɛm no, dodow no ara na ayaresa no di yiye.

Sɛ wɔasa wo seminoma a, hwɛ hu sɛ wobɛkɔ akɔhwɛ wo daa sɛnea wo duruyɛfo akyerɛ wo no de ahwɛ w’akwahosan nyinaa so na woahwɛ sɛ kokoram no asan aba bio anaa. Mma wɔn nmpa wo ti so.

So seminoma anaasɛ nea ɛnyɛ seminoma yɛ asiane kɛse?

Wɔakyekyɛ mmoawa nkwammoaa akisikuru a ɛba wɔ mmadwoa mu no mu abien titiriw: seminomas ne non-seminomas. Mpɛn pii no, seminomas yɛ wɔn ade yiye wɔ ayaresa (titiriw mframa a wɔde sa yare) ho sen nea ɛnyɛ seminomas. Ebia nkwammoaa ahorow bɛboro biako na ɛka bom yɛ nea ɛnyɛ seminomas, na ɛtaa nyin na ɛtrɛw ntɛmntɛm sen seminomas. Nanso, mprempren nnuru abien no nyinaa wɔ ayaresa a etu mpɔn yiye.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Kae sɛ sɛ wɔsa seminoma yare a, efi mu ba pa ara. Ɛyɛ tebea a wotumi sa wɔ nsɛm dodow no ara mu. Nanso, sɛ wohu sɛ ɔwɔ kokoram a, ɛyɛ osuahu a ɛsakra asetra na ɛhaw adwene.

Ɛho hia paa sɛ wohwɛ wo ho.– Ɛnyɛ nipadua mu akwahosan nko, na mmom adwene ne nkate mu akwahosan nso. Hwehwɛ mmoa akuw a wɔte nea worefa mu no ase, nya mmoa fi w’adɔfo hɔ. Sɛ wowɔ nsɛmmisa biara a, nkura mu Bisa oduruyɛfo a wunkura mu Obetumi abua wo nsɛmmisa nyinaa na waka ano aduru a eye sen biara akyerɛ wo.

Mma wo werɛ mmfi sɛ, ɛnyɛ wo nko ara. Sɛ wuhyia tebea a ɛte sɛɛ a, mmoa a wobɛsrɛ na woahwehwɛ nsɛm no yɛ w’ahoɔden. Hwɛ wo nipadua so bere nyinaa, yɛ wo ho nhwehwɛmu ɔsram biara wɔ awotwaa mu, na sɛ wuhu nsakrae biara a, hwehwɛ aduruyɛfo afotu ntɛm ara. Ebetumi ama woanya hokwan kɛse de agye wo nkwa.

` Seminoma, awotwaa mu kokoram, mmarima akwahosan, kokoram ho sɛnkyerɛnne, kokoram ayaresa, orchiectomy, awotwaa mu ankasa nhwehwɛmu