Sɛ wuhu sɛ wo anaa obi a wunim no wɔ kokoram a, ehu kɛse biako a ɛba w'adwenem ne sɛ, "So atrɛw akɔ nipadua no afã afoforo?" Ɛno yɛ ehu a ntease wom ankasa. Ɛnnɛ, yɛbɛka sɔhwɛ bi a ɛho hia yiye a nnuruyɛfo de hwehwɛ saa asɛmmisa no ho mmuae ho asɛm. Wɔfrɛ no Sentinel Node Biopsy.
Dɛn ne Sentinel Node Biopsy wɔ nsɛm a ɛnyɛ den mu?
Sɛ yɛbɛte eyi ase a, momma yenni kan nsua ntini a ɛwɔ yɛn nipadua mu no ho ade kakra. Eyinom yɛ ntini nketenkete a ɛte sɛ bankye a ɛwɔ yɛn nipadua nyinaa so. Wɔte sɛ "filters" wɔ yɛn nipadua mu. Wɔn adwuma ne sɛ wɔbɛyi nsu a ɛwɔ yɛn nipadua mu no na wɔakyere nneɛma a epira te sɛ mmoawa, mmoawa, ne kokoram nkwammoaa. Ɛte sɛ polisifo beae a wɔhwɛ nneɛma so.
Afei fa no sɛ sɛ kokoram nkwammoaa fi ase trɛw fi akisikuru mu a, ntini pii wɔ hɔ a ɛda adi sɛ saa nkwammoaa no bedi kan agyae mu . Saa ‘apon’ lymph nodes a edi kan no ne nea yɛfrɛ no "sentinel nodes."
Sɛ yɛbɛka no tiawa a, sentinel node biopsy yɛ oprehyɛn a wɔde yi sentinel node biako anaa nea ɛboro saa, a ɛte sɛ beae a edi kan a wɔde hwɛ nneɛma mu, de hu sɛ kokoram no atrɛw anaa, na afei wɔasɔ ahwɛ sɛ ebia kokoram nkwammoaa wɔ hɔ anaa.
Nsɛm bɛn mu na wɔyɛ sɔhwɛ yi?
Nnuruyɛfo de nhwehwɛmu yi di dwuma titiriw de hu kokoram no fã. Ɛne sɛ, sɛ wobehu baabi a kokoram no atrɛw akodu ne sɛnea ɛyɛ aniberesɛm. Eyi ho hia titiriw wɔ tebea horow yi mu:
- Nufu mu Kokoram
- Melanoma honam ani kokoram
Nea ɛka ho no, wɔde saa kwan yi nso di dwuma de hu bere a ɔbarima no akyi kokoram ne awotwaa mu kokoram no te. Mprempren, wɔreyɛ nhwehwɛmu de ahu sɛnea ɔkwan yi tu mpɔn ma kokoram ahorow afoforo pii. Eyinom bi ne awotwaa mu kokoram, akyi berɛmo mu kokoram, ne thyroid kokoram.
Mpɛn pii no, wɔyɛ saa nipadua mu nhwehwɛmu yi bere koro no ara a wɔyɛ oprehyɛn de yi akisikuru titiriw no, nanso ɛtɔ mmere bi a wobetumi ayɛ no soronko, ansa na wɔayɛ anaasɛ ɛno akyi.
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ oprehyɛn yi?
Esiane sɛ eyi yɛ oprehyɛn nti, ɛho hia yiye sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Mpɛn pii no, wubenya akwankyerɛ wɔ nneɛma te sɛ:
- Mmuadadi: Bere a ɛsɛ sɛ wogyae adidi ne anonne ansa na wɔayɛ no oprehyɛn ne nea ɛsɛ sɛ wogyae adidi.
- Aduro:Sɛ worenom nnuru, vitamin, anaa nnuru foforo bi a wɔde ka wo ho a, wo duruyɛfo bebisa sɛ ebia ɛsɛ sɛ wugyae emu biara nom anaa.
Afei nso, ɛho hia sɛ wo ne obi bɛkasa a ɔde wo bɛkɔ fie bere a wɔayɛ oprehyɛn no awie no.
Ɔkwan bɛn so na wɔyɛ oprehyɛn no?
Saa adeyɛ yi kɔ so wɔ nhyehyɛe kwan so yiye.
Ansa na wɔreyɛ oprehyɛn anaa bere a wɔreyɛ wo oprehyɛn no, wo duruyɛfo de ade titiriw bi bɛhyɛ wo akisikuru no mu. Eyi betumi ayɛ ade a ahobammɔ wom a ɛma mframa bɔne (tracer) anaasɛ aduru a wɔde yɛ aduru a ɛyɛ bruu. Saa ade yi fi akisikuru no mu kɔ sentinel node no mu, a ɛno ne "beae a edi kan a wɔhwɛ so." Eyi boa oduruyɛfo a ɔyɛ oprehyɛn no ma ohu ntini pɔtee a obeyi afi hɔ.
Afei ma yɛnhwɛ nea ɛkɔ so anammɔn biara.
| Anamɔn a wɔfa so yɛ | Dɛn na ɛrekɔ so? |
|---|---|
| 1. Nnuru a wɔde kum nipadua no | Wɔbɛma wo akisikuru koraa (worenhu wo ho koraa) sɛnea ɛbɛyɛ a worente ɛyaw biara nka. |
| 2. Sentinel Node no a wobɛhwehwɛ | Sɛ wɔde radioactive ade no ahyɛ mu a, wɔde afiri titiriw bi a wɔfrɛ no gamma detector hu baabi a node no wɔ. Sɛ wɔde aduru a ɛyɛ bruu no ahyɛ mu a, node no bɛda adi sɛ bruu. Ɛtɔ mmere bi a, wɔde akwan abien no nyinaa di dwuma. |
| 3. Node no a wobeyi afi hɔ | Oduruyɛfo a ɔyɛ oprehyɛn no twa ketewaa bi na oyi sentinel nodes a wɔahu no biako anaa nea ɛboro saa (mpɛn pii no 1 kosi 5). |
| 4. Wɔsoma ma wɔkɔsɔ nhwɛ | Wɔde ntini a wɔayi afi hɔ no kɔ adwumayɛbea bi, na ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛ ebia kokoram nkwammoaa wɔ mu anaa. Afei wɔde nhama to baabi a wɔatwa no mu. |
Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?
Nnipa dodow no ara tumi kɔ fie da koro no ara, nanso ebia ebehia sɛ woda ayaresabea hɔ anadwo. Kae sɛ ɛyɛ ade a ɛfata sɛ wubehu saa nneɛma yi wɔ bere a wo ho tɔ wo wɔ oprehyɛn akyi no mu.
- Ɛyɛ yaw wɔ baabi a wotwaa no, na sɛ womia so a, ɛyɛ yaw .
- Wora a ɛwɔ saa beae no te nka sɛ ɛyɛ mmerɛw (eyi ne nea ɛba bere a saa ntini ahorow no san ba bio no).
- Ebia wo nsu anaa wo nsu bɛdan bruu anaa ahabammono nna kakraa bi esiane atade bruu a wode dii dwuma nti.
- Wora a atwa baabi a wɔatwa no ho ahyia no te sɛ bruu .
- Nkate a ɛte sɛ akuru a ɛyɛ den wɔ honam ani bere a kuru no sa no.
- Sɛ woayi ntontom bi afi wo nsateaa mu a, ebia wobɛte nka sɛ wo nsa mu ayɛ den anaasɛ wo ho nyɛ wo dɛ kakra .
Ansa na wubefi ayaresabea hɔ no, bisa wo duruyɛfo anaa ɔyarehwɛfo no sɛnea wobɛhwɛ wo kuru no ne ahwɛyiye a ɛsɛ sɛ woyɛ ho asɛm. Bisa bere a wubetumi afi ase ateɛteɛ w’apɔw mu na woama nneɛma a emu yɛ duru so bio nso.
Asiane ne nsɛnnennen bɛn na ɛwɔ oprehyɛn yi mu?
Eyi yɛ oprehyɛn a ahobammɔ wom kɛse, nanso sɛnea ɛte wɔ oprehyɛn biara ho no, asiane nketenkete bi wɔ hɔ.
| Asiane/Nsɛnnennen a Ɛba | Nkyerɛmu |
|---|---|
| Ɔhaw ahorow a ɛfa akuru ho | Beae a wɔatwa no betumi ayɛ mogya, apirapira, ɛho ahonhon, na ayɛ yaw. Ɛtɔ da bi a, kuru no tumi nya ɔyare mmoawa. Sɛ kuru no yɛ kɔkɔɔ, ahonhon, na ɛyɛ atiridiinini a, ɛno kyerɛ sɛ ɔyare mmoawa no wɔ hɔ. |
| Nneyɛe a Ɛma Nnipa Ho Yɛ Den | Ɛntaa mma koraa sɛ ebia nnipa binom ho bɛyɛ wɔn hyew wɔ saa kɔla bruu no ho. |
| Lymphedema a ɛma mogya tu | Sɛ woyi ntini a ɛma mogya tu no fi hɔ a, ebetumi asiw nsu a ɛsen no kwan, na ama nsu no aboaboa ano na ama abasa anaa nan no ahonhon. Nanso, asiane yi sua koraa bere a woyi sentinel node kakraa bi pɛ fi hɔ no. |
| Axillary Web Syndrome (AWS) a Ɛma Nnipa Ho Yɛ Adwuma . | Eyi nso yɛ ade a ɛntaa nsi. Sɛ woyi ntini a ɛma mogya tu fi abasa no mu a, ebia wobɛte nka sɛ ahama bi wɔ honam ani wɔ wo nsa mu. |
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
Ɔkwan bɛn so na sɔhwɛ ho amanneɛbɔ no ba? Ɛkyerɛ dɛn?
Nea afi amanneɛbɔ no mu aba no yɛ ahorow abien: ‘Negative’ anaa ‘Positive’ .
- Sɛ nea efi mu ba ne ‘Negative’ a:
Ɛno kyerɛ sɛ wɔanhu kokoram nkwammoaa biara wɔ wo sentinel nodes no mu. Eyi yɛ asɛmpa paa efisɛ ɛkyerɛ sɛ ɛnyɛ nea ɛda adi koraa sɛ kokoram no atrɛw akɔ ntini afoforo mu.
- Sɛ nea efi mu ba ne ‘Positive’ a:
Eyi kyerɛ sɛ kokoram nkwammoaa bi wɔ sentinel nodes a woyii no mu. Saa bere yi de, ebia wo duruyɛfo no besi gyinae sɛ ɔbɛkɔ so ahwehwɛ baabi a kokoram no atrɛw akodu na ayi ntini pii afi hɔ. Anaasɛ, ebia ɔbɛkamfo ayaresa afoforo te sɛ mframa a wɔde sa yare akyerɛ.
Bere a egye na wɔanya nea efi mu ba no betumi ayɛ soronko. Ebia ɛbɛyɛ da koro, anaasɛ ebegye adapɛn pii.
Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no?
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi wɔ oprehyɛn akyi a, frɛ wo duruyɛfo a ɛnkyɛ.
- Sɛ wowɔ atiridiinini a .
- Sɛ baabi a wɔatwa no ahonhon, ayɛ kɔkɔɔ, anaasɛ ɛte sɛ nea ɛyɛ hyew a .
- Sɛ kuru no kɔ so mogya tu a .
- Sɛ wowɔ ɛyaw a wuntumi nnyina ano bere a woanom nnuru a wɔde kum ɛyaw akyi mpo a.
Nkrasɛm a Wɔde Kɔ Fie
- Sentinel node biopsy yɛ sɔhwɛ a ɛho hia yiye de hu sɛ ebia kokoram atrɛw akɔ nipadua no afã afoforo anaa.
- Nea ebefi eyi mu aba no bɛboa nnuruyɛfo kɛse wɔ sɛnea wobehu baabi a wo kokoram no wɔ ne daakye ayaresa ho nhyehyɛe a wɔbɛyɛ no mu.
- Mpɛn pii no, eyi yɛ oprehyɛn a ahobammɔ wom, na mpɛn pii no wobetumi adi ɔhaw biara a ebetumi aba no ho dwuma.
- Nea efi mu ba a ‘ɛnyɛ bɔne’ yɛ sɛnkyerɛnne pa a ɛkyerɛ sɛ kokoram no ntrɛwee, bere a nea efi mu ba a ‘ɛyɛ papa’ no de akwankyerɛ ma wɔ daakye ayaresa ho.
- Wo ne wo duruyɛfo nka nsɛmmisa anaa dadwen biara a ebia wowɔ ansa na wɔayɛ wo oprehyɛn anaa bere a woayɛ wo oprehyɛn akyi no ho nkɔmmɔ pefee.

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