So honam ani nsakrae bi wɔ w’aso mu? Ebetumi ayɛ honam ani kokoram (Skin Cancer on Ear). Momma yɛnka eyi ho asɛm nkɔ akyiri!

Yɛn nyinaa kae sɛ yɛde `Sunscreen` bɛhyɛ yɛn anim ne yɛn nsa bere a yɛrepue akɔ owia mu no, nanso so yedwen yɛn aso ho pii? Nokwarem no, aso yɛ beae a owia bɔ kɛse, nanso yɛn werɛ fi no kɛse. Enti ɛnnɛ yɛrebɛka honam ani kokoram a ɛba aso mu, a ɛne `(Skin Cancer on Ear)` ho asɛm. Ɛwom sɛ eyi yɛ asɛmti a ɛyɛ hu kakra de, nanso sɛ wɔbɔ yɛn amanneɛ yiye a, yebetumi abɔ yɛn ho ban afi tebea yi ho na yɛahu ntɛm.

Dɛn ne honam ani kokoram a ɛwɔ aso so? Sɛ yɛbɛka no tiawa a...

Wo honam ani kokoram ne bere a nkwammoaa a ɛwɔ wo honam ani no fi ase nyin wɔ ɔkwan a ɛnteɛ so na wontumi nni so. Sɛ yɛbɛka no pɛpɛɛpɛ a, nkwammoaa nketenkete na ɛyɛ yɛn honam ani. Saa nkwammoaa yi mu paapae sɛnea ɛsɛ, na wonya nkwammoaa foforo bere a nkwammoaa dedaw wuwu no. Nanso ɛtɔ mmere bi a, saa adeyɛ yi nkɔ yiye, na nkwammoaa no fi ase kyekyɛ ntɛmntɛm dodo. Ɛno ne bere a kokoram ba.

Eyi taa fi ase wɔ aso no fã a wotumi hu fi akyi , te sɛ aso no. Ɛwom sɛ ebia ebefi ase sɛ nsakrae ketewaa bi mfiase de, nanso sɛ wɔansa no yiye a, kokoram nkwammoaa yi betumi atrɛw akɔ nipadua no afã afoforo . Yɛfrɛ no `(Metastatic Cancer)`. Ɛno nti na ɛho hia sɛ wohu eyi.

Dɛn ne aso mu kokoram ho sɛnkyerɛnne? Yɛyɛ dɛn hu no?

Honam ani kokoram ho sɛnkyerɛnne titiriw a ɛwɔ aso no so ne nsakrae a ɛba sɛnea honam ani hwɛbea a ɛda adi wɔ w’aso so no te. Ebia nsakrae yi renhu ntɛm ara, nanso hu nneɛma yi:

• So ɛte sɛ nea sɛnea nsensanee anaa nsensanee bi te no resakra mpofirim ?
• So nsakrae bi aba w’aso ho were no kɔla mu? Ebetumi ayɛ bruu, pink, anaa tuntum.
• So baabi bi wɔ w’aso mu a ɛkɔ so yɛ wo yaw anaa mogya tu ?
• So ɛte sɛ pinkish bump , a ne soro yɛ mmerɛw na ɛyɛ mmerɛw kakra?
• So wuhu akisikuru ketewaa bi a ɛhyerɛn anaasɛ akisikuru ?
• So wowɔ kuru bi a ɛnsae wɔ bɛyɛ adapɛn anan akyi ?
• So baabi foforo bi aba a ɛte sɛ akuru dedaw bi a ɛyɛ kɔkɔɔ anaa fitaa ?

Sɛ wuhu biribi te sɛ eyi a, ɛsɛ sɛ wohwɛ yiye kakra.

Momma yɛmfa ABCDE mmara no nhu nsakrae a ɛba honam ani!

Saa `ABCDE` mmara yi yɛ ɔkwan tiawa a wɔfa so hu nsakrae a ɛba honam ani nsensanee anaa akisikuru mu. Wobetumi de eyi ahwehwɛ nsakrae a ɛba honam ani wɔ nipadua no mu baabiara, ɛnyɛ aso nkutoo.

• A - Asymmetry: Wei kyer3 se, nsensanee anaase akuru no nnye ade koro. Sɛ wotwa mu mmienu a, ɛte sɛ nea n’afã abien no nyɛ pɛ.
• B - Border: So beae no hye no mu nna hɔ? So ɛte sɛ nea ɛyɛ kusuu anaasɛ ɛtrɛw?
• C - Kɔla: So beae no wɔ kɔla ahorow pii sen sɛ ɛbɛyɛ biako pɛ? (e.g. bruu, tuntum, kɔkɔɔ, fitaa) .
• D - Diameter: So nsensanee no sõ sene pɛnsere a wɔde popa nneɛma (bɛyɛ milimita 6)?
• E - Evolution (changing/changing): So mole no yɛ kɛse bere a bere kɔ so no? So ɛsakra ne nsusuwii, ne kɔla, anaa ne kɛse?

Sɛ wohu saa `ABCDE` nsɛnkyerɛnneɛ yi bi wɔ baabi anaa kuru bi wɔ w'aso so a, adeɛ a ɛyɛ papa sɛ wobɛyɛ ne sɛ wobɛkɔ oduruyɛfoɔ nkyɛn na woakɔhwɛ.

Dɛn nti na yenya honam ani kokoram wɔ yɛn aso mu? Dɛn na ɛde ba?

Ade titiriw a ɛtaa de honam ani kokoram ba aso mu ne mframa a ano yɛ den a epira (UV hann) a efi owia mu ba bere tenten . Wo de susuw sɛnea yɛn aso kɔ owia mu bere a yɛrekɔ owia mu no ho hwɛ. Saa `UV` mframa yi betumi asɛe `DNA` a ɛwɔ yɛn honam ani nkwammoaa mu. Sɛ saa `DNA` yi sɛe a, nkwammoaa no fi ase yɛ wɔn ade wɔ ɔkwan a ɛnteɛ so, wɔ `Malignant` kwan so. Saa nkwammoaa a asɛe yi mu paapae ntɛmntɛm na ɛka bom yɛ `Mass of cancer cells`.

Ɛnyɛ ɛno nko, sɛ obi kɔ so ne nnuru bi (e.g. tar, nneɛma a wɔde fango ayɛ) di nkitaho a , ebetumi ama honam ani kokoram aba aso no mu.

Nneɛma bɛn na ɛma asiane a ɛwɔ hɔ sɛ obi benya honam ani kokoram wɔ aso mu no yɛ kɛse?

Yɛn ti, yɛn anim, ne yɛn aso nya owia hann pii sen yɛn nipadua no afã afoforo. Enti, asiane a ɛwɔ hɔ sɛ UV mframa bɛsɛe honam ani nkwammoaa no yɛ kɛse. Titiriw sɛ owia ayɛ wo hyew anaasɛ wo ho ayɛ wo akisikuru a, asiane a ɛwɔ hɔ sɛ wubenya honam ani kokoram no yɛ kɛse mpo .

Nneɛma afoforo pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya honam ani kokoram wɔ aso mu no yɛ kɛse:

Nipadua mu su ahorow:

• Nwi yɛ sika kɔkɔɔ anaa kɔkɔɔ , honam ani yɛ fitaa anaasɛ nsensanee wɔ hɔ , na aniwa yɛ kɔla a ɛyɛ hann .
• Sɛ wowɔ akisikuru pii anaasɛ nsensanee a ɛnyɛ pɛpɛɛpɛ wɔ nipadua no so.
• Sɛ́ wowɔ su a ɛne sɛ wobɛhyew owia ntɛm ne/anaasɛ woadi kan anya owia hyew.

Abusua ne aduruyɛ ho abakɔsɛm:

• Sɛ obi a ɔwɔ w’abusua mu anya honam ani kokoram a .
• Sɛ wɔayɛ wo akwaa foforo a .
• Sɛ woanya UV hann ayaresa ama tebea horow te sɛ eczema anaa psoriasis a.
• Sɛ wowɔ tebea bi a wɔfrɛ no `Actinic Keratosis` (a ɛyɛ den, ɛyɛ nsensanee, pink tuntum anaa bruu a ɛpue wɔ honam ani ansa na kokoram aba).
• Sɛ worenom nnuru a ɛma nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw a .

Asetra kwan:

• Obi a ɔtaa nya bere wɔ abɔnten wɔ owia mu . Sɛ nhwɛso no, okuafo a ɔyɛ adwuma wɔ afuw mu, obi a ɔyɛ adwuma wɔ kwan so, obi a ɔbɔ agumadi wɔ abɔnten, anaa obi a n’ani gye owia mu kɛkɛ.
• Sɛ wote beae a owia bɔ kɛse anaa mmeae a ɛkorɔn a .
• Sɛ woyɛ tan wɔ abɔnten anaasɛ wode mpa a wɔde hyɛ wo honam ani hwɛbea di dwuma a .

Sɛ saa nsɛntitiriw yi fa wo ho a, ɛbɛyɛ papa sɛ wobɛyɛ ahwɛyiye kakra.

Ɔkwan bɛn so na oduruyɛfo hu honam ani kokoram wɔ aso mu?

Sɛ wususuw sɛ wowɔ honam ani kokoram wɔ w’aso mu a, eyi ne ɔkwan a wɔbɛfa so ahu bere a woakɔ oduruyɛfo nkyɛn no:

1. Nipadua mu sɔhwɛ:Nea edi kan no, oduruyɛfo no bɛhwɛ w’aso akyi yiye sɛ ebia honam ani kokoram ho sɛnkyerɛnne bi wɔ hɔ anaa. Wobebisa wo nsakrae biara a aba nnansa yi wɔ w’aso honam ani hwɛbea mu ho asɛm.

2. Biopsy: Sɛ oduruyɛfo no susuw sɛ kokoram a, wɔbɛyɛ biopsy. Eyi kyerɛ sɛ wobegye were ketewaa bi afi baabi a ɛte sɛ nea ɛnyɛ ne kwan so no na wɔde akɔ lab. Ɛhɔ no, ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete bɛhwɛ mu ahwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa.

3. Mfoniniyɛ mu nhwehwɛmu: Sɛ nipadua mu nhwehwɛmu no si so dua sɛ kokoram a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ MRI (Magnetic Resonance Imaging) anaa CT scan (Computed Tomography scan) na ama wɔahu sɛ kokoram no atrɛw anaa. Saa mfoninitwa nhwehwɛmu ahorow yi boa ma wohu baabi a kokoram no wɔ na ɛboa ma wɔyɛ ayaresa nhyehyɛe.

Kae sɛ, sɛ wuhu sɛ biribi a ɛyɛ soronko anaa akuru bi wɔ w’aso mu esiane biribi nti a, mmu w’ani ngu so. Nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn ne ayaresa a wɔde sa honam ani kokoram a ɛwɔ aso mu?

Botae titiriw a ɛwɔ honam ani kokoram a wɔde sa aso so ne sɛ wobekum kokoram nkwammoaa no bere a wɔkora ntini a ɛte apɔw pii so sɛnea wobetumi no . Wo nnuruyɛ kuw no bɛyɛ ayaresa nhyehyɛe a egyina wo kokoram no fã (afã 0 kosi IV) so. Dodow a kokoram no kɔ soro no, dodow no ara na ɛda adi sɛ ɛbɛtrɛw.

Wɔ honam ani kokoram a ɛba mfiase (`low-stage`) ho no, ɛtɔ mmere bi a wobetumi de ``biopsy`` ayi afi hɔ koraa. Akwan foforo pii wɔ hɔ a wɔfa so yi honam ani kokoram fi hɔ:

• Oprehyɛn a wɔde twa oprehyɛn: Wɔ saa oprehyɛn yi mu no, oprehyɛn no de afiri a ano yɛ nnam anaa ahama twa baabi a kokoram wɔ no ne honam ani fã ketewaa bi a ɛyɛ papa a atwa ho ahyia no. Wɔyɛ eyi de hwɛ hu sɛ wɔayi kokoram nkwammoaa no nyinaa afi hɔ.
• Curettage ne electrodesiccation: Wɔ saa kwan yi so no, wɔde adwinnade a ano yɛ nnam na ɛyɛ kurukuruwa di dwuma de twitwa kokoram no fi hɔ. Afei, wɔde anyinam ahoɔden ade sɛe kokoram nkwammoaa biara a aka.
• Mohs oprehyɛn: Wɔ Mohs oprehyɛn mu no, oduruyɛfo no di kan yi kokoram no afã horow a wotumi hu a ɛkɔ soro no na ɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ. Afei, woyi kokoram nkwammoaa a aka no fi hɔ ntoatoaso biara. Wɔyɛ eyi kosi sɛ wɔrenhu kokoram nkwammoaa bio. Eyi ma wotumi gye honam ani a ɛte apɔw pii sɛnea wobetumi.

So ayaresa afoforo wɔ hɔ a wɔnyɛ oprehyɛn?

Yiw, oprehyɛn akyi no, ayaresa afoforo wɔ hɔ a wɔde sa aso honam ani kokoram. Ebi ne:

• Nnuru a wɔde sa yare: Nnuru a ekum kokoram nkwammoaa a wɔde ma.
• Cryotherapy: Awɔw a ano yɛ den a wɔde di dwuma de sɛe kokoram nkwammoaa.
• Nnuru a ɛko tia nyarewa:Nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa a ɛkanyan no ma ɛko tia kokoram nkwammoaa.
• Photodynamic therapy: Wɔde aduru titiriw bi ne hann a ɛsɛe kokoram nkwammoaa.
• Mframa a wɔde sa yare: Wɔde mframa a ahoɔden wom a ɛsɛe kokoram nkwammoaa.

W’aduruyɛfo kuw no besi ayaresa kwan a eye ma wo ho gyinae.

So aso honam ani kokoram betumi atrɛw akɔ amemene no mu?

Yiw, ebetumi aba. Sɛnea yɛadi kan aka no, sɛ wɔanhu aso honam ani kokoram na wɔansa no yiye a, ebetumi anyin na atrɛw. Sɛ kokoram nkwammoaa hyɛn mogya anaa ntini mu a, ebetumi akɔ nipadua no afã afoforo, amemene no mpo . Ɛno nti na ɛho hia kɛse sɛ wobehu no ntɛm na wɔasa no yare no.

So wobetumi asa aso honam ani kokoram koraa?

Yiw, akyinnye biara nni ho! Titiriw sɛ wohu aso no honam ani kokoram wɔ mfiase, kyerɛ sɛ, wɔ `bere a ɛba fam` mu a, hokwan a ɛwɔ hɔ sɛ ayaresa no bedi nkonim no yɛ kɛse yiye . Mpɛn pii no, wobetumi asa no koraa. Nanso, sɛ kokoram no atrɛw a, sɛnea ayaresa no bɛyɛ yiye no gyina baabi a atrɛw ne baabi a atrɛw akodu no so.

Wobɛyɛ dɛn asiw honam ani kokoram ano wɔ aso mu?

Wɔka sɛ: "Siw ano ye sen ayaresa." Enti nneɛma kakraa bi wɔ hɔ a yebetumi ayɛ de asiw aso honam ani kokoram ano:

1. Mma wo werɛ mmfi nnuru a wɔde bɔ owia ho ban: Sɛ wode aduru a ɛbɔ wo ho ban fi owia ho a ɛtrɛw di dwuma a, ebetumi atew ɔsɛe a UV mframa de ba no so kɛse. Nanso nnipa pii werɛ fi sɛ wɔde aduru a ɛbɔ wɔn ho ban fi owia ho bɛhyɛ wɔn anim ne wɔn nsa, ne wɔn aso mu. Fa aduru a ɛbɔ wo ho ban fi owia ho gu w'aso nso so . Mma wo werɛ mmfi sɛ wode nnuru a ɛbɔ wo ho ban fi owia ho bɛhyɛ wo ho bere biara a wobɛkɔ abɔnten, da a mununkum wɔ hɔ mpo.

2. Kwati `UV` mframa: Tra baabi a sunsuma wɔ hɔ yiye bere biara a ɛbɛyɛ yiye. Mma ntra owia mu a ɛho nhia. Gyae tanning ne `Tanning beds` a wode bedi dwuma koraa. Sɛ ɛbɛyɛ yiye a, fa biribi te sɛ kyɛw anaa nkatanim a ano trɛw di dwuma.

3. Hwɛ w’aso mu daa: Ɛyɛ den kakra sɛ yɛn ankasa behu w’aso ho were. Enti, fa wo fon no mfoninitwa afiri di dwuma anaa ka kyerɛ obi a ɔwɔ fie sɛ ɔnhwɛ w’aso akyi were daa . Sɛ wuhu nsensanee anaa nsakrae foforo biara a, hyɛ no nsow.

Anidaso bɛn na wubetumi anya bere a wo ne honam ani kokoram te w aso mu no?

Sɛnea yɛadi kan aka no, sɛ wohu ntɛm a, nea efi honam ani kokoram mu ba no ye yiye . Sɛ wohu ansa na kokoram no atrɛw a, wobetumi asa honam ani kokoram pii.

Nanso, melanoma ne honam ani kokoram a ɛyɛ hu sen biara . Sɛ wowɔ aso mu melanoma a, mfe anum a wobɛtra ase no te sɛ nea edidi so yi:

• Sɛ wohu kokoram ansa na atrɛw akɔ ntini a ɛma mogya tu no mu a, wobetumi asa no bɛyɛ 99% .
• Bɛyɛ 66% na atrɛw akɔ ntini a ɛbɛn hɔ mu.
• Bɛyɛ 27% atrɛw akɔ ntini a ɛwɔ akyirikyiri ne akwaa afoforo mu.

Mma akontaabu ahorow yi nnyɛ wo hu. Eyinom yɛ sɛ wɔkyekyem pɛpɛɛpɛ a. Ɛsono obiara tebea. Nea ɛho hia paa ne sɛ wubehu yare no ntɛm na woafi ase sa yare.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn sɛ wususuw sɛ honam ani kokoram wɔ w’aso mu a?

Anyɛ yiye koraa no, eye sɛ wobɛkɔ honam ani yare ho oduruyɛfo nkyɛn pɛnkoro afe biara na wakɔhwɛ wo nipadua nyinaa honam ani hwɛbea . Nea ɛka ho no, sɛ wowɔ w’aso ho were a ɛhaw wo, titiriw sɛ wuhu nea edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo anaa honam ani yare ho oduruyɛfo nkyɛn:

• Sɛ wo honam ani anaa akisikuru a ɛwɔ hɔ dedaw te sɛ akisikuru anaa akisikuru no kɛse, ne nsusuwii, anaa ne kɔla sesa a .
• Sɛ wowɔ akisikuru anaa nsensanee foforo wɔ wo honam ani a.
• Sɛ kuru bi wɔ hɔ a ɛnsa a .
• Sɛ wuhu nsensanee a ɛyɛ soronko wɔ wo honam ani a.
• Sɛ mmeae bi wɔ hɔ a ɛyɛ wo yaw anaasɛ mogya retu a .

Ntwɛn na nka sɛ, "Yɛbɛhwɛ akyiri yi." Sɛ ɛte sɛ nea ɛyɛ ade ketewaa mpo a, ebetumi ayɛ biribi a anibere wom mfiase.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wuhu sɛ wowɔ kokoram a, wunya nsɛmmisa pii. Ɛno yɛ ade a ɛfata. Wo ne wo duruyɛfo nkasa mfa saa nneɛma yi nyinaa ho nkɔmmɔ. Nsɛmmisa bi a wubetumi abisa ni:

• Honam ani kokoram bɛn na mewɔ wɔ m’aso so?
• Kokoram yi wɔ gyinabea bɛn mu? `(Fa bɛn na honam ani kokoram no wɔ?)`
• So mihia sɔhwɛ afoforo?
• Ɔkwan bɛn so na woayɛ nhyehyɛe sɛ wobɛsa honam ani kokoram a ɛwɔ m’aso so no?
• Dɛn ne saa ayaresa no mu nsunsuanso bɔne?
• Mɛte nka dɛn bere a wɔreyɛ me ayaresa no?
• Dɛn ne nkɔmhyɛ a ɛfa honam ani kokoram a ɛwɔ m’aso so no ho?
• So asiane a ɛkɔ soro sɛ menya honam ani kokoram foforo?
• Bere tenten ahe na ɛsɛ sɛ mesan ba ma wɔyɛ nhwehwɛmu a wɔde di akyi?

Saa nsɛmmisa yi bɛboa wo ma woayi ehu ne adwenem naayɛ a ɛwɔ w’adwene mu no afi hɔ.

Honam ani kokoram ahorow bɛn na ebetumi aba aso mu?

Honam ani kokoram atitiriw abiɛsa na ebetumi aba aso mu:

1. Basal cell carcinoma: Eyi ne honam ani kokoram a abu so sen biara. Mpɛn pii no, ɛtrɛw ntɛmntɛm na sɛ wohu ntɛm a, wotumi sa no yiye.

2. Squamous cell carcinoma: Eyi ne kokoram a wɔtaa hu wɔ aso akyi. Sɛ wohu ntɛm nso a, wotumi sa.

3. Melanoma: Eyi ntaa mma kakra sen ahorow abien a aka no, nansoWobu melanoma sɛ honam ani kokoram a ɛyɛ hu sen biara efisɛ ɛwɔ hokwan kɛse sɛ ɛbɛtrɛw akɔ akyiri asen honam ani akɔ akwaa afoforo mu. Enti, ebetumi ayɛ den kakra sɛ wɔbɛsa na wɔasa.

Aso honam ani kokoram abu so dɛn?

Sɛ wofa honam ani kokoram 100 a, emu bɛyɛ 6 kosi 10 bɛyɛ aso mu kokoram. Ɛno kyerɛ sɛ honam ani kokoram nyinaa mu 6% kosi 10% . Sɛ yɛka ne nyinaa bom a, honam ani kokoram ne kokoram a wɔtaa hu wɔ aman pii mu wɔ wiase nyinaa.

Esiane sɛ ɛnyɛ den sɛ yɛn aso bɛda `UV` mframa a epira a efi owia mu ba nti, asiane kɛse wom sɛ yebenya honam ani kokoram. Enti, hwɛ wo honam ani daa, titiriw w’aso. Sɛ wuhu biribi a ɛyɛ soronko wɔ w’aso were ho a, kɔ oduruyɛfo nkyɛn. Sɛ w’adwene mu yɛ wo naa a, ɛbɛyɛ papa sɛ wobɛma wɔahwɛ mu. Dodow a wuhu aso mu honam ani kokoram ntɛm no, dodow no ara na nea efi mu ba no ye.

Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

Okay, enti nneɛma bi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem fi nea yɛaka ho asɛm no mu ni:

• W’aso nso yɛ wo honam ani fã! Enti mma wo werɛ mmfi sɛ wode nnuru a ɛbɔ wo ho ban fi owia ho bɛbɔ w’aso ho ban bere a worekɔ owia mu no.
• Sɛ wuhu sɛ w’aso honam ani fã foforo, akuru, kuru a ɛnsa, kɔla sesa, ɛyɛ wo yaw, anaa mogya retu w’aso honam ani a, mmu w’ani ngu so.
• Fa ABCDE mmara no di dwuma de hwɛ nsakrae a ɛba honam ani nsensanee mu.
• Sɛ wohu ntɛm a, wobetumi asa aso honam ani kokoram dodow no ara koraa.
• Nsuro sɛ wobɛhwehwɛ aduruyɛ mu afotu bere biara a w’adwene mu yɛ wo naa no.

Hwɛ wo honam ani yiye, titiriw w’aso. Kɔ so nya apɔwmuden!

` Wora kokoram, aso mu kokoram, owia hann, UV mframa, honam ani ahobammɔ, honam ani yare, melanoma