Sɛ wo mammogram kyerɛ "nkwaboaa a ɛnteɛ" a, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka. "So eyi yɛ kokoram? Dɛn na ɛbɛto m'asetra?" Ebia woresusuw ho. Nanso mma wo ho nnyɛ wo hu. Ebia ɛnyɛ aniberesɛm sɛnea wususuw no. Mpɛn pii no, eyi ne nufu mu kokoram no mfiase pɛɛ, a wɔfrɛ no "Stage 0." Ɛno ne nea yɛreka ho asɛm nnɛ. Momma yɛnhwɛ nea ɛyɛ ankasa, sɛ ebia ɛyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho, ne ayaresa ahorow a ɛwɔ hɔ ntɛm.
Dɛn ne ‘Stage 0’ yi?
Sɛ yɛbɛka no tiawa a, ɔfã 0 kyerɛ sɛ kokoram nkwammoaa anaa nkwammoaa a ɛnteɛ no da so ara wɔ baabi a wodii kan fii ase, wɔ nufusu ntini anaa nufu no ntini mu. Saa nkwammoaa yi nnya ntrɛwee (nhyɛɛ mu) nkɔ ntini a ɛwɔ apɔwmuden a atwa ho ahyia no mu. Nnuruyɛfo frɛ tebea yi "in situ." Ɛno kyerɛ sɛ "baabi a na ɛwɔ."
Susuw nufusu ntini a ɛwɔ nufu no mu no ho sɛ nhama a wɔde fa nsu mu wɔ ofie bi mu. Saa nkwammoaa a ɛnyɛ ne kwan so yi wɔ saa nsu afiri no mu nkutoo. Wɔnnya mmubue nsuo afiri no afasu mu na wɔatrɛw akɔ ofie no mmeae afoforo. Ɛno ne nea ɛrekɔ so wɔ ha. Eyi ho hia yiye, efisɛ sɛ wohu wɔ saa bere yi mu a, wobetumi ayɛ no yare na ɛkame ayɛ sɛ wɔasa no yare koraa .
‘Stage 0’ no yɛ ahorow abien titiriw. Momma yɛnhwɛ wɔn wɔ ɔkwan soronko so.
| Nneɛma titiriw | DCIS (Ductal Carcinoma a Ɛwɔ Nea Ɛwɔ Hɔ) . | LCIS (Lobular Carcinoma a Ɛwɔ Nea Ɛwɔ Hɔ) . |
|---|---|---|
| Kyerɛ | Nkwammoaa a ɛnteɛ a ɛwɔ nufusu ntini a ɛwɔ nufu no mu. | Nkwammoaa a ɛnyɛ ne kwan so a ɛwɔ nufu no mu ntini a ɛma nufusu (lobules) no mu. |
| Sɛnea emu yɛ den | Wobu eyi sɛ ɛyɛ ‘ansa na kokoram aba’. Sɛ wɔansa a, ebetumi abɛyɛ kokoram a ɛyɛ hu daakye. | Eyi nyɛ kokoram. Nanso, wobu no sɛ ‘asiane agyiraehyɛde ’ a ɛma asiane a ɛwɔ hɔ sɛ wobenya kokoram wɔ nufu abien no nyinaa mu daakye no yɛ kɛse. |
| Nkyerɛkyerɛmu a wɔde kyerɛ | Mpɛn pii no, wotumi de mammogram hu. | Mpɛn pii no, wontumi nte akisikuru bi nka. Wohu no wɔ akwanhyia mu bere a wɔreyɛ nufu mu nhwehwɛmu esiane biribi foforo nti no. |
| Nea ɛsɛ sɛ wɔyɛ | Ɛsɛ sɛ wofi ase sa yare no ntɛm ara. | Ɛho hia sɛ wɔhwɛ no yiye na wɔne oduruyɛfo no bɔ nkɔmmɔ mpɛn pii. Ebia ɛho behia sɛ wɔsa yare na ama asiane no so atew. |
Dɛn ne ayaresa ahorow a wɔde sa DCIS?
Esiane sɛ DCIS betumi abɛyɛ kokoram a ɛtrɛw daakye nti, ɛho hia sɛ wɔsa no bere a wɔahu no ara pɛ. Nea eye ne sɛ, ayaresa ahorow no tu mpɔn yiye.
1. Oprehyɛn a wɔyɛ
Eyi ne ayaresa titiriw. Oprehyɛn ahorow abien na ɛwɔ hɔ.
- Lumpectomy: Eyi hwehwɛ sɛ woyi akisikuru anaa baabi a nkwammoaa a ɛnyɛ ne kwan so wɔ nkutoo, ne ntini bi a ɛte apɔw a atwa ho ahyia no. Ɛnnyi nufu no nyinaa mfi hɔ.
- Nufu a wobetwa: Wɔ tebea horow bi mu no, sɛ DCIS no sõ anaasɛ atrɛw wɔ nufu no mu nyinaa a, nnuruyɛfo betumi akamfo akyerɛ sɛ wonyi nufu no nyinaa. Wosi gyinae yi bere a wo ne wo duruyɛfo abɔ nkɔmmɔ yiye akyi.
Mmea binom nso si gyinae sɛ wɔbɛyɛ wɔn nufu oprehyɛn de asan ayɛ wɔn nufu bere a wɔatwa wɔn nufu no awie no. Ɛyɛ obi ankasa gyinaesi koraa.
2. Mframa a Wɔde Yɛ Ayaresa
Wɔtaa de mframa a wɔde sa yare ma bere a wɔatwa lumpectomy awie no. Eyi de mframa a ahoɔden wom kɛse di dwuma de sɛe nkwammoaa nketenkete biara a ɛnyɛ ne kwan so a ebetumi aka wɔ oprehyɛn akyi. Ɛte sɛ nea wosiesie beae no yiye bere a wɔayɛ oprehyɛn awie no, na ɛtew asiane a ɛwɔ hɔ sɛ ɔhaw no bɛsan aba bio no so.
3. Hormone Ayaresa
Sɛ wo DCIS no wɔ hormone-receptor positive a, ebia wo duruyɛfo bɛkamfo hormone ayaresa akyerɛ wo wɔ oprehyɛn akyi. Saa nnuru yi brɛ asiane a ɛwɔ hɔ sɛ kokoram foforo bɛba nufu abien no nyinaa mu daakye no ase.
Dɛn na woyɛ ma obi a ɔwɔ LCIS?
Sɛnea yɛadi kan aka no, LCIS nyɛ kokoram, na mmom ɛyɛ kɔkɔbɔ sɛnkyerɛnne ma daakye . Enti, ɔkwan a wɔfa so sa no yɛ soronko kakra. Ade titiriw a ɛwɔ ha ne sɛ ɛnyɛ sɛ wobɛbɔ hu, na mmom sɛ wobɛyɛ ade wɔ ɔkwan a wɔayɛ ho nhyehyɛe so.
- Hwɛ a wobɛhwɛ yiye: Eyi ne ade a ɛho hia sen biara. Ɛho hia sɛ woyɛ wo nufu mu nhwehwɛmu daa, woyɛ wo nufu mu nhwehwɛmu, ne nhwehwɛmu afoforo a ɛho hia sɛnea wo duruyɛfo kamfo kyerɛ no.
- Hormone ayaresa: Wobetumi ama mmea a wɔwɔ LCIS nso hormone therapy (e.g., Tamoxifen) de atew asiane a ɛwɔ hɔ sɛ wobenya kokoram daakye no so.
- Oprehyɛn a Wɔde Siw Ano: Eyi nyɛ biribi a obiara betumi ayɛ. Nanso, ɛtɔ mmere bi a mmea a asiane kɛse wom sɛ wobenya nufu mu kokoram no si gyinae yi. Henanom na wɔhwe ase wɔ kuw a asiane kɛse wom yi mu?
- Sɛ abusua muni bi a ɔbɛn no (ɛna, onuawa) anya nufu mu kokoram a.
- Sɛ wɔahu sɛ wowɔ awosu mu nkwaadɔm mu nsakrae a ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram te sɛ BRCA1 anaa BRCA2 no yɛ kɛse a.
Wɔ tebea horow a ɛtete saa mu no, mmea binom si gyinae sɛ wobetwa wɔn nufu mmɔho abien na ama wɔakwati asiane ahorow a ɛbɛba daakye. Eyi yɛ ankorankoro gyinaesi a anibere wom yiye, na ɛsɛ sɛ wosi bere a wo ne oduruyɛfo abɔ nkɔmmɔ a edi mũ yiye akyi.
Wobɛyɛ dɛn apaw nea ɛfata wo yiye?
Bere a woakenkan eyinom nyinaa awie no, ebia woresusuw ho sɛ, "Dɛn na eye ma me?" Mmuae no da wo so, wo duruyɛfo nkyɛn.
Kae sɛ, ‘Stage 0’ nyɛ owu asotwe. Eyi yɛ tebea a wotumi sa yiye, a wohu ntɛm.
Wo duruyɛfo bɛkamfo ayaresa nhyehyɛe a eye sen biara ama wo, a obesusuw sɛnea wo tebea no te (DCIS anaa LCIS), ne kɛse, wo mfe, w’abusua abakɔsɛm, ne w’ankasa nea wopɛ ho. Hwɛ hu sɛ wo ne wo duruyɛfo besusuw nsɛmmisa anaa dadwen biara a wowɔ ho . Sɛ wo ne no bɛkasa pefee a, ɛno ne gyinaesi a eye sen biara a wubetumi asi.
Nkrasɛm a Wɔde Kɔ Fie
- ‘Stage 0’ nufu mu kokoram kyerɛ sɛ nkwammoaa a ɛnyɛ ne kwan so no akɔhyɛ baabi a efii ase (wɔ ntini anaa ntini mu). Wɔnnya ntrɛwee nkɔ ntini a atwa ho ahyia no mu.
- DCIS yɛ tebea a ɛsɛ sɛ wɔsa no ntɛm ara efisɛ sɛ wɔansa a, ebetumi abɛyɛ kokoram a ɛretrɛw.
- LCIS nyɛ kokoram, na mmom ɛyɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ asiane a ɛwɔ hɔ sɛ obi benya kokoram daakye, na ɛhwehwɛ sɛ nnuruyɛfo hwɛ so yiye .
- Akwan te sɛ oprehyɛn, mframa a wɔde sa yare, ne hormone ayaresa di yiye kɛse na ɛsa yare kɛse.
- Ɛho hia sɛ wo ne wo duruyɛfo susuw akwan horow a wubetumi apaw nyinaa, nea eye ne nea enye wɔ ho, na wusi gyinae a eye ma wo. Ɛho hia sɛ wɔma wohu na wonsuro.
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