Sɛ wohu sɛ wo anaa wo dɔfo bi anya kokoram a, ɛyɛ den sɛ wobɛka nea wote nka no ho asɛm. Nanso ɛyɛ ade a ɛfata nso sɛ wobɛte ehu ne adwene a ɛyɛ basaa kakra nka bere a wote nsɛmfua ne din foforo fi nnuruyɛfo hɔ no. Ebia wo duruyɛfo no ka kyerɛɛ wo sɛ, "Ɛsɛ sɛ yɛde wo kɔ 'Surgical Oncologist' nkyɛn." Ebia saa din no a wotee no maa wunyaa nsɛmmisa pii. "Hena ne saa?" "Dɛn na ɔyɛ?" "So ɛho behia sɛ wɔyɛ me oprehyɛn?" Nha wo ho. Momma yɛnka eyinom nyinaa ho asɛm wɔ ɔkwan a ɛnyɛ den, anammɔn biara so.
Hena ne kokoram ho ɔyaresafo a ɔyɛ oprehyɛn?
Sɛ yɛbɛka no tiawa a, Oprehyɛn Ho Ɔbenfo a ɔyɛ Oprehyɛn yɛ oprehyɛn ho oduruyɛfo a wanya ntetee titiriw wɔ oprehyɛn a ɔyɛ wɔ ayarefo a wɔwɔ kokoram ho. Oprehyɛn ne ɔkwan titiriw a wɔtaa fa so sa kokoram. Enti, adwuma titiriw a oduruyɛfo titiriw yi yɛ ne sɛ obeyi kokoram nkwammoaa anaa akisikuru afi nipadua no mu denam oprehyɛn so.
Nanso ɛnyɛ ɔno nkutoo na ɔyɛ adwuma. Kokoram ayaresa yɛ kuw mmɔdenbɔ. Oduruyɛfo yi ne nnuruyɛfo afoforo te sɛ aduruyɛ mu kokoram ho ɔbenfo, kokoram ayaresa ho ɔbenfo (te sɛ nnuru a wɔde sa yare) , ne kokoram ho ɔyaresafo a wɔde mframa a ano yɛ den , yɛ adwuma de yɛ ayaresa nhyehyɛe a eye sen biara ma wo.
Dɛn ankasa na oduruyɛfo titiriw yi yɛ?
Ɛnyɛ oprehyɛn a ɔyɛ nko ara na Oprehyɛn Ho Ɔbenfo a ɔyɛ Oprehyɛn di dwuma. Ɔka wo ho fi wo kokoram akwantu no mfiase. Ma yɛnhwɛ nneɛma atitiriw a ɔyɛ.
| Adwuma a wɔreyɛ no | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Biopsy nhwehwɛmu ahorow | Nea ɛbɛyɛ na wɔahu sɛ ebia akisikuru bi a ɛnyɛ ne kwan so wɔ nipadua no mu yɛ kokoram anaasɛ ɛnte saa no, woyi ntini ketewaa bi fi akuru no mu de kɔ aduruyɛdan mu ma wɔsɔ hwɛ. Wɔfrɛ saa adeyɛ yi biopsy. Mpɛn pii no, Oprehyɛn Ho Ɔbenfo a Ɔyɛ Oprehyɛn wɔ Kokoram Ho. |
| Sɔhwɛ amanneɛbɔ ahorow ho nkyerɛkyerɛmu | Sɛ amanneɛbɔ ahorow a efi biopsy ne nhwehwɛmu afoforo mu ba a, wɔbɛkyerɛkyerɛ mu akyerɛ wo wɔ ɔkwan tiawa a wubetumi ate ase so. |
| Kokoram no gyinabea a wɔbɛkyerɛ | Wɔnam baabi a kokoram no atrɛw akodu ne sɛnea akisikuru no kɛse te so na ɛkyerɛ baabi a kokoram no wɔ. Eyi ho hia yiye wɔ ayaresa a wɔbɛyɛ akyi ho gyinaesi mu. |
| Ayaresa ho nhyehyɛe a wobesiesie | Wɔne animdefo afoforo bɛbom ayɛ ayaresa nhyehyɛe a eye sen biara ama wo tebea no, a bere a ɛsɛ sɛ woyɛ wo oprehyɛn ne sɛ ebia ayaresa afoforo ho hia ansa na wɔayɛ anaasɛ ɛno akyi ka ho. |
| Oprehyɛn a wobetumi apaw ho asɛm | Yɛbɛkyerɛkyerɛ oprehyɛn ahorow a wubetumi ayɛ mu akyerɛ wo, ne mfaso ne ɔhaw ahorow a ɛwɔ emu biara so. |
| Afotu a wɔde ma wɔ ahosiesie a wɔbɛyɛ ama oprehyɛn ho | Wɔbɛma wo afotu wɔ biribiara a ɛsɛ sɛ woyɛ ansa na wɔayɛ wo oprehyɛn no ho, te sɛ nnuan ne anonne a ɛsɛ sɛ wugyae di anaa nnuru a wobɛnom. |
| Hwɛ sɛnea obi ho tɔ no wɔ oprehyɛn akyi | Sɛ wɔyɛ oprehyɛn wie a, wɔbɛhwɛ wo wɔ wo ho a wobɛtɔ no nyinaa mu na wɔasa wo yare wɔ nsɛnnennen biara a ɛbɛsɔre ho. |
| Palliative Care Oprehyɛn a Wɔde Yɛ Adwuma | Ɛtɔ mmere bi a, wontumi nsa kokoram koraa. Wɔ tebea horow a ɛtete saa mu no, wɔyɛ oprehyɛn nso de tew sɛnkyerɛnne ahorow te sɛ ɛyaw ne ahotɔ a kokoram de ba no so. |
Dɛn nti na ɛsɛ sɛ wokɔ Oprehyɛn Oduruyɛfo a Ɔhwɛ Kokoram So nkyɛn?
Ebia nneɛma pii nti na ebia wobɛpɛ sɛ wokɔ oduruyɛfo titiriw bi nkyɛn te sɛ eyi.
- Sɛ wosusuw sɛ kokoram a: Sɛ scan, mammogram, anaa nhwehwɛmu foforo bi a woayɛ kyerɛ biribi a ebetumi ayɛ kokoram a, wɔde wo bɛkɔ Surgical Oncologist nkyɛn akɔyɛ biopsy de asi so dua.
- Sɛ wowɔ kokoram ho asiane kɛse a: Nnipa binom wɔ asiane kɛse paa sɛ wobenya kokoram ahorow bi (e.g. nufu mu kokoram) esiane awosu mu nneɛma nti. Wɔ nsɛm a ɛtete saa mu no, wobetumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn na ama saa asiane no so atew ansa na kokoram no aba. Sɛ nhwɛso no, ɔbea a asiane kɛse wom sɛ obenya nufu mu kokoram betumi ayɛ nufu a wɔde siw ano de ayi nufu no ansa na kokoram nkwammoaa anyin.
- Sɛnea wobɛyi kokoram akisikuru: Sɛ wohu sɛ wowɔ kokoram akisikuru wɔ wo nipadua mu a, ɛsɛ sɛ wɔyɛ oprehyɛn yi fi hɔ. Sɛ kokoram no atrɛw akɔ nipadua no afã afoforo (metastatic cancer) mpo a, ɛtɔ mmere bi a wɔyɛ oprehyɛn yi saa akisikuru no fi hɔ.
- Sɛnea ɛbɛyɛ a yare no ho sɛnkyerɛnne no so atew: Ebia ɛho behia sɛ woyɛ oprehyɛn (Palliative Care Surgery) na ama yare no ho sɛnkyerɛnne a emu yɛ den a kokoram de ba te sɛ ɛyaw a emu yɛ den anaasɛ dwensɔtwaa mu a ɛsiw no afi hɔ.
Ade a ɛho hia ne sɛ, sɛ wɔde wo kɔ Oprehyɛn Ho Oduruyɛfo a Ɔhwɛ Kokoram So nkyɛn a, ɛnkyerɛ sɛ ɛho hia sɛ wɔyɛ wo oprehyɛn. Ɛkyerɛ sɛ wubenya animdefo adwene wɔ wo tebea no ho na woahu ayaresa a eye sen biara.
Oprehyɛn ahorow bɛn na nnuruyɛfo yi yɛ?
Wobetumi akyekyɛ kokoram oprehyɛn mu abien titiriw.
1. Oprehyɛn a Ɛnyɛ Den: Sɛ yɛbɛka no tiawa a, eyi yɛ oprehyɛn a wɔyɛ a wɔmfa ntwitwiridii kɛse biara, denam ntokuru nketenkete kakraa bi a wɔyɛ wɔ nipadua no mu, a wɔfa so de mfoninitwa afiri ne oprehyɛn nnwinnade a ɛyɛ mmerɛw yiye hyɛ mu. Oprehyɛn a wɔde laparoscopic yɛ no yɛ eyinom mu biako. Saa kwan yi nnyaw akuru kɛse, ɛyaw no sua, ayaresabea a wɔtra no yɛ tiaa, na ne ho tɔ no ntɛmntɛm.
2. Open Surgery: Eyi ne ɔkwan a wɔfa so yɛ ade wɔ amanne kwan so. Wɔ eyi mu no, wɔtwa kɛse biako ma ɛkɔ akisikuru no ho tẽẽ. Ebia saa kwan yi ho behia sɛ akisikuru no sõ anaasɛ atrɛw akɔ ntini a atwa ho ahyia no mu a.
Oprehyɛn yɛ aduru a etu mpɔn yiye ma akisikuru a ɛyɛ den. Oprehyɛn ne ayaresa titiriw, titiriw wɔ nyarewa te sɛ nufu mu kokoram, akyi berɛmo mu kokoram, ahurututu mu kokoram a ɛnyɛ nkwammoaa nketenkete, ne prostate kokoram mfiase, bere a kokoram no ntrɛw nkɔ ntini a ɛbɛn hɔ mu no.
Dɛn na ɛsɛ sɛ wohwɛ kwan bere a wuhyia kokoram ho oduruyɛfo a ɔyɛ oprehyɛn nea edi kan no?
Nhyiam a edi kan no ho hia yiye. Ɛha yi, oduruyɛfo no bɔ mmɔden sɛ obenya w’ayaresa tebea no ho ntease a edi mũ. Na wunya hokwan nso bisa na wubua nsɛmmisa biara a ebia wowɔ.
Mpɛn pii no, nneɛma a edidi so yi si wɔ nhyiam yi ase:
- Wɔbɛhwɛ wo sɔhwɛ amanneɛbɔ nyinaa mu yiye na wɔakyerɛkyerɛ nea ɛkyerɛ mu akyerɛ wo.
- Ɛka wo kokoram no gyinabea ho asɛm kyerɛ wo .
- Wɔbɛkyerɛ wo ayaresa ahorow a wubetumi apaw, sɛ́ ɛyɛ oprehyɛn ara kwa anaasɛ sɛ ayaresa afoforo nso ho hia a.
- Sɛ wɔreyɛ oprehyɛn a, wɔkyerɛkyerɛ mfaso, ɔhaw ahorow, ne asiane ahorow a ebetumi aba mu.
- Wɔne wo bɛkasa na wɔasi anammɔn a ɛsɛ sɛ wotu akyi no ho gyinae.
Kae sɛ ntwentwɛn wo nan ase sɛ wo ne oduruyɛfo yi bɛkasa afa nsɛmmisa anaa dadwen biara a ebia wowɔ ho. Ɔwɔ ha sɛ ɔrebɛboa wo. Bisa nsɛm te sɛ, "So metumi ayɛ adwuma sɛnea ɛsɛ wɔ oprehyɛn yi akyi?" "Eyi di yiye dɛn?"
Oduruyɛfo no nso bebisa wo sɛ, "Wo ho te dɛn?" Onim sɛ kokoram yɛ osuahu a ɛsakra asetra na oprehyɛn betumi ayɛ hu. Enti w’adwene nso bɛhaw no.
Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?
Ɛyɛ papa sɛ wobɛkyerɛw wo nsɛmmisa no bi ansa na woakɔ baabi a worekɔ no. Saa kwan no so no, wo werɛ remfi biribiara. Nhwɛso ahorow bi ni:
- Ayaresa afoforo bɛn na ebehia de aka oprehyɛn yi ho? (sɛ nhwɛso no, chemo, mframa a wɔde sa yare) .
- Dɛn ne oprehyɛn yi botae titiriw? (Wɔsa kokoram no anaasɛ wotew yare no ho sɛnkyerɛnne so?)
- Dɛn na oprehyɛn yi di yiye?
- So ebehia sɛ wɔyɛ me oprehyɛn bɛboro pɛnkoro?
- So ayaresa foforo bi wɔ hɔ a wobetumi ayɛ a wɔnyɛ oprehyɛn?
- Bere tenten ahe na ɛsɛ sɛ metra ayaresabea wɔ oprehyɛn no akyi?
- Bere tenten ahe na ebegye na masan akɔ asetra a na ɛte daa mu?
Nsonsonoe bɛn na ɛda Aduruyɛ mu Kokoram Ho Ɔbenfo ne Oprehyɛn a Ɛyɛ Kokoram Ho Ɔbenfo ntam?
Mpɛn pii no, edin abien yi yɛ basaa. Saa pon yi bɛboa wo ma woate nsonsonoe titiriw a ɛda abien no ntam ase.
| Oduruyɛfo a ne ho akokwaw | Ɔkwan titiriw a wɔfa so sa yare |
|---|---|
| Oprehyɛn Ho Ɔbenfo a Ɔyɛ Oncologist (Kokoram ho oprehyɛn ho ɔbenfo) . | Kokoram akisikuru ne nkwammoaa a woyi fi nipadua no mu denam oprehyɛn so wɔ nipadua mu . |
| Aduruyɛ mu Kokoram Ho Ɔbenfo (Oduruyɛfo a ɔhwɛ kokoram) . | Akwan a ɛnyɛ oprehyɛn, kyerɛ sɛ, wɔde nnuru di dwuma de sa kokoram. Nhwɛso ahorow: Nnuru a Wɔde Sa Ayaresa, Nnuru a Wɔde Yɛ Aduru, ne Nnuru a Ɛko Tia Nyarewa. |
Mpɛn pii no, ebehia sɛ wokɔ animdefo baanu yi nyinaa nkyɛn, efisɛ kokoram pii hia oprehyɛn ne nnuru a wɔde sa yare nyinaa.
Kokoram a wɔbɛko atia no yɛ akwantu a emu yɛ den. Nanso ɛnyɛ wo nko ara. Nnuruyɛfo kuw bi wɔ hɔ a wɔn ho akokwaw na wɔatu wɔn ho ama a wɔbɛboa wo na wɔama wo ayaresa a eye sen biara. Oprehyɛn Ho Ɔbenfo a ɔhwɛ Kokoram So no yɛ saa kuw no muni a ɔho hia yiye. Seesei woanya ne ne nea ɔyɛ ho ntease pa. Enti gyina akwantu yi ano a wonsuro na fa akokoduru. Wo ne wo duruyɛfo nka biribiara ho asɛm pefee.
Nkrasɛm a Wɔde Kɔ Fie
- Oprehyɛn Ho Ɔbenfo a ɔyɛ kokoram yɛ oprehyɛn ho oduruyɛfo a wanya ntetee titiriw wɔ kokoram oprehyɛn a ɔyɛ ho.
- Ɛnyɛ oprehyɛn nkutoo na ɔyɛ n’adwuma. Ɔboa wo fi biopsy no so kosi bere a wo ho bɛtɔ wo wɔ oprehyɛn no akyi.
- Kokoram ayaresa yɛ kuw mmɔdenbɔ . Oprehyɛn Oduruyɛfo a Ɔyɛ Kokoram, Aduruyɛ mu Kokoram Ho Ɔbenfo, ne Radiation Oncologist nyinaa bom yɛ adwuma de kyerɛ ayaresa a eye sen biara ma wo.
- Sɛ wuhyia wo duruyɛfo a, ntwentwɛn wo nan ase sɛ wobɛka nsɛmmisa anaa ehu biara a wowɔ ho asɛm pefee.
- Oprehyɛn yɛ kokoram ayaresa a etu mpɔn yiye. Sɛ́ anka wubesuro no, ɛho hia sɛ wɔbɔ ho amanneɛ sɛnea ɛsɛ.
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