Hena ne kokoram ho ɔyaresafo a ɔyɛ oprehyɛn? Momma yɛnka eyi ho asɛm!

Sɛ yɛte asɛmfua kokoram a, yɛn nyinaa suro kakra, ɛnte saa? Nanso nnuruyɛfo pii wɔ hɔ a wobetumi aboa yɛn na wɔama yɛn ayaresa a yehia wɔ yare a ɛte sɛɛ mu. Oduruyɛfo titiriw bi a ɔnam oprehyɛn so sa kokoram ayarefo yare ne nea yɛrebɛka ne ho asɛm nnɛ, ``Surgical Oncologist'' . Ma yɛnhwɛ onipa ko a ɔyɛ ne nea ɔyɛ?

Dɛn ne ‘Oprehyɛn a Ɔyɛ Oncologist’?

Sɛ yɛbɛka no tiawa a, ``Surgical Oncologist`` yɛ oprehyɛn ho ɔbenfo a ne ho akokwaw wɔ kokoram a wohu na ɔsa denam oprehyɛn so. So wunim sɛ oprehyɛn ne ade a wɔtaa de sa kokoram na wɔde di dwuma kɛse? Ɛnyɛ nnuruyɛfo yi nkutoo na wɔyɛ adwuma. Wɔne kokoram ho abenfo afoforo, te sɛ ``Medical Oncologists`` a wɔde nnuru sa kokoram, ne ``Radiation Oncologists`` a wɔde radiation therapy ma, yɛ adwuma, de ayaresa nhyehyɛe a eye sen biara ma wo. Ɛte sɛ kuw bi, obiara bom yɛ adwuma ma wo.

Enti, dɛn ankasa na kokoram ho oprehyɛn yɛ?

Okay, afei momma yɛnhwɛ sɛdeɛ saa animdefoɔ yi bɛtumi aboa yɛn, ne deɛ wɔn dwumadie yɛ. Wobetumi:

• Biopsy yɛ sɔhwɛ a wɔde hu sɛ ebia akuru anaa nyin a ɛnteɛ bi a ɛwɔ wo nipadua mu no yɛ kokoram anaa. Nea ɛka eyi ho ne sɛ wobegye ntini ketewaa bi afi baabi a ɛyɛ hu no na wɔasɔ ahwɛ. Eyi yɛ anammɔn a ɛho hia yiye a wɔde si so dua sɛ wɔahu yare no.
• Fa nsɛm a ɛnyɛ den kyerɛkyerɛ nea efii biopsy no mu bae ne nea ɛkyerɛ mu kyerɛ wo . Ɛtɔ mmere bi a, ɛyɛ den sɛ wɔbɛte aduruyɛ ho amanneɛbɔ ase, enti ɛyɛ wɔn asɛyɛde sɛ wɔkyerɛkyerɛ mu pefee.
• Hwɛ baabi a wo kokoram no wɔ. Eyi ho hia yiye ma ayaresa ho nhyehyɛe. Wogyina baabi a kokoram no kɔ so na ɛkyerɛ ayaresa a wobetumi apaw.
• Wo ne nnuruyɛfo afoforo a wɔsa kokoram nyɛ adwuma na wɔaboa wo ma woayɛ ayaresa nhyehyɛe a eye sen biara .
• Oprehyɛn bɛn na wubetumi ayɛ, ne emu nsɛm a ɛkɔ akyiri no, me ne wo bɛbɔ ho nkɔmmɔ. Wowɔ hokwan sɛ wuhu biribiara a ɛkɔ akyiri.
• Kyerɛkyerɛ mfaso ne ɔhaw ahorow a ɛwɔ oprehyɛn biara a wɔahyɛ ho nyansa no so sɛnea ɛbɛyɛ a wubetumi asi gyinae a ɛfata.
• Ma wo afotu wɔ sɛnea wubesiesie wo ho ama oprehyɛn ho, a aduan ne nnuru a ɛsɛ sɛ wugyae ka ho.
• Ka nea wobɛhwɛ kwan wɔ oprehyɛn akyi ho asɛm. Sɛ nhwɛso no, ɛyaw, bere a wode bɛsan anya ahoɔden, nea wubetumi ayɛ ne nea wuntumi nyɛ.
• Hwɛ wo ho yiye wɔ bere a wo ho bɛtɔ wo wɔ oprehyɛn akyi no nyinaa mu.
• Sa nsɛnnennen a ɛtɔ mmere bi a ebetumi aba wɔ oprehyɛn akyi.
• Palliative Care Surgery yɛ oprehyɛn bi a wɔyɛ de tew kokoram ho sɛnkyerɛnne te sɛ ɛyaw ne adwenem naayɛ so. Eyi kyerɛ sɛ, sɛ wontumi nsa kokoram no mpo a, ebetumi aboa wo ma woatra ase w’asetra nyinaa a ɛyaw biara nni mu na ɛnyɛ den.

Dɛn nti na ɛsɛ sɛ mekɔ oduruyɛfo a ɔyɛ kokoram oprehyɛn nkyɛn?

Ebia woresusuw ho sɛ, ‘Dɛn nti na mɛpɛ sɛ mekɔ oduruyɛfo a ɔte sɛɛ nkyɛn?’ Tebea horow bi a ebia ebehia sɛ wokɔ `(Surgical Oncologist)` nkyɛn ni:

• Sɛ wowɔ kokoram nhwehwɛmu nhwehwɛmu anaa aduruyɛ mu nhwehwɛmu foforo a ɛkyerɛ kokoram ho sɛnkyerɛnne a, ɛnde oduruyɛfo yi bɛyɛ biopsy nhwehwɛmu a madi kan aka ho asɛm no na wafa ntini a ɛyɛ adwenem naayɛ no bi de akyerɛ sɛ ebia ɛyɛ kokoram anaa.
• Sɛ wowɔ asiane a ɛkɔ soro sɛ wubenya kokoram a. Sɛ nhwɛso no, sɛ obi a ɔwɔ w’abusua mu anya kokoram, anaasɛ asiane kɛse wɔ hɔ sɛ wubenya nufu mu kokoram esiane awosu mu nneɛma nti a, wo duruyɛfo betumi ayɛ nufu a wɔde siw ano sɛ nea wɔde besiw ano.
• Sɛ ɛho hia sɛ woyɛ oprehyɛn yi kokoram akisikuru bi fi hɔ a, eyi betumi ayɛ kokoram a ɛtrɛw kɔ mmeae afoforo. Ɛtɔ da bi a, ɛnyɛ baabi a kokoram no fii ase nko na ɛsɛ sɛ woyi akisikuru no fi hɔ, na mmom baabi a atrɛw nso.
• Sɛ ɛho hia sɛ wɔyɛ oprehyɛn a ɛma ɛyaw ano brɛ ase na ama kokoram ho sɛnkyerɛnne ahorow no afi hɔ, kyerɛ sɛ, na ama ɛyaw no so atew a.

Oprehyɛn bɛn na kokoram ho oprehyɛnfo yi yɛ?

Oprehyɛn atitiriw abien na ɛwɔ hɔ ma kokoram: oprehyɛn a wɔmfa biribiara nhyɛ mu ne oprehyɛn a wɔbue ano .

Susuw ho saa kwan yi so, .

• Oprehyɛn a Ɛnyɛ Den: Wɔ saa adeyɛ yi mu no, oduruyɛfo no twa wo nipadua no mu nketenkete kakraa bi pɛ na ɔde nnwinnade titiriw di dwuma de yi kokoram no fi hɔ. Saa adeyɛ yi nnyaw akuru kɛse, ebia wo ho bɛtɔ wo ntɛmntɛm, na ebia ebehia sɛ wotra ayaresabea bere tiaa bi. Ɛtɔ da bi a, wɔde mfoninitwa afiri (te sɛ laparoscope) hyɛ oprehyɛn no mu sɛnea ɛbɛyɛ a oduruyɛfo no betumi ahu emu yiye.
• Oprehyɛn a Wɔbue: Wɔ eyi mu no, wɔtwa kɛse biako de yi kokoram akisikuru no fi hɔ. Wɔ tebea horow bi a emu yɛ den mu no, sɛ akisikuru no sõ anaasɛ aka ntini a atwa ho ahyia no a, ebia ɔkwan yi ho behia.

Mpɛn pii no, oprehyɛn yɛ aduru a edi mu ma akisikuru a ɛyɛ den. Sɛ nhwɛso no, ɛno ne nyarewa te sɛ nufu mu kokoram ayaresa titiriw. Afei nso, sɛ kokoram no fi ase, a ɛkyerɛ sɛ ɛntrɛw nkɔ mmeae afoforo, titiriw ntini a ɛbɛn hɔ a, oprehyɛn ne ayaresa titiriw.

Nhwɛso afoforo bi ni:

• Colon Cancer: Eyi nti, Oprehyɛn Oncologist betumi ayɛ Polypectomy (yi nyinsɛn nketenkete a ɛwɔ akyi berɛmo mu) anaa Partial Colectomy (yiyi akyi berɛmo no fã bi a ɛwɔ kokoram).
• Ahurututu mu kokoram a ɛnyɛ nkwammoaa nketewa: Wobetumi de lobectomy (a woyi ahurututu no fã a ɛka no koraa) anaasɛ ahurututu mu kokoram (a woyi ahurututu no fã ketewaa bi a kokoram no wom) asa ahurututu mu kokoram yi.
• Prostate Cancer: Wɔfrɛ oprehyɛn a wɔyɛ de sa kokoram yi wɔ mmarima mu no prostatectomy . Nea ɛka ho ne sɛ wobeyi prostate gland no nyinaa anaa ne fã bi afi hɔ.

Dɛn na ɛsɛ sɛ wohwɛ kwan bere a wokɔ kokoram ho oprehyɛn nkyɛn nea edi kan no?

Sɛ wodi kan kɔ ``Surgical Oncologist'' a, ɔbɛyɛ nneɛma te sɛ:

• Wɔbɛkyerɛkyerɛ nea wo sɔhwɛ amanneɛbɔ ahorow ka mu akyerɛ wo .
• Ɛka wo kokoram no ``Kokoram Stage'' ho asɛm .
• Ɔbɛkyerɛ wo ayaresa ahorow a wubetumi apaw ne mfaso ne ɔhaw ahorow a ɛwom. Sɛ nhwɛso no, ebia ɔbɛkyerɛ sɛ woanya ``Minimally Invasive Surgery'' a yɛadi kan aka ho asɛm no, anaasɛ obetumi aka sɛ ``Open Surgery'' ne ɔkwan a eye sen biara ma wo.
• Wɔka nneɛma a edi hɔ a wɔbɛyɛ ho asɛm, te sɛ ayaresa ho gyinaesi ne da a wobefi ase ayɛ ayaresa .

Ɛnyɛ ɛno nko, akyinnye biara nni ho sɛ oduruyɛfo no bebisa wo , "Wo ho te dɛn?" Wonim sɛnea asetra sesa ne sɛnea ebetumi ayɛ den bere a wɔahu sɛ wowɔ kokoram no. Wɔte ase nso sɛ ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wɔka oprehyɛn ho asɛm kyerɛ wo no. Wɔbɛbɔ mmɔden sɛ wobehu wo na wɔaboa wo ma wo suro ne wo adwennwen so atew. Mma ntwentwɛn wo nan ase sɛ wobɛka wo nkate ne wo suro ho asɛm akyerɛ wɔn.

Nsɛm bɛn na wubetumi abisa oduruyɛfo a ɔyɛ kokoram oprehyɛn no?

Akyinnye biara nni ho sɛ wubenya nsɛmmisa ne adwenem naayɛ pii wɔ w’adwene mu. Sɛ wohyia ``Surgical Oncologist`` nea edi kan a, ɛyɛ bere a eye sen biara a wobɛte na woate eyi nyinaa ase. Nsɛmmisa bi a wubetumi abisa ni:

• Ɔhwɛ foforo bɛn na ebehia de aka oprehyɛn yi ho? (sɛ nhwɛso no, nnuru a wɔde sa yare, mframa a wɔde sa yare) .
• WeiDɛn ne oprehyɛn botae titiriw? (Sɛnea ɛbɛyɛ na wɔasa kokoram no koraa, asiw ano sɛ ɛntrɛw, anaasɛ wɔbɛtew sɛnkyerɛnne ahorow so?)
• Dɛn na oprehyɛn yi di yiye ?
• So ɛho behia sɛ wɔyɛ me oprehyɛn bɛboro pɛnkoro ?
• So ayaresa bi wɔ hɔ a ɛnyɛ oprehyɛn a wobetumi apaw ama eyi?
• Bere tenten ahe na ɛsɛ sɛ metra ayaresabea wɔ oprehyɛn no akyi?
• Bere tenten ahe na ebegye na obi asan akɔ asetra a ɛfata mu wɔ oprehyɛn akyi?
• Dɛn ne oprehyɛn yi mu nsunsuanso bɔne anaa nsɛnnennen a ebetumi afi mu aba? Bere tenten ahe na wobetumi atra hɔ?

Nea ɛho hia sen biara ne sɛ, nsuro sɛ wubebisa nsɛm biara a wowɔ, ɛmfa ho sɛnea ɛyɛ ketewaa biara. Oduruyɛfo no wɔ hɔ sɛ ɔbɛboa wo. Sɛ wunim biribiara yiye a, wobɛte ahotɔ kɛse nka.

Nsonsonoe bɛn na ɛwɔ ‘Aduruyɛ mu Oncologist’ ne ‘Surgical Oncologist’ ntam?

Eyi nso yɛ asɛmmisa a nnipa pii wɔ. Momma yɛnhwɛ nsonsonoe a ɛda abien yi ntam kɛkɛ.

• Aduruyɛ mu Kokoram Ho Ɔbenfo yɛ oduruyɛfo a ɔde akwan a ɛnyɛ oprehyɛn di dwuma de sa kokoram. Sɛ nhwɛso no, wɔde nneɛma te sɛ `(Chemotherapy)` (yɛfrɛ eyi chemotherapy, nnuru ahorow a wɔde ma de kum kokoram nkwammoaa), `(Hormonal Therapies)` (kokoram ahorow bi gyina hormone so, na wɔde ayaresa ahorow ma de sa), ne `(Immunotherapy)` (wɔde yɛn nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa a ɛkanyan kokoram no na ɛyɛ saa).
• Oduruyɛfo a ɔyɛ kokoram a ɔyɛ oprehyɛn , sɛnea madi kan aka no, nam oprehyɛn so sa kokoram . Ɛno kyerɛ sɛ wɔbɛyɛ oprehyɛn ayi kokoram no anaa afã horow a ɛka no afi hɔ.

Sɛ wowɔ kokoram a, ɛtɔ mmere bi a wobetumi de ayaresa ahorow abien no nyinaa (oprehyɛn ne nea ɛnyɛ oprehyɛn) adi dwuma abom. Sɛ nhwɛso no, wobetumi ama wo nnuru ansa na wɔayɛ wo oprehyɛn de atew akisikuru no so, anaasɛ wɔbɛma wo nnuru wɔ oprehyɛn akyi de akum kokoram nkwammoaa biara a aka. Eyi gyina nneɛma pii so, a kokoram ko ne kokoram no gyinabea ka ho.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Ebia woate sɛ oprehyɛn ne ɔkwan a etu mpɔn sen biara a wɔfa so ``de kokoram bɛhyɛ yare mu.'' Nanso, ɛyɛ ade a ɛfata sɛ wobɛte dadwen ne ehu kɛse nka bere a wote sɛ ''oprehyɛn ne ade a eye sen biara ma wo.''

Wo oncologist a ɔyɛ oprehyɛn no wɔ eyi ho nimdeɛ kɛse. Ɔbɛte wo nkate ase. Obegye bere abua nsɛmmisa anaa dadwen biara a ebia wowɔ wɔ oprehyɛn no ho. Eyi bɛma woate nea ɛbɛba ansa na wɔayɛ oprehyɛn no ne bere a wɔayɛ no akyi no ase yiye.Saa ntease yi bɛboa ma wo suro so atew kɛse.

Kae sɛ ɛnyɛ wo nkutoo na woretu kwan yi. Wowɔ nnuruyɛfo kuw bi a wɔn ho akokwaw a wɔbɛboa wo na wɔahwɛ wo. Wo ne wɔn bɛkasa pefee, wo nsɛmmisa, na woaka wo nkate ho asɛm no ne ade a ɛho hia sen biara. Adwene pa a wubesusuw ho na woadi afotu a wo nnuruyɛfo de ama no akyi ho hia yiye na ama wo ho atɔ wo ntɛmntɛm.

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