So wowɔ nsɛmmisa bi fa Stage 0 Breast Cancer ho? Momma yɛnka ho asɛm!

Sɛ oduruyɛfo no ka kyerɛ wo sɛ wowɔ ‘Stage 0 Breast Cancer’ a, ebia nsɛmmisa ne ehu pii ba w’adwene mu, ɛnte saa? Ɛyɛ ade a ɛfata ma nneɛma te sɛ "So eyi kyerɛ ampa sɛ mewɔ kokoram?" ne "So eyi yɛ asiane?" sɛ ɛbɛba w’adwene mu. Enti ɛnnɛ, momma yɛnka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so, te sɛ nea wo ne w’adamfo bi rekasa.

Dɛn ankasa ne ‘fase 0’ yi?

Eyi yɛ asɛmti a ɛyɛ den kakra ankasa. Nnuruyɛfo binom bu eyi sɛ nufu mu kokoram no mfiase pɛɛ. Afoforo susuw sɛ ɛyɛ ‘preconcer’ a ebetumi abɛyɛ kokoram.

Sɛ yɛbɛka no tiawa a, kokoram yɛ tebea a ɛma nkwammoaa a ɛwɔ nipadua no mu no mu paapae wɔ ɔkwan a ɛnteɛ so na wontumi nni so. Saa nkwammoaa yi nso tumi tow hyɛ ntini a ɛwɔ apɔwmuden a atwa ho ahyia no so. Nanso, wɔ Stage 0 Breast Cancer , mu no, saa nkwammoaa a ɛnteɛ yi da so ara wɔ nufu no mu nufusu ntini no mu nkutoo. Wɔnnya ntrɛwee (invasive) nkɔ ntini a atwa ho ahyia no mu. Wei kyerε sε eyi yε adeε a εnkɔ anim pii na εdi kan koraa sene Ɔfã 1.

Saa tebea yi ahorow atitiriw abien na ɛwɔ hɔ:

1. Ductal Carcinoma In Situ (DCIS): Sɛ yɛka Stage 0 Breast Cancer ho asɛm a, yɛtaa kyerɛ saa tebea yi. Ɛha yi, nkwammoaa a ɛnyɛ ne kwan so no wɔ nufusu ntini no mu nkutoo. Wɔntrɛw nkɔ srade a ɛyɛ nufu no fã kɛse no ara mu. Wonnya nhuu nea ɛde eyi ba ankasa. Nnipa dodow no ara nhu sɛnkyerɛnne biara. Nanso, ɛtɔ mmere bi a, saa nkwammoaa a ɛnteɛ yi betumi abɛyɛ kokoram a ɛbɛtrɛw daakye. Nanso ɔkwan biara nni hɔ a yɛbɛfa so aka no pen sɛ ebia ɛno bɛba anaasɛ ɛrensi.

2. Noninvasive Paget’s disease of the nipple: Eyi yɛ nufu mu kokoram a ɛntaa nsi koraa.

So tebea yi ho sɛnkyerɛnne bi wɔ hɔ?

Mpɛn pii no, Stage 0 Breast Cancer nkyerɛ sɛnkyerɛnne biara. Nanso ɛtɔ da bi a, nsɛnkyerɛnne bi betumi ada adi. Momma yɛnhwɛ nea wɔyɛ.

Wobɛyɛ dɛn ahu eyi?

Esiane sɛ mpɛn pii no, sɛnkyerɛnne biara nni hɔ nti, ɔkwan a eye sen biara a wobɛfa so ahu Nufu mu Kokoram a Ɛto so 0 ne sɛ wɔbɛhwehwɛ mu daa . Mammograms ne ɔkwan a wɔtaa fa so hu tebea yi. Nokwarem no, DCIS nsɛm no mu bɛboro 90% nam nhwehwɛmu a wɔde hwehwɛ nneɛma mu so na ehu. Ɛno nti na nnuruyɛfo tu mmea fo sɛ wɔnyɛ nhwehwɛmu wɔ wɔn mmofraase no.

Hena na ɔwɔ asiane kɛse mu sɛ obenya tebea yi?

Asiane a ɛwɔ Stage 0 Breast Cancer mu no te sɛ asiane a ɛwɔ hɔ ma nufu mu kokoram daa. Momma yɛnhwɛ nea wɔyɛ. Sɛ wowɔ saa nneɛma yi mu biako anaa nea ɛboro saa a, ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wubenya yare no, nanso ɛkyerɛ sɛ asiane a ɛwɔ hɔ no dɔɔso kakra.

Dɛn ne ayaresa ahorow no?

Sɛ wohu sɛ wowɔ DCIS wie a, wo sɔhwɛ amanneɛbɔ no bɛka ‘grade’ bi ho. Nuklea grade 3 ne nea ɛda adi sɛ ɛbɛtrɛw kɛse, na grade 1 ne nea ɛnyɛ den koraa sɛ ɛbɛtrɛw. Wɔbɛsɔ wo kokoram nkwammoaa nso ahwɛ sɛ ebia wɔwɔ estrogen agyefo anaa. Sɛ wɔyɛ ER-positive (ER+) , a, eyi kyerɛ sɛ ɛda adi sɛ kokoram no benyin nkakrankakra.

Nea ɛka eyinom nyinaa ho no, ebia wo duruyɛfo nso bɛkyerɛ sɛ wɔnyɛ awosu mu nhwehwɛmu.

Nea wobɛyɛ akyi no gyina nneɛma yi nyinaa so, ne nea w’ankasa wopɛ nso. Abenfo dodow no ara gye di sɛ eye sɛ wobenya ayaresa bi. Efisɛ ɛwom sɛ kokoram a ɛto so 0 no ntrɛw de, nanso ebetumi asesa daakye de, nanso wogye di sɛ eye sɛ obi bɛtra ahobammɔ sen sɛ wobɛpa wo kyɛw.

Ayaresa a wɔtaa de sa DCIS no bi ne:

• Oprehyɛn: Wɔ DCIS akisikuru nketewa ho no, wobetumi ayɛ lumpectomy, a eyi nkwammoaa a ɛnteɛ ne nufu mu ntini kakraa bi a atwa ho ahyia no fi hɔ. Nnipa binom paw sɛ wobetwa nufu no, na wɔayi nufu no nyinaa afi hɔ. Afei wobetumi ayɛ oprehyɛn a wɔde bɛsan ayɛ nufu no sɛ ɛho hia a.
• Radiation Therapy: Wɔtaa yɛ eyi bere a wɔatwa lumpectomy akyi. Mframa a wɔde sa yare boa ma wɔsɛe nkwammoaa biara a ɛnyɛ ne kwan so a wɔannyi afi hɔ bere a wɔreyɛ oprehyɛn no na ɛtew asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no so.
• Hormone Therapy: Saa ayaresa yi wɔ oprehyɛn akyi no betumi aboa ma kokoram foforo ankɔ nufu abien no nyinaa mu.

So eye sɛ wobɛhwɛ na woatwɛn a wonnya ayaresa?

Eyi yɛ asɛm a ɛyɛ nkate kɛse na ɛho hia. Nnipa a wɔwɔ DCIS no mu bɛyɛ nkyem abiɛsa mu biako wɔ hokwan sɛ wobenya kokoram a ɛyɛ hu daakye. Enti, ebia nnuruyɛfo binom bɛkamfo ‘hwɛ na twɛn’ kwan, a wɔtaa yɛ nhwehwɛmu, sen sɛ wɔbɛsa no ntɛm ara.

Eyi yɛ nea akyinnyegye wom. Fa no sɛ, sɛ wɔyɛ wo oprehyɛn (ebia wɔde mframa a wɔde sa yare) prɛko pɛ a, wobetumi abɔ wo ho ban afi kokoram a ɛrentrɛw da ho. Ɔkwan foforo so no, wubetumi nso renya ayaresa a na ɛho nhia ankasa.

Dɛn ne dodow a ɛma obi ho tɔ no wɔ tebea yi ho?

Asɛmpa no ni. Sɛ wowɔ Nufu mu Kokoram a Ɛto so 0 a, hokwan a wowɔ sɛ wo ho bɛtɔ wo na woanya nkwa nyinaa dɔɔso sen wɔn a wɔwɔ kokoram a Ɛto so III anaa IV no. Eyi te saa efisɛ yare no nnya ntrɛwee wɔ nipadua no afã afoforo.

Mfe 5 nkwa nna a nnipa a wɔwɔ nufu mu kokoram ‘mpɔtam hɔ’ (i.e., nsɛm a nkwammoaa a ɛnteɛ no da so ara wɔ nufu no mu, te sɛ Ɔfã 0) yɛ 99% . Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ obi a wɔahu sɛ ɔwɔ kokoram a ɛto so 0 no wɔ hokwan 99% sɛ obenya nkwa mfe 5 a edi hɔ no, te sɛ obi a onni kokoram no.

Nufu mu kokoram a wɔahu no foforo 5 biara mu 1 yɛ DCIS. Nanso ɛkame ayɛ sɛ obiara a ɔwɔ yare no betumi asa koraa. Ɛntaa mma koraa sɛ DCIS bɛsan aba bere a wɔasa no yare awie no.