So wowɔ kokoram a ɛwɔ urethra mu? Momma yensua ho ade.

So wo nso wote nka sɛ ɛyɛ nwonwa anaasɛ ɛyɛ yaw bere a woretow wo ho ? Anaasɛ woahyɛ mogya nsow wɔ wo nsu mu? Ɛtɔ mmere bi a, saa nneɛma yi betumi ayɛ kokoram ho sɛnkyerɛnne wɔ nsu mu. Mma ɛnhaw wo, ɛnyɛ obiara na onya eyi, nanso ɛho hia sɛ wohu eyi. Ɛnnɛ, yɛbɛka tebea bi a wɔfrɛ no Urethral Cancer ho asɛm.

Dɛn ne Urethral Kokoram?

Sɛ yɛbɛka no tiawa a, kokoram a ɛwɔ nsu mu no yɛ bere a nkwammoaa bɔne nyin wɔ wo ntini a ɛwɔ wo nsu mu (urethra) no mu. So wunim nea ɛyɛ urethra ? Ɛyɛ afiri a ɛde nsu fi wo akisikuru mu kɔ wo nipadua no akyi.

Fa no sɛ, wɔ ɔbarima mu no, mpɛn pii no, nsu a ɛkɔ nsu mu no tenten bɛyɛ nsateakwaa 8. Ɛfa prostate gland ne ɔbarima akyi berɛmo no mu fi nipadua no mu . Ɛnyɛ sɛ nsuo fa eyi mu nko, na mmom mmadwoa ne mmadwoa (ejaculate) nso fa saa kwan koro yi ara mu fi adi.

Wɔ ɔbea mu no, nsu a ɛkɔ nsu mu no tenten bɛyɛ nsateakwaa 2. Ɛwɔ ɔbea no awotwaa no atifi pɛɛ, wɔ awotwaa no mu pɛɛ.

Kokoram betumi aba nkwammoaa ahorow pii a ɛhyehyɛ nsu a ɛkɔ nsu mu no mu. Yɛtaa frɛ wɔn mu biara “Nsuo mu Kokoram.” Ahorow atitiriw pii wɔ hɔ:

• Transitional (urothelial) cell carcinoma: Eyi ne nea abu so sen biara. Ɛkɔ so wɔ ɔfã a ɛbɛn akisikuru no. Nokwarem no, ɛyɛ kokoram bi a ɛte sɛ akisikuru a ɛwɔ akisikuru mu.
• Squamous cell carcinoma: Saa ɔkwan yi taa ba wɔ ɔbarima ne ɔbea awotwaa mu wɔ ɔbea no awotwaa mu (a ɛbɛn ɔbarima akyi berɛmo no ano). Ɛyɛ nea ɛto so abien a abu so sen biara.
• Adenocarcinoma: Saa kokoram yi ba ntini a ɛbɛn nsu a ɛkɔ nsu mu no mu. Ɛtaa ba titiriw wɔ nkotoku nketewa a ɛwɔ nsu mu te sɛ nsu a ɛkɔ nsu mu no mu.

So kokoram yi betumi akum obi?

Yiw, wɔ tebea horow bi mu no, nsu mu kokoram betumi akum obi.Sɛ kokoram yi nyin na ɛtrɛw kɔ nipadua no afã afoforo a, ebetumi ayɛ den sɛ wɔbɛsa na ebetumi de nkwa ato asiane mu. Ɛno nti na ɛho hia sɛ wuhu sɛnkyerɛnne ahorow na wohwehwɛ ayaresa ntɛm no.

Sɛ mewɔ kokoram a ɛwɔ me nsu mu a, ɛyɛ dɛn?

Eyi yɛ asɛmti a ɛyɛ nkate a ɛsɛ sɛ yɛka ho asɛm. Esiane sɛ Urethral Cancer yɛ kokoram a ɛntaa nsi koraa nti , ɛyɛ den sɛ yɛbɛma nkwagye dodow a emu da hɔ ama no. Sɛnea nhwehwɛmu ahorow a wɔayɛ nnansa yi kyerɛ no, sɛ wɔkyekyem pɛpɛɛpɛ a, bere a obi a ɔwɔ kokoram yi nya nkwa no bɛyɛ mfe anan. Mfeɛ anum a wɔnya wɔ berɛ a wɔahu yareɛ no akyi no bɛyɛ 46%, na mfeɛ du a wɔnya no bɛyɛ 31%.

Nanso saa nneɛma yi betumi ayɛ soronko wɔ onipa biara ho. Nneɛma pii wɔ hɔ a ebetumi aka hokwan a wowɔ sɛ wo ho bɛtɔ wo:

• W’akwahosan nyinaa.
• Sɛnea akisikuru no kɛse te.
• Kokoram no fã bi.
• Sɛ́ ebia kokoram no atrɛw akɔ nipadua no afã afoforo anaa.

Enti, ɛho hia sɛ woremmɔ hu, na mmom wo ne wo duruyɛfo bɛkasa na woahwehwɛ ayaresa a ɛfata wo tebea no.

Hena na onya kokoram wɔ nsu mu?

Obiara betumi anya saa kokoram yi, nanso nnipa binom wɔ asiane kɛse mu :

• Nnipa a wɔadi mfe 60 anaa nea ɛboro saa.
• Abibifoɔ (eyi gyina amannɔne nhwehwɛmu so, tebea a ɛwɔ Sri Lanka no betumi ayɛ soronko).
• Mmarima. (Ɛda adi sɛ mmarima benya eyi sen mmea.)
• Sɛ wo anaa obi a ɔwɔ w’abusua mu anya akisikuru wɔ akisikuru mu pɛn a.
• Nnipa a wɔwɔ tebea horow a ɛma nsu a ɛkɔ nsu mu no yɛ hyew, te sɛ ɔyare mmoawa a wɔtaa nya wɔ nsu mu (UTIs) anaa nyarewa a wonya fi nna mu (STIs).
• Nnipa a wɔanya Human Papillomavirus (HPV) no.

Kokoram yi abu so dɛn?

Nsu mu kokoram yɛ kokoram a ɛntaa nsi koraa. Wɔ United States mpo no, nnipa 1,615 pɛ na wɔabɔ amanneɛ sɛ wɔanya saa kokoram yi fi 1973 kosi 2002. Saa kokoram yi nnu kokoram a wohu nyinaa mu 1%.

Mfe bɛn na kokoram yi taa nya?

Wɔtaa hu saa kokoram yi bere a wɔadi mfe 60. Nanso, ɛnyɛ nea entumi nyɛ yiye sɛ nnipa a wonnyinii sen saa no benya bi.

Dɛn ne kokoram a ɛwɔ nsu mu no ho sɛnkyerɛnne?

Mpɛn pii no, sɛnkyerɛnne biara nni kokoram yi mfiase. Ɛno yɛ emu nneɛma a asiane wom sen biara no mu biako. Nanso sɛ sɛnkyerɛnne ahorow no da adi ampa a, mpɛn pii no ebetumi ayɛ sɛ eyi:

• Mogya a ɛwɔ nsu mu (hematuria). Eyi ne sɛnkyerɛnne titiriw ne nea ɛtaa ba.
• Nsu a ɛsen brɛoo anaasɛ egyae.
• Ɛyaw a wobɛte nka bere a woretow nsu no.
• Ɛho hia sɛ wɔtow nsu mpɛn pii sen sɛnea ɛtaa ba.
• Sɛ wote nka sɛ akuru anaasɛ ayɛ den wɔ baabi a ɛda ɔbarima no akyi berɛmo ne akyi berɛmo (perineum) ntam.
• Nsu a emu da hɔ, fitaa, anaa enni kɔla a efi nsu a ɛkɔ nsu mu (nsu a ɛkɔ nsu mu) mu ba.
• Ntini a ɛwɔ akyi berɛmo no mu a ɛho ahonhon.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn ntɛm ara. Ɛnyɛ bere nyinaa na eyinom yɛ kokoram ho sɛnkyerɛnne, nanso ɛho hia sɛ wɔyɛ nhwehwɛmu.

Dɛn ne nneɛma a ɛde kokoram a ɛwɔ nsu mu ba?

Nnuruyɛfo ne nhwehwɛmufo da so ara nnim nea ɛde kokoram yi ba ankasa. Nanso, wosusuw sɛ ɛne ɔfe a ɛtra hɔ kyɛ ne ɔyare mmoawa a ɛba nsu mu no wɔ abusuabɔ. Tebea horow a edidi so yi betumi ama asiane a ɛwɔ hɔ sɛ obi benya kokoram yi ayɛ kɛse:

• Nyarewa a wonya fi nna mu (STIs).
• Nnipa papillomavirus `(HPV)`.
• Sigaretnom.
• Nsu a wɔde gu nsu mu a ɛyɛ den.
• Honam a enyin wɔ urethra (Urethral caruncle) mu.
• Nkwammoaa no afã horow a ɛte sɛ kotoku (Urethral diverticulum) a ɛba.
• Indwelling catheterization yɛ adeyɛ a ɛma wogyaw catheter ahorow no wɔ nea ɛwɔ hɔ bere tenten.

Ɛhe na kokoram yi di kan trɛw?

Mpɛn pii no, kokoram a ɛwɔ nsu mu no di kan trɛw kɔ ntini a atwa nsu no ho ahyia no mu. Afei ebetumi atrɛw akɔ ntini a ɛwɔ asen no mu no mu. Ne saa nti, ɛtɔ mmere bi a ebia wubehu sɛ wo nan ho ahonhon.

Ɔkwan Bɛn so na Wohu Kokoram a Ɛwɔ Nsuo Mu? (Nyare a Wɔahu) .

Sɛ wowɔ kokoram a ɛwɔ wo nsu mu ho sɛnkyerɛnne a, wo duruyɛfo bedi kan ayɛ wo nipadua mu nhwehwɛmu a edi mũ. Wɔbɛbisa wo nso sɛ ebia obi wɔ w’abusua mu anya akisikuru anaa nsuo mu kokoram pɛn anaa.

Nea ɛka ho no, wobetumi ayɛ nhwehwɛmu afoforo pii de asi kokoram yi so dua. Wɔne:

• Pelvic exam: (Ma mmea) Oduruyɛfo no bɛhwɛ wo awotwaa, awotwaa, wo awotwaa, fallopian tubes, ovaries, bladder, ne rectum mu ahwɛ sɛ ebia akisikuru anaa nneɛma afoforo a ɛnteɛ anaa. Ebia wɔbɛfa nkwammoaa nhwɛsode nso de afiri a wɔde hwɛ nneɛma nketenkete ahwɛ.
• Digitals rectal nhwehwɛmu:Oduruyɛfo no bɛhwɛ wo akyi berɛmo ne wo akyi berɛmo mu sɛ ebia biribiara a ɛnteɛ anaa. Sɛ woyɛ ɔbarima a, wɔbɛhwehwɛ wo prostate gland nso mu.
• Mogya mu nhwehwɛmu: Woyi mogya kakraa bi fi ntini bi a ɛwɔ wo nsa mu de hwɛ nneɛma ahorow te sɛ asaabo dwumadi ne mogya mu nkwammoaa dodow.
• Nsuo mu nhwehwɛmu: Woto nsuo gu kuruwa soronko bi mu, na wɔde kɔ aduruyɛdan mu kɔhwɛ. Saa sɔhwɛ yi hwɛ nneɛma te sɛ wo nsu kɔla, asikre, protein, ne mogya mu nkwammoaa dodow.
• Nsuo mu nkwaadɔm: Wɔfa wo nsuo mu nsuo bi de hwɛ sɛ kokoram nkwammoaa wɔ akisikuru no mu ne nsuo kwan no fã a ɛbɛn akisikuru no paa.
• Cystoscopy: Wɔ saa adeyɛ yi mu no, oduruyɛfo no de afiri a ɛyɛ tratraa a kanea wom, na mfoninitwa afiri wom (cystoscope) fa wo urethra mu na ɛkɔ wo akisikuru mu. Ebetumi ahwɛ wo nsu a ɛkɔ wo nsu mu ne wo akisikuru mu. Sɛ ɛho hia a, wobetumi afa ntini bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu.
• Ureteroscopy: Nea ɛka eyi ho ne sɛ wɔde afiri a ɛyɛ tratraa a kanea wom, na ɛwɔ ahwehwɛ (ureteroscope) fa nsukorabea no mu de hwehwɛ asaabo ne ureters (nsu atenten abien a ɛyɛ tratraa a ɛde nsu fi asaabo mu kɔ akisikuru mu) no mu. Wobetumi nso afa ntini mu nhwɛsode wɔ ha.
• CT scan: Eyi twa wo akyi berɛmo ne wo yafunu ho mfonini a ɛkɔ akyiri, na ɛma wonya ntini a ɛwɔ saa beae no ho mfonini a ɛwɔ afã abiɛsa (3D).
• Biopsy: Eyi ne nhwehwɛmu a wɔde kyerɛ sɛ kokoram wɔ hɔ anaa. Oduruyɛfo no fa nkwammoaa anaa ntini bi fi nsu a ɛkɔ nsu mu, akisikuru, anaa prostate mu na ɔde kɔ adwumayɛbea bi kɔhwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.

Ɔkwan bɛn so na wɔsa Urethral Cancer?

Nneɛma pii na ɛkyerɛ ɔkwan a wɔfa so sa yare no:

• Beae a ɛka no wɔ urethra no mu.
• Sɛ́ ebia kokoram no atrɛw akɔ nipadua no afã afoforo anaa .
• Wo biological sex (ɔbarima anaa ɔbea) .
• W’akwahosan nyinaa.
• So kokoram yi yɛ foforo anaasɛ asan aba bio ?

Akwan titiriw a wɔfa so sa yare ne:

• Sɛɛgyiri:Ntini ho ɔyaresafo (oduruyɛfo a ne ho akokwaw wɔ nyarewa a ɛwɔ nsu mu) na ɔyɛ oprehyɛn yi. Oyi akisikuru no fi hɔ. Ɛtɔ mmere bi a, ebia ɛho behia sɛ woyi akisikuru, urethra, prostate, lymph nodes, awotwaa, anaa mpo ɔbarima akyi berɛmo no. Oprehyɛn ne aduru a wɔtaa de sa kokoram a ɛwɔ nsu mu.
• Mframa a wɔde sa yare: Mframa a wɔde ma kokoram ho ɔyaresafo, oduruyɛfo a ne ho akokwaw wɔ kokoram a wohu na ɔsa mu no de mframa a ano yɛ den sɛe kokoram nkwammoaa.
• Nnuru a wɔde sa yare: Oduruyɛ mu kokoram ho ɔbenfo de nnuru titiriw bi a wɔde ko tia kokoram di dwuma de kunkum kokoram nkwammoaa na ɛmma ɛnnɔɔso.

Ɛtɔ mmere bi a, wo duruyɛfo betumi akamfo ayaresa nhyehyɛe bi a ɛka ayaresa yi biako anaa nea ɛboro saa abom. Wo ne no nkasa mfa ayaresa ahorow a eye ma wo ho.

Ɔkwan bɛn so na wobedi ayaresa ahorow mu nsunsuanso bɔne ho dwuma?

Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa w’ayaresa no mu nsunsuanso bɔne ho. Ebia ɔbɛkamfo nneɛma te sɛ:

• Aduan a ɛkari pɛ a wubedi (di nnuaba ne nhabannuru a wɔayɛ no foforo pii).
• Apɔw-mu-teɛteɛ a wɔyɛ no daa.
• Kura mu duru a ɛfata a ɛfata wo mu.
• Nsã a wɔnom ano hye.

Nanso kae sɛ ɛsɛ sɛ wo ne oduruyɛfo kasa ansa na woayɛ nsakrae biara wɔ w’aduan anaa w’asetra kwan mu.

Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi?

Ɛsono sɛnea wɔsa kokoram a wɔde fa nsu mu, na wo nipadua yɛ soronko. Enti ebia sɛnea wobɛyɛ w’ade wɔ ayaresa ho no bɛyɛ soronko wɔ afoforo ho. W’aduruyɛfo kuw no betumi akyerɛkyerɛ nea ɛsɛ sɛ wohwɛ kwan bere a wo ho retɔ wo no mu.

Sɛ mewɔ kokoram a ɛwɔ nsu mu a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow, abufuw, abasamtu, ne ehu nka bere a wuhu sɛ wowɔ kokoram a ɛwɔ wo nsu mu no. Saa nkate ahorow yi betumi asesa ntɛmntɛm bere a wugye wo yare no tom na wufi ase sa yare no. Wo duruyɛfo betumi aboa wo ma woanya mmoa akuw ama nnipa a wɔwɔ kokoram a ɛte sɛɛ. Eyi betumi aboa wo ma woante nka sɛ ankonam. Wobetumi nso ama wo akwankyerɛ wɔ nea wobɛhwɛ kwan bere a worehwehwɛ ayaresa akwan horow mu no.

So wobetumi asa Urethral Cancer?

Yebetumi abua eyi yiw ne dabi nyinaa. “Aduru” kyerɛ sɛ wunni kokoram a ɛwɔ wo nsu mu bio, ɛho nhia sɛ wosa yare foforo, na nnuruyɛfo nsusuw sɛ ɛbɛsan aba bio. Nanso, egye bere tenten ansa na nnuruyɛfo ahu sɛ kokoram a ɛwɔ nsu mu no rensan mma bio. Ɛho behia sɛ wɔkɔ so yɛ aduruyɛ mu nhwehwɛmu ne ɔhwɛ a edi akyi de hwɛ sɛ kokoram no asan aba anaa.

Sɛ nnuruyɛfo sa yare no yiye wie a, ɛho behia sɛ wɔyɛ nhwehwɛmu te sɛ CT scan anaa MRI mfoninitwa ne cystoscopy de hwɛ hu sɛ wunni kokoram a ɛwɔ wo nsu mu no ho sɛnkyerɛnne biara. Dodow a wotra hɔ bere tenten a kokoram nni wo mu no, dodow no ara na asiane a ɛwɔ hɔ sɛ kokoram no bɛsan aba no so tew.

Ɔkwan bɛn so na wobetumi asiw kokoram a ɛwɔ nsu mu no ano?

Esiane sɛ urethral cancer yɛ kokoram a ɛntaa nsi nti, nnuruyɛfo ne nhwehwɛmufo da so ara resua akwan a eye sen biara a wɔbɛfa so asiw ano. Nanso, ebia saa nneɛma yi bɛboa wo:

• Fa nna a ahobammɔ wom di dwuma. Sɛ wɔde kɔndɔm di dwuma a, ɛboa ma wosiw nyarewa a wonya fi nna mu (STI) ano.
• Ma w’ankasa wo ho tew yiye. Ɛho hia sɛ mmea popa fi wɔn anim kɔ akyi bere a wɔatow wɔn ho anaasɛ wɔatow wɔn ho awie no na wɔasiw nsu mu yare (UTIs) ano. Bere a obi rekɔ brayɛ mu no, ɛho hia sɛ wotaa sesa pads ne tampons. Ɛyɛ papa nso sɛ wobɛtaa de nsu pa ahohoro baabi a atwa awotwaa ne akyi berɛmo ho ahyia no, na sɛ ɛho hia a, wode samina a emu nyɛ den a ɛnyɛ huam bɛhohoro ho.
• Kwati sigaretnom ne tawa nneɛma afoforo. Sɛ wuhia mmoa a wode begyae sigaretnom a, kɔ oduruyɛfo nkyɛn.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ kokoram ho sɛnkyerɛnne biara, te sɛ nsakrae a ɛba wo nsu a wode tow nsu mu, nsu a efi wo nsu mu, mogya a ɛba wo nsu mu, anaasɛ akisikuru a ɛwɔ wo barima anaa akyi berɛmo mu a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Bere a wɔresa wo kokoram a ɛwɔ wo nsu mu no, sɛ wowɔ nea edidi so yi mu biara a, ka kyerɛ wo duruyɛfo:

• Atiridiinini a ɛboro Fahrenheit 101 (Celsius 38).
• Tiyɛ a emu yɛ den.
• Awɔw yɛ awɔw a obi te nka wɔ nipadua no mu.
• Ɔfe a ɛkɔ so daa.
• Ɔhome a ɛyɛ den.
• Mu duru a ɛso tew mpofirim bɛboro nkaribo anum.
• Ɔfe a ɛboro so.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• Wobɛyɛ dɛn ahu sɛ mewɔ kokoram wɔ nsu mu?
• So kokoram yi atrɛw akɔ me nipadua no afã afoforo?
• Dɛn ne hokwan ahorow a mewɔ sɛ menya nkwa?
• Ayaresa ahorow bɛn na wokamfo kyerɛ?
• Asiane ne mfaso horow bɛn na ɛwɔ ayaresa ahorow a wokamfo kyerɛ no so nyinaa?
• So nnuruyɛ mu sɔhwɛ ahorow bi wɔ hɔ a ɛfata me?
• So wubetumi akamfo akuw biara a wɔboa akyerɛ?

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Urethral cancer yɛ kokoram a ɛntaa nsi a ɛka wo urethra. Ebia wowɔ nkate ahorow wɔ saa yare a wɔahu yi ho, na ɛno yɛ ade a ɛfata. Wo ne wo duruyɛfo nka wo nkate ho asɛm nokwarem. Wobetumi abua wo nsɛmmisa na wɔne wo ayɛ adwuma de ayɛ ayaresa nhyehyɛe a eye sen biara ama wo.

Nea ɛho hia sen biara ne sɛ woremmu w’ani ngu yare no ho sɛnkyerɛnne biara so na wohwehwɛ aduruyɛfo afotu ntɛm ara sɛnea wubetumi. Dodow a wohu yare no ntɛm no, dodow no ara na ɛda adi sɛ ayaresa no bɛyɛ yiye. Mma ɛnhaw wo, ɛnyɛ wo nko ara.

` Nsuo mu Kokoram, Nsuo mu Kokoram, Mogya a ɛwɔ Nsuo mu, Nsuo mu Ɛyaw, Kokoram Nsɛnkyerɛnne, Kokoram Ayaresa, Nsuo mu Nyarewa