So wunim awotwaa mu kokoram? Momma yɛnka ho asɛm tiawa!

Mpɛn pii no, yɛn mmea no haw kakra bere a wohu mogya a ɛretu fi wɔn awotwaa mu a ɛnyɛ ne kwan so no, ɛnte saa? Titiriw bere a obi agyae brayɛ akyi, kyerɛ sɛ, bere a ɔsram biara brayɛ agyae koraa no. Ɛtɔ mmere bi a eyi betumi ayɛ awotwaa mu kokoram ho sɛnkyerɛnne. Nanso mma wo ho popo ntɛm ara. Ɛnyɛ mogya a ɛtɔ nyinaa na ɛkyerɛ kokoram. Nanso, ɛho hia paa sɛ yɛn nyinaa hu nneɛma a ɛtete saa. Efisɛ sɛ wohu no ntɛm a, ɛnyɛ den sɛ wɔbɛsa.

Dɛn ne awotwaa mu kokoram? Sɛ yɛbɛka no tiawa a...

"Uterine cancer" yɛ asɛmfua a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so. Ɛkyerɛ kokoram a ɛba w’awotwaa mu. Nneɛma atitiriw abien na ɛwɔ hɔ:

1. Endometrial Cancer : Eyi ne nea abu so sen biara. Saa kokoram yi ba awotwaa no mu ntini a wɔfrɛ no endometrium . Eyi ne kokoram a abu so sen biara wɔ yɛn mmea awo nhyehyɛe mu.

2. Uterine Sarcoma: Eyi ho yɛ na kakra. Ɛkɔ so wɔ awotwaa no ntini fasu a wɔfrɛ no myometrium .

Sɛ yɛbɛka no tiawa a, awotwaa mu kokoram bɛyɛ 95% yɛ awotwaa mu kokoram a yɛadi kan aka ho asɛm no dea. Enti, mpɛn pii no, sɛ nkurɔfo ka sɛ "awotwaa mu kokoram" a, na wɔreka awotwaa mu kokoram ho asɛm.

Dɛn ne awotwaa ne awotwaa no? Dɛn na wɔyɛ?

Sɛnea wunim no, awotwaa yɛ akwaa a ɛho hia yiye wɔ ɔbea awo nhyehyɛe mu. Sɛ wonyinsɛn akokoaa a, akokoaa no nyin wɔ awotwaa yi mu asram pii. Wɔfrɛ awotwaa no fã a ɛwɔ soro no "nipadua" anaa "corpus". Wɔ awotwaa no ase no yɛ awotwaa no . Saa awotwaa yi ne nea ɛka awotwaa no ne ɔbea awotwaa no bom. Awotwaa mu kokoram a yɛreka ho asɛm wɔ ha no yɛ kokoram a ɛba awotwaa no nipadua mu. Awotwaa mu kokoram yɛ kokoram soronko.

Afei, endometrium no ne awotwaa no mu fã kɛse. Eyi yɛ soronko koraa. Efisɛ, saa endometrium yi sesa bere a wo brayɛ ɔsram biara no. Eyi ba wɔ nkwaadɔm abien a wɔfrɛ no estrogen ne progesterone nkɛntɛnso ase . Saa nkwaadɔm yi ma awotwaa no mu yɛ den ma enti wobetumi anyinsɛn akokoaa. Nanso sɛ nyinsɛn ansi a, nipadua no ma progesterone a ɛyɛ no so tew. Afei wɔhwie saa awotwaa mu ntini a ayɛ den no gu. Ɛno ne nea yɛfrɛ no brayɛ, anaa brayɛ.

Awotwaa mu kokoram abu so dɛn?

Wɔ aman te sɛ United States mu no, awotwaa mu kokoram ne kokoram a abu so sen biara wɔ mmea awo nhyehyɛe mu. Ɛtaa ba titiriw bere a obi agyae brayɛ akyi . Wɔkyerɛ sɛ mmea 100 biara mu bɛyɛ 3 benya saa kokoram yi wɔ wɔn nkwa nna mu.

Dɛn ne awotwaa mu kokoram ho sɛnkyerɛnne? Woyɛ dɛn hu wɔn?

Eyi ne ɔfã a ɛho hia sen biara. Ɛtɔ mmere bi a, awotwaa mu kokoram ho sɛnkyerɛnne betumi ayɛ te sɛ tebea afoforo a ɛtaa ba ho sɛnkyerɛnne. Wobetumi de wɔn afrafra nso ne nyarewa afoforo a ɛwɔ awo nhyehyɛe mu. Enti sɛ mogya retu wo wɔ wo awotwaa mu a ɛnyɛ ne kwan so , anaasɛ wo yafunu ase yɛ wo yaw anaasɛ wo ho yɛ wo yaw a ɛyɛ nwonwa a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn na woaka ho asɛm. Nhwehwɛmu a edi mu a wobenya no ne ade a ɛho hia sen biara. Ɛno ansa na wobetumi ayɛ wo aduru yiye.

Nsɛnkyerɛnne a wobetumi ahu wɔ awotwaa mu kokoram anaa awotwaa mu sarcoma mu no bi ni:

• Ansa na wobɛkɔ brayɛ mu, kyerɛ sɛ, sɛ woda so ara kɔ wo bra ɔsram biara a , mogya tu wɔ ɔbea no awotwaa mu wɔ brayɛ bere abien ntam. Fa no sɛ, wo nna no ba awiei na wo mogya tu bio nna kakraa bi akyi.
• Bere a obi agyae brayɛ akyi, kyerɛ sɛ, bere a ɔsram biara nna no agyae koraa no, mogya betumi atu wɔ ɔbea no awotwaa mu anaasɛ nsensanee betumi aba. Ɛnsɛ sɛ wobu ani gu eyi so koraa.
• Yafunu ase yaw, kyerɛ sɛ, ɛyaw anaa ɛyaw wɔ akyi berɛmo no mu, wɔ yafunu no ase .
• Sɛ woagyae brayɛ akyi a, wubetumi anya nsu a ɛbɛtɔ wo awotwaa mu a ɛyɛ fitaa anaasɛ emu da hɔ .
• Sɛ woadi boro mfe 40 a, mogya tu wo awotwaa mu akyɛ, emu yɛ duru, anaasɛ ɛtaa tu.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, yɛsrɛ wo hwehwɛ aduruyɛfo afotu.

Dɛn nti na awotwaa mu kokoram yi ba? Dɛn na ɛde ba?

Nokwarem no, nhwehwɛmufo da so ara nnim nea ɛde awotwaa mu kokoram ba ankasa . Nanso, nsakrae (nsakrae) bi ba awotwaa no mu nkwammoaa mu. Saa nkwammoaa a wɔasesa yi fi ase nyin na ɛpaapae ntɛmntɛm a wontumi nni so. Eyi ne bere a ɛyɛ akisikuru .

Nanso, asiane ahorow bi wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ wubenya awotwaa mu kokoram no yɛ kɛse. Sɛ wowɔ asiane ahorow yi bi a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa akwan a wobɛfa so abɔ w’akwahosan ho ban ho.

Dɛn ne nneɛma a ɛde awotwaa mu kokoram ba?

Nneɛma pii wɔ hɔ a ebetumi ama obi anya awotwaa mu kokoram. Eyinom mu pii fa nkwaadɔm a wɔfrɛ no estrogen ne progesterone a yɛadi kan aka ho asɛm no ho.Progesterone ) ne nkwaadɔm abien a ɛnkari pɛ wɔ abusuabɔ. Sɛ nhwɛso no, kɛseyɛ mmoroso , tebea bi a wɔfrɛ no Polycystic Ovarian Syndrome (PCOS) , anaasɛ estrogen nkutoo a wɔnom a progesterone (estrogen a wɔsɔre tia) nnim no betumi aka eyi. Afei nso, awosu mu tebea horow a ɛne hormone ahorow nni abusuabɔ te sɛ Lynch syndrome betumi ama asiane no ayɛ kɛse.

Momma yɛnhwɛ asiane ahorow yi nkɔ akyiri kakra:

Mfe a obi adi, asetra kwan, ne abusua abakɔsɛm

• Mfe a obi adi: Asiane a ɛwɔ hɔ sɛ wubenya awotwaa mu kokoram no yɛ kɛse bere a worenyin no. Wohu kokoram yi dodow no ara bere a wɔadi mfe 50 akyi.
• Aduan a mmoa srade pii wom: Aduan a srade pii wom betumi ama asiane a ɛwɔ hɔ sɛ obi benya kokoram ahorow pii no ayɛ kɛse . Awotwaa mu kokoram ka wɔn ho. Nnuan a srade pii wom nso wɔ calories pii. Eyi nso betumi ama obi ayɛ kɛse mmoroso.
• Abusua abakɔsɛm: Nnipa binom nya awosu mu tebea horow a ɛma asiane a ɛwɔ hɔ sɛ wobenya kokoram no yɛ kɛse. Nhwɛso bi ne Lynch syndrome , anaasɛ awosu mu kokoram a ɛnyɛ polyposis colorectal cancer (HNPCC) . Saa nkurɔfo yi wɔ asiane kɛse mu sɛ wobenya awotwaa mu kokoram ne kokoram ahorow afoforo nso.

Ayaresa mu tebea afoforo

• Asikreyare: Mpɛn pii no, yare yi ne kɛseyɛ mmoroso wɔ abusuabɔ. Kɛse mmoroso yɛ ade a ɛde kokoram ba. Nanso, nhwehwɛmu ahorow bi kyerɛ sɛ abusuabɔ a ɛda asikreyare ne awotwaa mu kokoram ntam tẽẽ kɛse mpo.
• Kɛse mmoroso: Nkwammoaa bi nam srade ntini so dan estrogen. Eyi ma asiane a ɛwɔ hɔ sɛ obi benya awotwaa mu kokoram no yɛ kɛse. Dodow a srade a ɛwɔ nipadua no mu no dɔɔso no, dodow no ara na estrogen dodow so nkɛntɛnso kɛse.
• Awotwaa mu nyarewa: Mmea binom a wɔwɔ awotwaa mu akisikuru wɔ estrogen dodow a ɛdɔɔso na progesterone nso sua. Nsakrae a ɛba nkwaadɔm mu yi betumi ama asiane a ɛwɔ hɔ sɛ obi benya awotwaa mu kokoram no ayɛ kɛse.

Brayɛ kyinhyia ne awo ho abakɔsɛm

• Brayɛ a ɛba ntɛm: Sɛ wufii ase kɔɔ brayɛ mu ansa na woadi mfe 12 a, asiane a ɛwɔ hɔ sɛ wubenya awotwaa mu kokoram no betumi ayɛ kɛse kakra. Nea enti a ɛte saa ne sɛ wo awotwaa no nya hormone estrogen bere tenten.
• Brayɛ a ɛba akyiri: Afei nso, sɛ bratwa ba bere a wadi mfe 50 akyi a, asiane no kɔ soro wɔ hɔ nso. Nea enti a ɛte saa no te sɛ kan no, awotwaa no nya estrogen bere tenten.
• Bere tenten a ɔde kɔ brayɛ mu: Ebia mfe dodow a ɔde kɔ brayɛ mu nyinaa ho hia sen mfe a brayɛ fii ase na ogyaee no.
• Nyinsɛn a wɔrennyinsɛn: Mmea a wonnyaa mma no wɔ asiane a ɛkɔ soro kakra sɛ wobenya kokoram yi.

Nyarewa afoforo a wɔadi kan ayɛ

• Mframa a wɔde sa yare a atwam wɔ akyi berɛmo no mu: Sɛ woanya mframa a wɔde sa yare wɔ akyi berɛmo no mu sɛ kokoram foforo ayaresa a, ebetumi asɛe nkwammoaa no DNA. Saa ɔsɛe yi betumi ama asiane a ɛwɔ hɔ sɛ obi benya kokoram a ɛto so abien no ayɛ kɛse.
• Estrogen Replacement Therapy (ERT): Nnipa binom fa estrogen ayaresa na ama bratwa ho sɛnkyerɛnne so atew. Sɛ obi nom estrogen nkutoo (ERT) a progesterone nnim a, ɛma asiane a ɛwɔ hɔ sɛ obenya awotwaa mu kokoram no yɛ kɛse.
• Tamoxifen a wɔde di dwuma: Nnipa binom fa saa aduru yi sɛ aduru a wɔde sa nufu mu kokoram. Ɛyɛ adwuma te sɛ estrogen wɔ awotwaa mu na ebetumi ama asiane a ɛwɔ hɔ sɛ obi benya awotwaa mu kokoram no ayɛ kɛse.

Nea ɛho hia: Sɛ wowɔ asiane ahorow yi mu biako anaa nea ɛboro saa a, ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wubenya awotwaa mu kokoram. Saa ara na obi a onni asiane ahorow yi mu biara mpo betumi anya kokoram yi. Ɛho hia sɛ yehu eyinom sɛnea ɛbɛyɛ a yebetumi ahwɛ yɛn akwahosan yiye.

Dɛn ne nsɛnnennen a ɛwɔ awotwaa mu kokoram mu?

Ɔhaw a enye koraa a ɛde awotwaa mu kokoram ba ne owu . Nanso, sɛ wo duruyɛfo hu kokoram yi ntɛm a, hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no ye paa.

Nsɛnnennen afoforo a wobetumi ahu ne:

• Anemia - Wei kyerε sε mogya dodoɔ a εba nipadua no mu no so tew.
• Kokoram a ɛtrɛw kɔ nipadua no afã afoforo (ɛtrɛw kɔ mmeae afoforo) .
• Nipadua no nnyɛ n’ade yiye wɔ ayaresa ho.

Ɔkwan bɛn so na wubehu sɛ wowɔ awotwaa mu kokoram anaa? (Nyare a Wɔahu) .

Sɛ wususuw sɛ wowɔ sɛnkyerɛnne bi a ebetumi ayɛ awotwaa mu kokoram a, wo ne oduruyɛfo nkasa ntɛm ara. Wo duruyɛfo bɛyɛ nea edidi so yi:

• Bisa wo yare no ho sɛnkyerɛnne, asiane ahorow, ne abusua aduruyɛ ho abakɔsɛm .
• Wɔyɛ nipadua mu nhwehwɛmu .
• Wɔyɛ akyi berɛmo mu nhwehwɛmu .

Nhwehwɛmu bɛn na wɔde hu awotwaa mu kokoram?

Ebia wo duruyɛfo bɛyɛ nhwehwɛmu ahorow yi mu biako anaa nea ɛboro saa de ahu sɛ ebia wowɔ awotwaa mu kokoram:

• Mogya mu nhwehwɛmu:
• CA-125 nhwehwɛmu: Eyi susuw protein bi a wɔfrɛ no CA-125. CA-125 dodow a ɛkɔ soro no betumi akyerɛ sɛ kokoram wɔ nipadua no mu.
• Mfoninitwa sɔhwɛ ahorow:
• CT scan: Eyi twa nipadua no mu mfonini ahorow a ɛkɔ akyiri.
• MRI scan: Eyinom de radio asorɔkye ne magnet a ano yɛ den na ɛyɛ mfonini.
• Transvaginal ultrasound: Wɔ eyi mu no, wɔde nhwehwɛmu titiriw bi (adwinnade a ɛyɛ mmerɛw na ɛyɛ kurukuruwa) fa ɔbea no awotwaa no mu na wɔtwe awotwaa no ho mfonini.
• Sɔhwɛ afoforo:
• Endometrial biopsy: Eyi hwehwɛ sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw fa awotwaa no mu bɛhyɛ awotwaa no mu na wɔafa ntini ketewaa bi afi awotwaa no mu. Mpɛn pii no, wobetumi ayɛ eyi wɔ baabi a wɔhwɛ ayarefo a wɔda abɔnten.
• Hysteroscopy: Eyi hwehwɛ sɛ wɔde afiri tenten a ɛyɛ tratraa bi a wɔfrɛ no hysteroscope fa ɔbea no awotwaa ne awotwaa no mu kɔ awotwaa no mu. Saa adwinnade teateaa yi wɔ kanea ne mfoninitwa afiri wɔ so, na ɛma wotumi hu awotwaa no mu yiye.
• Dilation and Curettage (D&C): Eyi yɛ ɔkwan a ɛyɛ den kakra a wɔfa so yi awotwaa mu ntini fi hɔ. Wɔyɛ no wɔ oprehyɛn dan mu.

Sɛ woyɛ D&C anaa biopsy na wɔfa ntini nhwɛsode a, oduruyɛfo no de nhwɛsode no bɛkɔ lab, baabi a ɔyare ho ɔbenfo bɛhwɛ ntini no mu ahwɛ sɛ kokoram wɔ hɔ anaa.

Nea ɛho hia: Pap nhwehwɛmu no ntumi nhu awotwaa mu kokoram. Wɔde Pap nhwehwɛmu no di dwuma de hu awotwaa mu kokoram.

Dɛn bio na wobetumi asua afi awotwaa mu kokoram a wohu mu?

Sɛ wo duruyɛfo hu sɛ wowɔ awotwaa mu kokoram a, ɛho behia nso sɛ wohu kokoram ko. Kokoram ko a wubehu no bɛboa wo ma woasi ayaresa a eye sen biara ho gyinae.

• Awotwaa mu kokoram a ɛto so 1: Eyinom nyɛ basabasa kɛse, a ɛkyerɛ sɛ ɛntrɛw ntɛmntɛm nkɔ ntini afoforo mu.
• Awotwaa mu kokoram a ɛto so abien: Eyinom yɛ nea ano yɛ den kɛse. Ɛda adi sɛ wɔbɛtrɛw akɔ awotwaa no akyi. Enti, ebia wobehia ayaresa a ano yɛ den kɛse.

Oduruyɛfo no nso bɛkyerɛ baabi a kokoram no wɔ. Wɔkyekyɛ awotwaa mu kokoram mu sɛ ɔfã I kosi IV.

• Ɔfã I: Kokoram no ntrɛwee wɔ awotwaa no akyi.
• Ɔfã II: Kokoram no atrɛw akɔ awotwaa no mu.
• Ɔfã III: Kokoram no atrɛw akɔ ɔbea no awotwaa, awotwaa, ne/anaasɛ ntini a ɛma mogya tu mu.
• Ɔfã IV: Kokoram no atrɛw akɔ akwaa afoforo mu akɔ akyiri sen akisikuru anaa awotwaa no.

Ɛtɔ mmere bi a, ebia wɔrenhu baabi pɔtee a kokoram no wɔ kosi sɛ wɔbɛyɛ oprehyɛn de ayi kokoram no afi hɔ akyi.

Dɛn ne ayaresa a wɔde sa awotwaa mu kokoram?

Mmea pii a wɔwɔ awotwaa mu kokoram hia oprehyɛn. Ayaresa nhyehyɛe a wubenya no begyina kokoram ko ne w’akwahosan nyinaa so. Ayaresa afoforo a ebia wɔde bɛma wo no bi ne:

• Nnuru a wɔde sa yare: Ɛde nnuru a ano yɛ den di dwuma de sɛe kokoram nkwammoaa.
• Mframa a wɔde sa yare:Wɔde mframa a ano yɛ den a wɔde asi wɔn ani so no kyerɛ sɛ wɔmfa nsɛe kokoram nkwammoaa.
• Hormone therapy: Wɔde hormone ma anaasɛ wosiw ano de sa kokoram.
• Nnuru a ɛko tia nyarewa: Ɛboa w’ankasa nipadua mu ahoɔden a ɛko tia nyarewa no ma wɔko tia kokoram.
• Ayaresa a wɔde wɔn ani asi so: Wɔde nnuru di dwuma de si kokoram nkwammoaa pɔtee bi so na wosiw wɔn kwan sɛ ɛnnɔɔso.

Nhwehwɛmufo kɔ so sua akwan foforo a wɔfa so sa awotwaa mu kokoram ho ade.

Oprehyɛn a wɔyɛ ma awotwaa mu kokoram te dɛn?

Mpɛn pii no, aduru titiriw a wɔde sa awotwaa mu kokoram ne oprehyɛn. Ɛda adi kɛse sɛ wɔbɛyɛ wo hysterectomy , a ɛyɛ oprehyɛn a wɔyɛ de yi awotwaa ne awotwaa no. Awotwaa a wotwa no ahorow anan na ɛwɔ hɔ:

• Total abdominal hysterectomy: Oduruyɛfo a ɔyɛ oprehyɛn no twa wo yafunu mu na oyi wo awotwaa no.
• Vaginal hysterectomy: Oduruyɛfo a ɔyɛ oprehyɛn no fa awotwaa no mu yi awotwaa no.
• Radical hysterectomy: Sɛ kokoram no atrɛw akɔ awotwaa no mu a, ebia ebehia sɛ wotwa hysterectomy koraa. Oduruyɛfo a ɔyɛ oprehyɛn no yi awotwaa no ne ntini a atwa awotwaa no ho ahyia no fi hɔ. Ɔsan yi ɔbea no awotwaa no atifi fã a ɛbɛn awotwaa no.
• Minimally invasive hysterectomy: Oduruyɛfo a ɔyɛ oprehyɛn no nam ntwitwiridii nketenkete kakraa bi so yi awotwaa no. Wobetumi de laparoscopic anaa robɔt ayɛ eyi.

Sɛ wɔreyɛ awotwaa no a, nnuruyɛfo a wɔyɛ oprehyɛn taa yɛ oprehyɛn afoforo abien:

• Bilateral salpingo-oophorectomy (BSO): Woyi wo mmadwoa ne wo awotwaa mu ntini ahorow no fi hɔ. Nnipa pii hia anammɔn foforo yi na ama wɔahwɛ ahu sɛ wɔayi kokoram no afi hɔ koraa.
• Lymph node dissection/lymphadenectomy: Woyi lymph nodes no fi hɔ hwɛ sɛ kokoram no atrɛw anaa.

So ɛsɛ sɛ woyi me mmadwoa no fi hɔ?

Mmea pii a wɔwɔ awotwaa mu kokoram no yi wɔn mmadwoa. Nanso sɛ woyi awotwaa no a, sɛ wunnya nkɔɔ brayɛ mu a, wofa brayɛ mu. Sɛ wunnii mfe 45 na woanya ansa na woagyae brayɛ a, wo ne w’aduruyɛfo kuw no nkasa mfa nkyerɛ sɛ ebia wubetumi akora wo mmadwoa so anaa.

Dɛn na wubetumi ahwɛ kwan bere a wɔatwa awotwaa no akyi?

Nea edidi so yi ne nsunsuanso bɔne a ebetumi afi awotwaa mu kokoram oprehyɛn mu aba:

• Awo a wontumi nwo: Eyi kyerɛ sɛ wontumi nwo mma.
• Menopause (sɛ woadi kan agyae brayɛ na wɔayi wo ovaries) ne ne sɛnkyerɛnne ahorow, sɛ nhwɛso no, ɔbea awotwaa mu a ɛyɛ kusuu ne fifiri a ɛba anadwo.

Ɔkwan bɛn so na wɔsa awotwaa mu sarcoma?

Mpɛn pii no, nnuruyɛfo a wɔyɛ oprehyɛn no hu awotwaa mu sarcoma, wɔyɛ no gyinabea, na wɔsa no yare wɔ ɔkwan koro no ara so. Ayaresa a wobetumi apaw no te sɛ nea wɔde sa awotwaa mu kokoram no. Ebia wɔbɛyɛ wo hysterectomy, ne BSO a woyi awotwaa ne fallopian tubes no nso.

So wobetumi asiw awotwaa mu kokoram ano?

Mpɛn pii no, wontumi nsiw awotwaa mu kokoram ano. Nanso wubetumi ayɛ nneɛma bi de atew asiane a ɛwɔ hɔ no so:

• Asikreyare a wobedi so.
• Wokura wo nipadua mu duru a ɛfata mu .
• Wo ne wo duruyɛfo bɛkasa afa akwan a wɔde siw awo ano a wɔde hormone ayɛ a egyina progesterone so anaasɛ estrogen ne progesterone nyinaa wom a wode bedi dwuma ho . Ebia nnuru yi bɛma ahobammɔ bi afi awotwaa mu kokoram ho.

So estrogen replacement therapy (ERT) ma ɛyɛ mmerɛw sɛ menya awotwaa mu kokoram?

Sɛ woresusuw ho sɛ wobɛfa ERT a, wo ne wo duruyɛfo nkasa. Mobɛbom asusuw asiane a ɛwɔ hɔ sɛ kokoram wom ho na moasi gyinae a eye sen biara ama mo.

So nhwehwɛmu bi wɔ hɔ a wɔde hwehwɛ awotwaa mu kokoram?

Dabi, sɔhwɛ biara nni hɔ a ɛtaa ba saa. Nnuruyɛfo ntaa nkamfo nkyerɛ sɛ wɔnyɛ nnipa a wonni yare no ho sɛnkyerɛnne no mu nhwehwɛmu daa. Nanso sɛ wowɔ asiane kɛse mu a, ebia wobɛpɛ sɛ woyɛ saa. Sɛ asiane kɛse wɔ wo mu a, wo ne wo duruyɛfo nkasa mfa nhwehwɛmu a wobɛyɛ daa ahwɛ sɛ wowɔ awotwaa mu kokoram anaa.

Nnipa a wɔwɔ awotwaa mu kokoram no nkwa nna yɛ dɛn?

Mfeɛ anum a wɔde tra ase wɔ awotwaa mu kokoram ho no yɛ 81%. Eyi kyerɛ sɛ mmea 100 biara a wɔahu sɛ wɔwɔ yare no mu 81 da so te ase wɔ mfe anum akyi. Saa dodow yi dɔɔso mpo sɛ kokoram no ntrɛwee wɔ awotwaa no akyi a. Afei nkwagye dodow kɔ soro kodu 95%. Bere a ayaresa ahorow tu mpɔn no, nkwa a wonya nso kɔ soro. Sɛ awotwaa mu kokoram trɛw a obiara nhu nkutoo a, edi awu. Sɛ kokoram no trɛw wɔ awotwaa no akyi kɔ nipadua no afã afoforo a, nkwa a wonya no so tew kodu 17%. Sɛ wohu no ntɛm na wɔsa no ntɛm a, ɛno ne nneɛma atitiriw a ɛbɛma obi ho atɔ no yiye.

So wobetumi asa awotwaa mu kokoram koraa?

Nea eye ne sɛ, wɔtaa hu awotwaa mu kokoram ntɛm. Nea enti a ɛte saa ne sɛ nnipa pii bɔ mogya a ɛyɛ soronko ho amanneɛ kyerɛ wɔn nnuruyɛfo nkutoo. Sɛ wɔkyere kokoram no ntɛm a, ansa na atrɛw akɔ akwaa afoforo mu no, wobetumi asa no denam awotwaa no a wobeyi afi hɔ no so.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Wo ne wo duruyɛfo nkasa mfa mogya anaa nsensanee biara a ɛyɛ soronko ho. Sɛ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ wowɔ awotwaa mu kokoram (awosu mu nneɛma) a, wo ne wo duruyɛfo nkasa mfa nhwehwɛmu a wɔbɛyɛ afe biara ho. Ebia ɛho behia nso sɛ wɔyɛ wo endometrial biopsy afe biara fi bere a woadi mfe 35.

Dɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wohu sɛ wowɔ awotwaa mu kokoram a, bisa wo duruyɛfo no nea edidi so yi ho asɛm:

• Ɔkwan bɛn so na me kokoram no wɔ?
• Dɛn ne ayaresa a eye sen biara ma me?
• So mehia ayaresa bɛboro biako?
• So nnuruyɛ mu sɔhwɛ ahorow bi wɔ hɔ a metumi de me ho ahyɛ mu?
• Dɛn ne ayaresa botae?
• Dɛn na ɛsɛ sɛ mehwɛ kwan wɔ ayaresa akyi?
• So kokoram no bɛsan aba bio?
• So asiane kɛse wom sɛ menya kokoram afoforo?

Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ me ho bere a wɔasa awotwaa mu kokoram awie no?

Sɛ wuwie ayaresa no a, w’aduruyɛfo kuw no bɛka wo nsrahwɛ a wobedi akyi no ho asɛm akyerɛ wo . Ɛho hia yiye sɛ wobɛkɔ saa nhyehyɛe ahorow yi ase. Bere a worekɔhwɛ wo duruyɛfo no, ɔbɛyɛ wo akyi berɛmo mu nhwehwɛmu. Obebisa wo yare no ho sɛnkyerɛnne nso. Botae no ne sɛ wobɛhwɛ sɛ kokoram no rensan mma bio na wo ho retɔ wo wɔ ayaresa akyi.

Wubetumi nso ne wo duruyɛfo akasa afa akwan a wobɛfa so abɔ bra pa wɔ kokoram akyi ho. Nneɛma te sɛ aduan pa a wubedi, nna a wubenya, ne apɔw-mu-teɛteɛ betumi aboa wo ma woanya apɔwmuden.

Dɛn ne kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya awotwaa mu kokoram?

Ka mogya biara a ɛnkɔ so daa ho asɛm kyerɛ wo duruyɛfo. Mogya a ɛnkɔ so daa kyerɛ sɛ mogya bɛtɔ wo wɔ nna ntam sɛ woda so ara rekɔ brayɛ mu a, anaasɛ sɛ woagyae brayɛ akyi a, ɛyɛ nsensanee anaa nsensanee. Mogya a ɛntɔ daa yɛ tebea horow bi ho sɛnkyerɛnne, a awotwaa mu kokoram ka ho.

So awotwaa mu kokoram trɛw ntɛmntɛm?

Kokoram a ɛto so 1, nea abu so sen biara no ntrɛw ntɛmntɛm. Kokoram a ɛto so abien betumi atrɛw ntɛmntɛm, enti ebia ɛho behia sɛ wɔsa yare denneennen.

Mfe bɛn na awotwaa mu kokoram abu so kɛse?

Awotwaa mu kokoram abu so kɛse wɔ mmea a wɔakɔ brayɛ mu no mu. Sɛ wɔkyekyem pɛpɛɛpɛ a, mfe a obi adi bere a wagyae brayɛ no bɛyɛ mfe 51.

Sɛ yɛbɛbɔ no mua a, nneɛma a ɛsɛ sɛ yɛkae (Take-Home Message) .

Okay, enti efi nea yɛaka ho asɛm no mu no, mewɔ anidaso sɛ wowɔ ntease pa wɔ awotwaa mu kokoram ho, titiriw endometrial kokoram. Kae sɛ awotwaa mu kokoram ne kokoram a abu so sen biara wɔ mmea awo nhyehyɛe mu. Wɔtaa frɛ no awotwaa mu kokoram.

Ade titiriw ne sɛ wobɛma w’ani ada hɔ wɔ sɛnkyerɛnne ahorow no ho. Titiriw sɛ mogya retu wo wɔ brayɛ bere ntam anaasɛ mogya retu wo bere a woagyae brayɛ akyi a, mmu w’ani ngu so. Hwehwɛ nnuruyɛfo afotu ntɛm ara.

Sɛ wohu awotwaa mu kokoram ntɛm a, wotumi sa awotwaa mu kokoram kɛse. Oprehyɛn a wɔde yi awotwaa no betumi adi tebea yi so. Enti nsuro, na sɛ w’adwene mu yɛ wo naa a, kɔ oduruyɛfo nkyɛn na ka ho asɛm. W’akwahosan ho hia wo paa.

` Awotwaa mu Kokoram, Awotwaa mu Kokoram, Awotwaa mu Kokoram, Awotwaa mu Kokoram, Mmea Akwahosan, Kokoram Nsɛnkyerɛnne, Kokoram Ayaresa