So wo nna no nyɛ nea ɛkɔ so daa koraa? So mogya tu wo kɛse nna pii a ɛtoatoa so? Anaasɛ wugyae mogyatɔw koraa, na afei wufi ase tu mogya no nketenkete bio? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a nneɛma a ɛte sɛɛ sisi no. Mpɛn pii no, nneɛma nketenkete a enyin wɔ awotwaa no mu na ɛde saa sɛnkyerɛnne ahorow yi ba. Wɔ aduruyɛ mu no, yɛfrɛ eyinom ``Uterine Polyps''. Enti ɛnnɛ, momma yɛnka eyi ho asɛm. Mma ɛnhaw wo, mpɛn pii no, eyi nyɛ kokoram.
Sɛ yɛbɛka no tiawa a, dɛn ne awotwaa mu polyps?
Uterine polyps, anaa ``Uterine Polyps``, yɛ ntini a enyin foforo a ɛba wo awotwaa no mu fasu so, ``Endometrium`` a akokoaa nyin wɔ nyinsɛn akyi. Wɔte sɛ nam nketewa a enyin a ɛtɔ mmere bi a ɛsensɛn yɛn honam ani.
Saa nhama yi nyin kɔ awotwaa no mu denam dua a ɛyɛ tratraa anaasɛ ne nnyinaso a ɛtrɛw kakra a ɛde bata awotwaa no fasu ho no so. Wobetumi ayɛ kurukuruwa anaa kurukuruwa. Wɔn kɛse betumi afi sesame aba ketewaa bi kɛse so kosi golf bɔɔl kɛse so. Nnipa binom wɔ fibroid biako pɛ, bere a ebia afoforo nso wɔ pii.
Ade a ɛho hia ne sɛ saa awotwaa mu ntini dodow no ara nyɛ kokoram (ɛnyɛ bɔne). Nanso, ɛtɔ mmere bi a, wobetumi ama wo bra a ɛnkɔ so daa na aka w’awo.
Hena na ɔwɔ asiane kɛse mu sɛ obenya eyinom?
Mfe a obi adi yɛ ade kɛse a ɛma eyi ba. Mmea a wɔadi fi mfe 40 kosi 50, anaa bɛyɛ bere a wɔagyae brayɛ (perimenopause) na ɛda adi kɛse sɛ wobenya saa akuru yi. Wobetumi nso anya bere a obi agyae brayɛ (postmenopause) akyi. Nanso, wɔntaa nhu koraa wɔ nnipa a wonnii mfe 20 mu.
Bio nso, wo nso wowɔ asiane a ɛkɔ soro kakra sɛ wobɛnya `(Uterine Polyps)` sɛ wowɔ tebea horow a edidi so yi a:
| Asiane a ɛde ba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Obolo | Sɛ wo nipadua mu duru boro so koraa sen sɛnea ɛsɛ sɛ ɛyɛ ma wo tenten (BMI boro 30). |
| Mogya mmoroso (Hypertension) . | Sɛ wowɔ nhyɛso a. |
| Aduru a wɔfrɛ no Tamoxifen | Eyi yɛ aduru a wɔde sa nufu mu kokoram. Ɛnyɛ obiara na obetumi anom saa aduru yi, nanso asiane no dɔɔso. |
| Hormone ayaresa | Titiriw sɛ worenom hormone therapy a hormone estrogen dodow a ɛdɔɔso wom a. |
| Awosu mu tebea horow | Nnipa a wɔwɔ awosu mu tebea horow a ɛntaa nsi te sɛ Lynch syndrome anaa Cowden syndrome nso wɔ asiane kɛse mu. |
So wowɔ saa su ahorow yi?
Mpɛn pii no, `(Uterine Polyps)` ho sɛnkyerɛnne titiriw ne mogya a ɛtɔ a ɛnyɛ ne kwan so. Dɛn na ɛno kyerɛ? Fa no sɛ, wo nna agyae mfe pii, nanso mpofirim ara efi ase bio wɔ nsu mu. Anaasɛ nna a wo bra no akyi no, wo mogya tu kakra nso wɔ ntam. Eyinom ne sɛnkyerɛnne atitiriw.
Ma yɛnhwɛ nea saa sɛnkyerɛnne ahorow yi yɛ.
- Brayɛ a ɛnkɔ so daa: Eyi kyerɛ sɛ nhyehyɛe pɔtee biara nni hɔ a ɛfa nna a obi kɔ brayɛ ne mogya dodow a ɛyera ho. Asram bi wɔ hɔ a ebetumi ayɛ nnafua 20, bere a afoforo nso betumi ayɛ nnafua 40.
- Mogya a ɛtɔ kɛse: Mogya a emu yɛ duru sen sɛnea ɛte daa bere a obi rekɔ brayɛ mu no.
- Spotting: Mogya nketenkete a ɛtɔ wɔ nna ntam.
- Awo a wontumi nwo: Ɛyɛ den sɛ wubenyinsɛn anaasɛ wobɛkɔ so akura nyinsɛn no mu akosi bere a edi mũ.
- Mogya a ɛba bere a obi agyae brayɛ akyi: Nsõ kɔkɔɔ, pink, anaa bruu anaa mogya a ɛba kakra bere a brayɛ agyae koraa no.
- Mogya a ɛtɔ wɔ nna akyi.
Ɛtɔ mmere bi a, saa akuru yi betumi aba a enni sɛnkyerɛnne biara. Oduruyɛfo no hu wɔn kwa bere a ɔreyɛ biribi te sɛ ultrasound scan esiane biribi foforo nti no.
So nam a wɔayam yi de ɛyaw ba?
Mpɛn pii no, ɛyaw kɛse biara nni hɔ. Nanso, sɛ akuru no sõ kakra a, ɛtɔ mmere bi a ebetumi ayɛ yaw kakra, te sɛ bere a ɛba yafunu no ase anaa akyi.Ebia wobɛte ɛyaw nka, nanso ɛyaw nyɛ sɛnkyerɛnne a ɛtaa ba.
Dɛn nti na nam yi nyin?
Wonnya nhuu nea ɛde eyi ba ankasa, nanso nhwehwɛmufo gye di sɛ hormone dodow, titiriw hormone estrogen, di dwuma.
Sɛ yɛbɛka no tiawa a, ɛyɛ adwuma saa. Ɔsram biara wɔ wo brayɛ mu no, estrogen hormone no ma awotwaa no mu ntini (endometrium) no yɛ den. Eyi siesie nneɛma a atwa yɛn ho ahyia ma akokoaa a wobenyinsɛn no. Ɛtɔ mmere bi a, sɛ saa a ɛyɛ den yi ba dodo a, ntini betumi ayɛ kɛse wɔ saa mmeae no na ayɛ akuru te sɛ eyinom. Wokae nneɛma a ɛde asiane ba a yɛadi kan aka ho asɛm no? Saa nneɛma no pii (kɛse mmoroso, hormone therapy) ma estrogen dodow kɔ nipadua no mu.
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Sɛ wokɔ oduruyɛfo nkyɛn wɔ mogya a ɛnkɔ so daa ho a, obebisa wo nsɛm kakraa bi. Nneɛma te sɛ wo brayɛ, bere tenten a ɛkyɛ, mpɛn dodow a ɛba, nnuru a wonom, ne sɛ ebia worebɔ mmɔden sɛ wobɛwo mma anaa.
Afei, wɔbɛyɛ mmea ho nhwehwɛmu. Bere koro no ara mu no, wɔbɛkamfo nhwehwɛmu afoforo pii akyerɛ sɛ ebia saa akuru yi wɔ hɔ anaa.
| Sɔhwɛ | Dɛn na ɛrekɔ so? |
|---|---|
| Ultrasound a wɔde fa ɔbea no awotwaa mu | Eyi yɛ scan a ɛfa adwinnade ketewaa bi a wɔde fa ɔbea no awotwaa mu ho. Eyi ma wotumi hu awotwaa no mu yiye. |
| Sonohysterography a wɔde kyerɛw nsɛm | Wɔ atifi hɔ scan no mu no, wɔde nsu bi a ɛte sɛ nkyene fa afiri a ɛyɛ tratraa bi mu gu awotwaa no mu. Eyi ma awotwaa no trɛw kakra, na ɛma scan no da ntini a ɛwɔ mu no adi pefee. |
| Hysteroscopy a wɔde hwɛ awotwaa mu | Wɔ eyi mu no, wɔde afiri tenten bi a ɛyɛ tratraa paa a mfoninitwa afiri abata ho no fa ɔbea no awotwaa no mu kɔ awotwaa no mu, na ɛma oduruyɛfo no tumi hwɛ awotwaa no mu tẽẽ wɔ screen so. |
| Endometrial biopsy / Curettage a wɔde hwɛ nipadua no mu | Nea ɛka eyi ho ne sɛ wobeyi ntini ketewaa bi afi awotwaa no mu ɔfasu no mu na wɔde akɔ aduruyɛdan mu akɔhwɛ sɛ ebia nkwammoaa a ɛnyɛ ne kwan so, titiriw kokoram nkwammoaa. Ɛte sɛ nea yɛtaa frɛ no "awotwaa a wɔtew ho." |
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Wɔnam nneɛma pii te sɛ wo yare no ho sɛnkyerɛnne, mfe a woadi, sɛ wopɛ sɛ wowo mma, ne asiane a ɛwɔ hɔ sɛ wubenya kokoram no so na ɛkyerɛ ayaresa.
1. Twɛn a wobɛwɛn: Sɛ wunnya nnuu brayɛ ho sɛnkyerɛnne biara, na akuru no sua koraa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ twɛn kakra a wonnya ayaresa biara. Ebia akisikuru nketenkete bi ankasa bɛkɔ.
2. Nnuru: Nnuru a ɛma hormone kari pɛ te sɛ `Progestins` anaa `Gonadotropin-releasing hormone agonists` betumi aboa ma wɔadi sɛnkyerɛnne ahorow so. Nanso, eyi yɛ bere tiaa mu ano aduru. Nsɛnkyerɛnne betumi asan aba bere a wɔagyae aduru no pɛn no.
3. Oprehyɛn a wɔde yi fi hɔ:
- Hysteroscopy: Eyi ne ɔkwan a wɔtaa fa so yɛ adwuma. Bere a wɔreyɛ hysteroscopy no, wɔde adwinnade titiriw bi fa afiri no mu de twa polyp no na woyi fi mu. Mfaso a ɛwɔ eyi so ne sɛ oduruyɛfo no tumi hu polyp no yiye na oyi fi hɔ pɛpɛɛpɛ.
- Ntini a wɔayi afi mu no mu nhwehwɛmu: Wɔde ntini biara a wɔayi afi hɔ saa kwan yi so kɔ aduruyɛdan mu kɔhwɛ sɛ ebia kokoram nkwammoaa wɔ mu anaa. Eyi ho hia paa.
Ɛnyɛ akuru no nyinaa na ɛsɛ sɛ woyi fi hɔ. Mpɛn pii no, sɛ woagyae brayɛ akyi, wowɔ sɛnkyerɛnne ahorow te sɛ mogya a ɛretu wo kɛse, ɛyɛ den sɛ wubenyinsɛn, anaasɛ sɛ wo duruyɛfo susuw sɛ asiane wɔ hɔ sɛ wubenya kokoram nkutoo na wɔkamfo kyerɛ sɛ woyi fi hɔ.
Nsɛmmisa kakraa bi a nnipa pii wɔ
So ɛyɛ yaw sɛ wobeyi nhaban a ɛyɛ nam yi afi hɔ?
Ansa na wɔbɛyɛ wo oprehyɛn no, wɔbɛma wo aduru a wɔde kum wo yare na ama baabi a ɛwɔ hɔ no ayɛ mmerɛw. Enti worente ɛyaw pii nka. Ebia wobɛte nka sɛ wɔretwe wo anaasɛ wɔrehyɛ wo kakra.
Ɛda adi sɛ eyinom betumi ayɛ kokoram dɛn?
Eyi ne suro kɛse a obiara suro. Nanso kae sɛ, awotwaa mu polyps no mu ɔha biara mu kakraa bi pɛ, bɛyɛ 5%, na ɛbɛyɛ kokoram.Asiane no yɛ kɛse kakra sɛ woagyae brayɛ akyi anaasɛ mogya retu wo daa a. Ɛno nti na wɔsɔ ntini biara a woyi no hwɛ.
So ɔkwan bi wɔ hɔ a wobetumi afa so asiw eyinom ano?
Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a ɛyɛ nokware a wɔbɛfa so asiw eyinom ano. Nanso wubetumi atew asiane a ɛwɔ hɔ no so akodu baabi denam wo mu duru ne wo mogya mmoroso a wobɛhwɛ so no so. Ade a ɛho hia sen biara ne sɛ wobɛkɔ akɔhwɛ mmea ho nhwehwɛmu daa . Afei wobetumi ahu biribi a ɛte sɛɛ ntɛm.
Bere a akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn no
Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, yɛsrɛ sɛ mmu w’ani ngu so na kɔ oduruyɛfo a ɔfata ntɛm ara sɛnea wubetumi.
- Sɛ wowɔ nsensanee anaa mogya fi wo awotwaa mu bere a wo nna agyae koraa (bere a woagyae brayɛ akyi).
- Sɛ mogya tu wo bere a worekɔ brayɛ mu a.
- Sɛ mogya tu wo kɛse wɔ wo brayɛ mu anaasɛ wo brayɛ no nkɔ so yiye koraa a.
Ɛyɛ ade a ɛfata sɛ wubesuro bere a wunya mogya a ɛnyɛ ne kwan so te sɛ eyi no. Nanso mpɛn pii no, ɛnyɛ kokoram na ɛde ba, na mmom akisikuru a ɛte sɛ eyi. Nanso ɛho hia sɛ wohwehwɛ aduruyɛ mu afotu na woahu no yiye, na sɛ ɛho hia a, woma woyi fi hɔ dwoodwoo.
Nkrasɛm a Wɔde Kɔ Fie
- Awotwaa mu polyps abu so, na mpɛn pii no ɛnyɛ kokoram a enyin a ɛba awotwaa no mu fasu so.
- Nsɛnkyerɛnne titiriw ne mogya a ɛnkɔ so daa. Hu eyi, titiriw sɛ mogya tu wo bere a woagyae brayɛ akyi a.
- Ɛnyɛ ntini no nyinaa na ɛsɛ sɛ woyi fi hɔ. Wogyina wo yare no ho sɛnkyerɛnne ne asiane ahorow so na ɛkyerɛ ayaresa.
- Sɛ mogya tu wo wɔ ɔkwan a ɛnteɛ so a, mma wo ho nnpopo na tena fie. Akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn na ama woahu yare no yiye na woanya afotu.
- Ayaresa ahorow no tu mpɔn yiye na asiane biara nni ho. Sɛ woyi fi hɔ wie a, ɛkame ayɛ sɛ sɛnkyerɛnne ahorow no fi hɔ koraa.











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