So ɛtɔ mmere bi a wote nka sɛ wo nna no nyɛ nea ɛkɔ so daa koraa? Anaasɛ wuhu sɛ mogya retu kakra bere a wo nna agyae koraa mpo (bere a woagyae brayɛ akyi)? Ɛyɛ ade a ɛfata koraa sɛ wobɛte ehu ne dadwen kakra nka bere a wuhu biribi a ɛte sɛɛ no. Nanso mpɛn pii no, nea ɛde eyi ba ne polyp ketewaa bi a ɛba awotwaa no mu. Ɛnnɛ, momma yɛnka uterine polyps, anaa `(Uterine Polyps)` ho asɛm, a yensuro, na ɛyɛ tiawa.
Dɛn ne awotwaa mu polyps?
Okay, momma yɛnte eyi ase kɛkɛ. Fa no sɛ wowɔ ntama bi wɔ w’awotwaa mu. Wɔ aduruyɛ mu no, yɛfrɛ no endometrium . Wɔhwie saa ntama yi gu ɔsram biara bere a obi rekɔ brayɛ mu. Endometrium no mmeae bi nyin dodo na enyin kɔ awotwaa no mu te sɛ akisikuru ketewaa bi, te sɛ polyp ketewaa bi. Ɛno ne nea yɛfrɛ no `Uterine Polyps`.
Ebia eyinom mu biako anaa nea ɛboro saa wɔ hɔ. Wɔn kɛse tumi fi nketewa te sɛ sesame aba so kosi kɛse te sɛ golf bɔɔl so. Wɔtaa de dua ketewaa bi bata awotwaa no fasu ho.
Nea ɛho hia ne sɛ saa nyini yi mu dodow no ara nyɛ kokoram (a ɛnyɛ papa) . Enti sɛ wote saa din yi a, mma wo ho nnyɛ wo hu. Nanso, wobetumi de ɔhaw ahorow aba brayɛ mu na ɛtɔ mmere bi a enya awo so nkɛntɛnso kakra.
Hena na ɔwɔ asiane kɛse mu sɛ obenya eyinom?
Sɛnea ɛbɛyɛ yiye sɛ obenya saa nkɔso ahorow yi kɔ soro bere a obi nyin no. Wɔtaa ba bere a wɔadi mfe 40 kosi 50 , a ɛno ne bere a ɛbɛn brayɛ (perimenopause). Wobetumi nso aba bere a obi agyae brayɛ (postmenopause) akyi. Nanso, saa tebea yi ho yɛ na koraa wɔ nnipa a wonnii mfe 20 mu.
Nea ɛka ho no, sɛ wowɔ nea edidi so yi a, wo nso wowɔ asiane kɛse kakra mu:
- Sɛ wo nipadua mu duru dɔɔso dodo a: Ɛno kyerɛ sɛ woayɛ kɛse dodo anaasɛ woayɛ kɛse mmoroso.
- Sɛ wowɔ mogya mmoroso (Hypertension).
- Sɛ worenom aduru Tamoxifen a: Eyi yɛ aduru a wɔtaa de ma nufu mu kokoram.
- Sɛ worenom hormone therapy a hormone estrogen dodow a ɛdɔɔso wom a.
Dɛn ne eyi ho sɛnkyerɛnne?
Mpɛn pii no, saa akisikuru yi ho sɛnkyerɛnne titiriw ne nea ɛtaa ba ne mogya a ɛtɔ a ɛnyɛ ne kwan so . Nanso, nnipa binom tumi nya bi a wonni sɛnkyerɛnne biara. Ɛtɔ mmere bi a, wohu wɔn wɔ akwanhyia mu bere a wɔayɛ biribi te sɛ scan ama biribi foforo no.
Ma yɛnhwɛ nea ɛyɛ sɛnkyerɛnne atitiriw no.
| Nsɛnkyerɛnne a ɛkyerɛ | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Brayɛ a ɛnkɔ so yiye | Nna dodow a ɛwɔ brayɛ mu no sakra, na ɛmma wontumi nkyerɛ bere pɔtee a ɛbɛba. |
| Mogya a ɛtɔ kɛse | Mogya a ɛtɔ kɛse sen sɛnea ɛte daa bere a obi rekɔ brayɛ mu. |
| Mogya a ɛtɔ bere a obi rekɔ brayɛ mu | Spotting, nna a wonyɛ brayɛ mpo. |
| Mogya a ɛtɔ bere a wagyae brayɛ akyi | Mogya anaa nsensanee a ɛba wo awotwaa mu bere a wo nna agyae koraa mpo no. Eyi nyɛ ade a ɛfata na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara. |
| Ɛyɛ den sɛ wobɛwo mma (Infertility) . | Mmɔden a wɔbɔ sɛ wobenyinsɛn nanso wɔantumi anaasɛ nyinsɛn a wogyae. |
| Mogya a ɛtɔ wɔ nna akyi | Wɔ tebea horow bi mu no, eyi nso betumi ayɛ sɛnkyerɛnne. |
So eyinom de ɛyaw ba?
Mpɛn pii no, awotwaa mu ntini a ɛyɛ mmerɛw no mma ɛyaw pii mma. Nanso, sɛ wɔyɛ akɛse a, ɛtɔ mmere bi a wobetumi ama yafunu anaa akyi yaw a ɛyɛ kusuu te sɛ nea wohu bere a obi rekɔ brayɛ mu no. Nanso, ɛnyɛ ɛyaw ne tebea yi ho sɛnkyerɛnne titiriw.
Dɛn nti na saa akuru yi reyɛ wɔ awotwaa no mu?
Wonnya nhuu nea ɛde eyi ba ankasa. Nanso, nhwehwɛmufo gye di sɛ hormone dodow , titiriw hormone bi a wɔfrɛ no estrogen, di dwuma. Susuw ho hwɛ, estrogen ne nea ɛma w’awotwaa (endometrium) no mu nneɛma yɛ den ɔsram biara. Enti wogye di sɛ esiane tumi a saa hormone yi nya nti na awotwaa no fasu no mmeae bi nyin dodo na saa akuru yi ba.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ yare no ho sɛnkyerɛnne a woaka ho asɛm wɔ atifi hɔ no a, obedi kan abisa wo wo sɛnkyerɛnne ahorow no ho asɛm. Obebisa wo nsɛm pii afa wo brayɛ, mogya dodow a woatu, bere tenten a woanya saa ɔhaw yi, ne nea ɛkeka ho Afei ɔbɛyɛ mmea ho nhwehwɛmu.
Afei, sɛnea ɛbɛyɛ a wubesi so dua yiye sɛ ebia eyi yɛ nam a wɔyam no, wɔbɛka akyerɛ wo sɛ yɛ sɔhwɛ ahorow a ɛwɔ ase ha no biako anaa nea ɛboro saa.
| Sɔhwɛ | Sɛ yɛbɛka no tiawa a, eyi ne nea ɛba... |
|---|---|
| Ultrasound a Wɔde Fa Awotwaa Mu | Eyi te sɛ scan a wɔyɛ no daa. Nanso, wɔde adwinnade ketewaa bi a ɛyɛ tratraa fa ɔbea no awotwaa no mu na ama wɔahu awotwaa no mu yiye. Eyi tumi hu nneɛma te sɛ awotwaa no fasu a ɛyɛ den a ɛnyɛ ne kwan so ne polyps. |
| Sonohysterography a wɔde kyerɛw nsɛm | Eyi yɛ anammɔn foforo wɔ scan koro no ara a yɛaka ho asɛm wɔ atifi hɔ no mu. Ɛha no, wɔde nsu kakraa bi a nkwa nnim, te sɛ nkyene, fa afiri teateaa bi mu gu awotwaa no mu de ma awotwaa no mu yɛ hyew. Eyi ma scan no tumi hu nam nketenkete a ɛwɔ mu no mpo pefee. |
| Hysteroscopy a wɔde hwɛ awotwaa mu | Nea ɛkɔ so wɔ ha ne sɛ wɔde afiri tenten bi a ɛyɛ tratraa paa a mfoninitwa afiri abata ho (hysteroscope) fa ɔbea no awotwaa ne awotwaa no mu kɔ awotwaa no mu. Eyi ma oduruyɛfo no tumi de n’ankasa aniwa hwehwɛ nea ɛwɔ awotwaa no mu. Mfaso kɛse a ɛwɔ eyi so ne sɛ, .Sɛ nam a wɔayam bi wɔ hɔ a, wubetumi de nnwinnade nketewa ayi afi hɔ ntɛm ara. |
| Endometrial Biopsy a Wɔde Yɛ Adwuma | Ɛha yi, woyi ntini ketewaa bi fi awotwaa no fasu a ɛwɔ mu no mu de kɔ aduruyɛdan bi mu kɔhwɛ. Eyi betumi ahu sɛ ebia nkwammoaa bi a ɛnyɛ ne kwan so te sɛ kokoram nkwammoaa wɔ hɔ anaa. |
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Sɛ́ wobɛkɔ ayaresa anaasɛ worenkɔ no gyina nneɛma pii so, te sɛ wo yare no ho sɛnkyerɛnne, wo mfe a woadi, ne asiane a ɛwɔ hɔ sɛ wubenya ahurututu mu kokoram.
1. Twɛn a wobɛwɛn: Sɛ woyɛ abofra, woankɔ brayɛ mu, na wunni yare no ho sɛnkyerɛnne biara a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ twɛn kakra, efisɛ akisikuru nketenkete bi betumi afi hɔ.
2. Nnuru: Nnuru bi (e.g. progestins) a ɛma hormone kari pɛ betumi aboa ma wɔadi sɛnkyerɛnne ahorow so. Nanso, mpɛn pii no, yare no ho sɛnkyerɛnne san ba bere a wɔagyae aduru no.
3. Oprehyɛn a wɔde yi fi hɔ: Sɛ sɛnkyerɛnne ahorow bi wɔ hɔ, sɛ woagyae brayɛ akyi, anaasɛ asiane kakra wɔ hɔ sɛ wubenya kokoram a, oduruyɛfo no besi gyinae sɛ obeyi polyp no afi hɔ (polypectomy). Wɔtaa de hysteroscopy kwan a yɛaka ho asɛm wɔ atifi hɔ no na ɛyɛ eyi. Ɛyɛ ɔkwan a ɛyɛ pɛpɛɛpɛ na ahobammɔ wom yiye. Akyinnye biara nni ho sɛ wɔde polyp a woyii no saa kwan yi so no kɔ aduruyɛdan mu kɔhwɛ sɛ ebia kokoram nkwammoaa wɔ mu anaa.
Ɛntaa mma koraa, kyerɛ sɛ, sɛ wosi so dua sɛ kokoram nkwammoaa wɔ ntini a wɔayi afi hɔ no mu nkutoo a, ebia ɛsɛ sɛ wode wo ho to oprehyɛn mu de yi awotwaa no (hysterectomy). Nanso ma ɛntra w’adwenem sɛ eyi ho yɛ na koraa.
So ɛsɛ sɛ mehaw me ho wɔ eyi ho? So ebetumi ayɛ kokoram?
Eyi ne suro kɛse a nnipa pii wɔ.
Asɛmpa no ne sɛ awotwaa mu ntini bɛyɛ 95% nyɛ kokoram . Ɛno kyerɛ sɛ mmea 100 biara mu bɛyɛ 5 wɔ asiane mu sɛ wobenya kokoram. Saa asiane yi dɔɔso kakra ma obi a mogya tu no wɔ ɔkwan a ɛnteɛ so bere a wagyae brayɛ akyi.
Ɛno nti sɛ oduruyɛfo hu akisikuru bi, titiriw wɔ obi a ɔwɔ yare no ho sɛnkyerɛnne mu a, wobeyi afi hɔ na wɔahwɛ mu. Ɛno betumi asi so dua 100% sɛ ebia kokoram nkwammoaa wom anaasɛ enni mu. Enti mma suro a ɛho nhia, nanso mmu w’ani ngu sɛnkyerɛnne ahorow no nso so.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ mogya retu wo daa, mogya retu wo wɔ bere a worekɔ brayɛ ntam, anaasɛ bere a woagyae brayɛ no akyi kakra mpo a , mmu w’ani ngu so na akyinnye biara nni ho sɛ wobɛkɔ oduruyɛfo nkyɛn.
- Awotwaa mu polyps yɛ tebea a ɛtaa ba. Nsuro sɛ wobɛfrɛ wɔn kokoram bere a wote din no. Wɔn mu dodow no ara nyɛ kokoram.
- Ayaresa no gyina wo yare no ho sɛnkyerɛnne ne wo tebea so. Ebia wubetumi atwɛn afi mu, anom nnuru, anaasɛ wobɛyɛ oprehyɛn a ɛnyɛ den de ayi afi hɔ.
- Mprempren oprehyɛn ahorow a wɔyɛ de yi eyinom no akɔ anim yiye na asiane biara nni ho. Enti biribiara nni hɔ a enti ɛsɛ sɛ yesuro. Wo ne wo duruyɛfo nka eyi ho asɛm pefee.
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