Nneɛma a ɛsɛ sɛ wuhu fa ɔbea awotwaa mu kokoram ho! Momma yɛnka eyi ho asɛm.

Ɛtɔ da bi a yɛte kokoram ahorow a mmea nya ho asɛm. Wɔn mu no, awotwaa mu kokoram ho yɛ na kakra, nanso ɛyɛ biribi a ɛsɛ sɛ yɛma yɛn ani da hɔ ampa. Ebia wobɛte ehu nka kakra bere a wote eyi, nanso mma ɛnhaw wo. Ade a ɛho hia sen biara ne sɛ wobɛma w’ani ada hɔ. Enti, a yensuro, momma yɛnka eyi ho asɛm nkɔ akyiri kakra?

Dɛn ne awotwaa mu kokoram?

Sɛ yɛbɛka no tiawa a, kokoram a ɛwɔ awotwaa mu yɛ kokoram a ɛwɔ nkwammoaa a ɛkata wo awotwaa mu no mu. Sɛnea wunim no, ɔbea awotwaa yɛ akwaa bi a ɛte sɛ afiri a ɛka wo awotwaa (wo awotwaa no fã a ɛwɔ fam) ne w’akyi awotwaa (awotwaa) no bom.

Mpɛn pii no, ɛba sɛ kokoram fi ase wɔ nipadua no mu baabi foforo, te sɛ awotwaa mu kokoram anaa awotwaa mu kokoram, na ɛtrɛw kɔ ɔbea no awotwaa mu. Nanso, ɛnyɛ nea ɛtaa ba kakra sɛ kokoram befi ase wɔ ɔbea no awotwaa no ankasa mu. Ɛno nti na yɛfrɛ no awotwaa mu kokoram .

Dɛn ne kokoram ahorow a ɛwɔ ɔbea awotwaa mu?

Okay, afei ma yɛnhwɛ sɛ ebia awotwaa mu kokoram ahorow wɔ hɔ anaa. Yiw, ɛwɔ hɔ. Wɔde nkwammoaa ko a ɛwɔ ɔbea awotwaa mu baabi a kokoram no fi ase no na ɛtoo wɔn din.

• Squamous cell carcinoma : Eyi ne nea abu so sen biara. Nkwammoaa a ɛyɛ tratraa wɔ hɔ a ɛhyehyɛ wo awotwaa mu , a wɔfrɛ no squamous cells. Eyinom ne nkwammoaa a kokoram yi fi ase. Kokoram a ɛba ɔbea awotwaa mu nyinaa mu bɛyɛ 90% yɛ saa kokoram yi.
• Adenocarcinoma: Eyi fi ase wɔ awotwaa mu ntini nkwammoaa mu. Ɛtaa ba nnipa a wɔadi boro mfe 50. Nanso, kokoram yi soronko bi wɔ hɔ a wɔfrɛ no clear cell adenocarcinoma . Saa kokoram yi taa ba mmea a wonnii mfe 50 a wɔde aduru bi a wɔfrɛ no diethylstilbestrol (DES) dii dwuma bere a na wɔwɔ awotwaa mu no so. Bere bi a atwam no, na wɔde DES di dwuma de siw nsɛnnennen a ɛba bere a wɔyem no ano.
• Melanoma: Wo awotwaa mu nkwammoaa a wɔfrɛ no melanocytes a ɛma ɛyɛ kɔla, na kokoram yi fi ase wɔ saa nkwammoaa no mu. Nanso, melanoma a ɛwɔ ɔbea no awotwaa mu no ho yɛ na yiye.
• Sarcoma: Eyi fi ase wɔ ntini a ɛka bom ne ntini a ɛka bom yɛ ɔbea awotwaa no fasu no mu. Te sɛ melanoma no, saa sarcoma yi ho yɛ na koraa. Sarcomas ahorow nso wɔ hɔ. Rhabdomyosarcoma a ɛma obi nya ɔyare a wɔfrɛ no RhabdomyosarcomaWɔfrɛ nea ɛtaa ba no ``Leiomyosarcoma``, a ɛtaa ba nnipa a wɔadi boro mfeɛ aduonum mu.

Kokoram yi abu so dɛn?

Afei ebia woresusuw sɛnea saa awotwaa mu kokoram yi abu so no ho. Nokwarem no, ɛyɛ kokoram a ɛntaa nsi koraa. Mmea bɛyɛ 100,000 biara mu biako pɛ na onya saa yare yi, na nea abu so sen biara ne squamous cell carcinoma. Sɛ ɛba mmea kokoram so a, ɔbea awotwaa mu kokoram yɛ 1% kosi 2% pɛ.

Hena na ɛda adi sɛ obenya awotwaa mu kokoram?

Okay, enti hena na ɛda adi sɛ obenya kokoram wɔ ɔbea awotwaa mu? Ma yɛnhwɛ sɛ wowɔ asiane ahorow yi bi anaa:

• Sɛ woadi boro mfe 60 a: Asiane a ɛwɔ hɔ sɛ wubenya awotwaa mu kokoram no yɛ kɛse bere a obi nyin no. Wɔtaa hu kokoram a abu so sen biara, squamous cell carcinoma, wɔ nnipa a wɔadi boro mfe 60. Nanso, ɛtɔ mmere bi a ebetumi aba nnipa a wonnii mfe 60 mu.
• Sɛ woanya human papillomavirus ( HPV ) a: HPV yɛ ɔyare mmoawa a wonya fi nna mu. Ebetumi ama asiane a ɛwɔ hɔ sɛ obi benya awotwaa mu kokoram ne awotwaa mu kokoram no ayɛ kɛse. Sɛ obi nya nna mu ahokafo pii na wɔmfa HPV ho nnuru nhyɛ no a, ɛma asiane a ɛwɔ hɔ sɛ obenya ɔyare yi yɛ kɛse.
• Sɛ wɔahu sɛ wowɔ Vaginal Intraepithelial Neoplasia (VAIN): VAIN kyerɛ sɛ nkwammoaa a ɛwɔ wo vagina no mu no nyɛ nea ɛfata, nanso ɛnyɛ kokoram. Nnipa binom a wɔwɔ VAIN betumi anya awotwaa mu kokoram akyiri yi, nanso ɛnyɛ obiara na ɛba saa. Eyi te saa efisɛ nhwehwɛmufo da so ara nnim no yiye. Sɛ wowɔ HPV a, ɛda adi sɛ wubenya VAIN.
• Sɛ woanya awotwaa mu kokoram anaa awotwaa mu akisikuru pɛn a: Woda so ara betumi anya awotwaa mu kokoram bere a woasa awotwaa mu kokoram awie no. Afei nso, sɛ wowɔ nkwammoaa a ɛnteɛ wɔ w’awotwaa mu (cervical dysplasia) a, ɛno nso betumi ama asiane a ɛwɔ hɔ sɛ wubenya kokoram wɔ ɔbea no awotwaa mu no ayɛ kɛse .
• Sɛ woanya aduru a wɔfrɛ no diethylstilbestrol (DES): DES yɛ estrogen a wɔayɛ a wɔde maa wo sɛnea ɛbɛyɛ a wobesiw nsɛnnennen ano wɔ nyinsɛn mu wɔ 1940 ne 1971 ntam hɔ.Sɛ wo maame nom DES bere a na onyinsɛn wo a, asiane kɛse wom sɛ wubenya kokoram bi a wɔfrɛ no adenocarcinoma.
• Sɛ woyɛ obi a ɔnom sigaret a: Sigaretnom ma asiane a ɛwɔ hɔ sɛ wubenya awotwaa mu kokoram no yɛ mmɔho abien.

Dɛn ne kokoram a ɛwɔ ɔbea awotwaa mu ho sɛnkyerɛnne?

Ɛho hia sɛ wuhu kokoram a ɛwɔ ɔbea awotwaa mu ho sɛnkyerɛnne. Nanso, ɛtɔ mmere bi a wubetumi anya saa kokoram yi a wunhu sɛnkyerɛnne biara. Sɛ wokɔyɛ nhwehwɛmu daa a, ebia wo duruyɛfo behu nkwammoaa a ɛnteɛ na waka akyerɛ wo sɛ wowɔ bi. Ɛno nti na ɛho hia sɛ wokɔhwɛ wo daa no. Wo duruyɛfo betumi ahu saa kokoram yi sɛ wo nipadua nka biribiara nkyerɛ wo mpo a.

Nanso, sɛ yare no ho sɛnkyerɛnne da adi a, ebia wubehu nneɛma te sɛ:

• Mogya a ɛba ɔbea no awotwaa mu wɔ nna akyi (eyi yɛ mogya a ɛba a ɛne brayɛ nni abusuabɔ ).
• Mogya a ɛba ɔbea no awotwaa mu bere a wagyae brayɛ akyi (kyerɛ sɛ, bere a brayɛ agyae koraa akyi).
• Nsu a efi ɔbea no awotwaa mu a ɛyɛ nsu, mogya, anaasɛ ɛyɛ huam.
• Ɛyaw a wɔte nka bere a wo ne obi reda.
• Biribi a ɛte sɛ akuru a ɛwɔ ɔbea no awotwaa mu a wobɛte nka.
• Ɛyaw a ɛba bere a obi reto nsu anaasɛ ɔte nka sɛ ɛsɛ sɛ ɔtaa tow nsu.
• Akisikuru anaasɛ nsu tuntum a ɛtwam.
• Te a wɔte nka sɛ ɛsɛ sɛ wɔtow wo ho gu ɛmfa ho mpo sɛ dwensɔtwaa no mu da mpan no.
• Ɛyaw a ɛba akyi berɛmo mu.

Adeɛ a ɛho hia ne sɛ, sɛ wowɔ saa sɛnkyerɛnne yi mu baako anaa nea ɛboro saa a, ɛnkyerɛ bere nyinaa sɛ ɛyɛ tebea a emu yɛ den te sɛ awotwaa mu kokoram. Nanso, sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara na wɔakɔhwɛ wo.

Dɛn na ɛde awotwaa mu kokoram ba?

Nhwehwɛmufo nnya nhuu nea ɛde awotwaa mu kokoram ba ankasa. Nanso, sɛnea ɛte wɔ awotwaa mu kokoram ho no, wosusuw sɛ abusuabɔ bi da ɔbea awotwaa mu kokoram ne HPV ahorow a asiane kɛse wom ntam. Nhwehwɛmu ahorow bi ada no adi sɛ nnipa pii a wonya awotwaa mu kokoram no wɔ nnuru a ɛko tia HPV ahorow a ɛne awotwaa mu kokoram wɔ abusuabɔ no.

Ɔkwan bɛn so na kokoram yi trɛw?

Wunim sɛnea kokoram nkwammoaa yɛ wɔn ade. Sɛ́ anka kokoram nkwammoaa benyin, apaapae, na awiei koraa no wɔawuwu te sɛ nkwammoaa a ɛteɛ no, ɛkɔ so nyin. Saa nkwammoaa yi mu paapae na ɛpaapae ma ɛyɛ akisikuru. Bere kɔ so no, saa akisikuru yi betumi atrɛw (atrɛw) akɔ nipadua no afã afoforo, na ebetumi akɔhyɛn ntini a ɛte apɔw nso so. Saa ara na kokoram nkwammoaa a ɛwɔ ɔbea no awotwaa mu no yɛ wɔn ade.

Ɔkwan bɛn so na wohu kokoram a ɛwɔ ɔbea awotwaa mu?

Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ yare no ho sɛnkyerɛnne a, wobedi kan abisa wo wo yare no ho sɛnkyerɛnne. Afei, wɔbɛyɛ nhwehwɛmu ahorow pii ahwɛ sɛ kokoram anaa nkwammoaa a edi kokoram anim wɔ hɔ anaa. Mfoninitwa akwan betumi aboa ma wɔahu kokoram no fã (gyinabea), anaasɛ sɛ ebia kokoram no atrɛw anaa.

Sɔhwɛ

Mpɛn pii no, wɔbɛyɛ wo pelvic nhwehwɛmu ne Pap smear (Pap test). Sɛ oduruyɛfo no hu nkwammoaa a ɛnteɛ a, ebia ebehia sɛ wɔyɛ nhwehwɛmu foforo te sɛ colposcopy ne vaginal biopsy. Saa biopsy yi nkutoo ne sɔhwɛ a ebetumi asi so dua koraa sɛ kokoram wɔ hɔ anaa.

• Pelvic exam: Oduruyɛfo no bɛhwɛ w’akyi awotwaa (vulva) na ɔde nsateaa abien ahyɛ wo awotwaa mu de ahwɛ sɛ ebia biribi a ɛnteɛ wɔ hɔ anaa. Wɔde afiri bi a wɔfrɛ no speculum bɛtrɛw awotwaa no mu kakra na ama wɔatumi ahu ɔbea no awotwaa no kwan ne awotwaa no yiye.
• Pap smear: Bere a wode speculum ma wo awotwaa mu bue no, wo duruyɛfo de adwinnade a ɛte sɛ spatula ne brɔs bɛpopa nkwammoaa ketewaa bi afi wo awotwaa mu. Wɔde saa nkwammoaa yi bɛkɔ baabi a wɔyɛ nhwehwɛmu akɔhwɛ sɛ ebia kokoram anaa HPV mmoawa no ho sɛnkyerɛnne bi wɔ hɔ anaa.
• Colposcopy: Wɔ sɔhwɛ yi mu no, oduruyɛfo no de adwinnade bi a kanea wom a wɔfrɛ no colposcope di dwuma de hwɛ wo awotwaa ne wo awotwaa mu sɛ ebia nkwammoaa a ɛnyɛ ne kwan so wɔ hɔ anaa.
• Biopsy: Wɔtaa yɛ biopsy bere koro no ara mu ne colposcopy. Oduruyɛfo no fa ntini bi de kɔ aduruyɛdan bi mu kɔhwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.

Asɛnka agua so dwumadi

Staging yɛ ɔkwan foforo a wo duruyɛfo fa so hu baabi a wo kokoram no atrɛw akodu. Wɔde akwan titiriw abiɛsa na ɛyɛ kokoram a ɛwɔ ɔbea no awotwaa mu no: baabi a akisikuru no atrɛw akodu wɔ ɔbea no awotwaa no mu, sɛ ebia atrɛw akɔ ntini a ɛma mogya tu mu, ne sɛ ebia atrɛw akɔ nipadua no afã afoforo (a akɔ mmeae afoforo). Wɔfrɛ saa akuw abiɛsa yi T (akisikuru), N (nodes), ne M (metastasized).

Oduruyɛfo no betumi ahu wo kokoram no fã denam nsɛm a efi nhwehwɛmu no mu aba ne nhwehwɛmu ahorow a ebetumi ahwɛ nipadua no mu a ɔde bedi dwuma no so.

Mfoninitwa akwan a wɔfa so hu baabi a kokoram no wɔ ne:

• X-ray ahorow a wɔde yɛ
• Kɔmputa so Tomography (CT) mfonini ahorow
• Magnetic Resonance Imaging (MRI) a Wɔde Yɛ Nneɛma a Wɔde Yɛ Adwuma (MRI) .
• Positron Emission Tomography (PET) a wɔde hwehwɛ nneɛma mu

MRI betumi ama woahu sɛnea akisikuru no kɛse te. PET scan betumi akyerɛ sɛ ntini a ɛma mogya tu no nyɛ nea ɛfata.

• Cystoscopy: Wobetumi de eyi ahwɛ sɛ kokoram no atrɛw akɔ akisikuru no mu anaa. Wɔ sɔhwɛ yi mu no, wɔde afiri ketewaa bi a kanea wom a mfoninitwa afiri wom hyɛ wo akisikuru mu.
• Proctoscopy: Eyi betumi ahu sɛ kokoram no atrɛw akɔ dwensɔtwaa ketewaa anaa akyi berɛmo no mu anaa. Bio nso, wɔde afiri ketewaa bi a kanea wom a mfoninitwa afiri wom hyɛ wo akyi berɛmo mu.

Ɔkwan bɛn so na wɔsa ɔbea awotwaa mu kokoram?

Ayaresa a wɔde sa awotwaa mu kokoram no gyina kokoram ko, baabi a kokoram no wɔ, ne mfe a woadi so. Nea ɛka wo mfe ho no, sɛ́ wowɔ anidaso sɛ wobɛwo anaasɛ worenwo no nso betumi aka ayaresa ho gyinaesi ahorow.

Mpɛn pii no, wɔde laser oprehyɛn ne ayaresa a wɔde gu nipadua no so di dwuma de sa nkwammoaa a edi kokoram anim no yare. Mpɛn pii no, kokoram a ɛba ɔbea no awotwaa mu no hwehwɛ sɛ wɔyɛ no oprehyɛn, wɔde mframa a ano yɛ den di dwuma, na wɔde nnuru di dwuma. Ebia mobɛbom ayɛ saa ayaresa yi biako anaa nea ɛboro saa nso.

Sɛɛgyiri

• Wide local excision: Oduruyɛfo no yi kokoram akisikuru no ka ntini bi a ɛte apɔw a atwa ho ahyia no ho.
• Vaginectomy (afã bi anaa ne fã): Ɛdenam sɛnea akisikuru no kɛse ne beae a ɛwɔ so no, wo duruyɛfo betumi ayi wo awotwaa no fã bi anaa ne nyinaa. Ɛdenam baabi a kokoram no atrɛw so no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wonyi ntini a ɛma mogya tu (lymph node dissection) na wonyi awotwaa ne awotwaa (hysterectomy).
• Pelvic exenteration: Oprehyɛn yi yi akwaa pii fi wo pelvic cavity mu. Eyinom bi ne wo dwensɔtwaa kɛse (rectum), akisikuru, awotwaa, awotwaa, awotwaa, awotwaa, ne ntini a ɛbɛn wo no fã a ɛwɔ fam. Wɔyɛ tokuru (stoma anaa ostomy bag) wɔ wo yafunu mu sɛnea ɛbɛyɛ a wubetumi akɔto wo ho na woatow wo ho. Wobetumi asusuw oprehyɛn yi ho sɛ kokoram no asan aba a.

Mframa a wɔde sa yare

Mframa a wɔde sa yare ne ahoɔden a wɔde asi wɔn ani so te sɛ X-ray a wɔde kum kokoram nkwammoaa anaasɛ wosiw wɔn kwan sɛ wɔbɛpaapae mu.

• Abɔnten mframa a wɔde sa yare: Afiri bi a ɛwɔ wo nipadua akyi no kyerɛ mframa a ahoɔden kɛse wom kwan kɔ wo akisikuru no so.
• Mframa a wɔde sa yare a ɛwɔ wo mu: Wɔde nhama anaa catheter ahorow a wɔatoto mu a radioactive nneɛma wom gu wo awotwaa mu, wɔ akisikuru no mu anaasɛ ɛbɛn hɔ.

Nnuru a wɔde sa yare

Nnuru a wɔde sa yare yɛ nnuru a wɔde kum kokoram nkwammoaa. Nnuru a wɔde sa yare nkutoo nyɛ aduru a etu mpɔn a wɔde sa awotwaa mu kokoram. Nanso, wobetumi de nnuru a wɔde sa yare ama bere koro mu ne mframa a wɔde sa yare no na ama ne mmɔdenbɔ ayɛ kɛse. Ɛtɔ mmere bi a, wɔde nnuru a wɔde sa yare nso di dwuma de sa akisikuru a ayera wɔ ayaresa akyi na afei ɛsan ba.

Ayaresa mu sɔhwɛ ahorow

Ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa wo ho hyɛ ayaresabea sɔhwɛ bi mu mfa nsɔ kokoram ayaresa foforo a wɔreyɛ no ahwɛ. Ahyehyɛde ahorow te sɛ Amerika Kokoram Fekuw ne Ɔman Kokoram Asoɛe yɛ mmeae pa a wubetumi ahu nnuruyɛ mu sɔhwɛ ahorow a ɛkɔ so wɔ awotwaa mu kokoram ayaresa ho.

Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ wobenya kokoram a ɛwɔ ɔbea no awotwaa mu no so?

Okay, afei momma yɛnhwɛ nea yebetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ yebenya awotwaa mu kokoram no so. Ɛwom sɛ wontumi nsiw ano koraa de, nanso nneɛma a edidi so yi betumi aboa ma asiane no so atew:

• Yɛ pelvic nhwehwɛmu ne Pap nhwehwɛmu daa. Wo ne wo duruyɛfo nka mpɛn dodow a ɛsɛ sɛ woma mmea ho oduruyɛfo yɛ nhwehwɛmu ahorow yi ho asɛm.
• Nya HPV aduru no. Wo ne wo duruyɛfo nkasa fa sɛnea wobɛbɔ HPV ho ban no ho. Mprempren nnuru abiɛsa na ɛwɔ hɔ a FDA apene so: Gardasil, Gardasil 9, ne Cervarix.
• Mma nnom sigaret. Sigaretnom ma asiane a ɛwɔ hɔ sɛ wobenya kokoram nyinaa, a awotwaa mu kokoram ka ho no yɛ kɛse.

Dɛn ne awotwaa mu kokoram ho anidaso?

Nkɔmhyɛ a ɛbɛma obi a ɔwɔ awotwaa mu kokoram no gyina gyinabea a wohu sɛ ɔwɔ no so. Mpɛn pii no, wobetumi asa awotwaa mu kokoram a wohu ntɛm no yiye. Afei wubetumi atra ase a edi mũ. Kokoram a wohu akyiri yi, kyerɛ sɛ, akyiri yi, ɛyɛ den sɛ wɔbɛsa. Ebia ɛho behia sɛ wɔkɔ so de nnuru a wɔde sa yare ne ayaresa afoforo a wobetumi apaw. Ɛno nti na ɛho hia sɛ woyɛ mmea ho nhwehwɛmu daa, sɛ wonte nka sɛ woyare mpo a. Hwehwɛ aduruyɛfo afotu bere a wuhu sɛnkyerɛnne biara ara pɛ.

Ná ebinom taa bisa nsɛm

So awotwaa mu kokoram betumi anya?

Yiw, ebetumi aba sɛ obi benya kokoram wɔ ɔbea no awotwaa mu. Nanso, ɛntaa nsi koraa sɛ kokoram befi ase wɔ ɔbea no awotwaa no ankasa mu. Mpɛn pii no, kokoram a efi ase wɔ nipadua no mmeae afoforo no trɛw kɔ ɔbea no awotwaa mu. Kokoram a ɛtrɛw kɔ ɔbea no awotwaa mu no taa fi ase wɔ wo awotwaa mu (awotwaa mu kokoram) anaa w’awotwaa no mu (awotwaa mu kokoram / awotwaa mu kokoram).

Kokoram bɛn na mogya a ɛba ɔbea awotwaa mu no yɛ ho sɛnkyerɛnne?

Mogya a ɛtɔ wɔ ɔbea no awotwaa mu no yɛ kokoram ahorow pii ho sɛnkyerɛnne a ɛtaa ba, a nea ɛka ho ne awotwaa mu kokoram, awotwaa mu kokoram, awotwaa mu kokoram, ne awotwaa mu kokoram. Nanso, mogya a ɛtɔ a ɛnyɛ ne kwan so no nyɛ kokoram ho sɛnkyerɛnne, na mmom ebetumi ayɛ tebea afoforo dodow bi ho sɛnkyerɛnne. Enti, nsusuw sɛ wowɔ kokoram esiane sɛ mogya retu wo wɔ ɔkwan a ɛnteɛ so nti. Nanso, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn na wɔakɔhwɛ wo.

Kokoram a ɛwɔ ɔbea awotwaa mu no te dɛn?

Awotwaa mu kokoram ho sɛnkyerɛnne a ɛtaa ba ne mogya a ɛba ɔbea awotwaa mu a ɛnyɛ yaw. Eyi kyerɛ sɛ ebia worente biribiara nka koraa sɛ wowɔ kokoram wɔ wo awotwaa mu a. Ɛntaa mma sɛ wobɛte ɛyaw wɔ wo akyi berɛmo mu, wobɛte ɛyaw bere a woretow wo ho , anaasɛ wo ho nyɛ wo dɛ esiane akisikuru nti.

Sɛ wohu sɛ wowɔ awotwaa mu kokoram a, ɛho hia sɛ wo ne wo duruyɛfo kasa nokwarem fa kokoram ko, sɛ ebia atrɛw, ne ayaresa ahorow a wowɔ ho. Wo nkɔmhyɛ no gyina nneɛma pii so. Wo duruyɛfo ne onipa a oye sen biara a ɔbɛkyerɛkyerɛ sɛnea saa yare a wɔahu yi bɛka wo no mu.

Saa berɛ yi, mmoa a ɛyɛ den a wobɛhyehyɛ a w’abusua, wo nnamfo, wɔn a wɔanya kokoram, ne afoforɔ a wɔanya kokoram ka ho nso yɛ wo hwɛ nhyehyɛeɛ no fã a ɛho hia. Wo ne ɔfotufo bi nkasa na ɔka wo nkate wɔ wo yare a wɔahu no ho. Ɛho hia sɛ wudi wo nkate fam ahiade ahorow ho dwuma, ne ayaresabea hwɛ a wonya nso.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, ma yɛnhwɛ nsɛntitiriw bi a ɛsɛ sɛ wode sie w’adwenem fi eyinom nyinaa mu:

• Ɛwom sɛ awotwaa mu kokoram yɛ kokoram a ɛntaa nsi de , nanso ɛho hia sɛ wohu.
• Yɛ pelvic nhwehwɛmu ne Pap nhwehwɛmu daa. Eyinom tumi hu nneɛma a ɛnteɛ ntɛm.
• HPV vaccine no a wubenya no betumi atew asiane a ɛwɔ hɔ sɛ wubenya kokoram wɔ ɔbea no awotwaa mu no so. Wo ne wo duruyɛfo nka eyi ho asɛm.
• Kwati sigaretnom.
• Sɛ wuhu sɛnkyerɛnne ahorow te sɛ mogya a ɛba wo awotwaa mu a ɛnyɛ ne kwan so, nsu a ɛba wo ho wɔ ɔkwan a ɛnteɛ so, anaa ɛyaw a wote bere a wo ne obi reda a, mmu w’ani ngu so. Hwehwɛ nnuruyɛfo afotu ntɛm ara.
• Sɛ wohu sɛ wowɔ kokoram a, mma wo ho nnyɛ wo hu. Nnuruyɛfo, afotufo, ne akuw a wɔboa wo wɔ hɔ a wɔbɛboa wo. Nya nsɛm a ɛfata na fa ahoɔden gyina ayaresa ano.