So wɔayɛ wo oprehyɛn wɔ nufu mu kokoram ho? Anaasɛ obi a wunim no refa saa osuahu yi mu? Nna kakraa bi, ebia oprehyɛn no akyi adapɛn kakraa bi no, so wufii ase tee nka sɛ hama a ɛyɛ den bi retu mmirika akɔ wo basa so afi wo nsateaa mu? So ɛyaw ne ahokyere yi mu yɛ den bere a wobɔ mmɔden sɛ wobɛma wo nsa so no? Eyi yɛ osuahu a nnipa pii taa nya. Nha wo ho. Eyi betumi ayɛ oprehyɛn mu nsunsuanso bɔne a ɛfata. Wɔ aduruyɛ mu no, yɛfrɛ tebea yi Axillary Web Syndrome (AWS). Nanso wɔ kasa a wɔtaa ka mu no, wɔfrɛ no ‘Cording’. Momma yɛnka ho asɛm nnɛ ara kwa.
Ma yenni kan nhwɛ nea enti a eyi ba.
Sɛ wobɛte eyi ase a, ɛsɛ sɛ wunya adwene kakra wɔ ntini a ɛwɔ yɛn nipadua mu no ho. Sɛ yɛbɛka no tiawa a, eyi yɛ yɛn nipadua mu tumi a ɛko tia nyarewa no fã titiriw. Te sɛ mogya ntini a ɛyɛ nhama no, ntini a ɛma mogya tu ne ntini nketenkete a wɔfrɛ no lymph nodes a ɛtrɛw wɔ yɛn nipadua nyinaa mu wɔ hɔ. Yɛsan frɛ eyinom ‘kuddati’ wɔ Sinhala kasa mu.
Dwumadi titiriw biako a nhyehyɛe yi yɛ ne sɛ ebeyi nsu a ɛboro so afi nipadua no mu na ayi nneɛma te sɛ mmoawa, mmoawa, ne nkwammoaa a asɛe afi mu. Ɛte sɛ ‘nwura ho nhyehyɛe’ wɔ yɛn nipadua mu.
Ɛtɔ mmere bi a, nufu mu kokoram nkwammoaa tumi trɛw kɔ saa ntini a ɛma mogya tu, anaa ntini a ɛma mogya tu yi mu. Enti nnuruyɛfo a wɔsa wo yare no bɛpɛ sɛ wohu sɛ kokoram no atrɛw saa. Wɔde saa nsɛm no bɛyɛ ayaresa nhyehyɛe a ɛfata sen biara ama wo.
Dɛn ne ade pɔtee a ɛde cording ba?
Cording yɛ oprehyɛn a wɔde yi ntini (akuru) fi abasa no mu de hwɛ sɛ nufu mu kokoram wɔ hɔ no mu nsunsuanso bɔne a ɛtaa ba.
Ebia wo duruyɛfo bɛkamfo oprehyɛn ahorow abien no mu biako akyerɛ wo:
1. Sentinel Lymph Node Biopsy (SLNB): Eyi hwehwɛ sɛ woyi ntini a ɛho hia sen biara a ɛbɛn kokoram no biako anaa abien pɛ na wɔhwehwɛ mu.
2. Axillary Lymph Node Dissection (ALND): Ɛha yi, woyi ntini dodow bi fi hɔ.
Ɛsɛ sɛ nnipa pii a wɔreyɛ wɔn kokoram ayaresa no yɛ oprehyɛn yi biako anaa abien no nyinaa. Dodow a oduruyɛfo no yi ntini pii no, dodow no ara na ɛda adi sɛ nhama bɛba. Nanso kae sɛ, sɛ woyi ntini biako pɛ mpo a, saa tebea yi betumi aba.
Nea ɛba ni: Sɛ woyi akisikuru bi fi abasa no mu a, ntini a ɛyɛ mmerɛw a na ɛka ho no sɛe. Saa adesɛe yi ma saa nkuku no mu yɛ den bere a bere kɔ so no, ɛbɛyɛ te sɛ nhama a ayow. Ɛyɛ saa nsukorade a ɛyɛ den no na ɛte sɛ nea wɔretwe afa yɛn basa so.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi de nhama di dwuma? Ɛte nka dɛn ankasa?
Mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi ase da adi wɔ nna kakraa bi anaa adapɛn abien kosi abiɛsa akyi wɔ oprehyɛn no akyi. Nanso, ɛntaa mma koraa sɛ wɔbɔ nsɛm bi ho amanneɛ wɔ baabi a efii ase wɔ asram pii akyi no.
Sɛ wususuw sɛ wowɔ saa tebea yi a, ma w’ani nna hɔ wɔ saa sɛnkyerɛnne ahorow yi ho.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɛyaw bere a worema abasa no so no | Ade a edi kan a wote nka ne ɛyaw a ɛba wo nsateaa mu bere a wobɔ mmɔden sɛ wobɛma wo nsa so asen wo ti no. |
| Tightness ne twe a wɔtwe | Ɛte sɛ nea hama anaa hama a ɛyɛ den retwe afi baabi a wɔyɛɛ oprehyɛn no, akosi ne nsateaa so nyinaa, na ebia nsateaa no nso. Ebia nnipa binom nso bɛte nka sɛ eyi retwe wɔ wɔn koko no mu. |
| Hwɛ abɔnten na wɔde wɔn nsa aka wo | Wɔ adapɛn kakraa bi mu no, saa ‘hama’ yi mu yɛ den na ɛyɛ den, na ɛda adi na ɛbɔ honam ani. Wubetumi ate wɔn nka bere a wode wo nsa ka wɔn no. |
| Anohyeto a wɔde ma wɔ kankyee ho | Saa ntini a ɛyɛ den ne ɛyaw yi ma ɛyɛ den sɛ wobɛma basa no so asen mmati anaasɛ wobɛtrɛw nsateaa no mu koraa. Eyi betumi ama ayɛ den mpo sɛ wobɛyɛ da biara da nnwuma. |
Eyi betumi ayɛ ɔhaw kɛse, titiriw sɛ woreyɛ radiation therapy bere koro no ara mu a, efisɛ saa ayaresa no hwehwɛ sɛ woma wo nsa so kɔ soro sen wo ti.
Nha wo ho! Ayaresa ahorow a etu mpɔn wɔ hɔ a wɔde sa eyi.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wote eyi ho asɛm no. Nanso asɛmpa no ne sɛ wobetumi de nipadua mu ayaresa asa tebea yi yiye kɛse.Ɛkame ayɛ sɛ sɛnkyerɛnne ahorow no yera koraa wɔ ayaresa kakraa bi anaa asram kakraa bi mu.
Nea ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛkasa na woabisa sɛ wɔmfa no nkɔ apɔw-mu-teɛteɛ ho ɔyaresafo, ɔyarehwɛfo, anaa oduruyɛfo foforo a ɔwɔ osuahu wɔ cording tebea horow ho nkyɛn.
Ebia nneɛma yi mu biako anaa nea ɛboro saa bɛka wo ayaresa nhyehyɛe no ho.
| Ɔkwan a wɔfa so sa yare | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Apɔw-mu-teɛteɛ a wɔde trɛw nipadua mu | Eyi ne ade titiriw a ɛbɛma obi ho atɔ no. Wo nipadua mu ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ titiriw a wode bɛtrɛw nhama a ɛyɛ den yi mu. Ɛho hia sɛ wokɔ so yɛ eyinom wɔ fie. |
| Nnuru a wɔde kum ɛyaw | Ebia wobɛte yaw bi anaa wobɛte yaw bere a woreteɛteɛ w’apɔw mu no, enti ebia wo duruyɛfo betu wo fo sɛ fa aduru a wɔde kum ɛyaw ansa na woasa wo yare anaa woateɛteɛ w’apɔw mu. |
| Reboro nsuo | Asuguare yɛ ɔkwan pa a wɔfa so boa ma nsa no san keka ne ho na ɛtew ɛyaw ne ɔhaw so. |
| Laser ayaresa | Oduruyɛfo no betumi de afiri ketewaa bi akyerɛ laser hann a ɛba fam kwan akɔ ntini a ayɛ den yi so. Eyi ma ntini a ayɛ den no mu yɛ hare. |
| Nsaano ayaresa | Ebia ɔyaresafo no bɛbɔ ne ho akuturuku na watwe saa ntini yi afi abasa no atifi akɔ fam brɛoo. Saa bere yi de, ebia wobɛte ‘klik’ nnyigyei bere a nhama no biako mu abubu no. Mma ɛnhaw wo, mpɛn pii no eyi mma ɛyaw mma.Saa kwan no so no, wubetumi de wo nsa aka wo ho yiye. |
Sɛ wɔsansan hama bi wɔ baabi a, ɛyaw a ɛwɔ saa beae no so betumi atew, na wubetumi ate wo nsa no fã foforo a ɛyɛ den na ɛyɛ yaw kɛse. Eyi nkyerɛ sɛ cording no reyɛ kɛse. Ɛkyerɛ sɛ saa mmeae no da so ara yɛ den. Sɛ wɔsan hama no wɔ saa beae no a, ɛyaw no befi hɔ.
Nkrasɛm a Wɔde Kɔ Fie
- Cording yɛ nufu mu kokoram oprehyɛn a ɛtaa ba. Ɛnyɛ wo mfomso.
- Nsɛnkyerɛnne titiriw ne ɛyaw, ntini a ɛyɛ den, ne ntini a ɛyɛ nhama a wotumi hu/te nka a ɛtrɛw fi abasa no so kɔ abasa no so.
- Mma tebea yi nnsuro, wo ne wo duruyɛfo nkasa. Ɔde wo bɛkɔ apɔw-mu-teɛteɛ ho ɔyaresafo a ɔfata nkyɛn.
- Ɛho hia sɛ obi ho bɛtɔ no ntɛmntɛm sɛ ɔbɛyɛ apɔw-mu-teɛteɛ a ɔtrɛw ne ho a nipadua mu ɔyaresafo no kyerɛkyerɛ no wɔ fie bere nyinaa, a ɔmfono biara .
- Sɛ mpo wo sɛnkyerɛnne ahorow no afi hɔ koraa a, kɔ so yɛ saa apɔw-mu-teɛteɛ yi na ama wo mmati akɔ so ayɛ yiye wɔ wo nufu mu kokoram ayaresa akwantu no nyinaa mu.
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