Bere a nnipa pii awie kokoram ayaresa no, wosuro sɛ ‘So ɛbɛsan aba?’ Ɛtaa ba paa. Sɛ woanya colorectal cancer na ɛsan ba wɔ ayaresa akyi a, wo duruyɛfo bɛfrɛ no ' recurrent colorectal cancer'. Ɛyɛ nokware sɛ eyi betumi ayɛ adesoa kɛse sɛ wobɛte. Nanso mma ɛnhaw wo. Momma yɛnka biribiara ho asɛm pefee na ɛnyɛ den.
Akwan pii wɔ hɔ a kokoram betumi afa so asan aba bio.
Sɛ ɛba kokoram a ɛbɛsan aba so a, akwan pii wɔ hɔ a ebetumi aba. Ebia wo duruyɛfo de nsɛmfua yi bedi dwuma bere a ɔrekyerɛkyerɛ eyi mu no, enti ɛho hia sɛ wunya eyinom ho ntease kakra.
Sɛ yɛbɛka no tiawa a, saa nkyekyɛmu yi gyina baabi a kokoram no san ba so.
| Nsɛm a Wɔsan Yɛ no Ɔkwan a Wɔfa so Yɛ | Nea ɛkyerɛ ara kwa |
|---|---|
| Mpɔtam Hɔ a Ɛsan Ba | Eyi kyerɛ sɛ kokoram no san ba beae koro no ara pɛpɛɛpɛ a na kokoram no wɔ kan no, kyerɛ sɛ, wɔ akyi berɛmo anaa akyi berɛmo mu. |
| Ɔmantam no mu Nsɛm a Wɔsan Yɛ | Nea ɛkɔ so wɔ ha ne sɛ kokoram no san ba ntini a ɛbɛn baabi a na kokoram no wɔ kan no mu. |
| Akyirikyiri a Ɛsan Ba | Eyi ne din a wɔde frɛ bere a kokoram asan aba nipadua no fã bi a ɛwɔ akyirikyiri , sɛ nhwɛso no, mmerɛbo, ahurututu, anaa amemene mu. Ebia oduruyɛfo no nso bɛfrɛ eyi sɛ "Metastatic." |
Ɛtɔ mmere bi a, ɛyɛ den sɛ yebehu sɛ ebia eyi yɛ kokoram a ɛsan ba anaasɛ kokoram a ɛkɔ akyiri. Bere kɔ so no, wobehu eyi. Mpɛn pii no, yɛka kokoram a ɛsan ba ho asɛm bere a anyɛ yiye koraa no yɛayɛ no afe biako akyi . Nanso, sɛ kokoram no san ba bere tiaa bi, te sɛ asram kakraa bi akyi a, ɛtaa kyerɛ sɛ mfitiase ayaresa no annyi kokoram nkwammoaa no amfi hɔ koraa.
Dɛn ne eyi ho sɛnkyerɛnne?
Mpɛn pii no, kokoram a ɛwɔ akyi berɛmo mu a ɛsan ba no betumi ayɛ te sɛ nea na wunya bere a edi kan a wunyaa kokoram no. Ebia wobɛkae sɛnea na wo ho nyɛ wo dɛ saa bere no.
Eyinom ne sɛnkyerɛnne ahorow a wobetumi ahu wɔ ɔkwan a ɛkɔ akyiri so:
- Yafunu mu yaw anaa ɛyaw (Yafunu mu yaw) .
- Akisikuru anaa akisikuru
- Mu duru a wɔtew so a ntease biara nnim
- Ɔbrɛ a wɔte nka kɛse sen sɛnea ɔtaa yɛ (Ɔbrɛ) .
- Aduan ho akɔnnɔ a ɛyera
Ɛdenam baabi a kokoram no atrɛw so no, sɛnkyerɛnne afoforo nso betumi aba, te sɛ:
- Pelvic anaa akyi yaw
- Ɔhaw a ɛba wɔ ɔhome mu
Nanso ɛho hia sɛ wokae eyi nso. Ɛtɔ mmere bi a, kokoram no betumi asan aba a enni sɛnkyerɛnne biara . Ɛno nti na ɛho hia paa sɛ wobɛkɔ so akɔ ayaresabea (nsrahwɛ a wodi akyi) sɛnea nhyehyɛe a wo duruyɛfo akyerɛ wo bere a woasa kokoram akyi no.
Wobɛyɛ dɛn ahu sɛ yare no asan aba bio anaa?
Sɛ wohu tebea yi ntɛm ara a , ɛma hokwan a ɛwɔ hɔ sɛ wɔbɛsa no yɛ kɛse . Mpɛn pii no, wo duruyɛfo behu eyi wɔ nsrahwɛ a wodi akyi wɔ w’ayaresa akyi no mu. Wɔtaa yɛ saa sɔhwɛ ahorow yi asram 3-6 biara.
Wɔ saa ayaresabea ahorow yi mu no, oduruyɛfo no betumi ayɛ nneɛma te sɛ:
- Nipadua mu Nhwehwɛmu: Wɔbɛma wo nipadua mu nhwehwɛmu a edi mũ.
- Nsɛnkyerɛnne a wubebisa: Wo ne wo duruyɛfo nkasa mfa ɔhaw foforo biara a wote nka ho. Mfa nsie, sɛ ɛyɛ ketewaa mpo a.
- Mogya mu Nhwehwɛmu: Eyi hwɛ protein bi a wɔfrɛ no CEA (Carcinoembryonic Antigen) dodow pɔtee . Ɛwom sɛ ɛnyɛ bere nyinaa de, nanso wɔ nnipa binom mu no, CEA dodow kɔ soro bere a kokoram no asan aba no.
- Endoscopy: Adeyɛ a wɔde afiri ketewaa bi a ɛyɛ mmerɛw a mfoninitwa afiri abata ho kɔ dwensɔtwaa kɛse no mu de hwehwɛ emu.
- Colonoscopy: Eyi yɛ sɔhwɛ a ɛte sɛ endoscopy, nanso ɛfata kɛse sɛ wɔhwehwɛ akisikuru foforo sen kokoram a asan aba bio.
- Biopsy nhwehwɛmu:Sɛ obi wɔ adwenem naayɛ sɛ ɔwɔ kokoram a, eyi ne ɔkwan a eye sen biara a wɔfa so si so dua. Ɛha yi, woyi ntini ketewaa bi fi akisikuru a wosusuw sɛ ɛyɛ akisikuru no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu de kyerɛ sɛ ebia kokoram nkwammoaa wɔ hɔ anaa.
- Mfoninitwa Nhwehwɛmu (te sɛ CT, MRI): Ebia wo duruyɛfo bɛkamfo nhwehwɛmu te sɛ CT scan (Computed Tomography) akyerɛ sɛ ebia kokoram no atrɛw akɔ nipadua no afã afoforo ne baabi a akodu.
Dɛn ne ayaresa ahorow a ɛwɔ hɔ?
Ansa na wo duruyɛfo no bɛkyerɛ wo ayaresa nhyehyɛe bi no, obesusuw nneɛma pii ho.
- Bere tenten ahe na atwam fi bere a kokoram no dii kan bae?
- Ɛhe na kokoram no asan aba bio? (Mpɔtam hɔ, Ɔmantam anaa Akyirikyiri?)
- So kokoram no atrɛw?
- W’akwahosan nyinaa te dɛn?
Eyi nyinaa na ɛbɛkyerɛ ɔkwan a wɔfa so sa yare a ɛfata wo kɛse.
Titiriw no, kae sɛ ebia kokoram nkwammoaa abɛyɛ nea ‘ɛko tia’ nnuru a wɔde sa yare a na wɔde di dwuma kan no. Enti, ebia oduruyɛfo no bɛpaw nnuru foforo a wɔde sa yare saa bere yi.
Nea eye ne sɛ, ayaresa pii wɔ hɔ a wobetumi apaw nnɛ.
- Oprehyɛn: Sɛ ɛbɛyɛ yiye a, ayaresa titiriw ne sɛ wɔbɛyɛ oprehyɛn ayi akisikuru a ɛsan ba no afi hɔ.
- Nnuru a wɔde sa yare: Wobetumi de nnuru ahorow a wɔaka abom ama. Ɛtɔ mmere bi a, wobetumi asesa ahoɔden a ɛwɔ mu no, na ɛtɔ mmere bi nso a wobetumi agyae nnuru no kakra na afei wɔasan afi ase bio.
- Mframa a Wɔde Ma: Sɛ woannya mframa a wɔde sa wo yare kan a, ebia wɔbɛma wo mframa a wɔde sa yare aka oprehyɛn ne nnuru a wɔde sa wo ho saa bere yi.
- Targeted Therapy: Eyinom yɛ nnuru ahorow foforo. Wɔde wɔn ani si kokoram nkwammoaa so tẽẽ na wosiw wɔn nyin. Ɛsono nea ɛde ba wɔ nnuru a wɔde sa yare daa no ho. Nanso, saa nnuru yi nyɛ adwuma mma kokoram ahorow nyinaa.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wɔsa kokoram wie a , hwɛ hu sɛ wobɛkɔ nsrahwɛ a wobedi akyi sɛnea wo duruyɛfo akyerɛ wo no. Ɛno ne ɔkwan a eye sen biara a wobɛfa so ahu sɛ ɛsan ba ntɛm.
- Mma w’ani ngu nsakrae anaa sɛnkyerɛnne foforo biara a ɛbɛba wo nipadua mu (yafunu mu yaw, wo mu duru a ɛso tew, ɔbrɛ a ɛboro so) so na ka kyerɛ wo duruyɛfo ntɛm ara.
- Sɛ kokoram san ba bio a, ɛnkyerɛ sɛ biribiara aba awiei. Ɛnnɛ, ayaresa a ɛkɔ akyiri na edi mu pii wɔ hɔ.Aane. Adwempa a wubesusuw ho nso ho hia paa.
- Ɛyɛ ade a ɛfata sɛ wobɛte ehu, dadwen, ne awerɛhow nka wɔ bere a ɛte sɛɛ mu. Wo ne w’abusua, w’adamfo a wowɔ mu ahotoso, anaa wo duruyɛfo nka ho asɛm pefee. Nkate fam mmoa a wobenya nso yɛ ayaresa no fã.
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