Ɔbea biara ho dwiriw no bere a oduruyɛfo no ka kyerɛ no sɛ ɛsɛ sɛ wotwa ne nufu no, a ɛkyerɛ sɛ ɛsɛ sɛ woyi ne nufu koraa esiane nufu mu kokoram nti. Ɛyɛ asɛm a ɛyɛ nkate paa. Ɛwom sɛ ade titiriw ne sɛ wɔbɛsa kokoram no de, nanso nnipa pii nso te nka sɛ ɛhaw wɔn kɛse wɔ nsakrae a ɛba wɔn nipadua hwɛbea mu wɔ oprehyɛn no akyi no ho. Nanso, esiane sɛ aduruyɛ ho nyansahu renya nkɔso nti, mprempren akwan foforo bi wɔ hɔ a ebetumi atew oprehyɛn yi akyi suro a ɛbɛba sɛ ɛbɛda adi no so. Wɔfrɛ oprehyɛn kwan titiriw a ɛte saa no biako ‘Skin-Sparing Mastectomy’. Momma yɛnka eyi ho asɛm nnɛ ara kwa.
Nea edi kan koraa no, dɛn ne Mastectomy?
Sɛ yɛbɛka no tiawa a, nufu a wotwa no yɛ oprehyɛn a wɔde yi nufu no nyinaa fi hɔ sɛ aduru a wɔde sa nufu mu kokoram. Nufu a wotwa no ahorow atitiriw pii wɔ hɔ. Wo duruyɛfo bɛpaw ɔkwan a eye ma wo.
| Nufu a wotwa no su | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Total (Simple) Nufu a Wɔtwa | Woyi nufu mu ntini ne koko mu ntini a ɛkata so no fi hɔ. |
| Radical Mastectomy a Wɔayɛ no Mu nsakrae | Woyi nufu, koko fasu, ne ntini a ɛwɔ abasa no mu no fi hɔ. |
| Nufu a Wɔtwa a Ɛmma Wora Nsɛe | Ɔkwan a yɛreka ho asɛm nnɛ no hwehwɛ sɛ yɛbɛkora nufu ho were pii so sɛnea yebetumi. |
| Nufu a Wɔtwa a Ɛmma Nufu Nsɛe | Eyi nso yɛ adeyɛ a ɛmma honam ani nsɛe. Ɛma nufu no ne baabi a kɔla atwa ho ahyia (areola) no mpo yɛ nea enni dɛm. |
Mfaso kɛse a ɛwɔ Skin-Sparing Mastectomy so ne sɛ, sɛ wɔsan yɛ nufu no akyiri yi a, ɛho nhia sɛ wogye were fi nipadua no fã foforo. Sɛ nhwɛso no, ebia honam ani hwɛbea a woyi fi yafunu anaa akyi no kɔla, ne kɛse, ne sɛnea ɛyɛ soronko wɔ nufu no honam ani. Nanso esiane sɛ saa kwan yi ma nufu no honam ani hwɛbea yɛ nea enni dɛm nti, wobetumi anya sɛnea ɛte wɔ awosu mu ankasa bere a wɔasan ayɛ no foforo akyi.
Wɔ tebea horow bɛn mu na ɛho hia sɛ wotwa nufu?
Nsɛm titiriw pii wɔ hɔ a nnuruyɛfo kamfo kyerɛ sɛ wonyi nufu no nyinaa sen sɛ wobeyi akisikuru bi kɛkɛ (lumpectomy).
- Sɛ kokoram calcium a ɛwɔ hɔ (microcalcifications) atrɛw wɔ nufu no mu nyinaa a.
- Sɛ kokoram akisikuru wɔ mmeae ahorow abien anaa nea ɛboro saa wɔ nufu no mu a.
- Sɛ wunya kokoram bere a woanyinsɛn na ɛhaw wo sɛ mframa a wɔde sa yare no betumi aka akokoaa a ɔhyɛ yafunu mu no a.
- Sɛ woadi kan anya radiation ayaresa akɔ nufu no fã na kokoram asan aba nufu koro no ara mu a.
- Sɛ wowɔ ntini a ɛka bom te sɛ lupus anaa scleroderma na wote nka sɛ mframa a wɔde sa yare no mu nsunsuanso bɔne no bɛyɛ nea wuntumi nnyina ano a.
- Sɛ kokoram a ɛyɛ kurukuruwa no sõ yiye a, ebia akuru no nkutoo a wobeyi afi hɔ (lumpectomy) no rennyaw ntini a ɛte apɔw a ɛdɔɔso na ama ayɛ fɛ.
- Sɛ wowɔ awosu mu nkwaadɔm mu nsakrae a ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no yɛ kɛse a.
- Sɛ woyi akisikuru bi nkutoo mpo (lumpectomy) a, wɔbɔ amanneɛ sɛ kokoram nkwammoaa da so ara wɔ oprehyɛn no anoano.
So obi betumi ayɛ oprehyɛn a ɛmma honam ani nsɛe yi?
Bere a nnipa pii betumi ayɛ saa nufu a wɔtwa a ɛmma honam ani nsɛe yi no, ɛnyɛ nea ɛfata obiara. Wɔnkamfo saa kwan yi nkyerɛ titiriw sɛ wɔansan ayɛ nufu no wɔ oprehyɛn no akyi pɛɛ a . Sɛ ɛnte saa a, honam ani a aka no betumi atew na ayɛ mmerɛw.
Afei nso, sɛ wo kokoram nkwammoaa no bɛn honam ani yiye anaasɛ kokoram no atrɛw akɔ honam ani a, saa kwan yi mfata . Sɛ nhwɛso no, saa oprehyɛn yi mfata obi a ɔwɔ nufu mu kokoram bi a wɔfrɛ no ‘inflammatory breast cancer’. Wo oduruyɛfo a ɔyɛ wo oprehyɛn ne kokoram ho ɔyaresafo ne nnipa a eye sen biara a wobetumi asi gyinae yi.
So asiane wɔ hɔ sɛ kokoram no bɛsan aba denam saa kwan yi so?
Esiane sɛ saa adeyɛ yi ma honam ani hwɛbea pii nsɛe sen nufu a wotwa daa nti, ebia woresusuw ho sɛ, "Wow, so ɛno bɛma asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no ayɛ kɛse?" Ɛno yɛ ehu a ntease wom. Nanso, nhwehwɛmu pii ada no adi sɛ nufu a wotwa a ɛmma honam ani nsɛe no mma asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no nkɔ soro.
Nokwarem no, nhwehwɛmu bi kyerɛe sɛ saa kwan yi ma asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no so tew. Wɔ nhwehwɛmu bi a wɔyɛe wɔ mmea 435 a wotwaa wɔn nufu ho no, wɔn a wotwaa wɔn nufu a ɛnyɛ honam ani hwɛbea no mu 4.8% pɛ na kokoram san bae wɔ beae koro no ara. Nanso wɔn a na wɔwɔ ɔkwan a wɔtaa fa so no mu 9.5% nyaa kokoram san bae.
Enti, eyi yɛ ɔkwan a ahobammɔ wom yiye ma onipa a ɔfata.
Ɔkwan bɛn so na wɔyɛ nufu no foforo wɔ oprehyɛn yi akyi?
Akwan atitiriw pii wɔ hɔ a wɔfa so san yɛ nufu no bere a wɔatwa nufu no a ɛmma honam ani nsɛe awie no. Oduruyɛfo bi a ɔyɛ oprehyɛn a wɔde yɛ oprehyɛn na ɔyɛ eyi.
| Ɔkwan a wɔfa so san si dan | Nea wɔde di dwuma | Nneɛma a ɛsɛ sɛ wuhu |
|---|---|---|
| TRAM flap a wɔsan yɛ no foforo | Srade, ntini, ne honam ani a ɛwɔ yafunu no ase. | Nufu te nka sɛ ɛyɛ mmerɛw fi awosu mu esiane n’ankasa ntini nti. Ɛnyɛ nea ɛfata mma wɔn a wɔadi kan ayɛ wɔn yafunu oprehyɛn anaa wɔn a wonni yafunu mu ntini pii no. |
| DIEP flap a wɔsan yɛ no foforo | Wora ne srade a ɛwɔ yafunu no ase. | Eyi nhwehwɛ sɛ wɔde ntini ahorow bedi dwuma. Ɛyɛ oprehyɛn a ɛyɛ den na egye bere pii sen TRAM flap no. |
| Latissimus ntini mu ntini a wɔsan yɛ no foforo | Latissimus ntini a ɛwɔ akyi ne biribi a wɔde hyɛ nipadua mu. | Esiane sɛ ntini dodow a ɛwɔ akyi ntini no mu no sua nti, wɔde aduru a wɔde hyɛ nufu no mu di dwuma na ama nufu no ayɛ kɛse a ɛho hia. Sɛ nufu no mu akuru no sua mpo a, wogyaw akuru tenten bi wɔ n’akyi. |
Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ oprehyɛn akyi?
Bere a obi ho tɔ no wɔ Skin-Sparing Mastectomy akyi no te sɛ nea wɔyɛ no daa no. Nea wubetumi ahwɛ kwan ni:
- Ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi wɔ oprehyɛn no akyi. Sɛ wɔyɛɛ nufu no nso bere koro no ara mu a, ebia ayaresabea no bɛkyɛ kakra.
- Ebia wobɛma wɔde oprehyɛn nsu a ɛkɔ wo nsateaa anaa wo nufu mu no ahyɛ wo nsateaa anaa wo nufu mu de akɔ nsu mu wɔ oprehyɛn no akyi. Ɛho behia sɛ wɔtwe nsu a ɛkɔ nsu a ɛkɔ nsu mu yi mu mpɛn pii da biara. Wɔbɛtena hɔ akosi sɛ wobɛkɔ ayaresabea a edi kan, a ebegye bɛyɛ dapɛn biako anaa abien.
- Wubetumi ahohoro wo nipadua (sponge bath) nkutoo kosi sɛ wobeyi nhama ne nsukorade no afi hɔ.
- Egye bere ansa na obi anya ayaresa afi oprehyɛn mu. Enti gye w'ahome pii wɔ adapɛn kakraa a edi kan no mu . Nya mmoa fi abusuafo ne nnamfo hɔ wɔ ofie nnwuma, mmofra a wobɛhwɛ wɔn, ne nneɛma a wobɛsoa mu. Aniwu biara nni saa asɛm no mu.
- W’aduruyɛfo kuw no bɛma wo apɔw-mu-teɛteɛ bi a ɛbɛboa ma wo nsa ne wo mmati anyɛ den. Yɛ wɔn a wuntumi nyɛ hwee . Nanso, ebia wɔbɛka akyerɛ wo sɛ nnyɛ apɔw-mu-teɛteɛ bi kosi sɛ wobeyi wo nsu a ɛkɔ wo mu no afi hɔ.
- Ɛsɛ sɛ wɔsa beae a wɔyɛɛ wo oprehyɛn no yare ansa na woatumi ahyɛ bra. Bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wotwɛn .
Nkrasɛm a Wɔde Kɔ Fie
- Skin-Sparing Mastectomy yɛ oprehyɛn a ɛkɔ akyiri a wɔde nufu no ankasa honam ani hwɛbea di dwuma ma ɛyɛ sɛnea ɛte wɔ awosu mu kɛse wɔ nufu mu kokoram oprehyɛn akyi.
- Saa kwan yi mma asiane a ɛwɔ hɔ sɛ kokoram bɛsan aba no nkɔ soro . Nhwehwɛmu ahorow bi mpo kyerɛ sɛ ebetumi atew asiane no so.
- Saa kwan yi mfata sɛ kokoram no atrɛw bɛn honam ani yiye anaasɛ wɔansan asiesie nufu no ntɛm ara a.
- Wo ne wo oprehyɛn ho ɔbenfo nkasa pefee mfa sɛ ebia saa oprehyɛn yi fata wo ne sɛnea wɔbɛsan akyekye no ho. Obetie wo nsɛmmisa nyinaa na wadi nsɛm biara a ɛhaw wo ho dwuma.











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