Yenim sɛnea sɛ wuhu sɛ akisikuru bi wɔ wo nufu mu a, wubetumi ate nka sɛ ɛyɛ hu na wo ho yeraw wo. Asɛmfua “kokoram” no betumi ama yɛayɛ basaa kɛse. Nanso ade a ɛho hia sen biara a ɛsɛ sɛ wuhu ne sɛ ɛnyɛ nufu mu kokoram nyinaa na ɛyɛ pɛ. Kokoram ahorow bi wɔ hɔ a ɛnyɛ den kɛse te sɛ afoforo na ɛyɛ wɔn ade yiye kɛse wɔ ayaresa ho. Ɛnnɛ yɛreka nufu mu kokoram bi a ɛntaa nsi koraa ho asɛm , nanso ɛyɛ nea wɔsa no kɛse.
Dɛn ne Mucinous Nufu mu Kokoram?
Sɛ yɛbɛka no tiawa a, mucinous carcinoma yɛ nufu mu kokoram a ɛntaa nsi koraa. Ɛyɛ nea ennu nufu mu kokoram nyinaa mu 2%. Ɛsan nso yɛ kokoram bi a efi ase wɔ nufusu ntini mu na ɛtrɛw kɔ ntini a atwa ho ahyia no mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛhyɛ `(Invasive Ductal Cancer)` mu.
Nanso ade titiriw a ɛwɔ eyi ho ne sɛ ade bi a wɔfrɛ no ‘mucin’ atwa kokoram nkwammoaa yi ho ahyia . Fa no sɛ ade a ɛyɛ den na ɛyɛ nnam te sɛ nsu a ɛwɔ yɛn hwene ne yɛn dwensɔtwaa mu. Eyi ne nea saa mucin yi yɛ. Wɔ kokoram yi mu no, kokoram nkwammoaa no rehuruhuruw wɔ ade a ɛte sɛ jelly a wɔfrɛ no mucin yi mu. Ɛtɔ mmere bi a wɔfrɛ eyi sɛ colloid carcinoma.
Esiane saa ade a ɛte sɛ nsu a wɔde kata so a wɔfrɛ no mucin yi nti, kokoram nkwammoaa ntumi nkɔ baabiara ntɛmntɛm, a ɛkyerɛ sɛ wontumi nkɔhyɛ ntini a atwa ho ahyia no mu kɛse, sen kokoram ahorow afoforo. Eyi ne ade titiriw nti a kokoram yi nyɛ basabasa kɛse na ɛyɛ n’ade yiye wɔ ayaresa ho.
Ɛtɔ mmere bi a, kokoram nkwammoaa a ɛyɛ mucinous yi nkutoo na ɛwɔ akisikuru no mu. Yɛfrɛ no ‘pure mucinous carcinoma’. Ɛtɔ mmere bi a, wotumi hu sɛ saa mucinous nkwammoaa yi afra nufu mu kokoram ahorow afoforo. Nanso, nea ‘ɛho tew’ no wɔ ayaresa dodow a ɛkɔ soro yiye.
Hena na ɔwɔ asiane kɛse mu sɛ obenya kokoram yi?
Kokoram a ɛte sɛɛ ka mmea titiriw. Ɛntaa mma koraa sɛ ɔbarima benya bi.
Ɛwom sɛ tebea yi betumi aba wɔ mfe biara mu de, nanso wɔtaa hu no bere a wɔagyae brayɛ akyi , kyerɛ sɛ, wɔ mmea a wɔadi fi mfe 60 kosi 70 mu.
Dɛn ne mucinous carcinoma ho sɛnkyerɛnne ahorow?
Te sɛ nufu mu kokoram dodow no ara no, ebia eyi renkyerɛ sɛnkyerɛnne biara wɔ ne mfiase. Nanso bere kɔ so no, sɛnkyerɛnne titiriw a ebia wubehu ne nufu no mu akisikuru .
Ebia wobɛte saa akuru yi nka bere a wɔde nsa reyɛ nufu mu nhwehwɛmu no. Anaasɛ wobetumi ahu bere a oduruyɛfo reyɛ nhwehwɛmu no. Mpɛn pii no, saa akuru yi kɛse betumi ayɛ bɛyɛ sɛntimita 3. Nanso, nnipa binom betumi anya akuru nketenkete anaa akɛse.
Ɔkwan bɛn so na oduruyɛfo no hu eyi? (Nyare a Wɔahu) .
Sɛ wokɔ oduruyɛfo nkyɛn a akuru bi wɔ wo nufu mu a, ɔbɛyɛ nhwehwɛmu mpɛn pii de ahu sɛ ebia ɛyɛ mucinous carcinoma anaa ɔkwan foforo so.
| Sɔhwɛ | Sɛ yɛbɛka no tiawa a, dɛn na ɛba? |
|---|---|
| Nipadua mu Nhwehwɛmu | Oduruyɛfo no de ne nsa bɛhwɛ wo nufu abien no nyinaa mu ahwɛ sɛnea akisikuru no te, ne kɛse, ne sɛ ebia ɛkeka anaasɛ ɛnkeka ne ho. |
| Mammogram ho nhwehwɛmu | Eyi yɛ nufu no X-ray. Mpɛn pii no, mucinous carcinoma wɔ ano a wɔakyerɛkyerɛ mu yiye na wotumi hu sɛ akuru a ɛpuepue fi ntini a atwa ho ahyia no mu. Ɛntaa nkyerɛ sɛ calcium a ɛwɔ hɔ (calcifications). |
| Ultrasound Scan a Wɔde Yɛ Adwuma | Saa sɔhwɛ yi boa ma wonya akuru no ho mfonini a emu da hɔ, sɛ́ ɛyɛ den anaasɛ nsu ahyɛ mu ma, ne sɛnea ɛte. |
| MRI Scan a Wɔde Yɛ Adwuma | Wɔ tebea horow bi mu no, wobetumi akamfo akyerɛ sɛ wɔnyɛ MRI mfonini na ama wɔahu sɛnea kokoram no atrɛw ne nufu no mmeae afoforo. |
| Biopsy a wɔde hwehwɛ nipadua mu | Eyi ne ɔkwan pɔtee a wɔfa so hu yare no. Wɔde ade ketewaa bi anaa nea wɔatwa no yi ntini bi fi akuru no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Saa sɔhwɛ yi hwɛ sɛ biribi a wɔfrɛ no mucin wɔ akuru no mu anaa. |
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Wo duruyɛfo na ɔbɛkyerɛ nhyehyɛe a wɔde bɛsa mucinous carcinoma. Eyi gyina kokoram no kɛse, akisikuru ko, ne hormone receptor tebea, ne sɛ ebia kokoram no atrɛw akɔ ntini a ɛma mogya tu no so anaa.
Wobetumi akyekyɛ akwan titiriw a wɔfa so sa yare no mu sɛnea edidi so yi:
| Ayaresa | Nkyerɛmu |
|---|---|
| Lumpectomy a wɔtwa | Nea ɛka eyi ho ne sɛ wobeyi kokoram a ɛyɛ kurukuruwa no ne ntini kakraa bi a ɛte apɔw a atwa ho ahyia no nkutoo afi hɔ. Wɔnnyi nufu no nyinaa mfi hɔ. |
| Nufu a wɔtwa | Wɔ eyi mu no, woyi nufu no nyinaa fi hɔ. Sɛ akuru no sõ anaasɛ mmeae pii wɔ nufu no mu a, wɔkamfo oprehyɛn yi kyerɛ. |
| Nnuru a wɔde sa yare | Nnuru a ekum kokoram nkwammoaa a wɔde ma nipadua no. Sɛ mucinous kokoram no ntrɛw nkɔ ntini a ɛma mogya tu no mu anaasɛ ɛyɛ mmerɛw wɔ hormone ahorow ho a, ebia ɛho renhia sɛ wɔde nnuru sa yare. Wo duruyɛfo na ɔbɛkyerɛ eyi. |
| Mframa a Wɔde Yɛ Ayaresa | Sɛ wɔyɛ lumpectomy oprehyɛn wie a, wɔde mframa a ahoɔden wom kɛse di dwuma de sɛe kokoram nkwammoaa biara a aka. |
| Hormone Ayaresa a Wɔde Di Dwuma | Kokoram dodow no ara a ɛwɔ mucinous mu no te nka wɔ hormone estrogen anaa progesterone ho. Nea ɛka saa ayaresa yi ho ne sɛ wɔde nnuru (te sɛ tamoxifen) a esiw saa nkwaadɔm yi dwumadi kwan ma. Eyi yɛ ayaresa a etu mpɔn yiye. |
Nea ɛho hia sen biara no, mucinous carcinoma wɔ nkɔmhyɛ pa ara. Sɛ wɔde toto nufu mu kokoram afoforo a ano yɛ den ho a, ayarefo a wohu sɛ wɔwɔ saa kokoram yi nkwa nna dɔɔso kɛse. Enti, sɛ wɔyɛ ayaresa nhyehyɛe a ɛfata a, hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no koraa no yɛ kɛse koraa.
Nkrasɛm a Wɔde Kɔ Fie
- Mucinous Breast Cancer yɛ nufu mu kokoram a ɛntaa nsi koraa na ɛnyɛ den pii .
- Esiane sɛ ade bi a ɛte sɛ nsõ (mucin) atwa kokoram nkwammoaa ho ahyia nti, kokoram no trɛw brɛoo. Eyi ma ayaresa dodow no yɛ kɛse yiye.
- Nsɛnkyerɛnne titiriw ne akuru a ɛwɔ nufu no mu. Sɛ wote biribi a ɛte saa nka a, mma wo ho nnpopo na kɔ oduruyɛfo nkyɛn ntɛm ara.
- Wɔnam nipadua mu nhwehwɛmu so si nea wɔahu no so dua.
- Oprehyɛn, mframa a wɔde sa yare, ne hormone ayaresa nyinaa yɛ ayaresa a etu mpɔn yiye. Wo duruyɛfo na ɔbɛkyerɛ ayaresa nhyehyɛe a eye ma wo.
- Ɛho hia yiye sɛ wɔyɛ nufu mu nhwehwɛmu ɔsram biara na wɔyɛ nufu mu nhwehwɛmu a ɛfata mfe a obi adi.
Nufu mu kokoram, Mucinous Nufu mu kokoram, Colloid Carcinoma, Nufu mu akisikuru, Mmea akwahosan, Kokoram ayaresa, nufu mu kokoram sinhala
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