Sɛ yɛte asɛmfua kokoram a, yɛn nyinaa suro kakra, ɛnte saa? Nanso kokoram ahorow bi nso wɔ hɔ a yɛntee ho asɛm da, na ɛho yɛ na yiye. Yolk Sac Tumor yɛ emu biako. Ebia saa din yi yɛ ade foforo ma wo. Ɛnnɛ, yɛbɛka kokoram yi ho asɛm, a ebetumi aba titiriw wɔ mmofra nkumaa ne mpanyimfo nkumaa mu, wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so. Ɛho hia paa sɛ yehu eyi.
Dɛn ankasa ne Yolk Sac Tumor?
Sɛ yɛbɛka no tiawa a, Yolk Sac Tumor yɛ kokoram bi. Wɔsan frɛ no Endodermal Sinus Tumor. Efi nkwammoaa soronko bi a ɛwɔ yɛn nipadua mu mu na ɛba. Ɛne sɛ, efi nkwammoaa a ɛdan mmadwoa wɔ ɔbarima mu, ne nkwammoaa a ɛdan nkesua wɔ ɔbea mu no mu. Wɔ aduruyɛ mu no, yɛfrɛ saa nkwammoaa yi sɛ mmoawa nkwammoaa. Enti eyi ka Germ Cell Tumor kuw no ho.
Saa akisikuru yi taa ba mmea awotwaa mu anaasɛ mmarima awotwaa mu. Nanso, ɛntaa mma koraa sɛ wobetumi anyin wɔ awo akwaa yi akyi, sɛ nhwɛso no, wɔ koko, yafunu, anaa amemene mu.
Kokoram a ɛte sɛɛ ho yɛ na koraa wɔ ne nyinaa mu. Nanso, kokoram a wɔtaa bɔ ho amanneɛ wɔ mmoawa nkwammoaa mu kokoram wɔ mmofra nkumaa mu ne saa kokoram yi a wɔfrɛ no Yolk Sac Tumor.
Ade a anibere wom wɔ eyi ho ne sɛ kokoram yi nyin ntɛmntɛm na ebetumi atrɛw ntɛmntɛm . Enti, sɛ wɔansa a, ebetumi de ne nkwa ato asiane mu. Nanso asɛmpa no ne sɛ sɛ wohu yare no ntɛm a, wobetumi de ayaresa asa no koraa . Enti, ɛho hia paa sɛ wuhu sɛnkyerɛnne ahorow no ntɛm.
Dɛn ne kokoram yi ahorow atitiriw?
Sɛnea yɛadi kan aka ho asɛm no, wobetumi akyekyɛ kokoram yi mu ayɛ no ahorow atitiriw pii a egyina baabi a ɛba so.
- Testicular yolk sac tumors: Eyi yɛ awotwaa mu kokoram bi. Ɛtaa ba mmarimaa a wonnii mfe 3 ne mmerante a wɔadi mfe 20 ne 30 mu kɛse . Mpɛn pii no, wotumi hu eyinom ntɛm, ansa na atrɛw akɔ nipadua no afã afoforo. Eyi ma ɛyɛ mmerɛw sɛ wɔbɛsa wɔn yare.
- Ovarian yolk sac tumors: Eyi yɛ awotwaa mu kokoram bi. Ɛyɛ ɔkwan a ɛnyɛ basabasa pii, a ɛkyerɛ sɛ ebetumi atrɛw ntɛmntɛm. Ɛtaa ba mmeawa nkumaa a wɔadi mfe 20 anaa nea ennu saa so kɛse . Wɔbɔ amanneɛ sɛ wɔn a wohu sɛ wɔwɔ saa yare yi mu nkyem abiɛsa mu biako yɛ mmeawa nkumaa a wonnya mfii brayɛ ase.
- Kokoram a ɛba wɔ awo akwaa no akyi (Extragonadal germ cell tumors): .Ɛtɔ da bi a, saa mmoawa nkwammoaa kokoram yi ba nipadua no afã afoforo, wɔ awotwaa anaa mmadwoa akyi. Sɛ nhwɛso no, wobetumi anyin wɔ amemene no mu, koko mfinimfini, yafunu akyi, anaa dua dompe mu .
Dɛn na ebetumi ayɛ eyi ho sɛnkyerɛnne?
Yolk Sac Tumor ho sɛnkyerɛnne gyina baabi a akisikuru no wɔ wɔ nipadua no mu so. Sɛ nhwɛso no, ebia ɛna bi behu akisikuru ketewaa bi wɔ akokoaa awotwaa mu bere a ɔreguare no. Anaasɛ abeawa kumaa bi betumi anya nna a ɛnkɔ so daa a yafunu mu yaw ka ho. Ɛho hia sɛ wohu saa sɛnkyerɛnne ahorow yi.
Hwɛ pon a ɛwɔ ase hɔ no ma woahu sɛnkyerɛnne ahorow a ɛtaa ba a egyina beae a kokoram no wɔ so.
| Beae a kokoram no wɔ | Nsɛnkyerɛnne a wotumi hu |
|---|---|
| Nkwaboaa a ɛwɔ awotwaa mu | Ɛyɛ den anaasɛ akisikuru a ɛnyɛ yaw wɔ awotwaa mu. |
| Wɔ awotwaa mu | Yafunu mu a ɛyɛ kurukuruwa anaasɛ yafunu mu akisikuru a wɔte nka, yafunu mu yaw anaa akyi yaw, nsakrae a ɛba wɔ dwensɔtwaa mu (te sɛ akisikuru), mogya a ɛba bere nyinaa anaa nea emu yɛ duru. |
| Adwene | Tiyɛ anaa aniwa mu haw. |
| Kokoɔ | Ɔfe ne ahome a ɛyɛ den. |
| Akyi berɛmo no ase awiei (Tailbone) . | Ebia beae no ahonhon, ayɛ te sɛ nea akuru, anaasɛ ɛte sɛ akisikuru a ɔyare mmoawa wɔ mu. |
Dɛn nti na kokoram a ɛte sɛɛ nya?
Eyi yɛ ɔhaw a nnipa pii wɔ. Nanso sɛ yɛbɛka nokware a, nnuruyɛ mu nhwehwɛmufo nnya nhuu nea ɛde Yolk Sac Tumor ba ankasa. Te sɛ kokoram afoforo no, nsakrae (nsakrae) a ɛba awosu mu nkwaadɔm anaa DNA mu wɔ nkwammoaa mu na ɛde eyi ba. Saa nsakrae yi ma nkwammoaa no mu paapae ntɛmntɛm na wontumi nni so. Bere kɔ so no, saa nkwammoaa yi tumi bom nyin ma ɛyɛ ade kɛse. Sɛ wɔansa saa kokoram nkwammoaa yi a, ebetumi atrɛw akɔ nipadua no afã afoforo.
Nanso, nhwehwɛmu da so ara kɔ so wɔ nea enti a awosu mu nsakrae yi fi ase wɔ nea edi kan no mu.
Ɔkwan bɛn so na wobetumi ahu yare yi?
Sɛ wo anaa wo ba no wɔ sɛnkyerɛnne ahorow a yɛabobɔ din wɔ atifi hɔ no bi a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara. Oduruyɛfo no bedi kan ayɛ nipadua mu nhwehwɛmu na wahwehwɛ akisikuru anaa ɔfe biara a ɛyɛ soronko wɔ yafunu anaa awotwaa mu. Afei, wobebisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm.
Wobetumi ayɛ nhwehwɛmu pii de asi yare no so dua:
- Mogya mu nhwehwɛmu: Wɔfa wo mogya no bi na wɔhwɛ protein soronko bi. Wɔfrɛ no Alpha-fetoprotein (AFP) . Saa AFP dodow a ɛwɔ mogya mu yi dɔɔso yiye wɔ obiara a ɔwɔ Yolk Sac Tumor mu. Eyi yɛ ade a ɛho hia yiye a ɛkyerɛ sɛ obi anya kokoram yi.
- Mfoninitwa nhwehwɛmu: CT mfoninitwa (Computed Tomography scans) ne MRI scans (Magnetic Resonance Imaging) ne nhwehwɛmu a wɔtaa de di dwuma. Eyinom tumi hu akisikuru a ɛwɔ nipadua no mu pefee.
- Oprehyɛn a wɔde yi nipadua no: Eyi nkutoo ne ɔkwan a wobɛfa so anya awerɛhyem 100% wɔ yare no ho. Oduruyɛfo no bɛyɛ oprehyɛn de ayi akisikuru no nyinaa (ɛtɔ mmere bi a akwaa a akisikuru no wɔ mu no nyinaa). Afei wɔde akisikuru no bɛkɔ baabi a wɔyɛ nhwehwɛmu akɔhwɛ sɛ ebia kokoram nkwammoaa wɔ hɔ anaa.
Ɔkwan bɛn so na wohu kokoram no fã ahorow?
Sɛ wohu yare no wie a, nnuruyɛfo kyerɛ baabi a kokoram no atrɛw akodu, anaasɛ kokoram no ‘gyinabea’. Nneɛma te sɛ akisikuru no kɛse ne baabi a kokoram no atrɛw akodu na ɛkyerɛ saa fã yi. Sɛ stage no sua (e.g. Stage 1) a, ɛkyerɛ sɛ kokoram no wɔ ne mfiase. Sɛ stage no kɔ soro (e.g. Stage 3, 4) a, ɛkyerɛ sɛ kokoram no atrɛw kakra. Saa fã yi a wubehu no ho hia na ama woapaw ayaresa a eye sen biara.
Wɔ Testicular Tumors ho no
- Ɔfã 1: Kokoram no wɔ awotwaa mu nkutoo.
- Ɔfã 2: Kokoram no atrɛw afi awotwaa no mu akɔ ntini a ɛma mogya tu no mu.
- Ɔfã 3: Kokoram nkwammoaa atrɛw akɔ akwaa afoforo mu.
Wɔ Ovarian Tumors ho no
- Ɔfã 1: Kokoram no wɔ awotwaa biako anaa abien no nyinaa nkutoo mu.
- Ɔfã 2: Kokoram nkwammoaa atrɛw akɔ mmeae afoforo wɔ akyi berɛmo no mu, nanso ennya nduu awotwaa no mu.
- Ɔfã 3: Kokoram no atrɛw akɔ ntini a ɛma mogya tu ne ntini a ɛwɔ yafunu no mu (peritoneum) no mu.
- Ɔfã 4: Kokoram no atrɛw wɔ yafunu no akyi akɔ ntini ne akwaa afoforo mu.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Botae titiriw a ɛwɔ ayaresa mu ne sɛ wobeyi kokoram akisikuru no afi hɔ koraa. Wɔde akwan titiriw abien a wɔfa so sa eyi di dwuma.
1. Oprehyɛn: Nea ɛka eyi ho ne sɛ wobeyi awotwaa (a wɔfrɛ no orchiectomy ) anaa awotwaa (a wɔfrɛ no oophorectomy ) a kokoram no aka no nyinaa. Sɛ kokoram no atrɛw akɔ mmadwoa ntini no mu a, ebia ɛho behia nso sɛ woyi fi hɔ.
2. Nnuru a wɔde sa yare: Sɛ wɔyɛ oprehyɛn wie a, wɔde saa ayaresa yi ma de kum kokoram nkwammoaa biara a ebia aka wɔ nipadua no mu a aniwa ntumi nhu. Ɛtɔ mmere bi a, sɛ akisikuru no sõ paa a, wobetumi de nnuru nso ama akisikuru no de atew akisikuru no so ansa na wɔayɛ oprehyɛn.
BEP ayaresa kwan
Wɔfrɛ nnuru titiriw a wɔde sa Yolk Sac Tumor no BEP . Ɛdenam baabi a kokoram no kɔ ne sɛnea wo nipadua yɛ n’ade wɔ ayaresa no ho so no, ebia ebehia sɛ wofa BEP mpɛn pii. BEP yɛ nnuru abiɛsa a wɔaka abom:
- B leomycin a wɔde yɛ aduru
- E toposide
- Cisplatin ( P latinol®) a wɔde di dwuma wɔ ɔkwan a ɛyɛ nwonwa so.
Sɛ wɔka nnuru abiɛsa yi bom a, ɛyɛ adwuma yiye paa sɛe Yolk Sac Tumor nkwammoaa.
Tebea no te dɛn wɔ ayaresa akyi? (Nkɔmhyɛ) .
Eyi yɛ biribi a ɛsɛ sɛ nnipa pii hu. Ɛyɛ nokware sɛ sɛ wɔansa a, Yolk Sac Tumor de nkwa to asiane mu. Ɛno nti na yɛaka fi mfiase sɛ ɛho hia yiye sɛ wohu yare no na wofi ase sa yare no ntɛm no . Sɛnea ɛte wɔ kokoram biara ho no, dodow a wofi ayaresa ase ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wɔn ho bɛtɔ no no yɛ kɛse.
Wo nkɔmhyɛ no gyina nneɛma pii so. Ɛsɛ sɛ wo ne wo duruyɛfo susuw nneɛma te sɛ kokoram no fã, sɛnea wo nipadua reyɛ n’ade wɔ ayaresa ho, ne wo AFP dodow ho ansa na woafi nnuru a wɔde sa yare ase (dodow a eyi sua no, dodow no ara na nea efi mu ba no taa yɛ papa).
Nanso mma ɛnhaw wo. Ayaresa te sɛ oprehyɛn ne BEP ama nnipa a wɔwɔ Yolk Sac Tumor nkwa nna atu mpɔn kɛse. Sɛ nhwɛso no, ɛkame ayɛ sɛ wobetumi de saa ayaresa ahorow yi asa awotwaa mu kokoram a Ɛto so 1 no koraa. Nnansa yi nhwehwɛmu bi kyerɛe sɛ nnipa a wɔsaa wɔn yare wɔ awotwaa mu kokoram a edi kan no mu 91.5% da so te ase wɔ mfe anum akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Yolk Sac Tumor yɛ kokoram a ɛntaa nsi a ɛtaa ba mmofra ne mpanyimfo nkumaa so.
- Hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ akisikuru a ɛyaw nnim wɔ awotwaa mu anaasɛ yafunu mu a ɛho ahonhon/ɛyɛ wo yaw. Sɛ wuhu biribi a ɛte sɛɛ a, mma w’ani nnwu anaa nsuro, na mmom kɔ oduruyɛfo nkyɛn ntɛm ara.
- Ɛwom sɛ kokoram yi trɛw ntɛmntɛm de, nanso sɛ wohu ntɛm a, wobetumi asa koraa.
- Oprehyɛn ne nnuru a wɔde sa yare (titiriw BEP) ayaresa no tu mpɔn yiye.
- Sɛ wɔyɛ ayaresa wie mpo a, ɛho hia sɛ wɔyɛ nhwehwɛmu a wɔde di akyi wɔ bere a wɔahyɛ sɛ oduruyɛfo no kyerɛ no mu.
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