An ka furakɛli kɛcogo dɔn sani kansɛri opereli ka kɛ wa? (Thérapie néoadjuvant) .

Yala aw ka dɔgɔtɔrɔ y’a fɔ aw ye walima aw dɔnbaga dɔ ka kan ka opereli kɛ kansɛri bana na wa? N’u y’o fɔ, n’a sɔrɔla u bɛ ‘furakɛli ka kɔn opereli ɲɛ’ fana fɔ i ye. o bɛ wele furakɛli siratigɛ la ko Neoadjuvant Therapy . Ni u ye nin tɔgɔ in mɛn, mɔgɔ caman bɛ siran dɔɔnin, k’a miiri ko: “Ne bɛ taa opereli kɛ, o la, yala ne ka kan ka furakɛli kɛ ka kɔn o ɲɛ wa?” Nka tiɲɛ na, nin ye fɛn ye min bɛ se k’i dɛmɛ kosɛbɛ ani ka jigiya lase i ma. An ka kuma nin ko in kan nɔgɔya la, ka siran ni sigasiga bɛɛ bɔ i la o ko la.

Furakɛcogo kura ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, Neoadjuvant Therapy ye furakɛli fɛɛrɛ ye min bɛ a to kuru ka dɔgɔya, o kɔrɔ ye ko a ka dɔgɔya, sani opereli ka kɛ walasa k’a bɔ. Miiri k’a filɛ, fɛn dɔ bɛ yen min bɔli ka gɛlɛn, i n’a fɔ kabakurunba. A ka nɔgɔn k’a mugumugu, k’a mugumugu, k’a bɔ yen, tiɲɛ tɛ? Nin ye kelen ye. Ni kuru ka bon, a bɛ se ka gɛlɛya operelikɛla ma k’a bɔ pewu. Nka ni kuru in dɔgɔyara ni o furakɛli ninnu ye, opereli bɛ nɔgɔya kosɛbɛ ani ka ɲɛ.

Tuma dɔw la, o furakɛli ninnu bɛ ɲɛ fo a kuru bɛ ​​tunu pewu, opereli tɛ kɛ. Aw ka dɔgɔtɔrɔ bɛ se ka nin wele fana ko ``operatif therapy`` walima ``induction therapy.`` Ninnu bɛɛ ye fɛn kelen ye.

O furaw ye jumɛnw ye?

Nin `neoadjuvant` furakɛli fɛɛrɛ in bɛ baara kɛ ni fɛn wɛrɛw ye. Aw ka dɔgɔtɔrɔ bɛna a latigɛ min ka fisa aw ma ka kɛɲɛ ni aw ka kansɛri suguya ni a cogoya ye. An ka fɛɛrɛ kunbabaw lajɛ.

Tuma dɔw la, aw ka jɛkulu bɛ se ka nin furakɛli fila ninnu fara ɲɔgɔn kan. Misali la, chimiothérapie ni radiation furakɛli bɛ kɛ ɲɔgɔn fɛ (neoadjuvant chemoradiation). Nin furakɛli in bɛ se ka kɛ dɔgɔkun damadɔ kɔnɔ ka se kalo damadɔ ma, walima san kelen yɛrɛ. A ka ca a la opereli bɛ kɛ kalo kelen kɔnɔ furakɛli bannen kɔfɛ.

Nin furakɛli in bɛ kɛ kansɛri suguya jumɛnw na?

Kansɛri dɔgɔtɔrɔw bɛ nin furakɛli in kɛ kansɛri suguya tan ni fila ni kɔ la, i n’a fɔ:

• Sinna kansɛri : Sinna kansɛri suguya dɔw la, chimiothérapie, hormone, walima immunothérapie bɛ kɛ sani opereli ka kɛ.
• Kɔnɔbara kansɛri : Ni kansɛri taara sugunɛ na, chimiothérapie bɛ se ka kɛ sani opereli ka kɛ.
• Fogonfogon kansɛri : A ka ca a la, chimiothérapie bɛ kɛ fogonfogon kansɛri suguya dɔw la minnu jɛnsɛnna.
• Ɲɛgɛnɛsiraw kansɛri: Nin kansɛri in bɛ lawuli ni cɛ ka ɔrimɔni tetarasikilini ye. A bɛ kunbɛn ni ɔrimɔni furakɛli ye.
• Kɔnɔbara kansɛri : A ka ca fana ni ninnu bɛ di ɲɔgɔn fɛ ni fiɲɛbana ni chimiothérapie ye.

Nafa jumɛnw bɛ nin furakɛli fɛɛrɛ in na?

Nafa damadɔ bɛ o la. Ni aw ye ninnu dɔn, o bɛna aw dɛmɛ ka se sɔrɔ aw ka siran fura in ɲɛ.

• Tumu misɛnniw: I n’a fɔ an y’a fɔ cogo min na ka tɛmɛ, kuru belebelebaw bɛ kɛ fɛn fitininw ye , o bɛ opereli nɔgɔya kosɛbɛ. Misali la, ni kuru dɔ ka dɔgɔn sinji kansɛribana dɔ la, sanni ka sinji bɔ, o min bɛ sin bɛɛ bɔ, opereli fitinin dɔ bɛ se ka kɛ min bɛ wele ko lumpectomy, o bɛ kuru dɔrɔn bɔ.
• Tumu dɔw tununi pewu: Tuma dɔw la, kuru misɛnniw bɛ se ka wuli pewu ani opereli tɛ kɛ wajibi ye.
• Kɛnɛya waati min bɛ dɔgɔya:Ni opereli ka dɔgɔn, aw fari yɔrɔ tigɛlenw bɛ dɔgɔya. O la, aw bɛ se ka kɛnɛya joona ani ka segin aw ka ɲɛnamaya kɛcogo kɔrɔ la.
• Furakɛli ɲɛtaa bɛ se ka jateminɛ: Ni dɔgɔtɔrɔw bɛ furakɛli kɛ sani opereli ka kɛ, u bɛ se k’a ye kansɛri bɛ furakɛli jaabi cogo min na ani kuru bɛ ​​dɔgɔya joona cogo min na. O b’a to u bɛ se ka desizɔn ɲumanw ta furakɛli nataw kan.
• Kansɛribana dogolenw fagali : Tuma dɔw la, kansɛribanakisɛ misɛnniw minnu bɛ bɔ kuruba la, ɲɛ tɛ ye, wa u tɛ se ka dɔn ni sɛgɛsɛgɛli ye, wa u bɛ se ka taa farikolo yɔrɔ wɛrɛw la (micrometastases). O farikolokisɛ dogolenw fana bɛ faga furakɛli dɔw fɛ i n’a fɔ chimiothérapie, minnu bɛ farikolo bɛɛ minɛ.
• Kansɛri seginni farati dɔgɔyali : Kalan dɔw y’a jira ko furakɛli kura minnu bɛ kɛ ni dɛmɛ ye, olu bɛ dɔ bɔ kansɛri seginni farati la a kɛnɛyalen kɔfɛ.

Yala kɔlɔlɔ si tɛ a la wa?

I n’a fɔ a bɛ kɛ cogo min na kansɛri furakɛli bɛɛ la, a kɔlɔlɔw bɛ se ka sɔrɔ. Nka u ye min ye, o bɛ bɔ furakɛli suguya la i bɛ min ta. A ka ca a la dɔw ye:

• Dumuninege
• Kɔnɔboli
• Sɛgɛn
• Dumuni duman bɔli kan na (ageusia) .
• Dusukunnata ni fɔɔnɔ

Danfara jumɛn bɛ Neoadjuvant ni Adjuvant Therapy cɛ?

N’a sɔrɔ aw ye `Adjuvant Therapy` fana mɛn. O fila bɛɛ ye furakɛli ye minnu bɛ kɛ ka kɛ dɛmɛ ye kansɛri opereli la. Danfara bɛ furakɛli kɛwaati la.

N’i ​​y’a miiri ko nin ye i n’a fɔ maraton, `Neoadjuvant therapy` bɛ i n’a fɔ `warm-up` ka kɔn boli ɲɛ. A b’i labɛn koɲuman boli kama. `Adjuvant therapy` bɛ i n’a fɔ `cool-down` boli kɔfɛ, a bɛ gɛlɛya tɔw bɛɛ ban ani ka i kɛnɛya pewu.