Ðe nàte ŋu azã ʋu atsɔ alé ŋku ɖe kansa ŋua? (Ʋu Dodokpɔwo hena Kansa) Mina míaƒo nu tso esia ŋu!

Ne míesusu be kansa le mía ŋu la, biabia gãtɔ si vaa susu me na mí enye be, ‘Ðe woate ŋu ade dzesi esia le ʋua mea?’ Le nyateƒe me la, ɖɔktawo zãa mɔnu vovovowo tsɔ dea dzesi kansa, kpɔa afisi wòle, eye wowɔa ɖoɖo ɖe edada ŋu. Le esiawo dome la, ʋudodokpɔ nye dɔwɔnu vevi ɖeka. Gake ele vevie be míaɖo ŋku edzi be zi geɖe la, ʋudodokpɔ ɖeɖe mesɔ gbɔ be woatsɔ aɖo kpe kansa dzi o.

Ðe woate ŋu akpɔ kansa to ʋudodokpɔ ko dzia?

Kpuie ko la, womate ŋu akpɔ kansa akpa gãtɔ to ʋudodokpɔ ɖeɖeko dzi o. Gake woate ŋu ade dzesi ʋumenugbagbeviɣidɔ aɖewo to mɔ sia dzi. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Hodgkin ƒe ʋumenugbagbeviɣidɔ
• Ʋumenugbagbeviɣidɔ si menye Hodgkin o
• Ʋumenugbagbeviɣidɔ
• Multiple myeloma ƒe dɔléle

Woate ŋu ade dzesi nusiawo vaseɖe afi aɖe to ʋudodokpɔ me, gake esesẽna be woakpɔ ŋutinu sesẽ bubuwo, abe lãkusi, no, kple dɔgbo me dɔdzẽ ene to ʋudodokpɔ ɖeɖeko me.

Ʋudodokpɔ ƒomevi kawoe wozãna tsɔ dea dzesi kansa?

Ðɔktawo ma ʋudodokpɔ hena kansa ɖe ƒomevi vevi ene me. Na míalé ŋku ɖe nusiwo wonye ŋu.

Ʋu Xexlẽme Blibo (CBC) .

Esia nye ʋudodokpɔ si bɔ si wowɔna zi geɖe. Woate ŋu atsɔ dodokpɔ sia (CBC) ade dzesi ʋumenugbagbeviɣidɔ aɖewo abe ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ ene. Ekpena ɖe wò ɖɔkta hã ŋu be wòakpɔ alesi wò ŋutilã le nu wɔm le atikewɔwɔ me kple nenye be kansa la kaka ɖe wò ƒumeŋuɖui me. Gake mete ŋu dea dzesi kansawo abe aɖuɖɔtoe, no, alo dɔgbo me dɔdzẽ ene o.

Tumor Marker Ʋudodokpɔwo

Dodokpɔ siawo dia atike aɖewo siwo míaƒe ŋutilã wɔna gbesiagbe le míaƒe ʋu me. Ne atike siawo sɔ gbɔ akpa le ʋua me la, ate ŋu anye kansa ƒe dzesi. Le kpɔɖeŋu me, wozãa `CA-125` dodokpɔ zi geɖe tsɔ wɔa ɖoɖo ɖe atikewɔwɔ na azigolo kple dɔgbo me dɔdzẽwo ŋu eye wokpɔnɛ be kansa la gatrɔ gbɔ hã. Bubue nye `PSA (prostate-specific antigen)` dodokpɔ. `(PSA)` sia nye protein si `(prostate)` gland wɔna le ŋutsuwo me. `(PSA)` ƒe agbɔsɔsɔ si le ʋu me ƒe dzidziɖedzi ateŋu anye ʋumenugbagbeviɣidɔ ƒe dzesi.

Ʋume Protein Dodokpɔwo

Dodokpɔ siawo dia protein ƒe agbɔsɔsɔ si mesɔ o le wò ʋu me. Protein ƒe agbɔsɔsɔ si sɔ gbɔ ŋutɔ ate ŋu anye ʋumenugbagbeviɣidɔ, vevietɔ ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, kple ʋumenugbagbeviɣidɔ ƒe dzesi. Ðeko dodokpɔ aɖewo, abe Comprehensive Metabolic Panel (CMP) ene, lɔ protein bliboa dodokpɔ ɖe eme. Ema hã ate ŋu ana nyatakaka sia.

Dɔdzẽ ƒe Lãmenugbagbevi Siwo Le Tsitsam (CTC) Dodokpɔwo

Le nyateƒe me la, esia nye tsi ƒe lãmenugbagbeviwo ɖeɖe ƒomevi aɖe. Edia kansa lãmenugbagbeviwo le wò ʋu me. Ɣeaɖewoɣi la, kansadɔlékui suesuesuewo ate ŋu agbã eye woage ɖe wò ʋu me. Ðɔktawo zãa dodokpɔ sia tsɔ gblɔa nusiwo ado tso amesiwo ŋu no, ʋuka me dɔdzẽ, alo dɔgbo me dɔdzẽ si kaka ɖe teƒe bubuwo le etsɔme ɖi. Ne CTC ƒe agbɔsɔsɔ le wò ʋu me le sue, alo womate ŋu ade dzesii gɔ̃ hã o la, ke dzesi nyui aɖee nye ema. Gake ne CTC geɖe le wò ʋu me la, ema menye dzesi nyui aɖeke o, eye ɖewohĩ ahiã be woawɔ atike bubuwo na wò.

Dodokpɔ bubu kawoe hiã be woatsɔ aɖo kpe kansa dzi?

Abe alesi megblɔe va yi ene la, zi geɖe la, ʋudodokpɔ ɖeɖe mesɔ gbɔ be woatsɔ aɖo kpe kansa dzi o. Ahiã godoo be woado dodokpɔ bubu geɖe na wò. Wo dometɔ aɖewoe nye:

• ` Biopsy `: Esia bia be woaɖe lãkusi sue aɖe tso ŋutinu alo ƒumeŋuɖui si ŋu ɖikeke le me eye woaɖoe ɖe nudokpɔƒe afisi woadoe kpɔ le.
• Nɔnɔmetatawo dodokpɔ : Esiawo ate ŋu anye X-ray, CT (computed tomography) scans, MRI (magnetic resonance imaging) scans, alo PET (positron emission tomography) scans. Esiawo kpena ɖe ɖɔkta ŋu wòkpɔa afisi kansadɔlékuiwo le eye wònyaa afisi wole.
• Dodokpɔ tɔxɛwo : Ɣeaɖewoɣi la, ahiã be woawɔ dodokpɔ tɔxɛ bubuwo. Le kpɔɖeŋu me, woate ŋu awɔ no me dɔdzẽ ƒe fotoɖeɖe be wòakpe ɖe ame ŋu wòade dzesi no me dɔdzẽ, alo woate ŋu awɔ Pap smear atsɔ ade dzesi vidzidɔ me dɔdzẽ.

Ðe woate ŋu akpɔ kansa ƒe gɔmedzedze to ʋu mea?

Kansa geɖe medzena le ʋudodokpɔ edziedzi me le woƒe gɔmedzedze o. Gake fifia ʋudodokpɔ tɔxɛ aɖewo li siwo ate ŋu ade dzesi kansa aɖewo le woƒe gɔmedzedze.

• ` Galleri dodokpɔ` : Esia nye ʋudodokpɔ tɔxɛ aɖe. Ate ŋu ade dzesi kansa ƒomevi siwo wu 50! Ezãa mɔ̃ɖaŋununya aɖe si woyɔna be `DNA sequencing` tsɔ dia nɔnɔme siwo le etɔxɛ na kansa. Ate ŋu ana ɖɔktaa nanya ne kansa le ŋuwò kple afisi wòdze egɔme tsoe.
• Proteomics-based plasma test : Numekuku aɖe si wowɔ le ƒe 2024 me ɖee fia be ʋudodokpɔ yeye ate ŋu ade dzesi kansa ƒomevi 18 le eƒe gɔmedzedze. (Proteomics nye lãmenugbagbeviwo ƒe proteinwo kple alesi wowɔa dɔe ŋuti numekuku.) Numekuku sia si me ame 440 nɔ la, de dzesi kansa siwo le Afɔɖeɖe I ƒe 93% le ŋutsuwo me kple kansa siwo le Afɔɖeɖe I me ƒe 84% le nyɔnuwo me. Togbɔ be ehiã be woagawɔ numekuku geɖe wu hã la, ʋudodokpɔ sia ate ŋu ava zu mɔnu si wozãna ɖaa si dzi woato ade dzesi kansa le etsɔme.

Ele be woaɖe dodokpɔ mawo me tsonu gɔme nyuie ŋutɔ.Azɔ hã, ele be nàƒo nu kple ɖɔkta bibi aɖe godoo tso dodokpɔ kple atikewɔwɔ siwo kplɔe ɖo siwo wòle be nàwɔ ŋu.

Míenya be esesẽna ŋutɔ be woakpɔ kansa le eƒe gɔmedzedze. Gake kansa dodokpɔ edziedzi ate ŋu akpe ɖe ame ŋu woade dzesi kansa ƒomevi aɖewo hafi dzesiawo nadze. Bia wò ɖɔkta tso dodokpɔ siwo sɔ ɖe wò ƒexɔxɔ nu ŋu. Esia akpe ɖe ŋuwò nànɔ lãmesẽ me.

Aleke ʋudodokpɔ hena kansa wɔa dɔe?

Ne wotsɔ ʋudodokpɔwo kpe ɖe dodokpɔ bubuwo ŋu la, ate ŋu ana wò ɖɔkta nakpɔ nyatakaka vevi aɖewo. Bu eŋu kpɔ ale...

• Ðe atikewo kple protein aɖewo le wò ʋu me siwo fia be kansa le ŋuwòa?
• Ate ŋu atso kansa gbɔ, eɖanye ʋumenugbagbeviɣiwo sɔ gbɔ akpa alo bɔbɔ akpa o.
• Nukae nye kansa la ƒe afɔɖeɖe ?
• Aleke gbegbee atikewɔwɔa kpɔa dzidzedzee ?
• Ðe kansa la gatrɔ gbɔ (gbugbɔgadzɔ)?

Aleke woawɔ adzra ɖo ɖe kansa ƒe ʋudodokpɔ ŋu?

Wò ɖɔkta ana mɔfiame aɖewo koŋ wò ku ɖe ale si nàdzra ɖo ɖe wò ʋudodokpɔ ŋu. Mɔfiame siawo ate ŋu ato vovo le dodokpɔ si ƒomevi wɔm nèle nu.

Ɣeaɖewoɣi la, woateŋu abia tso asiwò be ``ntsi nu dɔ'' gaƒoƒo 8 va ɖo 12 hafi dodokpɔa nadze egɔme. Esia fia be mele be nàɖu nu alo ano naneke o negbe tsi ko. Woate ŋu abia tso asiwò hã be nàdzudzɔ atike aɖewo nono hafi woawɔ dodokpɔa.

Nukae nàkpɔ mɔ na ne wole ʋudodokpɔm?

Aɖabaƒoƒo ʋɛ aɖewo koe wòxɔna hafi woɖea ʋu le asiwò. Aleae ɖɔkta alo dɔnɔdzikpɔla wɔa esiae nye esi:

• Gbã la, woblaa tourniquet ɖe wò abɔta.
• Emegbe, woklɔa teƒe aɖe si le wò ŋutigbalẽ ŋu, zi geɖe le wò abɔta ƒe eme alo wò asi ŋu.
• Wotsɔa aŋe dea teƒe ma. Ɣemaɣi la, àte ŋu ase le ɖokuiwò me be yele ʋuʋum vie, abe alesi anyidi ɖu wò ene.
• Ðe asi le ka si le sesẽm la ŋu vie.
• Wotsɔa mɔ̃ aɖe doa ka kple aŋea eye wotsɔa ʋu dea eme.
• Emegbe woɖea ka kple pin la siaa ɖa.
• Wotsɔa nyaƒoɖeamenu vi aɖe (miae) be wòatɔ te ʋu si dona le afisi wodoe le.
• Mlɔeba la, wotsɔa aŋe blaa teƒea.

Ele bɔbɔe ŋutɔ, alo?

Nukae woakpɔ mɔ na le ʋudodokpɔ vɔ megbe?

Ne wodo kansa ƒe ʋu kpɔ vɔ la, ahiã be nàna aŋɔa nanɔ edzi gaƒoƒo ʋɛ aɖewo. Azɔ hã, ne wò ɖɔkta ɖo aɖaŋu na wò la, ahiã be nàƒo asa na kamedede gaƒoƒo ʋɛ aɖewo le dodokpɔa megbe. (Ne wò dzi ƒe tsotso dzi ɖe edzi la, ʋu ate ŋu adzi ɖe edzi.)

Afɔku alo nugbegblẽ kawoe le ʋudodokpɔ me?

Ʋudodokpɔ mele dedie ŋutɔ, eye afɔku siwo le eme hã le sue ŋutɔ. Àte ŋu akpɔ abi alo vuvu aɖe le afisi aŋea le. Ƒã ŋutɔ la, ʋukaa ate ŋu avuvu. Ne edzɔ alea la, nane si me dzo le (abe avɔ si me dzo le alo dzoxɔxɔnamɔ̃ ene) sisi ate ŋu akpe ɖe ŋuwò.

Ɣekaɣie manya nye dodokpɔa me tsonu?

Anɔ eme godoo be àkpɔ wò dɔwɔwɔ me tsonu le ŋkeke ɖeka alo eve me. Gake le dodokpɔ si ƒomevi wɔm wole nu la, ate ŋu axɔ ŋkeke geɖe.

Wò ɖɔkta agblɔ ɣeyiɣi si nàkpɔ mɔ na emetsonuwo kple alesi nàdzro wo me kpli wò le wò kpekpea me na wò.

Ne nye dɔwɔwɔ me tsonu mesɔ o la, nukae adzɔ emegbe?

Ne wò ʋudodokpɔ ɖee fia be ɖewohĩ kansa le ŋuwò la, wò ɖɔkta aɖo wò ɖe kansadɔdala gbɔ. Eŋutinunyala ma ate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi eye wòakafu atikewɔwɔ ƒe ɖoɖo si sɔ.

Kansa dada bia ɣesiaɣi be woawɔ ƒuƒoƒo si me tɔwo wɔa dɔ vovovowo. Wò kansadɔdala awɔ dɔ kple eŋutinunyala bibi vovovowo be woana atike si nèhiã la wò.

Ðe lipid panel ate ŋu ade dzesi kansaa?

Ao, ɖɔktawo mezãa lipid panels tsɔ dea dzesi kansa o. Lipid panel nye dodokpɔ si wotsɔ dzidzea ʋumemi kple triglycerides ƒe agbɔsɔsɔ le wò ʋu me. Ekpena ɖe ɖɔktawo ŋu wokpɔa afɔku si le dzitodzito me dɔlélewo, abe ʋusɔgbɔdɔ kple dzidɔ ene, xɔxɔ me.

Togbɔ be nye ʋudodokpɔwo sɔ hã la, ɖe kansa ate ŋu anɔ ŋunyea?

Ẽ, ne wò ʋudodokpɔ me tsonu sɔ hã la, kansa ate ŋu anɔ ŋuwò kokoko. Nusitae nye be ʋudodokpɔ ɖeɖe dzaa mate ŋu ade dzesi kansa ƒomevi akpa gãtɔ o. Ʋumenugbagbeviɣidɔ aɖewo, abe ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, kple ʋumenugbagbeviɣidɔ ene, nye esiwo to vovo na se sia.

Lala be yeanya ne kansa le ŋuwò ate ŋu ase le ɖokuiwò me abe ɖe ɣeyiɣia nu tso ene. Ate ŋu asesẽ be nàyi wò gbesiagbegbenɔnɔ dzi evɔ mànya nusi etsɔ ahe vɛ o. Wò ɖɔkta awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔléle aɖe dzi - eye wò ʋu me dzodzro be kansa hã nye wo dometɔ ɖeka ko. Woaɖe nusi dodokpɔ ɖesiaɖe awɔ kple nusi wò dodokpɔ me tsonu afia na wò.

Nu vevi siwo dzi wòle be míaɖo ŋkui le nyati sia me dometɔ aɖewoe nye esi:

Enyo, eyata míeƒo nu geɖe tso kansa kple ʋudodokpɔ ŋu egbea. Kpuie ko la, nu ʋɛ aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• Ʋudodokpɔ nye dɔdzẽ didi ƒe ɖoɖoa ƒe akpa ɖeka ko. Le go geɖe me la, ʋudodokpɔ ɖeɖe mate ŋu aɖo kpe kansa dzi o.
• Ʋudodokpɔ ate ŋu ana woakpɔ kpeɖodzi tso kansa aɖewo siwo do ƒome kple ʋu (Leukemia, Lymphoma) ŋu.
• Ʋudodokpɔ ƒomevi vovovowo li, abe `(CBC)`, `(Tumor markers)`, `(Ʋu me protein dodokpɔwo)`, kple `(CTC dodokpɔwo),` eye wo dometɔ ɖesiaɖe léa ŋku ɖe nu vovovowo ŋu.
• Be woaɖo kpe kansa dzi la , ehiã be woawɔ dodokpɔ bubuwo abe ŋutilã ƒe akpa aɖewo ɖeɖe kple nɔnɔmetatawo dodokpɔ ene.
• Wole numekuku wɔm tso ʋudodokpɔ yeyewo (Galleri dodokpɔ, Proteomics-based test) siwo ate ŋu ade dzesi kansa le eƒe gɔmedzedze hã ŋu, gake womele wo zãm le afisiafi haɖe o.
• Ne èsusu be kansa le ye ŋu la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Woagblɔ dodokpɔ siwo tututu nèhiã na wò.
• Ne wò ʋudodokpɔ me tsonu sɔ hã la, na wò ɖɔkta nanya ne dzesi bubuwo le ŋuwò, elabena menye kansa katãe dzena le ʋua me o.

Eyata, mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne nya bubu aɖewo gale asiwò ku ɖe nane ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Woawoe nye amesiwo ate ŋu aɖo aɖaŋu nyuitɔ kekeake na wò.

` Kansa, ʋudodokpɔ, dɔdzẽ ƒe dzesiwo, CBC, dɔléle didi, kansa dada, ʋumenugbagbeviɣidɔ