Ne ɖɔkta gblɔ na wò alo ame aɖe si nènya be "prostate cancer" le ŋuwò la, esɔ be nàvɔ̃ ŋutɔ eye nàtsi dzodzodzoe ne èse nya mawo. Ne míese nya "kansa" la, míebua nuwo abe amekoko, atikewɔmɔnu, kple keklẽŋusẽdɔdamɔnu ene ŋu. Gake ɖe nènya be menye ʋuka me dɔdzẽwo katãe hiã be woawɔ atike gã ma enumake oa? Egbea, míele nu ƒom tso mɔnu tɔxɛ aɖe si wozãna le nɔnɔme mawo tɔgbe me ŋu.
Kpuie ko la, nukae nye Active Surveillance?
"Active Surveillance" gɔmee nye "kple ŋkuléle ɖe nu ŋu vevie" ko. Eyae nye be womadze amekoko alo keklẽŋusẽ zazã gɔme enumake na ʋumenugbagbeviɣidɔ o, ke boŋ woalé ŋku ɖe kansa la ƒe nuwɔna ŋu ɣesiaɣi le ɖɔkta ƒe dzikpɔkpɔ nyuie te.
Esia ƒe taɖodzinu vevitɔe nye be woahe atikewɔwɔa gɔmedzedze ɖe megbe vaseɖe esime wòahiã ŋutɔŋutɔ. Wozãa mɔnu sia na kansa siwo me afɔku mele o , si nye esiwo tsina blewu, siwo le gɔmedzedzea me ko. Numekuku aɖe si wowɔ nyitsɔ laa ɖee fia be ŋutsu 6 le 10 ɖesiaɖe me siwo ŋu ʋumenugbagbeviɣidɔ si me afɔku mele o le la le Active Surveillance mɔnu sia te. Esia fia be fifia esia nye mɔnu si wozãna le afisiafi ŋutɔ, si dzi woda asi ɖo.
Amekae Active Surveillance mɔnu sia sɔ na?
Esia menye mɔnu si sɔ na amesiame o. Hafi wò ɖɔkta nakafu mɔnu sia na wò la, ele be nɔnɔme siawo nanɔ wò kansa ŋu:
- Kansa la mekaka ɖe prostate gland godo o .
- Ðewohĩ kansa la mawɔ adã o , enɔ te ɖe dɔdzẽa ƒe lolome, eƒe tsitsi ƒe agbɔsɔsɔ, kple wò Gleason ƒe dzesi (mɔnu tɔxɛ aɖe si wozãna tsɔ dzidzea alesi kansa lãmenugbagbeviwo wɔa adãe le ŋutilã ƒe akpa aɖewo ɖeɖe vɔ megbe) nu.
Ne èva nya be kansa le ye ŋu la, esɔ be nàse le ɖokuiwò me be, ‘Oo, ehiã be mawɔ atike na esia eye mawu enu kaba.’ Mègavɔ̃ be yeaƒo nu tso nya sia ŋu gaglãa kple wò ɖɔkta o.
Nukae dzɔna le Active Surveillance me?
Le nuɖoanyi sia te la, menye aƒeme koe nènɔa anyi o. Wò kansaŋutinunyala alé ŋku ɖe ŋuwò edziedzi. Abe alesi wowɔa ʋu ƒe dzadzraɖo ene la, woalé ŋku ɖe wò ŋutilã ƒe nɔnɔme ŋu edziedzi.
| Dodokpɔ | Zi nenie? (Xexlẽme) |
|---|---|
| Digitál Rectal Dodokpɔ (DRE) . | Zi geɖe la, zi ɖeka alo zi eve le ƒea me |
| PSA ʋudodokpɔ (PSA Dodokpɔ) . | Zi geɖe la, zi ɖeka alo zi eve le ƒea me |
| Prostate Ultrasound kple Biopsy ƒe dɔwɔwɔ | Ƒe 1-5 ɖesiaɖe (abe alesi ɖɔktaa ɖoe ene) . |
| MRI-mɔfiame ƒe ŋutilã ƒe akpa aɖewo ɖeɖeɖa | Le go aɖewo me la, ɖɔkta ate ŋu akafui. |
Dodokpɔ siawo akpe ɖe wò ɖɔkta ŋu wòalé ŋku ɖe wò kansa ŋu be wòakpɔe ɖa be ele lolom ɖe edzi alo le kakam hã. Ne dzesi yeye aɖewo dze le ŋuwò alo ne wò dodokpɔwo ɖee fia be wò kansa le dzidzim ɖe edzi la, wò ɖɔkta aƒo nu kpli wò eye wòadzudzɔ Active Surveillance, eye wòaɖo wò ɖe atikewɔmɔnu si sɔ gbɔ.
Viɖe kple afɔku kawoe le mɔnu sia ŋu?
Viɖe vevitɔ si le eŋu
Viɖe gãtɔ kekeake si le esia ŋue nye be àte ŋu anɔ agbe atikewɔwɔ ƒe nugbegblẽ le ame ŋu manɔmee. Amekoko kple keklẽŋusẽdɔdamɔnu na ʋumenugbagbeviɣidɔ ate ŋu ana nuwo abe aɖuɖɔtoe nasesẽ kple gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie ene. Active Surveillance ate ŋu akpɔ wò agbenɔnɔ ƒe nyonyome ta to atikewɔwɔ siawo hehe ɖe megbe vaseɖe esime wohiã ŋutɔŋutɔ.
Ŋɔdzi
Afɔku vevitɔe nye be ne kansa la dze tsitsi gɔme la, ate ŋu ahe ɖe megbe le edada gɔmedzedze me. Ɣeaɖewoɣi la, kansa la ate ŋu atsi eye wòakaka ɖe ŋutilã ƒe akpa bubuwo (metastasize). Gake ne wodo wò kpɔ le ɣeyiɣi nyuitɔ dzi la, woate ŋu aɖe afɔku sia dzi akpɔtɔ ŋutɔ. Esia tae woyɔa esia be "kple ŋkuléle ɖe nu ŋu vevie."
Vovototo kae le ŋkuléle ɖe ame ŋu vevie kple Lala nyuie dome?
Nya eve siawo ɖi wo nɔewo vie, si ate ŋu ana ame aɖewo natɔtɔ. Togbɔ be wo ame evea siaa nye "kpɔkpɔ" ƒe mɔnuwo hã la, vovototo gã aɖe le wo dome.
| Nɔnɔme si le ame ŋu | Kpɔkpɔ Nyuie | Lala Ŋudzɔnɔnɔ |
|---|---|---|
| Taɖodzinu vevitɔ | Lé ŋku ɖe kansa ƒe nuwɔna ŋu be woadze atikewɔwɔ gɔme le ɣeyiɣi nyuitɔ dzi, kple taɖodzinu be woada kansa la. | Le esi teƒe be woada kansa la, ekuna ɖe dzesi siwo doa mo ɖa dzi ɖuɖu ŋu. Ne dzesiawo dze ko hafi wowɔa atike nɛ. |
| Dodokpɔ siwo wowɔ | Wowɔa dodokpɔwo abe PSA, DRE, kple Biopsy ene ɖe ɖoɖo nu le ɖoɖowɔɖi si woɖo nu. | Womewɔa dodokpɔ aɖeke ɖe ɖoɖo nu o. Ne dzesiwo dze le dɔnɔwo ŋu ko hafi wodoa wo kpɔna. |
| Amekawoe wòsɔ na? | Le amesiwo le lãmesẽ me, woƒe agbenɔƒe didi wu eye kansa xɔxɔ ƒe afɔkua le sue wu gome. | Le amesiwo tsi, dɔléle sesẽ bubuwo le wo ŋu, eye woƒe agbenɔƒe le kpuie gome. |
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne èle Active Surveillance dzi, ne dzesi yeye aɖewo dze ŋuwò (e.g., aɖuɖɔɖɔɖɔ sesẽ, ƒu ƒe vevesese) alo ne wò dzesi siwo li xoxo la gavloe ɖe edzi la, na wò ɖɔkta nanya enumake. Azɔ hã, kpɔ egbɔ be yede dɔdaƒe ƒe ɣeyiɣi siwo nèɖo be yeawɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Active Surveillance nye mɔnu si wozãna tsɔ kpɔa ʋumenugbagbeviɣidɔ si me afɔku mele o, si tsina blewu la gbɔ .
- Taɖodzinu vevitɔ le afisiae nye be woaƒo asa na atikewɔwɔ ƒe nugbegblẽ le ame ŋu eye woalé agbenɔnɔ ƒe nyonyome me ɖe asi, .Dɔdamɔnua hehe ɖe megbe vaseɖe ɣeyiɣi si me wòhiã.
- Menye lala kple ŋkuléle ɖe nu ŋu koe esia nye o, ke boŋ enye ɖoɖo si me wowɔa dodokpɔwo abe PSA, DRE, kple ŋutilã ƒe akpa aɖewo ɖeɖeɖa ene edziedzi le ɖɔkta ƒe dzikpɔkpɔ nyuie te .
- Ne kansa ƒe dzesiwo dze la, ɖɔktaa adze atikewɔwɔ gɔme enumake.
- Esia nye nyametsotso si wòle be mia kple wò ɖɔkta miawɔ ɖekae. Dzro wò dzimaɖitsitsiwo kple vɔvɔ̃wo katã me kple wò ɖɔkta, eye nàwɔ nyametsotso sia kple gɔmesese blibo.
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