Tsɔe be èkpɔ ƒuƒu sue aɖe le wò nu me, ɖewohĩ le wò aɖe te alo le wò ŋgonu me. Mevea ame kura o, eyata ɖewohĩ màlé ŋku ɖe eŋu boo o. Gake nu sue aɖe abe esia ene gɔ̃ hã le vevie be nànɔ ŋudzɔ. Egbea míele nu ƒom tso kansa ƒomevi aɖe si ate ŋu adze egɔme tso dzesi siawo tɔgbe dzi, si mebɔ vie o gake ele be míanya nu tso eŋu. Emae nye Adenoid Cystic Carcinoma, alo ACC.
Nuka tututue nye adenoid cystic carcinoma (ACC)?
Kpuie ko la, ACC nye kansa ƒomevi aɖe si mebɔ kura o. Zi geɖe la, edzea egɔme tso aɖuɖɔtoe siwo le míaƒe nu me la me. Ènya be aɖuɖɔtoe ƒomevi vevi etɔ̃e le míaƒe nu mea?
1. Parotid glands: Esiawo le towo gbɔ, le ŋgonu ƒe akpa eveawo.
2. Submandibular glands: Esiawo le míaƒe aɖu si le ete te.
3. Sublingual glands: Esiawo le aɖe te.
Zi geɖe la, ACC kansa dzea egɔme tso lãkusi siawo me, gake ate ŋu adze nu me ƒe akpa bubuwo, ŋɔti me, fifia ƒe lãkusiwo, alo aɖatsi ƒe lãkusiwo gɔ̃ hã me ɣeaɖewoɣi.
Nu tɔxɛ siwo le kansa sia ŋu dometɔ ɖekae nye be etsina kabakaba ŋutɔ. Eyata ɣeaɖewoɣi la, ate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo hafi dzesiawo nadze. Eye le atikewɔwɔ kple dɔyɔyɔ vɔ megbe gɔ̃ hã la, ate ŋu agava le ƒe geɖe megbe.
Nukae nye esia ƒe dzesiwo?
ACC kansa ƒe dzesi vevitɔ kple gbãtɔ ate ŋu anye ƒunukpeƒetetedɔ si me vevesese mele o si dona le nu me, aɖe te, alo ŋgonu me. Kpe siawo lolona ɖe edzi. Tsɔ kpe ɖe dzesi vevi sia ŋu la, woate ŋu akpɔ dzesi bubu geɖewo hã.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Nu mimi sesẽ | Sese le ɖokuiwò me abe ɖe nèle ƒoƒom ene ne èle nuɖuɖu kple nunono mimi. |
| Gbe ƒe tɔtrɔ | Gbe si le ɖiɖim alo to vovo tso alesi wònɔna ɖaa gbɔ. |
| Mo ƒe ʋuʋu alo vevesese | Esi wònye be kansa sia ate ŋu akaka ɖe lãmekawo me ta la, mo ƒe akpa aɖewo ate ŋu agbã alo ase veve. |
| Mo ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ | Sese le eɖokui me abe ɖe wole mo ƒe akpa ɖeka hem ene alo lãmekawo dzi ɖuɖu sesẽna na wò. |
| Gbɔgbɔ sesẽ to ŋɔti me | No me ʋuʋu alo ʋu si dona le ŋɔti me. |
Ne dzesi siawo dometɔ aɖe le ŋuwò la, taflatse mègaŋe aɖaba ƒu wo dzi o. Kpɔ wò ƒomea ƒe ɖɔkta enumake. Ate ŋu anya nusi tututu gbɔ wòtso.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne èyi ɖɔkta gbɔ la, abia wò dɔlélea ƒe dzesiwo gbã. Eyae nye be ɣekaɣie nède dzesi ƒunukpeƒea, ne ele tsitsim, ne ele veve sem, ne èse le ɖokuiwò me be yeƒe lãme le ʋuʋum, kple bubuawo.Ekema alé ŋku ɖe wò nu, mo, kple kɔ ŋu nyuie. Alé ŋku ɖe ʋuka siwo vuvu le wò kɔ ŋu hã ŋu.
Tsɔ kpe ɖe eŋu la, woate ŋu abia be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.
- Nɔnɔmetatawo Dodokpɔwo: Scan siawo kpena ɖe ame ŋu be woanya afisi tututu dɔdzẽa le, afisi wòle, kple ne kansa la kaka.
- MRI (Magnetic Resonance Imaging): Ezãa magnet-ŋusẽ tsɔ xɔa nɔnɔmetata tsitotsito.
- CT scan (Computed Tomography): Woƒoa X-ray siwo kplɔ wo nɔewo ɖo nu ƒu tsɔ wɔa nɔnɔmetata siwo me kɔ nyuie.
- PET scan (Positron Emission Tomography): Ekpena ɖe ame ŋu wòtsɔa amadede ƒe nɔnɔmetatawo dea dzesi kansa lãmenugbagbeviwo ƒe teƒewo.
- Biopsy: Esia nye dodokpɔ si wowɔna tsɔ ɖoa kpe edzi 100% nenye be kansae alo menyee o. Le afisia la, woɖea lãkusi sue aɖe ŋutɔ tso dɔdzẽa me eye wodoa wo kpɔ le nusuekpɔmɔ̃ me. Dɔléleŋutinunyala aɖee dzroa esia me.
Nukatae kansa sia ƒomevi dzea ame dzi?
Ðɔktawo menya nusi tututu gbɔ ACC tsona haɖe o, gake woxɔe se be tɔtrɔ aɖewo (trɔtrɔ) le míaƒe domenyiŋusẽfianuwo me gbɔe kansa sia tsona.
Nu vevitɔe nye be domenyiŋusẽfianu ƒe tɔtrɔ siawo menye domenyinu o. Eyae nye be wometsɔa wo tso dzila gbɔ yia vi gbɔ o. Wonye tɔtrɔ siwo dzɔna le vome le agbe me, ɖewohĩ le nusiwo le abe kansadɔlékui siwo le nutoa me ene gbɔ.
Nukawoe nye atikewɔmɔnuawo?
Atike vevitɔ si wozãna na ACC enye amekoko be woaɖe dɔdzẽa kple lãkusi siwo ƒo xlãe ɖa.
1. Amekoko
Amekoko si ƒomevi woawɔ la nɔ te ɖe afisi dɔdzẽa le dzi. Woɖea aɖuɖɔtoe si ŋu dɔlélea le la ɖa kpe ɖe dɔdzẽa ŋu, le eƒe akpa bliboa alo eƒe akpa aɖe. Esi wònye be ACC kansa ate ŋu akaka ɖe lãmekawo me ta la, ɖɔktawo léa ŋku ɖe lãmeka siwo ƒo xlãe ŋu nyuie le amekoko me. Ɣeaɖewoɣi la, lãmeka siwo kpɔa mo ƒe ʋuʋu dzi ate ŋu agblẽ. Gake ne esia dzɔ la, woate ŋu azã amekokomɔnu deŋgɔwo abe mo gbugbɔgawɔ ene atsɔ ana lãmeka mawo nagawɔ dɔ nyuie.
2. Kekeli ƒe Dɔdamɔnu
Le amekoko megbe la, zi geɖe la, wozãa keklẽŋusẽdɔdamɔnu tsɔ wua kansadɔlékui ɖesiaɖe si susɔ. Ɣeaɖewoɣi la, wozãa atikewɔwɔ sia ne amekoko mate ŋu adzɔ o. Gake atikewɔwɔ sia ate ŋu ahe nugbegblẽ le ame ŋu abe nu ƒe ƒuƒu, nu mimi sesẽ, kple aɖu ƒe gbegblẽ ene vɛ. Eyata ele vevie be nàwɔ dɔ kplikplikpli kple wò ɖɔkta kple aɖudɔdala le atikewɔwɔ me.
3. Atikewɔwɔ bubuwo
Le nɔnɔme deŋgɔ aɖewo me la, ɖɔktawo ate ŋu abu nuwo abe atikewɔmɔnu alo atikewɔwɔ si woɖo taɖodzinu na ene hã ŋu. Esiawo nye atikewɔwɔ siwo gakpɔtɔ le numekuku ƒe afɔɖeɖea me.
Nukae dzɔna le atikewɔwɔ vɔ megbe?
ACC nye kansa si dina be yeagadzɔ ake. Eyata enye sedziwɔwɔ be woayi dodokpɔ kple fotoɖeɖe edziedzi le atikewɔwɔ vɔ megbe. Le ɖɔktaa ƒe nya nu la, ne wowɔ dodokpɔ siawo ɖe game dzi la, ne kansa la gadze ake la, woate ŋu ade dzesii ahadae le eƒe gɔmedzedze.
Ele vevie be míase egɔme be togbɔ be akɔntabubuwo li ku ɖe agbetsitsi ƒe agbɔsɔsɔ ŋu hã la, akɔntabubuwo koe wonye. Dɔnɔ ɖesiaɖe to vovo, eye nenema kee woƒe nuwɔna ɖe atikewɔwɔ ŋu hã to vovo. Eyata àte ŋu axɔ wò nɔnɔmea ŋuti nyatakaka nyuitɔ kekeake tso ɖɔkta si le dɔ wɔm na wò gbɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Adenoid cystic carcinoma (ACC) nye kansa ƒomevi aɖe si mebɔ o si dona le aɖuɖɔtoewo me.
- Dzesi gbãtɔ ate ŋu anye ƒunukpeƒetetedɔ si me vevesese aɖeke mele o le nu me alo le kɔ me.
- Kpɔ dzesiwo abe gbe ƒe tɔtrɔ, nu mimi sesẽ, kple mo ƒe ʋuʋu ene hã ɖa.
- Ne dzesi siawo dometɔ aɖe le ŋuwò la, mègatsi dzodzodzoe eye nàyi ɖɔkta gbɔ enumake o.
- Dɔdamɔnu vevitɔe nye amekoko, eye emegbe wozãa keklẽŋusẽdɔdamɔnu.
- Le atikewɔwɔ vɔ megbe gɔ̃ hã la, kansa ate ŋu agava, eyata ele vevie be woado wo kpɔ edziedzi le atikewɔƒe .
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee