Nusiwo wòle be nànya tso Ʋume Kansa ŋu - Mègavɔ̃ o, mina míaƒo nu tso eŋu!

Ne míese nya "kansa" la, mí katã míevɔ̃na vie, alo? Ne míese nya "ʋu me dɔdzẽ" la, vɔvɔ̃ ate ŋu age ɖe mía me wu. Gake ele vevie ŋutɔ be nànya nusi tututu wònye, nusita wòdzena, dzesi siwo le eŋu, kple ne atikewɔmɔnu aɖewo li. Ekema àte ŋu adze ŋgɔ nɔnɔme sia vɔvɔ̃ madzemadzee manɔmee. Eyata, egbea míaƒo nu tso ʋumenugbagbeviɣi sia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae Nye Ʋume Kansa? Nukae dzɔna le míaƒe ŋutilã me?

Kpuie ko la, ʋumekansa nye dɔléle si gblẽa nu le lãmenugbagbevi siwo wɔa ʋu le míaƒe ŋutilã me kple alesi lãmenugbagbevi mawo wɔa dɔe ŋu. Ʋumenugbagbeviɣidɔ siawo ƒe akpa gãtɔ dzea egɔme tso míaƒe ƒumeŋuɖui me. Ƒumeŋuɖui nye nu falɛfalɛ aɖe si le abe ƒumebɔbɔ ene le míaƒe ƒuwo me. Ƒumeŋuɖui siae míaƒe ŋutilã wɔa lãmenugbagbeviwo le. Emegbe lãmenugbagbevi siawo va zua ʋumenugbagbeviwo abe esia ene:

• Ʋumenugbagbevi dzĩwo: Esiawoe tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Bu wo abe agbatsɔʋu sue siwo tsɔa agbe yia míaƒe ŋutilã ƒe akpa sia akpa ene.
• Ʋumenugbagbeviɣiwo: Esiawo le abe asrafo siwo wɔa avu kple dɔlélewo kple dɔlékui siwo gena ɖe míaƒe ŋutilã me ene.
• Ʋumenugbagbeviɣiwo: Esiawo kpena ɖe ame ŋu be ʋu nagadona o ne abi aɖe le eŋu.

Fifia, ne ʋumenugbagbeviɣidɔ dze ame dzi la, le susu aɖewo ta la, ʋumenugbagbevi siawo wɔwɔ ƒe ɖoɖoa me gblẽna. Kansa lãmenugbagbevi siwo dzɔna ɣemaɣi mate ŋu awɔ dɔ si ʋumenugbagbevi nyuiwo wɔna o. Ke boŋ kansa lãmenugbagbevi siawo siwo mesɔ o la mãna kabakaba eye womete ŋu ɖua wo dzi o, eye wotsia ʋumenugbagbevi nyuiawo nu eye wowɔa nuwɔametɔ le ŋutilã bliboa me. Ele abe gbe vɔ̃ɖi siwo tsina hetsyɔa numiemie nyuiwo dzi ene.

Ʋumekansa nye dɔléle sesẽ aɖe, nyateƒee. Gake nya nyuiae nye be ame geɖe le hayahayam tso ʋumenugbagbeviɣidɔ me fifia, alo le agbe nɔm dzidzedzetɔe kple dɔlélea.

Ðe ʋumekansa ƒomevi aɖewo lia? Nukawoe wonye?

Ẽ, ʋumenugbagbeviɣidɔ ƒomevi vevi etɔ̃e li. Ƒomevi ɖesiaɖe ƒe ƒomevi sue geɖe le esi.

1. Ʋumenugbagbeviɣidɔ: Esiae nye ʋumenugbagbeviɣidɔ ƒomevi si bɔ wu, vevietɔ le ɖevime. Ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo dzea egɔme tso ƒumeŋuɖui me. Tso afima la, woate ŋu akaka ɖe ʋua me. Zi geɖe la, ʋumenugbagbevi ɣi siwo metsi o ye nye esiawo.

2. Lãmetsiŋusẽ: Esia nye kansa si dona le míaƒe ʋukawo me. Ʋumenugbagbeviɣidɔ dzea egɔme tso ʋumenugbagbevi ɣi ƒomevi aɖe si woyɔna be ʋumenugbagbevi dzĩwo dzi. Kansa lãmenugbagbevi siawo ate ŋu awɔ dɔdzẽ le teƒewo abe míaƒe ʋukawo ene. Hodgkin Lymphoma kple Non-Hodgkin Lymphoma ye nye ƒomevi sue eve vevitɔwo.

3. Myeloma: Esia hã nye kansa si dzea egɔme tso ƒumeŋuɖui me. Ekpɔa ŋusẽ ɖe ʋumenugbagbevi ɣi ƒomevi aɖe si woyɔna be plasma cells dzi. Multiple Myeloma ye nye ƒomevi sue si bɔ wu.

Tsɔ kpe ɖe ƒomevi vevi siawo ŋu la, ʋumenugbagbeviɣidɔ ƒomevi aɖewo siwo mebɔ o hã li:

• Myeloproliferative Neoplasms (MPN): Kansa sia nana wò ƒumeŋuɖui wɔa ʋumenugbagbevi ɣiwo, ʋumenugbagbevi dzĩwo, alo ʋumenugbagbevi dzĩwo geɖe wu alesi wòhiã.
• Myelodysplastic Syndromes (MDS): Le nɔnɔme sia me la, wò ƒumeŋuɖui wɔa ʋumenugbagbevi siwo mesɔ o. Ɣeaɖewoɣi la, ʋumenugbagbevi siawo metsina nyuie o, si tae wometsi o ɖo. Wogayɔa lãmenugbagbevi siawo siwo metsi o be blast.

Nukae nye dɔléle sia ƒe dzesiwo?

Ʋumenugbagbeviɣidɔ ƒe dzesiwo ate ŋu ato vovo le kansa ƒomevi si le eŋu nu, gake dzesi vevi aɖewo li siwo ŋu wòle be woalé ŋku ɖo le goawo katã me:

• Ðeɖiteameŋu ƒe seselelãme ŋutɔ (Ðeɖiteameŋu): Menye ɖeɖiteameŋu koe o, ke boŋ ɖeɖiteameŋu si gbɔ eme si medzona o eɖanye aleke kee nèdɔ alɔ̃ o.
• Gbɔgbɔtsixetsixe: Dɔ sue aɖe wɔwɔ gɔ̃ hã ate ŋu ana nàse le ɖokuiwò me be gbɔgbɔtsixe tsia ƒowò.
• Lãmetsiŋusẽ si vuvu: Vuvu si me vevesese aɖeke mele o le teƒewo abe kɔ, akɔta, kple akɔta ene.
• Dɔlékuiwo xɔxɔ enuenu: Dɔlékuiwo xɔa ame zi geɖe le esi ŋutilãa ƒe lãmenugbagbevi siwo wɔa avu kple dɔlélewo gbɔdzɔ ta.

Tsɔ kpe ɖe esia ŋu la, dzesi bubuwo ate ŋu anɔ eŋu:

• Ŋutilã ƒe vevesese, vevietɔ ƒu ƒe vevesese.
• Fifia si ƒoa ɖi le zã me: Vaseɖe afisi abadzivɔwo tsina.
• Aklã alo aklã si lolo.
• Ƒunukpeƒewo ƒe vevesese.
• Asrã si nɔa anyi ɖaa.
• Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o.
• Abi alo ʋu si mebɔ o, ʋu si dona tso abi sue aɖe gɔ̃ hã me, teƒe dzĩ suesuesuewo (petechiae) alo teƒe dzĩwo (purpura) le ŋutigbalẽa ŋu.

Nu vevitɔe nye be, mègavɔ̃ be kansa le ye ŋu le esi dzesi siawo dometɔ ɖeka alo esi wu nenema le ye ŋu ta ko o. Esiawo ate ŋu anye dɔléle bubu siwo bɔ ƒe dzesiwo hã. Gake ne dzesi siawo gakpɔtɔ li wu kwasiɖa ʋɛ aɖewo la, nunya anɔ eme godoo be nàkpɔ ɖɔkta eye woado wò kpɔ.

Nukatae ʋumenugbagbeviɣidɔ sia va doa mo ɖa? Nuka gbɔe wòtso?

Nu vevitɔ si hea ʋumenugbagbeviɣi vɛ enye tɔtrɔ (nutations) le ʋumenugbagbeviwo ƒe `DNA` me. Kpuie ko la, `(DNA)` le abe "dziɖuƒe" si naa mɔfiamewo míaƒe lãmenugbagbeviwo ene. Nusianu si afia ɣeyiɣi si wòle be ʋumenugbagbevi aɖe natsi, ɣeyiɣi si wòle be wòama, kple ɣeyiɣi si wòaku la, mɔfiame siwo `(DNA)` sia na lae afia.

Eyata, ne woŋlɔ mɔfiame siwo mesɔ o ɖe `(DNA)` sia me, si fia be ne `(nutation)` aɖe dzɔ la, ʋumenugbagbevi siwo mesɔ o dzea wɔwɔ gɔme le míaƒe ŋutilã me. Lãmenugbagbevi siawo siwo mesɔ o la dzea mama gɔme kabakaba eye womate ŋu aɖu wo dzi o wu lãmenugbagbevi siwo sɔ. Ne edzɔ alea la, ʋumenugbagbevi nyui siwo sɔ la va ɖua wo dzi vivivi, eye lãmenugbagbevi siwo mesɔ o yɔa nuɖoanyia me fũ.

Mlɔeba la, lãmenugbagbevi siwo sɔ siwo ƒumeŋuɖui wɔna ƒe xexlẽme dzi ɖena kpɔtɔna. Esia fia be lãmenugbagbevi nyui siwo wɔa dɔ veviwo na ŋutilã la mesɔ gbɔ o.

Nukawoe nye nusiwo ate ŋu ana woaxɔ ʋumenugbagbeviɣidɔ?

Nu aɖewo li siwo nana ʋumekansa xɔxɔ ƒe afɔkua dzina ɖe edzi. Woawoe nye:

• Ƒe: Afɔkua dzina ɖe edzi ne ame tsi.
• Ŋutsu alo nyɔnu nyenye: Ŋutsuwo ate ŋu axɔ ʋumenugbagbeviɣidɔ wu.
• Atamanono: Amesiwo noa atama alo amesiwo noa atama le afɔku me wu.
• Atike siwo me aɖi le zazã: Atikewo abe `(Benzene)` kple `(Formaldehyde)` zazã ɣeyiɣi didi ate ŋu ana afɔkua nadzi ɖe edzi. Afɔku sia lolo wu na amesiwo wɔa dɔ le teƒewo abe dɔwɔƒewo ene.
• Kansa dada va yi: Ne èxɔ kansa ƒe atikewo abe atike alo keklẽŋusẽdɔdamɔnu ene va yi la, afɔku si le ʋu me kansa xɔxɔ me ate ŋu adzi ɖe edzi vie.
• Ƒome ŋutinya: Ʋumekansa ƒomevi aɖewo zɔna le ƒomewo me. Ke hã, menye amesiame si ŋu ʋumenugbagbeviɣidɔ le la ƒe ƒome ŋutinya me dɔlélea le o.
• Atikewɔwɔ ƒe nɔnɔme aɖewo: Amesiwo ŋu dɔléle aɖewo siwo dɔlékuiwo ƒe dɔlélenutsiŋutete tsona (dɔléle siwo dzea ŋutilãa ŋutɔ ƒe lãmenugbagbeviwo dzi), dɔdzẽ si nɔa anyi didi, kple domenyiŋusẽfianu ƒe dɔléle aɖewo le la ate ŋu axɔ ʋumenugbagbeviɣidɔ.

Ðe nane li míate ŋu awɔ atsɔ aɖe afɔku sia dzi akpɔtɔa?

Ne míagblɔe tututu la, ʋumenugbagbeviɣidɔ menye dɔléle si woate ŋu axe mɔ na keŋkeŋ o. Ame si le lãmesẽ me si me afɔku aɖeke mele o gɔ̃ hã ate ŋu axɔ ʋumenugbagbeviɣidɔ. Gake ne wote ɖa le afɔku aɖewo, abe atamanono ene ŋu la, woate ŋu aɖe afɔkua dzi akpɔtɔ va ɖo afi aɖe.

Aleke ɖɔktawo wɔa dea dzesi dɔléle siae? (Dɔléle ƒe dzesi) .

Ne dzesi siawo le ŋuwò la, ɖɔkta abia wò gbã tso wò dzesiwo, wò atikewɔwɔ ŋutinya, kple nenye be dɔléle siawo nɔ wò ƒomea me dometɔ aɖe ŋu. Emegbe woawɔ ŋutilãmedɔdada blibo. Le kansa ƒomevi si ɖɔktaa susui nu la, ahiã be woawɔ dodokpɔ vovovo geɖe.

• Ʋudodokpɔwo:
• Ʋu Xexlẽme Blibo (CBC): Esia léa ŋku ɖe ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ si le ʋua me si le ʋɛ alo sɔ gbɔ ŋu.
• `Ʋu ƒe Dzɔdzɔmeŋusẽŋununya Dodokpɔ`: Esia léa ŋku ɖe protein kple enzyme aɖewo ŋu le ʋua me. Esiawo ate ŋu anye ʋumenugbagbeviɣidɔ ƒe dzesiwo.
• Nɔnɔmetatawo dodokpɔ: Esiawo ate ŋu adi kansa ƒe dzesiwo le ŋutilãa me. Dodokpɔ siawo ƒe kpɔɖeŋu aɖewoe nye CT scan, MRI scan, kple PET scan.
• Ƒumeŋuɖui Ŋuti Numekuku: Wò ɖɔkta aɖe wò ƒumeŋuɖui sue aɖe adoe kpɔ. Esia akpe ɖe mía ŋu míakpɔ kansa lãmenugbagbevi siwo mesɔ o ƒe agbɔsɔsɔme ne wotsɔe sɔ kple lãmenugbagbevi siwo sɔ, kple nenye be tɔtrɔ aɖewo le DNA me si ate ŋu ahe kansa vɛ.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒe atikewo?

Dzɔgbenyuietɔe la, ʋumekansa ƒe atike deŋgɔ geɖewo li fifia. Atikewɔwɔ vevi aɖewoe nye esi:

• Atikewo zazã:Esiae nye ʋumenugbagbeviɣidɔ ƒe atike vevitɔ. Ewɔa dɔ to kansa lãmenugbagbeviwo tsɔtsrɔ̃ kple dɔlélea ƒe kaka dzi ɖuɖu me, alo eɖenɛ ɖa keŋkeŋ. Wozãa ``Chemotherapy`` atike vovovowo na ʋumenugbagbeviɣidɔ ƒomevi vovovowo.
• Kekeli ƒe Dɔdamɔnu: Dɔdamɔnu sia zãa keklẽŋusẽ si me ŋusẽ geɖe le tsɔ gblẽa nu le lãmenugbagbevi siwo mesɔ o ƒe DNA ŋu eye woxea mɔ na wo be womama o. Ɣeaɖewoɣi la, wowɔa atike sia hã be woatsɔ aɖe dzesiawo dzi akpɔtɔ (Palliative Care). Zi geɖe la, wonaae kpe ɖe atikewɔmɔnu bubuwo ŋu.
• Dɔlélenutsiŋutete ƒe atikewɔwɔ: Esia wɔa dɔ to ŋusẽdodo wò ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete be wòakpe ɖe eŋu wòawɔ avu kple kansa. Monoclonal Antibodies kple CAR T-cell Therapy nye atikewɔmɔnu xɔŋkɔ siwo wozãna na esia.
• Atikewɔwɔ si Woɖo Ðe Ame Ŋu: Wotrɔ asi le atike siawo ŋu be woatɔ ŋku gbɔdzɔgbɔdzɔ tɔxɛ siwo le kansa lãmenugbagbeviwo me siwo domenyiŋusẽfianu ƒe tɔtrɔ hena vɛ la dzi ahadze wo dzi.
• Lãmenugbagbeviwo Dodo Ðe Ame Ŋu:
• Autologous Stem Cell Transplant: Le esia me la, ɖɔktawo ƒoa lãmenugbagbeviwo nu ƒu tso wò ŋutɔ wò ƒumeŋuɖui me hedzraa wo ɖo hafi naa atike si sɔ gbɔ wò. Ne atikewɔmɔnua wu kansa lãmenugbagbeviwo vɔ la, lãmenugbagbevi siwo le lãmesẽ me la gatrɔna yia wò ŋutilã me. Emegbe wowɔa ʋumenugbagbevi siwo le lãmesẽ me.
• Allogeneic Stem Cell Transplant: Ɣeaɖewoɣi la, ehiã be woatsɔ ƒumeŋuɖui si le lãmesẽ me aɖɔli ƒumeŋuɖui si gblẽ. Le go sia me la, ɖɔktawo dia ƒumeŋuɖui nana si sɔ na wò eye wozãa woƒe lãmenugbagbeviwo tsɔ ɖɔlia wò lãmenugbagbevi siwo gblẽ.

Ɣekaɣie nèdi be yeagakpɔ ɖɔkta ake?

Wò ɖɔkta agblɔ dzesi alo dzesi siwo ŋu wòle be nàlé ŋku ɖo le atikewɔwɔ vɔ megbe na wò. Kansa dadawo katã ate ŋu ahe nugbegblẽ le ame ŋu vɛ, eye wo dometɔ aɖewo ate ŋu anye nu sesẽwo. Wò ɖɔkta aɖe alesi nàte ŋu akpɔ nugbegblẽ le ame ŋu siawo dometɔ aɖewo gbɔ le aƒeme la me. Agblɔ ɣeyiɣi si wòhiã be nàwɔ ɖoɖo be yeakplɔe ɖo alo adi atikewɔwɔ kpata hã na wò.

Ðe woate ŋu ada ʋumekansa keŋkeŋa?

Ɛ̃! Zi geɖe la, ʋumenugbagbeviɣidɔdada ƒe taɖodzinue nye be woada dɔlélea keŋkeŋ. Ema fia be kansa la nu yi keŋkeŋ eye magatrɔ ava o. Togbɔ be ɣeaɖewoɣi la, womate ŋu adae bliboe o hã la, fifia atikewɔwɔ deŋgɔwo ɖea mɔ na ʋumenugbagbeviɣidɔ ƒomevi aɖewo be woage ɖe nɔnɔme si woyɔna be ``remission'' me. ' ``Kpɔɖeŋu'' fia be atikewɔwɔ ɖe kansa la dzi kpɔtɔ ale gbegbe be megadzena o eye womate ŋu akpɔe to dodokpɔwo me o. Ema fia be àte ŋu anɔ agbe si sɔ, si me lãmesẽ le kple dɔlélea.

Nukae nye amesiwo tsia agbe le ʋumenugbagbeviɣidɔ ta?

Agbetsitsi ƒe agbɔsɔsɔme toa vovo le kansa ƒomevi si woxɔ nu, gake ame akpa gãtɔ ate ŋu akpɔ mɔ be yewoanɔ agbe didi abe amesi si ʋu me kansa mele o ene.

Ðo ŋku edzi be ame aɖeke mate ŋu agblɔ ɣeyiɣi didi si tututu ame aɖe anɔ agbe ɖi o. Le kpɔɖeŋu me, ʋumenugbagbeviɣidɔ ƒomevi aɖewo wua ame wu bubuwo. Azɔ hã, agbetsitsi ƒe agbɔsɔsɔ siawo mebua atikewɔwɔ yeyetɔwo ƒe dzidzedzekpɔkpɔ ŋu o. Le nyateƒe me la, amesiwo tsi agbe le ʋumenugbagbeviɣidɔ me ƒe xexlẽme dzi ɖe edzi zi gbɔ zi eve le ƒe 40 siwo va yi me. Eye amesiwo tsi agbe le ʋumenugbagbeviɣidɔ me ƒe atɔ̃ ƒe agbetsitsi dzi ɖe edzi zi gbɔ zi ene le ƒe 40 siwo va yi me! Ame geɖe wu le agbe tsim le ʋumenugbagbeviɣidɔ me gbesiagbe.

Nukae mate ŋu awɔ be nye dzi nadze eme?

Ʋu me kansa kple edada ate ŋu akpɔ ŋusẽ ɖe wò lãmesẽ bliboa dzi. Nu siwo ate ŋu akpe ɖe ŋuwò nànɔ lãmesẽ me dometɔ aɖewoe nye esi:

• Ƒo nuɖuɖu si me nunyiame le, si da sɔ. Ʋu me kansa kple eƒe atikewo ate ŋu ana nuɖuɖu megadzroa ame o. Ne nuɖuɖu sesẽ na wò la, ƒo nu kple nuɖuɖuŋutinunyala aɖe tso alesi nàwɔ akpɔ nunyiame si nèhiã ŋu.
• Nɔ dɔ dzi alesi nàte ŋui. Kamedede le vevie, gake bia wò ɖɔkta be kamedede ƒe seƒe kae nàte ŋu awɔ dedie hã.
• Na ɖiɖiɖeme nanye nu vevitɔ. Ðo to wò ŋutilã. Gbɔ ɖe eme ɣesiaɣi si wòahiã, ke menye ne ɖeɖi te ŋuwò ko o.
• Takpɔ ɖokuiwò ta tso dɔlékuiwo me. Bia wò ɖɔkta tso mɔ siwo dzi nàto axe mɔ ɖe dɔléle nu ŋu (e.g., ƒo asa na teƒe siwo amewo sɔ gbɔ ɖo, asikɔklɔ enuenu).
• Lé be na wò susu ƒe lãmesẽ. Le ɣeyiɣi sesẽwo abe esiawo ene me la, nuƒoƒo kple atikewɔla alo gege ɖe kpekpeɖeŋunaha aɖe me ate ŋu anye ŋusẽtsoƒe gã aɖe. Ate ŋu akpe ɖe ŋuwò hã be nànɔ te ɖe agbe si nànɔ le kansa megbe la nu.

Le atikewɔmɔnu yeyewo ta la, ame geɖe va le ʋumenugbagbeviɣidɔ lém fifia wu tsã. Eye ame geɖe siwo ŋu wokpɔ dɔlélea le la le dɔlélea ƒe tsɔtsɔke me. Nya gã aɖee nye esia. Gake ʋumenugbagbeviɣidɔ gakpɔtɔ nye dɔléle sesẽ aɖe. Eyata ele vevie be nàwɔ kpekpeɖeŋu kple nunɔamesi siwo katã li na wò la ŋudɔ. Se wò atikewɔmɔnu siwo katã nàte ŋu awɔ la gɔme. Ƒo nu kple wò ɖɔkta tso alesi dɔléle si wokpɔ le ŋuwò kple atikewɔwɔ akpɔ ŋusẽ ɖe wò etsɔme dzii ŋu.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Ʋume Kansa nye nya dziŋɔ aɖe. Gake ɖo ŋku nu siawo dzi:

• Sidzedzee nye ŋusẽ gãtɔ kekeake. Ele vevie ŋutɔ be woanya nu tso dɔléle sia kple edada ŋu nyuie.
• Egbea la, atike siwo wɔa dɔ nyuie ŋutɔ li na ʋumenugbagbeviɣidɔ. Ame geɖe hayana bliboe alo nɔa agbe nyuie ne wole dɔlélea dzi ɖum.
• Ne dzesi aɖewo le ŋuwò la, yi ɖɔkta gbɔ kaba.
• Dzro nusianu me gaglãa kple wò ɖɔkta le atikewɔwɔa me.Bia wò nyabiasewo kple vɔvɔ̃wo katã.
• Menye wò ɖeka koe o. Xɔ kpekpeɖeŋu tso ƒometɔwo, xɔlɔ̃wo, atikewɔlawo, kple kpekpeɖeŋunahawo gbɔ.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` Ʋume Kansa, Ʋumenugbagbeviɣidɔ, Lãmetsiŋusẽ, Myeloma, Kansa ƒe Dzesiwo, Kansa ƒe Atikewɔwɔ