Nyabiase ɖeka si vaa susu me na amesiame si le no me dɔdzẽ ƒe atike wɔm zi ɖeka ya teti enye, ‘Ðe dɔléle sia nu yi keŋkeŋ fifiaa?’ Vɔvɔ̃ ma sɔ ŋutɔ. Gake nya nyuiae nye be zi geɖe la, no me dɔdzẽ megatrɔna o. Ke hã, ɣeaɖewoɣi ate ŋui.
Ne egatrɔ gbɔ la, míeyɔnɛ be ‘ gbugbɔgadzɔ’ . Mɔ vovovowo li siwo dzi esia ate ŋu ato adzɔ ɖo. Ðekae nye be egatrɔna vaa no si me kansa gbãtɔa nɔ la ke me alo le teƒe si te ɖe eŋu. Ɣeaɖewoɣi la, ate ŋu akaka ɖe ʋuka siwo te ɖe wo ŋu me. Ɣebubuɣiwo la, ate ŋu akaka ɖe ŋutilã ƒe akpa siwo le didiƒe abe ƒuwo alo lãkusiwo ene.
Nuka ŋue ɖɔktaa ƒe susu le?
Tso esime wokpɔ no me dɔdzẽ le ŋuwò zi gbãtɔ la, wò ɖɔktawo alé ŋku ɖe nusiwo ana nàgatrɔ ava ŋu. Nyatakaka siawo akpe ɖe wo ŋu woatso nya me le atikewɔwɔ si nyo na wò ŋu.
"Míate ŋu agblɔe kple kakaɖedzi 100% be kansa atrɔ ava o. Gake fifia míate ŋu agblɔe ɖi kple kakaɖedzi si lolo wu tsã," eŋutinunyala bibi aɖe gblɔ.
Wowɔ ŋgɔyiyi gãwo le go sia me le ƒe 10 siwo va yi me, vevietɔ le kansa siwo me estrogen -xɔla le me.
Kpuie ko la, zi alesi dɔdzẽa loloe la, zi nenemae wòkaka ɖe lãmeka bubuwo me la, zi nenemae afɔku si le eme be wòagadzɔ ake la dzina ɖe edzii. Azɔ hã, kansa ƒe nugbagbeŋutinunya le vevie ŋutɔ. Eyae nye be nusiwo koŋ xɔa dɔlékuiwo le kansadɔlékuiawo dzi. Le kpɔɖeŋu me, no me dɔdzẽ ƒomevi aɖe si woyɔna be ``triple-negative'' (si fia be kansa si me estrogen, progesterone, kple HER2 ƒe xɔla etɔ̃awo katã mele o) ate ŋu agadzɔ vie.
| Nusiwo ŋu wòle be woabu ne wole afɔku me tom | Nukatae ema le vevie? |
|---|---|
| Ƒe si nèxɔ kple nenye be èto dzinukpɔkpɔ me kpɔ | Ƒe si ame xɔ kple lãmetsiŋusẽ ƒe agbɔsɔsɔ ate ŋu akpɔ ŋusẽ ɖe afɔku dzi. |
| Tumor ƒe lolome | Zi geɖe la, dɔdzẽ siwo lolo wu do ƒome kple afɔku si lolo wu be woagadzɔ ake. |
| Eɖanye be ekaka ɖe ʋuka siwo me ʋu sina tona me o | Kansa lãmenugbagbeviwo ƒe anyinɔnɔ le aɖuɖɔ me ɖee fia be kansa ate ŋu akaka. |
| Kansa ƒe xɔla ƒe nɔnɔme | Atikewɔwɔ kple afɔkua toa vovo le nenye be kansa la nye ER-positive, PR-positive, HER2-positive, alo triple-negative. |
Dodokpɔ tɔxɛ siwo léa ŋku ɖe afɔkua ŋu nyuie wu
Ɣeaɖewoɣi la, ne kansa la lolo ŋutɔ alo kaka ɖe ʋukawo me la, esesẽna be woagblɔ afɔku si tututu le eme. Ðɔktawo yɔa esia be ‘anyigba ɣi.’
Le nɔnɔme siawo tɔgbe me la, dodokpɔ tɔxɛ aɖewo li siwo ate ŋu ana nyatakaka geɖe wu . Gake menye dodokpɔ siawo katãe sɔ na kansa ƒomevi ɖesiaɖe o.
- Oncotype DX: Esiae nye dodokpɔ si wozãna wu. Eléa ŋku ɖe domenyiŋusẽfianu 21 siwo le wò kansa ƒe kpɔɖeŋu sue aɖe me ŋu. Le alesi domenyiŋusẽfianu mawo wɔa dɔ nyuie nu la, èxɔa ‘dzesi si gbugbɔna dzɔna’ le 0 va ɖo 100. Dzesi sia ate ŋu akpe ɖe wò ɖɔkta ŋu wòase alesi wòanya wɔ be wò kansa nagatrɔ ava le etsɔme kple nenye be atikewɔmɔnu aɖe vi na wò hã gɔme. Gake kansa siwo me estrogen-xɔla le eye womekaka ɖe ʋukawo me o koe woate ŋu awɔ dodokpɔ sia.
- Dodokpɔ bubuwo: Dodokpɔ siwo woyɔna hã li be `(MammaPrint)`, `(No me dɔdzẽ ƒe dzesi)`, `(Pam50)`, kple `(EndoPredict)`. Esiawo dometɔ aɖewo kpena ɖe ame ŋu wògblɔa afɔku si le kansa ƒe tɔtrɔ gbɔ le ƒe atɔ̃ megbe ɖi.
Ʋudodokpɔ siwo woawɔ le etsɔme
Numekulawo ƒe ƒuƒoƒo aɖe le agbagba dzem fifia be yewoato ʋudodokpɔ aɖe vɛ si ate ŋu ade dzesii nenye be kansa ate ŋu agadzɔ ake.
Dodokpɔ sia ƒomevi le vevie ŋutɔ ne wowu atikewɔwɔwo katã nu vɔ, esime kansa ƒe lãkusi aɖeke megali woatsɔ adoe kpɔ o.
Dzɔdzɔmeŋutinunyala siwo kpɔ gome le numekukua me dometɔ ɖeka gblɔ be: "Ne míete ŋu nya amesiwo tututu agaxɔ kansa la ake la, míate ŋu atso nya me nenye be wohiã atikewɔwɔ bubuwo. Emegbe míate ŋu adze numekuku gɔme tso atike yeye siwo awɔ dɔ na wo kabakaba wu ŋu." "Míaƒe taɖodzinu vevitɔe nye be míaxe mɔ ɖe no me dɔdzẽ si kaka ɖe teƒe bubuwo nu, si dzi kpɔkpɔ sesẽ eye wònye no me dɔdzẽ ƒe ku ƒe 90%."
Gake wogblɔ be axɔ ƒe geɖe hafi woate ŋu awɔ ʋudodokpɔ aɖe si ɖɔktawo ate ŋu azã .
Nukae nàte ŋu awɔ?
Vaseɖe esime dzɔdzɔmeŋutinunyalawo nakpɔ dodokpɔ yeyewo abe esia ene la, nanewo li nàte ŋu awɔ. Wò gbesiagbenuwɔnawo ate ŋu akpe ɖe ŋuwò nàɖe afɔku sia dzi akpɔtɔ. Le kpɔɖeŋu me, ele vevie be nàde kame edziedzi eye nàlé wò kpekpeme si sɔ me ɖe asi .
Nu bubu si dzi wòle be míaɖo ŋkui enye be afɔku si le dɔlélea gbugbɔgadzɔ me kple agbetsitsi ƒe agbɔsɔsɔme nye nu vovovo eve . Esia le vevie ŋutɔ. Kpɔe ɖa le susu me be ame aɖe si ŋu no me dɔdzẽ le, exɔ atike, eye emegbe kansa la gava le ƒe eve megbe. Gake ne wokpɔe kaba la, ame ma ate ŋu anɔ agbe nyuie ƒe bla nanewo.
Eyata, mègato wò ɣeyiɣi siwo nèɖo be yeakplɔe ɖo dometɔ aɖeke ŋu o . Ne nya aɖe alo nya aɖe le asiwò la, kpɔ egbɔ be yebia wò ɖɔkta.
"Ele vevie be nàƒo nu kple wò ɖɔkta eye nàse nusi tututu wò ŋutɔ wò afɔku nye kple nusi wòfia gɔme. Esia akpe ɖe ŋuwò nàwɔ nyametsotso nyuiwo le wò atikewɔwɔ ŋu. Kansa gbɔ kpɔkpɔ ate ŋu anye nuteƒekpɔkpɔ dziŋɔ, si tɔtɔa ame. Eyata ele be nàse le ɖokuiwò me be yevo ne yeƒo nu kple yeƒe ɖɔkta tso yeƒe vɔvɔ̃wo ŋu."
Gbedasi si Wotsɔ Yi Aƒeme
- Zi geɖe la, no me dɔdzẽ megadzɔna le atikewɔwɔ vɔ megbe o, eyata mègavɔ̃ madzemadzee o.
- Afɔku si le kansa ƒe tɔtrɔgbɔ me nɔ te ɖe nusiwo nye dɔdzẽa ƒe lolome, alesi wòkaka ɖe lãkusi siwo te ɖe eŋu me, kple kansa ƒomevi si me nugbagbeviwo le dzi.
- Be ɖɔktawo nanya afɔku si tututu le wò afɔku me eye woatia atike nyuitɔ kekeake la, woate ŋu azã dodokpɔ tɔxɛwo abe Oncotype DX ene.
- Àte ŋu akpe asi ɖe afɔku sia dzi ɖeɖe kpɔtɔ hã ŋu to kamedede edziedzi kple wò kpekpeme si sɔ me léle ɖe asi me.
- Nu vevitɔe nye be nàƒo nu kple wò ɖɔkta gaglãa. Se wò vɔvɔ̃wo kple biabiawo katã. Ele vevie ŋutɔ na wò susu ƒe lãmesẽ hã.
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