No me Dɔdzẽ ƒe Gbɔdzɔgbɔdzɔwo

Ne míese nya "kansa" la, mí katã míetsia dzodzodzoe vie, alo? Vevietɔ ne míese nya no me dɔdzẽ la, vɔvɔ̃ ɖoa nyɔnu siwo le míaƒe dukɔa me vevie. Gake mègavɔ̃ o. Atikeŋutinunya le ŋgɔ yim gbesiagbe. Fifia woto mɔnu yeyewo vɛ le xexeame be woatsɔ ade dzesi no me dɔdzẽ kaba ahadae dzidzedzetɔe wu. Eyata egbea, mina míaƒo nu tso mɔnu yeye siawo siwo ŋugbe wodo la ŋu. Esiawo nyanya anɔ vevie na wò kple wò ame veviwo ŋutɔ.

Mɔnu yeye siwo wozãna tsɔ dea dzesi kansa

Zi geɖe la, míewɔa no me dɔdzẽ kple ultrasound tsɔ léa ŋku ɖe no me dɔdzẽ ŋu. Ɣeaɖewoɣi la, ɖɔktawo kafui hã be woawɔ MRI-dɔdamɔnu. Gake numekulawo le ŋku lém ɖe foto siwo de ŋgɔ wu, siwo de pɛpɛpɛ wu ŋu fifia.

Kpuie ko la, esiawo nye mɔ̃ɖaŋununya deŋgɔ, mɔnu siwo sɔ pɛpɛpɛ siwo dzi woato ade dzesi kansa lãmenugbagbeviwo.

• Nukpɔkpɔ ƒe Nɔnɔmetata: Esia bia be woaklẽ kekeli tɔxɛ aɖe to no me. Dodokpɔa dzidzea kekeli si trɔna yia megbe alo toa lãkusia me. Wole numekuku wɔm fifia be woakpɔe ɖa be woate ŋu atsɔ mɔnu sia akpe ɖe MRI alo 3D mammograms ŋu be woatsɔ ade dzesi kansa nyuie wu hã.
• Molecular Breast Imaging (MBI): Afi siae nane si wɔ nuku ŋutɔŋutɔ dzɔna le. Wodoa atike si me keklẽŋusẽ le (tracer) sue aɖe ŋutɔ ɖe ŋutilãa me to ʋuka aɖe me. Atike sia yia no me dɔdzẽ ƒe lãmenugbagbeviwo gbɔ tẽ eye wòléna ɖe wo ŋu. Emegbe ne ètsɔ fotoɖemɔ̃ tɔxɛ aɖe kpɔe la, àte ŋu akpɔ afisi kansadɔlékuiawo le. Fifia wole ŋku lém ɖe eŋu nenye be woate ŋu azã mɔnu sia atsɔ awɔ dodokpɔ sia tsɔ kpe ɖe no me dɔdzẽ ƒe dodokpɔ na nyɔnu siwo ƒe nowo le kpekpem ŋu eye woatsɔ ado ƒunukpeƒetetedɔ siwo ŋu ɖikeke le siwo wokpɔ le no me dɔlékuiwo ƒe dodokpɔ me akpɔ hã.
• Positron Emission Mammography (PEM): Esia sɔ kple MBI, gake wozãa nusi me keklẽŋusẽ le si wotsɔ bla ɖe sukli ƒe akpa aɖe ŋu tsɔ dea dzesi kansa lãmenugbagbeviwo. Woate ŋu azã mɔnu sia ne womate ŋu awɔ MRI o.
• Electrical Impedance Tomography (EIT): No me dɔdzẽ ƒe lãmenugbagbeviwo tsɔa elektrikŋusẽ to vovo na lãmenugbagbevi siwo sɔ. Ðe esia mewɔ nuku oa? Dodokpɔ sia dia vovototo ma. Edzidzea vovototoa to elektrikŋusẽ sue aɖe ŋutɔ ɖoɖo ɖa to elektrikŋusẽnamɔ̃ suesuesue siwo woda ɖe ŋutigbalẽa dzi me.

Nunya Wɔwɔ (AI) Kple Nomeŋutinunya Dodokpɔ

Ènya be tsã la, keklẽŋusẽŋutinunyala koe nɔa te ɖe no me dɔdzẽ ƒe dodokpɔ me tsonu dzi anya ne kansa mele no me dɔdzẽ me oa? Gake amegbetɔwo ate ŋu awɔ vodada. Numekukuwo ɖee fia be amesiwo wɔa no me dɔdzẽ ƒe sia ƒe hena ƒe 10 la dometɔ siwo ade afã axɔ alakpanya , si fia be kansa mele wo ŋu o, zi ɖeka ya teti le woƒe agbe me. Eye le 10% va ɖo 30% dome la axɔ alakpa negative , si fia be kansa mele wo ŋu o.

Fifia, wole AI kɔmpiutadziɖoɖowo zãm tsɔ le kpekpem ɖe ɖɔktawo ŋu. AI sia ate ŋu asrɔ̃ nu tso no me dɔdzẽ ƒe foto akpe geɖe ŋu eye wòade dzesi tɔtrɔ suetɔ kekeake siwo amegbetɔ ƒe ŋku ate ŋu ato gɔ̃ hã. Gake esia mefia be AI ate ŋu awɔ ɖɔkta ƒe dɔ o. Le mɔ̃ɖaŋununya si li fifia ta la, AI mate ŋu axɔ ɖe ɖɔkta teƒe o. Nu nyuitɔ kekeakee nye be ne wotsɔ ɖɔkta ƒe nuteƒekpɔkpɔ kple ŋkuléle ɖe nu ŋu ƒe ŋutete ɖaɖɛ si le AI ŋu ƒo ƒu la, woate ŋu ade dzesi kansa nyuie wu kabakaba .

Atikewɔwɔ si Woɖo Ðe Ame Ŋu

Tsã la, wotsɔa atike siwo wozãna tsɔ daa kansae. Atikewɔmɔnu nye dɔdamɔnu si gblẽa nu le lãmenugbagbevi siwo katã mãna kabakaba le ŋutilãa me ŋu. Esia fia be menye kansa lãmenugbagbeviwo koe wògblẽa nu le o, ke egblẽa nu le lãmenugbagbevi siwo le lãmesẽ me abe taɖa ƒe lãmenugbagbeviwo kple ʋumenugbagbeviwo hã ŋu. Esia tae eƒe nugbegblẽ le ame ŋu le dzidzim ɖe edzi ɖo.

Gake fifia atike yeye aɖe li si woyɔna be `(Targeted Therapy)`. Esia nye nu tɔxɛ aɖe ŋutɔ. Protein tɔxɛ aɖe si woyɔna be `HER2` le no me dɔdzẽ ƒe lãmenugbagbevi aɖewo ŋu le agbɔsɔsɔ gã aɖe me. Dɔdamɔnu si woɖo taɖodzinu na koe dia kansa lãmenugbagbevi siwo me `HER2` protein ma le eye wòdzea wo dzi. Esia megblẽa nu boo aɖeke le lãmenugbagbevi siwo le lãmesẽ me ŋu o.

Atikewɔmɔnu siwo ŋu woɖo taɖodzinu ɖo ƒomevi geɖe li egbea. `Trastuzumab (Herceptin)` kple `Pertuzumab (Perjeta)` nye wo dometɔ ʋɛ aɖewo ko. Wò ɖɔkta atso nya me le atikewɔwɔ si anyo na wò ŋu.

‘Liquid Biopsy’: Etsɔa ʋu sue aɖe dea dzesi kansa

Ne míebu ŋutilã ƒe akpa aɖe ɖeɖe ŋu la, míesusuna be míatso lãkusi sue aɖe tso teƒe si ŋu ɖikeke le eye míadoe kpɔ. Gake bu alesi wòanɔ bɔbɔe ne míate ŋu akpɔ kansa ŋuti nyatakakawo to ʋudodokpɔ bɔbɔe aɖe dzi ŋu kpɔ? Emae nye nusi woyɔna be ``Liquid Biopsy.''

Ne kansa le ŋuwò la, DNA gbagbã suesuesuewo ƒoa ƒu ɖe wò ʋu me. Woyɔa esia be ``circulating tumor DNA''. Tsi me lãmenugbagbeviwo ƒe dɔwɔwɔ dia kansa ƒe DNA kakɛ mawo le ʋu me. Viɖe geɖe le esia ŋu:

• Woate ŋu ade dzesi tɔtrɔ (nu gbagbewo ƒe tɔtrɔ) le kansa me kaba le edada me .
• Le esia nu la, ɖɔktawo ate ŋu atrɔ atikewɔmɔnuwo kaba eye woana atike si sɔ wu.
• Ɣeaɖewoɣi la, esia hã kpena ɖe ame ŋu be woanya kaba nenye be kansa la gatrɔ va le amekoko vɔ megbe.

Togbɔ be mɔnu sia gakpɔtɔ le numekuku ƒe afɔɖeɖea me hã la, amesiame xɔe se be anɔ vevie ŋutɔ le etsɔme le no me dɔdzẽ dzi kpɔkpɔ me.

Kansa gbɔkpɔnu to nanotechnology dzi

Nanotechnology nye dzɔdzɔmeŋutinunya si zãa nu suesuesue siwo le sue akpa be woate ŋu akpɔ kple ŋku. Esia nye kpekpeɖeŋu wɔnuku aɖe le kansa dada me.

Bu eŋu kpɔ ne àte ŋu atsɔ agbalẽvi aɖe ayi adrɛs nyuitɔ dzi, abe amedɔdɔ ene, to atike siwo wozãna tsɔ daa dɔlékuiwo dede nanoparticles me eye nèɖo wo ɖe kansadɔlékuia tẽe mea? Nu mae nanotechnology wɔna. Viɖe gãtɔ kekeake si le esia ŋue nye be atike siwo wozãna tsɔ daa dɔlékuiwoe la tsrɔ̃a kansadɔlékuiawo tẽ evɔ womegblẽa nu le lãmenugbagbevi siwo le lãmesẽ me siwo ƒo xlã wo ŋu o. Esia ɖea nugbegblẽ le ame ŋu dzi kpɔtɔna ŋutɔ eye wòdzia ​​atikewɔwɔa ƒe dzidzedzekpɔkpɔ ɖe edzi.

Dɔdamɔnu Dodokpɔwo

Wole dɔdamɔnu dodokpɔwo wɔm le xexeame katã be woatsɔ ado atike yeyewo kple no me dɔdzẽ dada kpɔ. Taɖodzinu vevitɔ si le dodokpɔ siawo ŋue nye be woadi atike siwo wɔa dɔ wu, siwo ƒe nugbegblẽ le ame ŋu ʋɛ wu, eye womeɖea dzi ɖi na dɔnɔa o .

Gomekpɔkpɔ le dodokpɔ sia tɔgbe me ate ŋu ana mɔnukpɔkpɔ wò be nàte atike yeye aɖe kpɔ ƒe geɖe hafi wòadze asi me. Gake menye ame sia ame tɔe wònye o. Eyata anyo wu be nàƒo nu kple wò ɖɔkta tso nenye be esɔ na wò kple viɖe kple kuxi siwo le eme ŋu.