Esesẽna be míagblɔ nyabiase, vɔvɔ̃, kple dzimaɖitsitsi siwo vaa susu me na ame ne wokpɔ kansa le ame aɖe ŋu la ɖe nyagbewo me. Ne wò ŋutɔ alo ame aɖe si nènya hã to nɔnɔme sia tɔgbe me la, ke ɖewohĩ èse nya "Afɔɖeɖe" kpɔ ne èle nu ƒom na wò ɖɔkta. Ne èse nyawo abe "Esia nye Afɔɖeɖe II," "Ele vevie vie elabena enye Afɔɖeɖe IV" la, ate ŋu agbɔdzɔ vie be nàse nusi xexlẽdzesi kple ŋɔŋlɔdzesi siawo fia gɔme. Gake mègavɔ̃ o. Woɖoe be esia naɖe esia me le mɔ si gɔme nàte ŋu ase nu, le mɔ bɔbɔe aɖe ŋutɔ nu.
Nuka tututue nye kansa ƒe afɔɖeɖe?
Kpuie ko la, afisi kansa le nye mɔ si dzi woato adzidze afisi kansa la kaka ɖo le wò ŋutilã me kple alesi gbegbe wòsẽe. Abe alesi míezãa anyigbatata tsɔ dia míaƒe mɔ ne míele mɔ zɔm ene la, anyigbatata sia si woyɔna be ‘Afɔɖeɖe’ kpena ɖe ɖɔktawo ŋu be woawɔ ɖoɖo ɖe wò kansa ƒe atikewɔwɔ nyuitɔ ŋu.
Kansadɔdalawo zãa mɔnu sia tsɔ dea dzesi dɔlélewo, wɔa ɖoɖo ɖe atikewɔwɔ ŋu, eye wodzidzea alesi dɔdamɔnu mawo wɔa dɔe.
Mègana xexlẽdzesi kple ŋɔŋlɔdzesi siawo nado vɔvɔ̃ na wò o. Dzɔdzɔmeŋutinunya ƒe mɔnu aɖe koe esia nye be wòakpe ɖe ɖɔktawo ŋu woawɔ atike nyuitɔ kekeake na wò. Wò ɖɔkta aɖe esia me na wò tsitotsito.
Nukatae afɔɖeɖe sia le vevie na ɖɔktawo alea gbegbe ɖo?
Kansa dada le abe ƒuƒoƒo ƒe kamedefefe ene. Menye ɖɔkta ɖeka koe o, ke boŋ ame geɖe lɔ̃a amekolawo, kansadɔdalawo, kple keklẽŋusẽdɔdala siwo wɔa dɔ ɖekae. Eyata amesiame hiã gbegbɔgblɔ ɖeka be wòase kansa ƒe nɔnɔmea gɔme le mɔ ɖeka nu. Gbe ma si bɔ enye Staging System .
Susu vevi geɖewo li siwo tae esia le vevie ɖo:
- Tia atike nyuitɔ kekeake: Afisi kansa la le ye afia nenye be woazã amekoko, atikewɔmɔnu, keklẽŋusẽ, alo esiawo ƒe ƒuƒoƒo. Atike si wowɔna na kansa si le Afɔɖeɖe I me la mesɔ kple atike si wowɔna na kansa si le Afɔɖeɖe IV me o.
- Na etsɔme ƒe susu nanɔ asiwò: Le afisi kansa la le, kpakple kansa ƒomevi si me wòle nu la, ɖɔktawo ate ŋu akpɔ mɔnukpɔkpɔ si li be dɔnɔa be wòahaya kple ɣeyiɣi didi si wòahiã be woawɔ atike nɛ la ŋuti nukpɔsusu si me kɔ.
- Nusi sɔ na atikewɔlawo ƒe ƒuƒoƒoa: Ne ɖɔkta ɖeka gblɔ dɔnɔ aɖe ŋu nya na ɖɔkta bubu eye wògblɔ be "No me dɔdzẽ ƒe Afɔɖeɖe IIIB" la, ɖɔkta si le to ɖom la ate ŋu akpɔ dɔnɔa ƒe nɔnɔmea nyuie wu.
- Kpekpeɖeŋu na numekuku yeyewo:Mɔnu sia kpena ɖe dzɔdzɔmeŋutinunyala siwo le numekuku wɔm tso kansa ŋu le xexeame godoo ŋu ŋutɔ, tsɔa dɔnɔ siwo ƒe atikewɔwɔ ƒomevi sɔ kple esiwo le ɣeyiɣi ɖeka me ƒe atikewɔwɔ me tsonu sɔna kple wo nɔewo, eye wokpɔa atike yeye siwo wɔa dɔ wu.
Aleke wowɔna nyaa afisi kansa sia le?
Ne ɖɔktawo nya afisi kansa le la, woƒe susu nɔa nu vevi etɔ̃ ŋu:
1. Dɔdzẽ ƒe lolome kple eƒe tsitsi: Aleke gbegbee dɔdzẽa loloe? Aleke gbegbee wòkaka ɖe lãkusi siwo ƒo xlãe me gogloe?
2. Afisi dɔdzẽa le: Ðe kansa la le afisi wòdze egɔme tsoea?
3. Kaka: Ðe kansa la kaka yi ŋgɔ wu afisi wòdze egɔme tsoe, ɖe ʋuka siwo te ɖe wo ŋu me alo ɖe ŋutilã ƒe ŋutinu bubu siwo le didiƒe ʋĩa?
Míaƒo nu tso dodokpɔ siwo wozã tsɔ de dzesi nusiawo ŋu emegbe. Azɔ mina míalé ŋku ɖe mɔ vevi siwo dzi woto da dɔléle siawo ɖe hatsotsowo me ŋu.
Kansa ƒe afɔɖeɖewo le xexlẽme nu (Afɔɖeɖe 0-IV) .
Wozãa xexlẽdzesi siwo tso zero va ɖo ene tsɔ daa dɔdzẽ sesẽ akpa gãtɔ ɖe hatsotsowo me. Mina míalé ŋku ɖe wo dometɔ ɖesiaɖe ŋu bɔbɔe.
| Fefewɔƒe | Gɔmesese ko |
|---|---|
| Afɔɖeɖe 0 lia | Woate ŋu ayɔ esia hã be ‘do ŋgɔ na kansa’ ƒe nɔnɔme. Le afisia la, lãmenugbagbevi aɖewo siwo mesɔ o li. Gake lãmenugbagbevi mawo mekaka yi ŋgɔ wu afisi wodze egɔme tsoe o. Ele abe nuku si me mie haɖe o, gake ate ŋu amie ene. Ne wokpɔe le afɔɖeɖe sia me la , zi geɖe la, woate ŋu adae keŋkeŋ. |
| Afɔɖeɖe I (Afɔɖeɖe 1) . | Kansa la kaka, gake dɔdzẽa le sue . Eye afisi wòdze egɔme tsoe koe wòle. Mekaka ɖe ʋuka siwo te ɖe mía ŋu alo ŋutilã ƒe akpa bubu aɖeke me o. |
| Afɔɖeɖe II (Afɔɖeɖe 2) . | Dɔdzẽa lolo vie wu tsã.. Ðewohĩ ʋetsuvi siwo te ɖe wo ŋu wu la kaka ɖe ɖeka alo eve me, alo woate ŋu abu. Gake womekaka ɖe ŋutilã ƒe akpa siwo le didiƒe o. |
| Afɔɖeɖe III (Afɔɖeɖe 3) . | Dɔdzẽa lolo ɖe edzi eye wòge ɖe lãkusi siwo ƒo xlãe me. Anɔ eme be ekaka ɖe ʋuka geɖe siwo te ɖe afima ŋu hã me . Gake mekaka ɖe ŋutinu siwo le didiƒe (abe aklã alo lãkusi ene) me haɖe o. |
| Afɔɖeɖe IV (Afɔɖeɖe 4) . | Esiae nye afɔɖeɖe sesẽtɔ kekeake . Kansa la kaka (kaka) ɖe ŋutilã ƒe akpa bubu siwo didi tso afisi wòdze egɔme tsoe gbɔ. Le kpɔɖeŋu me, no me dɔdzẽ ate ŋu akaka ɖe aklã, lãkusi, alo ahɔhɔ̃ me. Wogayɔa esia be kansa si kaka ɖe teƒe bubuwo . |
Nukae ŋɔŋlɔdzesi siawo A, B, kple C fia?
Ɣeaɖewoɣi la, àte ŋu ase wò ɖɔkta agblɔ be "Afɔɖeɖe IIA (2A)" alo "Afɔɖeɖe IIIB (3B)." Afi siae wotsɔa ŋɔŋlɔdzesi kpena ɖe xexlẽdzesia ŋu le be wòana nyatakaka geɖe wu tso afisi kansa la le ŋu.
Zi geɖe la, le xexlẽdzesi ma ke te la, ŋɔŋlɔdzesi A fia amedzidzedze si keke ta vie, si mesẽ boo o. Ne ŋɔŋlɔdzesiawo le ŋgɔ yim (B, C) la, woƒe sesẽme kple woƒe duƒuƒu dzina ɖe edzi.
Le kpɔɖeŋu me:
- Afɔɖeɖe IIB nu sẽ vie wu Afɔɖeɖe IIA.
- Gake Afɔɖeɖe IIIA nu sẽ wu Afɔɖeɖe IIB (elabena xexlẽmea nye III).
Nukae nye TNM ƒe ɖoɖoa?
Esia nye dzɔdzɔmeŋutinunya ƒe mɔnu bubu si wozãna le xexeame godoo tsɔ bua kansadɔlélawo ɖe hatsotsowo me. Edzidzea nu vevi etɔ̃ siwo ŋu míeƒo nu tsoe va yi.
| Lɛta | Ŋkɔ bliboa | Nukae esia dzidze? |
|---|---|---|
| T | Tumor | Kansa ƒe dɔdzẽ gbãtɔ ƒe lolomeEye wòdzidzea afisi wòkaka ɖe lãkusi siwo ƒo xlãe me (e.g. T1, T2, T3, T4 - zi alesi xexlẽmea loloe la, zi nenemae dɔdzẽa lolona/gogloe). |
| N | Node | Edzidzea nenye be kansa la kaka ɖe ʋuka siwo te ɖe eŋu me, eye ne kakae la, afisi wòkeke ɖo (e.g., N0 - mekaka o, N1, N2 - kaka ɖo). |
| M | Metastasis (kaka ɖe didiƒe) . | Edzidzea nenye be kansa la kaka ɖe ŋutinu didiwo me le ŋutilãa me (e.g. M0 - mekaka didi aɖeke o, M1 - kaka ɖe didiƒe). |
Wò ɖɔkta aƒo T, N, kple M ƒe asixɔxɔwo nu ƒu atsɔ anya wò afɔɖeɖe bliboa (e.g., Afɔɖeɖe IIB). Gake wozãa TNM-mɔ̃a zi geɖe na dɔdzẽ sesẽwo, abe no, lãkusi, kple dɔgbo me dɔdzẽ ene. Wozãa vovototodedeameme ƒe ɖoɖo bubuwo na ʋumenugbagbeviɣidɔ, abe ʋumenugbagbeviɣidɔ ene.
Dodokpɔ kawoe wowɔna tsɔ nyaa afɔku si le kansa xɔxɔ me?
Ðɔktawo zãa dodokpɔ vovovowo tsɔ nyaa afisi tututu wò kansa le. Esiawo dometɔ aɖewoe nye:
- CT scan (Computed Tomography scan): Esia ɖea ŋutilãa ƒe akpa etɔ̃ (3D) ƒe nɔnɔmetatawo eye wòte ŋu kpɔa afisi kansa la le, alesi gbegbe wòloloe, kple ne ekaka ɖe ŋutinu siwo ƒo xlãe me nyuie.
- PET scan (Positron Emission Tomography scan): Esia koŋ dia kansa lãmenugbagbevi siwo kaka ɖe ŋutilã ƒe akpa siwo le didiƒe ʋĩ. Esi wònye be kansa lãmenugbagbeviwo wɔa dɔ ŋutɔ ta la, woate ŋu ade dzesi wo bɔbɔe le fotoɖeɖe sia me.
- Endoscopy: Dɔwɔwɔ si me wotsɔa mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ le dea ŋutilã ƒe do (e.g., dɔgbo, dɔgbo) me be woado ememe akpɔ be kansa hã le eme.
- Biopsy: Esiae nye dodokpɔ vevitɔ kekeake. Woɖea ƒu alo lãkusi si ŋu ɖikeke le la ƒe akpa sue aɖe ŋutɔ ɖa le amekoko me hedoa eŋu le nusuekpɔmɔ̃ me. Dodokpɔ sia dea dzesii tututu nenye be kansae wònye loo alo menyee o, eye ne nenemae la, kansa ƒomevi ka ƒomevie wònye.
- Ʋudodokpɔ: Kansa ƒomevi aɖewo ate ŋu ana protein tɔxɛwo (tumor markers) nasɔ gbɔ ɖe ʋua me. Esiawo dzidzedze ate ŋu ana woakpɔ alesi gbegbe dɔdzẽa loloe alo alesi kansa la wɔa dɔe.
Ðe nye kansa ƒe ɖoƒea ate ŋu atrɔ emegbe?
Nyabiase vevi aɖee nye esia na ame geɖe. Ame geɖe susuna be afɔɖeɖea trɔna ne kansa la le kakam. Gake nyateƒeae nye be, afɔɖeɖe ƒe xexlẽdzesi si wona wò esime wokpɔ dɔlélea le ŋuwò zi gbãtɔ la metrɔna gbeɖe o.
Mina míase egɔme kple kpɔɖeŋu aɖe.
Tsɔe be wokpɔ no me dɔdzẽ ƒe Afɔɖeɖe II le ame aɖe ŋu le gɔmedzedzea me. Exɔa atikewɔwɔ siwo katã hiã. Gake le ƒe ʋɛ aɖewo megbe la, kansa la kaka ɖe eƒe aklã me.
Ekema ɖɔktawo mayɔe be "Stage IV cancer" o.
Woyɔe be " Stage II no me dɔdzẽ si kaka ɖe aklã me (metastatic) ." Wogblɔa wò afɔɖeɖe gbãtɔa ɣesiaɣi be nenemae wòle. Emegbe woƒoa nu tso tɔtrɔawo ŋu ɖe vovo.
Azɔ hã, ne womete ŋu kpɔ kansa ƒe dzesi aɖeke le atikewɔwɔ vɔ megbe o la, woyɔa nɔnɔme ma be Complete Remission alo NED (dɔléle ƒe kpeɖodzi aɖeke meli o) .
Agbenɔnɔ kple kansa mele bɔbɔe o. Xexlẽdzesi, ŋɔŋlɔdzesi, kple nya siawo sese ate ŋu agbɔ eme. Gake ɖo ŋku edzi be wowɔa esiawo katã be woana atike nyuitɔ kekeake wò. Ðo dze kple wò ɖɔkta gaglãa tso nyabiase alo vɔvɔ̃ ɖesiaɖe si le mewò ŋu. Ema ado ŋusẽ wò be nàyi mɔzɔzɔ sia dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Kansa ƒe ɖoɖowɔwɔ nye anyigbatata si dzidzea afisi kansa kaka ɖo le wò ŋutilã me eye wòkpena ɖe ɖɔktawo ŋu wowɔa ɖoɖo ɖe edada ŋu.
- Kansa la ƒe lolome, afi si wòle, kple ne ekaka ɖe ŋutilã ƒe akpa bubuwo hã koŋue dea dzesi esia.
- Afɔɖeɖe 0 vaseɖe IV (Afɔɖeɖe 0-IV) fiaa alesi kansa la nu sẽe, eye wobua Akpa IV be eyae nu sẽ wu.
- TNM ɖoɖoa nye mɔnu si dzi woda asi ɖo le dukɔwo dome si dzidzea dɔdzẽ ƒe lolome (T), ʋumenugbagbeviɣidɔ ƒe gomekpɔkpɔ le eme (N), kple eƒe kaka le didiƒe (M).
- Afɔɖeɖe ƒe xexlẽdzesi si wona wò le gɔmedzedzea me metrɔna ne kansa la kaka emegbe alo woate ŋu adae gɔ̃ hã.
- Ðo dze kple wò ɖɔkta gaglãa tso nyabiase, vɔvɔ̃, alo ɖikeke ɖesiaɖe si le mewò le wò kansa ƒe afɔku alo atikewɔwɔ ŋu.
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