Nusi wòle be nànya tso Luminal B Nome Kansa ŋu!

Ðewohĩ èse nu geɖe tso no me dɔdzẽ ŋu. Gake ènya be no me dɔdzẽ ƒomevi vovovowoe lia? Enyo, egbea míele nu ƒom tso no me dɔdzẽ ƒomevi tɔxɛ aɖe si woyɔna be Luminal B no me dɔdzẽ ŋu. Ŋkɔ sia aɖi nya sesẽ vie, gake mègatsi dzi o. Míaƒo nu tso eŋu le mɔ bɔbɔe aɖe ŋutɔ si gɔme nàte ŋu ase nu. Elabena ŋudzɔnɔnɔ le nu siawo tɔgbi ŋu ate ŋu anye nu vevi aɖe ŋutɔ na wò kple wò ame veviwo.

Nukae nye Luminal B? Nukawoe nye eƒe nɔnɔme tɔxɛwo?

Kpuie ko la, Luminal B nye no me dɔdzẽ ƒomevi aɖe si me lãmetsiŋusẽ ƒe dɔlélenutsiŋutete (HR+) le. Esia le alea elabena protein (nuxɔla) aɖewo siwo le kansa lãmenugbagbeviwo me blana ɖe lãmetsi si nye estrogen ŋu, si wɔnɛ be kansa la tsina. Nya "luminal" fia lãmenugbagbevi siwo le fli me le notsi ƒe mɔ̃ siwo le wò no me ƒe eme. Bu eŋu abe mɔ̃ aɖe ƒe eme ene.

Azɔ mina míalé ŋku ɖe Luminal B kansa lãmenugbagbeviwo ƒe nɔnɔme tɔxɛ bubuawo ŋu. Esiawo le abe kansa sia ƒe dzesidegbalẽvi ene. Ðɔktawo asrɔ̃ nu tso nɔnɔme siawo ŋu nyuie be woatso nya me le atikewɔwɔ si nyo na wò ŋu.

• Estrogen receptor positive (ER+): Esiae nye nɔnɔme vevitɔ kekeake. Protein siwo woyɔna be Estrogen Receptors (ER) siwo ate ŋu abla ɖe lãmetsi si nye Estrogen ŋu le luminal B cancer cells me. Estrogen nye lãmetsi aɖe si wowɔna le nyɔnu ƒe ŋutilã me le dzɔdzɔme nu. Eyata ne lãmetsi sia bla ɖe kansa lãmenugbagbeviwo ŋu la, kansa la doa ŋusẽe be wòatsi. Ele abe tsidede numiemie aɖe kple nunyiame nɛ ene.
• Progesterone xɔlawo (PR- alo PR si bɔbɔ): Ne wotsɔe sɔ kple no me dɔdzẽ ƒomevi si nye Luminal A la, protein siwo blana ɖe nyɔnuwo ƒe lãmetsiŋusẽ vevi bubu si nye progesterone ŋu la mesɔ gbɔ kura o, alo ɣeaɖewoɣi la, ɖeke mele Luminal B lãmenugbagbeviwo me o.
• HER2 ƒe nɔnɔme (HER2-positive (HER2+) alo HER2-negative (HER2-)): Esia hã nye nu vevi aɖe ŋutɔ. HER2 tsi tre ɖi na protein si woyɔna be ‘Human Epidermal Growth Factor Receptor 2’. Esia nye nusi kpena ɖe lãmenugbagbeviwo ŋu le dzɔdzɔme nu. Gake no me dɔdzẽ ƒe lãmenugbagbevi aɖewo wɔa HER2 protein sia fũ akpa, le mɔ si dzi womate ŋu aɖu o nu. Le Luminal B kansawo me la, HER2 protein sia ate ŋu anɔ anyi wòagbɔ eme (HER2-positive / HER2+), alo ate ŋu anɔ anyi le agbɔsɔsɔ si sɔ me (HER2-negative / HER2-). Atikewɔwɔ ƒe mɔnuwo toa vovo le nɔnɔme sia nu.
• Ki-67 protein ƒe agbɔsɔsɔ si sɔ gbɔ (Esɔ gbɔ le Ki-67 me):Ki-67 nye protein tɔxɛ aɖe si le lãmenugbagbevi siwo ma kabakaba me ko. Protein sia sɔ gbɔ ɖe luminal B kansawo me. Esia kpena ɖe ɖɔktawo ŋu wosea alesi kansa lãmenugbagbeviwo le mama kabakabae gɔme, si fia alesi kansa la le tsitsim kabakabae. Esia tae Luminal B kansawo dina be yewoatsi kabakaba wu Luminal A kansawo ɖo.
• Dzesi si kɔ wu: Dzeside si kansa xɔnae nye alesi kansa lãmenugbagbeviwo ɖi wo nɔewo alo to vovo tso lãmenugbagbevi siwo le lãmesẽ me gbɔ ne wokpɔ wo le nusuekpɔmɔ̃ me. Dzeside kɔkɔ fia be kansa lãmenugbagbeviwo to vovo kura tso lãmenugbagbevi siwo le lãmesẽ me gbɔ eye anɔ eme be woatsi ahakaka kabakaba. Zi geɖe la, Luminal B kansawo nyea esiwo ƒe dzeside de ŋgɔ wu Luminal A. Esia fia be wowɔa adã wu, woate ŋu adzi ɖe edzi, eye anɔ eme be wogadzɔna le atikewɔwɔ vɔ megbe.

Àte ŋu akpɔe, ŋɔŋlɔdzesi, xexlẽdzesi, kple kpukpui siawo katã (abe ER, PR, HER2, Ki-67 ene) ƒo ƒu wɔ nyatakaka geɖe tso kansa lãmenugbagbevi siwo le wò no me ŋu. Nyatakaka siawo me dzodzro mee ɖɔktawo ate ŋu awɔ ɖoɖo ɖe atikewɔwɔ si sɔ na wò ŋu eye woagblɔ nusiwo ƒomevi nàte ŋu akpɔ mɔ na tso atikewɔwɔa me.

Aleke gbegbee Luminal B no me dɔdzẽ bɔe?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, ‘Ame nenie ŋu dɔléle sia le?’ Le nyateƒe me la, no me dɔdzẽ dɔnɔ siwo ŋu woka nya ta le le xexeame katã la dometɔ 15% va ɖo 20% xɔ kansa sia ƒomevi. Esia le sue vie wu esi bɔ wu si woyɔna be Luminal A. Gake, alafa memamã sia meɖi naneke o, alo? Esia tae wòle vevie be nànya esia ɖo.

Nukae nye Luminal B no me dɔdzẽ ƒe dzesiwo?

Zi geɖe la, ɖɔktawo ate ŋu ade dzesii hafi dzesi aɖeke nadze le ŋuwò, to no dodokpɔ edziedzi , abe no me dodokpɔ ene, dzi. Esia tae wòle vevie be nàwɔ dodokpɔ siawo le wò ƒexɔxɔ me. Gake ɣeaɖewoɣi la, àte ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema:

• No me ƒu: Zi geɖe la, esia nyea ƒuƒu sesẽ si le abe goma ene si meʋãna bɔbɔe o.
• No ƒe vevesese: Àte ŋu ase veve le no ɖeka alo evea siaa ŋu.
• No me tsi: Ele be nàtsi dzi ne no me tsi le dodom le ŋuwò, vevietɔ ne etsaka kple ʋu.
• Ŋutilã ƒe tɔtrɔ: Àte ŋu ade dzesii be ŋutigbalẽa le ʋuʋum, eƒe ŋutigbalẽ le ƒoƒom, alo eƒe amadede le tɔtrɔm.
• Akɔta te vuvu: Lãmetsiŋusẽ siwo le abɔta ƒe akpa si le abɔta ate ŋu avuvu.

Ne èkpɔ dzesi aɖe abe esia ene la, .Mègatsi dzodzodzoe eye nàkpɔ ɖɔkta enumake o. Menye ƒunukpeƒetetedɔ ɖesiaɖee nye kansa o, gake nunya le eme be nàna woakpɔe ɖa.

Nukae hea Luminal B no me dɔdzẽ vɛ?

Le nyateƒe me la, Luminal B no me dɔdzẽ dzɔna ne no me lãmenugbagbevi siwo le lãmesẽ me trɔ kpata eye wodze tsitsi gɔme le mɔ si dzi womate ŋu aɖu o nu. Gake eŋutinunyalawo menya nusita tututu nusia dzɔna haɖe o. Ate ŋu atso nu vovovowo ƒe ƒuƒoƒo gbɔ.

Abe alesi míedzro eme va yi ene la, protein siwo doa ŋusẽ kansa ƒe tsitsi ne wobla ɖe lãmetsi si nye estrogen ŋu le Luminal B lãmenugbagbeviwo me. Eyata ne wò estrogen ƒe agbɔsɔsɔ sɔ gbɔ ɣeyiɣi didi la, ate ŋu ana kansa sia xɔxɔ ƒe afɔkua nadzi ɖe edzi vie. Le kpɔɖeŋu me:

• Ne wò dzinukpɔkpɔ dze egɔme kaba wu alesi wòle dzɔdzɔmee, si fia be hafi nàxɔ ƒe 12.
• Alo ne dzinukpɔkpɔ, si fia be dzinukpɔkpɔ nu tso keŋkeŋ, va emegbe wu alesi wònɔna, le ƒe 55 xɔxɔ megbe.
• Alo ne èle lãmetsiŋusẽtike (HRT) zãm ɣeyiɣi didi aɖe be yeatsɔ aɖu dzinukpɔkpɔ ƒe dzesiwo dzi.

Tsɔ kpe ɖe esiawo ŋu la, nu bubu geɖewo li siwo ate ŋu ana no me dɔdzẽ si nye luminal B ƒe afɔkua nadzi ɖe edzi:

• Ƒome ŋutinya: Ne no me dɔdzẽ alo azigolo me dɔdzẽ dze dawò, nɔviwònyɔnu, vinyɔnu, alo wò ƒometɔ kplikplikpli dzi la, ke èle afɔku me vie.
• Ƒe: Afɔku si le no me dɔdzẽ xɔxɔ me dzina ɖe edzi le ƒe 50 xɔxɔ vɔ megbe.
• No me lãkusi siwo le ʋeʋẽm: Ne no me lãkusiwo dze abe ɖe wole kpekpem ene le no me lãkusiwo me la, ema hã nyea afɔku.
• Domenyiŋusẽfianu ƒe tɔtrɔ: Domenyiŋusẽfianu aɖewo abe BRCA1 kple BRCA2 ene ƒe tɔtrɔ siwo dome wonyi ate ŋu ana no me dɔdzẽ xɔxɔ ƒe afɔkua nadzi ɖe edzi ŋutɔ.
• Kekelidɔdamɔnu si nèzã va yi: Ne èxɔ keklẽŋusẽdɔ na wò va yi le akɔta alo no ƒe akpa aɖe le susu bubu aɖe ta.

Afɔku siawo ƒe amesinɔnɔ mefia be kansa axɔ wò godoo o. Ke hã, ele vevie be nànɔ ŋudzɔ ɖe wo ŋu.

Aleke wokpɔa no me dɔdzẽ si nye Luminal B?

Tsɔe be no me dɔdzẽ ƒe dzesiwo le ŋuwò, alo no me dɔdzẽ ƒe fotoɖeɖe ɖe nane si ŋu ɖikeke le fia. Nu gbãtɔ si ɖɔkta awɔe nye be wòado eƒe ŋutilã kpɔ. Esia fia be woado wò nowo kpɔ le ŋutilã me be woakpɔe ɖa be ƒu alo tɔtrɔ bubuwo hã le wo ŋu hã.

Emegbe be woanya nu geɖe la, zi geɖe la, woɖea gbe be woawɔ nɔnɔmetatawo dodokpɔ bubuwo abe esiawo ene:

• No me dɔlékuiwo didi ƒe dodokpɔ: Esia me kɔ wu no me dɔlékuiwo ɖeɖe edziedzi.
• Ultrasound scan: Esia ate ŋu akpe ɖe ame ŋu woanya ne ƒunukpeƒetetedɔ sesẽ alo tsi yɔ fũu.
• MRI (Magnetic Resonance Imaging) scan: Esia ate ŋu ahiã le nɔnɔme tɔxɛ aɖewo hã me.

Le dodokpɔ siawo megbe la, ɖɔktaa axɔ no me lãkusi ƒe kpɔɖeŋu (no me lãkusi) godoo eye wòaɖoe ɖa be woadoe kpɔ. Esia koe nye mɔ si dzi woato aka ɖe edzi ne kansa le eme alo mele eme o, eye ne ele nenema la, ke ƒomevi ka kee wònye. Biopsy bia be woaɖe lãkusi sue aɖe tso teƒe si ŋu ɖikeke le eye woaɖoe ɖe dodokpɔxɔ me be woadoe kpɔ le nusuekpɔmɔ̃ me.

Dɔléleŋutinunyala, si nye ɖɔkta si bi ɖe lãmenugbagbeviwo me dzodzro me, alé ŋku ɖe wò lãmenugbagbeviwo ƒe kpɔɖeŋu ŋu akpɔe ɖa be kansa lãmenugbagbeviwo li hã. Ne wokpɔ kansa lãmenugbagbeviwo la, woawɔ lãmetsiŋusẽ ƒe dodokpɔ (na ER, PR) kple HER2 dodokpɔwo atsɔ anya kansa ƒe ƒomevi sue. Le dodokpɔ siawo dome la, esi wozãna wue nye dodokpɔ si woyɔna be immunohistochemistry (IHC) . Esia zãa amadede siwo me keklẽŋusẽ le kple enzymewo tsɔ tea gbe ɖe molecule tɔxɛ siwo le kansa lãmenugbagbeviwo dzi dzi. Ɣeaɖewoɣi la, wotoa mɔ sia dzi léa ŋku ɖe Ki-67 ƒe agbɔsɔsɔme hã ŋu.

Dodokpɔ siawo siwo woawɔ le wò lãkusi ƒe kpɔɖeŋu ŋu ate ŋu akpe ɖe wò atikewɔlawo ŋu woanya atikewɔmɔnu siwo awɔ dɔ na wò nyuie wu, eye wòana nàkpɔ alesi wòanya wɔ be kansa la natrɔ ava le atikewɔwɔ vɔ megbe hã.

Aleke wozãa Luminal B tsɔ daa no me dɔdzẽe?

Luminal B no me dɔdzẽ dada ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye wò ame ɖekaɖeka ƒe nɔnɔme, afisi kansa la le, wò HER2 ƒe nɔnɔme (HER2+ alo HER2-), wò Ki-67 ƒe agbɔsɔsɔ, kple wò lãmesẽ bliboa. Wò atikewɔlawo ƒe ƒuƒoƒoa abu nu siawo katã ŋu be woawɔ atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò.

Atikewɔwɔmɔnu vevi siwo wozãnae nye:

• Lãmetsiŋusẽ ƒe atikewɔwɔ: Esi wònye be Luminal B nye kansa si sea lãmetsiŋusẽ ƒe dɔwɔwɔ (HR+) ta la, esiae nye atike vevitɔ si bɔ wu. Esia wɔa dɔ to mɔxexe ɖe lãmetsi si nye estrogen nu be wòagaɖo kansa lãmenugbagbeviwo gbɔ o, alo to estrogen ƒe agbɔsɔsɔ si le ŋutilãa me dzi ɖeɖe kpɔtɔ me. Wozãa atikewo abe Tamoxifen kple Aromatase Inhibitors ene na esia.
• Amekoko: Esia bia be woaɖe kansa lãmenugbagbeviwo le no me.
• Lumpectomy: Esia bia be woaɖe kansa ƒe dɔdzẽa kple lãkusi sue aɖe si le lãmesẽ me ƒo xlãe ɖeɖeko ɖa, si ana no ƒe akpa gãtɔ nagblẽ.
• No ɖeɖe: Esia bia be woaɖe no bliboa ɖa.

Le amekoko me la, woate ŋu aɖe ʋuka siwo le akɔta la ɖa be woakpɔe ɖa be kansa la kaka hã.

• Kekeli ƒe atikewɔwɔ:Le amekoko vɔ megbe la, wowɔa keklẽŋusẽdɔdamɔnu tsɔ wua kansadɔlékui ɖesiaɖe si susɔ ɖe nutoa me. Wowɔa esia zi geɖe, vevietɔ ne woɖe lumpectomy.
• Atikewɔwɔ si woɖo taɖodzinu na: Atikewɔwɔ sia ƒomevi tɔa ŋku molecule aɖewo koŋ siwo kpena ɖe kansa lãmenugbagbeviwo ŋu be woatsi. Le kpɔɖeŋu me, ne Luminal B kansa nye HER2-positive (HER2+) la, woate ŋu ana atike siwo tɔa ŋku HER2 protein (e.g. Trastuzumab). Wokpɔa esiawo to afisi kansa la le kple amesiwo xɔa dɔlékui bubuwo ƒe nɔnɔmewo dzi.
• Atikewɔwɔ: Woate ŋu ana atikewɔmɔnu siwo kpena ɖe ame ŋu be woatsɔ awu kansa lãmenugbagbevi siwo womewu to atikewɔwɔ bubuwo me o, alo be woaxe mɔ na kansa la be wòagakaka ɖe ŋutilã ƒe akpa bubuwo o. Luminal B kansawo tsina kabakaba wu Luminal A eye Ki-67 sɔ gbɔ ɖe wo me, eyata wokafu esia na dɔnɔ aɖewo siwo le afɔku gã me. Wò ɖɔkta agblɔ na wò nenye be esia nye tiatia nyui aɖe na wò.

Ðo ŋku edzi be atikewɔwɔ na amesi ŋu HER2-positive (HER2+) Luminal B cancer le ate ŋu ato vovo na atikewɔwɔ na amesi ŋu HER2-negative (HER2-) Luminal B cancer le. Esia tae wòle vevie be nànya wò kansa ƒe nɔnɔme siawo katã.

Nukae nye ŋgɔdonya na amesiwo ŋu Luminal B no me dɔdzẽ le?

Amesi si ŋu Luminal B no me dɔdzẽ le ƒe nyagblɔɖi, alo mɔkpɔkpɔ be yeatsi agbe ahada gbe le eŋu, nɔ te ɖe alesi dɔdzẽa de ŋgɔe ne wokpɔe (kansa ƒe afɔɖeɖe) dzi. Abe alesi wòle le kansa ɖesiaɖe gome ene la, zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàtsi agbe.

Le afɔɖeɖe si me wokpɔe le nu la, woate ŋu ada Luminal B no me dɔdzẽ , si fia be dɔlélea ate ŋu ayi gbɔdzɔe ne wowɔ atike nɛ. Ke hã, ate ŋu agadzɔ ake hã. Luminal B kansa ate ŋu agadzɔ vie wu Luminal A.

Afɔku si le kansa ƒe gbugbɔgadzɔ me nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye afisi dɔlélea le, eƒe tsitsi ƒe agbɔsɔsɔme, Ki-67 ƒe agbɔsɔsɔ, HER2 ƒe nɔnɔme, kple alesi wòwɔa nui ɖe atikewɔwɔ ŋu. Eyata ne èle dɔlélea ƒe tsɔtsɔke me gɔ̃ hã la, wò ɖɔkta ayi edzi anɔ ŋku lém ɖe wò lãmesẽ ŋu. Ele vevie be woakplɔ ame ɖo edziedzi . Woate ŋu akafu atike bubuwo hã (abe lãmetsiŋusẽtike ene) le amekoko megbe kple keklẽŋusẽdɔdamɔnu be woaɖe afɔku si le kansa la ƒe tɔtrɔgbɔ me dzi akpɔtɔ.

Luminal B No me Dɔdzẽ ƒe Agbetsitsi ƒe Agbɔsɔsɔme

Azɔ mina míaƒo nu tso akɔntabubu siawo ŋu vie. Gake asixɔxɔ siwo le mama dedie nu koe esiawo nye.Ele be wòanɔ susu me na wò be esiawo menye ɣeyiɣi didi si nànɔ agbe alo alesi nàwɔ nui ɖe atikewɔwɔ aɖe koŋ ŋu ƒe akɔntabubu siwo de pɛpɛpɛ o. Wotu wo ɖe nyatakaka siwo tso dɔnɔwo ƒe ƒuƒoƒo gã aɖe gbɔ dzi.

• Ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme na amesiwo ŋu HR+/HER2+ (hormone receptor positive/human epidermal growth factor receptor 2 positive) ƒe no me dɔdzẽ le la ade 91.5% . Esia fia be le ame 100 ɖesiaɖe si ŋu kansa sia ƒomevi le dome la, amesiwo ade 91 anɔ agbe le ƒe atɔ̃ megbe tso esime wokpɔ dɔlélea.
• Ame siwo ŋu HR+/HER2- (hormone receptor positive/human epidermal growth factor receptor 2 negative) ƒe no me dɔdzẽ le ƒe alafa memamã sia anɔ abe 95.1% ene .

Nu vevitɔe nye be nàƒo nu kple wò ɖɔkta gaglãa be nàse alesi tututu akɔntabubu siawo kpɔa ŋusẽ ɖe dziwòe gɔme. Ate ŋu aɖe wo me na wò le mɔ si asɔ na wò ame ɖekaɖekawo ƒe nɔnɔme nu.

Aleke Luminal B ɖea no me dɔdzẽ ƒe afɔkua dzi kpɔtɔnae?

Míate ŋu atrɔ afɔku aɖewo, abe dɔlélea ƒe ƒome ŋutinya ene o. Gake tɔtrɔ aɖewo wɔwɔ le agbenɔnɔ me ate ŋu akpe ɖe ame ŋu be wòaɖe no me dɔdzẽ ƒomevi ɖesiaɖe xɔxɔ ƒe afɔkua dzi akpɔtɔ, si me luminal B hã le:

• Ƒo asa na atamanono: Sigaretnono nye nusi ate ŋu ana woaxɔ kansa geɖe.
• Dzi kamedede ɖe edzi: Enyo ŋutɔ be nàde kame aɖabaƒoƒo 30 ya teti ŋkeke geɖe le kwasiɖa me.
• Ðe ahanono dzi kpɔtɔ: Ele vevie be nàɖe ahanono dzi akpɔtɔ.
• Lé lolo nyuie me ɖe asi: Kpekpeme si sɔ na wò kɔkɔme léle ɖe asi le vevie ŋutɔ, vevietɔ le dzinukpɔkpɔ megbe.
• Nuɖuɖu si da sɔ: Ƒo nuɖuɖu si me atikutsetsewo, amagbewo, kple nuku blibowo sɔ gbɔ ɖo.

Aleke malé be na ɖokuinye? Nukae wòle be mawɔ ne mele agbe kple kansa?

Luminal B Agbenɔnɔ kple no me dɔdzẽ ate ŋu asesẽ ŋutɔ, le ŋutilã kple susu siaa me. Ŋkeke aɖewo la, àte ŋu ase le ɖokuiwò me be yele gã, eye le ŋufɔke la, àte ŋu ase le ɖokuiwò me be nu te ɖe ye dzi, nu te ɖe ye dzi, yelé blanui, eye vɔvɔ̃ ɖo ye. Ema sɔ. Eyata, ele vevie be nàlé be na ɖokuiwò nyuie le wò dɔlélea didi kple edada katã me.

Nu aɖewo siwo ate ŋu akpe ɖe ŋuwòe nye esi:

• Ƒo nu nyuie: Ðu nuɖuɖu siwo me nunyiame le. De atikutsetsewo, amagbewo, protein siwo me ami mele o, kple nuku blibowo wò nuɖuɖu me. Ne nuɖuɖu megadzroa wò le atikewɔwɔ me o la, yi wò ɖɔkta alo nuɖuɖuŋutinunyala gbɔ.
• Di mɔ siwo dzi nàto aɖu nuteɖeamedzi dzi:Àte ŋu ana wò susu naɖe dzi ɖi ne èwɔ nuwo abe ŋugbledede, yoga, gbɔgbɔ ƒe kamedede, kple modzakaɖeɖe si ana nàkpɔ dzidzɔ.
• Gbɔ ɖe eme geɖe: Alɔ̃dɔdɔ nyuie le vevie ŋutɔ. Mègawɔ dɔ ŋkeke bliboa o, gbɔ ɖe eme vie le wo dome.
• Wɔ ɖeka kple nuto si doa alɔ wò: Bia wò ɖɔkta tso kansa ƒe agbetsitsi ƒe ɖoɖowo alo kpekpeɖeŋunahawo ŋu. Ƒuƒoƒo siawo ate ŋu akpe ɖe ŋuwò nàdo go ame siwo le nu mawo ke me tom abe wò ene, woama susuwo, eye woaɖe akogotsitsi ƒe seselelãmewo dzi akpɔtɔ. Wò ƒometɔwo kple xɔlɔ̃wo hã ate ŋu anye kpekpeɖeŋutsoƒe gã aɖe.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Le atikewɔwɔ me kple le atikewɔwɔ vɔ megbe la, ne dzesi yeye aɖewo dze le ŋuwò alo ne wò dzesiawo gagblẽ ɖe edzi la, gblɔe na wò ɖɔkta enumake. Azɔ hã, gblɔe na wò ɖɔkta ne èse veve alo gbɔdzɔgbɔdzɔ aɖe le wò ŋutilã ƒe akpa aɖe. Mègato wò ɣeyiɣi siwo nèɖo be yeakplɔe ɖo la ŋu o.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èva nya be Luminal B no me dɔdzẽ le ye ŋu la, esɔ be nyabiase geɖe nanɔ susu me na wò. Mègavɔ̃ be yeabia nya aɖeke wò ɖɔkta o. Nyabiase aɖewo siwo nàte ŋu abiae nye esi:

• Ðe nye kansa nye HER2-positive alo HER2-negative?
• Nukae nye nye kansa ƒe dzeside kple afisi wòle?
• Atikewɔwɔmɔnu kawoe le asinye?
• Aleke atikewɔwɔ sia wɔa dɔe?
• Zi nenie wòhiã be makpɔ ɖɔkta le atikewɔwɔ vɔ megbe (kplɔɖoɖowo)?
• Nukawoe nye atikewɔwɔ ƒe nugbegblẽ le ame ŋu? Aleke wòle be mawɔ nu ɖe ​​wo ŋui?
• Nukae nye nye Ki-67 ƒe alafa memamã? Nukae wòfia?
• Nukae nàte ŋu agblɔ nam tso nye nyagblɔɖi ŋu?

Nya siwo nye "kansa le ŋuwò" sese ate ŋu anye nusi dzi ŋɔ wu si nàse. Enye nusi sɔ be nyabiase geɖe nanɔ susu me na wò esi nèle tɔtrɔm ɖe nɔnɔme yeye sia kple kakaɖedzimanɔamesi ŋu. Wò atikewɔlawo ƒe ƒuƒoƒoa le afima be yewoakpe ɖe ŋuwò. Ka ɖe wo dzi. Le Luminal B no me dɔdzẽ gome la, woate ŋu atrɔ asi le wò atikewɔwɔ ƒe ɖoɖoa ŋu wòanɔ te ɖe nyatakaka siwo le wò lãmenugbagbeviwo ƒe molecule ƒe ɖoɖo nu dzi. Ƒo nu kple wò ɖɔkta be nànya nu geɖe tso alesi wò dodokpɔ me tsonu akpɔ ŋusẽ ɖe wò atikewɔwɔ ƒe ɖoɖoa dzii ŋu. Ðo ŋku edzi be menye wò ɖeka koe o.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Luminal B no me dɔdzẽ nye no me dɔdzẽ ƒomevi aɖe si te ŋu sea lãmetsiŋusẽ ƒe dɔwɔwɔ eye zi geɖe la, etsina kabakaba. Enye estrogen receptor (ER) positive (+), HER2 ƒe nɔnɔme ate ŋu anye positive (+) alo negative (-), eye zi geɖe la, Ki-67 ƒe agbɔsɔsɔ sɔa gbɔ.

• Kpɔ nyuie le dzesiawo ŋu:Ne ède dzesii be ƒu aɖe le wò no me, vevesese, tsi si dona le wò no me, alo ŋutigbalẽ ƒe tɔtrɔ la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Dɔlélea didi nyuie le vevie: Lãmenugbagbeviwo ɖeɖeɖa kple dodokpɔ siwo do ƒome kplii koe nye mɔ si dzi woato anya kansa ƒomevi si tututu wòle.
• Atikewɔwɔ ƒe tiatia aɖewo li: lãmetsiŋusẽtike, amekoko, keklẽŋusẽdɔdamɔnu, atikewɔwɔ si woɖo taɖodzinu na, kple atikewɔmɔnu. Wò ɖɔkta atso nya me le nusi nyo na wò ŋu.
• Atikewɔwɔ kaba naa nu nyuiwo dona tso eme: Ne wokpɔ dɔlélea kaba hedae la, edzia mɔnukpɔkpɔ si li be ame nahaya.
• Menye wò ɖeka koe o: Ðɔktawo, dɔnɔdzikpɔlawo, ƒometɔwo, xɔlɔ̃wo, kple kpekpeɖeŋunaha aɖe li be woakpe ɖe ŋuwò le mɔzɔzɔ sia me.

Míele mɔ kpɔm be nyatakaka siawo kpe ɖe ŋuwò nèse dɔléle sia gɔme vie. Nɔ lãmesẽ me!

` Luminal B no me dɔdzẽ, no me dɔdzẽ, lãmetsiŋusẽ ƒe xɔlawo, estrogen, HER2, kansa ƒe nɔnɔmewo, kansa dada, nyɔnuwo ƒe lãmesẽ