Ƒuƒoƒo aɖe le akɔta? Mina míasrɔ̃ nu tso Mediastinal Tumor ŋu le nya bɔbɔewo me

Mediastinal tumor nye ƒu si dzɔna le teƒe si le wò lãkusiwo dome, le wò akɔta kple wò lãkusiwo dome. Ðewohĩ mèse ŋkɔ sia kpɔ o. Gake ele vevie be nànya nu tso eŋu. Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo ate ŋu adzɔ dzesi aɖeke manɔmee. Eyata mina míaƒo nu tso eŋu tsitotsito vie ale be nàte ŋu ase egɔme.

Kpuie ko la, nukae nye mediastinal tumor?

Bu teƒe si le wò akɔta ŋu kpɔ. Noƒu le ŋgɔgbe, akɔta le megbe, eye lãkusi le akpa eveawo. Teƒe si le ŋutinu siawo domee nye nusi míeyɔna le atikewɔwɔ me be mediastinum . Ŋutinu vevi geɖe le teƒe sia, siwo dometɔ aɖewoe nye wò dzi, ʋuka, nuɖuɖutome, yagbɔgbɔ, thymus gland, kple ʋuka siwo nye wò dɔlélenutsiŋutete ƒe akpa aɖe.

Eyata lãmenugbagbevi gbogbo ɖesiaɖe, si nye ƒunukpeƒetetedɔ, si dzɔna le teƒe sia si woyɔna be mediastinum la, míeyɔnae be mediastinal tumor. Ƒuƒoƒo siawo ƒomevi eve li:

• Dɔléle aɖeke: Esiawo menye kansa o. Zi geɖe la, wodzɔna ɖe teƒe ɖeka eye womekakana ɖe ŋutilã ƒe akpa bubuwo o.
• Dɔlékui vɔ̃ɖi: Esiawo nye kansa. Woate ŋu akaka, agblẽ nu le lãkusi siwo ƒo xlãe ŋu.

Nukawoe nye ƒunukpeƒetetedɔ siawo ƒomevi? Ðe woto vovo le afisi wowɔ wo le nua?

Ẽ, woma ƒuƒoƒo siawo ɖe akpa vevi etɔ̃ me le afisi wodzɔ le nu. Eyae nye be le alesi wowɔa mediastinum ƒe akpa etɔ̃awo nu: ŋgɔgbe, titina, kple megbe. Na míakpɔ nusiwo wonye ɖa.

Amekae xɔa ƒunukpeƒe siawo? Aleke gbegbee wobɔe?

Togbɔ be ƒunukpeƒetetedɔ siawo ƒomevi ate ŋu adze le ƒe ɖesiaɖe me hã la, zi geɖe la, amesiwo xɔ tso ƒe 30 va ɖo ƒe 50. Gake vovototo sue aɖe le ame tsitsiwo kple ɖeviwo dome.

• Ame tsitsiwo: Zi geɖe la, ƒunukpeƒewo dona le ŋgɔgbe lãkusi me. Esiawo ate ŋu anye kansa ƒe nɔnɔmewo abe ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ ene.
• Ðeviwo: Zi geɖe la, ƒunukpeƒewo dona le megbeƒu ƒe lãkusi me. Esiawo dzea egɔme tso lãmekawo me eye zi geɖe la, womenyea kansa o.

Esia menye nɔnɔme si bɔ ŋutɔ o. Edzea ame siwo mede 1% o dzi.

Ðe esia nye nɔnɔme sesẽ aɖea? Ðe wòle be mavɔ̃a?

Esia nye kuxi si le ame geɖe ŋu. Nu vevitɔ si gɔme wòle be míase le afisiae nye be togbɔ be ƒunukpeƒe sia menye kansa (si me dɔlékui aɖeke mele o) o hã la, ate ŋu anye nu sesẽ le afisi wòle nu .

Bu eŋu kpɔ, ne ƒunukpeƒe sia le tsitsim la, ate ŋu ana ŋutinuwo abe dzia, kotoku tsɛ si ƒo xlã dzia (pericardium), ʋuka gãwo, kple yagbɔgbɔ nate ŋu aƒoe ɖe enu. Azɔ hã, ƒunukpeƒetetedɔ si dzɔna ɖe megbe ate ŋu aƒoe ɖe aklãa nu. Eyata ne womekpɔ egbɔ o la, kuxi sesẽwo ate ŋu ado mo ɖa.

Nukae nye esia ƒe dzesiwo?

Nukutɔe la, amesiwo ŋu dɔléle sia le dometɔ siwo ade 40% mekpɔa dzesi aɖeke o . Zi geɖe la, wokpɔa ƒunukpeƒea le vo me le akɔta ƒe X-ray wɔwɔ me le susu bubu aɖe ta.

Ne dzesiwo dze la, zi geɖe la, esi dɔdzẽa tsi eye wòle tetem ɖe ŋutinu siwo ƒo xlãe ŋu tae. Kansa ƒe dɔdzẽwo ate ŋu ahe dzesiwo vɛ wu.

Esiawoe nye dzesi siwo woate ŋu akpɔ le goawo katã me:

• Gbe ƒe ɖiɖi.
• Gbeɖiɖi si mebɔ o si dona tso ŋɔti me ne wole gbɔgbɔm (stridor).
• Kɔdzi, ʋuʋudedi, alo gbɔgbɔ sesẽ (gbɔgbɔtsixetsixe).
• Ʋu ƒe kɔdzidede (heoptysis).
• Nuɖuɖu mimi sesẽ (dysphagia).
• Asrã, vuvɔ, alo fifia le zã me.
• Akɔtave (esia mebɔ vie o).
• Be woanye ame tsɛ le susu aɖeke manɔmee.
• Lãmetsiŋusẽ ƒe lãkusiwo (glands) vuvu alo fa miamiamia ne woka asi eŋu.
• Ŋku ƒe kuxiwo abe ŋkume ƒe akpa si le gegem ɖe mo ƒe akpa ɖeka kple ŋkume ƒe gotagome yibɔ suesuesuewo ene.

Nukatae ƒunukpeƒetetedɔ siawo dzɔna?

Esesẽ be míade dzesi susu ɖeka pɛ si tae wòle alea ɖo. Nu vovovowo ate ŋu anɔ eme.

• Lãmenugbagbeviwo ƒe tsitsi si dzi womeɖu o: Dɔdzẽ siwo me kansa le kple esiwo me kansa mele o siaa dona ne lãmenugbagbeviwo ma eye wotsi le wo ɖokui si. Numekulawo menya nusita tututu nusia dzɔna haɖe o.
• Abe atikewɔwɔ ƒe nɔnɔme bubu ƒe ŋuɖoɖo ene: Ɣeaɖewoɣi la, ʋukawo ate ŋu avuvu eye wòadze abe ɖe wole ƒuƒlu ene le dɔlékui alo atikewɔwɔ ƒe nɔnɔme bubu aɖe si le ŋutilãa me ta.
• Nɔnɔme siwo wodzina: Le kpɔɖeŋu me, dɔdzẽ aɖewo, le kpɔɖeŋu me, dzitodzito me ʋukawo kple aɖuɖɔtoe me ʋukawo, nye lãmenugbagbeviwo ƒe tsitsi si mesɔ o si nɔa anyi tso esime wodzi wo.

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Zi geɖe la, ne wokpɔ ƒunukpeƒetetedɔ aɖe le akɔta ƒe X-ray me la, wò ɖɔkta aɖe gbe be woagawɔ dodokpɔ geɖe wu be yeanya nu geɖe tso eŋu.

• Akɔta ƒe X-ray: Woate ŋu azã esia koŋ atsɔ akpɔe ɖa be ƒu aɖe le eŋu hã.
• CT scan (Computed Tomography scan): Esia ate ŋu awɔ nɔnɔmetata siwo me kɔ wu, siwo me kɔ wu X-ray. Ate ŋu aɖe dɔdzẽa ƒe lolome kple nɔnɔme afia, kple alesi wòkpɔ ŋusẽ ɖe ŋutinu siwo ƒo xlãe dzii.
• MRI scan (Magnetic Resonance Imaging): Ekpena ɖe ame ŋu be woakpɔe ɖa be ƒunukpeƒea le tutum ɖe lãkusi siwo ƒo xlãe me alo kaka ɖe wo me (abe alesi wòle le kansa gome ene).
• PET scan (Positron Emission Tomography scan): Esia ɖea vi ŋutɔ le kansa ƒomevi aɖewo, abe ʋumenugbagbeviɣidɔ ene, didi me.
• Ʋudodokpɔ: Ʋudodokpɔ ate ŋu alé ŋku ɖe protein alo enzyme (dɔdzẽ ƒe dzesiwo) siwo do ƒome kple dɔdzẽ ƒomevi aɖewo ŋu.
• Nu gbagbewo ƒe lãmenugbagbeviwo ɖeɖe:Esiae nye dodokpɔ vevitɔ kekeake. Woɖea lãkusi sue aɖe le ƒunukpeƒea me hedoa eŋu le nusuekpɔmɔ̃ me. Dodokpɔ sia ate ŋu anya lãmenugbagbevi ƒomevi si tututu wotsɔ wɔ ƒunukpeƒea kple nenye be kansae wònye loo alo menyee o. Woate ŋu awɔ esia to mɔnuwo abe aŋe aɖe ɖeɖe le CT scan te (CT-guided needle biopsy), mɔ̃ aɖe si me fotoɖemɔ̃ le tsɔtsɔ yi nuɖuɖutome (Esophagoscopy), alo mɔ̃ aɖe tsɔtsɔ yi yaƒoƒomɔ̃a me (Bronchoscopy) zazã me.

Nukawoe nye atike siwo wozãna na esia?

Atikewɔwɔ nɔ te ɖe ƒunukpeƒe si ƒomevi wòle, afisi wòle, afisi wòle ne kansa le eŋu, kple dzesi siwo le fu ɖem na wò dzi.

• Amekoko: Esiae nye atikewɔwɔ si bɔ wu. Ðewohĩ ahiã be woawɔ dɔ na dɔdzẽ ƒe dɔdzẽ, dɔdzẽ siwo le tetem ɖe ŋutinu siwo te ɖe wo ŋu dzi, kple dɔdzẽ siwo le dzesiwo hem vɛ. Woateŋu awɔ esia to akɔta ɖeɖe alo to lãɖeɖe sue geɖe me to fotoɖemɔ̃ zazã me (video-assisted thorascopic surgery - VATS).
• Kekeli ƒe Dɔdamɔnu: Dɔdamɔnu sia zãa keklẽŋusẽ si me ŋusẽ geɖe le tsɔ tsrɔ̃a kansa lãmenugbagbeviwo. Ɣeaɖewoɣi la, wonaae ɖeɖeko alo kpe ɖe amekoko ŋu.
• Atikewo zazã: Atike siwo wua kansadɔlékuiwo alo ɖea dɔdzẽwo dzi kpɔtɔna la nana ŋutilãa.
• Dɔlékuiwutikewo: Ne dɔlékui aɖe gbɔe ƒunukpeƒea tso (e.g., ʋuka siwo vuvu) la, woate ŋu atsɔ dɔlékuiwutikewo adae.
• Lala Ŋudzɔnɔnɔ: Ne menye kansae le ƒunukpeƒea o eye dzesi aɖeke mele eŋu o la, wò ɖɔkta ate ŋu atso nya me be yemadae o eye wòawɔ fotowo boŋ atsɔ alé ŋku ɖe ƒunukpeƒea ŋu be tɔtrɔ aɖeke mele eŋu o.

Nukae adzɔ emegbe? Ðe woate ŋu axe mɔ ɖe esia nua?

Nukpɔsusua nɔ te ɖe ƒunukpeƒetetedɔ ƒe ƒomevi dzi bliboe, eɖanye kansa alo menyee o, kple wò lãmesẽ bliboa dzi. Eyata wò ɖɔkta koe ate ŋu ana numeɖeɖe nyuitɔ kekeake na wò le wò nɔnɔmea ƒe mɔkpɔkpɔ ŋu.

Mɔ aɖeke meli si ŋu kakaɖedzi le si dzi woato axe mɔ na ƒunukpeƒetetedɔ siawo ƒomevi be woagadzɔ o. Gake nu nyuitɔ si nàte ŋu awɔe nye be nàde dzesi nɔnɔmea kaba . Ne dzesi siwo ŋu míeƒo nu tsoe va yi (abe kɔdzi, ɣlidodo, nu mimi sesẽ ene) le ŋuwò wu kwasiɖa eve la, kpɔ egbɔ be yeyi ɖɔkta gbɔ hena aɖaŋuɖoɖo.

Nusiwo nàbia wò ɖɔkta

Ne èsusu be dɔléle sia le ye ŋu la, bia nya siawo wò ɖɔkta.

• Mediastinal tumor ka ƒomevie le ŋunye?
• Ðe kansa le ƒunukpeƒe sia loo alo menyee oa?
• Ðe wòhiã godoo be woakpɔ esia gbɔa?
• Atikewɔwɔ kawoe nèkafu?
• Viɖe kple afɔku kawoe le atikewɔwɔ mawo me?
• Nuka ƒomevie mate ŋu akpɔ mɔ be emetsonuwo ado tso eme le atikewɔwɔ vɔ megbe?
• Ðe wòle be matsi dzi ɖe kuxi siwo ado tso ƒunukpeƒea alo atikewɔwɔa me ŋua?