Enye nusi sɔ be vɔvɔ̃ naɖo ŋuwò ŋutɔ ne èkpɔ ʋu le wò aɖuɖɔ me. Azɔ hã, ne aɖuɖɔɖɔɖɔ sesẽ na wò alo aɖuɖɔtoedɔlélewo le fu ɖem na wò enuenu la, mele be nàŋe aɖaba aƒu dzesi siawo dzi ko o. Esiawo ate ŋu anye tsinyegoe me kansa ƒe dzesiwo, vevietɔ eƒe nɔnɔme si nu sẽ wu, si nye Muscle Invasive Bladder Cancer. Togbɔ be esia nye nɔnɔme sesẽ aɖe hã la, mègatsi dzodzodzoe o. Egbea, míaƒo nu tso esia ŋu le nya bɔbɔewo me, si nye dzesiwo, nusiwo gbɔ wòtso, kple atikewɔwɔ.
Nukae Nye Lãmetsiŋusẽ ƒe Tsinyegoe me Dɔdzẽ (MIBC)?
Kpuie ko la, esia nye tsinyegoe me dɔdzẽ si de ŋgɔ vie, alo kaka.
Míaƒe tsinyegoe nye ŋutinu si le abe kotoku ene si me gli vovovowo le. Zi geɖe la, tsinyegoe me kansa dzea egɔme tso gli sia ƒe akpa si le eme wu. Ame siwo ade 70 le 100 siwo ŋu tsinyegoe me kansa le la ŋue kansa sia si le gotagome le. Mege ɖe eme tututu o.
Gake le Muscle Invasive Bladder Cancer (MIBC) , me la, kansa lãmenugbagbeviwo gena ɖe tsinyegoea ƒe akpa si le eme la me eye wogena ɖe lãmeka si le ʋeʋẽm la me . Ɣeaɖewoɣi la, woate ŋu akaka wu ƒuƒoƒo ma. Ame siwo ade 30 le 100 ɖesiaɖe me siwo ŋu tsinyegoe me kansa le la xɔa dɔléle sesẽ sia.
Nukatae kansa sia ƒomevi dzea ame dzi? Nukawoe nye afɔku siwo le eme?
Abe kansa ɖesiaɖe ene la, edzea egɔme kple tɔtrɔ (`nutations`) le domenyiŋusẽfianu ŋuti nyatakakawo, alo DNA, me le míaƒe ŋutilã ƒe lãmenugbagbeviwo me. Lãmenugbagbevi siawo siwo mesɔ o la mãna le mɔ si dzi womate ŋu aɖu o nu eye wowɔa `tumors`. Le MIBC me la, dɔdzẽ siawo kaka ɖe tsinyegoe ƒe gli me goglo.
Ame aɖewo ate ŋu axɔ kansa sia. Na míalé ŋku ɖe nusiwo nye afɔku mawo ŋu.
| Afɔku ƒe nusi gbɔ wòtso | Nuɖᴐɖᴐ |
|---|---|
| Sigaretnono | Esiae nye afɔku gãtɔ kple vevitɔ kekeake. Atike siwo le atama me gblẽa nu le tsinyegoea ŋu ne woɖe wo do goe to aɖuɖɔ me. |
| Ƒe si woxɔ kple ŋutsu alo nyɔnu nyenye | Ŋutsuwo ate ŋu axɔe wu nyɔnuwo kple amesiwo xɔ wu ƒe 55. |
| Aɖuɖɔtoe me dɔlélewo xɔxɔ enuenu | Tsinyegoe me dɔdzẽ atraɖii ate ŋu ana lãmenugbagbeviwo natrɔ. |
| Atikewo zazã | Ame siwo wɔa dɔ le dɔwɔƒe siwo wɔa rababa, amadede, kple amadedewo koŋue le afɔku me. Atikewo abe arsenic ene hã ate ŋu anye nusi gbɔ wòtso. |
| Kansa ƒe atikewɔwɔ si wowɔ va yi | Afɔku li ne wozã keklẽŋusẽdɔdamɔnu na wò le akɔta ƒe akpa si nèle alo nèxɔ atikewo abe cyclophosphamide ene. |
| Ƒome ŋutinya | Ne tsinyegoe me kansa alo domenyiŋusẽfianu ƒe dɔléle aɖe abe Lynch ƒe dɔléle ene xɔ ame aɖe le ƒomea me kpɔ. |
Nukae nye dɔléle sia ƒe dzesiwo?
Tsinyegoe me dɔdzẽ ƒe dzesi vevitɔ kple gbãtɔe nye ʋu si le aɖuɖɔ me . Ɣeaɖewoɣi la, aɖuɖɔa dzena biã, ɣebubuɣiwo la, edzena pink. Azɔ hã, nanewo ate ŋu anɔ anyi abe dzobibi kple vevesese le tsinyegoe me dɔlékui aɖeke manɔmee.
Ne kansa la le ŋgɔ yim, si fia be eɖo MIBC ƒe afisi wòle la, dzesi bubuwo hã ate ŋu adze.
- Aɖuɖɔtoe mete ŋu kura o.
- Vevesese le ƒodo ƒe akpa si le anyime alo akɔta ƒe akpa ɖeka.
- Nuɖuɖudzroame ƒe vɔvɔ kple lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee.
- Afɔwo ƒe vuvu.
- Vevesese le ƒuwo me.
Dzesi siawo ate ŋu anɔ dɔléle bubuwo hã me. Gake ne ʋu le wò aɖuɖɔ me kpe ɖe esiawo dometɔ ɖeka alo esi wu nenema ŋu la, yi ɖɔkta gbɔ enumake.
Aleke woawɔ anya dɔlélea?
Be nànya MIBC la, ele be nàlé ŋku ɖe eŋu nyuie nenye be kansa lãmenugbagbeviwo le eme kple alesi woge ɖe tsinyegoe ƒe gli me gogloe.
1. Aɖuɖɔ dodokpɔ: Afɔɖeɖe gbãtɔe nye aɖuɖɔ dodokpɔ bɔbɔe. Esia léa ŋku ɖe ʋu alo kansa lãmenugbagbeviwo le aɖuɖɔ me ŋu.
2. Cystoscopy kple scans:Eyome ɖɔktaa tsɔa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le la toa tsinyegoea me be yeado tsinyegoea ƒe eme. Woyɔa esia be cystoscopy. Woateŋu awɔ scan tɔxɛwo abe `CT urogram` alo `retrograde pyelogram` hã.
3. Biopsy: Ne wokpɔ dɔdzẽ aɖe le tsinyegoea me la, wodoa alɔ̃ na dɔnɔa eye woɖea dɔdzẽa ƒe akpa sue aɖe heɖonɛ ɖe nudokpɔƒe be woadoe kpɔ. Woyɔa esia be biopsy. Ɣeaɖewoɣi la, woate ŋu aɖe dɔdzẽ bliboa ɖa to amekoko sia me (TURBT - Transurethral Resection of Bladder Tumor). Wozãa esia tsɔ dia dɔlélea kple edada siaa.
4. Scan be woakpɔe ɖa be kansa la kaka hã: Ne wonya ɖo kpe dɔlélea dzi ko la, wowɔa scan ƒomevi bubu geɖe be woakpɔe ɖa be kansa la kaka yi ŋgɔ wu tsinyegoea, yi ʋukawo, aklã, lãkusi, alo ƒuwo me hã.
- CT-dɔdamɔnu
- MRI-dɔdamɔnu ƒe fotoɖeɖe
- PET scan ƒe fotoɖeɖe
- Ƒuwo ƒe ʋuʋu
- Akɔta ƒe X-ray
Nukae nye kansa ƒe ‘Dzeside’ kple ‘Afɔɖeɖe’?
Ele vevie be míanya gɔmesese si tututu le nya eve siawo ŋu.
- Dzeside: Esia fia alesi kansa lãmenugbagbeviwo dzena abe ɖe womesɔ o alo wowɔa adã le nusuekpɔmɔ̃ me ene. `Low-grade` fia be lãmenugbagbeviawo mewɔa adã ŋutɔ o eye wokakana blewu. `High-grade` fia be lãmenugbagbeviawo wɔa adã ŋutɔ eye wokakana kabakaba. Zi geɖe la, MIBC nyea kansa si `de ŋgɔ`.
- Afɔɖeɖe: Esia fia afisi kansa la kaka ɖo le ŋutilãa me. Esia nɔa te ɖe dɔdzẽa ƒe lolome (T), ne ekaka ɖe ʋukawo me (N), kple ne ekaka ɖe ŋutinu bubuwo me (M) dzi.
Afɔɖeɖe II: Kansa la kaka ɖe tsinyegoea ƒe lãmekawo ƒe gli ŋu. (Afi siae MIBC dzea egɔme tsoe.)
Afɔɖeɖe III: Kansa la kaka yi ŋgɔ wu lãmekawo ƒe gli yi ami siwo ƒo xlã tsinyegoea me.
Afɔɖeɖe IV: Kansa la kaka yi ŋgɔ wu tsinyegoea, yi ʋukawo, ƒuwo, alo ŋutinu bubuwo me.
Be woada kansa nyuie la, ele vevie be woanya afisi tututu wòle.
Nukawoe nye atikewɔmɔnuawo?
Esi wònye be MIBC nye dɔléle sesẽ aɖe ta la, atikewɔwɔ ate ŋu asẽ vie wu. Dɔdamɔnu vevitɔe nye amekoko.
Amekoko
- Cystectomy: Esia nye amekoko be woaɖe tsinyegoe bliboa ɖa. Eɖea ʋuka siwo te ɖe afima ŋu kple ŋutinu siwo me kansa la ate ŋu akaka le hã ɖa. Ðewohĩ ahiã be woaɖe vidzidɔ kple azigolo le nyɔnuwo me hã ɖa.
- Mɔ yeye aɖe si dzi woato aɖu aɖuɖɔ:Ne woɖe tsinyegoea ɖa vɔ la, ele be woato mɔnu yeye aɖe vɛ si dzi woato aɖe aɖuɖɔ le ayikuawo me.
- Urostomy: Esiae nye dɔdamɔnu si bɔ wu. Wowɔa ʋuƒo sue aɖe (stoma) ɖe ƒodoa me eye wotsɔa kotoku aɖe kpena ɖe eŋu be woatsɔ aƒo aɖuɖɔ nu ƒu.
- Nudzraɖoƒe: Wozãa dɔgboa ƒe akpa aɖe tsɔ wɔa akplo aɖe le ŋutilãa me tsɔ ƒoa aɖuɖɔ nu ƒu. Wodea mɔ̃ aɖe (catheter) to do sue aɖe si le ƒodoa me me be wòakɔ akploa me.
- Tsinyegoe yeye: Wotsɔa dɔgboa ƒe akpa aɖe wɔa tsinyegoe yeye eye wotsɔa wo doa ka kple tsinyegoea. Le mɔnu sia me la, woɖea aɖuɖɔ hã doa goe to mɔ̃ aɖe me.
Tsinyegoe Takpɔkpɔ ƒe Atikewɔwɔ
Le dɔnɔ aɖewo, siwo womate ŋu awɔ dɔ na o alo medi be woaɖe woƒe tsinyegoe o gome la, atikewɔmɔnu bubuwo li. `TURBT` nye dɔwɔwɔ si me woɖea dɔdzẽa ɖa eye wonaa atikewɔmɔnu kple keklẽŋusẽ le ɣeyiɣi ɖeka me.
Atikewɔwɔ bubuwo
- Atikewɔmɔnu: Wowɔa atike sia be woatsɔ aɖe dɔdzẽa dzi akpɔtɔ hafi woawɔ dɔ nɛ alo na amesiwo mate ŋu awɔ dɔ na o.
- Dɔlélenutsiŋutete ƒe atikewɔwɔ: Egbegbe atike siwo doa ŋusẽ ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete be wòatsrɔ̃ kansa lãmenugbagbeviwo nana.
- Atikewɔwɔ si Woɖo Tae: Atike siwo tɔa ŋku protein tɔxɛ siwo le vevie na kansa lãmenugbagbeviwo ƒe tsitsi eye woatɔ te wo nana.
Wò ɖɔkta atia atike si sɔ na wò nɔnɔmea. Àte ŋu aƒo nu kple wò ɖɔkta hã tso atikewɔmɔnu yeyewo dodokpɔwo ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Muscle Invasive Bladder Cancer (MIBC) nye tsinyegoe me dɔdzẽ sesẽ aɖe si de ŋgɔ ŋutɔ.
- Ʋu si le aɖuɖɔ me ye nye dzesi vevitɔ kple esi bɔ wu. Mègaŋe aɖaba ƒu esia dzi gbeɖe o.
- Dzesiwo abe ƒodo ƒe vevesese, akɔtave, kple lolo dzi ɖeɖe kpɔtɔ hã ate ŋu ado mo ɖa.
- Sigaretnonoe nye nu vevitɔ si ate ŋu ana kansa sia nadze ame dzi.
- Dɔlélea didi nyuie kple afisi wòɖoe nyanya le vevie hafi woate ŋu ada dɔa dzidzedzetɔe.
- Egbegbe dɔdamɔnu geɖewo li egbea, siwo dometɔ aɖewoe nye amekoko, atikewɔmɔnu, keklẽŋusẽdɔdamɔnu, kple bubuwo.
- Togbɔ be agbenɔnɔ le atikewɔwɔ vɔ megbe nye tɔtrɔ gã aɖe hã la, ame akpa gãtɔ ate ŋu atrɔ ɖe eŋu ahanɔ agbe si sɔ. Wò ɖɔkta kple lãmesẽnyawo gbɔ kpɔha akpe ɖe ŋuwò le ema me.
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee