Dzesi wɔnuku siwo kansa hena vɛa? Mina míasrɔ̃ nu tso Paraneoplastic Syndromes siawo ŋu

Bu eŋu kpɔ, ame aɖe ƒe lãme mekɔna kura o ŋkeke ʋɛ aɖewoe nye esia, eƒe ŋkuɖoɖonudzi me mekɔna o vie, eƒe ƒunukpeƒewo le veve sem ɣeaɖewoɣi, eye eƒe ŋutigbalẽ dzea ƒoƒo gɔme. Eyata ne èyi ɖɔkta gbɔ hena nane si le abe esia ene, eye wowɔ dodokpɔ vovovowo la, wokpɔnɛ be nusiawo katã ƒe ke enye kansa si ɣla ɖe ŋutilãa me. Ðe mewɔ nuku oa? Kansa la le teƒe ɖeka, gake le eƒe ŋusẽkpɔɖeamedzi ta la, dzesi siwo dze abe ɖe womedo ƒome kura o ene la dzena le ŋutilã ƒe akpa vovovowo kura. Emae nye nusi míeyɔna be Paraneoplastic Syndrome le atikewɔwɔ me.

Kpuie ko la, nukae nye Paraneoplastic Syndrome?

Esia adze nu sesẽ vie be woase egɔme, gake mina míana wòanɔ bɔbɔe. Ne dɔdzẽ vɔ̃ɖi aɖe do le wò ŋutilã me la, ekpɔa ŋusẽ ɖe ame dzi tẽ. Le kpɔɖeŋu me, ne aɖuɖɔtoedɔdzẽ le ŋuwò la, ate ŋu axɔ kɔdzidɔ. Ne dɔgbo me kansa le ŋuwò la, ʋu ate ŋu anɔ wò aɖuɖɔ me. Esiawoe nye kansa ƒe dzesi tẽ.

Gake Paraneoplastic Syndrome ya to vovo. Nusi dzɔna le afisia enye be wò ŋutilã wɔa dzesi bubuwo ƒe ƒuƒoƒo le kansa la ŋu. Eyae nye be menye nane si kansa la wɔna tẽe o, ke boŋ esi kansa la le ŋutilãa me ta la, ŋutilãa ƒe ɖoɖo bubuwo zɔna abe ‘ŋuɖoɖo’ ɖe eŋu ene.

Mɔ vevi eve li siwo dzi esia ate ŋu ato:

1. Dɔlélenutsiŋutete ƒe Ŋuɖoɖo: Bu míaƒe ŋutilã ƒe dɔlélenutsiŋutete be enye aʋakɔ si le dukɔ aɖe ta ʋlim. Kansa lãmenugbagbeviwo nye futɔ si ge ɖe dukɔa me. Eyata míaƒe aʋakɔ (dɔlélenutsiŋutete) dzea avuwɔwɔ kple futɔ sia (kansa) gɔme. Le ema ta la, wowɔa aʋawɔnu tɔxɛwo, si nye , dɔlékuiwutikewo . Gake ɣeaɖewoɣi, le aʋawɔwɔ sia me la, míaƒe aʋakɔa wɔa vodada. Menye futɔwo ƒe lãmenugbagbeviwo koe wodzea wo dzi dzedze gɔme o, ke boŋ lãmenugbagbevi nyui siwo le lãmesẽ me le mía ŋutɔwo míaƒe ŋutilã me hã dzi dzedze, henɔa susum be yewonye futɔwo. Le kpɔɖeŋu me, woate ŋu adze lãmenugbagbevi siwo le lãmekawo me, ŋutigbalẽmenugbagbeviwo, alo lãmenugbagbevi siwo le ƒunukpeƒewo dzi. Ɣemaɣie dzesi siwo do ƒome kple ŋutinu mawo dzena.

2. Lãmetsiŋusẽ si kansa lãmenugbagbeviwo wɔna: Kansa ƒomevi aɖewo ate ŋu awɔ nusiwo sɔ gbɔ akpa, abe lãmetsiŋusẽ ene, siwo míaƒe ŋutilã mewɔna le dzɔdzɔme nu o, alo womewɔa wo boo o. Lãmetsiŋusẽ siawo siwo mesɔ o la ƒoa ƒu ɖe ʋua me hezɔa mɔ toa ŋutilã bliboa me, eye wògblẽa ŋutinu vovovowo ƒe dɔwɔwɔ me. Le kpɔɖeŋu me, lãmetsi siawo ate ŋu ana ʋu ƒe sisi nadzi ɖe edzi akpa, alo calcium ƒe agbɔsɔsɔ nadzi ɖe edzi le ʋua me.

Ŋutilã ƒe akpa kawoe nɔnɔme sia gblẽa nu le?

Paraneoplastic syndromes ate ŋu agblẽ nu le ŋutilãa ƒe ɖoɖo ɖesiaɖe kloe ŋu. Gake wokpɔa wo wu le nuɖoanyi siawo me. Mina míalé ŋku ɖe nusiwo wonye kple nɔnɔme siwo ate ŋu ado mo ɖa siwo do ƒome kpli wo ŋu.

Nukawoe nye dzesi siwo bɔ kple esiwo dzena koŋ?

Dzesi geɖe li siwo bɔ siwo wokpɔna zi gbãtɔ le paraneoplastic syndrome me. Woate ŋu akpɔ nusiawo le dɔléle bubu ɖesiaɖe hã me, eyata manyo be nàtsi dzodzodzoe ne èkpɔ nusiawo ko o.

Dzesi siwo bɔ:

• Asrã si me susu mele o
• Nudzroame
• Fifia si gbɔ eme le zã me
• Lolo dzi ɖeɖe kpɔtɔ si mebɔ o agbagbadzedze manɔmee

Tsɔ kpe ɖe dzesi siawo siwo bɔ ŋu la, abe alesi míedzro eme va yi ene la, dzesi aɖewo koŋ doa mo ɖa le ŋutilã ƒe ɖoɖo si ŋu wògblẽ nu le nu.

Amekawoe le afɔku gã me be woaxɔ dɔléle sia?

Le nukpɔsusu nu la, paraneoplastic syndromes ate ŋu adzɔ na amesiame si ŋu kansa le. Gake anɔ eme be woadzɔ kple kansa ƒomevi aɖewo. Le akɔntabubuwo nu la, kansadɔnɔ siwo ade 8 le 100 ɖesiaɖe me (8%) xɔa nɔnɔme sia.

Kansa ƒomevi siwo do ƒome kple nɔnɔme sia wue nye:

• Aklãdɔléle (si wokpɔna zi geɖe le ƒomevi sia ŋu) .
• No me dɔdzẽ
• Kansa siwo do ƒome kple ʋu (abe ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ ene) .
• Azigolo me kansa

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne èyi ɖɔkta gbɔ eye dzesi siawo le ŋuwò la, nu gbãtɔ si wòawɔe nye be wòaŋlɔ eƒe ŋutinya tsitotsito eye wòado eƒe ŋutilã kpɔ. Emegbe, woaɖe gbe be woawɔ dodokpɔ geɖe atsɔ anya ne kansa alo atikewɔwɔ ƒe nɔnɔme bubu aɖe gbɔe dzesiawo tso.

• Ʋudodokpɔ: Ʋudodokpɔ edziedzi ate ŋu akpɔ nu bubu siwo gbɔ wò dzesiawo tso (e.g., dɔlékuiwo, lãmetsiŋusẽ ƒe masɔmasɔ). Azɔ hã, ʋudodokpɔ tɔxɛ aɖewo ate ŋu adi dɔlékuiwutikewo alo dɔdzẽ ƒe dzesi siwo do ƒome kple paraneoplastic syndrome.
• Nɔnɔmetatawo ɖeɖe: Wozãa dodokpɔwo abe CT scan , MRI scan , alo ultrasound ene tsɔ nyaa ne kansa ƒe dɔdzẽ aɖe le ŋutilãa me.
• Ahɔhɔ̃mekadodokpɔ: Ne wosusu be wò dzesiwo do ƒome kple lãmekawo la, wò ɖɔkta awɔ nu vovovowo atsɔ ado wò ŋusẽ, ŋkuɖoɖonudzi, dadasɔ, kple nuwɔwɔ ɖe ɖoɖo nu kpɔ.
• Spinal tap/Lumbar Puncture: Esia bia be nàno ahɔhɔ̃metsi sue aɖe, si nye tsi si ƒo xlã wò aklã, eye nàdoe kpɔ be dɔlékuiwutike siwo mesɔ o le tsi sia me siwo le lãmenugbagbevi siwo le lãmesẽ dzi dzem hã.

Aleke wowɔa atike nɛ?

Nu vevitɔ kple vevitɔ kekeake le paraneoplastic syndrome dada me enye be woada kansa si he esia katã vɛ. Ne wonya ɖu kansa dzi alo da gbe le eŋu ko la, zi geɖe la, dzesi siwo do ƒome kple paraneoplastic syndrome la nu yina le wo ɖokui si.

Le ɣeyiɣi ma ke me la, le kansa dada me la, wowɔa atikewo hã be woatsɔ aɖu dzesi siwo do mo ɖa dzi. Taɖodzinu vevitɔ si le atikewɔwɔ siawo ŋue nye be woana dɔlélenutsiŋutete si dzea lãmenugbagbevi siwo le lãmesẽ me dzi vodadatɔe la ƒe dzi nadze eme.

• Corticosteroids: Atikewo abe Prednisolone ene. Esiawo wɔa dɔ to abi kple abi si le ŋutilãa me dzi ɖeɖe kpɔtɔ me.
• Dɔlélenutsiŋutete ƒe atikewo:Atike siawo ɖea dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi kpɔtɔna eye woxea mɔ nɛ be wòagadze lãmenugbagbevi siwo le lãmesẽ me dzi o.
• Intravenous immunoglobulin (IVIG): Esia bia be woana nusi me dɔlékuiwutike siwo woɖe tso ame siwo le lãmesẽ me gbɔ le ʋuka me. Dɔlékuiwutike siawo kpena ɖe ame ŋu wogblẽa dɔlékuiwutike gbegblẽ siwo le nu gblẽm le ŋutilãa ŋu la dome.
• Plasmapheresis: Esia nye nuwɔna si sɔ kple ʋukɔklɔ. Woɖea wò ʋu, woɖea akpa si nye tsi (plasma) la ɖa, woɖea dɔlékuiwutike siwo gblẽa nu le ame ŋu la ɖa, eye wogadea ʋumenugbagbeviɣi si ŋu wokɔ la wò ŋutilã me ake.
• Lãmesẽ, dɔwɔɖui kple nuƒoƒo ƒe atikewɔwɔ: Ne egblẽ nu le lãmekawo ŋu eye azɔlizɔzɔ, nuƒoƒo alo gbesiagbedɔwo wɔwɔ sesẽna la, atikewɔwɔ siawo ate ŋu akpe ɖe ame ŋu be ŋutete mawo nagatu wo ɖo.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne dzesi aɖewo siwo mebɔ o abe esiwo ŋu míeƒo nu tsoe le nyati sia me ene le ŋuwò, vevietɔ ne esẽ alo nɔa anyi wu kwasiɖa eve la, ele be nàkpɔ ɖɔkta godoo.

Ne woda dɔ na wò le kansa ta va yi, ne míagblɔe la, le ƒe atɔ̃ siwo va yi me, eye nèle dzesi siawo tɔgbe kpɔm fifia la, ele vevie ŋutɔ be nàgadoe kpɔ ake. Esia ate ŋu akpe ɖe ŋuwò nànya ne kansa la gatrɔ gbɔ.

Ne kansa le ŋuwò la, esɔ be nàse le ɖokuiwò me be yegbɔdzɔ ne dzesi siwo le abe esiawo ene ƒo ƒu ɖe ŋuwò. Gake ele vevie be míase egɔme be atikewɔwɔ nyuitɔ kekeake na paraneoplastic syndrome sia sɔ kple kansa la dada. Ne èwɔ ɖe wò kansa dada ƒe ɖoɖoa dzi nyuie la, akpe ɖe ŋuwò ŋutɔ be nàkpɔ dzesi siawo gbɔ. Dɔdamɔnu geɖewo li siwo ate ŋu ana gbɔdzɔe wò. Ðo dze kple wò ɖɔkta tso wo ŋu gaglãa.