Ènya nu tso ƒunukpeƒetetedɔ wɔnuku siwo dzena le wò ŋutilã ŋua? Mina míaƒo nu tso Solitary Fibrous Tumor (SFT) ŋu .

Ɣeaɖewoɣi la, ƒuƒu suesuesuewo kple ƒoƒoewo nɔa wò ŋutilã katã ŋu, alo? Zi geɖe la, míeléa ŋku ɖe wo ŋu boo o. Míesusuna be, "Esia ate ŋu anye ƒunukpeƒetetedɔ ko" alo "Ate ŋu anye ami ƒe dɔdzẽ." Gake ɣeaɖewoɣi la, enyo be nàtsi dzi vie ɖe nu siawo tɔgbe ŋu. Egbea, míele nu ƒom tso dɔdzẽ ƒomevi aɖe si mebɔ kura o, gake wòle vevie ŋutɔ si ŋu wòle be míanya nu tsoe ŋu. Míeyɔa esiawo be Solitary Fibrous Tumors (SFTs) .

Nuka tututue nye Solitary Fibrous Tumor (SFT)?

Kpuie ko la, SFT nye dɔdzẽ ƒomevi aɖe si dzɔna le míaƒe ŋutilã ƒe lãkusi falɛfalɛwo me. Togbɔ be woate ŋu adzɔ le ŋutilãa ƒe akpa sia akpa hã la, wokpɔa wo wu le ametakpɔnu si ƒo xlã míaƒe lãkusiwo me.

SFT-nu siawo ƒomevi eve li.

1. Wo dometɔ aɖewo tsina blewu ŋutɔ eye womekakana ɖe teƒe bubuwo o (non-cancerous - benign) .

2. Ƒomevi bubue nye kansa/vɔ̃ɖi, si tsina kabakaba ŋutɔ eye ate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo .

Aleke woyɔa esia le blema?

Tsã la, ɖɔktawo susui be akɔta ƒe do me koe dɔdzẽ siawo dona le. Esia tae woyɔ wo be "benign fibrous tumors of the pleura." Le afisia la, `(pleura)` fia lãkusi tsɛ si le míaƒe akɔta ƒe gli ƒe eme eye wòkpɔa míaƒe lãkusiwo ta. Lãmetsi sia hã wɔa ami si míaƒe lãkusiwo hiã be wòaʋuʋu bɔbɔe ne míele gbɔgbɔm.

Gake fifia míenya be dɔdzẽ siawo ate ŋu adze le ŋutilãa ƒe akpa sia akpa, ke menye le akɔta, abe aklã, ahɔhɔ̃, kple kɔ ene me ko o. Eyata womegazãa ŋkɔ xoxo ma kura o.

Ðe SFT kple Pleural Mesothelioma nye nu vovovo evea?

Ẽ, nɔnɔme eve siwo to vovo kurae nye esiawo.

• Pleural Mesothelioma: Esia nye kansa si dona le lãkusi ƒe lãkusi (pleura) me. Nusi koŋ gbɔ esia tsonae nye asbestos si wogbɔna .
• Solitary Fibrous Tumor (SFT): SFT siawo meku ɖe asbestos ŋu kura o. Azɔ hã, womate ŋu azu kansa o. Azɔ hã, to vovo na mesothelioma la, SFT ate ŋu adze le ŋutilãa ƒe akpa sia akpa. Womenya nusi tututu gbɔ SFT-wo tsona haɖe o .

Amekawoe le afɔku gã me be woaxɔ dɔdzẽ siawo?

SFT ate ŋu adze egɔme le ƒe ɖesiaɖe me, gake ebɔ ɖe amesiwo xɔ tso ƒe 50 va ɖo ƒe 60 me wu.Le ame tsitsiwo dome la, nɔnɔme sia mebɔ kura le ɖevi suewo dome o. Le nyateƒe me la, lãkusi falɛfalɛ ƒe dɔdzẽ siwo ŋu woka nya ta le la dometɔ siwo mede 2% o nye SFT.

Nukae hea SFT vɛ?

Womenya nusi tututu gbɔ esia tso haɖe o, gake numekulawo xɔe se be míaƒe domenyiŋusẽfianu eve , NAB2 kple STAT6, ƒoa ƒu ɖekae. Nukpɔsusu si li fifiae nye be domenyiŋusẽfianu sia si wotrɔ ate ŋu ana afɔku si le SFT xɔxɔ me nadzi ɖe edzi.

Dzesi kawoe SFT hena vɛ?

Zi geɖe la, SFT-dɔdzẽ siawo tsina blewu ŋutɔ. Eyata amesiwo ŋu SFT le ƒe afã lɔƒo mekpɔa dzesi aɖeke o . Ne dɔdzẽa lolo ale gbegbe be wòate ŋu atutu ŋutinu, ƒu, alo lãkusi bubu siwo te ɖe eŋu vɔ ko hafi dzesiawo dzea egɔme.

Dzesiawo toa vovo le afisi dɔdzẽa le nu. Na míakpɔ alesi ema wɔa dɔe ɖa.

Aleke ɖɔkta awɔ akpɔe be SFT ye nye esia?

Dodokpɔwo toa vovo le wò dzesiwo kple afisi wosusu be dɔdzẽa le nu. Dodokpɔ vevitɔwoe nye:

• Ŋkudodokpɔ: Ne ŋku ƒe kuxiwo le ŋuwò la, dodokpɔ tɔxɛwo abe Optical Coherence Tomography (OCT) ene ate ŋu akpe ɖe ŋuwò nànya nusi gbɔ wò ŋku ƒe kuxiwo tso.
• Nɔnɔmetatawo Kpɔkpɔ: Woate ŋu awɔ X-ray, CT scan, MRI scan, Ultrasound scan , alo PET scan be woakpɔ afisi tututu dɔdzẽa le kple eƒe lolome.
• Biopsy: Esiae nye dodokpɔ vevitɔ kekeake si ŋu kakaɖedzi le wu . Woɖea lãkusi sue aɖe ŋutɔ tso dɔdzẽa me hedoa eŋu le nusuekpɔmɔ̃ me. Esia ateŋu aɖo kpe edzi 100% nenye be kansae dɔdzẽa nye alo menyee o.

Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) ƒe hatsotsowo me toto

Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) da SFT dɔdzẽwo ɖe hatsotsowo me le woƒe sesẽme nu. Dzeside sia fia alesi wòanya wɔ be dɔdzẽa natsi kabakabae, si wotu ɖe alesi lãmenugbagbeviawo le le nusuekpɔmɔ̃ me dzi. Esia to vovo na kansa ƒe afɔɖeɖewo.

• Dzeside I (Dzeside si bɔbɔ): Esiawoe nye esiwo me wowɔa adã le wu. Lãmenugbagbeviawo ƒe akpa gãtɔ le abe lãmenugbagbevi siwo sɔ ene. Wotsina blewu ŋutɔ. Ðewohĩ womahe dzesi aɖeke vɛ o.
• Dzeside II (Intermediate-grade): Lãmenugbagbevi siwo le klass sia me dzena abe ɖe womesɔ o vie wu esiwo le Dzeside I. Eyata tsitsi ƒe agbɔsɔsɔme sɔ gbɔ vie. Mɔnukpɔkpɔ si li be woazu kansa hã lolo wu.
• Dzeside III (High-grade): Lãmenugbagbevi siwo mesɔ o wu le esiawo me. Dɔdzẽ siawo wɔa adã, wotsina kabakaba, eye woate ŋu atrɔ ava le atikewɔwɔ vɔ megbe, woazu kansa, eye woakaka ɖe ŋutilã ƒe akpa bubuwo.

Nukawoe nye atike siwo wozãna na SFT?

SFT dɔdzẽ ƒe atike vevitɔ kple nyuitɔ kekeakee nye amekoko . Ðɔktaa adze agbagba be yeaɖe dɔdzẽ bliboa ɖa to amekoko me.

Le go aɖewo me la, amekoko mate ŋu adzɔ o le afisi dɔdzẽa le nu. Le nɔnɔme mawo me la, wowɔa keklẽŋusẽdɔdamɔnu be woatsɔ aɖe dɔdzẽa dzi akpɔtɔ eye wòatsrɔ̃e. Ɣeaɖewoɣi la, wowɔa keklẽŋusẽdɔdamɔnu hã hafi wowɔa dɔ nɛ be wòagbã dɔdzẽa eye wòana wòanɔ bɔbɔe be woaɖee ɖa.

Nukawoe nye kuxi siwo ate ŋu ado tso SFT me?

Vɔvɔ̃ gãtɔ kekeake si ame si ŋu SFT le vɔ̃nae nye nenye be azu kansa alo akaka ɖe teƒe bubuwo (kansa si kaka ɖe teƒe bubuwo). Woate ŋu aɖe afɔku sia dzi akpɔtɔ ŋutɔ ne wowɔ dɔ nɛ be woaɖe dɔdzẽa ɖa.

Kuxi bubuwo ate ŋu ado mo ɖa le afisi dɔdzẽa le nu.

• Ŋutilã ƒe akpa aɖewo ƒe lãmetutudɔ
• Pleural effusion (tsi si ƒoa ƒu ɖe lãkusiwo dome) .
• Lãmetsi siwo tsɔa gbedasiwo tso ŋkuwo gbɔ yia ahɔhɔ̃a me ƒe gbegblẽ (Optic atrophy) .

Nukpɔsusu kple ɣekaɣie woakpɔ ɖɔkta?

Ame geɖe hayana keŋkeŋ ne wowɔ dɔ na wo be woaɖe dɔdzẽa ɖa. Gake abe alesi míegblɔe va yi ene la, ƒã ŋutɔ be dɔdzẽ natrɔ ava zu kansa. Eyata wò ɖɔkta awɔ scan edziedzi be yeakpɔe ɖa be egadzɔ ake hã.

Ne èkpɔ dzesi siawo dometɔ aɖe la, kpɔ egbɔ be yeyi ɖɔkta gbɔ:

• Akɔtave
• Yagbɔgbɔ sesẽ
• Ðeɖiteameŋu si gbɔ eme le susu aɖeke manɔmee
• Nukpɔkpɔ ƒe kuxiwo

Ne èyi wò ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo o:

• Afikae dɔdzẽa le?
• Ðe woate ŋu aɖe esia ɖa to amekoko mea?
• Dzesi kawoe ɖee fia be dɔdzẽ ate ŋu agadzɔ ake?
• Zi nenie wòle be woawɔ scan nam?
• Kuxi bubu kawo ŋue wòle be matsi dzi ɖo?

Enye nusi sɔ be vɔvɔ̃ naɖo ŋuwò ne èva nya be dɔdzẽ le ye ŋu. Gake ɖo ŋku edzi be togbɔ be SFT nye dɔléle si mebɔ o hã la, woate ŋu adae keŋkeŋ ne wodae nyuie. Nu vevitɔ kekeakee nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui, eɖanye dzesi ka kee wòdze o.