Ðe nède dzesi nane si wɔ nuku alo ƒuƒlu le wò ŋutilã ƒe teƒe aɖe kpɔa? Enye nusi sɔ be vɔvɔ̃ alo dzimaɖitsitsi vie ne edzɔ nenema. Egbea míele nu ƒom tso ƒunukpeƒetetedɔ aɖe si mebɔ o, gake mebɔ ŋutɔ o ŋu. Le atikewɔwɔ me la, woyɔa esia be Solitary Fibrous Tumor (SFT) . Togbɔ be ŋkɔa aɖi nya sesẽ hã la, mina míana wòanɔ bɔbɔe eye eme nakɔ.
Kpuie ko la, nukae nye Solitary Fibrous Tumor (SFT)?
Esia fia dɔdzẽ si dzea egɔme tso míaƒe ŋutilã ƒe lãkusi falɛfalɛwo me. Bu nuwo abe lãmekawo, ami, kple lãmeka siwo le míaƒe ŋutilã me ene ŋu kpɔ. Woyɔa esiawo be lãkusi falɛfalɛwo. Eyata, SFT dɔdzẽ siawo ate ŋu adze le ŋutilãa ƒe akpa sia akpa. Gake wokpɔa wo wu le ametakpɔnu si ƒo xlã lãkusiwo (pleura) me .
Ƒuƒoƒo siawo ƒe nɔnɔme ate ŋu anye ƒomevi eve:
- Wo dometɔ aɖewo tsina blewu ŋutɔ eye womekakana ɖe ŋutilã ƒe akpa bubuwo o (non-cancerous - benign) .
- Wo dometɔ aɖewo tsina kabakaba eye woate ŋu akaka ɖe teƒe bubuwo (kansa) .
Togbɔ be zi geɖe la, esiawo nyea ƒuƒu siwo menye kansa o hã la, zi geɖe la, ɖɔktawo ɖoa aɖaŋu be woaɖe ƒuƒua ɖa keŋkeŋ, to amekoko alo atikewɔwɔ bubu me, bene wòagahe kuxiwo vɛ le etsɔme o.
Ðe ŋkɔ bubuwo li na ƒunukpeƒetetedɔ siawoa?
Ẽ, tsã la, ŋkɔ bubu aɖe nɔ esia ŋu. Ɣemaɣi la, ɖɔktawo susui be akɔta ƒe do me koe dɔdzẽ siawo dzɔna, si fia be le lãkusi si ƒo xlã lãkusia me. Míeyɔa lãkusi sia be ƒunukpeƒetetedɔ . Esiae kpena ɖe lãkusiwo ŋu wòwɔa dɔ nyuie le akɔta me ne míele gbɔgbɔm. Eyata ɣemaɣi la, woyɔa dɔdzẽ siawo be "benign fibrous tumors of the pleura."
Gake numekuku siwo wowɔ emegbe ɖee fia be dɔdzẽ siawo ate ŋu adzɔ le ŋutilãa ƒe akpa sia akpa, ke menye le lãkusiwo, abe aklã, ahɔhɔ̃, kɔ, kple ta ene me ɖeɖeko o. Eyata womegazãa ŋkɔ xoxo didi ma kura o.
Vevietɔ la, menye asbestos ƒe agbɔsɔsɔ gbɔe SFT nodules siawo tsona le mɔ aɖeke nu o. Dɔléle si to vovo, `Pleural Mesothelioma` gbɔe wotsona.
Vovototo kae le SFT kple Pleural Mesothelioma dome?
Ame aɖewo ate ŋu atɔtɔ elabena evea siaa ate ŋu adzɔ le lãkusi me. Ke hã, ame eve siawo to vovo kura. Mina míase vovototo sia gɔme nyuie to kplɔ̃ ƒe kpekpeɖeŋu me.
| Ŋutinu | Solitary Fibrous Tumor (SFT) ƒe Dɔdzẽ . | Aɖuɖɔtoe me Mesothelioma |
|---|---|---|
| Susu vevitɔ si tae | Womekpɔ nusi koŋ gbɔ wòtso o. | Asbestos ƒe amedzidzedze. |
| Kansa ƒe dzɔdzɔme | Zi geɖe la, menye kansae o (si me dɔlékui aɖeke mele o), gake mɔnukpɔkpɔ li be wòazu kansa. | Kansa ƒe nɔnɔme ɣesiaɣi. |
| Teƒe siwo wòdzɔna le | Ate ŋu adzɔ le ŋutilã ƒe akpa sia akpa, gake ebɔ wu le lãkusi ƒe lãkusi me. | Zi geɖe la, edzɔna le lãkusi ƒe lãkusi (pleura) kple ƒodo ƒe lãkusi me. |
Amekawoe le afɔku gã me be woaxɔ ƒunukpeƒetetedɔ siawo?
Togbɔ be ƒunukpeƒetetedɔ siawo ate ŋu adze le ƒe ɖesiaɖe me hã la, wokpɔa wo zi geɖe le amesiwo xɔ tso ƒe 50 va ɖo ƒe 60. Nɔnɔme sia mebɔ kura le ɖevi suewo me o.
Esia mebɔ o ale gbegbe be wokpɔa SFT sia ƒomevi le lãkusi falɛfalɛ ƒe dɔdzẽ 100 ɖesiaɖe me si mede 2 o me.
Ŋutilã ƒe akpa siwo SFT ƒe ƒunukpeƒewo ate ŋu adzɔ le
- Le kadodoŋusẽ si ƒo xlã ahɔhɔ̃ kple aklã me
- Le aklã me
- Aklã kple lãkusi
- Le do siwo le ŋɔti me (Paranasal sinus) me .
- Le lãkusi falɛfalɛ siwo le ƒu ƒe ʋuƒo (orbit) si me ŋkuawo le la me
- Le lãkusi me
Nukatae ƒunukpeƒetetedɔ siawo dzɔna? Nuka gbɔe wòtso?
Le nyateƒe me la, ɖɔktawo mekpɔ nya aɖeke si gbɔ esia tso keŋkeŋ haɖe o. Gake numekuku siwo wowɔ nyitsɔ laa na míekpɔ kpeɖodzi aɖewo. Enye domenyiŋusẽfianu eve ma le míaƒe ŋutilã me, siwo nye `NAB2` kple `STAT6`Ðewohĩ domenyiŋusẽfianu eve siwo ƒo ƒu le vome (domenyiŋusẽfianu ƒe ƒoƒo ɖekae) gbɔe dɔdzẽ siawo tsona. Domenyiŋusẽfianu ƒe tɔtrɔ sia ate ŋu ana lãmenugbagbeviwo nadze tsitsi gɔme le mɔ si dzi womate ŋu aɖu o nu.
Nukawoe nye SFT ƒe dzesiwo?
Zi geɖe la , dɔdzẽ siawo tsina blewu ŋutɔ . Esia wɔe be amesiwo ŋu SFT le ƒe afã lɔƒo mekpɔa dzesi aɖeke o . Zi geɖe la, dzesiawo dzea egɔme ne dɔdzẽa lolo ale gbegbe be wòate ŋu atutu ŋutinu, ƒu, alo lãkusi bubu siwo te ɖe eŋu. Eyata, dzesiawo nɔ te ɖe afisi dɔdzẽa le dzi.
Na míakpɔ dzesi siwo ƒunukpeƒetetedɔ siawo ɖena fiana ne wodze le ŋutilã ƒe akpa vovovowo ɖa.
| Afisi ƒunukpeƒea le | Dzesi siwo ate ŋu ado tso eme |
|---|---|
| Akɔta ƒe do (aɖuɖɔtoe, lãkusi) . |
|
| Orbit ƒe ɣletinyigba | |
| Hɔhɔ̃ | |
| Akɔta ƒe Ka | |
| Aklã |
Aleke ɖɔktaa wɔa anya dɔléle siae?
Le wò dzesiwo kple afisi wosusu be ƒunukpeƒea le nu la, wò ɖɔkta aɖo wò ɖe dodokpɔ vovovowo wɔwɔ me.
- Atikewɔwɔ me dodokpɔ: Nu gbãtɔ si nàwɔe nye be nàɖo to wò dzesiwo nyuie eye emegbe nàwɔ ŋutilãmedɔ.
- Nɔnɔmetatawo Kpɔkpɔ: Esiawo kpena ɖe ame ŋu wòkpɔa afisi ƒunukpeƒea le, eƒe lolome, kple eƒe nɔnɔme. Esiawo ate ŋu anye X-ray, CT scan, MRI scan, ultrasound scan , kple PET scan .
- Ŋkudodokpɔ: Ne ƒunukpeƒea te ɖe ŋkua ŋu la, wowɔa ŋkudodokpɔ tɔxɛwo (Optical Coherence Tomography - OCT) be woatsɔ anya nusi tututu gbɔ ŋku ƒe kuxiwo tso.
- Biopsy: Esiae nye dodokpɔ vevitɔ kekeake . Esia bia be woaɖe lãkusi sue aɖe ŋutɔ tso ƒunukpeƒea me ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me. Esia ana nànya kple kakaɖedzi 100% be ƒu ƒomevi ka ƒomevie wònye kple nenye be kansae wònye alo menyee o.
SFT nodules ƒe sesẽme ƒe hatsotsowo me toto
Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) ma SFT dɔdzẽ siawo ɖe hatsotso vovovowo me le woƒe sesẽme kple woƒe tsitsi ƒe agbɔsɔsɔme nu. Woyɔa esia be dzesidede nu.
- Dzeside I (Dzeside si bɔbɔ): Esiawoe nye esiwo me wowɔa adã le wu. Woƒe lãmenugbagbeviwo ƒe akpa gãtɔ nye lãmenugbagbevi siwo sɔ. Wotsina blewu ŋutɔ.
- Dzeside II (Intermediate-grade): Lãmenugbagbevi siawo ƒe dzedzeme mesɔ vie o. Woate ŋu atsi kabakaba vie wu Dzeside I. Woate ŋu azu kansa hã vie.
- Dzeside III (High-grade): Esiawoe nye ƒomevi siwo me wowɔa adã wu. Lãmenugbagbeviawo mesɔ kura o. Wotsina kabakaba. Afɔku gã aɖe le wo me be woatrɔ ava, woazu kansa, eye woakaka ɖe ŋutilã ƒe akpa bubuwo.
Nukawoe nye atikewɔmɔnuawo?
SFT ƒe ƒunukpeƒetetedɔ ƒe atikewɔwɔ vevitɔ kple nyuitɔ kekeakee nye be woaɖee ɖa keŋkeŋ to amekoko me .
Le go aɖewo me la, amekoko ate ŋu asesẽ le afisi ƒunukpeƒea le nu. Alo ate ŋu anye be ƒunukpeƒea lolo le eƒe lolome nu. Le nɔnɔme mawo me la, .
- Kekeli ƒe atikewɔwɔ:Wowɔa keklẽŋusẽdɔdamɔnu tsɔ tsrɔ̃a dɔdzẽa alo ɖea edzi. Ɣeaɖewoɣi la, wowɔa atike sia hã hafi wowɔa dɔ nɛ be dɔdzẽa nanɔ sue eye wòaɖee bɔbɔe.
Kuxi kawoe esia ate ŋu ahe vɛ?
Vɔvɔ̃ gãtɔ kekeake ne èva nya be ƒunukpeƒetetedɔ le ye ŋue nye nenye be azu kansa alo akaka ɖe teƒe bubuwo (kansa si kaka ɖe teƒe bubuwo). Ne wowɔ dɔ na wò be woaɖee ɖa la, afɔku ma dzi ɖena kpɔtɔna ŋutɔ.
Gake nu vevitɔ si dzi wòle be míaɖo ŋkui enye be ne woda dɔ na wo gɔ̃ hã la, ƒunukpeƒetetedɔ siawo ate ŋu agadzɔ ake ɣeaɖewoɣi . Anɔ eme be ƒunukpeƒetetedɔ si gadzɔna ake la nazu kansa.
Tsɔ kpe ɖe eŋu la, kuxi bubuwo ate ŋu ado mo ɖa le afisi ƒunukpeƒea le nu.
- Lãmetsiŋusẽ: Ne dɔdzẽ aɖe ƒo xlã aklãa.
- Pleural effusion: tsi ƒe ƒuƒoƒo ɖe lãkusi me.
- Optic atrophy: Lãmetsi si tsɔa gbedasiwo tso ŋkua gbɔ yia ahɔhɔ̃a me la ƒe gbegblẽ.
Aleke hayahaya ƒe agbɔsɔsɔme le le atikewɔwɔ vɔ megbe?
Ame geɖe hayana nyuie ŋutɔ ne woɖe ƒuƒu aɖe ɖa le amekoko me. Gake abe alesi míegblɔe va yi ene la, ƒã hafi ƒunukpeƒetetedɔ natrɔ ava, eyata wò ɖɔkta ayi edzi anɔ ŋku lém ɖe ŋuwò. Esia fia be woawɔ nuwo abe scans ene le ɣeyiɣi aɖewo me be woakpɔe ɖa be ƒu aɖe le tɔtrɔm hã. Esia nye nu vevi aɖe ŋutɔ si nàwɔ atsɔ akpɔ wò lãmesẽ ta.
Gbedasi si Wotsɔ Yi Aƒeme
- Solitary Fibrous Tumor (SFT) nye dɔdzẽ ƒomevi aɖe si mebɔ o si dzɔna le lãkusi falɛfalɛwo me.
- Esiawo ate ŋu anye kansa alo esiwo menye kansa o. Zi geɖe la, menye kansa ƒe nɔnɔme siawoe nye esiawo o.
- Ame akpa gãtɔ mekpɔa dzesi aɖeke o. Ne dzesiawo dze la, wotoa vovo le afisi ƒunukpeƒea le nu.
- Atikewɔwɔ vevitɔe nye be woaɖe dɔdzẽa ɖa keŋkeŋ to amekoko me.
- Le atikewɔwɔ vɔ megbe gɔ̃ hã la, afɔku sue aɖe li be ƒunukpeƒea nagatrɔ ava, eyata ele vevie ŋutɔ be nànɔ kadodo me kple wò ɖɔkta eye nànɔ ekpɔm edziedzi.
- Ne èkpɔ ƒunukpeƒetetedɔ, vevesese, alo dzesi bubu aɖe si mebɔ o le wò ŋutilã me la, mègatsi dzodzodzoe o eye nàyi ɖɔkta gbɔ enumake hena aɖaŋuɖoɖo.
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