Enye nusi sɔ be vɔvɔ̃ nanɔ ye ŋu eye yeƒe mo wɔ yaa ne èva nya be dɔdzẽ le ye ŋu le dɔgboa me. Gake ele vevie be woana nyanya wò le ɣeyiɣi siawo tɔgbe me. Atikewɔwɔ siwo nàxɔ kple nusiwo nàkpɔ mɔ na gɔmesese ate ŋu akpe ɖe ŋuwò ŋutɔ. Dɔdzẽ si le dɔgboa me dada nɔ te ɖe eƒe "afɔɖeɖe" dzi koŋ. Kpuie ko la, afisi kansa la kaka ɖoe dzie wokpɔa atikewɔwɔ ƒe ɖoɖoa.
Afɔɖeɖe 0: Kansa ƒe gɔmedzedze tututu
Esia fia be kansa la le eƒe gɔmedzedze ŋutɔ. Esia fia be kansa lãmenugbagbeviwo le wò dɔgbo alo dɔgbo ƒe akpa tsɛ la me ko. Eyata zi geɖe la, woate ŋu ada afɔɖeɖe sia keŋkeŋ to amekoko me.
Amekoko si ƒomevi woawɔ na wò anɔ te ɖe dɔdzẽa ƒe lolome dzi.
- Le dɔdzẽ suewo gome: Ðɔkta ate ŋu aɖe kansa ƒe dɔdzẽa kple lãkusi sue aɖe ŋutɔ si ƒo xlãe ko. Wogayɔa esia be ``Polypectomy.'' Zi geɖe la, woateŋu awɔ esia le dɔgboa me, si nye dɔwɔwɔ si zãa fotoɖemɔ̃ tsɔ léa ŋku ɖe dɔgboa me.
- Le dɔdzẽ gãwo gome: Ne dɔdzẽa lolo ŋutɔ la, ate ŋu ahiã be ɖɔktaa natso dɔgboa ƒe akpa si kansa le eye wòagatsɔ akpa eve siwo le lãmesẽ me la aƒo ƒui. Woyɔa esia be anastomosis. Le esia megbe la, wò dɔgbowo agawɔ dɔ nyuie ake.
Ɣeaɖewoɣi la, ɖɔkta ate ŋu abu keklẽŋusẽdɔdamɔnu hã ŋu.
Afɔɖeɖe I: Dzidzenu si dzi woate ŋu aɖu kokoko
Le ɣeyiɣi sia me la, kansa la kaka yi ŋgɔ wu dɔgboa ƒe akpa si le lãkusia me, yi ɖe akpa evelia kple etɔ̃lia me. Gake vevietɔ wu la, kansa la mekaka ɖe dɔgboa ƒe lãmekawo ƒe gli ŋu haɖe o, eye mekaka ɖe dɔgboa godo hã o.
Le ɣeyiɣi sia me la, atikewɔwɔ vevitɔ gakpɔtɔ nye amekoko be woaɖe kansa la kple lãkusi sue aɖe si ƒo xlãe ɖa. Zi geɖe la, mehiã be woawɔ atike bubuwo (abe atikewɔmɔnu ene) o.
Gake ne dɔnɔa tsi ŋutɔ, alo dɔléle sesẽ bubuwo le eŋu la, ɖɔkta ate ŋu atso nya me be yeana keklẽŋusẽtike ko tsɔ wu be yeawɔ dɔ nɛ.
Afɔɖeɖe II: Ekaka to dɔgboa ƒe gli me
Le akpa evelia me la, kansadɔlékuiawo lolona eye wotsi to dɔgboa ƒe lãmekawo ƒe gli me. Ðewohĩ wokaka ɖe ŋutinu siwo te ɖe wo ŋu abe tsinyegoe, vidzidɔ (le nyɔnuwo gome), alo ʋuka (le ŋutsuwo gome) me.
Gake nya nyui si le afisia hãe nye be kansa la mekaka ɖe ʋuka siwo me ʋu sina tona alo ŋutinu siwo le didiƒe ʋĩ le ŋutilãa me haɖe o.
Le ɣeyiɣi sia me la, atikewɔwɔae nye:
- Wotoa amekoko me ɖea kansa la kple lãmenugbagbevi siwo ƒo xlãe siwo me wòkaka ɖo la ɖa.
- Woate ŋu ana keklẽŋusẽdɔdamɔnu kple atikewɔmɔnu do ŋgɔ na amekoko alo le amekoko vɔ megbe . Wowɔa atike siawo hafi wowɔa dɔ nɛ be dɔdzẽa nanɔ sue eye wòaɖee bɔbɔe. Wonaa wo le amekoko vɔ megbe be woatsɔ atsrɔ̃ kansadɔlékui ɖesiaɖe si susɔ eye woaxe mɔ na dɔlélea be wòagatrɔ ava o.
Afɔɖeɖe III: Ekaka ɖe ami ƒe lãkusiwo me
Afɔɖeɖe 3 lia nye esime kansa la kaka ɖe ʋuka ɖeka alo esi wu nenema me. Lãmetsiŋusẽ ƒe lãkusiwo nye nu suesuesue siwo wɔa lãmenugbagbevi siwo wɔa avu kple dɔlékuiwo le míaƒe ŋutilã me eye wowɔa dɔ abe nusiwo wotsɔna tsia nu me ene.
Wogama akpa sia ɖe akpa etɔ̃ me: A, B, kple C. Kpuie ko la:
- Afɔɖeɖe IIIA: Kansa la le dɔgboa ƒe gli me eye wòkaka ɖe ʋukawo me.
- Afɔɖeɖe IIIB: Kansa la tsi to dɔgboa ƒe gli me eye wòkaka ɖe ʋuka 1-4 me.
- Afɔɖeɖe IIIC: Kansa la kaka ɖe ʋuka siwo wu 4 me eye ate ŋu akaka ɖe ŋutinu siwo te ɖe eŋu me.
Zi geɖe la, atikewɔwɔ ƒe ɖoɖo si wowɔna le ɣeyiɣi sia me la nɔa ale:
- Amekoko: Ne anya wɔ la, woɖea kansa ƒe dɔdzẽa kple ʋuka siwo katã do ƒome kplii la ɖa.
- Atikewɔmɔnu: Zi geɖe la, wozãa atikewɔmɔnu le amekoko vɔ megbe.
- Kekelidɔdamɔnu: Wozãa keklẽŋusẽdɔdamɔnu hã ne kansa la lolo eye wòkaka ɖe lãkusi siwo ƒo xlãe me.
Afɔɖeɖe IV: Kansa si kaka ɖe teƒe bubuwo
Afɔɖeɖe 4 liae nye esime kansa la kaka ɖe ŋutilãa ƒe ŋutinu didiwo me, vevietɔ aklã alo lãkusi me . Ðɔktawo hã yɔa afɔɖeɖe sia be "metastatic" cancer. Le ɣeyiɣi sia me la, atikewɔwɔ ƒe taɖodzinu vevitɔe nye be woaɖu dɔlélea dzi, aɖe dzesiwo dzi akpɔtɔ, ana dɔnɔa ƒe agbenɔƒe nadidi alesi wòanya wɔe, eye wòalé agbenɔnɔ ƒe nyonyome deŋgɔ me ɖe asi.
Mina míalé ŋku ɖe atikewɔwɔmɔnu vevi siwo wozã le ɣeyiɣi sia me ŋu le kplɔ̃ si le ete la dzi.
| Atikewɔwɔ ƒe mɔnu | Numeɖeɖe kple kpɔɖeŋuwo |
|---|---|
| Atikewo zazã | Esiae nye atikewɔwɔ vevitɔ le ɣeyiɣi sia me. Atike siwo wozãna zi geɖe dometɔ aɖewoe nye `5-fluorouracil`, `Capecitabine (Xeloda)`, `Irinotecan (Camptosar)`, `Oxaliplatin (Eloxatin)`, kple `trifluridine kple tipiracil (Lonsurf)`. Ne kansa la kaka ɖe aklã me la, woate ŋu awɔ atike na aklãa tẽ. |
| Atikewɔwɔ si Woɖo Ðe Ame Ŋu | Esiawo nye atike siwo tɔa ŋku molecule aɖewo koŋ siwo kpena ɖe kansa lãmenugbagbeviwo ŋu wotsina hekakana, evɔ woɖea nusiwo gblẽ le lãmenugbagbevi siwo sɔ ŋu dzi kpɔtɔna. Esiawo dometɔ aɖewoe nye atikewo abe `Bevacizumab (Avastin), `Cetuximab (Erbitux),` kple `Panitumumab (Vectibix).` Wogayɔa esiawo be `(Monoclonal antibodies)`. |
| Amekoko | Taɖodzinu si le amekoko ŋue nye be woaɖu dzesiawo dzi. Le kpɔɖeŋu me, wowɔa amekoko be woatsɔ aɖe dɔgboa ƒe xexe dzi akpɔtɔ alo atɔ te ʋu si dona le ame ŋu si dzi womeɖu o. Ɣeaɖewoɣi la, woate ŋu aɖe kansa ƒe dɔdzẽ ɖeka alo eve le aklã me. Mɔnu bubuwoe nye be woade dɔdzẽawo tsikpe me (cryosurgery) alo dzoxɔxɔ zazã (radiofrequency ablation). |
| Kekeli ƒe atikewɔwɔ | Wozãa keklẽŋusẽdɔdamɔnu tsɔ ɖea dzesiwo abe vevesese ene dzi kpɔtɔna. |
Ke ne kansa la gatrɔ va ya ɖe? (Kansa si gbugbɔna) .
Ɣeaɖewoɣi la, kansa ate ŋu atrɔ ava le atikewɔwɔ vɔ megbe. Ðɔktawo yɔa esia be "kansa si gbugbɔna." Esia ate ŋu anɔ teƒe si kansa la nɔ do ŋgɔ alo le ŋutilã ƒe akpa bubu. Afɔku sia lolo vie le amesiwo ŋu kansa nɔ le eƒe afɔɖeɖe si de ŋgɔ me (e.g., Afɔɖeɖe III) me.
Atikewɔwɔ ne kansa gadze ake:
- Amekoko: Numekukuwo ɖee fia be ne woate ŋu aɖe kansa si gbugbɔ dze edzi la ɖa keŋkeŋ to amekoko me la, ate ŋu akpe ɖe dɔnɔa ŋu wòanɔ agbe didi.
- Atikewo kple keklẽŋusẽdɔdamɔnu: Wozãa atike siawo ne amekoko mete ŋu ɖe kansa la ɖa keŋkeŋ o. Ɣeaɖewoɣi la, atikewɔwɔ siawo ate ŋu ana dɔdzẽa natsi ale be woate ŋu aɖee le amekoko me emegbe.
- Dɔdamɔnu Dodokpɔwo:Esiawo nye numekuku siwo wowɔ tso atike yeyewo alo atikewɔwɔ yeyewo ŋu. Ɣeaɖewoɣi la, esia ate ŋu ana mɔnukpɔkpɔ wò be nàte atike yeye aɖe si womezãna zi geɖe fifia o la kpɔ. Ðo dze kple wò ɖɔkta tso esia ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Ðoɖo si wowɔ ɖe dɔgbo me kansa dada ŋu nɔ te ɖe afisi dɔlélea le dzi bliboe kloe.
- Le dɔléle gbãtɔwo me (Afɔɖeɖe 0, I) la, atikewɔwɔ vevitɔe nye amekoko.
- Le nɔnɔme deŋgɔ siwo me kansa la kaka ɖo (Afɔɖeɖe II, III, IV) me la, wozãa mɔnu ɖeka alo esi wu nenema abe amekoko, atikewɔmɔnu, keklẽŋusẽdɔdamɔnu, kple atikewɔwɔ si woɖo taɖodzinu na ene ɖekae.
- Atikewɔlawo ƒe ƒuƒoƒo si ɖɔkta si léa ŋku ɖe wò nɔnɔmea ŋu akpɔ ta lae atso nya me le atikewɔwɔ ƒe ɖoɖo si sɔ wu na wò alo wò lɔlɔ̃tɔa ŋu.
- Eya ta, gblɔ nya, ɖikeke, alo vɔvɔ̃ ɖesiaɖe si anɔ mewò la na wo faa eye nàgblɔe anukwaretɔe na wo. Ne ènya nyatakaka nyuitɔ eye nèda dɔ nyuie la, àte ŋu awɔ avu kple nɔnɔme sia dzidzedzetɔe.
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