Ne èle wò ŋutilã me dzrom, alo le vo me ko, eye nèkpɔ ƒu aɖe le wò no me la, esɔ be nàse vɔvɔ̃ geɖe. "Ðe esia nye kansa?" nye biabia gbãtɔ si vaa susu me na mí. Vɔvɔ̃ ma sɔ ŋutɔ. Gake ɖe nènya be menye no me ƒunukpeƒetetedɔwo katãe nye kansa oa? Egbea míele nu ƒom tso ƒunukpeƒetetedɔ mawo dometɔ ɖeka si mewɔa nuvevi ame o, gake zi geɖe la, edoa vɔvɔ̃ na ame ŋu. Woyɔa esia be PASH.
Kpuie ko la, nukae nye PASH?
PASH ƒe ŋkɔ bliboae nye ``Pseudoangiomatous Stromal Hyperplasia.`` Togbɔ be ŋkɔa sesẽ vie hã la, eƒe gɔmesese le bɔbɔe ŋutɔ. Esia nye ƒu si me dɔlékui aɖeke mele o (si menye kansa o) si dona le no ƒe lãkusi me. Ne míagblɔe tututu la, protein aɖe si woyɔna be ``collagen`` si le míaƒe ŋutilã kple lãmenugbagbevi siwo do ƒome kplii me ye wɔa ƒuƒoƒo siawo.
Ebɔ ale gbegbe be numekukuwo ɖee fia be PASH dzɔna le no me lãkusi ƒe kpɔɖeŋu siwo ade 23% me. Esia fia be nyɔnu akpa gãtɔ axɔ ƒunukpeƒetetedɔ si le abe esia ene le woƒe agbemeɣeyiɣi aɖe me. Esiawo megblẽa nu le ame ŋu o.
Eyata nukatae PASH do ƒome kple kansa?
Nu vevitɔe nye esi. Ɣeaɖewoɣi la, woate ŋu atɔtɔ PASH ƒe ƒu kple kansa ƒomevi si mebɔ kura o si woyɔna be `Angiosarcoma.` Angiosarcoma nye kansa si ateŋu adzɔ le no ƒe ʋukawo me. Esi wo ame evea ate ŋu aɖi wo nɔewo le dodokpɔ aɖewo me ta la, ɖɔktawo ɖɔa ŋu ɖo ŋutɔ.
Eyata, ne èkpɔ nane si le abe PASH ene le wò no me dodokpɔ (wò no ƒe X-ray) me la, wò ɖɔkta maƒo nya ta be kansa mele ŋuwò o vaseɖe esime woka ɖe edzi 100% hafi. Wodi be yewoaka ɖe edzi be PASH alo nu bubu aɖee.
Gake ɖo ŋku edzi be mɔnukpɔkpɔ si li be PASH ƒe ƒunukpeƒetetedɔ natrɔ azu kansa la le sue ŋutɔ, ŋutɔ. Azɔ hã, ƒã ŋutɔ be woakpɔ PASH ƒe ƒuƒoƒo siwo nɔa anyi ɖekae kple no me dɔdzẽ.
Amekae ate ŋu axɔ PASH wu?
Nɔnɔme sia bɔ ɖe nyɔnu siwo xɔ tso ƒe 30 va ɖo ƒe 50. Gake mefia be mate ŋu adzɔ ɖe ame bubuwo dzi o. Woka nya ta be PASH le nyɔnuvi siwo xɔ ƒe 14 pɛ ko kple nyɔnu tsitsi siwo xɔ tso ƒe 51 va ɖo ƒe 67 ŋu.
Nukutɔe la, PASH ate ŋu adzɔ le ŋutsuwo hã me. Ke hã, edzɔna zi geɖe le ŋutsu siwo ŋu dɔléle aɖe si woyɔna be `Gynecomastia` le la me. `Gynecomastia` nye ŋutsu ƒe no ƒe lãkusi ƒe lolome le lãmetsiŋusẽ ƒe ŋusẽkpɔɖeamedzi ta. Esia fia be lãmetsiŋusẽ ƒe kadodo aɖe le PASH dome.
Nuka koŋ gbɔe PASH tsona?
Ne míagblɔe tututu la, womenya nusi tututu gbɔ PASH tsona haɖe o, gake numekulawo ƒe akpa gãtɔ xɔe se be lãmetsiŋusẽwo kpɔa ŋusẽ ɖe edzi .
Le kpɔɖeŋu me, nyɔnu aɖewo ƒe PASH-ƒu ate ŋu avuvu kple woƒe dzinukpɔkpɔ ɣleti sia ɣleti. Wogakpɔe be PASH do ƒome kple vidzidzitikewo kple lãmetsiŋusẽtikewo ɖɔliɖɔli (HRT) hã. Wogale numekuku wɔm tso esia ŋu kokoko.
Nukae nye PASH ƒe dzesiwo? Aleke míewɔ nya?
Zi geɖe la, PASH ƒe ƒuwo nɔa sue ŋutɔ eye nusuekpɔmɔ̃ (`microscopic`) koe woate ŋu akpɔ wo le. Eyata ame geɖe mesea dzesi aɖeke le yewo ŋu o eye womenya gɔ̃ hã be ɖeke le yewo ŋu o. Wokpɔa wo le vo me le no me dɔdzẽ si wowɔna le susu bubu aɖe ta me.
Gake PASH nodules aɖewo ate ŋu alolo ŋutɔ, eye woƒe didime anɔ sentimeta 1 va ɖo 12. Ɣemaɣie míedzea dzesiwo sese gɔme.
| Nɔnɔme si le ame ŋu | Nuɖᴐɖᴐ |
|---|---|
| Sese le eɖokui me be ƒu aɖe le asi me | Esena le eɖokui me abe ƒu sesẽ aɖe si woate ŋu ase le asi me ene, eye zi geɖe la, eƒe nɔnɔme le goglo alo le dzogoe ene me. |
| Ʋuʋu | Kpe siawo ate ŋu aʋuʋu le no ƒe lãkusi me. Esia fia be womenɔa teƒe ɖeka ɣesiaɣi o. |
| Vevesese | Zi geɖe la, PASH-ƒuwo mehea vevesese alo vevesese aɖeke vɛ o. Gake ne ƒunukpeƒea lolo ŋutɔ la, àte ŋu ase veve aɖe. |
| Agbɔsɔsɔme ƒe tɔtrɔ | Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo ƒe lolome ate ŋu atrɔ, eye ɣeaɖewoɣi la, etrɔna kabakaba vie. Gake tɔtrɔ sia le lolome me menye afɔku o. |
Aleke woawɔ aɖo kpe PASH ƒe nɔnɔme dzi pɛpɛpɛ?
Ne ƒu aɖe le wò no me la, wò ɖɔkta aɖo aɖaŋu be nàwɔ dodokpɔ geɖe atsɔ aɖo kpe edzi nenye be PASH ye alo menyee o.
- Mammogram alo MRI: Esiawo ɖea no me lãkusi ƒe nɔnɔmetata tsitotsito tsɔ léa ŋku ɖe ƒunukpeƒea ƒe nɔnɔme ŋu.
- Ultrasound Scan: Esia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ doa no me lãkusiwo kpɔna. Ate ŋu akpe ɖe ame ŋu wòanya nenye be ƒuƒoƒo aɖe sesẽ alo tsi yɔe fũ.
- Core Biopsy: Esiae nye mɔnu si ŋu kakaɖedzi le wu. Le esia me la, wozãa aŋe sue aɖe si me do le tsɔ ɖea lãkusi sue aɖe ŋutɔ le ƒunukpeƒea me hedoa ekpɔ le nusuekpɔmɔ̃ me. Woate ŋu azã lãmenugbagbevi ƒomevi si le lãkusi ma me atsɔ anya kple kakaɖedzi 100% nenye be PASH alo nu bubu aɖee.
- Amekoko be woaɖee ɖa: Ɣeaɖewoɣi la, ne esesẽ be woatsɔ lãmenugbagbeviwo ƒe dɔwɔwɔ aɖo kpe edzi la, ɖɔkta ate ŋu atso nya me be yeawɔ dɔ na yeaɖe ƒu bliboa ɖa be woadoe kpɔ.
Ðe PASH hiã be woawɔ atike nɛa?
Nya nyuiae nye esi. Zi geɖe la, ne wonya kpɔe be PASH le ŋuwò ko la, màhiã atike aɖeke o. Zi geɖe la, wò ɖɔkta agblɔ be, "Mina míalé ŋku ɖe esia ŋu ko." Ema fia be nànɔ ŋku lém ɖe ƒunukpeƒea ŋu le wò ƒe sia ƒe ƒe no me dɔwɔwɔ me.
Gake ƒã ŋutɔ la, ate ŋu ahiã be woawɔ dɔ na ame be woaɖe ƒunukpeƒea ɖa. Susu siwo gbɔna tae wòle alea ɖo:
1. Ne ƒunukpeƒea lolo ŋutɔ eye nèse veve alo vevesese.
2. Ne mèka ɖe edzi 100% be esia nye PASH le dodokpɔ megbe gɔ̃ hã o la, ɖe ɖikeke ma ɖa.
Amekoko sia le bɔbɔe ŋutɔ. Ebia be woaɖe dɔdzẽa kple lãkusi sue aɖe si ƒo xlãe ɖa be wòagatsi ake o. Mɔnukpɔkpɔ si li be PASH dɔdzẽ natrɔ ava le amekoko megbe la le sue abe 15% va ɖo 22% ene.
Gbedasi si Wotsɔ Yi Aƒeme
- PASH nye ƒu si bɔ ŋutɔ, si me kansa mele o (si megblẽa nu le ame ŋu o) si dzɔna le no me.
- Ne èkpɔ ƒu aɖe le wò no me la, mègatsi dzodzodzoe o, gake yi ɖɔkta gbɔ godoo be wòaɖo aɖaŋu na wò. Mègaŋe aɖaba ƒu edzi gbeɖe o.
- Anɔ eme godoo be PASH mazu kansa o. Womebunɛ be enye dɔléle si do ŋgɔ na kansa o.
- Dodokpɔwo abe `Mammogram`, `Ultrasound`, kple `Core Biopsy` le vevie na dɔlélea didi nyuie.
- Zi geɖe la, mehiã be woawɔ atike aɖeke na PASH o, eye ɖɔkta nalé ŋku ɖe eŋu ko sɔ gbɔ.
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