Ne míese nya kansa la, vɔvɔ̃ ɖo mí katã vie, alo? Gake kansa ƒomevi aɖewo hã li siwo ŋu míese nu tsoe kpɔ o, eye womebɔ kura o. Yolk Sac Tumor nye wo dometɔ ɖeka. Ðewohĩ ŋkɔ sia anye nu yeye na wò. Egbea, míaƒo nu tso kansa sia ŋu, si ate ŋu adze ɖevi suewo kple sɔhɛ tsitsiwo koŋ dzi, le mɔ bɔbɔe aɖe ŋutɔ si gɔme nàte ŋu ase nu. Ele vevie ŋutɔ be nànya esia.
Nuka tututue nye Yolk Sac Tumor?
Kpuie ko la, Yolk Sac Tumor nye kansa ƒomevi aɖe. Wogayɔnae be Endodermal Sinus Tumor. Edona tso lãmenugbagbevi tɔxɛ aɖe si le míaƒe ŋutilã me me. Eyae nye be, tso lãmenugbagbevi siwo zua tsinyenye le ŋutsu me, kple tso lãmenugbagbevi siwo zua azi le nyɔnu me. Le atikewɔwɔ me la, míeyɔa lãmenugbagbevi siawo be dɔlékui lãmenugbagbeviwo. Eyata esia le Dɔlékuiwutikewo ƒe Dɔdzẽ ƒe hatsotso me.
Zi geɖe la, dɔdzẽ siawo dona le nyɔnuwo ƒe azigolowo me alo le ŋutsuwo ƒe vidzidɔ me. Gake ƒã ŋutɔ la, woate ŋu atsi le vidzidzi ŋutinu siawo godo, le kpɔɖeŋu me, le akɔta, ƒodo, alo ahɔhɔ̃ me.
Kansa sia ƒomevi mebɔ kura le nusianu me o. Gake dɔlékui ƒe lãmenugbagbeviwo ƒe kansa ƒomevi si ŋu woka nya ta le wu le ɖevi suewo ŋue nye ƒomevi sia si woyɔna be Yolk Sac Tumor.
Nu vevi si le esia ŋue nye be kansa sia tsina kabakaba eye ate ŋu akaka kabakaba . Eyata ne womewɔ atike nɛ o la, ate ŋu ade ame ƒe agbe afɔku me. Gake nya nyuiae nye be ne wokpɔ dɔlélea kaba la, woate ŋu adae keŋkeŋ to atikewɔwɔ me . Eyata ele vevie ŋutɔ be nàde dzesi dzesiawo kaba.
Nukawoe nye kansa sia ƒomevi vevitɔwo?
Abe alesi míedzro eme va yi ene la, woate ŋu ama kansa sia ɖe hatsotso vevi geɖe me le afisi wòdzɔna le nu.
- Testicular yolk sac tumors: Esia nye vidzidɔ me kansa ƒomevi aɖe. Ebɔ ɖe ŋutsuvi siwo mexɔ ƒe 3 haɖe o kple ɖekakpui siwo xɔ ƒe 20 kple 30 me wu . Zi geɖe la, woate ŋu ade dzesi nusiawo kaba, hafi woakaka ɖe ŋutilã ƒe akpa bubuwo. Esia wɔnɛ be woate ŋu ada gbe le wo ŋu.
- Ovarian yolk sac tumors: Esia nye azigolo me kansa ƒomevi aɖe. Enye ƒomevi si mewɔa adã boo o, si fia be ate ŋu akaka kabakaba. Ebɔ ɖe nyɔnuvi sue siwo xɔ ƒe 20 alo esiwo mexɔ nenema haɖe o dzi wu . Woka nya ta be amesiwo ŋu dɔléle sia le ƒe akpa etɔ̃lia nye nyɔnuvi sue siwo medze dzinukpɔkpɔ gɔme haɖe o.
- Kansa siwo dona le vidzidzi ƒe ŋutinuwo godo (Extragonadal germ cell tumors):Ɣeaɖewoɣi la, dɔlékui lãmenugbagbeviwo ƒe kansa siawo va doa mo ɖa le ŋutilã ƒe akpa bubuwo, le azigolo alo vidzidɔ godo. Le kpɔɖeŋu me, woate ŋu atsi le ahɔhɔ̃a, akɔta titina, ƒodo ƒe megbe, alo asike me .
Nukawoe ate ŋu anye esia ƒe dzesiwo?
Yolk Sac Tumor ƒe dzesiwo nɔ te ɖe afisi dɔdzẽa le le ŋutilãa me dzi. Le kpɔɖeŋu me, vidada ate ŋu akpɔ ƒuƒu sue aɖe le vidzĩ ƒe vidzidɔ me ne ele tsi ƒum. Alo nyɔnuvi sue aɖe ate ŋu akpɔ dzinukpɔkpɔ si mesɔ o tsɔ kpe ɖe ƒodo ƒe vevesese ŋu. Ele vevie be nànya dzesi siawo.
Kpɔ kplɔ̃ si le ete hena dzesi siwo bɔ le afisi kansa la le nu.
| Afisi kansa la le | Dzesi siwo woate ŋu akpɔ |
|---|---|
| Aɖuɖɔtoewo | Sesẽ alo ƒunukpeƒetetedɔ si me vevesese mele o le vidzidɔ me. |
| Le azigolowo me | Ƒodo ƒe ʋuʋu alo ƒodo me ʋuʋudedi ƒe seselelãme, dɔgbo ƒe vevesese alo akɔtave, dɔgbo ƒe nɔnɔme ƒe tɔtrɔ (abe dɔgbo ƒe ʋuʋu ene), ʋu si dona le dzinu me edziedzi alo esi nu sẽ ŋutɔ. |
| Hɔhɔ̃ | Taɖuame alo ŋku ƒe kuxiwo. |
| Akᴐta | Kɔdzidede kple gbɔgbɔ sesẽ. |
| Akɔta ƒe nuwuwu si le anyime (Tailbone) . | Teƒea ate ŋu avuvu, adze abe ɖe wòxɔ abi ene, alo adze abe ƒunukpeƒetetedɔ si me dɔlékui le ene. |
Nukatae kansa sia ƒomevi dzea ame dzi?
Esia nye kuxi si le ame geɖe ŋu. Gake ne míagblɔe tututu la, atikewɔwɔ ŋuti numekulawo mekpɔ nusi tututu gbɔ Yolk Sac Tumor tsona haɖe o. Abe kansa bubuwo ene la, tɔtrɔ (trɔtrɔ) siwo vaa domenyiŋusẽfianu, alo DNA, me le lãmenugbagbeviwo me gbɔe esia tsona. Tɔtrɔ siawo nana lãmenugbagbeviawo mãna kabakaba eye womate ŋu aɖu wo dzi o. Le ɣeyiɣi aɖe megbe la, lãmenugbagbevi siawo te ŋu tsina ɖekae wɔa nu gbogbo aɖe. Ne womewɔ atike na kansadɔlékui siawo o la, woate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo.
Gake numekuku gale edzi yim le nusita domenyiŋusẽfianu ƒe tɔtrɔ siawo dzea egɔme tso gɔmedzedzea me ŋu.
Aleke woawɔ anya dɔléle sia?
Ne dzesi siwo míeyɔ ɖe etame dometɔ aɖe le ŋuwò alo viwòa ŋu la, ele be nàyi ɖɔkta gbɔ enumake. Ðɔktaa awɔ ŋutilãmedɔ gbã eye wòadi ƒu alo vuvu ɖesiaɖe si mebɔ o le ƒodo alo vidzidɔ me. Emegbe, woabia nya wò tso wò dzesiwo ŋu.
Woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi:
- Ʋudodokpɔ: Woɖea wò ʋu ƒe kpɔɖeŋu eye woléa ŋku ɖe protein tɔxɛ aɖe ŋu. Woyɔa esia be Alpha-fetoprotein (AFP) . AFP ƒe agbɔsɔsɔ sia le ʋu me sɔ gbɔ ŋutɔ le amesiame si ŋu Yolk Sac Tumor le me. Esia nye dzesi vevi aɖe ŋutɔ si dzi woato anya kansa sia.
- Nɔnɔmetatawo dodokpɔ: CT scan (Computed Tomography scans) kple MRI scan (Magnetic Resonance Imaging) ye nye dodokpɔ siwo wozãna wu. Amesiawo te ŋu kpɔa dɔdzẽ siwo le ŋutilãa me nyuie.
- Amekoko ƒe lãɖeɖe: Esia koe nye mɔ si dzi woato aka ɖe dɔlélea dzi 100%. Ðɔktaa awɔ dɔ nɛ atsɔ aɖe dɔdzẽ bliboa (ɣeaɖewoɣi la, ŋutinu bliboa si me dɔdzẽa le) ɖa. Emegbe woaɖo dɔdzẽa ɖe dodokpɔxɔ aɖe be woadoe kpɔ be kansa lãmenugbagbeviwo le eme hã.
Aleke wowɔna nyaa kansa ƒe afɔɖeɖewoe?
Ne wonya de dzesi dɔlélea ko la, ɖɔktawo nyaa afisi kansa la kaka ɖo, alo afisi kansa la ƒe ‘afɔɖeɖe’ nye. Nusiwo le abe dɔdzẽa ƒe lolome kple afisi kansa la kaka ɖo ene ye dea dzesi afɔɖeɖe sia. Ne afɔɖeɖea le sue (e.g. Afɔɖeɖe 1) la, efia be kansa la le eƒe gɔmedzedze. Ne afɔɖeɖea lolo (e.g. Afɔɖeɖe 3, 4) la, efia be kansa la kaka vie. Afɔɖeɖe sia nyanya le vevie ŋutɔ hafi nàtia atike nyuitɔ kekeake.
Na Vidzidɔ ƒe Dɔdzẽwo
- Afɔɖeɖe 1: Vidzidɔa me koe kansa la le.
- Afɔɖeɖe 2: Kansa la kaka tso vidzidɔa me yi ʋukawo me.
- Afɔɖeɖe 3: Kansa lãmenugbagbeviwo kaka ɖe ŋutinu bubuwo me.
Na Ovarian Tumors
- Afɔɖeɖe 1: Azigolo ɖeka alo evea siaa koe kansa la le.
- Afɔɖeɖe 2: Kansa lãmenugbagbeviwo kaka ɖe teƒe bubuwo le akɔta, gake womeɖo vidzidɔa me o.
- Afɔɖeɖe 3: Kansa la kaka ɖe ʋuka siwo me ʋu sina tona kple lãkusi si le ƒodoa ƒe eme (peritoneum) me.
- Afɔɖeɖe 4: Kansa la kaka ɖe ƒodoa godo yi lãkusi kple ŋutinu bubuwo me.
Nukawoe nye atike siwo wozãna na esia?
Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖe kansa ƒe dɔdzẽa ɖa keŋkeŋ. Wozãa atikewɔwɔmɔnu vevi eve na esia.
1. Amekoko: Esia bia be woaɖe vidzidɔ bliboa (si woyɔna be orchiectomy ) alo azigolo (si woyɔna be oophorectomy ) si ŋu kansa la gblẽ nu le la ɖa. Ne kansa la kaka ɖe tsinyenye ƒe ʋukawo me la, ahiã be woaɖe wo hã ɖa.
2. Atikewɔmɔnu: Le amekoko megbe la, wowɔa atike sia be woatsɔ awu kansa lãmenugbagbevi ɖesiaɖe si ate ŋu agblẽ ɖe ŋutilãa me si ŋku dzro ko mate ŋu akpɔ o. Ɣeaɖewoɣi la, ne dɔdzẽa lolo ŋutɔ la, woate ŋu awɔ atike hã atsɔ aɖe dɔdzẽa dzi akpɔtɔ hafi woawɔ dɔ nɛ.
BEP ƒe atikewɔwɔmɔnu
Woyɔa atike vevitɔ si wozãna tsɔ daa Yolk Sac Tumor be BEP . Le afisi kansa la le kple alesi wò ŋutilã wɔa nui ɖe atikewɔwɔa ŋu nu la, ahiã be nàno BEP zi geɖe. BEP nye atike etɔ̃ siwo wotsɔ ƒo ƒui:
- B leomycin si wotsɔna ƒoa ʋu
- E toposide
- Cisplatin ( P latinol®) ƒe dɔlékuiwutike .
Ne wotsɔ atike etɔ̃ siawo ƒo ƒui la, wowɔa dɔ nyuie ŋutɔ tsɔ tsrɔ̃a Yolk Sac Tumor lãmenugbagbeviwo.
Aleke nɔnɔmea le le atikewɔwɔ vɔ megbe? (Nyagblɔɖi) .
Esia nye nusi wòle be ame geɖe nanya. Enye nyateƒe be ne womewɔ atike na Yolk Sac Tumor o la, ate ŋu ade ame ƒe agbe afɔku me. Esia tae míegblɔ tso gɔmedzedzea me ke be ele vevie ŋutɔ be woakpɔ dɔlélea ahadze atikewɔwɔ gɔme kaba ɖo . Abe alesi wòle le kansa ɖesiaɖe gome ene la, zi alesi wodze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ si li be woahayae.
Wò ŋgɔdonya nɔ te ɖe nu geɖe dzi. Ele be nàdzro nuwo abe afisi kansa la le, alesi wò ŋutilã le nu wɔm ɖe atikewɔwɔ ŋu, kple wò AFP ƒe agbɔsɔsɔ ene me kple wò ɖɔkta hafi adze atikewɔmɔnu gɔme (zi alesi esia le sue la, zi geɖe la, zi nenemae emetsonua nyona wu).
Gake mègatsi dzi o. Atikewɔwɔwo abe amekoko kple BEP ene na amesiwo ŋu Yolk Sac Tumor le ƒe agbetsitsi nyo ɖe edzi ŋutɔ. Le kpɔɖeŋu me, woate ŋu ada vidzidɔ me kansa si nye Afɔɖeɖe 1 lia keŋkeŋ kloe to atike siawo zazã me. Numekuku aɖe si wowɔ nyitsɔ laa ɖee fia be amesiwo woda dɔ na le azigolo me kansa ƒe gɔmedzedze la dometɔ 91.5% gakpɔtɔ le agbe le ƒe atɔ̃ megbe.
Gbedasi si Wotsɔ Yi Aƒeme
- Yolk Sac Tumor nye kansa ƒomevi si mebɔ o si bɔ ɖe ɖeviwo kple sɔhɛ tsitsiwo me wu.
- Nɔ ŋudzɔ ɖe dzesiwo abe ʋuʋudedi si me vevesese mele o le vidzidɔ me alo ƒodo me vuvu/maɖemaɖe le eŋu ene ŋu. Ne ède dzesi nane si le abe esia ene la, mègakpe ŋu alo avɔ̃ o, ke boŋ yi ɖɔkta gbɔ enumake.
- Togbɔ be kansa sia kaka kabakaba hã la, woate ŋu adae keŋkeŋ ne wokpɔe kaba.
- Amekoko kple atikewɔmɔnu (vevietɔ BEP) ƒe atikewɔwɔwo wɔa dɔ ŋutɔ.
- Ne wowu atikewɔwɔ nu vɔ gɔ̃ hã la, ele vevie ŋutɔ be woawɔ dodokpɔ siwo akplɔe ɖo le ɣeyiɣi si woɖo ɖi me abe alesi ɖɔktaa gblɔe ene.
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