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Thursday 26 July 2012

BREAST CANCER PART 2

BREAST CANCER PART 2

This is a continuation of my series on Breast Cancer. Like we already know it is the commonest cancer in women and the commonest cause of cancer death in women.

We also already know that both men and women can suffer from this dreaded disease but it is 100 times commoner in women. Furthermore we have been told that breast cancer at the early stage may not have symptoms and the commonest symptom is painless lump in the breast. Other symptoms include pain in the breast, nipple discharge, lump in the armpit, nipple changes, rashes, ulcer etc.

I have also told you in part 1 that anyone who has had cancer in one breast has an extremely high risk of developing it in the other breast. Similarly those with a close family history of breast cancer, those who have had cancer in other parts of their body, obese people, smokers etc are at high risk of developing breast cancer.

In this part i shall be looking at how to detect breast cancer.

It is so important to detect breast cancer early because the earlier it is detected and treated, the better the outcome.

So how can Breast Cancer be detected???

* I advise people to examine their breasts regularly for lumps, rashes, ulcer, pain and some changes. If you are twenty and above, i advise that you become familiar with how your breasts feel and look normally, so that you can easily tell when there are changes.

* Report these changes to your doctor immediately

* Screening of the breast using a special x-ray equipment called mammogram detects early stages of breast cancer. In advanced world like UK, there is a screening programme for all women between 50 and 70 years where they are invited for a free mammography. If you are in Nigeria and you belong to this age group or have a significant risk please find a good centre and undergo a mammography.

* MRI :
The breast can also be screened for early stages of cancer using an MRI. I believe this is a lot more expensive than mammography.

Having discussed how to screen or detect early cancers, i will now look into how to diagnose breast cancer.

If for example you notice a breast changes and you go see your doctor, depending in the part of the world you live, i expect that you will be referred to see a breast specialist or cancer specialist who should undertake the following:

a) Talk to you and take a history of your symptoms

b)Examine your breasts including your arm pits and your lymph node areas

c) Conduct the following diagnostic procedures as follows:

* mammogram

* Breast ultrasound ( ultrasound of the breast)

* Fine needle aspiration ( a needle is used by a doctor to withdraw some cells from the breast lump into a syringe under ultrasound guidance and this sample is sent to the lab to check for cancer)

* biopsy ( a small part of the lump or tissue is removed surgically or by suction or other means and taken to the lab for examination by the pathologist)

* Lymph node ultrasound and fine needle aspiration ( ultrasound of any suspicious lymph node and needle aspiration like as described above)

Following these procedures the doctor will be able to confirm for sure if actually you are suffering from breast cancer.


One big question is this: Are all breast lumps or breast pain or rash etc breast cancer?? The answer is a capital NO. There are other possible causes which I shall be discussing in part 3 of this series.

Hope you learned a thing or two from this. Thanks for reading

Dr Chin Akano

Wednesday 18 July 2012

BREAST CANCER PART 1 With Dr. Chin Akano


BREAST CANCER PART 1

In this series i shall be looking at the breast cancer, some facts about it, risk factors, signs and symptoms, prevention, diagnosis, treatment and prognosis

I will start by saying that breast cancer is the cancer originating from breast tissue and is the commonest cancer in women and commonest cause of cancer death in women as well.

WHO CAN SUFFER FROM BREAST CANCER??

Both men and women can suffer from breast cancer, though it is 100 times commoner in women.
However due to delay in diagnosis of breast cancer in men, the outcome is a lot poorer in men than in women.

Furthermore any body who has reached puberty can suffer from breast cancer but it is commoner in women over 50 years and also kills more women over that age.

WHAT CAUSES BREAST CANCER ?

No one knows what causes it but there are certain factors that put someone at a higher risk of developing it. These are known as the risk factors and among them are:

* If a close relative has suffered from cancer of the breast

* If you have cancer in one breast already

* if you are a woman

* If you have developed any other cancer in any other part of your body

* If you are a smoker

* If you are obese

* If you are over 50 years

* Those who refused to breast feed

* Commoner in white women

* Those taking Hormone replacement therapy (HRT)

* Over exposure to radiation eg during x-rays

* Excessive alcohol consumption

* Several others like taking of combined pills ( oral contraceptive, early menstruation, late menopause )

HOW CAN BREAST CANCER BE RECOGNISED?


Please note that you may have no symptom at all especially at the early stage of the cancer

If you do have symptoms yy far the commonest symptom is painless lump in the breast. This lump does not disappear after your period in women.

Other possible symptoms are as follows:

* Pain in the breast

* Discharge from the nipple : the discharge could be clear, bloody and coloured.

* swelling in the armpit

* dimpling of the nipple

* nipple retraction

* nipple redness

* Rash on or around the nipple

* Itching of the nipple

*Ulcer of the nipple

*Burning sensation to the nipple

* change in colour and size of breast [s]

Part 2 to follow: Watch out

Thanks for reading


Dr Chin Akano

WELCOME TO IGBERE

THE HISTORY OF IGBERE
Igbere history and its people traces from the lkweres who reside along the banks of Imo River in Nigeria. In lkwere Etche located in the River State of Nigeria, is a town known as “Okomoko”. It was here that our great ancestor “Ebiri Okomoko” was born. Ebiri Okomoko was the fifth of sixteen children of Prince Aguma Egbiri, a member of the Ruling House in Okomoko. His father had three (3) wives. His eldest wife had four daughters. Ebiri Okomoko’s mother, Ekemini, was the second wife. She was said to be so beautiful that she was thought to be a reincarnation for the “river goddess”, gbere stands at the threshold of history. And it is a two way brink, oscillating between the past and the future. That past ought to elicit pride from indigenes who owe their town to very brave forebears that brooked no injustice and evil deeds.
Stubbornly perched atop a tree on the way to Ibinaukwu, one of the thirteen communities amalgamating into Igbere, is a weather beaten flag, which evidently had survived strong wind and rain, yet wrestled free from the intimidating leaves to pronounce Biafra, the defunct republic which caved in 30 months after its proponents fought with bare hands to keep it alive. Perhaps that indestructible flag is unwittingly symbolic of Igbere, a town in today’s Bende local council of Abia State with a never-say –die spirit and history. We shall return to that proud past shortly.



New London
But there is yet a visible stride into a historic future, one that threatens to thrust the town as, perhaps, the fastest developing space within the state. The people are not resting on their oars, basking in past glory. They have strived to keep pace with time. From the window of Wisdom Orientation Guest House at the eastern end of Igbere, a visitor behoves lush green scenery, stretching into the undulating topography of a place dotted with architectural masterpieces plastered with sparkling paints that smile at you. Whether the elegant buildings are at the hilly streets of Okafia and Umusi or the relative flat lands of Amaukwu and Eziama villages, Igbere has rightly earned the sobriquet of ‘New London’. It has displaced Abiriba, immediate neighbour to the east which had, over the years, prided itself as ‘Small London”.

If you visit both towns today, you will be in no doubt about which holds the mantle. The seeming sad fact is that both have lost the virginity of typical African villages and have been consumed with rampaging modernity such as turn foot paths of yore into beautiful streets adorned with smooth asphalt surfacing, bushes into mansions, trees into electric poles and telecommunication masts. Igbere is no longer a village. It is evolving into a city. That is the irony of development. Something must give. New and good things always sprout from the ashes of old ones.
As a visitor enters Bende local Government Area from Umuahia end, makes a right turn at Uzuakoli, does a few kilometres, hits Isiegbu in Ozuitem, turns left, at the T junction, a final journey into the ancient town begins.


The beginning
A town founded ‘not later than 1267’ cannot but be ancient. No less a personality than 80-year-old Elder E.E. Ukaegbu, a legal practitioner and very prominent indigene of the town makes the assertion after his painstaking research gave birth to a booklet captioned The History of Igbere, published in 1974 and revised in 2008. Ukaegbu , an Aba based lawyer, and possibly the first parliamentarian to win election as an independent candidate in old Eastern Nigeria, also typifies the stoicism and strong spirit of the Igbere man. He spoke to Sunday Sun in his country home in Amaofufe generally pronounced ‘Ɓmaufufu’, another of the 13 villages.


“The average Igbere man knows that a man called Ebiri Okomoko was the founder of Igbere. He was a great warrior. Farmer and hunter whose place of origin has been traced to Andoni, very close to the Atlantic Ocean . He was said to have sojourned in several places including Okomoko now in Etche Local council of Rivers State,” said Elder Ukaegbu.



The story, as this newspaper found out, was that Ebiri did not head for Igbere at inception. He had moved from Etche to a few places before making a fairly long stop over at Ajata Ibeku, near Umuahia. There he met Uduma-Eze and Onyerubi, both of whom later founded Ohafia and Abam. He also sojourned at Oroni forest where he met Egbebu who later founded Edda.
They parted ways, for reasons researchers have not yet revealed ,and Okomoko, adventurous as ever, hit Eke forest and finally settled there. Even today, with its rampaging modernity and rapid development, no one has dared destroy Eke-Igbere which still inspires awe and reverence from the average Igbere man. If a disputing duo went to Eke forest and any swore falsely, the erring person is said to be inviting sudden and untimely death. If an Igbere man is wounded in a fight or even an accident, such as exposes his blood, it only takes liquid from leaves of any tree from the forest for the gushing blood to cease. Such is the real or perceived power of the Eke forest, named after the market day of Okomoko’s arrival. He arrived on an Eke market day, one of the four days that make a typical Igbo calendar week.

But the story of Igbere’s origin has just begun. Okomoko’s settlement was not the end of the matter. It is the end of the early phase. He passed away shortly after arrival. He did not live to see and take part in the battle royale that culminated into the naming of Igbere.
There is, therefore, a slight but negligible historical controversy over the true founder of the town. The question is this; was Igbere founded by Okomoko who led the first settlers or was it founded by his son Ebiri, who led the battle to crush a great wave of intrepid warriors who ravaged the land? Had they subdued the people there would have been no Igbere, at least by the name it is now known. Historians and later day researchers may find a mouthful to chew there.


But the name Igbere is rooted in a war of survival.
In those days there lived a certain man named Ota Obom. War was his life. And he had fought and conquered every community within the vicinity in pursuit of slaves. He had active support of Arochukwu(Aro Oke Igbo) known for pervasive slave trading. But Ota Obom met his waterloo in Igbere. The story of his beheading and the inability of the slave traders to enter the town make it one of the few in Igboland which effectively repelled slave traders and earned the name Igbo Eru or Igbo Ere.
“This is one of the few towns where you cannot find Aro settlements’’ says Elder Ukaegbu, smiling proudly. “Our forbears never allowed slave traders to get into Igbere’’

At the killing of Ota Obom by the gallant Igbere warriors who, going by what Eze Job Ukandu of Amaukwu told Sunday Sun, were aided by great seers at Eke forest, Ota Obom’s warriors dispersed in confusion and the Aro slave traders became frustrated. It must have been with clenched teeth of annoyance and the sight of an impregnable town that they pronounced it Igbo Eru meaning ‘the place which Aro Oke Igbos could not reach and capture’ or Igbo Ere [the place where Igbo could not sell]. Both expressions gave birth to Igbere. Somehow, the average Igbere man has retained the fierce quest for freedom and the independence carried from his forbears. It is believed that Ebiri never lost any battle. That hitherto invincible Ota Obom, leader of rampaging slave traders met his end in the town, marking the effective halt of slave trading in that area, remains a source of pride to every Igbere indigene. The victory did not come cheap. It came with a price, one which also endows indigenes with patience. The details may be cumbersome but the drowning of Ochi, a beautiful damsel whose father, Awalu, led one of the villages at the forefront of the battle, was a grievous price. In fact the Ebele river where she drowned was made to dry up. Today it is a market place.


How Igbere is governed
The internal government in the town, as in most others in old Bende division run on three planks, namely the traditional institution, the age grade system and the general town union. But the traditional stool is strong in the town and had also posed a challenge, now apparently contained with the reign of one of their sons as the immediate past civilian Governor of Abia State. Prior to the emergence of Chief Orji Uzo Kalu who hails from Umusi, as the helmsman in Abia State, Igbere had a challenge occasioned by tussle over the traditional head of the town. An old school headmaster named Ijioma Okocha from Okafia known to be a strong Christian sat on the throne as the first Ebiri (named after their forebear) of the entire Igbere. But Amaukwu people who claim to be the head and to whom Elder Ukaegbu conceded that headship in his chat with Sunday Sun, cried foul insisting that Okocha had used the privilege of education to usurp their position.
Autonomous Communities/Villages
Igbere evolved into autonomous communities through the ages. The starting point being Eke Igbere where Ebiri settled originally. According to oral tradition and other documented evidence, the landmarks of Igbere represent various activities. For instance Ogbonta at Ozara, Amankalu Igbere is where the 8 stones of Igbere is found. There are places like Ogo- ubi and Nkumimo and Mgbele Ibina
Agriculture
Igbere is endowed with many natural resources some of which remain unexplored and untapped. Some readily identified resources in area of agriculture include palm produce, rice etc.
• Agricultural Products: Rice (currently accomodaiing a world hank Agricultural project around the famous Igwu River).
EZUMEZU IGBERE – THE LEGACY
I n preparing to complete the legacy of Ezumezu lgbere, many
considerations were made pertaining to the people of lgbere and their patriotism to “Ala lgbere” and the entire Ebiri. Our contribution of articles to IGBO BASICS U.S.A among other things motivated us to use this medium to say a few things for a better Ebiri. On this great Ezumezu celebration, We provide for the record, a broader perspective of what Ezumezu should signify for the lovers of lgbere prosperity. It is our hope that all Ebiri will appreciate the candor of this article. However, we do not in any way claim perfection whatsoever to this essay contribution we herein make. Our wish as we write is to be able to appeal to all lovers of Igbere to unite in peace for we all are one.
For the history buffs, there is the need to remind people of Igbere of the Ezumezu legacy. It is a well known fact that when people move out to reside in urban areas, they tend to forget the stories by the village story tellers. Sometimes the folklores, the traditional customs as it is often forgotten and in todays world, many sons and daughters of Ebiri-Igbere people now live and reside all over the world. It is to these people that we dedicate this legacy. Our hope especially, is that lgbere children born in urban and in overseas particularly the U.S.A will learn a thing or two about this great occasion called Ezumezu Igbere. Many as we have come to conclude are devoid of any knowledge of the traditions of their homes of origin. It is such people that we intend to help in understanding the significance of Ezumezu.
The legacy of Ezumezu of Igbere as we know it today was first called the “Anniversary of Igbere”. According to a great author/lawyer who once wrote that “One of the hallmarks in the efforts of Igbere Welfare Union (I.W.U.) was to modernize Igbere with the celebration of a ceremony of 1.W.U anniversary which came off in 1960 as a result of a motion tabled in a crucial meeting of 1.W.U. in August, 1958 by Mr. David Udeogu. “The author continued” that the motion in question was that when the maternity home (Hospital) was opened in 1954 in lgbere, lgbere youths returned home in large numbers that December. The next December experienced almost unprecedented calm during Christmas period in Igbere” It was in response to this un-lively atmosphere that motivated Mr. David Udeogu to table his motion which was unanimously approved by the then 1.W.U. The first “Anniversary” was born with a decree that it be celebrated once every three years. To shapen the events of the celebration, an elderly statesman Chief G.E. Ukaegbu the “Ofufe 1” of Igbere was appointed the first organizer!!
As history will have it, the late Chief!. Okocha was the chairman of the first Anniversary Celebration. The great hallmark in todays Ezumezu Igbere is the introduction of age grade activities in the Ezumezu events. And as was and still is the tradition the climax of the Ezumezu is the retirement of the o1dest age grade system. Other activities like naming new age grade and launching community development projects also are celebrated as part of the festivities. For years, the Ezumezu was known by all as “Anniversary Igbere” until Chief E.E.Ukaegbu first suggested a change of name in his well authored book “The History of Igbere” by Awa Press. 1974.!n one of the chapters, he suggested that the word “Anniversary” could be replaced with Igbo name. At that time no one really took it serious until when he came to a position where he was a mover and shaker in the affairs of lgbere. It was during that period that he coined the word we use today “Ezumezu lgbere”. Thus the word anniversary even though can still be heard, but a true Ezumezu buff dare not call it “Anniversary lgbere” because it is “Un Ebiri” to say so to Ezumezu fanatics.
Eminent Igbere People

Igbere Cooperative Society (I.C.A.S) Founders Aba

Front row l-r 1 Jonah Anyaogu Kalu (Ndiokpa) 2. James Eme Akachukwu 3. James Amadi Uche
4 Elisha Uko Ogwo (Amaukwu) 5. Saul Kalu Ugbo 6. Obediah Imo Iboko

Middle Row l-r
7. Jacob Chukwu Awa (Umuobasi Amankalu 8. Elder Dick Oko Igbokwe 9. Jonah Onwuka Oji
10. Obediah Ikwechegh Oturu (Ama-akpo) 11. Jonah Anya Onuoha 12. Johnson Eme Ibeka

back row l-r
13. Ogbonnaya, Son of Elisha Ukonu Elekwachi 14. David Oyo Udogu 15. Sam Obasi Ochuba
16. Egwuonwu Eme 17. Stephen Ude Obike 18. Micah Oji Izuka
19. Joel Anyaegbu Igu 20. Mark Agu Okorie

Eminent Sons and Daughters: Chief Elekwachi Ukaonu, Retired Director of NTA A ha and pioneer comedian in Aligbo with the famous Mazi Ukonu ‘s Club on Nigerian Television; Captain Amadi Ikwechegh, Former Governor of then Imo State of Nigeria; Chief Orji Uzo Kalu, current holder of the title Aha eji aga mba I of Igbere and others too numerous to mention
Commodore Amadi Ikwechegh

Chief Orji Uzor Kalu. Former Executive Governor of Abia State and Presidential Cadidate PPA of Nigeria.
Justice Agbai Ikwechegh

Hon. Justice Christiana Ijeoma Uche
Judge of High Court Abia State

Mazi Anyaogu Elekwachi Ukonu

Chief Amadi Awa
Retired Civil Servernt and Chartered Tax Practitioner
Elder Chief Mrs Eunice Uzor Kalu Odiukonamba
Travels & Tourism
Igbere is so endowed in this area that it has scenic places of interest.
Tourist Attractions/Landmarks: The Steps of Nature; Igwu River: River Falls: Osuwowo Springs; lkeogwu Ikeogwu; Eke Igbere; Ngbele Ibina. Markets of Igbere: Nkwo Ebele.
Education System
Igbere is still developing in the area of education and health. However education is not new to Igbere as the following schools have been existing since the colonial times:
Amankalu Primary School formally LGA School a.k.a Amanku. Roman Catholic School known simply as Roman at Amaofufe. Seven Day Adventist at Amaukwu. Central School, Onu Ibina Igbere; Igbere Secondary School and now the Proposed Abia State University of Arts, Science and Technology plus other Schools not yet listed in this effort.








Wednesday 11 July 2012

WELCOME TO IBEKU


Ibeku Umunna Nation has Culture, Education, Heritage, organization, History, tradition,with all values recognized in Igbo land and beyound. We are Igbo speaking, surrounding the city of Umuahia Ibeku in Abia State Nigeria.There are regional chapters as associations all over.

When you come to Ibeku, you will sense the excitement in the air about all things cultural. As you walk into the villages with clan members, all along our winding raods, streets you will hear the whistle sound from the birds on trees and people sitting talking to each other, independent activities in motion, you will be caught up in the energy. Turn a corner to find an AMA, a public place. Suddenly, you will find yourself listening to indigents with stories of the day, children playing. Depending on the time, might find people dancing, see a musician practicing his drumming or EKPETE while children play while elders go on with their activities .These are common sights to behold. Oh yes, the local bars with palm wine to serve is always open for some fun. Ibeku is unique.Do not forget that we make pottery unlike any other tribe. We are alive and well.

WHO ARE WE !!!
I beku is contained in the Umuahia North Local Govt. political division.of abia state in the eastern part of Nigeria.There are other communities that are around Ibeku such to our south are the clans of Olokoro, Old-Umuahia, Amakama, Ubakala. To the East is Oboro. Our West are the clans of Umuokpara and Ohuhu. Then North are Uzuakoli and Abiriba. These areas were one time a part of what was called the BENDE region in now Abia State.

Ibeku people are a good portion of the igbo [ibo] speaking people of Nigeria in IGBO LANGUAGE .The associated dialects and origins are explained with this link. Igbo is spoken through out West Africa in various forms.

We have custodians of these traditional values in each seven clans called EGWU ASAA that make up Ibeku Nation. These seven Clans are Osaa, Amaforo, Ndume, Afaraukwu, Emede, Isieke, Afarata. Each has an Eze that is titled accordingly with a name to reflect that clan. Ibeku clan has a Royal Highness with the title OGURUBE IBEKU.. The Present Ogurube is His Royal Highness.Eze Samuel Iheonu Onuaha.The Ogurube IV of Ibeku. His cabinet is made up of all the EZEs from the seven egwu asaas. These individual egwus are autonomous in terms of organization in localities headed by their own EZE.



The way and how Ibeku the man came to be at this very location is still being pieced together. Ibeku had sons that grew ,got married and had children that became Ibeku Egwu Asaa.The order of his children seniority, movements around the location are well known.We show in OUR IBEKU HISTORY section, the Clans and the organizational set up that covers the whole Ibeku Nation.
The anthropology and psychology to place the work of the expedition's anthropologists within the history of the Ibeku discipline has tended to obscure the intellectual contribution of our people in various ways, we will maintain anthropology and psychology as separate disciplines we wish to make sense of self and society in the post-national phase of human history. The lbeku Heritage serves the community of Culture, and the wider public, by treasuring the past, educating the present, and inspiring the future.

One of the Umunnas is Umuolulu ,ohobo na Umuizu in the Afaraukwu clan Ibeku has put together their ancestors adding up to 10 [ten] generations back. Some other clans go further .See the Alozie family tree in Umuizu Ancestors. Olulu was one of the sons of Izu thus UMUIZU [ children of izu]. All his children make up ohobo na umuizu. See and read the set up of AFARA UKWU CLAN as explained.
Each community supports the Ibeku organization and help enhance the life in it which includes art, culture and other awareness that is needed on issues . They come together to promote affair and positive dialogue, develop new and future audience in major projects in visual and performing arts, heritage preservation that are representative of ibeku local cultures, and its regional within the igbo [ibo] tribe.


THE SOCIAL STATUS as in IBEKU

Ibeku like every other Igbo group, as an organization with culture and heritage ,has well defined social structures. These structures were in places before the recent advent of christianity. These classifications are never over estimated in values and they apply to both men and women. They are different from recent accomodations given to people for mainly ceremonials shows.

The social category is highly differentiated. The Ibeku / Igbo recognize and respect social distinctions among members of each status category of kinship, residence, wealth,and association depending on their political, economic, and religious achievements.