Yala sɔgɔsɔgɔ bɛ aw la kabini waati jan wa? N’a sɔrɔ a bɛ fara sɔgɔsɔgɔninjɛ kan wa? Walima i bɛ ninakilidegun dɔɔni wa? Tuma caman na, an bɛ ɲinɛ o kow kɔ, k’a miiri ko u ye farigan dɔrɔn de ye. Nka a man teli kosɛbɛ, fɛn wɛrɛ bɛ se ka kɛ o taamasiɲɛ fitinin sugu kɔfɛ, an ka kan k’an janto min na. Bi an bɛna kuma fogonfogon kansɛri bana dɔ kan min man teli ka sɔrɔ nka a nafa ka bon kosɛbɛ. O ye Fogonfogon kansɛribana ye.
N’an y’a fɔ cogo nɔgɔman na, nin fogonfogon kansɛribanakisɛw ye mun ye?
O mago bɛ ɲɛfɔli dɔɔnin na. Kɔnɔnatumu suguya kɛrɛnkɛrɛnnen dɔ bɛ an fari la min bɛ farikolo-ɲɛnajɛ ni farikolo-ɲɛnajɛ-yɔrɔw la. An b’o wele ko neuroendocrine cellules. Miiri o farikolokisɛw la i n’a fɔ an farikolo labɛnbagaw. Ni cikan dɔ bɔra farikolo-ɲɛnajɛ-yɔrɔw la, u ka baara ye ka ɔrimɔni (hormones) dilan o jaabi la ani ka baara suguya caman kɔlɔsi farikolo la. Misali la, o farikolokisɛw bɛ dɛmɛ don ka an ninakili don fogonfogon la cogo min na ani dumuni bɛ tɛmɛ dumunikɛminɛnw fɛ cogo min na.
O la, kun dɔw la, ni o farikolojidɛsɛbanakisɛw y’a daminɛ ka tila ani ka caya k’a sɔrɔ u tɛ se ka kunbɛn, kuruw bɛ bɔ o yɔrɔw la. An bɛ fogonfogon kansɛribana wele ko kansɛri kuru minnu bɛ daminɛ fogonfogon la o neuroendocrine cellules ninnu na.
Nka aw kana siran ni aw ye "kansɛri" daɲɛ mɛn. Sabula o kansɛribana suguya fila bɛ yen. U fila taamacogo tɛ kelen ye kosɛbɛ.
Kasinoyi kuru suguya fila minnu bɛ yen
U tilalen don suguba fila ye ka da u bonya hakɛ n’u jɛnsɛnni seko kan.
| Tumu suguya | Cogojirali |
|---|---|
| Tumu minnu bɛ sɔrɔ kansɛribana fɛ minnu bɛ sɔrɔ cogoya la | Nin ye suguya ye min ka teli ka kɛ (banabagatɔ minnu bɛ ye, olu 90% ye nin suguya in ye). U bɛ bonya dɔɔni dɔɔni kosɛbɛ . U fana ka jɛnsɛnni (metastasizing) farati ka dɔgɔn kosɛbɛ farikolo yɔrɔ wɛrɛw la. U bɛ se ka sɔrɔ fogonfogon fiɲɛbɔyɔrɔbaw la (cɛmancɛ la) walima fogonfogon kɔkanna da la (kɛrɛfɛ). |
| Tumu minnu bɛ sɔrɔ kansɛribanakisɛw la minnu tɛ kelen ye | Nin suguya in ka dɔgɔ kosɛbɛ. A bɛ se ka bonya joona ka tɛmɛ a suguya danma kan. A fana farati ka bon farikolo yɔrɔ wɛrɛw la. Nin suguya in ka ca dɔlɔminnaw de la. |
Min nafa ka bon, o ye ko nin bana in man ca kosɛbɛ. Fogonfogon kansɛri minnu bɛɛ fɔra diɲɛ kɔnɔ, olu 1% fo 2% dɔrɔn de bɛ don o kulu kɔnɔ. O la sa, kun t’a la ka siran kun t’a la o ko la.
Nin bana in taamasiɲɛw bɛ se ka kɛ mun ye?
A ka ca a la, kɛrɛnkɛrɛnnenya la minnu ka kurukuruw bɛ u la, taamasiɲɛ foyi tɛ u la . U bɛ sɔrɔ cogo la min bɛ kɛ disi lajɛli senfɛ kun wɛrɛ la. Nka, mɔgɔ dɔw bɛ se ka nin taamasiɲɛ ninnu sɔrɔ:
- Sɔgɔsɔgɔ basigilen (tuma dɔw la ni joli walima nɔgɔ bɛ a la) .
- Disi dimi
- Ninakilidegun (ninakilidegun) .
- ‘Fiɲɛ’ mankan fitini mɛnni ni i bɛ ninakili (sɔgɔsɔgɔninjɛ) .
Bana kɛrɛnkɛrɛnnen dɔ min bɛ wele ko Syndrome carcinoïde
A man teli kosɛbɛ, o kurukuruw bɛ daminɛ ka serotonin ɔrimɔni caman bɔ. O bɛ se ka kɛ sababu ye ka ɔrimɔni balanbaliya bila farikolo la, o bɛ na ni taamasiɲɛ suguya caman ye. o bɛ wele ko kansɛribana . A taamasiɲɛw ye:
- Kɔnɔboli jugumanba
- Ɲɛda ni kɔ la bilenni walima funteni bɛ a la (ɲɛnajɛ) .
- Kisɛya sɔrɔli kun tɛ
- Ninakili gɛlɛya walima sɔgɔsɔgɔninjɛ taamasiɲɛw
Ni nin taamasiɲɛ ninnu bɛ yen, a nafa ka bon ka dɔgɔtɔrɔso laadilikan ɲini joona.
Mun na nin ɲɔgɔnna kurukuruw bɛ sɔrɔ? Yala farati dɔw bɛ yen wa?
Tiɲɛ na, kun tigitigi min b’a to o farikolojidɛsɛbanakisɛw bɛ daminɛ ka tila yɔrɔnin kelen k’a sɔrɔ u ma se ka u yɛrɛ minɛ, o ma sɔrɔ fɔlɔ .
Nka, a jirala ko mɔgɔ dɔw ka farati ka bon dɔɔni ka nin bana in sɔrɔ. O fɛnw ye:
- Ka kɛ ni bana ye min man teli ka sɔrɔ, min bɛ sɔrɔ ciyɛn fɛ, n’o bɛ wele ko Multiple Endocrine Neoplasia type 1 (MEN1) .
- Sigarɛtimin (kɛrɛnkɛrɛnnenya la, suguya min tɛ fɛn ye) .
- Ka kɛ muso ye (musow ka teli ka nin bana in sɔrɔ dɔɔni) .
- Ka kɛ san 45 ni san 55 cɛ.Hali ni bana in ka teli ka sɔrɔ nin si hakɛ in mɔgɔw la, o bana in bɛ se ka kɛ si hakɛ o si hakɛ la, hali denmisɛnni fitinibaw la.
O bana in bɛ se ka dɔn cogo di?
Ni taamasiɲɛ minnu fɔra sanfɛ, ni olu dɔ bɛ aw la, aw ka kan ka taa dɔgɔtɔrɔso la fɔlɔ. A bɛna aw ɲininka aw ka bana taamasiɲɛw la, ka aw disi lamɛn ni stɛtisɔpu ye, ani ni siga bɛ aw la, aw bɛ sɛgɛsɛgɛli dɔw fɔ walasa ka bana in sɛgɛsɛgɛ.
1. Ja lajɛ: Fɛn fɔlɔ min ka kan ka kɛ, o ye ka disi lajɛ . Ni fɛn dɔw sɔrɔla minnu tɛ kelen ye, a bɛ se ka yamaruya ka CT scan (Computed Tomography scan) kɛ. CT scan bɛ se ka fogonfogon ja jɛlenba dilan, minnu bɛ kɛ ka u tigɛtigɛ, o bɛ a to kuru bonya ni a sigiyɔrɔ bɛ se ka dɔn.
2. Joli ni sugunɛ sɛgɛsɛgɛli : Nin sɛgɛsɛgɛli ninnu bɛ kɛ walasa ka a dɔn ni ɔrimɔni dɔw bɛ bɔ o tumu ninnu fɛ, olu bɛ joli walima sugunɛ na.
3. Biopsie : Nin ye sɛgɛsɛgɛli ye min nafa ka bon kosɛbɛ walasa ka bana in sɛgɛsɛgɛ 100%. Yan, farikolo yɔrɔ fitinin dɔ bɛ bɔ kuru la ka a lajɛ ni mikroskɔpu ye. O bɛ se k’a dɔn tigitigi ni kuru ye kansɛribana ye, min bɛ kɛ cogoya la walima ni a tɛ kɛ cogo la. fɛɛrɛ min ka teli ka kɛ walasa ka nin farikolo yɔrɔ in sɔrɔ , o ye sɔgɔsɔgɔninjɛ ye . Yan, tubabufura finman dɔ bɛ tɛmɛ ni kamera fitinin ye fiɲɛbɔyɔrɔw fɛ walasa ka kuru sɛgɛsɛgɛ ani ka a yɔrɔ fitinin dɔ ta.
Furakɛli suguya jumɛnw bɛ yen?
Furakɛli min ka fisa aw ma, o bɛna bɔ kuru suguya, a bonya, a sigiyɔrɔ ani aw ka kɛnɛya bɛɛ la. Kibaru duman ye ko fogonfogon kansɛribana fanba bɛ se ka kɛnɛya pewu ni opereli dɔrɔn ye.
Furakɛli suguya caman bɛ yen:
- Operelikɛyɔrɔ:
- Lobectomy (Lobectomy): Fogonfogon yɔrɔ bɔli pewu, kuru bɛ yɔrɔ min na.
- Wedge Resection (Wedge Resection): Aw bɛ tumu ni a lamini yɔrɔ dɔɔni dɔrɔn bɔ.
- Sɔgɔsɔgɔninjɛ : A man teli kosɛbɛ, fogonfogon bɛɛ bɛ se ka bɔ.
- Nɔgɔw bɔli : Operelikɛla bɛ se k’a latigɛ ka ɲɛgɛnɛsira kɛrɛfɛtaw bɔ walasa ka a dɔn ni kansɛri jɛnsɛnna ani ka a bali ka jɛnsɛn ka taa a fɛ.
- Radiation Therapy : Nin furakɛli in bɛ kɛ ni opereli tɛ se ka kuru bɔ pewu walima ni banabagatɔ bɛ furakɛli cogo la min bɛ opereli kɛ. A bɛ tali kɛ kɛnɛma-fiɲɛbɔli la walima ka fɛnɲɛnamafagalan misɛnniw bila kuru kɛrɛfɛ (brachytherapy).
- Chimiothérapie (banakisɛfagalanw) :Ikomi o kuru ninnu bɛ bonya dɔɔni dɔɔni, chimiothérapie gansan, min bɛ farikolokisɛw laɲini minnu bɛ bonya joona, o tɛ nafa sɔrɔ kosɛbɛ. O la, nin furakɛli in man teli ka kɛ suguya danmadɔw la. Nka, o furakɛli bɛ se ka kɛ wajibi ye suguya caman na minnu bɛ bonya joona walima ni u jɛnsɛnna farikolo yɔrɔ wɛrɛw la.
- Fura wɛrɛw:
- Octreotide : Nin fura in min bɛ kɛ ni ɔrimɔni ye, o bɛ di walasa ka kansɛribana taamasiɲɛw kunbɛn.
- MTOR balilanw (misali la Everolimus): Fura suguya dɔ don min bɛ tumuw falenni bali.
A kɛnɛyali hakɛ ni a ɲɛnabɔcogo ye mun ye?
O ye gɛlɛya ye mɔgɔ caman bolo.
kansɛribana taamasiɲɛw ɲɛfɔli ka ɲi kosɛbɛ . Farati min bɛ se ka segin a kan opereli kɔfɛ, o tɛ 4% bɔ. O kɔrɔ ye ko mɔgɔ 96 bɛna kɛnɛya pewu mɔgɔ 100 o 100 la.
Kansɛribana taamasiɲɛ tɛ minnu na, olu furakɛli ka gɛlɛn dɔɔni. Farati min bɛ a la ka segin a kan, o ka bon dɔɔni. Nka, o bana in bɛ se ka kunbɛn ka ɲɛ fana ni furakɛli suguya wɛrɛw faralen ye ɲɔgɔn kan.
Kuma bɛɛ la, san duuru ɲɛnamaya hakɛ fogonfogon kansɛri suguya bɛɛ la, o hakɛ ka ca kosɛbɛ 89% . O kɔrɔ ye ko mɔgɔ 100 minnu sɔrɔla nin bana in na, mɔgɔ 89 bɛ kɛnɛya la hali bi san 5 kɔfɛ.
Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?
Ni aw ye taamasiɲɛ kuraw sɔrɔ walima ni u bɛ ka juguya, kɛrɛnkɛrɛnnenya la ninakilidegun, kɔnɔboli, walima farikolojidɛsɛ min ɲɛfɔlen don, aw bɛ o fɔ aw ka dɔgɔtɔrɔ ye. Aw kana siga ka kuma ɲininkali walima haminanko si kan.
Waati min na aw ka kan ka taa ETU (Furakɛcogo kɔrɔtɔlen) la joona
Ni nin taamasiɲɛ juguman ninnu bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la, o yɔrɔ la joona:
- Ninakili bɛ gɛlɛya kosɛbɛ (hali ni a bɛ lafiɲɛ).
- Joli sɔgɔsɔgɔ.
- Disi dimi kura walima dimi min bɛ ka juguya.
- Jatigɛ walima hakili caman cili.
- Fari, dawolo walima bolokɔniw kulɛri bulu (cyanosis).
Ɲininkali minnu ka kan ka kɛ dɔgɔtɔrɔ la
A ka ca a la ɲininkaliw bɛ kɛ i la ni i ye bana sɛgɛsɛgɛli sɔrɔ i n’a fɔ nin. A bɛ se ka kɛ ko nafa bɛ a la ka dɔgɔtɔrɔ ɲininka nin ɲininkali ninnu na:
- Yala nin ye ko ye min bɛ kɛ cogoya la wa walima a tɛ kɛ cogo la wa?
- Yala o jɛnsɛnna yɔrɔ wɛrɛw la wa?
- Aw bɛ furakɛli jumɛn fɔ?
- Nin kuru suguya in ɲɛnabɔcogo ye mun ye?
- A taamasiɲɛw bɛ se ka furakɛ cogo di so kɔnɔ?
Ka kansɛri suguya o suguya sɛgɛsɛgɛli sɔrɔ, o ye ko gɛlɛn ye. Nka aw hakili to a la ko fogonfogon kansɛri fanba bɛ furakɛ kosɛbɛ, wa a farati ka dɔgɔn ka segin a kan. Aw bɛ kuma kɛnɛ kan ni aw ka dɔgɔtɔrɔso jɛkulu ye, aw bɛ se ka min makɔnɔ aw ka bana in na. U bɛna furakɛlicogo ɲumanw ɲɛfɔ aw ye ani ka ɲininkali o ɲininkali kɛ aw la, u bɛna o jaabi.
Take-Home cikan
- Fogonfogon kansɛribana ye kansɛri bana ye min man teli ka sɔrɔ fogonfogon la.
- A suguya min ka teli ka kɛ, n’o ye ‘cogo ye’, o bɛ bonya dɔɔni dɔɔni kosɛbɛ , wa a ka ca a la a bɛ se ka kɛnɛya pewu ni opereli dɔrɔn ye.
- mɔgɔ fanba tɛ taamasiɲɛ si sɔrɔ . Ni bana taamasiɲɛw kɛra, u bɛ se ka kɛ sɔgɔsɔgɔ kuntaalajan, disidimi, walima ninakili gɛlɛya ye.
- Furakɛli bɛ bɔ kuru suguya ni a bonya la. Opereli ye furakɛli kunba ye min bɛ nɔ bɔ kosɛbɛ.
- nin bana in kɛnɛyali hakɛ ka ca kosɛbɛ . O la, a nafa ka bon kosɛbɛ ka wale kɛ ka kɛɲɛ ni dɔgɔtɔrɔ ka laadilikan ɲumanw ye k’a sɔrɔ aw ma siran kunntanw lase mɔgɔ ma.
- Sigarɛtiminbaliya ye fɛɛrɛ ɲuman ye min bɛ mɔgɔ tanga fogonfogonlabana caman ma.











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Ko foyi ma bila fɔlɔ. Aw ka kuma fɔlen fara a kan yan a siɲɛ fɔlɔ la.
Aw ka kuma fɔlen fara a kan