Ka kansɛri bana sɔrɔ, walima k’a ye ko i diyanyemɔgɔ dɔ bɛ o gɛlɛya in kunbɛn, o ye ko ye min bɛ mɔgɔ degun, min fɔli ka gɛlɛn. Nka, bi furakɛli ɲɛtaa kosɔn , furakɛli suguya dɔw bɛ yen sisan minnu bɛ se ka kɛ kosɛbɛ, minnu bɛ kansɛribanakisɛw laɲini kɛrɛnkɛrɛnnenya la, ka sɔrɔ ka tiɲɛni dɔgɔya i farikolo tɔ la. O fɛɛrɛ ɲɛnabɔlen dɔ, kɛrɛnkɛrɛnnenya la sugunɛ kansɛri , o bɛ wele ko TACE. An ka nin baara in kɛ cogo min na Nirogi Lanka, an k’o tiɲɛ.
N’an y’a fɔ cogo nɔgɔman na, TACE ye mun ye?
TACE kɔrɔ ye ko Transarterial Chemoembolization . Hali ni tɔgɔ in mankan ka gɛlɛn, a kɛcogo bɛ ɲɛ. Miiri kansɛri kuru dɔ la i n’a fɔ dunanw kulu dɔ minnu t’a fɛ, minnu dogolen bɛ boon dɔ kɔnɔ. Walisa u ka kisi, u mako bɛ dumuni sɔrɔta la—nin ko in na, joli. TACE waati la, dɔgɔtɔrɔw bɛ joli siraba belebeleba sɔrɔ min bɛ o kuru di , ka kansɛri furaw ( chimiothérapie ) pikiri kɛ a la k’a ɲɛsin a ma. O kɔfɛ dɔrɔn, u bɛ o minɛn datugu ni fɛn misɛnninw ye.
Kuma surun na, o bɛ kuntilenna fila sɔrɔ siɲɛ kelen:
1. Kansɛri faga fura bɛ lase tumu ma k’a ɲɛsin a ma .
2. Ni joli tigɛra, kuru bɛ kɔngɔ oksizɛni ni balofɛnw na a mago bɛ minnu na, o bɛ a fanga dɔgɔya kosɛbɛ fo a bɛ sa daminɛ.
O ni chimiothérapie standard tɛ kelen ye cogo di?
A ni chimiothérapie systemique tɛ kelen ye fewu i bɛ se ka min dɔn. Danfaraba minnu bɛ u ni ɲɔgɔn cɛ, olu filɛ nin ye:
| Suguya | TACE Furakɛli | Chimiothérapie systémique (Chimiothérapie systémique) ye |
|---|---|---|
| Jigincogo | A bɛ lase ka ɲɛsin tumu ma. | A bɛ yaala joli sira bɛɛ la. |
| A tata hakɛ | Hakɛ caman bɛ di sigida la. | A dan ye farikolo bɛ se ka min muɲu sigida la. |
| Kɔnɔnatumuw kɔlɔlɔw | Kɔnɔnatumu jugumanw dɔgɔyali i n’a fɔ kunsigi bɔli ani fɔɔnɔ gɛlɛn. | Farati ka bon kɔlɔlɔw la i n’a fɔ kunsigi bɔli ani sɛgɛn. |
Jɔn ye kandida ye TACE la?
Nin furakɛli in bɛ kɛ fɔlɔ banabagatɔw de la minnu ka kansɛri bɛ sugunɛbilenni na (sɔgɔsɔgɔninjɛ kansɛri) . A ka ca a la, a ye furakɛli fɔlɔ ye kurukuruw la minnu ka bon kojugu fo u tɛ se ka bɔ opereli fɛ. A bɛ kɛ fana kansɛri dɔw la minnu bɔra yɔrɔ wɛrɛw la ka taa sugunɛ na:
- Sinna kansɛri
- Kolotuguda kansɛri
- Tumu minnu bɛ sɔrɔ neuroendocrine fɛ
- Sarkoma ( Sarkoma ) .
- Ɲɛkisɛw ka melanoma
Yala o bɛna kojugu kɛ ne sugunɛ na wa?
O ye haminanko ye min bɛ kɛ tuma bɛɛ. A nisondiyalen don ko sugunɛ bɛ joli sɔrɔcogo fila la:
1. Sugunɛbilenni : O bɛ joli dɔɔni dɔrɔn di sugunɛbaralabana ma, nka o de ye sugunɛbilenni joli sɔrɔyɔrɔ fɔlɔ ye.
2. Portal Vein : O bɛ joli fanba di sugunɛ kɛnɛman ma.
TACE bɛ sugunɛbilenni dɔrɔn de laɲini. Ikomi sugunɛbara kɛnɛman bɛ taa a fɛ ka joli sɔrɔ da la, a ka ca a la sugunɛ baara bɛɛ bɛ mara.
Kuma surun na, an bɛ kuru in "dumuni sira" bali, k'a sɔrɔ i ka sugunɛ yɔrɔ kɛnɛmanw bɛ taa a fɛ ka balo nafamaw sɔrɔ.
Yala ko dɔw bɛ yen, TACE man kan ka kɛ minnu na wa?
TACE ma bɛn bɛɛ ma. Aw ka dɔgɔtɔrɔ bɛna jateminɛ kɛ ka ɲɛ walasa ka a dɔn ni o ye fɛɛrɛ ɲuman ye aw bolo. A ka ca a la, a bɛ se ka kɛ ko a man ɲi ni aw ye:
- Bili siraw datugulen don
- Joli kurukuruniw
- Sugunɛbana jugumanba
- Kansɛri min jɛnsɛnna farikolo fan bɛɛ la
- Sugunɛbilenni juguman minnu bɛ sɔrɔ a kɔnɔ (i n’a fɔ sugunɛbilenni walima dawololabanaw) .
- Alɛrizi jugumanw bɛ sɔrɔ danfaralan kalaw la minnu bɛ kɛ o wale in na
Mun bɛ kɛ wale kɛtuma na?
Nin wale in bɛ kɛ Interventional Radiologist dɔ fɛ —dɔgɔtɔrɔ min kɛrɛnkɛrɛnnen don ka baara kɛ ni ja ɲɛminɛcogo ye (i n’a fɔ X-ray) walasa ka furakɛli kɛ minnu tɛ fɛn caman kɛ.
Labɛnli
Aw ka dɔgɔtɔrɔ bɛna sɛgɛsɛgɛli kɛrɛnkɛrɛnnenw yamaruya, i n’a fɔ:
- CT walima MRI sɛgɛsɛgɛliw
- Joli sɛgɛsɛgɛliw walasa ka aw ka sugunɛ baaracogo n’a joli kuruw lajɛ
Aw bɛ se ka furaw fana di aw ma sani aw ka wale kɛ walasa ka banakisɛw bali, ka kɔnɔboli dɔgɔya, ka aw ka sugunɛw tanga.
Taabolo kɛcogo waati la
Nin tɛ opereliba ye. Taabolo bɛ Kɛ nin cogo in na:
1. Denmisɛnniw na, anestezi basigilen bɛ kɛ. Balikuw fɛ, a ka ca a la, hakiliɲagamifura bɛ di walasa ka aw dɛmɛ ka aw lafiya ani ka sunɔgɔ.
2. Dɔgɔtɔrɔ bɛ tigɛ fitini dɔ kɛ kɔkili walima bolokɔni yɔrɔ la.
3. Tubabu finman dɔ bɛ don o tigɛda fɛ min bɛ wele ko catheter .
4. Dɔgɔtɔrɔ bɛ ɲɛminɛ ni fluoroscopie (waati yɛrɛ la) ye, a bɛ katetɛri bila ni hakilisigi ye ka taa sugunɛbara la min bɛ kuru di.
5. Kɔlɔsilikɛlan dɔ bɛ pikiri kɛ walasa ka kuru ni a lamini joli siraw ye ka jɛya.
6. Ni yɔrɔ tigitigi dɔnna, aw ka dɔgɔtɔrɔ bɛna chimiothérapie fura ni ‘embolis agent’ (fɛn misɛnninw) ɲagaminen don joli sira la min bɛ kuru di.
7. O kɛcogo kɔfɛ, aw bɛ katetɛri bɔ, ka bandi kɛ dondaw fitini kan. Ikomi tigɛba tɛ yen, a man kan ka tigɛli kɛ.
Nin furakɛli in nafa ni a farati jumɛnw bɛ a la?
I n’a fɔ furakɛli kɛcogo bɛɛ, TACE nafa bɛ a la ani farati bɛ se ka kɛ a la.
| Nafaw | Faratiw & A kɔlɔlɔw |
|---|---|
| Ɲɛtaa hakɛ caman : Banabagatɔ 70% ɲɔgɔn na, TACE bɛ se ka sugunɛbilenniw falenni jɔ walima k’u kunbɛn ka ɲɛ. | Banakisɛ : I n’a fɔ a bɛ kɛ cogo min na furakɛli fɛɛrɛ bɛɛ la, banakisɛ sɔrɔli farati ka dɔgɔn. |
| Sugunɛ lakanani: Aw ka sugunɛ yɔrɔ kɛnɛmanw fanba bɛ to fura in tɛ nɔ bila u la. | Sugunɛ tiɲɛni : A farati ka bon dɔɔni mɔgɔ minnu ka banaw tun bɛ u la ka kɔrɔ i n’a fɔ sukarodunbana. |
| Kɛnɛya teliya : Ni i y’a suma ni kansɛri furakɛcogo kɔrɔw ye, kɛnɛya bɛ teliya, o b’a to i bɛ se ka segin i ka don o don ɲɛnamaya la joona. | Sugunɛ joginni : A man teli kosɛbɛ, ni fura taara yɔrɔw la minnu ma laɲini, a bɛ se ka tiɲɛni kɛ sugunɛbara kɛnɛmanw na. |
| Kɔnɔnatumuw ka dɔgɔn : Ikomi furakɛli ɲɛsinnen don, a bɛ a yɛrɛ tanga farikolo yɔrɔw ma, o bɛ na ni kɔlɔlɔw bɛɛ lajɛlen dɔgɔyali ye. | Emboli kɔfɛ bana : A taamasiɲɛw i n’a fɔ farigan, kɔnɔboli, walima dimi misɛnniw bɛ se ka sɔrɔ o kɛcogo kɔfɛ (o bɛ makɔnɔ). |
Mun bɛ kɛ o kɛcogo kɔfɛ? A kɛnɛyali waati ye mun ye?
Banabagatɔ caman bɛ farigan, kɔnɔboli, fɔɔnɔ, walima dimi sɔrɔ furakɛli kɔfɛ. O bɛ wele ko sɔgɔsɔgɔninjɛ kɔfɛ , wa o ye faritanabana ye min bɛ kɛ cogo la. A bɛ se ka kɛ aw ka kan ka to dɔgɔtɔrɔso la tile kelen walima tile fila fo ka se nin taamasiɲɛ ninnu kunbɛnni ma.
A nafa ka bon ka lafiɲɛ ni i seginna so.
- Aw bɛ fura minnu kofɔlen don, aw bɛ olu ta tigitigi i n’a fɔ a ɲɛfɔlen don cogo min na dimi ni kɔnɔboli kama.
- Sumaya hakɛ dɔgɔman bɛ se ka to sen na fo dɔgɔkun kelen ɲɔgɔn.
- Aw bɛ se ka sɛgɛn walima dumuni nege tɛ aw la dɔgɔkun damadɔ kɔnɔ.
O taamasiɲɛw bɛna nɔgɔya dɔɔni dɔɔni. Banabagatɔ fanba bɛ kɛnɛya pewu dɔgɔkun damadɔ kɔnɔ, ka segin u ka ɲɛnamaya kɛcogo ɲuman na. Nka, tuguni kɛli tuma bɛɛ nafa ka bon walasa ka aw ka bana kɔlɔsi ani ka a lajɛ ni kuru kura si tɛ bɔ.
Waati min na aw ka kan ka dɔgɔtɔrɔso lajɛ joona
Ni aw ye nin taamasiɲɛ ninnu dɔ ye aw seginnen kɔ so, aw bɛ taa dɔgɔtɔrɔso la joona walima aw bɛ taa kɔrɔtɔko yɔrɔ la min ka surun aw la:
- Fɔɔnɔ basigilen walima kɔnɔboli min tɛ furaw jaabi.
- Jatigɛ, hakili sankaba, walima taama gɛlɛya.
- Sumayaba min bɛ taa ni farigan ni sumaya ye.
- Ɲɛw walima fari jɛmanw (jaŋɔni), barisa o bɛ se ka sugunɛ gɛlɛyaw jira.
Take-Home cikan
- TACE ye fɛɛrɛ ye min bɛ se ka kɛ kosɛbɛ, min bɛ sugunɛbilenniw laɲini k’a sɔrɔ a bɛ u joli tigɛ.
- A bɛ dɔ bɔ kosɛbɛ farikolo yɔrɔw nɔfɛkow ni kɔlɔlɔw la ni i ye a suma ni laadala chimiothérapie ye.
- Ikomi o kɛcogo bɛ kɛ ni katetɛri fɛɛrɛ ye min tɛ fɛn caman kɛ, o la, aw ka kɛnɛya waati bɛ surunya kosɛbɛ.
- Furakɛli kɔfɛ taamasiɲɛw i n’a fɔ farigan ni kɔnɔboli bɛ makɔnɔ, nka aw ka kan ka to aw ɲɛ na walasa ka lasɔmini taamasiɲɛ jugumanw sɔrɔ.
- Nirogi Lanka b’a sinsin a kan ko aw ka dɔgɔtɔrɔ de ye mɔgɔ ɲuman ye min bɛ se k’a latigɛ ni nin furakɛli in bɛnnen don aw ma, o la aw bɛ to ka kumaɲɔgɔnya dafalen kɛ ni aw ka ladonbagaw ye.
TACE, Transarterial Chemoembolisation, Kansɛri furakɛli, Sugunɛ kansɛri, Sugunɛ kansɛri furakɛli, chimiothérapie
