Kɔnɔbara basigilen kansɛri furakɛcogo jumɛnw ye?

A ka gɛlɛn ka siran ni sɛgɛn min bɛ sɔrɔ kansɛri taamasiɲɛ IV sɔrɔli fɛ, o fɔ daɲɛw la. A bɛnnen don k’i yɛrɛ ɲininka ko: “Yala a bɛɛ banna sisan wa?” Nka a to ne k'a fɔ aw ye, o tɛ. Furakɛcogo dɔnniya ye ɲɛtaa sɔrɔ kosɛbɛ. Hali ni nin waati in na, furakɛli caman bɛ yen minnu bɛ se ka aw dɛmɛ ka ɲɛnamaya kɛ ka mɛn, ka aw ka bana taamasiɲɛw kunbɛn, ka to kɛnɛya la. An ka kuma o kan cogo nɔgɔman na, cogo la min bɛ se ka faamuya.

‘Etape IV’ ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, Etape IV kɔrɔ ye ko kansɛri jɛnsɛnna ka tɛmɛ kɔnɔbara kan , a daminɛna yɔrɔ min na. o ka teli ka kɛ sugunɛ na . A bɛ se ka jɛnsɛn fana fogonfogon la, kɔnɔbara dawolo la, walima farikolo yɔrɔ wɛrɛw la.

A bɛ se ka gɛlɛya ka fura dafalen sɔrɔ nin waati in na. Nka ni kansɛri jɛnsɛnna yɔrɔ damadɔ dɔrɔn na, tuma dɔw la opereli bɛ se ka kɛ walasa ka o yɔrɔw bɔ pewu ka bana in furakɛ. O la, a ka fisa ka taa dɔgɔtɔrɔ dɔ fɛ min ka baara ɲɛsinnen bɛ nin bana suguya in furakɛli ma. Aw bɛ furakɛli min kɛ, o bɛna dɔn fɛn caman fɛ, i n’a fɔ kansɛri bɛ yɔrɔ min na, aw si hakɛ, ani aw ka kɛnɛya bɛɛ lajɛlen.

Furakɛli fɛɛrɛba damadɔ bɛ yen minnu bɛ kɛ:

• Operelikɛyɔrɔ
• Chimiothérapie (banakisɛfagalanw) furakɛli
• Furakɛli min bɛ kɛ ni fiɲɛ ye
• Ablation ani cryothérapie (banakisɛfagalan).
• Furakɛcogo minnu ɲɛsinnen don u ma
• Banakisɛfagalanw furakɛli

Tuma caman na, furakɛli ninnu ka ca ni kelen ye, walima u caman faralen ɲɔgɔn kan.

Mun bɛ kɛ ni opereli ye?

Ni kansɛri jɛnsɛnna aw ka sugunɛ walima aw fogonfogon la, opereli bɛ se ka kɛ tuma dɔw la. I n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, ni kansɛri dan ye, opereli bɛ se k’a bɔ ani i bɛ se ka kɛnɛya dafalen sɔrɔ . Tuma wɛrɛw la, opereli fana bɛ se ka nafa sɔrɔ kansɛri bana taamasiɲɛw dɔgɔyali la, i n’a fɔ dimi ni banakɔtaa bali.

Opereli waati, dɔgɔtɔrɔ bɛ kolotuguda, sugunɛ walima fogonfogon yɔrɔ bɔ, kansɛri bɛ yɔrɔ min na. O waati kelen na, a lamini ɲɛgɛnɛsiraw bɛ bɔ. O bɛ kɛ barisa kansɛribanakisɛw bɛ se ka jɛnsɛn nɔgɔya la farikolo yɔrɔ wɛrɛw la o ɲɛgɛnɛsiraw fɛ.

Kɔnɔbara kansɛri yɔrɔ bɔlen kɔ, dɔgɔtɔrɔ bɛna kolotuguda tɔ dakun fila siri ɲɔgɔn na kokura. O kɔ, aw bɛ se ka banakɔtaa kɛ a cogo la. Nka tuma dɔw la ni o jɛɲɔgɔnya tɛ se ka kɛ, aw bɛ se ka kolotuguda dɔ kɛ . O ye ka kolotuguda kun kelen siri dingɛ dɔ la min dilannen don kɔnɔbara fari la. Nɔgɔ bɛ bɔ o dingɛ fɛ. Nɔgɔ bɛ lajɛ foroko dɔ kɔnɔ min sirilen bɛ a la.

Tuma dɔw la, ni kolotuguda yɔrɔba dɔ bɔra, banakɔtaa fitini laban bɛ siri kɔnɔbara fari la. o bɛ wele ko ileostomie . Nka, dimi dɔ bɛ se ka kɛ opereli kɔfɛ. Aw bɛ se ka kɔnɔboli walima kɔnɔboli fana sɔrɔ. Nin kɔlɔlɔ ninnu bɛna ban waati dɔ kɔfɛ.

Ni kansɛri ye banakɔtaa datugu, tubabufura fitini dɔ bɛ se ka don a kɔnɔ min bɛ wele ko stent walasa a ka da wuli.

Chimiothérapie ye mun ye?

Chimiothérapie, walima ‘chemo’ i n’a fɔ an b’a wele cogo min na, o ye fura suguya barikama ye min bɛ di ka kansɛribanakisɛw faga. Nin fura in bɛ se ka di jolisira fɛ walima ka kɛ furakisɛ ye.

Simifura bɛ kɛ cogo kunbaba caman na:

• Sani opereli ka kɛ, kansɛribanakisɛw bɛ se ka dɔgɔya walasa u bɔli ka nɔgɔya.
• Opereli kɔfɛ, kansɛribanakisɛ minnu bɛ se ka to farikolo la, aw bɛ olu tiɲɛ.
• I n’a fɔ furakɛli kunba ye mɔgɔ minnu tɛ se ka opereli kɛ.

Simifura suguya caman bɛ di kɔnɔbara kansɛri taabolo 4nan na. Tuma dɔw la, fura ninnu ka ca ni kelen ye ɲɔgɔn fɛ. Ani fana, chimiothérapie bɛ kɛ ka fara ‘furakɛli laɲinitaw’ kan, an bɛna kuma o kan kɔfɛ.

Fɛn kelen min bɛ mɔgɔ caman ɲɛ ni u ye chimiothérapie ko mɛn, o ye u kunsigi bɔli ye. Nka,A ka ca a la, chimiothérapie min bɛ kɛ kɔnɔbara kansɛri la, o tɛ kunsigi bɔli bila mɔgɔ la. Aw kana siran nin kɔlɔlɔ ninnu ɲɛ. Aw ka dɔgɔtɔrɔ bɛ se ka aw dɛmɛ ka u ɲɛnabɔ ani ka u lafiya. Nin kɔlɔlɔ ninnu bɛna ban dɔɔni dɔɔni ni aw ka furakɛli banna.

Ni kansɛri jɛnsɛnna sugunɛ na, chimiothérapie fana bɛ se ka kɛ ni fɛɛrɛ kɛrɛnkɛrɛnnen ye min bɛ wele ko "hepatic artery infusion chimiothérapie". O ye ka chimiothérapie pikiri kɛ joli siraba belebeleba la min bɛ joli lase sugunɛ ma ni pɔnpe ye. Ikomi fura bɛ taa sugunɛ na sanni a ka taa farikolo fan bɛɛ la, o fɛɛrɛ in bɛ se ka kɔlɔlɔw dɔgɔya ani ka fura tata hakɛ caman di.

Radiation therapy ani fɛɛrɛ wɛrɛw

Radiation Thérapie (radiation Thérapie) ye

O ye ka baara kɛ ni rezow ye minnu fanga ka bon walasa ka kansɛribanakisɛw tiɲɛ. Hali ni a ka ca a la nin furakɛli in tɛ kansɛri taamasiɲɛ 4 furakɛ pewu, a bɛ se ka dɛmɛ don ka kurukuru dɔgɔya ani ka dɔ bɔ a taamasiɲɛw la i n’a fɔ dimi . A ka ca a la nin furakɛli in bɛ kɛ tile 5 dɔgɔkun kɔnɔ fo dɔgɔkun damadɔ.

Ablation ani Cryothérapie (banakisɛfagalan).

Nin fɛɛrɛ fila bɛɛ bɛ kɛ ka caya ka kansɛribana banakisɛw tiɲɛ minnu jɛnsɛnna sugunɛ na. ablation bɛ kɛ ni funteni ye , ka sɔrɔ cryotherapy bɛ kɛ ni nɛnɛ jugumanba ye . Dɔgɔtɔrɔ bɛ baara kɛ ni CT walima ultrasound scan ye, a bɛ minɛn finman dɔ ci min bɛ i n’a fɔ pikirijikɛlan, ka taa kuru la, ka a sumaya walima k’a bila nɛnɛ na walasa ka kansɛribanakisɛw tiɲɛ.

Furakɛli laɲinitaw ni farikolo tangalanw - Furakɛli minnu bɛ kɛ ni fɛɛrɛ kuraw ye

Ninnu ye fɛɛrɛ kura fila ye minnu bɛ ɲɛ sɔrɔ kansɛri furakɛli la.

Furakɛcogo minnu ɲɛsinnen don u ma

N’an y’a fɔ cogo nɔgɔman na, o furaw bɛ kansɛribanakisɛw de laɲini kɛrɛnkɛrɛnnenya la. Kansɛribanakisɛw mago bɛ fɛn minnu na walasa u ka bonya ani ka jɛnsɛn, u bɛ olu bali. O tɛ tiɲɛni dɔɔnin dɔrɔn de lase farikolokisɛ kɛnɛmanw ma.

• Fura minnu bɛ joli-sira-funu kɛlɛ: Olu bɛ baara kɛ ni joli sira kuraw falenni jɔli ye minnu bɛ kansɛri balo. A bɛ i n’a fɔ ka kansɛri bali ka dumuni kɛ. Bevacizumab (Avastin) ni Ramucirumab (Cyramza) ye o fura suguw ye.
• EGFR balilanw : Fura minnu bɛ i n’a fɔ Cetuximab (Erbitux) ani Panitumumab (Vectibix) olu bɛ farikolojɔli dumuni dɔ bali min bɛ wele ko EGFR, o bɛ kansɛribanakisɛw dɛmɛ u ka bonya. Nka, walasa fura ninnu ka se ka baara kɛ, kansɛri ka kan ka fɛn dɔw sɛmɛntiya jamu dɔw la (KRAS, NRAS, BRAF). Aw ka dɔgɔtɔrɔ bɛna a sɛgɛsɛgɛ walasa ka a dɔn ni fura ninnu bɛnnen don aw ma.
• Fura wɛrɛw : Bi furaw i n’a fɔ Encorafenib (Braftovi) ani Entrectinib (Rozlytrek) fana bɛ sɔrɔ bi minnu bɛ kansɛriw laɲini minnu ka jamu fɛn kɛrɛnkɛrɛnnenw bɛ ɲɔgɔn falen i n’a fɔ BRAF, NTRK ani RET.

Banakisɛfagalanw furakɛli

Nin ye furakɛli ye min bɛ mɔgɔ kabakoya kosɛbɛ. Aw bɛ min kɛ yan , o ye ka aw yɛrɛ farikolo farikolo tangacogo lawuli ani ka baara kɛ n’a ye ka kansɛribanakisɛw kɛlɛ.

An farikolo tangalanw bɛ ni farikolojɔlifɛnw ye minnu bɛ wele ko PD-1 minnu bɛ baara kɛ i n’a fɔ freinw. Kansɛribanakisɛw bɛ baara kɛ ni o freinw ye walasa ka u yɛrɛ tanga farikolo tangalanw ma. Farikolo tangalanw balilanw i n’a fɔ Nivolumab (Opdivo) ani Pembrolizumab (Keytruda) bɛ baara kɛ ni o freinw fagali ye. O bɛ kɛ sababu ye farikolo tangalanw ka kansɛri dɔn ani ka bin a kan.

Aw ka furakɛli bolodacogo

Aw bɛ furakɛli suguya min sɔrɔ, o bɛ bɔ fɛn caman na. Aw ka dɔgɔtɔrɔ bɛna furakɛli bolodacogo dɔ labɛn min bɛ kɛ aw yɛrɛ ta ye, ka jateminɛ kɛ fɛnw na i n’a fɔ kansɛri jɛnsɛnna yɔrɔ minnu na, aw si hakɛ, aw ka kɛnɛya bɛɛ lajɛlen, ani kansɛri ka jamu cogoyaw.

Aw bɛ se fana ka sababu sɔrɔ ka aw sen don kɛnɛyaso sɛgɛsɛgɛliw la minnu bɛ fura kuraw ni furakɛlicogo kuraw kɔrɔbɔ diɲɛ fan bɛɛ. Nin ye sababu ɲuman ye ka furakɛli kura dɔ kɛ k’a lajɛ. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o fana kan.