A ka ca a la, ka siran, ka kabakoya, ani ka dannayabaliya sɔrɔ ni dɔgɔtɔrɔ y’a fɔ i ye walima i dɔnbaga dɔ ko sinji kansɛri "Stage III" bɛ i la. Ɲininkaliw i n’a fɔ ‘Ne bɛ mun kɛ sisan?’, ‘Yala nin bɛ se ka furakɛ wa?’, ‘Yala furakɛli bɛna gɛlɛya wa?’ n’a sɔrɔ a bɛ na i hakili la. Nka, i kana i hakili ɲagami. Bi furakɛli bɛ taa ɲɛ kosɛbɛ. O la bi, an ka kuma nin bana in kan ani a furakɛcogo ɲɛnamaw kan cogo nɔgɔman na, aw bɛ se ka min faamuya.
‘Etape III’ ye mun ye tigitigi?
N’an y’a fɔ cogo nɔgɔman na, nin waati in na, kansɛri jɛnsɛnna ka tɛmɛ barajuru kan ka taa ɲɛgɛnɛsira kɛrɛfɛtaw la, walima kumasenw kɔnɔ, ka taa kɔkiliw la. Tuma dɔw la, kuru bɛ se ka bonya fo ka nɔrɔ disi kogo la walima sin yɛrɛ fari la.
Tiɲɛ don ko nin mankan bɛ siran, nka min nafa ka bon, o ye ko nin waati in na, furakɛli suguya caman bɛ se ka kɛ ka tɛmɛ furakɛli fɛɛrɛ kelen kan, wa a bɛ se ka kɛ ko ɲɛtaa caman bɛ sɔrɔ.
Sisan, an k’a lajɛ furakɛli ninnu ye mun ye.
Furakɛli kunbabaw ye jumɛnw ye?
Ni aw bɛ sinji kansɛri taamasiɲɛ 3nan furakɛ, aw ka dɔgɔtɔrɔso jɛkulu bɛna furakɛli fɛɛrɛ ɲumanba labɛn min kɛrɛnkɛrɛnnen don aw ka bana ma. Furakɛli fɛɛrɛba damadɔ bɛ yen minnu bɛ kɛ o la. An ka u lajɛ.
| Furakɛli kɛcogo | N'an y'a fɔ cogo nɔgɔman na... |
|---|---|
| Chimiothérapie (banakisɛfagalanw) furakɛli | Fura barikamaw dili walasa ka kansɛribanakisɛw tiɲɛ. |
| Operelikɛyɔrɔ | Kansɛribanakisɛ ni a lamini yɔrɔw bɔli opereli fɛ. |
| Radiation Thérapie (radiation Thérapie) ye | Ka baara kɛ ni fanga caman ye walasa ka kansɛribana tolenw bɛɛ tiɲɛ. |
| Ɔrimɔni furakɛli | Ɔrimɔni minnu bɛ kansɛri dɛmɛ ka bonya, olu ka baara dabila. |
| Furakɛcogo min ɲɛsinnen don a ma | Furakɛli min bɛ tali kɛ taabolo dɔ la min kɛrɛnkɛrɛnnen don kansɛribanakisɛw ma. |
O bɛ ɲɛ, sisan an ka kuma nin furakɛli fɛɛrɛ kelen-kelen bɛɛ kan ka ɲɛ dɔɔni.
Chimiothérapie (banakisɛfagalanw) furakɛli
Nin ye fura ye min bɛ kɛ ka caya kansɛri taabolo 3nan na.
- Sani opereli ka kɛ: Tuma dɔw la, ni kuru belebelebaw bɛ yen, chimiothérapie bɛ kɛ sani opereli ka kɛ walasa ka kurukuru dɔgɔya . O bɛ opereli nɔgɔya ani ka ɲɛ.
- Opereli kɔfɛ: Simifura bɛ dɛmɛ ka kansɛribanakisɛ minnu bɛ se ka to farikolo la opereli kɔfɛ, nka u tɛ ye ɲɛkisɛ la, olu bɛɛ tiɲɛ .
- I n’a fɔ furakɛli kunba : Tuma dɔw la, ni opereli tɛ se ka kɛ, chimiothérapie de bɛ kɛ furakɛli kunba ye.
Nin furakɛli in bɛ se ka ta i n’a fɔ furakisɛ walima jilama, nka a ka ca a la a bɛ kɛ jolisira fɛ (jolisira fɛ walima IV). Aw bɛna lafiɲɛ dɔ di aw ma sɛgɛsɛgɛliw ni ɲɔgɔn cɛ walasa aw farikolo ka se ka a yɛrɛ ladamu.
Operelikɛyɔrɔ
A ka ca a la opereli bɛ kɛ ni chimiothérapie ye kuru dɔgɔya. A suguba fla bɛ yen:
- Lumpectomy : O ye ka kansɛribana ni farikolo yɔrɔ kɛnɛman dɔɔni bɔ a lamini na, ka sin to a cogo la.
- Sinbara bɔli: O ye ka sin bɛɛ bɔ.
Aw mana opereli o opereli kɛ, kansɛri jɛnsɛnna yɔrɔ min na kɔkolo la, olu fana bɛna bɔ . Opereli kɔfɛ, kɛrɛnkɛrɛnnenya la sinji tigɛlen kɔfɛ, aw bɛ se ka sugandi fana kɛ ka sinji labɛn kokura ni aw b’a fɛ. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la.
Radiation Thérapie (radiation Thérapie) ye
Opereli kɔfɛ, o furakɛli bɛ kɛ ka kansɛribanakisɛ misɛnniw bɛɛ tiɲɛ minnu bɛ se ka to opereli yɔrɔ la. A bɛ i n’a fɔ sɔgɔli ni kocogo ɲuman. O bɛ se ka dɔ bɔ kosɛbɛ kansɛri seginni na yɔrɔ kelen na.
Ɔrimɔni furakɛli
Nin furakɛli in man ɲi bɛɛ ma. A nafa ka bon dɔrɔn kansɛri "hormone receptor-positive" bɛ mɔgɔ minnu na.
O kɔrɔ ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, ɔrimɔni minnu bɛ an farikolo la i n’a fɔ ɔrimɔni, olu bɛ o kansɛribanakisɛw dɛmɛ u ka bonya. O la, nin furakɛli in bɛ o ɔrimɔni bali ka se kansɛribanakisɛw ma walima ka o ɔrimɔni ninnu ka baara bali.
- Fura `Tamoxifen` bɛ kɛ ka caya o baara in na.
- Aromatase inhibiteurs, i n’a fɔ anastrozole (Arimidex) ani letrozole (Femara), olu bɛ di musow ma minnu bɛ kalolabɔ kɔfɛ.
Furakɛli fɛɛrɛ kura dɔ: Furakɛli laɲinitaw
Nin ye kansɛri furakɛli fɛɛrɛ kɔrɔlen dɔ ye. Nin furakɛli ninnu tɛ i n’a fɔ chimiothérapie, u bɛ fanga dɔgɔya walima laɲini kɛrɛnkɛrɛnnen dɔ laɲini kansɛribana banakisɛw la.
- HER2-Positive Cancer : Sinna kansɛri dɔw la, farikolojɔli dumuni dɔ ka ca kojugu min bɛ wele ko `HER2`. O bɛ kɛ sababu ye ka kansɛri bonya joona. Fura minnu bɛ di o mɔgɔw ma i n’a fɔ `trastuzumab (Herceptin)` ani `pertuzumab (Perjeta).` Olu bɛ baara kɛ ni `HER2` farikolojɔlan baara dabila ye ani ka kansɛri kunbɛn.
- BRCA jamu caman cili : Kansɛri dɔw bɛ sɔrɔ `BRCA` jamu caman cili fɛ. O mɔgɔw fɛ, fura suguya dɔ min bɛ wele ko `PARP inhibiteurs` (misali la `olaparib (Lynparza)`) bɛ se ka nafa sɔrɔ kosɛbɛ.
- Ka fara o kan, furakɛli kuntaalajan wɛrɛw bɛ yen i n’a fɔ `CDK 4/6 inhibiteurs` ani `PIK3CA inhibiteurs`. Ka kɛɲɛ ni aw ka kansɛri suguya ye, dɔgɔtɔrɔw bɛna a latigɛ nin furakɛli ninnu na min bɛnnen don aw ma.
Aw ye miiri fana kɛnɛyaso sɛgɛsɛgɛliw la.
Ninnu ye kalanw ye minnu bɛ ɲinini senfɛ hali bi, ka furakɛli kuntaalajanw kɔrɔbɔ. Kansɛri taamasiɲɛ 3 bɛ banabagatɔ dɔw la, olu bɛ se ka sababu sɔrɔ ka u sen don `Kɛnɛya sɛgɛsɛgɛli` la i n’a fɔ nin. O sababu fɛ, aw bɛ se ka furakɛli labanw sɔrɔ diɲɛ kɔnɔ. Aw kana ɲinɛ ka dɔgɔtɔrɔ ɲininka ka kunnafoni wɛrɛw sɔrɔ o ko la.
Take-Home cikan
- Hali ni sinji kansɛri taamasiɲɛ 3nan ye bana jugumanba ye, a bɛ se ka furakɛ ani a bɛ se ka kunbɛn . Kɛrɛnkɛrɛnnenya la ni furakɛli caman kɛra ɲɔgɔn fɛ, nɔ bɛ se ka ɲɛ kosɛbɛ.
- Aw bɛ furakɛli bolodalen min sɔrɔ, o bɛ kɛ ka kɛɲɛ ni aw yɛrɛ ta ye, ka kɛɲɛ ni aw ka kansɛri suguya ye (misali la, a bɛ sɔrɔ ɔrimɔni fɛ, a bɛ HER2 sɔrɔ).
- Aw bɛ se ka ɲininkali walima haminanko minnu bɛ aw la furakɛlicogo walima u kɔlɔlɔw kan, aw kana siga ka dɔgɔtɔrɔ ɲininka . U cɛsirilen don k’i dɛmɛ.
- Hakilila barikama marali ani somɔgɔw ni teriw ka dɛmɛ sɔrɔli nafa ka bon kosɛbɛ nin taama in senfɛ. Kana tɔɔrɔ i kelen na.
- Bi fɛɛrɛw sababu la i n’a fɔ furakɛli laɲinitaw, jigiya ka fisa kosɛbɛ sinji kansɛri furakɛli la bi ka tɛmɛ fɔlɔ kan.
💬 Comments (0)
Ko foyi ma bila fɔlɔ. Aw ka kuma fɔlen fara a kan yan a siɲɛ fɔlɔ la.
Aw ka kuma fɔlen fara a kan