Yu de wɔri bɔt yu tɛstikul dɛn? Lɛ wi tɔk bɔt Testicular Cancer witout fred!

Tide wi go tɔk bɔt wan tɔpik we rili sɛnsitiv, bɔt we rili impɔtant. Dat na tɛstikul kansa. We yu yɛri dis nem, yu kin fred smɔl ɛn ivin wɔri. Bɔt di tin we impɔtant pas ɔl na fɔ nɔ panik, bikɔs if dɛn tɛl yu bɔt dis fayn fayn wan, dat kin mek big difrɛns.

Wetin na tɛstikul kansa?

Fɔ tɔk am simpul wan, tɛstikul kansa na we di bad bad sɛl dɛn de gro na wan ɔ, nɔto ɔltɛm, yu tu tɛstikul dɛn. As yu no, di tεstikul dεm na tu sכm sכm walnut saiz gland dεm na man dεm. Dɛn kin mek di swɛt ɛn di ɔmon we dɛn kɔl tɛstostɛron . Dɛn de insay wan paus we gɛt skin jɔs dɔŋ di penis, we dɛn kɔl di skrotum. Lɛk ɛni ɔda kansa, tɛstikul kansa na siriɔs sik. Bɔt gud tin na dat, na sik we bɔku pipul dɛn kin mɛn. So nɔ wɔri, lɛ wi tɔk mɔ bɔt am.

Yu tink se kayn kayn kansa de?

Yɛs, sɔm men kayn tɛstikul kansa dɛn de. כl di tεm dεm, lεk 90% pan di kes dεm, dεn kεnsar dεm ya kin kכmכt frכm di jεm sεl dεm we de insay di tεstikul dεm. dis jεm sεl dεm na wan kayn sεl we leta go bi sεl. Dɛn sɛl ya kin gɛda togɛda fɔ mek wan tumbu. Tu men kayn dɛn de:

• Seminoma: Dis na wan kayn kansa we de gro sloslo . I kin mɔs pan man dɛn we ol bitwin 40 ɛn 50 ia.
• Nɔn-seminoma: Dis kayn de gro fast pas seminoma. I kin afɛkt yɔŋ pipul dɛn mɔ, bitwin 15 ɛn 30 ia.Fɔ ɔda sɔbtayp dɛn de we nɔ gɛt sɛminoma. Dɛn gi ɛni wan pan dɛn nem frɔm di kayn jem sɛl we mek di kansa . εgzampl dεm na εmbriyo kansa , yכlk sak kansa , choriocarcinoma , εn teratoma .

sכmtεm di tu kayn sεl dεm (Seminoma εn Nɔn-seminoma sεl dεm) kin de na di sem kεnsar.

Aw kɔmɔn tin na tɛstikul kansa?

Testicular kansa nɔ rili kɔmɔn so . Na lɛk wan pan ɛvri 250 man dɛn nɔmɔ we gɛt tɛstikul i kin afɛkt. Bɔt na di kayn kansa we kin kam pan man dɛn we ol bitwin 15 ɛn 35. So i impɔtant mɔ fɔ mek di wan dɛn we de na da ej de no bɔt am.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Wetin yu fɔ du if yu si dɛn tin ya?

Okay, naw lɛ wi si wetin na di sayn dɛm fɔ tɛstikul kansa. If yu gɛt wan ɔ mɔ pan dɛn tin ya, nɔ panik ɛn go to dɔktɔ.

• Di sayn we kin apin pas ɔl na we di tɛstikul gɛt wan swɛlin ɔ swɛlin we nɔ de mek yu fil pen .
• di swεla כ di wata we de kכmכt wan wan na di skrotum .
• Wan ɔ swɛlin na wan ɔ ɔl tu di tɛstikul dɛn.
• Fɔ fil se yu gɛt ebi ebi na di skrotum.
• Wan dɔl pen na di groin ɔ di ɔda bɛlɛ.
• Pen ɔ diskɔmfɔt na di skrotum ɔ di tɛstikul.
• Testikul Atrofi we dɛn kɔl.

Mɛmba se dɛn sik ya kin apin bak pan ɔda sik dɛn we pɔsin kin gɛt. So nɔ tink wantɛm wantɛm se na kansa. Bɔt i fayn ɔltɛm fɔ go to dɔktɔ fɔ mek dɛn chɛk yu. Di leta we dɛn no di sik, na di mɔ di chans fɔ mek di kansa sɛl dɛn skata, ɛn na di mɔ di tritmɛnt kin kɔmplikt.

Wetin mek dis tɛstikul kansa kin apin?

Risach pipul dɛm stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt tɛstikul kansa. wetin kin apin na dis: di sεl dεm we nכmal fכ sheb εn gro kin bigin fכ divayd wan wan rεt we dεn nכ kin kכntro. Afta sɔm tɛm, dɛn sɛl ya kin jɔyn togɛda fɔ mek wan tumbu. Bɔku tɛm , di jem sɛl dɛn we wi bin dɔn tɔk bɔt trade kin bi kansa.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik? Udat dɛn kin gɛt am mɔ?

Okay, naw lɛ wi si udat de pan ay risk fɔ gɛt tɛstikul kansa. Wi kin kɔl dɛn risk factor ya ``(Risk Factors)`` . If yu gɛt dɛn tin ya we kin mek yu gɛt kansa, dat nɔ min se yu go gɛt kansa, bɔt di chans fɔ gɛt am kin bɔku smɔl.

• Ej: I kin apin mɔ pan pipul dɛm wae ol bitwin 15 ɛn 35 ia.
• di tεstikul dεm we nכ dכn dכn: nכmal wan, di tεstikul dεm de divεlכp na di bכdi we di pikin de insay di bεlε. Bifo dεn bכn, dεn kin dכn insay di skrotum. Dis na di nem we dɛn kin gi to di tɛstikul dɛn we nɔ dɔn kam dɔŋ. Dis kin nid fɔ mek dɛn du ɔpreshɔn. Man dɛm we dɛn bɔn wit dis sik kin gɛt mɔ risk fɔ gɛt tɛstikul kansa leta na dɛn layf, ivin afta dɛn dɔn ɔpreshɔn dɛn.
• Ras ɛn etnik grup: Dis kin apin smɔl pan wayt pipul dɛn we nɔto Hispanik na Amɛrika ɛn Yurop.
• Famili histri : If pɔsin na yu famili (papa, brɔda) dɔn gɛt dis kansa, yu gɛt smɔl chans fɔ gɛt am bak. Dɔn bak, sɔm jɛnɛtik sik dɛm lɛk Klinefelter SyndromeDi tin dɛn we kin apin kin mek di prɔblɛm bɔku bak. If kansa kam na wan tɛstikul, di chans fɔ mek i gɛt am na di ɔda wan go bɔku.
• Infεtiliti : Dɛn tink se sɔm tin dɛn we kin mek man nɔ bɔn pikin gɛt sɔntin fɔ du wit di divɛlɔpmɛnt pan tɛstikul kansa, bɔt dɛn nid fɔ du mɔ risach bɔt dis.

Aw dɛn kin no dis sik?

Wɛl, if yu gɛt ɛni sayn, ɔ if yu notis sɔntin we difrɛn we yu de chɛk yusɛf (wi go tɔk bɔt dat leta), aw dɔktɔ dɛn go no fɔ tru if na tɛstikul kansa? Sɔntɛnde, dɛn kin no am we dɛn de du mɛdikal ɛgzam we dɛn kin du ɔltɛm. Di men tɛst dɛn we dɛn kin du na:

• Fɔ chɛk yu bɔdi ɛn yu mɛdikal istri: Di ​​dɔktɔ go aks yu bɔt yu sik ɛn tek tɛm chɛk yu. i go palpate di testikul dεm spεshal fכ chεk fכ lumps εn swεla limf no dεm (fכ si if di kansa dכn spre).
• Ɔltrasɔund: If yu dɔktɔ notis sɔntin we nɔ kɔmɔn, i go mɔs bi se dɛn go ɔda fɔ mek dɛn du ɔltrasɔund. Dis na tɛst we nɔ gɛt pen ɛn we de yuz sawnd wev dɛn we gɛt bɔku ɛnaji fɔ tek pikchɔ fɔ di tisu dɛn we de insay yu bɔdi.
• Inguinal Orchiectomy and Biopsy: If di ɔltra saund sho pruf fɔ gɛt kansa, di dɔktɔ go mek smɔl say na di groin ɛn pul di tɛstikul we afɛkt. Dɔn spɛshal dɔktɔ go tek tisu frɔm di tɛstikul we dɛn pul ɛn chɛk am ɔnda maykroskɔp fɔ si if ɛni kansa sɛl de. Dɛn kɔl dis bayɔpsi.

Ɔda tɛst dɛn

Apat frɔm dis, dɛn kin du ɔda tɛst dɛn:

• Serum Tumor Marker Test: Dis na fɔ tek blɔd sɛmpul ɛn mɛzhɔ di lɛvɛl dɛn fɔ sɔm tin dɛn we kin go ɔp na di blɔd we gɛt fɔ du wit sɔm kayn kansa. Dɛn kɔl dɛn tin ya tumor markers . di mכst kכmכn tכmכro mak dεm we de εlevεt insay tεstikul kεnsar na alfa-fεtoprotein (AFP) , hכman kכriכnik gonadotropin (HCG כ beta-HCG) , εn laktat dεhaydrojenεz (LDH) . Dɛn mak ya kin ɛlevɛt difrɛn we dɛn pan difrɛn kayn kansa. fכ egzampl, insay seminoma, HCG kin εlevεt bכt AFP nכ kin εlevεt. insay nכn-seminoma, AFP kin εlevεt, bכt nכto HCG. di LDH lεvεl dεm we dεn εlevεt kin sho bak if di kεnsar dεn dכn spre.
• CT skan/CAT skan, X-ray ɛn MRI:CT skan de yuz X-ray fɔ tek pikchɔ dɛn we de insay yu bɔdi. Dɛn kin du CT skan fɔ yu bɛlɛ ɛn yu bɛlɛ fɔ si if di kansa dɔn skata to di ɔgan dɛn we de nia yu. Dɛn kin du CT skan ɔ ɛkstrem rayt ɔltɛm fɔ si if di kansa dɔn go na yu lɔng. If yu dɔktɔ tink se di kansa dɔn skata to yu sɛntral nervɔs sistɛm (bren ɛn spɛnal kɔd), dɛn kin du MRI. MRI de yuz magnɛtik fil ɛn redio wev fɔ tek pikchɔ dɛn insay yu bɔdi.

Wetin na di stej dɛm fɔ kansa?

Wan pat pan fɔ no di sik na fɔ no di stej we di kansa de (Cancer Staging) . Dis stej de gi impɔtant infɔmeshɔn, lɛk di sayz fɔ di tumbu ɛn if di kansa dɔn skata. I de sho bak di kayn tritmɛnt.

• Stej 0: di abnכmal sεl dεm dכn gro, bכt dεn stil de insay di tεstikul dεm usay di sεl dεm de stat fכ fכm. Dɛn kin kɔl dis bak Jɛm Sɛl Nioplasia In Situ (GCNIS) .
• Stej I: Di kansa de insay di tɛstikul. I kin dɔn skata to blɔd ɔ limf vesel dɛn we de nia de. di tumor mak dεm kin εlevεt כ nכ kin εlevεt.
• Stej II: di kansa dεn dכn spre to di limf no dεm na di bak pat na di bכdi (dεn kכl am bak ``Retroperitoneum''), bכt i nכ spre nכsay. כltu, if di kεnsar de na di limf no dεm εn di tכmכro mak dεm mכdarεt כ rili hכy, dεn kin kכl am stej III insted fכ stej II.
• Stej III: Di kansa dɔn spre to di limf no dɛm we de na do na di bɛlɛ ɔ to ɔda ɔgan dɛm.

Wetin na di tritmɛnt dɛn?

Okay, naw lɛ wi luk di tritmɛnt dɛm fɔ tɛstikul kansa. Di tritmɛnt kin dipen pan bɔku tin dɛn, lɛk yu wɛlbɔdi, wetin yu lɛk, di stej we di kansa gɛt, ɛn di kayn kansa. Bikɔs sɛminoma kin gro sloslo ɛn i kin ansa fayn to redyushɔn tɛrapi, dɛn kin trit am difrɛn we pas di wan dɛn we nɔto sɛminoma. Bɔt dɛn tu kayn ya kin ansa fayn we dɛn tek di kemotɛrapi. If di kansa gɛt sɛl dɛn frɔm ɔl tu di sɛminoma ɛn nɔ-sɛminoma, dɔktɔ dɛn kin kɔl am nɔ-sɛminoma. Di men tritmɛnt dɛn na:

Ɔpreshɔn

Fɔ pul di tɛstikul we gɛt kansa bay ɔpreshɔn na di tritmɛnt we dɛn kin yuz mɔ . Dɛn kin du dis ilɛk us stej ɔ di kayn kansa gɛt. Sɔntɛnde, yu dɔktɔ kin pul yu limf no dɛn bak.

• Radikal Inguinal Ɔkiɛktɔmi: .Dis min se dɛn fɔ pul di tɛstikul we gɛt di kansa. Dɛn kin yuz am fɔ ɔl tu di sɛminoma ɛn di wan dɛn we nɔ gɛt sɛminoma. Di dɔktɔ kin kɔt di bɔdi tru di groin ɛn pul di tɛstikul we gɛt di tumbu. Na di sem tɛm, di blɔd vesel ɛn di limfatik tisu dɛn kin blok fɔ mek di kansa nɔ go skata to ɔda pat dɛn na di bɔdi.
• Retroperitoneal Lymph Node Dissection (RPLND): Dipen pan di stej ɛn di kayn kansa, yu dɔktɔ kin du dis ɔpreshɔn. Dɛn kin du am mɔ fɔ kansa dɛn we nɔto sɛminoma. Insay dis prɔsidyu, yu dɔktɔ kin kɔt yu bɛlɛ ɛn pul di limf no dɛn we de biɛn yu bɛlɛ ɔgan dɛn. Dɛn kin yuz RPLND fɔ trit kansa ɛn no di stej we di kansa de.

If di kansa dɔn skata to di lɔng ɔ di liva, dɛn kin du ɔpreshɔn fɔ pul dɛn tumbu dɛn de.

Rɛdieshɔn Tɛrapi

Dis min se dɛn fɔ yuz bɔku bɔku ɛkstrem rayt fɔ pwɛl di kansa sɛl dɛn. Dɛn kin gi dis tritmɛnt afta dɛn dɔn ɔpreshɔn fɔ stɔp di kansa fɔ kam bak. Dɛn kin gi am mɔs fɔ sɛminoma.

Kimotɛrapi

Dis kin yuz drɔgs lɛk Cisplatin, Bleomycin, ɛn Etoposide fɔ kil kansa sɛl dɛn. Kimotɛrapi dɔn rili ɛp fɔ mek di pipul dɛn we gɛt sɛminoma ɛn di wan dɛn we nɔ gɛt sɛminoma de liv bɛtɛ. Dipen pan di kayn kansa, dɛn kin gi am kemotɛrapi instead fɔ ɔpreshɔn. Dɛn kin gi am bifo dɛn du radikal inguinal ɔkiɛktɔmi (RPLND) ɔ afta dɛn dɔn du radikal inguinal ɔkiɛktɔmi (Radical Inguinal Orchiectomy). Dɛn kin yuz kemotɛrapi bak if di kansa dɔn kam bak afta dɛn dɔn trit am.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt kansa na di tɛstikul? (Tɛstikul Sɛlf-Ɛgzamin - TSE)

No we nɔ de fɔ mek yu nɔ gɛt tɛstikul kansa kpatakpata . Bɔt yu kin du tɛstikul sɛlf-ɛgzam (TSE) fɔ chɛk fɔ ɛni chenj na yu tɛstikul. If yu notis ɛni chenj, tɛl yu dɔktɔ wantɛm wantɛm. If yu notis ɛni lɔmp, bɔmp, ɔ hadnɛs na yu tɛstikul, ɔ if yu notis ɛni chenj na yu tɛstikul, tɛl yu dɔktɔ. Bɔku dɔktɔ dɛn kin se yu fɔ du dis ɛgzam fɔ yusɛf wan tɛm insay di mɔnt .

Aw yu kin du tɛstikul sɛlf-ɛgzamin (TSE)?

Okay, so aw yu go du testicular self-examination (TSE) fayn fayn wan? Na lɛk tu minit nɔmɔ i kin tek. Fɔ fala dɛn step ya:

• Du dis tɛst afta yu dɔn wam shawa ɔ was. Di ɔt go mek di skin na di skrotum lɔs, ɛn i go izi fɔ fil ɛnitin we nɔ kɔmɔn.
• Yuz yu tu an fɔ chɛk wan tɛstikul. put yu indeks εn midul finga dεm כnda di tεstikul εn yu tכmbכl pan tap.
• Fil ɛni tɛstikul bay we yu de rol am bitwin yu big an ɛn tu ɔda finga dɛn.
• Mek yu no wetin yu kin fil ɔltɛm. We yu tɔch ɛni tɛstikul, yu go fil sɔntin lɛk strɛch pan am ɛn biɛn am. Dɛn kɔl dis di epididymis . dis na di say we dεn de kip di sεl dεm εn transpכt am. Nɔ kɔnfyus dis wit wan lump. i nכmal bak fכ di tu tεstikul dεm fכ difrεn sכmtεm pan saiz. pan ɔl we di lɛft ɛn rayt tɛstikul dɛn kin difrɛn pan saiz, bɔku tɛm ɛni tɛstikul fɔ gɛt di sem saiz.
• Luk fɔ ɛni lumps. Lump kin bi enisay frɔm di sayz fɔ wan pis to big wan, ɛn bɔku tɛm dɛn nɔ kin pen. If yu si wan lump, go to dɔktɔ wantɛm wantɛm.

If yu notis se yu tɛstikul dɛn saiz chenj, ɔ if yu fil se yu gɛt wan bɔtul, go to dɔktɔ wantɛm wantɛm. I fayn bak fɔ mek yu du ɛgzam fɔ yu bɔdi wan tɛm insay di ia.

Wetin na di prɔgnosis?

Wetin na di prɔgnosis fɔ tɛstikul kansa? I rili rili fayn . Dis kayn kansa kin trit fayn fayn wan pan pas 95% pan di kes dɛm. Ivin fɔ di wan dɛn we nɔ fayn fɔ mek dɛn gɛt prɔblɛm, bɔku tɛm 50% chans de fɔ mek dɛn wɛl. So, dis na rili gud nyus .

Yu tink se dɛn kin mɛn tɛstikul kansa?

Yɛs, tɛstikul kansa na sik we pɔsin kin mɛn . Pan ɔl we fɔ no se yu gɛt kansa na tin we de mek yu fred ɔltɛm, di gud nyus bɔt tɛstikul kansa na dat dɛn kin trit am fayn fayn wan pan 95% pan di kes dɛm. if dεn dεtekt am kwik εn trit am, di rεt fכ kכl de inkrεs to 98%.

Yu tink se dis kin mek pɔsin day?

Testicular cancer kin kil pɔsin, bɔt i nɔ kin apin so ɔltɛm . Bɔt if yu no di sik kwik kwik wan, dat kin rili afɛkt di chans we yu gɛt fɔ wɛl . Di kwik we yu go to dɔktɔ ɛn no se yu gɛt kansa, na di mɔ yu go gɛt chans fɔ liv yu layf we nɔ gɛt kansa.

Wetin kin apin afta dɛn dɔn trit am? (Sɛks layf, fɔ bɔn pikin)

Bɔku pipul dɛn kin wɔnda wetin kin apin to dɛn sɛks drayv ɛn fɔ bɔn pikin afta dɛn dɔn pul dɛn tɛstikul. Bɔku tɛm, if yu gɛt wan tɛstikul, i go du fɔ mek yu ɔmon dɛn kɔntinyu fɔ gɛt wɛlbɔdi ɛn fɔ mek yu kɔntinyu fɔ du mami ɛn dadi biznɛs. Yu fɔ ebul fɔ du mami ɛn dadi biznɛs (erection) ɛn ejaculate. Sɔntɛnde, man dɛn we dɛn dɔn pul dɛn penis kin stil gɛt erection, bɔt i kin stil gɛt prɔblɛm fɔ pul dɛn penis. Tɔk to yu dɔktɔ bɔt ɛni prɔblɛm we kin apin we yu gɛt tritmɛnt. If yu de wɔri bɔt yu bɔn pikin, di sperm banking , we de kip yu sperm fɔ yuz leta, kin bi fayn tin fɔ du.

Di tin we impɔtant pas ɔl na dat, if yu notis ɛni chenj na wan ɔ ɔl tu yu tɛstikul, nɔ delay fɔ go to dɔktɔ. Bɔku pipul dɛn kin tray fɔ avɔyd ɔ postpɔn dɛn jenital ɛgzam. Bɔt we i kam pan kansa, tɛm na di men tin. Dipen pan di kayn kansa wae yu gɛt, testicular cancer kin wɛl ɔl if yu bigin tritmɛnt kwik.

Fɔ dɔn, di tin we impɔtant pas ɔl (Take-Home Message) .

Okay, frɔm wetin wi jɔs tɔk bɔt, di impɔtant tin dɛn we yu nid fɔ mɛmba na dɛn wan ya:

• Tɛstikul kansa na sik we dɛn kin mɛn bɔku pan am if dɛn no am kwik kwik wan.
• i rili impɔtant fɔ du tɛstikul sɛlf-ɛgzamin (TSE) ɛvri mɔnt. If yu notis ɛni lumps, swel, pen, ɔ chenj in saiz, nɔ fred ɔ shem, go to dɔktɔ wantɛm wantɛm.
• Ivin if sɔm sayn dɛn de, nɔto ɔl dɛn wan ya go bi kansa. Bɔt i impɔtant fɔ mek wi kɔnfɔm.
• Tritmɛnt dɛn de we dɛn kin gɛt, ɛn di rit we dɛn kin mɛn kin bɔku.
• Nɔto yu wan de. Tɔk opin wan wit yu dɔktɔ dɛn bɔt dis. Dɛn go gi yu di sɔpɔt ɛn infɔmeshɔn we yu nid.

So, a op se dis infɔmeshɔn go ɛp yu. Fɔ kia fɔ yu bɔdi na di bɛst tin we yu go du fɔ mek yu gɛt wɛlbɔdi!