Tin dɛm wae yu fɔ no bɔt tayroyd kansa

Yu dɔn ɛva yɛri bɔt tayroyd kansa? Sɔntɛm yu padi ɔ yu fambul dɔn gɛt dis sik. Ɔ yu go dɔn si am na nyuspepa ɔ na di Intanɛt. Pan ɔl we na wɔd we de mek pɔsin fred smɔl, i rili impɔtant fɔ ɔndastand am klia wan. Tide, wi go tɔk bɔt wetin na tayroyd kansa, aw i kin kam, wetin na di sayn dɛm, ɛn wetin na di tritmɛnt dɛm. Nɔ wɔri, a tink se dis go gi yu big ɔndastandin.

Wetin na di tayroyd gland ɛn tayroyd kansa?

Fɔ tɔk am simpul wan, di tayroyd gland na smɔl gland we tan lɛk bɔtaflay we de na di say we yu nɛk de. I rili impɔtant bikɔs i de mek ɔmon dɛn we de kɔntrol aw yu bɔdi de yuz ɛnaji, ɔ di we aw yu de du tin . Dɛn ɔmon dɛn ya kin ɛp bak fɔ kɔntrol di bɔdi tɛmpracha , blɔd prɛshɔn, ɛn at rit .

So, tayroyd kansa na we di sεl dεm na di tayroyd gland bigin fכ gro abnכmal εn we dεn nכ de kכntro. Dɛn kin kɔl am ɛndɔkrin kansa. Bɔt di bɛst tin na dat, bɔku tɛm, na wan kayn kansa we dɛn kin rili mɛn ɛn we pɔsin kin mɛn . Di rit we dɛn kin mɛn bak kin rili ay.

Aw kɔmɔn dis tayroyd kansa?

Naw yu go de wɔnda ɔmɔs pipul dɛn dis kin afɛkt. If yu luk di data na Amɛrika, na lɛk 53,000 nyu pipul dɛn kin gɛt tayroyd kansa ɛvri ia. Dat min se i nɔto so rare. Bɔt lɛk aw wi bin dɔn tɔk, bɔku pan di kayn tayroyd kansa dɛn kin rili trit . Bɔt wi nid fɔ mɛmba bak se na lɛk 2,000 pipul dɛn kin day pan dis sik ɛvri ia.

Wan ɔda tin na dat uman dɛn kin gɛt tayroyd kansa lɛk tri tɛm pas man dɛn. Dɛn kin no am pan uman dɛn we dɔn pas 40 ɛn 50 ia, ɛn pan man dɛn we dɔn pas 60 ɛn 70 ia. Nɔr sɔprayz, sɔmtɛm ivin smɔl pikin dɛn kin gɛt dis sik.

Wetin na di men kayn tayroyd kansa?

Dɔktɔ dɛn kin klas tayroyd kansa bay di kayn sɛl dɛn we di kansa kɔmɔt frɔm. Bɔku men kayn dɛn de:

• Papillary carcinoma : Dis kayn kin mek lɛk 80 pasɛnt pan ɔl di tayroyd kansa dɛn. I de gro rili sloslo. Papillary carcinoma de ansa fayn fayn wan to tritmɛnt, ivin if i spre to di limf no dɛm na di nɛk. Dis min seDi pɔtnɛshɛl fɔ wɛl bɔdi rili bɔku, ɛn di risk fɔ du bad to layf nɔr bɔku.
• Fɔlikul kansa: Dis kayn kansa de mek lɛk 15 pasɛnt pan di tayroyd kansa dɛn. I kin izi fɔ mek i go na di bon dɛn ɛn di ɔgan dɛn we de insay di bɔdi lɛk di lɔng dɛn. Wae i dɔn skata, i kin tranga fɔ trit ( metastatic cancer ).
• Mɛdula kansa: Dis kayn kansa kin mek lɛk 2 pasɛnt pan di tayroyd kansa dɛn. Na lɛk wan kwata pan pipul dɛm wae gɛt mɛdula kansa gɛt dis sik na dɛn famili. Dis min se i kin bi se na di jɛnɛtik chenj kin bi di tin we kin mek i apin.
• Anaplastic carcinoma: Dis na di kayn we we at ɛn agresiv fɔ trit . I kin gro kwik kwik wan ɛn i kin skata kwik kwik wan to di tisu dɛn we de rawnd am ɛn ɔda pat dɛn na di bɔdi. Bɔt i nɔ kin bɔku, ɛn i kin mek lɛk 2 pasɛnt pan di tayroyd kansa dɛn.

Aw dɛn kin no di stej dɛm fɔ tayroyd kansa?

Dɔktɔ dɛn kin yuz wan we fɔ si aw fa kansa dɔn skata, we dɛn kɔl kansa stej. כltu, we di tayroyd kεnsar sεl dεm de spre (mεtastas) fכs to di tisu dεm we de nia dεm εn di limf no dεm. Dɔn dɛn kin skata to di limf no dɛm, ɔgan dɛm, ɛn bon dɛm we de fa.

Stej dεm de fכ tayroyd kεnsar, frכm wan (I) to fכ (IV). Fɔ tɔk am simpul wan, di mɔ di nɔmba de bɔku, na di mɔ di kansa dɔn skata. If yu want fɔ no mɔ bɔt dis, i go fayn fɔ mek yu tɔk to yu dɔktɔ.

Wetin na di wɔnin sayn dɛm fɔ tayroyd kansa?

Yu ɔ yu dɔktɔ kin fil se yu nɛk gɛt smɔl smɔl bɔdi ɔ smɔl tin de gro. Wi kin kɔl dis tayroyd nodul. Bɔt yu nɔ tink se yu fɔ fred we yu si wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔku pan dɛn lumps ya nɔto kansa (benign) . pan avrej, lεk 3 pan 20 tayroyd nodul dεm na kεnsar (malignant).

Ɔda sayn dɛn kin de bak:

• I nɔ izi fɔ blo ɔ swɛla .
• Voys chenj, hoarseness .
• Di limf no dɛm we dɔn swel na di nɛk.

Wetin na di sayn dɛm if di kansa dɔn skata?

Sɔntɛnde, tayroyd kansa kin skata (mɛtastas) to ɔda pat dɛn na di bɔdi. If dis apin, sɔm sayn dɛm lɛk:

• Fɔ fil taya ɔltɛm.
• Fɔd nɔ kin te .
• Nɔs ɛn vɔmit.
• Fɔ bi tin fɔ no rizin.

Wetin na di tin dɛn we kin mek pɔsin gɛt tayroyd kansa?

Di masta sabi bukman dɛn nɔ shɔ ustɛm sɔm sɛl dɛn kin bi bad bad sik ɛn atak di tayroyd gland. Bɔt dɛn dɔn si se sɔm tin dɛn kin mek di prɔblɛm bɔku. Fɔ ɛgzampul, we pɔsin gɛt raytin, it we nɔ gɛt bɔku ayodin, ɛn sɔm tin dɛn we de mek pɔsin gɛt jɛnɛtiks.

Na sɔm ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm:

• di tayroyd gland we de big (goiter).
• Fɔ gɛt famili histri bɔt tayroyd sik ɔ tayroyd kansa.
• Tayroyd na inflamɛns na di tayroyd gland.
• di sik dεm we de kכmכt na di εndokrin kin kכz fכ sכm jin mכtεshכn dεm. fכ egzampl, kכndishכn dεm lεk Multiple Endocrine Neoplasia tayp 2A (MEN2A) כ tayp 2B (MEN2B).
• Nɔ gɛt inɔf ayodin na di it.
• Fat (high Bɔdi Mas Indeks).
• Fɔ dɔn gɛt redyushɔn tɛrapi fɔ kansa na di ed ɛn nɛk eria, mɔ we i bin smɔl.
• Fɔ gɛt redioaktiv tin dɛn we kin kɔmɔt frɔm nyuklia wɛpɔn ɔ pawa plant aksidɛnt.

Aw dɛn kin no se pɔsin gɛt tayroyd kansa?

If yu gɛt tayroyd nodul we dɔn big ɔ ɔda sayn dɛn, yu dɔktɔ kin du wan ɔ mɔ pan dɛn tɛst ya:

• Blɔd tɛst: Dɛn tin ya kin chɛk di tayroyd ɔmon lɛvɛl fɔ si if di gland de wok fayn.
• Bayopsi: Dis min se yu fɔ tek smɔl smɔl sɛl dɛn frɔm di tayroyd gland we yu de yuz fayn nidul fɔ chɛk fɔ si if yu gɛt kansa sɛl dɛn. sכmtεm, dεn kin du sεntinεl node bayopsi bak fכ chεk fכ spred to limf no dεm. Dɛn kin yuz ɔltra saund bak fɔ ɛp fɔ fɛn di rayt say we di kansa de we dɛn de du dis bayɔpsi.
• Redio ayodin skan: Dis kin no if di kansa de ɛn if i dɔn skata. Yu kin swɛla smɔl pil we gɛt sef amɔnt ɔf redioaktiv ayodin. Yu tayroyd gland kin tek di ayodin fɔ sɔm awa. Dɔn wan spɛshal tin de mɛzhɔ ɔmɔs redioaktiviti de na di gland. If say dɛn de we di redioaktiviti nɔ bɔku, dɛn nid fɔ du mɔ tɛst fɔ si if kansa de na dɛn say dɛn de.
• Ɔda imej skan dɛn: Redioaktiv ayodin skan, kɔmpyuta tomografi (CT) skan, ɛn positron emission tomography (PET) skan kin no tayroyd kansa ɛn no if i dɔn skata.

Aw dɛn kin trit tayroyd kansa?

Di tritmɛnt dipen pan di saiz fɔ di tumbu ɛn if di kansa dɔn skata. Bɔku men tritmɛnt dɛn de we yu kin pik:

• Ɔpreshɔn: Dis na di tritmɛnt we dɛn kin yuz mɔ.dipכnt pan di saiz εn di say we di tכmכro de, di sכjaman kin pul pat pan di tayroyd gland (lobectomy) כ di wan ol gland (thyroidectomy). Dɛn kin pul bak di limf no dɛm we de nia usay di kansa sɛl dɛn dɔn skata.
• Redio ayodin tɛrapi: Lɛk di redio ayodin skan, dis kin min fɔ gi wan pil ɔ wata we gɛt redioaktiv ayodin. Bɔt di doz pas di wan we dɛn gi fɔ di skan. Dis ayodin de shrink ɛn pwɛl di tayroyd gland we sik ɛn di kansa sɛl dɛn. Dis tritmɛnt rili sef. di tayroyd gland de tek bɔku pan di ayodin, we de mek di ɔda pat na di bɔdi nɔ gɛt bɛtɛ raytin.
• Radieshɔn tɛrapi: Rɛdieshɔn de kil di kansa sɛl dɛn ɛn stɔp dɛn fɔ gro. Insay ɛksternal redyushɔn tɛrapi, wan mashin kin dayrɛkt pawaful bim dɛn we gɛt redyushɔn dairekt to di kansa. Insay intanɛnt raytin tɛrapi, dɛn kin put smɔl smɔl redioaktiv sid dɛn insay ɔ rawnd di kansa.
• Kimotɛrapi: Kimotɛrapi drɔgs, we dɛn kin gi insay di bɛlɛ ɔ we dɛn kin it, kin kil di kansa sɛl dɛn ɛn stɔp di kansa fɔ mek i nɔ gro. Bɔt bɔku pipul dɛn we gɛt tayroyd kansa nɔ nid kemotɛrapi.
• Ɔmon tɛrapi: Dis tritmɛnt de wok bay we i de stɔp di ɔmon dɛn we de ɛp di kansa fɔ skata ɔ fɔ gro bak.

Wetin na di prɔblɛm dɛn we kin kam wit tayroyd kansa?

Tayroyd kansa kin spre (metastasize) to ɔda pat dɛm na di bɔdi, lɛk di liva, lɔng, ɔ bon dɛm. If dɛn no di kansa ɛn trit am kwik, di risk fɔ dis prɛd kin ridyus.

Ivin afta dɛn dɔn wɛl di tayroyd kansa, sɔntɛnde i kin kam bak (rikɔr) . Bikɔs tayroyd kansa kin gro sloslo, i kin tek 20 ia fɔ mek i kam bak. Na lɛk 30 pasɛnt pan di wan dɛn we gɛt tayroyd kansa go kam bak.

Di tin we impɔtant pas ɔl na dat afta yu dɔn ɔpreshɔn ɔ trit yu tayroyd, yu bɔdi nid tayroyd ɔmon. So, yu go gɛt fɔ tek tayroyd ɔmon pils fɔ di res ɔf yu layf. fכ egzampl, dεn de gi sεntetik כmon dεm lεk `(levothyroxine)`. Dɛn tin ya kin tek di ples fɔ di ɔmon dɛn we di bɔdi nɔ kin mek bay insɛf. Bɔku tɛm, dɛn tin ya nɔ kin mek yu gɛt big big sayd ɛfɛkt, bɔt yu go nid fɔ go fɔ chɛk yu wɛlbɔdi ɔltɛm fɔ wach yu wɛlbɔdi.

Aw tayroyd kansa kin afɛkt uman we gɛt bɛlɛ?

I sɔprayz fɔ no se tayroyd kansa na di sɛkɔn kansa we dɛn kin no we dɛn gɛt bɛlɛ.(Di fɔs wan na bɔdi kansa.) Na lɛk 10 pasɛnt pan di tayroyd kansa dɛn kin kam we uman gɛt bɛlɛ ɔ insay di fɔs ia afta dɛn bɔn pikin. Masta sabi bukman dɛn biliv se di chenj we di ɔmon dɛn de chenj we uman gɛt bɛlɛ kin bi wan rizin.

If dɛn no se yu gɛt tayroyd kansa we yu gɛt bɛlɛ, yu dɔktɔ go tɔk to yu bɔt di tritmɛnt we dɛn go yuz. Dipen pan di kayn kansa ɛn aw i siriɔs, dɛn kin delay di tritmɛnt te afta dɛn bɔn di pikin. If dat nɔ pɔsibul, bɔku pipul dɛn kin gɛt ɔpreshɔn sef wan fɔ pul di kansa gland. Bɔt i nɔ fayn fɔ mek dɛn du redyushɔn tɛst ɔ tritmɛnt we dɛn gɛt bɛlɛ ɔ we dɛn de gi pikin in bɛlɛ.

Aw lɔng i kin tek fɔ mek yu wɛl afta yu dɔn gɛt tayroyd kansa tritmɛnt?

Di tɛm we dis kin tek kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔku tin dɛn kin afɛkt dis, lɛk yu ej, di saiz fɔ di tumbu, di stej we di kansa de, ɛn di kayn tritmɛnt we yu bin gɛt. Tɔk to yu dɔktɔ bɔt wetin fɔ ɛkspɛkt we yu de du yu tritmɛnt ɛn afta yu dɔn gɛt di tritmɛnt.

Yu tink se dɛn go ebul fɔ avɔyd tayroyd kansa?

Bɔku pipul dɛn kin gɛt tayroyd kansa fɔ no rizin, so i nɔ kin izi fɔ mek dɛn nɔ gɛt am kpatakpata. Bɔt if yu no se yu de pan denja fɔ gɛt tayroyd kansa, sɔm tin dɛn de we yu kin du.

• Prɛventiv (prophylactic) ɔpreshɔn: Jɛnɛtik tɛst kin no if yu gɛt muteshon na wan jin we de mek yu gɛt mɔ risk fɔ gɛt kɔndishɔn lɛk mɛdula tayroyd kansa ɔ multiple endocrine neoplasia. If yu gɛt di jin, yu kin ebul fɔ du prɔfylaktik ɔpreshɔn fɔ pul di tayroyd gland bifo kansa kam.
• Potassium iodide: If yu gɛt raytin frɔm nyuklia aksidɛnt (lɛk di 2011 Fukushima aksidɛnt na Jepan), if yu tek potassium iodide (Pima®) insay 24 awa, dat kin mek yu nɔ gɛt tayroyd kansa leta we yu ol. Potassium ayodayd de wok bay we i de mek di tayroyd gland nɔ tek tumɔs redioaktiv ayodin, we de ɛp fɔ mek di gland gɛt wɛlbɔdi.

Wetin na di rit we dɛn kin mɛn fɔ tayroyd kansa?

Eit pan tɛn pipul dɛm wae gɛt tayroyd kansa gɛt di kayn papillary tayp we wi bin dɔn tɔk bɔt. we di papillary thyroid cancer de lokaliz (localized) insay di gland, di fayv ia sεvayv rεt de klos to 100 pasεnt. We di kansa dɔn skata (metastasized), di rεt kin kam nia 80 pasɛnt. Dis min se, pan avrej, pɔsin we gɛt bɔku bɔku papillary thyroid kansa gɛt 80 pasɛnt chans fɔ liv at le fayv ia afta dɛn dɔn no se i gɛt dis sik, we yu kɔmpia am to pɔsin we nɔ gɛt dis sik.

Na di fayv ia we dɛn kin liv fɔ ɔda kayn tayroyd kansa:

• fכlikul: Klose to 100% if i kכnfyus na di gland; lɛk 63% if i de ɔlsay.
• Di mɛdula we de na di bɔdi: .if i de kכnfyus na di gland, i de nia 100%; if i de ɔlsay, na lɛk 40%.
• Anaplastic: na lεk 31% if i kכnfyus na di gland; lɛk 4% if i de ɔlsay.

Yu tink se dɛn kin mɛn tayroyd kansa kpatakpata?

Yɛs, bɔku pan di kayn tayroyd kansa dɛn kin wɛl ɔl if dɛn gɛt tritmɛnt, mɔ if di kansa sɛl dɛn nɔ dɔn skata to fa fa say dɛn na di bɔdi. Ilɛksɛf di tritmɛnt nɔ mɛn di kansa ɔltogɛda, yu dɔktɔ go mek wan tritmɛnt plan fɔ pwɛl bɔku pan di kansa ɛn mek i nɔ gro bak ɔ i nɔ go skata.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt tayroyd kansa, go to yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:

• Wan nyu lump de apia na di nɛk.
• Di at rit we de go ɔp.
• Fɔ bi tin ɔ fat fɔ natin.
• Fɔ fil se yu taya bad bad wan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt tayroyd kansa, i go fayn fɔ aks yu dɔktɔ sɔm kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a bin gɛt tayroyd kansa?
• Us kayn tayroyd kansa a gɛt?
• Di kansa dɔn skata na do na mi tayroyd gland?
• Wetin na di bɛst tritmɛnt fɔ dis kayn kansa?
• Wetin na de risk ɛn sayd ɛfɛkt wae pɔrsin kin gɛt wae pɔrsin gɛt tritmɛnt?
• A go nid tritmɛnt fɔ riples di tayroyd ɔmon?
• Mi famili de pan denja fɔ gɛt dis kayn kansa? If na so i bi, yu tink se wi fɔ du tɛst fɔ no if wi gɛt jɛnɛtiks?
• A kin gɛt tayroyd kansa bak?
• A de pan denja fɔ gɛt ɔda kayn kansa?
• Us fɔlɔp kia a nid afta tritmɛnt?
• A fɔ wɔri bɔt di sayn dɛn we de sho se a gɛt prɔblɛm dɛn?

Fɔ dɔn, a fɔ se... (Tek-Home Message)

Na nɔmal tin fɔ fil fɔ fred ɛn wɔri we dɛn no se yu gɛt kansa. Dis na tru ilɛk us kayn kansa i bi. Di gud nyus na dat, bɔku pan di tayroyd kansa dɛn kin ansa fayn fayn wan we dɛn gɛt tritmɛnt ɛn dɛn kin gɛt bɔku chans fɔ wɛl. Yu dɔktɔ go ɛksplen di bɛst tritmɛnt fɔ yu kayn tayroyd kansa.

Afta yu dɔn gɛt tritmɛnt, yu go nid fɔ tek di ɔmon dɛn we dɛn mek wit tayroyd fɔ di res ɔf yu layf. Dɛn ɔmon ya impɔtant fɔ bɔku impɔtant wok dɛn na di bɔdi. Bɔku tɛm, dɛn nɔ kin mek big big sayd ɛfɛkt. Bɔt i impɔtant fɔ mek yu de chɛk yu ɔltɛm fɔ wach yu wɛlbɔdi. Yu fɔ tink gud wan, fala wetin yu dɔktɔ tɛl yu fɔ du, ɛn yu go ebul fɔ bia wit dis sik fayn fayn wan.