Yu dɔn ɛva notis se di kɔlɔ na yu urine dɔn chenj? Sɔntɛm na pinkish-rɛd kɔlɔ... Ɔ yu fil se yu nid fɔ pis bɔku tɛm, bɔt i fil lɛk se yu nɔ ebul? Pan ɔl we wi nɔ kin pe atɛnshɔn to dɛn tin ya, sɔntɛnde dɛn kin bi impɔtant sayn dɛn we wi bɔdi de gi wi. Dat na wan pan dɛn impɔtant tɔpik, blad kansa, we wi go tɔk bɔt tide. Nɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.
Fɔ tɔk am simpul wan, wetin na blad kansa?
Blad kansa na wan kayn kansa we nɔ kin bɔku. I kin bigin na di sɛl dɛn we de layn insay wi blad. Tink bɔt yu blad as smɔl ɔgan we tan lɛk sak we de gɛda ɛn kip yu urine . Bɔku we dɛn de fɔ trit dis kansa, lɛk fɔ du ɔpreshɔn fɔ pul di kansa sɛl dɛn.
Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na dat blad kansa kin kam bak afta dɛn dɔn trit am. So, i impɔtant fɔ mek pɔsin we gɛt dis sik kɔntinyu fɔ tɔk to in dɔktɔ ɛn fɔ de fala am ɔltɛm. If dɛn no dis kwik kwik wan, dat min se if dɛn trit di kansa bifo i go na ɔda pat dɛn na di bɔdi, dɛn kin gɛt sakrifays. Bɔt ivin if i dɔn wɛl fɔs, 75% chans de fɔ mek i kam bak. So, i rili impɔtant fɔ de wach.
Aw dis sik kin afɛkt wi bɔdi?
yu blad de bitwin yu hip bon dεm, dכn yu kidni dεm. di urine we yu kidni dεm de mek de kכlekt insay dis blad. i layn insay wit wan spεshal mεmbran we dεn kכl di urothelium. di sεl dεm na dis mεmbran kin strεch we di blad fulכp wit urine εn kכntrakt bak we i εmpti. I tan lɛk rɔba balyɔn. I kin ol lɛk 2 kɔp urine.
di blad kεnsar kin apin we sכm sεl dεm na di layn na di blad (urothelium) de divεlכp mכtεshכn dεm εn bigin fכ divayd abnכmal wan εn we dεn nכ kin kכntro. dis abnכmal sεl dεm de gro tכgeda fכ mek tכmכro. If dɛn nɔ trit dɛn kansa sɛl ya, dɛn kin pas na di wɔl dɛn na di blad to di limf no dɛn we de nia de ɛn frɔm de go na ɔda pat dɛn lɛk di bon dɛn, di lɔng dɛn, ɔ di liva.
Wetin na di kayn blad kansa?
Bɔku kayn blad kansa de. Dɛn kin sheb dɛn tin ya akɔdin to di kayn sɛl we di kansa bigin insay. Lɛ wi luk di men kayn dɛn.
| Tayp fɔ Kansa | Simpul ɛksplen |
|---|---|
| Transishɔnal sɛl kansa | Dis na di kayn we we dɛn kin yuz mɔ (lɛk 90%). i de stat na di transishכnal sεl dεm na di insay wכl na di blad. I kin skata dip dip wan insay di blad. Dɛn kin kɔl am bak urothelial carcinoma . |
| Squamous sel kansa we de mek pɔsin gɛt sik | i de stat na di squamous sel dεm we de layn insay di blad. I nɔ kin bɔku (lɛk 5%). I kin mɔs bi pan pipul dɛm wae dɔn gɛt blad inflamɛns ɔ infɛkshɔn fɔ lɔng tɛm . |
| Adenokarsinoma we gɛt di sik | Dis na wan kayn kansa we kin kam na di gland dɛm. dis kayn we de stat na di gland dεm na di blad, nכ kin bכku (lεk 1%-2%). |
| Smɔl sɛl kansa | Dis na wan kayn kansa bak we nɔ kin bɔku. |
| Sarkoma we dɛn kɔl Sarkoma | Wan kayn kansa we nɔ kin bɔku we kin bigin na di mɔsul sɛl dɛn na di blad. |
Apat frɔm dat, dɔktɔ dɛn kin put dis kansa insay ɔda we, we na bay aw di kansa dɔn dip dip wan.
- Nɔn-invasive: Dis min se di kansa de limited to di surface of di insay wɔl na di blad.
- Nɔn-mɔsul-invasive: Di kansa dɔn go dip smɔl, bɔt i nɔ dɔn go insay di mɔsul layt.
- Muscle-invasive: Insay dis kes, di kansa dɔn go insay di mɔsul layt na di blad. I go bi se i dɔn skata pas de. Dis na kes we rili siriɔs.
Udat go mɔs si dis sik?
Wetin na blad kansa?Di nɔmba 4 kansa we kin bɔku pan man dɛn. Man dɛn kin gɛt am lɛk 4 tɛm pas uman dɛn.
Bɔt di sɔri tin na dat, we uman dɛn gɛt dis sik, bɔku tɛm i kin rili bad bay di tɛm we dɛn no se i gɛt am. Dis na bikɔs uman dɛn nɔ kin no gud gud wan bɔt di sayn dɛm. fכ egzampl, pan כl we blכd we de na di urine (hematuria) na di men sayn fכ dis sik, uman dεm kin tink se na nכmal gεnεkכlכjik prכblεm (e.g., prכblεm we de fכ mεnstruation). So, dɛn nɔ de pe atɛnshɔn tumɔs to am.
Dis kansa kin ambɔg pipul dɛm wae dɔn pas 55. De avrej ej fɔ pɔrsin wae dɛn no se gɛt dis sik na lɛk 73 ia.
Wetin na di men sayn dɛm fɔ blad kansa?
Di men ɛn kɔmɔn sayn fɔ dis sik na blɔd we de na di urine (hematuria). Bɔt nɔ fred fɔ tink se jɔs bikɔs yu gɛt blɔd na yu urine, na kansa. I kin kam bak bay ɔda mεdikal kכndyushכn dεm (e.g., ston we de na yu urinary, infεkshכn). Bɔt if yu si blɔd na yu urine fɔ ɛni rizin, yu fɔ rili go to dɔktɔ wantɛm wantɛm.
Lɛ wi luk di ɔda sayn dɛm.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Blɔd we de na di urine (Hematuria) . | Yurin kin gɛt rɛd/pink kɔlɔ, yu kin si am wit yu yay. Sɔntɛnde, smɔl blɔd kin de we dɛn kin jɔs si wit maykroskɔpik we dɛn de du di urinalysis. |
| Pen we yu de pis (Dysuria) . | Bɔn ɛn pen we yu de pis. Man dɛn kin gɛt pen bak na dɛn penis. |
| Nid fɔ pis bɔku tɛm | Nid fɔ pis pas aw yu kin pis fɔ wan de. |
| I nɔ kin izi fɔ yu fɔ pis | di urine fכ fכlכ wan wan tεm כ slo. |
| Urinary tract infεkshכn dεm we nכ de rεspכnd to tritmεnt | If wan urinary tract infection kɔntinyu pan ɔl we yu de tek antibayɔtik, yu fɔ sɔprayz. |
Wetin na di tin dɛn we kin mek pɔsin gɛt blad kansa ɛn di tin dɛn we kin mek pɔsin gɛt kansa?
Ivin dɔktɔ dɛn nɔ kin ebul fɔ tɔk klia wan wetin mek di blad sɛl dɛn kin tɔn to kansa sɛl. Bɔt dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis sik kin mek i gɛt mɔ prɔblɛm.
- Smok: Dis na di men ɛn big tin we kin mek pɔsin gɛt dis sik. Pɔsin we de smok sigrɛt kin gɛt dis kansa tu tɛm pas pɔsin we nɔ de smok. If yu smok siga, paip, ɛn we yu blo sɛkɔnhand smok, dat kin mek yu gɛt mɔ prɔblɛm bak.
- Radiation Exposure: If yu dɔn gɛt redyushɔn tɛrapi to yu bɛlɛ as tritmɛnt fɔ ɔda kansa, dat na risk bak.
- Kimotɛrapi: Sɔm kemotɛrapi mɛrɛsin dɛn kin mek di sik bɔku bak.
- Fɔ gɛt sɔm kemikal dɛn: Pipul dɛn we de wok wit kemikal dɛn, mɔ di wan dɛn we dɛn kin yuz fɔ day, rɔba, lɛda, pent, sɔm klos dɛn, ɛn tin dɛn fɔ mek dɛn ia, kin gɛt mɔ prɔblɛm.
- Urinary tract infection wae kin kam ɔltɛm: Pipul wae kin sɔfa wit tin dɛm lɛk urinary tract infection ɛn urinary stone fɔ lɔng tɛm kin gɛt risk fɔ gɛt squamous cell carcinoma.
- Yuz kateshɔn fɔ lɔng tɛm: Pipul dɛn we gɛt urinary catheter in ples fɔ lɔng tɛm fɔ sɔm rizin dɛn kin gɛt dis risk bak.
Aw di dɔktɔ kin no bɔt dis? (Diagnosis) .
We yu go to dɔktɔ we gɛt di sik, i go du sɔm tɛst fɔ no if yu gɛt di sik.
Stɛp-by-stɛp tɛst dɛn
1. Urinalysis: di fכs tin we dεn du na fכ tεst wan urine sεmpl. Dis kin ɛp fɔ no if infekshɔn de ɔ nɔ gɛt am.
2. Saytכlכji: dεn de egzamin di sεl dεm na di urine sεmpl כnda maykroskכp fכ si if εni kεnsar sεl dεm de.
3. Sistoskɔpi: Dis na di men tɛst we dɛn kin yuz fɔ no di sik.insay dis, dεn kin put wan tin tכb we tan lεk pensil (cystoscope) we gεt kεmεra we dεn tay tru di urethra fכ egzamin di wan ol insay pat pan di blad. Sɔntɛnde, dɛn kin yuz spɛshal blu layt ɛn day fɔ no klia wan di kansa sɛl dɛn. dis tεm, dεn kin tek sכm sכm tisu (bayopsi) bak frכm say we dεn sכspεkt εn sɛn am fכ egzamin.
If dɛn tɛst ya kɔnfirm se kansa de, dɛn kin du ɔda tɛst fɔ no mɔ bɔt di kansa.
- transurethral resection of bladder tumor `(TURBT)`: Dɛn kin du dis fɔ ɔl tu di diagnosis ɛn tritmɛnt. wan tin we fiba sistoskop dεn de yuz fכ kכt εn pul di tכmכro na di blad. Dɛn kin chɛk di tumbu we dɛn pul fɔ si if di kansa dɔn skata to di mɔsul dɛn.
- MRI ɛn CT skan: Dɛn kayn skan ya kin chɛk fɔ si if di kansa dɔn spre pas di blad to di ɔgan dɛn we de rawnd am.
- Chɛst X-ray ɛn Bon Skan: Dɛn kin du dɛn tɛst ya fɔ si if di kansa dɔn skata to di lɔng ɔ bon.
Di dɔktɔ kin no di stej we di kansa gɛt bay di infɔmeshɔn we i kin gɛt frɔm ɛni wan pan dɛn tɛst ya.
Wetin na di tritmɛnt dɛm fɔ dis?
Fo men tritmɛnt dɛn de fɔ blad kansa. Sɔntɛnde, dɛn kin yuz wan ɔ mɔ pan dɛn tritmɛnt ya togɛda.
1. Ɔpreshɔn
Dis na di tritmɛnt we dɛn kin yuz mɔ. Di kayn ɔpreshɔn we dɛn kin du kin difrɛn difrɛn wan bay di stej we di kansa de.
- TURBT: di ``TURBT'' prosidur we wi bin tכk bכt dεn kin yus am bak as tritmεnt if di kεnsar nכ spre to di mכsul. Dɛn kin kɔt di tumbu ɛn pul am ɔ bɔn am bay we dɛn de yuz ilɛktrishɔn we gɛt bɔku ɛnaji.
- Radikal sistektomi: If di kansa dɔn skata pas di blad ɔ if tumbu dɛn de ɔlsay na di blad, dɛn kin ɔpreshɔn di wan ol blad. pan man dεm, dεn kin pul di prכstat gland bak, εn pan uman dεm, dεn kin pul di uterus εn ovaria dεm bak. afta dεn dכn pul di blad, dεn kin mek wan urinary diversion fכ alaw di urine fכ drεn.
2. Kimotɛrapi
Dis na drɔgs we de kil di kansa sɛl dɛn. Sɔntɛnde, dɛn kin gi dɛn mɛrɛsin ya dairekt insay di blad tru wan tiub. Dɛn kɔl dis intravesical therapy . Dis kin mek di sɛl dɛn we gɛt wɛlbɔdi nɔ pwɛl.
3. Immunotɛrapi
Dis min se yu fɔ mek yu bɔdi in yon imyun sistɛm atak di kansa sɛl dɛn. Wan pan di tritmɛnt dɛm we dɛn kin yuz mɔ na di Bacillus Calmette-Guérin (BCG) vaysin.
4. Rɛdieshɔn Tɛrapi
Dis min se dɛn fɔ yuz rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn. Sɔntɛnde, dɛn kin yuz am as ɔda we fɔ du ɔpreshɔn.
5. Targeted Tɛrapi
Dis na nyu we fɔ trit pɔsin. I min fɔ gi mɛrɛsin dɛn we de tɔch di chenj dɛn nɔmɔ we de apin na di jɛnɛtiks we de tɔn wɛlbɔdi sɛl dɛn to kansa sɛl dɛn.
Aw yu de kia fɔ yusɛf?
Fɔ liv wit blad kansa kin tranga, mɔ bikɔs i kin kam bak. Sɔm tin dɛn de we yu kin du.
I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta di tritmɛnt ɛn fɔ atɛnd di fɔlɔp dɛn di rayt tɛm. Nɔ ɛva mis am.
- Fɔ fala di it we go ɛp yu at: Put mit we nɔ gɛt bɔku fat, fish, tin dɛn we dɛn mek wit milk, nɛt, ɛn difrɛn frut ɛn vɛjitebul dɛn insay yu it.
- It it dɛn we gɛt bɔku fayv: Dis go ɛp fɔ gɛt prɔblɛm dɛn we yu gɛt wit di we aw yu de digest we yu gɛt tritmɛnt.
- Ɛksesaiz: Layt ɛksesaiz kin ɛp fɔ mek yu nɔ strɛs.
- Kɔnekt wit ɔda pipul dɛm: Ɔda pipul dɛm de wae de dil wit dis kayn sik. We yu de tɔk bɔt dɛn ɛkspiriɛns ɛn tɔk to dɛn, dat kin mek yu gɛt bɔku trɛnk fɔ yu maynd.
Mɛsej we dɛn kin kɛr go na os
- If yu si blɔd na yu urine, nɔ ɛva ignore am. I tan lɛk rɛd layt. Go to dɔktɔ wantɛm wantɛm.
- Smok na di big tin we kin mek pɔsin gɛt blad kansa. Yu kin mek big difrɛns bay we yu lɛf fɔ smok tide.
- Lɛk ɛni kansa, if dɛn no am kwik, i gɛt rili ay chans fɔ mek dɛn trit am ɛn wɛl.
- Afta tritmɛnt, risk de fɔ mek dis sik kam bak. So, i impɔtant fɔ mek dɛn de chɛk yu ɔltɛm na di dɔktɔ (follow-ups) .
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis, tɔk to yu dɔktɔ opin wan bɔt am.
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