Lɛ wi lan bɔt aw fɔ chɛk aw pɔsin kin gɛt kansa na in lɔng!

Yu dɔn ɛva wɔnda if wi kin gɛt kansa insay wi bɔdi we nɔ gɛt ɛni sayn? Fɔ tru, lɛng kansa na sik we nɔ de tɔk natin. Bɔrku tɛm, e kin tu let wae di sayn dɛm de sho. Bɔt, nɔ wɔri! Wan gud sɔlv de fɔ dis. Dat na fɔ chɛk fɔ no if pɔsin gɛt kansa na in lɔng .

Fɔ tɔk am simpul wan, Lung Cancer Screening na low-dose CT scan (LDCT) we dɛn kin du wan tɛm insay di ia. I kin no ivin di smɔl smɔl tin dɛn we de insay yu lɔng we kin gɛt kansa, ivin we dɛn stil smɔl. Di LDCT skan de tek klia pikchɔ dɛn fɔ di insay pat pan yu lɔng. Skrin na rutin tɛst ɔ imej tɛst we dɛn kin du fɔ no if yu gɛt sik bifo yu gɛt ɛni sayn.

Yu kin de tink se, "Wetin mek a fɔ du tɛst fɔ kansa if a nɔ gɛt ɛni prɔblɛm?" Bɔt bɔku tɛm, lɔng kansa nɔ kin gɛt bɛtɛ sayn dɛn we i kin bigin, we i izi fɔ mɛn. Bɔku tɛm, dɛn kin no bɔt kansa na di lɔng we di sik dɔn go bifo. Da tɛm de, di chans fɔ mek i nɔ day nɔ kin bɔku.

If yu na pɔsin we de smok naw ɔ yu dɔn lɛf fɔ smok insay 15 ia, i go fayn fɔ mek yu bigin fɔ gɛt skrinin we yu ol 50. Pan ɔl we ɛnibɔdi kin gɛt kansa na in lɔng, di wan dɛn we de smok naw ɛn di wan dɛn we bin de smok trade na dɛn gɛt di ay risk.

Udat fɔ rili tink bɔt fɔ gɛt lɔng kansa skrinin?

Dɔktɔ dɛn se yu fɔ du smɔl doz CT skan ɛvri ia if yu mit ɔl dɛn tin ya:

• If yu ol bitwin 50 ɛn 80 ia.
• If yu na pɔsin we de smok naw, ɔ if i dɔn pas 15 ia we yu lɛf fɔ smok.
• If yu gɛt smok histri fɔ at le ``20-pak ia''.

Naw yu kin de wɔnda, "Wetin na `pak-ia`?" Okay, mek a ɛksplen am simpul wan. Dɛn kin kɔl am bay we yu multiply di nɔmba fɔ di pak sigrɛt dɛn we yu de smok fɔ wan de (20 sigrɛt dɛn de insay wan pak) wit di nɔmba fɔ di ia dɛn we yu dɔn smok. Fɔ ɛgzampul, if yu smok wan pak ɛvride fɔ 20 ia, dat na `20-pak ia` istri. Ɔ, if yu smok tu pak wan de fɔ 10 ia, dat na `20-pak ia` istri. If yu gɛt prɔblɛm fɔ kɔl dis ɛksaktɔli, nɔ wɔri. Aks yu dɔktɔ, i kin ɛp yu.

Na wan grup we sabi bɔt wɛlbɔdi biznɛs we dɛn kɔl di United States Preventive Services Task Force (USPSTF) bin mek dɛn gaydlain ya . Dɛn de bays pan di las stɔdi dɛn we dɛn dɔn du fɔ chɛk fɔ no if pɔsin gɛt kansa na in lɔng.

Aw dis sik we dɛn kin du fɔ chɛk fɔ no if pɔsin gɛt kansa na in lɔng kin wok?

Dis na tin we rili simpul. Fɔ chɛk yu lɔng kansa na fɔ tek pikchɔ fɔ di insay pat na yu chɛst. Dɛn pikchɔ ya nɔmɔ nɔ go ebul fɔ tɛl yu se "dis na kansa." Bɔt dɛn pikchɔ ya kin sho 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 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 smɔl smɔl smɔl. Dɔn dɛn kin chɛk dɛn mɔ fɔ si if dɛn gɛt kansa ɔ nɔ gɛt kansa.

Aw yu fɔ pripia bifo di tɛst?

Bɔku tɛm, dɛn nɔ nid spɛshal prɛparashɔn fɔ dis (Lung Cancer Screening CT scan). Bɔt i bɛtɛ fɔ aks yu dɔktɔ if i gɛt ɛni spɛshal instrɔkshɔn fɔ yu. I bɛtɛ fɔ wɛr klos we nɔ fit ɛn we nɔ gɛt bɔku jɔlɔs. If yu gɛt ɛni mɛrɛsin, mɔ we yu de blo, tɛl di wan dɛn we de wok na di say we dɛn de du di tɛst ɔ yu dɔktɔ bifo tɛm. Dɛn kin ebul fɔ chenj di tɛm fɔ di skan fɔ ɔda de fɔ mek shɔ se di rizɔlt kɔrɛkt as dɛn ebul.

Wetin kin apin we dɛn de du di tɛst?

Na dis na wetin kin apin we dɛn de skan kansa na in lɔng:

• Di tɛnishian we de du di skan go aks yu fɔ pul ɛni jɔyri, wach, ɔ ɔda tin dɛn we dɛn mek wit mɛtal. Dɛn kin aks yu bak fɔ wɛr gɔn we de kɔmɔt na yu wes ɔp.
• Dɛn go mek yu ledɔm pan bed we go go insay di skan.
• Dɔn di bed kin go smɔl smɔl insay di skan mashin, we tan lɛk tiub ɔ donut.
• As di skan mashin de rɔn rawnd yu, di bed kin muf go bifo ɛn biɛn we di mashin de tek pikchɔ.
• We dɛn de du di skan, sɔntɛnde di tɛknishian go tɛl yu fɔ blo, ɔ blo, dɔn i go ol yu briz fɔ sɔm tɛm. Yu fɔ tray fɔ du dɛn tin dɛn de di bɛst we aw yu ebul.
• Di tɛknishian nɔ go de insay di skan rum wit yu. Bifo dat, i go sidɔm na do ɛn tɔk to yu tru maykrofon. So natin nɔ de fɔ fred.
• Afta di dɔktɔ dɔn tek ɔl di pikchɔ dɛn we i nid, di bed go kɔmɔt na di skan. Dɔn yu kin grap.

Wetin kin apin afta di tɛst?

No spɛshal instrɔkshɔn nɔ de fɔ yu fɔ fala afta yu dɔn du dis (LDCT) skan. Yu kin go du yu wok dɛn ɛvride lɛk aw yu kin du.

Ɛni risk de wit dis tɛst?

Yɛs, lɛk ɔl ɔda tin dɛn, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Lɛ wi si wetin dɛn bi:

• Falz pɔsitiv tin dɛn. Dis min se we yu skan yu, yu kin fɛn sɔntin na yu lɔng we tan lɛk kansa, bɔt nɔto rili kansa. Fɔ ɛgzampul, bɔku smɔl smɔl tin dɛn we de na yu lɔng (pulmonary nodules) nɔ kin rili bad. Bɔt fɔ gɛt fɔ du mɔ tɛst, sɔntɛm ivin ɔpreshɔn, bifo yu no fɔ tru if sɔntin na kansa ɔ nɔto kansa, kin mek yu strɛs smɔl, nɔto so?
• I pɔsibul se wan tumbu we dɛn fɛn tru skrinin nɔ go ɛva mek yu gɛt di sik ɛn i nɔ go ɛva skata. Bɔt i kin stil nid fɔ trit am.
• Di we aw pɔsin kin gɛt raytin. Di amount of redyushɔn we yu kin gɛt frɔm low-dose computed tomography (LDCT) skan na rili smɔl. Bɔt i nɔto ziro. If yu kɔntinyu fɔ gɛt raytin, dat kin mek yu gɛt kansa smɔl. Bɔt i impɔtant fɔ mɛmba se di doz fɔ di raytin we dɛn gi am rili smɔl.

Sɔmtɛm, we dɔktɔ dɛn kin du dɛn skan ya fɔ luk fɔ lɔng kansa, dɛn kin fɛn ɔda tin dɛn (incidental findings) we dɛn nɔ bin de ɛkspɛkt. Fɔ ɛgzampul , wan sik lɛk COPD (Chronic Obstructive Pulmonary Disease) ɔ sɔntin lɛk wan bɔdi we gɛt smɔl smɔl bɔdi. Sɔm pan dɛn tin ya we dɛn kin fɛn wantɛm wantɛm kin nid fɔ gɛt tritmɛnt. Bɔt nɔto ɔl dɛn tin ya nid tritmɛnt. Dɛn kin mek bak yu gɛt tɛst ɛn strɛs we nɔ nid fɔ du.

So wetin na di bɛnifit dɛn we pɔsin kin gɛt we i tek dis tɛst?

Bɔku bɛnifit dɛn de we pɔsin kin gɛt fɔ chɛk fɔ si if pɔsin gɛt kansa na in lɔng wit lɔw doz CT skan, ɔ LDCT:

• Dɔktɔ dɛn kin si ivin smɔl smɔl tumbu dɛn wit CT skan, we yu kɔmpia am to ɛkstrem rayt na di chɛst ɔltɛm. Stɔdi dɛm we dɛn yuz ɛkstrem rayt ɔltɛm fɔ luk fɔ lɔng kansa sho se i nɔ kin wok fayn fɔ no kansa bifo tɛm ɔ fɔ mek pɔsin liv mɔ lɛk LDCT.
• di rεdyushכn dכz we dεn yuz fכ lכw dכz kכmpyuta tכmכgrafi (LDCT) skan bכku bכku wan pas standad kכmpyuta tכmכgrafi (CT) skan.

Aw wi kin gɛt di rizɔlt fɔ di tɛst ripɔt?

Wan raydiɔlɔjis ɛn yu dɔktɔ go rivyu yu skan ɛn gi yu ripɔt wit di rizɔlt. Yu lɔng kansa tɛst ripɔt kin gɛt tin dɛn lɛk:

• Bad. Dat min se dɛn nɔ si ɛnitin na yu skan we tan lɛk se na kansa.
• Benign we nɔ gɛt wan bɔt. Dis de tɔk bɔt di nodul dɛm we nɔ tan lɛk kansa. Dis min se natin nɔ de fɔ wɔri bɔt.
• ``Probably benign`` de tכk bכt tכmכro dεm we nכ de lεk kεnsar, bכt dεn rεkomεnd fכ fכlכ-ap imej fכ kכnfכm.
• Dawt. Dis na lumps wae de luk lek se e kin bi kansa. Yu go nid fɔ gɛt mɔ imej ɛn sɔntɛm dɛn go tek bayɔpsi.
• I rili sɔprayz. Dis na lumps we tan lɛk kansa. Yu go mɔs nid fɔ gɛt mɔ imej ɛn fɔ tek bayɔpsi. Yu dɔktɔ go rifer yu to wan spɛshal dɔktɔ we de mɛn yu lɔng kansa (wan dɔktɔ we de mɛn kansa).
• ``Signifikant ɔ pɔtɛnɛshɛl signifyant``. Di raydiɔlɔjis kin se ``signifikant`` ɔ ``potentially signifyant`` bɔt sɔntin we dɛn si we nɔto kansa bɔt i kin nid fɔ tek mɔ imej ɔ tɛst.
• I nɔ kɔmplit.Dis min se dɛn nɔ kin ebul fɔ ɛksplen yu skan kɔrɛkt wan. Dis kin bi bikɔs yu gɛt lɔng infɛkshɔn, ɔ bikɔs dɛn want fɔ kɔmpia am to skan we dɛn bin dɔn du trade. Yu go nid fɔ gɛt ɔda skan insay sɔm mɔnt fɔ gɛt kɔrɛkt diagnosis.

Aw lɔng i kin tek fɔ gɛt di rizɔlt?

Di tɛm we i kin tek fɔ gɛt di rizɔlt fɔ tɛst fɔ di lɔng kansa kin difrɛn frɔm wan pɔsin to ɔda pɔsin. If yu nid sɔm fɔl-ɔp, yu dɔktɔ go kɔl yu jisnɔ. If nɔto dat, i kin tek ɛnisay frɔm wan de to sɔm dez. I bɛtɛ fɔ aks yu dɔktɔ ustɛm yu go ebul fɔ ɛkspɛkt di rizɔlt.

If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?

Yu dɔktɔ go tɔk to yu bɔt di rizɔlt fɔ yu lɔng kansa tɛst. If nid de, di nɛks tin dɛn we yu go du na:

• Wan ɔda (LDCT) skan insay tri to siks mɔnt.
• Dɛn kin du wan diagnostik CT skan as fɔl ɔp.
• Fɔ du wan PET/CT skan.
• Mitin wit wan kansa spɛshal pɔsin (`ɔnkɔlɔjis`).
• Si dɔktɔ we de mɛn pipul dɛn we gɛt kansa (fɔ di wan dɛn we nɔ gɛt kansa fɔ blo) ɔ ɔda spɛshal pɔsin.

Ustɛm a fɔ go to mi dɔktɔ?

If yu tink se yu de pan big risk fɔ gɛt kansa na yu lɔng ɛn yu kin fit fɔ gɛt dis tɛst, mek shɔ se yu tɔk to yu dɔktɔ. If yu gɛt ɛni kwɛstyɔn bɔt di lɔw doz CT skan ɔ yu tɛst rizɔlt, nɔ shek fɔ aks.

Ustɛm a go ebul fɔ stɔp fɔ tek dis tɛst?

If ɛni wan pan dɛn tin ya apin to yu, yu kin ebul fɔ skip yu ɛni ia lɔng kansa skrinin:

• If yu ol 81 ia ɔ pas dat.
• If yu dɔn de smok fɔ 15 ia ɔ mɔ, di chans fɔ gɛt kansa na yu lɔng kin go dɔŋ as tɛm de go frɔm we yu las smok sigrɛt.
• If yu nɔ ebul fɔ gɛt ɔpreshɔn fɔ di fɔs stej lɔng kansa bikɔs ɔf yu wɛlbɔdi prɔblɛm, ɔ if yu nɔ want fɔ du dat.

Yu tink se i rili fayn fɔ gɛt dis lɔng kansa skrinin?

Yɛs, fɔ tru! If yu gɛt skrinin fɔ lɔng kansa, yu kin gɛt bɔku chans fɔ fɛn am kwik, we na di tɛm we dɛn kin trit am pas ɔl. Stɔdi dɔn sho se pas 50% pan di pipul dɛm wae dɛn kin screen ɛvri ia (dat na lɛk wan pan tu) kin gɛt dɛn lɔng kansa we dɛn kin no kwik kwik wan. Bɔt na lɛk 28% pan di pipul dɛn we gɛt lɔng kansa kin rili no se dɛn gɛt am fɔs.

Dat min se yu kin imajin di pɔtnɛshɛl fɔ sev pɔsin layf wit dis skrinin!

Yu tink se tɛst dɛn de we go ebul fɔ no di lɔng kansa frɔm blɔd?

Nɔ, naw, no blɔd tɛst nɔ de we go ebul fɔ no ɔ no if pɔsin gɛt kansa na in lɔng.

Fɔ dɔn, sɔm impɔtant tin dɛn we yu fɔ mɛmba

Lɔng kansa na siriɔs diagnosis. Bɔt fɔ gɛt lɔng kansa skrinin ɛvri ia na pawaful tin fɔ no kwik kwik wan ɛn na di tritmɛnt we go wok fayn pas ɔl. Tɔk to yu dɔktɔ bɔt if yu gɛt ay risk fɔ gɛt kansa na yu lɔng ɛn if yu fɔ gɛt dis tɛst. I kin ɛp fɔ sev yu layf.

Mɛmba se if yu de smok, i nɔ go ɛva let fɔ lɛ yu lɛf fɔ smok. Fɔ lɛf fɔ smok na di bɛst we fɔ mek yu nɔ gɛt kansa na yu lɔng. I fayn fɔ tray fɔ lɛf fɔ smok jɔs afta yu no bɔt dis tɛst.

` Lɔng kansa, kansa skrinin, CT skan, smok, wɛlbɔdi, prɛvɛnshɔn, LDCT, skrinin, kansa, lɔng