Yu no bɔt di Cardio-Oncologist we de ɛp fɔ mek yu at gɛt wɛlbɔdi wit kansa tritmɛnt?

If yu na pɔrsin wae de du tritmɛnt fɔ kansa, ɔr if yu gɛt yu fambul ɔr padi wae gɛt dis sik, yu kin dɔn de wɔnda bɔt dis. Di tritmɛnt fɔ kansa na tritmɛnt we de sev pɔsin in layf. Bɔt sɔntɛnde, dis tritmɛnt kin afɛkt wi at. Tide, wi go tɔk bɔt wan grup we spɛshal pipul dɛn we kin kam ɛp wi pan dɛn kayn tɛm dɛn de.

Udat na dis dɔktɔ we de mɛn di at ɛn ɔnkolɔg?

Fɔ tɔk am simpul wan, dɛn pipul ya na dɔktɔ dɛn we kin pe atɛnshɔn mɔ to di at wɛlbɔdi fɔ di wan dɛn we gɛt kansa we dɛn de trit dɛn. Naw luk, dɔktɔ dɛn de we de mɛn at, ɛn dɔktɔ dɛn de we de mɛn kansa. ``Cardio-oncologist'' dכkta na kכdiכlכg כ onkכlכg. Bɔt apat frɔm di men spɛshal wok we dɛn gɛt, dɛn dɔn gɛt spɛshal trenin fɔ manej at sik pan pipul dɛn we gɛt kansa.

Yu no, tritmɛnt fɔ kansa, lɛk kemotɛrapi ɛn redyushɔn tɛrapi , kin ɛp pipul dɛn fɔ liv lɔng. Dat na big tin. Bɔt i sɔri fɔ no se dɛn tritmɛnt ya kin gɛt bad bad tin dɛn . Sɔm pan dɛn tin ya na nyu at sik ɔr at sik wae dɔn de de wɔs. De kayn pwɛl hat sik ɛn de risk fɔ gɛt prɔblɛm kin difrɛn frɔm wan tritmɛnt to ɔda tritmɛnt. Dɛn kɔl dis kayn bad bad tin we kin apin to di at, dɛn kin kɔl am cardiotoxicity , ɔ raytin at sik.

Dis na di rizin we mek wan nyu sabspɛshal mɛrɛsin we dɛn kɔl Cardio-Oncology dɔn kɔmɔt. Cardio-Oncology de pe atɛnshɔn fɔ no, wach, ɛn trit di sik we de kam bikɔs ɔf kansa tritmɛnt. Di gol na fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn we kansa tritmɛnt gɛt pan yu at ɛn blɔd sistɛm.

Dɛn spɛshal pipul ya we de mɛn yu at ɛn ɔnkɔlɔji kin ɛp yu fɔ gɛt di tritmɛnt we go wok fayn pas ɔl fɔ gɛt kansa , wit di smɔl smɔl damej pan yu at. Dɛn kin wok wit ɔda pipul dɛn we de kia fɔ yu wɛlbɔdi biznɛs fɔ plan yu tritmɛnt fɔ fit wetin yu nid.

Us kayn trenin dɛn spɛshal pipul ya kin gɛt?

Dɛn ``Cardio-Oncologists`` ya na dɔktɔ dɛm we dɔn ɔlrɛdi gɛt ɛkspɛriɛns pan dɛn fild, we na ``Cardiology`` ɔ ``Oncology.`` Apat frɔm dɛn spɛshal trenin, dɛn kin gɛt ɔda trenin fɔ lan dɛn tin ya:

• Wetin na di sayd ɛfɛkt dɛm wae kin kam wit kansa tritmɛnt wae kin afɛkt yu at ɛn blɔd sistɛm?
• Aw kansa kin afɛkt di wan ol bɔdi, mɔ di at ɛn di blɔd sistɛm.
• Aw fɔ skan fɔ di risk fɔ di at ɛn di blɔd bifo, di tɛm, ɛn afta dɛn dɔn trit kansa.
• Aw fɔ no ɛn manej di sik wae de kam pan pɔrsin wae gɛt kansa.
• Aw fɔ disayd us kemotɛrapi tritmɛnt dɛn we nɔ bad fɔ yu at ɛn uswan dɛn we go mek yu gɛt mɔ prɔblɛm.
• Aw fɔ wach yu at mɔsul ɛn at valv fɔ di sayd ɛfɛkt dɛm fɔ kansa tritmɛnt we yu de du ɛn afta di tritmɛnt.

Bɔku tɛm, dɛn kin gi dis trenin tru wan intensiv spɛshal trenin program (Fɛlɔship) we kin tek lɛk wan ia so. I gɛt fɔ du wit:

• Dairekt tichin tru lekchɔ.
• Fɔ atɛnd kɔnfrɛns dɛn.
• Gɛt prɛktikal ɛkspiriɛns wit pasɛnt dɛn na Kadio-Ɔnkɔlɔji Klinik.
• Risach ɛkspiriɛns.

Sɔm spɛshal pipul dɛn we sabi bɔt kadyo-ɔnkɔlɔji kin ivin gɛt bɔd sɛtifiket frɔm di Intanɛshɔnal Kadio-Ɔnkɔlɔji Sɔsayti, we min se dɛn no dɛn no ɛn skil dɛn na di intanashɔnal kɔntri dɛn.

Wetin mek dɛn spɛshal pipul ya we sabi bɔt at ɛn ɔnkɔlɔji impɔtant so?

As di tritmɛnt fɔ kansa de go bifo ɛvride, di impɔtants fɔ dɛn `(Cardio-Oncologist)` dɔktɔ ya dɔn go ɔp mɔ ɛn mɔ. Di rizin fɔ dis na bikɔs di nɔmba fɔ pipul dɛn we de wɛl frɔm kansa de go ɔp ɔltɛm. Jɔs tink bɔt dis, insay 2016, i pas 15 milyɔn pipul dɛn we bin gɛt kansa na Amɛrika nɔmɔ. Risach pipul dɛn se dis nɔmba go go ɔp to 26 milyɔn bay 2040! So, as di nɔmba fɔ pipul dɛn we de wɛl frɔm kansa de bɔku, di nɔmba fɔ pipul dɛn we de gɛt sayd ɛfɛkt frɔm tritmɛnt de bɔku bak, nɔto so?

Na lɛk sɛvin pan ɛvri tɛn pipul dɛn we gɛt kansa dɔn pas 65. As dɛn pipul ya we gɛt kansa de ol, dɛn kin gɛt mɔ risk fɔ gɛt at sik bikɔs ɔf di tritmɛnt we dɛn de gi dɛn kansa. Apat frɔm dat, di prɔblɛm kin bɔku we pɔsin de ol, di we aw i de liv in layf, ɛn ɔda sik dɛn we gɛt fɔ du wit am. So, i impɔtant fɔ trit dɛn we yu tek ɔl dɛn tin ya na yu maynd .

Dɛn spɛshal pipul ya we sabi bɔt di at ɛn ɔnkɔlɔji gɛt di trenin ɛn ɛkspiriɛns we dɛn nid fɔ sɔpɔt dis pipul dɛn we de bɔku.

Wetin rili dis dɔktɔ we de mɛn di at ɛn ɔnkolɔg de du?

Dɛn pipul ya kin no ɛn trit prɔblɛm wit dɛn at ɛn blɔd pan pipul dɛn we gɛt kansa. Di fɔs tin we dɛn nid fɔ du na fɔ fɛn di rayt rizin we mek dɛn gɛt di prɔblɛm. Fɔ ɛgzampul, nɔto ɔltɛm i kin klia if wan sik lɛk at pwɛl hat na bikɔs ɔf tritmɛnt fɔ kansa. Bɔku tɛm, pipul dɛn we gɛt kansa kin gɛt ɔda tin dɛnSɔm tin dɛn kin de we kin mek pɔsin gɛt at sik . So, dis ``Cardio-Oncologist'' dכkta dεm gεt fכ fכn di rial kכz bitwin dεn difrεn posεbul kכz dεm ya fכ at sik.

Dɔn bak, dɛn fɔ balans tu gol dɛn we sɔntɛnde kin agens dɛnsɛf:

• Di nid fɔ gɛt tritmɛnt fɔ yu kansa.
• Di nid fɔ protɛkt yu at .

Dis na di say we multidisiplinari kolaboreshɔn kin bi so impɔtant. Cardio-Oncologists kin wok wit ɔda spɛshal pipul dɛm fɔ no di bɛst tritmɛnt plan fɔ ɛnibɔdi.

Na sɔm pan di wok dɛn we dɔktɔ we de mɛn di at kin du as pat pan dɛn wok:

• Bifo yu bigin fɔ trit kansa, dɛn kin du ditayli asɛsmɛnt fɔ yu at ɛn blɔd risk.
• Dɛn kin du di bɛst imej tɛst ɛn di tɛst fɔ no if pɔsin gɛt ɛni prɔblɛm wit di at ɔ di blɔd vesel dɛn.
• Dɛn kin mek wan tritmɛnt plan fɔ tɔch yu kansa di kayn we we nɔ go mek yu at pwɛl smɔl.
• Dɛn go de wach yu ɔlsay na yu kansa tritmɛnt ɛn dɛn go no ɛni at prɔblɛm kwik kwik wan.
• Dɛn kin gi yu fɔlɔp kia ivin afta yu dɔn dɔn yu kansa tritmɛnt.
• Dɛn kin se dɛn fɔ du ɔpreshɔn ɛn ɔda tritmɛnt dɛn fɔ at sik we pɔsin kin gɛt we i gɛt kansa.

Dɛn ``Cardio-Oncologist'' ya de ɛp fɔ manej difrɛn difrɛn at kɔndishɔn dɛm. Na sɔm ɛgzampul dɛn ya:

• At ritm irɛgyulariti (Arhythmias), lɛk Atrial Fibrillation ɛn Torsade de Pointes.
• Koronari Atɛri Sik we pɔsin kin gɛt.
• At we nɔ de wok fayn.
• Di sik we de mek pɔsin gɛt at valv.
• Ay blɔd prɛshɔn (Hypertension).
• Restrictive Cardiomyopathy we gɛt di sik we dɛn kɔl Restrictive Cardiomyopathy.

Udat dɛn kin gɛt tritmɛnt frɔm dɛn dɔktɔ dɛn ya we sabi bɔt di at ɛn ɔnkɔlɔji?

Dɛn dɔktɔ ya kin kia fɔ pipul dɛn we gɛt kansa we gɛt at sik ɔ tin dɛn we kin mek dɛn gɛt at sik. Dɛn kin trit pipul dɛn bak we gɛt at sik afta dɛn dɔn gɛt kansa. Sɔm pan di tin dɛn we kin mek pɔsin in at pwɛl kin apia wantɛm wantɛm. Bɔt ɔda wan dɛn kin apia sɔm ia afta dɛn dɔn trit kansa (sɔntɛm 10 ia ɔ mɔ). Dat de mek yu fred, nɔto so? Bɔt nɔ wɔri, sɔlv dɛn de fɔ dat bak.

Cardio-Oncologist dɔktɔ dɛn kin ɛp pipul dɛn lɛk:

• Pipul wae de kam bigin fɔ gɛt kansa tritmɛnt ɛn gɛt wan ɔr mɔr risk factor fɔ gɛt hat sik. Sɔm ɛgzampul dɛn na fɔ fat , dayabitis, ɛn ay blɔd prɛshɔn .
• Di wan dɛn we de kam fɔ bigin tritmɛnt fɔ kansa, ɛn di wan dɛn we dɔn ɔlrɛdi gɛt at sik.
• Pipul wae kin gɛt hat simptom wae dɛn de gɛt kemotɛrapi ɔr redyushɔn tɛrapi. Sɔm ɛgzampul dɛn na fɔ swel (ɛdima) , taya , pen na yu chɛst, ɛn at bit we nɔ de bit ɔltɛm (arithmia).
• Pipul wae bin dɔn gɛt kansa tritmɛnt bifo ɛn naw de gɛt nyu at prɔblɛm.
• Pipul wae gɛt hat prɔblɛm bikɔs ɔf kansa tritmɛnt ɛn nid fɔ gɛt at ɔpreshɔn ɔr ɔda tritmɛnt.
• Pipul dɛn we gɛt at tumbu.

A nid fɔ go to dɔktɔ we de mɛn mi at bak?

Di bɛst pɔsin fɔ aks bɔt di tin dɛn we yu nid fɔ kia fɔ na yu praymari kia ɔ di dɔktɔ we de trit yu kansa (ɔnkɔlɔjis). Fɔ go to dɔktɔ we de mɛn yu at, yu go nid fɔ gɛt riferal frɔm yu dɔktɔ.

If yu fɔdɔm pan wan pan dɛn kategori ya, yu kin nid bak fɔ go to spɛshal pɔsin:

• If yu gɛt at sik ɛn dɛn jɔs dɔn no se yu gɛt kansa.
• If dɛn dɔn trit yu fɔ kansa trade, ivin we yu bin yɔŋ.
• If yu de du tritmɛnt fɔ kansa naw.

Ustɛm a fɔ go to dɔktɔ we de mɛn mi at?

Di tɛm we yu nid fɔ go to dɔktɔ we de mɛn yu at ɛn ɔnkolɔg kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. Yu kin bigin fɔ gɛt kia bifo yu bigin fɔ gɛt kansa tritmɛnt ɛn afta dat yu kin gɛt fɔl-ap apɔntinmɛnt fɔ lɔng lɔng tɛm. Yu fɔ fala di instrɔkshɔn frɔm yu mɛdikal tim bɔt aw ɔltɛm yu fɔ go.

Test fɔ yu at ɛn blɔd, lɛk ɛkokardiogram , na impɔtant tin fɔ kia fɔ yu at-kansa. Dis na tru ivin afta yu kansa tritmɛnt dɔn. Dɛn tɛst ya kin sho di fɔs sayn dɛm fɔ gɛt at sik. So, i rili impɔtant fɔ kip ɔl yu dɔktɔ apɔntinmɛnt dɛn .

Fɔ kɔmɔt pan kansa tritmɛnt na big step. Dɔn, fɔ no se yu gɛt at prɔblɛm ɛn yu nid tritmɛnt fɔ dɛn, dat kin mek yu at pwɛl. I kin fil lɛk se yu dɔn dɔn wan maratɔn ɛn wantɛm wantɛm yu nid fɔ rɔn ɔda wan. Bɔt mɛmba se nɔto yu wangren de du dis waka . Cardio-oncologist na spɛshal pipul dɛm wae kin ɛp yu fɔ mɛn yu at sik, ilɛksɛf yu de pan denja ɔr dɛn dɔn no se yu gɛt am. Tɔk to yu famili dɔktɔ ɔr ɔnkɔlɔjis fɔ lan mɔ bɔt aw pɔsin we de mɛn yu at ɛn kansa kin ɛp yu.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt (Take-Home Message) .

Okay, so, wi go jɔs mɛmba yu bɔt sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt?

• (Kɔdi-Ɔnkɔlɔjis) .Dis min se dɔktɔ we de pe spɛshal atɛnshɔn to di at wɛlbɔdi fɔ di wan dɛn we gɛt kansa we i de trit dɛn.
• Kansa tritmεnt (e.g., `(Kεmothεrapi)`, `(Rεdyushכn Tεrapi)`) kin mek sayd ifekt pan di at. Dɛn kɔl dis `(Cardiotoxicity)` .
• Dɛn spɛshal pipul ya kin ɛp fɔ mek di at nɔ pwɛl pasmak ɛn dɛn kin gi di bɛst tritmɛnt fɔ kansa.
• If yu gɛt at sik wit kansa, yu gɛt tin dɛn we kin mek yu gɛt at sik, ɔ yu gɛt at sik afta yu dɔn gɛt kansa, tɔk to yu dɔktɔ bɔt fɔ go to dɔktɔ we de mɛn yu at.
• I rili impɔtant fɔ pe atɛnshɔn ɔltɛm to yu at bifo, di tɛm we yu de trit kansa, ɛn afta yu dɔn gɛt kansa.

Mɛmba se, i kin tranga fɔ tink bɔt yu at wɛlbɔdi we yu de fɛt kansa. Bɔt, masta sabi pipul dɛn de fɔ ɛp yu ɛn kia fɔ yu. So nɔ fred!

` Kardio-ɔnkɔlɔjis, kansa tritmɛnt, at sik, sayd ɛfɛkt, kemotɛrapi, redyushɔn tɛrapi, at wɛlbɔdi