Yu dɔn ɛva tink se we dɛn de fɔ no wan siriɔs sik lɛk kansa bifo i ivin kam na wi bɔdi, dat na bifo ɛni sayn de sho? Na dat wi kin kɔl kansa skrinin . Fɔ tɔk am simpul wan, i tan lɛk se yu kech tifman bifo i brok insay yu os. If yu no am kwik, i go izi fɔ trit, ɛn sɔntɛnde yu kin mɛn kansa kpatakpata ɔ mek i nɔ gɛt am.
So, ustɛm dɛn kin du dis kansa skrinin? Fɔ udat dɛn?
Bɔku tɛm dis kin dipen pan yu ej ɛn if yu gɛt ɛni patikyula tin we kin mek yu gɛt kansa. Bɔrku pipul kin bigin fɔ tink bɔt fɔ gɛt kansa skrinin afta yu dɔn ol 40. Bɔt if yu gɛt kansa ɔ ɔda tin dɛn we kin mek yu gɛt kansa, yu dɔktɔ kin tɛl yu fɔ chɛk yu fɔs.
Insay kɔntri dɛn lɛk Amɛrika, ɛkspɛkt kɔmiti dɛn de lɛk di ``US Preventive Services Task Force'' we de pripia gaydlain fɔ dɛn kansa tɛst ya. Dɛn kin stɔdi gud gud wan aw dɛn tɛst ya kin wok ɛn sef, ɛn if dɛn kin rili sev pipul dɛn layf. Dɛn kin jɔs se dɛn fɔ du tɛst if dɛn pruv klia wan se di bɛnifit dɛn we pɔsin kin gɛt we dɛn du tɛst pas ɛni bad tin we pɔsin kin du .
Wetin na di bɛnifit ɛn bad tin dɛn we dɛn tɛst ya gɛt?
Imajin, di big bɛnifit we dɛn tɛst ya gɛt na dat if kansa de, dɛn kin no am kwik kwik wan . Dɔn, dɛn kin bigin fɔ trit am bifo di kansa gro ɛn go na ɔda pat dɛn na di bɔdi. Dis kin mek di pɔsin ebul fɔ mɛn kansa bad bad wan, ɛn i kin mek i liv lɔng bak. Sɔntɛnde, dɛn tɛst ya kin ivin no di chenj dɛn we kin apin bifo kansa we kin tɔn to kansa. Dɔn, chans de fɔ mek yu nɔ gɛt kansa bifo i kam.
Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, sɔm prɔblɛm dɛn de we kin mek i apin. fכ egzampl, wan tεst risכlt kin bi inkכrekt (`inakכrεt tεst rizulεt`). Dat min se, smɔl chans de fɔ mek dɛn sho se pɔsin we nɔ gɛt di sik gɛt di sik (`false positive`), ɛn pɔsin we gɛt di sik kin sho se i nɔ gɛt di sik (`false negative`). כlso, posisibul de fכ sכmtin we dεn kכl ``overdiagnosis``. Dat min se, dɛn kin no se yu gɛt kansa we de gro sloslo we yu nɔ go gɛt tumara bambay, ɛn dɛn kin trit yu fɔ am we yu nɔ nid. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm. Dɔktɔ dɛn kin tink bɔt ɔl dɛn tin ya we dɛn de disayd us tɛst we go fayn fɔ yu.
Mɛmba: Di men gol fɔ chɛk kansa na fɔ kech kansa kwik kwik wan. Dis kin go fa fɔ sev pipul dɛn layf.
Us tɛst dɛn we dɛn kin du fɔ mek pɔsin gɛt kansa?
Tri men kayn kansa skrinin de we dɛn kin advays fɔ pipul dɛn we gɛt avɛrej risk, we min se di wan dɛn we nɔ gɛt patikyula famili histri:
- Test fɔ brɔst kansa
- Test fɔ sɛvikal kansa
- Test fɔ kɔlon kansa (bɔwel kansa) .
Risach dɔn sho se di bɛnifit dɛn we pɔsin kin gɛt we i de chɛk fɔ dɛn kayn kansa ya, pas di bad tin dɛn we kin apin to pɔsin. Dɛn kin rili sev pipul dɛn layf.
1. Skrin fɔ kansa na di bɔdi
Uman dɛn we gɛt avɛrej risk fɔ bigin fɔ chɛk dɛn bɔdi kansa afta dɛn dɔn ol 40. Di gaydlain dɛn we de naw se uman dɛn fɔ tek mammogram ɛvri tu ia . Mamogram na ɛkstrem rayt fɔ di bɔdi. I kin no 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 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. Dis dɔn ɛp fɔ ridyus di pipul dɛn we de day bikɔs dɛn gɛt kansa na dɛn bɔdi.
If yu tink se yu gɛt ay risk fɔ gɛt bɔdi kansa pas di avɛrej (fɔ ɛgzampul, if sɔmbɔdi na yu famili dɔn gɛt am we yu yɔŋ), yu dɔktɔ kin tɛl yu fɔ du mɔ fɔ chɛk yu bɔdi ɔ fɔ mek yu du ɔda tɛst dɛn, lɛk fɔ mek yu bɔdi MRI, apat frɔm we dɛn de du mamogram.
2. Skrin fɔ Sɛvikal Kansa
Bɔku tɛm, di skrinin fɔ di sɛvikal kansa fɔ bigin we i ol 21. Dɛn tɛst ya nɔ kin jɔs no di sɛvikal kansa kwik, bɔt dɛn kin no bak di chenj dɛn we kin apin na di sɛl dɛn we kin mek pɔsin gɛt kansa, we dɛn kɔl sɛvikal displasia . Dɛn kin no bak se dɛn gɛt di sik we dɛn kɔl human papillomavirus (HPV), we na wan men tin we kin mek pɔsin gɛt kansa na di bɛlɛ.
Tu kayn tɛst dɛn kin yuz mɔ fɔ sɛvikal kansa:
- Pap smear: dis involv fכ egzamin wan sεmpl sεl dεm frכm di sεviks כnda maykroskכp fכ si if εni kεnsar sεl dεm de כ sεl dεm we bin de bifo kεnsar.
- HPV tεst: Dis de chεk fכ di hεy risk strayn dεm fכ di human papillomavirus (HPV) we kin mek yu gεt sεvikal kεnsar.
Di gaydlain dɛn we dɛn dɔn rɛkɔmɛnd naw na dɛn wan ya:
- Ej 21-29: Wan Pap smear ɛvri tri ia.
- Ej 30-65: Kɔ-tɛst wit Pap smear ɛn HPV tɛst ɛvri fayv ia, ɔ jɔs Pap smear ɛvri tri ia, ɔ jɔs HPV tɛst ɛvri fayv ia.
Yu dɔktɔ go tɛl yu us we fɔ du am fayn fɔ yu.
3. Skrin fɔ Kɔlɔn Kansa
I impɔtant fɔ mek pipul dɛn we gɛt avɛrej risk fɔ bigin fɔ gɛt skrinin fɔ kɔlon kansa afta dɛn dɔn ol 45. Dis kansa na di men tin bak we kin mek pɔsin day. Bɔt if dɛn no am kwik, dɛn kin mɛn am. Dɛn tɛst ya kin no ɛn pul smɔl smɔl tin dɛn we de gro (polyps) we kin tɔn to kansa, ɛn dɛn kin yuz dɛn bak fɔ pul di tin dɛn we nɔ gɛt kansa. In ɔda wɔd dɛn, dɛn tɛst ya kin ivin mek kansa na di kɔlon nɔ kam!
Bɔku tɛm fɔ disi rεkomεnd fכ du ``Colonoscopy'' εvri 10 ia. ``kolonoskopi'' na komplit egzamin fכ di big intestin we yu de yuz tכb wit kεmεra we dεn atak.
Ɔda we dɛn de:
- Fecal occult blood test (e.g. FIT, gFOBT or stool DNA test) - dεn kin du dis εvri wan to tri ia, dipכnt pan di kayn tεst.
- Virtual colonoscopy - ɛvri fayv ia.
- Fleksibul sigmoidoscopy - ɛvri fayv ia.
- Fleksibul sigmoidoscopy ɛvri 10 ia ɛn ɛni ia FIT tɛst.
Us ɔda kansa tɛst dɛn we dɛn de tɔk bɔt?
Bɔku ɔda kayn kansa tɛst dɛn de we yu kin tɔk to yu dɔktɔ bɔt. Sɔm tɛst kin ɛp sɔm pipul dɛn, bɔt nɔr kin fayn fɔ ɔlman. Ɔ, sɔntɛm nɔto inɔf pruf de yet fɔ sho se di bɛnifit dɛn we dɛn tɛst dɛn de kin gɛt pas di prɔblɛm dɛn we kin apin.
- Lɔng kansa skrinin: Dis na we fɔ tek pikchɔ, we fiba lɛk we dɛn de skan. Yu dɔktɔ kin tɛl yu fɔ du dis if yu ol bitwin 50 ɛn 80 ia ɛn yu dɔn gɛt histri fɔ smok (we yu de smok naw ɔ yu jɔs dɔn lɛf fɔ smok).
- Ɔral kansa skrinin: Dɛntist go chɛk yu mɔt fɔ si if yu gɛt sayn dɛn fɔ kansa. Pan ɔl we no patikyula gayd nɔ de fɔ dis, yu dɛntist kin du dis we yu go fɔ chɛk yu tit.
- Prɔstat kansa skrinin: Dɛn kin gi man dɛn blɔd tɛst we dɛn kɔl PSA blɔd tɛst fɔ luk fɔ sayn dɛn fɔ prɔstat kansa. Yu dɔktɔ go tɔk to yu bɔt dis if yu ol bitwin 55 ɛn 69 ia.
- Fɔ chɛk yu skin kansa: Wan dɔktɔ we de mɛn yu skin kin chɛk yu skin fɔ si if yu gɛt sayn dɛn we de sho se yu gɛt kansa. Pan ɔl we no strɔng pruf nɔ de fɔ se dɛn tɛst ya nɔ de mek pipul dɛn day pan kansa na dɛn skin, bɔku pipul dɛn kin gɛt ɛgzam fɔ dɛn ful-bɔdi skin ɛvri ia.
Aw dɛn kin du dɛn kansa tɛst ya?
Bifo yu go fɔ tɛst, yu dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs go tɛl yu wetin go apin we yu de du di tɛst, aw yu fɔ pripia, ɛn wetin di tɛst rizɔlt kin tɛl yu bɔt yu wɛlbɔdi biznɛs.
Di skrinin fɔ kansa kin gɛt difrɛn kayn tɛst dɛn:
- Fɔ chɛk yu bɔdi: Dɔktɔ go chɛk yu bɔdi fɔ si if yu gɛt ɛni chenj, lɛk fɔ mek yu gɛt 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. Dɛn go aks kwɛstyɔn bɔt yu wɛl bɔdi abit ɛn yu famili wɛl bɔdi istri.
- Imej tɛst: Dɛn tin ya kin tek pikchɔ fɔ di insay pat na di bɔdi. Mamogram ɛn colonoscopy na imej tɛst dɛn we dɛn kin yuz fɔ chɛk fɔ si if pɔsin gɛt kansa.
- Lab test: Dɛn tin ya kin inklud blɔd tɛst ɛn tisu tɛst fɔ kansa. Pap smear na laboratory test we de tek tisu sɛmpul ɛn luk fɔ sayn dɛm fɔ kansa.
- Jɛnɛtik tɛst: Dɛn tɛst ya kin chɛk yu DNA fɔ si if yu gɛt jɛnɛtik muteshon we de mek yu gɛt kansa mɔ. Dɛn kin jɔs du dɛn tin ya insay spɛshal kes dɛn.
Lɛ wi lan bak bɔt nyu tɛst dɛm: Multiple Cancer Detection (MCD) tɛst dɛm
Wan nyu blɔd tɛst we dɛn kɔl Galleri tɛst de kam. Dɛn se i ebul fɔ no pas 50 kayn kansa wan tɛm. Bɔt dɛn nɔ dɔn gri fɔ yuz am yet fɔ yuz am ɔlsay na di ɛjɛnshi dɛm lɛk di US Food and Drug Administration (FDA). If yu want fɔ du dis kayn tɛst, yu kin tɔk to dɔktɔ fɔ no mɔ.
Wetin wan kansa tɛst rizɔlt min?
Wan kansa tɛst de luk fɔ chenj dɛn na yu bɔdi we kin bi sayn fɔ kansa. Di tɛst rizɔlt nɔto `diagnosis` fɔ kansa, ɛn nɔto garanti fɔ se yu nɔ gɛt kansa. Sɔntɛnde, kansa tɛst kin gi abnɔmal rizɔlt. If dat apin, yu dɔktɔ go tɛl yu fɔ du mɔ tɛst. Jɔs lɛk di fɔs tɛst, fɔ gɛt ɔda tɛst nɔ min se yu gɛt kansa.
Ustɛm a go no di tɛst rizɔlt?
Sɔm tɛst kin tek sɔm dez fɔ gɛt rizɔlt. Ɔda pipul dɛn kin tek wan wik fɔ mek di dɔktɔ gɛt di rizɔlt ɛn tɛl yu. Yu kin aks di ples usay yu gɛt di tɛst ɔ yu dɔktɔ bɔt di tɛm we i tek fɔ gɛt di rizɔlt.
Wetin kin apin if mi tɛst sho sayn dɛn fɔ kansa?
Di fɔs tin fɔ mɛmba na dat, fɔ chɛk fɔ no if pɔsin gɛt di sik. If yu rizɔlt sho sayn dɛm fɔ kansa, yu dɔktɔ go du mɔ tɛst fɔ no mɔ bɔt wetin rili de apin. Dɔn bak, jɔs bikɔs tɛst nɔ sho sayn fɔ kansa nɔ min se yu gɛt wɛlbɔdi ɔlsay. Kansa kin bigin smɔl, ɛn sɔmtɛm i kin gro sloslo. So, aks yu dɔktɔ ustɛm yu fɔ du yu nɛks tɛst.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
If yu nɔ shɔ bɔt us tɛst yu fɔ du, tɔk to yu dɔktɔ. Dis kin bi mɔ if yu gɛt ay risk fɔ gɛt kansa ɔ yu dɔn gɛt ɔpreshɔn bifo tɛm (lɛk fɔ pul yu bɛlɛ) we kin afɛkt yu plan fɔ mek yu nɔ gɛt kansa.
Sɔm kwɛstyɔn dɛn we yu kin aks:
- "Us kansa tɛst di dɔktɔ rikɔmɛnd fɔ mi?"
- "Wetin mek di dɔktɔ rikɔmɛnd dɛn tɛst dɛn de?"
- "Yu nid fɔ du dɛn tɛst ya kwik kwik wan?"
- "Di dɔktɔ kin du dɛn tɛst ya insɛf, ɔ a fɔ go si spɛshal pɔsin?"
- "Eni test de we dem fit du fo haus?"
- "Aw often a fɔ du dɛn tɛst ya?"
We dɛn de chɛk yu kansa, dɛn kin no di sayn dɛn we de sho se yu gɛt kansa kwik kwik wan. Pan ɔl we if pɔsin no bɔt kansa kwik kwik wan ɛn trit am, dat kin mek i gɛt mɔ chans fɔ mɛn am, di wan ol tin we kin apin kin mek pɔsin fred smɔl ɛn i kin mek pɔsin wɔri. So, nɔ shek fɔ aks yu dɔktɔ bɔt di kansa tɛst dɛm we go ɛp yu. Dɛn go gladi fɔ ɛksplen wetin ɛni tɛst de luk fɔ, aw dɛn de du di tɛst dɛn, ɛn aw dɛn go tɛl yu di rizɔlt.
If yu no bifo tɛm wetin fɔ ɛkspɛkt, dat kin mek yu gɛt bɔku pis na yu maynd as yu de fes yu fɔs kansa skrinin ɛkspiriɛns.
Fɔ dɔn, mɛsej we yu kin kɛr go na os
Okay, so na sɔmri fɔ ɛp yu fɔ mɛmba sɔm pan di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:
- Kansa skrinin na tɛst wae de no bɔt kansa bifo di sayn dɛm sho. Dɛn tɛst ya kin ɛp fɔ gɛt kansa kwik kwik wan.
- If yu no di kansa kwik kwik wan, dat kin mek yu gɛt mɔ chans fɔ gɛt di tritmɛnt fayn fayn wan, ɛn i kin ivin mek di kansa nɔ kam.
- Yu ej ɛn di tin dɛn we kin mek yu gɛt prɔblɛm kin sho us tɛst yu fɔ du ɛn ustɛm yu fɔ du.
- Dɛn kin advays fɔ mek dɛn chɛk fɔ si if pɔsin gɛt kansa na di bɔdi, di sɛvikal, ɛn di kɔlon.
- Wan tɛst rizɔlt nɔto di las diagnosis. If dɛn si se di rizɔlt nɔ fayn, dɛn kin nid fɔ du mɔ tɛst.
- Tɔk opin wan wit yu dɔktɔ bɔt us tɛst dɛn we fayn fɔ yu ɛn aw yu fɔ mek dɛn du dɛn. Nɔ fred ɔ shem.
A op se dis infɔmeshɔn go yusful to yu. Dis kayn awareness rili impɔtant fɔ gɛt wɛlbɔdi layf!
` Kansa tɛst, kansa skrinin, fɔ no kwik kwik wan, fɔ liv wɛl, brɔst kansa, sɛvikal kansa, kɔlon kansa, fɔ mek dɛn nɔ gɛt am
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