Kansa dɔn kam bak to yu? (Cancer Recurrence) Nɔ fred, lɛ wi tɔk bɔt dis!

Afta yu dɔn fɛt kansa, gɛt tritmɛnt, ɛn fil fayn smɔl, i kin tranga fɔ yɛri se di kansa kin kam bak, nɔto so? I rili at fɔ du. Bɔt mɛmba se nɔto yu wangren de insay dis tɛm. Lɛ wi tɔk bɔt aw kansa kin kam bak, wetin i min, wetin mek i kin apin, ɛn wetin yu kin du bɔt am na simpul we we pɔsin kin ɔndastand.

Wetin kansa we de kam bak kin min?

Fɔ tɔk am simpul wan, kansa we kin kam bak na we kansa kin kam bak afta dɛn dɔn trit am. Dis kin apin sɔm mɔnt ɔr ia afta yu dɔn dɔn di tritmɛnt. Sɔntɛnde, i kin lɛf smɔl fɔ lɛ di kansa dɔnawe wit am, i nɔ kin si ɛni sayn, ɛn dɛn nɔ kin ebul fɔ no am igen we dɛn de du tɛst. Wi kin kɔl dis "rɛmishɔn." Bɔt ivin di tɛm we dis "rɛmishɔn," di kansa kin kam bak. If dat apin, yu dɔktɔ dɛn go tɛl yu fɔ gɛt ɔda tritmɛnt. Dipen pan yu sik, yu kin ebul fɔ liv fayn fɔ bɔrku ɔda ia ivin if di kansa kam bak.

Wetin na di difrɛn kayn kansa wae kin kam bak?

Dɔktɔ dɛn kin klas kansa bay usay i kam bak. Tri men kayn dɛn de:

Lokal Rikɔrɛshɔn

Dis min se di sem kayn kansa go de bak na di sem ples usay di kansa bin de fɔs. Imajin se yu gɛt prɔstat kansa ɛn dɛn kin pul am bay ɔpreshɔn (Prostatectomy). Dɔn, kansa kin kam bak na di sem ples usay di prɔstat bin de. Dat na in dɛn kɔl ``Lokal Rikɔrɛshɔn``.

Rijinal Rikɔrɛshɔn

Dis na we di kansa de spre to di limf no dɛm we de nia am ɔ di tisu dɛm we de rawnd am. Sɔm kayn kansa, lɛk Triple Negative Breast Cancer, kin pas dis we.

Distant Rikɔrɛshɔn

Insay dis, di sɛl dɛn we kɔmɔt na di fɔs kansa kin skata to ɔgan ɔ tisu dɛn we de fa na di bɔdi, usay dɛn kin mek nyu kansa. Fɔ ɛgzampul, sɔntɛnde, lɛng kansa kin go na di sɛntral nervɔs sistɛm, ɔ di bren, ɛn i kin kam bak de.

Us kayn kansa kin kam bak?

Infakt, ɛni kayn kansa kin kam bak. Bɔt risach dɔn sho se sɔm kayn kansa kin gɛt prɔblɛm smɔl. Sɔm pan dɛn na:

• Kansa na di ovarian
• Metastatic Melanoma , na wan kansa na di skin we bin dɔn spre to ɔda pat dɛn na di bɔdi we dɛn bin no se i gɛt am
• wan kayn limfoma we dεn kכl Pεrifεral T-sεl Limfoma (PTCL).

Bɔt di impɔtant tin ya na dat dɛn pasɛnt ya na jɔs jenɛral ɛstimat. Dis kin difrɛn difrɛn difrɛn tin dɛn, lɛk di kayn kansa we yu bin gɛt, di fɔs tritmɛnt we yu bin gɛt, ɛn ɔda tin dɛn So, if yu kansa kam bak, di bɛst we fɔ no fɔ tru na fɔ tɔk to yu dɔktɔ.

Wetin na di sayn dɛm wae de sho se kansa de kam bak?

De sayn dɛm fɔ kansa wae de kam bak kin tan lɛk ɔda kayn sik dɛm. So, wae yu de kia fɔ yu wɛl bɔdi, i impɔtant fɔ aks yu dɔktɔ bɔt di kɔmɔn sayn dɛm wae kin gɛt fɔ du wit di kayn kansa wae yu bin gɛt. Dɔn i go tɛl yu us sayn dɛn yu fɔ luk fɔ ɛn us tɛst yu fɔ du fɔ chɛk if di kansa dɔn kam bak. Si yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• If di simptom dɛm we bin de we di kansa bin fɔs de kam bak. Fɔ ɛgzampul, wan lump ɔ sɔntin lɛk dat kin kam bak usay di kansa bigin.
• Wan pen we pɔsin kin fil ɔltɛm.
• Wan kɔf we de kɔntinyu fɔ kɔf.
• If yu de lɔs yu wet fɔ natin.
• If yu de blɔd nɔrmal ɔ yu gɛt brus na yu bɔdi.
• Fiva we de kɔntinyu fɔ de.
• If yu kin gɛt ed pen bɔku tɛm .
• I nɔ izi fɔ blo (Dyspnea).
• If blɔd de na di stɔl ɔ di urine .
• Nɔs ɛn vɔmit.
• I nɔ izi fɔ swɛla it (Dysphagia).

Wetin mek kansa kin kam bak?

Kansa tan lɛk pɔsin we de muv. So, i rili at fɔ mek ɛni tritmɛnt kech ɛn pwɛl ɔl di kansa sɛl dɛn. Fɔ ɛgzampul, we dɛn de du ɔpreshɔn fɔ pul wan tumbu, sɔm sɛl dɛn kin tu smɔl fɔ lɛ dɛn kech dɛn. Di kansa sɛl dɛn de chenj ɛn chenj ɔltɛm. Sɔntɛnde, di tritmɛnt fɔ kansa nɔ kin afɛkt ɔl di kansa sɛl dɛn di sem we. Sεl dεm we nכ de fכ dεn tritmεnt dεm kin kכntinyu fכ gro pan כl we dεn trit dεm. Dɛn kin jɔs no dɛn tin ya leta we dɛn de du ``Fɔl-ap`` tɛst.

Aw fɔ no di kansa we de kam bak?

Bɔku pan di sem tɛst dɛn we dɔktɔ dɛn kin yuz fɔ no if pɔsin gɛt kansa fɔs, dɛn kin yuz am bak fɔ no if pɔsin gɛt kansa we dɔn kam bak. Sɔm pan dɛn na:

Tɛst fɔ Blɔd

Blɔd tɛst fɔ chɛk if kansa de kam bak kin bi:

• Kɔmplit Blɔd Kɔnt:Dis kin chɛk di nɔmba fɔ di blɔd sɛl ɛn pletlɛt dɛn we de na yu blɔd sɛmpul. Dis kin mek dɔktɔ dɛn ebul fɔ no aw yu gɛt wɛlbɔdi ɛn chɛk fɔ si if yu gɛt sayn dɛn we de sho se kansa de kam bak.
• Immunophenotyping: dis de sho di spεsifi k tכp sεl dεm. If yu gɛt blɔd kansa lɛk lukimiya we dɔn kam bak, yu dɔktɔ kin yuz dis tɛst fɔ no mɔ bɔt yu sik.
• Liquid Biopsy: Dis kin tɛst yu blɔd fɔ si if yu gɛt kansa sɛl ɔ DNA pat dɛn frɔm kansa sɛl dɛn.
• Tεst dεm fכ di tכmכro mak dεm: di tכmכro mak dεm na tin dεm we di kεnsar sεl dεm כ כda sεl dεm de kכl fכ ansa kεnsar. Dɔktɔ dɛn kin yuz dɛn tɛst ya fɔ luk fɔ sayn dɛn we de sho se di kansa de kam bak.

Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ

If yu kansa kam bak, dɔktɔ dɛn go yuz imej tɛst fɔ no mɔ bɔt nyu tumbu dɛn we dɔn kɔmɔt frɔm di fɔs kansa. Dɛn tin ya kin bi:

• CT Scan (Computed Tomography - CT Scan): Dɛn kin yuz dis fɔ si if di kansa dɔn kam bak, ɔ fɔ fɛn di sayz ɛn usay di tumbu de.
• MRI skan (Magnetic Resonance Imaging - MRI): MRI kin tek ditayla pikchɔ dɛn fɔ sɔm patikyula say dɛn insay yu bɔdi. Dis kin ɛp fɔ no if di kansa dɔn kam bak.
• PET Skan: PET skan de luk di say dɛm na yu bɔdi we de yuz mɔ glukɔs. Glukɔs na wan kayn shuga. di kansa sεl dεm de yuz mכr glukכs pas di nכmal sεl dεm.

Urinalysis we dɛn kin du

We dɛn de du yu urine, yu kin no ɔmɔs blɔd sɛl dɛn, shuga, ɛn prɔtin de na yu urine . Dɔktɔ dɛn kin yuz dis fɔ chɛk fɔ blad kansa ɔ kidni kansa.

Bayopsi dɛn we dɛn kin du

Fɔ no if pɔsin gɛt kansa, ilɛksɛf i dɔn kam bak, dɔktɔ dɛn kin du bayɔpsi. We dɛn de du bayɔpsi, dɔktɔ dɛn kin tek wan sɛmpul pan di tisu ɛn wan dɔktɔ we de mɛn sik dɛn kin chɛk am ɔnda maykroskɔp fɔ si if ɛni sayn de fɔ gɛt kansa. Bɔku kayn bayɔpsi dɛn de:

• Image-Guided Biopsy: Dɔktɔ dɛn kin yuz CT skan ɔ ɔltra saund fɔ luk di tumbu ɛn tek smɔl sampul pan di tumbu wit nidul.
• Ɛndoskopik ɔ Laparoskopik Bayɔpsi:Dɔktɔ dɛn kin yuz ɛndoskɔp ɔ laparoskɔp fɔ luk insay yu bɔdi. Ɛndoskɔp na tin we tan lɛk tin we kin chenj, we gɛt kamɛra na di ɛnd ɛn wan tul fɔ pul di sampul. di endoskop dεn nכ de insay tru wan insishכn. Laparoskop na tin we difrɛn smɔl. Dɛn kin put am insay tru wan smɔl say we dɛn kɔt am na di bɛlɛ. Dis tul de mek dɛn ebul fɔ pul di tisu dɛn we dɛn nɔ mek big say.
• Excisional or Incisional Biopsy: Insay dɛn opin bayɔpsi ya, dɔktɔ we de du ɔpreshɔn kin mek wan insishɔn na yu bɔdi ɛn pul di wan ol tumbu (Excisional Biopsy) ɔ pat pan di tumbu (Incisional Biopsy) fɔ ɛgzamin ɔ tritmɛnt.
• Bone Marrow Biopsy: Fɔ si if di kansa dɔn kam bak, dɔktɔ dɛn kin tek blɔd ɛn bon frɔm insay di bon marrow.

Wetin na di tritmɛnt fɔ kansa we kin kam bak?

Di tritmɛnt fɔ kansa wae dɔn kam bak go difrɛn difrɛn wan fɔ yu sityueshɔn. Yu dɔktɔ kin:

• Fɔ ripit di fɔs layn tritmɛnt we dɛn bin gi fɔs.
• Ɔpreshɔn fɔ pul nyu kansa tumbu dɛn.
• Yuz difrɛn kemotɛrapi drɔgs ɔ kɔmbayn drɔgs.
• Tray difrɛn we fɔ trit pɔsin, lɛk fɔ trit pɔsin we i want fɔ mɛn ɔ fɔ yuz imyunotɛrapi.

If yu kansa dɔn kam bak, yu dɔktɔ go tɔk to yu bɔt di tin dɛn we yu go ebul fɔ du ɛn wetin yu go ɛkspɛkt frɔm tritmɛnt. Jɛnɛral wan, di tritmɛnt fɔ kansa we dɔn kam bak na fɔ kɔntrol di kansa, fɔ stɔp am fɔ wɔs, ɔ fɔ stɔp am fɔ skata. Dɛn nɔ mek dɛn fɔ mɛn di kansa kpatakpata. Sɔm tin dɛm wae kin afɛkt di tritmɛnt disizhɔn na:

• Di kayn kansa we yu gɛt.
• Na tɛm fɔ kam bak. Fɔ trit kansa wae kin kam bak kwik kwik wan afta tritmɛnt kin tranga.
• Usay di kansa dɔn kam bak. Jɛnɛral wan, i kin izi fɔ trit kansa we kam bak insay ɔ nia di say we dɛn bin de fɔs pas kansa we kam bak na ɔgan ɔ tisu dɛn we de fa frɔm di say we dɛn bin de fɔs.
• Yu ɔl wɛlbɔdi biznɛs. Difrɛn ɔr mɔr agresiv tritmɛnt fɔ kansa wae dɔn kam bak kin gɛt siriɔs sayd ɛfɛkt. Yu ɔl wɛl bɔdi go afɛkt aw yu de du wɛl wae yu de trit yu.

Ilɛk us tritmɛnt yu pik, tink bɔt palliativ kia fɔ ɛp fɔ kɔntrol di kansa simptom dɛm ɛn di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt. Palliative care na somtin wae de gi yu ekstra sopot en symptom control wae yu de du cancer tritment.

Wetin go apin tumara bambay if di kansa kam bak? (Prɔgnosis) .

Di fiuja fɔ yu sik, ɔr prɔgnosis, dipen pan yu kɔndishɔn. Bɔrku tin wae kin afɛkt di tritmɛnt wae yu kin pik, lɛk di kayn kansa wae yu gɛt, aw yu kin biev to tritmɛnt, aw yu kin manej di sayd ɛfɛkt dɛm, ɛn yu ɔl yu wɛl bɔdi, kin afɛkt yu prɔgnosis bak. Di bɛst infɔmeshɔn bɔt dis na frɔm yu dɔktɔ.

We di kansa kam bak, aw yu de liv wit am?

Kansa we de kam bak kin fil lɛk "déjà vu" ɛkspiriɛns. Yu bin dɔn fɛt kansa wan tɛm, ɛn naw i dɔn kam bak. Bɔt dis tɛm, yu kin fil bad ɛn yu kin fil bad we yu tink se yu fɔ gɛt fɔ dil wit kansa bak. Di we aw yu de fil na rial tin, ɛn i impɔtant. If yu na pɔrsin wae dɔn gɛt kansa bak ɛn de liv wit am, de fɔs tin wae yu fɔ du na fɔ gi yusɛf tɛm ɛn ples fɔ ɔndastand yu sityueshɔn. Dɔn, bigin fɔ tink bɔt di tin dɛn we yu go du fɔ liv fayn fayn wan, ilɛksɛf di kansa dɔn kam bak. Na sɔm advays dɛn ya:

• Aks yu dɔktɔ bɔt di program dɛm fɔ sev frɔm kansa. Dɛn program ya kin ɛp yu fɔ ɔndastand ɛn kɔntrol di prɔblɛm dɛn we kin mit yu wit kansa.
• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn we gɛt balans. Aks yu dɔktɔ fɔ tɔk to pɔsin we sabi bɔt it we go ɛp yu fɔ mek wan it plan we go fit yu nid.
• Gɛt sɔm ɛksesaiz. Ɛksesaiz kin ɛp fɔ mek yu nɔ strɛs ɛn i kin ɛp fɔ mek yu gɛt mɔ trɛnk ɛn bia. Bɔt mek shɔ se yu chɛk wit yu dɔktɔ bifo yu bigin fɔ du ɛksɛsayz.
• Mek ɔ kɔntinyu fɔ gɛt gud abit dɛn fɔ liv. If yu de yuz tabak ɔ yu de drink rɔm, tray fɔ stɔp.
• Gɛt inof slip. Kansa ɛn kansa tritmɛnt kin tek yu bɔdi bad bad wan. So, mek shɔ se yu gɛt bɛtɛ slip. Tɔk to yu dɔktɔ if yu gɛt prɔblɛm fɔ slip.
• Tink bɔt aw fɔ Plɛn aw fɔ kia fɔ pipul dɛn bifo tɛm. Dis inklud Advans Dairektv. We yu de plan fɔ kia fɔ yu bifo tɛm, yu kin tink bɔt yu wɛlbɔdi bifo tɛm ɛn disayd wetin fɔ apin if yu nɔ ebul fɔ tɔk fɔ yusɛf. Advans care directives na ligal dɔkyumɛnt dɛm wae de gi rayt instrɔkshɔn bɔt wetin yu want fɔ di ɛnd ɔf yu layf ɛn udat kin disayd fɔ yu mɛrɛsin.

Wetin na di difrɛns bitwin kansa we kin kam bak ɛn sɛkɔn kansa?

If yu dɔn gɛt kansa, yu kin gɛt sɛkɔn kansa. Dis na kɔmplit nyu, difrɛn kansa. Bɔt di kansa we kin kam bak na we di sem kayn kansa kin kam bak.

Yu tink se kansa we dɔn kam bak kin go insay kɔmplit rɛmishɔn bak?

Yɛs, i pɔsibul. Sɔmtɛm, di sik pipul dɛn kin go tru saykl dɛm we dɛn kɔl "rɛmishɔn" (di absɛns ɔf di simptom dɛm) ɛn "rikɔrɛshɔn" (di kansa we de apia bak). We di kansa kam bak, dɔktɔ dɛn kin tray di sem ɔ difrɛn tritmɛnt, wit di gol fɔ put di kansa bak insay "rɛmishɔn."

Mi kansa dɔn kam bak. Aw a go disayd if a nid mɔ tritmɛnt?

I nɔ izi fɔ disayd fɔ du sɔntin. Wae yu dɔn no se yu kansa dɔn kam bak, yu nid fɔ tek sɔm tɛm fɔ ɔndastand di tritmɛnt we yu go gɛt ɛn tink bɔt wetin yu want fɔ yusɛf, yu famili, ɛn ɔda pipul dɛm wae bisin bɔt yu. Na sɔm tin dɛn we go ɛp yu fɔ disayd fɔ du dis:

• Tek tɛm ɔndastand di tritmɛnt dɛn we yu kin gɛt ɛn di bad tin dɛn we kin apin to yu. Yu ɔnkɔlɔjis ɛn di mɛdikal tim go gi yu bɔku infɔmeshɔn we yu nid fɔ disayd fɔ du sɔntin we yu no.
• Tɔk to yu famili ɛn ɔda pipul dɛn we yu lɛk ɛn mek dɛn no bɔt yu sik. Ilɛk wetin yu disayd fɔ du, i impɔtant fɔ mek yu famili ɛn ɔda pipul dɛn ɔndastand wetin yu dɔn disayd fɔ du ɛn no wetin yu de op fɔ kia fɔ yu.
• Tink bɔt fɔ gɛt sɛkɔn opinion frɔm ɔda dɔktɔ we de mɛn kansa. Sɔntɛnde, ɔda ɔspitul dɛn kin gi yu difrɛn tritmɛnt dɛn.
• Aks yu dɔktɔ bɔt aw fɔ tek pat pan klinik trial. Klinik trial na risach projɛkt dɛm we dɛn mek fɔ no if nyu tritmɛnt sef ɛn i go wok.

If a disayd nɔ fɔ gɛt ɔda tritmɛnt fɔ kansa, wetin go apin nɛks?

Bɔrku rizin de wae mek pipul dɛn kin disayd fɔ stɔp fɔ gɛt kansa tritmɛnt. Gɛt advays frɔm yu dɔktɔ, yu famili, ɛn ɔda pipul dɛn we yu lɛk, bɔt no se ɛni tɛm, di las tin we yu fɔ disayd fɔ kɔntinyu ɔ stɔp di tritmɛnt na yu yon.

If a stɔp di tritmɛnt, yu tink se fɔ kia fɔ mi na hospice na opshɔn?

E kin bi, bɔt e kin dipen pan yu ɔl wɛl bɔdi ɛn aw pɔrsin kin no bɔt yu sik. Bɔrku tɛm, dɔktɔ dɛn kin tɛl yu fɔ kia fɔ yu na hospice if dɛn biliv se yu sik nɔ go ebul fɔ wɛl wit tritmɛnt ɛn yu nɔr gɛt siks mɔnt fɔ liv. Na dis na wetin yu kin ɛkspɛkt if yu dɔktɔ tɛl yu fɔ kia fɔ yu na hospice:

• Holistic End-of-Life Care: Kansa kin afɛkt ɔlman wae gɛt dis sik, ivin yu famili ɛn di wan dɛm wae de kia fɔ yu. Hospice Care de ɛp yu ɛn yu famili. Wae dɔktɔ dɛn kin kia fɔ yu bɔdi nid dɛm, ɔda spɛshal pipul dɛm kin gi yu sɔpɔt pan yu maynd, filin, spiritual ɛn maynd.
• Kɔmfɔt Keya: Yu go gɛt mɛrɛsin ɛn ɔda tritmɛnt fɔ kɔntrol di pen ɛn di sayd ɛfɛkt dɛm fɔ di sik.
• Sɔpɔt fɔ di wan dɛn we de kia fɔ yu: Di wan dɛn we de kia fɔ yu fɔs kin nid ɛp fɔ kia fɔ yu. Dɛn kin nid ɛp bak fɔ kɔntrol dɛn yone bɔdi ɛn maynd wɛl bɔdi. Hospice de kɔnɛkt dɛn wit di tin dɛn we yu famili nid.
• Di tin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn ɛn di tin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn: Pan ɔl we sɔm pipul dɛn kin gɛt kia fɔ dɛn na os, dɛn kin nid spɛshal bed ɛn ɔda tin dɛn. Hospice kin gi kia bak na say fɔ kia fɔ shɔt tɛm ɔ na say fɔ kia fɔ pipul dɛn we de na os.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

We dɛn dɔn trit yu fayn fayn wan fɔ kansa, yu go mɔs no se di kansa kin kam bak. Bɔt we yu kam fɔ no se yu gɛt kansa bak, yu go sɔprayz ɛn vɛks. Yu kin fil se yu nɔ gɛt op ɛn yu kin fred. Bɔt wit kansa, op kin de ɔltɛm, ɛn kansa we kin kam bak nɔto ɛksɛpshɔn. Op de fɔ nyu tritmɛnt ɔ di chans fɔ tek pat pan klinik trial. Apat frɔm dat, ilɛksɛf di tritmɛnt nɔ ebul fɔ kɔntrol di kansa we dɔn kam bak, ilɛksɛf yu liv lɔng, op de fɔ liv di layf we yu want. If yu kansa kam bak, yu ɔnkɔlɔjis ɛn di mɛdikal tim go sɔpɔt yu disayd ɛn ɛp yu as dɛn ebul. Nɔ fred, kɔntinyu fɔ strɔng.

` Kansa kam bak, kansa simptom, kansa tritmɛnt, kansa diagnosis, liv wit kansa, kansa kia