If di dɔktɔ tɛl yu ɔ pɔsin we yu sabi "gɛt prɔstat kansa," wetin kin kam na yu maynd wantɛm wantɛm na tin dɛn lɛk ɔpreshɔn, kemotɛrapi, ɔ redyushɔn tɛrapi? I rili nɔmal fɔ mek yu fred ɛn wɔri we yu yɛri sɔntin lɛk dat. Bɔt yu no se nɔto ɔlman we gɛt prɔstat kansa nid fɔ bigin dɛn kayn big tritmɛnt dɛn de wantɛm wantɛm? Tide, wi go tɔk bɔt wan we we dɛn kin yuz pan dɛn kayn tin ya, ɛn bɔku pipul dɛn nɔ no bɔt am.
Fɔ tɔk am simpul wan, wetin na ‘Aktiv Sɔvɛlayshɔn’?
As di nem sho, ‘active surveillance’ min fɔ aktiv wan fɔ wach di kansa we yu nɔ gɛt tritmɛnt, dat na fɔ kip yu yay pan am. Dis nɔ min se yu nɔ fɔ pe atɛnshɔn to di kansa. Fɔ tɔk mɔ, i min se dɛn kin wach pɔsin we gɛt lɔw risk, we nɔ gɛt bad bad prɔstat kansa ɔltɛm fɔ si aw di kansa de du we dɛn nɔ gɛt tritmɛnt wantɛm wantɛm, lɛk ɔpreshɔn.
Tink bɔt am dis we. Wan natin smɔl bɔbɔ de na di os. As lɔng as i de ple na di rum, wi nɔ gɛt prɔblɛm. Bɔt wi de wach ɔltɛm fɔ si if i go du sɔntin we denja, ɔ if i go tɔch di kɔrɛnt. Na if i tray fɔ du sɔntin we denja lɛk dat, na in wi kin put an pan am kwik kwik wan. ‘Aktiv sɔvɛlayshɔn’ na sɔntin lɛk dat. Wi kin wet te di kansa de na di prɔstat , bɔt na if i sho sayn dɛn fɔ mek i wɔs wi kin bigin fɔ trit am.
Di men gol fɔ dis na fɔ delay di sayd ɛfɛkt dɛm fɔ tin dɛm lɛk ɔpreshɔn ɛn redyushɔn tɛrapi te i nid. Dis go ɛp yu fɔ kɔntinyu fɔ liv fayn layf.
Udat dis we fɔ du tin fayn fɔ?
Di we aw dɛn kɔl ‘active surveillance’ nɔ fayn fɔ ɔlman. If yu dɔktɔ tɛl yu fɔ du dis, sɔm tin dɛn nid fɔ du.
- Sɔntɛm di kansa nɔ bin dɔn skata na do na yu prɔstat gland.
- Di kansa nɔ kin ebul fɔ bi agresiv. Fɔ no dis, dɔktɔ dɛn kin yuz tin dɛn lɛk ‘Gleason score’, we na tɛst we kin tek kansa sɛl dɛn ɛn tɛst dɛn. Dis mak fɔ smɔl.
- Di tumbu fɔ smɔl.
Fɔ tɔk am simpul wan, if yu gɛt kansa we de gro kwik kwik wan, we de gro sloslo, ɛn we nɔ de mek pɔsin sik , dis we fɔ du tin kin bi fayn tin fɔ yu.
Wetin kin apin we dɛn de du ‘aktiv sɔvɛlayshɔn’?
Yu nɔ go lɛf yu wan insay dis tɛm. Yu ɔnkɔlɔjis go wach yu gud gud wan. Wan patikyula plan de, ɔ ‘protocol’, fɔ dis. Dis na wetin kin apin insay dis tɛm.
| Test / Prɔses | Di tɛm we dɛn kin yuz ɔltɛm |
|---|---|
| Dijital Rɛktal Ɛgzam | Bɔku tɛm, wan ɔ tu tɛm insay di ia. |
| PSA blɔd tɛst (PSA Tɛst) . | Wan ɔ tu tɛm insay di ia. Dis de gi yu aidia bɔt di wɛlbɔdi na di prɔstat gland. |
| Prɔstat Bayɔpsi | Wan tɛm ɛvri 1 to 5 ia. Dis na fɔ chɛk fɔ ɛni chenj na di kansa. |
| MRI skan dɛn we dɛn kin du | Sɔntɛnde, di dɔktɔ kin se bak fɔ mek dɛn du MRI skan fɔ gayd di bayɔpsi. |
Dis schedule kin difrɛn difrɛn wan bay aw yu sik. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn nɔ skip ɛni tɛst.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis we fɔ du tin gɛt?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit ɛn prɔblɛm dɛn de. I impɔtant fɔ ɔndastand dɛn tu tin ya bifo yu disayd fɔ du sɔntin.
Bɛnifit dɛn
Di men bɛnifit na di chans fɔ avɔyd ɔ delay di sayd ɛfɛkt dɛm we kin apin wit tin dɛm lɛk ɔpreshɔn ɛn redyushɔn tɛrapi. Fɔ ɛgzampul:
- I nɔ izi fɔ kɔntrol di urine (urinary incontinence) .
- Erectile dysfunction we nɔ de wok fayn
- Infɛkshɔn ɛn pen
Na big tin fɔ ebul fɔ liv yu layf nɔmal wan, witout tin lɛk dis.
Risk dɛn we kin apin
Di men risk na di possibiliti fɔ mek di kansa gro ɛn spre (metastasize) insay di tɛm we wi de wet.If dis apin, di tritmɛnt we dɛn go gi afta dat kin at fɔ du. Bɔt dɛn kin ebul fɔ kɔntrol dis risk bɔku tɛm bay we dɛn de chɛk dɛn ɔltɛm.
Na nɔmal tin fɔ fil fɔ fred ɛn wɔri fɔ nɔr gɛt tritmɛnt fɔ kansa pan ɔl we yu no se yu gɛt am. Yu kin tink se, "O, a nɔ no if dis go gro insay mi." If yu fil da we de, tɔk to yu dɔktɔ bɔt am opin wan. I go ɔndastand aw yu de fil.
Wetin na di difrɛns bitwin ‘aktiv ɔbshɔbishɔn’ ɛn ‘watchful waiting’?
Bɔku pipul dɛn kin kɔnfyus dɛn tu wɔd ya bikɔs dɛn fiba smɔl. Bɔt, big difrɛns de bitwin dɛn tu we ya.
| Di kwaliti we pɔsin gɛt | 'Aktiv Sɔvɛlayshɔn'. | ‘Watchful Waiting’. |
|---|---|---|
| Di men tin we dɛn want fɔ du | Wait fɔ di bɛst tɛm fɔ bigin tritmɛnt, wit di aim fɔ mɛn di kansa. | Di gol nɔto fɔ mɛn kansa, bɔt fɔ kɔntrol di sayn dɛm ɛn fɔ mek yu gɛt gud kwaliti layf. |
| Testing | Dɛn kin du tɛst dɛn lɛk PSA ɛn bayɔpsi ɔltɛm . | Dɛn nɔ kin du tɛst ɔltɛm ɛn dɛn kin trit di sik dɛn nɔmɔ if dɛn apin. |
| Di wan dɛn we fit pas ɔl | Fɔ di wan dɛn we yɔŋ, we gɛt wɛlbɔdi, ɛn we kin ɛkspɛkt fɔ liv lɔng layf. | Fɔ di wan dɛn we dɔn ol, di wan dɛn we gɛt ɔda siriɔs sik, ɛn di wan dɛn we nɔ kin izi fɔ bia wit di sayd ɛfɛkt dɛn we di tritmɛnt kin gɛt. |
Fɔ tɔk am simpul wan, ‘Aktiv Sɔvɛlayshɔn’ min fɔ de wach ɛn wet fɔ tritmɛnt. ‘Watchful Waiting’ min fɔ nɔ trit di sik dɛn ɛn fɔ trit dɛn nɔmɔ if dɛn apin.
Ustɛm a fɔ tɔk to di dɔktɔ?
Insay di ‘active surveillance’ tɛm, i rili impɔtant fɔ mek yu pe atɛnshɔn to di chenj dɛn we de apin na yu bɔdi. If yu gɛt ɛni nyu sik, ɔ if yu fil se wan sik we yu dɔn gɛt de wɔs, mek yu dɔktɔ no wantɛm wantɛm .
Fɔ ɛgzampul,
- Mɔ prɔblɛm pas aw i kin bi we yu de pis
- Nid fɔ pis bɔku tɛm
- Bak ɔ bon pen
Tek tɛm wit tin dɛn lɛk: Nɔ ɛva fred fɔ aks yu dɔktɔ bɔt ɛni kwɛstyɔn we yu gɛt, ilɛksɛf i smɔl. Yu gɛt big wok bak fɔ disayd bɔt yu tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- ‘Active Surveillance’ na wan mεnejmεnt mεtכd we dεn kin yus fכ nכn malign, we de gro sloslo prכstat kεnsar.
- Di gol ya nɔto fɔ ignore di kansa, bɔt fɔ delay di poshubul sayd ɛfɛkt dɛm fɔ tritmɛnt te nid de.
- Insay dis tɛm, dɛn kin du mɛdikal tɛst ɔltɛm (PSA, bayɔpsi) fɔ wach gud gud wan aw di kansa de biev.
- Na nɔmal tin fɔ fil fɔ fred ɔr wɔri fɔ nɔr gɛt kansa ɛn nɔr gɛt tritmɛnt. I impɔtant fɔ tɔk opin wan bɔt dis wit yu dɔktɔ.
- Dis difrɛn frɔm di we aw dɛn kɔl ‘watchful waiting’. Di gol fɔ ‘aktiv sɔvɛlayshɔn’ na fɔ trit ɛn mɛn di sik if nid de.
- Bifo yu disayd fɔ du di las tin, tek tɛm tɔk to yu dɔktɔ bɔt di bɛnifit dɛn, di prɔblɛm dɛn we i go gɛt, ɛn if dis we ya fayn fɔ yu.
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