Yu no se yu gɛt kansa na yu anal? Lɛ wi tɔk bɔt am!

Sɔntɛnde yu kin gɛt it ɔltɛm rawnd yu an, ɔ yu kin gɛt smɔl blɔd we yu de go dɔti? I rili shem fɔ tɔk bɔt dɛn tin ya wit ɛnibɔdi, nɔto so? Bɔt dɛn tin ya nɔ kin bi simpul, smɔl smɔl tin dɛn ɔltɛm. Tide, lɛ wi tɔk bɔt wan sik we dɛn kɔl anal kansa. Dis na sɔntin we wi ɔl nid fɔ no bɔt.

Wetin na anal kansa?

Fɔ tɔk am simpul wan, anal kansa na kansa we de divɛlɔp na di tisu dɛn na yu an, ɔ di layn na yu anal kanal. yu no se di anal kanal na di tכb we de kכnekt yu an (di opin usay west de kכmכt) to yu rεktum (di pat we de lכs pas כl na yu dijestiv sistεm). Fɔ tɔk di kɔrɛkt tin, yu stɔl de kɔmɔt na yu bɔdi tru dis tiub. Di bɛst pat na dat if dɛn no dis kansa ɛn trit am kwik, i kin wɛl ɔl.

Yu tink se kayn kansa de na di rεktal?

Yɛs, tu men kayn kansa de we de mek pɔsin gɛt rεktal kansa.

• Squamous Cell Carcinoma: Dis na di kayn kansa wae de kam pan yu rεktal. Bɔt i difrɛn frɔm kansa na di skin, we kin apin na di ɔp layt na di skin.
• Adenocarcinoma: Dis na di ɔda kayn bak.

Dis na sik we pipul dɛn kin gɛt?

Nɔ, rɛkɛtal kansa nɔ rili kɔmɔn so. Tink bɔt dis: Di American Cancer Society se na lɛk 9,000 pipul dɛn nɔmɔ na Amɛrika go gɛt dis sik insay 2023. (Dis inklud kansa we de na di bɛlɛ, kansa we de na di anɔrektal, ɛn kansa na di anal.) Bɔt dɛn se na lɛk 153,000 pipul dɛn go gɛt kansa na dɛn kɔlon. So yu kin si se dis nɔ bɔku.

Wetin na di sayn dɛm fɔ dis?

Sɔmtɛm de sayn dɛm fɔ rεktal kansa kin fil lɛk nɔrmal kɔndishɔn. Fɔ ɛgzampul, i kin it ɔltɛm na di an. Ɔda sayn dɛn kin bi:

• Blɔd we de kɔmɔt na di rɛktum , mɔ we yu de muv yu bɔdi.
• Fɔ fil sɔntin lɛk wan smɔl smɔl bɔdi ɔ wan smɔl smɔl bɔdi. (dεn kin si dis kayn lכmp bak nia di anal opin.)
• Pen.
• Chenj dɛn na di abit dɛn we pɔsin kin gɛt na di bɔdi. dat min se, chenj dεm na di frεkuεns we di bכdi de muv, כ di kכnsistεns (tik) fכ di stכl.
• Di bɔdi we dɛn nɔ de kɔntrol.
• wan filin we de kכnstant fכ nid fכ defecate (dεn kכl dis ``Tenesmus'' insay mεdikal tεm dεm).

De impɔtant tin na dat, jɔs bikɔs yu gɛt wan ɔr mɔr pan dɛn kayn sik ya nɔr min se yu gɛt kansa na yu rεktal. Bɔrku ɔda tin kin de wae kin mek pɔrsin gɛt dis sik. Bɔt if dɛn sik ya nɔ go stɔp insay sɔm dez ɔ i go tranga, i impɔtant fɔ go to dɔktɔ fɔ advays.

Na nɔmal tin fɔ fil smɔl shem ɔ shem fɔ tɔk to yu dɔktɔ bɔt sɔm sayn dɛm, lɛk fɔ it yu an. Bɔt mɛmba se bɔku difrɛn tin dɛn de we kin mek pɔsin gɛt kansa na yu anal. So no rizin nɔr de fɔ shem fɔ gɛt dɛn kayn sik ya. Yu dɔktɔ dɛn de ya fɔ ɛp yu wit ɔl yu wɛlbɔdi prɔblɛm dɛn, ivin dɛn anal kansa simptom ya.

Wetin kin mek dis apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt kansa na di bɔdi. Bɔt dɛn dɔn no sɔm tin dɛn we kin mek pɔsin gɛt dis sik. Fɔ ɛgzampul, bɔku pan di kansa dɛn na di anal kin gɛt fɔ du wit infɛkshɔn wit sɔm kayn di human papillomavirus (HPV) . Bɔt di impɔtant tin na dat nɔto ɔlman we gɛt HPV go gɛt kansa na di bɔdi.

Apat frɔm HPV, sɔm ɔda tin dɛn de we kin mek yu gɛt kansa na yu anal:

• Yuz di tin dɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik. Dis na mɛrɛsin dɛm wae de stɔp yu imyun sistɛm fɔ pwɛl wɛl bɔdi sɛl dɛm.
• Fɔ gɛt HIV (Human Immunodeficiency Virus) infɛkshɔn. Bikɔs HIV kin afɛkt yu imyun sistɛm ɛn we yu nɔ du mami ɛn dadi biznɛs wit yu anal kin mek yu gɛt HIV, di risk fɔ gɛt kansa na yu anal kin bɔku.
• Bi di patna we de tek di pikin we yu de du anal sɛks. Dis na kɔmɔn tin fɔ ɔlman, ilɛksɛf na man ɔ uman. If yu gɛt bɔku patna fɔ ɛni kayn mami ɛn dadi biznɛs, dat kin mek yu gɛt HPV, ɛn dat kin mek yu gɛt kansa na yu anal.
• Nɔ fɔ gɛt vaysin agens HPV. Sɔm kayn HPV na di men tin we kin mek pɔsin gɛt kansa na di anal.
• I ol 55 ia ɔ pas dat. Dɔktɔ dɛn kin no se dɛn gɛt kansa na di rɛktal mɔ pan pipul dɛn we de na dis ej grup.
• Fɔ smok. Pipul wae de smok kin gɛt ɔl kayn kansa.
• Fɔ gɛt sik ɔr fɔ tek mɛrɛsin wae de mek yu imyun sistɛm wik. Fɔ ɛgzampul, pipul dɛn we dɛn dɔn transplant dɛn ɔgan kin nid fɔ tek mɛrɛsin fɔ mek dɛn nɔ rijek di ɔgan we dɛn transplant.
• fכ gεt abnכmal opin (`Anal Fistula`) we de rכn frכm di rεktum to di skin we de rawnd di an.
• Fɔ gɛt ɔda kansa dɛn. Fɔ ɛgzampul, vulva kansa, vagina kansa, ɔ sɛvikal kansa.

Wetin kin apin if dɛn nɔ gi dɛn tritmɛnt? (Kɔmplikeshɔn dɛn) .

if dεn nכ trit am fayn, rεktal kεnsar kin spre to di tisu dεm we de nia (dεn kכl dis ``mεtastasayz''). Na smɔl tɛm nɔmɔ, i kin go bak to yu lɔng ɔ yu liva.

Aw yu kin no bɔt dis?

Dɔktɔ go aks yu bɔt yu sik dɛn, aw lɔng dɛn dɔn de, yu mɛdikal histri, inklud di tin dɛn we de afɛkt yu imyun sistɛm, ɛn i kin aks yu bak bɔt aw yu de du mami ɛn dadi biznɛs.

Us tɛst dɛn kin du fɔ no dis sik?

Yu dɔktɔ go du dijital rɛktal ɛgzam . Dɔn, dɛn go tek di sɛl dɛn ɛn sɛn dɛn to dɔktɔ we de mɛn sik dɛn fɔ mek i luk dɛn ɔnda maykroskɔp. Dɛn go du wan anal Pap tɛst ɔ wan bayɔpsi . (Fɔ uman dɛn, dɛn kin du ɛgzamin bak na dɛn bɛlɛ.) Apat frɔm dat, yu dɔktɔ go du ɛndoskopik tɛst ɛn imej tɛst .

Ɛndoskopik Tɛst dɛn

Dɔktɔ dɛn kin yuz ɛndoskopi fɔ luk insay yu rɛktum ɛn yu an. Dɛn kin yuz spɛshal inschrumɛnt dɛn fɔ du dɛn tɛst dɛn ya. Dɛn tiub dɛn ya na tin we tan lɛk tin we kin chenj ɛn we gɛt layt, lens, ɛn vidio kamɛra. insay dis tεm, dεn kin tek tisu sεmpl dεm (dεn kכl dεm `bayopsi`) εn patכlכjist kin egzamin am. Ɛndoskopi tɛst dɛn inklud:

• Anoskopi: Dɔktɔ dɛn kin yuz wan shɔt tiub we gɛt layt we dɛn kɔl anoscope fɔ luk yu an ɛn di ɔda rɛktum we de dɔŋ.
• Fleksibul Sigmoidoscopy: I de chεk yu rεktum εn anus fכ kεnsar growth εn polyp.
• Kolonoskopi: Dɛn kin chɛk yu ɔl kɔlon fɔ si if i gɛt kansa ɛn if i gɛt pɔlip.

Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ

Di tɛst we dɛn kin du wit pikchɔ kin ɛp dɔktɔ dɛn fɔ no mɔ bɔt di tumbu dɛn we gɛt kansa, lɛk dɛn saiz ɛn di rayt say we dɛn de. Dɛn tɛst ya kin bi:

• Magnɛtik Rizɔnans Imej (MRI) skan.
• Transrɛktal Ɔltrasɔund.
• Kɔmpyuta Tomografi (CT) skan.
• Positron Emission Tomografi (PET) skan we dɛn kin skan.

Anal Kansa Stejmɛnt

Dɔktɔ dɛn kin yuz kansa stej sistɛm fɔ plan tritmɛnt ɛn gi prɔgnosis, dat na wetin yu kin ɛkspɛkt afta tritmɛnt. dεn kin tink bכt tin dεm lεk di saiz fכ di tכmכro, if di kεnsar de na di limf no dεm, εn if di tכmכro dכn spre (mεtastasayz). Fayv stej dεm de fכ rεktal kεnsar:

• Stej 0: .

sεl dεm we nכ nכmal de na di mכkus mεmbran (mכkus layn) na yu rεktum. Dɛn nɔmal sɛl ya nɔto kansa, bɔt dɛn kin bi kansa. stej 0 rεktal kεnsar dεn kכl am bak hεy-grεd squamous intraepithelial lesion (HSIL) .

• Stej I: .

di kansa sεl dεm dכn gεt fכ mek wan bכku we 2 sεntimita כ less, we di sayz lεk pinat.

• Stej II: .

Stej II rεktal kεnsar dεn sheb am to tu pat:

• Stej IIA min se wan lump de we big pas 2 sɛntimita bɔt we smɔl pas 5 sɛntimita.
• Stej IIB min se di tכmכro na lεk 5 sεntimita – dat na lεk lεmכn saiz – bכt i nכ spre pas yu an.

• Stej III: .

Faz III gɛt tri pat:

• Stej IIIA: di tכmכro na 5 sεntimita כ sכmכl, εn i dכn spre to limf no dεm na yu an כ groin.
• Stej IIIB: Kansa na di rεktal dεn dכn spre to di כgan dεm we de nia yu, lεk yu vagina, urethra, כ blad.
• Stej IIIC: Di kansa de na di ɔgan dɛm we de nia yu, ɛn i dɔn spre to di limf no dɛm nia yu an ɔ yu groin.

• Stej IV: .

di kansa de na di limf no dεm we de fa frכm yu an εn na di כgan dεm we de fa lεk yu lכng כ liva.

Aw dɛn kin trit kansa na di rεktal?

Di tritmɛnt fɔ rɛkɛtal kansa dipen pan di kayn ɛn stej we di kansa gɛt, bɔt i kin inklud:

Rɛdieshɔn Tɛrapi

Dɔktɔ dɛn kin trit rɛktal kansa wit ɛksternal bim raytin tɛrapi (EBRT). Bɔku kayn EBRT dɛn de:

• Intensity-Modulated Radiation Therapy (IMRT): dis de yuz mכltipכl bim dεm fכ rεdyushכn we difrεn trεnk fכ tכk di tכmכro.
• Stereotactic Body Radiation Therapy (SBRT): dis de tכk bכt sכm sכm tכmכro dεm we nכ de damej di hεlty tisu we de nia de.
• Tri-dimenshכnal kכnfכmal Rεdyushכn Tεrapi (3D-CRT): Dis de mek wan tri-dimenshכnal pikchכ fכ di tכmכro.
• Brachytherapy: Dis na intanɛnt redyushɔn tɛrapi.

Kimotɛrapi

Bɔku tɛm, dɔktɔ dɛn kin yuz kemotɛrapi ɛn redyushɔn tɛrapi togɛda as di men tritmɛnt fɔ kansa na di rɛktal. Dis kɔmbayn tritmɛnt kin mek yu nɔ gɛt di rɛkɛt kansa bɔku tɛm, so yu nɔ nid ɔpreshɔn.

Bɔt if yu nid ɔpreshɔn, dɛn kin gi yu kemotɛrapi bifo dɛn du ɔpreshɔn fɔ mek di tɔŋ smɔl (`Neoadjuvant Chemotherapy`), ɔ afta dɛn du ɔpreshɔn fɔ pwɛl ɛni kansa sɛl we lɛf (`Adjuvant Chemotherapy`).

Ɔpreshɔn

Trit rektal kansa we dɔn kam bak ɔ we nɔ dɔn ansa to redyushɔn tɛrapi ɛn/ɔ kemotɛrapi.Dɛn kin yuz wan ɔpreshɔn we nɔ kin tek bɔku tin we dɛn kɔl laparoscopic abdominoperineal resection. Dis min se yu fɔ pul yu an, yu rɛkɛt, ɛn wan pat pan yu kɔlon.

If dɛn du dis ɔpreshɔn, yu dɔktɔ go mek bak wan kɔlostomi we go de sote go . Dis min se yu stɔl go pas tru bag ɔ paus we dɛn tay pan yu bɔdi. Pan ɔl we i go tan lɛk se dis nɔ izi fɔ du smɔl, nɔto yu wangren de. Yu mɛdikal tim go ɛp yu fɔ yus to am.

Imyunotɛrapi

If yu gɛt advans rɛkɛtal kansa, yu dɔktɔ kin tɛl yu fɔ tek imyunotɛrapi fɔ ɛp fɔ kɔntrol yu sik dɛn. Dis tritmɛnt de ɛp yu bɔdi fɔ fɛt di kansa.

Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?

Bɔku tritmɛnt dɛn we kin mek pɔsin gɛt kansa kin mek i gɛt bad bad tin dɛn. Fɔ ɛgzampul, di sayd ɛfɛkt dɛn we kemotɛrapi ɛn redyushɔn tɛrapi kin gɛt kin bi fɔ mek yu skin rɔsh, pen na di anal eria, yu taya, yu bren fɔg bikɔs ɔf kemotɛrapi, yu kin gɛt nɔys, ɛn yu kin vɔmit.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt tritmɛnt?

Dɔktɔ dɛn kin trit rεktal kansa wit ɔpreshɔn. Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn kin bi:

• Wan riakshɔn we pɔsin kin gɛt we i de anestez.
• Blɔd we de kɔmɔt pasmak.
• Wan infɛkshɔn.

Wetin na di rεt wae de liv fכ rεktal kεnsar?

Di rεt wae de liv fכ rεktal kεnsar na εstimat כf di pasεnshכn כf pipul dεm wae de alayv fayv ia afta dεn no di sik. Dis rεt kin difrεn dipεnd pan if dεn bin dεtekt di sik εn trit bifo i spre. Ɔl togɛda, akɔdin to di Nashɔnal Kansa Instityut, 70% pan di pipul dɛm we gɛt rɛkɛtal kansa de alayv fayv ia afta dɛn dɔn no se dɛn gɛt am.

Bɔt i impɔtant fɔ mɛmba se dɛn kayn we ya fɔ wɛl kin kɔmɔt frɔm di ɛkspiriɛns wae bɔrku pipul dɛm wae gɛt difrɛn kayn wɛl bɔdi prɔblɛm dɔn gɛt. Wetin tru fɔ dɛn nɔ kin bi tru fɔ yu. If yu gɛt kwɛstyɔn, aks yu dɔktɔ fɔ ɛksplen wetin yu go ɛkspɛkt.

Aw yu go mek dis nɔ apin? (Prɛvenshɔn) .

No garanti nɔ de fɔ mek yu nɔ gɛt kansa na di rεktal. Bɔt yu kin ridyus di prɔblɛm we yu gɛt fɔ gɛt am if yu du dɛn tin ya:

• Nɔ smok. If yu de smok, fɛn we fɔ ɛp yu fɔ lɛf fɔ smok. Yu dɔktɔ kin ɛp yu bak.
• Praktis mami ɛn dadi biznɛs we sef. If yu de du anal sex, mek shɔ se yu yuz kɔndɔm.
• If yu fit fɔ gɛt di Human Papillomavirus (HPV) vaysin. Dis vaysin nɔ kin jɔs mek yu nɔ gɛt kansa na yu anal, bɔt i kin mek yu nɔ gɛt kansa na yu mɔt ɛn trot, kansa na yu sɛvikal, ɛn kansa na yu penis.

Ustɛm yu fɔ go to dɔktɔ?

If dɛn de trit yu fɔ rɛkɛtal kansa, yu fɔ go to yu dɔktɔ in apɔntinmɛnt dɛn di de dɛn we dɛn dɔn sɛtul ɛn kɔntakt dɛn lɛk aw dɛn tɛl yu. Fɔ ɛgzampul, yu dɔktɔ kin tɛl yu fɔ kɔl if yu gɛt ɛni pen ɔ fiva.

Sɔntɛnde, tritmɛnt fɔ rɛkɛtal kansa kin gɛt fɔ du wit fɔ pul sɔm pat dɛn na yu dijestiv sistɛm ɛn mek wan pɔrmanent colostomy (wan kayn ɔpreshɔn) fɔ mek yu stɔl pas. Fɔ liv wit kɔlostomi fɔ ɔltɛm kin tranga. Bɔt nɔto yu wangren de. Yu mɛdikal tim kin ɛp yu fɔ manej yu bɔdi muvmɛnt ɛn yus fɔ liv ful, nɔmal layf afta yu dɔn ɔpreshɔn yu rɛkɛtal kansa.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt kansa na yu rεktal, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn rεktal kansa a gɛt?
• Wetin na di stej fɔ mi kansa?
• Us tritmɛnt opshɔn dɛn a gɛt?
• If a nid ɔpreshɔn, us kayn ɔpreshɔn yu go se fɔ du?

Wetin na di difrɛns bitwin anal kansa ɛn anal dysplasia?

Di difrɛns na, anal dysplasia nɔto kansa, bɔt i kin mek yu gɛt anal kansa. insay anal dysplasia, di sεl dεm na yu ans kin bi abnכmal. As tɛm de go, dɛn nɔmal sɛl dɛn ya kin bigin fɔ bɔku ɛn mek kansa.

Aw rεktal kεnsar difrεn frכm rεktal kεnsar εn kכlon kεnsar?

Yu an, rεktum, εn kכlon na כl pat dεm na yu dijestiv sistεm. Bɔt di sɛl dɛn we de mek di tisu na ɛni pat rili difrɛn. Dat min se dɔktɔ dɛn kin trit dɛn kansa ya difrɛn we dɛn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Anal kansa na kansa we de divεlכp na yu ans – di pat pan yu bכdi we yu de was afta yu gεt bכdi muvmεnt. Di sayn dɛm wae kin mɔna yu na wae yu de blɔd na yu an ɔ yu de it. Dɛn tin ya kin mek yu nɔr want fɔ tɔk to yu dɔktɔ bɔt dɛn tin ya. Bɔt, dɛn kin trit kansa na di anal mɔ if dɛn no am ɛn trit am kwik, bifo i skata. If yu gɛt wan sayn lɛk anal it wae de kɔntinyu ɛn nɔr de go, mek shɔ se yu tɔk to yu dɔktɔ. Dɛn de ya fɔ ɛp yu. Wi nɔ nid fɔ fred ɔ shem. Yu wɛlbɔdi biznɛs na di tin we impɔtant pas ɔl.

` Anal Kansa, Anal Kansa, Kansa Simptom, HPV, Anal Wɛlbɔdi, Kansa Tritmɛnt, Kansa Prɛvenshɔn