Bɔku tɛm yu kin fil lɛk se yu gɛt wan say we de it ɛn we gɛt bɔku bɔku wata rawnd yu an? Bɔku pipul dɛn kin shem smɔl fɔ tɔk bɔt dɛn tin ya, ɛn dat na nɔmal tin. Bɔt fɔ no bɔt dɛn sik ya ɛn nɔ fɔ pe atɛnshɔn to dɛn rili impɔtant fɔ yu wɛlbɔdi. Tide wi go tɔk bɔt wan kɔndishɔn we bɔku pipul dɛn nɔ yɛri bɔt, bɔt i impɔtant fɔ no bɔt. Dat na di sik we dɛn kɔl Anal Dysplasia.
Fɔ tɔk am simpul wan, wetin na Anal Dysplasia?
Nɔ frayd we yu yɛri di wɔd Anal Dysplasia. I nɔto kansa. Bɔt, fɔ tɔk am simpul wan, na abnɔmal chenj na di sɛl dɛn na yu an. Dis chenj kin mek yu gɛt mɔ risk fɔ gɛt anal kansa tumara bambay. So, dεn kin kכl am "precursor" כ "warning sign" fכ kεnsar.
Tink bɔt am lɛk se smɔl krak krak de na wan wɔl. Dat krak krak nɔ min se di wɔl dɔn fɔdɔm. Bɔt na sayn fɔ sho se yu nid fɔ pe atɛnshɔn to am ɛn tek di step dɛn we yu nid. Anal Dysplasia na wan pan dɛn tin ya.
Di wan dɛn we de stɔdi bɔt mɛrɛsin biliv se di men tin we kin mek pɔsin gɛt dis sik na di Human Papillomavirus, ɔ sɔm kayn HPV vayrɔs we wi ɔl no. Pipul wae gɛt HIV kin gɛt dis sik bak. Di bɛst tin na dat fɔ gɛt di HPV vaysin ɛn fɔ protɛkt yusɛf frɔm HPV infɛkshɔn kin ridyus di risk fɔ gɛt Anal Dysplasia bad bad wan.
Aw dis sik kin afɛkt di bɔdi?
Anal Dysplasia de stat na di wet layn na yu an. Wi kin kɔl am di mucosa. insay dis kכndishכn, di hεlty sεl dεm na dis layn de tכn sכmtεm to abnכmal sεl dεm. bכku tεm dεn abnכmal sεl dεm ya de divεlכp usay di ans de mit di rεktum. bכt sכmtεm dεn kin divεlכp bak na di skin we de na do na di an (perianal skin).
Bɔrku tɛm, dis sik nɔr kin kɔz ɛni patikyula sayn, bɔt sɔm pipul kin gɛt tin lɛk:
- Wan it we kin de ɔltɛm, we pɔsin nɔ kin ebul fɔ bia arawnd di an.
- We yu tɔch am wit yu finga, i kin tan lɛk se yu ol sɔntin lɛk 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.
- Sɔm pipul dɛn kin gɛt wɔt rawnd di anus. Dɛn wɔt ya nɔto kansa, bɔt na sayn fɔ HPV infɛkshɔn.
Dɔktɔ dɛn kɔl dis kɔndishɔn Anal Intraepithelial Neoplasia (AIN) ɔ Squamous Intraepithelial Lesions (SILs). Dɛn sheb am mɔ to tu kategori. Dɛn kin no am bay we dɛn de chɛk di sɛl dɛn ɔnda maykroskɔp.
| Kwaliti lɛvɛl (Grɛd) . | Simpul ɛksplen |
|---|---|
| SIL we gɛt lɔw gred (LSIL) . (Lɔw risk lɛvɛl) | na dis stej, di abnכmal sεl dεm de rili fiba di hεlty sεl dεm. Bɔrku tɛm dis sik kin sɔlv fɔ insɛf ɛn nɔr gɛt ɛni tritmɛnt. Di risk fɔ gɛt kansa rili smɔl. |
| SIL we gɛt ay gred (HSIL) . (Hay risk lɛvɛl) . | na dis stej, di sεl dεm de luk klia wan se dεn nכ nכmal. Dis sik nɔr kin bɛtɛ if yu nɔr gɛt tritmɛnt. As tɛm de go, if dɛn nɔ trit am, i kin mek i gɛt kansa na di rεktal. |
Di impɔtant tin na dat, lɔw-grɛd (LSIL) nɔ kin tɔn to kansa. Bɔt, ay-grɛd (HSIL) na sɔntin we wi fɔ wɔri bɔt.
Wan stכdi we dεn jכs du sho se bitwin 3% εn 14% pan di pipul dεm we gεt hεy grεd (HSIL) anal kεnsar go gεt. Bɔt dis prɔblɛm kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ ɛgzampul, pipul dɛm wae gɛt HIV wae gɛt anal dysplasia kin gɛt bɔrku risk fɔ gɛt kansa.
Wetin na di risk factor dɛm fɔ mek yu gɛt Anal Dysplasia?
Bɔku tin dɛn de we kin mek i izi fɔ mek dis sik apin. Dɛn na:
- Infεkshכn wit sɔm kayn HPV vayrɔs: Dis na di men tin we kin mek yu gɛt dis sik.
- Fɔ du mami ɛn dadi biznɛs wit yu an: Ivin if dɛn yuz kɔndɔm, risk de fɔ mek di HPV vayrɔs pas na say dɛn na di skin we di kɔndɔm nɔ kɔba.
- Fɔ gɛt di HIV vayrɔs: HIV kin mek di bɔdi in imyun sistɛm wik, ɛn dis kin mek i nɔ ebul fɔ fɛt di HPV infɛkshɔn.
- Smok: Di kemikal dɛn we de insay sigrɛt kin pwɛl di bɔdi in sɛl dɛn ɛn i kin mek pɔsin gɛt kansa mɔ.
- wik imyun sistεm: Pipul dεm we wik imyun sistεm bikoz fכ sכm mεdikeshכn dεm (e.g., mεdikeshכn dεm we dεn gi afta dεn transplant כgan) כ כda כtoimyun kכndishכn dεm dεn tu de pan inkrεs risk.
Aw dɔktɔ kin no bɔt dis sik?
If yu gɛt dɛn sik ya, yu dɔktɔ kin want fɔ du sɔm tɛst fɔ no if yu gɛt dis sik. Nɔ shem ɔ fred bɔt dis. Dis na tɛst dɛn we dɛn kin du ɔltɛm fɔ mɛn pipul dɛn.
| Di we aw dɛn de du di tɛst | Fɔ tɔk am simpul wan, wetin yu de du wit dis? |
|---|---|
| Dijital Rɛktal Ɛgzamin | Di dɔktɔ go yuz finga we gɛt glɔv fɔ chɛk yu rɛktum ɛn luk fɔ ɛni lumps ɔ bɔmp. |
| Anal Pap Smear we dɛn kin yuz | i tan lεk Pap tεst, we dεn kin yus fכ skan fכ sεvikal kεnsar. dεn kin put wan swab insay di rεktum fכ tek wan sεmpl fכ di sεl dεm, we dεn kin egzamin כnda maykroskכp fכ si if εni sεl dεm de we nכ nכmal. |
| Anoskopi we dɛn kin du | sכm sכm instrכmεnt we lεk tכb (anoskop) dεn de put insay di an fכ luk di tisu dεm we de insay dεn wan dεm fכ si if dεn nכ de. sכmtεm dεn kin yuz spεshal wata fכ mek di εria dεm we nכmal sεl dεm kin si klia wan (High-Resolution Anoscopy). |
| Bayopsi we dɛn kin du | If ɛnitin de we dɛn tink se sɛl dɛn nɔ de wok, dɛn kin tek wan smɔl tisu frɔm da say de ɛn sɛn am na lɛb fɔ mek dɛn tɛst am. Dis na di onli we fɔ 100% kɔnfɔm if na Anal Dysplasia ɔ kansa. |
| CT Skan we dɛn kin du | Na if tɛst kɔnfyus kansa nɔmɔ, dɛn kin du dis tɛst fɔ si if i dɔn spre to ɔda pat dɛn na di bɔdi. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di we aw dɛn de trit yu dipen pan us lɛvul fɔ displasia yu gɛt (lɔ-grɛd ɔ ay-grɛd).
- Lɔw-grɛd (LSIL): Bɔku tɛm, di dɔktɔ nɔ go trit di sik ɛn i go jɔs wach am fɔ sɔm tɛm, bikɔs bɔku tɛm dɛn tin ya kin sɔlv fɔ dɛnsɛf.
- High-grade (HSIL): Dis na wan sik wae kin mek yu gɛt kansa tumara bambay, so dɛn nid tritmɛnt fɔ pul di nɔrmal sɛl dɛm. Bɔku we dɛn de fɔ du dis.
Yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu ɛn we nɔ gɛt bɛtɛ sayd ɛfɛkt. I go ɛksplen am to yu gud gud wan. Natin nɔ de fɔ mek wi fred. Sɔm pan di tritmɛnt dɛn we yu kin gɛt na:
- Laser Tritmɛnt: Yuz laser bim fɔ pwɛl di tisu we gɛt abnɔmal sɛl dɛn.
- Ilɛktrokɔtiri (EC): Dɛn kin pul di sɛl dɛn we nɔ de wok bay we dɛn de yuz ilɛktrik tin.
- TCA (Trichloroacetic acid): Dɛn kin sok wan spɛshal kayn asid insay kɔtɔn bɔl ɛn put am na say dɛn we nɔmal sɛl dɛn de, ɛn i kin pwɛl dɛn.
- Ɔpreshɔn: Sɔntɛnde, dɛn kin ɔpreshɔn di say we gɛt abnɔmal tisu.
Wetin wi go du fɔ ridyus di prɔblɛm?
Di bɛst ɛn fayn we fɔ mek yu nɔ gɛt dis sik na fɔ protɛkt yusɛf frɔm di HPV vayrɔs we de mek yu gɛt am. Bɔku tin dɛn de we yu kin du fɔ du dis:
- Fɔ gɛt di HPV vaysin: Dis na di bɛst we fɔ mek yu nɔ gɛt HPV infɛkshɔn. Fɔ gɛt di vaysin kin protɛkt bak frɔm anal dysplasia ɛn ɔda kansa dɛn we gɛt fɔ du wit HPV, lɛk kansa na di sɛvikal.
- Sef we fɔ du mami ɛn dadi biznɛs: If yu yuz kɔndɔm kɔrɛkt wan ɛvri tɛm we yu de du mami ɛn dadi biznɛs, dat kin mek yu nɔ gɛt sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs, lɛk HPV.
- Fɔ stɔp di nɔmba fɔ di wan dɛn we de du mami ɛn dadi biznɛs wit: Di risk fɔ gɛt HPV infɛkshɔn de go ɔp wit di nɔmba fɔ di patna dɛn.
- Nɔ smok: If yu de smok, fɔ lɛf fɔ smok rili impɔtant fɔ yu ɔl yu wɛlbɔdi ɛn fɔ ridyus dis prɔblɛm.
- Dɛn kin chɛk yu ɔltɛm wit mɛrɛsin: If yu fɔdɔm pan wan pan di risk grup dɛm wae wi bin dɔn tɔk bɔt (e.g., if yu gɛt HIV), tɔk to yu dɔktɔ bɔt fɔ mek dɛn chɛk yu fɔ dis sik.
Ustɛm fɔ go to dɔktɔ
If yu gɛt sayn dɛn lɛk dis, nɔ shem ɛn go to dɔktɔ we yu nɔ go te.
- I de it ɔltɛm na di an.
- If yu fil se yu gɛt lump ɔ tumor na da eria de.
- If yu gɛt pen na di rɛktal.
- If blɔd de kɔmɔt wit di stɔl ɔ ɔda tɛm.
Mɛsej we dɛn kin kɛr go na os
- Anal dysplasia nɔto kansa.Bɔt na wɔnin fɔ se kansa kin gɛt am tumara bambay.
- Di men tin we kin mek dis apin na di HPV vayrɔs. So, i rili impɔtant fɔ gɛt di HPV vaysin ɛn praktis sef sɛks prɔsis.
- If yu gɛt sayn dɛn lɛk it, lumps, ɔ pen na yu rɛkɛt , nɔ shem ɔ delay fɔ go to dɔktɔ. Di kwik we dɛn no se i gɛt am, na di mɔ i izi fɔ trit.
- Lɔw-grɛd (LSIL) kin bɛtɛ fɔ insɛf. High-grade (HSIL) gɛt saksesful tritmɛnt dɛn.
- Fɔ tɔk opin wan bɔt wɛl bɔdi biznɛs lɛk dis ɛn fɔ no na di bɛst we fɔ gɛt wɛlbɔdi.
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