We yu yɛri di wɔd apɛndiks kansa, sɔntɛm yu kin fred smɔl, nɔto so? Na rili wan kɔndishɔn we nɔ kin apin so ɔltɛm. Bɔt i impɔtant fɔ no bɔt am smɔl. Lɛ wi tek wan luk pan wetin na apɛndiks kansa, aw i kin kam, wetin na di sayn dɛm, ɛn wetin na di tritmɛnt dɛm.
Fɔ tɔk am simpul wan, apɛndiks kansa na we di sɛl dɛn na yu apɛndiks kin chenj ɛn bigin fɔ gro kwik kwik wan ɛn we yu nɔ kin ebul fɔ kɔntrol. Dɛn kin kɔl dis bak apɛndiks kansa .
Naw yu go de wɔnda wetin na di apɛndiks. Na pat pan yu dijestiv sistɛm . fכ bi prεsis, na sכmכl paus we lεk tyub na di rayt say na yu bכdi, nia usay di sכmכl intestin εn big intestin de jכyn. Sayɛnsman dɛn stil nɔ rili shɔ wetin di apɛndiks de du. Sɔm pipul dɛn tink se i de ɛp wi imyun sistɛm . Ɔda pipul dɛn se na jɔs wan vestigial ɔgan we nɔ de sav wi fayn igen.
Wetin na di kayn apɛndiks kansa?
Okay, naw lɛ wi luk di kayn kansa wae kin kam na di apɛndiks. Fɔ tru, sɔm kayn tɔŋ dɛn de we kin kam na di apɛndiks, we nɔ fayn ɛn we nɔ fayn . Dɛn kansa tɔŋ ya kin denja pas ɔl bikɔs dɛn kin gro ɛn skata ɔlsay na di bɔdi. Dɔktɔ dɛn kin klas dɛn apɛndiks kansa ya bay di kayn sɛl dɛn we di kansa bigin frɔm. Tu men kayn dɛn de:
- Adenokarsinoma we de na di apɛndiks
- Nyuroɛndokrin tɔmɔs dɛn
Apɛndisial Adenokarsinoma (Ɛpitɛlial Tumɔs) .
Mɔs pan di apɛndiks kansa dɛn na di kayn adenocarcinoma . dis dεm de stat na di glandular tisu we de kכba wi כgan. Bɔku ɔda sɔbtayp dɛn de fɔ dis kayn:
- Mucinous adenocarcinoma: Dis kayn de stat na di insay layt na di apεndiks. Dɛn kin pul wan tik tin we dɛn kɔl mucin , we de insay di mכkus. Pan ɔl we dɛn tumbu ya kin skata, bɔku tɛm dɛn nɔ kin skata pas di bɛlɛ.
- di kכlon-tayp (nonmucinous) adenocarcinoma: dεn tכmכro dεm ya de divεlכp nia di lכw εnd pan di apεndiks. Dɛn kin biev lɛk kɔlon kansa, ɛn di sayn dɛm kin rili fiba.
- Saynet ring sɛl adenokarsinoma: .Dis nɔ kin apin so ɔltɛm, bɔt sɔntɛnde i kin kam na di apɛndiks. dis kεnsar sεl dεm de kכl εn stכr bכku mכsin. Dɛn gɛt dɛn nem bikɔs we dɛn si dɛn wit maykroskɔp, dɛn sɛl dɛn ya kin tan lɛk ring.
- Goblet cell adenocarcinoma: Dis na wan kayn adenocarcinoma we nɔ kin bɔku bak. I gɛt sɔm tin dɛn bak we de sho di nyuro ɛndɔkrin tɔŋ dɛn.
Apendis Nyuroεndokrin Tכmכr dεm (Karsinכyd Tכmכr dεm) .
di nyuroεndokrin tכmכro dεm de divεlכp insay wan spεshal kayn sεl we dεn kכ l nyuroεndokrin sεl dεm . Dɛn sɛl ya kin gɛt signal frɔm wi nervɔs sistɛm ɛn dɛn kin pul ɔmon dɛn. Bɔku tɛm, dɛn kayn tɔŋ ya kin gro sloslo .
Aw kɔmɔn fɔ gɛt apɛndiks kansa?
Infakt, apɛndiks kansa na sik we nɔ kin apin so ɔltɛm . Fɔ ɛgzampul, na Amɛrika, na wan ɔ tu pipul dɛn nɔmɔ kin gɛt dis sik pan wan milyɔn pan ia. Dat na plenti less dan 1% of di pipul.
Wetin na di sayn dɛm fɔ apɛndiks kansa?
Sɔmtɛm, yu kin gɛt apɛndiks kansa we nɔr gɛt ɛni sayn. Ɔ, yu nɔ go notis ɛni sayn te di tumbu dɔn skata. Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Chek fɔ si if yu gɛt ɛni wan pan dɛn tin ya:
- Apɛndiks (we min se yu gɛt inflamɛns ɔ infɛkshɔn na di apɛndiks) .
- Bloating , fil fɔ ful-ɔp na yu bɛlɛ
- Asayt we de mek pɔsin gɛt sik
- Di say we di wɛst de go ɔp
- Pen na di bɛlɛ ɔ di bɛlɛ
- Di chenj dɛn we de apin na di bɔdi we de wok (espɛshali dayarɛa ) .
- Nɔs ɛn vɔmit
- Fɔ fil ful jɔs lɛk aw yu bigin fɔ it ( Early satiety ) .
Sɔntɛnde, apɛndiks kansa kin kam wit wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl Pseudomyxoma peritonei (PMP) . insay PMP, di kansa sεl dεm de kכl wan tin we lεk jεli we dεn kכl mכsin, we kin mek di apεndiks swel. As tɛm de go, sɔm sayn dɛm lɛk fɔ blo ɛn bɛlɛ pen kin apin.
Wetin kin mek pɔsin gɛt kansa na di apɛndiks?
di apεndiks kεnsar de bigin we di sεl dεm na di apεndiks de chenj εn bigin fכ gro we dεn nכ de kכntro. Bɔt masta sabi bukman dɛn stil nɔ shɔ bɛtɛ bɛtɛ wan wetin kin mek dɛn du dis.
Di tin dɛn we kin mek pɔsin gɛt prɔblɛm
Bɔt sɔm tin dɛn kin mek di risk fɔ gɛt apɛndiks kansa bɔku. Dɛn tin ya na:
- Ej:Pan ɔl we apɛndiks kansa kin apin pan ɛni ej, i kin bɔku pan pipul dɛn we ol bitwin 40 ɛn 60. Dɛn kin no dis sik mɔ pan pipul dɛn we dɔn pas 50 ia.
- Jεnda: uman dεm kin gεt nyuroεndokrin tכmכro dεm na di apεndiks.
- Smok ɔ yuz tabak prodakt: If yu tek tabak , dat kin mek yu gɛt ɔl kayn kansa, ivin di apɛndiks kansa.
- Mɛdikal istri: Sɔm wɛlbɔdi prɔblɛm dɛn lɛk atrophic gastritis , pernicious anemia, ɛn Zollinger-Ellison syndrome, kin mek pɔsin gɛt apɛndiks kansa.
- Famili histri bɔt kansa: Wan stɔdi we dɛn jɔs dɔn du sho se sɔm pipul dɛn we gɛt apɛndiks kansa kin gɛt jin dɛn we kin mek dɛn gɛt kansa mɔ. Bɔt dɛn nid fɔ du mɔ risach fɔ no if dis na tin we pɔsin kin gɛt frɔm in mama ɛn papa.
Aw dɛn kin no se pɔsin gɛt kansa na di apɛndiks?
Bɔrku tɛm, pipul dɛm wae gɛt apɛndiks kansa kin go to dɔktɔ wit sɔm sayn dɛm fɔ apɛndiks. Dɛn kin no di sik afta dɛn dɔn pul di apɛndiks , we na di ɔpreshɔn we dɛn kin du fɔ pul di apɛndiks. Sɔntɛnde, dɛn kin si dɛn tumbu ya bay we dɛn de tɛst fɔ ɔda sik ɔ we dɛn de du ɔpreshɔn.
If yu dɔktɔ tink se i gɛt kansa na di apɛndiks, i go ɔda fɔ mek dɛn du sɔm ɔda tɛst dɛn. Dɛn tin ya kin bi:
- Imej tɛst: Yu dɔktɔ kin ɔda fɔ mek dɛn du CT skan ɔ MRI (magnetic resonance imaging) skan. Dɛn tɛst ya kin tek pikchɔ fɔ di tisu dɛn we de insay yu bɔdi. Dɛn kin sho sayn dɛm fɔ tumor ɛn if di kansa dɔn skata. We di apɛndiks kansa skata, i kin go to di ɔgan dɛn we de nia di bɛlɛ ɔ di tisu we de kɔba dɛn ( peritoneum ).
- Laparoscopy: Insay dis prosidur, di dɔktɔ kin put wan lɔng, tin inschrumɛnt we dɛn kɔl laparoscope tru wan smɔl say we dɛn kɔt na yu bɛlɛ. Wan smɔl kamɛra we de pan am kin tek pikchɔ dɛn fɔ di apɛndiks ɛn sho dɛn na skrin.
- Bayopsi: Insay dis prɔsidyu, di dɔktɔ kin tek wan tisu sɛmpul ɛn sɛn am to patɔlɔji lab fɔ chɛk fɔ si if di kansa sɛl dɛn de. I at smɔl fɔ tek bayɔpsi frɔm di apɛndiks. So, if di kansa kin dɔn spre to ɔda say, di dɔktɔ go tek wan sɛmpul frɔm da eria de.
- Blɔd tɛst dɛn:If yu bayɔpsi rizɔlt pɔsitiv fɔ apɛndiks kansa, yu dɔktɔ go ɔda fɔ mek dɛn du lab tɛst fɔ chɛk yu prɔtin lɛvɛl. di lεvεl dεm fכ sכm protin dεm kin εp fכ no aw fa di kansa dכn spre.
Stej dɛm fɔ apɛndiks kansa
We dɔktɔ dɛn no di stej we di kansa gɛt, dat kin ɛp di dɔktɔ dɛn fɔ no aw di kansa tranga, wetin na di bɛst tritmɛnt plan, ɛn wetin go kɔmɔt frɔm di tritmɛnt.
Dɔktɔ dɛn kin yuz difrɛn stej krayteria dɛn dipen pan di kayn tumbu:
- di apendis adenokarsinoma dεm: di dכkta dεm de yuz di TNM stej sistεm fכ stej di apεndisal adenokarsinoma dεm. dis sistεm de tink bכt di sayz fכ di tכmכro (T), if di kansa dכn spre to di limf no dεm (N), εn if i dכn spre to di כgan dεm we de fa (M). Kansa we dɔn skata dis we dɛn kɔl am mɛtastas kansa . Dɛn kin tek ɔl dɛn tin ya togɛda ɛn dɛn kin gi wan stej frɔm wan to 4. Stej wan na kansa we de bigin, ɛn stej 4 na kansa we dɔn go bifo.
- di apεndis nyuroεndokrin tכmכro dεm: dεn kin no di stej fכ dεn tכmכro dεm ya bay if dεn kin pul dεm kכmplit wan wit כpεrayshכn. dεn de luk bak pan di tכmכro grεd (aw di sεl dεm de luk abnכmal כnda maykroskכp). If yu gɛt low-grade tumor (we min se na smɔl abnɔmal sɛl dɛn de) ɛn dɔktɔ kin pul am wit ɔpreshɔn, yu prɔgnosis fayn.
Fɔ tru, fɔ no di stej we di apɛndiks kansa gɛt kin kɔmplikt smɔl bikɔs bɔku difrɛn kayn tɔŋ dɛn de. Ɛni kayn tin gɛt in yon kwaliti dɛn, we de sho di tritmɛnt we yu go pik ɛn di prɔgnosis.
Bɔt nɔ panik. Aks yu dɔktɔ fɔ ɛksplen aw yu kayn kansa ɛn di stej we yu gɛt go afɛkt yu.
Aw dɛn kin trit apɛndiks kansa?
Bɔku tritmɛnt dɛn de fɔ apɛndiks kansa. Di men wan dɛn na ɔpreshɔn ɛn drɔg tritmɛnt. Yu dɔktɔ go tink bɔt sɔm tin dɛn bifo i plan yu tritmɛnt. Dɛn tin ya na di sayz ɛn stej we di tumbu de, yu ɔl wɛlbɔdi biznɛs, ɛn wetin yu lɛk.
Ɔpreshɔn
Di men tritmɛnt fɔ apɛndiks kansa na ɔpreshɔn . Bɔku we dɛn de fɔ du ɔpreshɔn:
- Apɛndiks: Fɔ di tɔŋ dɛn we smɔl pas 1 ɔ 2 sɛntimita (lɛs pas wan inch), fɔ pul di apɛndiks nɔmɔ kin du fɔ am.
- εmikכlεktomi: fכ big, mכr siriכs tכmכro, hεmikכlεktomi na diSɔntɛm dɛn go nid fɔ du ɔda ɔpreshɔn, lɛk fɔ pul am na di bɔdi. insay dis prosidכs, apat frכm we dεn de pul di apεndiks, dεn de pul pat pan di kכlon εn sεvεra limf no dεm.
- Saytɔriduktiv (debulking) ɔpreshɔn: If di kansa dɔn skata ɔlsay na di bɛlɛ, dɛn kin nid fɔ du mɔ ɔpreshɔn. Insay dis, di dɔktɔ we de du di ɔpreshɔn kin pul bɔku pan di tumbu as i ebul, we kin inklud fɔ pul sɔm pat dɛn na di ɔgan dɛn usay di kansa dɔn skata.
Di tritmɛnt dɛn we dɛn kin yuz fɔ tek drɔgs
If ɔpreshɔn nɔ ebul fɔ pul di kansa kpatakpata, yu kin nid fɔ gɛt drɔgs. Dis kin inklud:
- Kimotɛrapi: Dɛn kin yuz dis tritmɛnt fɔ kil di kansa sɛl dɛn we dɔn skata pas di apɛndiks. I kin kil bak ɛni kansa sɛl we kin lɛf afta dɛn dɔn du di ɔpreshɔn. Dɛn kin gi dis mɛrɛsin as injɛkshɔn ɔ as pil.
- Hyperthermic Intraperitoneal Chemotherapy (HIPEC): HIPEC na spɛshal kayn kimotɛrapi tritmɛnt. Bɔku tɛm, dɛn kin du am we dɛn de du ɔpreshɔn. I involv fɔ ɔt di kemotɛrapi drɔgs ɛn fɔ mek dɛn go insay di bɛlɛ. Dis ɔt ɛn we dɛn de yuz di mɛrɛsin dɛn dairekt wan de mek di kemotɛrapi gɛt mɔ pawa ɛn i de wok fayn.
- Targeted drug therapy: Di gol fɔ dis tritmɛnt na fɔ target ɔl di kansa sɛl dɛm we dɛn de stɔp di damej to di wɛlbɔdi sɛl dɛm. Dɛn kin yuz spɛshal mɛrɛsin fɔ tɔch sɔm jin ɔ prɔtin dɛn we de ɛp kansa fɔ gro. Dɛn kin yuz drɔgs lɛk sɛtuximab , bevacizumab , ramucirumab, ɛn panitumumab fɔ dis kayn tritmɛnt fɔ apɛndiks kansa.
Wetin yu kin ɛkspɛkt if yu gɛt apɛndiks kansa?
Yu ɛkspiriɛns go dipen pan bɔku tin dɛn, lɛk di kayn tumbu, di sayz, ɛn di gred we di tumbu gɛt. Yu ɔl wɛl bɔdi ɛn aw yu de ansa to tritmɛnt impɔtant bak.
Sɔm kayn apɛndiks kansa kin wɛl kpatakpata . fכ egzampl, bכku tεm dεn kin kכl di lכw grεd apendis nyuroεndokrin tכmכro dεm wit כpεrayshכn. Jɛnɛral wan, di mɔ di tumbu smɔl, na di mɔ i go izi fɔ mek di kansa wɛl ɔltogɛda wit tritmɛnt. Big big tumbu dɛn kin skata kwik kwik wan ɛn dɛn nɔ kin ansa fayn we dɛn gi dɛn tritmɛnt.
Yu dɔktɔ kin gayd yu fɔ no wetin fɔ ɛkspɛkt bay wetin yu dɔn no bɔt yu sik.
Wetin na di rεt wae pɔrsin kin liv fɔ apɛndiks kansa?
di fayv ia rεt fכ lכw grεd apεndiks kεnsar de bitwin 67% εn 97%. Dis min se bitwin 67% ɛn 97% pan di pipul dɛm wae gɛt dis sik stil de alayv afta fayv ia. Dis rεt wae de liv kin bכku bכku wan fכ mכr advans tכmכro כ fכ apεndiks kεnsar we dεn kin no leta.
Mɛmba se, di rεt wae yu de liv nɔr de sho aw yu go rεspכnd to tritmεnt ɔr aw lɔng yu go liv. Dɛn nɔmba ya de sho aw pipul dɛn bin dɔn gɛt apɛndiks kansa trade. Bikɔs apɛndiks kansa nɔ kin bɔku, di tin dɛn we dɛn kin no bɔt aw pɔsin kin liv fɔ lɔng tɛm nɔ kin kɔrɛkt. If yu gɛt kwɛstyɔn bɔt aw pipul dɛn kin liv, tɔk to yu dɔktɔ.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt sɔm sayn dɛn fɔ apɛndiks kansa, lɛk apɛndiks, blo, ɔ bɛlɛ pen , go to yu dɔktɔ wantɛm wantɛm .
If dɛn dɔn no se yu gɛt apɛndiks kansa, tɔk to yu dɔktɔ if yu sik chenj ɔr de wɔs. Tɛl am bɔt ɛni sayd ɛfɛkt we yu de gɛt frɔm yu tritmɛnt. I kin tɔk bɔt aw fɔ ɛp yu fɔ bia wit yu sik dɛn. I kin rifer yu bak to palliative care services. Palliative care professionals de ɛp pipul dɛm wae gɛt difrɛn sik dɛm (inklud sik dɛm wae nɔr de pan denja fɔ dɛn layf) fɔ manej dɛn simptom dɛm.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
If yu no bɔku tin bɔt yu sik, dat go ɛp yu fɔ disayd fɔ du gud tin bɔt yu wɛlbɔdi biznɛs. Na sɔm kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ:
- Us kayn apɛndiks a gɛt?
- Aw big di tumbu de?
- Wetin na di stej ɛn gred fɔ mi apɛndiks kansa?
- Us tritmɛnt opshɔn dɛn a gɛt?
- Ustɛm a fɔ bigin fɔ trit mi?
- A go ebul fɔ wok we a de du tritmɛnt fɔ kansa?
- Risos ɔ sɔpɔt grup dɛn de fɔ ɛp mi?
Na nɔmal tin fɔ fil fɔ fred ɛn nɔr shɔ we yu kam fɔ no se yu gɛt apɛndiks kansa. Tɔk to yu dɔktɔ bɔt aw yu de fil. I kin ansa yu kwɛstyɔn bɔt yu kɔndishɔn ɛn tɛl yu usay yu go gɛt sɔpɔt. Bikɔs apɛndiks kansa nɔ kin bɔku, yu kin fil se yu wangren gɛt dis sik. Bɔt nɔto yu wan de. Yu kin kɔnɛkt wit ɔda pipul dɛn we dɔn gɛt di sem kayn ɛkspiriɛns. Una kin ɛp unasɛf tru di tritmɛnt ɛn mɛnejɛmɛnt fɔ apɛndiks kansa.
Di mɛsej we impɔtant pas ɔl we pɔsin kin kɛr go na os frɔm dis atikul na:
Okay, so wi dɔn tɔk bɔku bɔt apɛndiks kansa, nɔto so? Pan ɔl we dis na kayn kansa we nɔ kin bɔku, i fayn fɔ no bɔt am.
- Apɛndiks kansa na sik we nɔ kin bɔku. Bɔt if yu gɛt sayn dɛn we fiba apɛndiks, yu bɛlɛ de pen we yu nɔ kɔmɔn, ɔ yu de swel, yu fɔ rili go to dɔktɔ.
- Difrɛn kayn apɛndiks kansa de, ɛn ɛni wan pan dɛn gɛt difrɛn tritmɛnt ɛn di we aw dɛn kin wɛl.
- Fɔ no am kwik kwik wan rili impɔtant, bikɔs di tritmɛnt go mɔs bi.
- Tritmɛnt dɛn de we dɛn kin gɛt. Dɛn kin trit dis sik wit tin dɛm lɛk ɔpreshɔn, kemotɛrapi, ɛn targeted therapy.
- Nɔ fred fɔ aks kwɛstyɔn. Aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt. Nɔto yu wan de, ples dɛn de fɔ gɛt ɛp.
Di tin we impɔtant pas ɔl na fɔ pe atɛnshɔn to di chenj dɛn we de apin na yu bɔdi. If yu notis ɛnitin we nɔ kɔmɔn, i go fayn fɔ mek yu go to dɔktɔ pas fɔ lɛ yu nɔ pe atɛnshɔn to am.
` Apɛndiks kansa, apɛndiks, kansa simptom dɛm, kansa tritmɛnt, adenokarsinoma, nyuroɛndokrin tɔŋ dɛm, ɔpreshɔn
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