Yu go dɔn notis se yu bɔdi dɔn chenj, ɔ yu dɔktɔ go tɛl yu fɔ tek bayɔpsi afta yu dɔn tek yu brɔst. We yu gɛt da bayɔpsi ripɔt de ɛn si se i rayt "Atypical Ductal Hyperplasia" ɔ "ADH," i nɔmal fɔ fil fred ɛn wɔri. "Na kansa dis?" "Wetin go apin to mi naw?" Yu go gɛt bɔku kwɛstyɔn dɛn na yu maynd. Bɔt nɔ wɔri. Tide, wi go tɔk bɔt wetin na ADH, wetin mek i kin apin, ɛn wetin fɔ du bɔt am na simpul we we pɔsin kin ɔndastand.
Wetin rili na Atypical Ductal Hyperplasia (ADH)?
Fɔ tɔk am simpul wan, ADH na we di sɛl dɛn we de insay di milk dakt dɛn na yu bɔdi nɔ de gro fayn. I nɔto kansa. Bɔt i nɔ nɔmal bak.
Imajin, di milk dakt dɛn na wi bɔdi tan lɛk smɔl smɔl tiub dɛn. di insay wכl fכ dεn tiub dεm ya na sεl dεm. Insay pɔsin we gɛt wɛlbɔdi, dɛn kin arenj dɛn sɛl dɛn ya insay tu layers, dɛn kin rili fayn, ɛn dɛn kin layn fayn fayn wan.
Bɔt pan pɔsin we gɛt ADH, dɛn sɛl ya kin mɛs smɔl, dɛn kin gɛda pan dɛnsɛf, ɛn dɛn kin gro insay bɔku layers. Ɛn di shep we dɛn sɛl dɛn ya gɛt bak nɔ kɔmɔn smɔl. dis sεl dεm nכto kεnsar sεl dεm, we min se dεn na ‘benign’. כltu, sכm pan dεn kכntribyushכn dεm sεm lεk sεl dεm we de insay wan kכndishכn we dεn kכl ``DCIS - Ductal Carcinoma In Situ'', we na wan rili εli stej fכ brεst kεnsar.
Na dat mek dɔktɔ dɛn kin tek di ADH stetɔs as ‘mak’ ɔ ‘risk factor’ we de sho se di risk smɔl fɔ gɛt bɔdi kansa tumara bambay pas di avɛrej pɔsin .
Dis na lɛk yɔlɔ layt we de na di rod. I nɔ min se aksidɛnt apin, bɔt i min se yu nid fɔ rili tek tɛm we yu de go bifo.
ADH ɛn ALH: Wetin na di difrɛns bitwin dɛn tu ya?
Yu kin yɛri bak di wɔd ‘Atypical Hyperplasia’. dis na di jεnarכl nem fכ dis abnכmal sεl growth. Tu men kayn dis de. I impɔtant fɔ no di difrɛns bitwin dɛn tu.
| Di nem fɔ di stetɔs | Usay di sɛl dɛn we nɔmal de? | Fɔ tɔk am simpul wan... |
|---|---|---|
| Atipik Duktal Haypaplasia (ADH) . | Insay di milk dakt dɛn na di bɔdi. | di sεl dεm we nכ de gro insay di ‘dakt’ we de kכri milk go na di nipl. Dis na wetin wi de tɔk bɔt na dis atikul. |
| Atypical Lobular Hyperplasia (ALH) we gɛt di sik. | insay di gland dεm we de mek milk (lobules) na di brεst. | abnכmal sεl dεm we de gro insay di ‘chεmba dεm’ we de mek milk. Dis nɔto kansa bak, bɔt na tin we kin mek pɔsin gɛt prɔblɛm. |
Dɛn tu kayn ya kin mek pɔsin gɛt kansa tumara bambay. Stɔdi dɔn sho se uman we gɛt ɛni wan pan dɛn sik ya kin gɛt bɔdi kansa 4 tɛm pas pɔsin we nɔ gɛt am.
Wetin na di sayn dɛm fɔ ADH?
Bɔrku tɛm, ADH nɔr kin kɔz ɛni patikyula sayn. Bɔku tɛm, dɛn kin fɛn am bay chans. ADH kin bi we dεn no se di brεst abnכmaliti (e.g., maykrokalsifikεshכn) we dεn de du mammogram fכ כda rizin εn dεn du bayopsi fכ invεstigat di abnכmaliti mכr.
Bɔt, na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt sɔm kayn sik dɛn lɛk dis bak:
- Dɛn kin fil wan lump na di brɔst na di an.
- Fɔ fil pen na di bɔdi.
- abnכmal dischaj (especially bכdi) frכm di nipl.
If yu gɛt sɔm kayn sik lɛk dis, nɔr kin bi bikɔs ɔf ADH. Bɔt if yu notis ɛni chenj we nɔ kɔmɔn na yu bɔdi , i go fayn fɔ mek yu go to yu dɔktɔ wantɛm wantɛm ɛn chɛk yu.
Di tin dɛn we kin mek pɔsin gɛt ADH ɛn di tin dɛn we kin mek i gɛt prɔblɛm
Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek dɛn milk dakt sɛl ya de biev dis abnɔmal wan. Bɔt dɛn biliv se sɔm tin dɛn we kin mek pɔsin gɛt mɔ kansa na in bɔdi kin gɛt fɔ du bak wit di risk fɔ gɛt ADH.
Wetin na dɛn tin ya we kin mek pɔsin gɛt prɔblɛm?
- Famili istri: If pɔsin na di famili (espɛshali pɔsin we de nia am lɛk mama, sista, ɔ gyal pikin) dɔn gɛt bɔdi kansa.
- jεnεtik chenj dεm: fכ gεt jεnεtik mכtεshכn lεk `(BRCA1, BRCA2)` we de inkrεs di risk fכ brεst kεnsar.
- Pasɔnal istri: If yu dɔn gɛt ɛni ɔda kansa bifo.
- Fat pasmak: We pɔsin nɔ ebul fɔ kip in bɔdi wet fayn.
- Di we aw pipul dɛn de liv:Fɔ drink rɔm ɔltɛm ɛn fɔ yuz tin dɛn we dɛn mek wit tabak.
I impɔtant fɔ mɛmba se ivin pɔsin we nɔ gɛt ɛni wan pan dɛn tin ya kin gɛt ADH ɔ in bɔdi kansa.
Di prɔses fɔ no ɛn trit ADH
Lɛ wi tek wan luk pan wetin yu dɔktɔ kin du nɛks afta yu dɔn no se yu gɛt ADH.
1. Sɔj / Ɛksishɔnal Bayɔpsi
bכku tεm dεn kin fכs no ADH wit ‘nidul bayopsi’, we involv fכ tek sכm sכm tisu frכm di brεst wit instrכmεnt we lεk nidul εn egzamin am.
we dεn kכnfכm ADH, di nεks step fכ dכkta dεm na fכ du ‘sכjεkshכnal bayopsi’ כ ‘εksishכnal bayopsi’ . Dis min se dɛn fɔ ɔpreshɔn di wan ol say we di sɛl dɛn we nɔ de wok fayn, wit sɔm wɛlbɔdi tisu dɛn we de rawnd dɛn.
"Wetin mek a nid ɔda ɔpreshɔn? ADH nɔto kansa?" yu kin de tink. di rizin na dat sכmtεm di kεnsar sεl dεm כ DCIS sεl dεm, we na di fכs stej dεm fכ kεnsar, kin ayd rili nia usay di ADH sεl dεm de. Bikɔs nidul bayɔpsi kin jɔs kech smɔl pat pan di tisu, dɛn kansa sɛl dɛn ya we ayd nɔ kin kech.
So, if yu pul ɛn chɛk di wan ol eria, yu kin shɔ 100% se nɔ ɔda denja sɛl dɛn de rawnd am. insay lεk 20% pan di כpεrayshכn dεm we dεn du dis we, dεn dכn fכnshכn kεnsar sεl dεm apat frכm ADH. So dɛn kin du dis ɔpreshɔn fɔ mek yu sef.
2. Mɛrɛsin dɛn we de ridyus di risk
If dɛn chɛk di tisu afta dɛn dɔn du di ɔpreshɔn ɛn nɔ gɛt kansa sɛl dɛn we lɛf, bɔku tɛm dɛn nɔ nid ɔda tritmɛnt. Bɔt if yu dɔktɔ tink se yu gɛt kansa tumara bambay rili bɔku , bay tin dɛn lɛk yu yon ɛn yu famili istri, i kin gi yu mɛrɛsin fɔ ɛp fɔ ridyus da risk de.
Dɛn mɛrɛsin ya de wok bay we dɛn de blok di akshɔn we di ɔmon we dɛn kɔl ɛstrojen de du na di bɔdi, we dɛn no se de ɛp fɔ mek sɔm kayn kansa na di bɔdi gro.
- Tamoxifen fɔ uman dɛn we dɔn pas we dɛn nɔ gɛt bɛlɛ.
- Mεdikeshכn dεm lεk Raloxifene כ Anastrozole fכ uman dεm we dεn mεnopos.
Dɛn kin advays dɛn mɛrɛsin ya fɔ lɛk 5 ia so. Pan ɔl we dɛn kin mek sɔm sayd ɛfɛkt, siriɔs sayd ɛfɛkt nɔ kin bɔku. If dis mɛrɛsin fayn fɔ yu ɔ nɔ fayn fɔ yu, na sɔntin we yu fɔ tɔk to yu dɔktɔ.
3. Klos Sɔvɛlayshɔn
We dɛn dɔn no se yu gɛt ADH, di tin we impɔtant pas ɔl na fɔ pe atɛnshɔn gud wan to yu bɔdi. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:
- Annual Mammogram: Nɔ ɛva skip dis.
- Klinik Breast Exam: Fɔ mek dɔktɔ chɛk yu bɔdi ɛvri 6 to 12 mɔnt.
- Breast MRI: If yu risk big, yu kin se yu fɔ du MRI skan wan tɛm insay di ia apat frɔm maammogram.
- Self-Breast Exam: Lan aw fɔ chɛk yu bɔdi na os wan tɛm insay di mɔnt ɛn mek am abit. If yu notis ɛni chenj, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin na di risk fɔ gɛt kansa fɔ pɔsin we gɛt ADH?
ADH nɔto kansa, bɔt i kin mek di prɔblɛm bɔku tumara bambay. Nɔr de ala pan dɛn statystik ya, dɛn nɔr min se ɔlman wae gɛt ADH go gɛt kansa.
- Insay 5 ia we dɛn no se dɛn gɛt ADH, lɛk 7 pan 100 pipul dɛn (7%) go gɛt bɔdi kansa.
- Afta 10 ia , lɛk 13 pan 100 pipul dɛm (13%) kin gɛt am.
- Afta 25 ia , lɛk 30 pan 100 pipul dɛm (30%) kin gɛt am.
Dis de sho aw impɔtant fɔ de chɛk ɔltɛm , as di risk de go ɔp as tɛm de go. Bikɔs ivin if kansa kin kam pan sɔm we, if dɛn de chɛk am ɔltɛm dis kayn we, i kin no am kwik kwik wan. Dɔn di chans fɔ gɛt tritmɛnt ɛn fɔ wɛl kɔmplit wan kin bɔku pasmak.
Wetin a go du fɔ ridyus di prɔblɛm?
Pan ɔl we no shɔ we nɔ de fɔ mek yu nɔ gɛt ADH, bɔku tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt bɔdi kansa tumara bambay. Dɛn tin ya kin rili fayn bak fɔ yu ɔl yu wɛlbɔdi.
- Mek yu gɛt wɛlbɔdi wet: Tray fɔ gɛt wɛlbɔdi wet fɔ yu ayt.
- Ɛksesaiz ɛvride: Du ɛksɛsayz tranga wan fɔ lɛk 30 minit so ɛvride.
- Nɔ drink rɔm: If yu nɔ drink rɔm, nɔ drink am as yu ebul. I bɛtɛ fɔ lɛ yu lɛf fɔ drink ɔltogɛda if i pɔsibul.
- Nɔ smok: Stɔp fɔ smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok ɔltogɛda.
- Fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi: It it we gɛt bɔku vɛjitebul, frut, ɛn ɔyl, ɛn we nɔ gɛt bɔku ɔyl, shuga, ɛn sɔl.
Mɛsej we dɛn kin kɛr go na os
- ADH nɔto kansa.na abnכmal, bכt i nכ de du bad, we di sεl dεm de gro we de apin na di milk dakt dεm na di brεst.
- Dis na jɔs ‘risk factor’ we de mek yu gɛt mɔ risk fɔ gɛt bɔdi kansa tumara bambay. I nɔ min se yu go mɔs gɛt kansa.
- Afta dɛn dɔn no se ADH, di we aw dɛn kin du am na fɔ ɔpreshɔn fɔ pul di wan ol eria usay di abnɔmal sɛl dɛn bin de fɔ mek shɔ se nɔ ɔda kansa sɛl dɛn we ayd nɔ de.
- Di tin we impɔtant pas ɔl na fɔ chɛk-ap ɔltɛm. Mek shɔ se yu go na di mammogram, MRI, ɛn mɛdikal tɛst lɛk aw dɛn dɔn plan fɔ du am, lɛk aw yu dɔktɔ se.
- Yu kin ridyus di prɔblɛm we yu go gɛt tumara bambay mɔ bay we yu de liv fayn layf.
- If yu tɔk opin wan bɔt wetin yu de fred ɛn wɔri to yu dɔktɔ, yu fambul, ɔ yu padi we yu kin abop pan, dat kin mek yu fil fayn.
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