Na nɔmal tin fɔ fil fɔ fred, shɔk, ɛn nɔr shɔ we dɛn no se yu gɛt kansa. "Wetin go apin naw?" ɛn "Us kayn tritmɛnt a go nid?" go mɔs bi se dɛn de na yu maynd. Bɔt yu no se ivin di sem kayn kansa, lɛk bɔdi kansa, kin difrɛn frɔm wan pɔsin to ɔda pɔsin? Jɔs lɛk wi finga prɛnt, ɛvri kansa gɛt wan patikyula ‘jɛnɛtik sayn’. We dɛn rid da sayn de, di mɛrɛsin sayɛns dɔn ebul naw fɔ pik di bɛst, we go wok fayn fɔ yu kansa. Tide, wi de tɔk bɔt da rivɔlɔshɔnari we de, we na fɔ tɛst di jɛnɛtiks.
Fɔ tɔk am simpul wan, wetin na genomic testing?
Dis kin tan lɛk se na kɔmplikɛt wɔd, bɔt di kɔnsɛpt rili simpul. Tink bɔt dis, wi bɔdi gɛt bɔku bɔku sɛl dɛn. Dɛn kin gi ɛni sɛl instrɔkshɔn bay di jin dɛn. di kεnsar sεl dεm na wan kayn sεl we gεt dis instrכkshכn sistεm mεs εn i de sheb we dεn nכ ebul fכ kכntrכl.
di jεnomik tεst de tek dip luk pan di jin dεm we de insay yu kεnsar sεl dεm. Dɔn i kin no sɔm patikyula chenj dɛn, ɔ chenj dɛn we de apin na dɛn jin dɛn de. Fɔ tɔk am simpul wan, i de sho di sikrit kɔd we de ɛp kansa fɔ gro ɛn skata.
Bɔt dis nɔto tɛst we ɔlman we gɛt kansa nid. Fɔ ɛgzampul, kansa we de gro sloslo ɛn we pɔsin kin mɛn izi wan wit standad tritmɛnt dɛn, nɔ go nid fɔ du dis kayn dip tɛst. Bɔrku tɛm, dɛn kin yuse dɛn tin ya fɔ kansa wae nɔr kin bɔrku, ɔr fɔ kansa wae nɔr de ansa to standad tritmɛnt. Yu dɔktɔ na di bɛst pɔsin fɔ disayd dis.
Wetin na di men bɛnifit dɛn we dɛn tɛst ya kin gɛt?
Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst? Bɔku rizin dɛn de fɔ dis. Dis tɛst kin bi wan impɔtant tin fɔ no di kansa tritmɛnt plan.
| Yuzful tin | Fɔ tɔk am simpul wan... |
|---|---|
| Fɔ pik wan tritmɛnt we go fayn fɔ yu (Targeted Therapy) . | Trade, dɛn bin de trit kansa di we we ‘wan saiz fit ɔlman’. Dat min se na di sem mɛrɛsin fɔ ɔlman we gɛt kansa na in lɔng. Dat nɔto so igen. jεnεtik tεst de fכn di ‘mכtεshכn’ fכ di kεnsar εn gi dεm we de atak כnli da mכtεshכn de (Targeted Therapy). Fɔ ɛgzampul, sɔm pipul dɛn we gɛt kansa na dɛn lɔng kin gɛt wan jin we dɛn kɔl (EGFR). Dɛn kin gi dɛn drɔgs we de tɔch da jin de. sכm spεshal dכg dεm de bak, lεk (PARP inhibitors), fכ brεst, ovarian, εn prכstat kεnsar wit di (BRCA) jin mכtεshכn. |
| Ɔndastand di ebul fɔ telɛ tritmɛnt | Sɔntɛnde, kansa sɛl dɛn kin rili kɔni. As tɛm de go, dɛn nɔ kin ebul fɔ tek di mɛrɛsin dɛn we dɛn kin gi dɛn. If yu tɛst yu jɛnɛtiks, yu go ebul fɔ no bifo tɛm if yu kansa nɔ go ebul fɔ tek wan patikyula tritmɛnt. If na so, yu dɔktɔ kin stat difrɛn tritmɛnt we go wok fayn frɔm di biginin. |
| Fɔ no if dɛn nid fɔ gɛt ɔda tritmɛnt | Imajin se dɛn dɔn du ɔpreshɔn pan yu fɔ pul wan tumbu we gɛt kansa. Risk de fɔ mek di kansa kam bak? Wan jenɛtik tɛst kin no aw di kansa de agresiv ɛn no ɔmɔs risk de. If di risk bɔku, dɛn kin nid fɔ gɛt ɔda tritmɛnt (e.g. kemotɛrapi) fɔ mek di kansa nɔ kam bak. |
| Fɔ mek di sayd ɛfɛkt dɛn nɔ bɔku | Tradishonal tritmɛnt lɛk kemotɛrapi ɛn redyushɔn nɔ kin kil kansa sɛl dɛn nɔmɔ bɔt i kin kil wɛlbɔdi sɛl dɛn bak. Na dat mek sayd ɛfɛkt dɛn de lɛk we yu ia de lɔs ɛn we yu de vɔmit. Bɔt targeted therapy, we dɛn kin fɛn tru jenɛtik tɛst, tan lɛk mishɔl we de hit di target ɛksaktɔli. I kin go stret to di kansa sɛl dɛn ɛn i kin hit dɛn nɔmɔ. So, di damej ɛn sayd ɛfɛkt to wɛlbɔdi sɛl dɛn nɔ kin bɔku. |
| Fɔ fɛn nyu tritmɛnt (Klinik Trial) . | Sɔntɛnde, sɔm mɛrɛsin dɛn de we dɛn kin yuz fɔ tray fɔ du tin we kin wok fayn pas di tritmɛnt dɛn we dɛn dɔn gri fɔ naw. Dis na wetin wi kin kɔl ‘Klinik Trayal’. If nyu stɔdi de sɔmsay na di wɔl we de mach di jenɛtik mutation na yu kansa, dis tɛst kin ɛp bak fɔ kɔnɛkt yu to am. |
Aw a go disayd if a want fɔ tek dis tɛst?
Dis na di kwɛstyɔn we impɔtant pas ɔl. Mɛmba se dis nɔto tin we yu wan fɔ disayd. Dis na tin we yu ɛn yu dɔktɔ we de mɛn kansa fɔ disayd togɛda .
Yu dɔktɔ go tink bɔt sɔm tin dɛn bifo yu tɛl yu fɔ du dis tɛst:
- Di kayn ɛn di stej we yu kansa gɛt.
- Us tritmɛnt yu dɔn gɛt trade ɛn aw yu bin du dɛn.
- Yu ɔl wɛlbɔdi biznɛs.
- Bay di infɔmeshɔn wae dɛn gɛt frɔm dis tɛst, if ɛni tritmɛnt de wae dɛn kin gi yu.
Nɔ fred fɔ tɔk opin wan bɔt dis wit yu dɔktɔ. Aks kwɛstyɔn dɛn lɛk, "Dɔkta, dis jenɛtik tɛst fit fɔ mi kansa?", "Wetin na di bɛnifit dɛn we dis tɛst gɛt fɔ mi?", "Mi tritmɛnt plan go chenj bay di rizɔlt fɔ dis tɛst?" Na yu dɔktɔ in wok fɔ ɛksplen ɔltin di we we yu go ɔndastand.
Dis teknɔlɔji dɔn briŋ big prɔmis to di fild fɔ mɛn kansa. Naw wi gɛt di abiliti fɔ dɔn di tɛm we dɛn bin de trit wan saiz fɔ ɔlman ɛn gi ɛni sikman in yon tritmɛnt we dɛn mek fɔ di jenɛtik mek-ap fɔ dɛn kansa. Dat na rili big tin.
Mɛsej we dɛn kin kɛr go na os
- Kansa nɔto wan sik. Ɛni kansa gɛt in yon jɛnɛtik sayn.
- dεn de yuz jεnomik tεst fכ no spεsifi k jεnεtik chenj dεm (mכtεshכn) insay kεnsar sεl dεm.
- If yu yuz dis infɔmeshɔn, dɛn kin pik tritmɛnt we dɛn de tɔk to we de tɔch di kansa, we nɔ gɛt bɔku sayd ɛfɛkt, ɛn we go wok fayn.
- Dis tɛst nɔ nid fɔ de fɔ ɔl di pɔsin we sik, ɛn di bɛst disizhɔn na we yu tɔk to yu dɔktɔ.
- Nɔ shek fɔ aks yu ɔnkɔlɔjis bɔt dis nyu teknɔlɔji. Fɔ mek dɛn no bɔt yu na impɔtant step na yu hiling joyn.
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