Aw yu go fil if dɔktɔ tɛl yu se, "Yu gɛt tumbu na yu lɔng?" Na nɔmal tin fɔ mek yu fred ɛn shɔk we yu yɛri da wɔd de. We wi yɛri di wɔd "tumor," wi maynd kin jomp wantɛm wantɛm to di sik we wi kin fred fɔ gɛt kansa. Bɔt sɔntin de we impɔtant fɔ tɛl yu. Nɔto ɔl di tumbu dɛn na kansa. Sɔm tɔŋ dɛn kin bi we nɔ de du bad ɛn nɔ kin gɛt kansa (benign). So tide wi de tɔk bɔt di tɔŋ dɛm we nɔ gɛt kansa na di lɔng dɛm we yu nɔ nid fɔ wɔri bɔt.
Wetin rili na ‘tumor’?
Fɔ tɔk am simpul wan, tumbu na wan kɔlekɛshɔn fɔ abnɔmal tisu we de fɔm we di sɛl dɛn na wi bɔdi jɔyn togɛda. Nɔmal wan, di sɛl dɛn na wi bɔdi kin sheb, gro, ɛn leta dɛn kin day. Dis na tin we dɛn kin rili kɔntrol. Bɔt sɔntɛnde dis prɔses nɔ kin go fayn. di sεl dεm kin bigin fכ sheb tu kwik, כ di sεl dεm we fכ day kin jכyn togeda insted fכ day. Na dat wi kin kɔl tumbu. dis tכmכro dεm kin fכm na di lכng dεm כ na di aywe dεm we de kכri briz to di lכng dεm.
Dɛn kin sheb dɛn nɛt ya to tu men kayn:
1. Malignant Tumors: Na dɛn tin ya wi kin kɔl Kansa . Dɛn kin gro kwik kwik wan, dɛn kin kam insay di tisu dɛn we de rawnd dɛn, ɛn dɛn kin skata to ɔda pat dɛn na di bɔdi.
2. Benign Tumors : Dɛn tin ya nɔto kansa. Dɛn nɔ kin skata to ɔda pat dɛn na di bɔdi.
Naw, if yu dɔktɔ se, "Di tumbu na yu lɔng luk fayn ," wetin dat rili min? Lɛ wi luk am mɔ.
| di kכntribyushכn dεm fכ di tכmכro dεm we nכ de kεnsar (benign). | Di simptom dɛm fɔ di malign tumor dɛm |
|---|---|
| Dɛn tin ya nɔto kansa, so dɛn nɔ kin skata to ɔda pat dɛn na di bɔdi. | Dis na kansa wae kin spre (metastasize) to ɔda pat dɛm na di bɔdi. |
| Fɔ groRili sloslo. Sɔntɛm di gro kin stɔp ɔ ivin smɔl. | Bɔku tɛm i kin gro kwik kwik wan . |
| Bɔku tɛm, i nɔ kin mek pɔsin in layf de pan denja . | If dɛn nɔ trit am fayn, i kin mek pɔsin in layf de pan denja . |
| Bɔku tɛm, i nɔ kin nid fɔ du ɔpreshɔn fɔ pul am . | Bɔku tɛm, dɛn kin gɛt fɔ pul am ɔ dɛn kin fɛn ɔda tritmɛnt dɛn . |
| Pan ɔl we i de mek prɛshɔn pan di tisu dɛn we de rawnd am, i nɔ de invayd ɔ pwɛl dɛn. | Invayd ɛn pwɛl di wɛlbɔdi tisu we de rawnd am. |
Ɛni tɔŋ dɛn de we nɔ gɛt kansa we kin mek na di lɔng dɛn?
Yɛs, na fɔ tru. Dɛn kin sheb dɛn bak bay di saiz. כltεm, tכmכro dεm we big pas 3 sεntimita (lεk 1.2 inch) dεn kכl dεm ``mas'', εn tכmכro dεm we sכm pas 3 sεntimita dεn kכl dεm `` nodul ''. dis sכm sכm tכmכro dεm we de fכm na di lכng dεm dεn kכl dεm bak ``pulmonary nodules''.
Na sɔm pan di kayn tumɔs dɛm wae nɔr gɛt kansa.
Hamartomas we de na di wɔl
dis na di mכst kכmכn kayn tin dεm we nכ de gro we nכ gεt kεnsar we dεn kin fכnshכn na di lכng dεm. dεn mek dεm wit nכmal tisu dεm lεk katilej , fεt , εn mכsul dεm . Bɔt di tisu kin gɛda togɛda di we we nɔmal. We dɛn tek ɛkstrem rayt, dɛn kin tan lɛk rawnd kɔyn. Sɔntɛnde, dɛn kin tan lɛk pɔp-kɔn bak. Bɔku tɛm, dɛn nɔ kin du bad to di tisu we de rawnd.
Di adenoma dɛn we de na di brɔnkial
Dis na ɔda kayn kɔmɔn kayn tɔŋ we nɔ gɛt kansa. dεn kin mεntal divεlכp na wi aywe dεm (bronchi) εn mכkus gland dεm.
Papilomas we dɛn kɔl papilomas
Dɛn tin ya nɔ bɔku smɔl. Dɛn kin gro frɔm insay di say dɛn we di briz de blo ɛn kɔmɔt na do. Tri kayn papilomas de:
- Squamous papillomas we de na di bɔdi:Dɛn tin ya kin kam we pɔsin gɛt wan vayrɔs we dɛn kɔl ``Human Papillomavirus - HPV''. Dis HPV vayrɔs na di sem vayrɔs we de mek pɔsin gɛt wɔt ɛn sɔm sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs. Dɛn kayn grow ya kin gɛt smɔl chans fɔ gɛt kansa sɔm tɛm.
- Glandular papillomas: Dɛn wan ya nɔ kin bɔku pas squamous papillomas. Dɛn nɔ dɔn fɛn di rayt tin we mek dɛn apin yet.
- Miks squamous ɛn glandular papillomas: Dɛn wan ya gɛt tisu frɔm ɔl tu di kayn we dɛn we wi bin dɔn tɔk bɔt. Dɛn tin ya nɔ kin rili bi kansa bak.
Di impɔtant tin na dat, pan ɔl we i se "i kin tɔn to kansa," i nɔ kin bɔku. So i bɛtɛ fɔ mek yu du tɛst lɛk aw di dɔktɔ se.
Aw kɔmɔn frut dɛn ya?
Dɛn smɔl smɔl tin ya na di lɔng (pulmonary nodules) kin rili bɔku pas aw yu go tink. Dɛn kin si dɛn na lɛk wan pan ɛvri 500 chɛst ɛks-ray dɛn. כlso, 80%-90% pan di CT skan dεm (Computed Tomography scans) de sho dεn sכm sכm sכm sכm sכm sכm dεm ya.
di gud nyus na dat mכr dan 60% pan dεn tכmכro dεm ya we dεn si pan εks-ray εn 99% pan dεn wan dεm we dεn si pan CT skan nכ de kεnsar (benign). If yu pas 50 ia ɛn yu de smok, yu go si wan pan CT skan smɔl.
Wetin na di sayn dɛm fɔ di lכng tכmכro wae nɔr gɛt kansa?
Di tin we kin mek wi sɔprayz na ya na dat bɔku pipul dɛn nɔ kin gɛt ɛni sayn . mכr dan 90% pan dεn tכmכro dεm ya dεn kin fכnshכn insidεnt wan we dεn de du chεst εks-ray כ CT skan fכ כda kכndyushכn.
Bɔt sɔm pipul dɛn kin gɛt sɔm kayn sik, lɛk:
- Na smɔl kɔf we kin las fɔ lɔng tɛm.
- I nɔ izi fɔ blo (dyspnea).
- Eni diskɔmfɔt ɔ pen na di chɛst.
- Wiz na sawnd we pɔsin kin mek we i de blo.
- Wan rasping sawnd lɛk mucus we de kɔmɔt na di lɔng dɛn.
- Fɔ kɔf blɔd (ɛmɔptaysis).
If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. Mek shɔ se yu go to yu dɔktɔ.
Wetin kin mek tumbu dɛn lɛk dis?
Bɔku tin dɛn kin de we kin mek pɔsin gɛt di lכng tכmכro we nɔ gɛt kansa.
- Granulomas: Dis na 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 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 smɔl. Dɛn kin kam bikɔs ɔf baktriyal infεkshɔn, lɛk TB (TB), ɔr fεn infεkshɔn.
- Lכng absεs: Na infεkshכn we fulכp wit pus insay di lכng.
- Swɛl:dis tכmכro dεm kin divεlכp bak biכs fכ inflammatory kכndishכn dεm lεk rεumatoid atraytis כ sarkoidosis.
- Infεkshכn: di lכng tכmכro kin kכz difrεn kayn infεkshכn.
- di kכndishכn dεm we dεn bכn wit: sכm kכndishכn dεm we de we dεn bכn, fכ egzampl, wan sak we fulכp wit wata na di lכng (lכng sist).
Sɔntɛnde, dɛn nɔ kin no wan patikyula tin we mek i apin.
Aw a go no fɔ tru se dis lump nɔto kansa?
Dɔktɔ dɛn kin yuz bɔku tin dɛn fɔ no if wan lump gɛt kansa ɔ nɔ gɛt kansa.
Bɔku tɛm, di CT skan kin no se di tumbu nɔto kansa bay aw i tan. Bɔt if ɛni dawt de, di dɔktɔ kin tɛl yu fɔ du brɔnkoskɔpi. Dis min se yu fɔ pas wan tint tiub we gɛt kamɛra dɔŋ di trot insay di lɔng fɔ chɛk di tɔŋ. dεn kin tek sεmpl fכ di tisu bak fכ tεst (bayopsi). Dɛn go gi yu anestezi bifo dis tɛst, so yu nɔ go fil ɛni prɔblɛm.
| Di factor we dɛn de tɛst | di difrεns bitwin benign εn malign tכmכro |
|---|---|
| Sayz fɔ di tumbu | Di mɔ di tumbu smɔl, na di mɔ i nɔ go gɛt kansa. Tumɔs dɛn we nɔ gɛt kansa kin gro sloslo ɔ nɔ kin gro atɔl. di tכmכro dεm we gεt kεnsar kin dכbl in saiz insay sכm sכm 4 mכnt. |
| Di tin dɛn we de insay ɛn di shep we di Nat gɛt | di tכmכro dεm we nכ gεt kansa kin gεt kalsiכm (we de sho wayt pan CT skan). Bɔku tɛm, di tumbu dɛn we gɛt kansa nɔ kin gɛt kalsiɔm. Dɔn bak, di tɔŋ dɛn we nɔ gɛt kansa kin smol ɛn rawnd, we di tɔŋ dɛn we gɛt kansa kin gɛt ed dɛn we nɔ de ɔltɛm ɛn we rɔf. |
Aw dɛn kin trit am? Yu tink se dɛn fɔ pul di tumbu?
Di gud nyus na dat, bɔku pan di lכng tכmכro dεm we nכ gεt kansa nכ nid εni tritmεnt.Bɔku tɛm, dɔktɔ dɛn kin se fɔ du "watch ɛn wait" we. Dis min se dɛn fɔ tek ɛkstrem rayt ɔ CT skan ɛvri sɔm mɔnt ɔ ia fɔ si if di tumbu de chenj in saiz ɔ shep.
Bɔt pan dɛn kayn tin ya, di dɔktɔ kin se dɛn fɔ du ɔpreshɔn fɔ pul di tumbu ɔ fɔ tek bayɔpsi:
- If yu na pɔsin we de smok ɔ yu gɛt bɔku kansa.
- If yu gɛt sɔm sayn dɛm lɛk wae yu nɔr kin ebul fɔ blo fayn.
- If tɛst sho se dɛn de sɔprayz se i kin bi kansa.
- If di tumbu kɔntinyu fɔ gro.
Ustɛm yu fɔ go to dɔktɔ?
We yu de wach tumbu, ɔ in jɔnal, if yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt nyu kɔf, if yu kɔf we yu dɔn kɔf dɔn wɔs, ɔ if yu kɔf blɔd.
- If nyu sayn dɛm lɛk fɔ blo shɔt, fiva, kol, ɔr chɛst pen.
- If yu lɔs pas 5 kilo (10 pawn) pan yu bɔdi wet fɔ natin.
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
Na nɔmal tin fɔ gɛt bɔrku kwɛstyɔn wae yu lan bɔt dis kayn sik. Nɔ fred ɔ shem fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya.
- Aw yu no se a gɛt tumbu na mi lɔng?
- Aw yu go no fɔ tru se dis tumbu nɔto kansa?
- Us kayn tumbu we nɔ gɛt kansa a gɛt?
- A nid fɔ du mɔ tɛst dɛn?
- A nid tritmɛnt?
- Aw ɔltɛm a nid fɔ kam fɔ fala mi?
- A nid fɔ go to dɔktɔ we de mɛn pipul dɛn we de mɛn dɛn pulmon?
Na nɔmal tin fɔ fil frayd we yu yɛri se yu gɛt "spɔt na yu lɔng." I nɔmal bak fɔ wɔri bɔt am. Bɔt mɛmba se bɔku pan di 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Ivin if dɛn kin wɔs pas ɔl, we min se dɛn na kansa, bɔku tɛm dɛn kin de na di fɔs tɛm. So di chans fɔ mek i wɛl kɔmplit wan kin bɔku wit tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Nɔ fred we yu yɛri di wɔd "tumor." Bɔku pan di tumbu dɛn we de na di lɔng dɛn nɔ kin fayn ɛn dɛn nɔ kin du bad.
- Bɔku pan dɛn tumbu ya we nɔto kansa nɔ kin mek pɔsin gɛt ɛni sayn. Bɔku tɛm, dɛn kin no dɛn bay we dɛn de du ɛgzamin ɔltɛm.
- Bɔku tɛm, yu dɔktɔ go de wach di tumbu bay we i go ɔda fɔ mek dɛn tek CT skan ɔ ɛkstrem rayt ɔltɛm.
- Nɔ mis ɛni fɔlɔp apɔntinmɛnt wit yu dɔktɔ. Dɛn rili impɔtant fɔ yu wɛlbɔdi.
- If yu de smok, fɔ lɛf fɔ smok na di bɛst tin we yu go du fɔ yu lɔng.
- If yu gɛt sɔm sayn dɛn lɛk kɔf, i nɔ izi fɔ blo, yu chɛst de pen, ɔ yu de kɔf blɔd, go to yu dɔktɔ wantɛm wantɛm.
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