We yu dɔktɔ tɛl yu se yu gɛt bɔdi kansa, i go mɔs dɔn tan lɛk se big big ston dɔn fɔdɔm na yu ed. Wantɛm wantɛm, yu kin fil se yu de fred ɛn wɔri pasmak. Sɔntɛm yu nɔ go ebul fɔ tink se, "Wetin a de du naw?" Bɔrku tɛm, na tɛm lɛk dis, wi kin fil lɛk fɔ se "yes" to ɛni tritmɛnt we di dɔktɔ gi wi. Bɔt wet fɔ smɔl tɛm. Bifo yu fred, sɔm impɔtant tin dɛn de we yu fɔ no, bɔt sɔntɛm yu nɔ go tɔk bɔt. Lɛ wi tɔk bɔt dɛn.
Di tin we impɔtant pas ɔl fɔ mɛmba na fɔ nɔ ɛva fred fɔ gɛt sɛkɔn opinion . Ivin if yu dɔktɔ nɔ tɛl yu fɔ du am, we yu tɔk to ɔda spɛshal pɔsin bɔt am, dat kin mek yu gɛt kolat na yu maynd.
Bɔrku tɛm, brɔst kansa nɔr kin bi mɛdikal imejensi wae kin nid tritmɛnt fɔ wan nɛt. Yu gɛt tɛm fɔ blo, tink gud wan, tɔk to pipul dɛn we yu biliv, ɛn disayd fɔ du di bɛst tin.
Naw lɛ wi luk sɔm pan di tin dɛn we dɛn nɔ kin tɔk bɔt we dɛn de mɛn bɔdi kansa , bɔt we yu fɔ rili no bɔt.
Di an we de swel afta dɛn dɔn du di ɔpreshɔn (Lymphedema) .
Dis na tin wae bɔrku pipul kin gɛt, bɔt nɔr kin no bifo tɛm. We dɛn de du ɔpreshɔn pan di bɔdi kansa ɔ we dɛn de yuz raytin, di limf no dɛn we de na di an kin pwɛl. Fɔ tɔk am simpul wan, dis kin ambɔg di flɔ we di limf wata de flɔ na wi bɔdi. Dɔn da wata de kin gɛda na di an, di ɔp an, ɔ di chɛst, ɛn dis kin mek i swel wit pen. Dis na wetin wi kin kɔl (Lymphedema) .
Pan ɔl we no mɛrɛsin nɔ de fɔ dis fɔ ɔltɛm, i kin izi fɔ kɔntrol di sik if dɛn bigin fɔ trit am kwik . So, ivin if yu dɔktɔ nɔ tɔk bɔt dis, aks bɔt am yusɛf ɛn aks fɔ go to dɔktɔ we spɛshal pan limfedema bifo yu du di ɔpreshɔn. I rili fayn fɔ du am.
Di imyuniti we de go dɔŋ wantɛm wantɛm (Neutropenia) .
Dis na wan pan di bad bad tin dɛn we kin apin we pɔsin de tek kimotɛrapi. Nyutropenia na we di nyutrofil, we na wan kayn wayt blɔd sɛl we de fɛt sik na wi bɔdi, go dɔŋ bad bad wan. We dis kin apin, yu bɔdi in ebul fɔ fɛt infɛkshɔn kin wik bad bad wan.
Ivin kɔmɔn kol kin bi siriɔs. So, we yu de du kemo, tɔk to yu dɔktɔ bɔt yu wayt blɔd sɛl ɛn di tin dɛn we yu nid fɔ du fɔ protɛkt yusɛf frɔm infɛkshɔn. Dis impɔtant mɔ insay dis COVID-19 pandemic.
Fɔ bɔn pikin
Dis na tɔpik wae dɛn nɔr kin no bɔt pan kansa tritmɛnt, bɔt na tɔpik wae kin rili sɛnsitiv. Sɔntɛm bikɔs yu pas 40 ia, ɔ bikɔs yu nɔ mared, yu dɔktɔ go tink se yu nɔ want fɔ bɔn pikin. Bɔt dat nɔto tru. Yu gɛt ɔl di rayt fɔ tɔk bɔt yu famili plan dɛn tumara bambay.
Tin dεm lεk kemothεrapi εn כmon tεrapi kin afekt yu fεtiliti. Fɔ ɛgzampul, i kin at fɔ gɛt bɛlɛ afta 5 ia we dɛn dɔn tek ɔmon tɛrapi. So, mek shɔ se yu tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du fɔ bɔn pikin tumara bambay (lɛk fɔ friz eg ɔ embryo) bifo yu bigin fɔ trit yu.
Di sayd ɛfɛkt dɛn we ɔmon tɛrapi kin gɛt
Bɔku pipul dɛn kin jɔs fred di bad tin dɛn we kin apin we dɛn de tek kimotɛrapi. Bɔt di sayd ɛfɛkt dɛn we ɔmon tɛrapi (endocrine therapy) kin gɛt kin rili bad. Bɔt dɛn nɔ kin tɛl di wan dɛn we sik bɔt dɛn fayn fayn wan.
Sɔm uman dɛn kin sɔfa fɔ 5-10 ia bikɔs ɔf di sayd ɛfɛkt dɛm (e.g. taya, jɔyn pen, pwɛl hat) we kin kam wit drɔgs lɛk tamoxifen. כda tin we dεn nכ kin tכk bכt na wan kכndyushכn we dεn kכl ‘bren fכg’ . Dis na wae yu kin fil fɔ kɔnfyus, yu nɔr de mɛmba fayn, ɛn yu kin fil lɛk yu dɔn lɔs. Pan ɔl we dɛn kin op fɔ dis wit kemo, bɔku pipul dɛn nɔ no se i kin apin wit ɔmon tɛrapi.
If i tan lɛk se yu dɔktɔ nɔ bisin ɔ bisin bɔt yu sayd ɛfɛkt dɛn , i nɔ bad fɔ tink bɔt fɔ go to ɔda dɔktɔ. Fɔ gɛt pɔrsin wae de lisin to yu wɔri na impɔtant tin fɔ yu fɔ liv yu layf.
| Tin dɛn we yu fɔ no bɔt | Wetin yu go ebul fɔ du |
|---|---|
| Swel na di an (Lymphedema) . | Aks yu dɔktɔ fɔ rifer yu to Limphedema thɛrapist bifo dɛn du yu ɔpreshɔn. |
| Di imyuniti we de go dɔŋ (Neutropenia) . | Tɔk to yu dɔktɔ ɔltɛm bɔt aw fɔ mek yu nɔ gɛt infɛkshɔn ɛn yu wayt blɔd sɛl lɛvɛl. |
| Fɔ bɔn pikin | Bifo yu bigin fɔ trit yu, tɔk bɔt di tin dɛn we yu kin du lɛk fɔ friz di eg/embryo. |
| Ɔmon tritmɛnt sayd ɛfɛkt dɛm | Tɔk opin wan bɔt yu sik dɛn (lɛk fɔg na yu bren). If yu dɔktɔ nɔ lisin, gɛt sɛkɔn opinion. |
Risk fɔ mek kansa kam bak (Rɛkɔrɛnt Kansa) .
Dis na tɔpik we bɔku pipul dɛn kin fred fɔ tɔk bɔt. Ivin afta di bɛst tritmɛnt, kansa kin kam bak (rikɔr). I kin de na di sem ples we i bin de bifo, ɔ i kin go na difrɛn pat na di bɔdi.
Pan ɔl we dɛn se "we yu tek mɛrɛsin fɔ 5 ia i go mɛn di kansa ɔltogɛda", di tru tin na dat sɔm tɛm ivin afta 15 ɔ 20 ia, na smɔl risk de fɔ mek di kansa kam bak ɔ spre to ɔda ɔgan dɛm (mɛtastasayz). Ivin if yu bin gɛt kansa we nɔ de gro sloslo ɛn we nɔ gɛt bɔku prɔblɛm, kansa sɛl dɛn kin stil de ayd na yu bɔdi. E fayn fɔ tɔk bɔt dis risk na ɛvri dɔktɔ in apɔntinmɛnt.
Prɛvenshɔn ɛn gilti
Sɔm dɔktɔ dɛn nɔ kin lɛk fɔ tɔk bɔt aw fɔ mek pɔsin nɔ gɛt kansa bikɔs i kin mek di wan dɛn we sik fil gilti. Uman dɛn de blem dɛnsɛf, dɛn de tink tin dɛn lɛk, "A drink da glas de wayn?" ɔ "A nɔ bin du ɛksɛsayz inof?"
Infakt, nɔbɔdi nɔ go ebul fɔ tɔk di rayt tin we mek pɔsin gɛt kansa. So, nɔ tink bɔt di tin dɛn we dɔn pas. Bifo dat, tink bɔt di tumara bambay. If yu adopt wɛl bɔdi layf (gud it, ɛksesaiz) di tɛm we yu de liv yu layf, i nɔ go jɔs ridyus di risk fɔ gɛt kansa fɔ kam bak, bɔt i go ɛp bak fɔ protɛkt yu frɔm ɔda sik dɛn, lɛk at sik.
Faynɛns biznɛs
Di tritmɛnt fɔ kansa na tin we kin rili strɛs fɔ di bɔdi ɛn di walet. Bɔku pipul dɛn kin shem ɔ fred fɔ tɔk bɔt am. Bɔt i impɔtant fɔ tɔk to yu dɔktɔ bɔt di kɔst fɔ di tritmɛnt. Dɔktɔ dɛn nid fɔ ɔndastand se nɔto ɔlman gɛt di sem mɔni.
If i pɔsibul, trɔs dɛn mɔni ɛn inshɔrans tin ya to yu fambul ɔ padi. Yu kin aks bak fɔ ɛp frɔm soshal woka ɔ faynɛns advaysa dɛn na ɔspitul. Fɔ aks fɔ ɛp nɔto sayn fɔ se yu wik.
Mɛsej we dɛn kin kɛr go na os
- Gɛt sɛkɔn opinion: Go to ɔda spɛshal pɔsin bifo yu disayd fɔ du sɔntin. Nɔ panik.
- Tɔk bɔt di sayd ɛfɛkt dɛm: Yu fɔ no bɔt tin dɛm lɛk lymphedema ɛn nyutropenia bifo yu bigin tritmɛnt.
- Tink bɔt aw fɔ bɔn pikin: Tɔk to yu dɔktɔ opin wan bɔt aw yu go plan fɔ du yu famili tumara bambay.
- Pik dɔktɔ we de lisin to yu: I rili impɔtant fɔ gɛt dɔktɔ we bisin bɔt ɔl di tin dɛn we de mɔna yu, ivin di bad tin dɛn we ɔmon tɛrapi kin du.
- Put fɔ fil gilti: Bifo yu rigrɛt di tin dɛn we yu bin dɔn du trade, tink bɔt wɛlbɔdi tumara bambay.
- Aks fɔ ɛp: If yu nid ɛp pan mɔni biznɛs ɔ pan aw pɔsin de fil, nɔ fred fɔ tɔk bɔt am.
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