Yu tink se brɔst kansa dɔn kam bak? (Breast Cancer Recurrence) Lɛ wi tɔk bɔt dis!

We yu tink se dɛn dɔn gɛt tritmɛnt fɔ yu bɔdi kansa ɛn yu de fil fayn, yu kin fred bad bad wan se di sik go kam bak? Infakt, sɔntɛnde i kin ebul. Tide wi de tɔk bɔt aw bɔdi kansa kin kam bak . Nɔ fred fɔ yɛri dis, bikɔs i rili impɔtant fɔ no bɔt am.

Wetin na di brɔst kansa we de kam bak?

Fɔ tɔk am simpul wan, we yu dɔn fɔ trit yu bɔdi kansa, di kansa kin kam bak na yu bɔdi bak, we wi kin kɔl ‘brɔst kansa we kin kam bak’ . Dis kin apin insay sɔm mɔnt afta dɛn dɔn trit am, ɔ i kin apin sɔm ia afta dat. Wi dɔktɔ dɛn kin trit dis kansa we kin kam bak, bɔt sɔntɛnde i kin kam bak.

Wetin na de way dis kansa kin kam bak?

Dɛn kin no di kayn kansa bay usay i kɔmɔt bak. Tri men kayn dɛn de:

• Lokal Rikɔrɛshɔn: Dis min se di kansa dɔn kam bak na di sem bɔdi (ɔ eria na di bɔdi) usay dɛn bin fɔs fɛn am. Fɔ ɛgzampul, if yu gɛt kansa na yu rayt bɔdi ɛn dɛn pul am, i go tan lɛk se kansa sɛl dɛn de gro bak na da rayt bɔdi de.

• Rijyonal Rikכrεshכn: Dis na we di kεnsar de kam bak nia di כrijinal tכmכro, lεk na di aksila limf no dεm כ na di limf no dεm we de rawnd di nεk.

• Distant Recurrence: Dis na di kayn we we siriɔs pas ɔl. Dis na we di brɔst kansa sɛl dɛn dɔn skata fa frɔm usay di fɔs tumbu bin de, to yu lɔng, bon, bren, ɔ ɔda pat dɛn na yu bɔdi. Dɛn kin kɔl dis bak (Metastatic Breast Cancer) . Bɔku tɛm dɛn kin kɔl am (Stage 4 Breast Cancer) .

Wan ɔda tin de we yu fɔ no. Imajin se yu gɛt kansa na wan pan yu bɔdi, ɛn dɛn trit am ɛn mɛn am. Dɔn, if nyu kansa kam na yu ɔda bɔdi, dat na di bɔdi we de na di ɔda say usay kansa nɔ bin de bifo, dɛn nɔ kin tek am se na ‘rikɔrɛshɔn’. Dɔktɔ dɛn kin kɔl am ‘sɛkɔn kansa’.

Us kayn bɔdi kansa kin kam bak?

Di American Cancer Society se inflammatory breast cancer (IBC) ɛn triple-negative breast cancer (TNBC) kin kam bak pas ɔda kayn brɔst kansa. Dɛn kayn tin ya kin agresiv mɔ, na dat mek dɛn kin bɔku.

Aw i kɔmɔn fɔ mek di bɔdi kansa kam bak?

Infakt, dis nɔto sɔntin we kin apin to ɔlman, we min se i nɔ kin rili kɔmɔn. Bɔt di rayt pasɛnt tɛm we dis kin apin kin dipen pan bɔku tin dɛn, lɛk di stej we yu bin gɛt fɔs kansa ɛn di tritmɛnt we yu bin gɛt.

Aw lɔng i kin tek fɔ mek kansa kam bak?

Bɔku tɛm, if di kansa kam bak na di sem ples afta dɛn dɔn pul am na di bɔdi , we na ɔpreshɔn we dɛn kin pul wan pat pan di bɔdi nɔmɔ, i go mɔs bi se i go apin insay di fɔs fayv ia. Bɔt if yu gɛt redyushɔn tɛrapi afta di lumpectomy , dis risk kin ridyus bad bad wan. We dɛn put dɛn tu tritmɛnt ya togɛda, di chans fɔ mek di kansa kam bak insay 10 ia kin ridyus to bitwin 3% ɛn 15%. Sɔntɛnde, bay tin dɛm lɛk yu jenɛtik tɛst, yu dɔktɔ kin tɛl yu fɔ tek ɔda tritmɛnt fɔ ridyus dis prɔblɛm mɔ.

Di rit we di kansa kin kam bak difrɛn smɔl fɔ di wan dɛn we dɛn dɔn pul di mastectomy , we min se dɛn kin pul di wan ol bɔdi:

• If no kansa sel nɔ bin de na di aksila limf no dɛm we yu bin gɛt yu fɔs ɔpreshɔn, di chans fɔ mek di kansa kam bak insay fayv ia na lɛk 6%.
• כltu, if kεnsar sεl dεm de na di limf no dεm na di armpit, di chans fכ mek i kam bak na lεk 25%. Bɔt if yu gɛt raytin tɛrapi afta yu dɔn pul di mama , dis risk kin ridyus to 6%.

Wetin na di sayn dɛm wae de sho se kansa de kam bak?

Di sayn dɛm kin difrɛn difrɛn wan bay usay di kansa kin kam bak. fכ egzampl, di simptom dεm nכ de di sem we di kεnsar kam bak na di sem ples we i bin de (lokal rikarεshכn), bכt we i dכn spre to di limf no dεm we de nia (rijכnal rεkכrεshכn).

Lokal rikarεshכn kin prεzεnt wit sεmtin dεm lεk:

• Fɔ fil nyu lump ɔ tumor na di brɛst ɔ ɔnda di skin na di chɛst.
• di nipple chenj: i kin tan lεk se di nipple invεst, כ sכm dischaj de kכmכt na di nipple.
• (Lumpectomy) Di skin we de rawnd di say we dɛn du di ɔpreshɔn de swel ɛn i tan lɛk se dɛn pul am insay.
• di skin we de tik oba ɔ rawnd di skata we dɛn du di ɔpreshɔn.
• di brεst tisu de fil fכ fכm pas aw i kin fil.

Rijyonal rikarεshכn kin prεzεnt wit dεn simptom dεm ya:

• Pen we de kɔntinyu fɔ de na in chɛst .
• I nɔ izi fɔ swɛla .
• Fɔ fil pen, swel, ɔ swɛt na wan an ɔ sholda.
• di limf no dεm we swεla na di armpit כ arawnd di nεk.

Insay distant rikɔrɛshɔn (Distant / Metastatic / Stage 4 Rikɔrɛshɔn), dɛn simptom ya kin afɛkt ɛni ɔgan. Dat min se, ples dεm lεk bon, lכng, bren, liva. Di sayn dɛm kin difrɛn difrɛn wan bay usay di kansa dɔn skata. Dɛn kin inklud:

• Pen usay di kansa dɔn skata, mɔ na di bon dɛn .
• Wan dray kɔf we nɔ de dɔn .
• Kɔndishɔn lɛk fɔ diziz, fɔ lɛf fɔ balans, ɛn fɔ gɛt sik.
• Fɔ fil taya we yu nɔ go ebul fɔ imajin (Extreme Fatigue) .
• Lɔs fɔ it, nɔs, fɔ lɔs wet.
• Di ed we kin at bad bad wan .
• Fɔ fil lɛk se sɔm pat dɛn na yu bɔdi nɔ gɛt bɛtɛ trɛnk ɔ yu wik.

Wetin mek dis brɔst kansa kin kɔntinyu fɔ kam bak?

Di men rizin we mek brɔst kansa kin kam bak na bikɔs sɔm pan di kansa sɛl dɛn na yu bɔdi nɔ bin dɔn pwɛl kpatakpata bikɔs ɔf di tritmɛnt dɛn we yu bin gɛt. Di tritmɛnt dɛn we dɛn kin yuz fɔ mɛn bɔdi kansa kin rili wok, bɔt yu no se dɛn kansa sɛl dɛn ya rili kɔni?

• Sɔntɛnde, tritmɛnt kin mek di tumbu dɛn smɔl ɛn wik di kansa sɛl dɛn te dɛn nɔ kin ebul fɔ no dɛn bay we dɛn de du tɛst. Bɔt dɛn sɛl dɛn de stil de. As tɛm de go, dɛn sɛl dɛn de kin strɔng bak, bigin fɔ gro bak, ɛn mek nyu tumbu dɛn.
• Ɔpreshɔn fɔ pul wan kansa tɔŋ nɔto ɔltɛm 100% saksesful. Bifo dɛn du di ɔpreshɔn, di kansa sɛl dɛn kin dɔn skata to di limf no dɛn, di tisu dɛn, ɔ di blɔd we de nia de.

Udat de pan big risk fɔ mek dis kansa kam bak?

Ɛnibɔdi we dɔn gɛt bɔdi kansa kin gɛt am bak. Bɔt di risk fɔ mek di kansa kam bak kin dipen pan sɔm tin dɛn:

• Ej: Uman dɛm we gɛt bɔdi kansa bifo dɛn ol 35 ia kin gɛt di kansa bak.
• Kansa Stej: We dɛn fɔs no se yu gɛt bɔdi kansa, dɔktɔ dɛn go yuz di stej we di kansa gɛt fɔ plan di tritmɛnt ɛn fɔ tɔk bɔt wetin go apin tumara bambay. Rilayshɔn de bitwin di stej we dɛn fɔs no di kansa ɛn di risk fɔ mek di kansa kam bak. Fɔ ɛgzampul, pɔsin we gɛt Stej III kansa kin gɛt di kansa bak pas pɔsin we gɛt Stej I ɔ Stej II kansa.
• Tayp fɔ Kansa: Kansa wae kin agresiv ɛn wae kin skata kwik, lɛk Inflammatory Breast Cancer ɔ Triple-Negative Breast Cancer, kin at fɔ trit. So, dɛn kayn kansa ya kin kam bak ɛn prɛd.

Wetin na di prɔblɛm dɛn we kin apin if di kansa kam bak?

Fɔ trit bɔdi kansa kin tranga we i kam bak ɔ i kin skata:

• Di tritmɛnt dɛm wae bin de woke trade nɔr kin woke fayn dis tɛm. Yu dɔktɔ kin tray ɔda tritmɛnt dɛn. Dɛn kin tɛl yu bak fɔ tek pat pan klinik trial , we na risach stɔdi bɔt nyu tritmɛnt dɛn.
• (Mɛtastatik Brɔst Kansa) ., we min se di kansa de na pas wan ples na di bɔdi, we de mek i rili at fɔ trit. (Bɔt mɛmba se, ilɛk usay di bɔdi kansa de skata, dɛn kin stil tek am se na bɔdi kansa. Bikɔs di bɔdi sɛl dɛn difrɛn frɔm di lɔng sɛl dɛn, di bon sɛl dɛn, ɔ di sɛl dɛn we de na ɔda say dɛn usay kansa kin skata.)

Aw dɔktɔ dɛn kin no se di kansa dɔn kam bak?

Sɔm pan di tɛst dɛn we dɛn bin de yuz fɔ no fɔs bɔt bɔdi kansa, dɛn de du am naw:

• Mamogram tɛst fɔ di wan dɛn we de du mami ɛn dadi biznɛs
• Ultrasound egzamin
• Skan dɛn lɛk (MRI) , (CT Skan) ɔ (PET Skan - Positron Emission Tomography Scan) .
• Blɔd tɛst fɔ luk fɔ di tumor mak dɛn
• Bayopsi min fɔ tek wan smɔl pat pan di tisu ɛn chɛk am.

Wetin na di tritmɛnt fɔ bɔdi kansa we kin kam bak?

Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay usay di kansa dɔn kam bak ɛn us tritmɛnt dɛn we dɛn bin dɔn gi am trade. Fɔ ɛgzampul:

• If yu bin dɔn gɛt lumpectomy bifo fɔ lokal ɔ rijinal kansa, dis tɛm yu dɔktɔ kin tɛl yu fɔ pul wan ɔ ɔl tu di bɔdi, ɛn di limf no dɛm we de nia yu.
• If yu dɔn gɛt lumpectomy bifo, yu kin ebul fɔ du ɔda lumpectomy wit redyushɔn tɛrapi. Yu fɔ tɔk bɔt dis wit yu dɔktɔ.
• If kansa kam bak na di bɔdi we dɛn dɔn mek bak, di dɔktɔ we de du di ɔpreshɔn go nid fɔ pul di bɔdi we dɛn put insay di bɔdi ɔ di skin flap.
• If yu dɔn pul di mastectomy bifo, dis tɛm di tritmɛnt kin inklud ɔpreshɔn fɔ pul di nyu tumbu, dɔn dɛn kin yuz redyushɔn tɛrapi .

Apat frɔm dis, ɔda we dɛn de fɔ trit pɔsin:

• Ɔmon Tɛrapi
• (Kɛmotɛrapi) (Wi kin kɔl am kemo) .
• Imyunotɛrapi
• Tɛrapi we dɛn de tɔk bɔt

Wetin na di tritmɛnt fɔ mɛtastas kansa?

di men tritmεnt f כ mεtastas brεst kεnsar na sistεmik tεrapi, we de afekt di כl bכdi. Dis inklud kemotɛrapi , ɔmon tɛrapi , imyunotɛrapi , ɛn targeted tritmɛnt .

If di kansa kam bak, i go wɔs pas aw i bin de bifo?

Fɔ trit bɔdi kansa we kin kam bak kin tranga. Bɔt nɔr kin min ɔltɛm se i wɔs pas di fɔs kansa. If yu gɛt bɔdi kansa we de kam bak, dɛn kin gi yu difrɛn tritmɛnt pas aw dɛn bin de gi yu bifo, ɔr tritmɛnt we de mek yu gɛt mɔ agresiv lɛk ɔpreshɔn, ɔr mɔ pawaful mɛrɛsin fɔ fɛt kansa. Bɔku tin dipen pan di tin we de apin to yu. So di bɛst pɔsin fɔ aks wetin yu go ɛkspɛkt na yu dɔktɔ.

Yu tink se kansa we kin kam bak kin wɛl ɔltogɛda?

I rili dipen pan di tin we de apin to yu. Aks yu dɔktɔ if di gol fɔ di tritmɛnt dis tɛm na fɔ mɛn di kansa kpatakpata, ɔ fɔ kɔntrol aw i de gro ɛn fɔ skata. Da we de, yu go ebul fɔ gɛt klia aidia.

Wetin na di chans fɔ liv if di kansa kam bak?

Dis na smɔl tin we gɛt fɔ du wit sɔntin we rili impɔtant. in jεnarכl, di fayv ia rεt we dεn de liv afta dεn no se i gεt kεnsar na dεn wan ya:

• lokaliz brεst kεnsar na bכt 99% pan di brεst kεnsar kεys dεm.
• Rijinal brɔst kansa na lɛk 86%.
• Na lɛk 27% pan di kes dɛm dɔn spre fa fawe, dat na , mɛtastas brɔst kansa .

Bɔt dis rili impɔtant : Dɛn kayn rεt ya wae de mɛk pɔrsin gɛt kansa na jɔs ɛstimat bay di ɛkspiriɛns wae bɔrku grup wae gɛt di sem sik dɔn gɛt. Dɔn bak, dɛn ɛstimat ya kɔmɔt frɔm infɔmeshɔn we go dɔn de sɔm ia bifo dis tɛm. Tink bɔt di difrɛns bitwin wan selfi we yu tek fayv ia bifo ɛn wan we yu tek yestede. Jɔs lɛk aw yu luk, dɛn kayn we ya we yu de liv kin chenj as tɛm de go, as nyu tritmɛnt dɛn de kɔmɔt ɛn di sayɛns we dɛn de yuz fɔ mɛn pipul dɛn de go bifo.

Dis na di kwɛstyɔn dɛn we yu bin gɛt we yu fɔs no se yu gɛt bɔdi kansa. Yu dɔktɔ na bin yu bɛst fɔ gɛt infɔmeshɔn da tɛm de, ɛn i stil de du dat. So nɔ mek yu fred wit dɛn statystik ya. I bɛtɛ fɔ tɔk to yu dɔktɔ fɔ gɛt di kɔrɛkt infɔmeshɔn bɔt yu sik.

Yu tink se dɛn kin mek di bɔdi kansa nɔ kam bak?

Risach dɔn sho se sɔm tritmɛnt dɛn kin ridyus di risk fɔ mek sɔm kayn bɔdi kansa kam bak. fכ egzampl, כmon tεrapi , lεk tamoxifen כ aromatase inhibitors, kin ridyus di risk fכ brεst kεnsar fכ kam bak pan pipul dεm we gεt εli stej εstrojen-rεsεptiv brεst kεnsar (ER-positiv כ ER+) . Kimotɛrapi afta dɛn dɔn ɔpreshɔn (we dɛn kɔl adjuvant therapy ) kin ridyus di prɔblɛm bak.

Bɔt, in jɛnɛral, masta sabi pipul dɛm stil nɔr ɔndastand gud gud wan wetin mek brɔst kansa kin kam bak pan sɔm pipul dɛm ɛn nɔr kin kam bak pan ɔda pipul dɛm.If yu gɛt bɔdi kansa bak, nɔ tink se na bikɔs ɔf sɔntin we yu du ɔ nɔ du. Nɔto yu fɔlt.

Pan ɔl we yu nɔ go ebul fɔ mek yu bɔdi kansa nɔ kam bak, i impɔtant fɔ du ɔltɛm fɔ chɛk yusɛf ɛn fɔ fala yu bɔdi lɛk aw yu dɔktɔ tɛl yu. Dis kin ɛp yu dɔktɔ fɔ no bɔt mɛtastas brɔst kansa we i nɔ tu te, we i izi fɔ trit.

Aw a fɔ kia fɔ misɛf? (ɔl tu pan maynd ɛn bɔdi) .

If yu dɔn gɛt bɔdi kansa bak, yu go mɔs de liv wit bɔku difrɛn filin dɛn. Dat na rili nɔmal tin.

• Yu kin vɛks fɔ gɛt fɔ dil wit dis kansa tritmɛnt bak.
• E kin mek yu fil bad fɔ gɛt fɔ dil wit dis sik bak, wae kin mek yu fil lɛk yu nɔr ebul fɔ kɔntrol yu wɛl bɔdi.
• Di wɔri ɛn fred bɔt tumara bambay kin kam na wi maynd.
• Bikɔs no garanti nɔ de fɔ se di kansa nɔ go kam bak, i kin mek yu at pwɛl.

Na nɔmal tin ɛn na nɔmal tin fɔ fil dɛn filin ya. Bɔt if yu fil se yu dɔn stɔp fɔ fil bad, tɔk to yu dɔktɔ. I kin ɛp yu fɔ tink bɔt wetin yu de fred. Dɛn kin rifer yu bak to pɔrsin wae sabi bɔt mɛntɛl hεlth fɔ ɛp yu fɔ ɔndastand ɛn kɔntrol aw yu de fil.

Na sɔm ɔda tin dɛm wae yu kin du fɔ ridyus de strɛs wae yu gɛt fɔ liv wit bɔdi kansa wae de kam bak:

• Kɔntinyu fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi: Fokus fɔ ful-ɔp yu plet wit difrɛn difrɛn vɛjitebul dɛn, frut dɛn, tin dɛn we nɔ gɛt bɔdi, ɛn ɔl di tin dɛn we dɛn kin it. If yu it fayn, dat go ɛp yu fɔ kɔntinyu fɔ gɛt trɛnk we yu de du tritmɛnt.
• Gɛt sɔm ɛksesaiz: Ɛksesaiz ɔltɛm kin mek yu nɔ strɛs ɛn i kin ɛp yu bak fɔ bia wit sɔm pan di prɔblɛm dɛn we kin kam wit yu maynd we yu gɛt bɔdi kansa bak.
• Tink bɔt di kia we yu de kia fɔ yu fɔ mɛn yu sik: Di wan dɛn we de kia fɔ yu we yu de kia fɔ yu bɔdi kin ɛp yu fɔ kɔntrol di sik dɛn ɛn di sayd ɛfɛkt dɛn we di tritmɛnt kin gɛt.
• Tek pat pan Kansa Survivorship Programs: Yu dɔn bi pɔsin we dɔn sev frɔm di de we dɛn no se yu gɛt bɔdi kansa. Aks yu dɔktɔ bɔt di program ɛn savis dɛm we dɛn mek fɔ pipul dɛm we gɛt bɔdi kansa we kin kam bak.

Ustɛm a fɔ go to mi dɔktɔ?

If yu notis ɛni chenj na yu bɔdi, ɔ if yu gɛt sɔm sayn dɛn lɛk kɔf, ed we de at, ɔ swɛlin limf no dɛm we de kɔntinyu ɛn nɔ de go, yu fɔ rili go to yu dɔktɔ.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If tɛst kɔnfirm se yu bɔdi kansa dɔn kam bak, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn bɔdi kansa we de kam bak a gɛt?
• If i dɔn skata, usay i dɔn skata?
• Wetin na di stej fɔ dis kansa?
• Wetin na di tritmɛnt dɛn?
• Wetin na de risk ɛn sayd ɛfɛkt dɛm wae de tritmɛnt kin gɛt?
• Us sayn dɛm fɔ kɔmplikeshɔn a fɔ luk fɔ?

A kin ɛva shɔ se di kansa nɔ go ɛva kam bak?

Bɔt i sɔri fɔ no se nɔbɔdi nɔ go ebul fɔ gi yu da garanti de. Ivin if tɛst nɔr si ɛni sayn fɔ brɔst kansa, sɔm smɔl smɔl kansa sɛl dɛm kin stil de wae nɔr kin no bɔt wae dɔn rɔnawe pan tritmɛnt fɔ di kansa wae dɔn kam bak. Dɔn bak, kansa sɛl dɛn kin kɔmɔt na yu bɔdi to ɔda pat dɛn na yu bɔdi. If dɛn du dat, dɛn kin gro de ɛn mek tumbu.

Fɔ no se yu bɔdi kansa dɔn kam bak kin bi tin we nɔ izi fɔ du. I ɔndastand se yu fil bad, vɛks, ɛn fred. Bɔt yu go dɔn gladi pasmak we yu gɛt tritmɛnt ɛn yu kam fɔ no se di kansa nɔ de igen. Naw, i dɔn kam bak. I kin fil lɛk bad drim ɔltin bak. Bɔt we yu no dis, dat kin mek yu gɛt sɔm kolat na yu maynd: Bɔku tɛm, if yu trit yu bɔdi kansa we dɔn kam bak, dat kin pul di kansa we dɔn kam bak. Yu kin ebul bak fɔ tek pat pan klinik trial dɛm wae de evaluate nyu tritmɛnt dɛm. If yu bɔdi kansa dɔn kam bak, yu dɔktɔ go tɛl yu di bɛst tritmɛnt fɔ yu, ivin di klinik trial dɛn .

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we yu fɔ mɛmba

Fɔ gɛt bɔdi kansa bak na tin we de mek pɔsin fred. Bɔt i impɔtant fɔ no bɔt am, pe atɛnshɔn to di sayn dɛm, ɛn tɔk to yu dɔktɔ opin wan.

• Nɔ wɔri: nɔto ɔl kansa kin kam bak, ɛn ivin if dɛn kam bak, tritmɛnt dɛn de.
• Lisin to yu bɔdi: Tɛl yu dɔktɔ if yu notis ɛni nyu lumps, pen, ɔ chenj.
• Nɔ mis di rayt tɛst dɛm: Gɛt fɔ fala di tɛst dɛm lɛk aw yu dɔktɔ tɛl yu fɔ du.
• Nɔto yu wan de: yu famili, yu padi dɛn, ɛn yu mɛdikal tim go sɔpɔt yu. Saikɔlɔjik sɔpɔt bak rili impɔtant.
• Tray fɔ de tink gud wan: Di tritmɛnt kin fayn, ɛn nyu tritmɛnt dɛn de kɔmɔt ɔltɛm.

Mɛmba se yu dɔktɔ na di bɛst pɔsin fɔ advays yu, so nɔ shem fɔ aks dɛn if yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu.

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