Na nɔmal tin fɔ mek bɔku pan wi fil smɔl fred ɛn fred we wi yɛri di wɔd "kansa." Bɔt yu no se if wi no bɔt sɔm sik dɛn, mɔ di bɔdi kansa, ɛn ɔndastand di bad tin dɛn we kin apin to wi, wi go ebul fɔ avɔyd di big big bad tin we dɛn kin du? Tide wi go tɔk bɔt wan tɔpik we rili impɔtant. Dat na Breast Cancer Risk Assessment. Nɔ wɔri, wi go tɔk bɔt dis rili simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dis asɛsmɛnt fɔ risk fɔ gɛt bɔdi kansa?
Tink bɔt am lɛk wɛda ripɔt. Di weta ripɔt nɔ se "i go ren tide," i se "chans de fɔ ren." Na so i bi. Brɔst kansa risk asɛsmɛnt na we fɔ kɔl di chans, ɔ chans, fɔ mek yu gɛt bɔdi kansa insay yu layf. I nɔ kin ɛva se 100% kɔrɛkt wan "yu go gɛt kansa" ɔ "yu nɔ go gɛt."
Dɛn kin du dis fɔ si if yu risk pasmak ɔr smɔl pas aw yu kin kɔmpia am wit ɔda uman dɛm wae yu ej ɛn yu bakgrɔn. Dis infɔmeshɔn rili impɔtant to yu dɔktɔ. Bikɔs i kin ɛp yu fɔ disayd aw yu fɔ pe atɛnshɔn to yu bɔdi wɛlbɔdi ɛn us tɛst yu nid fɔ du. Naw, dɛn mek dɛn risk asɛsmɛnt we ya fɔ uman dɛn nɔmɔ. Dɛn nɔ kin yuz dɛn fɔ no di risk fɔ gɛt bɔdi kansa pan man dɛn.
So, aw dɛn we ya fɔ asɛs di risk kin wok?
Naw, i pas 24 difrɛn mɔdel dɛn we de mɛzhɔ di risk fɔ gɛt bɔdi kansa. Bɔku pan dɛn na kwɛstyɔn dɛn we yu kin aks na di Intanɛt we yu kin kɔmplit fɔ yusɛf insay lɛk 10 minit so. We yu dɔn ansa dɛn kwɛstyɔn ya, di softwe kin kɔl di mak bay di tin dɛn we de mek yu gɛt prɔblɛm .
Risk factor na sɔmtin wae de mek pɔrsin gɛt mɔr chans fɔ gɛt sik. Lɛ wi luk di men tin dɛn we kin mek pɔsin gɛt kansa na in bɔdi. Fɔ ɔndastand dis klia wan, luk di tebul we de dɔŋ ya.
| Risk Factor | Wan simpul ɛksplen |
|---|---|
| Ej | Di risk fɔ gɛt bɔdi kansa kin go ɔp smɔl smɔl we pɔsin de ol. |
| Famili Istri | Yu risk kin bɔrku if pɔrsin na yu famili, mɔr lɛk yu fambul lɛk yu mama, sista, ɔr gyal pikin, dɔn gɛt bɔdi kansa. |
| Jɛnɛtik Muteshɔn dɛn | di risk de inkrεs bכku if yu gεt mכtayt kכpi fכ di BRCA1 כ BRCA2 jin dεm. Dɛn kin gɛt dɛn tin ya frɔm dɛn gret gret granpa dɛn. |
| Di Densiti fɔ di Brest | uman dεm we gεt mכr dense brεst tisu pas fεt tisu de pan sכm hεvi risk. Dɛn kin no dis bay we dɛn tek mammogram. |
| Di brɔst bayɔpsi dɛn we dɛn bin dɔn du bifo | di risk de hכy if dεn bin ripot se di brεst bayopsi we dεn bin du bifo dis tεm gεt abnכmal sεl dεm (e.g., atypical hyperplasia). |
| Ɔmon we yu de yuz | Di risk kin go ɔp wit di ɔmon dɛn we dɛn kɔl ɛstrojen ɛn prɔjɛstɛron na di bɔdi fɔ lɔng tɛm. Dis kin bi bay di mεnstral saykl, εn bak bay sכm bכt kכntrכl pil כ כmon riplesmεnt tεrapi (HRT). |
| Ej na Menarch | we di pikin bigin fכ bכn we i rili yכng (e.g. bifo i rich 12 ia), di risk de go כp biכs fכ di lכng tεm we i de εkspos to כmon dεm. |
| Di ej we dɛn de ol we Menopause | di risk go bכku if yu kכntinyu fכ mεnstrayt te yu ol bכku (e.g., afta yu ol 55 ia), we de mek di tεm we yu de εkspos to כmon dεm. |
| Istri bɔt aw fɔ bɔn pikin | Uman dɛn we nɔ ɛva bɔn pikin kin gɛt mɔ risk. Uman dɛm we gɛt dɛn fɔs pikin afta dɛn ol 35 ia kin gɛt mɔ risk bak. We yu bɔn pikin, mɔ we yu yɔŋ, dat kin mek di prɔblɛm nɔ bɔku. |
Bɔt mɛmba se nɔto ɔl di tin dɛn we kin mek pɔsin gɛt dis sik na di sem. fכ egzampl, pan כl we di risk de inkrεs sכmtεm wit di ej, fכ gεt BRCA1 jin mכtεshכn kin inkrεs yu risk fכ gεt kεnsar bay 60%. Dat nɔmɔ na inf fɔ put pɔsin na di kategori we gɛt ay risk.
Wetin na di men risk asɛsmɛnt dɛm we dɛn kin yuz?
Difrɛn we dɛn fɔ asɛs de gi difrɛn wet to dɛn risk factor ya. Dat min se, dɛn kin kɔl di mak dɛn difrɛn we. Lɛ wi luk sɔm pan di we dɛn we pipul dɛn kin yuz mɔ.
Di Gel Mɔdel (BCRAT) .
Dis na di we we bɔku pipul dɛn sabi ɛn we bɔku pipul dɛn de yuz na di wɔl. Na di Nashɔnal Kɛnsa Instityut na Amɛrika bin mek am. Dis kwɛstyɔn bɔks nɔ kin tek fayv minit fɔ kɔmplit. I kin gi mɔ wan aidia bɔt di risk fɔ gɛt kansa insay di nɛks fayv ia ɛn we i ol 90 ia.
Di men kwɛstyɔn dɛn we dɛn kin aks insay dis na:
- yu ej
- Ras/etnik we dɛn kɔmɔt
- Istri bɔt aw i bɔn pikin
- If dɛn dɔn du brɔst bayɔpsi bifo tɛm
- Ej we yu bigin fɔ gɛt mɔnt
- Famili histri bɔt bɔdi kansa
If dis kin mek yu gɛt fayv ia risk we na 1.67% ɔ mɔ, dɛn kin tek am se na "high-risk." If na so, yu dɔktɔ kin gi yu wan mɛrɛsin lɛk Tamoxifen, we de ridyus di risk fɔ gɛt kansa. Bɔt dis we ya nɔ fayn fɔ pipul dɛn we dɔn gɛt kansa bifo ɔ we dɛn no se dɛn gɛt jɛnɛtik muteshon lɛk BRCA.
IBIS (Mɔdel Tayr-Kuzik) .
Dis we ya de tɔk mɔ bɔt am smɔl pas di we aw Gel bin de du am. I kin kɔl di risk fɔ di nɛks 10 ia ɛn fɔ wan layf. I kin tek tɛm tink bak bɔt tin dɛn lɛk:
- Di density na di brɔst
- Di Bɔdi Mas Indeks (BMI) .
- Istri bɔt ovarian kansa
- Yuz ɔmon tɛrapi (HRT) .
- fכ no bכt di BRCA1 כ BRCA2 jin mכtεshכn
Bay di rizɔlt, dɔktɔ dɛn kin disayd aw ɔltɛm yu nid fɔ chɛk yu bɔdi, ɔ if yu nid fɔ gɛt BRCA jin tɛst.
BRCAPRO we dɛn kɔl BRCAPRO
Dis na sɔntin we spɛshal smɔl. dis asesmεnt de mεntal luk aw yu go gεt BRCA1 כ BRCA2 jin mכtεshכn na yu bכdi. Dis kin dipen ɔlmost pan yu famili histri bɔt kansa. I nid fɔ gɛt bɔku dip infɔmeshɔn, mɔ di ej we di famili mɛmba dɛn gɛt kansa, fɔ tɛst dɛn jɛnɛtiks we dɛn dɔn du, ɛn ɔpreshɔn fɔ pul dɛn bɔdi ɔ ovarian. Bay di rizɔlt fɔ dis, yu kin disayd if yu fɔ du yu jenɛtik tɛst ɔ nɔ fɔ du am.
Aw mi dɔktɔ go yuz dɛn rizɔlt ya?
Dis na di tin we impɔtant pas ɔl. If yu tek wan onlayn asesmɛnt lɛk dis ɛn i se yu "high-risk," nɔ panik ɔ fred. I nɔ min se yu gɛt kansa. Na jɔs fayn ples fɔ bigin fɔ tɔk to yu ɛn yu dɔktɔ.
Frɔm dɛn tin ya, yu dɔktɔ kin du tin dɛn lɛk dɛn tin ya:
- I fayn fɔ mek yu du ɛgzam na yu bɔdi mɔ ɛn mɔ: Dɛn kin aks yu fɔ du mamogram ɔ ɔda tɛst (e.g., MRI) bɔku tɛm pas aw yu kin du am.
- Riferal fɔ Jɛnɛtik Kɔnsɛl: Dɛn kin rifer yu to spɛshal pɔsin fɔ ɛksplen if i fayn fɔ tɛst fɔ di jenɛtik muteshɔn we de mek yu gɛt kansa bɔku ɛn aw di rizɔlt go afɛkt yu layf ɛn famili.
- Fɔ gi yu mɛrɛsin we de ridyus di prɔblɛm: Mɛrɛsin lɛk Tamoxifen kin mek di kansa sɛl dɛn nɔ gro.
- Tɔk bɔt Prɛvɛntiv Ɔpreshɔn: Fɔ pɔsin we gɛt rili ay risk (e.g., pɔsin we gɛt BRCA jin muteshɔn), dɛn kin tɔk bɔt prɔfylaktik mastektomi bifo kansa kam. Dis kin ridyus di risk bad bad wan.
Aw dɛn kin abop pan di rizɔlt dɛn we dɛn asɛsmɛnt ya gɛt?
Dis na sɔntin we wi nid fɔ tɔk bɔt ɔnɛs wan. Dɛn asɛsmɛnt we ya de bays pan di data we dɛn gɛda frɔm bɔku pipul dɛn. Dat min se, dɛn kɔmpia di infɔmeshɔn we bɔku bɔku uman dɛn we dɔn gɛt kansa dɔn gi to yu infɔmeshɔn, ɛn dɛn gi dis rizɔlt. Bɔt nɔbɔdi pan wi nɔto statystik. Ivin if wi gɛt di sem tin dɛn we kin mek wi gɛt dis sik, nɔ tu pipul dɛn bɔdi nɔ di sem.
So, dɛn we ya gɛt bɔku tin dɛn we dɛn nɔ ebul fɔ du:
- Data Varieshɔn: Di data we dɛn yuz na sɔm asɛsmɛnt we dɛn kin yuz kin bias to wan rays, so di rizɔlt nɔ kin kɔrɛkt fɔ ɔlman.
- Nɔto fɔ ɔl di kansa dɛm: Dɛn we ya kin kɔl bɔku pan di kansa dɛm we de kam insay. Dɔn bak, dɛn nɔ kin ebul fɔ gi infɔmeshɔn bɔt pɔsin we dɔn ɔlrɛdi gɛt kansa.
- Nɔr fɔ tink bɔt ɔl di risk factor dɛm:Nɔto ɔl di risk factor dɛm na wan asɛsmɛnt de kɔba. Sɔm dɛn gɛt mɔ jɛnɛtiks, ɛn ɔda wan dɛn gɛt mɔ layf. Na dat mek sɔm tɛm yu dɔktɔ go aks yu fɔ du mɔ pas wan asɛsmɛnt.
Pan ɔl dɛn tin ya we nɔ izi fɔ du, dɛn risk asɛsmɛnt ya kin wok fayn fɔ mek dɛn ebul fɔ no aw pɔsin kin gɛt prɔblɛm, na dat mek dɔktɔ dɛn kin kɔntinyu fɔ yuz dɛn na klinik prɔsis.
Fɔ dɔn, wan risk asɛsmɛnt fɔ brɔst kansa nɔ kin ebul fɔ tɔk if yu go gɛt kansa. Bɔt i kin mek yu dɔktɔ no bɔt di prɔblɛm we yu gɛt. Fɔ mek dɛn chɛk yu bɔdi kansa impɔtant fɔ ɔlman. Dis asesmɛnt na jɔs wan ɔda tin fɔ ɛp yu fɔ disayd aw fɔ kia fɔ yu wɛlbɔdi. I kin ɛp bak fɔ mek dɛn chɛk yu ɔltɛm. Di gol na fɔ fɛn kansa kwik, we dɛn kin trit am.
Mɛsej we dɛn kin kɛr go na os
- Brɔst kansa risk asɛsmɛnt na we fɔ mɛzhɔ yu chans (prɔbabiliti) fɔ gɛt kansa, nɔto fɔ no if yu gɛt kansa.
- Nɔ panik bɔt di rizɔlt, tɔk bɔt am wit yu dɔktɔ . Dat na di tin we impɔtant pas ɔl.
- Rizulyt we gɛt ay risk nɔ min se yu go gɛt kansa. Ɛn i nɔ fayn fɔ stɔp fɔ du tɛst jɔs bikɔs yu gɛt rizɔlt we nɔ gɛt bɔku prɔblɛm.
- Dɛn we ya fɔ asɛs de ɛp yu ɛn yu dɔktɔ fɔ du mɔ ɛn bisin bɔt yu wɛlbɔdi.
- Di chans fɔ mek kansa wɛl ɔl if dɛn no am kwik kwik wan, rili bɔku. So, nɔ ɛva mis di ɛgzam fɔ yu bɔdi we yu ol di rayt ej.
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