Aw yu risk fɔ gɛt bɔdi kansa? Lɛ wi tɔk bɔt dis (Breast Cancer Risk Assessment)!

Aw di bɔdi? Tide wi go tɔk bɔt wan tɔpik we rili impɔtant to bɔku uman dɛn, ɛn we de mek pɔsin fred smɔl. Dat na di risk asɛsmɛnt fɔ brɔst kansa. Nɔr wɔri, dis nɔr kin tɛl yu fɔ tru if yu gɛt kansa ɔr nɔr gɛt am. Bɔt i kin ɛp yu fɔ ɔndastand wetin na yu risk.

Wetin na Breast Cancer Risk Assessment?

Fɔ tɔk am simpul wan, dis na we fɔ luk pan yu chans, ɔ prɔbabiliti, fɔ gɛt bɔdi kansa insay yu layf. Fɔ ɛgzampul, na sɔm kɔntri dɛn, na lɛk wan pan ɛvri et uman dɛn go gɛt bɔdi kansa insay dɛn layf. So, dis asesmɛnt kin ɛp yu fɔ gɛt wan rɔf aydia fɔ no if yu de wit dɛn, ɔr if yu risk bɔku ɔ smɔl pas di avɛrej pɔsin.

Di impɔtant tin na dat, dis nɔr de se "yu go gɛt kansa" ɔr "yu nɔr go gɛt." I jɔs de sho aw bɔku risk yu dɔn kɔmpia to ɔda pipul dɛn we yu ol ɛn yu bakgrɔn. Naw, dɛn mek dɛn we ya fɔ uman dɛn. Dɛn nɔ kin yuz dɛn fɔ no di risk fɔ gɛt bɔdi kansa pan man dɛn.

Aw dɛn risk asɛsmɛnt mɔdel ya de wok?

Naw, na lɛk twɛnti-fo we dɛn de fɔ asɛs di risk. Bɔku pan dɛn tin ya de as kwɛstyɔn dɛn we dɛn kin aks na di Intanɛt. Yu kin ansa dɛn kwɛstyɔn ya insay lɛk tɛn minit so. Bay di ansa dɛn we yu gi, dɛn kin kɔl di mak bay di tin dɛn we de mek yu gɛt prɔblɛm . Risk factor na sɔmtin wae de mek yu gɛt mɔr chans fɔ gɛt sik, mɔr lɛk bɔdi kansa, dis tɛm.

So wetin na dɛn men tin ya we kin mek pɔsin gɛt prɔblɛm?

Lɛ wi si us tin dɛn kin mek pɔsin gɛt mɔ kansa na in bɔdi.

• Ej: Di risk fɔ gɛt bɔdi kansa kin go ɔp smɔl smɔl wit di ej.
• Famili histri bɔt bɔdi kansa: If pɔsin we de nia yu fambul (fɔs digri fambul), lɛk yu mama, sista, ɔ gyal pikin, dɔn gɛt bɔdi kansa, ɔ if bɔku pan yu famili dɔn gɛt am, yu risk go bɔku.
• Jɛnɛtik muteshon: Sɔm pipul dɛn kin gɛt sɔm chenj dɛn na dɛn jin. in patikyula, mכtayshכn dεm na di jin dεm `(BRCA1)` εn `(BRCA2)` sכmtεm de inkrεs di risk fכ brεst kεnsar.
• Ras/etnik grup: Sɔm etnik grup dɛn de pan ay risk. fכ egzampl, pipul dεm we kכmכt na Ashkenazi Ju pipul dεm kin gεt mכtεshכn na di `(BRCA1)` כ `(BRCA2)` jin dεm, we min se dεn kin gεt bכku risk fכ brεst kεnsar.
• di brεst dεnsiti: sכm uman dεn gεt mכr fכs tisu εn glandular tisu na dεn brεst, εn sכm fεt tisu dεm nכ de. Dɛn kɔl dɛn tin ya dense brɔst.Pipul dεm wae gεt de pan hεvi risk pas dεn wan dεm wae gεt mכr fεt tisu.
• Dɛn bin dɔn tek yu brɔst bayɔpsi bifo tɛm: If yu bin dɔn du brɔst bayɔpsi bifo ɛn di rizɔlt sho se di sɛl dɛn nɔ de gro fayn, lɛk atypical hyperplasia , yu risk go bɔku.
• Ɔmon we yu de gɛt: If yu gɛt bɔku bɔku ɔmon dɛn we dɛn kɔl ɛstrojen ɛn prɔjɛstɛron na yu bɔdi fɔ lɔng tɛm, dat kin mek yu gɛt mɔ prɔblɛm. Dis kin bi bikɔs ɔf di ɔmon dɛm we yu bɔdi de mek bay insɛf (we gɛt fɔ du wit di mɔnt), ɔ i kin bi bikɔs ɔf sɔm mɛrɛsin dɛm we yu de tek. Fɔ ɛgzampul, sɔm bɔn kɔntrol pils ɛn ɔmon riplesmɛnt tɛrapi (HRT) kin mek yu gɛt mɔ prɔblɛm bak.
• Di ej we yu de ol we yu de gɛt di bɛlɛ: If yu bigin fɔ bɔn pikin we yu rili yɔŋ (menarche) , dat min se yu bɔdi dɔn gɛt ɔmon fɔ lɔng tɛm. Dis kin mek yu gɛt mɔ prɔblɛm bak.
• Di ej we yu ol we yu de menopause: Dɔn bak, if yu prɛgnɛshɔn, ɔ menopause , apin leta pas aw i fɔ bi, yu risk kin go ɔp bikɔs yu de yuz ɔmon fɔ lɔng tɛm.
• Istri bɔt aw dɛn bɔn pikin: Uman dɛn we nɔ ɛva bɔn pikin kin gɛt bɔku prɔblɛm pas di wan dɛn we dɔn bɔn pikin. Dis na bikɔs dɛn kin gɛt mɔ mɔnt ɛn dɛn kin gɛt ɔmon fɔ lɔng tɛm. Dɔn bak, if yu dɔn bɔn pikin, mɔ if yu bɔn yu fɔs pikin bifo yu ol 35 ia , yu nɔ go gɛt bɔku kansa na yu bɔdi. Di mɔ yu gɛt pikin dɛn, na di mɔ di risk nɔ de fɔ ɛni pikin.

Bɔt mɛmba se nɔto ɔl dɛn tin ya we kin mek pɔsin gɛt prɔblɛm, impɔtant di sem we. fכ egzampl, pan כl we di risk de inkrεs sכmtεm wit di ej, pכsin we gεt ``(BRCA1)`` jin mכtεshכn kin gεt 60% hכy risk fכ gεt brεst kεnsar. Ivin wan pan dɛn tin ya kin put yu na di grup we gɛt bɔku prɔblɛm .

Difrɛn we fɔ asɛs di risk kin tink bɔt dɛn tin ya difrɛn we ɛn gi dɛn difrɛn weit. Lɛ wi luk sɔm pan di we dɛn we pipul dɛn kin yuz mɔ.

Wetin na di risk asɛsmɛnt mɔdel dɛm we dɛn kin yuz mɔ?

Pan ɔl we difrɛn we dɛn de, wi go tɔk bɔt sɔm men wan dɛn.

1. Gel model (Gail model - BCRAT) .

Dis na di we we pipul dɛn lɛk pas ɔl. Na wan pan di Nashɔnal Kansa Instityut (Nashɔnal Kansa Instityut) tɛst dɛn. Dɛn kin kɔl am bak (BCRAT) . Dɛn bin bigin fɔ yuz am fɔ di fɔstɛm insay 1989. I de luk pan di risk fɔ gɛt invasive breast cancer insay di nɛks fayv ia ɛn te i ol 90. Dɛn kin du am insay lɛk fayv minit.

Di kwɛstyɔn dɛn we dɛn kin aks ya na:

• yu ej.
• Yu rays/etnik we yu kɔmɔt.
• Istri bɔt aw i bɔn pikin.
• Di brɔst bayɔpsi tɛst dɛn we dɛn bin dɔn du bifo.
• Ej we yu bigin fɔ gɛt mɔnt.
• Famili histri bɔt bɔdi kansa.

If yu fayv ia risk na 1.67% ɔr pas dat, dɛn kin tek yu as "high risk." Yu dɔktɔ kin gi yu mɛrɛsin lɛk tamoxifen ɛn raloxifene fɔ ɛp fɔ ridyus yu risk fɔ gɛt kansa. Bɔt dis we fɔ du tin nɔ kin wok fɔ ɔlman. If yu dɔn gɛt brɔst kansa bifo, ɔ if yu no se yu gɛt jɛnɛtik muteshon we de mek yu gɛt mɔ risk, dis we fɔ du tin nɔr kin rili fayn.

2. IBIS mɔdel (IBIS - Tyrer-Cuzik mɔdel) .

Dis we ya de luk aw i go gɛt kansa insay di nɛks 10 ia ɔ fɔ lɔng tɛm.

Tin dɛn we yu kin yɛri na dis:

• Ej, rays/etnik.
• Di density na di brɔst.
• Istri bɔt aw i bɔn pikin.
• Di Bɔdi Mas Indeks (BMI).
• Di brɔst bayɔpsi tɛst dɛn we dɛn bin dɔn du bifo.
• Istri bɔt ovarian kansa.
• Famili histri bɔt bɔdi kansa.
• Di ej we di mɔnt bigin ɛn stɔp.
• Yuz ɔmon riplesmɛnt tɛrapi (HRT).
• no if `(BRCA1)` כ `(BRCA2)` jin mכtεshכn de.

Lɛk di Gale mɔdel, dis nɔ de wok fɔ pipul dɛn we dɔn gɛt bɔdi kansa bifo. Bay dɛn rizɔlt ya, yu dɔktɔ kin disayd aw ɔltɛm yu fɔ du yu bɔdi skrinin ɔ if yu fɔ du BRCA jenɛtik tɛst.

3. BCSC Risk Kalkyulatɔ (Brest Kansa Sɔvɛlayshɔn Kɔnsɔtyushɔn in Risk Kalkyulatɔ) .

dis de luk pan di risk fכ gεt invasive brεst kεnsar insay di nεks fayv ia כ mεtastas brεst kεnsar insay di nεks siks ia. `Mεtastatik` kεnsar na kεnsar we de stat na di brεst εn i de spre to כda pat dεm na di bכdi.

Di kwɛstyɔn dɛn we dɛn aks na ya fiba di wan dɛn we wi bin dɔn aks. di ej, di rays, di brɛst density, di nɔmba fɔ di pikin dɛn, BMI, di fɔs bayɔpsi rizɔlt, kansa istri (pɔsin ɛn famili), di ej we yu de menɔpauz, yus fɔ HRT, ɛn ɔda tin dɛn.Dɛn rizɔlt ya kin ɛp yu fɔ disayd aw ɔltɛm yu fɔ du mammogram.

4. BRCAPRO we de na di wɔl

dis mεtכd de mεntal luk pan di lεkshכn fכ yu gεt `(BRCA1)` כ `(BRCA2)` jin mכtεshכn.

Dis go aks kwɛstyɔn bɔt yu famili histri bɔt brɔst ɔ ovarian kansa. Dis min se:

• Dɛn ej we dɛn bin no se dɛn gɛt kansa.
• Di ej we dɛn ol naw (ɔ di ej we dɛn dɔn day).
• Ras/etnik (especially Ashkenazi Ju pipul dɛn we kɔmɔt).
• Kansa-rilayt jεnεtik tεst risכlt (lεk `(BRCA1, BRCA2)`).
• If yu dɔn gɛt ɔpreshɔn we gɛt fɔ du wit kansa (`(mastectomy)` - fɔ pul yu brɔst, `(oophorectomy)` - fɔ pul ovary).

Dɛn rizɔlt ya kin tɛl yu if i fayn fɔ mek yu du yu jenɛtik tɛst.

5. BOADICEA (KanRisk tul) .

Dis, lɛk BRCAPRO, de bays pan famili histri ɛn jɛnɛtik infɔmeshɔn. I de luk pan di risk fɔ gɛt bɔdi kansa ɛn bak fɔ gɛt ovarian kansa. Wan tin de we de na di intanɛt we dɛn kɔl CanRisk. I de aks bak bɔt di ej, BMI, di brɛst density, fɔ bɔn pikin, di we aw dɛn de yuz bɔn kɔntrol pil, di ej we dɛn de gɛt we dɛn de bɔn, famili kansa istri, ɛn di no bɔt di jɛnɛtik muteshon. Dis kin ɛp bak fɔ no if i nid fɔ du di jenɛtik tɛst ɛn wetin di tɛm fɔ du di tɛst fɔ bi.

6. BWHS Breast Cancer Risk Calculator (Blak Uman dɛn Wɛlbɔdi Stɔdi Breast Kansa Risk Kalkyulatɔ) .

Dis na fɔ blak uman dɛn spɛshal wan, bikɔs dɛn kɔlɔ ɛn trayb na impɔtant tin dɛn fɔ no di risk fɔ gɛt bɔdi kansa. I impɔtant fɔ tink bɔt aw yu rays/etnik de afɛkt yu risk skɔ we yu de fɛnɔt yu risk. As wi bin dɔn tɔk, dis kin aks bak bɔt tin dɛn lɛk ej, BMI, fεtiliti, bayɔpsi istri, bɔn kɔntrol pils, ej we yu gɛt we yu de gɛt mɔnt, famili istri, ɛn if yu dɔn pul yu ovary.

Aw di dɔktɔ kin yuz dɛn rizɔlt ya?

Na nɔmal tin fɔ fil frayd ɛn wɔri if yu tek wan ɔnlayn asɛsmɛnt lɛk dis ɛn si se yu gɛt "high risk." Bɔt nɔ disayd bay dɛn rizɔlt dɛn de. Dis na sɔntin we yu fɔ tɔk to yu dɔktɔ. Dɛn rizɔlt ya go ɛp yu dɔktɔ fɔ plan aw fɔ wach yu bɔdi wɛl bɔdi, no di sayn dɛm kwik kwik wan, ɛn bigin tritmɛnt.

Dipen pan di rizulyt, yu dɔktɔ kin du dɛn tin ya:

• Dɛn kin aks yu fɔ gɛt brɔst kansa skrinin (e.g., mammogram) bifo tɛm ɛn mɔ pas aw yu kin du am.
• If yu gɛt kɔyl fɔ yu jɛnɛtiks, dat kin ɛp yu fɔ no if yu gɛt wan chenj na yu jɛnɛtiks we de mek yu gɛt kansa mɔ ɛn mɔ. If yu dɔn no se yu gɛt wan, i kin ɛp yu fɔ ɔndastand aw i kin afɛkt yu wɛlbɔdi ɛn yu famili (fɔ ɛgzampul, di chans we pikin gɛt fɔ gɛt di jin).
• Dɛn kin gi yu mɛrɛsin lɛk tamoxifen ɛn raloxifene fɔ ridyus di risk fɔ gɛt kansa na yu bɔdi.
• If di risk rili bɔku, dɛn kin se dɛn fɔ du prɔfylaktik mastektomi (fɔ pul di bɔdi bifo kansa kam). Dis kin rili ridyus di risk fɔ gɛt kansa.

Aw dɛn kin abop pan dɛn risk asɛsmɛnt ya?

Di rilaybiliti fɔ dɛn asɛsmɛnt we ya de dipen pan di data sɛt dɛn we dɛn yuz fɔ mek dɛn. Dɛn we ya kin gɛda infɔmeshɔn frɔm pipul dɛn we dɔn gɛt kansa ɛn kɔmpia dɛn risk factor dɛm wit di risk factor dɛm fɔ di pɔsin we de du di asɛsmɛnt. Bɔt di pipul dɛn data nɔ kin ebul fɔ bi 100% kɔrɛkt fɔ prɛdikt ɛnibɔdi in pasɔnal wɛlbɔdi. I nɔ mata ɔmɔs tin dɛn we kin mek pɔsin gɛt dis sik kin fiba, nɔ tu pipul dɛn nɔ kin ɛva rili fiba.

Na sɔm pan di tin dɛn we wi nɔ ebul fɔ du:

• Difrɛns pan di data bay di rays/etnik:Dipen pan di dɛmografik data we dɛn yuz fɔ mek ɛstimat, di rizɔlt nɔ kin rili impɔtant to yu. Fɔ ɛgzampul, istri dɔn de gɛda di data bɔt brɔst kansa mɔ frɔm wayt pipul dɛn we nɔto Hispanik. Pan ɔl we naw dɛn de gɛda di data fɔ ɔda rays, nɔto ɔl di ɛstimat dɛn de trit dɛn difrɛns ya ikwal.
• Aw fɔ yuz am fɔ smɔl kayn kansa: Bɔku pan di tɛst dɛn kin luk pan di risk fɔ gɛt kansa we kin ambɔg ɛn we kin bɔku pan pipul dɛn we nɔ gɛt kansa yet. Dɛn nɔr kin tɔk bɔt pipul dɛm wae dɔn ɔlrɛdi gɛt kansa.
• Risk factors wae nɔr kɔmplit: Nɔr wan we fɔ screening nɔr de tek ɔl di risk factors fɔ ɔl kayn brɔst kansa. Mɔs pan di we aw dɛn de chɛk yu naw de pe atɛnshɔn pan ɔl tu di tin dɛn we de mek yu gɛt prɔblɛm wit yu jɛnɛtiks ɔ tin dɛn we gɛt fɔ du wit yu wɛlbɔdi istri. So yu dɔktɔ go se yu fɔ gɛt bɔku we dɛn fɔ chɛk yu fɔ gɛt di pikchɔ we kɔmplit.

Bɔt dɛn we ya fɔ asɛs di risk fɔ gɛt bɔdi kansa, dɔktɔ dɛn stil de yuz dɛn bikɔs dɛn fayn fɔ gi rough estimate fɔ di risk we pɔsin gɛt. Risach pipul dɛn de luk fɔ we fɔ mek dɛn wok fayn mɔ ɛn mɔ.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Okay, so a op se yu don geht sohm aidia from wetin wi don tok boht.

Wan asɛsmɛnt fɔ di risk fɔ gɛt bɔdi kansa nɔ go ebul fɔ tɛl yu fɔ tru if yu go gɛt kansa. Bɔt i kin ɛp yu dɔktɔ fɔ ɔndastand wetin kin mek yu gɛt mɔ prɔblɛm.

Fɔ chɛk yu bɔdi kansa impɔtant fɔ ɔlman. Risk asɛsmɛnt na jɔs wan ɔda tin we dɔktɔ kin yuz fɔ wach yu bɔdi wɛlbɔdi. Dis asesmεnt kin rifer yu to jεnεtik tεst fכ di BRCA jin. Sɔntɛm yu go nid fɔ du tɛst dɛn mɔ ɛn mɔ. Dɔn, ɔl dis kin ɛp yu dɔktɔ fɔ gɛt kansa kwik kwik wan, we dɛn kin mɛn am. So nɔ fred fɔ tɔk to yu dɔktɔ bɔt am, ɛn tek di step dɛn we yu nid.

` Brest kansa, kansa risk, uman in hεlth, jεnεtik tεst, mammogram, כmon, Breast Cancer Risk Assessment