We yu dɔktɔ tɛl yu se yu nid fɔ du ɔpreshɔn fɔ yu bɔdi kansa, i nɔmal fɔ mek yu fil bɔku fred, wɔri, ɛn nɔ shɔ. Yu go mɔs gɛt wan tawzin kwɛstyɔn dɛn na yu maynd, lɛk, ‘Uskayn ɔpreshɔn a go du?’, ‘Dɛn go pul mi bɔdi kpatakpata?’, ‘Wetin go apin nɛks?’ Ɔl dɛn tin ya mek sɛns. So nɔ fred, tide wi go tɔk bɔt ɔl dis, insay simpul Sinhala we yu go ɔndastand, lɛk se yu de tɔk to yu tayt padi.
Wetin na di men rizin we mek dɛn de du ɔpreshɔn?
Fɔ tɔk am simpul wan, di men gol fɔ ɔpreshɔn fɔ brɔst kansa na fɔ pul di tumbu ɛn smɔl wɛlbɔdi tisu we de rawnd am kpatakpata . Dɛn kin du dis so dat nɔ kansa sɛl nɔ go de. Dɛn op se dis go mek di kansa nɔ kam bak ɛn spre to ɔda pat dɛn na di bɔdi. Dɔktɔ dɛn kin tray bak fɔ mek di bɔdi nɔ luk lɛk aw i tan lɛk aw i ebul.
Di kayn ɔpreshɔn we yu go du go dipen pan bɔku tin dɛn. Fɔ ɛgzampul, di sayz we di tumbu gɛt, usay i de na di bɔdi, aw fa di kansa dɔn skata, ɛn di we aw yu de tink ɛn fil bɔt am. Afta yu dɔn tɔk bɔt ɔl dɛn tin ya wit yu, yu dɔktɔ go pik di ɔpreshɔn we go fayn fɔ yu.
Men kayn ɔpreshɔn fɔ brɔst kansa
Dɛn kin sheb di ɔpreshɔn dɛn we dɛn kin du fɔ mek dɛn gɛt bɔdi kansa to tu men kayn dɛn. Wan na ɔpreshɔn we dɛn kin pul wan pat pan di bɔdi nɔmɔ, ɛn di ɔda wan na ɔpreshɔn we dɛn kin pul di wan ol bɔdi. Lɛ wi luk ɛni wan pan dɛn wan ya.
| Di Nem fɔ di ɔpreshɔn | Fɔ tɔk am simpul wan, wetin de apin? | Udat dɛn kin rɛkɔmɛnd am fɔ? |
|---|---|---|
| Lumpectomy we dɛn kin pul (Dɛn kin kɔl am bak Partial Mastectomy) | na di tכmכro we gεt kansa εn sכm hεlty tisu we de rawnd am nכmכ dεn de pul, we de lεf di rεst כf di brεst intakt. | Dis na fayn tin fɔ di wan dɛn we dɛn kansa nɔ tu big ɛn we kin gɛt redyushɔn tɛrapi afta dɛn dɔn du dɛn ɔpreshɔn. |
| Simpul/Tɔtal Mastektomi | Dɛn kin pul di wan ol bɔdi, ivin di nipple. sכmtεm dεn kin pul wan כ mכr limf no dεm na di armpit bak. | Fɔ di wan dɛn we nɔ gɛt bɛtɛ kansa fɔ skata to di limf no dɛm ɔ we dɛn de du ɔpreshɔn fɔ ridyus di risk fɔ gɛt kansa tumara bambay. |
| Modified Radikal Mastektomi we dɛn kɔl | Dɛn kin pul di wan ol bɔdi, di nipple, ɛn bɔku pan di fat we de ɔnda di an, bɔt dɛn kin lɛf di chɛst mɔsul dɛn. | Dis kin fayn fɔ pipul dɛm wae gɛt invasive breast cancer. |
| Radikal Mastektomi we dɛn kin du | Dɛn kin pul di wan ol bɔdi, di ia na di an, ɛn ivin di chɛst mɔsul dɛn we de ɔnda di bɔdi. | Dis ɔpreshɔn naw nɔ kin apin so ɔltɛm ɛn dɛn kin jɔs advays am if di kansa dɔn skata to di chɛst mɔsul dɛn. |
| Mastectomy we nɔ de mek di skin nɔ pwɛl | Pan ɔl we dɛn kin pul di tisu we de insay di bɔdi, bɔku pan di skin we de oba am kin lɛf biɛn. Dɛn kin yuz di skin we lɛf fɔ ɔpreshɔn fɔ mek di bɔdi fayn bak. | I fayn fɔ di wan dɛn we dɛn kansa sɛl dɛn nɔ de nia di skin tumɔs ɛn we dɛn de du ɔpreshɔn fɔ mek dɛn bɔdi bak jisnɔ. |
| Nipple-Sparing Mastectomy we dɛn kin du | pan tap we dεn kin pul di brεst tisu, dεn kin lεf di nipl εn di skin we de rawnd (areola) intakt. dis de alaw bak fכ mek di brεst luk mכr nכmal we dεn de kכnstrכkt di brεst bak. | Dis kin fayn fɔ pipul dɛm wae dɛn kansa sɛl nɔr dɔn spre to di nipple ɔr di skin we de rawnd am. |
Wetin mek dɛn kin pul di limf no dɛn na di an?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Tink bɔt lumps as smɔl smɔl chɛk-point dɛn na wi bɔdi. We di kansa sɛl dɛn bigin fɔ skata ɔlsay na di bɔdi, dɛn kin travul fɔs go na dɛn chɛk-point ya ɛn stɔp na dɛn say dɛn ya. So, if yu pul sɔm 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 smɔl smɔl smɔl smɔl smɔl. Dis infɔmeshɔn rili impɔtant fɔ mek yu dɔktɔ disayd us ɔda tritmɛnt dɛn (e.g. kemotɛrapi, redyushɔn) yu nid afta dɛn du di ɔpreshɔn.
Tu men we dɛn de fɔ pul di wɔt:
- Sentinel Lymph Node Biopsy: dis involv fכ fכn di "fכs chεkpoint" כ sentinel node we di kεnsar go lεk fכ go if i spre, εn fכ pul da node de nכmכ fכ egzamin. If i nɔ gɛt kansa sɛl dɛn, dɛn nɔ nid fɔ pul di ɔda no dɛn. dis mכtכd de ridyus di risk fכ swel na di an (lymphedema).
- Axillary Lymph Node Dissection (ALND): insay dis prosidכs, dεn kin pul lεk 10 to 20 limf no dεm כnda di armpit εn egzamin fכ kεnsar sεl dεm.
Brest Rikɔnstrɔkshɔn
Bɔku uman dɛn we dɛn kin pul dɛn mama ɛn papa kin disayd fɔ mek dɛn du ɔpreshɔn fɔ mek dɛn bɔdi fayn bak. Dis na sɔntin we pɔsin kin disayd fɔ du.
Dɛn kin du dis ɔpreshɔn di sem tɛm we dɛn du yu kansa ɔpreshɔn, ɔ dɛn kin du am sɔm mɔnt ɔ sɔm ia afta dat. I kin yuz brɔst implant ɔ tisu we dɛn tek frɔm ɔda pat na yu bɔdi (bɔku tɛm na yu bɛlɛ). Tɔk opin wan wit yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
I nɔ mata us kayn ɔpreshɔn yu gɛt, yu nid fɔ pripia sɔm tɛm bifo tɛm.
Fɔs, yu dɔktɔ go aks yu bɔt yu kɔmplit mɛdikal istri .
- Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn ).
- Tɛl wi if yu bin dɔn gɛt ɛni alɛji fɔ mɛrɛsin ɔ anestezi bifo.
- If yu gɛt ɛni ɔda sik lɛk at sik, dayabitis, ɔ ay blɔd prɛshɔn, mek shɔ se yu tɛl wi.
As yu de kam nia di ɔpreshɔn, di dɔktɔ go chɛk fɔ si if yu bɔdi dɔn rɛdi fɔ ɔpreshɔn.I se fɔ du sɔm tɛst dɛn .
- X-ray na di chɛst
- EKG tɛst we dɛn kin du
- Blɔd ɛn urine tɛst
- Dɛn kin du CT skan ɔ brɛst MRI fɔ si di rayt sayz ɛn di say we di tumbu de.
Aw lɔng a go gɛt fɔ de na ɔspitul?
Di nɔmba fɔ di de dɛn we yu go gɛt fɔ de na di ɔspitul kin dipen pan tin dɛn lɛk di kayn ɔpreshɔn we yu gɛt ɛn yu wɛlbɔdi kɔndishɔn afta di ɔpreshɔn.
- Bɔku tɛm, dɛn kin du di ɔpreshɔn we dɛn kin du fɔ pul di bɔdi na ɔtpeshɛnt . Dis min se dɛn go de wach yu fɔ sɔm awa afta di ɔpreshɔn ɛn yu kin ebul fɔ go na os di sem de.
- If yu gɛt mastectomy ɔ ALND, yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez.
Dis joyn nɔto jɔs wan. Yu famili, padi dɛn, ɛn mɔ yu mɛdikal tim de wit yu. Nɔ shek fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Na nɔmal tin fɔ mek yu fil fred we yu yɛri bɔt ɔpreshɔn fɔ gɛt bɔdi kansa. Tɔk opin wan wit yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du.
- Di kayn ɔpreshɔn we fayn fɔ yu kin dipen pan bɔku tin dɛn, lɛk aw di kansa tan ɛn aw i big, ɛn wetin yu lɛk.
- Fɔ chɛk di limf no dɛm na di armpit na impɔtant tin fɔ no if di kansa dɔn skata ɛn plan fɔ trit am tumara bambay.
- If dɛn pul di bɔdi ɔlsay, tin dɛn de we dɛn kin du fɔ mek dɛn du ɔpreshɔn fɔ mek di bɔdi bak. Tɔk bɔt dis wit yu dɔktɔ.
- Mɛmba se yu gɛt mɛdikal tim fɔ sɔpɔt yu bifo ɛn afta dɛn du di ɔpreshɔn. Tɔk bɔt di tin dɛn we de mɔna yu wit dɛn.
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