Kansa Cachexia: Wi go tok abaut dis?

If yu ɔ pɔsin we yu sabi gɛt kansa, yu go dɔn notis se as tɛm de go, dɛn bɔdi dɔn tan ɛn ivin luk difrɛn. Bɔku pipul dɛn kin tink se dis na jɔs wan pat pan di kansa ɔ wan sayd ɛfɛkt we di tritmɛnt kin gɛt. Dat kin bi tru te to sɔm mak. Bɔt sɔntɛnde, dis sik kin bi sɔntin we dip pas dat, wan sik we dɛn kɔl kansa kachexia . Lɛ wi tɔk mɔ bɔt dis tide, bikɔs i de afɛkt di kwaliti fɔ layf fɔ di wan dɛn we gɛt kansa ɛn di we aw dɛn de du tritmɛnt.

Wetin na Kansa Cachexia?

Fɔ tɔk am simpul wan, kansa cachexia na wan siriɔs west sik we kansa kin kam wit. Dis na we yu lɔs bɔku bɔku skel mɔsul ɛn bɔdi fat . I nɔ jɔs de fɔ lɔs yu wet, bɔt i de bak fɔ di mɔsul we de gi yu trɛnk. Dis we aw yu de lɔs yu wet kin chenj aw yu luk, mek yu nɔ fil fayn, ɛn ivin mek i nɔ izi fɔ bia wit kansa tritmɛnt. I kin afɛkt yu kwaliti layf bak ɛn sɔmtɛm i kin ambɔg yu fɔ ebul fɔ bia wit kansa.

Masta sabi pipul dɛm se dis sik kin afɛkt lɛk 50% pan di wan dɛm wae gɛt kansa. Dɔn bak, yu kin si am pan lɛk 75% pan di pipul dɛm we dɛn kansa dɔn skata, dat na, na Stej IV kansa. I sɔri fɔ no se dis sik de mek 25% pan di wan dɛn we de day pan kansa.

Pan ɔl we dis kin apin to ɛni kayn kansa, i kin apin mɔ to pipul dɛn we gɛt dɛn kayn kansa ya:

• Kansa we de na di kɔlɔrɛkt
• Kansa na di lɔng
• Melanoma, na wan kayn kansa na di skin
• Kansa na di pankrias

Pan ɔl we dɔktɔ dɛn nɔ kin ebul fɔ mɛn di kansa we gɛt bɔku bɔku kashɛksia kpatakpata, di tritmɛnt dɛn kin tray fɔ mek yu it mɔ ɛn mɔ, mɔ dɛn kin pe atɛnshɔn mɔ pan it dɛn we gɛt bɔku prɔtin ɛn we gɛt bɔku kalori .

Wetin na di sayn dɛm fɔ kansa cachexia?

Di men ɛn klia sayn fɔ dis sik na fɔ lɔs pas 10% pan yu ɔl bɔdi wet insay di pas 6 to 12 mɔnt . Dis inklud ɔl tu di mɔsul ɛn fat. Apat frɔm dat, sɔm ɔda sayn dɛn kin de:

• Taya pasmak ɛn wik: Yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk fɔ du yu wok dɛn ɛvride, fɔ kia fɔ yu famili, ɔ ivin du yu yon wok dɛn. I tan lɛk se yu nɔ gɛt layf.
• Mɔsul west: Dɔktɔ dɛn kin kɔl dis bak fɔ west mɔsul ɔ mɔsul atrofi . Dis na di lɔs we di mɔsul dɛn de lɔs ɛn di mɔsul dɛn we de west.
• Anorexia: Dis na we yu nɔr gɛt ɔl di want fɔ it, yu nɔr de fil angri. Sɔntɛnde, yu nɔ kin ivin want fɔ tink bɔt it. Bɔt dis difrɛn frɔm di sik we dɛn kɔl anorexia nervosa we wi dɔn yɛri bɔt fɔ it.
• Anemia: Yu kin gɛt anemia bikɔs yu bɔdi, we yu de du inflamɛns, i de pul wan prɔtin we de afɛkt di we aw di rɛd blɔd sɛl dɛn de mek.
• Infekshɔn ɔltɛm: Kansa kashɛksia kin mek yu imyun sistɛm wik, ɛn dis kin mek i nɔ ebul fɔ fɛt di sik. Dis kin mek yu gɛt mɔ chans fɔ gɛt infɛkshɔn.

Wetin mek dis kansa cachexia kin apin?

Bɔku rizin dɛn de fɔ dis. Kansa de mek yu mɛtabolism kwik kwik wan . Dis min se yu bɔdi nid mɔ ɛnaji frɔm it. Na di sem tɛm, kansa ɛn kansa tritmɛnt kin mek yu nɔ want fɔ it bak. Di rizulyt na dat yu nɔ de it bɛtɛ we yu bɔdi nid mɔ tin dɛn fɔ it.

Na sɔm rizin dɛn we kin rili afɛkt dis tin:

• sכm kayn saytokכn dεm: Saytokin dεm na kεmikכl dεm we de kכntro aw εn we wi imyun sistεm de rεspכnd to invayda lεk vayrus. Insay kansa kachexia, yu imyun sistεm de rilis sɔm kayn saytokεn dεm. Dɛn tin ya kin mek yu bɔdi wam, ɛn dis kin mek yu bɔdi de brok di fat ɛn mɔsul dɛn mɔ ɛn mɔ. Kansa kin mek bak inflamɛns, ɛn dɛn saytokin ya kin mek da inflamɛns de wɔs.
• Di sayn dɛm fɔ kansa ɛn di sayd ɛfɛkt dɛm: Pen, nɔs, ɛn vɔmit we kansa kin mek yu nɔ it bɛtɛ. Dɔn bak, we yu gɛt kansa, dat kin mek yu fil bad ɛn yu nɔ kin want fɔ it igen.
• Di sayd ɛfɛkt dɛm fɔ kansa tritmɛnt: Tin dɛm lɛk ɔpreshɔn, redyushɔn tɛrapi , kemotɛrapi , ɛn sɔm opioid pen kil dɛm kin mek i nɔ izi fɔ swɛla ɔr kin ambɔg di bɔdi in ebul fɔ tek di tin dɛm we de insay di bɔdi.
• Insulin resistance: Dis min se yu mɔsul ɛn fat sɛl dɛn nɔ de ansa fayn to insulin. dis insulin rεsistεns, we de apin na kεshεksia, kin mek di mכsul dεm west bכku bכku wan.
• di protin tכnכv inkrεs: di protin tכnכv na di prכsεs we ol protin dεm na yu sεl dεm de riples wit nyu protin dεm. Dis kin apin tru di prɔtin we de pwɛl . insay kεnsar kεshεksia, di protin dεm na di sεl dεm de brok tu kwik fכ nyu protin dεm fכ tek in ples. Dis kin mek bak di mɔsul dɛn west.

Wetin na di kɔmplikeshɔn dɛm wae kin kam wit kansa kashɛksia?

Dis sik kin ivin mek pɔsin in layf de pan denja. Fɔ ɛgzampul, tink bɔt kachexia, we na di men tin we kin mek 20% to 25% pan di wan dɛn we gɛt mɛtastas sɔlid tɔmɔs, lɛk lɔng ɔ prɔstat kansa, we di kansa kin skata to ɔda pat dɛn na di bɔdi.

Ɔda prɔblɛm dɛn we kin apin kin bi:

• Impekt pan kansa tritmɛnt: Yu bɔdi nid mɔsul ɛn fat fɔ mek i wɛl frɔm kansa tritmɛnt. If yu lɔs dɛn tin ya, dat kin afɛkt yu ebul fɔ gɛt kansa tritmɛnt. Yu kin ivin lɔs di trɛnk fɔ bia di tritmɛnt.
• Mental hεlth εshyu: If dεn no se yu gεt kεnsar kεshεksia kin min se yu gεt כnli mכnt fכ liv. Dis no kin mek yu fil bad bad wan ɛn pwɛl at.
• Impekt pan yu fambul ɛn padi dɛm: Dis sik kin put strɛs bak pan yu padi biznɛs wit yu fambul ɛn padi dɛm. Nɔto jɔs yu kin fil bad we yu si chenj na yu bɔdi, bɔt di wan dɛn we de kia fɔ yu kin bisin mɔ bɔt yu wɛlbɔdi biznɛs. Stɔdi dɔn sho se we famili mɛmba dɛn si dɛn sik ya, dɛn kin fos di pɔsin fɔ it, ivin bikɔs dɛn lɛk am, ɛn dis kin mek i gɛt cham-mɔt we nɔ nid fɔ apin ɛn i kin mek di tin we dɔn ɔlrɛdi strɛs mɔ.

Imajin, we wan famili mɛmba tan bikɔs ɔf kansa ɛn nɔ ebul fɔ it, na nɔmal tin fɔ insist se, "Duya it smɔl mɔ, duya it dis bak." Bɔt dat kin mek di pɔsin strɛs mɔ.

Aw dɔktɔ dɛn kin no se pɔsin gɛt kansa we dɛn kɔl cachexia?

Yu ɔnkɔlɔjis ɛn/ɔ palliativ kia tim go ɛgzamin yu bɔdi. Dɛn kin aks yu fɔ fil wan kwɛstyɔn bɔt aw yu de it, ɛn dɛn kin du tɛst bak fɔ no aw yu fit ɛn yu mɔsul dɛn trɛnk.

Apat frɔm dat, dɛn kin advays fɔ mek dɛn du CT skan ɔ DXA skan . dis DXA skan de mכsu di כmכnt כf di sכm sכm tisu dεm na yu an εn yu lεg. I kin gi di ɔnkɔlɔjis wan aidia bɔt yu mɔsul mas. Di rizɔlt fɔ dɛn tɛst ya go ɛp di dɔktɔ fɔ no di stej we di sik de.

Wetin na di stej dɛm fɔ kansa kashɛksia?

Tri men stej dεm de fכ kεnsar kεshεksia:

• Pre-cachexia: Insay dis stej, yu de lɔs yu wet pan ɔl we yu de it fayn. Bɔt yu nɔ dɔn lɔs pas 5% pan yu ɔl bɔdi wet insay di pas 6-12 mɔnt. If yu fat, yu nɔ go notis dis we aw yu de lɔs yu wet, bɔt tɛst dɛn sho se chenj dɛn dɔn apin na yu bɔdi ɛn yu de lɔs yu mɔsul wit fat.
• Cachexia we pɔsin kin gɛt: .Bay naw, yu dɔn lɔs pas 5% pan yu bɔdi wet insay di las 6-12 mɔnt, ɔ yu dɔn lɔs pas 2% pan yu bɔdi wet, ɛn yu bɔdi mas indeks (BMI) nɔ rich 20kg/m2. Test kin sho sayn dɛm fɔ di mɔsul dɛm we de west ɛn inflamɛns.
• Refractory cachexia: Na dis stej, yu dɔn lɔs pas 20% pan yu nɔmal wet ɛn yu BMI nɔ rich 27 kg/m2 (dis kin tan lɛk se i ay, bɔt i kin rili bad we yu kam togɛda wit bɔku bɔku wet we yu lɔs). Di wet we yu de lɔs kin mek yu luk lɛk se yu nɔ gɛt bɛtɛ wɛlbɔdi ɛn i kin mek yu nɔ ebul fɔ bia wit di tritmɛnt dɛn we dɛn kin gi yu kansa. Sɔntɛnde, di tritmɛnt fɔ kansa kin ivin stɔp fɔ wok.

Wetin na di tritmɛnt fɔ kansa cachexia?

Yu tritmɛnt go mɔs pe atɛnshɔn pan we dɛn fɔ mek yu it fayn . Fɔ ɛgzampul, yu kansa tim ɛn di palliativ kia tim kin rikɔmɛnd tin dɛn lɛk:

• It fayn: Pe atɛnshɔn fɔ it smɔl smɔl it dɛn ɛn snek dɛn we gɛt bɔku kalori, fat, ɛn prɔtin . If yu it smɔl smɔl it dɛn, dat go ɛp yu fɔ gɛt mɔ kalori. Tɔk to yu nyutrishɔnist bɔt us it dɛn go ɛp yu fɔ gɛt di bɛst pan ɛvri bayt we yu it. Dɛn kin se yu fɔ ad tin dɛn lɛk chiz, bɔta, nɛt, ɛn skim milk to yu it.
• Tray fɔ tek supamakit: Aks yu ɔnkɔlɔjis ɔ nyutrishɔnist bɔt nyutrishɔn supamakit we yu kin drink ɔ it bitwin it. Dɛn tin ya kin gi yu ɛkstra it.
• Gɛt sɔm ɛksesaiz: Layt ɛksesaiz kin ɛp fɔ mek yu nɔ gɛt mɔsul dɛn, bɔt na ɔnda dɔktɔ advays nɔmɔ fɔ du dis.
• Rip pan yu mɛdikal tim: Yu palliativ kia tim kin ɛp yu wit tin dɛm lɛk mɛntɛl hεlth ɛn spiritual sɔpɔt. Da sɔpɔt de rili impɔtant dis tɛm.

Yu tink se mɛrɛsin dɛn de fɔ mɛn di sik we dɛn kɔl cachexia?

Nɔto dis tɛm. Pan ɔl we risach dɔn sho se wan mɛrɛsin we dɛn kɔl megestrol acetate kin mek yu want fɔ it mɔ ɛn ɛp yu fɔ gɛt mɔ wet, di U.S. Food and Drug Administration (FDA) nɔ gri fɔ yuz am fɔ mɛn kansa cachexia. Sɔntɛnde, yu dɔktɔ kin gi yu kɔtikosterɔyd fɔ shɔt tɛm .

Wetin pɔrsin wae gɛt kansa cachexia kin ɛkspɛkt?

I rili dipen pan di tin we de apin to yu. Dat min se, us stej yu de pan cachexia, us stej yu de pan kansa.Fɔ ɛgzampul, if yu gɛt prɛ-kachexia, fɔ mek chenj to wetin yu de it kin slo di rit we yu de lɔs fat ɛn mɔsul. Bɔt, i sɔri fɔ no se, ivin if yu mek yu it mɔ, yu nɔ go ebul fɔ stɔp di tin we yu dɔn lɔs ɔltogɛda ɔ gɛt bak di mɔsul ɛn fat we yu dɔn lɔs.

If yu gɛt advans kansa ɛn cachexia, ɔ cachexia wae nɔr de ansa tritmɛnt (refractory cachexia), yu oncologist kin se yu dɔn nia fɔ dɔn yu layf. If dɛn de trit yu fɔ cachexia, yu mɛdikal tim kin gi yu di bɛst infɔmeshɔn bɔt wetin fɔ ɛkspɛkt.

Wetin na de layf fɔ pɔrsin wae gɛt kansa cachexia?

Di layf we pɔsin kin liv kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Pan ɔl we kansa kachexia kin afɛkt pipul dɛm wae gɛt advans kansa, yu kin gɛt prɛ-kachexia simptom dɛm pan ɛni stej na yu kansa. If dat apin, yu kin liv wit kɔmplikeshɔn lɛk kansa ɛn kashɛksia fɔ lɔng lɔng tɛm. Bɔt, risach dɔn sho se we yu gɛt refractory cancer cachexia, we na wan kayn kansa we nɔ de ansa tritmɛnt, i de ridyus yu chans fɔ liv kansa bay lɛk 30%.

Kansa kachexia kin apin bikɔs di sik kin mek yu mɛtabolism yuz ɛnaji frɔm it kwik kwik wan pas aw i nɔmal. Apat frɔm dat, kansa ɛn kansa tritmɛnt kin mek yu nɔ it fayn. Dis kin mek yu wet ɛn yu mɔsul dɛn kin go dɔŋ bad bad wan, ɛn dis kin afɛkt aw yu luk (ɛn aw yu de fil bɔt yusɛf), yu ɛnaji, ɛn yu kwaliti fɔ liv.

Pan ɔl we nɔr patikyula mɛrɛsin nɔr de fɔ kansa cachexia, tin dɛn de wae yu kin du fɔ ɛp fɔ kɔntrol in sayn dɛm. If yu de gɛt dis, aks yu tim we de kia fɔ yu kansa fɔ ɛp yu. Dɛn ɔndastand de chalenj dɛm wae yu de liv wit kansa cachexia ɛn dɛn go du ɔl wetin dɛn ebul fɔ ɛp yu fɔ manej dɛn.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

• Kansa kachexia nɔto pat pan di kansa insɛf, bɔt na wan sɛpret kɔndishɔn we nid fɔ manej. If yu ɔ pɔsin we yu lɛk de gɛt prɔblɛm wit yu wet, yu nɔ de want fɔ it, ɔ yu de taya pasmak, tɔk to yu dɔktɔ bɔt dat.
• Fɔ it fayn fayn wan rili impɔtant. Fɔ it smɔl smɔl it dɛn ɔltɛm we gɛt bɔku kalori ɛn prɔtin, ɛn fɔ aks dɔktɔ fɔ advays bɔt tin dɛn we de mek yu it fayn, dat kin ɛp fɔ mɛn dis sik.
• Nɔto yu wan de. Ɔnkɔlɔjis, nɔs, nyutrishɔnist, ɛn palliativ kia tim dɛn de fɔ ɛp yu pan dis joyn. Gɛt dɛn sɔpɔt.
• Mental wɛlbɔdi bak rili impɔtant. Apat frɔm di chenj dɛm na yu bɔdi, pwɛl hat kin apin bak. Tɔk to yu mɛdikal tim bɔt dis ɛn gɛt di sɔpɔt we yu nid.

Fɔ fɛt kansa nɔ kin izi. I at fɔ bia wit ɔda prɔblɛm dɛn lɛk dɛn wan ya. Bɔt if dɛn no di rayt we ɛn sɔpɔt dɛn, dɛn kin ebul fɔ win dɛn prɔblɛm ya.

` Kansa kashɛksia, kansa, west, mɔsul west, it, anorexia, kansa tritmɛnt