We yu gɛt kansa, yu dɔn gɛt tranga tritmɛnt, ɛn naw yu tink se ɔltin dɔn dɔn, se ɔltin fayn... sɔntɛm natin nɔ de we de mek yu at pwɛl pas fɔ no se di sem kansa dɔn kam bak. Dis na rili prɔblɛm we bɔku pipul dɛn nɔ go ebul fɔ imajin. So, wetin e min fɔ mek kansa kam bak, ɔr ‘rikɔr’? Wetin mek i kin apin? Wetin wi nid fɔ no we dis kayn tin de apin? Lɛ wi ɔndastand ɔl dis simpul wan, lɛk se wi de tɔk to wi tayt padi.
Fɔ tɔk am simpul wan, wetin kansa we kin kam bak kin min?
Kansa kin kam bak na wae de kansa wae yu bin gɛt bifo kam bak afta dɛn dɔn trit yu. Dis kin apin insay sɔm mɔnt ɔ ivin sɔm ia afta dɛn dɔn trit am.
Sɔmtɛm yu dɔktɔ kin tɛl yu se yu de na ‘rɛmishɔn’ . Dis min se yu nɔ gɛt ɛni sayn fɔ kansa ɛn yu nɔ go ebul fɔ fɛn ɛni kansa sɛl pan tɛst. Bɔt ivin we kansa dɔn rɛmishɔn, kansa kin stil kam bak.
Bɔt mɛmba se, if yu gɛt kansa bak, dat nɔ min se ɔltin dɔn dɔn. Wit di advans tritmɛnt dɛm tide, bɔrku pipul dɛm dɔn ebul fɔ kɔntrol di sik wae de kam bak ɛn liv fayn fayn wan fɔ lɔng lɔng tɛm.
Wetin na di we dɛn we kansa kin kam bak?
Dɔktɔ dɛn kin klas di we dɛn we kansa kin kam bak, bay usay i kin kam bak. I kin apin insay tri men we dɛn.
| Risurfacing tayp | Simpul ɛksplen |
|---|---|
| Lokal Rikɔrɛshɔn | Dis min se di kansa kin kam bak na ɔ nia di sem ples we i bin de bifo . Fɔ ɛgzampul, afta dɛn dɔn du ɔpreshɔn fɔ pul di prɔstat kansa, di kansa sɛl dɛn kin gro bak na di sem ples usay dɛn pul dɛn. |
| Rijinal Rikɔrɛshɔn | Dis na we di kansa de kam bak na di limf no dɛm ɔ di tisu dɛm nia usay i bin de bifo. Sɔm kayn kansa, fɔ ɛgzampul, sɔm sɔbtayp dɛm fɔ brɔst kansa (triple negative breast cancer), kin kam bak dis we. |
| Distant Rikɔrɛshɔn | Dis na we di kansa kin skata to ɔda ɔgan ɔ tisu we de fa frɔm usay dɛn bin fɔs fɛn am. Fɔ ɛgzampul, pɔsin we gɛt kansa na in lɔng kin gɛt di sem kansa we kin skata na in bren ɛn i kin kam bak. |
Us kayn kansa kin kam bak?
Infakt, ɛni kayn kansa kin kam bak. So, i nɔ pɔsibul fɔ tɔk fɔ tru se na di lɔng kansa nɔmɔ kin kam bak. Bɔt, risach dɔn sho se sɔm kayn kansa kin kam bak. Dɛn tin ya na:
- Kansa na ovarian
- Skin kansa we dɔn skata to ɔda pat dɛn na di bɔdi di tɛm we dɛn no se i gɛt am (Metastatic melanoma) .
- Pεrifεral T-sεl limfoma (PTCL), na wan kayn kεnsar we dεn kכl nכn-Hכdgkin limfoma
Bɔt, i impɔtant fɔ mɛmba se dɛn pasɛnt ya na jɔs ɛstimat , ilɛk us kayn kansa yu bin gɛt. Dis risk kin difrɛn fɔ bɔku tin, lɛk di kayn kansa we yu bin gɛt, di stej we i bin de we dɛn bin fɔs no am, ɛn di fɔs tritmɛnt we yu bin gɛt. So, na yu dɔktɔ nɔmɔ go ebul fɔ gi yu di bɛst infɔmeshɔn bɔt dis.
Wetin na di sayn dɛm wae de sho se kansa de kam bak?
Sɔmtɛm, de sayn dɛm wae de sho se kansa de kam bak kin tan lɛk ɔda sik dɛm wae kin kam bak. Na dat mek i impɔtant fɔ pe atɛnshɔn to yu bɔdi afta yu dɔn gɛt tritmɛnt. Tɔk to yu dɔktɔ bɔt us sayn dɛn yu go gɛt if yu kayn kansa kam bak. If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, tɛl yu dɔktɔ wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ |
|---|
| - di sem simptom dεm we bin de we di kansa bin de fכs de apia bak (fכ egzampl, nyu lump כ tכmכro de apia usay di kansa bin de) |
| - Na pen we de ɔltɛm we nɔ de stɔp. |
| - Na kɔf we de kɔntinyu fɔ kɔf we nɔ de bɛtɛ. |
| - Fɔ lɔs yu wet fɔ no rizin. |
| - Brus pas aw i kin bi ɔ blɔd nɔ de kɔmɔt. |
| - Fiva we nɔ de go dɔŋ. |
| - Yu kin gɛt ed we kin at bɔku tɛm . |
| - I nɔ izi fɔ blo (Dyspnea). |
| - Blɔd we de kɔmɔt wit stɔl ɔ urine . |
| - Nɔs ɛn vɔmit . |
| - I nɔ izi fɔ swɛla (Dysphagia). |
Wetin mek kansa kin kam bak?
Dis na tin we at fɔ ɔndastand smɔl. Tink bɔt kansa sɛl dɛn lɛk ɛnimi dɛn we de ayd. Di tritmɛnt dɛm wae wi kin gi (lɛk ɔpreshɔn, kemotɛrapi, redyushɔn) kin pwɛl ɔl di kansa sɛl dɛm wae wi kin si ɛn fɛn.
Bɔt sɔntɛnde, sɔm rili smɔl kansa sɛl dɛn we dɛn nɔ kin no kin de sɔmsay na di bɔdi. Fɔ ɛgzampul, we dɛn pul wan tumbu we gɛt kansa we dɛn de du ɔpreshɔn, sɔm sɛl dɛn kin lɛf rawnd am we pɔsin nɔ go si wit in yay ɛn i nɔ kin izi fɔ no, ivin if dɛn yuz maykroskɔp.
dis rεst sεl dεm we de slip fכ sכm tεm, kin bigin fכ gro bak afta mכnt כ ia. Na da tɛm de wi se di kansa dɔn kam bak.
Aw yu go no se yu gɛt kansa we dɔn kam bak?
Fɔ no if kansa dɔn kam bak, dɔktɔ dɛn kin yuz di sem kayn tɛst dɛn we dɛn bin de yuz fɔ no di kansa fɔs.
Tɛst fɔ Blɔd
- Complete Blood Count (CBC): Dis de sho di nɔmba fɔ di rɛd sɛl dɛn, wayt sɛl dɛn, ɛn di pletlɛt dɛn we de na yu blɔd. Dis kin gi yu sɔm aidia bɔt yu ɔl wɛl bɔdi ɛn if kansa dɔn kam bak.
- Tumor Marker Tests: Dɛn tɛst ya de luk fɔ sɔm tin dɛn (tumor markers) na di blɔd we di kansa sɛl dɛn ɔ ɔda sɛl dɛn na di bɔdi de mek fɔ ansa to kansa. If dɛn lɛvɛl ya go ɔp, i kin bi sayn fɔ se di kansa dɔn kam bak.
- Liquid Biopsy: Dis na nyu we fɔ du tin. Test we de luk fɔ di kansa sɛl pat dɛn ɔ di kansa DNA we dɔn gɛda na yu blɔd.
Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ
- Computed Tomography (CT) scan: Dis kin tek ditayli pikchɔ dɛn fɔ di insay pat na di bɔdi fɔ no if ɛni nyu kansa tumbu de, aw dɛn big, ɛn usay dɛn de.
- Magnetic Resonance Imaging (MRI): Dis kin mek bak rili klia pikchɔ dɛn bɔt di insay pat na di bɔdi. dis kin fayn fכ fכn tכmכro dεm na di εria dεm lεk di bren εn di spεnal kכd.
- Positron Emission Tomography (PET) scan: Dis na fɔ injekt wan spɛshal kayn shuga na di bɔdi. Di kansa sɛl dɛn kin tek dis shuga kwik kwik wan pas di nɔmal sɛl dɛn, so di skan kin izi fɔ no usay di kansa de.
Bayopsi dɛn we dɛn kin du
di mכst imכtant tεst fכ bi 100% sכr if kansa dכn kam bak na bayopsi. Dis min se dɛn kin tek wan smɔl pat pan di tisu frɔm di say we dɛn tink se dɛn de tink ɛn chɛk am ɔnda maykroskɔp fɔ si if ɛni kansa sɛl de.
Wetin na di tritmɛnt fɔ kansa we kin kam bak?
Di tritmɛnt fɔ kansa we de kam bak kin difrɛn bad bad wan dipen pan yu kɔndishɔn. Yu dɔktɔ kin disayd fɔ du tin dɛn lɛk:
- Fɔ ripit di sem tritmɛnt (e.g. kemotɛrapi) lɛk di fɔs wan.
- Ɔpreshɔn fɔ pul di nyu kansa tɔŋ dɛn we dɔn fɔm.
- Yuz difrɛn kemotɛrapi drɔgs ɔ drɔg kɔmbaynshɔn.
- Tray difrɛn kayn tritmɛnt, lɛk tritmɛnt we yu want fɔ gi yu ɔr imyunotɛrapi.
We wi de disayd aw fɔ trit wi, wi kin tink bak bɔt dɛn tin ya:
- De kayn kansa wae yu gɛt: Nɔr to ɔl kansa na di sem.
- We di kansa kam bak: If di kansa kam bak jɔs afta dɛn dɔn trit am, i kin at fɔ trit am.
- Usay di kansa dɔn kam bak: Fɔ trit kansa we dɔn kam bak na di sem ples we i bin de fɔs kin izi pas fɔ trit kansa we dɔn skata to wan ɔgan we de fa.
- Yu ɔl yu wɛlbɔdi biznɛs:Yu bɔdi nid fɔ strɔng fɔ bia wit di sayd ɛfɛkt dɛn we nyu tritmɛnt dɛn kin gɛt.
Apat frɔm dɛn tritmɛnt ya, i impɔtant fɔ tink bɔt fɔ kia fɔ di sik we dɛn kɔl palliativ kia . Dis nɔ de mɛn di kansa, bɔt i de ɛp yu fɔ de fil fayn as yu ebul bay we yu de kɔntrol di sayn dɛm lɛk pen, nɔs, ɛn taya we kansa kin kam wit ɛn di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt.
Liv wit wan kansa rilaps
I tan lɛk se wan ol mɛmori de kam bak fɔ haunt yu. Afta yu dɔn fɛt kansa wan tɛm ɛn tink se yu dɔn win, yu fɔ bigin di sem fɛt bak. Na nɔmal tin fɔ fil bad, fred, ɛn nɔ gɛt op na dis tɛm. Dɛn filin dɛn de na rial tin, ɛn dɛn impɔtant.
As yu no se yu kansa dɔn kam bak, gi yusɛf sɔm tɛm fɔ tink bɔt am ɛn ɔndastand di tin we de apin. Dɔn, bigin fɔ tink bɔt wetin yu go du fɔ liv wit am fayn fayn wan.
- It tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn we gɛt balans. I bɛtɛ fɔ mek yu go to pɔsin we sabi bɔt it fɔ ɛp yu fɔ mek wan it plan we go fayn fɔ yu.
- Gɛt sɔm ɛksesaiz. Ivin sɔntin we simpul lɛk fɔ waka kin ɛp fɔ mek yu nɔ strɛs ɛn mek yu bɔdi gɛt mɔ trɛnk. Bɔt mek shɔ se yu chɛk wit yu dɔktɔ bifo yu bigin ɛni ɛksesaiz.
- If yu de smok ɔ drink rɔm, tray fɔ stɔp fɔ du dɛn tin dɛn de.
- Slip fayn fayn wan. I impɔtant fɔ lɛ di bɔdi rɛst.
Aw a go disayd if a want fɔ gɛt tritmɛnt bak ɔ a nɔ want fɔ gɛt tritmɛnt?
Dis nɔto izi tin fɔ disayd fɔ du. Na sɔm tin dɛn we go ɛp yu insay dis tɛm:
1. Ɔndastand yu tritmɛnt opshɔn dɛm ɛn dɛn sayd ɛfɛkt dɛm: Tɔk to yu ɔnkɔlɔjis ɛn mɛdikal tim. Aks ɛni kwɛstyɔn we yu nid fɔ no.
2. Tɔk to yu famili ɛn di wan dɛn we yu lɛk bɔt dis: Dɛn sɔpɔt go mek yu gɛt trɛnk pan ɛnitin we yu disayd fɔ du.
3. Tink bɔt fɔ gɛt sɛkɔn opinion frɔm ɔda spɛshal pɔsin: Difrɛn tritmɛnt dɛn kin de we fayn fɔ yu na ɔda ɔspitul.
4. Aks yu dɔktɔ if yu kin tek pat pan klinik trial: Dis na stɔdi dɛn we de chɛk aw nyu tritmɛnt dɛn sef ɛn aw dɛn go wok fayn.
Dɔn, na yu yon disayd fɔ go to tritmɛnt ɔ nɔ go to am. Yu dɔktɔ, yu famili, ɛn ɔlman fɔ tink bɔt wetin yu tink, bɔt di las tin we yu fɔ disayd na yu yon. Ɔlman fɔ rɛspɛkt da disayd de.
Mɛsej we dɛn kin kɛr go na os
- Kansa we de kam bak na we di sem kansa kam bak afta dɛn dɔn trit am.
- Dis kin bi na di sem ples usay di kansa bin de bifo (lɔkal), nia (rijinal), ɔ fa (fa) na di bɔdi.
- Yu fɔ de wach fɔ sɔm sayn dɛm lɛk fɔ lɔs yu wet we yu nɔr ɛksplen, pen ɔ kɔf ɔltɛm, ɛn nyu lumps. If yu gɛt ɛnitin we de mɔna yu, go to yu dɔktɔ wantɛm wantɛm.
- Sɔm tritmɛnt dɛn de fɔ kansa we dɔn kam bak. Nɔ giv ɔp fɔ op.
- Di disayd fɔ go to tritmɛnt ɔ nɔ fɔ go to tritmɛnt na yu yon. Gɛt ɔl di tin dɛn we yu nid, tɔk to yu padi dɛn, ɛn disayd fɔ du di rayt tin fɔ yu.
- Nɔ go tru dis waka yu wan. Gɛt sɔpɔt frɔm yu mɛdikal tim, famili, ɛn padi dɛn.
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