Wetin yu nid fɔ no bɔt di lɔng kansa tɔŋ dɛm

Yu dɔn gɛt kɔf fɔ sɔm tɛm? Maybe e de kompin wit phlegm? Ɔ yu kin fil se yu nɔ ebul fɔ blo smɔl? Bɔku tɛm wi kin fɔgɛt bɔt dɛn tin ya, ɛn tink se na jɔs kɔmɔn kol. Bɔt nɔto ɔltɛm, ɔda tin kin de biɛn dis kayn smɔl sayn we wi nid fɔ pe atɛnshɔn to. Tide wi go tɔk bɔt wan rare bɔt rili impɔtant kansa kɔndishɔn na di lɔng. Dat na Lɔng Karsinɔyd Tumɔs.

Fɔ tɔk am simpul wan, wetin na dɛn lɔng kansa tumbu ya?

Dis nid fɔ ɛksplen smɔl. Wan spɛshal kayn sɛl de na wi bɔdi we de insay di nervɔs sistɛm ɛn di ɔmon sistɛm. wi kכl dεn nyuroεndokrin sεl dεm. Tink bɔt dɛn sɛl ya as di kɔdinetɔ dɛn na wi bɔdi. We mɛsej kɔmɔt frɔm di nervɔs sistɛm, dɛn wok na fɔ mek ɔmon dɛn we de ansa am ɛn kɔntrol difrɛn tin dɛn we dɛn kin du na di bɔdi. fכ egzampl, dεn sεl dεm ya de εp fכ kכntrol di we aw wi briz de go insay di lכng dεm εn di we aw it de muv tru di dijestiv trakt.

so, fכ sכm rizin, we dεn nyuroεndokrin sεl dεm ya bigin fכ sheb εn bכku we dεn nכ ebul fכ kכntrכl, tכmכro dεm de fכm na dεn ples dεm de. wi kכl di lכng kansa tכmכro dεm di kεnsar tכmכro dεm we de stat insay dεn nyuroεndokrin sεl dεm ya na di lכng.

Bɔt nɔ fred we yu yɛri di wɔd "kansa." Bikɔs tu kayn dɛn kayn kansa tɔŋ ya de. Dɛn tu pipul ya de biev difrɛn we.

di tu men kayn kasinoid sist dεm

Dɛn sheb dɛn to tu men kayn dɛn bay aw dɛn de gro ɛn aw dɛn ebul fɔ skata.

Wetin kin bi di sayn dɛm fɔ dis sik?

Bɔrku tɛm, mɔ pan pipul dɛm wae gɛt tipik sist, nɔr kin gɛt ɛni sayn . Dɛn kin fɛn dɛn bay chans, lɛk se na ɛkstrem rayt na in chɛst fɔ ɔda rizin. Bɔt sɔm pipul dɛn kin gɛt dɛn sik ya:

• Kɔf we nɔ de dɔn (sɔntɛnde wit blɔd ɔ mכkus) .
• Chɛst de pen
• I nɔ izi fɔ blo (dyspnea) .
• Fɔ yɛri fayn ‘wistling’ sawnd we yu de blo (wheezing) .

Wan spɛshal sik we dɛn kɔl Carcinoid Syndrome

Na smɔl tɛm nɔmɔ, dɛn tɔŋ ya kin bigin fɔ mek tumɔs pan di ɔmon we dɛn kɔl sɛrotonin. Dis kin mek di ɔmon nɔ balans na di bɔdi, ɛn dis kin mek yu gɛt difrɛn sayn dɛn. Dɛn kɔl dis kayn sik we dɛn kɔl carcinoid syndrome . Di sayn dɛm we i kin gɛt na:

• Sivɛri dayarɛa
• Rɛd ɔ filin fɔ wam na yu fes ɛn nɛk (flɔsh) .
• We yu de gɛt mɔ wet we yu nɔ gɛt rizin
• I nɔ izi fɔ blo ɔ gɛt sayn dɛn we tan lɛk asma

If dɛn sayn ya de, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin mek tumbu dɛn lɛk dis kin fɔm? Ɛnitin de we kin mek pɔsin gɛt prɔblɛm?

Infakt, dɛn nɔ dɔn no yet di rayt rizin we mek dɛn nyuro ɛndɔkrin sɛl dɛn ya kin bigin fɔ sheb wantɛm wantɛm we dɛn nɔ ebul fɔ kɔntrol .

Bɔt dɛn dɔn si se sɔm pipul dɛn kin gɛt dis sik smɔl. Dɛn tin ya na:

• Fɔ gɛt wan sik we nɔ kin apin so ɔltɛm, we dɛn kin gɛt frɔm dɛn mama ɛn papa we dɛn kɔl Multiple Endocrine Neoplasia type 1 (MEN1) .
• Smok (especially fɔ di atypical tayp) .
• Fɔ bi uman (uman dɛn kin gɛt dis sik smɔl) .
• Fɔ bi bitwin 45 ɛn 55. Pan ɔl we dɛn kin no dis sik mɔ pan dis ej grup, i kin apin ɛni ej, ivin pan pikin dɛn we rili yɔŋ.

Aw fɔ no dis sik?

If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt, yu fɔ go to yu dɔktɔ fɔs. I go aks yu bɔt yu sik dɛn, lisin to yu chɛst wit stetɔskɔp, ɛn if yu gɛt dawt, i go tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt di sik.

1. Imajin: Di fɔs tin we yu fɔ du na fɔ tek ɛkstrem rayt na yu chɛst . If dɛn si ɛnitin we nɔ fayn, dɛn kin ɔda fɔ mek dɛn du CT skan (Computed Tomography scan) . CT skan kin mek rili klia, kכros-sekshכnal imej dεm fכ di lכng dεm, we kin mek dεn no di sayz εn di say we di tכmכro de.

2. Blɔd ɛn urine tɛst: Dɛn kin du dɛn tɛst ya fɔ si if sɔm ɔmon dɛn we dɛn tumbu ya de mek de insay di blɔd ɔ urine.

3. Bayopsi: Dis na di mכst imכtant tεst fכ kכnfכm di sik 100%. Na ya, dɛn kin tek wan rili smɔl tisu frɔm di tumbu ɛn chɛk am ɔnda maykroskɔp. dis kin no εksεkεkt if di tכmכro na kansa tכmכro, tכpik כ atypical. di mכst kכmכn mεtכd we dεn kin yuz fכ gεt dis tisu sεmpl na brכnkoskopi . Na ya, dɛn kin pas wan tin tiub we gɛt smɔl kamɛra na di say dɛn we di briz de blo fɔ chɛk di tumbu ɛn dɛn kin tek wan smɔl pat.

Wetin na di tritmɛnt dɛn we yu kin gɛt?

Di bɛst tritmɛnt fɔ yu go dipen pan di kayn, saiz, usay di tumbu de, ɛn yu ɔl wɛlbɔdi. Di gud nyus na dat, bɔku pan di lɔng kansa tɔŋ dɛn kin wɛl ɔl if dɛn du ɔpreshɔn nɔmɔ.

Bɔku men tritmɛnt dɛn de we yu kin pik:

• Ɔpreshɔn:
• Lobectomy: Dɛn kin pul di lobe na di lכng usay di tכmכro de kכmplit wan.
• Wedge Resection: Na di tכmכro nכmכ de pul di tכmכro εn sכm tisu we de rawnd am.
• Nyumɔnektomi: Na smɔl tɛm nɔmɔ, dɛn kin nid fɔ pul di wan ol lɔng.
• Fɔ pul di limf no dɛm: Di dɔktɔ kin disayd fɔ pul di limf no dɛm we de nia am fɔ si if di kansa dɔn skata ɛn fɔ mek i nɔ skata mɔ.

• Radiation Therapy: Dɛn kin gi dis tritmɛnt if di ɔpreshɔn nɔ ebul fɔ pul di tumbu ɔlsay ɔ if di pɔsin gɛt sik we de mek i nɔ ebul fɔ du di ɔpreshɔn. i involv εksternal-bim rεdyushכn כ fכ put sכm sכm rεdyuaktiv mεtirial dεm nia di tכmכro (brachytherapy).

• Kimotɛrapi: .Bikɔs dɛn tɔŋ ya de gro sloslo, di kɔmɔn kemotɛrapi we dɛn kin yuz fɔ mɛn di sɛl dɛn we de gro fast fast, nɔ kin rili wok. So, dɛn nɔ kin gi dis tritmɛnt to di kayn we dɛn we dɛn kin gɛt. Bɔt dis tritmɛnt kin nid fɔ de fɔ di kayn atypical we de gro fast ɔ we dɛn dɔn spre to ɔda ɔgan dɛn.

• Ɔda mɛrɛsin dɛn:
• Octreotide: Dɛn kin gi dis ɔmon mɛrɛsin fɔ kɔntrol di sik dɛn we kin kam wit di sik we dɛn kɔl carcinoid syndrome.
• MTOR inhibito dεm (e.g. Everolimus): Na wan kayn dכg we de inhibit di tכmכro gro.

Wetin na di rεkכvεshכn rεt εn aw dεn go si?

Dis na prɔblɛm fɔ bɔku pipul dɛn.

Atypical carcinoid tumors na smɔl mɔ kɔmplikɛt fɔ trit. Di risk fɔ mek i gɛt dis sik bak kin bɔku smɔl. Bɔt dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan bak bay we dɛn yuz difrɛn tritmɛnt dɛn we dɛn jɔyn togɛda.

כlsay, di fayv ia sכvayv rεt fכ כl kayn lכng kansa tכmכro na rili hכy 89% . Dis min se pan 100 pipul dɛm wae dɛn dɔn no se gɛt dis sik, 89 stil gɛt wɛl bɔdi afta 5 ia.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt nyu ɔr de wɔs, mɔr yu nɔr de blo fayn, yu de gɛt dayarɛa, ɔ yu de lɔs yu bɔdi we yu nɔr ɛksplen, mek yu dɔktɔ no. Nɔ shem fɔ tɔk bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.

Ustɛm fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm

If yu gɛt dɛn kayn bad bad sik ya, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm:

• Fɔ fil se yu nɔ gɛt bɛtɛ briz (ivin we yu de rɛst).
• Fɔ kɔf blɔd.
• Nyu ɔr de wɔs pen na yu chɛst.
• Kɔnfyushɔn ɔ chenj di we aw pɔsin de tink.
• Blu di kɔlɔ we de chenj na di skin, di lip, ɔ di finga nel (cyanosis).

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

Na nɔmal tin fɔ gɛt kwɛstyɔn we yu gɛt diagnosis lɛk dis. I go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Dis na tipik ɔ atypical?
• Dis dɔn skata to ɔda ples dɛn?
• Us tritmɛnt yu kin advays?
• Wetin na di lukin-grɔn fɔ dis kayn tumbu?
• Aw fɔ kɔntrol di sayn dɛm na os?

Fɔ gɛt diagnosis fɔ ɛni kansa na tin we nɔ kin izi fɔ du. Bɔt mɛmba se, bɔku pan di lɔng kansa dɛn kin rili trit ɛn dɛn nɔ kin gɛt bɛtɛ chans fɔ kam bak. Tɔk opin wan wit yu mɛdikal tim bɔt wetin fɔ ɛkspɛkt fɔ yu sik. Dɛn go ɛksplen to yu di bɛst tritmɛnt dɛn ɛn ansa ɛni kwɛstyɔn we yu gɛt.