Yu tink se di kansa dɔn skata ɛn mek tumbu na ɔda pat dɛn na di bɔdi? Lɛ wi tɔk bɔt dis kɔndishɔn, Carcinomatosis.

Yu kin de tink se, "O, a gɛt kansa, ɛn naw i dɔn skata to ɔda pat dɛn na mi bɔdi." Ɔ sɔntɛm yu dɔktɔ dɔn tɛl yu bɔt dis tin we de apin. Dis na rili siriɔs stori, bɔt lɛ wi tɔk klia wan bɔt dis. Bikɔs, no na pawa.

Fɔ tɔk am simpul wan, wetin na kansa?

Imajin se yu gɛt kansa na wan pat na yu bɔdi. Sɔntɛnde, dɛn kansa sɛl ya kin brok kɔmɔt de, go na ɔda pat na yu bɔdi, ɛn bigin nyu tumbu dɛn de, lɛk wan bɔnch smɔl plant dɛn we de skata wan tɛm. Na dat wi kin kɔl kansa , sɔm tɛm dɛn kin kɔl kansa .

Sɔntɛnde, dis kin bi di fɔs sayn fɔ gɛt kansa. Dat min se, dɛn kin no am fɔs as kansa we dɔn skata dis we. Bɔt, bɔrku tɛm, dis sik kin apun afta yu dɔn ɔlrɛdi de liv wit kansa fɔ sɔm tɛm.

Dis na rili wan kayn kansa we de pas ɔlsay na di wɔl . Fɔ tɔk am simpul wan, i min se di kansa dɔn skata. Carcinomatosis na sayn fɔ se di kansa dɔn spre to di stej we dɔn go bifo pas ɔl . Bɔku tɛm, i nɔ kin izi fɔ mek i wɛl ɔltogɛda. Bɔt, nɔ fred. Yu dɔktɔ dɛn go tɛl yu fɔ gi yu tritmɛnt fɔ mek yu nɔ gɛt di sik ɛn ɛp yu fɔ liv gladi wit di wan dɛn we yu lɛk fɔ lɔng tɛm.

Wetin na di men kayn kansa?

Wi de si tri men kayn we fɔ dis kansa kɔndishɔn. Di kayn kansa wae kin mek pɔrsin gɛt ɛni kayn kansa kin difrɛn bak.

1. Leptomeningeal carcinomatosis: Dis na we kansa de spre to di mεmbran dεm we de rawnd yu bren εn spεnal kכd . I kin gɛt fɔ du wit bɔdi kansa, lɔng kansa, ɛn melanoma, we na wan kayn kansa na yu skin.

2. Pulmonary lymphangitic carcinomatosis: Dis na we kansa we bigin na yu brɔst, lɔng, bɛlɛ, kidni, liva, ɔ kɔlon de skata to di limfatik sistɛm na yu lɔng .

3. Pɛritonial kansa: Dis na we kansa kin skata to di layn na yu bɛlɛ, we dɛn kɔl di peritoneum . Bɔrku tɛm, dis sik kin kam wit ovarian kansa, bɛlɛ kansa, kɔlon kansa, ɔr rεktal kansa.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Yu tink se dɛn na di sem fɔ ɔlman?

Nɔ, di sayn dɛm wae de sho se pɔrsin gɛt kansa nɔr kin bi di sem fɔ ɔlman. Dɛn kin difrɛn difrɛn wan bay usay di kansa dɔn skata . Tink bɔt am, di sayn dɛm nɔr kin sho wae i de spre to di bren, bɔt wae i de spre to di lכng.

Na sɔm sayn dɛm we kin apin dipen pan usay di kansa tɔŋ de:

• Bren:
• Ed de at
• Kɔnfyushɔn ɛn prɔblɛm wit mɛmori
• Nem dɛm fɔ di lɔng dɛm (Lungs):
• Trobul fɔ blo
• Chɛst de pen
• Kɔf
• Fɔ kɔf blɔd
• Di nem dɛn fɔ di bɛlɛ (Abdomen): .
• Rɔnbɛlɛ
• Nɔs ɛn vɔmit
• Pɔsin we de fil pen na di bɛlɛ
• We yu nɔ bin want fɔ lɔs yu wet

Nɔr kin tink se jɔs bikɔs yu gɛt wan ɔr tu pan dɛn sik ya, yu gɛt dis sik. Bɔt if yu gɛt kansa, i rili impɔtant fɔ tɛl dɔktɔ wantɛm wantɛm if yu gɛt ɛni nyu sayn lɛk dis.

Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt kansa?

Fɔ tɔk am simpul wan, kansa kin apin we wan bad bad tumbu we bigin na wan pat na yu bɔdi kin skata to ɔda pat na yu bɔdi. Bɔku tɛm, bɔku nyu tumbu dɛn kin fɔm na mɔ pas wan ples. Infakt, ivin pipul dɛn we sabi bɔt mɛrɛsin nɔ kin ebul fɔ tɔk klia wan wetin mek kansa kin skata lɛk dis . Bɔt we i de skata lɛk dis, i kin mek nyu prɔblɛm dɛn fɔ liv wit kansa.

Aw yu go no dis kɔrɛkt wan? Us kayn tɛst dɛn kin du?

If yu gɛt kansa, i go mɔs bi se yu dɔn ɔlrɛdi fɛt kansa. So, sɔmtɛm dɔktɔ dɛn kin wɔnda, "Di bɛnifit fɔ tɛst fɔ kɔnfirm dis kɔndishɔn fit fɔ di diskɔmfɔt we yu kin gɛt we yu de du am?"

Bɔt sɔm tɛst dɛn de we kin ɛp fɔ no dis sik:

• Bronchoscopy: Insay dis prosidur, dɔktɔ kin yuz tyub wit smɔl kamɛra fɔ luk insay yu lɔng. Dɛn kin tek tisu sɛmpul bak (bayopsi) fɔ chɛk fɔ si if di kansa sɛl dɛn de.
• Chɛst X-ray: Dis kin sho sayn dɛn fɔ se yu lɔng swel.
• Kɔmpyuta tomografi (CT) skan fɔ yu chɛst: Bɔku tɛm dɛn kin yuz dis fɔ sho tumbu dɛn na di bɛlɛ. I kin sho sayn dεm bak fכ tכmכro na di lכng.
• Ilɛktrokadyografi ɛn ɛkokadyografi: Dɛn tɛst ya kin luk aw yu at de wok. Dɛn kin chɛk bak if yu at dɔn pwɛl bikɔs ɔf prɔblɛm wit yu lɔng.
• Lכng V/Q skan: Dis de chεk fכ blכd kכlכt na di lכng.
• MRI skan (Magnetic resonance imaging (MRI): Dis kin tek rili klia pikchɔ fɔ di tumbu dɛn na yu bren ɔ yu bɛlɛ.
• Positron efyushɔn tomografi (PET) skan:Insay dis, dɔktɔ dɛn kin injɛkt wan redioaktiv tin na yu bɔdi ɛn luk fɔ sayn dɛn we de sho se di kansa dɔn go na di lɔng ɔ yu bɛlɛ.
• spεnal tap: Yu dכkta kin tek sεmpl fכ yu sεribrospεnal fכluid – di wata we de rawnd yu bren εn spεnal kכd – fכ chεk fכ kεnsar sεl dεm.
• Ultrasound na yu bɛlɛ ɔ yu bɛlɛ: Dis kin chɛk fɔ si if wata dɔn bɔku na yu bɛlɛ (wan sik we dɛn kɔl ascites ). Bɔrku pipul dɛm wae gɛt peritoneal carcinomatosis kin gɛt dis sik.

So, wetin na di tritmɛnt fɔ dis?

Bɔku tɛm, kansa na sayn fɔ sho se di kansa dɔn skata pas di say we i nɔ go ebul fɔ mɛn igen. Yu dɔktɔ go tek dis na kɔna we i de gi yu tritmɛnt. Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ tek tɛm wit di sik we dɛn kɔl palliative care, we kin mek yu nɔ gɛt di sik . Ɔ, dɛn kin tɔk to yu bɔt aw fɔ kia fɔ yu na os, we kin mek yu fil fayn we yu dɔn yu layf.

Na sɔm tritmɛnt dɛm wae kin ɛp fɔ pul de sik wae de kam wit kansa ɛn ɛp yu fɔ liv lɔng:

• Ɔpreshɔn: Yu dɔktɔ kin pul di tumbu dɛn we de na di layn na yu bɛlɛ (peritoneum) (cytoreductive surgery) ɔ di tumbu dɛn we de na yu lɔng. If yu gɛt wata we dɔn gɛda na yu bren, dɛn kin put sɔntin lɛk shunt bak fɔ mek di wata kɔmɔt na yu bren ɛn fɔ mek di prɛshɔn nɔ bɔku.
• Radieshɔn tɛrapi: Dis tritmɛnt de yuz bim dɛn we gɛt bɔku ɛnaji fɔ kil di kansa sɛl dɛn. Yu dɔktɔ kin gi yu raytin tɛrapi to di tumbu dɛn we de mek yu gɛt sɔm sayn dɛn na yu lɔng ɔ yu bren.
• Kimotɛrapi: Kimotɛrapi kin kil di kansa sɛl dɛn ɔlsay na di bɔdi. Dɔktɔ dɛn kin yuz spɛshal kayn kemotɛrapi fɔ bɛlɛ kansa (wan spɛshal we we dɛn kɔl ``HIPEC'') ɛn bren kansa (wan spɛshal we we dɛn kɔl ``intrathecal chemo'').
• Targeted therapy and immunotherapy: If di praymari kansa de ansa fayn to dɛn tritmɛnt ya ɛn i dɔn spre to di bren ɔr spɛshal kɔd, yu dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya.

Yu tink se we de fɔ mek dis nɔ apin?

Rili no we nɔ de fɔ mek yu nɔ gɛt kansa. Bɔt yu kin tek step fɔ ɛp fɔ no am kwik so dat yu dɔktɔ go ebul fɔ trit am. If yu dɔn gɛt kansa we dɔn go bifo, tɔk to yu dɔktɔ bɔt di sayn dɛm fɔ kansa so dat yu go no wetin fɔ luk fɔ.

So, wetin go apin nɛks? Wi go ebul fɔ op?

Bɔt i sɔri fɔ no se, no mɛrɛsin nɔ de fɔ mɛn kansa yet. Bɔt, yu prɔgnosis de dipen pan bɔku tin dɛn.Fɔ ɛgzampul, tin dɛm lɛk usay di kansa fɔs bigin (primary tumor type) ɛn yu ej kin afɛkt yu prognosis. Sɔntɛm tritmɛnt dɛn de we go ɛp yu fɔ liv lɔng ɛn gɛt bɛtɛ kwaliti layf .

I rili impɔtant: I bɛtɛ fɔ tɔk to yu dɔktɔ opin wan bɔt di tin we go apin to yu tumara bambay so dat yu go no wetin na di bɛst tin dɛn we yu go du.

Aw yu de kia fɔ yusɛf? Wetin yu go du insay dis tɛm?

We yu de liv wit kansa, tin dɛn de we yu kin du fɔ mek yu kɔntinyu fɔ liv yu layf:

• Aks bɔt aw fɔ trit yu: Ilɛksɛf yu ɛn yu dɔktɔ disayd nɔ fɔ du bad bad tritmɛnt, tritmɛnt dɛn kin de we go ɛp fɔ mek yu nɔ gɛt di sik ɛn kɔntrol di kansa.
• Tɛl yu dɔktɔ bɔt di chenj dɛn we de apin na yu sik dɛn: If yu sik chenj ɔr de wɔs, yu dɔktɔ go tɛl yu bɔt aw fɔ ɛp fɔ mɛn dɛn.
• Tɛl di wan dɛn we yu lɛk wetin yu nid: Bɔku tɛm, yu fambul ɛn padi dɛn kin want fɔ ɛp, bɔt dɛn nɔ kin no wetin yu nid. Sɔntɛm yu go lɛk fɔ mek pɔsin du yu os, mek yu it, ɔ jɔs spɛn tɛm wit yu.
• Aks fɔ ɛp fɔ plan fɔ tumara bambay: Aks yu dɔktɔ bɔt program dɛm wae kin ɛp yu wit di las step dɛm fɔ yu kansa joyn.

Wetin wi nid fɔ mɛmba frɔm ɔl dis

Fɔ bɔrku pipul dɛm, kansa kin mak di las stej na dɛn joyn wit kansa. Bɔt op stil de fɔ liv fayn wit kansa fɔ as lɔng as yu ebul. Tritmɛnt dɛn de we kin ɛp fɔ mek yu nɔ gɛt di sik ɛn sɔm tɛm dɛn kin gi yu smɔl mɔ tɛm. If yu gɛt kansa, yu dɔktɔ kin tɔk to yu bɔt di tin dɛn we yu go ebul fɔ du we go ɛp yu fɔ yuz yu wɛlbɔdi ɛn yu tɛm fayn fayn wan. Nɔ ɛva sɔfa yu wan, aks fɔ ɛp ɔltɛm . Yu mɛdikal tim ɛn di wan dɛn we yu lɛk de wit yu.

` kansa, kansa, kansa spred, metastas kansa, simptom, tritmɛnt, palliativ kia, palliativ kia