Yu gɛt tumbu na yu at? (Cardiac Tumor) Nɔ wɔri, lɛ wi tɔk bɔt dis!

Wi ɔl kin tink bɔt wi at bɔku, nɔto so? Na nɔmal tin fɔ fil fɔ fred smɔl we wi yɛri bɔt at prɔblɛm. Sɔntɛnde, 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 na wetin wi kin kɔl ``Cardiac Tumors'' pan mɛrɛsin. Sɔm pan dɛn tin ya nɔ kin denja, ɛn ɔda wan dɛn kin siriɔs smɔl. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na dɛn kayn at tumbu ya?

Fɔ tɔk am simpul wan, wi kin sheb di tכmכro dεm we de fכm na di at to tu men tכp dεm: di tכmכro dεm we de stat na di at insεf εn di tכmכro dεm we de fכm כdasay εn spre to di at.

Praymari At Tumɔs dɛn

dis na di kayn tכmכro dεm we de stat insay di at. Bɔku pan dɛn, lɛk 75% to 95%, nɔto kansa , dat na, tumbu dɛn we nɔ de du bad. Bɔt if dɛn ambɔg di at fɔ wok, ɔ if dɛn nɔ trit dɛn, sɔntɛnde dɛn kin mek pɔsin gɛt prɔblɛm lɛk strok. So, dis nɔto sɔntin we wi fɔ tek am layt.

Wan wan tɛm, dɛn praymar tumor ya kin bi kansa , we min se dɛn kin bi malignant.

Praymari tכmכro dεm we nכ de kεnsar we de divεlכp pan big pipul dεm

• Myxoma: Dis na di kayn at tכmכro we nכ de kכmכn pas כl pan big pipul dεm. i de mek lεk 50% pan כl di praymar hat tכmכro dεm. dεn kin divεlכp na di lεft atrium na di at. Dɛn fɔ ɔspitul fɔ pul dɛn fɔ mek dɛn nɔ gɛt siriɔs prɔblɛm lɛk ɛmbolizm (we blɔd de blok na wan vein).
• Papillary fibroelastoma: Dis na di sɛkɔn kayn at we nɔ gɛt kansa. pan tap we i kin divεlכp pan eni ej, i kin kכmכn pan pipul dεm we pas 60. lεk 80% pan dεn tכmכro dεm ya de divεlכp na di at valv dεm, spεshal wan di aorta valv כ mitral valv. Ivin if yu nɔ gɛt ɛni sayn, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ mek yu nɔ gɛt bɔku embolizm.
• Lipoma: Dis na tכmכro we dεn mek wit fεt sεl dεm. I kin apun pan pipul dɛm wae gɛt ɔl kayn ej. Dis tumbu kin smɔl sɔm tɛm, bɔt sɔm tɛm i kin rili big. di lipoma dεm kin divεlכp na di lεft vεntrikl, rayt atria, כ di wכl bitwin di atria (atrial septum).
• εmanjioma: Dis na tכmכro dεm we dεn mek wit blכd vεsεl dεm. Dɛn dɔn ripɔt se dɛn kin apin to pipul dɛn frɔm we dɛn smɔl te to lɛk 65 ia so. Bɔrku tɛm, dɛn nɔr kin mek yu gɛt sayn dɛm. So, dɛn kin no dɛn we dɛn de du tɛst fɔ ɔda prɔblɛm dɛn. bכku tεm dεn kin si εmanjioma tכgeda wit כda tכmכro dεm na di gεstrointestinal trakt כ na di skin.

Praymari tכmכro dεm we nכ gεt kεnsar we de divεlכp pan bεlε pikin dεm εn yכŋ pikin dεm

• Rabdomyoma we de na di at: .Dis na di kayn at tכmכro we dεn kin si pan bεlε pikin dεm εn yכŋ pikin dεm. Rhabdomyomas de fכm insay kכlכsta dεm εn dεn kin sכmtεm dεn wan dεm we dεn nכ trit dεm.
• Tεratoma: Dis tכmכro kin kכmכt na di pεrikardium, di tכn sak we de rawnd yu pikin in at. I kin divεlכp bak usay di big bכdi we de kכnεkt to di at bigin.
• Fibroma: difrεnt lεk rhabdomyoma, fibroma de divεlכp lεk wan tכmכro. i kin divεlכp insay di mכsul dεm na di vεntrikl dεm na di pikin in at. Bikɔs i kin mek di pikin gɛt siriɔs at prɔblɛm, i go mɔs bi se dɛn go nid ɔpreshɔn fɔ pul di tumbu.
• Hamartoma: Dɛn kin kɔl dis bak histiocytoid cardiomyopathy ɔ Purkinje sel hamartoma. Dis kin afɛkt di we aw yu pikin in at de rit.

Di kayn kansa (malignant) praymari at tכmכro dεm

bכt 5% to 25% pan כl di praymar kadyak tכmכro dεm na kεnsar. Di kayn we we pipul dɛn kin gɛt mɔ na sarkoma.

• Sarkoma: Dis kayn sarkoma kin afɛkt bitwin 50% ɛn 75% pan pipul dɛm wae gɛt hat kansa. Bɔku sɔbtayp dɛn de we de mek pɔsin gɛt sarkoma. Tu pan di men wan dɛn na:
• Angiosarcoma: Dis na di sכbtayp we kכmכn pas כl pan big pipul dεm. Angiosarcoma kin divεlכp bכku tεm na di rayt atria כ pεrikardium.
• Rhabdomyosarcoma: Dis na di sכbtayp we kכmכn pas כl pan bεlε pikin dεm εn yכŋ pikin dεm. Bɔt, i kin apin bak pan big pipul dɛn. bכku tεm, di rabdomyosarkoma dεm kin fכm insay kכlכsta dεm εn i kin divεlכp na eni chεmba na di at.

Sɔm kayn kansa praymari at tɔmɔs dɛn de bak we nɔ kin bɔku:

• Malignant fibrous histiocytoma: dis tכmכro kin divεlכp bכku tεm na di lεft atria εn i kin blכk yu mitral valv, we kin mek di bכdi fכ fכlכ bitwin di chεmba dεm na di at.
• Limfoma: Limfoma (na kansa we de na di wayt blɔd sɛl) kin apin na di limf no dɛm, di splin, ɔ bon mɛro. Na smɔl tɛm nɔmɔ i kin kam na di at. Bɔku tɛm dis kin apin to pipul dɛn we gɛt AIDS.

Praymari tɔmɔs, we kin bi ɔ nɔ kin bi kansa

Sɔm tumbu wae kin bigin na di at kin bi kansa ɔr nɔr kin bi.

• Mesothelioma: Dis tכmכro na kεnsar if i fכm na di pεrikardium. כltu, sכm tεm, i kin stat na di atrioventricular node, we na pat pan di at in ilektrikal sistεm. If na so i bi, i nɔ kin gɛt kansa.
• Paraganglioma: Dis tכmכro kin kכmכt na di bכs pat na di at.

Metastatik At Tumɔs dɛn

Dis na tכmכro dεm we de fכm we kansa bigin כdasay na yu bכdi (fכ egzampl, di lכng כ skin) εn i spre to yu at. Dis na ɔltɛm kansa (malignant) tumor , we min se dɛn kin kɔmɔt frɔm kansa we dɔn ɔlrɛdi de na di bɔdi.

Bɔrku kayn kansa de wae kin pas na di at:

• Melanoma (kansa na di skin) .
• Kansa na di lɔng
• Brɔst kansa
• Limfoma we dɛn kɔl Limfoma
• Kidni kansa
• Kansa na di εsophageal

Usay na di at dɛn tumbu ya kin kam?

di at tכmכro kin kam na difrεn pat dεm na di at. כl tu di praymari εn mεtastas tכmכro dεm kin divεlכp na dεn say dεm ya:

• εndokadyכm: na di tisu we de layn insay di at chεmba dεm.
• Mayokadiɔm: Dat na yu at mɔsul.
• di hat valv dεm: dis na di pat dεm we lεk "get" we de kכntro di fכ fכlכ bכdi tru di at.
• Pɛrikadiɔm: Dis na di tin sak we de rawnd di at.

Udat kin gɛt dɛn at tumbu ya pas ɔlman?

At tumor, dipen pan di kayn, kin kam pan ɛnibɔdi pan ɛni ej. sכm tכp dεm (lεk teratomas) de divεlכp we di pikin stil de insay di bεlε. Ɔda kayn dɛn kin kam we dɛn smɔl ɔ difrɛn tɛm dɛn we dɛn dɔn big.

Tink bɔt dis: Mayxomas kin bɔku pan uman dɛn tu to 4 tɛm pas man dɛn.

Sarkoma na wan kayn kansa wae kin pasmak pan big pipul dɛm wae ol midul ej. Di avrej ej fɔ no di sik na lɛk 44 ia.

Aw kɔmɔn tin fɔ gɛt at tumbu?

Praymari at tumbu (we nɔ gɛt kansa ɛn we gɛt kansa) kin afɛkt lɛk 1 pan ɛvri 2,000 pipul dɛn. Bɔt di tumbu dɛn we nɔ gɛt kansa kin bɔku pas di tumbu dɛn we gɛt kansa.

Bɔt di at tɔŋ dɛm we de skata to di at frɔm ɔda say dɛm (mɛtastatik) kin bɔku. Fɔ ɛgzampul:

• Na lɛk 10% pan pipul dɛm wae gɛt kansa na dɛn lɔng.
• Na lɛk 10% pan di pipul dɛm wae gɛt bɔdi kansa.
• Bitwin 50% ɛn 65% pan pipul dɛm wae gɛt melanoma.

Aw at tumbu kin afɛkt yu bɔdi?

At tumɔs kin afɛkt yu bɔdi bɔku we dɛn. Kansa (malignant) at tumor kin spre to ɔda pat dɛm na yu bɔdi, lɛk di lɔng dɛm. di at tכmכro dεm we nכ de kכnsa (benign) nכ de spre, bכt dεn kin mek prכblεm wit di at εn blכd vεsεl dεm. Dɛn kayn prɔblɛm dɛn ya na:

• Di at bit we nɔ de bit ɔltɛm (Arrhythmias) .
• Blɔd we de klɔt ɛn tromboɛmbolizm
• Prɔblɛm wit blɔd we de flɔ insay di at
• At atak
• At we nɔ de wok fayn
• Abnɔmal at sawnd (At de grɔmbul) .
• Lɔw blɔd prɛshɔn (Hypotension) .
• Efyushɔn we de kɔmɔt na di bɔdi
• Inflameshɔn na di sak we de rawnd di at (pericarditis) .
• Damej to valv dɛn

Aw tumbu kin afɛkt yu at kin dipen pan di kayn tumbu ɛn usay i de na di at. Fɔ ɛgzampul, di tumbu dɛn we kin bigin na di at valv dɛn kin mek di blɔd nɔ go na di at ɔ mek di blɔd klɔt. di tכmכro dεm we de gro na di at mכsul kin mek di at fεl כ i kin mek di at bit i nכ de bit (arrhythmias).

If dɛn no se yu gɛt at tumbu, yu dɔktɔ go tɛl yu usay i de ɛn aw i kin afɛkt yu at.

Wetin na di sayn dɛm we de sho se pɔsin gɛt at tumbu?

Di sayn dɛm fɔ at tumbu kin difrɛn bad bad wan. Dɛn kin dipen pan di kayn tumbu we yu gɛt ɛn usay i de na yu at. Sɔm pipul kin nɔr kin gɛt ɛni sayn at ɔl, ɔr kin gɛt sɔm kayn sik wae nɔr kin pasmak. Ɔda pipul dɛn kin gɛt sɔm sayn dɛn we de sho se dɛn gɛt at prɔblɛm we go mek dɛn day.

Bɔrku hat tumor simptom dɛm na wae dɔktɔ dɛm kɔl "non-specific." Dis min se dɛn sik ya kin kam bikɔs ɔf bɔku ɔda wɛlbɔdi prɔblɛm dɛn, nɔto jɔs at tumbu. So, ivin if yu gɛt dɛn kayn sik ya, nɔr kin min ɔltɛm se yu gɛt at tumbu. Na dat mek e fayn fɔ tɛl yu dɔktɔ bɔt yu sik so dat dɛn go ebul fɔ no di kɔz.

Bɔrku tɛm, di sayn dɛm wae de kam pan pipul dɛm wae gɛt kansa hat tumbu kin bigin wantɛm wantɛm ɛn kin wɔs kwik kwik wan. Di simptom dɛm na di at tumor dɛm we nɔ gɛt kansa kin divɛlɔp sloslo.

Di kɔmɔn sayn ɛn simptom dɛm fɔ hat tumor na:

• Chɛst diskɔmfɔt, pen
• Diziz ɛn fɔdɔm
• Taya, taya
• Fiva ɛn kol kol
• Di at we de blo
• Pen na di jɔyn dɛn
• Fil fɔ it
• Nayt swet dɛn
• sכm sכm rεd spat dεm na di skin ``(Petechiae)``
• I nɔ kin izi fɔ yu fɔ blo
• Leg we de swel
• We yu de lɔs yu wet fɔ no ɔda rizin

Wetin mek dɛn at tumbu ya kin fɔm?

I nɔ kin klia ɔltɛm wetin mek di praymari at tɔŋ dɛn kin kam. sכm jεnεtik sεndrכm dεm (lεk Carney kכmpleks) kin mek sכm praymar at tכmכro dεm we nכ de kεnsar de divεlכp.

di hat tכmכro dεm we de mεtastas kin apin we kεnsar de spre to di at frכm wan pat na yu bכdi (lεk di lכng כ skin).

Aw yu go no if yu gɛt at tumbu?

Dɛn kin no di at tumbu dɛn wit imej tɛst. Yu dɔktɔ kin tink se yu gɛt at tumbu ɛn tɛl yu fɔ du bɔku tɛst fɔ no if yu gɛt am. Ɔ, dɛn kin fɛn tumbu we dɛn nɔ bin de ɛkspɛkt we dɛn de du tɛst fɔ ɔda rizin dɛn.

If pɔsin gɛt kansa ɔdasay na in bɔdi ɛn wantɛm wantɛm i gɛt at prɔblɛm, di dɔktɔ kin tink se i gɛt at tumbu. So, dɛn kin du imej tɛst fɔ si if di kansa dɔn skata to di at.

Bɔrku tɛm, i nɔ kin izi fɔ no di praymari at tyumɔs bikɔs di sayn dɛm we dɛn kin gɛt kin tan lɛk ɔda sik dɛm. Dɔktɔ dɛn kin sɔprayz se tumbu de pan pipul dɛn we gɛt sayn dɛn we de sho se dɛn at nɔ de wok fayn ɛn nɔ gɛt ɛni klia rizin. Bɔt bɔku tɛm, dɔktɔ dɛn kin no di praymar at tumbu dɛn tru tɛst dɛn we dɛn kin ɔda fɔ chɛk fɔ ɔda sik dɛn. Dɛn kɔl dɛn tin ya tin dɛn we dɛn kin fɛn we nɔ apin.

Bɔrku at tumɔs gɛt sayn ɛn simptom dɛm wae nɔr kin gɛt sɔm kayn sik, dat min se dɛn kin sho se dɛn gɛt bɔrku difrɛn prɔblɛm. Bɔt at tumbu dɛn gɛt wan sayn we spɛshal. We yu dɔktɔ de lisin to yu at wit stetɔskɔp, yu kin yɛri wan difrɛn "tumor plop" sawnd. dis sawnd de apin we di tכmכro de blכk di mitral valv fכ fכs. Dis kin fiba di sawnd we yu kin yɛri if yu gɛt mitral valv stenɔsis.

So, if yu dɔktɔ yɛri dis sawnd, dɛn kin sɔprayz se yu gɛt at tumbu, mɔ if yu nɔ gɛt risk factor fɔ mitral valve stenosis.

Us tɛst dɛn de du?

Imej tɛst impɔtant fɔ no, trit, ɛn wach di at tumbu dɛn. Yu dɔktɔ kin ɔda wan ɔ mɔ pan dɛn tɛst ya fɔ no if yu gɛt di sik:

• transthoracic echocardiogram: dis kayn echo de εp fכ no di tכmכro dεm na di lכw chεmba dεm na di at (vεntrikul dεm).
• transεsophageal echocardiogram: Dis kayn echo de εp fכ no di tכmכro dεm na di כp chεmba dεm na di at (atria).
• Cardiac MRI: Dis tɛst de ɛp fɔ no di ditel dɛn bɔt di tumor, lɛk if na kansa.
• Contrast-enhanced cardiac CT scans: Dis tɛst kin fayn fɔ pipul dɛn we gɛt divays dɛn we dɛn put insay di bɔdi ɛn we nɔ kin ebul fɔ du MRI. I fayn bak fɔ chɛk di wan ol chɛst (inklud di lɔng ɛn blɔd vesel) ɛn di korona at na di at.
• PET scan: Sɔntɛnde dɛn kin yuz dis tɛst fɔ si if kansa ɔdasay na di bɔdi dɔn skata to di at.

Wetin na di tritmɛnt fɔ at tumor?

Di tritmɛnt we dɛn kin pik fɔ di at tɔmɔs kin difrɛn difrɛn wan bay di kayn tɔŋ we de.

• Praymari at tכmכro dεm we nכ kכnεs: If dεn tכmכro dεm ya sכm, dεn kin pul dεm wit כpεrayshכn fayn fayn wan. Dɛn nɔ go ebul fɔ pul big big tumbu dɛn. If di tumbu de ambɔg di at in wok, yu dɔktɔ ɔ yu pikin in dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Pikin dɛn we dɛn du ɔpreshɔn fɔ pul wan fibroma kin nid bak fɔ gɛt ɔpreshɔn fɔ mek dɛn ebul fɔ mek di at we dɔn pwɛl.
• Kansa praymari kadyak tכmכro dεm:Dɛn nɔ kin pul dɛn tumbu ya ɛn bɔku tɛm dɛn kin kil pɔsin. Dɛn kin yuz kemotɛrapi ɔ redyushɔn fɔ mek di kansa nɔ gro sloslo. Yu dɔktɔ kin gi yu mɛrɛsin bak fɔ kɔntrol di prɔblɛm dɛn we de mit yu.
• Metastatic heart tumors: Di tritmɛnt dipen pan usay di kansa bigin. I kin inklud kemotɛrapi ɔ ɔpreshɔn fɔ pul di tumbu. Yu dɔktɔ kin put tiub dɛn na yu chɛst fɔ pul di wata we pasmak na di tumbu. Dɛn kin injekt mɛrɛsin bak na yu at fɔ mek di tumbu nɔ gro ɔ fɔ wok agens di wata we de bɔku.

Wetin na di rεt fɔ wɛl bɔdi fɔ pipul dɛm wae gɛt hat tumor?

Di chans fɔ mek yu liv dipen pan di kayn tumbu we yu gɛt ɛn aw dɛn kin no am kwik kwik wan. In jɛnɛral, if yu no di sik kwik kwik wan, dat kin mek yu gɛt bɛtɛ tin fɔ du. Bɔt sɔm kansa tumbu dɛn kin skata kwik kwik wan ɛn i nɔ kin izi fɔ mɛn ɔ i nɔ kin izi fɔ mɛn. Risach dɔn sho se:

• Bɔku tɛm, dɛn kin pul di mayxomas fayn fayn wan if dɛn du ɔpreshɔn.
• Bɔku tɛm, di praymari kansa at tumbu dɛn kin kil pɔsin. Dɛn tumbu ya kin skata kwik kwik wan ɔ kam bak afta dɛn dɔn trit am. Di chans we yu gɛt fɔ liv dipen pan di sayz we di tumbu gɛt, aw fa i dɔn skata, ɛn aw dɛn kin no di kansa kwik kwik wan.
• Di at tumor dɛm we de mɛtastas kin kil pɔsin. Bikɔs di kansa kin skata kwik kwik wan, pipul dɛn we gɛt dɛn tumbu ya nɔ kin gɛt bɛtɛ chans fɔ mɛn fɔ lɔng tɛm.

Aw lɔŋ yu kin liv wit at tumbu?

Yu dɔktɔ go tɔk to yu bɔt yu wan wan prɔgnosis. In jɛnɛral, pipul dɛm wae gɛt kansa wae nɔr gɛt kansa na dɛn at kin gɛt bɛtɛ prɔgnosis pas pipul dɛm wae gɛt kansa wae gɛt kansa.

Kansa praymari hat tyumכr dεm de sכt yu layf εkspεktεns. Ɔl:

• Na lɛk 50% pan di pipul dɛn kin liv wan ia afta dɛn dɔn no se dɛn gɛt di sik.
• Na lɛk 24% pan di pipul dɛn kin liv fɔ tri ia.
• Na lɛk 19% pan pipul dɛn kin liv fɔ fayv ia.

Di layf we pɔsin kin liv kin dipen bak pan di kayn at kansa.

• Sarkoma: Pipul wae gɛt sarkoma kin liv lɛk nayn to sɛvintin mɔnt afta dɛn dɔn no se dɛn gɛt am.
• Limfoma: Pipul wae gɛt limfoma kin liv fɔ sɛvin mɔnt. If dɛn gɛt tritmɛnt, dɛn kin liv fɔ fayv ia. If dɛn nɔ gɛt tritmɛnt, na wan mɔnt nɔmɔ dɛn kin liv.
• Kansa paraganglioma: Bɔku tɛm dɛn kin trit dis sik. Na lɛk 84% pan di pipul dɛn kin liv 10 ia afta dɛn dɔn du di ɔpreshɔn fayn fayn wan. Bɔt na lɛk 50% chans de fɔ mek di kansa kam bak. Yu go nid fɔ du imej tɛst ɔltɛm fɔ chɛk fɔ si if i de kam bak.

Ustɛm a fɔ go to dɔktɔ?

If dɛn no se yu gɛt at tumbu, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ go to dɔktɔ ɛn wetin na yu tritmɛnt plan. Dɛn kin se bak fɔ tɛst yu ɛn yu famili bɔt yu jɛnɛtiks.

If dɛn dɔn du ɔpreshɔn pan yu fɔ pul wan tumbu, yu go nid fɔ go to yu dɔktɔ ɔltɛm ɛn du tɛst fɔ mek yu tek pikchɔ. Dɛn tɛst ya kin ɛp yu dɔktɔ fɔ si if di tumbu dɔn kam bak. Dɛn kin chɛk bak aw yu at de wok ɛn trit ɛni prɔblɛm we go kam.

If dɛn no se yu pikin gɛt at tumbu, dɛn dɔktɔ go ɛksplen wetin fɔ du nɛks. Yu pikin kin nid tritmɛnt wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Tɔk to yu dɔktɔ bɔt aw yu go gɛt di sik, aw fɔ trit yu, ɛn aw yu go gɛt di sik. Yu kin aks kwɛstyɔn dɛn lɛk:

• Us kayn tumbu a gɛt? Na kansa?
• Aw dis frut go afɛkt mi at?
• Wetin na di bɛst we fɔ trit dis tumbu?
• Aw kwik a nid tritmɛnt?
• Aw a de wɛl afta dɛn dɔn trit mi?
• Aw ɔltɛm a nid fɔ kam bak fɔ tɛst ɔ ɔda tɛst?

If yu pikin gɛt at tumbu, aks dɛn dɔktɔ:

• Us kayn tumbu mi pikin gɛt? Na kansa?
• Aw dis frut go afɛkt mi pikin in at ɛn ɔl in wɛlbɔdi?
• Yu tink se mi pikin go nid ɔpreshɔn? If na so i bi, aw kwik?
• Aw mi pikin de wɛl?
• Wetin a go du na os fɔ kia fɔ mi pikin?
• Us sayn dɛn a fɔ luk fɔ?
• Wetin a fɔ du if a si dɛn sayn ya?

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

At tumɔs kin afɛkt yu bɔdi ɛn yu layf bɔku we dɛn. Bɔku tɛm, dɛn kin pul di tumbu dɛn we nɔ gɛt kansa fayn fayn wan if dɛn du ɔpreshɔn. Bɔt sɔm tumbu dɛn, ivin di tumbu dɛn we gɛt kansa, kin at fɔ trit.

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt ɛni sik. Di mɔ we dɛn no di sik kwik kwik wan, na di mɔ i go izi fɔ mek dɛn trit am fayn.

Tɔk to yu dɔktɔ bɔt yu patikyula sik ɛn aw i go afɛkt yu. Nɔ wɔri, dɔktɔ dɛn de fɔ ɛp yu.

` Kadyak Tכmכro, At Tכmכro, Myxoma, Sarkoma, At Simptom dεm, At Tεst, At כpεrayshכn