Yu geht tumor lek dis na yu nek? Mek wi lan gud gud wan bɔt Carotid Body Tumor!

Yu dɔn ɛva fil wan smɔl smɔl tin na yu nɛk? Ɔ pɔsin we yu sabi dɔn gɛt wan ɛn tɔk bɔt am? Sɔntɛnde, na nɔmal tin fɔ mek yu fred smɔl ɔ want fɔ no mɔ we yu si sɔntin lɛk dis. Tide wi go tɔk bɔt wan kayn lump we nɔ kɔmɔn smɔl we kin apin na di nɛk, bɔt nɔto bɔku pipul dɛn no bɔt am. Dɔktɔ dɛn kin kɔl dis ‘Carotid Body Tumor’ . Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, lɛ wi tɔk bɔt am simpul wan.

Wetin na dis ‘Carotid Body Tumor’?

Fɔ tɔk am simpul wan, carotid bɔdi tumor na tumor we de divɛlɔp rawnd di tu men blɔd vesel dɛm (arteries) na di tu say dɛm na yu nɛk. Wi kin kɔl dɛn blɔd vesel ya di carotid arteries. Dɛn wan ya kin kɛr blɔd kɔmɔt na yu at to yu ed ɛn bren. Dɛn tan lɛk di tu men paip dɛn we de kɛr wata kɔmɔt na wata pɔmp to tank.

naw, usay dis ‘karotid atεri’ de divayd, wan sכmכl kכlכsta fכ sεl dεm de, we dεn kכl di ‘karotid bכdi’. Dis na pat we rili impɔtant. Bikɔs, na dis kin no di ɔksijɛn ɛn kabon dayɔgzayd we de na wi blɔd ɛn mek wi no bɔt di bren. so, we di sεl dεm na dis ‘karotid bכdi' bigin fכ gro abnכmal, na da tεm de wan tכmכro we dεn kכl ‘karotid bכdi tכmכro' de fכm.

Dɛn kin kɔl dis wit ɔda nem dɛn, fɔ ɛgzampul, ‘Carotid Body Paraganglioma’ ɔ ‘Carotid Body Chemodectoma’ . Bɔt di nem we dɛn kin yuz mɔ na ‘Carotid Body Tumor’.

Dis tumbu na wan kayn kansa?

Dis na kwɛstyɔn we kin mek bɔku pipul dɛn fred we dɛn yɛri am. Bɔt di gud nyus na dat bɔku pan dɛn ‘Carotid Body Tumors’ ya nɔto kansa. Dat min se, dɛn na ‘Benign’ , ɔ tumor dɛn we nɔ de du bad. Sɔm stɔdi dɛn se less dan 10% pan dɛm kin bi kansa, dat na, ‘Malignant’ . So, nɔ fred fɔ tink se na kansa we yu si wan lump na yu nɛk. Bɔt i rili fayn fɔ sho am to dɔktɔ fɔ no ustɛm i bi.

Udat kin gɛt dis ‘Carotid Body Tumor’?

Fɔ tru, dis sik kin kam pan ɛnibɔdi. Bɔt di chans fɔ gɛt am kin bɛtɛ smɔl bikɔs ɔf sɔm tin dɛn.

• Risach dɔn sho se uman dɛn kin gɛt dɛn tumbu ya smɔl pas man dɛn .
• Dɔn bak, dɛn kin si dis sik afta dɛn dɔn ol 20. Bɔt wan wan tɛm dɛn kin si am pan pipul dɛn we yɔŋ.

Aw dis sik kin kɔmɔn?

Carotid Body Tumors na rili wan sik we nɔ kin apin so ɔltɛm. Sɔm ripɔt dɛn se, lɛkI kin afɛkt lɛk wan pan ɛvri 30,000 pipul dɛn. So i nɔ sɔprayz fɔ no se na smɔl pipul dɛn nɔmɔ dɔn yɛri bɔt am, ɔ no bɔt am.

Us kayn ɛfɛkt dis frut go gɛt pan yu?

Bɔrku tɛm, dɛn ‘Carotid Body Tumors’ ya nɔ kin mek yu fil pen na di fɔs stej. So, sɔm pipul dɛn nɔ kin ivin no se dɛn gɛt da kayn tumbu de. Bɔt if dɔktɔ si da kayn tumbu de, i kin tɛl yu fɔ pul am. Dis na bikɔs dis tumbu kin gro smɔl smɔl. As i de gro, i kin put prɛshɔn pan ɔda blɔd vesel ɛn nerv dɛn na di nɛk, ɛn dis kin mek pɔsin gɛt difrɛn sayn dɛn.

Wetin na di sayn dɛm fɔ dis?

Pan ɔl we i nɔ kin gɛt ɛni sayn fɔs, as di tumbu de gro, i kin bigin fɔ put prɛshɔn pan di nerv ɛn blɔd vesel dɛn we de rawnd am. Yu kin gɛt sɔm kayn sik lɛk:

• Yu kin fil smɔl smɔl tin ɔ swɛlin na wan say na di nɛk . Dis na de fɔs sayn wae bɔrku pipul kin notis.
• Sɔntɛm yu vɔys kin chenj ɔ yu kin tɔk lawd lawd wan .
• Yu kin fil lɛk se yu tɔng de swɛ .
• Yu kin gɛt wan trot we de at .
• Prɔblɛm fɔ swɛla (Dysphagia) kin apin.

Imajin, yu padi, lɛ wi se Sunil. Fɔ sɔm tɛm naw, Sunil dɔn notis smɔl chenj na in vɔys we i de tɔk, i tan lɛk se i de ala smɔl. In trot sɛf kin fil se i de skrach. We i tɔch in nɛk, i kin fil smɔl smɔl tin na wan say. Fɔs, i bin tink se na gland we swel we kol, bɔt i nɔ bin de go ivin afta sɔm dez. Na wen im go si dokta na im im saspek se dis kin bi ‘Carotid Body Tumor’ and dem rifer am fo oda test.

Impɔtant: If yu gɛt dɛn sik ya, dat nɔ min se yu gɛt karotid bɔdi tumbu. Dɛn kin kam bak wit ɔda wɛl bɔdi prɔblɛm. So, i go fayn fɔ mek yu go to dɔktɔ we yu nɔ de fred.

Wetin mek dɛn karotid bɔdi tɔŋ ya kin fɔm?

Infakt, di wan dɛn we de stɔdi bɔt dis nɔ stil no di rayt tin we kin mek dɛn tumbu ya fɔm. Bɔt dɛn biliv se sɔm tin dɛn kin mek dis apin.

• Hypoxia: Pipul dɛm wae nɔr gɛt ɔksijɛn fɔ lɔng tɛm na dɛn bɔdi kin gɛt dɛn tumbu ya. Fɔ ɛgzampul, pipul dɛn we de na ay ay ples (we de fa fawe pas di si) ɔ di wan dɛn we gɛt sɔm sik dɛn na dɛn lɔng kin gɛt mɔ prɔblɛm.
• Sporadik kes dεm: Insay lεk 90% pan di kes dεm, dεn tכmכro dεm ya de divεlכp randomly, we nכ gεt nכ famili histri. Dis min se sɔmbɔdi kin divɛlɔp dɛn ilɛksɛf nɔbɔdi na in famili nɔ bin dɔn gɛt dɛn bifo.
• Famili kes dɛn:insay lεk 10% pan di kes dεm, i gεt jεnεtik link. Dis min se if pɔsin na di famili gɛt dis sik, ɔda pipul dɛn kin gɛt dis sik bak. dεn kכl dis ‘jεnεtik prεdispכzishכn’ .

Aw dɔktɔ dɛn kin no dis?

We yu go to dɔktɔ we gɛt wan bɔtul na yu nɛk, di fɔs tin we dɛn kin du na fɔ chɛk yu ed ɛn yu nɛk gud gud wan. If dɛn sɔspɛkt se yu gɛt sayn dɛm fɔ carotid bɔdi tumbu, dɛn kin ɔda fɔ du sɔm ɔda tɛst fɔ kɔnfirm di diagnosis.

Us tɛst dɛn kin yuz fɔ dis?

Dɛn kin yuz imej tɛst mɔ fɔ no dɛn tɔŋ ya. Dat min se, tεst dεm we kin si wetin de insay di bכdi frכm do.

• CT scan: Dis kin yuz X-ray fɔ tek ditayla pikchɔ dɛn fɔ di krɔs-sekshɔn dɛn na di bɔdi. I kin sho di sayz, di say we di tɔŋ de, ɛn di rilayshɔn we di tumbu gɛt wit di tisu dɛn we de rawnd am.
• MRA (Magnetic Resonance Angiography - MRA): Dis na we dεn de yuz magnεtik fil dεm εn redio wev dεm fכ tek ditayl pikchכ dεm fכ di bכdi vεsul dεm. dis kin rili yus fכ si aw wan karotid bכdi tכmכro kכnekt to di bכdi vεsul dεm.
• MRI (Magnetic Resonance Imaging): Dis kin yuz magnɛtik fil ɛn redio wev dɛn lɛk MRA. Bɔt i kin mek klia pikchɔ dɛn bɔt di sɔft tisu dɛn. Dis kin ɛp fɔ gɛt mɔ infɔmeshɔn bɔt aw di tumbu tan.
• Ultrasound: Dis de yuz ay frikshɔn sawnd wev fɔ mek pikchɔ dɛn bɔt di insay pat na di bɔdi. Dis kin ɛp fɔ no if di tumbu sɔlid ɔ i ful-ɔp wit wata.

na bay di infכmeshכn we dεn gεt frכm dεn tεst ya we dכkta kin kכnfכm se dis na ‘Carotid Body Tumor’.

Wetin na di tritmɛnt dɛm fɔ dis?

Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay bɔku tin dɛn, lɛk di sayn dɛn we yu gɛt, di sayz we di tumbu gɛt, ɛn yu ɔl wɛlbɔdi. Bɔku men tritmɛnt dɛn de we yu kin pik:

1. Ɔpreshɔn fɔ pul di tumbu: Bɔku tɛm, di bɛst tritmɛnt fɔ dɛn tumbu ya na fɔ ɔpreshɔn fɔ pul di tumbu kpatakpata.

2. Redyushɔn tɛrapi: Insay kes dɛm we nɔ pɔsibul fɔ ɔpreshɔn ɔ fɔ di wan dɛn we nɔ want ɔpreshɔn, dɛn kin yuz dis redyushɔn tɛrapi. I de yuz ay ɛnaji rayt fɔ pwɛl di tumbu sɛl dɛn ɔ stɔp dɛn fɔ gro.

3. Transkateta ɛmbolizayshɔn: .Dis kin tan lɛk se na kɔmplikɛt nem, bɔt fɔ tɔk am simpul wan, i min fɔ blok di blɔd vesel dɛn we de gi di tumbu blɔd. I tan lɛk se yu blok wata paip. Dɛn kin put smɔl tiub (kateta) insay wan blɔd vesel, go na di say we di blɔd de flɔ to di tumbu, ɛn dɛn kin put smɔl tin de fɔ kɔt di blɔd we de gi am. Dis kin mek di tumbu nɔ kin gɛt bɛtɛ blɔd ɛn bigin fɔ smɔl. Sɔntɛnde dɛn kin yuz dis we fɔ mek di tumbu smɔl bifo dɛn du di ɔpreshɔn.

Wetin kin apin if dɛn du mi ɔpreshɔn?

if di karotid bכdi tכmכro big, i kin lεf sכmכl ol na di karotid at we dεn pul am. If dis apin, di dɔktɔ we de du di ɔpreshɔn go put pat ɔ graft we dɛn de du di ɔpreshɔn fɔ lɔk di ol ɛn mek di at go bak to nɔmal. Dɛn kin du dis fɔ mek ɛnitin nɔ ambɔg di blɔd flɔ.

Yu tink se di tritmɛnt dɛn kin mek pɔsin gɛt prɔblɛm?

Bɔrku pipul dɛm wae de gɛt tritmɛnt fɔ wan carotid bɔdi tumor nɔr kin gɛt ɛni kɔmplikeshɔn. Bɔt bikɔs dɛn tritmɛnt ya, mɔ di ɔpreshɔn, kin gɛt bɔku impɔtant blɔd vesel ɛn nerv dɛn na di nɛk, chans de fɔ mek smɔl smɔl prɔblɛm dɛn apin. Sɔm pan dɛn tin ya na:

• I nɔ kin izi fɔ swɛla (Dysphagia) .
• Damej to di kraynia nεv dεm: Dis kin mek yu vכys chenj fכ sכm tεm כ sכmtεm fכ lכng tεm εn di tכng nכmכ.
• Prɔblɛm wit wɛlbɔdi na di say we dɛn kɔt di ɔpreshɔn
• Stroke: Dis nɔ kin apin so ɔltɛm, bɔt i kin gɛt prɔblɛm.

Dɔktɔ go tɔk to yu ɔl dɛn bad tin ya bifo yu bigin fɔ trit yu. Aks bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu da tɛm de.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Afta dɛn dɔn du ɔpreshɔn fɔ pul wan tumbu we de na di bɔdi we de na di karotid, i kin tek lɛk tri to 4 wiks fɔ mek i wɛl ɔl . Insay da tɛm de, i rili impɔtant fɔ tek kia ɔf di ɔspitul wund lɛk aw yu dɔktɔ tɛl yu. Dɔn bak, rɛst bɔku, it tin dɛn we gɛt fayn fayn tin dɛn fɔ it, ɛn fala wetin yu dɔktɔ tɛl yu fɔ du. Aks yu dɔktɔ aw yu fɔ tek kia ɔf yusɛf we yu de wɛl.

Yu tink se we de fɔ ridyus dis tin we kin apin?

I sɔri fɔ no se, no klia we nɔ de fɔ mek yu nɔ gɛt ɔ ridyus di risk fɔ mek yu gɛt karotid bɔdi tɔŋ. Bɔt if pɔrsin na yu famili dɔn gɛt wan (i.e., famili histri), i fayn fɔ tɔk to yu dɔktɔ bɔt yu risk ɛn us tɛst yu kin du if nid de.

Wetin a fɔ ɛkspɛkt if a gɛt karotid bɔdi tumbu?

If yu dɔktɔ se yu gɛt carotid bɔdi tumbu, i go luk yu simptom ɛn di saiz fɔ di tumor fɔ no di bɛst tritmɛnt plan fɔ yu. Sɔntɛnde, if di tumbu rili smɔl ɛn yu nɔ gɛt ɛni sayn, yu dɔktɔ kin se yu fɔ "watchful waiting." Dis min se dɛn nɔ go trit yu wantɛm wantɛm, bɔt dɛn go tɛst yu ɔltɛm fɔ si if di tumbu de big ɔ if yu gɛt nyu sayn dɛn. Insay dis "watchful waiting" tɛm, if yu gɛt ɛni nyu sik, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.

Yu tink se dis kin mɛn kpatakpata?

Yɛs, bɔku tɛm dɛn kin mɛn am. Ɛspɛshali afta dɛn dɔn pul wan karotid bɔdi tɔmɔs kpatakpata tru ɔpreshɔn, dɛn nɔ kin nid ɔda tritmɛnt. Bɔt i impɔtant fɔ kɔntinyu fɔ fala yu dɔktɔ bikɔs dɛn tumbu ya kin kam bak wan wan tɛm.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn lɛk dis, mɔ:

• If dɛn fɛn nyu lump na di nɛk
• If chenj de na di vɔys we dɛn nɔ ɛksplen
• If i nɔ izi fɔ yu fɔ swɛla
• If yu gɛt persistent numbness na yu tong

Si dɔktɔ wantɛm wantɛm ɛn mek dɛn chɛk yu. As wi bin dɔn tɔk, nɔto ɔl dɛn sik ya kin kɔmɔt frɔm wan carotid bɔdi tumor. Bɔt i fayn fɔ no gud gud wan wetin na di kɔz ɛn bigin fɔ trit am kwik kwik wan, if nid de.

Mɛsej we dɛn kin kɛr go na os

Carotid bodi tumor na wan kayn tumor we de divεlכp rawnd di men bכdi vεsεl dεm na di nεk, εn i nכ kin bi kεnsar (benign). Dɛn tin ya nɔ kin apin so ɔltɛm ɛn dɛn nɔ kin mek yu gɛt di sik fɔs. Bɔt as di tumbu de gro, i kin afɛkt di nerv dɛn ɛn di blɔd vesel dɛn we de rawnd am.

Mɛmba se: If yu notis wan bɔm ɔ lump we nɔ kɔmɔn na yu nɛk, ɔ if yu vɔys chenj ɔ i nɔ izi fɔ swɛla, nɔ ignore am ɛn go to dɔktɔ fɔ advays. If dɛn no am kwik, dɛn kin trit dis sik fayn fayn wan. Nɔ panik, di tin we impɔtant pas ɔl na fɔ de no mɔ!

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ. I go gi yu ɔl di tin dɛn we yu nid.

` Karotid Bכdi Tכmכro, Karotid Bכdi Tכmכro, Nεk Tכmכro, Paraganglioma, Kεmodεktכma, Nεk Kεnsar, Blכd Vεsεl Tכmכr