Yu smɔl pikin gɛt kansa? (Childhood Cancer) - Lɛ wi no bɔt dis!

We wi yɛri di wɔd "kansa," wi ɔl kin kray smɔl, nɔto so? No wɔd nɔ de fɔ tɔk bɔt di fred ɛn shɔk we wi kin fil, mɔ we da wɔd de gɛt sɔntin fɔ du wit wi yon pikin. Bɔt nɔ wɔri. Tide wi go tɔk bɔt pikin kansa. I rili impɔtant fɔ mek wi ɔndastand dis kɔrɛkt wan . Bikɔs tide, wit di advans tritmɛnt we dɛn de yuz, chans de fɔ mek pikin dɛn wɛl frɔm dɛn sik ya.

Wetin na kansa we pikin dɛn kin gɛt?

Fɔ tɔk am simpul wan, kansa we pikin dɛn kin gɛt na wan grup we gɛt kansa we kin ambɔg pikin dɛn we ol bitwin 0 ɛn 19. Dis kin inklud ɔl tu di kansa dɛn we pikin dɛn kin gɛt, we kin afɛkt pikin dɛn frɔm we dɛn smɔl te dɛn ol 14 ia, ɛn kansa we dɛn kin gɛt we dɛn de yɔŋ, we kin afɛkt yɔŋ pikin dɛn we ol frɔm 15 to 19 ia.

Ivin na kɔntri lɛk Amɛrika, na lɛk 15,000 pikin dɛn kin gɛt kansa ɛvri ia. Bɔt di bɛst tin na dat, bikɔs ɔf nyu tritmɛnt dɛn we fayn fɔ pikin dɛn, 8 pan ɛvri 10 pikin dɛn stil de alayv afta fayv ia. Bɔt wi fɔ mɛmba se ivin afta dɛn dɔn du dɛn tritmɛnt ya, wi nid fɔ kɔntinyu fɔ pe atɛnshɔn to di pikin in wɛlbɔdi.

Us kayn kansa pikin dɛn kin gɛt?

Dɛn kin sheb di kansa we kin kam pan pikin dɛn to tri men grup dɛn:

1. Lukimia ɛn Limfoma

2. Tכmכro dεm na di bren εn spεnal kכd

3. Sɔlid tumor dɛn

Lɛ wi luk ɛni wan pan dɛn tin ya smɔl mɔ.

1. Lukimia ɛn Limfoma

Dis na blɔd kansa .

• Lukimia na di kayn kansa wae kin pasmak pan pikin dɛm. I kin bigin na di pikin in bon mɛro. As yu no, na di bon mɛro na di say we dɛn mek wi blɔd sɛl dɛn.
• Limfoma kin bigin na di sɛl dɛn we de mek blɔd na di pikin in limfatik sistɛm. Na di tɔd kayn kansa we kin kam pan pikin dɛn.

Di kayn lukimiya wae kin kam pan pikin dɛm na:

• Akyu limfoblastik lukimiya (ALL) - Dis na di kכmכn we dεn kin gεt kεnsar pan pikin dεm.
• Akyu mayloid lukimiya (AML) .

di kayn limfoma we kin kכmכn pan pikin dεm na:

• Hodgkin limfoma we dɛn kɔl limfoma
• nכn-Hכdgkin limfoma - dis gεt sכbtayp dεm bak lεk Burkitt limfoma εn difכs big B-sεl limfoma.

2. Tכmכro dεm na di bren εn spεnal kכd

Dis na di sɛkɔn kayn kansa we kin kam pan pikin dɛn. dεn kin divεlכp we di nכmal sεl dεm na di pikin in sεntri nεv sεstem (CNS) tכn to kεnsar sεl dεm. Difrεn kayn dεm de, lεk Mεdulloblastoma εn Glioma. Bɔt ɔl dɛn nem ya nɔ impɔtant to yu, di men tin na fɔ no se kansa kin kam na dɛn ples ya.

3. Sɔlid tumor dɛn

sכlid tכmכro dεm de fכm we di kεnsar sεl dεm de sheb, bכku, εn jכyn tכgeda fכ mek wan mas. Dɛn kin divɛlɔp ɛnisay na pikin in bɔdi. Na sɔm ɛgzampul dɛn ya:

• Bɔn kansa - lɛk ɔstiosarkoma ɛn Ewing sarkoma.
• Jɛm sɛl tumor
• Epatoblastoma (kansa na di liva) .
• Nyuroblastoma we dɛn kɔl Nyuroblastoma
• Retinoblastoma (kansa na yu yay) .
• Rhabdomyosarcoma (kansa na di mɔsul dɛm) .
• Wilms tumor (kansa na di kidni) .

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt kansa wae pikin dɛn kin gɛt?

Na dis na sɔntin we rili impɔtant. Sɔntɛnde, di sayn dɛm fɔ kansa pan pikin dɛm kin tan lɛk di sayn dɛm fɔ ɔda sik dɛm na yɔŋ pikin dɛm. Tink bɔt am, bɔku yɔŋ pikin dɛn kin gɛt ed at, bɛlɛ at, ɛn smɔl smɔl brus dɛn. Nɔto ɔl dɛn tin ya na sayn dɛn fɔ gɛt kansa. Bɔt if ɛni wan pan dɛn sik ya kɔntinyu ɔ i de wɔs, yu fɔ rili tɔk to dɔktɔ bɔt dɛn.

Fɔ ɛp yu fɔ lan bɔt pikin kansa, di Childhood Oncology Group dɔn mek wan list fɔ di sayn dɛm we go ɛp yu fɔ mɛmba di lɛta dɛm fɔ di Inglish wɔd `CHILDCANCER`. Lɛ wi tek wan luk pan wetin dɛn bi:

• C - `Kɔntinyu, we nɔ ɛksplen weit lɔs`: Kɔntinyu, we nɔ ɛksplen weit lɔs.
• H - `Hed pen, bɔku tɛm wit ali mɔnin vɔmit`: Ɛd pen, mɔ if i kam wit vɔmit na mɔnin.
• I - `Inkris swel ɔ pen we de kɔntinyu fɔ de na di bon, jɔyn, bak ɔ leg`: I de swel ɔ pen we de kɔntinyu fɔ de na di bon, jɔyn, bak ɔ leg.
• L - `Lכmp כ mas`: If dεn fכnshכn wan lump כ mas na di nεk, chεst, armpit, bεlε, כ pεlvis.
• D - `Divεlכpmεnt fכ brus pasmak, blכd כ wan rεshכn`: bכku bכku bכku, blכd (e.g. nos bכdi, bכdi gכm) כ wan rεshכn we de kכmכt na di skin we nכ de fכ eni rizin.
• C - `Infεkshכn we de kכnstant, fכs כ we de kכntinyu`: Infεkshכn dεm we de apin bכku tεm εn we de kכntinyu (e.g. fiva, kכf).
• A - `Wit kכla bihayn di pupil`: if yu si wan wayt kכla insay di yay, bihayn di blak ayris (pupil).
• N - `Nɔs we de kɔntinyu, ɔ vɔmit we nɔ gɛt nɔs`: Nɔs we de kɔntinyu, ɔ vɔmit we nɔ gɛt nɔs.
• C - `Kɔnstant taya (fatigue) ɔ notis paleness (pallor)`: Kɔnstant taya (fatigue) ɔ notis paleness (pallor)`.
• E - `Di chenj dεm we de apin na di yay כ di vishכn we de apin wan wan εn we de te`: di chenj dεm we de apin na di vishכn we de apin wan wan εn we de te (e.g., fכ si wan tin כ tu tin, blכr vishכn).
• R - `Fiva we de kam bak ɔ we de kɔntinyu`: Fiva we de kam bak ɔ kɔntinyu (espɛshali wan we nɔ gɛt ɛni kɔz we pɔsin kin no) pas kɔmɔn kol.

If yu pikin gɛt wan ɔ mɔ pan dɛn sik ya, i nɔ min se i gɛt kansa. Bɔt i bɛtɛ fɔ mek yu go to dɔktɔ fɔ mek yu nɔ gɛt ɛni dawt.

Wetin mek pikin dɛn kin gɛt kansa?

Kansa kin apin we wi jin dεm chenj (mכtεshכn) εn abnכmal sεl dεm fכm. Dɛn abnɔmal kansa sɛl dɛn ya kin sheb kwik kwik wan, ɛn dɛn kin krawd di wɛlbɔdi sɛl dɛn. If dɛn nɔ trit dis kansa, i kin go ɔlsay na di bɔdi (mɛtastatik kansa).

Di sem tin dɛm wae kin mek big pipul gɛt kansa (smok, san, kemikal) jɛnɛral nɔ kin apin to kansa pan pikin dɛm. Dɛn jɛnɛtik chenj ya kin apin to pikin dɛn fɔ rizin dɛn we di wan dɛn we de stɔdi bɔt dis stil de chɛk. Dɛn chenj ya kin apin bifo ɔ afta dɛn bɔn di pikin.

Bɔt gud tin na dat, risach bɔt kansa dɔn sho di chenj dɛn we de apin na di jɛnɛtiks we gɛt fɔ du wit sɔm kansa dɛn we pikin dɛn kin gɛt. Dis infɔmeshɔn de ɛp dɔktɔ dɛn fɔ pik di tritmɛnt plan we go wok fayn fɔ dɛn pikin.

Yu tink se tin dɛn de we kin mek pɔsin gɛt prɔblɛm?

Dɔktɔ dɛn no se sɔm kayn sik dɛn we dɛn kin gɛt frɔm in mama ɛn papa kin mek di pikin gɛt kansa mɔ ɛn mɔ. Fɔ ɛgzampul, na Amɛrika, pan ɔl 100 pikin dɛn we gɛt kansa, lɛk 8 to 10 pikin dɛn we gɛt kansa gɛt wan sik we gɛt fɔ du wit dɛn jɛnɛtiks. Sɔm ɛgzampul dɛn na Li-Fraumeni sindrom ɛn Down syndrome.

Dis nɔ min se ɔl pikin we gɛt dis sik go gɛt kansa. Bɔt if yu pikin gɛt dis sik, yu dɔktɔ kin tɛl yu fɔ chɛk yu pikin bɔt kansa.

Aw dɔktɔ dɛn kin no se pikin dɛn gɛt kansa?

Dɔktɔ dɛn kin yuz bɔku tɛst dɛn fɔ no if pɔsin gɛt kansa:

• Blɔd tɛst: Dɛn tin ya kin chɛk fɔ si if di pikin in blɔd sɛl nɔ de wok fayn. Dɛn tin ya kin bi sayn fɔ gɛt kansa.
• Imej tɛst: Dɛn tin ya kin mek di dɔktɔ si pikchɔ dɛn bɔt di ɔgan ɛn tisu dɛn we de insay yu pikin in bɔdi. Sɔm ɛgzampul dɛn na CT skan, MRI, PET skan, ɛn ɔltra saund.
• Bayopsi: Dɛn kin tek wan sɛmpul fɔ wata ɔ tisu frɔm say we dɛn tink se dɛn de du am ɛn wan dɔktɔ we de mɛn sik dɛn kin chɛk am ɔnda maykroskɔp fɔ si if kansa sɛl dɛn de.
• bon mכro bayopsi εn bon mכro aspirashכn : dεn tek wan sεmpl fכ bon mכro fכ chεk fכ kεnsar.
• lכmba pankshכn: Dis na fכ tek sεmpl fכ di pikin in sεribrospεnal fכluid (CSF) (di klia wata we de rawnd di bren εn spεnal kכd) fכ chεk fכ kεnsar sεl dεm כ tכmכro mak dεm.
• Jɛnɛtik tɛst: Dɛn tin ya de luk fɔ di jɛnɛtik chenj dɛn we gɛt fɔ du wit sɔm kansa dɛn we pikin dɛn kin gɛt. Dɛn tin ya kin ɛp fɔ pik di bɛst tritmɛnt.

Aw dɛn kin trit kansa we pikin dɛn kin gɛt?

Bɔku tritmɛnt dɛn de fɔ pikin dɛn kansa:

• Kimotɛrapi: Dis na di tritmɛnt we dɛn kin yuz fɔ mɛn kansa we pikin dɛn kin gɛt. I min fɔ gi mɛrɛsin fɔ kil di kansa sɛl dɛn. Dɛn kin trit di pikin insay saykl dɛn. Ɛni saykl gɛt wan de fɔ tritmɛnt ɛn wan de fɔ wɛl.
• Radiation therapy: Dis na fɔ yuz mashin fɔ sɛn redyushɔn fɔ mek di tumbu smɔl ɔ pwɛl am. Ɔ, dɛn kin put wan tin we de mek raytin to di tumbu insay di pikin in bɔdi.
• Stem sel transplant: Dis kin bi opshɔn if yu pikin gɛt lukimiya ɔ limfoma. Fɔs, dɛn kin gi bɔku bɔku kemotɛrapi fɔ kil di kansa sɛl dɛn. Dɔn, dɛn kin tek wɛlbɔdi sɛl dɛn we de mek blɔd frɔm pɔsin we gi am ɛn gi am to di pikin.
• Ɔpreshɔn: Sɔntɛnde, dɔktɔ dɛn we de du ɔpreshɔn kin pul di sɔlid tumbu dɛn kpatakpata. Ɔda tɛm dɛn, di pikin kin nid ɔda tritmɛnt dɛn wit ɔpreshɔn.
• Immunotherapy ɛn targeted therapy: Dɛn tritmɛnt ya na nyu tritmɛnt. Immunotherapy de ɛp di pikin in yon imyun sistɛm fɔ fɛt di kansa. Tεrapi we dεn tכk bכt de tכk bכt spεsifi k jεnεtik mכtεshכn dεm na di kεnsar sεl dεm. Sɔntɛnde, dɛn kin gi dɛn tritmɛnt ya as pat pan wan klinik trial.

Wetin na klinik trial? Na stɔdi we de tɛst aw nyu tritmɛnt dɛn fɔ kansa de wok fayn. Dɛn tin ya rili impɔtant fɔ fɛt kansa. If ɔda tritmɛnt dɛn nɔ dɔn gi yu pikin inof rilif, yu dɔktɔ kin rifer yu pikin to wan pan dɛn trial ya.

Dɛn kin du ɔl dis fɔ kia fɔ yu pikin di bɛst we .

Ustɛm a fɔ go to dɔktɔ bɔt mi pikin?

Go to dɔktɔ if yu pikin:

• If di sayd ɛfɛkt dɛm fɔ kansa tritmɛnt wɔs pas aw yu bin de tink.
• If yu pikin de na ``remission'' (we nɔ gɛt sayn ɔ simptom fɔ kansa), ɛn yu bigin fɔ notis sayn dɛm we de sho se di kansa kin de kam bak.

Na smɔl tɛm nɔmɔ, di sayn dɛm fɔ kansa ɛn di tritmɛnt sayd ɛfɛkt dɛm kin bi mɛdikal imejensi. Yu pikin in dɔktɔ go ɛksplen us sayn dɛn we yu nid fɔ gɛt tritmɛnt kwik kwik wan.

Yu tink se dɛn kin mɛn kansa we pikin dɛn gɛt?

Insay divɛlop kɔntri dɛn we gɛt gud fasiliti, i pas 8 pan ɛvri 10 pikin dɛn we gɛt kansa, dɛn kin mɛn. Dis na bays pan di fayv ia sɔvayv rεt fɔ di mɔs kɔmɔn kansa dɛm we pikin dɛn kin gɛt.

Dɛn kin yuz di wɔd "cure" bak fɔ tɔk bɔt pikin kansa we dɔn go insay rɛmishɔn. Fɔ ɛgzampul, 9 pan ɛvri 10 pikin dɛn we gɛt akyu limfoblastik lukimiya (ALL) kin go na rɛmishɔn (nɔ gɛt mɔ sayn ɔ simptom fɔ di kansa).

Bɔt i impɔtant fɔ mɛmba se dɛn sɔvayv rɛt ya na jɔs ɛstimat. Dɛn nɔr de sho sɔm patikyula tin dɛm wae go afɛkt yu pikin in ɛkspiriɛns. Na dat mek i impɔtant fɔ tɔk to yu dɔktɔ bɔt di prɔgnosis we yu pikin gɛt.

Wetin na di layf we pikin we dɔn wɛl frɔm kansa kin liv?

Pan ɔl we bɔku tɛm dɛn kin mɛn kansa we pikin dɛn gɛt, di tin dɛn we di sik kin du kin afɛkt di pikin in wɛlbɔdi fɔ lɔng tɛm. Wan stɔdi we dɛn jɔs dɔn du sho se di wan dɛn we kin sev frɔm kansa we dɛn bin smɔl, kin liv shɔt smɔl pas ɔda pipul dɛn. Dɛn kin gɛt wɛl bɔdi prɔblɛm bak we dɛn dɔn big, lɛk at sik, tin dɛn we gɛt fɔ du wit ɔmon, ɛn sɛkɔndari kansa.

Bɔt nɔto ɔlman in risk na di sem. Bɔku tin kin dipen pan di kayn kansa we di pikin bin gɛt ɛn di tritmɛnt we dɛn bin gɛt. Fɔ ɛgzampul, we dɛn transplant stem sɛl kin gɛt tin dɛn we kin apin let. Tritmɛnt lɛk ɔpreshɔn ɛn smɔl doz kemotɛrapi nɔ kin gɛt prɔblɛm dɛn tumara bambay.

Bɔt ɛvri pikin we wɛl frɔm kansa nid fɔ gɛt kia fɔ lɔng tɛm fɔ fala am. Insay dis fɔlɔp, dɛn kin du tɛst ɔltɛm fɔ no ɛni sayd ɛfɛkt we kin apin afta tritmɛnt.

Wetin a go du fɔ ɛp mi pikin?

Masta sabi bukman dɛn se yu fɔ tɔk to yu pikin bɔt kansa ɛn tɔk tru ɛn ɔnɛs . Dɛn tin ya kin mek i nɔ izi fɔ tɔk to pipul dɛn. Bɔt masta sabi bukman dɛn biliv se pikin dɛn kin bɛnifit we dɛn no wetin de apin to dɛn ɛn wetin fɔ du bɔt am. Pikin dɛn we dɔn big ɛn smɔl pikin dɛn kin ɔndastand di we aw dɛn kin ɛksplen am klia wan. If yu pikin yɔŋ, yu kin want fɔ tɔk to pikin dɛn layf spɛshal ɔr pikin dɛn saykayatrist bɔt aw fɔ tɔk to dɛn bɔt kansa.

As yu de kia fɔ yu pikin, na yu na dɛn trɛnk pas ɔlman. Yu sabi yu pikin pas ɔlman. Tek cues frɔm dɛn ɛn sɔpɔt dɛn ɛvri step na di rod.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Ɛvri ia, bɔku bɔku mama ɛn papa dɛn kin yɛri di wɔd dɛn we se "yu pikin gɛt kansa." Bɔt mɔ ɛn mɔ, dɛn kin yɛri di wɔd dɛn "wi kin trit, sɔntɛm ivin mɛn, yu pikin in kansa."Bikɔs ɔf nyu tritmɛnt dɛn, bɔku ɔda pikin dɛn ɛn yɔŋ pipul dɛn de wɛl frɔm kansa.

Bɔt fɔ wɛl na jɔs wan tin we yu fɔ du fɔ kia fɔ yu fɔ ɔl yu layf. Yu pikin in mɛdikal tim go tich yu bɔt di kia we yu pikin go nid we dɛn de trit am ɛn afta dɛn dɔn trit yu. Nɔ giv ɔp op, wit di rayt infɔmeshɔn ɛn sɔpɔt, yu kin gɛt dis chalenj.

` Pikin kansa, lukimiya, limfoma, bren tumor, kansa simptom, kansa tritmɛnt, pikin dɛn wɛlbɔdi