Yu dɔn ɛva fred we yu si blɔd na yu stɔl ɔ si blɔd stɛyn na yu tɔylɛt pepa? Ɔ yu kin gɛt wan strenj pen na yu bɛlɛ ɔltɛm, we yu kin fil se yu ful-ɔp? Bɔrku pipul na wi kɔntri kin tink se dɛn sik ya nɔrmal lɛk "pail" ɛn nɔr kin pe atɛnshɔn to dɛn. Bɔt sɔntɛnde, dɛn tin ya nɔ kin bi tin we nɔ impɔtant lɛk aw wi kin tink. Dɛn tin ya kin bi bak di fɔs sayn dɛm fɔ gɛt kansa na di kɔlon. Nɔ fred ɔ panik naw. De tin wae impɔtant pas ɔl na fɔ no bɔt dis sik gud gud wan ɛn fɔ de wach. Lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan.
Fɔ tɔk am simpul wan, wetin na kɔlon kansa?
Kכlכrektal kεnsar, כ fכ mεdikal tεm, kכlכrektal kεnsar, na kεnsar we de divεlכp na di kכlon כ rεktum, we na di las pat pan wi dijestiv sistεm. I nɔto sɔntin we kin apin wan de.
Imajin, na di insay wɔl na wi kɔlon, 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Wi de kɔl dɛn wan ya ``Polyps``. Nɔto ɔl dɛn lumps ya kin bi kansa. Bɔt sɔm kayn lumps kin chenj smɔl smɔl fɔ lɔng tɛm (bɔku tɛm na lɛk 10 ia) ɛn bi kansa sɛl.
Di bɛst pat na dat if dɛn ebul fɔ fɛn dɛn lumps ya ɛn pul dɛn bifo dɛn bi kansa, dɛn kin ebul fɔ avɔyd kansa ɔltogɛda. Dɔn bak, if dɛn no se kansa kwik kwik wan, di chans fɔ mek dɛn trit am ɛn wɛl ɔltogɛda kin bɔku.
Yu fɔ no bɔt dɛn sik ya bak!
Bikɔs kɔlon kansa kin gro sloslo, i nɔ kin sho ɛni sayn we i bigin. We di sayn dɛn kin sho, dɛn kin tan lɛk ɔda sik dɛn we kin apin. So e fayn fɔ no bɔt dɛn sik ya.
| Di sayn we de sho se di sik de | Smɔl mɔ bɔt dis |
|---|---|
| Chenj na di abit dɛn we pɔsin kin gɛt na di bɔdi | Dayarɛa ɔ kɔnstipɛshɔn we kin las fɔ sɔm dez. Stɔl dɛn we tinap pas aw i bin de bifo, lɛk pensil. |
| Blɔd we de na di stɔl | Dak rɛd ɔ blak blɔd na di stɔl. We yu si blɔd dɔti na di tɔylɛt bol ɔ na di tɔylɛt pepa. |
| Bɛlɛ nɔ kin fil fayn | Bɛlɛ kin at bɔku tɛm, yu kin blo, ɛn yu bɛlɛ nɔ kin fil fayn. |
| Fɔ fil lɛk se stɔl stil de afta yu dɔn go na tɔylɛt | Ivin afta yu dɔn muv yu bɔdi, yu kin stil fil lɛk se yu bɔdi nɔ ɛmti ɔl. |
| Taya ɛn wik fɔ natin | Fɔ fil taya pasmak pan ɔl we yu de rɛst fayn fayn wan. Dis na bikɔs kansa kin mek yu bɔdi lɔs pasmak, ɛn dis kin mek yu nɔ gɛt blɔd. |
| We yu de lɔs yu wet fɔ natin | If yu bɔdi wet de go dɔŋ we yu nɔ bin no se yu nɔ de it ɔ ɛksesaiz, na fɔ wɔri. |
Mɛmba se nɔto ɔlman we gɛt dɛn sik ya gɛt kansa. Bɛlɛ we de at ɛn dayarɛa kin bi bikɔs ɔf wan simpul bɛlɛ bɔg. Bɔt if dɛn sik ya kin las pas sɔm dez, mɔ if yu gɛt blɔd na yu stɔl, duya nɔ ignore am ɛn go to yu dɔktɔ wantɛm wantɛm.
Wetin mek dis kansa kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
No wan patikyula tin nɔ de we kin mek pɔsin gɛt kansa na in kɔlon. כltu, i kin apin we sכm chenj dεm na di jin dεm fכ di hεlty sεl dεm na di kכlon de apin (Genetic Mutations), we de mek dεn sεl dεm de sheb εn mכltipl we dεn nכ ebul fכ kכntro. di kansa sεl dεm we de fכm dis we de gεt togeda fכ mek polip dεm εn tכmכro dεm.
Risach we dɛn dɔn du pan mɛrɛsin dɔn sho bɔku tin dɛn we kin mek pɔsin gɛt dis kansa. Lɛ wi tek wan luk pan wetin dɛn bi.
| Risk factor | Tɔk bɔt |
|---|---|
| Bikɔs i dɔn pas 50 ia | Bɔku tɛm, pipul dɛn we dɔn pas 50 ia kin gɛt dis sik. |
| Famili istri | If wan pan yu klos fambul dɛm na yu blɔd (mama, papa, brɔda ɛn sista dɛm, pikin dɛm) dɔn gɛt kɔlon kansa ɔ big polyp, yu bak de pan big risk. Dis kin bi mɔ if dɛn bin gɛt dis sik bifo dɛn ol 45 ia. |
| Di kɔndishɔn dɛn we de na di jɛnɛtiks | di jεnεtik kכndishכn dεm lεk Lynch sεndrכm εn Familial Adenomatous Polyposis (FAP) de inkrεs di risk fכ gεt dis kεnsar. |
| Fat | Risach dɔn sho se pipul dɛn we gɛt bɔdi mas indeks (BMI) we pas 25 ia kin gɛt mɔ risk. |
| Fɔ smok ɛn drink rɔm | Fɔ smok ɛn fɔ drink rɔm ɔltɛm (ivin if yu smɔl) kin mek yu gɛt di prɔblɛm bad bad wan. |
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit yu sik dɛn, i go aks yu fɔs bɔt yu sik dɛn ditayli. Dɔn i go chɛk yu bɔdi. Apat frɔm dat, i go tɛl yu fɔ du sɔm tɛst dɛn fɔ no di rayt tin we mek yu sik.
- Blɔd Tɛst: Dɛn go chɛk yu blɔd fɔ si if yu gɛt anemia bay we dɛn du kɔmplit blɔd kɔnt (CBC). Dɛn kin du spɛshal tɛst dɛn bak, lɛk kansa mak (CEA assay).
- Imej Tεst: Yu kin yuz tεst lεk CT skan (Computed Tomography) εn MRI skan (Magnetic Resonance Imaging) fכ si if εni kansa tכmכro de insay di bכdi εn aw fa dεn dכn spre.
- Diagnostic Colonoscopy: Dis na di bɛst ɛn kɔrɛkt tɛst fɔ no di kɔlon kansa. insay dis tεst, wan gεstroεnεtrכlכg de put wan tכn, fleksibul tכb (wit kεmεra we dεn atak) tru di an εn i de egzamin di כl kכlon tru wan skrin.
- dis tεm, if wan lump we dεn saspek (polyp), dεn kin pul am kכmplit כ dεn kin tek sכm sכm pat pan am (bayopsi) εn sɛn am na di lab fכ kכnfכm if kεnsar sεl dεm de.
We dɛn dɔn kɔnfyus di sik tru dɛn tɛst ya, dɛn kin no di stej we di kansa de bay usay di kansa de, if i dɔn skata to di limf no dɛm, ɛn if i dɔn spre to ɔda ɔgan dɛm. Dɛn kin plan fɔ trit am bay dis stej.
Wetin na di tritmɛnt dɛn?
Nɔ wɔri, naw dɛn dɔn gɛt tritmɛnt dɛn we rili fayn ɛn we dɔn go bifo fɔ dis sik. Di we aw dɛn de trit yu dipen pan di stej we yu kansa gɛt, usay i de, ɛn yu ɔl wɛlbɔdi.
Di men tritmɛnt na ɔpreshɔn .
- Polypectomy: Dɛn kin pul di tin dɛn we de gro bifo kansa (polyps) we dɛn de du kɔlonɔskopi.
- Kɔlektɔmi: Dɛn kin ɔpreshɔn di pat pan di kɔlon usay di kansa de.
Apat frɔm di ɔpreshɔn, ɔ bifo ɛn afta di ɔpreshɔn, dɛn tritmɛnt ya kin nid bak:
- Kimotɛrapi: Fɔ gi mɛrɛsin fɔ pwɛl di kansa sɛl dɛn.
- Radiation Therapy: Fɔ pwɛl di kansa sɛl dɛn we yu de yuz ay ɛnaji rayt.
- Targeted Therapy: Fɔ gi drɔgs we de tɔch sɔm patikyula mɔlyul dɛn we de afɛkt di growth fɔ di kansa sɛl dɛn.
Yu dɔktɔ go tɔk to yu ɛn disayd bɔt di tritmɛnt plan we go fayn fɔ yu.
Aw dɛn go mɛn dis sik?
Dis na kwɛstyɔn we bɔku pipul dɛn kin tink bɔt. Di "Survival Rate" na di pasɛnt we de alayv 5 ia afta dɛn dɔn no se dɛn gɛt dis sik. Dis kin dipen mɔ pan di stej we dɛn kin no di sik.
- insay di fכs stej dεm (Localized): If di kεnsar de limited to di kכlon, di 5 ia sכvayv rεt de hכy lεk 91% .
- Rijyonal: If di kansa dɔn spre to di tisu dɛm ɔ di limf no dɛm we de rawnd am, dis pasɛnt na lɛk 73% .
- Fa fawe: If di kansa dɔn skata to di pat dɛn we de fa lɛk di liva ɛn di lɔng, dis pasɛnt kin go dɔŋ to 13% .
Nɔ mek yu fred wit dɛn statystik ya. Dis na jɔs jenɛral ɛstimat we dɛn bays pan data frɔm tawzin pasɛnt dɛn. Di tin we de apin to yu kin rili difrɛn. De tin wae impɔtant pas ɔl na fɔ no di sik kwik kwik wan ɛn bigin fɔ trit yu fayn fayn wan. Dɔn di chans fɔ mek i wɛl kin rili bɔku.
Wetin wi fɔ du fɔ mek wi nɔ gɛt kansa?
Pan ɔl we no we nɔ de fɔ mek yu nɔ gɛt kansa 100%, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- Gud it: Nɔ it ɔyl, shuga, flawa, rɛd mit (bif, bɔd), ɛn mit we dɛn dɔn prosɛs (sosish, bekin). Bifo dat, it mɔ it dɛn we gɛt fayv lɛk vɛjitebul, frut, ligɛm, ɛn ɔl gren .
- Nɔ smok: If yu de smok, gɛt ɛp fɔ lɛf fɔ smok. Dis na wan pan de big bɛnifit fɔ yu ɔl wɛl bɔdi.
- Limit alcohol: I impɔtant fɔ stɔp fɔ drink rɔm ɔl ɔ yu fɔ yuz am smɔl.
- Mek yu gɛt wɛlbɔdi: Kɔntrol yu bɔdi wet bay we yu de du ɛksɛsayz ɔltɛm ɛn it tin dɛn we go mek yu gɛt bɛtɛ it.
- Gɛt Skrin na di Rayt Ej: Dis na di tin we impɔtant pas ɔl. Ivin if yu nɔr gɛt ɛni sayn, i impɔtant fɔ gɛt skrinin kɔlon skɔpi fɔ kɔlon kansa arawnd di ej 45-50. If pɔsin na yu famili gɛt dis sik, yu dɔktɔ kin tɛl yu fɔ bigin fɔ chɛk yu sik ivin bifo tɛm.
Dɛn tɛst ya kin no ɛn pul di polip dɛn we kin gɛt kansa kwik, ɛn dis kin mek pɔsin nɔ gɛt kansa.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ignore di sayn dɛm lɛk chenj na yu bɔdi, bɛlɛ pen, ɛn mɔ blɔd na di stɔl. If dɛn kɔntinyu fɔ de fɔ pas sɔm dez, mek shɔ se yu go to dɔktɔ.
- Kɔlɔn kansa na sik we dɛn kin mɛn ɔl if dɛn no am kwik kwik wan. Nɔ put ɔf fɔ mek dɛn tɛst yu bikɔs yu de fred.
- If yu gɛt tin dɛn we kin mek yu gɛt kansa ɔ yu dɔn pas 45 ia, tɔk to yu dɔktɔ bɔt aw fɔ chɛk fɔ si if yu gɛt kansa, ilɛksɛf yu nɔ gɛt di sayn dɛn.
- If yu liv fayn layf (we yu de it gud, ɛksesaiz, ɛn nɔ smok ɛn drink rɔm) dat kin mek yu nɔ gɛt kansa.
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