Yu geht kweshon boht esophageal kansa? Mek wi tok!

Yu go dɔn yɛri bɔt Ɛsophageal Cancer. Dis na siriɔs sik, bɔt i rili impɔtant fɔ no bɔt am. Bikɔs sɔntɛnde, di kansa kin dɔn go bifo pasmak bay di tɛm we di sayn dɛn kin sho. Bɔt nɔ wɔri, lɛ wi tɔk bɔt ɔltin insay simpul wɔd dɛn.

Wetin na kansa na di εsophageal? Aw i kin divɛlɔp?

Fɔ tɔk am simpul wan, di εsophagus na wan lɔng tiub we dɛn mek wit mɔsul dɛn we de kɛr it frɔm di trot to di bɛlɛ we wi de swɛla. So, kansa kin apin we di sεl dεm na dis εsophagus bigin fכ sheb abnכmal wan εn we dεn nכ kin kכntro. di sεl dεm we de fכm dis we de gεt togeda εn fכm tכmכro.

Esophageal cancer na di nɔmba tɛn kansa we bɔku pipul dɛn kin gɛt na di wɔl. I kin siriɔs smɔl, bikɔs lɛk aw a bin dɔn tɔk bifo tɛm, dis kansa kin gro fɔ sɔm tɛm ɛn nɔ sho ɛni sayn . di rizin fכ dis na biכs wi εsophagus kin strεch sכmtεm, lεk we wi sכlow big mכt fכ it. So te di kansa big smɔl, wi nɔ go fil ɛni prɔblɛm. Bɔt we di tumbu big ɛn bigin fɔ blok di say we di εsophagus de opin, i kin at fɔ swɛla it, ɛn i kin at we wi swɛla.

Tu men kayn kansa de na di εsophageal, nɔto so?

Yɛs, tu kayn dɛn de mɔ:

1. Adenocarcinoma: Dis na di kayn we we pipul dɛn kin gɛt mɔ, mɔ na di Wɛstɛn kɔntri dɛn. i de divεlכp na di sεl dεm na di gland dεm na di εsophagus we de mek mכkus we de εp fכ sכlow. dis kayn kin de divεlכp na di lכw pat pan di εsophagus.

2. Squamous cell carcinoma: Dis kayn de stat na di squamous cells we de layn insay di εsophagus. i kin divεlכp bכku tεm na di כp εn midul pat dεm na di εsophagus.

Yu tink se dɛn go ebul fɔ mɛn dis kansa kpatakpata?

Dis rili dipen pan aw dɛn kin no di kansa kwik kwik wan. If dɛn no am kwik, dat min se we di kansa smɔl, dɛn kin du ɔpreshɔn fɔ pul am ɛn sɔntɛnde i kin wɛl ɔl. Bɔt, i sɔri fɔ no se, na 25% pan di pipul dɛn we gɛt dis kansa nɔmɔ dɛn kin no bifo di kansa dɔn skata. Na dat mek wi se, if yu gɛt ivin di smɔl smɔl sayn, wɔri bɔt am.

Udat dɛn kin gɛt dis kansa?

Jɛnɛral wan, sɔm statystik sho se dis sik kin kam pan man dɛm wae dɔn pas 60. Dɔn bak, sɔm difrɛns de bitwin sɔm rays dɛm. Fɔ ɛgzampul, squamous cell carcinoma kin bɔku pan blak ɛn Eshia pipul dɛm, ɛn adenocarcinoma kin mɔs pan wayt pipul dɛm. Bɔt dɛn tin ya na jɔs tin dɛn we pɔsin kin si, ɛn ɛnibɔdi kin gɛt dis sik.

Wetin na di sayn dɛm wae de sho se yu gɛt kansa na yu εsophageal? Aw fɔ no am?

Di fɔs sayn wae bɔrku pipul kin gɛt na wae i nɔr kin izi fɔ swɛla (dysphagia) . I kin fil lɛk se sɔntin dɔn stɔp na di trot. Apat frɔm dat, sɔm sayn dɛn kin de lɛk:

• Pen na di trot ɔ bak na di chɛst, we min biɛn di bɔdi ɔ bitwin di sholda blad dɛn.
• Fɔ vɔmit, sɔntɛm fɔ vɔmit blɔd.
• Fɔ kɔf blɔd.
• At we kin bɔn ɔltɛm.
• Wan vɔys we de kray, ɔ we pɔsin de kɔf ɔltɛm.
• Fɔ lɔs yu wet we yu nɔ bin want fɔ du .

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i nɔr min se yu gɛt kansa na yu εsophageal. Bɔt if dɛn sik ya kɔntinyu, i go fayn fɔ mek yu go to dɔktɔ fɔ mek dɛn chɛk yu.

Aw kwik dis kansa kin skata?

Esophageal cancer na wan kayn kansa we kin gro kwik kwik wan . As a bin dɔn tɔk bifo tɛm, bikɔs wi ɛsophagus kin rili fleksibul, as di kansa de gro, i kin lɛk fɔ rap rawnd am. Dis na di rizin wae mek de sayn dɛm kin apia bɔrku tɛm afta di kansa dɔn spre smɔl.

Wetin na di men tin dɛm wae kin mek pɔrsin gɛt dis kansa? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

I at fɔ tɔk fɔ tru wetin na di rayt tin we mek i apin. Bɔt dɔktɔ dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis kansa mɔ ɛn mɔ. Lɛ wi tek wan luk pan wetin dɛn bi:

• Yuz tabak: Dis inklud ɔl tu di smok ɛn smok we nɔ gɛt smok (e.g. fɔ chɛw tabak wit chɛwing gam, chɛwing gam wit chɛwing gam). Dɛn tin ya kin pwɛl di sɛl dɛn na di εsophagus ɛn i kin mek pɔsin gɛt kansa bad bad wan.
• Yuz rɔm: Fɔ drink rɔm fɔ lɔng tɛm ɔ fɔ drink pasmak na big tin bak we kin mek yu gɛt prɔblɛm.
• Fat: If yu fat pasmak ɔ yu fat, dat kin mek yu it inflamɛns. Dis inflamɛns kin mek pɔsin gɛt kansa as tɛm de go.
• Barrett in εsophagus εn krכnik asid rεfluks: lכng tεm asid rεfluks, we na di bakfכlכ fכ bεlε asid insay di εsophagus, kin mek chenj dεm na di sεl dεm na di lכw pat pan di εsophagus if dεn nכ trit am fayn. Dɛn kɔl dis sik Barrett’s esophagus. Nɔto kansa, bɔt na wan sik wae gɛt mɔr risk fɔ gɛt kansa. Pipul wae nɔr gɛt Barrett’s esophagus bɔt wae gɛt hat bɔn fɔ lɔng tɛm kin gɛt mɔ risk fɔ gɛt esophageal cancer bak.
• Human Papillomavirus (HPV): HPV na wan vayrɔs we rili kɔmɔn. I kin mek chenj na di tisu dɛn na di vɔkal kɔd, mɔt, an, fut, ɛn di bɔdi we gɛt bɔdi. Sɔm kayn HPV kin mek yu gɛt kansa na yu εsophageal.
• If yu dɔn gɛt kansa bifo: Pipul dɛn we dɔn gɛt kansa na dɛn ed ɔ dɛn nɛk kin gɛt bɔku kansa na dɛn ɛsophageal.
• Ɔda sik dɛn we pɔsin kin gɛt:Dis kansa kin gɛt fɔ du bak wit sɔm tin dɛn we nɔ kin apin so ɔltɛm ɛn we pɔsin kin gɛt frɔm in mama ɛn papa. Fɔ ɛgzampul, achalasia , we nɔ kin apin so ɔltɛm we kin mek i nɔ izi fɔ swɛla , ɛn taylosis , we nɔ kin apin so ɔltɛm, we kin mek di skin na di an ɛn di fut dɛn tik.
• If yu gɛt sɔm kemikal dɛn: Pipul dɛn we de pan kemikal lɛk dray klin sɔlvɛnt fɔ lɔng tɛm, dɛnsɛf kin gɛt dis kansa.

Aw dɔktɔ dɛn kin no se i gɛt dis kansa? (Diagnosis) .

If yu gɛt di sayn dɛm wae wi bin dɔn tɔk bɔt, yu dɔktɔ go aks yu fɔs bɔt yu sik ɛn yu mɛdikal histri. Dɔn, dɛn kin du sɔm tɛst dɛn, lɛk:

• Barium swallow test: Dis na fɔ mek yu drink wan wata we gɛt sɔntin we dɛn kɔl barium ɛn tek sɔm X-ray. di barium de mek di εsophagus klia wan pan di εks-ray imej dεm. afta dat dεn kin yuz dis fכ si if εni abnכmal tin de na di εsophagus.
• CT scan (Computed Tomography scan): Dis tɛst de mek dɔktɔ dɛn ebul fɔ si if kansa dɔn skata to ɔda pat dɛn na di chɛst ɛn bɛlɛ (bɛlɛ).
• εsophagogastroduodenoscopy (EGD): insay dis, dεn kin put wan tin, fleksibul tכb we dεn kכl εndoskop (we gεt kεmεra) insay di mכt εn luk dεn wan dεm dεn wan insay di εsophagus. dis kin si klia wan eni chenj כ tכmכro dεm na di wכl na di εsophagus.
• εsophageal endoscopic ultrasound: dεn kin du dis bak di sem tεm we EGD de du. I de yuz sawnd wev fɔ tek pikchɔ dɛn we de insay di εsophagus. dis kin εp fכ no aw dip di kansa dכn gro insay di εsophagus wכl εn if i dכn spre to di limf no dεm we de nia.
• Bayopsi: If di dɔktɔ si say we dɛn tink se i de du di EGD, dɛn go tek wan smɔl pat pan di tisu ɛn chɛk am ɔnda maykroskɔp. Dis na aw dɛn kin kɔnfɔm if kansa sɛl dɛn de ɔ nɔ de.

Dɔktɔ dɛn kin yuz di infɔmeshɔn we dɛn kin gɛt frɔm dɛn tɛst ya fɔ no di stej ɛn di gred we di kansa gɛt. di stej we di kansa de na aw fa di kansa dכn spre (e.g., di sayz fכ di tכmכro, if i dכn spre to limf no dεm, כ to di כgan dεm we de fa). di tכmכro grεd na aw di kεnsar sεl dεm fiba di hεlty sεl dεm εn aw dεn de sheb kwik kwik wan. Dɛn kin plan di tritmɛnt bay dis stej ɛn gred.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ di kansa na di εsophageal dipen pan di stej ɛn gred we di kansa gɛt, lɛk aw wi bin dɔn tɔk, ɛn di sikman in ɔl wɛlbɔdi. Bɔku men tritmɛnt dɛn de we yu kin pik:

• Ɔpreshɔn: Di tritmɛnt we dɛn kin yuz mɔ fɔ di fɔs stej we dɛn kɔl ɛsophageal kansa naWan ɔpreshɔn we dɛn kɔl ɛsophagectomy. Dis involv fɔ pul wan pat ɔ ɔl di εsophagus, wit di tisu we de rawnd. Dɔn, dɛn kin pul wan pat pan di bɛlɛ ɔp ɛn kɔnɛkt am to di chɛst ɛn nɛk, ɛn dis kin mek nyu εsophagus.
• Rεdyushכn tεrapi: Dis involv fכ tכk bכt hכy εnεji rayt (rεdyushכn bim) to di tכmכro fכ kil di kεnsar sεl dεm. Dɛn kin yuz am bak as adjuvant tritmɛnt bifo ɔ afta di ɔpreshɔn.
• Kimotɛrapi: Dis na fɔ gi mɛrɛsin dɛn we de kil di kansa sɛl dɛn ɔ stɔp dɛn fɔ gro. Dɛn kin gi dis bifo, afta dɛn du di ɔpreshɔn, ɔ dɛn kin gi am wit redyushɔn tɛrapi.
• Endoscopic Submucosal Dissection (ESD): dεn de yuz dis prosidכs fכ pul di kεnsar dεm we rili εli stej we de kכnfyus na di supεrfishal layεr dεm na di εsophageal wכl.
• Endoscopic Mucosal Resection (EMR): dis na wan we we fiba ESD, we dεn kin yuz fכ pul di tכmכro dεm we gεt kεnsar na di mכkus layn na di εsophagus.
• Endoscopic laser therapy: We kansa tumor blok di esophagus ɛn mek i nɔ izi fɔ swɛla, dɛn kin yuz laser bim fɔ pul pat pan di tumor fɔ ridyus di diskɔmfɔt.
• Fɔtodaynamik tɛrapi (PDT): Insay dis, dɛn kin gi spɛshal mɛrɛsin dɛn we dɛn kɔl fotosɛntayza to di bɔdi, dɔn dɛn kin put spɛshal layt na di say we di kansa de. We dis layt hit, di drɔg kin wok ɛn mek kemikal riakshɔn we kin pwɛl di kansa sɛl dɛn.
• Tεrapi we dεn de tכk: sכm εsophageal kansa sεl dεm gεt wan abnכmal amoun fכ wan protin we dεn kכl HER2 protin . Dis protin de ɛp di kansa sɛl dɛn fɔ gro. tεrapi we dεn tכk bכt involv fכ gi dכg dεm we de tכk to dis HER2 protin.
• Immunotherapy: Dis min fɔ mek wi bɔdi in yon imyun sistɛm ebul fɔ fɛt di kansa sɛl dɛn. Dɛn kin yuz drɔgs dɛn we dɛn kɔl immune checkpoint inhibitors fɔ dis.

Mɛmba se nɔto ɔl dɛn tritmɛnt ya fayn fɔ ɔlman we sik. Yu mɛdikal tim go disayd us tritmɛnt dɛn go fayn fɔ yu sik.

Wetin pɔsin we gɛt kansa na in εsophageal kin ɛkspɛkt?

Dis rili dipen pan bɔku tin, lɛk yu ɔl wɛl bɔdi ɛn aw fa di kansa dɔn skata we dɛn no se i gɛt am. If dɛn kech am kwik, bɔku tɛm dɔktɔ dɛn kin trit am fayn fayn wan. Na lɛk 46% pan di pipul dɛm wae dɛn kin trit kwik kin stil de alayv fayv ia afta dɛn dɔn no bɔt dɛn sik.

Bɔt if di kansa dɔn ɔlrɛdi skata, i nɔ go pɔsibul fɔ pwɛl am kpatakpata. Insay dɛn kayn tin ya, dɔktɔ dɛn kin pe atɛnshɔn fɔ gi di pɔsin tritmɛnt we go ɛp di pɔsin fɔ liv lɔng as i ebul, fɔ mek i liv in layf fayn, ɛn fɔ mek i nɔ gɛt di sik. Dɛn kin kɔl dis bak palliative care . I de ɛp di pɔsin fɔ liv fayn ɛn nɔ de fil pen.

Aw a go ridyus di risk fɔ gɛt dis kansa?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp am kpatakpata, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm:

• Fɔ fala gud it: It fayn it, it mɔ frut ɛn vɛjitebul, ɛn kip yu bɔdi we go fayn fɔ yu.
• Fɔ de fa frɔm tabak ɛn rɔm: Dɛn tin ya na tu pan di men tin dɛn we kin mek pɔsin gɛt dis sik.
• Nɔ yuz sɔm kemikal dɛn (i dipen pan di wok we yu de du).
• HPV infεkshכ n na wan risk fכ εsophageal kansa. Aks yu dɔktɔ bɔt di HPV vaysin.
• If yu gɛt wan sik lɛk Barrett’s esophagus , yu dɔktɔ go tɛl yu fɔ du tɛst ɔltɛm fɔ chɛk yu. Fɔ fala dɛn instrɔkshɔn dɛn de.

Naw, no rεkomεndεd skrinin tεst fכ εsophageal kansa fכ di jεnarכl pכpulεshכn, bכt dכkta dεm kin rεkomεnd tεst lεk EGD fכ pipul dεm we gεt hεy risk fכktכr.

Aw a kin tek kia ɔf misɛf afta tritmɛnt?

Sɔm sayd ɛfɛkt dɛn kin apin afta dɛn dɔn du ɔpreshɔn fɔ gɛt kansa na di εsophageal. Fɔ ɛgzampul, nɔs, vɔmit, ɛn at bɔn. Yu kin nid ɛp fɔ manej dɛn tin ya. Bɔrku pipul kin gɛt prɔblɛm lɛk:

• I nɔ kin izi fɔ it: Kansa ɛn di tritmɛnt dɛn we i kin gɛt kin mek i nɔ izi fɔ swɛla it ɛn i kin mek i fil pen. Dis kin mek bak yu nɔ gɛt bɔku bɔku bɔdi. If na so i bi, aks yu dɔktɔ fɔ advays. Dɛn kin se yu fɔ it tin dɛn lɛk fɔ it smɔl smɔl it dɛn ɔltɛm ɛn fɔ tek tin dɛn we gɛt fɔ du wit di tin dɛn we yu nid.
• Dumping syndrome: Dis kin apin we di bɛlɛ de tek di ples fɔ di εsophagus afta dɛn dɔn ɔpreshɔn am. di bכdi nכ kin ebul fכ ol εn daygεst it, εn di it kin pas kwik kwik wan insay di sכmכl intestin. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ nɔs, fɔ vɔmit, fɔ gɛt bɛlɛ pen, fɔ swet, ɛn fɔ flush.

Tɔk to yu mɛdikal tim bɔt dɛn tin ya ɛn gɛt advays bɔt aw fɔ dil wit dɛn.

Dis kansa kin kam bak?

Yes, sɔmtɛm, kansa kin kam bak (i ​​kin kam bak). Yu kin du dɛn tin ya fɔ ridyus da risk de:

• Limit alcohol: If yu drink pasmak, dat kin mek yu gɛt kansa bak.
• Nɔ smok: If yu de smok, tray fɔ lɛf fɔ smok. Go to dɔktɔ if nid de.

Ustɛm a fɔ go to di dɔktɔ?

Dis go difrɛn difrɛn wan bay aw yu de si yu. Di fכlכp schedule fכ pכsin we dεn dכn כpכt fכ pul di kansa εli stej difrεn frכm di schedule fכ pכsin we in kεnsar dכn spre.

If yu tritmɛnt go fayn, yu dɔktɔ go ɔltɛm aks yu fɔ kam insay fɔ chɛk-ap ɛvri tri to siks mɔnt fɔ di fɔs tu ia, ɛn ɛvri siks to twɛlv mɔnt fɔ di nɛks tri ia. Dɛn chɛk-ap ya kin bi fɔ ɛgzam fɔ yu bɔdi, fɔ tɛst blɔd, fɔ tek imej, ɛn fɔ tek ɛndoskopi.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Kansa na di εsophageal na sik we kin mek pɔsin in layf de pan denja. If yu gɛt dis sik, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn kansa na mi esophageal a gɛt?
• Us stej mi kansa de insay?
• Us tritmɛnt dɛn yu kin advays?
• Yu tink se dis kin mɛn kpatakpata?
• If a nɔ ebul fɔ wɛl ɔl, wetin yu go du fɔ ɛp mi?
• Aw lɔŋ a kin liv wit dis kansa?
• A nid fɔ du jenɛtik tɛst ɔ bayɔmakɛr tɛst?

Nɔ fred fɔ aks dɛn kwɛstyɔn ya. I rili impɔtant fɔ mek yu ɔndastand yu sityueshɔn klia wan.

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

Esophageal cancer na di nɔmba tɛn kansa we bɔku pipul dɛn kin gɛt na di wɔl, ɛn na kansa bak we nɔ izi fɔ trit. Dis na bikɔs di sayn dɛm kin apin afta di kansa dɔn skata. Bɔku tɛm, i kin at fɔ fɛn kɔmplit mɛrɛsin. Insay dɛn kayn tin ya, dɔktɔ dɛn kin pe atɛnshɔn fɔ gi di wan dɛn we sik tritmɛnt dɛn we go ɛp dɛn fɔ liv lɔng as dɛn ebul ɛn wit di bɛst kwaliti layf.

I go mɔs bi se natin nɔ de we at pas fɔ tɛl yu se, "Yu gɛt sik we nɔ go mɛn." Na da kayn tɛm de, yu kin nid tɛm ɛn ɛp fɔ prosɛs di tin we de apin. Dɔktɔ dɛn ɔndastand dis ɛn dɛn go du ɔl wetin dɛn ebul fɔ ɛp yu. If nid de, dɛn go rifer yu bak to pɔsin we sabi bɔt mental wɛlbɔdi biznɛs.

Di tin we impɔtant pas ɔl na fɔ no bɔt di chenj dɛn we de apin na yu bɔdi ɛn go to dɔktɔ kwik kwik wan if yu gɛt ɛnitin fɔ wɔri bɔt. Di kwik we yu no am, na di mɔ yu go gɛt di tritmɛnt we go wok fayn.

` Esophageal Cancer, Esophageal Cancer, Kansa Simptom, Esophagus, I nɔ izi fɔ swɛla, Kansa Tritmɛnt, Kimotɛrapi