Sɔntɛnde yu kin fil lɛk se yu bɛlɛ ful-ɔp, ɔ yu kin fil smɔl pen na yu bɛlɛ? Yu kin tink se na nɔmal tin, ɔ sɔntɛm na prɔblɛm wit di dijestiv. Bɔt dɛn smɔl smɔl sayn ya, mɔ as uman dɛn, nɔ fɔ ɛva ignore. Tide wi go tɔk bɔt wan kayn kansa we bɔku pipul dɛn nɔ yɛri bɔt, bɔt i rili impɔtant fɔ uman dɛn wɛlbɔdi. Dat na kansa we de na di fallopian tyub.
Fɔ tɔk am simpul wan, wetin na Falopian Tiub Kansa?
Okay, mek wi stat na di biginin. di Falopian Tכb dεm na tu tכn tכn dεm we rili tכn we de kכri eg frכm wi ovaria to di uterus. Fɔ tɔk am simpul wan, dɛn na di impɔtant pat pan di prɔses usay eg kin mit wan swɛt fɔ mek pikin. So dis kansa de stat na di sεl dεm we de insay dεn fallopian tyub dεm ya.
Bɔku tɛm, dis kansa kin bigin na di tisu we de layn di fallopian tyub dɛn. insay mεdikal tεm dεm, wi kin kכl dis εpitεlial tisu. I sɔprayz fɔ no se di we aw dis kansa de biev, di we aw i de skata, ɛn di we aw wi de trit am rili fiba di ovarian kansa. Na dat mek dɔktɔ dɛn kin trit ɛn manej ɔl tu di kansa dɛn di sem we.
Di big prɔblɛm wit dis kansa na dat i nɔ de sho di sayn dɛm we i de bigin ɛn i kin skata kwik kwik wan . Bɔt di gud nyus na dat if dɛn no am kɔrɛkt wan di fɔs tɛm ɛn dɛn ebul fɔ pul di kansa sɛl dɛn kpatakpata tru ɔpreshɔn, na sik we pɔsin kin mɛn kpatakpata . Bɔt bay di tɛm we dɛn kin no se i gɛt di kansa, i dɔn ɔlrɛdi skata, ɛn dis kin mek i nɔ izi fɔ trit am smɔl.
Aw kɔmɔn dis kansa?
Fɔ lɔng tɛm, dɔktɔ dɛn bin de tink se fallopian tube kansa na wan kayn kansa we nɔ kin apin so ɔltɛm we uman dɛn kin gɛt. כnli lεk 1% pan כl di uman kεnsar dεm de stat na di sεl dεm na di fallopian tכb dεm.
Bɔt nyu risach dɔn sho se bɔku pan di kayn kansa dɛn we wi kin kɔl ovarian kansa, we dɛn kɔl epithelial ovarian cancer, kin rili bigin na di fallopian tubes. spεshal wan, i de stat na di fimbriae, di εnd dεm usay wan eg de go insay di fallopian tכb frכm di ovary. afta dat i de spre to di ovaria in safa εn to כda pat dεm na di bכdi εn di bεlε.
Us sayn dɛn wi fɔ tek tɛm luk fɔ?
De big prɔblɛm wit dis kansa na dat i nɔr kin izi fɔ no di sayn dɛm wae de kam fɔs ɛn wi kin lɛk fɔ ignore dɛm, tink se na nɔrmal tin. Yu nɔ go notis ɛni big chenj te di kansa dɔn skata ɔlsay na di bɛlɛ. Bɔt i rili impɔtant fɔ mek wi no bɔt dɛn sik ya.
Mɛmba se nɔto ɔlman we gɛt dɛn sik ya gɛt kansa. Bɔt if dɛn kɔntinyu fɔ du dat, go mɔs go to yu dɔktɔ fɔ advays.
Lɛ wi si wetin na dɛn sayn ya na di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Pelvik pen ɔ fil se yu gɛt lump | Pen we de kɔntinyu fɔ de ɔ wan lump na di say we di bɛlɛ de. |
| Bɛlɛ de pen, blo, ɔ ful-ɔp | Bloating, filin fɔ ful-ɔp fɔ natin. Bɔku uman dɛn kin tink se dis na nɔmal tin. |
| I nɔ kin want fɔ it ɔ i kin fil ful kwik kwik wan | Fɔ lɛf fɔ want fɔ it, fɔ fil ful ivin afta yu dɔn it smɔl, ɛn fɔ fil lɛk se yu de nɔs. |
| Chenj di we aw yu de yuz tɔylɛt | Kɔndishɔn lɛk kɔnstipɛshɔn ɔ dayarɛa. |
| Nid fɔ pis bɔku tɛm | Nid fɔ pis bɔku tɛm pas aw i kin pis. |
| Nɔmal menstrueshɔn ɔ blɔd afta yu dɔn menɔpauz | Menstrual saykl we nɔ de ɔltɛm ɔ we de blɔd bak bak pan uman we dɔn stɔp fɔ gɛt mɔnt (menopausal). Dis na sayn we yu fɔ pe atɛnshɔn to gud gud wan. |
| Dischaj we nɔ de kɔmɔt na di vagina | Wata ɔ blɔd we de kɔmɔt na di vagina. |
If pɔsin na yu famili gɛt kansa, ɔ if yu gɛt ɔda tin dɛn we kin mek yu gɛt kansa, i go fayn fɔ mek yu go to dɔktɔ ilɛksɛf yu notis smɔl chenj lɛk dis.
Wetin na di tin dɛm wae kin mek pɔrsin gɛt dis kansa ɛn di tin dɛm wae kin mek pɔrsin gɛt dis kansa?
Risach pipul dɛn nɔ dɔn fɛn yet di rayt tin we kin mek pɔsin gɛt dis kansa. bכt wi no se lεk 90% pan dis kεnsar de divεlכp frכm di glandular sεl dεm we de layn di כgan, di ``εpitel sεl dεm'' we wi bin tכk bכt. dis na di sem kayn sεl dεm we de mek ovarian kεnsar. fכ dis rizin, dεn kin kכl di fallopian tכb εn ovarian kεnsar dεm ``high-grade serous tumors.'' Dis min se dεn ya na kεnsar dεm we de gro fast fast .
Factor dɛm wae de mek di risk bɔku
Bɔku tin dɛn de we kin mek yu gɛt dis kansa. Si if yu gɛt ɛni wan pan dɛn tin ya.
- Ej: Mɔ pas af pan di pipul dɛn we gɛt fallopian tube ɔ ovarian kansa dɔn pas 63. Dis min se di risk kin go ɔp we dɛn de ol.
- Famili istri: If wan pan yu fambul dɛn we de nia yu blɔd (mama, sista, gyal pikin) dɔn gɛt bɔdi kansa, ovarian kansa, ɔ fallopian tyub kansa, yu risk go bɔku.
- jεnεtik mכtεshכn: di chenj (mכtεshכn) dεm na di brεst kεnsar-rεlatεd jin (BRCA) bכku bכku wan de inkrεs di risk fכ dis kεnsar.
- Ɔda wɛl bɔdi prɔblɛm dɛn: Di sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa lɛk Lynch syndrome ɛn Peutz-Jeghers syndrome, ɛn wan sik we dɛn kɔl endometriosis, kin mek di sik bɔku bak.
- Istri bɔt bɛlɛ: Di risk kin bɔku smɔl fɔ di wan dɛn we nɔ ɛva gɛt bɛlɛ ɛn di wan dɛn we bɔn dɛn fɔs pikin afta dɛn ol 35 ia.
- Menstrual cycle history: Fɔ gɛt yu fɔs tɛm bifo yu ol 12 ia ɛn fɔ gɛt menopause afta yu ol 51 ia na tin dɛn bak we kin mek yu gɛt dis sik.
- Fat: If yu bɔdi mas (BMI) pas 30, mɔ if yu bin fat we yu bin yɔŋ, dat kin mek yu gɛt mɔ prɔblɛm.
Aw dɔktɔ dɛn kin no bɔt dis sik?
As wi bin dɔn tɔk, nɔr simptom nɔr de wae de kam fɔs, so bɔrku tɛm dɛn kin no dis sik wae i dɔn spre smɔl. Sɔntɛm yu gɛt wan lump we dɛn kin fɛn we dɛn de du ɛgzam na yu bɛlɛ we yu dɔktɔ de du chɛk-ap ɔltɛm.
Afta dɛn dɔn sɔprayz, di dɔktɔ go ɔda fɔ du bɔku tɛst fɔ no mɔ bɔt di sik.
1. Blɔd tɛst:di CA-125 bכdi tεst de mכsu di lεvεl fכ wan protin we dεn kכl kεnsar antijen 125 insay di bכdi. dis lεvεl kin εlevεt pan pכsin we gεt fallopian tyub kεnsar. Bɔt i impɔtant fɔ mɛmba se dis lɛvɛl kin ɔp bak fɔ ɔda rizin dɛn pas kansa.
2. imej tεst dεm: skan dεm lεk `(Transvaginal ultrasound)`, `(CT scan)`, `(MRI)` כ `(PET scan)` kin mek klia imej dεm fכ di fallopian tכb dεm εn ovaria dεm. Dis kin ɛp fɔ si if ɛni sist ɔ lumps de.
Bɔt dɛn tɛst ya nɔmɔ nɔ kin ebul fɔ kɔnfɔm 100% se na kansa. Fɔ no di sik wit shɔ, dɛn fɔ tek wan tisu sɛmpul ɛn chɛk am ɔnda maykroskɔp. Di we dɛn we dɛn kin yuz fɔ du dis na:
- Exploratory surgery: Na ɔspitul we de luk dairekt pan di ɔgan dɛn fɔ si if ɛni tisu de we dɛn kin sɔprayz pan. dis involv fכ tek sεmpl dεm fכ di fallopian tyub dεm, ovaria dεm, εn di limf no dεm we de nia dεm εn sεn dεm to lab fכ tεst. Dɛn kin du dis ɔpreshɔn opin (laparotomy) ɔ tru smɔl smɔl say dɛn we dɛn kin kɔt we dɛn de yuz kamɛra (laparoscopy).
- Bayopsi: Dɛn kin pul wan smɔl tisu frɔm wan tɔŋ we dɛn tink se dɛn de yuz nidul ɛn chɛk am.
Aw dɛn kin no di stej we kansa gɛt?
we dεn kכnfכm kεnsar, di nεks imכtant tin na fכ no in ``stej''. Fɔ tɔk am simpul wan, na fɔ no aw fa di kansa dɔn skata (metastasized). Dis impɔtant fɔ plan tritmɛnt ɛn gɛt aidia bɔt aw di sik go bi tumara bambay.
| Kansa stej | Minin |
|---|---|
| Stej 1. Di wan we mek | Di kansa kin de pan wan ɔ ɔl tu di fallopian tyub dɛn. |
| Stej 2. Di wan we mek | di kansa dεn dכn spre to כda tisu dεm nia di bכdi apat frכm di fallopian tכb dεm. |
| Stej 3. Di wan we mek | Di kansa dɔn spre na do na di bɔdi, to di limf no dɛm, ɔ to ɔda ɔgan dɛm we de nia am. |
| Stej 4. Di wan we mek | Di kansa dɔn skata to ɔda pat dɛn we de fa, lɛk di liva, di lɔng, ɔ di bren. |
Wetin na di tritmɛnt dɛn?
De tritmɛnt wae yu go gɛt go dipen pan bɔrku tin, lɛk di stej wae de kansa de ɛn yu ɔl wɛl bɔdi. Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu.
- Ɔpreshɔn: Bɔku tɛm, na ɔpreshɔn na di fɔs tritmɛnt. dis involv fכ pul di uterus (hysterectomy), כl tu di fallopian tyub dεm (salpingectomy), εn כl tu di ovaria dεm (oophorectomy). Dipen pan aw fa di kansa dɔn skata, dɛn kin nid fɔ pul ɔda tisu dɛn we de nia am bak. Insay sɔm yɔŋ uman dɛn we de bɔn pikin, if dɛn no di kansa kwik kwik wan, na di kansa nɔmɔ dɛn kin pul, ɛn dis kin mek di ɔgan dɛn we de bɔn pikin nɔ bɔku.
- Kimotɛrapi: Dɛn mɛrɛsin ya na pawaful mɛrɛsin dɛn we dɛn kin gi fɔ kil kansa sɛl dɛn. Dɛn kin gi dis tritmɛnt fɔ mek di tumbu smɔl bifo dɛn du di ɔpreshɔn, ɔ fɔ kil ɛni kansa sɛl we kin lɛf afta dɛn du di ɔpreshɔn.
- Targeted therapy: Dis na nyu tritmɛnt we dɛn kin du. I de yuz drɔgs we de tɔch sɔm patikyula mɔlyul dɛn we impɔtant fɔ mek di kansa sɛl dɛn gro, we nɔ de ambɔg di wɛlbɔdi sɛl dɛn lɛk di kemotɛrapi we dɛn kin gi ɔltɛm. dis tritmεnt mεtכd kin rili saksesful, spεshal fכ pipul dεm we gεt `(BRCA)` jin mכtεshכn.
- Immunotherapy: Dis kin min fɔ mek wi bɔdi in yon imyun sistɛm wok, ɛn gi am trɛnk fɔ fɛt di kansa sɛl dɛn.
- Palliative care: Dis na di rɔŋ we aw pipul dɛn kin tink. Palliative care nɔto jɔs fɔ di wan dɛn we dɛn nɔ kin ebul fɔ mɛn dɛn sik. Na fɔ kɔntrol di sayd ɛfɛkt dɛm we kansa tritmɛnt kin gɛt, lɛk pen ɛn nɔys, ɛn ɛp fɔ mek yu gɛt gud kwaliti layf. Dɛn kin gi dis kia pan ɛni stej pan kansa.
Wetin kin apin afta dɛn dɔn trit am?
Afta tritmɛnt, lɛk 80% pan di sik pipul dɛn kin go na ``rɛmishɔn``, wan stet usay nɔr gɛt ɛni sayn fɔ kansa. Bɔt, risk de fɔ mek di kansa ``fɔ kam bak``.
- di kansa dεm we dεn dεtekt na di εli stej gεt rεkכrεshכn rεt we na lεk 25%.
- We de spre, advans stej kansa kin kam bak insay 80% pan di kes dɛm.
So, ivin afta dɛn dɔn trit am, i rili impɔtant fɔ go to dɔktɔ di tɛm we dɛn dɔn plan fɔ du am ɛn du tɛst.Dis rili impɔtant, mɔ insay di fɔs fayv ia.
Di Rɛt fɔ Sɔvayv
Nɔ mek yu fred wit dɛn statystik ya. Dis na jɔs avɛrej we dɛn bays pan data frɔm tawzin pasɛnt dɛn. Yu sityueshɔn kin rili difrɛn, i kin bɛtɛ pasmak. Dɛn tin ya na jɔs fɔ ɔndastand aw di sik bad.
- if di kansa de limited to di fallopian tubes (lokal): di 5 ia sכvayv rεt na 94%.
- if i dכn spre to di כgan dεm we de nia (Rijכnal): 5 ia sכvayv rεt na 53%.
- if i dכn spre to di כgan dεm we de fa (Distant): 5 ia sכvayv rεt na 44%.
Yu tink se we dɛn de fɔ protɛkt yusɛf frɔm 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.
If pɔsin na yu famili dɔn gɛt kansa na in bɔdi, ovarian, ɔ fallopian tyub, yu kin tɔk to yu dɔktɔ bɔt fɔ mek dɛn du jenɛtik tɛst fɔ di BRCA jin. If dɛn no se yu gɛt di muteshon, yu kin want fɔ tɔk wit yu dɔktɔ bɔt di pɔsibul fɔ mek dɛn du prɔfylaktik salpingo-oophorectomy (ɔspitul fɔ pul di ovaries ɛn fallopian tubes) as fɔ mek yu nɔ gɛt di sik afta yu dɔn bɔn pikin. Dis kin ridyus yu risk fɔ gɛt kansa bay lɛk 96%.
Apat frɔm dat, dɛn tin ya kin ɛp fɔ ridyus di prɔblɛm:
- Fɔ it gud it we gɛt wɛlbɔdi ɛn fɔ de aktif.
- Fɔ mek yu gɛt wɛlbɔdi wet we fit yu.
- Stɔp ɔ ridyus fɔ smok ɛn fɔ drink rɔm.
- If i pɔsibul, gi yu pikin dɛn bɛlɛ.
- Yuz ɔmon bɔn kɔntrol we, lɛk bɔn kɔntrol pils (bɔt if yu gɛt BRCA jin muteshɔn, tɔk to yu dɔktɔ bɔt if dis rayt fɔ yu).
Mɛsej we dɛn kin kɛr go na os
- Falopian tyub kansa na wan sik we de prɛd kwik kwik wan we nɔ de sho ɛni sayn we i bigin. So, wi fɔ pe atɛnshɔn to wi bɔdi ɔltɛm.
- If yu kɔntinyu fɔ gɛt sɔm sayn dɛn we tan lɛk se na nɔmal tin, lɛk we yu bɛlɛ de at, yu bɛlɛ de blo, ɛn yu nɔ want fɔ it, nɔ ignore dɛn.
- Yu fɔ no bɔt yu famili in kansa istri. I kin ɛp yu fɔ ɔndastand di prɔblɛm we yu gɛt.
- If yu no am kwik kwik wan, i kin mɛn dis kansa kpatakpata. So if yu gɛt ɛni dawt, go to dɔktɔ ɛn nɔ de te.
- Nɔr frayd dis sik. If yu no di rayt tin ɛn yu gɛt di rayt tritmɛnt, yu go ebul fɔ gɛt dis prɔblɛm.
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