Yu no bɔt di Gastrointestinal Neuroendocrine Tumors (GI NET) we kin divɛlɔp na yu dijestiv sistɛm?

Sɔntɛnde yu kin gɛt bɛlɛ at, yu kin blo, ɔ ɔda tin dɛn we kin tan lɛk se yu de kam ɔltɛm? Ɔ yu de lɔs yu wet fɔ no rizin? Pan ɔl we dɛn tin ya kin bi sayn dɛm fɔ kɔmɔn sik dɛm, sɔm kayn tin kin de biɛn dɛn wae nɔr kin bɔrku wae yu fɔ no bɔt. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya. Dɛn kɔl am Gastrointestinal Neuroendocrine Tumors , ɔ GI NETs fɔ shɔt tɛm. Nɔ wɔri, wi go tɔk bɔt dis simpul wan.

wetin na dεn dijestiv sistεm nyuroεndokrin tכmכro dεm (GI NET)?

Fɔ tɔk am simpul wan, GI NET na wan kayn kansa we nɔ kin bɔku we kin apin na di nyuro ɛndɔkrin sɛl dɛn na yu dijestiv sistɛm. Naw yu go de wɔnda wetin na nyuroɛndokrin sɛl dɛn. dis na spεshal kayn sεl we de kכnekt wi nεv sεstem εn εndokrin sistεm. Dɛn tan lɛk smɔl smɔl mɛsej sɛnta dɛn. Dɛn sɛl ya de na bɔku say dɛn na wi bɔdi, ivin na di say we wi de it.

Yu gεstrointestinal trakt na wan lכng tכb we lεk tyub we de digεst di it we wi de it, tek di nyutriεnt dεm, εn pul west. dis `GI NET` tכmכro dεm (dεn bin kכl dεm `carcinoid tumors`) bכku tεm de divεlכp na yu sכm sכm intestin εn rεktum . Bɔt dɛn kin kam bak na yu bɛlɛ, apɛndiks, ɛn ɛsophagus. Sɔntɛnde, dɛn tumbu ya kin skata na do na di dijestiv trakt, lɛk to yu liva .

Udat dɛn kin afɛkt mɔ pan dis GI NET kɔndishɔn?

Dis na tin we nɔ kin apin so ɔltɛm. Statistikin sho se dis sik kin afɛkt lɛk 4 pan ɛvri 100,000 pipul dɛn . Ivin na kɔntri lɛk Amɛrika, na lɛk 8,000 big pipul dɛn nɔmɔ dɛn kin jɔs gɛt dis sik ɛvri ia.

Dis sik kin ambɔg pipul dɛm wae ol bitwin 55 ɛn 65. Bɔt e kin kam pan big pipul dɛm wae gɛt ɛni ej. Wait pipul dɛn kin gɛt dis sik smɔl pas blak pipul dɛn. כlso, di data sho se uman dεm kin gεt dis `GI NET` sכmtεm pas man dεm.

Wetin na di sayn dɛm fɔ GI NET?

Na dis na di impɔtant tin. Sɔm pipul dɛn kin gɛt dɛn tumbu ya na dɛn bɔdi we nɔ gɛt ɛni sayn . Sɔntɛnde dɛn kin diskɔba dɛn bay chans we dɛn du sɔntin lɛk `skan` fɔ sɔm ɔda rizin.

Bɔt if di sayn dɛn we pɔsin kin si, i kin tan lɛk di wan dɛn we kin gɛt bɔku sik dɛn we nɔ kin rili siriɔs. Na dat mek sɔntɛnde dɛn kin no dɛn tu let. Si if dɛn sayn ya kin tan lɛk se yu sabi:

• Bɛlɛ pen: Dis kin bi sayn fɔ se yu dɔn blok yu intestin, sɔntɛm na bikɔs ɔf GI NET tumor.
• Rɔnbɛlɛ:We yu de muv yu bɔdi ɔltɛm. Dis simptom kin kɔmɔn mɔ pan pipul dɛm wae gɛt wan sik wae dɛn kɔl ``Carcinoid Syndrome'' (ɔda sɛt ɔf simptom dɛm wae gɛt fɔ du wit ``NET''), ɔr pan dɛm wae dɛn dɔn ɔpreshɔn fɔ pul dɛn gal blad ɔ pat pan dɛn intestin.
• Nɔs ɛn vɔmit: If nɔs ɛn vɔmit kɔntinyu, i kin bi sayn fɔ se yu gɛt siriɔs sik.
• Fɔ lɔs yu wet we yu nɔ bin want: If yu lɔs yu wet kwik kwik wan we yu nɔ de it, ɛksesaiz, ɔ fɔ no rizin, na kɔmɔn sayn fɔ GI NET.
• Blɔd we de na yu stɔl: If yu stɔl dak rɛd ɔ tar, dɛn tin ya kin bi sayn dɛn fɔ blɔd na yu intestinal.
• Jandis: Dis kin mek yu skin ɛn di wayt pat na yu yay tɔn yɔlɔ.
• Taya: Dis nɔto jɔs fɔ slip. I de fil taya pasmak ɔltɛm, yu nɔ ebul fɔ du ɛnitin.

Mɛmba se, jɔs fɔ gɛt dɛn sik ya nɔ min se yu gɛt GI NET. Bɔt if dɛn sik ya kɔntinyu, i impɔtant fɔ go to dɔktɔ fɔ advays.

Wetin na di tin dɛn we kin mek pɔsin gɛt GI NET?

Infakt, di wan dɛn we de stɔdi bɔt mɛrɛsin nɔ ebul yet fɔ fɛn wan patikyula kɔz fɔ GI NET. Bɔt dɛn dɔn si se pipul dɛn we gɛt smɔl bɛlɛ asid (hypochlorhydria) gɛt sɔntin fɔ du wit dis sik.

pan tap dat, pipul dεm we gεt sכm kayn kכndyushכn εn sεndrכm dεm we dεn kin gεt wit dεn kin gεt bכku risk fכ gεt GI NET. Sɔm pan dɛn tin ya na:

• Multiple endocrine neoplasia (MEN): Tu kayn dis de. Wan kayn (MEN1) kin mek yu tayroyd, paratayroyd, ɔ adrenal gland dɛn kin wok pasmak ɔ dɛn kin gɛt tumbu. Di ɔda kayn (MEN2) kin mek yu pankrias, pituitary, ɔ paratayroyd gland dɛn kin wok pasmak ɔ dɛn kin gɛt tumbu.
• Von Hippel-Lindau sik: Dis na sik bak we nɔ kin apin so ɔltɛm. I de mek di tכmכro dεm we nכ de kεnsar (benign) fכm na difrεn pat dεm na di bכdi.
• Nyurofibromatosis tayp 1: Dis na tin bak we nɔ kin apin so ɔltɛm. I kin mek tumbu fɔm na di skin ɛn di nerv dɛm, ɛn i kin afɛkt di yay ɛn ɔda pat dɛm na di bɔdi bak.

Aw dɔktɔ dɛn kin no dis GI NET kɔndishɔn?

If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, ɔ if yu gɛt ɛni saspek fɔ ɛni ɔda rizin, dɔktɔ dɛn go du difrɛn tɛst dɛn.

• X-ray: Dis kin tek pikchɔ fɔ wetin de insay di bɔdi. Bɔt sɔntɛnde, GI NET tumbu kin tu big ɔ tu smɔl fɔ mek dɛn si am pan ɛkstrem rayt. If na so i bi, yu dɔktɔ kin tɛl yu fɔ du ɔda kayn skan.
• Kɔmpyuta tomografi (CT) skan:Dis kin yuz kɔmpyuta ɛn sɔm X-ray fɔ mek yu si yu ɔgan ɛn bon dɛn tri dimɛnshɔnal (3D). CT skan kin sho tin dεm lεk di saiz fכ di tכmכro εn if i dכn spre to di liva כ כda say dεm.
• Magnetic resonance imaging (MRI): Dis tɛst de yuz magnet, redio wev, ɛn kɔmpyuta fɔ mek yu gɛt rili klia pikchɔ dɛn bɔt yu ɔgan ɛn bon dɛn.
• Ɛndoskopi: Insay dis we aw dɛn de du dis, dɔktɔ dɛn kin yuz ɛndoskɔp, we na tin we tan lɛk tiub we gɛt layt ɛn kamɛra na di fɔs pat, fɔ luk insay yu ɔpa dijestiv trakt. yu kin put dis tiub tru yu mכt כ yu rεktum. Dɛn kin yuz kɔlonɔskɔp fɔ luk di ɔda pat we de dɔŋ na yu dijestiv trakt.
• εndoskopik כltra saund (EUS): Dis de yuz εndoskop εn sawnd wev dεm we gεt hכy εnεji fכ tek pikchכ fכ di dijestiv sistεm. di endoskop de insay di mכt כ di rεktum, εn wan prob we de na di εnd de sεnd sawnd wev dεm insay di dijestiv trakt. di echo dεm we de bכns כf di tisu dεm we de insay de mek imej dεm we dεn kכl sonogram.
• positron emission tomography (PET) scan: Dis tεst de dεtekt nyuroεndokrin tכmכro dεm we dεn de yuz spεshal day (we dεn mek spεshal fכ no nyuroεndokrin tכmכro sεl dεm).
• Bayopsi: Dis na di tɛst we dɛn kin yuz fɔ no if pɔsin gɛt di sik. Insay dis, dɛn kin tek wan smɔl pat pan di tisu frɔm di say we dɛn de tink ɛn chɛk am ɔnda maykroskɔp fɔ si if ɛni kansa sɛl de.

difrεn grεd dεm de fכ nyuroεndokrin tכmכro dεm?

Yɛs, dɔktɔ dɛn kin yuz wan we fɔ gred fɔ sheb dɛn tumbu ya. I kin ɛp dɛn fɔ plan dɛn tritmɛnt. Dɛn kin no di stej we di tɔŋ de bay we dɛn de chɛk di kansa sɛl dɛn ɔnda maykroskɔp. Dɛn kin luk aw bɔku sɛl dɛn de sheb, aw dɛn de sheb fast, ɛn aw di sɛl dɛn fiba di kansa sɛl dɛn pas di sɛl dɛn we gɛt wɛlbɔdi. Na di `GI NET` stej dɛm:

• Gret 1 (low-grade tumor): dεn sεl dεm ya de sheb sכmtεm sכmtεm. Dis min se di tumbu de gro sloslo.
• Gret 2 (intamεdiεt-grεd tכmכro): di rεt we dεn sεl dεm ya de sheb na mכdarεt.
• Gret 3 (high-grade tumor): dεn sεl dεm ya de sheb kwik kwik wan, so di tכmכro de gro kwik kwik wan.

Wetin na di tritmɛnt fɔ di Gastrointestinal Endocrine Tumors (GI NET)?

Bɔku we dɛn de fɔ trit GI NET. Dɔktɔ dɛn kin pik di bɛst tritmɛnt fɔ yu bay bɔku tin dɛn, lɛk di gred we yu gɛt kansa, di bad tin dɛn we kin apin we yu gɛt tritmɛnt, yu wɛlbɔdi biznɛs, ɛn wetin yu lɛk. Bɔku men tritmɛnt dɛn de we yu kin pik: fɔ wach yu, fɔ ɔpreshɔn, ɛn fɔ tek mɛrɛsin.

Wetin na Aktiv Sɔvɛlayshɔn?

If di tumbu de gro sloslo ɛn i nɔ gɛt bɛtɛ risk fɔ spre to ɔda pat dɛn na di bɔdi, dɔktɔ dɛn kin gi yu tritmɛnt we dɛn kɔl "active surveillance." Dis kin min fɔ chɛk yu ɔltɛm , pas fɔ bigin big tritmɛnt wantɛm wantɛm.

• Imej tɛst dɛn lɛk CT skan.
• Blɔd tɛst lɛk fɔ kɔnt ɔl di blɔd (CBC).
• Fɔ chɛk yu bɔdi.

Us ɔpreshɔn dɛn kin du fɔ GI NET?

di kayn ɔpreshɔn we dɛn kin du fɔ GI NET kin dipen pan tin dɛn lɛk usay di tɔŋ de ɛn if i dɔn skata to ɔda pat dɛn na di bɔdi.

i rili impɔtant fɔ mek bifo yu du ɔpreshɔn, yu ɔspitul tim no if yu gɛt `(Carcinoid Syndrome)` (wan sik we de sho sayn dɛm fɔ `nyuroendocrine tumors`). Bikɔs, if yu gɛt `(Carcinoid Syndrome)`, ɔpreshɔn kin mek yu gɛt prɔblɛm dɛn we kin mek yu layf de pan denja. If di dɔktɔ we de du di ɔpreshɔn no bɔt dis, i go tray fɔ mek dɛn nɔ gɛt dɛn prɔblɛm ya bay we i go gi yu spɛshal mɛrɛsin bifo dɛn du di ɔpreshɔn, we dɛn de du di ɔpreshɔn, ɛn afta dɛn dɔn du di ɔpreshɔn.

Sɔm pan di ɔpreshɔn dɛn we dɛn kin du fɔ GI NET na:

• Patɛl gastrectomy: Dis kin min fɔ pul wan pat pan yu bɛlɛ.
• sכm sכm intestכn rεsεkshכn: Dis min fכ pul di pat pan di s כmכl intestin we gεt di tכmכro. di sajin kin du anastomosis bak (we de kכnekt di tu εnd dεm na di intestin we dεn kכt bak togeda). di limf no dεm nia di sכmכl intestin dεm dεn kin kכl dεm bak εn dεn kin egzamin dεm כnda maykroskכp fכ si if εni kεnsar sεl dεm de.
• Apɛndiks: Di dɔktɔ dɛn kin pul yu apɛndiks bay we dɛn yuz big say we dɛn kɔt ɔ tru laparoskopik ɔpreshɔn (smɔl say we dɛn put kamɛra insay).
• εmikכlεktomi: insay dis, dεn kin pul di rayt כ lεft say na di kכlon, wit di bכdi we de nia di bכdi εn di limf no dεm.
• Lower anterior resection: Di dɔktɔ dɛn we de du ɔpreshɔn kin pul wan pat pan yu rɛktum, bɔt dɛn kin lɛf yu ans intakt. Dis kin mek yu gɛt nɔmal bɔdi muvmɛnt.
• Abdominoperineal resection (APR): Dis ɔpreshɔn de pul yu an, yu rɛkɛt, ɛn wan pat pan yu kɔlon . Bɔku tɛm, dɛn kin du dis ɔpreshɔn wit kɔlostomi. dis min se dεn de mek wan opin frכm yu kכlon to di sכfa pan yu bכdi so dat di stכl (dijestiv west) go pas tru.
• Liva rεsεkshכn: Dis כpεrayshכn de pul di GI NET dεm we dεn spre to di liva.

Wetin na di kɔmplikɛshɔn ɔ sayd ɛfɛkt dɛm we dis ɔpreshɔn kin gɛt?

Ɔl dɛn ɔpreshɔn ya kin gɛt bɔku bad bad tin dɛn . Sɔntɛnde, yu kin nid ɛkstra ɛp na os we yu de wɛl. Aks yu dɔktɔ wetin fɔ ɛkspɛkt afta di patikyula ɔpreshɔn we yu de du.

Yu tink se GI NET ɔpreshɔn go afɛkt mi layf?

Yɛs, sɔm bad tin dɛn kin apin . Bikɔs bɔku tɛm dɛn ɔpreshɔn ya kin pul wan pat pan yu dijestiv sistɛm, chenj kin apin pan di we aw yu de it ɛn drink, ivin di we aw yu de go na di bafa. Yu dɔktɔ go ɛksplen klia wan aw di ɔpreshɔn go afɛkt yu, ɛn wetin i go du fɔ kɔntrol ɛni prɔblɛm we de wit yu dijestiv.

Us ɔda tritmɛnt dɛn de fɔ GI NET?

Sɔntɛnde, dɔktɔ dɛn kin jɔyn dɛn tritmɛnt ya wit ɔpreshɔn:

• Kimotɛrapi: Dis kin yuz difrɛn kayn mɛrɛsin dɛn we dɛn mek fɔ kil kansa sɛl dɛn.
• Targeted therapy: Dis kin yuz drɔgs ɔ ɔda tin dɛn we de atak di kansa sɛl dɛn nɔmɔ, we nɔ de ambɔg di nɔmal wɛlbɔdi sɛl dɛn.
• Immunotherapy: Dis de yuz yu bɔdi in yon imyun sistɛm fɔ kil di kansa sɛl dɛn ɔ stɔp dɛn fɔ gro.
• Radiation therapy: Dis kin yuz strɔng bim fɔ ɛnaji fɔ kil di kansa sɛl dɛn ɔ stɔp dɛn fɔ gro.
• Somatostatin analכg dεm: Dis na sεntetik fכm dεm fכ di כmon somatostatin. Yu somatostatin de wok bay we i de stɔp yu bɔdi fɔ mek tumɔs ɔmon.

Wetin na di sayd ɛfɛkt ɔ kɔmplikeshɔn dɛm wae dɛn tritmɛnt ya kin gɛt?

Ɛni wan pan dɛn tritmɛnt ya kin afɛkt ɛnibɔdi difrɛn we. So, i impɔtant fɔ tɔk klia wan bɔt di bɛnifit ɛn sayd ɛfɛkt dɛn we ɛni tritmɛnt gɛt wit yu dɔktɔ. Dis go ɛp yu fɔ ɔndastand aw ɛni tritmɛnt go afɛkt yu. Yu dɔktɔ go tɛl yu fɔ gi yu tritmɛnt bay aw yu gɛt wɛlbɔdi ɛn wetin yu lɛk.

Yu tink se dɛn kin mek di Gastrointestinal Endocrine Tumors nɔ kam?

I sɔri fɔ no se naw, no we nɔ de fɔ mek dɛn nɔ gɛt GI NET. Bɔt di wan dɛn we de stɔdi bɔt mɛrɛsin dɔn si se sɔntin gɛt sɔntin fɔ du wit sɔm kayn sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa ɛn/ɔ di sik dɛn we pɔsin kin gɛt ɛn di prɔblɛm we kin mek i gɛt nyuroɛndokrin tɔŋ. Tɔk to yu dɔktɔ bɔt yu mɛdikal histri ɛn yu famili in mɛdikal histri. I kin rεkomεnd spεshal tεst fכ no di εli sayn dεm fכ GI NET, so dat dεn kin kech di tכmכro dεm εn trit dεm kwik kwik wan.

If a gɛt dis sik, wetin a fɔ ɛkspɛkt?

Yu prɔgnosis de dipen pan ustɛm dɛn no di kansa ɛn bigin fɔ trit am. Na lɛk 97% pan di pipul dɛm wae gɛt tritmɛnt bifo di kansa dɔn spre to ɔda pat dɛm na dɛn bɔdi go liv.Fayv ia afta dɛn dɔn no se i gɛt di sik. if di tכmכro dכn spre to di tisu dεm we de nia כ di limf no dεm, dat fayv ia sכvayv rεt de dכn to 95%. כlmost 67% pan di pipul dεm we gεt GI NET dεm we dεn spre ausayd di dijestiv trakt de alayv fayv ia afta dεn no di sik.

GI NET kin kam bak. Dipen pan di saiz, gred, ɛn usay di tumbu de, yu kin nid fɔ du tɛst ɔltɛm fɔ fala yu. Fɔ ɛgzampul, yu dɔktɔ kin tɛl yu fɔ du CT skan wan tɛm insay di ia fɔ di fɔs tri ia afta dɛn dɔn trit yu ɛn fɔ chɛk yu bɔdi ɛvri ia. Aks yu dɔktɔ bɔt aw fɔ fala yu ɛn tɛst dɛn we spɛshal fɔ yu kɔndishɔn.

Aw a kin kia fɔ misɛf?

If yu gɛt gastrointestinal neuroendocrine tumor, yu go mɔs nid ɔpreshɔn. Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz opin say dɛn we dɛn kin kɔt, we kin big pas di ɔpreshɔn we dɛn kin du wit laparoskopik. Dis min se yu go nid fɔ de na ɔspitul fɔ sɔm dez ɛn afta dat yu go wɛl na os fɔ sɔm wiks.

Ustɛm a fɔ go na di Imejɛnsi Rum?

Yu kin gɛt fɔ fala yu ɔltɛm fɔ si if yu kansa dɔn kam bak. Aks yu dɔktɔ we de du di ɔpreshɔn us sayn dɛn afta yu dɔn ɔpreshɔn kin bi sayn fɔ se yu gɛt siriɔs sik. If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm:

• Wantɛm wantɛm, i kin at fɔ blo bad bad wan.
• If di fiva pas 100.4 digri F (38.3 digri sɛlshiɔs).
• If de pen tranga, ɔr if yu nɔr kin ebul fɔ kɔntrol am wit yu pen kil.
• If grɛn, dɔti smel de kɔmɔt na di wund we dɛn du di ɔpreshɔn, mɔ if di say we de rawnd di wund fil wam we yu tɔch am, ɔ if i rili rɛd.
• If yu de vɔmit ɔltɛm ɔ yu gɛt dayarɛa.

di gεstrointestinal nyuroεndokrin tכmכro (GI NET) kin bi wan sik we de chenj in layf. Dat na bikɔs bɔrku pipul dɛm wae gɛt dis sik kin gɛt fɔ du ɔpreshɔn fɔ pul sɔm pat ɔr ɔl pan dɛn dijestiv sistɛm. Di ɔpreshɔn we yu de du kin chenj di we aw yu de it, drink, ɛn go na di bafa. Yu mɛdikal tim no se fɔ ajɔst to dɛn chenj ya nɔ kin izi ɔltɛm. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, tɛl yu dɔktɔ. Dɛn go ɔndastand di tin we de apin to yu ɛn ɛp yu fɔ fɛn we fɔ sɔlv di prɔblɛm.

Wetin na di impɔtant tin dɛn we wi fɔ kɛr go na os frɔm dis stori?

• `GI NET` na wan kayn kansa we nɔ kin bɔku , bɔt i impɔtant fɔ no bɔt am.
• Sɔm pipul dɛn kin gɛt dɛn tin ya we nɔr kin gɛt ɛni sayn , bɔt fɔ no bɔt sɔm kayn sik lɛk bɛlɛ pen, dayarɛa, ɛn fɔ lɛf fɔ gɛt bɔku bɔku bɔdi we yu nɔ bin want.
• Mek dɛn tin ya gro.Dɛn nɔ dɔn fɛn di rayt rizin yet, bɔt sɔm tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa kin ɛp am.
• difrεn tεst dεm de fכ no di sik dεm, lεk `CT scan`, `MRI`, `Endoscopy`, εn `Biopsy`.
• Di tritmɛnt dɛn we yu kin gɛt na ɔpreshɔn, kemotɛrapi, ɛn redyushɔn tɛrapi . Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu.
• If yu no di sik kwik kwik wan ɛn bigin fɔ trit yu, dat kin mek yu gɛt chans fɔ wɛl bad bad wan.
• If yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ . Dɛn de de fɔ ɛp yu.

` GI NET, Gastrointestinal Nyuroεndokrin Tכmכr, Kεnsar, Intestinal Kεnsar, Nyuroεndokrin Tכmכr, Dijestiv Sistem, Simptom dεm