Yu tink se yu mɔnt saykl nɔ de apin ɔltɛm? Ɔ yu jɔs de fil se yu bɛlɛ dɔn blo ɛn ebi ebi? Sɔntɛnde wi kin tink se dɛn tin ya na nɔmal tin, bɔt tide wi de tɔk bɔt wan rizin we kin mek wi wɔri smɔl. Dis na wan sik we dɛn kɔl Granulosa Cell Tumor (GCT). Nɔ fred we yu yɛri dis nem, i rili impɔtant fɔ no bɔt dis.
Fɔ tɔk am simpul wan, wetin na Granulosa Cell Tumor (GCT)?
Granulosa Cell Tumor (GCT) na wan kayn tכmכro we de divεlכp na di ovaria dεm fכ uman dεm. as yu no, di ovaria na wan rili imכtant pat pan wi uman riprodaktiv sistεm. apat frכm we dεn ovaria ya de mek eg, dεn de mek tu uman כmon dεm we dεn kכl εstrojen εn prכjεstεron.
di spɛshal tin we dɛn GCT tɔŋ ya gɛt na dat dɛn kin mek bɔku bɔku ɔmon we dɛn kɔl ɛstrojen . Dis na di rizin we mek difrɛn chenj ɛn sayn dɛn kin apin na di bɔdi. Pan ɔl we dɛn tumbu ya kin kam pan ɛni ej, dɛn kin si dɛn mɔ arawnd di ej we dɛn ol 50 ia.
GCT na wan sik we nɔ kin apin so ɔltɛm. i de mek כnli 5% pan כl di ovarian tכmכro dεm. Bɔt i impɔtant fɔ no bɔt am fɔ yu wɛlbɔdi.
Dɛn tumbu ya na bad bad tin?
Yes, Granulosa Cell Tumor na wan kayn tumor we kin fɔdɔm insay di malignant kategori. Bɔt di impɔtant tin we yu fɔ mɛmba ya na dat bɔku pan dɛn tumbu ya kin gro sloslo . Bikɔs ɔf dis, chans de fɔ no dɛn we dɛn bigin. If dɛn no dɛn kwik, di tin dɛn we kin kɔmɔt frɔm di tritmɛnt kin rili fayn bak. So nid nɔ de fɔ wɔri.
Difrɛns de bitwin di GCT dɛm we de divɛlɔp pan ol pipul dɛm ɛn yɔŋ pipul dɛm?
Yɛs, smɔl difrɛns de. Dis sik kin mɔs si pan uman dɛn we dɔn ol. 95% pan di sik pipul dɛm we dɛn no se na ol uman dɛm we dɔn divɛlɔp fayn fayn wan.
Bɔt if dis tumbu kam pan yɔŋ pɔsin we nɔ rich 30 ia yet, i kin bi wan kayn we we dɛn kɔl Juvenile GCT . Sɔntɛnde dis kayn Juvenile GCT kin gro smɔl fast pas di kayn we de divɛlɔp pan big pipul, ɛn i kin izi fɔ mek i kam bak smɔl sɔm ia afta dɛn dɔn trit am.
Wetin kin mek wan GCT fɔm?
di masta sabi pipul dεm stil nכ no εksεkεkt wetin de mek dis, bכt bכku tεm, dεn tכmכro dεm ya kin kכz bay wan mכtεshכn na wan jin we dεn kכl FOXL2., dat min se, dɛn kin si sɔm chenj dɛn. di men wok we dis jin de du na fכ εp fכ mek di granulosa sεl dεm gro fayn fayn wan. So we chenj de na dis jin, di sεl dεm kin gro abnכmal εn fכm tכmכro lεk dis.
Yu gɛt dɛn sik ya bak?
di men simptom fכ GCT na we di εstrojen lεvεl dεm na di bכdi de inkrεs. De sayn dɛm wae kin kam wit dis kin difrɛn difrɛn wan fɔ yu ej.
- Yɔŋ gyal pikin kin sho sayn dɛn we de sho se i dɔn yɔŋ.
- Na uman dɛn we dɔn ol , dɛn sik ya kin bɔku.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Blɔd we nɔ de kɔmɔt ɔltɛm | Blɔd we kin kɔmɔt bak pan uman dɛn we dɔn dɔn dɛn mɔnt saykl (afta dɛn dɔn menɔpauz) ɔ blɔd we nɔ kin kɔmɔt na di uterin pan yɔŋ uman dɛn. |
| Di bɛlɛ we de blo | di bכdi we de dכn big כ i de fil fכ swel na di bכdi we de dכn. |
| di chenj dεm we de apin na di mεnstral saykl | I nɔ de ɔltɛm ɔ i nɔ de stɔp fɔ gɛt mɔnt. |
| Brest de pen | Breast pen ɔ tenderness. |
| Di pen we de na di bɛlɛ we de dɔŋ | Dis kin apin nɔmɔ if di sist brok, we kin mek yu fil pen wantɛm wantɛm. |
Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?
If dɛn nɔ trit dis sik insay di tɛm, di risk fɔ gɛt ɔda wɛlbɔdi prɔblɛm kin go ɔp as di ɛstrojen lɛvɛl na di bɔdi de kɔntinyu fɔ bɔku.
| Sɔm prɔblɛm we kin apin | Fɔ tɔk am simpul wan... |
|---|---|
| Endometrial Hyperplasia we pɔsin kin gɛt | di insay wכl na di uterus tik we nכ nכmal. |
| Kansa we de na di uterin | di risk fכ divεlכp uterin kεnsar sεl dεm de bכku. |
| Brɔst Kansa | Di risk fɔ gɛt bɔdi kansa kin go ɔp smɔl bak. |
| Di we aw pɔsin nɔ ebul fɔ bɔn pikin | Impekt pan di ebul fɔ bɔn pikin. |
Aw dɔktɔ dɛn kin no bɔt dis sik?
We yu tɛl yu dɔktɔ bɔt di sayn dɛn we wi dɔn tɔk bɔt, i go chɛk yu ɛn ɔda fɔ du bɔku tɛst fɔ no if yu gɛt di sik.
- Imej: Dis kin involv CT skan , MRI skan , ɔ, mɔs kɔmɔn , transvaginal ultrasound , we na skan we dɛn kin du tru di vagina.
- Blɔd Tɛst: Dɛn tɛst ya kin chɛk fɔ sɔm tɔmɔ mak dɛn, lɛk Inhibin, we GCT dɛn kin mek. Dɛn kin chɛk bak fɔ ɔda kɔndishɔn dɛn.
Wetin na di tritmɛnt dɛn we yu kin gɛt?
Di fɔs ɛn men tritmɛnt fɔ GCT na ɔpreshɔn.Na ya, di dɔktɔ we de du di ɔpreshɔn kin tray fɔ pul bɔku pan di tumbu as i ebul ɛn nɔ pwɛl di wɛlbɔdi tisu.
If yu yɔŋ, yu nɔ plan fɔ bɔn pikin, ɔ yu dɔn pas we yu dɔn pas 40 ia, yu dɔktɔ kin tɛl yu fɔ pul di ɔforectomy , we min se dɛn fɔ pul di wan ol ovary we gɛt di tumbu. Sɔntɛnde, i kin nid fɔ pul di bɛlɛ bak.
Fɔ no di stej we di kansa gɛt (stej) .
Afta di ɔpreshɔn, dɛn kin disayd di "stej" fɔ si if di kansa dɔn skata.
- Stej 1: di tכmכro de kכnfyus na di ovaria dεm εn i nכ spre.
- Stej 2 to 4: Di kansa dɔn spre (metastasized) to ɔda pat dɛn na di bɔdi.
di gud nyus na dat, 9 pan 10 GCT pipul dεm dεn kin no se dεn gεt am na stej 1 , we di kansa de kכmכt na di ovaria dεm. If na so i bi, di ɔpreshɔn nɔmɔ go du fɔ dɛn.
Dipen pan di saiz fɔ di tumbu ɛn di risk fɔ mek i kam bak, dɛn kin advays ɔda tritmɛnt dɛn apat frɔm ɔpreshɔn.
- Kimotɛrapi
- Ɔmon tɛrapi
- Redyushɔn tɛrapi
Wetin kin apin afta dɛn dɔn trit am?
Afta dɛn dɔn pul di tumbu, yu go nid fɔ de ɔnda dɔktɔ fɔ lɔng tɛm, bikɔs sɔntɛnde dɛn tumbu ya kin kam bak ivin afta sɔm ia . So, yu dɔktɔ go chɛk yu ɔltɛm fɔ mek shɔ se di tumbu nɔ kam bak.
- Pɛlvik ɛgzam dɛn
- Blɔd tɛst fɔ no if pɔsin gɛt kansa mak
- Dɛn kin yuz tin dɛn lɛk skan fɔ dis.
I pɔsibul fɔ mek yu wɛl kpatakpata frɔm dis sik?
Yɛs, na fɔ tru. Granulosa Cell Tumor kin kכmplit, spεshal if dεn no am kwik εn כpεrayshכn pul am.
If dɛn no di kansa afta i dɔn skata to ɔda pat dɛn na di bɔdi, di chans fɔ mek i wɛl nɔ go bɔku. Na dat mek wi kin se if yu gɛt sayn dɛn fɔ GCT, go to dɔktɔ we yu nɔ go te .
Mɛsej we dɛn kin kɛr go na os
- Granulosa Cell Tumor (GCT) na wan tכmכro we nכ kin gεt sכmtεm, we kin gro sloslo we kin fכm na di ovaria.
- dis kin mek di כmon we dεn kכl εstrojen pasmak, we kin mek yu gεt sכmtεm dεm lεk we i nכ de bכn bכku bכku wan εn i de blo.
- If pɔsin we in mɔnt dɔn stɔp de blɔd bak, ɔ gɛt ɛni ɔda sayn we nɔ kɔmɔn, nɔ de te. Go to dɔktɔ wantɛm wantɛm.
- If dɛn no am na di fɔs tɛm, dɛn kin wɛl ɔltogɛda wit ɔpreshɔn.
- Fɔ mɛn di mɛrɛsin fɔ lɔng tɛm rili impɔtant, bikɔs dɛn tɔŋ ya kin kam bak ivin afta dɛn dɔn trit am.
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