At-Home Colon Cancer Tests - Lɛ wi no bɔt dis

Na nɔmal tin fɔ fil smɔl nervɔs ɛn nɔr kɔmfyut we dɛn tɛl yu fɔ du kɔlonoskɔpi. Bɔku pipul dɛn kin avɔyd am bikɔs i nid fɔ pripia bɔku tɛm ɛn i nid fɔ tek wan de fɔ lɛf fɔ wok. Bɔt yu no se tɛst dɛn de we yu kin du na os fɔ no di kɔlorektal kansa kwik kwik wan? Pan ɔl we dɛn tin ya dɔn de fɔ sɔm tɛm, i nɔ tu te yet we bɔku pipul dɛn lɛk dɛn. Lɛ wi tɔk bɔt dis tide.

Wetin na dɛn kɔlon kansa tɛst ya we dɛn kin du na os?

Fɔ tɔk am simpul wan, dɛn tin ya na tɛst dɛn we de yuz wan sɛmpul na yu stɔl (poop sample) fɔ luk fɔ sayn dɛn fɔ kansa ɔ fɔ gro bifo kansa (polyps). Di gold standad fɔ no di kɔlon kansa na di kɔlon skɔpi. Bɔt fɔ du dat, yu nid fɔ go to dɔktɔ, yu fɔ gi am anestezi, ɛn yu fɔ klin yu big big bɔdi fayn fayn wan.

Dɛn tɛst ya kin izi ɛn kwik fɔ du na os. Dɛn na gud ɔda tin bak fɔ di wan dɛn we nɔ want fɔ gɛt ``(Colonoscopy)`` ɔ we gɛt prɔblɛm fɔ fɛn di tɛm fɔ am. Dɛn sef ɛn dɛn kin wok fayn, bɔt dɛn tu we ya gɛt dɛn gud ɛn bad tin dɛn. I impɔtant fɔ no dɛn tin ya bifo yu pik di we we go fayn fɔ yu.

Us kayn tɛst dɛn ya?

Tri men kayn tɛst dɛn de we dɛn kin du na os. Ɔl tri tin ya gɛt fɔ du wit fɔ gɛda wan stɔl sɛmpul, bɔt dɛn difrɛn pan aw dɛn de wok ɛn aw ɔltɛm dɛn nid fɔ du dɛn.

Udat dis tɛst bɛtɛ fɔ?

Akɔdin to di mɛdikal gaydlain, pipul dɛm wae gɛt avrej risk fɔ gɛt kɔlon kansa fɔ bigin fɔ screen frɔm di ej 45 te dɛn ol at le 75 ia.

Test na os kin bi fayn tin fɔ du if yu gɛt dɛn tin ya:

• If i nɔ izi fɔ tek tɛm fɔ lɛf wok fɔ rɛdi fɔ ɛn du kɔlonɔskɔpi.
• If yu gɛt fred fɔ mek yu fil fayn.
• If yu gɛt ɔda mɛdikal kɔndishɔn wae de put yu pan ay risk fɔ gɛt kɔmplikeshɔn frɔm anestezi.

Udat de pan risk we pas di avɛrej?

Bɔt if yu gɛt ay risk fɔ gɛt kansa na yu kɔlon, di stori difrɛn smɔl. Dɛn kayn pipul ya kin nid fɔ chɛk dɛn we dɛn yɔŋ ɛn dɛn kin nid fɔ chɛk dɛn bɔku tɛm. εn bכku tεm dεn kin rεkomεnd fכ du ``kolonoskopi`` biכs i de alaw di dכkta fכ luk dairekt insay di kכlon εn pul εni polip we kin bi kεnsar.

Dɛn kin tek yu se yu de pan ay risk if:

• If pɔsin na yu famili dɔn gɛt kansa na yu kɔlon, sɔm kayn polyp, ɔr jenɛtik kɔndishɔn we de mek yu gɛt kansa mɔ.
• If yu bin dɔn gɛt kɔlon kansa ɔ polyp we kin bi kansa bifo.
• If yu gɛt ɔda sik dɛn na di kɔlon ɔ rɛktum, fɔ ɛgzampul, kɔndishɔn dɛn lɛk `(Ulcerative Colitis)` ɔ `(Crohn’s disease)`.

Aw dis tɛst we dɛn kin du na os kin wok?

Ɛni wan pan dɛn tɛst ya nid fɔ gɛda wan stɔl sɛmpul, pak am insay bag, ɛn sɛn am na lab ɔ dɔktɔ in ɔfis. Yu kin gɛt dis tɛst kit wit prɛskrishɔn frɔm dɔktɔ.

Wetin mek dɛn tɛst ya kin luk fɔ blɔd na di stɔl?

Imajin se yu gɛt big big pɔlip ɔ kansa we de gro na yu kɔlon. Di blɔd vesel dɛn we de insay dɛn rili fayn. As di stɔl de pas insay dɛn, dɛn fayn fayn blɔd vesel ya kin pwɛl, ɛn dɛn kin ad smɔl smɔl blɔd we tu smɔl fɔ si wit nekɛd yay to di stɔl. Dɛn tɛst dɛn ya kin luk fɔ da blɔd de we ayd.

Aw di Cologuard tɛst de wok?

Di Cologuard test difrɛn smɔl frɔm di ɔda wan dɛn bikɔs i nid fɔ sɛn wan kɔmplit stɔl sɛmpul. Yu kin kɛr dis kit go na yu os if yu dɔktɔ tɛl yu fɔ du dat. Yuz di ikwipmɛnt we de insay di kit, yu kin gɛda di stɔl sɛmpul, ad wata pan am, sial am, ɛn sɛn am na di lab.

Insay di lab, di tɛknishian dɛn, apat frɔm we dɛn de chɛk di stɔl fɔ si if blɔd de, dɛn kin chɛk bak fɔ si if di DNA dɔn chenj we kin kɔmɔt na di kansa sɛl dɛn.

Aw dɛn tɛst ya we dɛn kin du na os kin wok fayn?

Kolonoskopi kin no lɛk 99% pan di kansa dɛm. Dis pasɛnt kin smɔl smɔl wit tɛst we dɛn kin du na os. Bɔt bikɔs dɛn kin du dɛn mɔ ɛn mɔ, chans de fɔ mek dɛn no sɔntin we dɛn bin dɔn mis leta.

• Cologuard: I de no lɛk 9 pan 10 kansa dɛn.
• FIT test: I de no lɛk 8 pan 10 kansa dɛn.
• gFOBT: I de no lɛk 7 pan 10 kansa dɛm.

Bɔt ɔda tin de ya. Dat na "fals positiv." Dat min se, di tɛst sho se yu de pan denja pan ɔl we yu nɔ rili gɛt kansa. Di Cologuard tɛst kin gi dɛn lay lay pɔsitiv rizɔlt ya pas di FIT tɛst.

Fɔ dɔn, no strɔng pruf nɔ de fɔ se ɛni wan pan dɛn we ya bɛtɛ pas di ɔda we dɛn we i kam pan fɔ sev pipul dɛn layf. Dɔktɔ dɛn se di bɛst tɛst na di wan we yu kin du yusɛf. Fɔ sɔm pipul dɛm, fɔ du kɔlon skɔpi ɛvri 10 ia kin izi pas fɔ du tɛst na os ɛvri ia. Fɔ ɔda pipul dɛn, fɔ du kɔlon skɔpi na tin we dɛn nɔ kin tink bɔt. Fɔ dɛn pipul dɛn de, tɛst we dɛn kin du na os kin wok mɔ.

Wetin yu kin du afta di rizulyt kam in?

Ilɛk us tɛst yu gɛt, di rizɔlt go de insay tu wiks. Afta dat , i impɔtant fɔ tɔk to yu dɔktɔ bɔt am.

• Pozitiv/Abnכmal: if di rizulεt na ‘positiv’, i min se dεn fכnshכn bכdi כ di DNA we dεn chenj na di stכl. Nɔ panik. As nεks step, yu go nid fכ du `Colonoscopy` fכ no di εksakεt kכz.
• Negativ/Nɔmal: If di rizɔlt na ‘negativ’, i min se dɛn nɔ bin fɛn ɛni risk factor. Yu kin ritest akɔdin to yu nɔmal tɛst schedule (insay wan ia fɔ `FIT`, insay 3 ia fɔ `Cologuard`).

Bɔt ivin if dɛn dɔn tɛst yu, if yu gɛt dɛn sayn ya, go to dɔktɔ wantɛm wantɛm:

• chenj na di bכdi abit dεm (e.g. dayariya, kכnstipeshכn).
• Blɔd insay ɔ wit di stɔl.
• Bɛlɛ de pen ɔltɛm ɔ kramp.
• We yu de lɔs yu wet fɔ natin.