Yu no bɔt Kidni Kansa? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva notis se yu de fil pen ɔltɛm na wan say na yu bɔdi, mɔ na di say we yu de gro, ɔ blɔd de na yu urine? Sɔmtɛm wi nɔ kin pe atɛnshɔn tumɔs pan dɛn tin ya, bɔt dɛn kin bi sayn fɔ se yu gɛt prɔblɛm wit yu kidni. Tide wi go tɔk bɔt wan sik we kin siriɔs smɔl, dat na kidni kansa. Nɔ panik, di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na Kidni Kansa?

Fɔ tɔk am simpul wan, kidni kansa na we di sɛl dɛn na yu kidni bigin fɔ gro we nɔmal ɛn we nɔ de kɔntrol. As tεm de go, dεn sεl dεm ya we nכ de divayd nכmal wan de jכyn togeda fכ mek wan tכmכro. Kansa kin bigin we dɛn sɛl ya chenj fɔ sɔm rizin ɛn bigin fɔ sheb we dɛn nɔ ebul fɔ kɔntrol.

Wan bad bad tumbu lɛk dis kin denja bikɔs i kin pas pas di kidni to di tisu dɛn we de nia am ɛn ɔda impɔtant ɔgan dɛn. Dis we aw kansa de skata to ɔda pat dɛn na di bɔdi, dɛn kɔl am mɛtastas.

Udat dɛn kin gɛt kansa na in kidni?

We i kam pan kidni kansa, i kin bɔku pan pipul dɛn we ol bitwin 65 ɛn 74. Dɛn dɔn si bak se man dɛn kin gɛt dis sik tu tɛm pas uman dɛn. Dɛn ripɔt bak se i kin bɔku pan sɔm etnik grup dɛn.

Bɔt, kansa na di kidni nɔ kin bɔku pan yɔŋ pikin dɛn. כltu, wan kayn kidni kεnsar de we dεn kכl `(Wilms tumor)` we kin apin pan pikin dεm. fכ egzampl, na Amɛrika nכmכ, lεk 500-600 pikin dεm de sכfa wit dis `(Wilms tumor)` evri ia.

Wetin na di men kayn kansa na yu kidni?

Difrɛn kayn kansa de na di kidni. Lɛ wi luk di men wan dɛn:

• Renal cell carcinoma (RCC): Dis na di kayn kansa we kin kam pan big pipul dɛn na di kidni. I de mek lɛk 85% pan ɔl di kidni kansa dɛn. RCC kin divεlכp lεk wan tכmכro na wan kidni, bכt sכmtεm i kin afekt di tu kidni dεm. dis kansa de stat na di sεl dεm we de layn di sכm sכm tכb dεm (tubules) na di kidni dεm we de gi bak nyutriεnt εn wata to di bכdi. di kayn RCC we kכmכn pas כl na klia sεl rεnal sεl kכrεkshכn (ccRCC).

• tεnshכnal sεl kεnsar: Dis kayn kεnsar de mek 6% to 7% pan כl di kidni kεnsar dεm. Dis kansa kin bigin usay yu ureter kin kɔnɛkt to di men pat pan yu kidni. dεn kכl dis εria di rεnal pεlvis. tεnshכnal sεl kansa kin divεlכp bak na yu ureter כ blad.

• Rɛnal sarkoma: .Dis na di kayn kansa we nɔ kin bɔku na di kidni. Na 1% nɔmɔ pan di kidni kansa dɛn i de mek. i de stat na di kכnektiv tisu na di kidni dεm. If dɛn nɔ trit am fayn, i kin go na di ɔgan ɛn bon dɛn we de nia am.

• Wilms tumor: Dis na di kayn kidni kansa we kin kכmכn pan yכŋ pikin dεm, we de mek lεk 5% pan di kidni kεnsar dεm.

Aw kɔmɔn kansa na di kidni?

Na sɔm kɔntri dɛm ɔlsay na di wɔl, lɛk Amɛrika, kidni kansa de mek lɛk 3.7% pan ɔl di kansa dɛm. Dis min se dɛn kin jɔs no se bɔku bɔku pipul dɛn gɛt dis sik ɛvri ia. Di risk fɔ gɛt kidni kansa kin go ɔp wit di ej.

Wetin na di sayn dɛm wae de sho se yu gɛt kansa na yu kidni?

Bɔrku tɛm, kidni kansa nɔr kin sho ɛni klia simptom na di fɔs stej. Bɔt as di tumbu de gro, di sayn dɛn kin bigin fɔ sho. Na dat mek bɔku tɛm dɛn kin no bɔt kansa na di kidni afta i dɔn skata smɔl.

Di sayn dɛm fɔ kidni kansa kin bi:

• Blɔd we de na di urine (hematuria): Di blɔd kin de wit yu yay, ɔ i kin jɔs bi smɔl drop pan blɔd we dɛn kin no we dɛn de tɛst di urine.
• Fɔ fil wan lump ɔ swel na di kidni eria (na di tu say dɛm na di wɛst).
• Flank pen: Dis kin mek yu fil pen ɔltɛm.
• Fɔ fil ɔltɛm fɔ taya pasmak .
• Fɔ fil jɔs lɛk aw i nɔ wɛl.
• I nɔ kin want fɔ it igen .
• We yu de lɔs yu wet we yu nɔ gɛt rizin .
• Fiva we nɔ de chenj we nɔ gɛt bɛtɛ gred.
• Bon pen ( if di kansa spred).
• Di ay blɔd prɛshɔn .
• Anemia (blɔd we nɔ de wok fayn).
• Di ay kalsiɔm lɛvɛl na di blɔd .

Jɔs tink bɔt, if yu dɔn de gɛt wan ɔ mɔ pan dɛn sik ya fɔ sɔm tɛm, aw i impɔtant fɔ go to dɔktɔ ɛn nɔ jɔs ignore am.

Wetin na di men tin dɛn we kin mek pɔsin gɛt kansa na in kidni?

Dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt kansa na in kidni. Bɔt dɛn dɔn no sɔm tin dɛn we kin mek pɔsin gɛt dis sik. Dɛn na:

• Smok: Pipul dɛn we de smok kin gɛt bɔku kansa na dɛn kidni. Dɔn bak, di mɔ pɔsin de smok fɔ lɔng tɛm, na di mɔ i go gɛt prɔblɛm.
• Fat: Di mɔ yu bɔdi fat, na di mɔ yu go gɛt kansa na yu kidni.
• Ay blɔd prɛshɔn (hay blɔd prɛshɔn): Dɛn dɔn si se pipul dɛn we gɛt ay blɔd prɛshɔn kin gɛt bɔku kansa bak na dɛn kidni.
• Famili istri: If pɔsin na yu famili dɔn gɛt kidni kansa, ɔda pipul dɛn kin gɛt am bak.
• Redyushɔn tɛrapi: If uman dɛn dɔn gɛt redyushɔn tɛrapi fɔ kansa dɛn na di riprodaktiv sistɛm, i kin smɔl fɔ mek dɛn gɛt kansa na dɛn kidni.
• di jin chenj / mכtεshכn: di jin dεm de tεl wi sεl dεm aw fכ wok. We sɔm jin dɛn chenj, dat kin mek pɔsin gɛt kansa na in kidni mɔ.
• Di tritmɛnt fɔ dayalaysis fɔ lɔng tɛm: Dayalaysis na we fɔ klin di blɔd wit spɛshal mashin we di kidni dɛn nɔ de wok fayn igen. Risk de bak fɔ di wan dɛn we de gɛt dis tritmɛnt fɔ lɔng tɛm.
• Tuberous sclerosis complex: Dis na wan sik wae de mek yu gɛt sik wae de mek yu fil fayn, yu nɔr de tink fayn, ɛn yu gɛt tumbu na difrɛn pat dɛm na di bɔdi. Dɛn pipul ya kin gɛt mɔ risk bak fɔ gɛt kansa na dɛn kidni.
• Von Hippel-Lindau disease (VHL): Dis na sik we dɛn kin gɛt frɔm dɛn mama ɛn papa. Pipul wae gɛt dis sik kin gɛt bɔrku risk fɔ gɛt kidni kansa. Dis sik kin mek tumbu dɛn we nɔto kansa fɔm na di blɔd vesel dɛn na ples dɛn lɛk di yay ɛn di bren.

Aw siriɔs kidni tumbu kin bi?

I kin difrɛn difrɛn wan bay di kayn tumbu. Sɔm kidni tɔŋ dɛn nɔ kin gɛt kansa (benign / nɔ kin gɛt kansa). Dɛn tin ya kin smɔl pas kansa tɔŋ ɛn dɛn nɔ kin skata to ɔda pat dɛn na di bɔdi. Di tritmɛnt we dɛn kin yuz mɔ fɔ dɛn tumbu ya we nɔ gɛt kansa na fɔ ɔpreshɔn fɔ pul dɛn.

Bɔt ilɛksɛf yu kidni tumbu gɛt kansa ɔ nɔ gɛt kansa, i bɛtɛ fɔ bigin tritmɛnt kwik kwik wan fɔ mek yu nɔ gɛt prɔblɛm dɛn.

Aw dɛn kin no se pɔsin gɛt kansa na in kidni?

If yu gɛt sayn dɛn fɔ kidni kansa, yu dɔktɔ go tek wan kɔmplit mɛdikal istri fɔs ɛn du yu bɔdi ɛgzam. Dɔn, dɛn go ɔda sɔm tɛst dɛn fɔ no if yu gɛt kansa ɛn if yu gɛt kansa, us stej i de.

• Urinalysis: Dɛn kin tek wan sɛmpul pan yu urine ɛn chɛk fɔ si if i gɛt blɔd. Dis tɛst kin no ivin smɔl smɔl blɔd we tu smɔl fɔ si wit yay.
• Blɔd tɛst: Dɛn tin ya kin kɔnt di difrɛn kayn sɛl dɛn we de na di blɔd, ɛn di difrɛn ilɛktrɔlayt dɛn we de na di bɔdi. Dɛn blɔd tɛst ya kin no bak se di rɛd blɔd sɛl dɛn nɔ de bɔku (anemia) ɔ di prɔblɛm dɛn we de na di kidni we de wok bay we dɛn de mɛzhɔ di kriaytinin lɛvɛl.
• CT scan: Dis na spɛshal ɛkstrem rayt tɛst. Dɛn kin yuz kɔmpyuta fɔ tek bɔku krɔs-sekshɔn pikchɔ (slays) dɛn we de insay di bɔdi. כltεm, dεn kin injεkt spεshal likwid (intravenous contrast / dye) insay wan vein we dεn de du dis tεst. Bɔt dɛn nɔ kin gi dis day to pipul dɛn we nɔ gɛt bɛtɛ kidni.
• MRI skan (Magnetic resonance imaging - MRI): Dis de yuz big magnet, redio wev, ɛn kɔmpyuta fɔ tek pikchɔ dɛn insay di bɔdi.
• Ultrasound scan: Dis tɛst de yuz ay-frikyuɛnsi sawnd wev fɔ mek pikchɔ dɛn we pɔsin kin si pan monita. dis kin fayn fכ fכn tכmכro dεm we difrεn pan dεnsiti pas di hεlty tisu.
• rεnal mas bayopsi: insay dis prosidכs, dεn de put wan tכn nidul tru di skin insay di εria we di tכmכro de εn dεn tek sכm sכm sεmpl fכ di tisu (wan `bayopsi`). Wan dɔktɔ we de stɔdi bɔt di sik kin luk di tisu ɔnda maykroskɔp fɔ si if ɛni kansa sɛl de. Bɔt dɛn `bayɔpsi` tɛst ya fɔ kidni kansa nɔ kin kɔrɛkt ɔltɛm 100%, so yu dɔktɔ kin kɔmɛnt ɔ nɔ kin tɛl yu fɔ du dis tɛst.

Wetin na di stej dɛm we pɔsin kin gɛt kansa na in kidni?

Bɔku pan di kansa dɛn kin sheb bay di stej. Dis kin gi diskripshɔn bɔt di kansa, we kin mek am izi fɔ plan fɔ trit am. Dɛn kin no di stej we kansa de bay:

• Di say we di tumbu de ɛn di sayz we i gɛt.
• di mak we di limf no dεm dכn afekt. (Limf no dεm lεk sכm sכm "filta" dεm we de trap jεm, kεnsar sεl dεm, εn stכr sεl dεm we de fכt infεkshכn.)
• Aw fa di kansa dɔn spre to ɔda tisu ɛn ɔgan dɛn.

Yu dɔktɔ kin yuz infɔmeshɔn frɔm tɛst lɛk CT, MRI, ɛn bayɔpsi fɔ no di stej we di kansa gɛt.

• Stej I: di tכmכro na 7 sεntimita (cm) כ sכmכl. Na insay di kidni nɔmɔ i de. I nɔ dɔn spre to di limf no dɛm ɔ ɔda tisu dɛm.
• Stej II: di tכmכro big pas 7 sεntimita, bכt i stil kכnfyus na di kidni. I nɔ dɔn spre to di limf no dɛm ɔ ɔda tisu dɛm.
• Stej III: di tכmכro dכn spre to di big bכdi vεsul dεm - di rεnal vein εn infεriכs vena cava - כ to di tisu dεm we de rawnd di kidni כ di limf no dεm we de nia.
• Stej IV: Di tumbu dɔn spre pas di kidni, to yu adrenal gland (wan smɔl gland we de ɔp di kidni), ɔ to di limf no dɛm we de fa ɔ ɔda ɔgan dɛm.

Apat frɔm dɛn stej ya, dɛn kin gred di tumbu dɛn bak . dis na raytin fכ aw di sεl dεm na di tכmכro abnכmal. Dis gredin de tɛl yu dɔktɔ bak aw di tumbu go gro kwik kwik wan. Dɛn kɔl di tumbu dɛn we nɔ tan lɛk nɔmal sɛl dɛn ɛn we gɛt sɛl dɛn we de sheb kwik kwik wan . Dɛn tin ya kin gro ɛn skata pas di tכmכro dεm we nכ gεt lכw grεd.

Aw dɛn kin trit kansa na di kidni?

Di tritmɛnt fɔ kidni kansa kin difrɛn difrɛn wan bay di stej ɛn gred we di tumbu gɛt, ɛn bak yu ej ɛn ɔl yu wɛlbɔdi. Di tritmɛnt we dɛn kin pik na ɔpreshɔn, pul di bɔdi, redyushɔn tɛrapi, targeted drug therapy, immunotherapy, ɛn sɔntɛnde kemotherapy.

Ɔpreshɔn

Ɔpreshɔn na di men tritmɛnt fɔ bɔku stej dɛm fɔ kidni kansa. Bɔku we dɛn de fɔ du ɔpreshɔn:

• Partial nephrectomy: Di dɔktɔ we de du ɔpreshɔn kin pul di pat pan yu kidni nɔmɔ we gɛt di tumbu.
• Radical nephrectomy: Di dɔktɔ we de du di ɔpreshɔn kin pul yu wan ol kidni ɛn sɔm pan di tisu dɛn we de rawnd am. Sɔm limf no dɛm na di eria kin kɔmɔt bak.

We dɛn pul wan kidni, di kidni we lɛf kin ebul fɔ du di wok we di tu kidni dɛn kin du. Yu nɔ tink se dat na wɔndaful tin?

Ablashɔn: Fɔ pwɛl di kansa sɛl dɛn wit ɔt ɔ kol

Sɔntɛnde, dɛn kin yuz ɔt ɛn kol fɔ pwɛl di kansa sɛl dɛn. Krayoablashɔn ɔ rediofrikyuɛnsi ablashɔn kin fayn fɔ pipul dɛn we nɔ fayn fɔ ɔpreshɔn.

• Cryoablation: Insay dis tritmɛnt, yu dɔktɔ kin put nidul tru yu skin insay di kidni tumor. Dɔn, dɛn kin yuz wan blast we gɛt kol kol briz fɔ friz di kansa sɛl dɛn.
• Radiofrequency ablation: Insay dis prosidur, di dɔktɔ kin put nidul tru di skin insay di kidni tumor. Dɔn, dɛn kin sɛn ilɛktrik kɔrɛnt tru di kansa sɛl dɛn fɔ pwɛl dɛn.

Rɛdieshɔn Tɛrapi

If yu gɛt wan kidni nɔmɔ, ɔ if yu nɔto gud pɔsin fɔ ɔpreshɔn, yu dɔktɔ kin tɛl yu fɔ gi yu raytin tritmɛnt. Bɔku tɛm dɛn kin yuz redyushɔn tɛrapi fɔ pul di sayn dɛn we de sho se pɔsin gɛt kansa na in kidni, lɛk pen.

Targeted Drug Tɛrapi

Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn we dɛn dɔn tayt kin wok bay we dɛn kin blok sɔm tin dɛn we kin ɛp di kansa sɛl dɛn fɔ gro. Fɔ ɛgzampul, dɛn mɛrɛsin ya kin stɔp fɔ mek nyu blɔd vesel ɔ prɔtin we de gi di kansa.

Bɔku tɛm dɛn kin yuz drɔg tritmɛnt we dɛn dɔn tɔk bɔt we dɛn nɔ ebul fɔ du ɔpreshɔn. Sɔntɛnde, dɛn kin gi dɛn mɛrɛsin ya bak afta dɛn dɔn du di ɔpreshɔn fɔ mek di kansa nɔ kam bak.

Imyunotɛrapi

Immunotherapy na tritmɛnt we de yuz sɔm mɛrɛsin fɔ mek yu yon imyun sistɛm wok. Dis kin mek yu bɔdi no ɛn pwɛl di kansa sɛl dɛn fayn fayn wan. Dɛn kin gi imyunotɛrapi as wan tritmɛnt ɔ dɛn kin gi am togɛda wit ɔpreshɔn.

Kimotɛrapi

Kemotɛrapi nɔto standad tritmɛnt fɔ kidni kansa. Bɔt, insay sɔm kes dɛm – ɔltɛm afta dɛn dɔn tray imyunotɛrapi ɛn targeted drɔg tɛrapi – i kin ɛp. Dɛn kin gi dɛn kemotɛrapi drɔgs as pils we dɛn kin tek wit mɔt ɔ we dɛn kin put insay dɛn bɛlɛ. Dɛn kin telɛ dɛn tin ya fayn fayn wan witout big big sayd ɛfɛkt.

Wetin yu kin ɛkspɛkt if yu gɛt kansa na yu kidni?

di prכgnosis fכ yu kidni kεnsar dipכnt pan di tכp εn stej fכ di kεnsar (i.e. if i kכnfyus na di kidni כ i dכn spre to כda pat dεm na di bכdi). Di chans fɔ mek yu wɛl dipen bak pan yu jenɛral wɛlbɔdi.

Yu tink se dɛn kin mɛn kansa na di kidni?

Lɛk bɔku pan di kansa dɛm, dɛn kin trit di kidni kansa mɔ if dɛn kech am kwik kwik wan. Kidni kansa kin wɛl if dɛn kech am kwik, bifo di kansa dɔn spre pas di ɔda layt na di kidni.

Yu tink se dɛn go ebul fɔ avɔyd kansa na di kidni?

Bikɔs wi nɔ no di rayt tin we kin mek pɔsin gɛt kansa na in kidni, no we nɔ de fɔ mek i nɔ gɛt am kpatakpata. Bɔt yu kin ridyus di prɔblɛm we yu gɛt if yu nɔ smok ɛn kɔntrol di tin dɛn lɛk ay blɔd prɛshɔn, dayabitis, ɛn fat.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt sayn dɛn fɔ gɛt kansa na yu kidni, lɛk we yu de fil pen na wan say na yu bɔdi, wan swɛlin we de fil lɛk se yu gɛt tumbu na yu kidni, ɔ blɔd na yu urine, go to dɔktɔ wantɛm wantɛm. Yu dɔktɔ kin rɔn tɛst fɔ no wetin mek yu gɛt di sik ɛn mek wan tritmɛnt plan we go fayn fɔ yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu lan bɔku tin bɔt aw yu kin no bɔt yu kidni kansa, dat go gi yu pawa ɛn ɛp yu fɔ disayd fɔ du gud tin bɔt yu tritmɛnt. Na sɔm kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ:

• Us kayn kidni kansa a gɛt?
• Usay di tumbu de?
• Na di kidni nɔmɔ di kansa de, ɔ i dɔn skata?
• Us stej a gɛt fɔ gɛt kansa na di kidni?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin na di prɔgnosis fɔ mi sik?

Na nɔmal tin fɔ mek yu fred, fil bad, ɛn fil bad we dɛn no se yu gɛt kansa na yu kidni. Lɛk bɔku kansa, kidni kansa kin wok fayn pasmak we dɛn no am kwik. Yu dɔktɔ kin tɔk to yu bɔt yu tritmɛnt ɛn gi yu ɔda tin dɛn fɔ ɛp yu fɔ ɔndastand di tin dɛn we yu go ebul fɔ du. If yu ebul, jɔyn wan lokal sɔpɔt grup ɔ aks fɔ ɛp frɔm kɔstɔma ɔ soshal woka. Dɛn tin ya kin ɛp yu fɔ gɛt wɛlbɔdi na yu maynd insay dis tɛm we nɔr izi.

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

So, wi bin tok plenti boht kidni kansa tide, no so? Nɔ fred, awareness na di big big trɛnk.

• Fɔs, pe atɛnshɔn to di sayn dɛn we de sho se yu gɛt dis sik. If yu gɛt sayn dɛn we nɔ de dɔn lɛk blɔd na yu urine, yu bak pen, yu nɔ de want fɔ it, ɔ yu nɔ de gɛt bɔku bɔku bɔdi, mek shɔ se yu go to dɔktɔ.
• Kidni kansa kin wɛl if dɛn no am kwik kwik wan. So nɔ fred fɔ mek dɛn tɛst yu.
• If yu nɔ smok, mek yu gɛt wɛlbɔdi, ɛn kɔntrol sik dɛn lɛk blɔd prɛshɔn ɛn dayabitis, dat kin ɛp fɔ mek yu nɔ gɛt kansa na yu kidni.
• If dɛn no se yu gɛt dis sik, di bɛst tin fɔ du na fɔ tɔk to yu dɔktɔ opin wan ɛn pik di tritmɛnt we go fayn fɔ yu.

Mɛmba se nɔto yu wangren de. If yu gɛt di rayt infɔmeshɔn ɛn sɔpɔt, yu go ebul fɔ bia wit dis prɔblɛm.

` kidni kansa, kidni kansa, kansa simptom, kidni sik, RCC, Wilms tumor, kansa tritmɛnt