Dɔktɔ dɔn ɛva tɛl yu se yu gɛt smɔl tumbu na yu kidni? Ɔ dɛn dɔn ɛva tɛl yu se yu gɛt prɔblɛm wit yu kidni bikɔs ɔf sɔntin we difrɛn na yu bɔdi, ɔ we dɛn de du `skan` tɛst fɔ ɔda tin? Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri we yu yɛri sɔntin lɛk dis. Bɔt nɔ wɔri. Tide wi go tɔk bɔt dɛn kidni tumor ya, ɔ as dɔktɔ dɛn kin kɔl dɛn `(Kidney Tumors)` ɔ `(Renal Tumors)`, insay wan simpul we.
Wetin rili na kidni tumor?
Fɔ tɔk am simpul wan, kidni tumbu na wan grup we nɔ de wok fayn, ɔ wetin wi kɔl wan smɔl smɔl sɛl dɛn, we kin mek pan yu kidni ɔ insay yu kidni. Sɔmtɛm dɛn tin ya kin bi
kansa (benign) , ɔr
kin bi kansa (malignant) , we min se dɛn kin bi kansa.
Aw siriɔs dis na? Na sɔntin we wi fɔ wɔri bɔt?
Di kayn we aw dis kin rili bad kin dipen pan di kayn tumbu we de. Mɛmba se sɔm kidni tumbu dɛn nɔ kin gɛt kansa. Dɛn kin
smɔl pas di tumbu dɛn we gɛt kansa (we nɔ kin rich 4 sɛntimita, ɔ lɛk 1.6 inch, lɛk di sayz lɛk walnut). Dɛn tumbu ya we nɔ gɛt kansa nɔ kin skata to ɔda pat dɛn na di bɔdi. Bɔt
di big big kidni tumbu (dɛn wan we big pas 4 sɛntimita) kin gɛt kansa. Bɔku tɛm dɛn kin gro kwik kwik wan ɛn dɛn kin go na ɔda pat dɛn na di bɔdi.
Di tin we impɔtant pas ɔl na dat ilɛksɛf yu kidni tumbu gɛt kansa ɔ nɔ gɛt kansa, i bɛtɛ fɔ go to dɔktɔ kwik kwik wan . Di kwik we dɛn no am, na di mɔ i izi fɔ trit.
Aw i go izi fɔ mek di kidni tumbu dɛn gɛt kansa?
Fɔ sho se
na lɛk 75% pan di kidni tumbu dɛn gɛt kansa . Bɔt bɔku tɛm, smɔl smɔl tumbu dɛn nɔ kin biev lɛk aw dɛn kin biev.
Aw fast dɛn nɛt ya kin gro?
Stɔdi dɛn dɔn sho se di kidni tɔmɔs kin gro pan avɛj rit
we na lɛk 0.3 sɛntimita ɛvri ia . Dat min se dɛn kin gro smɔl smɔl.
Udat dɛn kin gɛt dɛn tin ya mɔ?
Ɛnibɔdi kin gɛt wan sik na in kidni. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm. Fɔ ɛgzampul:
- Fɔ di wan dɛn we dɔn pas 65 ia.
- Fɔ man dɛn .
- Fɔ di wan dɛn we gɛt sɔm kayn jɛnɛtik prɛdispɔzishɔn (bɔku tɛm dis kin gɛt fɔ du wit famili histri fɔ di sik).
Aw kɔmɔn ston na di kidni?
Kansa kidni tumor na wan kayn kansa wae kin kam na sɔm kɔntri dɛm. I impɔtant fɔ no bɔt dis kɔndishɔn na Sri Lanka bak. Na dat mek i fayn fɔ mek wi no bɔt dis.
Wetin na di sayn dɛm we de sho se pɔsin gɛt kidni tumbu?
Fɔs, bɔrku pipul
nɔr kin gɛt pen ɔr ɔda sayn.I nɔ de si am. Bɔku tɛm, dɔktɔ kin fɛn dis kidni tumbu bay aksidɛnt we i de tɛst fɔ ɔda sik. Bɔt sɔntɛnde, sɔm kayn sayn dɛn kin sho. Dɛn tin ya na:
Wetin na di tin dɛn we kin mek pɔsin gɛt kidni tumbu?
Dɔktɔ ɛn risach pipul dɛn stil
nɔ no di rayt tin we kin mek pɔsin gɛt ston na in kidni. Bɔt dɛn dɔn si se sɔm tin dɛn kin mek pɔsin gɛt mɔ ston na in kidni. Dɛn tin ya na:
- Yuz tin dɛn we dɛn kin mek wit tabak ( sigrɛt , beedis, ɛn ɔda tin dɛn).
- Fɔ drink pas di nɔmal rɔm insay wan wik.
- If pɔsin fat, dat min se di bɔdi wet kin bɔku pas di wan we dɛn kin se.
- If pɔsin na di famili gɛt ay blɔd prɛshɔn .
- If pɔsin na di famili dɔn gɛt kidni tumbu ɔ kansa .
- Fɔ di wan dɛn we kin kam nia kemikal dɛn we gɛt klorin bɔku tɛm .
If na kansa, aw i kin pas to ɔda pat dɛn na di bɔdi?
Benign kidni tumor dεm nכ de spre to כda pat dεm na di bכdi. Dɛn kin de usay dɛn de. Bɔt di bad bad kidni tɔmɔs kin skata to di fat tisu we de rawnd di kidni, di blɔd vesel dɛn, ɔ di adrenal gland we de ɔp di kidni. afta dat dεn kin travul
tru di bכdi כ di limf sistεm go כda pat dεm na di bכdi εn fכm nyu tכmכro dεm. Dɔktɔ dɛn kɔl dis prɔses
mɛtastas .
Aw yu go no if yu gɛt kidni tumor ɔ yu nɔ gɛt?
Bikɔs bɔku tɛm, di kidni tumbu nɔ kin mek pɔsin gɛt di sik, bɔku tɛm dɔktɔ dɛn kin fɛn am we dɛn de tɛst dɛn fɔ ɔda sik dɛn. If yu gɛt sɔm sayn dɛn, yu dɔktɔ go du wan gud ɛgzam fɔs. Dɛn go aks yu bak if yu ɔ ɛnibɔdi na yu famili dɔn gɛt kidni tumbu ɔ kansa bifo. Apat frɔm dat, dɛn kin du sɔm tɛst dɛn fɔ ɛp fɔ no if yu gɛt kansa na yu kidni. Dɛn tin ya na:
- Difrεn `skan` tεst dεm: Dis na tεst dεm we nכ de mek yu fil pen εn we nכ de invayd we kin gi yu gud luk pan yu kidni dεm. Fɔ ɛgzampul, `CT. Skan (CT - kɔmpyuta tomografi skan), `MRI. skan (MRI - magnεtik rεsכnans imej) skan` εn `ultrasound skan` kin bi.
- Urinalysis: Dɛn kin tek urine sample frɔm yu ɛn sɛn am na laboratory fɔ chɛk fɔ smɔl smɔl blɔd we tu smɔl fɔ si wit yu yay.
- Blɔd tɛst: Dɛn kin tek smɔl pan yu blɔd wit nidul ɛn chɛk am na lɛbɔtri. Dɛn kin kɔnt di difrɛn kayn sɛl dɛn na di blɔd, dɛn kin chɛk di lɛvɛl dɛn we difrɛn ilɛktrɔlayt dɛn de na di bɔdi, ɛn dɛn kin chɛk di lɛvɛl we di kriaytinin (we na wan tin we kin kɔmɔt frɔm di mɔsul dɛn wok) fɔ si if yu kidni dɛn de wok fayn fayn wan.
- Renal mass biopsy: Dɔktɔ kin yuz wan tin nidul fɔ pul smɔl smɔl pan di kidni mas . Dɔn dɛn kin chɛk am ɔnda maykroskɔp na lɛbɔtri fɔ si if ɛni kansa sɛl de. Bɔt dis bayɔpsi nɔ kin kɔrɛkt ɔltɛm 100%, so dɔktɔ dɛn nɔ kin se dɛn fɔ du am.
Wɛl, den wetin na di tritmɛnt dɛn fɔ dis?
Di tritmɛnt fɔ kidni tumbu de dipen pan di saiz fɔ di tumbu, if i gɛt kansa, ɛn if i dɔn spre to ɔda pat dɛn na di bɔdi. Bɔku tritmɛnt dɛn de we yu kin pik:
1. Aktiv sɔvɛlayshɔn
Fɔ rili smɔl kidni tumbu dɛn we nɔ dɔn spre to ɔda pat dɛn na di bɔdi, yu dɔktɔ kin tɛl yu wetin dɛn kɔl
aktif sɔvɛlayshɔn . Dis min se yu nɔ de trit di tumbu, bɔt yu de kip yu yay pan am wit skan ɔltɛm. Dɛn kin jɔs bigin di tritmɛnt if di tɛst rizɔlt chenj. Dɛn kin du dis ɛvri tri mɔnt, ɛvri siks mɔnt, ɔ wan tɛm insay di ia.
2. Ɔpreshɔn
Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul wan pat pan yu kidni ɔ ɔl di kidni. Bɔku kayn ɔpreshɔn dɛn de:
- Patɛl nɛfrektomi: Di dɔktɔ we de du ɔpreshɔn kin pul di pat pan di kidni nɔmɔ we gɛt di tɔŋ, ɛn lɛf di pat we gɛt wɛlbɔdi. Dɛn kin du dis fɔ smɔl smɔl tumbu dɛn we nɔ dɔn skata.
- Fɔ pul di wan ol kidni (Radical nephrectomy):Di dɔktɔ we de du di ɔpreshɔn go pul yu wan ol kidni ɛn sɔm pan di tisu dɛn we de rawnd am. Dɛn kin pul di limf no dɛm bak we de rawnd di kidni. Dɛn kin du dis fɔ big big tɔŋ dɛn we de nia di men blɔd vesel dɛn.
3. Ablashɔn tɛrapi
Fɔ smɔl kidni tumbu, yu dɔktɔ kin tɛl yu fɔ tek
ablashɔn tɛrapi , we kin yuz pasmak ɔt ɔ kol pasmak fɔ pwɛl di tumbu sɛl dɛn.
- Cryoablation: Dɔktɔ kin put nidul tru di skin insay di tumor ɛn afta dat i kin yuz kol kol briz fɔ friz ɛn pwɛl di tumor sɛl dɛn.
- Radiofrequency ablation: insay dis prosidur, dεn de put nidul insay di tכmכro εn dεn pas wan ilektrikal kכrant tru am fכ hεt εn pwεl di tכmכro sεl dεm.
4. Rɛdieshɔn tɛrapi
If na wan kidni nɔmɔ yu gɛt, ɔ if i nɔ pɔsibul fɔ du ɔpreshɔn, yu dɔktɔ kin tɛl yu fɔ yuz
redyushɔn tɛrapi . Dis de yuz raytin fɔ pwɛl di kidni tumbu sɛl dɛn.
5. Targeted drɔg tɛrapi
Dɛn kin yuz dis tritmɛnt we dɛn nɔ ebul fɔ du ɔpreshɔn. Ɔ dɛn kin yuz am fɔ mek di kansa nɔ kam bak afta dɛn dɔn du di ɔpreshɔn. Dɛn drɔgs ya kin ɛp fɔ stɔp di growth ɛn spred fɔ di kidni tumor sɛl dɛn.
6. Immunotɛrapi
Dis min se yu fɔ gi yu bɔdi in yon
imyun sistɛm drɔgs we de ɛp am fɔ no ɛn pwɛl di kidni tumbu sɛl dɛn.
Ɛnitin de we wi kin du fɔ mek di kidni tumbu nɔ fɔm?
Bɔku kidni tumbu dɛn kin kam fɔ no rizin. Bɔt if yu fala dɛn advays ya, dat go ɛp fɔ mek yu nɔ gɛt bɔku kidni tumbu:
- Stɔp fɔ smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok.
- Limit di rɔm we yu de drink.
- Ɛksesaiz ɔltɛm.
- Mek yu gɛt wɛlbɔdi bɔdi wet we fit yu.
Wetin kin apin if a gɛt kidni tumbu? Wetin a fɔ ɛkspɛkt?
Yu plan fɔ wɛl ɛn tritmɛnt go dipen pan di saiz fɔ yu kidni tumbu, if i gɛt kansa, ɛn if i dɔn spre to ɔda pat dɛn na yu bɔdi. Dis go dipen bak pan yu ej ɛn jenɛral wɛlbɔdi.
Yu tink se dɛn kin mɛn di kidni ston dɛn ɔltogɛda?
Kidni tumor kin wɛl if dɛn no am kwik ɛn trit am fayn.
Wan benign kidni tumor nɔ kin ɔltɛm de mek pɔsin in layf de pan denja. Ivin wan bad bad kidni tumor na, if dɛn fɛn am bifo i dɔn spre pas di ɔda kɔva na di kidni, chans de fɔ trit am ɛn wɛl pasmak.
Ustɛm a fɔ go to dɔktɔ?
Yu gɛt sayn dɛn we de sho se yu gɛt kidni tumbu, lɛk
blɔd na yu urine, pen na yu groin ɔ yu bak, ɔ yu de lɔs yu wet we yu nɔ ɛksplen.If yu notis ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm. Yu dɔktɔ kin du tɛst fɔ si if na kidni tumbu de mek yu gɛt dɛn sik ya.
Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?
We yu kam fɔ no se yu gɛt kidni tumbu, nɔ fɔgɛt fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:
- Usay mi kidni tumor de?
- Dis na kansa ɔ nɔto so?
- Aw big mi kidni tumor big?
- Dis dɔn skata to ɔda pat dɛn na mi bɔdi?
- Di dɔktɔ tink se dis go skata mɔ?
- Us tritmɛnt dɛn yu kin advays?
- Dis tumbu kin kam bak afta dɛn dɔn trit am?
- Wetin a fɔ du if di tritmɛnt nɔ wok fayn?
- Yu kin rɛkɔmɛnd wan gud Urologist ɔ Oncologist?
- Aw mi kidni dɛn de wok afta dɛn dɔn trit mi?
Fɔ dɔn, mɛmba dis...
Na nɔmal tin fɔ mek yu fred ɛn wɔri we yu kam fɔ no se yu gɛt kidni tumbu, mɔ if na kansa. Bikɔs bɔku tɛm, di kidni tumbu nɔ kin mek yu gɛt di sik, yu nɔ kin ivin no se yu gɛt wan. Bɔt
di tin we impɔtant pas ɔl na fɔ kech di sik kwik kwik wan. Dis kin mek di tritmɛnt wok fayn. Yu dɔktɔ kin ɛksplen ɔl di tritmɛnt dɛn we yu kin gɛt, ɛn i kin tɛl yu bak usay fɔ gɛt ɛp. I kin ansa ɛni kwɛstyɔn bak we yu gɛt ɛn ɛp yu fɔ gɛt gud maynd we yu de tink bɔt tritmɛnt.
So nɔ wɔri bɔt ɛnitin ɛn tɔk to yu dɔktɔ.
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