Yu dɔn ɛva yɛri bɔt ‘smɔl mɔsul’? Dɛn tin ya nɔ tan lɛk di mɔsul dɛn na wi an ɛn leg we wi de kɔntrol wit ɔl wi at. Dɛn na spɛshal kayn mɔsul we de wok fɔ insɛf na di ɔgan dɛn we de insay wi bɔdi, lɛk wi intestinal, blɔd vesel, ɛn uterus. Imajin, wan kansa we nɔ kin bɔku ɛn we kin prɛd kwik kwik wan kin gɛt na dis kayn ples. Dɛn kɔl da kansa de Leiomyosarcoma, ɔ LMS. Pan ɔl we dis nem kɔmplikt smɔl, fɔ ɔndastand am jɔs kin rili impɔtant to yu ɛn di wan dɛn we yu lɛk.
Wetin rili na leiomyosarcoma (LMS)?
Fɔ tɔk am simpul wan, leiomyosarcoma (LMS) na wan kayn kansa we nɔ kin apin so ɔltɛm, we kin bigin na di smol mɔsul dɛn na wi bɔdi. Dɛn smɔl smɔl mɔsul dɛn ya de na bɔku say dɛn na wi bɔdi. Fɔ ɛgzampul:
- Blada we de na di bɔdi
- Blɔd vesel dɛn
- Big ɛn smɔl intestinal
- Bɛlɛ
- Uterus we de na di bɛlɛ
Dis kansa we dɛn kɔl LMS de pan wan big grup we gɛt kansa we dɛn kɔl sɔft tisu sarkoma . Wan pan denja tin bɔt dis kansa na dat dɛn kansa sɛl ya kin gro kwik kwik wan. Sɔntɛnde, di tumbu kin dubl in saiz insay lɛk wan mɔnt. Dɔn bak, dɛn kansa sɛl ya kin travul tru di blɔd ɛn spre to ɛni sɔft tisu na di bɔdi.
Sɔm pipul dɛn nɔ kin gɛt ɛni sayn we dɛn kin bigin. Bay di tɛm we di sayn dɛn de sho, di sik kin dɔn rili bad. So, i kin mek pɔsin in layf de pan denja. Bɔt if dɛn no am kwik ɛn trit am fayn , chans de fɔ mek i wɛl ɔltogɛda.
Na nɔmal tin fɔ fil bad ɛn shɔk we dɛn no se yu gɛt kansa. Mɛmba se nɔto yu wangren de. Yu mɛdikal tim de fɔ yu. Dɛn kin gi yu ɛni infɔmeshɔn ɔ sɔpɔt we yu nid.
Wetin na di men kayn LMS kansa?
Dɛn kin sheb LMS kansa to tri men kayn, bay usay i de divɛlɔp.
| Di kayn kansa we yu gɛt | Ɔrijin ɛn diskripshɔn |
|---|---|
| Somatik sɔft tisu LMS | Dis na di kayn LMS we dɛn kin yuz mɔ. i de divεlכp na di kכnektiv tisu na di bכdi. di uterin leiomyosarcoma we de divεlכp na di uterus na gud egzampl fכ dis. |
| LMS we de na di skin ɔ we de ɔnda di bɔdi | dis kayn we de apin na sכm sכm mכsul dεm we dεn kכl piloerector mכsul dεm na di skin εn yay. dis mכsul dεm de mek di pupil na wi yay dilayshכn εn big. |
| LMS we gɛt wan vaskul ɔrijin | Dis na di kayn LMS we nɔ bɔku. di kansa de divεlכp na wan big blכd vesel, lεk di pulmonary arteries εn inferior vena cava, we de go na di lכng dεm. |
Wetin na di sayn dɛm fɔ dis kansa?
Di sayn dɛm fɔ LMS kansa kin difrɛn bad bad wan dipen pan di saiz fɔ di tumbu ɛn usay i de. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn fɔs. Bɔt as di tumbu de gro, sɔm sayn dɛn kin bigin fɔ sho.
| Tayp we gɛt kwaliti dɛn | Tin dɛn fɔ si |
|---|---|
| Di kɔmɔn sayn dɛm | |
| Wan lump we dɛn kɔl lump | Wan lump we nɔ gɛt pen, we strɔng ɔ we de swel. |
| Ɔda tin dɛn we de apin | Blɔt, fiva, nɔs ɛn vɔmit, pen, taya pasmak, we yu de lɔs fɔ wet fɔ no rizin. |
| If na kansa na di dijestiv sistɛm (intestines, bɛlɛ)... | |
| Bɛlɛ de pen | Bɛlɛ kin at ɔltɛm. |
| Di chenj dɛn we de apin na di stɔl | Di stɔl kin blak bikɔs blɔd de pas tru dɛn. |
| Ɔda tin dɛn we de apin | I nɔ kin want fɔ it igen, i kin nɔs, ɛn i kin vɔmit. |
| If na uterin kansa... | |
| Blɔd we nɔ de kɔmɔt fayn | Blɔd we nɔ de kɔmɔt na di bɔdi bitwin di tɛm we yu de gɛt di bɛlɛ ɔ afta yu dɔn lɛf fɔ gɛt bɛlɛ. |
| Ɔda tin dɛn we de apin | Frεkuεnt nid fכ pis, unusual vagina discharge. |
Wetin na di rizin fɔ di divɛlɔpmɛnt fɔ LMS?
Dɔktɔ dɛn nɔ dɔn fɛn di rayt tin we mek dis apin yet. Bɔt dɛn biliv se tu men tin dɛn kin ɛp fɔ du sɔntin. Wan pan dɛn na di chenj dɛn we pɔsin kin gɛt frɔm in jɛnɛtiks. Di ɔda wan na dat, we pɔsin de liv in layf, di chenj dɛn we pɔsin kin chenj na in yon jin kin mek di nɔmal sɛl dɛn gro we i nɔ ebul fɔ kɔntrol ɛn bi kansa sɛl.
Risach pipul dɛm dɔn si se wan link bitwin LMS kansa ɛn sɔm jenɛtik kɔndishɔn dɛm. Sɔm pan dɛn tin ya na:
- Gardner sindrom we gɛt di sik
- Di sik we dɛn kɔl Gorlin syndrome
- Retinoblastoma we dɛn kin gɛt frɔm dɛn mama ɛn papa
- Li-Fraumeni sindrom we gɛt di sik
- Nyurofibromatosis tayp 1 (NF1) .
- Tuberous sclerosis we gɛt di sik
Aw fɔ no bɔt dis sik?
If yu gɛt ɛni sik, yu dɔktɔ go fɔs chɛk yu bɔdi ɛn aks yu bɔt yu sik. Dɔn, dɛn go ɔda sɔm spɛshal imej tɛst dɛn fɔ no di rayt sayz ɛn di say we di kansa de.
- Angiography - fכ egzamin di bכdi vεsul dεm
- CT skan (Kɔmpyut tomografi - CT skan) .
- MRI skan (Magnɛtik rɛsɔnans imej - MRI) .
- PET skan we dɛn kin du
Bɔt fɔ kɔnfɔm dis sik 100%, i rili nid fɔ tek bayɔpsi .
Bayopsi min se dɛn kin tek wan rili smɔl tisu frɔm di kansa tɔŋ ɛn sɛn am na lɛbɔtri fɔ mek dɛn chɛk am ɔnda maykroskɔp. Wan dɔktɔ we de mɛn di sik kin chɛk di tisu fɔ no if na LMS kansa ɔ nɔto so.
Wetin na di tritmɛnt dɛm fɔ LMS?
Di tritmɛnt dipen pan di sayz, di kayn, usay di kansa de, ɛn if i dɔn skata. Bɔku men tritmɛnt dɛn de we yu kin gɛt.
- Ɔpreshɔn: Ɛnitɛm we i pɔsibul, di men tritmɛnt fɔ LMS na ɔpreshɔn fɔ pul di tumbu kpatakpata. Di gol na fɔ mek di kansa nɔ kam bak.
- Kimotɛrapi: If di tumbu big, ɔ if di kansa sɛl dɛn dɔn skata to ɔda pat dɛn na di bɔdi, di dɔktɔ kin tɛl yu fɔ tek kimotɛrapi.
- Radieshɔn tɛrapi: Sɔntɛnde dɛn kin gi redyushɔn tɛrapi bifo dɛn du di ɔpreshɔn fɔ mek di tɔŋ smɔl (neoadjuvant therapy). Dɛn kin yuz am bak afta dɛn dɔn ɔpreshɔn fɔ kil ɛni kansa sɛl we lɛf (adjuvant therapy).
- Targeted therapy: Dis na nyu tritmɛnt we dɛn kin yuz. I de yuz drɔgs we de tɔch ɛn pwɛl di kansa sɛl dɛn nɔmɔ. Dɛn kin gi dis tritmɛnt in wan ɔ dɛn kin gi am wit ɔda tritmɛnt dɛn.
Wetin na di lukin-grɔn fɔ dis sik?
Di prɔgnosis fɔ LMS kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. I kin mɔs bi di stej, di sayz, ɛn usay di kansa de. Di tin we impɔtant pas ɔl na dat, if dɛn no di sik ɛn trit am kwik, i kin wɛl ɔl.
Bɔt if dɛn no di sik let, dat na, we i dɔn go bifo lɛk Stej 4, di tritmɛnt kin kɔmplikt smɔl. If na so i bi, pan ɔl we dɛn nɔ go ebul fɔ mɛn di sik ɔltogɛda, tritmɛnt kin kɔntrol am ɛn mek di pɔsin in layf lɔng.
Di rεt wae de liv na jכs stεdi wae dεn bays pan data frכm pipul dεm wae bin gεt dis sik trade. So, nɔ disayd fɔ yu tumara bambay ɔ wɔri bɔt am bay dɛn nɔmba dɛn de. De bɛst pɔrsin fɔ no ustɛm yu sik na de dɔktɔ wae de trit yu. Tɔk to am bɔt dis opin wan.
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
We yu kam fɔ no se yu gɛt LMS kansa, na nɔmal tin fɔ gɛt bɔku kwɛstyɔn na yu maynd. E fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya ɛn ɔndastand yu sik klia wan.
- Usay mi kansa de na mi bɔdi?
- Yu tink se di kansa dɔn skata to ɔda say dɛn?
- Us stej mi kansa de insay?
- Us tritmɛnt opshɔn dɛn a gɛt?
- Wetin na di bad tin dɛn ɛn di bad tin dɛn we kin apin to dɛn tritmɛnt dɛn de?
- Wetin na di chans fɔ mek kansa kam bak afta dɛn dɔn trit am?
- Wetin yu go tɛl mi bɔt di tumara bambay we a sik?
Wae yu gɛt wan sik wae nɔr kin bɔrku lɛk dis, na nɔrmal tin fɔ fil yu wan. If yu kin, jɔyn sɔpɔt grup fɔ pipul dɛm wae gɛt dis sik. I kin bi big tin we go mek pɔsin gɛt trɛnk na in maynd. Mɛmba se yu mɛdikal tim de ɛp yu ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Leiomyosarcoma (LMS) na wan kayn kansa we nɔ kin bɔku, we kin gro fast ɛn we kin kam na di smol mɔsul.
- Di sayn dɛm kin dipen pan usay di kansa de. Sɔmtɛm, nɔr kin gɛt ɛni sayn atɔl na di fɔs stej.
- If yu gɛt sɔm sayn dɛn lɛk we yu bɔdi nɔ kɔmɔn, yu de fil pen we yu nɔ ebul fɔ ɛksplen, ɔ yu de lɔs yu wet, go to dɔktɔ wantɛm wantɛm.
- Dis sik kin wɛl ɔl if dɛn no am kwik ɛn trit am fayn.
- E fayn fɔ tɔk to yu dɔktɔ opin wan ɛn ɔnɛs wan bɔt yu sik, tritmɛnt, ɛn tumara bambay. Nɔto yu wan de.
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