Yu bin panik wantɛm wantɛm we yu si di wɔd "Liver Lesion" na yu skan ripɔt? Ɔ, di dɔktɔ se, "I tan lɛk se smɔl smɔl tin de na di liva" we dɛn de skan bɛlɛ fɔ ɔda rizin? I rili nɔmal fɔ mek ɛnibɔdi fil fred ɛn dawt we i yɛri sɔntin lɛk dis. Di kweshon "Na dis kansa?" kin kam na mi maynd. Bɔt bifo yu panik, lɛ wi ɔndastand dis klia wan ɛn simpul wan. Na bikɔs nɔto ɔl di lumps we kin mek na di liva kin denja.
Fɔ tɔk am simpul wan, wetin na dɛn liva lɛsin ya?
di liva lumps, כ as dכkta dεn kכl dεm, ``Liver Lesions,'' na abnכmal sεl dεm we de gro insay yu liva. Jɔs lɛk aw smɔl bɔmp ɔ tumbu kin kam pan wi skin, dɛn tin ya kin kam bak insay di liva. dεn kכl dεn tin ya bak ``mas'' כ ``tכmכr.''
Bɔrku tɛm, dɛn tin ya kin bi asymptomatic. Dɛn kin kam fɔ no am bay chans we yu de du tɛst fɔ difrɛn sik. Imajin, Anti Nalini bin go to dɔktɔ ɛn tink se i gɛt gas na in bɛlɛ. Di dɔktɔ du ɔltrasɔund skan ɛn i fɛn wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl I bin fred wantɛm wantɛm. Bɔt leta i kam fɔ no se nɔto kansa, bɔt na jɔs wan sist we ful-ɔp wit wata (liva sist).
Di impɔtant tin na dat, tu kayn tɔŋ ya de. Wan na di kayn we we nɔ gɛt kansa (benign) . Di ɔda wan na di kayn kansa (malignant) . I rili impɔtant fɔ no di rayt difrɛns bitwin dɛn tu.
di difrεns bitwin benign εn malign tכmכro
Lɛ wi luk dɛn tu kayn ya smɔl mɔ. A go put dis na tebul fɔ mek i izi fɔ yu ɔndastand.
| Tin | Lump dɛn we nɔ gɛt kansa (benign). | Di tumbu dɛn we gɛt bad bad sik |
|---|---|---|
| Nechɔ | Bɔku tɛm, dɛn tin ya nɔ kin denja. Dɛn nɔ kin skata to ɔda pat dɛn na di bɔdi. Bɔku tɛm, dɛn nɔ kin kɔz ɛni big prɔblɛm. | Dis na wetin wi kin kɔl "liva kansa." Dɛn tin ya kin gro ɛn skata to ɔda pat dɛn na di bɔdi. Dɛn tin ya na tin dɛn we rili siriɔs. |
| Men kayn dɛn |
| |
| Sayn dɛn | Bɔku tɛm, no sayn nɔ kin de . Bɔt sɔntɛnde if di lump rili big (sɔm ɛmanjiɔm kin big lɛk 30 sɛntimita!), yu kin fil pen na yu bɛlɛ ɛn yu nɔ kin fil fayn. | Di sayn dɛm kin bi: wan lump ɔnda di rayt rib kech, pen na di rayt say na di bɛlɛ, yu skin ɛn yay kin yɔlɔ (jaundice), yu nɔ kin gɛt bɔku bɔku wet, ɛn yu nɔ kin want fɔ it. |
Wi fɔ wɔri bɔt di lumps we nɔ gɛt kansa (benign)?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Di simpul ansa na, sɔntɛm nɔto so . Bɔrku pan di lumps wae nɔr gɛt kansa kin lɛf dɛn wan fɔ layf ɛn nɔr gɛt ɛni tritmɛnt. Yu dɔktɔ kin tɛl yu fɔ du skan wan tɛm insay di ia fɔ si if i de big. Bɔt nɔto ɔltɛm, yu dɔktɔ kin disayd fɔ pul wan lump bay ɔpreshɔn, na if i rili big ɛn de mek yu fil pen ɔ if i de pan denja fɔ brok.
Wetin kin mek dɛn lumps ya?
Dɛn nɔ dɔn no yet di rayt tin we kin mek pɔsin gɛt lumps we nɔ gɛt kansa, bɔt dɛn tink se sɔm tin dɛn kin ɛp fɔ du dat.
- Pils fɔ kɔntrol pikin ɔ ɔmon tɛrapi: Sɔm kayn ɔmon, mɔ di wan dɛn we gɛt ɛstrojen, kin ɛp fɔ mek sɔm kayn tumbu dɛn (lɛk di liva adenomas) gro.
- Liva sik:Di sik we de kam pan di liva fɔ lɔng tɛm kin mek yu gɛt skata (fibrosis) na di liva.
- Smok: Di prɛshɔn we pɔsin kin gɛt pan di liva we pɔsin de smok kin mek bak sɔm tɛm.
di malign tכmכro dεm kin apin we di nכmal liva sεl dεm chenj abnכmal εn bigin fכ sheb we dεn nכ kin kכntro. Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik, lɛk:
- Sirosis: Na sik we di liva kin at ɛn gɛt skata. Sirosis kin kam bikɔs ɔf tin dɛm lɛk fɔ drink pasmak ɛn fɔ gɛt fat liva.
- Kronik Epataytis B ɛn C: Dɛn vayral infɛkshɔn ya kin mek di liva pwɛl fɔ lɔng tɛm ɛn i kin mek pɔsin gɛt kansa.
Aw di dɔktɔ kin fɛn dɛn lumps ya?
If yu skan sho se yu gɛt wan lump, yu dɔktɔ go nid fɔ du sɔm ɔda tɛst dɛn fɔ no ustɛm i bi. Nɔ wɔri, dis na nɔmal prɔses.
1. Fɔ aks yu bɔt yu sik: De dɔktɔ go aks yu bɔt yu sik, if ɛnibɔdi na yu famili dɔn gɛt kansa, us mɛrɛsin yu de tek, ɛn if yu de yuz rɔm ɔ sigrɛt.
2. Fɔ chɛk yu bɔdi: Dɛn go palpat yu bɛlɛ fɔ chɛk fɔ si if yu liva dɔn swel ɔ if yu gɛt wan lump.
3. Imej tɛst: Dɛn tɛst ya kin ɛp fɔ si klia wan aw di lump tan, di sayz, ɛn shep.
- Abdominal ɔltra saund skan
- `CT skan`
- `MRI skan`
4. Blɔd tɛst: Dɛn kin du dɛn tɛst ya fɔ chɛk if di liva de wok ɛn fɔ chɛk if spɛshal prɔtin dɛn we dɛn kɔl tumor markers de na di blɔd.
5. Liva Bayopsi: Sɔntɛnde, if yu stil gɛt dawt bɔt di lump afta di tɛst dɛn we wi dɔn tɔk bɔt, di dɔktɔ kin tɛl yu fɔ du dis tɛst. Dis min se yu de yuz smɔl nidul fɔ tek wan rili smɔl tisu frɔm di liva lump ɛn chɛk am ɔnda maykroskɔp. Dis kin tɛl yu wit 100% shɔ if di lump na kansa ɔ nɔ gɛt kansa.
Wetin na di tritmɛnt dɛn?
Di we aw dɛn kin trit am dipen pan if di lump gɛt kansa ɔ nɔ gɛt kansa.
- Fɔ di lumps we nɔ gɛt kansa (benign):
- Bɔku tɛm, dɛn nɔ kin nid ɛni tritmɛnt. Di dɔktɔ go jɔs wach am.
- Na if di lump rili big ɛn de mek pɔsin fil pen ɔ ɔda tin we nɔ izi fɔ du, na in dɛn kin pul am wit ɔpreshɔn.
- Fɔ malign tumor dɛn:
- Bikɔs dis na kansa, bɔku tritmɛnt dɛn de we yu kin gɛt. Di dɔktɔ go disayd di tritmɛnt we fit pas ɔl bay di sik we di pɔsin gɛt ɛn di stej we di kansa gɛt.
- Ablashɔn tɛrapi: Fɔ pwɛl di kansa sɛl dɛn we yu de yuz ɔt ɔ kemikal.
- Kimotɛrapi: Fɔ gi mɛrɛsin fɔ kil di kansa sɛl dɛn.
- Hepatectomy (Liver resection): Dɛn kin du ɔpreshɔn fɔ pul di pat pan di liva we gɛt kansa.
- Liva transplant: Liva transplant.
Yu tink se dɛn lumps ya kin wɛl if yu tek mɛrɛsin fɔ di liva?
Dis na kwɛstyɔn we rili impɔtant. Di liva na wan pan di ɔgan dɛn we rili wɔndaful na wi bɔdi. I kin mek insɛf bak bay we i de mek nyu sɛl dɛn. Imajin, if dɛn du ɔpreshɔn fɔ pul wan pat pan di liva, di pat we lɛf kin gro bak to in nɔmal saiz. Di liva gɛt sɔm abiliti bak fɔ mek di damej we sɔm sik dɛn na di liva kin gɛt bak.
Bɔt, wan bad bad tumbu we de na di liva nɔ go ebul fɔ mɛn insɛf. I rili nid fɔ gɛt mɛrɛsin.
Ustɛm yu fɔ go to dɔktɔ?
Tumɔs we gɛt kansa ɛn we nɔ gɛt kansa kin mek yu bɛlɛ fil pen if dɛn gro big. So if yu gɛt bɛlɛ pen we de te fɔ pas sɔm dez , i go fayn fɔ mek yu go to dɔktɔ fɔ no wetin mek yu de fil pas fɔ lɛ yu nɔ pe atɛnshɔn to am.
Dɔn bak, mek shɔ se yu go to dɔktɔ if yu gɛt dɛn sik ya:
- Pen ɔ wan lump we dɛn kin fil ɔnda di rib dɛn na di rayt say na di bɛlɛ.
- Yu yay ɔ yu skin kin yɔlɔ (jaundice).
- We yu de lɔs yu wet we yu nɔ gɛt klia rizin.
- I nɔ kin want fɔ it igen ɛn i kin taya ɔltɛm.
Yu tink se dɛn kin ebul fɔ mek di liva tɔmɔs nɔ kam?
No shɔ we nɔ de fɔ mek dɛn nɔ gɛt tumbu dɛn we nɔ gɛt kansa. Bɔt bɔku tin dɛn de we wi kin du fɔ ridyus di risk fɔ gɛt kansa tumbu. Dat min se wi fɔ mek wi liva gɛt wɛlbɔdi.
- Nɔ gɛt vayral infɛkshɔn lɛk epataytis: Vaysin de fɔ epataytis B. I impɔtant bak fɔ avɔyd fɔ du mami ɛn dadi biznɛs we nɔ gɛt protɛkshɔn ɛn fɔ sheb nidul.
- Stay away frɔm tin dɛm wae de put strɛs pan di liva: Fɔ drink pasmak na wan big ɛnimi fɔ di liva. Smok kin ambɔg di liva wɛlbɔdi bak.
- Mek yu gɛt gud it: It fayn it. It mɔ vɛjitebul, frut, ɛn tin dɛn we nɔ gɛt bɛtɛ bɔdi (fish, chukchuk). Ridyus it dɛn we gɛt bɔku ɔyl ɛn shuga.
- Mek yu gɛt wɛl bɔdi wet: If yu kɔntrol yu bɔdi wet, dat kin ɛp fɔ mek yu nɔ gɛt fat liva sik.
Na nɔmal tin fɔ fred we yu kam fɔ no pan skan se yu gɛt wan lump na yu liva. Bɔt mɛmba se dɛn go nid fɔ du mɔ tɛst fɔ no if na kansa ɔ nɔto kansa. Yu dɔktɔ go ɛksplen wetin na di tɛst ɛn wetin mek dɛn de du dɛn. Nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu. I go ɛksplen ɔltin to yu.
Mɛsej we dɛn kin kɛr go na os
- di liva lεsin na di abnכmal sεl dεm we de gro na di liva. Bɔku pan dɛn tin ya nɔ kin fayn ɛn dɛn nɔ kin denja.
- Bɔku tɛm, di lumps we nɔ gɛt kansa nɔ kin gɛt ɛni sayn ɛn dɛn nɔ kin nid tritmɛnt.
- Malignant tumor na kansa na di liva. Dɛn tin ya rili nid fɔ gɛt mɛrɛsin.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen ɔltɛm na yu bɛlɛ, janda, ɛn we yu de lɔs yu wet, go to dɔktɔ we yu nɔ go te.
- Nɔ panik jɔs bikɔs yu si wan lump pan skan. Dɛn nid fɔ du mɔ tɛst fɔ no di rayt we aw i tan. Tɔk opin wan wit yu dɔktɔ.
- If yu nɔ drink rɔm ɛn smok, it fayn it, ɛn mek yu bɔdi gɛt wɛlbɔdi, dat kin mek yu nɔ gɛt kansa na yu liva.
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