I nɔ kin izi fɔ tɔk bɔt di fred ɛn wɔri we kin kam na wi maynd we wi kam fɔ no se wi gɛt kansa. Dis tɛm ya, di filin kin wɔs pasmak if wi yɛri se di kansa dɔn go ɔda pat dɛn na wi bɔdi, mɔ na di bren. Bɔt nɔ fred, nɔ panik. Tide wi de tok bɔt kansa we de skata to di bren, we dɛn kɔl di mɛrɛsin dɛn as `(Brain Metastases)`. Wi go tɔk insay wan rili simpul we, insay wan we we yu go ɔndastand, bɔt wetin na dis sik, wetin mek i kin apin, ɛn us advans tritmɛnt dɛn de naw.
Wetin na di bren mɛtastas?
Fɔ tɔk am simpul wan, dis na we kansa kin bigin ɔdasay na yu bɔdi (lɛk yu lɔng, brɔst, ɔ skin) ɛn i kin go na yu bren. Di ples usay di kansa bigin fɔs na in dɛn kɔl di praymari kansa . We sɔm kansa sɛl dɛn brok frɔm dis praymari kansa, dɛn kin travul tru di blɔd vesel dɛn go na di bren, usay dɛn kin mek nyu tumbu ɔ tumbu.
Tink bɔt am lɛk gras sid we de na wan pat na di gadin, we di briz de blo, ɛn we de gro na ɔda pat na di gadin. Na di sem tin kin apin na ya. di kansa sel dεm we bin de na wan pat na di bכdi, de travul go na di bren εn bigin fכ gro de.
Aw dis sik kin kɔmɔn?
Infakt, di kayn bren tכmכro we dεn kin si pan big pipul dεm na wan mεtastas bren tכmכro. Dis min se kansa we de spre to di bren frɔm ɔda say kin bɔku pas kansa we kin bigin na di bren insɛf (primary brain cancer). Risach dɔn sho se bitwin 10% ɛn 30% pan di pipul dɛm wae gɛt kansa ɔdasay na dɛn bɔdi kin gɛt risk fɔ gɛt kansa na dɛn bren sɔm tɛm na dɛn layf.
Dis risk kin bɔku afta dɛn dɔn ol 45. Bɔrku pipul dɛn kin gɛt dis sik afta dɛn dɔn ol 65 ia.
di imכtant tin na dat mכst tכmכro dεm we de stat na di bren nכ de kεnsar (benign). bכt di tכmכro dεm we de spre frכm כdasay, we dεn kכl ``mεtastas,'' na kεnsar (malignant) כltεm.
Wetin na di sayn dɛm wae de sho se yu gɛt kansa na yu bren?
Di sayn dɛm fɔ bren kansa kin difrɛn difrɛn wan bay usay di tumbu de na di bren ɛn aw i kin afɛkt da eria de. Lɛ wi luk di men sayn dɛm wae wi kin si.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Ed de at | Yu kin gɛt wan kayn ed we nɔ kɔmɔn, we kin at bad bad wan. Sɔntɛnde dis ed pen kin kam wit nɔys ɛn vɔmit. |
| Di sik dɛn we kin mek pɔsin sik | Wan sik kin kam wantɛm wantɛm, lɛk aw i nɔ ɛva bi bifo na yu layf. |
| di pawa we yu de lכs na wan say na di bכdi (Hemiparesis) . | Wan an ɔ leg, ɔ ɔl tu di an ɛn leg dɛn we de na di sem say na di bɔdi, kin fil lɛk se i nɔ gɛt bɛtɛ trɛnk ɔ i kin wik. |
| I nɔ izi fɔ tink | I nɔ kin ebul fɔ mɛmba tin fɔ shɔt tɛm, i kin chenj di we aw i de fil wantɛm wantɛm, ɛn i nɔ kin ebul fɔ disayd fɔ du di rayt tin. |
| I nɔ izi fɔ tɔk | I kin at fɔ mek wɔd dɛn, ɛn i kin at fɔ ɔndastand wetin ɔda pipul dɛn de tɔk. |
| Di we aw pɔsin nɔ de si fayn | I kin tan lɛk se yu nɔ de si fayn na wan say na yu yay. |
As di kansa de go bifo, nyu sayn dɛn kin apin lɛk we i nɔ de yɛri fayn, i nɔ kin izi fɔ swɛla, ɛn i kin si tu tɛm. Di sayn we dɛn kin si mɔ na di las stej na we pɔsin kin slip ɔltɛm .
Sɔntɛnde, dɛn bren tumbu ya kin mek pɔsin gɛt strok. Bɔt di sayn dɛn we pɔsin kin gɛt we i gɛt strok kin apin wantɛm wantɛm. Bɔt bɔku pan di sayn dɛm fɔ dɛn kansa tumbu ya kin bigin smɔl smɔl ɛn smɔl smɔl kin bɔku as tɛm de go .
Wetin mek kansa kin skata na di bren lɛk dis?
Dis na bikɔs sɔm sɛl dɛn we kɔmɔt na wan kansa tɔŋ we de ɔdasay na di bɔdi kin brok, go insay di blɔd, ɛn travul go na di bren wit di blɔd. Risach stil de go bifo fɔ no wetin mek na sɔm kayn kansa nɔmɔ kin skata dis we.
Dɛn kayn kansa ya kin pas bɔku tɛm na di bren:
- Lɔng kansa: Na lɛk af pan di pipul dɛn we gɛt lɔng kansa gɛt di kansa we de skata to dɛn bren. dis kin kכmכn spεshal wan wit di tכp we dεn kכl ``sכm sεl lכng kεnsar.''
- Brest kansa: Na lɛk 10% to 15% pan di pipul dɛm we gɛt mɛtastas brɔst kansa go gɛt bren kansa. dis kכndyushכn kin kכmכn mכr pan HER2+ εn tripl-nεgεtiv brεst kεnsar.
- Melanoma: Dis na siriɔs kayn kansa na yu skin. Na lɛk af pan pipul dɛm wae gɛt melanoma kin gɛt dis kansa wae kin pas na dɛn bren.
Apat frɔm dat, sɔntɛnde, kidni kansa, kɔlon kansa, ɛn tayroyd kansa kin pas na di bren.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
If yu dɔn gɛt kansa ɛn yu de gɛt di sayn dɛm we wi dɔn tɔk bɔt, yu dɔktɔ go tɛst yu fɔ am. Sɔntɛnde, ivin if yu nɔ gɛt ɛni sayn, yu dɔktɔ kin chɛk yu fɔ di kayn kansa we de pan denja fɔ spre to yu bren.
Di men tɛst dɛn we dɛn kin du fɔ dis na:
| Tɛst | Wetin de apin? |
|---|---|
| Nyurolɔjik ɛgzam | Di dɔktɔ go chɛk yu balans, aw yu de wok togɛda, aw yu de tink, aw yu de yɛri, aw yu de si, ɛn aw yu de tink. Dɛn chenj ya kin mek pɔsin no usay di tumbu de na di bren. |
| Blɔd tɛst dɛn | Sɔm kayn kansa kin pul spɛshal tin dɛn (tumor markers) insay di blɔd. Dɛn kin no dɛn tin ya bay we dɛn de du blɔd tɛst. |
| MRI skan we dɛn kin du | Dis kin tek pikchɔ dɛn we rili klia bɔt di bren. Na mɔtalman MRI dɛn we de yuz wan kayn day we dɛn kɔl kɔntrast kin sho di say dɛn we kansa de rili klia wan. |
| Bayopsi we dɛn kin du | If ɔda tɛst dɛn nɔ gɛt inof infɔmeshɔn, dɛn kin tek wan smɔl tisu frɔm di tumbu ɛn chɛk am ɔnda maykroskɔp. Bɔku tɛm dɛn kin du dis we dɛn de du ɔpreshɔn fɔ pul di tumbu. |
Wetin na di tritmɛnt fɔ kansa we dɔn skata na di bren?
Di men gol fɔ tritmɛnt ya na fɔ stɔp ɔ kɔntrol di growth fɔ di bren tumor ɛn ridyus yu simptom dɛm. Dɛn kin sheb di we aw dɛn kin trit am to tri men kategori.
1. Mɛrɛsin fɔ kɔntrol di sayn dɛm
Fɔs, yu dɔktɔ go bigin fɔ tek mɛrɛsin fɔ kɔntrol yu sik dɛn lɛk ed we de at. Fɔ ɛgzampul, dɛn kin gi yu kɔtikosterɔyd fɔ ridyus di swɛlin na yu bren (ɛdima) ɛn kɔntrol ed we de at. Dɛn kin gi yu antikonvulsant fɔ kɔntrol di sik we yu de fil.
2. Redyushɔn tɛrapi ɛn ɔpreshɔn
Dis na di men we dɛn we dɛn kin yuz fɔ pul ɔ pwɛl nɛt.
- Stereotactic Radiosurgery / Gamma Knife® radiosurgery: Dis na wan we we rili advans fɔ yuz redyushɔn tɛrapi. Lɛk snaypa, wan pawaful bim we gɛt raytin de aim prɛsishɔn pan di tumbu , we de avɔyd fɔ pwɛl ɔda pat dɛn na di bren. Bɔku tɛm, dɛn kin dɔn dis tritmɛnt insay wan de.
- Whole Brain Radiation Therapy: If yu gɛt bɔku bɔku tumbu dɛn na yu bren, ɔ if di kansa dɔn spre to di mɛmbran dɛn we de kɔba yu bren (leptomeningeal disease), dɛn kin gi yu ɔl bren redyushɔn tɛrapi. Dɛn kin du dis insay lɛk 10-15 sɛshɔn dɛn fɔ tu to tri wik.
- Bren ɔpreshɔn: Sɔntɛnde, dɔktɔ dɛn kin disayd fɔ du ɔpreshɔn fɔ pul di tumbu ɔ di tumbu dɛn.
3. Spɛshal mɛrɛsin fɔ kansa
Apat frɔm ɔpreshɔn ɔ redyushɔn tɛrapi, dɛn kin tɛl yu fɔ yuz dɛn mɛrɛsin ya bak dipen pan di kayn kansa we yu gɛt fɔs.
- Kimotɛrapi: Bɔku pan di kemotɛrapi mɛrɛsin dɛn nɔ kin ebul fɔ go insay di bren bikɔs wan tin we dɛn kɔl blɔd-brɛyn barɛri de protɛkt wi bren. Bɔt if di kansa dɔn skata to di wata we de rawnd di bren, dɛn kin put kemotɛrapi dairekt insay da wata de.
- Targeted therapy: Dɛn mɛrɛsin ya de wok bay we dɛn de ambɔg sɔm patikyula tin dɛn we di kansa sɛl dɛn de yuz fɔ sheb ɛn gro. Dɛn dɔn si se dis we fɔ du tin kin wok fayn fɔ sɔm kayn kansa na di lɔng ɛn bɔdi we dɔn skata na di bren.
- Immunotherapy: Dɛn mɛrɛsin ya de ɛp yu bɔdi in yon imyun sistɛm fɔ fɛn ɛn pwɛl di kansa sɛl dɛn. Dɛn kin yuz dis tritmɛnt fɔ sɔm kayn lɔng kansa ɛn mɛlanoma we dɔn skata to di bren.
Wetin yu go ɛkspɛkt we tin tan lɛk dis?
We kansa de skata na di bren, bɔku pipul dɛn kin tink se ɔltin dɔn dɔn. Bɔt nɔto so i bi. Sɔntɛnde, dɛn kin wɛl di sik kpatakpata . Pan ɔl we dɛn nɔ go ebul fɔ mɛn am ɔl, di advans tritmɛnt dɛn we de naw kin ɛp yu fɔ liv lɔng ɛn gɛt bɛtɛ kwaliti layf .
Trade, dɛn bin de tink se di avɛrej tɛm we pɔsin kin liv fɔ dis kayn kansa nɔ kin rich siks mɔnt. Bɔt wit nyu tritmɛnt, bɔku pipul dɛn naw de liv lɔng pasmak ɛn dɛn dɔn kɔntrol dɛn sik dɛn fayn fayn wan. Infakt, bɔku pipul dɛn we gɛt kansa we dɔn skata na dɛn bren nɔ kin day bikɔs ɔf di bren tumbu insɛf.
Mɛmba se na yu dɔktɔ nɔmɔ we de trit yu go ebul fɔ gi yu di kɔrɛkt infɔmeshɔn bɔt yu sik ɛn di bɛst prɔgnosis. Yu sik go dipen pan bɔku tin dɛm, lɛk di kayn praymar kansa wae yu gɛt, ɔmɔs bren tumbu yu gɛt, ɛn aw yu de du tritmɛnt.
Ustɛm a fɔ go to di dɔktɔ? Us tɛm a fɔ go na di ETU?
If yu gɛt ɛni nyu sayn ɔ if wan sik we yu dɔn gɛt dɔn wɔs , ilɛksɛf i gɛt fɔ du wit yu kansa we dɔn de ɔ wan tumbu we dɔn skata na yu bren, tɛl yu dɔktɔ wantɛm wantɛm. I impɔtant fɔ mek yu dɔktɔ no bɔt dɛn chenj ya.
Sɔm tɛm dɛn de bak we yu nid fɔ go na di Imejɛnsi Dipatmɛnt (ETU). Bren tumor de pan big risk fɔ gɛt nyurolɔjik prɔblɛm dɛn we kin kam wantɛm wantɛm lɛk we pɔsin kin gɛt sik ɛn we i kin lɔs in an ɛn fut dɛn. Dɔn bak, if yu gɛt sɔm sayn dɛn we de sho se yu gɛt strok wantɛm wantɛm, yu fɔ go na di ETU wantɛm wantɛm. Dɛn sayn ya na:
- I nɔ kin balans wantɛm wantɛm we i de waka
- Di chenj dɛn we de apin na di we aw pɔsin de si tin
- Stori twist
- Wiknɛs na wan say na di bɔdi
Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?
We yu de liv wit kansa, na nɔmal tin fɔ gɛt bɔku kwɛstyɔn na yu maynd we yu kam fɔ no se i dɔn spre to yu bren. Nɔ fred ɔ shem fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya. Dɛn go ɛp yu fɔ ɔndastand wetin de apin.
- Aw dis bren kansa go afɛkt mi layf?
- Us tritmɛnt yu kin kɔmɛnt fɔ mi?
- Wetin na di bad tin dɛn we dɛn tritmɛnt dɛn de kin du?
- If kansa dɔn skata na mi bren, dat min se i kin skata to ɔda pat dɛn na mi bɔdi?
- Ɛni ɔda ɔganayzeshɔn ɔ savis dɛn de we a kin gɛt ɛp frɔm? (e.g. palliativ kia)
- Wetin yu go se bɔt tumara bambay bay di tin we de apin to mi?
We yu no se kansa dɔn skata na di bren, i kin tan lɛk se yu fɔdɔm na dak tanɛl. Bɔt mɛmba se nɔto yu wangren de. Yu gɛt mɛdikal tim ɛn di wan dɛn we yu lɛk fɔ sɔpɔt yu. Nɔ fred fɔ tɔk to yu dɔktɔ dɛn. Aks opin wan bɔt wetin fɔ ɛkspɛkt frɔm tritmɛnt ɛn di sayd ɛfɛkt dɛm. Dɔn yu kin disayd fɔ du di bɛst tin fɔ yusɛf.
Mɛsej we dɛn kin kɛr go na os
- `Bren mεtastas` na di spred fכ kεnsar to di bren we bigin כdasay na di bכdi (lεk di lכng, brεst).
- If yu gɛt sɔm sayn dɛn lɛk fɔ gɛt bad bad ed we nɔ kɔmɔn, we yu wik na wan say na yu bɔdi, yu nɔ kin ebul fɔ tɔk, ɔ yu kin gɛt sik, tɛl yu dɔktɔ wantɛm wantɛm.
- Naw bɔku tritmɛnt dɛn de we rili woke, we gɛt advans (lɛk redyushɔn tɛrapi, targeted therapy) fɔ kɔntrol dis sik ɛn mek yu kwaliti layf bɛtɛ.
- Tɔk to yu dɔktɔ opin wan ɛn ɔnɛs wan bɔt di tritmɛnt dɛn we yu go gɛt, di bad tin dɛn we dɛn kin du, ɛn wetin fɔ ɛkspɛkt. Nɔ fred fɔ aks kwɛstyɔn.
- Nɔto yu wan de pan dis fɛt. Gɛt sɔpɔt frɔm yu mɛdikal tim, famili, ɛn padi dɛn.
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