Ɛnibɔdi we dɛn no se gɛt kansa kin fil bad ɛn shɔk. Bɔt i nɔ kin izi fɔ no se di kansa dɔn go ɔda pat dɛn na di bɔdi we dɛn de du tritmɛnt. Tide wi go tɔk bɔt dis kayn tin. Dat min se we kansa we de na ɔda pat na di bɔdi go skata to di spayna. Insay mɛrɛsin, wi kin kɔl dis `Spinal Metastasis`.
Fɔ tɔk am simpul wan, wetin na spɛshal mɛtastasis?
Imajin se sɔmbɔdi gɛt bɔdi kansa, lɔng kansa, ɔ ɛni ɔda kansa. Sɔntɛnde, sɔm sɛl dɛn frɔm da kansa de kin brok, travul tru wi blɔd, ɛn rich na di spɛshal kɔd (di pat we wi kin kɔl di spayna) ɛn bigin fɔ gro de. na dat wi kin kכl `Spinal Metastasis` כ sεkכnd kεnsar na di spayna.
Di impɔtant tin na dat dis nɔto nyu kansa we dɔn kam na di spayna. wetin kin apin insay dis kes na dat di sεl dεm frכm di כrijinal kεnsar (fכ egzampl, brεst kεnsar) dεn dכn spre bak to di spayna. So, we dɛn de trit, di tritmɛnt gɛt fɔ du wit da ɔrijinal kansa de.
Dis kɔndishɔn na fayn kɔmɔn kɔmplikeshɔn pan di wan dɛn we gɛt kansa. כltεm, dεn kεnsar sεl dεm ya kin spre to di vεrbra dεm na di midul pat pan di spayna (thoracic spine) εn di lכw pat pan di spayna (lumbar spine). Sɔntɛnde, di kansa kin ivin spre to di spɛshal kɔd dis we.
Aw yu kin no di sayn dɛm fɔ dis?
di simptom dεm fכ kεnsar we de spre to di spayna kin difrεn dipכnt pan usay di kansa de (i.e., na di spayna כ spεnal kכd). Lɛ wi tek tɛm luk pan de men sayn dɛm wae yu kin gɛt.
| Di sayn we de sho se di sik de | Aw i kin fil ɛn wetin mek? |
|---|---|
| Bak ɔ nɛk de pen | Dis na di sayn wae kin kam pan pɔrsin. Kansa kin pwɛl di bon dɛn na di spayna. Dis kin mek yu fil pen we nɔ gɛt wan bɔt ɔ yu kin gɛt shap pen we yu kin chuk. Dis pen kin wɔs na nɛt. |
| Chenj na di shep we di spayna gɛt | Kansa kin chenj di natura shep na di spayna, we kin mek i hunch oba arch. |
| Yu nɔ gɛt swɛla, yu wik, ɔ yu de fil lɛk yu de fil lɛk se yu de swɛt | We di kansa prɛs pan di spaynal kɔd, i de prɛs di nɛv dɛn we de rɔn go na di an ɛn leg. Dis kin mek yu nɔr de fil fayn ɛn fil lɛk yu nɔr de no natin na yu an ɛn fut. Sɔntɛnde, yu kin ivin fil pin-ɛn-nidul na yu chɛst. |
| I nɔ kin izi fɔ kɔntrol yu urine ɛn stɔl | di wok we wi blad εn di bכdi de du na di spεnal kכd de kכntro bak. So if tumbu prɛs pan di spɛnal kɔd, yu kin gɛt yurinary incontinence ɔ fecal incontinence we yu nɔ ivin no. |
| Paralayz we pɔsin kin gɛt | Dis na wan sik we rili siriɔs. If di nεv dεm na di spεnal kכd dεn dכn pwεl bad bad wan wit kεnsar, di mεsej dεm we de kכmכt na di bren nכ de rich di כda pat dεm na di bכdi. Dis kin mek yu nɔr de fil fayn na yu an ɛn yu an ɛn yu paralayz. |
Wetin mek dis kin apin? Us kansa dɛn kin pas pas ɔl na di spayna?
As wi bin dɔn tɔk, dis na we di sɛl dɛn we kɔmɔt na di fɔs kansa kin travul tru di blɔd ɛn rich na di spayna. Pan ɔl we ɛni kansa kin skata dis we, i kin mɔs bi wit sɔm kayn kansa. Na dɛn kayn kansa ya we dɛn kin si mɔ:
- Brɔst kansa
- Kansa na di lɔng
- Prɔstat kansa
- Kidni kansa
- Kolorektal ɛn ɔda kansa dɛn we de na di bɛlɛ
- Tayrɔyd kansa
Aw di dɔktɔ kin no bɔt dis? (Diagnosis) .
If yu gɛt kansa ɛn yu gɛt sɔm sayn dɛn lɛk bak pen, di fɔs tin we yu dɔktɔ go du na fɔ tek tɛm chɛk yu. Dɛn go chɛk yu balans ɛn aw yu an ɛn yu fut dɛn strɔng. Dɛn go aks bɔt di pen. Dat min se, us kayn pen na, ustɛm i kin kam, ɛn if i kin de ɔltɛm ɔ nɔ kin de ɔltɛm.
Dɔn, dɛn go aks yu bɔt yu mɛdikal histri ɛn tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt dis sik.
- Blɔd tɛst: We di bon dɛn brok bikɔs ɔf kansa, kemikal dɛn lɛk kalsiɔm ɛn alkaline phosphatase frɔm dɛn bon dɛn de kin go insay di blɔd. So dɛn kin du tɛst fɔ si if dɛn tin ya bɔku pasmak na di blɔd.
- Imej tɛst: We dɛn du MRI skan, i kin sho di spɛshal kɔd, di nerv dɛn, ɛn di spayna klia wan. CT skan kin no prכblεm wit di bon dεm na di spayna (vεrbra). Ivin we yu de tek ɛkstrem rayt ɔltɛm, i kin sho se di spayna nɔ de gro fayn.
- Bon skan: Dis kin no ɛni abnɔmal tin na di spayna, we kin bi usay di kansa dɔn skata.
- Fayn nidul aspireshɔn / Bayopsi: Sɔntɛnde, dɛn kin tek wan rili smɔl sampul pan wan tɔŋ ɔ bon na di spayna fɔ tɛst. Dis kin ɛp fɔ no ustɛm di kayn kansa dɔn skata to di spayna.
Wetin na di tritmɛnt dɛm fɔ dis?
di fכs tin we wi nid fכ כndastand na dat spεnal mεtastas na wan advans stej fכ kεnsar. Dis min se i nɔ kin izi fɔ mek i wɛl ɔltogɛda. Bɔt di men gol dɛm fɔ di tritmɛnt dɛm we dɛn de gi naw na fɔ kɔntrol di pen, fɔ mek di spaynal wok fayn fayn wan, ɛn fɔ mek di kansa nɔ gro sloslo.
Di tritmɛnt we yu go gɛt go dipen pan bɔku tin dɛn.
- Di kayn kansa we bin de fɔs: Fɔ ɛgzampul, if di kansa na di lɔng we go skata to di spayna, di spayna gɛt lɔng kansa sɛl dɛn bak. So, dɛn kin trit am wit di mɛrɛsin dɛn we kin wok fayn pas ɔl fɔ mɛn kansa na in lɔng.
- Yu ɔl wɛl bɔdi: Di kansa nɔr kin dɔn pas na yu spayna nɔmɔ, bɔt i kin dɔn pas ɔda pat dɛm na yu bɔdi (lɛk yu bren ɔr liva). Dɛn go tek ɔl dɛn tin ya na kɔna we dɛn de disayd fɔ tritmɛnt.
- Usay di kansa de: Di tritmɛnt kin difrɛn difrɛn wan if di kansa de na di bon dɛm na di spayna ɔ di spaynal kɔd.
Di men tritmɛnt we dɛn kin yuz na:
- Kimotɛrapi: Dis kin min fɔ gi di bɔdi mɛrɛsin dɛn we de kil di kansa sɛl dɛn. Dɛn kin tek dɛn tin ya as pils ɔ gi dɛn as injɛkshɔn na vein. Bikɔs dɛn mɛrɛsin ya kin travul ɔlsay na di bɔdi, dɛn kin ɛp fɔ kil di kansa sɛl dɛn na di spayna ɛn bak di kansa sɛl dɛn na ɔda pat dɛn na di bɔdi.
- Radieshɔn tɛrapi: Dis kin yuz ɛkstrem rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn ɔ fɔ mek di tumbu dɛn smɔl. Dis kin mek yu nɔ fil pen bad bad wan.
- Stiriɔtaktik redio ɔpreshɔn:Dis nɔto ɔpreshɔn. na wan we we rili prεsis, we dεn tכk bכt fכ gi rεdyushכn bim nכmכ to di kεnsar tכmכro. I de mek smɔl damej to di wɛlbɔdi tisu we de rawnd am.
- Ɔpreshɔn: Bɔku tɛm, dɛn kin jɔs du ɔpreshɔn if ɔda tritmɛnt dɛn nɔ dɔn wok fayn. sכmtεm, if kכmpreshכn frakshכn de, dεn kin du sכm sכm כpεrayshכn lεk `Vertebroplasty` כ `Kyphoplasty` fכ mek di bon dεm strכng εn fכ ridyus di pen.
- Palliative care: Dis na rili impɔtant eria fɔ tritmɛnt. Di men gol fɔ dis nɔto fɔ mɛn di sik, bɔt fɔ mek di pɔsin in layf bɛtɛ. I min fɔ kɔntrol di pen, fɔ kɔntrol di bad tin dɛn we kin apin to dɛn we dɛn de trit dɛn, ɛn ɛp dɛn fɔ bia wit di sik.
Ɛni bad tin de we dɛn tritmɛnt ya kin du?
Yɛs, lɛk ɛni tritmɛnt, sayd ɛfɛkt dɛn kin de.
- We dɛn de du kemotɛrapi ɛn redyushɔn tritmɛnt, tin dɛn lɛk fɔ taya, fɔ lɔs in ia, fɔ nɔs, ɛn fɔ vɔmit kin bɔku.
- We dɛn de du stiriɔtaktik redio ɔpreshɔn: Yu kin fil mɔ taya.
- We dɛn de du Kyphoplasty ɔ Vertebroplasty ɔpreshɔn: Infεkshɔn, blɔd, pen we de bɔku, ɛn swɛt kin apin smɔl smɔl.
Nɔ ɛva fred fɔ tɔk to yu dɔktɔ bɔt ɛni bad bad tin we yu go gɛt. Tritmɛnt dɛn de fɔ dɛn wan dɛn de bak.
Aw yu go tek kia ɔf yusɛf?
Insay dɛn tranga tɛm ya, i rili impɔtant fɔ tek kia ɔf yusɛf gud gud wan ɛn bak fɔ go to tritmɛnt.
- It fayn: Kansa ɛn di tritmɛnt dɛn we i kin gɛt kin mek yu nɔ want fɔ it. Bɔt tray fɔ it tin dɛn we balans fɔ mek yu gɛt di pawa we yu bɔdi nid. If i nɔ izi fɔ yu fɔ it, aks fɔ advays frɔm pɔsin we sabi bɔt it.
- Tink bɔt yu maynd wɛl bɔdi: Na kɔmɔn tin fɔ gɛt pwɛl hat ɔr wɔri wit dis kayn tin. If yu de tray tranga wan, fɔ tɔk to pɔsin we de gi advays bɔt yu maynd, dat kin mek yu fil fayn.
- Manej strɛs: Tin dɛn lɛk fɔ tink gud wan ɛn fɔ ɛksesaiz fɔ blo kin ɛp fɔ ridyus strɛs.
- Aks yu dɔktɔ kwɛstyɔn dɛn: Tɔk to yu dɔktɔ opin wan bɔt yu sik, tritmɛnt, sayd ɛfɛkt, ɛn aw fɔ mɛn yu pen. Aks dɛn bɔt ɛnitin we yu de fred ɔ wɔri bɔt.
Wetin na di tin dɛn we kin apin we pɔsin fɔ pe atɛnshɔn to kwik kwik wan?
Yu fɔ rili tek tɛm wit dɛn sik ya. If ɛni wan pan dɛn sayn ya apin , yu fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na ɔspitul wantɛm wantɛm.
| Chans | Wetin fɔ du |
|---|---|
| If dɛn nɔ ebul fɔ kɔntrol di pen wit di pen we di dɔktɔ gi yu. | Kɔl yu dɔktɔ. |
| If yu gɛt bak ɔ nɛk pen wantɛm wantɛm, shap, we yu nɔ go ebul fɔ bia (dis kin bi sayn fɔ se yu dɔn brok). | Kɔl yu dɔktɔ. |
| Go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm! | |
| If yu leg ɛn yu bɛlɛ fil lɛk se yu nɔ gɛt bɛtɛ trɛnk. | Go na ɔspitul wantɛm wantɛm. |
| If i at fɔ muv yu leg, if dɛn fil se dɛn nɔ gɛt layf. | Go na ɔspitul wantɛm wantɛm. |
| If yu nɔ ebul fɔ kɔntrol yu urine ɔ yu stɔl. | Go na ɔspitul wantɛm wantɛm. |
| If yu nɔ ebul fɔ pis. | Go na ɔspitul wantɛm wantɛm. |
Na nɔmal tin fɔ fil bad, frayd, vɛks, ɛn nɔr shɔ bɔt di tumara bambay we yu gɛt diagnosis lɛk dis. Yu mɛdikal tim ɔndastand ɔl dɛn filin ya. So tɛl dɛn wetin yu de tink ɛn wetin de mɔna yu. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- di spεnal mεtastas nכto nyu kεnsar, bכt di kεnsar we de spre frכm כdasay na di bכdi to di spayna.
- If yu gɛt kansa, nɔ ɛva ignore di kayn pen we nɔ kɔmɔn, we rili bad na yu bak ɔ yu nɛk. Tɛl yu dɔktɔ wantɛm wantɛm.
- Pan ɔl we dis sik nɔ go ebul fɔ wɛl ɔl, bɔku tritmɛnt dɛn de we rili fayn we go ɛp yu fɔ kɔntrol pen ɛn mek yu layf bɛtɛ.
- If sɔm sayn dɛn lɛk we yu leg nɔ de fil fayn ɔ yu nɔ ebul fɔ kɔntrol yu blad/bɔwel, dɛn fɔ tek am se na imejensi ɛn yu fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- I rili impɔtant fɔ tɔk to yu dɔktɔ opin wan ɛn ɔnɛs wan bɔt yu sik, di tritmɛnt we yu kin gɛt, ɛn wetin yu de fred.
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