Yu dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi fɔ gɛt ɔpreshɔn fɔ gɛt kansa? We dɛn se dat, dɛn go mɔs tɛl yu bak bɔt ‘tritmɛnt bifo ɔpreshɔn’. Dɛn kin kɔl dis tin we dɛn kɔl Neoadjuvant Therapy . We dɛn yɛri dis nem, bɔku pipul dɛn kin fred smɔl, dɛn kin tink se, "A go du ɔpreshɔn, so a nid fɔ gɛt tritmɛnt bifo dat?" Bɔt dis na rili sɔntin we go ɛp yu bɔku ɛn mek yu gɛt op. Lɛ wi tɔk bɔt dis simpul wan, pul ɔl di fred ɛn dawt we yu gɛt bɔt am.
Wetin na neoadjuvant tɛrapi?
Fɔ tɔk am simpul wan, Neoadjuvant Therapy na tritmɛnt we de mek di tumbu shrink, dat na fɔ smɔl, bifo dɛn du ɔpreshɔn fɔ pul am. Tink bɔt am, sɔntin de we at fɔ pul, lɛk big ston. I izi fɔ krɔs am, krɔs am, ɛn pul am, nɔto so? Dis na di sem tin. If di tumbu big, i kin at fɔ mek di dɔktɔ pul am kɔmɔt kpatakpata. Bɔt we di tumbu shrink wit dɛn tritmɛnt ya, di ɔpreshɔn kin izi pasmak ɛn i kin wok fayn.
Sɔntɛnde, dɛn tritmɛnt ya kin so fayn dat di tumbu kin dɔn kpatakpata ɛn dɛn nɔ kin nid fɔ du ɔpreshɔn. Yu dɔktɔ kin kɔl dis bak ``perioperative therapy`` ɔ ``induction therapy.`` Dɛn ɔl na di sem tin.
Wetin na dɛn tritmɛnt ya?
Dis `neoadjuvant` tritmεnt mεtכd de yuz difrεn tin dεm. Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu bay di kayn ɛn di kayn kansa we yu gɛt. Lɛ wi luk di men we dɛn fɔ du am.
| Tayp fɔ di Tɛrapi | Wetin i de du? |
|---|---|
| Kimotɛrapi | Dis kin wok bay we i de pwɛl di kansa sɛl dɛn bay we i de stɔp dɛn fɔ sheb, gro, ɛn mek di tumbu gro. |
| Ɔmon Tɛrapi | sכm kayn kεnsar (e.g. brεst, prכstat) na כmon dεm de mek dεn kכmכt. Dis tritmɛnt de blok di saplai fɔ dɛn ɔmon dɛn de. Dis kin mek di tumbu nɔ de gro. |
| Imyunotɛrapi | Dis kin mek wi bɔdi in yon imyun sistɛm wok, ɛn dis kin mek i ebul fɔ fɛt di kansa sɛl dɛn. |
| Rɛdieshɔn Tɛrapi | Dɛn kin du dis bay we dɛn de yuz raytin lɛk pawaful ɛkstrem rayt fɔ pwɛl di kansa sɛl dɛn. |
Sɔntɛnde, yu tim kin jɔyn dɛn tu tritmɛnt ya. Fɔ ɛgzampul, dɛn kin gi kemotɛrapi ɛn redyushɔn tɛrapi togɛda (neoadjuvant chemoradiation). Dis tritmɛnt kin las frɔm sɔm wiks to sɔm mɔnt, ɔr ivin wan ia. Bɔku tɛm, dɛn kin du di ɔpreshɔn insay wan mɔnt afta dɛn dɔn dɔn di tritmɛnt.
Us kayn kansa dɛn kin yuz dis tritmɛnt fɔ?
Di wan dɛn we de mɛn kansa kin yuz dis tritmɛnt fɔ pas wan duzin kayn kansa, lɛk:
- Breast Cancer: Fɔ sɔm kayn brɔst kansa, dɛn kin gi kemotɛrapi, ɔmon, ɔ imyunotɛrapi bifo dɛn du di ɔpreshɔn.
- Kɔlɔn Kansa: If di kansa dɔn go na di liva, dɛn kin gi am kemotɛrapi bifo dɛn du di ɔpreshɔn.
- Lɔng Kansa: Dɛn kin gi kemotɛrapi fɔ sɔm kayn lɔng kansa we dɔn skata.
- Prɔstat Kansa: Dis kansa na di man ɔmon we dɛn kɔl tɛstostɛron de mek i gɛt mɔ pawa. Dɛn kin kɔntrol am wit ɔmon tɛrapi.
- Rɛktal Kansa: I kɔmɔn bak fɔ mek dɛn gi dɛn tin ya togɛda wit redyushɔn tɛrapi ɛn kemotɛrapi.
Wetin na di bɛnifit dɛn we dis we fɔ trit pɔsin gɛt?
Bɔku bɛnifit dɛn de fɔ dis. If yu no dɛn tin ya, dat go ɛp yu fɔ lɛf fɔ fred dis tritmɛnt.
- Smɔl tumbu dɛn: As wi bin dɔn tɔk, big tumbu dɛn kin smɔl , ɛn dis kin mek i izi fɔ du ɔpreshɔn. Fɔ ɛgzampul, if di tumbu smɔl pan pɔsin we gɛt kansa na in bɔdi, instead fɔ mek dɛn pul di wan ol bɔdi, dɛn kin du smɔl ɔpreshɔn we dɛn kɔl lumpectomy, we kin pul di tumbu nɔmɔ.
- Sɔm tumbu dɛn kin dɔnawe wit dɛn ɔl: Sɔntɛnde, smɔl smɔl tumbu dɛn kin sɔlv ɔl ɛn i nɔ kin nid fɔ du ɔpreshɔn.
- Ridyus di tɛm fɔ mɛn:We di ɔpreshɔn smɔl, di say dɛn we dɛn kɔt na yu bɔdi kin smɔl. So yu kin wɛl kwik kwik wan ɛn go bak to yu nɔmal layf.
- Dɛn kin no aw di tritmɛnt go wok fayn: We dɛn de trit bifo dɛn du di ɔpreshɔn, dɔktɔ dɛn kin si aw di kansa de du di tritmɛnt ɛn aw di tumbu de smɔl kwik kwik wan. Dis kin mek dɛn ebul fɔ disayd fɔ du bɛtɛ tin bɔt di tritmɛnt we dɛn go gɛt tumara bambay.
- Kil di kansa sel dεm we ayd: sכmtεm, sכm sכm kansa sεl dεm we de brok kכmכt frכm di men tכmכro, dεn nכ de si wit di nek yay, εn dεn nכ kin si dεm bay skan, εn kin travul go כda pat dεm na di bכdi (maycrometastases). Dɛn sɛl ya we ayd kin kil bak bay tritmɛnt lɛk kemotɛrapi, we kin afɛkt di wan ol bɔdi.
- Ridyus di risk fɔ gɛt kansa bak: Sɔm stɔdi dɔn sho se neoadjuvant tritmɛnt de ridyus di risk fɔ gɛt kansa bak afta dɛn dɔn wɛl.
No sayd ɛfɛkt nɔ de?
Jɔs lɛk ɛni ɔda tritmɛnt fɔ kansa, sayd ɛfɛkt kin apin. Bɔt wetin dɛn bi dipen pan di kayn tritmɛnt we yu de gɛt. Sɔm pan di wan dɛn we bɔku pipul dɛn kin gɛt na:
- Fil fɔ it
- Rɔnbɛlɛ
- Taya
- Lɔs fɔ teist pan di tɔŋ (ageusia) .
- Nɔs ɛn vɔmit
Bɔt nɔ fred dɛn bad bad tin ya. Di tin we impɔtant pas ɔl na fɔ tɔk opin wan bɔt ɔl dis to yu dɔktɔ. I go gi yu di mɛrɛsin ɛn advays we yu nid fɔ ridyus dɛn sayd ɛfɛkt ya. Dɔn bak, spɛshal tritmɛnt dɛn de (palliative care) wae kin ɛp yu fɔ mɛna de kɔmplikeshɔn ɛn fɔ mek yu fil fayn we yu de trit yu.
Wetin na di difrɛns bitwin Nioadjuvant ɛn Adjuvant Tɛrapi?
Yu kin dɔn yɛri bak bɔt `Adjuvant Therapy`. Dɛn tu tritmɛnt ya na tritmɛnt dɛn we dɛn kin gi as sɔpɔt fɔ ɔpreshɔn pan kansa. Di difrɛns na di tɛm we dɛn de trit am.
| Di kwaliti we pɔsin gɛt | Nioadjuvant Tɛrapi | Adjuvant Tɛrapi |
|---|---|---|
| Di tɛm we dɛn fɔ du am | Bifo dɛn du di ɔpreshɔn | Fɔ ɔpreshɔnLeta |
| Men Gol | Fɔ mek di kansa smɔl ɛn izi fɔ ɔpreshɔn pan. | Fɔ pwɛl ɛni kansa sɛl we kin lɛf afta dɛn dɔn du di ɔpreshɔn. |
If yu tink bɔt dis lɛk maratɔn, `Neoadjuvant therapy` tan lɛk di `wɔm-ap` bifo di res. I de rɛdi yu fayn fayn wan fɔ di res. `Adjuvant therapy` tan lɛk di `cool-down` afta di res, i de pul ɛni prɔblɛm we lɛf ɛn mek yu wɛl ful wan.
Mɛsej we dɛn kin kɛr go na os
- Neoadjuvant therapy na tritmɛnt we dɛn kin gi bifo dɛn du ɔpreshɔn pan kansa. Nɔ fred we yu yɛri bɔt dis.
- Dɛn kin du dis fɔ mek di tumbu smɔl, we go mek i izi fɔ du ɔpreshɔn ɛn i go wok fayn.
- Dis tritmɛnt kin alaw fɔ mek dɛn du smɔl ɔpreshɔn instead fɔ mek dɛn du big ɔpreshɔn, ɔ i kin ivin alaw fɔ mɛn am we dɛn nɔ du am ɔpreshɔn.
- Sɔm bad tin kin apin, bɔt yu dɔktɔ go ɛp yu fɔ kɔntrol dɛn. Tɔk to am bɔt ɛnitin we nɔ izi fɔ yu.
- Si dis tritmɛnt as rili impɔtant ɛn op fɔ yu fɔ fɛt kansa.
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