Kansa na di lɔng? Lɛ wi lan bɔt Nɔn-Smɔl Sɛl Lɔng Kansa (NSCLC)!

Yu de gɛt shɔt briz ɔ yu de kɔf ɔltɛm? Sɔntɛm sɔmbɔdi na yu famili dɔn yɛri bɔt kansa na yu lɔng. Tide wi go tɔk bɔt wan pan di kayn kansa wae kin kam pan pɔrsin na in lɔng. Pan ɔl we dis na tɔpik we kɔmpleks smɔl, wi go tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin na Nɔn-Smɔl Sɛl Lɔng Kansa (NSCLC)?

Fɔ tɔk am simpul wan, Nɔn-Smɔl Sɛl Lɔng Kansa (NSCLC) na we di sɛl dɛn we de insay yu lɔng dɛn bigin fɔ sheb ɛn gro we nɔmal ɛn we yu nɔ go ebul fɔ kɔntrol. Lɛk gras, dɛn sɛl ya kin tray fɔ skata ɔlsay we dɛn nɔ ebul fɔ kɔntrol. Tu men kayn kansa de na di lɔng. Dɛn kɔl wan pan dɛn NSCLC. Dɛn kɔl di ɔda wan Smɔl Sɛl Lɔng Kansa (SCLC) . Dɛn tu nem ya kɔmɔt frɔm aw dɛn kansa sɛl ya de luk ɔnda maykroskɔp. di sεl dεm na SCLC sכm, rawnd, εn shep lεk bכl. di sεl dεm na NSCLC dεn big.

SCLC kin agresiv smɔl pas NSCLC, we min se i kin skata kwik kwik wan. כltu, pan כl we di NSCLC sεl dεm big, dεn kin gro sloslo. Di prɔblɛm we de ya na dat NSCLC kin bi asymptomatic we i bigin . So, bay di tεm we dεn no am, di kεnsar kin dכn כlrεdi spre (metastasized) to כda pat dεm na di bכdi. Na dat mek i rili impɔtant fɔ no ɛn trit am kwik . infakt, 80% to 85% pan di lכng kεnsar dεm na NSCLC.

Yu tink se kayn NSCLC de?

Yes, sɔm men kayn NSCLC dɛn de. Dɔktɔ dɛn kin no dɛn tin ya bay we dɛn de luk di kansa sɛl dɛn ɔnda maykroskɔp ɛn bay aw dɛn tan. Wi de tɔk mɔ bɔt tri kayn dɛn:

• Adenocarcinoma: Dis na di kayn NSCLC we kɔmɔn pas ɔl. Bɔku tɛm i kin de na di ɔda pat dɛn na di lɔng dɛn.
• Big sɛl kansa: Dis kayn kansa sɛl dɛn kin tan lɛk se dɛn big pas ɔda kayn kansa dɛn we dɛn si am wit maykroskɔp. I kin divɛlɔp ɛnisay na di lɔng dɛn.
• Squamous cell carcinoma: Dis kin stat na di midul pan di lכng dεm, nia di men aywe dεm we wi de blo.

Apat frɔm dɛn tri men kayn ya, ɔda kayn dɛn de we nɔ kin bɔku lɛk sarkomatoid kansa ɛn adenosquamous carcinoma , bɔt dɛn nɔ kin si dɛn bɔku tɛm.

Wetin na di sayn dɛm fɔ dis?

Okay, naw yu go mɔs de wɔnda us simptom NSCLC de kɔz. As wi bin dɔn tɔk, sɔntɛnde, nɔr kin gɛt ɛni sayn atɔl, ɛn dis na de pat wae kin mek pɔrsin frayd pas ɔl. Bɔt sɔm tin dɛn de we kin apin we pipul dɛn kin gɛt dis sik. If yu gɛt wan ɔ mɔ pan dɛn tin ya, nɔ panik, bɔt i fayn fɔ go to dɔktɔ.

• Chɛst pen: Lɛk pɔsin de swɛt yu chɛst, ɔ pen we kin wɔs we yu de blo, laf, ɔ kɔf.
• Kɔf we de kɔntinyu fɔ kɔf: Na kɔf we kin de fɔ sɔm wiks, sɔntɛnde i kin wɔs, ɛn yu nɔ kin gɛt kol.
• Fɔ kɔf blɔd: Dis na sayn we de mek pɔsin fred smɔl. If yu kɔf blɔd ɔ pink mucus, yu fɔ rili go to dɔktɔ.
• Voys chenj/hoarseness: If yu vɔys kam hoarse ɔ hoarse wantɛm wantɛm, dat fɔ chɛk dat bak.
• Yu nɔ go want fɔ it ɛn yu nɔ go gɛt bɔku bɔku bɔdi: Yu nɔ go want fɔ it, wit we yu nɔ go gɛt bɔku bɔku bɔdi fɔ no rizin.
• Fɔ blo shɔt: Fɔ fil shɔt fɔ blo ivin if yu tray smɔl, ɔ yu kin fil taya pas aw yu kin fil we yu de du tin lɛk fɔ klaym stej.
• Taya / Taya: Fɔ fil taya ɔltɛm , ivin afta yu dɔn slip fayn.
• Wiz (na sawnd we yu de wis) we yu de blo.
• Infεkshכn dεm na di lכng bכku tεm lεk bכnkaytis כ nyumonia.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, nɔr frayd fɔ tink se na NSCLC. Ɔda wɛl bɔdi prɔblɛm kin mek yu gɛt dɛn sik ya, bak. Bɔt if dɛn sik ya kɔntinyu, i go fayn ɔltɛm fɔ go to dɔktɔ fɔ mek dɛn chɛk yu.

Wetin mek dis kansa kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Wɛl, wetin mek dis NSCLC kansa de divɛlɔp? Infakt, dɔktɔ dɛn nɔ kin ebul fɔ tɔk fɔ tru wetin mek sɔm pipul dɛn kin gɛt am ɛn ɔda wan dɛn nɔ kin gɛt am. Bɔt dɛn dɔn no bɔku tin dɛn we kin mek i gɛt prɔblɛm. Wan tin wae kin mek yu gɛt dis sik na sɔmtin wae kin mek yu gɛt mɔr chans fɔ gɛt dis sik.

Di men ɛn kɔmɔn tin we kin mek pɔsin gɛt kansa na in lɔng na fɔ smok. Dis risk nɔr kin jɔs de fɔ di wan dɛm wae de smok sigrɛt, bɔt fɔ di wan dɛm wae de yuse tin dɛm lɛk bidis, siga, ɛn huk. Dɔn bak, di wan dɛn we nɔ de smok bɔt we de pan sɛkɔn-han smok (pasiv smok / sɛkɔn-han smok) dɛnsɛf de pan denja.

Jɔs tink bɔt dat, we yu de smok, bɔku bɔku bad bad kemikal dɛn kin go insay yu lɔng. Dɛn tin ya kin pwɛl di lɔng sɛl dɛn ɛn leta dɛn kin tɔn to kansa sɛl dɛn.

Sɔm ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm na:

• Famili histri bɔt lɔng kansa: If yu mama ɛn papa, brɔda ɛn sista, ɔ ɔda pipul dɛn na yu famili dɔn gɛt dis sik, i kin bi bak se i gɛt dis sik.
• Asbest we yu de gɛt: Yu kin gɛt dis frɔm tin dɛn lɛk asbest sheet we dɛn bin de yuz fɔ bil sɔm os dɛn trade, ɔ we yu de wok na industri dɛn we gɛt fɔ du wit asbest.
• Fɔ gɛt mɛtal ɛn minral dɔst: Pipul dɛn we de wok na sɔm faktri dɛn kin de pan denja fɔ gɛt tin dɛn lɛk asɛnik, kromiɔm, ɛn nikɛl.
• We pɔsin de pan radɔn, we na wan redioaktiv gas we de na di wɔl:Dis na gas we de kɔmɔt na grɔn. Na sɔm eria dɛn, in lɛvɛl kin go ɔp insay os dɛn.
• Fɔ gɛt sik dɛn we nɔ de mɛn we yu de blo lɛk COPD (Chronic Obstructive Pulmonary Disease) ɔ Pulmonary Fibrosis.
• If yu dɔn gɛt redyushɔn tɛrapi to yu bɔdi ɔ yu chɛst fɔ ɔda sik, lɛk bɔdi kansa.
• Fɔ liv na say we bɔku bɔku wata de pwɛl di briz kin gɛt sɔm impak bak.

Nɔto ɔlman we gɛt dɛn tin ya go gɛt kansa. Bɔt i impɔtant fɔ no se dɛn tin ya kin mek yu gɛt mɔ prɔblɛm. If yu nɔ smok na di bɛst we fɔ mek yu nɔ gɛt kansa na yu lɔng.

Wetin na di prɔblɛm dɛn we kin apin we NSCLC kin kam?

Wan pan di tin dɛm we denja pas ɔl bɔt kansa lɛk NSCLC na dat i kin spre (mɛtastasayz) to ɔda pat dɛm na di bɔdi. We i de skata, di tin kin tranga mɔ ɛn mɔ. Na sɔm pan di ples dɛm we NSCLC kin skata:

• di adrenal gland dεm (dεn na sכm sכm gland dεm we de pan tap di kidni dεm) .
• Bɔn dɛn
• Bren
• Liva
• Limf no dεm (lεk lumps) .
• Kanda

We i de skata dis kayn we, di sayn dɛm kin apin na difrɛn ɔgan dɛm. Fɔ ɛgzampul, if i go na di bon dɛn, i kin mek di bon dɛn at pwɛl bad bad wan, ɛn if i go na di bren, i kin mek yu ed at ɛn mek yu at pwɛl.

Aw dɔktɔ dɛn kin no dis?

Okay, so naw yu gɛt symptoms. Aw yu go no fɔ tru if na NSCLC we yu go to dɔktɔ?

Fɔs, di dɔktɔ go aks yu bɔt yu sik, famili histri, ɛn yu abit (lɛk fɔ smok). Dɔn i go du wan ɛgzam pan yu bɔdi ɛn lisin to yu lɔng dɛn.

Dɔn, if pɔsin we dɛn tink se gɛt NSCLC, dɛn go ɔda fɔ du sɔm tɛst fɔ kɔnfɔm am ɛn fɔ no us stej di kansa de.

Di tɛst dɛn we dɛn kin du mɔ na:

• di lכng bayopsi: Dis na fכ tek sכm s כm tisu frכm wan εria we dεn sכspεkt na di lכng εn fכ egzamin am כnda maykroskכp. Dis kin no gud gud wan if kansa sɛl dɛn de ɛn us kayn dɛn. Difrɛn we dɛn de fɔ tek bayɔpsi. Dɛn kin du am we dɛn de du brɔnkoskɔpi, ɔ bay we dɛn put wan tin nidul tru di chɛst (nidul bayɔpsi).
• Bronchoscopy: Insay dis, dɛn kin pas wan smɔl tiub we gɛt kamɛra tru di mɔt ɔ nos, go dɔŋ di briz paip, ɛn go insay di lɔng dɛn. dis kin mek di dכkta si insay di lכng dεm εn if nid de, i kin tek sεmpl (bayopsi).
• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:Dɛn tin ya kin tek pikchɔ fɔ di insay pat na di bɔdi ɛn luk tin dɛn lɛk usay di kansa de, in saiz, ɛn if i dɔn skata.
• Chɛst X-ray: Dis na di bɛsis tɛst.
• CT skan: Dis kin tek klia, krɔs-sekshɔn pikchɔ pas ɛkstrem rayt.
• PET skan: Dis kin ɛp fɔ fɛn say dɛn usay di kansa sɛl dɛn de wok.
• MRI skan fɔ di bren: Dɛn kin yuz dis fɔ si if di kansa dɔn skata to di bren.
• Vidio-assisted thoracic surgery (VATS): Dis na smɔl ɔpreshɔn bak fɔ luk insay di chɛst. Dɛn kin put kamɛra ɛn inschrumɛnt dɛn tru sɔm smɔl smɔl say dɛn we dɛn kɔt fɔ chɛk ɛn if nid de, dɛn kin tek bayɔpsi.

Bay di infɔmeshɔn we dɛn kin gɛt frɔm dɛn tɛst ya, di dɔktɔ kin disayd if yu gɛt NSCLC, if na so i gɛt, aw fa i dɔn skata (stej), ɛn us kayn tritmɛnt fayn.

Wetin na di tritmɛnt dɛn?

Bɔku pipul dɛn kin fred we dɛn yɛri di wɔd kansa, ɛn dat na nɔmal tin. Bɔt naw, rili advans tritmɛnt dɛn de fɔ NSCLC. Di kayn tritmɛnt we yu go gɛt kin dipen pan bɔku tin, lɛk di kayn kansa, di stej we i de, if ɛni chenj de na di jɛnɛtiks na di kansa sɛl dɛn, ɛn yu ɔl yu wɛlbɔdi.

• Ɔpreshɔn: If di kansa de na di lɔng dɛn nɔmɔ, we min se i nɔ dɔn skata to ɔda say dɛn (insay di fɔs stej), ɔpreshɔn na di fɔs tin we dɛn kin du. Dis kin min fɔ pul di kansa ɛn smɔl smɔl tin dɛn we gɛt wɛlbɔdi we de rawnd am. sכmtεm, dipכnt pan aw fa di kansa dכn spre, i kin nid fכ mek wan pat pan di lכng (lobectomy) כ di כl lכng (lכng rεsekshכn / nyumonεktomi) .

Imajin, wan gras de na wan gadin. Dis ɔpreshɔn tan lɛk we yu pul am fɔs. Bɔt nɔto ɔlman kin du di ɔpreshɔn, yu fɔ kwalifay fɔ am.

• Kimotɛrapi: Sɔntɛm yu dɔn yɛri bɔt dis. Dis min se yu fɔ gi di bɔdi mɛrɛsin dɛn we de kil di kansa sɛl dɛn. Dɛn kin gi dɛn mɛrɛsin ya as injɛkshɔn ɔ as pils. Dis na di tritmɛnt we dɛn kin yuz mɔ fɔ NSCLC. Dɛn kin gi kemotɛrapi in wan, fɔ mek di tumbu smɔl bifo dɛn du di ɔpreshɔn, fɔ kil ɛni sɛl we lɛf afta dɛn du di ɔpreshɔn, ɔ dɛn kin gi am wit redyushɔn tɛrapi.

• Immunotherapy: Dis na nyu tritmɛnt, bɔt i rili fayn. I min fɔ mek yu bɔdi in yon imyun sistɛm no ɛn pwɛl di kansa sɛl dɛn. I tan lɛk se yu de tren yu yon sojaman dɛn fɔ fɛt kansa. I nɔ de wok fɔ ɔl kayn NSCLC, ɛn dɛn de du spɛshal tɛst fɔ dat, bak.

• Tɛrapi we dɛn de tɔk to:Dis na tritmɛnt bak we rili spɛshal. I de yuz drɔgs we de tɔch sɔm patikyula jɛnɛtik muteshɔn ɔ protin dɛn we de ɛp di kansa sɛl dɛn fɔ gro ɛn skata. Di bɛnifit we dis gɛt na dat i nɔ kin pwɛl di sɛl dɛn we gɛt wɛlbɔdi pas di kemotɛrapi. Bak, yu nid fɔ tɛst yu kansa sɛl dɛn fɔ dɛn patikyula chenj dɛn de.

• Radieshɔn tɛrapi: Dis kin yuz ɛkstrem rayt we gɛt bɔku ɛnaji fɔ kil di kansa sɛl dɛn. Dɛn rayt ya de aim fɔ di rayt say we di kansa de. Dɛn kin gi dis wit kemotɛrapi, dɛn wan, ɔ bifo ɔ afta dɛn du di ɔpreshɔn. Sɔmtɛm, dɛn kin yuse dis tritmɛnt bak fɔ ridyus pen.

Bɔku tɛm, bikɔs dɛn nɔ kin no NSCLC kwik kwik wan, dɔktɔ dɛn go yuz wan ɔ mɔ pan dɛn tritmɛnt ya togɛda (kɔmbayn tɛrapi). Yu dɔktɔ we de mɛn yu kansa go mek di tritmɛnt plan we go fayn fɔ yu.

Aw lɔng i kin tek fɔ mek i wɛl?

Di tɛm we pɔsin kin wɛl afta we dɛn dɔn trit di NSCLC kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin, lɛk di sayz fɔ di kansa, usay i de, di kayn tritmɛnt we yu bin gɛt (lɛk ɔpreshɔn, kemotɛrapi, redyushɔn), ɛn aw yu bɔdi ebul fɔ wɛl. Sɔm pipul dɛn kin wɛl insay sɔm mɔnt. Ɔda wan dɛn kin tek sɔm ia, ɛn dɛn kin nid fɔ gɛt pipul dɛn we de fala dɛn. So, i bɛtɛ fɔ aks yu dɔktɔ aw lɔng i go tek ɛn wetin fɔ ɛkspɛkt bay di tin we de apin to yu.

Ustɛm yu fɔ go to dɔktɔ?

If dɛn de trit yu fɔ NSCLC, ɔ yu jɔs dɔn fɔ trit yu, tɛm kin de we yu go nid fɔ go to dɔktɔ kwik kwik wan. Una fɔ no bɔt dɛn tin ya:

• I fayn if yu gɛt nyu shɔt briz ɔ if yu shɔt briz we yu dɔn gɛt de wɔs.
• If yu gɛt fiva we pas 100.4 digri F (38 digri sɛlshiɔs), mɔ we yu de tek kemotɛrapi.
• If yu gɛt siriɔs pen (e.g., na yu chɛst, bon dɛm) we nɔ de stɔp pan ɔl we yu de tek mɛrɛsin.
• If nyu sayn dɛm dɔn kam (e.g., i nɔ kin izi fɔ tɔk, i nɔ kin no natin, i kin gɛt siriɔs ed pen), ɔ if di sayn dɛm wae dɔn de kam tranga, .
• If yu de vɔmit ɔ yu gɛt dayarɛa ɔltɛm.

If dis kayn tin apin, tɛl yu ɔnkɔlɔjis ɔ in tim wantɛm wantɛm. If nɔto so, go na di imejensi dipatmɛnt na di ɔspitul we de nia yu.

Aw layf go tan lɛk wit dis sityueshɔn?

Yu kin de wɔnda, "Aw layf tan lɛk wit dis kɔndishɔn?" Infakt, di lɔng tɛm we yu kin liv wit NSCLC (layf ɛkspɛkt) kin dipen pan bɔku tin dɛn, lɛk di stej we di kansa gɛt we dɛn no di kansa, di kayn NSCLC, ɛn yu ɔl wɛlbɔdi.

Fɔ ɛgzampul, di fɔs stej (lɔkal) NSCLCIf yu gɛt kansa na yu lɔng, di rit we pɔsin kin liv fɔ fayv ia na lɛk 65% . Dis min se 65 pan ɔl 100 pipul dɛm wae dɛn dɔn no se gɛt dis sik go stil de alayv afta fayv ia.

If di kansa dɔn spre to di tisu dɛn ɔ di limf no dɛm we de nia (rijinol NSCLC) , dis nɔmba na lɛk 37% . if di kansa dכn spre to fa fa say dεm na di bכdi (e.g., liva, bren, bon dεm) (mεtastatik / distant NSCLC) , di fayv ia sכvayv rεt na bכt 9% .

Bɔt mɛmba se: Dɛn rit ya we pipul dɛn kin liv na jɔs avɛrej we dɛn bays pan data frɔm wan big grup pan pipul dɛn. Dɛn nɔr kin tɛl yu ustɛm aw lɔng yu go liv ɔr aw yu bɔdi go ansa tritmɛnt. Ɔlman in waka difrɛn. So e fayn fɔ tɔk to yu dɔktɔ bɔt aw dɛn statystik ya kin afɛkt yu.

Dis biɛn tɛm, dɛn sɔvayv rɛt ya dɔn de impɔtant bikɔs ɔf nyu tritmɛnt dɛn (espɛshali targeted therapy ɛn immunotherapy).

NSCLC na sik we pɔsin kin mɛn, mɔ if dɛn no am ɛn trit am kwik kwik wan. Bɔt tin dɛn lɛk di kayn kansa, di stej we i gɛt, ɛn yu ɔl yu wɛlbɔdi de sho aw i go bi (prognosis).

Pan ɔl we dɛn nɔ kin ebul fɔ mɛn NSCLC, bɔku tɛm dɛn kin kɔntrol am ɛn dɛn kin ridyus di sik dɛn (dɛn kin trit am). Bɔrku pipul dɛm wae gɛt NSCLC kin ebul fɔ mɛn dɛn sik ɛn liv gud kwaliti layf.

Di tin we impɔtant pas ɔl we wi nid fɔ mɛmba na

Fɔ no se yu gɛt kansa kin bi wan pan de tin wae nɔr kin izi fɔ yu. Na nɔmal tin fɔ mek yu fil fred, wɔri, ɛn fil bad. I nɔ mata us stej yu gɛt pan Nɔn-Smɔl Sɛl Lɔng Kansa (NSCLC), tritmɛnt kin ɛp fɔ ridyus yu simptom ɛn impɔtant yu kwaliti fɔ liv.

Tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du, di tritmɛnt we yu go gɛt, ɛn di bad tin dɛn we go apin to yu. Nɔ fred fɔ aks kwɛstyɔn. Insay dis tɛm we yu nɔ kin no, i kin fayn fɔ tɔk to yu famili, padi dɛn, ɛn if nid de, yu kin tɔk to pɔsin we de gi advays ɔ pɔsin we de wok fɔ yu.

Dɔn bak, if yu jɔyn sɔpɔt grup, ilɛksɛf na di Intanɛt ɔ na yu eria, dat kin ɛp yu fɔ lɛ yu nɔ fil se yu wangren de, lan frɔm ɔda pipul dɛn ɛkspiriɛns, ɛn gɛt trɛnk. Mɛmba se nɔto yu wan de pan dis fɛt.

` Lɔng kansa, NSCLC, Nɔn-Smɔl Sɛl Lɔng Kansa, Kansa simptom dɛm, Kansa tritmɛnt, Smok, Respiratory diseases