Sɔntɛnde, wi dɔktɔ kin sɛn wi to ɔda spɛshal pɔsin, nɔto so? We dɛn rifer wi lɛk dat, mɔ we dɛn tɛl wi fɔ go si "kansa spɛshal pɔsin", i nɔmal fɔ fil smɔl fred ɛn fred. Yu kin tink se, "O, a gɛt kansa?" Bɔt jɔs bikɔs sɔmbɔdi tɔk dat, dat nɔ min se a gɛt kansa. Tide, lɛ wi tɔk bɔt udat na dis kansa spɛshal pɔsin (Oncologist), wetin i de du, ɛn wetin kin apin we yu go si dɛn.
Udat na Ɔnkɔlɔjis?
Fɔ tɔk am simpul wan, dɔktɔ we de mɛn kansa na dɔktɔ we dɔn gɛt spɛshal trenin bɔt kansa. Dɛn kin gɛt di wok fɔ no bɔt kansa, fɔ asɛs in stetɔs (i.e. aw fa di kansa dɔn skata, us stej i de, ɛn ɔda tin dɛn), ɛn trit am. Insay mɛrɛsin, dɛn kin kɔl dis ``Ɔnkɔlɔji''.
Fɔ go to dɔktɔ we de mɛn kansa na fayn chans fɔ tɔk to pɔsin we ɔndastand yu sityueshɔn. Dɛn kin ɛp yu bak fɔ dil wit de strɛs ɛn frayd wae kin kam wae yu no se yu kin gɛt kansa. Dɛn de de fɔ ɛp yu ɔltɛm, ɛn dɛn go de wit yu ɛvri step we yu de go.
Wetin dɔktɔ we de mɛn kansa kin du?
Di wan dɛn we de mɛn kansa kin:
- Gɛt di tɛst dɛn we yu nid fɔ no if yu gɛt kansa. Dis kin inklud blɔd tɛst, imej tɛst (skan), ɛn sɔntɛnde bayɔpsi (tek smɔl pat pan di tisu fɔ ɛgzamin).
- If dɛn dɔn no se yu gɛt kansa bifo tɛm, gɛt sɛkɔn opinion .
- Ɛp fɔ no us tritmɛnt opshɔn dɛn we fayn fɔ yu.
- Tɔk klia wan wit yu bɔt di bɛnifit ɛn sayd ɛfɛkt dɛn we ɛni tritmɛnt we yu kin gɛt .
- Monitor di we aw yu de trit yu kansa . Dis min se yu fɔ chɛk fɔ si if di tritmɛnt dɛn de wok fayn ɛn if yu gɛt ɛni prɔblɛm wit dɛn.
- Fɔ fala di instrɔkshɔn dɛn we nid ɛn fɔ fala fɔ tek kia ɔf yusɛf afta yu dɔn gɛt tritmɛnt .
We yu go to dɔktɔ we de mɛn kansa, dat min se yu go mɔs gɛt kansa?
Nɔ, dat nɔto tru. If dɛn rifer yu to dɔktɔ we de mɛn kansa, dat nɔ kin min ɔltɛm se yu gɛt kansa. Dɛn kin jɔs rifer yu to spɛshal dɔktɔ if yu gɛt sɔm sayn dɛn we de sho se yu kin gɛt kansa.
Imajin, if yu de kɔf ɔltɛm, ɔ yu de lɔs yu wet, ɔ yu gɛt 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. Dat min se fɔ no di rayt tin we kin mek dɛn gɛt dɛn sik dɛn de.
So, if yu dɔktɔ rifer yu to pɔsin we sabi bɔt kansa, .I bɛtɛ fɔ mek yu mek apɔntinmɛnt kwik kwik wan ɛn nɔ de te. Bikɔs, if ɛni kayn kansa de, if dɛn no am kwik kwik wan, i kin izi fɔ trit am ɛn di chans fɔ mek i wɛl kin bɔku.
Difrɛn kayn ɔnkɔlɔjis dɛn de?
Yɛs, kansa na sik we rili kɔmpleks. So, pɔrsin wae gɛt kansa nɔr kin nid wan ɔnkɔlɔjis nɔmɔ, bɔt i kin nid wan tim we gɛt bɔku difrɛn tin dɛn. Dɛn difrɛn spɛshal pipul ya kin kam togɛda, dɛn kin yuz di tin dɛn we dɛnsɛf no ɛn di sɛns we dɛn gɛt fɔ gi yu di bɛst tritmɛnt. Ɔlman de wok wit di sem gol, fɔ wok togɛda, ɛn fɔ du gud.
Sɔm ɔnkɔlɔjis dɛn gɛt spɛshal trenin fɔ sɔm tritmɛnt dɛn:
- Ɔpreshɔn Ɔnkɔlɔjis: If yu bayɔpsi sho se yu gɛt kansa sɛl, dɛn dɔktɔ ya go du ɔpreshɔn fɔ pul ɛni kansa sɛl ɛn tisu we de rawnd we nɔ skata. Dɛn go ɛp yu fɔ rɛdi fɔ ɔpreshɔn ɛn ɛp yu fɔ wɛl afta dɛn dɔn du di ɔpreshɔn. Fɔ ɛgzampul, dɛn kin du lumpectomy fɔ brɔst kansa ɔ pat pan colonectomy fɔ kɔlon kansa.
- Mɛdikal Ɔnkɔlɔjis: Dɛn dɔktɔ ya de trit kansa bay we dɛn de yuz kemotɛrapi, ɔmon tɛrapi, imyunotɛrapi, ɛn ɔda tritmɛnt dɛn we dɛn want fɔ mɛn. Bɔku pipul dɛn kin tink se dis dɔktɔ we de mɛn kansa na dɛn men dɔktɔ we de mɛn kansa. Dis na bikɔs na dɛn yu kin si bɔku tɛm. Bɔku dɔktɔ dɛn we de mɛn ɔnkɔlɔjis spɛshal bak pan ɛmatɔlɔji, we na fɔ no ɛn trit blɔd sik ɛn blɔd kansa.
- Radiation Oncologists: Dɛn dɔktɔ ya kin yuz redyushɔn tɛrapi fɔ trit kansa. Redyushɔn tɛrapi kin mek di tumbu dɛn smɔl bifo dɛn du di ɔpreshɔn ɔ kil ɛni kansa sɛl we lɛf afta dɛn du di ɔpreshɔn. Sɔntɛnde, dɛn kin gi redyushɔn tɛrapi as wan tritmɛnt ɔ dɛn kin gi am wit ɔda tritmɛnt dɛn.
Ɔda ɔnkɔlɔjis dɛn de we spɛshal fɔ no ɛn trit sɔm patikyula kayn kansa dɛn:
- Gynecologic Oncologists: Dɛn kin trit gaynecologic kansa pan uman dɛm, lɛk sɛvikal kansa, uterin kansa, ɛn ovarian kansa.
- Pediatric Oncologists: Dɛn dɔktɔ ya kin trit di kayn kansa we kin apin to pikin dɛn pas big pipul dɛn.Sɔm ɛgzampul dɛn na di akyu limfoblastik lukimiya we dɛn kin gɛt we dɛn smɔl, Ewing sarkoma, ɛn di tyumɔ dɛn na di bren we dɛn kin gɛt we dɛn smɔl.
- Nyurolɔjik Ɔnkɔlɔjis: Dɛn spɛshal pipul ya kin trit pipul dɛn we gɛt bren tumbu ɛn kansa we kin afɛkt di nervɔs sistɛm .
Wetin fɔ ɛkspɛkt we yu go to dɔktɔ we de mɛn kansa fɔ di fɔs tɛm?
Na nɔmal tin fɔ fil bɔku tin wae nɔr kin no ɛn frayd wae yu fɔs si dɔktɔ wae de mɛn kansa. "A rili gɛt kansa?", "Aw lɔŋ a dɔn gɛt dis?", "Aw mi layf go tan lɛk naw?", ɛn ɔda tin dɛn Yu nɔ de yu wan, bɔku pipul dɛn kin fil dis we. Yu dɔktɔ de ya fɔ ɛp yu wit dɛn filin ya.
Na yu fɔs apɔntinmɛnt, di ɔnkɔlɔjis go:
- Aks bɔt yu sik dɛn ditayli (e.g. aw lɔng dɛn dɔn de, aw dɛn de fil, ɛn if ɛni ɔda chenj dɔn de).
- Dɛn go chɛk yu bɔdi.
- Dɛn go luk yu fɔs mɛdikal rɛkɔd, famili mɛdikal istri, ɛn ɔda wɛlbɔdi prɔblɛm dɛn we yu gɛt naw .
- If dɛn nid fɔ no mɔ bɔt yu sik , dɛn kin ɔda fɔ du ɔda tɛst (lɛk fɔ tek imej tɛst ɔ fɔ tɛst blɔd).
- Dɛn go disayd if yu nid fɔ tek bayɔpsi, fɔ tɛst yu tisu, ɔ nɔ nid fɔ du am.
Afta we di dɔktɔ dɔn gɛda di tin dɛn we i nid dis we, i:
- Dɛn go tɔk to yu bɔt di rizɔlt fɔ yu tɛst ripɔt.
- I go tɛl di dɔktɔ we rifer yu bak bɔt wetin i dɔn fɛn.
- I go tɛl yu if yu gɛt kansa ɔ yu nɔ gɛt kansa, ɛn if na so, us kayn kansa i bi.
- Dɛn go tɔk to yu bɔt di difrɛn tritmɛnt dɛn we yu kin gɛt.
- I de lisin to wetin yu de wɔri ɛn fred.
- Gi infɔmeshɔn bɔt ɔda tin dɛn ɛn sɔpɔt grup dɛn we go ɛp yu.
Yu fɔs apɔntinmɛnt fɔ ɔnkɔlɔjis kin las fɔ tri awa. Apat frɔm we yu de tɔk to yu dɔktɔ, yu kin mit bak wit advaysa dɛn, soshal wokman dɛn, ɔ ɔda dɔktɔ dɛn we de mɛn kansa.
Fɔ fala di apɔntinmɛnt wit di ɔnkɔlɔjis
Yu go nid fɔ go to yu ɔnkɔlɔjis ɔltɛm we yu de trit yu kansa. Aw ɔltɛm yu nid fɔ go to yu ɔnkɔlɔjis go dipen pan di kayn kansa we yu gɛt ɛn di tritmɛnt we yu de gɛt. Yu dɔktɔ go tɛl yu bɔt dis di fɔs tɛm we yu go si yu.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ we de mɛn kansa?
Na sɔm kwɛstyɔn dɛn ya yu kin aks yu dɔktɔ we de mɛn kansa:
- Usay mi kansa de?
- Aw big i bi?
- Us stej a gɛt kansa?
- Wetin na di avrej rεt fɔ pipul dɛm wae gɛt mi diagnosis?
- Aw lɔng mi tritmɛnt go tek?
- A go ebul fɔ go wok we dɛn de du tritmɛnt?
- di tritmεnt go afekt mi fεtiliti (abiliti fכ bכn pikin)?
- A nid fɔ du mɔ tɛst dɛn?
- Aw ɔltɛm a go gɛt fɔ kam fɔ fala-ap apɔntinmɛnt?
- Aw a fɔ kia fɔ misɛf we a de du tritmɛnt?
- Sɔpɔt grup dɛn de usay a go ebul fɔ gɛt ɛp?
- Aw a go tɛl mi famili bɔt di sik we a gɛt?
I impɔtant fɔ aks dɛn kwɛstyɔn ya bikɔs yu gɛt rayt fɔ no ɔltin klia wan. I kin ɛp bak fɔ pul ɛni fred ɔ dawt we yu gɛt.
Ustɛm a fɔ tɔk to mi dɔktɔ we de mɛn kansa?
If yu dɔn ɔlrɛdi gɛt ɔnkɔlɔjis de trit yu, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm if sɔm tin dɛn apin. Kɔl yu ɔnkɔlɔjis wantɛm wantɛm if yu gɛt ɛni wan pan dɛn tin ya:
- If yu gɛt fiva we pas 38 digri sɛlshiɔs (100.4 digri F) .
- If ɛni nyu sayn de sho.
- If big chenj kam wantɛm wantɛm pan di sayn dɛm we yu gɛt naw .
- If yu gɛt pen we nɔ de go ivin afta yu dɔn tek mɛrɛsin.
- If yu gɛt sɔm sayn dɛm fɔ strok (we yu wik wantɛm wantɛm na wan say na yu fes, yu kɔnfyus, yu ed de tɔn, yu ed de at bad bad wan, ɛn yu nɔ de si fayn fayn wan).
- If yu gɛt sayn dɛm fɔ hat atak (chɛst pen, nɔs, yu nɔ de blo fayn, ɛn/ɔ yu sholda pen).
I rili impɔtant fɔ tɛl di dɔktɔ witout delay di tɛm dɛn lɛk dis .
Us kayn ɛdyukeshɔn yu nid fɔ bi ɔnkɔlɔjis?
Fɔ bi dɔktɔ we de mɛn kansa nɔto izi waka. I nid fɔ de wok tranga wan ɛn fɔ lɔng tɛm fɔ lan buk. Fɔs, yu nid fɔ gɛt bachelor’s degree, dɔn yu nid fɔ gɛt mɛdikal digri. Dɔn, yu nid fɔ kɔmplit rɛzidɛns ɛn feloship program fɔ gɛt ɛkspɛriɛns pan eria dɛn lɛk mɛdikal ɔnkɔlɔji, ɔspitul ɔnkɔlɔji, redyushɔn ɔnkɔlɔji, ɔ ɛmatɔlɔji ɔnkɔlɔji. We wi kɔnt ɔl di tin dɛn we wi dɔn tɔk bɔt, i kin tek bitwin 14 ɛn 16 ia fɔ bi dɔktɔ we de mɛn kansa.
Fɔ tɔk smɔl: sɔntin fɔ yu fɔ tink bɔt.
We yu go to dɔktɔ we de mɛn kansa, yu kin fil se yu de fred se, "A nɔ no if a gɛt kansa." Ɔ, if dɛn no se yu gɛt kansa, yu kin fil wɔri, "Wetin go apin nɛks?" Sɔntɛnde, yu kin fil bad, bikɔs no izi ɛn stret ansa nɔ de fɔ ɔl di kwɛstyɔn dɛn we yu gɛt. Ɔl dɛn filin ya rili nɔmal. Yu dɔktɔ we de mɛn yu kansa ɔndastand dɛn filin ya, ɛn dɛn rɛdi fɔ ɛp yu ɛni we aw dɛn ebul. Mɛmba se nɔto yu wangren de.
`Kansa, ɔnkɔlɔjis, kansa spɛshal pɔsin, kansa tritmɛnt, kemotɛrapi, redyushɔn tɛrapi, kansa simptom dɛm
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