Wetin yu tink if yu si smɔl rash ɔ skin we de pul pan yu nipple? Bɔrku tɛm, yu kin tink se na jɔs nɔmal skin kɔndishɔn, sɔntɛm na sɔntin lɛk ɛkzema. Na tru se i kin bi da we de bɔku tɛm. Bɔt nɔto ɔltɛm, smɔl mak lɛk dis kin bi di fɔs sayn fɔ gɛt kansa na in bɔdi. Dat na wan pan dɛn kayn kansa we nɔ kin bɔku, bɔt we impɔtant, we wi go tɔk bɔt tide.
Fɔ tɔk am simpul wan, wetin na di sik we Pejɛt gɛt pan di bɔdi?
Paget in sik na di brεst na wan kayn kεnsar we rili sכmtεm we de apin na di skin na yu nipl, εn sכmtεm na di dak skin we de rawnd di nipl (areola). Sɔntɛnde i kin jɔs de na di nipple. Dɛn kɔl dis stej 0 brɔst kansa, ɔ daktal kansa in situ . bכt sכmtεm, wit dis chenj na di skin, i kin gεt invayv brεst kεnsar bak we dεn spre to di milk dakt dεm insay di brεst.
Bikɔs di sayn dɛm kin tan lɛk ɛkzema, bɔku pipul dɛn kin mistek fɔs fɔ se na kɔmɔn sik na dɛn skin. Di sayn dɛm na fɔ it, fɔ pul di bɔdi, fɔ rɛd, ɛn sɔntɛnde wata kin kɔmɔt na di nipple. Mɛmba se nɔto ɔlman we gɛt dɛn kayn sik ya gɛt di sik we dɛn kɔl Paget. Bɔt if yu gɛt dis sik, i kin bi di fɔs sayn fɔ se kansa de kam insay di bɔdi.
Udat kin gɛt dis sik pas ɔlman?
Di sik we dɛn kɔl Paget na di bɔdi kin bɔku pan uman dɛn. Bɔt dɛn dɔn ripɔt am pan man dɛn bak. Di avrej ej fɔ no di sik kin bi arawnd 57 ia. Bɔt i kin apin to pipul dɛn we yɔŋ ɛn ol pas dat fa fawe. I so rare dat i de mek i nɔ rich 4% pan ɔl di brɔst kansa dɛn we dɛn ripɔt. So, pan ɔl we na sik we nɔ kin apin so ɔltɛm, i impɔtant fɔ no bɔt am.
Aw kwik dis sik kin skata? Aw i kin rili bad?
I rili dipen pan if yu gɛt ɔda kansa insay yu bɔdi ɔ yu nɔ gɛt am, ɛn if na so i bi, us stej i de.
- if di kansa de na di milk dakt dεm: If yu kansa de na di milk dakt dεm εn i nכ spre to di brεst tisu we de rawnd am, wi kin kכl am "ductal carcinoma in situ" (DCIS) . Dɛn kin tek dis as stej 0 kansa. Dɛn kin trit dis kayn kansa bay we dɛn kin pul di kansa sɛl dɛn ɛn di nipple wit ɔpreshɔn, dɔn dɛn kin yuz redyushɔn tɛrapi. If dɛn no di sik na dis stej, di chans fɔ mek i wɛl kɔmplit wan kin rili bɔku.
- if di kansa dכn spre ausayd di milk dakt dεm: we di kεnsar we de na di milk dakt dεm bigin fכ spre insay di brεst tisu we de rawnd am, dεn kכl am "invasive ductal carcinoma." Dis kansa kin kam pan sɔm stej dɛm. insay di fכs stej dεm, dεn kin trit am bay we dεn de pul di brεst tisu we afekt εn di aksila limf no dεm. Bɔt we di kansa bigin fɔ skata na do na di bɔdi, dat min se na di leta stej dɛm, di sik kin kam tranga ɛn i nɔ kin izi fɔ trit.
Wetin na di sayn dɛm fɔ di sik we dɛn kɔl Paget?
Dɛn simptom ya kin apin pan yu nipple ɛn/ɔ di dak skin we de rawnd am (areola). Bɔku tɛm, dɛn kin si dɛn sayn ya na wan bɔdi nɔmɔ, bɔt i nɔ kin apin so ɔltɛm, dɛn kin apin na di tu bɔdi. Pan ɔl we i kin tan lɛk se dɛn sik ya kin kam ɛn go fɔs, dɛn kin wɔs as tɛm de go.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I de it ɛn inflamɛns | Nipple we de it kin kam, we leta kin tɔn to inflamɛns. |
| Fɔ dray ɛn pul di skin | Yu kin notis se di skin na di nipple ɔ rawnd di nipple de dray ɛn de peel. |
| Skin rash we de kɔmɔt na di skin | Di skin kin rɛd, swel, krɔst, sɔri, ɔ blɔd. |
| Inflameshɔn ɛn pen | Di skin kin fil lɛk se i dɔn swel ɛn i kin fil pen. |
| Wan kɔndishɔn lɛk ɛkzema | I tan lɛk ɛkzema we de kray, we gɛt krɔkrɔs we de fɔm ɛn wata we tan lɛk wata we de kɔmɔt. |
| Di wata we de kɔmɔt na di nipple | Wan wata we gɛt blɔd ɔ we tan lɛk pus kin kɔmɔt na di nipple. |
| Nipple de chenj | di nipl kin bi flat כ invεst (invεst nipl). |
| Wan lump we de na di brɔst | Yu kin fil lɛk se 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. |
Wetin na di rial rizin fɔ dis?
Di rayt tin we kin mek pɔsin gɛt kansa stil na sɔntin we sayɛnsman dɛn nɔ no bɔt. Bɔt dɛn de du nyu risach ɔltɛm fɔ no nyu tin dɛn. Wetin wi no na dat, kansa kin apin we sɔm pan di sɛl dɛn na wi bɔdi nɔ de wok, dɛn kin sheb ɛn gro we wi nɔ ebul fɔ kɔntrol. Naw dɛn biliv se dɛn chenj ya we de apin na di sɛl dɛn kin bigin wit di chenj dɛn we de apin na wi jenɛtik kɔd ɔ DNA . Bɔt stil no klia ansa nɔ de fɔ wetin mek dɛn chenj ya kin apin.
Sayɛnsman dɛm dɔn si se sɔm "risk factors" de we de mek di risk fɔ gɛt kansa bɔku. Fɔ ɛgzampul, we pɔsin de pan sɔm pɔyzin dɛn we de na di envayrɔmɛnt, we pɔsin de smok, ɛn we i de drink pasmak, dat kin mek i gɛt kansa. Bɔt i sɔprayz fɔ no se 85% pan di bɔdi kansa kin apin pan pipul dɛm we nɔ gɛt ɛni big risk factor.
Aw fɔ no bɔt dis sik? (Diagnosis) .
We yu go to dɔktɔ we gɛt sayn dɛn lɛk dis, fɔs i kin tink se na jɔs ɛkzema. So i go trit am. Bɔt we dɛn tritmɛnt dɛn de nɔ ɛp, ɔ we dɛn tink se i gɛt Pejɛt in sik, i go nid fɔ du sɔm tɛst dɛn fɔ no di sik kɔrɛkt wan.
di fכs εn imכtant tin na f כ tek sכm sכm tisu frכm di skin fכ di nipl εn egzamin am כnda maykroskכp (bayopsi). di mכst kכmכn we dεn kin yus fכ dis na "punch biopsy." Dis min se dɛn kin tek wan smɔl sɛkɔndari skin ɛn chɛk am wit smɔl inschrumɛnt, we fiba pepa panch. Dis na di izi we fɔ no di kansa sɛl dɛm we gɛt fɔ du wit di sik we dɛn kɔl Paget.
We dɛn dɔn no se di sik we Pejɛt gɛt, di nɛks tin we dɛn fɔ du na fɔ no if ɛni ɔda kansa de na di bɔdi ɛn if na so i bi, aw fa i dɔn skata. Yu dɔktɔ go du dis.Dɛn kin rifer yu fɔ mek dɛn du imej tɛst, lɛk fɔ du mamogram ɔ fɔ du ɔltrasɔund fɔ yu bɔdi. if dεn tεst ya fכnshכn εria we dεn saspek fכ kεnsar, dεn kin rεkomεnd fכ "nidul bayopsi" , we dεn kin pul wan sכm sכm tisu wit nidul εn egzamin.
Wetin na di tritmɛnt dɛn?
Di tritmɛnt inklud ɔpreshɔn ɛn sɔm tɛm dɛn de ɔda tritmɛnt fɔ kansa (adjuvant therapies).
1. Ɔpreshɔn fɔ gɛt kansa na in bɔdi
Ɛni kansa we de na yu bɔdi go nid fɔ ɔpreshɔn fɔ pul am, bɔt di kayn tisu we dɛn go pul go dipen pan di kayn we aw yu de.
- Ɔpreshɔn fɔ kɔnsiv yu brɔst: If yu jɔs gɛt Paget’s disease of the nipple ɛn yu nɔ gɛt ɔda tumor, yu ɔpreshɔn go tray fɔ pul di tisu nɔmɔ we afɛkt. dis involv fכ pul yu nipl, di skin we de rawnd am (areola), εn sכm hεlty tisu we de rawnd am.
- Mastectomy: If di kansa dɔn skata to big eria, yu dɔktɔ kin se yu fɔ pul di wan ol bɔdi (mastectomy). Afta dɛn dɔn ɔpreshɔn yu, yu kin du ɔpreshɔn fɔ mek yu bɔdi fayn bak if yu want.
2. Adjuvant tɛrapi
Afta dɛn dɔn du di ɔpreshɔn, dɛn kin gi ɔda tritmɛnt dɛn we go ɛp dɛn fɔ mek di kansa nɔ kam bak. Dɛn kɔl dis adjuvant tɛrapi.
- Radiation therapy: Na fɔ yuz ay ɛnaji rayt fɔ pwɛl ɛni kansa sɛl we lɛf.
- Kimotɛrapi: Fɔ yuz drɔgs fɔ kil di kansa sɛl dɛn ɔ fɔ stɔp dɛn fɔ gro.
- Ɔmon tɛrapi: Ɔmon dɛn kin ɛp fɔ mek sɔm bɔdi kansa dɛn gro. Fɔ dɛn kayn kansa ya, dɛn kin gi dɛn mɛrɛsin dɛn we de mek di ɔmon dɛn nɔ wok.
- Immunotherapy: Na tritmɛnt we de mek yu yon bɔdi in imyun sistɛm ebul fɔ fɛt di kansa sɛl dɛn.
Yu tink se dis kin mɛn kpatakpata?
Yɛs, na fɔ tru. If dɛn kin mɛn bɔdi kansa, i kin dipen mɔ pan di stej we di sik de we dɛn no se i gɛt am.
If yu gεt כnli Paget in sik na di nipl, כ DCIS (stej 0) we nכ spre pas di milk dakt dεm, yu chans fכ bכku bכku wan. Bɔrku pipul dɛm wae dɛn kin no ɛn trit dɛn kwik kwik wan na dɛn sik ya kin wɛl ful wan. Na we bɔdi kansa bigin fɔ skata na in i kin at fɔ bit am mɔ ɛn mɔ. So, i impɔtant fɔ no di sayn dɛm ɛn go to dɔktɔ kwik kwik wan.
Ustɛm a fɔ go to dɔktɔ?
If yu notis ɛni chenj na di skin ɔ ɔnda di skin na yu bɔdi, mek shɔ se yu tɛl yu dɔktɔ. Bɔku tɛm, i nɔ kin bi kansa, bɔt i bɛtɛ ɔltɛm fɔ mek dɛn chɛk am.
Na mɔtalman, if yu gɛt sayn dɛn fɔ ɛkzema na yu nipples ɔ rawnd yu, ɛn dɛn nɔ de go ivin afta yu dɔn trit dɛn, mek shɔ se yu go to dɔktɔ fɔ mek dɛn du mɔ tɛst dɛn. Nɔ ignore sɔntin we smɔl.
Aw a go tek kia ɔf misɛf if a gɛt dis sik?
Di bɛst we fɔ kia fɔ yusɛf na fɔ bigin tritmɛnt kwik kwik wan. Bɔt yu nid bɔku saykilɔjik sɔpɔt bak.
- Gɛt pɔsin fɔ sɔpɔt yu: tɔk to yu, tɛl yu aw yu de fil, go to dɔktɔ wit yu, ɛn ɛp fɔ du os wok wit pɔsin we yu trɔst (man, fambul, padi).
- Rayt yu kwɛstyɔn dɛn: Bifo yu go to dɔktɔ, rayt ɔl di kwɛstyɔn dɛn we yu want fɔ no pan wan pepa.
- Tek not: Tek not fɔ wetin di dɔktɔ se. If yu aks yu kɔmpin fɔ du di sem tin, yu kin gi di dɔktɔ yu ful atɛnshɔn. Una ɔl tu kin rivyu di infɔmeshɔn leta.
Mɛsej we dɛn kin kɛr go na os
- If yu it, rɛd, ɔ we yu de pul di skin na yu nipple ɔ rawnd yu nipple we tan lɛk ɛkzema ɛn we nɔ de wɛl kin bi sayn fɔ di sik we dɛn kɔl Paget na di bɔdi.
- Dis na wan kayn kansa we nɔ kin apin na di bɔdi, ɛn i kin jɔs apin to di nipple ɔ i kin gɛt fɔ du wit kansa we de insay di bɔdi.
- Nɔ ɛva ignore di chenj dɛn we de apin na yu nipples na di skin, mɔ if dɛn nɔ de bɛtɛ pan ɔl we dɛn de trit dɛn. Si yu dɔktɔ wantɛm wantɛm.
- dεn kin kכnfכm di diagnosis bay we dεn egzamin wan sכm pat pan di skin (bayopsi).
- If dɛn no dis sik we i bigin, di pɔsibiliti fɔ mek i wɛl ɔltogɛda tru ɔpreshɔn ɛn ɔda tritmɛnt dɛn kin rili bɔku.
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