Sɔntɛnde, yu bɛlɛ nɔ kin fil fayn, yu kin blo, ɔ yu bɛlɛ kin fil pen? Dɛn sayn ya kin rili kɔmɔn, ɛn sɔmtɛm dɛn kin kam wit sɔmtin wae wi kin it ɔr drink, ɔr ivin smɔl infekshɔn. Bɔt sɔntɛnde, sɔntin kin de we rili siriɔs biɛn dɛn we nid fɔ pe atɛnshɔn. Na dat na di peritoneal carcinomatosis . Di nem kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi tɔk bɔt am simpul wan ɛn ɔndastand am.
Wetin na Pɛritonial Karsinomatosis?
Fɔ tɔk am simpul wan, dis min se kansa we dɔn bigin ɔdasay na wi bɔdi dɔn skata to wan mɛmbran we dɛn kɔl di peritoneum . Naw yu kin de wɔnda wetin na dis peritoneum. na tכn mεmbran we de layn insay wi bεlε, dat na di bכdi εn di bכdi. Bɔku pat dɛn we de insay wi bɔdi, lɛk wi intestinal, liva, ɛn bɛlɛ, dis mɛmbran de kɔba am.
So, we kansa kam na ɔda ɔgan, fɔ ɛgzampul, ovari ɔ kɔlon, ɛn dɛn kansa sɛl dɛn de kam na di bɛlɛ ɛn mek nyu tɔŋ dɛn de, wi kin kɔl am peritoneal carcinomatosis . dis difrεn frכm praymari pεritonεal kεnsar, we de stat na di pεritoneal insεf, biכs insay dis kes di kεnsar de stat כdasay.
Dɛn kin kɔl dɛn kayn kansa ya bak let-stej kansa ɔ mɛtastas kansa . Na tru se dɛn tin ya siriɔs smɔl pas di kansa dɛn we kin bigin fɔ apin. Bɔt nɔ wɔri. If yu gɛt nyu tritmɛnt, i pɔsibul fɔ kɔntrol aw dis sik de prɛd ɛn ɛp di pɔsin fɔ liv lɔng.
Us kayn kansa kin kam wit dis sik?
Klose to ɛni kansa kin spre to di peritoneum, bɔt dɛn kayn kansa ya kin mek pɔsin gɛt dis sik:
- Ovarian kansa (dis na di wan we kin apin pas ɔl) .
- Kansa na di kɔlon
- Bɛlɛ kansa
- Kansa na di pankrias
- Apɛndiks kansa
- Kansa na di rεktal
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt Pɛritoneal Carcinomatosis?
Bɔrku tɛm, dis sik nɔr kin kɔz ɛni sayn te i afɛkt wan big eria na di peritoneum. Dat min se, di sik kin jɔs bigin fɔ sho afta di sik dɔn skata smɔl. We dis kin apin, di sayn we kin apin mɔ na we wata kin gɛda na di bɛlɛ (ascites) . Dis na we di bɛlɛ kin bigin fɔ swel we nɔmal.
Bɔku ɔda sayn dɛn kin de we gɛt fɔ du wit dis:
- Fɔ taya ɔltɛm
- Bɛlɛ we dɔn swɛla ( bikɔs ɔf di wata we de na di bɔdi) .
- Pɔsin we de fil pen na di bɛlɛ
- Mas we de na di bɛlɛ
- Lɔw bak pen
- Nɔs ɛn vɔmit
- Banbɛlɛ
- We yu de lɔs yu wet ɔ yu wet we yu nɔ ɛksplen
Naw, luk, bɔku pan dɛn sik ya kin apin bak pan ɔda sik dɛn we kin apin. Fɔ ɛgzampul, bɛlɛ pen kin apin bak pan gastritis. So, jɔs bikɔs yu gɛt dɛn sik ya, nɔr panik ɛn tink se yu gɛt dis siriɔs sik. Bɔt if yu kɔntinyu fɔ gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ ɛn mek dɛn chɛk yu. Bikɔs na dɔktɔ nɔmɔ go ebul fɔ no fɔ tru if dis na kansa ɔ nɔto kansa.
Wetin kin mek dis apin?
Pɛritonial kansa kin apin, lɛk aw wi bin dɔn tɔk, we kansa frɔm wan pat na di bɔdi de skata to di peritoneum. Bɔku tɛm, dis kansa kin bigin insay di bɛlɛ, insay wan ɔgan we de nia di bɛlɛ. Fɔ ɛgzampul, di ovaria ɔ di kɔlon.
Bɔt pan lɛk tɛn pasɛnt (10%) pan di kes dɛm, dis kansa kin bigin na wan ɔgan we nɔ de na di bɛlɛ. if dat apin, di kansa sεl dεm de travul tru di bכdi כ di limf sistεm fכ rich di pεritoneum. Tink bɔt am lɛk smɔl dɔti we de muv tru watasay, dɛn sɛl ya de travul bak tru di wata we de na di bɔdi.
Aw dɛn kin no dis sik? (Diagnosis) .
Dɔktɔ dɛn kin yuz bɔku tɛst fɔ no if pɔsin gɛt dis sik. Sɔm pan dɛn na:
- Imej tɛst: Dɛn tin ya na CT skan , MRI skan , ɛn PET skan . Dɛn kayn skan ya kin gi klia pikchɔ bɔt aw fa di kansa dɔn spre to di peritoneum ɛn usay i de.
- Blɔd tɛst: Dɛn kin chɛk yu blɔd fɔ si if i gɛt spɛshal prɔtin dɛn we dɛn kɔl tumor markers . Sɔm kansa sɛl dɛn kin pul dɛn tin ya insay di blɔd. If dɛn tin ya go ɔp, dat kin bi sayn fɔ di sik.
- Paracentesis: If yu gɛt wata na yu bɛlɛ (ascites), yu dɔktɔ kin tek smɔl sampul pan di wata ɛn mek dɛn tɛst am na lab. Dis kin ɛp fɔ no us kayn kansa dɔn skata, ɔr wetin na di praymar kansa.
- Bayopsi: Dis na fɔ tek wan rili smɔl pat pan di tumbu ɛn chɛk am ɔnda maykroskɔp fɔ si if ɛni kansa sɛl de. Dis na di onli test wae kin definitivli no if na kansa or not.
Wetin na di Pɛritonial Karsinomatosis Indeks (PCI)?
Dis PCI na impɔtant tul na di diagnostik prɔses we de ɛp dɔktɔ dɛn fɔ plan tritmɛnt. We dɔktɔ dɛn yuz dis indeks, dɛn kin gi yu wan mak bay usay ɛn aw big di kansa sɛl dɛn de na yu bɛlɛ ɛn yu smɔl intestinal.
Dis infɔmeshɔn kin ɛp di dɔktɔ fɔ ɔndastand ɛn gɛt aidia bɔt if ɔpreshɔn kin pul dɛn tumbu ya kpatakpata ɔ nɔ kin pul am.
Wetin na di tritmɛnt dɛm fɔ dis? (Tritmɛnt)
di men tin we de naw εn di standad tritmεnt fכ pεritoneal carcinomatosis na wan tritmεnt we dεn kכl Hyperthermic Intraperitoneal Chemotherapy (HIPEC) we dεn kכmbayn wit cytoreductive surgery (CRS) .
Pan ɔl we dis kin tan lɛk se na kɔmplikɛt tu wɔd wɔd dɛn, i jɔs tan lɛk dis:
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* CRS (Cytoreductive Surgery): Di gol fɔ dis ɔpreshɔn na fɔ pul ɔl di kansa tɔŋ dɛn we pɔsin kin si na di peritoneal mɛmbran.
* HIPEC (Hyperthermic Intraperitoneal Chemotherapy): Dɛn kin yuz dis we fɔ pwɛl ɛni kansa sɛl we lɛf we tu smɔl fɔ mek yu si wit yu yay afta dɛn dɔn du CRS ɔpreshɔn. Insay dis, dɛn kin injɛkt kemotɛrapi drɔgs we dɛn dɔn ɔt dairekt insay di bɛlɛ, lɛf am na in ples fɔ shɔt tɛm, dɔn dɛn kin pul am. Bikɔs dɛn kin wam di mɛrɛsin dɛn ɛn kɛr dɛn go dairekt to di kansa, i kin wok pas di tradishɔnal kemotɛrapi.
Dɛn kin gi dis CRS ɛn HIPEC tritmɛnt apat frɔm di tritmɛnt we dɛn kin gi di ɔgan usay di kansa fɔs bigin.
Sɔntɛnde, nɔto ɔlman kin gɛt CRS ɔpreshɔn. Dat min se, di sikman in kɔndishɔn nɔ kin fayn fɔ ɔpreshɔn. Ivin fɔ dɛn kayn pipul ya, palliativ kia kin ɛp fɔ kɔntrol di sik ɛn ridyus pen. Palliative care na tritmɛnt wae de ɛp di pɔrsin fɔ fil fayn, ilɛksɛf na di stej wae di kansa gɛt.
Ɛni kɔmplikeshɔn de fɔ di tritmɛnt?
Di las risach sho se ɔl tu di CRS ɛn HIPEC na sef ɛn ifektiv tritmɛnt we dɛn tek tɛm skan di sikman dɛn ɛn pik di rayt we. Di tin dɛn we kin apin kin fayn mɔ we dɛn du di ɔpreshɔn na say we gɛt ɛkspiriɛns ɛn we kin du dis tritmɛnt ɔltɛm.
Bɔt jɔs lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Pan ɔl we dɛn nɔ kin apin so ɔltɛm, dɛn tin ya kin mek pɔsin in layf de pan denja if dɛn nɔ trit dɛn kwik kwik wan. Dɛn tin ya na:
- Ebi ebi blɔd we de kɔmɔt
- Pɔrfɔreshɔn na wan ɔgan
- Anastomotic leak afta di ɔpreshɔn
- Sik we de prɛd
- Absεs we de na di bɔdi
- Sepsis ( na siriɔs tin we kin kam we di 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).
Yu dɔktɔ go ɛksplen ɔl dis to yu bifo tɛm. Di impɔtant tin na fɔ ɔndastand aw di bɛnifit dɛn we pɔsin kin gɛt frɔm di tritmɛnt pas di prɔblɛm dɛn we i kin gɛt.
Wetin na di prɔgnosis fɔ peritoneal carcinomatosis?
di po prognosis we de asai wit peritoneal carcinomatosis naw dεn dכn bכku bכku wan wit di advent fכ CRS εn HIPEC tritmεnt dεm. Pan ɔl we no mɛrɛsin nɔ de fɔ dis sik, dɛn tritmɛnt ya kin ɛp di wan dɛn we sik fɔ liv lɔng .
Fɔ di wan dɛn we dɛn dɔn ɔpreshɔn fɔ pul ɔl di trays dɛn we de na di kansa (CRS), 45% de alayv afta fayv ia. Dat min se, fɔti fayv pasɛnt pan di wan dɛn we dɔn gɛt saksesful CRS kin liv fɔ fayv ia. Bɔt if ɔpreshɔn nɔ ebul fɔ pul di kansa kpatakpata, di fayv ia we dɛn kin liv nɔ kin rich 10%.
Bɔku ɔda tin dɛn de we kin afɛkt di we aw yu de si tin:
- Di kayn praymari kansa
- Aw di kansa sɛl dɛn de luk abnɔmal
- Aw yu sik dɛn kin rili bad
- Yu PCI skɔ
Yu dɔktɔ kin ɛksplen mɔ bɔt dɛn tin ya we kin afɛkt yu sik.
Aw a kin kia fɔ misɛf? (Fɔ kia fɔ yusɛf) .
Fɔ liv wit mɛtastas kansa, we na wan sik lɛk peritoneal carcinomatosis, kin tranga. De sik wae de kam pan yu bɔdi kin mek i nɔr izi fɔ yu fɔ pas de de. Ɛn di nɔr shɔ bɔt aw yu bɔdi go biev we yu gɛt tritmɛnt kin mek yu fil bad.
Dis na di rizin we mek i impɔtant fɔ gɛt ɔl di sɔpɔt we yu go ebul fɔ gɛt.
Dis kin inklud fɔ gɛt palliativ kia fɔ ɛp fɔ mɛn di sik dɛn. I fayn bak fɔ go to advays fɔ ɛp yu fɔ dil wit de kɔmpleks filin wae kin kam wit pɔrsin wae gɛt diagnosis. I kin fayn mɔ fɔ jɔyn sɔpɔt grup usay yu kin kɔnɛkt wit ɔda pipul dɛn we de liv wit advans kansa kɔndishɔn lɛk yu. Dis kin ɛp yu nɔr kin fil lɛk yu wan ɛn yu kin lan frɔm ɔda pipul dɛn ɛkspiriɛns.
Aks yu dɔktɔ bɔt di tin dɛm wae kin mek i izi fɔ liv wit peritoneal carcinomatosis smɔl.
Ustɛm a fɔ go to di dɔktɔ?
Yu go nid fɔ go to yu dɔktɔ ɔltɛm fɔ si aw yu tritmɛnt de wok fayn. Insay da tɛm de, if yu gɛt nyu sik ɔ if yu sik de wɔs, tɛl yu dɔktɔ wantɛm wantɛm.Dɔn i kin tɛl yu fɔ du ɔda tritmɛnt ɔ chenj dɛn to yu tritmɛnt plan we go ɛp yu.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
We yu mit yu dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:
- Us tɛst dɛn a nid fɔ du?
- Us kayn tritmɛnt yu kin kɔmɛnt fɔ mi?
- Us sayd ɛfɛkt a kin ɛkspɛkt frɔm di tritmɛnt dɛn?
- Us rizulyt a kin ɛkspɛkt afta tritmɛnt?
- Us tin dɛn de fɔ ɛp mi fɔ bia wit di sayn dɛn ɛn di bad tin dɛn we kin apin to mi?
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Trade, we dɛn kin no se pɔsin gɛt Pɛritonial Kansa, dɛn kin tink se i kin liv shɔt layf. Bɔt, di tin dɔn difrɛn naw. Tɛnki fɔ di advans tritmɛnt dɛm wae de tide, di tɛm wae pipul dɛm wae gɛt dis sik kin liv dɔn lɔng pasmak.
Bɔt yu ɛkspiriɛns go dipen pan di patikyula diagnosis we yu gɛt. Yu dɔktɔ kin ɛksplen to yu if yu na gud kandidet fɔ tritmɛnt lɛk CRS ɛn HIPEC. I kin kɔnɛkt yu bak wit risɔs fɔ mek shɔ se yu gɛt di sɔpɔt we yu nid fɔ bia wit dis kɔndishɔn.
Nɔ ɛva giv ɔp op. Fɔ gɛt di rayt infɔmeshɔn, fɔ gɛt tritmɛnt di rayt tɛm, ɛn fɔ gɛt di sɔpɔt we yu nid na yu maynd ɛn bɔdi, rili impɔtant pan dis fɛt.
` Pɛritonial Karsinomatosis, Pɛritonial Karsinomatosis, Kansa, Pɛritonial, Asayt, CRS, HIPEC, Kansa Simptom dɛm, Kansa Tritmɛnt
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