Yu kin gɛt pen na yu chɛst ɔltɛm ɔ yu nɔ kin ebul fɔ blo? Yu go tink se na nɔmal tin. Bɔt sɔmtɛm, dɛn sayn ya kin bi sayn fɔ wan mɔr siriɔs wɛl bɔdi prɔblɛm wae wi nɔr dɔn yɛri bɔrku bɔt. Tide, wi go tɔk bɔt wan kansa we nɔ kin bɔku, ɛn bɔku tɛm dɛn nɔ kin no bɔt am.
Wetin rili na Pleural Mesothelioma?
Fɔ tɔk am simpul wan, Pleural Mesothelioma na wan kayn kansa we nɔ kin apin so ɔltɛm we kin apin na di tin mɛmbran ɔ layn we de rawnd wi lɔng ɛn di insay wɔl na wi chɛst. Dɛn kin kɔl dis layn we dɛn kin kɔl pleura . I de protɛkt wi lɔng dɛn lɛk ɛnvilɔp.
dis kansa gεt in nem frכm di mεmbran we dεn kכl mεsothelium. Dis na kɔva we de protɛkt wi ɛn we de rawnd bɔku pan di ɔgan dɛn we de insay wi bɔdi. so, di kεnsar we de divεlכp enisay na dis mεsothelium mεmbran dεn kכmכn fכ kכl am mεsothelioma. Bikɔs i de divɛlɔp na di lɔng dɛn, dɛn kɔl am Pleural Mesothelioma.
Di men tin ɛn di tin we gɛt fɔ du wit dis dairekt wan na we pɔsin de gɛt asbest . Yu go dɔn yɛri se dɛn bin de yuz asbest sheet trade ivin fɔ ruf fɔ os dɛn na wi kɔntri. Dis asbest na wan kayn minral we dɛn bin de yuz trade fɔ bɔku tin dɛn lɛk bildin matirial ɛn di motoka industri. We wi blo di smɔl smɔl tin dɛn we tan lɛk fayv we de insay, dɛn kin go insay di lɔng dɛn ɛn put dɛn na di bɔdi. Wi bɔdi nɔ kin ebul fɔ dayjɛst ɔ pwɛl dɛn tin ya. As tɛm de go, dɛn tin ya kin mek di lɔng dɛn inflamɛns, di sɛl dɛn nɔ kin wok fayn, ɛn leta i kin bi kansa.
Di impɔtant tin na dat, di tin dɛn we dɛn kin yuz fɔ mek asbest we nɔ pwɛl nɔ denja. Bɔt na we di tin brok, brok, ɛn tɔn to di briz lɛk dɔst, na in di big big prɔblɛm kin apin we pɔsin inhal dɛn patikyula tin dɛn de.
Wetin na di men kayn kansa?
Di Wol Wɛlbɔdi Ɔganayzeshɔn (WHO) dɔn sheb dis kansa to tri men kayn, i kin dipen pan di kayn sɛl we i bigin insay.Sɔm kayn kansa kin skata kwik kwik wan ɛn i nɔ kin izi fɔ trit. If yu no us kayn yu gɛt, dat kin ɛp yu dɔktɔ fɔ disayd us tritmɛnt go fayn fɔ yu ɛn aw yu sik go go bifo.
| Di kayn kansa we yu gɛt | Tɔk bɔt |
|---|---|
| Epiteliɔyd Mɛsotelioma | Dis na di kayn we we kכmכn pas כl (bitwin 60% εn 80% pan כl di sik pipul dεm). I izi fɔ trit we yu kɔmpia am to di ɔda tu kayn. |
| Sarkomatoid Mɛsoteliɔm | Dis na di kayn we we nɔ kin bɔku (lɛk 10% pan ɔl di sik pipul dɛn). Dis kayn kin gro kwik kwik wan ɛn i nɔ kin izi fɔ trit. |
| Bifasik Mɛsotelioma | Dis na di kayn we we nɔ kin apin bak (bitwin 10% ɛn 15%). I gɛt miksɔp pan ɔl tu di kayn sɛl dɛn we wi dɔn tɔk bɔt. |
Wetin kin bi di sayn dɛm fɔ dis sik?
Wan pan de tin wae denja pasmak pan dis sik na wae de sik kin apun kwik kwik wan. I kin tek 15, 20, ɔ ivin 50 ia afta yu dɔn gɛt asbest fɔ mek di sayn dɛn we yu gɛt fɔ sho. Di fɔs sayn dɛm na smɔl smɔl tin lɛk kɔmɔn kol, so bɔrku pipul dɛn nɔr kin pe atɛnshɔn to dɛn. Dis kin mek di tɛm we dɛn go to dɔktɔ, di kansa kin dɔn rili go bifo.
De tu men sayn dɛm wae de sho se yu gɛt dis sik na:
- Pen we de kɔntinyu fɔ de na in chɛst
- I nɔ izi fɔ blo (di briz shɔt) .
Apat frɔm dis, yu kin si dɛn tin ya bak:
- Kɔf we de kɔntinyu fɔ kɔf ɛn we yu de ala lawd lawd wan
- I nɔ kin izi fɔ swɛla (Dysphagia) .
- Di pen we de na di lɔwa bak
- Di fes ɛn an dɛn we de swel
- We yu de lɔs yu wet witout ɛni rizin
- Nayt swet dɛn
- Fɔ taya ɔltɛm
- Fiva we kin kam fɔ natin
Udat dɛn kin gɛt dis sik?
Bɔrku pipul dɛm wae gɛt dis sik kin gɛt asbest fɔ lɔng lɔng tɛm tru dɛn woke. Tink bɔt wan pɔsin we bin de ple bas. I bin wok na say dɛn we dɛn de bil ɛn bil ship fɔ lɔng lɔng tɛm. I bin jɔs bigin fɔ gɛt di sayn dɛn we i ol 65 ɔ 70 ia.
Di wok dɛn we de pan denja pas ɔl na:
- Di wan dɛn we de wok na bildin kɔnstrɔkshɔn ɛn faktri
- Di wan dɛn we de wok fɔ bil ship ɛn ripɛnt (espɛshali di wan dɛn we bin de wok na di nevi) .
- Pipul dɛn we de pwɛl ol bildin dɛn
- Ɔto mɛkanik ɛn relwe wokman dɛn
- Di wan dɛn we de mek ɛn instɔl insuleshɔn
- Fayaman dɛn
- Di wan dɛn we de mek plaba
- Di wan dɛn we de wok na di mayn
Nɔto dis nɔmɔ, yu kin de pan denja bak:
- If pɔsin na yu famili du dis kayn wok, dɛn asbest ya kin kam insay di os pan dɛn klos ɛn sus.
- If yu de nia asbest mayn, ɔ nia ples usay dɛn de pwɛl ol bildin dɛn we gɛt asbest.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
We yu tɛl yu dɔktɔ bɔt yu sik, i go chɛk yu, aks bɔt yu wok, di say we yu de, ɛn ɔda tin dɛn fɔ si if yu gɛt ɛni risk factor. Afta dat, dɛn kin du bɔku tɛst fɔ no if dɛn gɛt di sik.
- Imej Test: Dɛn go du wan chɛst ɛkstrem fɔs. Dis kin luk fɔ tin dɛm lɛk we di layn na di lɔng dɛn tik, di pleura effusion, ɛn ɔda tin dɛm.Apat frɔm dat , dɛn kin du CT skan, MRI skan , ɔ PET skan fɔ si ustɛm di kansa de ɛn if i dɔn skata.
- Blɔd Tɛst: Sɔm blɔd tɛst kin chɛk fɔ di ɛlevɛt lɛvɛl fɔ sɔm tin dɛn we gɛt fɔ du wit dis kansa (lɛk fibulin-3 ɛn sɔlbul mɛsotɛlin-rilayt peptide) na di blɔd.
- Thoracentesis: Dis min se yu fɔ pul sɔm pan di wata (fluid) we dɔn gɛda rawnd yu lɔng wit sirinj ɛn tɛst am fɔ si if yu gɛt kansa sɛl. Dis kin ɛp fɔ mek yu chɛst nɔ tayt ɛn nɔ blo fayn.
- Bayopsi: Dis na di onli we fכ kכnfכm di diagnosis 100% pan di tεm. insay dis, dεn kin tek wan sכmכl tisu frכm di layn na di lכng εn dεn kin egzamin am כnda maykroskכp fכ si if εni kεnsar sεl dεm de. Dɛn kin du dis bay we dɛn yuz tin dɛn lɛk brɔnkoskɔpi, tɔrakskɔpi , ɔ vidio-assisted thoracic (VATS) ɔpreshɔn .
Aw dɛn kin klas di stej dɛm we kansa kin gɛt?
Lɛk ɛni kansa, stej dɛn de. Di stej na aw fa di kansa dɔn skata. Dis na impɔtant tin fɔ mek yu dɔktɔ plan yu tritmɛnt.
- Stej 1: Di kansa de nכmכ na di layn na di lכng (pleura). Na dis stej, dɛn kin du ɔpreshɔn fɔ tray fɔ pul di kansa kpatakpata.
- Stej 2: Di kansa dɔn spre smɔl pas di layn na di lɔng, bɔt i stil de nia usay i bin bigin.
- Stej 3: Di kansa dɔn spre to di ɔgan dɛm we de nia ɛn di limf no dɛm.
- Stej 4: Di kansa dɔn spre to ɔgan dɛm we de fa (lɛk di liva, bon, ɔ bren). Dɛn kɔl dis mɛtastasayz .
Wetin na di tritmɛnt dɛm fɔ dis?
Pleural mesothelioma na kansa we at fɔ trit bikɔs i kin spre izi wan tru di nerv dɛm, blɔd vesel dɛm, ɛn tisu dɛm. So, di wan dɛn we de stɔdi bɔt ɔnkolɔg kin se dɛn fɔ yuz di tritmɛnt dɛn we dɛn kin yuz togɛda.
- Ɔpreshɔn: Dɛn kin du ɔpreshɔn pan di fɔs tɛm we pɔsin gɛt kansa. wan opareshכn we dεn k כl εkstraplyural nyumonεktכmi (EPP) de pul di lכng εn di tisu we de rawnd am. Wan ɔpreshɔn we dɛn kɔl pleurectomy wit decortication (P/D) de pul di layn we de na di lɔng ɛn di tumbu nɔmɔ we dɛn nɔ de pul di wan ol lɔng.
- Radiation Therapy: Dɛn kin yuz ɛkstrem rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn. Dɛn kin du dis wit ɔpreshɔn ɔ kemotɛrapi. Sɔmtɛm dɛn kin yuse am fɔ ridyus di sayn dɛm (lɛk fɔ pen na yu chɛst).
- Kimotɛrapi: Dis na fɔ gi di bɔdi mɛrɛsin dɛn we de kil di kansa sɛl dɛn ɔ stɔp dɛn fɔ gro. Pemetrexed, carboplatin , ɛn cisplatin na di mɛrɛsin dɛn we dɛn kin yuz mɔ.
- Immunotherapy: Dis na nyu tritmɛnt we de wok bay we i de mek wi yon imyun sistɛm strɔng, ɛn ɛp am fɔ no ɛn atak di kansa sɛl dɛn.
- Palliative Care: Di gol fɔ dis nɔto fɔ mɛn kansa. Bifo dat, na fɔ kɔntrol di sikman in sayn dɛm (pen, i nɔ kin izi fɔ blo), mek i izi fɔ liv ɛvride, ɛn gi am rilif.
- Klinik Trayal: Dis na stɔdi dɛm wae de tɛst di laytst tritmɛnt ɛn mɛrɛsin dɛm. Yu kin gɛt di chans fɔ gɛt di layt tritmɛnt dɛn, lɛk nyu kemotɛrapi ɛn imyunotɛrapi drɔgs kɔmbayn, jin tɛrapi , ɛn fotodaynamik tɛrapi .
Pan ɔl we dɛn nɔ go ebul fɔ mɛn dis sik ɔltogɛda, dɛn tritmɛnt ya kin ɛp yu fɔ lɔng tɛm, kɔntrol di sayn dɛm we yu gɛt, ɛn liv fayn layf.
Aw fɔ mek i nɔ apin? Ɛn ustɛm fɔ go to dɔktɔ?
Di bɛst we fɔ mek yu nɔ gɛt Pleural Mesothelioma na fɔ avɔyd fɔ blo di asbestos patikyula dɛn na di ays. Naw, dɛn dɔn stɔp fɔ yuz asbest na Sri Lanka bak. Bɔt dɛn kin stil si dɛn tin ya na os ɛn bildin dɛn we dɔn pas 20-30 ia.
- If yu de rɛnova ol os, mɔ if yu de chenj tin dɛn lɛk di ruf ɔ di siling, mek pɔsin we sabi chɛk am fɔ si if i gɛt asbest.
- If yu de pul asbest, trɔs di wok to kɔmni we dɛn tren fɔ du dat.
- If yu de wok na wok we denja, wɛr di rayt mask ɛn klos we go protɛkt yu ɔltɛm . Nɔ briŋ dɛn patikyula tin dɛn de go na os pan yu klos.
If yu gɛt histri bɔt asbest ɛn yu gɛt ɛni wan pan dɛn sayn ya, mek shɔ se yu go to dɔktɔ wantɛm wantɛm:
- Bak ɔ chɛst de pen
- Kɔntinyu fɔ kɔf ɔ fɔ de ala lawd lawd wan
- I nɔ kin izi fɔ yu fɔ blo ɔ fɔ swɛla
- Fes we de swel
- We yu de lɔs yu wet fɔ natin
Aks yu dɔktɔ bɔt dɛn tin ya:
- Us kayn Pleural Mesothelioma a gɛt?
- Us stej a de pan kansa?
- Us tritmɛnt we bɛtɛ fɔ mi?
- Yu tink se dɛn tritmɛnt ya go mek a liv lɔng? Dɛn go mek a nɔ gɛt di sik?
- Aw fɔ kɔntrol di bad tin dɛn we pɔsin kin du we i gɛt tritmɛnt?
- Ɛni klinik trial de we a kin tek pat pan?
Mɛsej we dɛn kin kɛr go na os
- Pleural mesothelioma na wan kansa we nɔ kin apin so ɔltɛm we kin apin na di layn na di lכng. Di men tin we kin mek dis apin na we pɔsin inhal di asbest patikyula dɛn.
- Di sayn dɛm (chɛst pen, i nɔ kin izi fɔ blo) kin tek sɔm ia fɔ sho, so nɔr ignore dɛm.
- If yu gɛt histri fɔ gɛt asbest (espɛshali na wok dɛn lɛk kɔnstrɔkshɔn ɔ ɔto mɛkanik) ɛn yu de gɛt dɛn sayn ya we wi dɔn tɔk bɔt, go to dɔktɔ wantɛm wantɛm.
- Pan ɔl we dɛn nɔ go ebul fɔ mɛn dis sik ɔltogɛda, ɔpreshɔn, redyushɔn tɛrapi, kemotɛrapi, ɛn nyu tritmɛnt kin kɔntrol di sayn dɛm ɛn mek i liv lɔng.
- I bɛtɛ fɔ mek yu nɔ gɛt dis sik. Protɛkt yusɛf frɔm asbest dɔst as yu ebul.
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