Yu kin gɛt pen na yu chɛst ɔltɛm ɔ yu nɔ kin ebul fɔ blo? Sɔntɛm yu bin dɔn gɛt asbest na wokples we yu bin yɔŋ. Tide wi de tɔk bɔt wan kansa wae nɔr kin bɔrku bɔt wae kin rili siriɔs wae kin gɛt bɔrku ia afta wae pɔrsin gɛt dis kayn sik. Dɛn kɔl dis Pleural Mesothelioma insay mɛrɛsin. Pan ɔl we di nem kin tan lɛk se i kɔmplikt, lɛ wi kip am simpul.
Wetin rili na Pleural Mesothelioma?
Fɔ tɔk am simpul wan, wan tin we tan lɛk tin we de kɔba, de rawnd di insay wɔl na wi lɔng ɛn di chɛst. Dis na wetin wi kin kɔl di pleura na mɛrɛsin. dis mεmbran de mek wit wan spεshal kayn sεl we dεn kכl mεsotεlium . So we kansa de divεlכp insay dεn mεsoteliכm sεl dεm ya, dεn kכl am Pleural Mesothelioma (כ malignant pleural mesothelioma).
Di men ɛn kɔmɔn tin we kin mek dis apin na we pɔsin gɛt wan minral we dɛn kɔl asbest . Yu go no se trade, dɛn bin de yuz asbest sheet fɔ bil, mɔ fɔ mek ruf. We dis asbest rɔtin, brok, ɔ wok pan am, rili smɔl smɔl tin dɛn we pɔsin nɔ de si kin kɔmɔt na di ays. we dεn inhal dεn tin ya, dεn kin go insay di lכng dεm εn setul. Di tin we denja pas ɔl na dat wi bɔdi nɔ kin ebul fɔ sɔlv ɔ pul dɛn tin ya. So as di ia dɛn de go, dɛn kin pwɛl di mɛmbran dɛn we de rawnd di lɔng dɛn, ɛn dis kin mek di bɔdi wam, ɛn leta dɛn kin chenj di sɛl dɛn ɛn tɔn dɛn to kansa.
Yu tink se men kayn kansa de?
Yɛs, di Wɔl Ɛlth Ɔganayzeshɔn (WHO) dɔn sheb dis kansa to tri men kayn kansa bay di kayn kansa sɛl dɛn. Sɔm kayn dɛn kin skata kwik kwik wan, ɛn ɔda wan dɛn kin gro sloslo. Di tritmɛnt kin difrɛn bak fɔ di kayn tritmɛnt.
| Di kayn kansa we yu gɛt | Simpul ɛksplen |
|---|---|
| Epiteliɔyd Mɛsotelioma | dis na di kayn we we kכmכn pas כl (bכt 60% - 80%). I izi smɔl fɔ trit pas di ɔda kayn dɛn. |
| Sarkomatoid Mɛsoteliɔm | Dis na di kayn we we nɔ kin bɔku (lɛk 10%). I kin gro kwik kwik wan ɛn i nɔ kin izi fɔ trit. |
| Bifasik Mɛsotelioma | Dis na wan kayn we we nɔ kin bɔku bak (lɛk 10% - 15%). I gɛt miksɔp fɔ sɛl dɛn frɔm di tu kayn dɛn we wi dɔn tɔk bɔt. |
We yu dɔktɔ dɔn no ustɛm yu gɛt, dɛn go ebul fɔ gi yu gud aidia bɔt us tritmɛnt dɛn go fayn fɔ yu ɛn wetin go apin tumara bambay.
Wetin na di sayn dɛm fɔ dis sik?
Wan prɔblɛm wit dis na dat di sayn dɛm kin apia sloslo . I kin tek 20, 30, ɔ ivin 50 ia afta yu dɔn gɛt asbest fɔ mek di sayn dɛn we yu gɛt fɔ sho. Di fɔs sayn dɛm kin tan lɛk di wan dɛm wae kin kam wit kɔmɔn kol ɔr ɔda smɔl sik, so bɔrku pipul nɔr kin pe atɛnshɔn to dɛn. Na we di sik kin tranga smɔl na in dɛn kin go to dɔktɔ.
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 dat, yu kin si dɛn sayn 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 fɔ natin
- Nayt swet dɛn
- Taya
- Fiva we de mek yu fil wik
Ɔda tin dɛn de we kin mek i apin apat frɔm asbest?
Asbest we dɛn kin gɛt na in kin mek 70% pan di wan dɛn we dɛn kin no se gɛt di sik. Bɔt sɔm tɛm, pipul dɛn we nɔ bin gɛt asbest kin gɛt dis kansa bak. Sayɛnsman dɛn stil de du risach bɔt dis. Sɔm ɔda tin dɛn we kin mek i apin na:
- Fɔ dɔn gɛt redyushɔn tɛrapi to di chɛst eria.
- jεnεtik chenj dεm we dεn kin inhεrit (fכ egzampl, di absכns fכ di jin BAP1).
- We pɔsin de pan sɔntin we dɛn kɔl kabɔn nanotyub (we dɛn de yuz naw fɔ mek tin dɛn lɛk motoka ɛn spɔt ikwipmɛnt strɔng).
Di tin we impɔtant pas ɔl na dat, no risk nɔ de we dɛn put asbest sheet na di ruf. Di risk kin jɔs apin we di tin brok, rɔtin, ɔ pul am, ɛn mek smɔl smɔl tin dɛn kɔmɔt na di ays.
Udat dɛn de pan denja pas ɔlman?
Dis sik kin apun bɔrku tɛm pan pipul dɛm wae dɔn gɛt asbestos fɔ lɔng tɛm tru dɛn woke. Bɔku pan dɛn pipul ya dɔn ritaia naw (we dɔn pas 65 ia). Dɛn bin de wok na wok dɛn we gɛt fɔ du wit asbest we dɛn bin yɔŋ, bifo lɔ dɛn bigin fɔ wok bɔt di denja dɛn we asbest gɛt.
Ivin na Sri Lanka, di wan dɛn we de du dɛn kayn wok dɛn de kin gɛt mɔ prɔblɛm:
- Pipul dɛn bin de du wok fɔ bil bildin dɛn ɛn fɔ pwɛl dɛn
- Pipul dɛn we de wok na say dɛn we dɛn kin mek ship
- Pipul dɛn we de wok na garaj ɛn faktri
- Di wan dɛn we de mek ɛn instɔl insuleshɔn matirial dɛn
- Fayaman dɛn
- Di wan dɛn we de mek plaba
- Di wan dɛn we de wok na di mayn
Pantap dat,
- Pipul dɛn we de liv na di sem os wit pɔsin we de wok wit asbest dɛnsɛf de pan denja, bikɔs dɛn patikyula tin dɛn de kin kam insay di os frɔm dɛn klos ɛn sus.
- Pipul dɛn we de nia asbest mayn ɔ usay dɛn de pwɛl ol bildin dɛn we gɛt asbest, dɛnsɛf de pan denja.
Aw fɔ no bɔt dis sik?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt, di mɛdikal istri, ɛn mɔ bɔt di wok we yu de du ɛn aw yu go gɛt asbest. Dɔn, dɛn kin se dɛn fɔ du sɔm tɛst dɛn, lɛk:
- imej tεst dεm: εks-ray na di chεst kin luk fכ chenj dεm na di lכng dεm, di pleura tik, כ wata we de rawnd di lכng dεm (pleural effusion). Apat frɔm dat, dɛn kin ɔda fɔ mek dɛn du MRI, CT skan, ɔ PET skan fɔ si usay di tumbu de ɛn if di kansa dɔn skata.
- Blɔd tɛst: Sɔm blɔd tɛst dɛn kin luk 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 involv fכ pul sכm sכm wata we de rawnd di lכng εn tεst am fכ kεnsar sεl dεm. Dis kin ɛp fɔ mek di chɛst nɔ tayt ɛn i nɔ kin izi fɔ blo.
- Bayɔpsi tɛst: .
Dis na di tɛst we impɔtant pas ɔl ɛn we rili impɔtant. di onli we fכ bi 100% sכri if yu gεt mεsothelioma na fכ du bayopsi. Dis min se yu fɔ tek wan rili smɔl tisu frɔm rawnd di lɔng ɛn chɛk am ɔnda maykroskɔp fɔ si if ɛni kansa sɛl de ɛn if na so, us kayn.
Wetin na di stej dɛm fɔ kansa?
Lɛk ɛni kansa, dɛn kin sheb am to stej 1 to 4 dipen pan aw di sik de skata. Dɛn kin plan fɔ trit am bay dis stej.
| Stej | Pozishɔn |
|---|---|
| Stej 1. Di wan we mek | di kansa de kכnfyus na di mεmbran we de rawnd di lכng dεm (pleura). Dis tɛm ya, dɛn kin tray fɔ du ɔpreshɔn fɔ pul di kansa kpatakpata. |
| Stej 2. Di wan we mek | Di kansa dɔn spre smɔl pas di pleura, bɔt i stil de nia usay i bigin. |
| Stej 3. Di wan we mek | Di kansa dɔn skata to di ɔgan dɛn we de nia am ɛn di limf no dɛm. |
| Stej 4. Di wan we mek | di kansa dεn dכn spre (mεtastas) to di כgan dεm we de fa (lεk di liva, bon dεm). |
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, ɔnkɔlɔjis dɛn kin plan tritmɛnt bay we dɛn de yuz kɔmbayn tritmɛnt dɛn.
- Ɔpreshɔn: Dɛn kin du ɔpreshɔn we di sik bigin. dis kin involv fכ pul di כl lכng wit di kεnsar (extrapleural pneumonectomy - EPP) כ fכ pul di kansa tisu εn pleura nכmכ (pleurectomy wit decortication - P/D).
- Radiation Therapy: Dis na fɔ yuz ay ɛnaji rayt fɔ pwɛl di kansa sɛl dɛn. Dɛn kin yuz dis tritmɛnt fɔ kil ɛni sɛl we lɛf afta dɛn dɔn ɔpreshɔn am ɔ fɔ ridyus di sayn dɛm (lɛk pen na in 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 mek wi yon imyun sistɛm ebul fɔ no ɛn pwɛl di kansa sɛl dɛn.
- Palliative Care: Di gol nɔto fɔ mɛn di kansa. Bifo dat, na fɔ kɔntrol di sikman in sayn dɛm (pen, shɔt briz) ɛn mek ɛvride layf fayn ɛn nɔ gɛt pen as i pɔsibul.
- Klinik Trayal: Dis na stɔdi dɛn we de tɛst if nyu tritmɛnt dɛn sef ɛn if dɛn wok fayn. Dɛn kin yuz dɛn tin ya fɔ tɛst nyu tritmɛnt dɛn lɛk jin tɛrapi. Yu kin tɔk to yu dɔktɔ bɔt if yu kin tek pat pan wan pan dɛn trial ya.
Wan we de fɔ avɔyd dis sik?
di bεst εn כnli we fכ mek yu nכ gεt pleura mεsotelioma na fכ avכyd fכ inhal di asbest patikyula dεm. Pan ɔl we bɔku kɔntri dɛn dɔn ban naw fɔ yuz asbest, i kin stil de na ol bildin ɛn motoka dɛn we dɛn bil bifo 1980. Yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:
- If yu gɛt ol asbest na yu os, mek pɔsin we sabi du di wok inspɛkt am bifo yu mek ɛni ripɛnt.
- If yu de pul asbest, trɔs di wok to wan kɔmni we tren. Nɔ ɛva tray fɔ du am yusɛf.
- If yu de gɛt asbest tru yu wok, mek shɔ se yu wɛr di rayt klos fɔ protɛkt yu ɛn fes mask. Tek tɛm mek yu nɔ kɛr di patikyula tin dɛn go na os pan yu klos ɔ yu sus we yu de go na os afta wok.
Mɛsej we dɛn kin kɛr go na os
- Pleural mesothelioma na wan kansa we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs na di lɔng dɛn, we kin apin mɔ we pɔsin inhal di asbest patikyula dɛn.
- Di sayn dɛm (chɛst pen, i nɔ kin izi fɔ blo) kin apin bɔku ia afta yu dɔn gɛt am.
- If yu gɛt histri bɔt asbest ɛn yu de gɛt di sayn dɛn we wi dɔn tɔk bɔt, go to dɔktɔ wantɛm wantɛm ɛn nɔ de te.
- Pan ɔl we dɛn nɔ go ebul fɔ mɛn dis sik ɔltogɛda, ɔpreshɔn, kemotɛrapi, redyushɔn tɛrapi, ɛn di tritmɛnt dɛn we dɛn de yuz tide kin kɔntrol di sayn dɛn, mek pɔsin liv lɔng, ɛn mek in layf bɛtɛ.
- Di bɛst we fɔ avɔyd dis na fɔ protɛkt yusɛf frɔm asbest dɔst.
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