Aw yu sik go go bifo? Lɛ wi fɛn ɔut ɛksaktɔli wetin dɔktɔ dɛn kɔl ‘prognosis’!

We yu kam fɔ no se yu ɔ pɔsin we de nia yu sik, di nɛks big kwɛstyɔn we kin kam na yu maynd na "Wetin de apin naw?" "Dis go bɛtɛ?" "A go ɛva ebul fɔ liv lɛk aw a bin de liv bifo?" Na da tɛm de dɔktɔ dɛn kin tɔk bɔt ‘prognosis’. Okay, mek wi si wetin dis bi, fo simpul wod.

Wetin rili na ‘Prognosis’?

Fɔ tɔk am simpul wan, ‘prognosis’ na prɛdikshɔn we yu dɔktɔ de mek bɔt yu sik, dat na, yu kɔndishɔn, yuz mɛrɛsin no ɛn ɛkspiriɛns. I tan lɛk se dɛn dɔn tɔk bɔt di wɛda. Bɔt i kɔmplikt pas dat, bikɔs ɔlman in bɔdi ɛn aw dɛn kin ansa to sik difrɛn.

Imajin, di dɔktɔ tɛl yu se yu gɛt wan patikyula sik. Bɔku kwɛstyɔn dɛn kin kam na yu maynd wantɛm wantɛm, nɔto so?

• "Dɛn kin mɛn dis?"
• "A go ebul fɔ wɛl ɔltogɛda?"
• "Di sayn dɛm fɔ dis sik go stɔp?"
• "A go ebul fɔ de usay a go ebul fɔ du mi wok mi wan?"
• "Dis tritmɛnt fayn fɔ am?"
• "Aw lɔng a go ebul fɔ liv?"

Fɔ kwɛstyɔn dɛn lɛk dis, di dɔktɔ kin tɛl yu wetin go mɔs apin to yu, bay wetin ɔda pipul dɛn dɔn ɛkspiriɛns. Dat na di ‘prognosis’. I nɔto 100% kɔrɛkt prɛdikshɔn, bɔt na di bɛst gɛs bay di infɔmeshɔn we de naw.

So, wetin mek i impɔtant fɔ no dis ‘prognosis’?

We yu no dis, dat kin mek yu ɛn di wan dɛn we de kia fɔ yu gɛt bɔku trɛnk. I de ɛp yu fɔ disayd fɔ du sɔntin we yu de tink bɔt wetin go bɛnifit yu. Wi nɔ kin ebul fɔ stɔp wisɛf ɔltɛm fɔ mek wi nɔ sik ɔ gɛt aksidɛnt. Bɔt we wi no di ‘prognosis’ de gi wi sɔm ɔndastandin fɔ bia wit tin dɛn we wi nɔ ebul fɔ kɔntrol.

Mek disizhɔn bɔt di tritmɛnt

If yu no yu prɔgnosis kin ɛp yu fɔ pik tritmɛnt, ɔr ivin nɔ gri fɔ tek am. Fɔ disayd aw fɔ trit am nɔ kin izi. Tink bɔt am, sɔmbɔdi kin rɛdi fɔ gɛt tritmɛnt we gɛt siriɔs sayd ɛfɛkt, if i go mek dɛn liv lɔng smɔl. Bɔt pɔsin we gɛt di sem sik kin nɔ gri fɔ tek da tritmɛnt de. Dɛn kin tink se, "I bɛtɛ fɔ liv fɔ sɔm dez ɛn nɔr gɛt pen, ivin if i min fɔ liv gladi layf."

Dɔn bak, sɔm kia savis dɛn kin bi bay di prɔgnosis. Fɔ ɛgzampul, if yu no se yu sik kin wɔs, yu kin ebul fɔ fɛn savis lɛk palliative care, wae kin ɛp fɔ kɔntrol pen ɛn gi yu maynd rilif. Insay sɔm kɔntri dɛn, dɛn kin gi pipul dɛn we dɛn kin tink se go liv fɔ lɛk siks mɔnt so, dɛn kin gɛt savis dɛn lɛk fɔ kia fɔ dɛn na os . Insay dɛn kayn tin ya, di prɔgnosis kin opin di domɔt fɔ di tin dɛn we go ɛp yu fɔ liv fayn fayn wan we yu dɔn.

Mek ɔda tin dɛn fɔ disayd fɔ du na layf.

We yu ɔndastand yu prɔgnosis, dat kin ɛp yu fɔ plan yu de. I kin ɛp yu fɔ mek yu mɔni ɛn yu spiritual layf ɔganayz. I kin ɛp yu fɔ tink bɔt udat yu nid fɔ tɔk to ɛn us impɔtant tin dɛn yu want fɔ du na layf. E kin ridyus bak de prɛshɔn fɔ disayd fɔ du big tin na yu layf kwik kwik wan, bikɔs yu no se yu gɛt chans fɔ mek yu wɛl ful wan.

Aw dɔktɔ dɛn kin no dis ‘prognosis’?

Mɔs dɔktɔ dɛn kin bays dɛn ‘prognosis’ (plural ‘prognoses’) pan mɛdikal risach ɛn dɛn yon ɛkspiriɛns. Yu dɔktɔ kin luk pan di mɛdikal statystik dɛn. Risach pipul dεm de stכdi de εkspiriεns dεm wae big grup dεm de gεt εn de luk fכ di patεn dεm wae de sik. Fɔ no wetin kin apin to bɔrku pipul dɛm wae gɛt wan patikyula sik trade kin fayn fɔ no wetin kin apin to wan patikyula pɔrsin.

We dɛn jɔyn di pɔsin in klinik kɔndishɔn, ɛn bak di data frɔm ɔda pipul dɛn wit di sik, di dɔktɔ dɛn kin mek wan ‘prognosis’ we dɛn tay fɔ ɛni wan pan dɛn.

Na sɔm statystik dɛn we yu dɔktɔ go tink bɔt:

• Survival rates: Ɔmɔs pipul dɛm wae gɛt sɔm kayn diagnosis wae de alayv afta sɔm kayn tɛm. Fɔ ɛgzampul, pipul dɛn we de stɔdi bɔt kansa kin luk ɔmɔs pipul dɛn we gɛt sɔm kayn kansa kin de alayv afta fayv ia.
• Di kɔmplikeshɔn rɛt: Dis kin mɛzhɔ ɔmɔs pipul dɛn kin gɛt ɔda wɛl bɔdi prɔblɛm, ilɛksɛf na di tɛm we wan sik de go ɔ afta dɛn dɔn gɛt sɔm tritmɛnt. Dɛn tin ya kin chenj yu prɔgnosis.
• di tritmεnt sakses rεt: Dis de mכsu aw di tritmεnt de εp fכ rich wan spεshal autkam fכ wan sik (e.g., fכ mεk di sik, rεdכks di sik we de spre, rεdכks di simptom dεm).
• Di rit wae de kam bak: Dis kin tɔk bɔt di chans fɔ mek wan sik ɔr simptom kam bak afta i dɔn go. Bɔku tɛm dis kin tɔk bɔt di chans we kansa go kam bak afta sɔm tɛm we i dɔn ‘rɛmishɔn’ (di sayn ɔ simptom dɛn we nɔ de fɔ di kansa).

Wetin na di prɔgnostik factor dɛm?

Dɔktɔ dɛn kin luk bak pan patikyula tin dɛn we kin afɛkt aw wan sik kin tranga. Sɔm pan dɛn tin ya kin apin to kansa, bɔt bɔku pan dɛn kin apin to bɔku ɔda sik dɛn.

• Tayp fɔ sik: Di patikyula kayn sik kin afɛkt di prɔgnosis. Fɔ ɛgzampul, di kayn kansa (i.e. usay na di bɔdi i bigin) kin afɛkt aw yu go si tin tumara bambay.
• Aw di sik dɔn pas: Aw fa di sik dɔn skata na impɔtant tin fɔ tink bɔt we yu de du diagnosis. fכ egzampl, insay sכm kεnsar dεm, di stej we di kεnsar de (i.e. aw fa i dכn spre) na di mכtalman fכ no aw di kεnsar de prognosis.
• bayolojikal εn jεnεtik kכntribyushכn dεm fכ di sik: jεnεtik mכtεshכn dεm na wan kεnsar sεldi tכp εn aw di sεl dεm abnכmal kin gi wan aydia fכ aw "agrεsiv" di kεnsar de (i.e., i go lεk fכ spre).
• Yu ɔl wɛl bɔdi: Fɔ gɛt mɔr pas wan wɛl bɔdi kɔndishɔn (`comorbidities`) kin mek di prɔgnosis wɔs bɔrku tɛm.
• If ifektiv tritmɛnt de ɔ nɔ de: Fɔ gɛt fayn tritmɛnt de mek di ‘prognosis’ bɛtɛ.
• Aw yu kin ansa to tritmɛnt: In jɛnɛral, if yu wɛl afta tritmɛnt, de prɔgnosis kin fayn.
• Yu aktiviti lɛvɛl: Aw yu de aktif ɔl di de, ɛn if yu kin du ɛvride wok lɛk fɔ go na yu wokples ɛn fɔ drɛs, kin gi klyu bɔt yu fiuja stetmɛnt.
• Dimografik factor dɛm: Sɔmtɛm tin dɛm lɛk ej, man ɔ uman, rays, ɛn etnik grup kin gɛt fɔ du wit aw wan sik kin go bifo.

De tin wae impɔtant pas ɔl fɔ yu prɔgnosis go difrɛn difrɛn wan fɔ yu kɔndishɔn. Yu kin aks yu dɔktɔ wetin dɛn kin tink bɔt we dɛn de no aw yu go gɛt di sik.

Prognosis kalkyulatɔ dɛn

Sɔm dɔktɔ dɛn kin yuz spɛshal "kalkyulatɔ" fɔ ɛp fɔ no aw pɔsin go no wetin go apin to am. fכs, dεn de enta "prognostic" fכktכ dεm (e.g., ej, hεlth kכndishכn, aktiviti lεvεl) insay di kכlkyulata. afta dat, di kalkyulata de yuz fכmula we de kכl "prognostic" infכmeshכn, lεk di layf εkspεktεns. Pan ɔl we dɛn tin ya nɔ kɔrɛkt 100%, dɛn kin gi yu wan jenɛral aidia bɔt di prɔgnosis we pɔsin gɛt.

Aw dɔktɔ dɛn kin tɔk bɔt ‘prognosis’?

Sɔntɛnde, dɔktɔ dɛn kin tɔk bɔt ‘prognosis’ na wan lɛvul:

• Rili gud (Eksɛlɛnt) .
• Gud
• Du tin tret
• Pɔ

"Guarded prognosis" min se nɔr inof infɔmeshɔn yet fɔ mek yu tink bɔt di tin we go apin tumara bambay.

We yu yɛri bɔt di ‘prognosis’ dis kayn we, yu kin bigin fɔ tɔk bɔt di ditil dɛm. Fɔ ɛgzampul, we yu yɛri se di ‘prognosis’ na "poor", i de ɛp yu fɔ rɛdi na yu maynd fɔ tɔk bɔt di tranga disizhɔn dɛm we yu fɔ mek.

Bɔt nɔr wan we nɔ de we dɔktɔ dɛn kin sheb infɔmeshɔn bɔt ‘prognosis’. Fɔ ɛgzampul, yu dɔktɔ kin tɔk bɔt yu ‘prognosis’ lɛk dis:

• As a rεnj: Fɔ ɛgzampul, dɔktɔ we de ɛksplen aw lɔng yu fɔ liv kin tink bɔt aw yu go liv yu layf ɛn yu ‘prognostic’ factors. Bay dis infɔmeshɔn, i kin se yu gɛt lɛk tri to fayv ia so fɔ liv.
• Di bɛst ɛn di wɔs tin we go apin:Sɔm pipul dɛn kin lɛk fɔ rɛdi dɛn maynd fɔ di bɛst ɛn di wɔs. Fɔ ɛgzampul, di bɛst tin we go apin na dat yu go liv fɔ lɛk siks mɔnt afta yu dɔn gɛt tritmɛnt ɛn nɔ gɛt ɛni bad bad tin fɔ du. Di wɔs tin we kin apin na dat, di prɔblɛm dɛn we kin kam wit di tritmɛnt kin mek yu layf shɔt.
• As a most likely outcome: Yu dɔktɔ kin tɔk bɔt di autkam we go mɔs bi. Fɔ ɛgzampul, di tin we go apin mɔs na dat afta yu dɔn gɛt tritmɛnt, yu go gɛt lɛk tri mɔnt fɔ liv wit sɔm sayd ɛfɛkt dɛn we yu kin kɔntrol wit mɛrɛsin.

Di tin we impɔtant pas ɔl: Mɛmba se ilɛk wetin yu dɔktɔ se, nɔbɔdi nɔ go ebul fɔ tɔk bɔt yu tumara bambay. Dɔn bak, yu dɔktɔ kin chenj di ‘prognosis’ as nyu infɔmeshɔn de kam, lɛk aw yu de ansa to tritmɛnt. ‘Prognosis’ na sɔntin we kin chenj ɔltɛm.

Yu tink se di ‘prognosis’ rili kɔrɛkt?

To big pat, yes. Bɔrku dɔktɔ dɛn gɛt infɔmeshɔn wae pɔrsin kin abop pan wae kin mek yu no bɔt aw yu sik go bi tumara bambay. Stɔdi dɔn sho se di ‘prognosis’ we kɔrɛkt pas ɔl dipen pan wan kɔmbaynshɔn pan ɔl tu di data (e.g., ‘prognostic’ kalkyulatɔ) ɛn yu dɔktɔ in mɛdikal jɔjmɛnt. We wi de tɔk bɔt di kɔrɛkt tin, sɔm stɔdi dɛn sho se:

• I izi fɔ tɔk kɔrɛkt wan bɔt di tin we go apin fɔ shɔt tɛm pas di tin we go apin fɔ lɔng tɛm.
• ‘Prognostic’ tul dɛm wae de luk pan tin dɛm lɛk yu aktiviti lɛvɛl go mɔs bi mɔ kɔrɛkt pas tul dɛm wae de luk pan tin dɛm lɛk yu ej ɔr man ɔ uman.

Bɔt, apat frɔm we yu aks if i kɔrɛkt, yu nid fɔ aks bak if dis infɔmeshɔn go ɛp yu. Fɔ ɛgzampul, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt we go mek yu liv lɔng fɔ sɔm mɔnt. Bɔt if da tritmɛnt de gɛt bɔku prɔblɛm dɛn, ɛn yu men gol na fɔ liv yu layf we lɛf we yu nɔ gɛt prɔblɛm, da infɔmeshɔn de nɔ go rili yusful. Dɔktɔ kin se yu kansa nɔ go mɛn. Bɔt if ɔl wetin yu bisin bɔt na if yu go liv lɔng fɔ atɛnd yu pikin in gradyueshɔn, da infɔmeshɔn de nɔ go rili yusful.

Fɔ tɔk tru, yu dɔktɔ nɔ go ebul fɔ ansa ɔl yu kwɛstyɔn dɛn. Bɔt di mɔ we i no bɔt di tin dɛn we de mɔna yu ɛn wetin impɔtant to yu, na di mɔ i go izi fɔ am fɔ ɛksplen tin dɛn.

Aw a kin tɔk to mi dɔktɔ bɔt ‘prognosis’?

We dɛn no se yu gɛt di sik, yu kin fil se yu nɔ gɛt pawa. I kin tan lɛk se di dɔktɔ gɛt ɔl di infɔmeshɔn ɛn ɔl di pawa. Bɔt mɛmba se, we i kam pan ‘prognosis’, yu gɛt pawa bak. In rialiti, di infɔmeshɔn we impɔtant pas ɔl – wetin impɔtant to yu – de wit yu.

We yu de tɔk bɔt di prɔgnosis wit yu dɔktɔ, yu kin du dɛn tin ya:

• Tɛl am wetin na di men tin we de mɔna yu:I kin tek sɔm tɛm fɔ no wetin impɔtant to yu pas ɔl bɔt yu prɔgnosis. Fɔ sɔm, i kin bi se i de liv lɔng smɔl. Fɔ ɔda pipul dɛn, i kin bi se dɛn de kɔntinyu fɔ du dɛn tin dɛn we dɛn kin du ɛvride as dɛn ebul ɛn dɛn nɔ kin chenj ɛni chenj. Fɔ ɔda pipul dɛn, e kin bi fɔ liv witout pen ɔr ɔda sayn dɛm. We yu dɔn no di men tin we de mɔna yu, tɛl yu dɔktɔ bɔt am.
• Tεl am aw yu kin lisin: Yu nɔr kin de na gud ples na yu maynd fɔ no ɔl di ditel dɛm fɔ wan bad ‘prognosis’. Tɛl yu dɔktɔ aw yu de fil. If yu go lɛk fɔ tɔk bɔt di tin we go apin insay jɔnaral wɔd dɛn, se so. If yu want fɔ aks fɔ di ditel dɛn (ilɛksɛf i at), nɔ fred fɔ tɔk dat.
• Tɛl am aw yu lɛk fɔ gɛt infɔmeshɔn: Sɔm pipul dɛn kin want fɔ no di bɛst ɛn di wɔs tin dɛn we kin apin. Ɔda pipul dɛn jɔs want wetin go mɔs apin. Sɔm pipul dɛn kin lɛk fɔ no di mɛdikal statystik we dɔktɔ dɛn kin yuz fɔ no dɛn ‘prognosis’. Ɔda pipul dɛn kin fred da data de. Aks fɔ wetin yu want, wetin yu ebul fɔ handle.
• If yu nɔ ɔndastand sɔntin, se so: Sɔntɛnde dɔktɔ dɛn kin fɔgɛt se nɔto ɔlman ɔndastand tin lɛk rɛnj ɛn pasɛnt. Natin nɔ bad fɔ aks yu dɔktɔ fɔ tek am sloslo ɛn ɛksplen tin dɛn we yu nɔ ɔndastand.

Wetin na di difrɛns bitwin ‘Prognosis’ ɛn ‘Diagnosis’?

‘Diagnosis’ na di mεdikal kכndyushכn wae dכkta fכ no se yu gεt afta dεn dכn du tεst. ‘Prognosis’ na di autkam we yu de ɛkspɛkt fɔ yu ‘diagnosis’. ‘Prognosis’ de luk pan tin dɛm lɛk if yu go wɛl ɛn aw yu kɔndishɔn go tan lɛk . Tink bɔt ‘diagnosis’ (d) as (d)iscovery - wan diskvayri, ɛn ‘prognosis’ (p) as (p)rediction - wan prɛdikshɔn fɔ wetin go mɔs apin.

Yu tink se ‘prognosis’ ɛn sɔvayv rɛt na di sem tin?

‘Prɔgnosis’ ɛn di rεt fɔ liv nɔr na di sem tin, bɔt dɛn gɛt fɔ du wit dɛnsɛf. Bɔku tɛm, dɔktɔ dɛn kin luk pan di rit we pɔsin kin liv fɔ no wan patikyula pat pan ‘prognosis’: aw lɔng pɔsin go ebul fɔ liv. di rεt wae de liv na wan pan di imכtant infכmeshכn dεm we dכkta dεn de yuz fכ no di pכsin in ‘prognosis’.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Bɔrku pan wi wae gɛt nyu sik kin want fɔ no gud gud wan wetin go apin nɛks. Bɔt i sɔri fɔ no se di mɛdikal statystik nɔ fayn fɔ tɔk bɔt wetin go apin tumara bambay. Bɔt fɔ no di prɔgnosis na di nɛks bɛst tin. Yu prɔgnosis kin gi yu mɔr kɔnfidɛns pan yu tritmɛnt chus ɛn disizhɔn bɔt aw yu go spɛn yu tɛm.

Nɔ fred fɔ aks yu dɔktɔ kwɛstyɔn bɔt yu ‘prognosis’. Natin nɔ bad fɔ aks fɔ klarifyeshɔn. I fayn bak fɔ mek yu pe atɛnshɔn pan di kwɛstyɔn dɛn we impɔtant pas ɔl to yu bɔt yu wɛlbɔdi tumara bambay. Mɛmba se, fɔ no na pawa!

` Prɔgnosis, diagnosis, rikavari ɛkspɛkteshɔn, mɛdikal advays, tritmɛnt disizhɔn, layf disizhɔn, wɛlbɔdi infɔmeshɔn