Yu dɔn ɛva yɛri bɔt ɔpreshɔn fɔ ridyus yu bɔdi, usay dɛn kin pul wan ɔ ɔl tu di bɔdi bifo dɛn bigin fɔ gɛt bɔdi, fɔ mek yu nɔ gɛt bɔku kansa na yu bɔdi? Pan ɔl we dis kin tan lɛk nyu tin ɛn i kin mek yu fred smɔl, fɔ tru, na rili impɔtant mɛrɛsin we kin sev yu layf fɔ sɔm uman dɛn we gɛt rili ay risk fɔ gɛt bɔdi kansa. Dis na tin we pɔsin kin disayd fɔ du. So, tide wi go tɔk bɔt dis, dat na, ‘Prophylactic Mastectomy’, insay wan simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Prophylactic Mastectomy?
Pan ɔl we di nem kin tan lɛk se i kɔmplikt, di kɔnsɛpt simpul. Prophylactic Mastectomy na di ɔpreshɔn fɔ pul di bɔdi we gɛt wɛlbɔdi ɔ ɔl tu di bɔdi bifo kansa bigin, wit di aim fɔ ridyus di risk fɔ gɛt bɔdi kansa.
Fɔ tɔk am simpul wan, dis na "preventive mastectomy." Sɔm pipul dɛn kin kɔl am bak ‘preventative mastectomy’ ɔ ‘risk-reducing mastectomy.’ Dɛn kin du dis fɔ ridyus di risk fɔ gɛt kansa tumara bambay, pas fɔ trit am if i dɔn ɔlrɛdi de.
Udat fɔ tink bɔt dis ɔpreshɔn? Yu tink se ɔlman nid dis?
Nɔ, fɔ tru, nɔto so. Dis ɔpreshɔn nɔ fayn fɔ ɔlman. Pɔsin we gɛt avrej risk nɔ fɔ ivin tink bɔt dis kayn ɔpreshɔn. Yu dɔktɔ go jɔs gi yu dis opshɔn if dɛn kɔnfyus se yu gɛt rili ay risk fɔ gɛt bɔdi kansa.
Okay, so lɛ wi si wetin na dɛn ay risk factors de.
- Fɔ gɛt strɔng famili histri bɔt kansa: If yu fambul we de nia yu (fɔ ɛgzampul, yu mama, sista, ɔ gyal pikin) dɔn gɛt bɔdi kansa, yu risk kin bɔku. Dis kin bi mɔ if da pɔsin de bin gɛt di kansa bifo i ol 50 ia .
- Fɔ gɛt kansa fɔ yusɛf: Imajin se yu dɔn ɔlrɛdi gɛt kansa na wan bɔdi, ɛn yu nid fɔ pul di bɔdi fɔ pul da bɔdi de as tritmɛnt. Da tɛm de, sɔm pipul dɛn kin disayd fɔ pul di ɔda wɛlbɔdi bɔdi bak, fɔ ridyus di risk fɔ gɛt kansa na da say de tumara bambay. Bɔt dis nɔ de afɛkt di kayn we aw di kansa we dɔn de ɔ ɛni ɔda tritmɛnt we dɛn kin gi am.
- Pozitiv Jɛnɛtik Tɛst: We sɔm jin dɛn we de na wi bɔdi chenj ɔ chenj, dat kin mek wi gɛt kansa bad bad wan. BRCA1 εn BRCA2 na tu dεn kayn mεjכr jin dεm. If yu jenɛtik tɛst sho se yu gɛt wan pan dɛn jɛnɛtik muteshon ya, yu risk fɔ gɛt bɔdi kansa rili bɔku. If na so i bi, yu kin tink bɔt fɔ du dis ɔpreshɔn.
- Rɛdyeshɔn tɛrapi trade: If yu dɔn gɛt redyushɔn tɛrapi to di chɛst eria fɔ ɛni rizin, mɔ bitwin 10 ɛn 30 ia (fɔ ɔda kansa, lɛk Hodgkin’s lymphoma), yu risk fɔ gɛt bɔdi kansa tumara bambay go bɔku.
Dis na tin we rili impɔtant. Dis disishun nɔto sɔntin we yu wan fɔ disayd. Yu fɔ tɔk to yu dɔktɔ, dɔktɔ we de du ɔpreshɔn, ɛn yu famili gud gud wan ɛn ɔndastand ɔl di gud ɛn bad tin dɛn bifo yu disayd fɔ du sɔntin.
Aw bɔku dis ɔpreshɔn kin rili ridyus di prɔblɛm?
Dis na di kwɛstyɔn we impɔtant pas ɔl. Yɛs, di sef fɔ dis ɔpreshɔn rili ay fɔ di wan dɛn we gɛt ay risk. Stɔdi dɛn dɔn sho se:
- dis ɔpreshɔn kin ridyus di risk fɔ gɛt brɔst kansa pan uman dɛn we gɛt BRCA1 ɔ BRCA2 jin muteshɔn bay lɛk 95% , we min se di risk dɔn ɔlmost dɔn.
- Uman dɛm we gɛt strɔng famili histri fɔ gɛt kansa kin ridyus dɛn risk bay lɛk 90% .
Dis na rili ay pasɛnt, na dat mek na gud opshɔn fɔ di wan dɛn we de na di ay risk kategori.
Yu tink se difrɛn kayn ɔpreshɔn dɛn de we dɛn kin du?
Yɛs, difrɛn we dɛn de fɔ du dis ɔpreshɔn dipen pan wetin di pɔsin nid, di kayn bɔdi we i gɛt, ɛn wetin dɔktɔ tɛl am fɔ du. Lɛ wi ɔndastand am klia wan frɔm dis tebul.
| Di kayn ɔpreshɔn we dɛn kin du | Simpul diskripshɔn |
|---|---|
| Baylatarɛl Mastektomi | Dis min se dɛn fɔ pul ɔl tu di bɔdi. Bɔku tɛm, na di wan dɛn we gɛt tin dɛn we kin mek dɛn gɛt prɔblɛm wit dɛn jɛnɛtiks kin pik dis we. |
| Kontralateral Mastektomi (we de opɔsite) . | Dɛn kɔl dis mastectomy, we na we pɔsin we gɛt kansa na wan bɔdi kin pul di ɔda bɔdi we gɛt wɛlbɔdi di sem tɛm we dɛn pul da bɔdi de. |
| Mastectomy we nɔ de mek di skin nɔ pwɛl | na ya, dεn de pul di nipl εn di dak εria we de rawnd am (areola), εn na di brεst tisu we de insay nכmכ dεn de pul tru da sכmכl say we dεn kכl am. Bɔku pan di skin na di bɔdi kin lɛf biɛn. |
| Nipple-Sparing Mastectomy we dɛn kin du | insay dis mכtכd, na di brεst tisu dεm we de insay nכmכ dεn de pul, we de lεf di nipl εn di εria we de rawnd am intakt. |
| Mastectomy wit Rikɔnstrɔkshɔn | Dɛn kin du ɔpreshɔn fɔ mek di bɔdi bak di sem tɛm we dɛn pul di mama ɔ afta dɛn dɔn pul di mama. dis kin bi bay we dεn de yuz silikon implant כ tisu we dεn tek frכm כda pat na di bכdi (e.g., di bכdi). |
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Yu dɔktɔ go gi yu ɔl di tin dɛn we yu nid bifo dɛn du di ɔpreshɔn. Di de we dɛn go du di ɔpreshɔn, dɛn go put yu insay ɔspitul gɔn ɛn gɛt wan IV layn we dɛn kɔnɛkt to yu an. Dis go put yu ɔnda jenɛral anestezi, we min se yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn ɛn yu go slip ɔl.
Dɔn dɛn kin kɛr am go na di say usay dɛn de du di ɔpreshɔn, ɛn di dɔktɔ we de du di ɔpreshɔn bigin fɔ du di ɔpreshɔn.
1. Fɔs, dɛn kin kɔt di say we fayn na di bɔdi.
2. afta dat, dεn kin tek tεm di brεst tisu frכm di skin εn di chεst mכsul dεm.
3. di brεst tisu we dεn pul dεn kכmplit. If yu de plan fɔ mek yu bɔdi bak, da step de kin bigin dis tɛm.
4. Afta di ɔpreshɔn, dɛn kin put sɔm tiub dɛn we dɛn kɔl dreyn fɔ pul di wata we pasmak (blɔd, wata, ɛn ɔda tin dɛn) we kin gɛda insay di wund. Dɛn kin pul dɛn tin ya insay sɔm dez.
5. Fɔ dɔn, dɛn kin stich di say we dɛn kɔt ɛn kɔba am fayn wit bandej.
Dis ɔpreshɔn kin tek lɛk tu to tri awa so, bɔt if dɛn de du bak di bɔdi bak di sem tɛm, i kin tek lɔng tɛm.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Yu go nid fɔ de na ɔspitul fɔ lɛk wan de afta di ɔpreshɔn. Dis tɛm kin difrɛn difrɛn wan bay aw yu gɛt wɛlbɔdi ɛn if yu bin gɛt ɔpreshɔn fɔ mek yu bɔdi bak.
We yu de wɛl, di mɛdikal tim go tɛl yu fɔ du simpul ɛksesaiz fɔ ɛp fɔ mek yu an ɛn sholda nɔ stif ɛn tayt.Dɛn go tich yu. Dɛn ɛgzampul ya go ridyus bak di fɔmɛshɔn fɔ di ska tisu. Bifo yu kɔmɔt na ɔspitul, dɛn go ɛksplen yu ɔltin, lɛk aw fɔ kia fɔ di wund na os ɛn aw fɔ tek mɛrɛsin.
Di Tɛm fɔ Rikɔva:
- I kin tek lɛk 3-4 wiks fɔ di fɔs tɛm we i wɛl .
- If yu dɔn gɛt ɔpreshɔn fɔ mek yu bɔdi fayn bak, i kin tek 8 wik fɔ mek i wɛl.
- I kin tek sɔm mɔnt bifo yu bigin fɔ du ɔl yu nɔmal tin dɛn bak, mɔ tin dɛn lɛk fɔ es wet.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn.
- Blɔd we de kɔmɔt
- Sik we de prɛd
- Lɔs di sɛns na di brɔst ɛn di nipple
Apat frɔm dɛn prɔblɛm ya we kin apin to pɔsin in bɔdi, ɔda impɔtant tin de we wi fɔ tink bɔt: di prɔblɛm we kin apin to pɔsin in maynd .
Yu kin fil wɔri ɛn fil bad bɔt yu bɔdi afta dɛn dɔn du yu ɔpreshɔn. If yu lɔs wan ɔ ɔl tu yu bɔdi, i kin at fɔ bia wit yu filin. Dis na tin we rili nɔmal. Nɔ fɛt dɛn filin ya yu wan. E kin fayn fɔ tɔk to saykayatrist ɔr advaysa wae kin ɛp yu fɔ tɔk bɔt dis ɛn ɛp yu fɔ kam fɔ no bɔt dis.
Ustɛm a fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn?
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn go na os afta dɛn dɔn ɔpreshɔn yu, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- If yu gɛt fiva .
- If di wund de blɔd .
- If di pen nɔr dɔn afta sɔm wik ɔ if i de wɔs.
- If rɛd ɛn swel de rawnd di wund.
- If yu fil wam arawnd di say we dɛn kɔt.
Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn, so i rili impɔtant fɔ ripɔt dɛn kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Prophylactic Mastectomy nɔto ɔpreshɔn fɔ ɔlman. Dɛn kin du am fɔ di wan dɛn nɔmɔ we gɛt rili ay risk fɔ gɛt bɔdi kansa.
- If dɛn du am pan di rayt pɔsin, dis ɔpreshɔn kin ridyus di risk fɔ gɛt bɔdi kansa bay 90-95%.
- Difrɛn we dɛn de fɔ du di ɔpreshɔn, ɛn di opshɔn de bak fɔ mek dɛn mek di bɔdi bak di sem tɛm we dɛn pul di bɔdi ɔ afta dɛn dɔn pul di bɔdi.
- I kin tek tɛm fɔ wɛl pan bɔdi ɛn maynd. Na nɔmal tin fɔ fil bad ɛn wɔri as yu bɔdi de chenj. Nɔr shem fɔ aks fɔ ɛp frɔm pɔrsin wae sabi bɔt mɛntɛl hεlth.
- Dis na rili big tin ɛn yu yon disayd we go afɛkt yu layf. So, tek tɛm tɔk to yu dɔktɔ bɔt am, ɔndastand ɔl di gud ɛn bad tin dɛn, ɛn disayd fɔ du di rayt tin fɔ yu.
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