Yu X-ray sho se ‘nodule’ de na yu lכng? (Pulmonary Nodule) - Nɔ wɔri, lɛ wi tɔk bɔt dis!

Yu go dɔn gɛt ɛkstrem rayt ɔ CT skan na yu chɛst fɔ si if yu gɛt difrɛn sik, sɔntɛm fɔ sɔntin lɛk we yu de kɔf ɔltɛm. Na nɔmal tin fɔ fil bɔku frayd ɛn wɔri we yu si "pulmonary nodule" na di ripɔt. Yu kin tink wantɛm wantɛm se, "O mi Gɔd, na kansa dis?" Bɔt di tin we impɔtant pas ɔl fɔ tɛl yu na dat bɔku pan dɛn lumps ya nɔto kansa . So lɛ wi nɔ panik, bɔt lɛ wi tɔk to di pɔynt stret.

Wetin na pulmonari nodul?

Fɔ tɔk am simpul wan, dis na smɔl ‘spɔt’ ɔ ‘lɔmp’ na yu lɔng. We yu luk dis pan ɛkstrem rayt ɔ CT skan, i kin kɔmɔt klia wan frɔm di wɛlbɔdi lכng tisu we de rawnd am. I tan lɛk smɔl dɔti pan wayt shit. Na nɔmal tin fɔ wɔri we ripɔt tɔk bɔt wan lump, bɔt mɛmba se, bɔku pan dɛn tin ya na benign, we min se nɔ gɛt kansa.

Sɔntɛnde, if yu si di wɔd dɛn "ground glass opacity" na yu ripɔt, nɔ ala. Dis kin min aw di lump de luk. I min se di lump tan lɛk glas we dɛn dɔn smok, ɛn yu nɔ go ebul fɔ si tru am. Sɔm lumps dɛn kin strɔng, ɛn yu nɔ kin si natin tru dɛn. Dis we aw i tan kin gi di dɔktɔ sɔm aidia bɔt di kayn we aw di lump tan.

Aw kɔmɔn dɛn lumps ya kin bi?

Dɛn tin ya kin bɔku pas aw yu go tink. Infakt, lɛk wan pan ɔl tri pipul dɛn we gɛt CT skan na dɛn chɛst go gɛt smɔl smɔl tin lɛk dis na dɛn ripɔt. Na so dis sik kin kɔmɔn. So no bi jos yu, na plenti oda pipul we go get dis fo dia ripot.

Dɛn tin ya kin mek pɔsin gɛt ɛni sayn?

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 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔku tɛm, dɛn kin no dɛn bay we dɛn de du tɛst fɔ ɔda rizin. Bɔt if di nodul big ɛn i de prɛs pan say lɛk di winda, ɔ if i gɛt kansa, sɔm sayn dɛn kin apin.

Wetin mek dɛn lumps ya kin fɔm na di lɔng dɛn?

difrεn rizin dεm de we mek di lכng nodul dεm kin fכm. Dɛn kin kam bikɔs ɔf difrɛn tin dɛn lɛk infekshɔn, smɔl smɔl tin dɛn we de kam insay di bɔdi, sik dɛn we de mek di bɔdi gɛt skata (ska) na di lɔng, ɛn kansa.

Na sɔm pan di men rizin dɛn:

• Infectious Granulomas: Dis na di kayn lumps wae nɔr gɛt kansa. Dɛn lumps ya kin fɔm na di lכng bikɔs ɔf baktriyal infεkshכn lεk TB, we kɔmɔn na wi kɔntri, ɔr sɔm fεn infεkshכn. dis lumps (Granulomas) de fכm we di bכdi in imyun sεl dεm kam togeda fכ fכt di infεkshכn.
• Granulomas we nɔ gɛt infɛkshɔn: Dɛn kayn lumps ya kin kam bak bikɔs ɔf ɔtoimyun sik dɛm, lɛk rεumatoid atraytis ɛn sarkoidosis.
• Benign Tumor: Dɛn lumps ya kin bi bak bay benign tumor (e.g., Hamartomas, Lipomas).
• Kansa Tumɔs: Sɔntɛnde, dis lump kin bi di biginin fɔ gɛt kansa na yu lɔng. Bɔt mɛmba se dis nɔ kin apin lɛk ɔda tin dɛn we kin mek i apin.
• Skarin/Fibrosis: .If pɔsin smok, inhal difrɛn kemikal dɛn, ɔ dɔst, i kin pwɛl di lɔng dɛn ɛn mek skata (spɔt) de na dɛn say dɛn de. Dɛn kin si dɛn tin ya bak pan ɛkstrem rayt as nodul.

Dɔktɔ, aw yu go no if dis na kansa ɔ nɔto kansa?

Di dɔktɔ nɔ go disayd wantɛm wantɛm afta i dɔn si yu ripɔt. CT skan nɔmɔ nɔ go ebul fɔ tɛl yu 100% if na kansa ɔ nɔto kansa. Bɔt, i kin gi yu sɔm impɔtant tin dɛn we yu go no bɔt.

Di dɔktɔ kin mek pipul dɛn pe atɛnshɔn to dɛn pɔynt dɛn ya:

• di sayz fכ di lump: Jεnarali, di lumps we sכm pas 0.6 sεntimita (6 milimita) kin gεt rili sכm risk fכ bi kansa.
• Shep fɔ di lump: Bɔku tɛm, di lump dɛn we gɛt smol ɛn rawnd ed dɛn nɔ kin du bad. כltu, dεn fכ invεstigat mכr di lכmp dεm we nכ rεgulεr, spayky ed dεm.
• Di gro we di lump gro: Kɔmpia am wit di ɛkstrem rayt ɔ CT skan we yu bin dɔn du bifo fɔ si if di lump dɔn gro.

Frɔm dɛn tin ya we go mek di dɔktɔ disayd wetin fɔ du nɛks. I kin tɛl yu fɔ du sɔm ɔda tɛst dɛn.

• Ɔda spɛshal tɛst dɛn lɛk CT skan ɔ PET skan.
• Blɔd tɛst ɔ sputum tɛst fɔ chɛk fɔ si if i gɛt di sik.
• Fɔ tek smɔl pat pan di lump fɔ mek dɛn chɛk am (Biopsy) .

Insay us kes dɛn i nid fɔ tek bayɔpsi?

Nɔto ɔl lump nid fɔ gɛt bayɔpsi. Yu dɔktɔ go jɔs tɛl yu fɔ tek bayɔpsi if dɛn tink se di lump gɛt kansa. Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• If yu na pɔsin we de smok ɔ yu dɔn smok trade.
• If yu dɔn pas 65 ia.
• If yu ɔ sɔmbɔdi na yu famili dɔn gɛt kansa bifo.
• If yu dɔn gɛt redyushɔn tɛrapi to di chɛst eria.
• If yu dɔn gɛt tin dɛn lɛk asbest ɛn redɔn.
• If di lump big pas 9 milimita in saiz.

Bɔku we dɛn de fɔ du bayɔpsi. brכnkoskopi min fכ put wan sכmכl tכb we gεt kεmεra tru di mכt כ nos fכ luk insay di lכng dεm εn tek sεmpl. Sɔntɛnde, dɛn kin du nidul bayɔpsi bak bay we dɛn kin kɔt smɔl pat na di chɛst.

Wetin na di tritmɛnt dɛm fɔ dis?

Di gud nyus na dat, bɔrku smɔl smɔl tin dɛm wae nɔr gɛt kansa nɔr nid ɛni tritmɛnt.

Bɔku tɛm di dɔktɔ kin se "Active Surveillance".Dat min se fɔ wach di lump we yu nɔ gɛt ɛni tritmɛnt.

• If di tin we mek di lump na infekshɔn, dɛn go gi am antibayɔtik ɔ antifungal mɛrɛsin.
• If di lump gro di tɛm we dɛn de wach am, mek i gɛt sɔm sayn dɛn, ɔ dɛn kɔnfyus se i gɛt kansa bay bayɔpsi, dɛn kin nid fɔ du ɔpreshɔn fɔ pul di lump.

Us sityueshɔn dɛn a fɔ wɔri?

If yu ripɔt tɔk bɔt wan lump, i impɔtant fɔ tɔk to yu dɔktɔ bɔt am ɛn fala dɛn advays. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm.

Nɔr delay as dis kin bi sayn fɔ wan siriɔs kɔndishɔn.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Di bɛst we fɔ mek yu nɔ fred ɛn dawt na fɔ aks yu dɔktɔ kwɛstyɔn dɛn ɛn ɔndastand am klia wan. Yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Dɔkta, wetin kin bi di kɔz fɔ dis lump?"
• "Given im saiz and apinans, hau laikli e go bi denja?"
• "A nid fɔ tɛst ɛni ɔda tin?"
• "Wetin wi go du nɛks? Wi nid fɔ du ɔda skan? Ustɛm na dat?"
• "Us patikyula simptom a fɔ luk fɔ?"