Imajin se yu gɛt ɛkstrem rayt ɔ CT skan na yu chɛst fɔ ɔda rizin, sɔntɛm na bikɔs yu chɛst tayt. We yu gɛt di ripɔt sɔm dez afta dat, yu si se i se ‘pulmonary nodule’ de. Na nɔmal tin fɔ fil se yu de fred wantɛm wantɛm. "Oh mai God, na kansa dis?" Di kwɛstyɔn de kam na di baksay na yu maynd. Bɔt yu tink se na rili sɔntin we wi fɔ fred? Bɔku tɛm, nɔto so i kin bi. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin na pulmonari nodul?
Fɔ tɔk am simpul wan, pulmonari nodul na smɔl rawnd ɔ oval shep mas insay yu lɔng tisu we de sho difrɛn frɔm nɔmal lɔng tisu we yu tek ɛkstrem rayt ɔ CT skan. Bɔku tɛm, dɛn tin ya kin smɔl.
I ɔndastand se yu de fred we yu si sɔntin lɛk dis na ripɔt. Bɔt di impɔtant tin we wi nid fɔ mɛmba na dat pas 95% pan dɛn spat ɔ lumps ya nɔto kansa (`benign`). Dat min se dɛn nɔ de du bad ɛn dɛn nɔ de skata to ɔda pat dɛn na di bɔdi.
Yu kin dɔn si di wɔd `ground glass opacity` na yu ripɔt. Yu no wetin di dɔktɔ min wit dat? I min se di spat dɛn so smɔl dat yu nɔ go ebul fɔ si di ɔndalayn lɔng tisu tru dɛn, lɛk we yu de luk tru glas we dɛn smok. Sɔm spat dɛn kin rili sɔlid, we min se yu nɔ kin si ɛnitin ɔnda. Sɔm spat dɛn kin bi we dɛn ɔl tu jɔyn. Dis apinɛns de ɛp di dɔktɔ fɔ gɛt aidia bɔt di kayn we aw di lump tan.
Aw dis sik kin kɔmɔn? Ɛn yu tink se ɛni sayn de we de sho se yu gɛt dis sik?
Dis na wan sik wae kin pasmak pas aw yu kin tink. Infakt, lɛk wan pan ɛvri tri pipul dɛn we dɛn dɔn tek CT skan na dɛn lɔng go gɛt dis smɔl say na dɛn ripɔt. So yu kin imajin aw dis kin apin.
We i kam pan di sayn dɛm, bɔrku tɛm dɛn smɔl smɔl tin ya nɔr kin kɔz ɛni sayn. Yu kin kam fɔ no se yu gɛt wan we dɛn de skan fɔ ɔda rizin. Bɔt nɔto ɔltɛm, if di lump big, ɔ if i de nia wan say we di briz de blo ɛn de prɛs pan am, ɔ if i gɛt kansa, yu kin gɛt sɔm sayn dɛn.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Chɛst de pen | Pen, mɔ we yu de tek dip briz ɔ yu de kɔf. |
| I nɔ izi fɔ blo (dyspnea) . | Fɔ blo shɔt ɔ fɔ shɔt briz ivin if yu tray smɔl. Sɔntɛm wan sawnd we de mek pɔsin swɛt de kɔmɔt na di chɛst. |
| Kɔf we de kɔntinyu fɔ kɔf | Kɔf we nɔ de dɔn ɛn we kin las fɔ sɔm wiks, sɔm tɛm dɛn kin gɛt blɔd na di mכkus. |
| Ɔda tin dɛn we de apin | We yu nɔ ebul fɔ ɛksplen yu wet, yu nɔ de want fɔ it, yu kin gɛt infɛkshɔn we yu kin gɛt we yu de blo bɔku tɛm lɛk brɔnkayt ɔ nyumonia. |
Di impɔtant tin na dat nɔto ɔl dɛn sik ya kin kɔmɔt frɔm wan lɔng tumbu. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya, yu fɔ rili tɔk to yu dɔktɔ.
Wetin mek spat lɛk dis kin fɔm na di lɔng dɛn?
Bɔku rizin dɛn kin de fɔ dis. Lɛ wi luk di men wan dɛn.
- Ska we kin kam frɔm ol infɛkshɔn: Dis na di tin we kin mek pɔsin gɛt mɔ sik. Yu kin gɛt infekshɔn bifo, lɛk fɔngal infɛkshɔn ɔ TB, we dɔn wɛl ɛn lɛf smɔl smɔl tin we tan lɛk ska (a granuloma) na yu lɔng. Dɛn tin ya nɔ bad atɔl. I tan lɛk smɔl skata we dɛn lɛf biɛn we wund na di skin wɛl.
- Benign tumors: Tכmכro dεm we nכ de kεnsar, we nכ de du bad kin divεlכp bak na di lכng dεm. Sɔm ɛgzampul dɛn na hamartomas ɛn lipomas.
- Imyun sistεm sik dεm: Dɛn kayn lumps ya kin apin bak bikɔs ɔf sik dεm we de chenj di we aw di bɔdi in yon imyun sistεm de wok, lεk rεumatoid atraytis ɔ sarcoidosis.
- Ska na di lכng dεm (`Fibrosis`): Kכz dεm lεk fכ smok, inhal difrεn kεmikכl dεm, כ dכst kin pwεl di lכng dεm εn mek yu ska. Dis kin apin bak lɛk lumps.
- Tumɔs dɛn we gɛt kansa:Yɛs, nɔto ɔltɛm dis lump kin bi di biginin fɔ kansa. lכng kεnsar (`nכn sכm sכl lכng kεnsar`, `sכm sכl lכng kεnsar`) kin stat dis we. כlso, yu kin si lumps lεk dis we kεnsar frכm כda pat na di bכdi de spre to di lכng dεm (`mεtastasis`).
Wetin di dɔktɔ go du nɛks?
We yu dɔktɔ si wan smɔl smɔl tin lɛk dis na yu ripɔt, i go tink bɔt bɔku tin dɛn, lɛk yu kɔmplit mɛdikal istri, yu ej, if yu de smok, ɛn if ɛnibɔdi na yu famili dɔn gɛt kansa. I go pe spɛshal atɛnshɔn bak to di sayz, shep (di ed dɛn we smol ɔ rɔf), ɛn aw di lump de luk lɛk aw yu si am na di skan.
Yu kin no if dis na kansa frɔm CT skan?
Di stret ansa to dis na nɔ. Yu nɔ go ebul fɔ no wit 100% shɔ if na kansa ɔ nɔto jɔs bay we yu luk CT skan. di onli we fכ kכnfכm if na kεnsar na wit bayopsi, we na sכm sכm sεmpl fכ di lump we dεn tek εn egzamin.
Bɔt di CT skan de gi di dɔktɔ bɔku valyu tin dɛn.
- Sayz: Lump dɛm we smɔl pas 0.6 sɛntimita (6 milimita) gɛt rili smɔl risk fɔ gɛt kansa.
- Shep: Lכmp dεm we gεt sכft, rawnd ed dεm kin bi mכr kכnεs. Lump dεm wit rכf, jagged, irregular ed dεm de kכnsεn sכmtεm.
Ustɛm dɛn nid fɔ tek bayɔpsi?
Yu dɔktɔ go mɔs tɛl yu fɔ du bayɔpsi pan dɛn kayn tin ya:
- If di lump big pas 9 milimita in saiz.
- If di lump de big smɔl smɔl pan skan as tɛm de go.
- If yu gɛt ɔda tin dɛn we kin mek yu gɛt kansa na yu lɔng.
| Risk Factors fɔ Lɔng Kansa | |
|---|---|
| Fɔ smok | If yu de smok naw ɔ yu dɔn smok trade. |
| Ej | Bikɔs i dɔn pas 65 ia. |
| Famili istri | If yu ɔ sɔmbɔdi na yu famili dɔn gɛt kansa bifo. |
| Ɔda rizin dɛn | We dɛn dɔn gɛt redyushɔn tɛrapi to di chɛst eria, we dɛn dɔn ɛkspos to asbest ɔ redɔn. |
Bɔku we dɛn de fɔ du bayɔpsi. Bronchoscopy, VATS (Video-assisted thoracic surgery), ɔ nidul bayɔpsi na sɔm pan dɛn. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
Wetin na di tritmɛnt dɛn?
Bɔrku tɛm, smɔl smɔl tin dɛm wae nɔr gɛt kansa nɔr nid ɛni tritmɛnt. Bɔku tɛm yu dɔktɔ go du wetin dɛn kɔl "active surveillance." Dat min se yu fɔ wet ɛn nɔ wɔri.
Dɛn go aks yu fɔ mek dɛn du ɔda CT skan insay 6 ɔ 12 mɔnt. Dis go chɛk fɔ si if di sayz fɔ di lump dɔn chenj. If di lump stil de di sem saiz ɔ i dɔn smɔl we dɛn de skan am fɔ lɛk tu ia so, di chans fɔ mek i gɛt kansa na lɛk ziro.
- If na bikɔs ɔf infekshɔn: If dɛn si se di lump na bikɔs ɔf infekshɔn, dɛn go gi am antibayɔtik ɔ antifɔngal mɛrɛsin.
- If di lump gro: If di lump gro di tɛm we dɛn de wach am, if di simptom dɛn de, ɔ if bayɔpsi kɔnfirm se na kansa, dɛn kin nid fɔ pul di lump bay ɔpreshɔn.
Ustɛm yu fɔ go to dɔktɔ?
If yu skan ripɔt se yu gɛt lɔng nodul, mek shɔ se yu go to yu dɔktɔ fɔ tɔk bɔt ɛnitin we de mɔna yu. Dɔn bak, if yu gɛt ɛni wan pan di sayn dɛn we wi bin dɔn tɔk bɔt, lɛk we yu de fil pen na yu chɛst, we yu de kɔf ɔltɛm, ɔ we i nɔ izi fɔ blo, yu fɔ tɛl yu dɔktɔ bak wantɛm wantɛm.
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
If yu gɛt siriɔs sik lɛk dis wantɛm wantɛm, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ kɔl 1990.
- Bɔrku pen na yu chɛst we yu nɔ go ebul fɔ bia
- I rili at fɔ blo.
- Blɔd we de kɔmɔt pasmak we yu de kɔf
Fɔ dɔn, nɔ shem fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Wetin kin bi di rizin we mek a gɛt dis lump?
- A nid fɔ du mɔ tɛst dɛn?
- Us sayn dɛn we a fɔ wɔri bɔt mɔ?
Mɛsej we dɛn kin kɛr go na os
- sכmכl spat כ lump na di lכng (pulmonary nodule) na tin we dεn kin fכnshכn bכku pan skan ripot.
- Mɔ pas 95% pan dɛn tin ya nɔto kansa kɔndishɔn. So nɔ panik we yu si di ripɔt.
- Yu dɔktɔ go tink bɔt di tin dɛn we kin mek yu gɛt prɔblɛm ɛn di kayn tin dɛn we de apin to yu ɛn disayd wetin fɔ du nɛks.
- Bɔku tɛm, wetin dɛn nid nɔto tritmɛnt, bɔt na fɔ wach di lump wit skan as tɛm de go.
- If yu na pɔsin we de smok, di bɛst tin we yu go du fɔ di wɛlbɔdi na yu lɔng na fɔ lɛf fɔ smok.
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