Yu nɔ tu te yet we yu notis sɔntin lɛk 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. Sɔntɛm i nɔ kin ivin at. Ɔ na pen we de kɔntinyu fɔ de na yu an, yu fut, ɔ yu jɔyn? Bɔku tɛm, wi nɔ kin pe atɛnshɔn tumɔs to tin dɛn lɛk dis, nɔto so? Wi kin tink se, "I go bi se na jɔs wan fat lump" ɔ "I fɔ dɔn hit am sɔmsay." Bɔt sɔntɛnde, ivin smɔl sayn lɛk dis kin bi sayn fɔ wan kayn kansa we nɔ kin bɔku bɔt we impɔtant we dɛn kɔl ‘ Sarkoma .’ Nɔ wɔri, lɛ wi tɔk bɔt dis stret frɔm di biginin, simpul ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na sarkoma?
Sarkoma na wan bad bad tכmכro we de divεlכp na di bon dεm כ di sכft tisu dεm na wi bכdi. Naw yu go de wɔnda wetin na sɔft tisu. dat min se di tisu dεm we de sכpכt εn kכnekt כda strכkchכ dεm na wi bכdi.
Fɔ ɛgzampul:
- Mɔsul
- Tisu we de na di bɔdi (Fat) .
- Tεndon dεm
- Kartilaj we de na di bɔdi
- Ligamɛnt dɛn
- Blɔd vesel dɛn
- Nɛv dɛn
Dis na di sɔft tisu dɛn na wi bɔdi. So sarkoma kin apin ɛnisay na dɛn say ya.
Sarkoma na wan kayn kansa we nɔ kin bɔku . Sarkoma de mek na 1% nɔmɔ pan ɔl di kansa dɛn we big pipul dɛn gɛt. Bɔt i de mek lɛk 15% pan ɔl di kansa dɛn we pikin dɛn gɛt. So, i rili impɔtant fɔ mek wi no bɔt dis.
Usay na di bɔdi we sarkoma kin apin mɔ?
Pan ɔl we dis kansa kin kam ɛnisay frɔm di ed to di fut finga dɛn, sɔm say dɛn de we i kin bɔku. Tink bɔt, pan 100 sarkoma dɛn we kin kam:
- 40% pan di kes dεm kin apin na di lכw pat dεm na di bכdi, lεk wi leg, ankכl, εn fut .
- 15% kin apin na di כp pat dεm na di bכdi, lεk di sכlda dεm, di an dεm, di an dεm, εn di finga dεm .
- lεk 30% pan dεm de divεlכp na wi trכnk, chεst, bεlε, כ pεlvis .
- di כda 15% de apin na di ed εn nεk εria.
Wetin na di men kayn sarkoma?
כva 70 difrεn sכbtayp dεm de insay di big grup we dεn kכl sarkoma. Bɔt lɛ wi sheb dɛn to tu men kategori: bon sarkoma ɛn sɔft tisu sarkoma.
| Tayp fɔ di sarkoma | Simpul diskripshɔn |
|---|---|
| Bɔn Sarkoma dɛn | Dis na kansa we kin bigin dairekt na di bon dɛm. Dɛn kɔl dɛn tin ya ‘primary bon sarcoma’. Dɛn kin bɔrku pan yɔŋ pipul dɛm wae nɔr rich 35 ia ɛn pikin dɛm. Sɔm ɛgzampul dɛn na:
|
| Sɔft Tisu Sarkoma dɛn | dis na kansa dεm we de stat na sכft tisu dεm lεk mכsul εn fεt. Dɛn kin bɔku pan big pipul dɛn pas bon sarkoma. כltu, sכm kayn dεm (fכ egzampl, rhabdomyosarcoma) kin divεlכp bak pan pikin dεm. Na sɔm ɛgzampul dɛn ya:
|
Impɔtant: Sɔntɛnde, kansa sɛl dɛn we dɔn bigin ɔdasay (lɛk di lɔng, bɔdi, ɔ tayroyd) kin go na di bon dɛn. Dɛn kɔl dis mɛtastas bon kansa. Dis nɔto wan kayn sarkoma. Na jɔs ɔda kayn kansa we dɔn skata to di bon dɛn.
Wetin mek dis sarkoma kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Jɔs lɛk ɔda kayn kansa, dɛn stil nɔ no di rayt tin we mek wan wɛlbɔdi sɛl kin bi kansa sɛl wantɛm wantɛm. Fɔ tɔk am simpul wan, di DNA fɔ di sɛl dɛn we de mek wi bon ɔ di sɔft tisu dɛn kin chenj (muteshɔn), we kin mek dɛn sɛl dɛn de sheb kwik kwik wan ɛn we wi nɔ kin ebul fɔ kɔntrol.dis akyumyuleshכn fכ sεl dεm na wetin wi de si as tכmכro. If dɛn nɔ trit dɛn kansa sɛl ya, dɛn kin travul tru di blɔd ɔ di limfatik sistɛm ɛn go na ɔda pat dɛn na di bɔdi. Dɛn kɔl dis `(Mɛtastasis)`.
Bɔt dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt sarkoma.
| Risk factor | Tɔk bɔt |
|---|---|
| Kεmikכl dεm | Fɔ lɔng tɛm we dɛn de yuz asɛnik, sɔm kemikal dɛn we dɛn kin yuz fɔ mek plastic (vinyl klorayd), tin dɛn we dɛn kin yuz fɔ kil gras, ɛn tin dɛn we dɛn kin yuz fɔ mek wud nɔ pwɛl. |
| Radieshɔn we dɛn kin yuz | Bikɔs dɛn bin dɔn gɛt ay doz redyushɔn tɛrapi bifo as tritmɛnt fɔ ɔda kansa kɔndishɔn. |
| Limfɛdima we de mek pɔsin gɛt sik | swεla we de swεla fכ lכng tεm we di limf fכluid de kכmכt na di an כ di lεg. |
| Di kɔndishɔn dɛn we de na di jɛnɛtiks | sכm jεnεtik kכndishכn dεm we dεn kin gεt wit (e.g., Nyurofibromatosis tayp 1, Li-Fraumeni sεndrכm) kin inkrεs di risk. |
Wetin na di sayn dɛm wae de sho se yu gɛt sarkoma?
Dis na di say we bɔku pipul dɛn kin kɔnfyus. Bikɔs di sayn dɛm fɔ sarkoma kin difrɛn bad bad wan dipen pan usay di tumbu de. Sɔmtɛm, nɔr kin gɛt ɛni sayn atɔl na di fɔs stej.
Na sɔm kɔmɔn sayn dɛn ya:
- Nyu growth: Dis growth kin mek yu fil pen ɔ nɔr kin fil pen. I kin tan lɛk se na wan 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.
- Pen: Pen we de kɔntinyu fɔ de na yu an, yu leg, bɛlɛ, ɔ yu bɛlɛ. Fɔ sɔm pipul dɛm, dis pen kin wɔs na nɛt.
- I nɔ izi fɔ muv: Di tumbu kin de prɛs pan jɔyn ɔ mɔsul, we kin mek i nɔ izi fɔ bɛn ɔ stret di an ɔ leg fayn fayn wan.
- We yu de lɔs yu wet fɔ natin.
- Bak pen.
Dɛn sayn ya kin kɔmɔn fɔ bɔrku ɔda sik dɛm, so nɔr frayd fɔ tink se na sarkoma jɔs bikɔs yu gɛt wan pan dɛn sayn ya. Bɔt if yu si sɔntin lɛk dis, i impɔtant fɔ go to yu dɔktɔ ɛn mek dɛn chɛk am.
Aw dɔktɔ kin no se dis na sarkoma?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn du yu bɔdi ɛgzam. If tumbu de, i go chɛk in saiz ɛn aw i tan. Afta dat, i kin rifer yu fɔ sɔm tɛst dɛn fɔ no if yu gɛt di sik wit shɔ.
- X-ray egzamin: Na besik tεst fכ chεk fכ eni abnכmaliti na di bon dεm εn di sכft tisu dεm.
- CT scan (Computed Tomography scan): Kɔmpyuta kin jɔyn ɛks-ray pikchɔ dɛn fɔ mek pikchɔ dɛn we de krɔs-sekshɔn fɔ di bɔdi. Dis kin mek yu si di tɔŋ klia wan.
- MRI skan (Magnetic Resonance Imaging): Dis de yuz magnɛtik fil ɛn redio wev fɔ mek rili klia, ditayli pikchɔ dɛn bɔt di insay pat na di bɔdi. dis imכtant spεshal fכ luk pan di tכmכro dεm na di sכft tisu dεm.
- Bayopsi: Dis na di tɛst we impɔtant pas ɔl ɛn we rili klia. Dis min se dɛn kin pul wan smɔl tisu na di tumbu tru ɔpreshɔn ɔ spɛshal nidul ɛn chɛk am ɔnda maykroskɔp na lɛbɔtri. Dis na di onli we fɔ bi 100% shɔ if na kansa, sarkoma, ɛn us kayn i bi.
Dɛn kin advays bak fɔ du ɔda tɛst dɛn lɛk PET skan ɔ bon skan.
Wetin na di tritmɛnt fɔ sarkoma?
Sarkoma tritmɛnt nɔto sɔntin we wan dɔktɔ nɔmɔ kin du. I nid fɔ mek wan tim we gɛt spɛshal pipul dɛn we kɔmɔt na difrɛn say dɛn, lɛk dɔktɔ dɛn we de du ɔpreshɔn, dɔktɔ dɛn we de mɛn kansa, ɛn pipul dɛn we de mɛn pipul dɛn we gɛt raytin, kam togɛda fɔ no di bɛst tritmɛnt plan.
Dɛn kin no di we aw dɛn de trit am bay tin dɛn lɛk:
- Tayp fɔ di sarkoma.
- Di sayz ɛn di say we di tumbu de.
- Yu ɔl wɛlbɔdi biznɛs.
- If di kansa dɔn skata to ɔda pat dɛn na di bɔdi.
Bɔku men we dɛn de fɔ trit pɔsin.
Ɔpreshɔn
Di men tritmɛnt fɔ bɔku pan di sarkoma na ɔpreshɔn. Di gol na fɔ pul di tumbu kɔmɔt kpatakpata. dεn kin pul di tכmכro bak wit wan sכmכl margin fכ hεlty tisu we de rawnd di tכmכro. Dis na fɔ mek di maykroskɔpik kansa sɛl dɛn nɔ de. Sɔntɛnde, if big tɔŋ de na wan an ɔ leg, dɛn kin du spɛshal ɔpreshɔn fɔ sev di limb (limb salvage). Bɔt nɔto ɔltɛm, we dɛn nɔ ebul fɔ sev di an ɛn fut, i kin nid fɔ kɔt am.
Rɛdieshɔn Tɛrapi
Dis min se dɛn fɔ yuz ɛkstrem rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn. Dɛn kin gi redyushɔn tɛrapi bifo dɛn du di ɔpreshɔn fɔ mek di tumbu smɔl ɔ fɔ pwɛl ɛni kansa sɛl we lɛf afta dɛn du di ɔpreshɔn.
Kimotɛrapi
Dis min se dɛn fɔ gi spɛshal mɛrɛsin fɔ kil di kansa sɛl dɛn we de sheb kwik kwik wan ɔ fɔ stɔp dɛn fɔ gro. Dɛn kin gi dɛn mɛrɛsin ya tru wan vein ɔ as pils.
Ɔda tritmɛnt dɛn
Apat frɔm dat, dɛn de yuz di mɔdan tritmɛnt dɛn lɛk targeted therapy, we de atak sɔm patikyula wikɛd tin dɛn nɔmɔ na di kansa sɛl dɛn, ɛn immunotherapy, we de mek di bɔdi in yon imyun sistɛm fɔ fɛt kansa, naw dɛn de yuz am.
Ustɛm na di bɛst tɛm fɔ go to dɔktɔ?
Sarkoma na sik we dɛn kin trit fayn if dɛn no am kwik. So, nɔ de te ɛn go to dɔktɔ wantɛm wantɛm pan dɛn kayn tin ya.
If yu gɛt nyu lump na yu bɔdi, ilɛksɛf i at ɔ i nɔ at, mɔ if i big pas gɔlf bɔl (lɛk 5 sɛntimita), ɔ if i kɔntinyu fɔ gro, yu fɔ rili go to dɔktɔ.
Dɔn bak, if pen de kɔntinyu fɔ de na wan bon na yu an ɔ yu leg we nɔ gɛt ɛnitin fɔ du wit am, nɔ ignore am.
Sarkoma nɔto wan kansa, bɔt na wan grup we gɛt kansa. So, di tritmɛnt ɛn di prɔgnosis kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin, i kin dipen pan di kayn ɛn stej we di kansa gɛt. If yu ɔ pɔsin we yu sabi gɛt prɔblɛm wit dis, i go fayn fɔ mek yu go to spɛshal pɔsin fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- Sarkoma na wan kayn kansa we nɔ kin bɔku ɛn we kin apin na di bon dɛn ɛn di sɔft tisu dɛn.
- I impɔtant fɔ go to dɔktɔ bɔt ɛni nyu, we de gro, ɔ big wan na yu bɔdi. Nɔ ignore am, ilɛksɛf i de mek yu fil pen ɔ i nɔ de mek yu fil pen.
- Di tɛst we impɔtant pas ɔl fɔ no di sik klia wan na bayɔpsi.
- Dɛn kin disayd aw fɔ trit am (ɔpareshɔn, redyushɔn, kemotɛrapi) wan wan fɔ di pɔsin ɛn di kayn kansa.
- Fɔ no di sik kwik kwik wan ɛn fɔ bigin di tritmɛnt rili impɔtant fɔ mek di tin dɛn we de apin fayn fayn wan.
Sarkoma, kansa, bɔdi tumbu, bon kansa, sɔft tisu kansa, kansa simptom dɛm
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