We yu no se yu ɔ pɔrsin wae yu sabi gɛt kansa, wan pan de big tin wae kin kam na yu maynd na, "I dɔn spre to ɔda pat dɛm na yu bɔdi?" Dat na rili rizin fɔ fred. Tide, wi go tɔk bɔt wan rili impɔtant tɛst we dɔktɔ dɛn kin yuz fɔ fɛn di ansa to da kwɛstyɔn de. Dɛn kɔl am Sɛntinɛl Nod Bayɔpsi.
Wetin na Sentinel Node Biopsy insay simpul wɔd dɛn?
Fɔ ɔndastand dis, lɛ wi lan smɔl fɔs bɔt di limf no dɛm na wi bɔdi. Dis na smɔl smɔl gland dɛn we tan lɛk bin we de ɔlsay na wi bɔdi. Dɛn tan lɛk "filta" na wi bɔdi. Dɛn wok na fɔ filta di wata we de na wi bɔdi ɛn kech bad bad tin dɛn lɛk jem, baktri, ɛn kansa sɛl. I tan lɛk polis chɛk-point.
Naw imajin se if kansa sɛl dɛn bigin fɔ skata frɔm wan tumbu, sɔm limf no dɛn de we dɛn sɛl dɛn de go fɔs stɔp insay . dεn fכs 'getway' limf no dεm na dεn we wi kכl "sεntinεl no dεm."
Fɔ tɔk am simpul wan, sɛntinɛl nod bayɔpsi na fɔ ɔpreshɔn fɔ pul wan ɔ mɔ sɛntinɛl no dɛm, we tan lɛk di fɔs chɛk-point, fɔ no if di kansa dɔn skata, dɔn dɛn tɛst dɛn fɔ si if dɛn gɛt kansa sɛl.
Us kes dɛn kin du dis tɛst?
Dɔktɔ dɛn kin yuz dis tɛst mɔ fɔ no di stej we di kansa gɛt. Dat na fɔ no aw fa di kansa dɔn skata ɛn aw i siriɔs. Dis impɔtant mɔ pan dɛn tin ya:
- Brɔst Kansa
- Melanoma kansa na di skin
pan tap dat, dεn kin yuz dis mεtכd bak fכ no di stej fכ di penis kεnsar εn di εndometrial kεnsar. Naw, dɛn de du risach fɔ no aw dis we fɔ du tin kin wok fɔ sɔm ɔda kayn kansa dɛn. Dɛn tin ya na kansa na di sɛvikal, kansa na di kɔlorektal, ɛn kansa na di tayroyd.
Bɔku tɛm, dɛn kin du dis bayɔpsi di sem tɛm we dɛn kin du di ɔpreshɔn fɔ pul di men tɔŋ, bɔt sɔntɛnde dɛn kin du am wan bay wan, bifo ɔ afta.
Aw a fɔ pripia bifo dɛn du dis ɔpreshɔn?
Bikɔs dis na ɔpreshɔn, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Bɔku tɛm, yu go gɛt instrɔkshɔn bɔt tin dɛn lɛk:
- Fastin: Ustɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du di ɔpreshɔn ɛn wetin fɔ stɔp fɔ it.
- Mɛrɛsin:If yu de tek ɛni mɛrɛsin, vaytamɛn, ɔ ɔda mɛrɛsin, yu dɔktɔ go aks yu if yu nid fɔ stɔp fɔ tek ɛni wan pan dɛn.
Dɔn bak, i impɔtant fɔ tɔk to pɔsin fɔ kɛr yu go na os afta dɛn dɔn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Dis prכsεs de apin rili sכmtεm.
Bifo ɔ we dɛn de du di ɔpreshɔn, yu dɔktɔ go injɛkt wan spɛshal tin insay yu tumbu. Dis kin bi sef redioaktiv tin (tracer) ɔ blu day. dis sכbstans de travul frכm di tכmכro to di sεntinεl node, we na di "fכs chεkpכynt." Dis kin ɛp di dɔktɔ we de du di ɔpreshɔn fɔ fɛn di rayt no we i fɔ pul.
Dɔn lɛ wi si wetin kin apin stɛp bay stɛp.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Dɛn kin gi pɔsin anestezi | Dɛn go anestez yu ɔl (we nɔ go no natin) so dat yu nɔ go fil ɛni pen. |
| 2. Fɔ fɛn di Sɛntinɛl Nɔd | If dɛn dɔn injɛkt di redioaktiv matirial, dɛn kin fɛn usay di node de wit wan spɛshal tin we dɛn kɔl gama ditektɔ. If dɛn dɔn injɛkt di blu day, di no go tan lɛk blu. Sɔntɛnde, dɛn kin yuz ɔl tu di we dɛn. |
| 3. Fɔ pul di node | di sכjaman de mek sכm sכm sכm εn i de pul wan כ mכr pan di sεntinεl no dεm we dεn no (bכku tεm 1 to 5). |
| 4. Fɔ sɛn fɔ tɛst | Dɛn kin sɛn di no dɛn we dɛn pul na wan lɛb, usay wan dɔktɔ we de stɔdi bɔt sik dɛn kin chɛk dɛn ɔnda maykroskɔp fɔ si if dɛn gɛt kansa sɛl dɛn. Dɔn dɛn kin lɔk di say we dɛn kɔt wit stich. |
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Bɔrku pipul kin go na os di sem de, bɔt yu kin nid fɔ de na ɔspitul fɔ wan nɛt. Mɛmba se i nɔmal fɔ gɛt dɛn tin ya di tɛm we pɔsin de wɛl afta dɛn dɔn du di ɔpreshɔn.
- I kin at usay dɛn kɔt di say, ɛn i kin at we yu prɛs pan am .
- di skin na da eria de fil sכmtεm (na dis kin apin we dεn nεv dεm de kam bak).
- Yu urine ɔ yu stɔl kin tɔn blu ɔ grɛn fɔ sɔm dez bikɔs ɔf di blu shirt we yu bin yuz.
- Di skin we de rawnd di say we dɛn kɔt de luk blu .
- Wan filin we tan lɛk lump we de at ɔnda di skin as di wund de wɛl.
- If yu dɔn pul wan tik na yu an, yu kin fil sɔm tayt ɔ nɔ kin fil fayn na yu an .
Bifo yu kɔmɔt na ɔspitul, aks yu dɔktɔ ɔ nɔs bɔt aw fɔ kia fɔ yu wund ɛn wetin yu nid fɔ tek tɛm wit. Aks bak ustɛm yu kin bigin fɔ du ɛksɛsayz ɛn es wet bak.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Dis na ɔpreshɔn we bɔku pan dɛn nɔ kin gɛt prɔblɛm, bɔt jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin.
| Risk/Kɔmplikeshɔn | Tɔk bɔt |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit wund | Di say we dɛn kɔt kin blɔd, brus, swel, ɛn i kin mek i fil pen. Sɔntɛnde, di wund kin gɛt infɛkshɔn. If di wund rɛd, i swel, ɛn i gɛt fiva, dat na sayn fɔ se i gɛt infekshɔn. |
| Alɛji Riakshɔn | Na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt alɛji fɔ da blu kɔlɔ de. |
| Limfɛdima we de mek pɔsin gɛt sik | we dεn pul di limf no dεm, di limf fכ fכ fכlכ kin bכku, we kin mek di wata kin pul εn mek di an כ leg swel. Bɔt dis risk kin smɔl pasmak we dɛn pul sɔm sɛntinɛl no dɛn nɔmɔ. |
| Aksilɛri Wɛb Sindrom (AWS) . | Dis na tin bak we nɔ kin apin so ɔltɛm. we dεn pul di limf no dεm na di armpit, yu kin fil lεk strכng כnda di skin we de insay yu an. |
If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm.
Aw di tɛst ripɔt kin kam insay? Wetin i min?
Di rizɔlt fɔ di ripɔt na tu kayn: ‘Negative’ ɔ ‘Positive’ .
- If di rizulyt na ‘Negativ’:
Dat min se dɛn nɔ bin fɛn ɛni kansa sɛl na yu sɛntinɛl no dɛm. Dis na rili gud nyus bikɔs i min se i nɔ go izi fɔ mek di kansa dɔn pas to ɔda limf no dɛm.
- If di rizɔlt na ‘Positiv’:
dis min se kεnsar sεl dεm de na di sεntinεl no dεm we dεn bin pul. Dis tɛm ya, yu dɔktɔ kin disayd fɔ chɛk mɔ aw di kansa dɔn skata ɛn pul mɔ limf no dɛm. Ɔ, i kin tɛl yu fɔ du ɔda tritmɛnt dɛn lɛk redyushɔn tɛrapi.
Di tɛm we i kin tek fɔ gɛt di rizɔlt kin difrɛn. I kin bi di sem de, ɔ i kin tek sɔm wiks.
Ustɛm a fɔ kɔl di dɔktɔ?
If yu notis ɛni wan pan dɛn sayn ya afta dɛn dɔn du di ɔpreshɔn, kɔl yu dɔktɔ we yu nɔ go te.
- If yu gɛt fiva .
- If di say we dɛn kɔt am swel, rɛd, ɔ fil wam .
- If di wund kɔntinyu fɔ blɔd .
- If yu gɛt pen we yu nɔ go ebul fɔ bia ivin afta yu dɔn tek mɛrɛsin fɔ mek yu fil pen.
Mɛsej we dɛn kin kɛr go na os
- Sentinel node biopsy na wan rili impɔtant tɛst fɔ no if kansa dɔn spre to ɔda pat dɛn na di bɔdi.
- Di tin dɛn we go kɔmɔt frɔm dis go rili ɛp dɔktɔ dɛn fɔ no di stej we yu kansa gɛt ɛn fɔ plan fɔ trit yu tumara bambay.
- Bɔku tɛm, dis na ɔpreshɔn we nɔ bad, ɛn bɔku tɛm dɛn kin ebul fɔ kɔntrol ɛni sayd ɛfɛkt we kin apin.
- ‘negativ’ risal na gud sayn fɔ se di kansa nɔr dɔn spre, we ‘positiv’ rizulyt de gi gayd fɔ tritmɛnt tumara bambay.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu bifo ɔ afta dɛn du di ɔpreshɔn.
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