Lɛ wi lan bɔt Bɛlɛ Kansa insay simpul wɔd dɛn!

Tide wi go tɔk bɔt wan tɔpik we siriɔs smɔl, bɔt we impɔtant to bɔku pipul dɛn. Dat na bɛlɛ kansa, sɔm kin kɔl am bak `(Gastric Cancer)` . Imajin, wetin go apin if di sɛl dɛn we de insay wi bɛlɛ, dat na di bɛlɛ, bigin fɔ sheb wantɛm wantɛm we wi nɔ ebul fɔ kɔntrol, lɛk krayzi? Na dat kin apin wit bɛlɛ kansa. Dɛn kansa sɛl ya kin fɔm ɛnisay na di bɛlɛ. bכku tεm, spεshal wan na kכntri dεm lεk Amɛrika, dis kεnsar kin fכm na di say we di bεlε εn wi εsophagus (dat na di tכb we de go dכn frכm di trot) de jכyn, we wi kכl `(gastroesophageal junction)` . Bɔt na sɔm kɔntri dɛn lɛk Sri Lanka, usay bɛlɛ kansa kin bɔku, i kin fɔm mɔ na di men pat na di bɛlɛ.

di imכtant tin na dat lεk 95% pan di bεlε kεnsar dεm de stat na di layn na di bεlε, di tכp layεr na di wכl. Bɔt dɛn kin gro kwik kwik wan. if dεn nכ trit dεn sεl dεm ya fayn, dεn kin gro tכgeda fכ mek wan tכmכro εn gro insay di bεlε wכl. sכmtεm, dis tכmכro kin spre (mεtastaz) to כda כgan dεm we de nia am, lεk di liva εn pankrias.

Udat dɛn kin gɛt bɔku kansa na in bɛlɛ?

Infakt, ɛnibɔdi kin gɛt bɛlɛ kansa. Bɔt sɔm tin dɛn de we kin mek di prɔblɛm bɔku. Fɔ ɛgzampul:

• If yu ol 65 ia ɔ pas dat .
• If yu na man (man dɛn de pan ay risk pas uman dɛn).
• Dis kin apin to sɔm etnik grup dɛm na di wɔl (fɔ ɛgzampul, Sawt ɔ Sɛntral Amɛrika, Istan Yurop, ɛn ɔda wan dɛm).

Aw kɔmɔn kansa na bɛlɛ?

Bɛlɛ kansa na wan pan di kayn kansa we bɔku pipul dɛn kin gɛt ɔlsay na di wɔl. Bɔt i nɔ kin bɔku na sɔm Wɛstinian kɔntri dɛn lɛk Amɛrika. Infakt, na 1.5% nɔmɔ pan ɔl di kansa dɛn we dɛn jɔs dɔn no na Amɛrika, na di bɛlɛ kansa. Ɛn di nɔmba fɔ di wan dɛn we gɛt di sik dɔn de go dɔŋ ɔltɛm insay di las 10 ia.

Wetin na di sayn dɛm fɔ gɛt bɛlɛ kansa?

Dis na di prɔblɛm we bɔku pipul dɛn gɛt. We pɔsin kin gɛt bɛlɛ kansa fɔs , bɔku tɛm i nɔ kin gɛt ɛni sayn . Dat na di pat we denja pas ɔl. Ivin di fɔs tin dɛn we kin apin to pɔsin, lɛk we i kin fil pen na in bɛlɛ ɛn we pɔsin kin lɔs in wet we i nɔ kin ɛksplen, kin apin afta di kansa dɔn go bifo smɔl.

Dis na sɔm pan de sayn dɛm wae kin apun pan bɛlɛ kansa:

• Anorexia , na di filin wae yu nɔr de fil angri.
• I nɔ izi fɔ swɛla (lɛk se sɔntin dɔn stɔp na di trot).
• Fɔ taya ɔ fɔ wik ɔltɛm .
• Nɔs ɛn vɔmit .
• We yu de lɔs yu wet we yu nɔ gɛt rizin.
• Bɛlɛ de at ɛn nɔ de it fayn (jɔs lɛk gas).
• Blak stɔl ɔ blɔd we de vɔmit .
• Fɔ fil se yu bɛlɛ ful-ɔp, lɛk se di bɛlɛ ful-ɔp wit briz afta yu dɔn it.
• Abdominal pen , mɔ ɔp di bɛlɛ bɔtin.
• Fɔ fil ful ivin afta yu it smɔl it.

Impɔtant: Bɔku tɛm yu kin si dɛn sik ya na ɔda mɛrɛsin, so if yu gɛt dɛn sik ya, i impɔtant fɔ go to dɔktɔ fɔ no if na bɛlɛ kansa ɔ ɔda tin.

Yu kin kech wan tumbu we gɛt kansa na yu bɛlɛ?

Dipen pan aw fa di kansa dɔn skata, dɔktɔ kin ebul fɔ fil wan lump na yu bɛlɛ we dɛn de chɛk yu. Bɔt bɔku tɛm, di sayn dɛm na we yu de fil na yu bɛlɛ. Yu bɛlɛ kin fil swel, ful-ɔp, ɔ i kin fil pen. Dis pen kin bigin smɔl fɔs ɛn i kin tranga mɔr as di sik de go bifo.

Wetin kin mek pɔsin gɛt bɛlɛ kansa?

Fɔ tɔk am simpul wan, di bɛlɛ kansa kin kam bikɔs ɔf wan jenɛtik chenj we de na di DNA na wi bɛlɛ sɛl dɛn. Yu no, dis DNA tan lɛk kɔd we de tɛl wi sɛl dɛn ustɛm fɔ gro ɛn ustɛm fɔ day. Bikɔs ɔf da jɛnɛtik chenj de, instead fɔ day, di sɛl dɛn de gro kwik kwik wan ɛn leta dɛn kin mek wan tumbu . Dɛn kansa sɛl ya kin pas di wɛlbɔdi sɛl dɛn ɛn spre to ɔda pat dɛn na di bɔdi.

Risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis chenj na di jɛnɛtiks. Bɔt dɛn dɔn no sɔm tin dɛn we kin mek pɔsin gɛt bɛlɛ kansa. Dɛn tin ya na:

• If pɔsin na di famili dɔn gɛt bɛlɛ kansa (hereditary link).
• Baktri infεkshכn (Hεlicobacter pylori - H. pylori) . Dis na tin we rili impɔtant.
• Gastroesophageal reflux disease (GERD) (bכdi asid we de kam כp insay di trot).
• Gastritis (inflameshɔn na di bɛlɛ).
• Epstein-Barr vayrɔs infɛkshɔn.
• If yu bin dɔn gɛt ɔlsa na yu bɛlɛ ɔ pɔlip bifo .
• Fɔ it pasmak it dɛn we gɛt ɔyl, sɔl, smok ɔ pikl .
• Fɔ it tin we nɔ gɛt bɔku frut ɛn vɛjitebul .
• Fɔ de nia tin dɛn lɛk kol, mɛtal, ɛn rɔba bɔku tɛm.
• Fɔ smok, fɔ vap, ɔ fɔ it tabak .
• Fɔ drink rɔm pasmak .
• Fat .
• `(Autoimmune atrophic gastritis)` (na kכndishכn we di imyun sistεm de atak di bεlε sεl dεm).

Apat frɔm dat, sɔm jɛnɛtik kɔndishɔn dɛn de we kin mek pɔsin gɛt bɛlɛ kansa:

• `(Lynch sindrom)`
• `(Peutz-Jeghers sindrom)`
• `(Li-Fraumeni sindrom)`
• `(Familial adenomatous polyposis)`
• ``(Hɛridit difyuz gastric kansa)''.
• `(Kɔmɔn vɛriɔbul imyun dɛfisiɛns - CVID)`

Pan ɔl we di wan dɛn we de stɔdi bɔt dis nɔ ebul fɔ no di rayt tin we kin mek dɛn gɛt kansa, dɛn dɔn si se pipul dɛn we gɛt blɔd tayp ‘A’ kin gɛt bɛlɛ kansa.

Aw dɛn kin no se pɔsin gɛt bɛlɛ kansa?

We yu go to dɔktɔ, dɛn go aks yu bɔt yu mɛdikal istri, aks bɔt yu sik dɛn, ɛn du ɛgzam fɔ yu bɔdi fɔ chɛk fɔ ɛni lumps na yu bɛlɛ. afta dat dεn kin du sεvεra tεst dεm fכ no di bεlε kεnsar εn fכ no aw fa i dכn spre (di `stej`).

I rili impɔtant fɔ no di stej we di kansa de . Dis na wetin de ɛp di dɔktɔ fɔ ɔndastand aw fa di kansa dɔn skata. pan bεlε kεnsar, dεn stej dεm ya de kכmכt frכm 0 (ziro) to IV (fo). Stej 0 min se di kansa nɔ dɔn spre pas di layn na di bɛlɛ. Stej IV min se i dɔn spre to ɔda ɔgan dɛn.

Dis na di tɛst dɛm we dɛn kin du:

• Ɔpa ɛndoskopi: Dis na di we we dɛn kin yuz mɔ fɔ no if pɔsin gɛt bɛlɛ kansa. We dɛn de du dis, di dɔktɔ kin put wan tin tiub (we dɛn kɔl ɛndoskɔp) wit smɔl kamɛra na di ɛnd tru yu mɔt ɛn go dɔŋ insay yu bɛlɛ. sכm sכm כpכshכn instrכmεnt dεm de pas tru di εndoskop fכ tek wan sכmכl pat pan di tisu (bayopsi) frכm di bεlε wכl. Dɔn dɛn kin sɛn di tisu to wan lɛb fɔ mek dɛn tɛst am fɔ si if i gɛt kansa sɛl dɛn.
• εndoskopik כltra saund: Dis na spεshal kayn εndoskopi bak. I kin ɛp fɔ no di stej we di kansa de. di endoskop we dεn yuz fכ dis gεt wan כltra saund prob, we kin tek pikchכ fכ di bεlε. Dɛn kin yuz dis fɔ si if di kansa dɔn skata frɔm di layn na di bɛlɛ to di bɛlɛ wɔl.
• Rediolɔjik tɛst: Dɛn tin ya na CT skan , barium swɛla ( usay yu de drink spɛshal wata we de mek yu si di layn na yu bɛlɛ pan ɛkstrem rayt), ɛn MRI . Dɛn tin ya kin ɛp fɔ no di tumbu dɛn we gɛt kansa ɛn ɔda tin dɛn we nɔ fayn we kin gɛt fɔ du wit kansa. Yu kin yuz PET skan bak fɔ si if kansa dɔn skata ɔlsay na yu bɔdi.
• Blɔd tɛst: Dɛn tin ya kin gi yu infɔmeshɔn bɔt aw yu ɔgan dɛn de wok. If wan ɔgan nɔ de wok fayn, i kin sho se kansa kin dɔn skata to da ɔgan de.
• Laparoscopy: Dis na wan kayn ɔpreshɔn. Dɛn kin du am we di we dɛn we nɔ kin du bɔku tin lɛk fɔ tek pikchɔ nɔ de gi inof infɔmeshɔn bɔt aw di kansa dɔn rich. Insay dis, di dɔktɔ kin kɔt sɔm smɔl smɔl pat dɛn na yu bɛlɛ ɛn put smɔl kamɛra tru dɛn fɔ luk di ɔgan dɛn dairekt wan.

Bikɔs bɛlɛ kansa nɔ kin bɔku na kɔntri dɛn lɛk Amɛrika, nɔto ɔlman we dɛn kin du ɔltɛm fɔ chɛk pɔsin in bɛlɛ. Bɔt if yu gɛt wan sik we de mek yu gɛt mɔ kansa na yu bɛlɛ, yu dɔktɔ go tɛl yu fɔ du tɛst ɔltɛm, lɛk ɔpa ɛndoskopi, fɔ chɛk fɔ si if kansa chenj. Aks yu dɔktɔ wetin yu fɔ du bay di risk we yu gɛt.

Aw dɛn kin trit bɛlɛ kansa?

Di tritmɛnt we dɛn kin pik kin dipen pan aw fa yu kansa dɔn skata, yu ɔl wɛl bɔdi, ɛn di tritmɛnt we yu lɛk. Bɔku tɛm, dis kin gɛt fɔ du wit wan tim we gɛt dɔktɔ dɛn, lɛk yu famili dɔktɔ, dɔktɔ we de mɛn kansa, ɛn dɔktɔ we de mɛn yu bɛlɛ . Dɛn go advays yu bɔt di bɛst tritmɛnt fɔ yu.

Ɔpreshɔn

Dipen pan aw di kansa big, yu dɔktɔ kin se yu fɔ du ɔpreshɔn fɔ pul di kansa sɛl dɛn, di tumbu, ɔ wan pat ɔ ɔl di bɛlɛ.

• fכ pul di kεnsar bay כp εndoskopi: Insay di fכs stej dεm, we di kεnsar de limited to di supεrfishal layεr dεm na di bεlε, dεn kin pul di kεnsar tru כp εndoskopi. dis prosidכ s dεn kכl am εndoskopik sכbmכkus dεsεksh כn כ εndoskopik mכkus rεsεkshכn . Insay dis, di dɔktɔ we de mɛn di bɛlɛ kin kɔt di kansa tɔŋ frɔm di bɛlɛ wɔl ɛn pul am tru yu mɔt.
• Gastrectomy: We kansa dɔn spre pas di layers we de ɔp di bɛlɛ, dɛn kin nid fɔ du ɔpreshɔn fɔ pul wan pat ɔ ɔl di bɛlɛ. Subtotal gastrectomy de pul di pat nɔmɔ na di bɛlɛ we kansa afɛkt. Total gastrectomy de pul di wan ol bɛlɛ. Afta dɛn dɔn pul di wan ol bɛlɛ, di dɔktɔ go kɔnɛkt yu ɛsophagus ɛn smɔl intestin so dat yu go kɔntinyu fɔ it.

Ɔda tritmɛnt dɛn

Dɛn tritmɛnt ya kin atak di kansa sɛl dɛn dairekt wan.

• `(Kemotherapy - chemo)` (chemical therapy): Dis de yuz dכg fכ shrink di kεnsar sεl dεm. Dis kin mek i izi fɔ pul dɛn bifo dɛn du di ɔpreshɔn. `(Kemotherapy)` dεn kin yuz am bak fכ kil εni kεnsar sεl dεm we rεst afta dεn כpεrayshכn. Dɛn kin gi am togɛda wit redyushɔn tɛrapi. `(Targeted drug therapy)` kin gi am bak wit `(chemo)`.
• Radieshɔn tɛrapi: Dis kin yuz ɛnaji bim dɛn we dɛn kin tɔch lɛk ɛkstrem rayt fɔ kil di kansa sɛl dɛn. Radiation therapy nɔmɔ nɔ kin rili wok fɔ bɛlɛ kansa. Bɔt dɛn kin gi am togɛda wit kemotɛrapi bifo ɛn afta dɛn du di ɔpreshɔn. Redyushɔn tɛrapi kin ɛp bak fɔ pul di sik dɛn we de sho se yu gɛt sik.
• Targeted drug therapy:Dis kin tɔch di wikɛd tin dɛn we di kansa sɛl dɛn gɛt ɛn mek dɛn day. Bɔku tɛm dɛn kin gi am wit kemo fɔ kansa we dɔn kam bak ɔ we dɔn go bifo.
• Immunotherapy: Dis kin ɛp yu yon imyun sistɛm fɔ no ɛn pwɛl di kansa sɛl dɛn we at fɔ no. Bɔrku tɛm dɛn kin yuse dis bak fɔ kansa wae de kam bak ɔr wae de agresiv.
• Palliative care: Dis kin ɛp fɔ mek yu kwaliti layf bɛtɛ as pɔrsin wae gɛt kansa. Palliative care na spɛshal mɛrɛsin savis. I kin bi dɔktɔ, nɔs, ɛn ɔda spɛshal pipul dɛn we go ɛp fɔ mek di sik nɔ kam. Yu kin gɛt dis sɔpɔt apat frɔm di savis dɛm wae yu kin gɛt frɔm yu rɛgyula dɔktɔ dɛm. Yu kin gɛt dis palliativ kia wit ɔda tritmɛnt dɛm.

Yu tink se dɛn go ebul fɔ avɔyd bɛlɛ kansa?

Pan ɔl we yu nɔ go ebul fɔ avɔyd bɛlɛ kansa kpatakpata, yu kin ridyus di prɔblɛm we yu gɛt if yu du dɛn tin ya:

• If dɛn tɛst yu fɔ H. pylori infɛkshɔn , gɛt tritmɛnt . H. pylori infεkshכn na big risk fכ bεlε kεnsar.
• Gɛt tritmɛnt kwik kwik wan fɔ ɔlsa na yu bɛlɛ, gastritis, ɛn ɔda tin dɛn we gɛt fɔ du wit yu bɛlɛ. Bɛlɛ sik dɛn we dɛn nɔ trit, mɔ di wan dɛn we di baktri we dɛn kɔl H. pylori kin mek, kin mek pɔsin gɛt bɛlɛ kansa.
• It tin dɛn we go mek yu gɛt wɛlbɔdi. If yu it fayn it we gɛt bɔku frut ɛn vɛjitebul ɛn we nɔ gɛt bɔku sɔl ɛn rɛd mit, dat kin mek yu nɔ gɛt bɔku kansa na yu bɛlɛ. Fɔd dɛn we gɛt bɔku vaytamɛn C, beta-karotin, ɛn karotin (e.g., sitrus frut, grɛn vɛjitebul, karɔt) na gud say fɔ gɛt dɛn men tin ya.
• Nɔ smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok. If yu yuz tabak, dat nɔ de jɔs mek yu gɛt kansa na yu bɛlɛ, bɔt i kin mek yu gɛt bɔku ɔda kayn kansa.
• Mek yu gɛt wɛlbɔdi wet. Wetin kin mek pɔsin gɛt wɛlbɔdi wet kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Aks yu dɔktɔ wetin na wɛlbɔdi wet fɔ yu.

Yu tink se dɛn kin mɛn bɛlɛ kansa?

Bɛlɛ kansa kin wɛl if dɛn no am kwik kwik wan. Bɔt bɔku tɛm, di sayn dɛm kin sho tu let bay di tɛm we dɛn no di sik, we min se di kansa kin dɔn go bifo. Tɔk to yu dɔktɔ bɔt tin dɛn we kin afɛkt di we aw yu de trit yu.

Wetin na di prɔgnosis fɔ pipul dɛm wae gɛt bɛlɛ kansa?

Di luk fɔ bɛlɛ kansa dipen pan di stej we di kansa de. Di wan dɛm wae dɛn kin no na di fɔs stej kin gɛt bɛtɛ prɔgnosis pas di wan dɛm wae dɛn kin no na di fɔs stej. di 5 ia layf rεt fכ bεlε kεnsar kin kכmכt frכm 70% (if di kεnsar nכ spre fayn) to lכw lεk 6% (if i advans spred), i dipכnt pan aw fa di kansa dכn spre.

Tɔk to yu dɔktɔ fɔ no mɔr kɔrɛkt wan bɔt yu sik. De kayn kansa wae yu gɛt, aw fa e dɔn skata, yu jenɛral wɛl bɔdi, ɛn aw yu kansa de ansa to tritmɛnt ɔl kin afɛkt yu prɔgnosis.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt bɔku risk fɔ gɛt bɛlɛ kansa, tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn we kin apin we yu de chɛk yu ɔltɛm. If nɔto dat, pe atɛnshɔn to di sayn dɛn we yu de gɛt. Bɔrku pan de sayn dɛm wae gɛt fɔ du wit bɛlɛ kansa kin bi sayn dɛm bak fɔ ɔda sik dɛm. Na dɔktɔ nɔmɔ go ebul fɔ no if i gɛt di sik.

Si dɔktɔ if yu gɛt sɔm sayn dɛn lɛk bɛlɛ pen ɛn we yu nɔ ebul fɔ ɛksplen to yu wet, wit ɔ atɔl dɛn sayn ya:

• I nɔ izi fɔ it.
• Rɔnbɛlɛ.
• Vɔmit.
• Stɔl we gɛt blɔd ɔ blak.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Usay di kansa de?
• Us stej a gɛt kansa?
• Aw dis kin afɛkt mi prɔgnosis?
• Us tritmɛnt dɛn a kin gɛt?
• Wetin na di bɛnifit dɛn we dis tritmɛnt de gi? Wetin na di prɔblɛm dɛn we kin apin?
• Ɔda tritmɛnt dɛn de we yu kin du?
• Aw di we aw dɛn de no mi kansa ɛn di tritmɛnt we dɛn go gi mi go afɛkt mi ɛvride layf?
• A fɔ gɛt sɛkɔn opinion?

Fɔ dɔn, mɛmba (Take-Home Message) .

Nɔto ɔltɛm pɔsin kin ebul fɔ avɔyd bɛlɛ kansa. Bɔt if dɛn no am kwik, i go mɔs bi se dɛn go trit am ɛn mɛn am. Dipen pan aw yu gɛt kansa, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul di kansa sɛl ɔ di tumbu dɛn. Ɔ dɛn kin tɔk se dɛn fɔ yuz tritmɛnt dɛn togɛda we go kil ɔ mek di kansa sɛl dɛn smɔl.

Di tin we impɔtant pas ɔl na dat, aw yu go si tin go dipen pan bɔku tin dɛn we yu go tɔk to yu dɔktɔ. Nɔ shek fɔ aks bɔt di tritmɛnt we dɛn kin gɛt, di bɛnifit dɛn we dɛn kin gɛt, ɛn di prɔblɛm dɛn we kin apin. Aks gayd frɔm yu dɔktɔ dɛn bɔt aw di kansa we yu gɛt go afɛkt yu. Na yu rayt fɔ mek pipul dɛn yɛri ɛn ɔndastand yu ɛn nɔ fred ɔ dawt. Stay wit wɛlbɔdi!

` Bɛlɛ kansa, bɛlɛ kansa, kansa simptom dɛm, gastric kansa, H. pylori, ɛndoskopi, kansa tritmɛnt, kansa risk