Wi ɔl dɔn yɛri mɔ ɔ smɔl bɔt bɔdi kansa. Bɔt yu no se difrɛn kayn bɔdi kansa de? Sɔm kayn dɛn kin izi fɔ trit smɔl, bɔt sɔm kayn dɛn kin tranga ɛn bad smɔl. Tide wi go tɔk bɔt wan kayn bɔdi kansa we kin tranga smɔl, bɔt dɛn kin kɔntrol am if dɛn ɔndastand am fayn ɛn trit am. dis na wetin dכkta dεn kכl "Triple-Negative Breast Cancer" כ `(Triple-Negative Breast Cancer - TNBC)`.
Wetin na dis Tripul-Nɛgitiv?
Fɔ tɔk am simpul wan, tri men tin dɛn de we de ɛp di bɔdi kansa sɛl dɛn fɔ gro. na di כmon dεm we dεn kכl εstrojen εn projεstεron, εn wan protin we dεn kכl HER2. Tink bɔt dɛn tin ya lɛk "do" pan kansa sɛl dɛm. dכkta dεn de gi di "ki" dεm (i.e., mεdikeshכn lεk כmon tεrapi) we fit dεn "do" dεm ya εn stכp di kεnsar fכ gro.
כltu, insay tripl-nεgεtiv kεnsar, di kεnsar sεl dεm nכ gεt כl di tri dεm dεm (εstrojen, projεstεron, HER2). Dis min se dɛn na ‘negativ’. Bikɔs dɛn domɔt dɛn de nɔ de, tin dɛn lɛk ɔmon tritmɛnt we dɛn kin gi nɔ kin wok fɔ dis kayn kansa. Fɔ dis rizin, dɛn kin tek dis kayn kansa se i kin gɛt mɔ agresiv, i kin skata kwik kwik wan pas ɔda kayn kansa.
Bɔt dis nɔ min se dɛn nɔ go ebul fɔ trit am. Atɔl! Ɔda pawaful tritmɛnt dɛn de we kin ɛp. Yu dɔktɔ go pik di tritmɛnt plan we go fayn fɔ yu.
Wetin na di sayn dɛm fɔ dis kansa?
Bɔku tɛm, di sayn dɛm fɔ triplɛ-nɛgitiv bɔdi kansa kin tan lɛk ɔda kayn bɔdi kansa. If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn ɛn go to dɔktɔ wantɛm wantɛm.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Wan lump ɔ tik we de na di bɔdi | Wan nyu lump we nɔ bin de bifo, we yu kin fil na yu an. |
| Breast ɔ nipple de pen/rɛdnɛs | Pen we de kɔntinyu fɔ de ɔ we i de rɛd klia wan. |
| Nipple invashɔn ɔ dischaj | wan nipl we bin de nכmal bifo de invεst כ wan likwid (we nכ de na milk) de kכmכt. |
| Brest we de swel | Sɔntɛm yu nɔ go ebul fɔ si wan lump, bɔt sɔm pat ɔ ɔl di bɔdi kin swel. |
| Skin we tan lɛk ɔrɛnj peel | di pores dεm na di skin na di brεst kin big, i kin lεk di sεf fכ כrεnj pil. |
| Pimples na di armpit ɔ rawnd di an | di limf no dεm (nodul dεm) we swεla na di armpit εria כ nia di kכlabon. |
| Wan chenj na di brɔst shep ɔ saiz | Wan brɔst de luk notis se i difrɛn frɔm di ɔda wan. |
Udat dɛn kin gɛt dis kansa?
Dɔktɔ dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt dis kayn kansa. I nɔ kin bɔku bak, i kin afɛkt ɔl 10%-20% pan di uman dɛn we gɛt bɔdi kansa. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm.
- Uman dɛn we nɔ rich 40 ia yet .
- Pipul dεm we gεt BRCA jin mכtεshכn , spεshal wan di BRCA1 jin. Dis na chenj na di jɛnɛtiks we kin pas frɔm jɛnɛreshɔn dɛn.
- Uman dɛn we gɛt bɔku bɔku bɔdi ɛn we nɔ de du ɛksɛsayz afta dɛn dɔn lɛf fɔ gɛt bɛlɛ (we dɛn dɔn lɛf fɔ gɛt mɔnt) .
Aw yu go no fɔ tru if yu gɛt kansa?
Na dɔktɔ nɔmɔ go ebul fɔ tɛl yu uskayn kansa yu gɛt. Dis kin gɛt fɔ du wit bɔku tɛst dɛn.
1. Mamogram εn כltra saund skan: dεn kin no se lכm כ abnכmal tin dεm insay di brεst.
2. Bayopsi test `(Biopsy)`: Dis na wetinDi tɛst we impɔtant pas ɔl ɛn we rili impɔtant . Wetin dɛn kin du ya na fɔ tek wan rili smɔl tisu frɔm di sɔspɛkt lump ɔnda anestezi ɛn sɛn am to spɛshal dɔktɔ we de chɛk di tisu.
3. Tisu test: dεn de egzamin di tisu sεmpl כnda maykroskכp fכ no if i gεt kansa כ nכ. if na kansa, dεn de chεk am fכ di "do dεm" we wi bin tכk bכt fכs we dεn kכl εstrojen, projεstεron, εn `HER2`. If ɔl tri nɔ gɛt ɛni sik, dɛn kin no se na triplɛ-negativ kansa.
Fɔ no di stej we kansa gɛt
Afta dɛn dɔn no di kansa, di dɔktɔ go no in "stej." Dis min aw di kansa big ɛn aw fa i dɔn skata. Dis kin gɛt fɔ du wit tɛst dɛn lɛk MRI, CT skan, ɛn PET skan.
Di `TNM` sistem na wan we we dɛn dɔn aksept ɔlsay na di wɔl.
- T (Tumour): Aw big di tumor de? (Wan skɔ frɔm 0-4)
- N (Nodes): Di kansa dɔn spre to di limf no dɛm we de nia am? (Wan skɔ we na 0-3)
- M (Metastasis): Di kansa dɔn spre to ɔda pat dɛn we de fa lɛk di lɔng, liva, ɔ bon? (0 ɔ 1)
Na dis stej de mek di dɔktɔ disayd us tritmɛnt go fayn fɔ yu.
Wetin na di tritmɛnt dɛn?
Dɛn kin yuz kɔmbayn tritmɛnt fɔ triplɛ-nɛgitiv kansa.
1. Kimotɛrapi
Dis na di men ɛn impɔtant tritmɛnt fɔ dis kayn kansa. I min fɔ gi di bɔdi pawaful mɛrɛsin dɛn we de kil di kansa sɛl dɛn. If dɛn no dis kansa kwik kwik wan, i kin ansa fayn fayn wan to kemotɛrapi.
- Neoadjuvant Chemotherapy: Dɛn kin gi di ɔpreshɔn bifo dɛn du di ɔpreshɔn fɔ mek di tumbu smɔl ɛn mek di ɔpreshɔn izi.
- Adjuvant Chemotherapy: Kemotherapy we dɛn kin gi afta dɛn dɔn ɔpreshɔn fɔ pwɛl ɛni kansa sɛl we lɛf.
2. Ɔpreshɔn
Tu kayn ɔpreshɔn dɛn de.
- Lumpectomy: Dɛn kin pul di kansa ɛn smɔl tisu we de rawnd am.
- Mastectomy: Dɛn kin pul di wan ol bɔdi. Bikɔs dis kansa kin rili bad, bɔku tɛm dɔktɔ dɛn kin se fɔ pul di wan ol bɔdi (mastectomy).
3. Rɛdieshɔn Tɛrapi
Afta dɛn dɔn du ɔpreshɔn, dɛn kin gi dis tritmɛnt fɔ pwɛl ɛni kansa sɛl we kin lɛf na di eria ɛn mek di kansa nɔ kam bak.
4. Immunotɛrapi
Dis na nyu we fɔ trit pɔsin. Wetin wi de du ya na fɔ mek wi bɔdi in yon imyun sistɛm , ɛp am fɔ no ɛn atak di kansa sɛl dɛn. Dis na tritmɛnt we rili fayn fɔ trit-nɛgitiv kansa.
5. Targeted Tɛrapi
Dis na nyu tritmɛnt bak. I tan lɛk "smat bɔm." Wetin dɛn mɛrɛsin ya de du na fɔ fɛn di kansa sɛl dɛn dairekt wan, atak dɛn, ɛn kɛr di kemo go dairekt to di kansa sɛl dɛn. dis dεn kכl am bak `Antibodi-drug kכnjugεt (ADC).' Dis kin mek di sɛl dɛn we gɛt wɛlbɔdi nɔ pwɛl bɛtɛ.
Chans fɔ mek yu wɛl ɛn fɔ gɛt di sik bak
Dis na big kwɛstyɔn fɔ bɔku pipul dɛn. I at fɔ gi wan ansa bikɔs i difrɛn frɔm wan pɔsin to ɔda pɔsin. Di chans fɔ mek i wɛl dipen pan aw dɛn kin no di kansa kwik ɛn aw di bɔdi kin ansa we dɛn gɛt tritmɛnt.
- fכ lokaliz brεst kεnsar, di rilitiv chans fכ liv 5 ia na 91%.
- if i spre to di tisu dεm we de nia (rijכnal), da fכm de na lεk 65%.
- if i spre to di כgan dεm we de fa, dat fכm de dכn to 12%.
Nɔ mek yu fred wit dɛn statystik ya. Dis na jɔs avrej frɔm bɔku bɔku pipul dɛn. Di tin we de apin to yu kin bɛtɛ pasmak. Di tin we impɔtant pas ɔl na fɔ no di sayn dɛm ɛn go to dɔktɔ kwik kwik wan.
Tripul-nɛgitiv kansa gɛt risk fɔ kam bak insay di fɔs 3 ia afta dɛn dɔn trit am. Bɔt da risk de kin go dɔŋ kwik kwik wan afta 5 ia. So, i impɔtant fɔ kɔntinyu fɔ du fɔlɔp tɛst lɛk aw yu dɔktɔ tɛl yu afta yu dɔn gɛt tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Triple-negative breast cancer (TNBC) na wan kayn kansa wae kin agresiv ɛn kin spre kwik pas ɔda kayn kansa.
- Dis na bikɔs dɛn kansa sɛl ya nɔ gɛt di ɔmon ɛn di prɔtin rɛsɛptɔ dɛn we de ɛp kansa fɔ gro.
- Pan ɔl we di ɔmon tritmɛnt dɛn we dɛn kin gi ɔltɛm nɔ kin wok fɔ dis, tritmɛnt dɛn de we rili fayn lɛk kemotɛrapi, ɔpreshɔn, redyushɔn tɛrapi, ɛn imyunotɛrapi.
- Fɔ no di sayn dɛm kwik kwik wan na impɔtant tin fɔ sev pipul dɛm layf. Nɔ ɛva ignore ɛni chenj na yu bɔdi.
- Nɔr frayd fɔ aks yu dɔktɔ kwɛstyɔn bɔt yu tritmɛnt ɛn di stej wae yu kansa gɛt. If yu no ɔltin klia wan, dat go mek yu gɛt bɔku trɛnk na yu maynd.
- Nɔto yu wan de pan dis waka. Gɛt di sɔpɔt fɔ yu famili ɛn padi dɛn. I go bi big trɛnk fɔ yu.
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