Yu kin gɛt bɛlɛ bak, yu kin gɛt bɛlɛ, ɔ yu kin gɛt dayarɛa wan wan tɛm. Bɔku tɛm, wi nɔ kin pe atɛnshɔn tumɔs to dɛn tin ya, nɔto so? Bɔt sɔmtɛm, de sik wae de kɔntinyu fɔ de lɛk dis kin bi sayn fɔ sɔmtin wae rili siriɔs. Tide wi go tɔk bɔt wan tɔpik we bɔku pipul dɛn nɔ lɛk fɔ tɔk bɔt, bɔt wi ɔl nid fɔ no bɔt. Dat na kכlon εn rεktal kεnsar, כ di sik we wi kכl `(Kכlorektal Kεnsar)`. Nɔ wɔri, fɔ no bɔt dis na di bɛst we fɔ protɛkt yusɛf frɔm am.
Fɔ tɔk am simpul wan, wetin na dis kɔlon kansa?
di kכlon kεnsar na we di sεl dεm we de layn di kכlon כ rεktum bigin fכ gro we dεn nכ ebul fכ kכntro. Bɔku tɛm dis na "saylent tumor" we de gro rili slo, we nɔ gɛt ɛni simptom. Na dat mek di kansa kin dɔn ɔlrɛdi go bifo to sɔm mak bay di tɛm we di sayn dɛn de sho.
Tink bɔt wi dijestiv sistɛm. Di it we wi de it de go tru di bɛlɛ ɛn di smɔl intestinal, ɛn afta di it dɔn tek di tin dɛn we de insay di bɔdi, di dɔti we lɛf de kam na di big intestin. Di big intestin de tek wata ɛn di ɔda tin dɛn we lɛf. Dɔn di sɔlid dɔti we lɛf, we dɛn kɔl fes, dɛn kin kip am na di rɛktum fɔ sɔm tɛm ɛn afta dat i kin kɔmɔt na di bɔdi. Na insay di big intestinal ɔ rεktum dεn kansa sεl dεm ya de kכmכt.
Bɔt di bɛst nyus na dat if dɛn du di rayt tɛst di rayt tɛm , dɛn kin mek dis kansa nɔ apin, ɛn if dɛn no am kwik, i kin wɛl kpatakpata.
Wetin na di men kayn kansa?
Bɔku kayn kɔlon kansa de, bɔt wan kayn kansa na di wan we bɔku pipul dɛn kin gɛt.
| Di kayn kansa we yu gɛt | Wan simpul ɛksplen |
|---|---|
| Adenokarsinoma we gɛt di sik | Dis na di kayn we we dɛn kin yuz mɔ (lɛk 96%) . i de bigin insay di sεl dεm we de mek mכkus na di intestinal dεm. |
| Tumɔr we gɛt kansa | Wan kayn kansa we kin bigin na spɛshal sɛl dɛn we de mek ɔmon. |
| Gastrointestinal stromal tכmכro | i de kכmכt frכm sεl dεm na di intestinal wכl we de signal fכ it fכ muv tru. |
| Limfoma we dɛn kɔl Limfoma | Wan kansa we de divɛlɔp na di sɛl dɛn na di imyun sistɛm. |
Ɔl di lumps na kansa?
Nɔ, infakt, ɔlmost ɔl di kɔlon kansa dɛn kin bigin as polyps , we na smɔl smɔl tin dɛn we kin gro we gɛt bɔdi we kin mek insay di kɔlon. Nɔto ɔl di polip dɛn gɛt kansa.
- Adenomas: Dis na polip dεm we de bifo kansa we if dεn nכ trit dεm, dεn gεt hכy chans fכ bi kεnsar as tεm de go.
- Hyperplastic ɛn inflammatory polyps: Dɛn wan ya nɔ kin bi kansa. Bɔt sɔntɛnde if dɛn big, yu dɔktɔ go tɛl yu fɔ pul dɛn.
Udat dɛn kin gɛt dis kansa?
Fɔ tru, ɛnibɔdi kin gɛt dis sik. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm. If wan ɔ mɔ pan dɛn tin ya apin to yu, i go fayn fɔ mek yu wach smɔl.
| Tin dɛn we kin mek pɔsin gɛt prɔblɛm | |
|---|---|
| Famili istri | If ɛnibɔdi na yu famili (mama ɛn papa, brɔda ɛn sista, pikin) dɔn gɛt kɔlon kansa ɔ polyp. |
| Lɛ yu bɔdi kam dɔŋ | Fɔ it tumɔs rɛd mit (bif, bɔd) ɛn prosɛs mit (sosish, bekin). |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Inflammatory bowel diseases lɛk Crohn’s disease ɔ ulcerative colitis , ɛn tayp 2 dayabitis. |
| Sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks | di kכndishכn dεm we de kכmכt frכm di bכdi lεk FAP (Familial Adenomatous Polyposis) εn HNPCC. |
| Di we aw pɔsin de liv in layf | We pɔsin dɔn pas 50 ia, i kin fat, i kin smok, i nɔ kin du ɛksɛsayz, ɛn i kin drink pasmak. |
Wetin na di sayn dɛm fɔ dis sik? Una fɔ no bɔt dɛn tin ya!
As wi bin dɔn tɔk, bɔrku tɛm nɔr kin gɛt ɛni sayn fɔ de na di fɔs stej. Bɔt as di kansa de go bifo, dɛn sayn ya kin sho. If wan ɔ mɔ pan dɛn tin ya nɔ de apin, mek shɔ se yu go to dɔktɔ.
- Chenj na yu bɔdi abit: yu kin gɛt kɔnstipɛshɔn ɔltɛm ɔ yu kin gɛt dayarɛa.
- Fɔ fil lɛk se yu bɛlɛ nɔ ɛmti ɔl: Fɔ fil lɛk se yu stil gɛt fɔ pul dɔti afta yu dɔn go na tɔylɛt.
- Blɔd we de kɔmɔt na di rɛktal: Blɔd we de kɔmɔt wit stɔl ɔ we yu nɔ gɛt stɔl.
- Chenj na di we aw di stɔl de luk: Stɔl dɛn we tinap pas aw i kin bi, lɛk pensil.
- Bɛlɛ pen ɔr nɔr de fil fayn: Tin dɛm lɛk bɛlɛ kramp, blo, ɛn ɔda tin dɛm.
- We yu de lɔs yu wet fɔ natin.
- Taya ɛn wik: Dis kin bi bikɔs ɔf anemia.
- Fɔ fil se yu gɛt bɔku bɔku wata na yu bɛlɛ ɔ yu rɛkɛt.
Aw fɔ no di sik? (Diagnosis) .
Yu dɔktɔ go aks bɔt yu sik dɛn ɛn du yu bɔdi ɛgzam. Dɔn, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya fɔ no fɔ tru if yu gɛt kansa ɔ pɔlip.
- Kolonoskopi: Dis na di standad ɛn bɛst tɛst. dεn kin put wan tכn tכb we kin fכm wit kεmεra (kolonoskop) tru di an fכ egzamin di כl big intestin. If dɛn fɛn polip, dɛn kin pul dɛn di sem tɛm ɛn tek smɔl sampul (bayopsi) fɔ tɛst.
- Sigmoidoscopy: I tan lεk di colonoscopy, bכt na di rεktum εn di las pat pan di big intestכn nכmכ dεn de egzamin.
- Stɔl Tɛst dɛn:tεst dεm de we de luk fכ blכd we wi nכ de si na di stכl (FIT, gFOBT) εn tεst dεm de we de luk fכ di jεnεtik chenj dεm (DNA) na di kεnsar sεl dεm. If dɛn tin ya no blɔd ɔ ɔda tin dɛn we nɔ fayn, dɛn go ɔda fɔ mek dɛn du kɔlon skɔpi nɛks.
- CT colonography: Dis na spɛshal `CT scan` tɛst. Dɛn kin kɔl am bak `Virtual colonoscopy`.
Wetin na di tritmɛnt dɛn?
If dɛn no se yu gɛt kansa, di tritmɛnt kin dipen pan bɔku tin dɛn. Yu dɔktɔ go tink bɔt tin dɛn lɛk di stej we di kansa de ɛn yu ɔl wɛl bɔdi fɔ no di bɛst tritmɛnt fɔ yu.
1. Ɔpreshɔn
sכm sכm tכmכro dεm εn di polip dεm we de fכs, dεn kin pul dεm we dεn de du kכlonoskopi. If di kansa dɔn spre smɔl, dɛn kin ɔpreshɔn da pat de na di kɔlon (partial colectomy).
2. Kimotɛrapi
Dis na drɔgs we dɛn kin gi fɔ kil di kansa sɛl dɛn ɔ fɔ stɔp dɛn fɔ skata. Dɛn kin gi dis tritmɛnt fɔ kil ɛni kansa sɛl we kin lɛf afta dɛn dɔn du di ɔpreshɔn, ɔ fɔ mek di tumbu smɔl bifo dɛn du di ɔpreshɔn.
3. Rɛdieshɔn Tɛrapi
Dis involv fɔ yuz ay ɛnaji rayt (lɛk ɛkstrem rayt) fɔ pwɛl di kansa sɛl dɛn. Dɛn kin yuz dis tritmɛnt fɔ kansa na di rεktal.
4. Targeted Tɛrapi
Dis involv fɔ gi drɔgs we de tɔch sɔm patikyula jin ɔ protin dɛn na di kansa sɛl dɛn we nɔ go ambɔg di nɔmal sɛl dɛn.
5. Immunotɛrapi
Dis na tritmɛnt we rili intrestin. Wetin yu de du ya na fɔ mek yu bɔdi in yon imyun sistɛm ɛn mek i fɛt di kansa sɛl dɛn.
6. Palliative Care we dɛn kin gi pɔsin
Di gol nɔto fɔ mɛn di kansa, bɔt fɔ kɔntrol di pen, diskɔmfɔt, ɛn ɔda sayn dɛm we di kansa de kam wit, ɛn fɔ gi di pɔsin di bɛst kwaliti layf we pɔsin kin gɛt.
Wetin wi go du fɔ mek wi nɔ gɛt kansa?
Dis na di pat we impɔtant pas ɔl. If wi chenj di we aw wi de liv wi layf, dat kin mek wi nɔ gɛt dis kansa bad bad wan.
- Gud it: It mɔ vɛjitebul, frut, ɛn ligɛm we gɛt fayv. Ridyus di it we yu de it rɛd mit ɛn mit we dɔn wɛl (lɛk sosish).
- Ɛksesaiz: Gɛt at le 150 minit ɛksesaiz we gɛt mɔdaret-intɛnsity insay di wik. Fɔ waka, rɔn, ɔ baysikul na fayn tin dɛn fɔ du.
- Mek yu gɛt wɛl bɔdi wet: If yu fat, dat kin mek yu gɛt bɔku kansa.
- Smok ɛn rɔm: I bɛtɛ fɔ lɛ yu lɛf dɛn tu abit ya kpatakpata.
- Skrin: Dis rili impɔtant. Bɔrku tɛm afta dɛn dɔn ol 45-50 ia, ivin di wan dɛm wae nɔr de pan denja kin kɔntinyu fɔ gɛtYu fɔ gɛt tɛst. I bεst fכ mek dεn kכlכskopi εvri 10 ia. If yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm, yu dɔktɔ go tɛl yu fɔ du tɛst kwik ɛn bɔku tɛm.
Mɛsej we dɛn kin kɛr go na os
- Kɔlɔn kansa na "saylent" sik wae bɔrku tɛm nɔr kin sho in simptom na di fɔs stej.
- Nɔ ɛva ignore di sayn dɛm lɛk we yu chenj yu bɔdi, blɔd na yu stɔl, ɔ yu bɛlɛ de pen ɔltɛm. Go to dɔktɔ wantɛm wantɛm.
- If yu skan di pikin insay di rayt tɛm, mɔ afta yu dɔn ol 45-50 ia, i kin no ɛn pul di polip bifo dɛn bi kansa.
- Dis kansa kin wɛl ɔl if dɛn no am kwik kwik wan. So nɔ fred ɔ shem, no bɔt dis, ɛn tɔk to yu dɔktɔ.
- Fɔ liv fayn layf (gud it, ɛksesaiz) kin ridyus di risk.
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