Yu dɔn gɛt ɔpreshɔn fɔ gɛt kansa na yu bɔdi? Ɔ na pɔsin we yu sabi de go tru dis ɛkspiriɛns? Fɔ sɔm dez, sɔntɛm sɔm wiks afta dɛn du di ɔpreshɔn, yu bigin fɔ fil se wan tayt strɛch de rɔn dɔŋ yu an frɔm yu armpit? Dis pen ɛn tayt kin wɔs we yu tray fɔ es yu an ɔp? Dis na tin we bɔku pipul dɛn kin gɛt. Nɔ wɔri. Dis kin bi nɔmal sayd ɛfɛkt we pɔsin kin gɛt we dɛn du ɔpreshɔn. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis sik Axillary Web Syndrome (AWS). Bɔt insay kɔmɔn langwej, dɛn kɔl am ‘Kɔdin’. Lɛ wi tɔk bɔt am jɔs tide.
Lɛ wi si fɔs wetin mek dis kin apin.
Fɔ ɔndastand dis, yu nid fɔ gɛt smɔl aidia bɔt di limf sistɛm na wi bɔdi. Fɔ tɔk am simpul wan, dis na impɔtant pat pan wi bɔdi in imyun sistɛm. jכs lεk wan nεtwכk fכ blכd vεsul dεm, wan nεtwכk fכ limf vεsεl dεm εn sכm sכm gland dεm we dεn kכl limf no dεm we de spre כlsay na wi bכdi. Wi kin kɔl dɛn tin ya bak ‘kuddati’ insay Sinhala.
Wan pan di men wok we dis sistɛm de du na fɔ pul di wata we pasmak na di bɔdi ɛn filta tin dɛn lɛk jem, baktri, ɛn sɛl dɛn we dɔn pwɛl. I tan lɛk ‘garbage management system’ na wi bɔdi.
Sɔntɛnde, di bɔdi kansa sɛl dɛn kin skata to dɛn limf no dɛn ya, ɔ limf no dɛn ya. So di dɔktɔ dɛn we de trit yu go want fɔ no if di kansa dɔn skata da we de. Dɛn go yuz da infɔmeshɔn de fɔ mek di tritmɛnt plan we go fayn fɔ yu.
Wetin na di patikyula tin we kin mek pɔsin kɔd?
Kɔdin na wan kɔmɔn sayd ɛfɛkt we dɛn kin du ɔpreshɔn fɔ pul di limf no dɛm (lumps) na di armpit fɔ chɛk if yu gɛt kansa na yu bɔdi.
Yu dɔktɔ kin tɛl yu fɔ du wan pan tu kayn ɔpreshɔn dɛn:
1. Sentinel Lymph Node Biopsy (SLNB): Dis involv fכ pul εn egzamin כnli wan כ tu imכtant no dεm we de nia di kεnsar.
2. Aksila Limf Nod Disekshכn (ALND): na ya, dεn de pul bכku nכmba dεm fכ di no dεm.
Bɔku pipul dɛn we de du tritmɛnt fɔ kansa kin gɛt fɔ du wan ɔ ɔl tu pan dɛn ɔpreshɔn ya. Di mɔ tisu we di dɔktɔ pul, na di mɔ i go izi fɔ mek kɔdin apin. Bɔt mɛmba se ilɛksɛf dɛn pul wan tisu nɔmɔ, dis sik kin apin.
Na dis kin apin: We dɛn pul wan pimple na di armpit, di dilik limfatik vessel dɛn we bin kɔnɛkt to am kin pwɛl. Dis damej kin mek dɛn vessel dɛn de tayt as tɛm de go, ɛn dɛn kin tan lɛk dray trɛd. Na dɛn tayt vessel dɛn de we kin fil lɛk se dɛn de pul dɛn along wi an.
Wetin na di sayn dɛm we pɔsin kin gɛt we i kɔd? Aw i kin rili fil?
Dɛn sayn ya kin bigin fɔ sho insay sɔm dez ɔ tu to tri wik afta dɛn dɔn du di ɔpreshɔn. Bɔt, na smɔl tɛm nɔmɔ, dɛn dɔn ripɔt kes usay dɛn bigin sɔm mɔnt afta dat.
If yu sɔspɛkt se yu gɛt dis sik, kip yu yay fɔ dɛn sayn ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen we yu de es di an ɔp | Di fɔs tin we yu kin fil na pen na yu an we yu de tray fɔ es yu an ɔp yu ed. |
| Tayt ɛn pul | I kin tan lɛk se tayt strɛch ɔ kɔd de pul frɔm di say we dɛn du di ɔpreshɔn, te to di ɛlb, ɛn sɔntɛm na di an. Sɔm pipul kin fil bak dis pul na di chɛst eria. |
| Fɔ luk na do ɛn fɔ tɔch yu | כva fכ wik, dεn ‘kכd' dεm ya kin tayt εn tayt, dεn kin si am εn kכl כnda di skin. Yu kin fil dɛn we yu tɔch dɛn wit yu an. |
| Ristrikshɔn fɔ muv | dis tayt εn pen de mek i at fכ es di an oba di sכlda lεvεl כ fכ εksεnd di εlbo ful wan. Dis kin ivin mek i nɔ izi fɔ du di wok dɛn we pɔsin kin du ɛvride. |
Dis kin bi big prɔblɛm, mɔ if yu de du redyushɔn tɛrapi di sem tɛm, bikɔs da tritmɛnt de kin mek yu es yu an ɔp yu ed.
Nɔ wɔri! Sɔm tritmɛnt dɛn de we go ɛp dis.
Na nɔmal tin fɔ fil fɔ fred we yu yɛri bɔt dis. Bɔt di gud nyus na dat , dɛn kin trit dis sik fayn fayn wan wit fizik tritmɛnt.Bɔrku tɛm, de sik kin dɔn ɔlmost insay sɔm tritmɛnt ɔr sɔm mɔnt.
Wetin yu fɔ du na fɔ tɔk to yu dɔktɔ ɛn aks fɔ mek dɛn rifer yu to pɔsin we de mɛn yu bɔdi, nɔs, ɔ ɔda dɔktɔ we gɛt ɛkspiriɛns wit kɔdin kɔndishɔn.
Yu tritmɛnt plan kin gɛt wan ɔr mɔ pan dɛn tin ya.
| Di we aw dɛn kin trit am | Wan simpul ɛksplen |
|---|---|
| Ɛksesaiz fɔ strɛch | Dis na di men tin we go mek pɔsin wɛl. Yu fizik thɛrapist go tich yu spɛshal ɛksesaiz fɔ strɛch dɛn tayt kɔd ya. I impɔtant fɔ kɔntinyu fɔ du dɛn tin ya na os. |
| Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen | Yu kin gɛt sɔm prɔblɛm ɔ pen we yu de du ɛksɛsayz, so yu dɔktɔ go advays yu fɔ tek wan mɛrɛsin we de mek yu fil pen bifo yu gɛt tritmɛnt ɔ ɛksesaiz. |
| De swin | Swim na fayn we fɔ ɛp fɔ mek yu an muv bak ɛn fɔ mek yu nɔ fil pen ɛn nɔ fil fayn. |
| Laser tɛrapi | Di dɔktɔ kin yuz smɔl tin fɔ dayrɛkt lɔw lɛvɛl lɛsa bim dɛn na dɛn tisu dɛn ya we dɔn at. Dis kin mek di tisu dɛn we dɔn at fɔ lɛf. |
| Manual therapy | Di dɔktɔ kin masaj am jisnɔ ɛn pul dis tisu jisnɔ frɔm di tap pat pan di an dɔŋ. Na dis tɛm, yu kin yɛri ‘klik’ sawnd we wan pan di kɔd dɛn de brok. Nɔr wɔri, dis nɔr kin mek yu fil pen.Da we de, yu go ebul fɔ muv yu an fri wan. |
We dɛn lɔs kɔd na wan ples, di pen na da say de kin stɔp, ɛn yu kin fil mɔ tayt ɛn pen na ɔda pat na yu an. Dis nɔ min se di kɔdin de wɔs. I min se dɛn say dɛn de stil tayt. We di kɔd lɔs na da say de, di pen go dɔn.
Mɛsej we dɛn kin kɛr go na os
- Kɔd na wan kɔmɔn sayd ɛfɛkt we dɛn kin du ɔpreshɔn pan in bɔdi kansa. Nɔto yu fɔlt.
- di men sayn dεm na pen, tayt, εn we yu kin si/fil strכng tisu we de kכmכt frכm di armpit dכn di an.
- Nɔ panik bɔt dis sityueshɔn, tɔk to yu dɔktɔ. I go rifer yu to wan fayn dɔktɔ we de mɛn yu bɔdi.
- I impɔtant fɔ mek pɔsin wɛl kwik kwik wan fɔ du di ɛksesaiz dɛn we di pɔsin we de mɛn di bɔdi kin tich fɔ strɛch ɔltɛm na os, ɛn nɔ go bost am .
- Ivin if yu simptom dɔn dɔn kpatakpata, kɔntinyu fɔ du dɛn ɛgzampul ya fɔ mek yu sholda dɛn fayn ɔlsay na yu brɔst kansa tritmɛnt joyn.
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