Yu no bɔt kansa na yu mɔt? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva yɛri bɔt kansa na yu mɔt? Sɔntɛm yu bin de fred smɔl we yu yɛri di nem. Bɔt, i rili impɔtant fɔ mek wi ɔndastand dis klia wan. Bikɔs if dɛn no am kwik, i kin izi fɔ trit ɛn i kin mɛn bɔku bɔku wan. So, tide wi go tɔk bɔt dis ɔral kansa ditayli.

Wetin na kansa na yu mɔt? Udat kin gɛt am?

Fɔ tɔk am simpul wan, kansa na yu mɔt na wan kayn kansa we kin kam na di layn na yu mɔt. Sɔntɛnde, dɛn tin ya kin tan lɛk nɔmal prɔblɛm, lɛk wayt spat na yu lip ɔ insay yu mɔt, ɔ blɔd sos. Bɔt di difrɛns na dat dɛn chenj ya nɔ kin wɛl ɛn dɛn kin kɔntinyu fɔ de. If yu nɔ trit yu, kansa we yu de it kin go ɔlsay na yu mɔt ɛn yu trot, ɛn i kin ivin skata to ɔda pat dɛn na yu ed ɛn nɛk. Akɔdin to di statystik, lɛk 63% pan di pipul dɛm we gɛt kansa na dɛn mɔt kin liv fayv ia afta dɛn dɔn no se dɛn gɛt am.

Naw lɛ wi si udat go gɛt kansa na yu mɔt mɔ. Na avrej, lɛk ilevin pipul dɛn pan wan ɔndrɛd tawzin kin gɛt dis sik insay dɛn layf. Bɔku tɛm, man dɛn kin gɛt am smɔl pas uman dɛn. Dɔn bak, dɛn kin se wayt pipul dɛn kin gɛt dis kayn kansa pas blak pipul dɛn.

Aw kansa we de na di mɔt kin afɛkt di bɔdi?

Usay kansa na yu mɔt kin rili afɛkt? Mɔ yu mɔt ɛn sɔm pat dɛn na yu trot. insay mεdikal tεm dεm, i de afekt di εria dεm we dεn kכl 'oral cavity' (`(oral cavity)`) εn di '(oropharynx)`). di oropharynx (`(oropharynx)`) na di midul pat pan yu trot we yu kin si we yu opin yu mכt waid, pat pan di tכng, εn pat pan di ruf na yu mכt. if kansa de divεlכp de, wi kin kכl am `(oropharyngeal cancer)`. bכt insay dis atikul, wi go tכk mכr bכt kεnsar dεm we de divεlכp insay di mכt, dat na, insay di `(oral cavity)`.

Wetin na di pat dɛn na di mɔt?

So, we wi se ``oral cavity``, wetin i de pan? Tink bɔt am...

• Yu lip dɛn.
• Yu gɔm dɛn.
• di skin we de insay yu chεk (wi de kכl am ``layn fכ di insay fכ yu chεk'').
• Di frɔnt tu-tɛd pat pan yu tɔŋ.
• di fכlכ na yu mכt (dat na di εria כnda yu tכng).
• Di fɔs pat pan di ruf na yu mɔt.
• di eria bihayn di las tu tit dεm (`(wisdom teeth)`).

Wetin na di tin dɛn we kin mek pɔsin gɛt kansa na yu mɔt?

Okay, naw lɛ wi si aw ɔral kansa kin apin. Fɔ tɔk am simpul wan, wi gɛt wan kayn sɛl na wi mɔt we dɛn kɔl ``squamous cells''. Dis na flat sɛl dɛn we tan lɛk fish skel we yu si am ɔnda maykroskɔp. di kεnsar sεl dεm de fכm we di ``DNA'' fכ dεn nכmal ``squamous sel dεm'' chenj, εn dεn sεl dεm de bigin fכ gro εn divayd we dεn nכ de kכntro. As tɛm de go, dɛn kansa sɛl ya kin go na ɔda pat dɛn na di mɔt, dɔn go na ɔda pat dɛn na di ed ɛn nɛk, ɛn sɔntɛm i kin go na ɔda pat dɛn na di bɔdi.

Abit ɛn tin dɛn we kin mek pɔsin gɛt mɔ prɔblɛm

Sɔm abit ɛn tin dɛn de we kin mek pɔsin gɛt kansa na yu mɔt mɔ ɛn mɔ. Yu no se 75% pan pipul dɛm wae gɛt kansa na dɛn mɔt gɛt fɔ du wit dɛn tin ya:

• Fɔ smok tin dɛn lɛk sigrɛt, siga, ɛn paip.
• Fɔ chew tabak, yuz tabak wit betel lif, ɛn yuz tin dɛn lɛk ``hookah'' ɔ ``shisha''.
• Fɔ drink pasmak ɔltɛm.
• fכ de na di san fכ lכng tεm we yu nכ gεt nכ protεkshכn fכ di lip dεm (fכ egzampl, we yu nכ ivin put ``sanblock'').
• Fɔ gɛt di vayrɔs ``Human Papillomavirus`` ɔ ``HPV``.
• Wan famili histri fɔ ɔral kansa (i.e., wan ɛritayt link).

Bɔt i impɔtant bak fɔ mɛmba se lɛk 25% pan di pipul dɛn we gɛt kansa na dɛn mɔt nɔ de smok ɔ gɛt ɔda tin dɛn we kin mek dɛn gɛt kansa. So i fayn fɔ mek wi ɔl no bɔt dis.

Wetin na di sayn dɛm wae de sho se yu gɛt kansa na yu mɔt?

Naw lɛ wi luk di sayn dɛm fɔ kansa na yu mɔt. Sɔmtɛm dɛn kin kɔnfyus dɛn tin ya wit nɔmal prɔblɛm wit yu mɔt. Fɔ ɛgzampul, yu kin si wayt pat dɛn insay yu mɔt we yu nɔ go ebul fɔ skrach. Dɛn tin ya kin bi bak tin dɛn we kin apin bifo pɔsin gɛt kansa.

Bɔku kayn spat dɛn de lɛk dis we kin apin na di mɔt ɛn trot, ɛn dɛn kin difrɛn pan dɛn kɔlɔ:

• Lukoplakia: Dis na wayt ɔ grey flat spat.
• Erythroplakia: Dɛn tin ya kin rɛd, sɔm tɛm dɛn kin rayz smɔl, ɔ flat pat. Dɛn kin blɔd we dɛn skrach.
• Erythroleukoplakia: Dis na pat dεm we de miks rεd εn wayt.

Apat frɔm dat, dɛn tin ya na di kɔmɔn sayn dɛm fɔ gɛt kansa na yu mɔt:

• If yu gɛt sɔri na yu lip ɔ insay yu mɔt we de blɔd izi wan ɛn nɔ de wɛl afta tu wik.
• Tin dεm lεk lip, gכm, rכf εria dεm insay di mכt, εn ples dεm we de pεl.
• If blɔd de kɔmɔt insay di mɔt fɔ no rizin.
• If yu gɛt swɛt, pen, ɔ bɔn na yu fes, nɛk, ɔ insay yu mɔt fɔ no rizin.
• If i nɔ izi fɔ yu fɔ it, swɛla, fɔ tɔk, yu jaw de at, ɔ i nɔ izi fɔ yu fɔ muv yu tɔŋ.
• If yu lɔs yu wet we yu nɔ bin de ɛkspɛkt (`(Unintentional weight loss)`).
• Wan ia we de at.
• If yu gɛt bad bad briz we nɔ de dɔn (`(Krɔnik bad briz)`).

Aw dɛn kin no se pɔsin gɛt kansa na in mɔt?

If yu go to di dɛntist ɔltɛm, i kin chɛk fɔ si if yu gɛt sayn dɛn fɔ kansa na yu mɔt we yu de chɛk yu ɔltɛm. If i sɔspɛkt dis, i kin du sɔm bɛsik tɛst ɔ rifer yu to ɔral ɛn maksilofashial ɔpreshɔn (`(Oral ɛn Maksilɔfashial Sɔjɔn)`) ɔ ed ɛn nɛk ɔspitul (`(Hɛd ɛn nɛk Sɔjɔn)`). dεn kכl dεn spεshal dεm ya bak spεshal pipul dεm na di yes, nos εn trot (`(ENT spεshal pipul dεm)`).

Na sɔm pan di tɛst dɛn we dɛn kin yuz fɔ no if pɔsin gɛt kansa na yu mɔt:

• Fɔ chɛk yu bɔdi: Yu dɔktɔ go luk insay yu mɔt ɛn i kin fil yu mɔt bak. Dɛn go chɛk yu ed, fes, ɛn nɛk bak fɔ si if yu gɛt sayn dɛn fɔ kansa ɔ yu gɛt prɛkansa.
• Brush bayɔpsi (dɛn kin kɔl am bak skrap bayɔpsi ɔ exfoliative cytology): Di dɔktɔ kin yuz smɔl brɔsh ɔ spatula fɔ skrap smɔl smɔl sɛl dɛn jisnɔ frɔm di say we dɛn tink se i de. Dɔn dɛn kin tɛst di sɛl dɛn fɔ si if dɛn gɛt kansa.
• Insisional biopsy: Insay dis, di dɔktɔ kin pul wan pat pan di tisu na di say we dɛn tink se i gɛt ɛn tɛst di sɛl dɛn fɔ si if dɛn gɛt kansa.
• Indaykt laryngoscopy ɛn pharyngoscopy: Di dɔktɔ de yuz wan inschrumɛnt we gɛt lɔng an we gɛt smɔl miro we dɛn tay pan am fɔ luk yu trot, di bays pan yu tɔŋ, ɛn pat pan yu larynx (voys bɔks).
• Dairekt (fleksibul) faringoskopi εn laryngoscopy: sכmtεm dεn kin yus εndoskop fכ luk dip insay di trot εn mכt we dεn nכ kin si wit skop. Ɛndoskɔp na tin we tan lɛk tin we kin chenj ɛn we gɛt layt ɛn lens na di fɔs pat.

Yu tink se stej dɛn de we pɔsin kin gɛt kansa na yu mɔt?

Yɛs, na fɔ tru. dis tεst dεm de εp fכ no di stej (`stej`) fכ di kεnsar. Stej de tɔk bɔt usay di kansa de, aw fa i dɔn skata, ɛn if i dɔn skata pas usay i bigin. Dɛn tɛst ya kin luk bak if di kansa dɔn skata to ɔda pat dɛn na di bɔdi.

Dɔktɔ dɛn kin yuz infɔmeshɔn bɔt dis stej fɔ plan di tritmɛnt ɛn fɔ tɔk bɔt di chans fɔ mek i wɛl.

Dɛn kin klas ɔral kansa bay we dɛn de yuz di TNM sistɛm.

• di lεta T de tכk bכt di sayz εn di say we di praymar tכmכro de.
• di lεta N de sho if di tכmכro dכn spre to di limf no dεm.
• di lεta M de sho if di tכmכro dכn spre to fa fa pat dεm na di bכdi (mεtastasized).

Di stej dɛm fɔ kansa na di mɔt kin bi lɛk dis:

• TI: Di tumbu we de na di mɔt na 2 sɛntimita ɔ smɔl pas dat.
• T2: di tכmכro big pas 2 sεntimita, bכt i nכ big pas 4 sεntimita.
• T3: di tכmכro big pas 4 sεntimita.

Aw dɛn kin trit kansa na yu mɔt?

Tri men we dɛn de fɔ mɛn kansa na yu mɔt: ɔpreshɔn, redyushɔn tɛrapi, ɛn kemotɛrapi . Yu fɔ tɔk to yu dɔktɔ bɔt ɔl di tin dɛn we yu go ebul fɔ du, di sayd ɛfɛkt dɛn we dɛn kin gɛt, ɛn aw fɔ mɛn dɛn.

Dɔktɔ kin tink bɔt bɔku tin dɛn bifo i tɛl yu aw fɔ mɛn am. Sɔm pan dɛn tin ya na:

• Us kayn ɔral kansa yu gɛt?
• If yu kansa dɔn spre frɔm usay i fɔs bigin to ɔda pat na yu mɔt ɛn trot, ɔr to ɔda pat na yu bɔdi.
• Yu jenɛral wɛlbɔdi.
• yu ej.

Us ɔpreshɔn dɛn kin du fɔ kansa na yu mɔt?

Di ɔpreshɔn dɛn we dɛn kin du fɔ kansa na yu mɔt na:

• Praymari tumor ɔpreshɔn: Dɔktɔ dɛn kin pul di tumbu ɔ tru wan say we dɛn kɔt insay di mɔt ɔ na di nɛk.
• Glossectomy: Dis kin min fɔ pul wan pat ɔ ɔl di tɔŋ.
• Jawbone surgery (Mandibular surgery): Dis na ɔpreshɔn we dɛn kin du if kansa de na di jawbone.
• Maxillectomy: Dis ɔpreshɔn de pul wan pat ɔ ɔl di ɔp ruf na di mɔt (di bon pat na di ruf na di mɔt, we dɛn kin kɔl bak di palata).
• Sentinel lymph node biopsy: Dis tɛst de mek dɔktɔ dɛn ebul fɔ no if di kansa dɔn spre pas di say we i bin de fɔs.
• di nεk dεsεkshכn: dεn kin du dis כpεrayshכn fכ pul di limf no dεm na di nεk.
• Rikonstrɔkshɔn: Afta dɛn dɔn du ɔpreshɔn fɔ pul bɔku bɔku tisu, dɛn kin du ɔpreshɔn fɔ ful-ɔp di ples usay di tumbu bin de ɔ fɔ bil sɔm pat dɛn na di bɔdi bak, lɛk di lip, tɔŋ, palata, ɔ jaw. Sɔntɛnde, dis rikostrɔkshɔn kin involv fɔ tek wɛlbɔdi bon ɛn tisu frɔm ɔda pat dɛn na di bɔdi.

Ɔda tritmɛnt dɛn

Dɔktɔ dɛn kin yuz ɔda tritmɛnt dɛn bak, we dɛn kin du ɔpreshɔn pan ɔ we dɛn kin du am fɔ dɛnsɛf.

• Radieshɔn tɛrapi: Dis kin yuz bim dɛn we gɛt bɔku ɛnaji fɔ kil di kansa sɛl dɛn ɔ stɔp dɛn fɔ gro. Yu dɔktɔ kin jɔyn redyushɔn tɛrapi wit ɔda tritmɛnt dɛn.
• Targeted therapy: Dis kayn tritmɛnt fɔ kansa de yuz drɔgs ɔ ɔda tin fɔ no ɛn atak sɔm kayn kansa sɛl dɛn we nɔ go ambɔg di nɔmal sɛl dɛn. monoklonal antibodi dεm na imyun sistεm protin dεm we dεn mek na labכtכri. Dɛn kin yuz dɛn fɔ mɛn kansa.
• Kimotɛrapi: Di ​​dɔktɔ kin yuz mɛrɛsin fɔ kil kansa fɔ kil di kansa sɛl dɛn. Dis tritmɛnt kin afɛkt bɔku pat dɛn na di bɔdi.
• Immunotherapy: Dis na tritmɛnt wae de yuse yu yone imyun sistɛm fɔ fɛt kansa. Sɔntɛnde dɛn kin kɔl am bayolojikal tɛrapi.

Wetin dɛn kin du fɔ mek yu nɔ gɛt kansa na yu mɔt?

Kansa na yu mɔt na sik we pɔsin kin ebul fɔ avɔyd. Yu kin ɛp bak fɔ ɛp am wit ɔl yu at. If yu fala dɛn advays ya, dat go ɛp yu fɔ mek yu nɔ gɛt kansa na yu mɔt:

• If yu de yuz tabak (sigrɛt, beedis), yu de it tabak, ɔ yu de yuz wata paip, tray fɔ stɔp ɔ kɔt am. Tɔk to yu dɔktɔ bɔt di program dɛn fɔ lɛf fɔ smok.
• If yu de drink rɔm, drink smɔl smɔl.
• We yu de go na di san, nɔ fɔgɛt fɔ yuz ``UV-AB-blɔk sanskrin'' fɔ yu fes ɛn lip.
• Gɛt vaysin agens `(Human Papillomavirus - HPV)`.
• It di it we balans.
• Gɛt chɛk-ap ɔltɛm fɔ yu tit. I fayn fɔ mek dɛn chɛk yu fɔ gɛt kansa na yu mɔt wan tɛm ɛvri tri ia fɔ pipul dɛn we ol bitwin 20 ɛn 40 ia, ɛn ɛvri ia afta dɛn dɔn ol 40 ia.

A kin no if misɛf gɛt kansa na mi mɔt?

If dɛn no se kansa na yu mɔt kwik, i kin slo fɔ gro ɔ fɔ skata.

Yu kin du yusɛf fɔ chɛk yu mɔt ɛvri mɔnt. If yu notis ɛnitin we nɔ kɔmɔn ɔ we nɔ kɔmɔn we yu de du dat, go to dɛntist wantɛm wantɛm. Na dis na aw fɔ chɛk yu mɔt, yu trot, ɛn yu nɛk fɔ si if yu gɛt sayn dɛn fɔ kansa na yu mɔt:

• Fil yu lip, di fɔs pat pan yu gam, ɛn di ruf na yu mɔt.
• Fil yu nεk εn כnda yu armpit fכ lumps כ swεla limf no dεm.
• Go na ples we gɛt layt fayn fayn wan bifo miro ɛn luk insay yu mɔt.
• Tilt yu ed bak ɛn luk di ruf na yu mɔt.
• Pul di chɛst dɛn kɔmɔt ɛn luk insay di mɔt, di skin insay di chɛst, ɛn di gam dɛn we de biɛn.
• Stik yu tɔng kɔmɔt ɛn luk di ɔp, dɔŋ, ɛn di sayd dɛn. Smɔl smɔl push yu tɔng bak ɛn luk di bɔt ɔf yu mɔt.

Wetin a go ɛkspɛkt if a gɛt kansa na mi mɔt?

Kansa na yu mɔt na wan kayn kansa we kin kam insay di mɔt. Lɛk bɔku kansa dɛn, if dɛn no am kwik kwik wan ɛn trit am, dat kin mek di kansa we de na yu mɔt nɔ bɔku. Na lɛk wan pat pan tri pipul dɛn we dɛn dɔn trit fɔ gɛt kansa na dɛn mɔt go gɛt nyu kansa. If dɛn dɔn trit yu fɔ kansa na yu mɔt, tɔk to yu dɔktɔ bɔt aw fɔ fala yu.

Wetin kin apin afta dɛn dɔn dɔn di tritmɛnt?

Afta yu dɔn fɔ gɛt tritmɛnt fɔ kansa na yu mɔt, yu dɔktɔ go gi yu infɔmeshɔn bɔt aw di patikyula tritmɛnt we yu bin gɛt go afɛkt yu ɛvride layf.

Fɔ ɛgzampul, sɔm pipul dɛn we gɛt kansa na dɛn mɔt kin gɛt tritmɛnt fayn fayn wan bay we dɛn pul di tumbu na dɛn lip ɔ dɛn mɔt. Bɔt pɔsin we in kansa dɔn skata kin nid fɔ du difrɛn ɔpreshɔn we go mek i gɛt mɔ ɔpreshɔn, ɛn sɔntɛm dɛn kin ivin mek wan pat pan in mɔt ɔ in jaw bak.

I nɔ mata yu kɔndishɔn, yu go nid fɔ si yu dɔktɔ dɛn, ivin yu dɛntist, ɔltɛm fɔ chɛk-ap (`(follow-up apointment)`).

Ustɛm yu fɔ go to dɔktɔ?

If yu notis ɛni chenj na yu mɔt – nyu sɔri we nɔ de wɛl afta tu wik, rɔf pat, ɛn ɔda tin dɛn – go to dɔktɔ wantɛm wantɛm. I rili impɔtant. Di kwik we yu kam fɔ no, na di mɔ yu go gɛt di tritmɛnt we go wok fayn.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Na sɔm kɔmɔn kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Wetin na di difrɛns bitwin kansa bifo kansa ɛn kansa na yu mɔt?
• Mi sik na fɔ shɔt tɛm ɔ i nɔ de te?
• Wetin kin bi di rizin we mek a gɛt kansa?
• Us kayn tɛst a go gɛt fɔ du ɛn aw dɛn kin du dɛn?
• Wetin na di bɛst tritmɛnt?
• Wetin na di ɔda tin dɛn we yu go yuz fɔ du di men we we yu de tɔk bɔt?
• If a gɛt fɔ du ɔpreshɔn, a go gɛt fɔ du ɔpreshɔn bak fɔ mek a ebul fɔ bil bak?
• A fɔ go to spɛshal pɔsin? Aw bɔku i go kɔst, ɛn mi inshɔrans go kɔba am?
• Wetin a go du fɔ ridyus mi sik?
• Us chenj dɛn we a kin mek na mi layf fɔ ɛp fɔ gɛt tritmɛnt ɛn fɔ wɛl?

Di tin we impɔtant pas ɔl fɔ mek yu mɛmba! (Mɛsej we dɛn kin tek go na os)

Pan ɔl we kansa na mɔt na siriɔs sik, dɛn kin trit am fayn if dɛn no am kwik.

Na dat mek i impɔtant fɔ go to dɛntist tu tɛm insay di ia ɛn fɔ chɛk yu mɔt yusɛf wan tɛm insay di mɔnt. We dɛn de fɔ mek yu nɔ gɛt kansa na yu mɔt. Wan pan dɛn tin ya we impɔtant pas ɔl na fɔ avɔyd fɔ yuz tin dɛn we dɛn kin mek wit tabak. Na nɔmal tin fɔ fil fɔ fred we yu kam fɔ no se yu gɛt kansa. Bɔt mɛmba se nɔto yu wangren de. If yu nid ɛp fɔ tɔk to yu padi ɛn fambul dɛn bɔt yu mɔt kansa, tɔk to yu dɔktɔ dɛn bɔt am. Tek kia ɔf yu wɛlbɔdi, bikɔs na di tin we valyu pas ɔl we yu gɛt!

` Ɔral Kansa, Ɔral Kansa, Simptom, Kɔz, Tritmɛnt, Ɔpreshɔn, Prɛvenshɔn, Sɛlf-Ɛgzamin