Lɛ wi lan bɔt kansa na di ɔrofarin. I impɔtant fɔ mek yu no dɛn tin ya!

Yu kin gɛt bak yu trot kin at, yu vɔys kin chenj, ɔ i kin at fɔ swɛla, nɔto so? Bɔku tɛm wi nɔ kin pe atɛnshɔn to dɛn smɔl smɔl sayn dɛn ya. Wi tink se na jɔs kol ɔ trot we de at. Bɔt sɔntɛnde, dɛn tin ya we kin tan lɛk se na nɔmal tin kin apin bikɔs ɔf sɔntin we rili siriɔs. Tide wi go tok boht wan tohpik we nid foh tink likl mo. Dat na ``Oropharynegal Cancer,'' wan kansa we de apin na di midul pan di trot, na di bak pat na wi mכt, usay di trot de bigin. Nɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na dis kansa na di midul pat na di trot (Oropharyngeal Cancer)?

Fɔ tɔk am simpul wan, `Oropharyngeal Cancer` na kansa we de divεlכp we di sεl dεm na di midul pat na yu trot, we dεn kכl `Oropharynx` , de gro abnכmal wan εn bi kεnsar. di `Oropharynx` inklud di bak pat pan yu mכt, di bכs pat pan yu tכng, di tכnsil dεm, εn di sכft palata we de na di tכp pat pan yu trot. Dis eria de mek yu gɛt saliva, i de mek yu mɔt ɛn yu trot wet, ɛn i de ɛp yu fɔ dayjɛst di it we yu de it. Dɔktɔ dɛn gɛt difrɛn we fɔ mɛn dis kansa. Bɔt sɔmtɛm i kin `rikɔr` afta tritmɛnt. Pan ɔl we dɛn nɔ go ebul fɔ avɔyd dis kansa kpatakpata, yu kin ridyus di risk fɔ gɛt am bay we yu tek kia ɔf sɔm tin dɛn. Fɔ ɛgzampul, i rili impɔtant fɔ protɛkt yusɛf frɔm di `Human Papillomavirus (HPV)` vayrɔs, nɔ smok, ɛn kɔntrol fɔ drink rɔm.

Aw dis sik kin kɔmɔn?

infakt, `Oropharyngeal Cancer` na wan kayn kansa we nɔ kin bɔku. Fɔ ɛgzampul, di American Cancer Society bin tɔk se na lɛk 53,000 pipul dɛn na Amɛrika kin gɛt dis kansa ɛvri ia. Bɔt if wi tek bɔdi kansa, i kin ambɔg pas 290,000 pipul dɛn ɛvri ia. So, we yu kɔmpia am to dat, dis na smɔl smɔl tin. Dɛn kin no dis sik bak na Sri Lanka, bɔt i nɔ kin bɔku so we yu kɔmpia am to ɔda kayn kansa.

Difrɛn kayn `Oropharyngeal Cancer` de?

Yɛs, mɔ difrɛn kayn dis de.

• Tonsil kansa na di kayn kansa wae kin pasmak.
• Apat frɔm dat, dɛn kansa ya kin apin bak na di gɔm, di flɔ na di mɔt, ɛn ɔda pat dɛn na di ɔrofarinks.

Wetin na di sayn dɛm fɔ `Ophoryngeal Cancer`?

Dis na impɔtant tin, bikɔs sɔmtɛm de sayn dɛm fɔ dis kansa kin tan lɛk de sayn dɛm fɔ ɔda smɔl smɔl tin dɛm. So, i rili impɔtant fɔ mek wi no bɔt dis.

• Trot we de at we nɔ de chenj (` Pharyngitis` ) : Na trot we de at we nɔ de bɛtɛ.
• Difikulti ɔ pen fɔ swɛla (`Disfagia : Na filin wae yu nɔr ebul fɔ swɛla it.
• i at fכ opin di mכt kכmplit wan (`Trismus`) כ i at fכ muv di tכng.
• Unexplained weight loss : If yu lɔs weit we yu nɔ tray.
• Voys chenj : Na hoarseness ɔ chenj na di vɔys we nɔ de impɔtant.
• Earache : Na earache we de kɔntinyu, we nɔ de stɔp (espɛshali na wan say).
• Lump na di bak pat na di trot ɔ na di mɔt : Na lump we yu kin fil ɔ si.
• Lump in di nek : Na swel ɔ lump na di nɛk.
• Fɔ kɔf blɔd .
• Wan wayt spat na di tכng כ insay di mכt : If di spat nכ go afta sכm tεm.

Impɔtant: If yu gɛt wan ɔr mɔr pan dɛn sik ya, nɔr wɔri, na kansa fɔ tru. Bɔt if dɛn sik ya kɔntinyu fɔ pas tu wiks, yu fɔ rili go to dɔktɔ fɔ advays.

Wetin na di tin dɛm wae kin mek yu gɛt `Ophoryngeal Cancer`?

Bɔku men rizin dɛn de we kin mek pɔsin gɛt dis kansa.

• Human Papillomavirus ( HPV ) infection : Dis na di men tin we dɛn dɔn no. di HPV vayrus de afekt di jin dεm we de kכntro di growth fכ di sεl dεm na wi mכt εn trot. Dis kin mek di sɛl dɛn gro kwik kwik wan ɛn bi kansa, ɔ tumbu.
• Yuz tabak : If yu smok sigrɛt, siga, ɛn it tabak, dat kin pwɛl di sɛl dɛn na yu trot. Dis damej de mek di sɛl dɛn sheb pas aw i kin bi. dis de mek di chans fכ mek di DNA mistek, we kin mek di kεnsar sεl dεm divεlכp.
• Alkol : If yu drink rɔm, i kin pwɛl di sɛl dɛn na yu trot ɛn i kin afɛkt di we aw yu ebul fɔ mek di DNA fayn. If yu drink rɔm we yu de smok, dat kin mek yu gɛt mɔ prɔblɛm.

Wetin na di risk factor dɛm fɔ mek yu gɛt `Oropharyngeal Cancer`?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis kansa:

• HPV infεkshכn , spεshal HPV tayp 16.
• Fɔ gɛt istri fɔ yuz sigrɛt ɛn ɔda tin dɛn we dɛn kin yuz fɔ smok.
• Fɔ drink rɔm pasmak.
• If yu bin dɔn gɛt kansa na yu ed ɔ yu nɛk bifo.
• If yu dɔn gɛt redyushɔn tɛrapi to di ed ɔ yu nɛk eria.

Aw dɔktɔ dɛn kin no se yu gɛt Oropharyngeal Cancer?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt, yu mɛdikal istri (lɛk if yu bin dɔn gɛt kansa trade, if yu bin dɔn gɛt redyushɔn tɛrapi), ɛn aw yu de liv yu layf (lɛk if yu de smok ɔ drink rɔm). Dɔn, dɛn go tek tɛm chɛk yu mɔt, yu trot, ɛn yu nɛk. Dɛn go fil bak fɔ ɛni lumps na yu nɛk. Sɔntɛnde, dɛn kin yuz miro, layt, ɔ tin tyub wit kamɛra (wan `fayberoptic scope`) fɔ chɛk insay yu mɔt ɛn trot.

Us kayn tɛst dɛn kin du fɔ dis?

Dɔktɔ dɛn kin du bɔku tɛst fɔ no if pɔsin gɛt di sik:

• Endoscopic Biopsy : dis involv fכ put wan tin, fleksibul tyub (endoscope) tru di mכt, yuz sכmכl kεmεra na di εnd fכ tek sכm sכm tisu frכm di say we dεn sכspεkt. afta dat dεn kin egzamin di tisu כnda maykroskכp na labכtכri fכ si if kεnsar sεl dεm de כ HPV infεkshכn de.
• `Computed Tomography (CT) Scan` : Dis `CT` skan kin mכsu di sayz fכ di kansa εn si if i dכn spre to כda εria dεm. sכmtεm dεn kin du dis wit wan `Positron Emission Tomography (PET) Scan`.
• Magnetic Resonance Imaging (MRI) Scan : Dis MRI skan kin mek ditayl imej dεm fכ di bכdi in sכft tisu dεm, spεshal wan di tכnsil dεm εn di bכs pat na di tכng. Dis kin ɛp bak fɔ no di sayz fɔ di tumbu.

Stej dεm de fכ `Oropharyngeal Cancer`?

Yɛs, na fɔ tru. Dɔktɔ dɛn kin plan di tritmɛnt ɛn gi wan aidia bɔt di prɔgnosis bay di stej we di kansa de (Cancer Staging). fכ men stej dεm de fכ di Oropharyngeal Cancer (Stage I to IV). Dɛn stej ya kin difrɛn smɔl dipen pan if yu gɛt HPV infɛkshɔn ɔ yu nɔ gɛt am. pan tap dat, di saiz fכ di tכmכro, if i dכn spre to di limf no dεm we de nia, כ to di pat dεm na di bכdi we de fa, de ple bak fכ no di stej.

Aw dɛn kin trit `Oropharyngeal Cancer`?

Dɔktɔ dɛn kin yuz mɔ we dɛn lɛk ɔpreshɔn, redyushɔn tɛrapi, kemotɛrapi, targeted drug therapy, ɔ immunotherapy fɔ trit dis kansa. Dɛn men gol na fɔ pul di kansa sɛl dɛn di we we go afɛkt di we aw yu ebul fɔ tɔk ɛn swɛla smɔl smɔl.

Ɔpreshɔn

If di kansa smɔl ɛn i nɔ spre to ɔda say dɛn, dɛn kin du ɔpreshɔn fɔ pul am.

• `Transɔral Rɔbɔtik Sɔjri (TORS)`: Dis na nyu, minimally invasive ɔspitul prosidur we dɛn kin du tru di mɔt. I kin pul di kansa dɛn we de dip dip wan na di trot, na say dɛn we at fɔ rich. Bikɔs i de yuz rɔbɔt tɛknɔlɔji, i nɔ nid fɔ mek big say na di nɛk ɔ fɔ pul di uvula. i kin bi bak se i nכ nid fכ du `tracheostomy` (we dεn put tכb fכ brith).
• Advantej dɛn fɔ `TORS`:
• Di ɔspitul we dɛn kin de afta dɛn dɔn du di ɔpreshɔn kin shɔt.
• Yu kin wɛl kwik kwik wan.
• Na smɔl damej de pan di tisu ɛn mɔsul dɛn we de rawnd we de ɛp fɔ swɛla.
• Prɔblɛm dɛn we kin de fɔ lɔng tɛm we pɔsin de tɔk ɛn swɛla nɔ kin bɔku.
• Sayd ifekt/komplikeshɔn dɛm fɔ `TORS`:
• Nɔmal blɔd we de kɔmɔt (`Ɛmoraji`).
• Fɔd ɔ wata we de go insay di lכng (`Aspiration`).
• we yu nכ ebul fכ gεt inof כksijεn to di lכng dεm (Respiratory Compromise).
• I nɔ izi fɔ swɛla (Dysphagia).
• I nɔ izi fɔ it fɔ it.
• Di vɔys we de lɔs ɔltɛm ɔ i nɔ kin izi fɔ tɔk.
• Nid fɔ tracheostomy bikɔs i nɔ izi fɔ blo.
• Di chenj dɛn we de apin na di we aw pɔsin in fes de luk.

Sɔm pipul dɛn kin nid ɔda tritmɛnt afta dɛn dɔn du dɛn TORS ɔpreshɔn, lɛk fɔ du ɔpreshɔn fɔ mek dɛn ebul fɔ tɔk bak, fɔ mɛn pipul dɛn we dɛn de tɔk, ɔ fɔ mɛn dɛn wit it, fɔ mek dɛn ebul fɔ kɔntrol di bad tin dɛn we kin apin to dɛn.

Kimotɛrapi

Yu dɔktɔ kin gi yu kemotɛrapi in wan ɔ wit redyushɔn tɛrapi. Insay kes dɛm we nɔ pɔsibul fɔ ɔpreshɔn, fɔ ɛgzampul if di kansa tu big fɔ pul am wit ɔpreshɔn, dɛn kin gi dɛn tu tritmɛnt ya togɛda. Bak:

• If di kansa dɔn spre frɔm di oropharynx to ɔda pat dɛn na di bɔdi.
• Krɔs di tumbu bifo yu du di ɔpreshɔn.
• Dɛn kin yuz dis tritmɛnt bak fɔ pwɛl ɛni kansa sɛl we kin lɛf afta dɛn dɔn du di ɔpreshɔn.
• Di bad tin dɛn we kin apin we pɔsin tek kimotɛrapi ɛn redyushɔn tɛrapi: We dɛn gi dɛn tu tritmɛnt ya togɛda, i kin afɛkt di we aw yu ebul fɔ tɔk. Dis na bikɔs redyushɔn tɛrapi to di trot kin pwɛl di wɛlbɔdi tisu, we kin mek i nɔ izi fɔ tɔk ɛn swɛla. Dis kin nid spɛshal tritmɛnt.

Tɛrapi we dɛn de tɔk bɔt

dis na spεshal protin dεm we dεn mek na di lab (monoclonal antibodies). Dɛn tritmɛnt ya kin wok bay we dɛn kin blok wan prɔtin we de ɛp di kansa sɛl dɛn fɔ sheb, gro, ɛn skata.

• Di sayd ɛfɛkt dɛm: Dɛn tin ya kin difrɛn difrɛn wan bay di kayn mɛrɛsin. Fɔ ɛgzampul, di kɔmɔn sayd ɛfɛkt dɛm fɔ di drɔg `Cetuximab` kin inklud:
• Sayn dɛm fɔ infekshɔn lɛk fiva ɛn kol.
• Skin iritashɔn, it.
• Diziz we pɔsin kin gɛt.
• Dray mɔt.
• Di we aw pɔsin nɔ de it fayn.
• Skin ɛn nel kin chenj.

Imyunotɛrapi

Dis na fɔs layn tritmɛnt if di kansa kam bak ɔ i dɔn skata. Immunotherapy de wok bay we i de ɛp yu yone imyun sistɛm fɔ fɛn ɛn pwɛl di kansa sɛl dɛm. Pembrolizumab (Keytruda®) ɛn Nivolumab (Opdivo®) na tu pan dɛn kayn mɛrɛsin ya.

• Di sayd ɛfɛkt dɛn we kin apin:Bɔku tɛm, di sayd ɛfɛkt dɛn nɔ kin smɔl.
• Taya.
• Itchy rash we de mek pɔsin it.
• Rɔnbɛlɛ.
• Nɔs ɛn vɔmit.

Yu tink se dɛn kin ebul fɔ avɔyd Oropharyngeal Cancer?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp am kpatakpata, tin dɛn de we yu kin du fɔ ridyus yu risk:

• Nɔ gɛt di sik we dɛn kɔl Human Papillomavirus (HPV). If yu gɛt bɔku pipul dɛn we yu de du mami ɛn dadi biznɛs wit ɛn/ɔ du mami ɛn dadi biznɛs wit yu mɔt, dat kin mek yu gɛt HPV. Aks yu dɔktɔ bɔt di HPV vaysin.
• Nɔ bigin fɔ smok. If yu de smok, stɔp. If yu kɔntinyu fɔ smok, dat kin mek yu gɛt sɛkɔn kansa na yu mɔt, yu trot, yu larynx, ɔ yu lɔng. Aks yu dɔktɔ fɔ ɛp yu fɔ lɛf fɔ du am.
• Nɔ drink rɔm bɔku tɛm ɔ bɔku bɔku wan. Alkol de mek di tin dɛn we tabak kin du fɔ mek pɔsin gɛt kansa, bɔku. So, i rili impɔtant fɔ avɔyd fɔ yuz dɛn tu togɛda.
• It fayn it ɛn balans it. Ɛksesaiz ɔltɛm.
• Si yu dɔktɔ ɛn dɛntist ɔltɛm. Dɛn kin chɛk yu mɔt ɛn yu trot ɛn no ɛni chenj kwik kwik wan.

Wetin kin apin if a gɛt dis sik?

If yu gɛt kansa na yu oropharyngeal, yu go nid fɔ gɛt fɔl-ɔp ɛgzam ɔltɛm fɔ chɛk fɔ si if i gɛt kansa bak ɔ if yu gɛt nyu kansa. If yu de drink rɔm ɔ yu de smok, tɔk to yu dɔktɔ bɔt aw fɔ lɛf fɔ smok. Smok ɛn drink rɔm kin mek yu gɛt kansa bak ɔ gɛt nyu kansa.

Yu tink se dɛn kin mɛn `Oropharyngeal Cancer`?

Dɔktɔ dɛn kin trit dis kansa. Bɔt i kin kam bak ivin afta dɛn dɔn trit am fayn. Akɔdin to di American Cancer Society, lɛk 70% pan di pipul dɛm wae gɛt oropharyngeal cancer stil de alayv fayv ia afta dɛn dɔn no se dɛn gɛt am. Dɔktɔ dɛn dɔn no bɔku tin dɛn we kin afɛkt aw di sik de go:

• Lɛk bɔku kansa, di tin dɛn we kin apin kin bɛtɛ if dɛn no di kansa ɛn trit am bifo i skata.
• Pipul dɛm wae gɛt kansa bikɔs ɔf HPV infɛkshɔn kin gɛt bɛtɛ tin fɔ du pas di wan dɛm wae nɔr gɛt di vayrɔs.
• Pipul dɛn we nɔ de yuz tabak kin gɛt bɛtɛ rizɔlt pas di wan dɛn we de yuz am.

Aw a kin kia fɔ misɛf?

Di bɛst we fɔ kia fɔ yusɛf na fɔ:

• Nɔ it tabak. If yu de smok, tray fɔ lɛf fɔ smok.
• Nɔ drink rɔm.
• If yu gɛt HPV, tɔk to yu dɔktɔ bɔt fɔ gɛt vaysin fɔ protɛkt yu frɔm nyu infɛkshɔn.
• Aks fɔ ɛp. Yu tritmɛnt kin mek i nɔ izi fɔ tɔk ɔ it. Bɔt spɛshal tritmɛnt ɛn program dɛn de fɔ ɛp fɔ mɛn dɛn bad bad tin ya.
• Si to dɔktɔ bɔku tɛm.Monitor yu ɔl wɛl bɔdi ɛn if di kansa dɔn kam bak.

Ustɛm a fɔ go to dɔktɔ? Ustɛm a fɔ go na di imejensi rum?

I rili impɔtant fɔ go to yu dɔktɔ ɔltɛm afta yu dɔn gɛt tritmɛnt. Sɔntɛm yu go nid fɔ de chɛk yu ɔltɛm fɔ di res ɔf yu layf. Tipikli, dɛn go aks yu fɔ chɛk-ap ɛvri 6-12 wik fɔ di fɔs ia afta di tritmɛnt, ɛvri 3 mɔnt fɔ di sɛkɔn ia, ɛvri 3-4 mɔnt fɔ di tɔd ia, ɛn afta dat ɛvri 6 mɔnt afta dat. If dɛn dɔn du ɔpreshɔn fɔ pul di tumbu dɛn we gɛt kansa, yu fɔ go na di imejensi rum wantɛm wantɛm if yu gɛt ɛni sayn fɔ se yu gɛt di sik . Dɛn sayn ya na:

• Fiva.
• If di say we dɛn du di ɔpreshɔn rɛd ɛn i de mek pɔsin fil pen.
• If wata de we tan lɛk pus we de kɔmɔt na di say we dɛn de du di ɔpreshɔn.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks dɛn kwɛstyɔn ya we yu go to dɔktɔ:

• Usay rili mi kansa de?
• Yu tink se mi kansa dɔn skata? Us stej i de insay? Wetin dat min?
• Us ɔda tɛst dɛn a nid fɔ du?
• Udat na di dɔktɔ dɛn we de na mi tritmɛnt tim?
• Mi kansa gɛt fɔ du wit Human Papillomavirus (HPV)?
• Us chenj dɛn a nid fɔ mek na mi layf?
• Wetin na mi tritmɛnt plan? Wetin na ɔl di tin dɛn we a kin disayd fɔ du?
• Wetin na di chans fɔ mek mi sik wɛl?
• Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?
• Wetin kin apin if di kansa kam bak? Wetin na di tin dɛn we a kin disayd fɔ du?

``Oropharyngeal Cancer'' na di sem wit ``Oral Cancer''?

Nɔ, pan ɔl we dɛn tu kayn kansa na ed ɛn nɛk, dɛn difrɛn.

• Kansa na yu mɔt na kansa we de kam na yu mɔt ɔ yu mɔt. I kin apin na di frɔnt pat na yu tɔŋ, insay yu chɛst, na di frɔnt pat na yu ruf na yu mɔt, ɛn na di flɔ na yu mɔt.
• Oropharyngeal Cancer na kansa we de divεlכp na yu oropharynx, we inklud di tonsils, bak pan di tכng, sכft palata, sayd dεm εn bak pan di trot. dis dεm de fכm frכm di squamous sεl dεm we de layn di sεf fכ di mכt εn trot.

Oropharyngeal cancer na wan kayn kansa wae nɔr kin bɔrku pan ed ɛn nɛk. Pan ɔl we dɔktɔ dɛn kin trit am, i kin kam bak afta dɛn dɔn trit am. Bɔrku tɛm, dis kansa kin kam wae pɔrsin gɛt di Human Papillomavirus (HPV). Pipul dɛm wae de yuse tabak ɛn drink rɔm kin gɛt dis kansa bak.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi mɛmba yu sɔm impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt.

• Oropharyngeal cancer na kansa we de apin na di midul pat na di trot. HPV infɛkshɔn, smok, ɛn fɔ drink rɔm na di men tin dɛn we kin mek pɔsin gɛt dis sik.
• Trot kin at ɔltɛm, i nɔ kin izi fɔ swɛla, yu vɔys kin chenj, yu nɔ kin gɛt bɔku bɔku tin dɛn na yu nɛkYu fɔ no bɔt di sayn dɛm lɛk: If dɛn tin ya de fɔ pas tu wiks, go to dɔktɔ.
• Bɔku tritmɛnt dɛn de we yu kin gɛt. Fɔ no am kwik kwik wan rili impɔtant.
• Di risk kin ridyus bay tin dɛm lɛk di HPV vaysin, fɔ avɔyd fɔ smok, ɛn fɔ drink pasmak.
• If yu gɛt dis sik ɔr yu gɛt ɛni dawt, nɔr frayd fɔ go to dɔktɔ ɛn tɔk to dɛm. Dɛn go ɛp yu.

Mɛmba se fɔ no na di bɛst tin fɔ protɛkt yusɛf. I fayn fɔ tek kia ɔf yu wɛlbɔdi.