Yu gɛt kansa na di ɔda pat na yu trot? Lɛ wi tɔk bɔt Hypopharyngeal Cancer!

Yu dɔn ɛva wɔnda bɔt kansa na yu trot ? I go mɔs bi se yu dɔn du am. Tide wi go tɔk bɔt wan kayn kansa we kin apin na di trot, bɔt dɛn nɔ kin tɔk bɔt am smɔl. Dɛn kɔl dis Hypopharyngeal Cancer . fכ simpul wan, i de divεlכp na di lכw pat pan wi trot, dat na, na di lכw pat pan di trot (`(Pharynx)`), spεshal bihayn di vכys bכks (`(Larynx)`). Lɛ wi luk dis smɔl mɔ, nɔto so?

Aw kɔmɔn dis kansa?

Fɔ tru, dis haypofarin kansa nɔto so kɔmɔn. Jɔs tink bɔt, ivin na kɔntri lɛk Amɛrika, na 2000 to 4000 pipul dɛn nɔmɔ kin gɛt dis sik ɛvri ia. Bɔt if wi kɔmpia am to sɔntin lɛk lɔng kansa , da nɔmba de rili smɔl. Fɔ ɛgzampul, insay 2023 nɔmɔ, dɛn se i pas tu ɔndrɛd tawzin pipul dɛn we gɛt kansa na Amɛrika. So dis min se dis nɔ kin apin smɔl, we min se dɛn nɔ kin si am bɔku tɛm.

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

Wan prɔblɛm ya na dat dis kansa nɔ kin sho ɛni sayn we i bigin . Sɔmtɛm di kansa kin dɔn spre (metastasized) bay di tɛm we di sayn dɛm de sho. Bɔt di sayn dɛm wae de sho se yu gɛt dis sik kin bi:

• Trot we de at ɔ we yu fil se sɔntin dɔn stɔp na yu trot.
• Fɔ mek pɔsin ala lawd lawd wan .
• I nɔ izi fɔ swɛla it .
• Yu yes de pen .
• Di limf no dɛm we dɔn swel na di nɛk .
• Fɔ blo shɔt ɔ sɔntin we stɔp na yu trot fɔ no rizin.
• Fɔ fil taya pasmak (` Fatigue` ).
• Di vɔys kin chenj .
• I nɔ izi fɔ blo ɔ nɔys we yu de blo (`(Stridor)`).
• Fɔ kɔf blɔd .
• Fɔ bi tin fɔ no rizin.

De tin wae impɔtant pas ɔl na fɔ nɔr frayd se yu gɛt dis kansa jɔs bikɔs yu gɛt dɛn sik ya. Bikɔs dɛn kin si dɛn sayn ya bak pan ɔda smɔl smɔl sik dɛn. Bɔt if ɛni wan pan dɛn sik ya kɔntinyu fɔ pas tu wiks, i go fayn fɔ mek yu go to dɔktɔ ɛn aks fɔ advays.

Wetin mek kansa na di haypopharyngeal kin kam?

Fɔ tɔk am simpul wan, dis kansa de divɛlɔp na di sɛl dɛn we de layn yu haypofarinks (di pat pan yu trot we de layn yu trot we de dɔŋ). Dɛn sɛl dɛn ya kin chenj ɛn bi kansa, dɛn kin sheb we dɛn nɔ ebul fɔ kɔntrol dɛn ɛn dɛn kin mek tɔŋ dɛn. Masta sabi bukman dɛn nɔ kin rili ebul fɔ tɔk klia wan wetin mek dis kin apin. Bɔt sɔm tin dɛn de we kin mek yu gɛt dis kansa bad bad wan. Dɛn na:

• Smok: Dis na di wangren big tin wae kin mek yu gɛt kansa na yu trot, inklud kansa na di haypopharyngeal. Dis inklud sigrɛt, siga, fɔ smok paip, fɔ yuz ilɛktronik sigrɛt (`(e-sigarɛt)`), fɔ chɛw tabak, fɔ chɛw gam, ɛn fɔ it tabak.
• Fɔ drink bɔku tɛm ɛn fɔ drink pasmak: Dɛn kin tɔk bɔt fɔ drink pas tu yunit rɔm fɔ wan de fɔ man dɛn ɛn fɔ drink pas wan yunit fɔ wan de fɔ uman dɛn.
• HPV Infεkshכn: Human Papillomavirus (HPV) na wan infεkshכn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs wit ɔda pɔsin (STI). I kin pas tru ɔral sɛks wit pɔsin we gɛt di vayrɔs.

Us prɔblɛm dɛn kin kam wit dis sik?

di haypofarin kεnsar kin spre to di limf no dεm na di nεk we i de fכs. Na dat mek i impɔtant fɔ tɔk to dɔktɔ if yu notis se wan smɔl smɔl tin de na yu nɛk. If dɛn nɔ trit dis kansa, i kin go na dɛn say ya:

• Yu εsophagus (`(Esophagus)`).
• Ɔda pat dɛn na di trot.
• Tayrɔyd gland (`(Tayrɔyd)`).
• Trachea (we di briz de blo).
• Hyoid bon (`(Hyoid bon)`).
• Di layn we de na di chɛst.
• di tisu we de rawnd di כp pat pan di spayna.
• Karotid atεri (`(Karotid atεri)`).

Aw dɛn kin no dis kansa?

We yu go to dɔktɔ, i go aks yu bɔt yu sik dɛn, aw lɔng yu dɔn gɛt am, ɛn if yu de yuz tabak ɔ rɔm, bikɔs dɛn tin ya kin mek yu gɛt dis kansa.

Dɔn di dɔktɔ go chɛk yu. I go fil yu nɛk fɔ si if yu limf no dɛn dɔn swel, ɛn i go chɛk yu trot.

Dipen pan yu simptom dɛm, yu dɔktɔ kin rifer yu to yu yes, nos, ɛn trot spɛshal dɔktɔ (ENT spɛshal ɔ Otolaryngologist). I spɛshal fɔ no ɛn trit sik dɛn na di ed ɛn nɛk. I kin ɔda tɛst dɛn lɛk:

• Ɛndoskopi: Insay dis tɛst, di dɔktɔ kin put wan lɔng, tin tiub (ɛndoskɔp) dɔŋ yu trot fɔ chɛk di ɔda pat we de dɔŋ yu trot. dεn kin du tεst we dεn kכl laryngoscopy bak fכ egzamin di vכys bכks (larynx).
• Bayopsi tɛst (`(Bayopsi)`): .Di dɔktɔ kin ɔda fɔ mek dɛn yuz fayn nidul aspirashɔn (FNA) fɔ tek wan sɛmpul pan di tisu. afta dat, dεn kin egzamin dis tisu sεmpl כnda maykroskכp bay wan patכlכjist fכ chεk fכ kεnsar sεl dεm.
• Imej tɛst: If di bayɔpsi kɔnfyus se yu gɛt haypopharyngeal kansa, yu ENT spɛshal dɔktɔ go rifer yu to ɔnkɔlɔjis. I kin ɔda fɔ mek dɛn tek imej tɛst fɔ si if di kansa dɔn skata frɔm di ɔda pat na di trot to ɔda pat dɛn na di bɔdi. Dɛn tin ya kin bi CT skan (Computed Tomography), MRI skan (Magnetic Resonance Imaging), ɔ PET skan (Positron Emission Tomography).

Lɛ wi lan bak bɔt kansa stej ɛn gred.

Kansa stej na we fɔ mek ɔnkɔlɔjis dɛn tɔk bɔt kansa mɔ ditayli. Fɔ ɛgzampul, usay di tumbu de, if i dɔn skata, ɛn if i dɔn skata, usay, ɔ if di kansa dɔn skata to ɔda pat dɛn na di bɔdi.

di stej dεm fכ di haypofarin kεnsar de kכmכt frכm Stej I – we di kεnsar de kכnfyus na di lכw pat pan di trot εn i nכ spre – to Stej IV. Stej IV na we di kansa dɔn spre to ɔda pat dɛn na di trot ɛn mɔt, di bak pat na di nos (nasopharynx), di bays pan di skel, ɛn di layn na di chɛst kaviti.

Dɛn kin sheb di haypofarin kansa bak bay di gred. Di gred we kansa gɛt de mek di wan dɛn we de stɔdi bɔt kansa ebul fɔ no aw di kansa go skata kwik kwik wan. Dɛn gred ya de frɔm GX (di kansa gɛt smɔl chans fɔ skata) to G3 (di kansa kin rili skata).

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt we dɛn kin yuz mɔ na ɔpreshɔn fɔ pul di tumbu ɛn redyushɔn tɛrapi fɔ kil ɛni kansa sɛl we lɛf. Yu dɔktɔ we de mɛn yu kansa kin jɔyn ɔpreshɔn bak wit kemotɛrapi ɔ imyunotɛrapi.

Na sɔm ɔspitul opshɔn dɛn fɔ haypofarinjial kansa:

• Pat ɔ tɔtal faringectomy: Dis ɔpreshɔn de pul ɔl ɔ pat pan yu trot. Dis kin inklud bak ɔpreshɔn we dɛn kɔl laryngectomy, we kin pul di vɔys bɔks (larynx). Bikɔs yu trot de ɛp yu fɔ blo, dɛn kin mek wan stoma, ɔ opin, afta dɛn dɔn ɔpreshɔn so dat dɛn go put wan laryngectomy tube insay. Yu go blo tru dis tiub afta yu dɔn ɔpreshɔn yu.
• Laryngectomy (`(Laryngectomy)`): di wan dɛn we dɛn kin pul na di bɔdi.If yu gɛt laryngectomy, yu sajin kin mek smɔl ol (tracheoesophageal puncture – TEP) bitwin yu windpaip (trachea) ɛn yu esophagus (esophagus). Dis na di say we dɛn kin put wan vɔys prɔstɛsis (laryngectomy speaking device).
• Nεk disεkshכn: כpכt kin du dis fכ pul di limf no dεm we afekt na di nεk.
• Transoral robotic surgery (TORS): Dis ɔpreshɔn de mek dɔktɔ dɛn ebul fɔ pul di kansa tumbu dɛn na say dɛn we at fɔ rich, lɛk di ɔda pat na di trot we de dɔŋ.
• Rikɔnstrɔktiv ɔpreshɔn: Afta dɛn dɔn ɔpreshɔn fɔ pul ɔl ɔ pat pan di trot ɔ vɔys bɔks, dɛn kin nid fɔ du ɔpreshɔn bak fɔ mek di wok dɛn lɛk fɔ it, fɔ blo, ɛn fɔ ebul fɔ yuz vɔys divays bak.

We yu du ɔpreshɔn fɔ yu trot kansa, dat kin afɛkt di we aw yu de tɔk, it, ɛn blo. Bifo yu du di ɔpreshɔn, aks yu dɔktɔ aw di tritmɛnt go afɛkt yu. Fɔ ɛgzampul, yu kin wok wit wan dɔktɔ we de mɛn pipul dɛn we de tɔk to pɔsin (Speech-language pathologist) fɔ lan aw fɔ kɔntrol ɛni prɔblɛm we go mit yu fɔ tɔk ɔ swɛla we yu du ɔpreshɔn pan yu.

Wan we de fɔ mek yu nɔ gɛt dis kansa?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp am ɔltogɛda, tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt haypopharyngeal kansa:

• Fɔ lɛf fɔ smok kpatakpata ɛn fɔ avɔyd fɔ smok we yu de smok.
• Fɔ stɔp fɔ drink rɔm ɔ fɔ stɔp di we aw yu de drink.
• Protɛkt yusɛf frɔm HPV infɛkshɔn bay we yu gɛt vaysin agens di HPV vayrɔs ɛn du sef sɛks.

Wetin a fɔ ɛkspɛkt if a gɛt dis sik?

Hypopharyngeal cancer kin kam bak (rikɔr) afta tritmɛnt. Dis kin mek bak di risk fɔ gɛt nyu kayn kansa ɔdasay na di bɔdi. Dɔktɔ dɛn kɔl dis ``sɛkɔn kansa.''

So, yu go nid fɔ gɛt apɔntinmɛnt fɔ fala yu kansa ɔltɛm fɔ ɛp yu tim we de kia fɔ yu kansa fɔ wach yu ɔl wɛlbɔdi ɛn chɛk fɔ sayn dɛn we de sho se yu gɛt kansa bak, we de skata (mɛtastatik) haypofarin kansa, ɔ sɛkɔn kansa. Dis fɔlɔp kin inklud imej tɛst ɛn fyzikal ɛgzam. Dɛn kin mek dɛn apɔntinmɛnt dɛn ya lɛk aw dɛn de dɔŋ ya:

• Ɛvri tu mɔnt fɔ di fɔs ia afta dɛn dɔn trit am.
• Ɛvri 4 mɔnt insay di sɛkɔn ia .
• Ɛvri siks mɔnt insay di tɔd ia .
• Wan tɛm insay di ia insay di ia 4 ɛn 5 .
• Sɔntɛnde, di tim we de trit yu kansa kin tɛl yu fɔ fala yu layf ɔl .

Wetin na di rεt dεm wae de liv?

We yu de tink bɔt aw pipul dɛn kin liv, i impɔtant fɔ mɛmba se dɛn tin ya na jɔs ɛstimat bay di ɛkspiriɛns we ɔda pipul dɛn we dɔn gɛt haypopharyngeal kansa dɔn gɛt. dis rεt dεm kin difrεn bכku bכku wan dipכnt if di kεnsar de na di sem ples usay i fכs bigin, i dכn spre to di tisu dεm we de nia εn limf no dεm (‘rijכnal’), כ i dכn spre to כda pat dεm na di bכdi (‘distant’).

Dɔn bak, dɛn rit ya kin difrɛn fɔ yu ɔl yu wɛl bɔdi ɛn ɔda tin dɛn. Aks yu ɔnkɔlɔjis fɔ ɛksplen aw dɛn sɔvayv rɛt ya de apin to yu sityueshɔn. I no yu ɛn yu ɔl yu wɛlbɔdi biznɛs, so na in na di bɛst pɔsin fɔ gɛt infɔmeshɔn.

Yu tink se dis kin mɛn kpatakpata?

Sɔntɛnde, dɛn kin mɛn haypofarin kansa bay ɔpreshɔn ɛn ɔda tritmɛnt dɛn. dis kin apin mכst if di tכmכro sכm pas 2 sεntimita εn i nכ spre. Bɔt i sɔri fɔ no se bɔku pipul dɛn we gɛt dis kansa kin gɛt dis sik we di sik dɔn go bifo.

Aw a kin kia fɔ misɛf?

If dɛn dɔn du ɔpreshɔn pan yu trot, yu go gɛt fɔ lan nyu we dɛn fɔ blo ɛn tɔk. I kin bi big chenj fɔ manej. So, nɔ ɛva shem fɔ aks yu speech-language pathologist fɔ ɛp yu. Dɛn kin gɛt sɔgzhɛshɔn fɔ sɔpɔt grup fɔ pipul dɛn we de wɛl afta dɛn dɔn ɔpreshɔn dɛn trot.

Na sɔm ɔda we dɛn we yu go ebul fɔ kia fɔ yusɛf:

• Tink bɔt di wan dɛn we kin sev frɔm kansa. Hypopharyngeal cancer kin kam bak, ɔ sɛkɔn kansa kin kam. Sɔntɛm yu go de wɔri bɔt tumara bambay. Bɔrku program dɛm fɔ wɛl bɔdi kansa gɛt sɔpɔt fɔ mɛntɛl hεlth.
• Kɔntinyu fɔ avɔyd fɔ smok ɛn nɔ drink rɔm.
• It gud gud wan. Opareshɔn fɔ yu trot kin afɛkt di we aw yu de it ɛn drink. Kɔnsul pɔsin we sabi bɔt it (we sabi bɔt it) fɔ no aw fɔ it ɛn aw fɔ it. Aks yu tɔk ɛn langwej tritmɛnt bɔt aw fɔ sɔlv ɛni prɔblɛm we go ambɔg yu fɔ it fayn.

Ustɛm a fɔ go to di dɔktɔ?

I rili dipen pan yu kɔndishɔn ɛn di tritmɛnt we yu gɛt. Aks yu tim we de kia fɔ yu kansa us sayn ɔ prɔblɛm yu kin ɛkspɛkt, ɛn ustɛm yu fɔ kɔntakt dɛn.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ we de mɛn kansa?

We yu go to yu dɔktɔ, i rili impɔtant fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di stej fɔ mi kansa?
• Us tritmɛnt dɛn yu kin advays?
• If dɛn du ɔpreshɔn pan mi, us sɔpɔt program dɛn de fɔ ɛp mi fɔ dil wit di chenj dɛn we i kin mek?
• Aw di tritmɛnt go afɛkt mi kwaliti layf?
• Ɛni klinik trial de we a fit fɔ gɛt?

Tin dɛn fɔ mɛmba fɔ sɔm tɛm

Hypopharyngeal cancer na sik we de mek pɔsin in layf de pan denja. Bɔt i sɔri fɔ no se bɔku tɛm dɛn kin no am afta di kansa dɔn skata. If na so i bi, yu go gɛt fɔ du big ɔpreshɔn ɛn afta dat dɛn go chenj yu layf bad bad wan ɛn yu go de ɔnda dɔktɔ fɔ di res ɔf yu layf.

If yu gɛt dis kansa, yu go fil fri fɔ no se ɔlman na yu kansa kia tim de du ɔl wetin dɛn ebul fɔ ɛp yu. Dɛn go ɛp yu fɔ ɔndastand aw yu gɛt di sik ɛn aw fɔ trit yu. Dɛn go sɔpɔt yu bak as yu de lan fɔ liv wit di chenj dɛm we kansa tritmɛnt kin briŋ. Nɔ ɛva shem fɔ aks fɔ dɛn ɛp. I bɛtɛ ɔltɛm fɔ go to dɔktɔ if yu trot de at, i nɔ izi fɔ swɛla, ɔ yu vɔys chenj we de te pas tu wiks.