Bɔku pan wi uman dɛn kin fred we dɛn yɛri di nem Sɛvikal Kɛnsa. Bɔt if yu rili no dis, no rizin nɔ de fɔ mek yu fred. Bikɔs dis na wan kayn kansa we dɛn kin avɔyd bɔku tɛm, ɛn i kin wɛl bak kɔmplit wan if dɛn no am kwik kwik wan. So tide wi go tɔk bɔt dis insay di simpul Sinhala we yu go ɔndastand, we yu nɔ go ayd ɛnitin. Jɔs lɛk we yu de tɔk to yu bɛst padi.
Fɔ tɔk am simpul wan, wetin na sɛvikal kansa?
sεvikal kεnsar na kεnsar we de stat na di sεl dεm we de layn di sεviks, di pat pan yu uterus we de kכnekt to yu vagina. I nɔ de divɛlɔp ɔl wan tɛm. i kin stat we di hεlty sεl dεm na yu sεviks de chenj sכmtεm εn bi abnכmal sεl dεm (prεkansa sεl dεm) we kin bi kεnsar.
Di men rizin fɔ dis na di vayrɔs we dɛn kɔl HPV (Human Papillomavirus) . Infakt, lɛk 100 pasɛnt pan di wan dɛn we gɛt kansa na di sɛvikal kansa na bikɔs dɛn gɛt HPV. Dis vayrɔs na tin we pɔsin kin gɛt we i du mami ɛn dadi biznɛs. Bɔt nɔ panik we yu yɛri dis. HPV na wan vayrɔs we rili kɔmɔn. Bɔrku pipul dɛm wae de du mami ɛn dadi biznɛs go gɛt dis vayrɔs sɔm tɛm na dɛn layf. Bɔt bɔku tɛm, di imyun sistɛm na wi bɔdi kin pul dis vayrɔs. Bɔt sɔntɛnde dis vayrɔs kin kɔntinyu fɔ de ɛn nɔ kɔmɔt na di bɔdi. If dat apin, risk de fɔ mek di sɛl dɛn na di sɛviks chenj ɛn divɛlɔp to kansa.
Di tin we impɔtant pas ɔl na fɔ mek dɛn du tɛst lɛk Pap smear di rayt tɛm ɛn fɔ gɛt di HPV vaysin kin ridyus dis risk bad bad wan.
Bɔrku tɛm, dis kansa nɔr kin sho ɛni big big sayn te i dɔn skata. Na dat mek fɔ chɛk ɔltɛm ɛn di HPV vaysin rili impɔtant. If dɛn no am kwik, i kin rili mɛn.
Wetin na di men kayn kansa na di sεvikal?
Tu men kayn kansa de na di sεvikal kansa.
1. Squamous cell carcinomas: dis kayn we de mek bitwin 80% εn 90% pan di sεvikal kεnsar dεm.
2. Adenocarcinomas: Dis kayn kansa de mek bitwin 10% ɛn 20%.
Sɔntɛnde, kansa kin kam as dɛn tu kayn ya kam togɛda. If yu gɛt prɔblɛm fɔ mɛmba dɛn nem ya, dat nɔ bad. Dis impɔtant fɔ dɔktɔ dɛn. De impɔtant tin wae yu fɔ no na de sik wae de kam ɛn aw fɔ avɔyd am.
Us sayn dɛn yu fɔ wach fɔ?
As wi bin se bifo, na di fɔs stej dɛm fɔ sɛvikal kansaBɔrku tɛm, i nɔr kin sho ɛni sayn. Na dat mek dɛn kin kɔl am bak insidious cancer. Di sayn dɛm kin bigin fɔ sho afta di kansa dɔn gro smɔl.
Yu fɔ wɔri smɔl bɔt dɛn sik ya. If yu gɛt wan ɔ mɔ pan dɛn tin ya, duya nɔ panik ɛn go to yu dɔktɔ fɔ advays.
| Tayp fɔ di simptom | Tɔk bɔt |
|---|---|
| Di sayn dɛm we kin kam fɔs |
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| Simptom dɛm wae kin apun wae kansa de skata |
|
Mɛmba se nɔto ɔlman we gɛt dɛn sik ya gɛt kansa na in bɛlɛ. Dɛn kin kam bak wit ɔda, simpul wɛl bɔdi prɔblɛm dɛn. Bɔt if yu gɛt blɔd we nɔ kɔmɔn ɔ yu gɛt strenj wata na yu vagina, yu fɔ rili go to dɔktɔ.
Udat de pan denja fɔ gɛt kansa na di sɛvikal?
Bɔku tin dɛn de we kin mek pɔsin gɛt kansa na di bɛlɛ. Sɔm pan dɛn wi kin ebul fɔ kɔntrol, ɛn sɔm wi nɔ kin ebul fɔ kɔntrol.
Risk factors we wi kin kɔntrol
- Nɔ fɔ gɛt tɛst di rayt tɛm: Pipul dɛn we nɔ de du Pap tɛst di tɛm we dɛn dɔn sɛtul, kin gɛt ay risk fɔ gɛt sɛvikal kansa bikɔs Pap tɛst kin no di sɛl dɛn we dɔn gɛt kansa bifo dɛn bi kansa.
- HPV infεkshכn: As wi bin dכn tכk bכt, HPV infεkshכn na di mεn kכz. If yu ridyus di risk fɔ gɛt HPV infɛkshɔn kin ridyus di risk fɔ gɛt kansa na di sɛvikal.
- Sεks layf: If yu du mami ɛn dadi biznɛs bifo yu ol 18 ia ɛn yu gɛt bɔku pipul dɛn we yu de du mami ɛn dadi biznɛs wit, dat kin mek yu gɛt HPV infɛkshɔn.
- Smok: We yu smok sigrɛt, dat kin mek yu gɛt kansa na yu sɛvikal bɔku bɔku wan.
- HIV infεkshכn: Pipul dεm we gεt HIV kin gεt hכy risk fכ gεt sεvikal kεnsar pas di jεnarכl pipul dεm.
- Fɔ gɛt wik imyun sistɛm: We di imyun sistɛm wik, di bɔdi in ebul fɔ fɛt infɛkshɔn kin go dɔŋ.
Risk factors we wi nɔ ebul fɔ kɔntrol
- DES (diethylstilbestrol): Dis na mɛrɛsin we dɛn bin de gi sɔm uman dɛn we gɛt bɛlɛ fɔ mek dɛn nɔ gɛt bɛlɛ bitwin 1938 ɛn 1971. If yu mama bin tek dis mɛrɛsin we yu gɛt bɛlɛ, yu kin gɛt smɔl kansa na yu sɛvikal.
- Famili histri: If sɔmbɔdi na yu famili (mama, sista) dɔn gɛt sɛvikal kansa, yu kin de pan denja bak bikɔs ɔf di jɛnɛtik inflɔwɛns.
Aw dɛn kin du di diagnosis?
If yu sɔspɛkt se yu gɛt sɛvikal kansa, yu dɔktɔ go rifer yu fɔ sɔm tɛst dɛn.
1. Pap Test / Pap Smear: Dis na di test we de pas ɔl ɛn we impɔtant pas ɔl. insay dis tεst, dεn de tek sכm sכm sεl dεm frכm di sεviks εn dεn de egzamin am כnda maykroskכp fכ si if εni sεl dεm de we nכ nכmal.
2. HPV Tεst: Semweso lεk Pap tεst, dis tεst de yuz sεmpl sεl dεm we dεn tek frכm di sεviks fכ chεk fכ HPV strayn dεm we kin mכr kכz kεnsar.
3. Kɔlposkɔpi: If yu Pap tɛst rizɔlt nɔ nɔmal, dis na di nɛks tɛst we yu go du. Na ya, di dɔktɔ go yuz wan tin we de mek yu bɔdi big (kɔlposkɔp) fɔ chɛk yu sɛviks. Yu kin si ɛni sɛl we nɔmal klia wan.
. Bɔku we dɛn de fɔ du dis:
- Panch biopsy: Fɔ kɔt wan pat pan di tisu we yu tink se yu go gɛt wit smɔl inschrumɛnt.
- LEEP (Loop Electrosurgical Excision Procedure): Fɔ pul di abnɔmal tisu we yu de yuz ilɛktrik waya lɔp.
- di kכn bayopsi: fכ pul wan fayn big kכn shep pat pan di tisu frכm di sεviks.
If dɛn tɛst ya sho se yu gɛt kansa, yu go nid fɔ du ɔda tɛst dɛn lɛk CT skan ɔ MRI skan , fɔ si if di kansa dɔn go ɔda pat dɛn na yu bɔdi. Dɛn kin yuz dis infɔmeshɔn fɔ no di stej we di kansa gɛt ɛn fɔ no di bɛst tritmɛnt fɔ yu.
Wetin na di tritmɛnt fɔ sɛvikal kansa?
Di tritmɛnt fɔ di sɛvikal kansa na di stej we di kansa de, yu ej, di jenɛral wɛlbɔdi, ɛn if yu op fɔ bɔn pikin tumara bambay.
| Di we aw dɛn kin trit am | Simpul ɛksplen |
|---|---|
| Ɔpreshɔn | insay di fכs stej dεm, na di pat pan di uterus we gεt kεnsar sεl dεm כ di כl uterus εn sεviks nכmכ dεn kin pul (hysterectomy). Di kayn ɔpreshɔn kin difrɛn difrɛn wan bay aw di kansa dɔn skata. |
| Rɛdieshɔn Tɛrapi | Fɔ pwɛl di kansa sɛl dɛn we yu de yuz ay ɛnaji rayt (lɛk ɛkstrem rayt). Dis kin bi bay we dɛn yuz mashin we de na do na di bɔdi ɔ bay we dɛn put wan redioaktiv tin insay di bɔdi. |
| Kimotɛrapi | Dɛn kin injekt drɔgs we kin kil kansa na di bɔdi ɔ gi am as pils. Dɛn drɔgs ya kin travul tru di blɔd ɛn kil di kansa sɛl dɛn ɛnisay na di bɔdi. |
| Tɛrapi we dɛn de tɔk bɔt | Dis involv fɔ gi drɔgs we de tɔch sɔm patikyula prɔtin dɛn we de ɛp di kansa sɛl dɛn fɔ gro ɛn skata, we nɔ go ambɔg di sɛl dɛn we gɛt wɛlbɔdi. |
| Imyunotɛrapi | Fɔ mek wi bɔdi in yon imyun sistɛm, we de mek i ebul fɔ no ɛn pwɛl di kansa sɛl dɛn. |
Sɔntɛnde, dɛn kin nid fɔ yuz wan ɔ mɔ pan dɛn tritmɛnt ya togɛda. Fɔ ɛgzampul, dɛn kin gi dɛn kemotɛrapi ɔ redyushɔn tɛrapi bifo ɔ afta dɛn du di ɔpreshɔn. Yu dɔktɔ go ɛksplen ɔl dis to yu.
Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt kansa na di sɛvikal?
I rili bi so! Dis na di bɛst nyus we de insay dis atikul. Sɛvikal kansa na kansa we wi kin ebul fɔ avɔyd bɔku pan am. Sɔm tin dɛn de we wi kin du bɔt am.
- Gɛt di HPV vaysin: Dis na di tin we impɔtant pas ɔl. Dis vaysin de ɛp fɔ protɛkt frɔm di men kayn HPV we de mek pɔsin gɛt kansa na di sɛvikal. Dɛn kin advays dis vaysin fɔ gyal pikin ɛn yɔŋ uman dɛn. Tɔk to yu dɔktɔ bɔt fɔ gɛt dis vaysin na di rayt ej fɔ yu.
- Gɛt Pap smear di rayt tɛm: Afta yu dɔn bigin fɔ du mami ɛn dadi biznɛs, gɛt Pap smear pan di schedule we yu dɔktɔ se. Dis kin no ɛn trit abnɔmal sɛl dɛn bifo dɛn bigin fɔ bi kansa.
- Praktis sef sɛks: If yu yuz kɔndɔm ɛn stɔp di nɔmba fɔ di wan dɛn we yu de du mami ɛn dadi biznɛs wit, dat kin ɛp fɔ protɛkt yu frɔm HPV ɛn ɔda sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs.
- Nɔ smok: If yu de smok, lɛf fɔ smok. Di wan dɛn we de smok kin gɛt kansa na dɛn bɛlɛ lɛk tu tɛm pas di wan dɛn we nɔ de smok.
Aw i bɛtɛ fɔ mek yu nɔ gɛt kansa bifo i kam bifo pas fɔ sɔfa afta i dɔn gɛt? So if yu fala dɛn simpul tin ya, dat go bi di big tin we yu go put insay yu layf.
Mɛsej we dɛn kin kɛr go na os
- Di men tin we kin mek pɔsin gɛt kansa na di bɛlɛ na wan vayrɔs we dɛn kɔl HPV. Bɔt nɔto ɔlman we gɛt dis vayrɔs kin gɛt kansa.
- Dis kansa nɔ kin sho sɔm sayn dɛn we i bigin, so i rili impɔtant fɔ mek dɛn chɛk am di rayt tɛm.
- If yu gɛt wata we nɔ kɔmɔn na yu vagina, yu de blɔd we yu de gɛt mɔnt, ɔ yu de blɔd afta yu dɔn du mami ɛn dadi biznɛs, nɔ fred fɔ go to dɔktɔ.
- Di HPV vaysin ɛn di Pap smiar we dɛn kin du insay di rayt tɛm na di tu bɛst we fɔ mek yu nɔ gɛt kansa na di sɛvikal.
- If dɛn no am kwik, sɛvikal kansa na sik we pɔsin kin mɛn ɔltogɛda. So, bifo wi fred am, i impɔtant fɔ no ɛn tek akshɔn.
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