Yu gɛt trot we de at we nɔ dɔn go fɔ sɔm dez? Ɔ yu tink se smɔl wund de na di kɔna na yu mɔt we nɔ go wɛl ɛn we de mek yu nɔ fil fayn? Sɔntɛm yu kin fil sɔntin lɛk smɔl smɔl tin we yu tɔch yu nɛk. Wi kin fɔgɛt bɔt dɛn tin ya, wi kin tink se na jɔs kol ɔ smɔl infekshɔn. Bɔt sɔntɛnde, dɛn smɔl smɔl sayn ya kin bi di fɔs sayn fɔ sɔntin we siriɔs we wi nid fɔ pe atɛnshɔn to. So, tide wi go tɔk bɔt wan tɔpik we nɔto bɔku pipul dɛn de tɔk bɔt, bɔt we wi ɔl nid fɔ no bɔt - ed ɛn nɛk kansa.
Wetin na Ɛd ɛn Nɛk Kansa?
Fɔ tɔk am simpul wan, "hɛd ɛn nɛk kansa" nɔto wan kayn kansa. Na jɛnɛral wɔd fɔ sɔm kayn kansa wae kin bigin na difrɛn pat dɛm na yu ed ɛn nɛk. Bɔku pan dɛn tin ya kin bigin na di flat sɛl dɛn we de layn di mɔs tisu dɛn we de insay yu mɔt, yu trot (farinks), yu vɔys bɔks, ɛn yu nos. We wi de tɔk bɔt mɛrɛsin, dɛn kɔl dɛn tin ya squamous cells. Na dat mek dɛn kɔl bɔku pan dɛn kansa ya Hɛd ɛn Nɛk Squamous Cell Carcinoma (HNSCC).
If dɛn no se yu gɛt dis kayn kansa, yu dɔktɔ we de mɛn kansa go wok wit yu fɔ disayd us tritmɛnt we go fayn fɔ yu. Di men gol ya na fɔ protɛkt bɔku pan di bɔdi as wi ebul we de ɛp wi fɔ tɔk, it, ɛn sho aw wi de fil we wi de fɛt di kansa. Di kwik we dɛn no dis sik ɛn trit am, na di mɔ di chans fɔ mek i wɛl ful wan.
Wetin na di men ples dɛm wae dɛn kansa ya kin kam?
Bɔku men kayn kansa de na di ed ɛn nɛk. Dɛn kin sheb dɛn tin ya akɔdin to usay dɛn kin apin. Lɛ wi tek wan luk pan wetin dɛn bi.
| Tayp fɔ Kansa | Di eria dɛn we dɛn afɛkt |
|---|---|
| Kansa we de na di mɔt | di lip, di gכm, di tכng, di chεk, εn di insay sayd dεm na di lip, di כp εn lכw palata na di mכt, bihayn di molar dεm. |
| Saliva Gland Kansa we de mek pɔsin gɛt kansa | I gɛt fɔ du wit di saliva gland dɛn. |
| Nasal Cavity ɛn Paranasal Saynus Kansa | we i kam pan di kכva we de insay di nos כ di kכva dεm (saynus) na di bon dεm we de rawnd di nos. |
| Kansa we de na di Nasofarinj | Na di ɔp pat na di trot. |
| Kansa we de na di Oropharyngeal | di midul pat na di trot, nia di tכnsil dεm εn di bכs pat pan di tכng. |
| Kansa we de na di haypofarinjial | Na di ɔda pat we de dɔŋ na di trot. |
| Kansa we de na di laryngeal | I gɛt fɔ du wit di vɔys bɔks (larynx), we gɛt di vɔys kɔd dɛn we de mek wi vɔys. |
Wetin na di sayn dɛm fɔ dɛn kansa ya?
De sayn dɛm fɔ dɛn kansa ya kin rili kɔmɔn na di fɔs stej. Dɛn kin tan lɛk di wan dɛn we kin gɛt kol ɔ trot infɛkshɔn. Na dat mek bɔku pipul dɛn nɔ de pe atɛnshɔn to dɛn. Bɔt mɛmba se, we pɔsin in trot kin at we kin te pas tu to tri wiks, na in kin sho se pɔsin gɛt dɛn kansa ya pas ɔl ɛn na in kin sho se i at.
Lɛ wi si us sayn dɛm wae yu kin gɛt pan dis kayn kansa.
| Di sayn dɛm wae yu de gɛt | Di sayn dɛm wae yu kin si ɔr kin fil |
|---|---|
| Trot we de at we nɔ de chenj. | Wan lump/lump na di trot, mɔt, ɔ nɛk. |
| Yu kin at fɔ yu yes ɔltɛm ɔ sayn dɛn we de sho se yu gɛt infɛkshɔn na yu yes (ivin if i tan lɛk se di yes nɔmal we dɔktɔ chɛk am). | Sɔm na yu mɔt ɔ yu tɔng we nɔ de wɛl. |
| Yu ed kin at ɔltɛm. | Blɔd we de kɔmɔt na yu nos bɔku tɛm, we yu de blɔd wit saliva ɔ mכkus. |
| Wan pen na yu fes ɔ yu nɛk we nɔ de go. | Wan wayt ɔ rɛd pat na di gɔm, di tɔŋ, ɔ insay di mɔt. |
| Pen na di ɔpa tit dɛn. | Swel na di jaw, nɛk, ɔ sayd na di fes (dis kin mek di denture nɔ fit fayn). |
| Pen we yu de it ɔ swɛla it. | - . |
| Fɔ mek yu vɔys ala ɔ chenj yu vɔys. | - . |
| I nɔ izi fɔ blo ɔ tɔk. | - . |
If yu gɛt ɛni wan pan dɛn sik ya, i kin bi nɔmal tin. Bɔt fɔ no gud gud wan wetin de apin, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm ɛn mek yu chɛk am ful wan.
Wetin mek dɛn kansa ya kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Kansa kin bigin we wan nɔmal sɛl na wi bɔdi chenj fɔ sɔm rizin ɛn bigin fɔ sheb we wi nɔ ebul fɔ kɔntrol. dis we di sεl dεm de kכlכp de fכm wan tכmכro. dis tכmכro kin invayd di tisu dεm we de rawnd am εn spre to כda pat dεm na di bכdi.
Risach pipul dεn dכn no sεvεra ki risk fכs dεm we de infכlכp dεn sεl chenj dεm ya.
- Yuz tabak: Dis na di big ɛnimi. Yuz tabak na in de mek yu gɛt 70% to 80% pan ed ɛn nɛk kansa ɔlsay na di wɔl. Dis inklud ɔltin frɔm we pɔsin de smok sigrɛt ɛn siga to we i de it tabak ɛn we i de yuz snuf. Ivin if yu nɔ de smok, fɔ de nia pɔsin we de smok (sɛkɔnd smok) de mek yu gɛt mɔ prɔblɛm.
- Fɔ drink pasmak: Fɔ drink rɔm na big tin bak we kin mek pɔsin gɛt prɔblɛm. Di risk kin ivin big if yu yuz rɔm wit tabak.
- Human Papillomavirus (HPV): Dis na vayrɔs we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs. Insay divɛlop kɔntri dɛn, HPV infɛkshɔn naw na di men tin we de mek dɛn gɛt dɛn kansa ya, pas di wan we dɛn de yuz fɔ smok.
- Chewing betel nut: Dis na tin we rili impɔtant fɔ wi kɔntri ɛn Sawt Eshia kɔntri dɛn. Di men tin we kin mek pɔsin gɛt kansa na in mɔt na Sri Lanka na fɔ it betel nat wit betel lif. Dis abit kin rili mek di risk fɔ gɛt kansa na yu mɔt bɔku.
Ɔda tin dɛn we kin mek pɔsin gɛt dis sik:
- Epstein-Barr virus (EBV): If yu gɛt dis vayrɔs, i kin mek yu gɛt kansa na yu nasofarin ɔ kansa na di saliva gland dɛn.
- Di imyun sistɛm we wik: We di bɔdi in imyun sistɛm wik, i nɔ kin ebul fɔ fɛt di kansa sɛl dɛn. di imyun sistεm kin wik biכs fכ tin dεm lεk HIV infεkshכn εn we dεn de du כpεrayshכn lεk כgan transplant.
- Jɛnɛtik kɔz: Sɔm jɛnɛtik kɔndishɔn, fɔ ɛgzampul, Fanconi anemia, kin mek yu gɛt dis kansa.
- Fɔ gɛt tin dɛn we kin mek pɔsin gɛt kansa: Fɔ lɔng tɛm we pɔsin kin gɛt asbest, peshɛnt sayd, wud dɔst, pent smok, ɛn ɔda tin dɛn.
- Fɔ gɛt raytin: If yu dɔn gɛt raytin tɛrapi bifo tɛm na yu ed ɔ yu nɛk eria.
- Fɔ it dɛn we gɛt sɔl ɛn we dɛn dɔn kip: Fɔ it mit ɛn fish we gɛt sɔl bɔku tɛm.
- If yu nɔ pe atɛnshɔn to yu mɔt wɛlbɔdi: If yu nɔ kip yu tit ɛn yu gɔm klin, dat kin mek yu gɛt kansa na yu mɔt mɔ ɛn mɔ.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
Bɔku tɛm, dɛn kin bigin fɔ no if pɔsin gɛt di sik bay we dɛn de chɛk dɛn bɔdi. Di dɔktɔ go tek tɛm luk yu mɔt, yu nos, yu trot, ɛn yu nɛk. I go fil bak fɔ lumps ɔ bɔmp na yu nɛk, lip, ɛn gam.
Afta dat, dɛn kin rifer yu fɔ du tɛst dɛn lɛk dɛn wan ya, as nid de:
- Ɛndoskopi: Dɛn kin yuz wan tint tiub we gɛt layt fɔ chɛk insay yu nos, yu trot, ɔ yu vɔys bɔks.
- Imej test: Test lεk X-ray, CT skan, MRI, εn PET skan kin no di tכmכro dεm insay di bכdi.
- Labɔrɔtɔri tɛst dɛn:If yu si ɛnitin we yu nɔ biliv, yu kin gɛt HPV tɛst fɔ no if di kansa na di HPV vayrɔs.
- Bayopsi: Dis na di onli we fɔ mek yu shɔ 100% if di lump gɛt kansa ɔ nɔ gɛt kansa. insay dis, dεn kin tek sכm sכm tisu frכm di lump εn tεst fכ kεnsar sεl dεm.
Wetin na di tritmɛnt dɛn we yu kin gɛt?
Di tritmɛnt opshɔn dɛm dipen pan di kayn kansa, aw fa i dɔn skata (stej), ɛn yu ɔl wɛl bɔdi. Di men tritmɛnt dɛn na:
- Ɔpreshɔn: Ɛnitɛm we i pɔsibul, dɔktɔ dɛn kin tray fɔ pul di tumbu ɛn smɔl smɔl tin dɛn we gɛt wɛlbɔdi we de rawnd am kpatakpata. If pipul de tink se di kansa dɔn skata to di limf no dɛm, dɛn kin pul di limf no dɛm na di nɛk bak.
- Radiation Therapy: Dis na fɔ yuz ɛkstrem rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn. Dɛn kin gi dis tritmɛnt in wan ɔ dɛn kin gi am wit ɔpreshɔn ɛn kemotɛrapi.
- Kimotɛrapi: Na fɔ yuz drɔgs fɔ kil kansa sɛl dɛn. Dɛn kin yuz dis tritmɛnt mɔ pan pipul dɛn we dɔn go bifo usay di kansa dɔn skata.
If di kansa dɔn go bifo ɔ i kam bak afta dɛn dɔn trit am, di dɔktɔ kin tɛl yu ɔda tritmɛnt dɛn bak, lɛk:
- Targeted Therapy: Dɛn mɛrɛsin ya de wok pan sɔm patikyula target dɛn na di kansa sɛl dɛn.
- Immunotherapy: Dɛn mɛrɛsin ya de ɛp wi yon imyun sistɛm fɔ no ɛn pwɛl di kansa sɛl dɛn.
Aw yu go protɛkt yusɛf frɔm dɛn kansa ya?
Bɔku tin dɛn de we wi kin du fɔ protɛkt wisɛf frɔm bɔku pan dɛn kansa ya.
- Stɔp fɔ yuz tabak kpatakpata: Lɛf ɔl di tin dɛn we yu de yuz fɔ smok, lɛk sigrɛt, siga, sigrɛt we yu de it, ɛn snuf.
- Ridyus ɔ stɔp fɔ drink rɔm: If yu nɔ drink bɔku rɔm, dat kin mek yu nɔ gɛt kansa.
- Gɛt di HPV vaysin: Di vaysin we dɛn kɔl Gardasil 9® de protɛkt frɔm sɔm kayn HPV vayrɔs.
- Protɛkt yusɛf frɔm di san: If yu yuz sanskrin ɛn wɛr klos we de kɔba yu skin we yu de na di san, dat kin ɛp fɔ protɛkt yu frɔm kansa na yu skin na yu ed, yu nɛk, ɛn yu fes.
- Mek yu mɔt gɛt gud wɛlbɔdi: Brus yu tit ɛvride ɛn kip yu gam dɛn wɛl.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ignore di sayn dɛm lɛk wae yu trot de at we nɔr de wɛl, yu mɔt ɔlsa, yu vɔys de chenj, ɔr yu nek gɛt lump if dɛn kɔntinyu fɔ de fɔ pas tu wiks.
- If yu gɛt ɛni wan pan dɛn sik ya, nɔ panik ɛn go to dɔktɔ wantɛm wantɛm. Di kwik we dɛn no di sik, na di mɔ i go izi fɔ mek dɛn trit am fayn.
- Fɔ smok, fɔ drink rɔm, ɛn fɔ it tabak na di men tin dɛn we kin mek pɔsin gɛt kansa na in ed ɛn nɛk. Di bɛst tin fɔ protɛkt yu na fɔ lɛf dɛn abit dɛn ya.
- Yu kin protɛkt yusɛf frɔm dis siriɔs sik bay wae yu de fala wɛl bɔdi layf ɛn avɔyd tin dɛm wae kin mek yu gɛt dis sik.
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