Sɔntɛnde, wi vɔys kin ala smɔl, ɔ wi kin fil ebi, nɔto so? I tan lɛk kɔmɔn kol ɛn i kin bɛtɛ insay tu ɔ tri dez. Bɔt yu tink se dis chenj na yu vɔys nɔ dɔn stɔp ivin afta tu ɔ tri wiks? If yu trot de at ɛn i nɔ izi fɔ swɛla, i nɔ fayn fɔ jɔs ignore am. Tide wi de tɔk bɔt sɔmtin wae kin bigin wit dɛn kayn sik ya ɛn wae yu fɔ tek tɛm smɔl bɔt - dat na laryngeal cancer, ɔr pan mɛrɛsin, wan sik wae dɛn kɔl Laryngeal Cancer .
Fɔ tɔk am simpul wan, wetin na laryngeal kansa?
Di larynx na smɔl bɔt we rili impɔtant na wi trot. I de bifo wi nɛk, ɔp di briz paip. Na di pat na di larynx we de protɛkt wi fɔ mek wi nɔ swɛla it, tɔk, ɛn di briz. I gɛt bak di kɔd dɛn we de mek wi vɔys.
So wetin na kansa? Na we di sɛl dɛn na wi bɔdi de sheb ɛn bɔku we wi nɔ ebul fɔ kɔntrol, ɛn mek wan tumbu. We dis kin apin na di larynx, wi kin kɔl am laryngeal cancer. Dɛn bad bad sɛl ya kin kam insay ɛn pwɛl di wɛlbɔdi tisu we de rawnd am smɔl smɔl.
Di larynx gɛt tri men pat dɛn. Kansa kin bigin pan ɛni wan pan dɛn pat ya:
- Supraglottis: Di pat we de ɔp na di larynx. Na lɛk 35% pan di kansa dɛn kin bigin ya.
- Glottis: Na di midul pat. Wi vokal kɔd dɛn de ya. di mכtalman, lεk 60%, pan di kεnsar dεm kin bigin ya.
- Subglottis: Na di pat we de dɔŋ pas ɔl na di larynx. Na lɛk 5% pan di kansa dɛn kin bigin ya.
Wetin na di sayn dɛm wae de sho se yu gɛt kansa na yu laryngeal? Una fɔ de wach fɔ dɛn tin ya!
Di fɔs sayn dɛm fɔ dis kansa kin izi fɔ mistek fɔ se na kɔmɔn trot infɛkshɔn ɔ kol, so i impɔtant fɔ no bɔt dis.
Di tin we impɔtant pas ɔl na dat if yu de kray ɔ yu vɔys chenj fɔ pas tu wiks , yu fɔ rili go to dɔktɔ, ɛn yu nɔ fɔ tink se na nɔmal tin.
Lɛ wi no klia wan difrɛns pan dɛn sik ya frɔm di tebul we de dɔŋ ya.
| Tayp fɔ di simptom | Tɔk bɔt |
|---|---|
| Di sayn dɛm wae kin ɔltɛm sho fɔs | |
| Chenj na yu vɔys | Fɔ tɔk lawd lawd wan, fɔ fil lɛk se yu gɛt ebi ebi trɛnk, ɛn i nɔ kin izi fɔ tɔk, mɔ if i dɔn pas tu wiks . |
| Trot ɔ kɔf we de at ɔltɛm | Trot we de at ɔ kɔf ɔltɛm we nɔ de ansa di mɛrɛsin dɛn we dɛn de tek ɔltɛm. |
| I nɔ kin izi fɔ swɛla (Dysphagia) . | Pen ɔ fil fɔ chok we yu de swɛla it ɔ drink. |
| Wan lump we de na di nɛk ɔ trot | Fɔ fil se yu gɛt bɔku bɔku wata ɔ yu gɛt swɛlin na yu nɛk we yu kin kech na yu an. |
| I de pen na yu yes | Wan pen we de kɔmɔt na di trot to di yes. |
| Siriɔs sayn dɛm wae nid fɔ go to dɔktɔ kwik kwik wan | |
| I nɔ izi fɔ blo (Dyspnea) . | I nɔ izi fɔ yu fɔ blo, fil lɛk se yu de swɛla. |
| Wisl sawnd we yu de blo (Stridor) . | Fɔ yɛri ay ay sawnd we yu de blo. |
| Fɔ fil se sɔntin stɔp na yu trot (Globus sensation) . | Fɔ fil ɔltɛm se sɔntin dɔn stɔp na yu trot. |
| Fɔ kɔf blɔd (Hemoptysis) . | Blɔd phlegm wit kɔf. |
If yu gɛt ɛni wan pan dɛn siriɔs sayn ya, go to dɔktɔ wantɛm wantɛm ɛn nɔ de te . If nid de, yu kin go bak na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
Wetin mek dis kansa kin kam? Udat dɛn de pan big risk?
Tu men tin dɛn de we kin mek pɔsin gɛt dis kansa. Dɛn de smok ɛn drink pasmak . Di risk fɔ pɔsin we du dɛn tu tin ya togɛda kin bɔku pas pɔsin we de du wan nɔmɔ. So, pɔrsin wae gɛt dɛn tu abit ya kin gɛt bɔrku chans fɔ gɛt kansa na in laryngeal.
Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:
- HPV infekshɔn: Sɔm kayn HPV (Human Papillomavirus), we na wan sik we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs, kin mek pɔsin gɛt kansa na in trot bak.
- Ej: Pipul wae dɔn pas 55 ia kin gɛt bɔrku risk.
- Jɛnda: Man dɛn kin gɛt dis kansa lɛk fayv tɛm pas uman dɛn. Dis kin bi bikɔs ɔf di bɔku bɔku pipul dɛn we de smok ɛn drink rɔm pan man dɛn.
- Kansa histri bifo: Pɔrsin wae bin dɔn gɛt ed ɔr nɛk kansa bifo tɛm gɛt lɛk 25% risk fɔ gɛt kansa na dis eria bak.
- Di wok we dɛn de du: Pipul dɛn we kin gɛt tin dɛn lɛk sɔlfɔrik asid smok, wud dɔst, nikɛl, ɛn asbest na di wokples kin gɛt mɔ prɔblɛm.
Aw dɔktɔ kin no di rayt we fɔ gɛt kansa?
We yu go to dɔktɔ wit di sayn dɛm we yu bin dɔn tɔk bɔt, i go aks yu fɔs wan ditayli kwɛstyɔn bɔt yu simptom dɛm ɛn chɛk yu trot ɛn nɛk. Dɔn, dɛn kin ɔda fɔ mek dɛn du bɔku tɛst fɔ no if pɔsin gɛt di sik.
- Imej Skan: Lɛk fɔ tek klia pikchɔ fɔ di insay pat na wi bɔdi, CT skan ɔ MRI skan kin sho di rayt sayz ɛn usay di kansa de. Dɛn kin du ɛkstrem na di chɛst bak fɔ si if di kansa dɔn skata to di lɔng dɛn.
- Laryngoscopy: Insay dis prosidur, di dɔktɔ kin put wan tint, fleksibul tiub (endoscope) wit kamera we dɛn tay tru yu nos ɔ mɔt ɛn tek tɛm chɛk yu larynx ɛn di say we de rawnd am.
- PET Scan: Dis na spɛshal kayn skan. dis skan dεn de du am bay we dεn injεkt wan sef rεdyuaktiv sכbstans insay wan vein we de mek di εria dεm na di bכdi we gεt kεnsar sεl dεm ‘layt’.
- Bayopsi: Dis na di tɛst we impɔtant pas ɔl ɛn we rili impɔtant fɔ no if pɔsin gɛt di sik.we dεn de du laryngoscopy, dεn de tek wan rili sכm pat pan di tisu frכm di say we dεn sכspεkt εn dεn de egzamin am כnda maykroskכp. Dis kin no wit 100% akchuali if i gɛt kansa ɔ nɔto so, ɛn if na so, us kayn kansa i bi.
Wetin na di tritmɛnt dɛn?
Wae dɛn dɔn kɔnfirm de diagnosis, yu dɔktɔ go disayd di bɛst tritmɛnt plan fɔ yu bay di stej, saiz, spred fɔ di kansa, ɛn yu ɔl wɛl bɔdi. Dis kin gɛt fɔ du wit wan ɔ kɔmbayn tritmɛnt.
| Di we aw dɛn kin trit am | Fɔ ɛksplen am simpul wan |
|---|---|
| Rɛdieshɔn Tɛrapi | di bim dεm we gεt hכy εnεji (lεk εks-ray) de aim di tכmכro εn dεn de pwεl di kεnsar sεl dεm. |
| Kimotɛrapi | Gi pawaful drɔgs we de kil kansa sɛl ɔ stɔp dɛn fɔ gro insay di bɛlɛ (tru salin) ɔ insay pil fɔm. |
| Ɔpreshɔn | Fɔ pul di kansa tɔŋ ɛn di tisu we de rawnd am. insay di fכs stej dεm, dεn kin kip di larynx. If i siriɔs, dɛn kin nid fɔ pul di wan ol larynx (Total Laryngectomy). |
| Tɛrapi we dɛn de tɔk bɔt | Drug dεm we de tכk εn atak כnli spεshal protin dεm we implεnt fכ di gכt fכ di kεnsar sεl dεm, pan כl we de sכmtεm damej to hεlty sεl dεm. |
| Imyunotɛrapi | Fɔ mek wi bɔdi in yon imyun sistɛm, mek i no ɛn fɛt di kansa sɛl dɛn. |
A kin tɔk afta dɛn dɔn du mi ɔpreshɔn?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. I dipen pan di kayn ɔpreshɔn we dɛn go du.
- Fɔ kansa we de bigin: Afta dɛn du ɔpreshɔn fɔ pul di tumbu ɔ smɔl pat pan di larynx nɔmɔ (e.g., kɔdɛktɔmi, pat pan di larynx), yu kin ebul fɔ tɔk. Yu vɔys kin chenj smɔl, bɔt dis kin kam bak if pɔsin we de mɛn pipul dɛn we de tɔk kin ɛp yu.
- Fɔ siriɔs kansa: Sɔntɛnde, dɛn kin nid fɔ pul di wan ol larynx (Total Laryngectomy). Dis go mek i nɔ pɔsibul fɔ tɔk lɛk aw i bin de tɔk trade. Bɔt nɔ wɔri. Naw nyu we dɛn de fɔ lan fɔ tɔk (e.g. spɛshal valv, ilɛktronik divays).
Aw layf kin bi afta tritmɛnt?
Afta di tritmɛnt dɔn fayn fayn wan, yu dɔktɔ go kɔntinyu fɔ chɛk yu (fɔ fala yu) fɔ mek shɔ se yu de wɛl fayn fayn wan. Insay dis tɛm, .
- Gi mɛrɛsin fɔ kɔntrol pen.
- Fɔ gi sɔlvishɔn fɔ di prɔblɛm dɛn we pɔsin kin gɛt we i de swɛla.
- Fɔ gi advays bɔt it we gɛt fayn fayn tin dɛn we go fayn fɔ yu.
- Dɛn go rifer pɔsin to tɔk tɛrapi ɔ fisiotɛrapi if nid de.
Di tin we impɔtant pas ɔl na fɔ stɔp fɔ smok ɛn drink rɔm kpatakpata afta yu dɔn gɛt tritmɛnt. Pipul wae kin kɔntinyu fɔ smok kin gɛt bɔrku risk fɔ gɛt kansa bak. We yu stɔp fɔ du dɛn abit ya, da risk de kin ridyus bad bad wan.
We yu tink se we de fɔ mek yu nɔ gɛt dis kansa?
Pan ɔl we nɔto ɔl kansa dɛn kin ebul fɔ avɔyd, wi kin kɔntrol di men tin dɛn we kin mek pɔsin gɛt kansa na di laryngeal.
- Lɛf fɔ smok ɛn tin dɛn we dɛn kin yuz fɔ smok ɔltogɛda. Dis na di bɛst ɛn impɔtant tin we yu go du.
- Limit yu rɔm we yu de drink. If i pɔsibul, stɔp kpatakpata.
- It fayn it ɛn balans it. If yu it bɔku bɔku vɛjitebul ɛn frut dɛn, dat kin ɛp fɔ mek yu nɔ gɛt kansa.
Mɛsej we dɛn kin kɛr go na os
- If yu vɔys de ala ɔ chenj yu vɔys fɔ pas tu wiks , nɔ ignore am. Go to dɔktɔ wantɛm wantɛm.
- Di men tin dɛn we kin mek pɔsin gɛt kansa na in laryngeal na fɔ smok ɛn fɔ drink rɔm pasmak . Di bɛst tin fɔ protɛkt wi na fɔ avɔyd dɛn abit dɛn ya.
- If dɛn no am kwik, di laryngeal kansa gɛt rili ay chans fɔ wɛl ɔl. Yu kin kip yu ebul fɔ tɔk bak.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɛni sayn, nɔ shem fɔ tɔk to yu dɔktɔ. Di kwik we dɛn no di sik, na di mɔ i go izi fɔ mek dɛn trit am fayn.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt