Yu dɔn fil wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Sɔntɛm yu nɔ bin pe atɛnshɔn tumɔs to am bikɔs i nɔ bin de mek yu fil pen. Ɔ yu kin fil ɔltɛm lɛk se yu nos dɔn blok ɛn yu yes ful-ɔp? Dɛn tin ya kin bi sayn dɛm fɔ kɔmɔn kol. Bɔt if dɛn tin ya kɔntinyu, i kin bi sayn fɔ wan patikyula kayn kansa we wi go tɔk bɔt tide, we kin kam na di ed ɛn nɛk. Lɛ wi tɔk bɔt am ditayli ɛn simpul wan.
Wetin na Nasopharyngeal Cancer?
Fɔ tɔk am simpul wan, dis na wan kayn kansa we nɔ kin apin so ɔltɛm we kin apin na wi ed ɛn nɛk. Pan ɔl we in nem kɔmplikt smɔl, i go izi fɔ ɔndastand am wans yu no usay i apin.
dis kansa de divεlכp na wan pat pan wi bכdi we dεn kכl `nasopharynx`. Naw yu kin de wɔnda wetin na `nasopharynx`. Imajin, biɛn wi nos, fɔ bi prɛsis, smɔl ɔp di ruf na di mɔt, smɔl ples de na di skel in biɛn. Usay di nos ɛn di trot kin kɔnɛkt. Na dat wi kin kɔl di `nasopharynx`. we wi de blo tru wi nos, di briz de pas na dis pat bifo i go insay di lכng.
so, dis `Nasopharyngeal Cancer` na we di sεl dεm na di `nasopharynx` pat de bigin fכ gro abnכmal εn we nכ de kכntrכl. di sεl dεm we de gro dis kayn we de gεt εn mek kansa tכmכro dεm. Leta dɛn kansa sɛl ya kin go na di limf no dɛm na wi nɛk, liva, lɔng, ɛn ivin bon dɛm.
Wetin na di men kayn kansa?
difrεn kayn tisu dεm de na wi `nasopharynx`. dis tisu dεm na difrεn kayn sεl dεm. So dɛn kin sheb dis kansa akɔdin to di kayn sɛl dɛn we dɛn mek di kansa wit. Di World Health Organization (WHO) se tri men kayn kansa de.
| Di kayn kansa (WHO klasification) . | Simpul ɛksplen |
|---|---|
| Keratinizing squamous sel kansa (WHO tayp 1) . | insay dis, di kεnsar sεl dεm de divεlכp na di tisu dεm we de layn di nasofarinks. Dɛn sɛl dɛn ya gɛt wan prɔtin we dɛn kɔl keratin. Keratin na di sem protin we de insay wi ia ɛn nel. |
| Nɔnkɛratinayz skwamɔs sɛl kansa (WHO tayp 2) . | dis kayn kansa sεl dεm nכ gεt di protin kεratin. |
| Kansa we nɔ difrɛn ɔ we nɔ difrɛn (WHO tayp 3) . | We yu luk dɛn kayn kansa sɛl ya wit maykroskɔp, dɛn kin luk rili difrɛn frɔm di sɛl dɛn we gɛt wɛlbɔdi. Dɛn kayn kansa sɛl ya kin gro ɛn skata kwik kwik wan. |
Yu tink se dis kansa kin bɔku?
Na kɔntri dɛn lɛk Amɛrika, dis nɔ kin apin so ɔltɛm. Bɔt dɛn kin si dis kɔndishɔn mɔ na Sawt Is Eshia kɔntri dɛn lɛk Sri Lanka, Nɔt Afrika ɛn di Midul Is. So, i rili impɔtant fɔ lɛ wi no bɔt dis. Jɛnɛral wan, dis kansa kin apin mɔ pan yɔŋ pipul dɛn we ol bitwin 15-24 ia ɛn pan big pipul dɛn we ol bitwin 65-79 ia.
Wetin na di sayn dɛm fɔ dis kansa?
Bɔrku tɛm, di fɔs sayn wae pɔrsin wae gɛt dis kansa notis na wae pɔrsin gɛt bɔrku bɔrku na in bak ɔr sayd na in nɛk. Wan ɔ mɔ pan dɛn lumps ya kin de. Di tin we impɔtant pas ɔl na dat, bɔku tɛm dɛn nɔ kin fil pen. dis lumps dεm kin fכm we di kansa spre to di limf no dεm na di nεk, we kin mek dεn swel.
Apat frɔm dat, sɔm ɔda tin dɛn de we yu fɔ pe atɛnshɔn to.
- Prɔblɛm na yu yes: Yu kin ring na yu yes (`Tinnitus`), yu nɔ kin yɛri fayn, yu kin fil se yu gɛt ebi ebi na yu yes, ɛn yu kin gɛt infɛkshɔn na yu yes ɔltɛm we nɔ kin bɛtɛ pan ɔl we yu dɔn trit yu.
- Ɛd we de at: Ɛd we de at ɔltɛm.
- Prɔblɛm dɛn na di nos: Nɔs kin stɔp ɔltɛm ɛn blɔd kin kɔmɔt na yu nos.
- Prɔblɛm dɛn na yu mɔt ɛn yu fes: I nɔ kin izi fɔ opin yu mɔt, yu kin fil pen ɔ yu kin swɛt na yu fes.
- I nɔ kin izi fɔ yu fɔ blo ɛn tɔk: Sɔntɛnde, yu kin gɛt prɔblɛm fɔ blo ɔ tɔk.
Di impɔtant tin na dat, dɛn sayn ya kin tan lɛk ɔda smɔl smɔl sik dɛm (e.g., kol, infεkshɔn na yu yes). So nɔ fred se yu gɛt kansa jɔs bikɔs yu gɛt wan ɔ tu pan dɛn tin ya. Bɔt if dɛn sik ya kɔntinyu fɔ pas tu wiks, ɔ if dɛn kam ɛn go, i go mɔs bi se i go fayn fɔ go to dɔktɔ fɔ advays.
Wetin na di tin dɛn we kin mek pɔsin gɛt dis kansa?
Pan ɔl we i nɔ pɔsibul fɔ tɔk di rayt tin we kin mek pɔsin gɛt dis kansa, .Dɔktɔ dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis kansa. Lɛ wi tek wan luk pan wetin dɛn bi.
| Risk factor | Tɔk bɔt |
|---|---|
| Smok ɛn rɔm | Pipul dɛn we de smok bɔku ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok ɛn di wan dɛn we kin drink pasmak ɔltɛm, kin gɛt mɔ prɔblɛm. |
| Di vayrɔs we dɛn kɔl Epstein-Barr (EBV) . | dis na di sem vayrus we de mek di sik `mononucleosis`. dis vayrus kin kכmכn fכ de na di bכdi fכ di sik pipul dεm we gεt `Nasopharyngeal Cancer`. |
| Lɛ yu bɔdi kam dɔŋ | If pɔsin it tin dɛn we gɛt sɔl ɔltɛm, dat kin mek i gɛt mɔ prɔblɛm. Fɔ ɛgzampul, pipul dɛn we kin it mit ɛn fish we dɛn dɔn kɔt wit sɔl ɔltɛm (lɛk fish we dɛn dɔn dray ɛn ɔysta) kin gɛt mɔ prɔblɛm. |
| Di tin dɛn we de apin na di envayrɔmɛnt | If yu gɛt tin dɛn lɛk wud dɔst ɛn smok ɔltɛm, dat kin mek yu gɛt mɔ prɔblɛm bak. |
| Famili istri ɛn di jenɛtiks | If pɔsin we de nia yu fambul dɔn gɛt dis kansa, yusɛf go gɛt dis kansa smɔl. |
| Ras ɛn jɛnɛral | Pipul dɛn we de na say dɛn lɛk Sawt Is Eshia, sawt pat na Chaena, ɛn di nɔt pat na Afrika kin gɛt bɔku prɔblɛm. Dɔn bak, man dɛn kin gɛt dis kansa lɛk tri tɛm pas uman dɛn. |
Aw dɛn kin no dis kansa?
We yu go to dɔktɔ, i go aks yu fɔs bɔt yu sik ɛn yu famili istri. Dɔn i go du wan kɔmplit ɛgzam pan in bɔdi. I go chɛk yu nasofarinks, yu ed, yu nɛk, yu mɔt, yu trot, yu nos, yu fes mɔsul dɛn, ɛn yu limf no dɛm. I kin tɛst yu bak aw yu de yɛri.
Apat frɔm dat, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya fɔ no if pɔsin gɛt di sik:
- Epstein-Barr vayrɔs tɛst: Bikɔs dis kansa gɛt fɔ du wit di EBV vayrɔs, dɛn go du blɔd tɛst fɔ no ɔmɔs EBV de na yu blɔd.
- Bayopsi: Dis na di men tɛst fɔ kɔnfɔm di diagnosis. dis involv fכ tek wan rili sכm pat pan di tisu frכm di say we dεn sכspεkt na di nasofarinks εn egzamin am כnda maykroskכp fכ si if εni kεnsar sεl dεm de.
- CT scan (Computed Tomography scan): Dis kin no di sayz fɔ di tumbu ɛn if i dɔn spre to di tisu dɛn we de rawnd am.
- MRI skan (Magnetic Resonance Imaging scan): Dis kin mek yu si di sכft tisu dεm na di ed εn nεk klia wan.
- PET scan (Positron Emission Tomography scan): Dis tɛst impɔtant fɔ si if di kansa dɔn skata to ɔda say dɛn we de fa na di bɔdi.
Di dɔktɔ kin no di stej we di kansa gɛt bay di tin dɛn we dɛn tɛst dɛn ya.
Wetin na di stej dɛm fɔ kansa?
Di stej we di kansa gɛt na di sayz we di tumbu gɛt, usay i de, ɛn aw fa di kansa sɛl dɛn dɔn skata. Dis na impɔtant tin fɔ plan tritmɛnt.
- Stej 0: di kansa de limited to di layεr fכ sεl dεm we de insay di nasofarinks.
- Stej 1: Di kansa dɔn spre to di say dɛn we de nia de, lɛk di bak pat na di trot ɔ di nos.
- Stej 2: Di kansa dɔn spre to wan ɔ mɔ limf no dɛm na wan say na di nɛk.
- Stej 3: Di kansa dɔn spre to di limf no dɛm na di tu say dɛm na di nɛk.
- Stej 4: Di kansa dɔn spre to di skel, di yay, di nerv dɛm we de go na di bren, di saliva gland dɛm, ɔ di ɔda pat na di trot. Ɔ i dɔn skata to ɔgan dɛn we de fa lɛk di lɔng ɔ di liva.
Wetin na di tritmɛnt dɛm fɔ dis?
De tritmɛnt wae yu go gɛt go dipen pan tin dɛm lɛk di stej wae de kansa de ɛn yu ɔl wɛl bɔdi. Dɛn tritmɛnt ya dɛn ya kin yuz mɔ:
- Radieshɔn tɛrapi: Na di we aw dɛn de yuz rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn. Dis na di men tritmɛnt we dɛn kin yuz mɔ fɔ dis kayn kansa.
- Kimotɛrapi: .Gi drɔgs fɔ kil kansa sɛl dɛn. Dɛn kin gi dɛn tin ya bay injɛkshɔn ɔ as pils.
- Kemoradiation: Fɔ gi ɔl tu di raytin tɛrapi ɛn kemotɛrapi togɛda.
- Targeted therapy: Fɔ gi drɔgs we de target sɔm patikyula mɔlyul dɛm we de ɛp di kansa sɛl dɛm fɔ gro ɛn spre.
- Ɔpreshɔn: Nɔto ɔpreshɔn na di men tritmɛnt bikɔs di nasofarinks na say we at fɔ ɔpreshɔn. Bɔt dɛn kin du ɔpreshɔn fɔ pul di limf no dɛn na di nɛk we nɔ bin dɔn du ɔda tritmɛnt dɛn.
Di tritmɛnt dɛn kin gɛt sayd ɛfɛkt. Fɔ ɛgzampul, redyushɔn tɛrapi kin mek yu mɔt dray ɛn yu nɔ kin te. Yu kin tɔk to yu dɔktɔ bɔt dɛn tin ya ɛn aks fɔ ɛp fɔ mɛn dɛn.
Yu tink se dɛn go ebul fɔ mɛn dis kansa? Wetin na di rit we pipul dɛn kin liv?
Di ansa to dis kwɛstyɔn na, yes, i kin ebul. Ɛspɛshali if dɛn no am kwik, dat min se bifo di kansa dɔn skata to ɔda pat dɛn na di bɔdi, i kin wɛl ɔl.
We wi de tɔk bɔt di nɔmba fɔ pipul dɛn we de liv, wi nid fɔ mɛmba se dɛn tin ya na jɔs statystik. Dɛn nɔ fɔ tek dɛn layt. Di tin we de apin to yu kin difrɛn bikɔs ɔf bɔku tin dɛn.
- If di kansa nɔr dɔn skata (lokal): Na lɛk 82 pan 100 pipul dɛm wae dɛn kansa de na di nasofarinks nɔmɔ go liv fayv ia afta dɛn dɔn no se dɛn gɛt am.
- If i dɔn spre to eria dɛn we de nia (rijɔnal): Na lɛk 72 pan 100 pipul dɛn we dɛn kansa dɔn spre to eria dɛn we de nia, lɛk di limf no dɛm na dɛn nɛk, go stil de alayv afta fayv ia.
- If i dɔn skata fa (Mɛtastatik): Fɔ di wan dɛn we dɛn kansa dɔn skata to ɔgan dɛn we de fa lɛk di lɔng ɔ liva, lɛk 49 pan 100 pipul dɛn stil de alayv afta fayv ia.
Di impɔtant tin na dat dɛn statystik ya na jɔs avɛrej bay di ɛkspiriɛns we ɔda sik pipul dɛn gɛt. Yu kin difrɛn difrɛn wan bay bɔku tin, lɛk yu ej, ɔl yu wɛl bɔdi, ɛn aw yu de du tritmɛnt. So tɔk to yu dɔktɔ fɔ gɛt di bɛst infɔmeshɔn bɔt di tin we de apin to yu.
Mɛsej we dɛn kin kɛr go na os
- Nasopharyngeal cancer na wan kansa we nɔ kin apin so ɔltɛm we kin apin na di bak pat na di nos ɛn di ɔp pat na di trot.
- Yu fɔ de wach fɔ sɔm sayn dɛm lɛk fɔ gɛt lumps na yu nɛk we nɔ de pen, yu yes prɔblɛm we de kɔntinyu, yu nos we de rɔtin, ɔ we yu nos de blɔd.
- Dɛn kin si dis kansa na Sawt Is Eshia kɔntri dɛm lɛk Sri Lanka.
- Fɔ smok, fɔ drink rɔm pasmak, ɛn fɔ it tin dɛn we gɛt sɔl ɛn tin dɛn we dɛn dɔn kip (dray tomato, pikɛl) bɔku tɛm, dat kin mek yu gɛt di prɔblɛm.
- Dis kansa kin wɛl ɔl if dɛn no am kwik kwik wan.
- If yu gɛt ɛni dawt, nɔ de te ɛn go to yu dɔktɔ wantɛm wantɛm fɔ advays.
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