Sɔntɛm yu kin fil lɛk se yu trot kin at smɔl ɔ yu kin skrach, nɔto so? Bɔku tɛm, dɛn kayn tin ya kin dɔn insay tu ɔ tri dez. Bɔt yu dɔn ɛva tink se if yu trot de at ɔ yu gɛt smɔl swɛlin na yu nɛk we de de fɔ sɔm wiks, i nɔ nɔmal? Dɛn kayn tɛm dɛn de, wi nid fɔ tek tɛm smɔl. Tide wi go tɔk bɔt wan sik we kin bigin wit dɛn kayn sik ya, bɔt wi nɔ kin tɔk bɔt am bɔku, we na kansa we kin apin na di midul pat na di trot.
Fɔ tɔk am simpul wan, wetin na Oropharyngeal Cancer?
Dis na smɔl sayɛns nem, bɔt i rili simpul fɔ ɔndastand. yu trot, we dεn kכl fכ mεdikal fכ di farinks, na di midul pat pan am, we wi kכl di oropharynx. Fɔ tɔk di kɔrɛkt tin, dis eria inklud di bak pat na yu mɔt, inklud yu tonsils, di bak pat pan yu tɔŋ, ɛn di saf palata. we di sεl dεm na dis εria bigin fכ gro abnכmal εn we dεn nכ de kכntrol, dεn kכl am Oropharyngeal Cancer .
Dis kin fɔdɔm insay di kategori fɔ ed ɛn nɛk kansa. Pan ɔl we tritmɛnt dɛn de fɔ dis kansa, sɔntɛnde i kin kam bak ivin afta dɛn dɔn dɔn di tritmɛnt. So, i rili impɔtant fɔ mek wi no bɔt dis.
Yu fɔ no bɔt dɛn sayn ya.
Sɔntɛnde, di sayn dɛm fɔ dis kansa kin tan lɛk di wan dɛm wae kin kam wit kɔmɔn trot infɛkshɔn, na dat mek bɔrku pipul dɛn nɔr kin pe atɛnshɔn to dɛn fɔs. Bɔt if dɛn sayn ya nɔ de igen, yu fɔ rili go to yu dɔktɔ.
De tin wae impɔtant pas ɔl na, if yu fil lɛk yu gɛt wan ɔr mɔr pan dɛn sik ya, nɔr panik. Nɔto ɔl dɛn sayn ya kin kam wit kansa. Bɔt, i fayn fɔ mek yu go to dɔktɔ fɔ advays yu.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Trot we de at we nɔ de chenj | Trot we kin at we kin de fɔ pas tu to tri wiks, pan ɔl we i de tek mɛrɛsin. |
| I nɔ kin izi ɔ i kin fil pen fɔ swɛla (Dysphagia) . | Fɔ fil se yu gɛt wan bɔtul na yu trot ɔ yu de fil pen we yu de swɛla it ɔ drink. |
| Nɔ ebul fɔ opin yu mɔt ful wan (Trismus) . | Nɔ ebul fɔ opin di mɔt fayn bikɔs ɔf pen ɔ stif na di jaw eria we yu de opin di mɔt. |
| We yu de lɔs yu wet fɔ natin | If yu bɔdi wet go dɔŋ fɔ natin, ivin if yu nɔ it ɔ ɛksesaiz mɔ. |
| Chenj na yu vɔys | Yu vɔys de kɔntinyu fɔ chenj, lɛk se yu de ala ɛn yɔŋ. |
| Earache na yu yes | Wan ia we kin at we nɔ kin gɛt ɛni infɛkshɔn na in yes. |
| Wan lump we de na di trot ɔ nɛk | Lump we yu kin fil insay di mɔt, biɛn di mɔt, ɔ na di ɔdasay na di nɛk. |
| Fɔ kɔf blɔd | Smɔl blɔd ɔ blɔd we de kɔmɔt wit mכkus. |
| Wait spat na yu mɔt ɔ yu tɔng | Wait pat dεm we de fכm pan di mεmbran dεm we de insay di mכt כ na di tכng εn nכ de go ivin afta dεn tek tεm tink bכt dεm. |
Wetin mek dis kansa kin kam? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?
Dɛn dɔn no bɔku men tin dɛn we kin mek pɔsin gɛt dis kansa.
1. Yuman Papiloma Vayrɔs (HPV) .
Di men ɛn kɔmɔn tin we kin mek pɔsin gɛt Oropharyngeal Cancer tide naHPV infεkshכn, spεshal HPV tayp 16. We dis vayrus go insay wi bכdi, sכm pan di protin dεm we i de mek de ambɔg di wok we di jin dεm we de kכntrol di sεl dεm na wi mכt εn trot de gro. Fɔ tɔk am simpul wan, dis vayrɔs de ɔf di ‘brɛk’ we de kɔntrol di rit we di sɛl dɛn de sheb. Dɔn di sɛl dɛn kin sheb we dɛn nɔ ebul fɔ kɔntrol ɛn tɔn to tumbu dɛn we gɛt kansa.
2. Yuz tobacco (Tobacco) .
Fɔ smok sigrɛt, siga, ɛn fɔ it tabak na di men tin dɛn bak we kin mek pɔsin gɛt dis kansa. Di kemikal dɛn we de insay tabak de pwɛl di dilik sɛl dɛn we de na yu trot. Fɔ mek dɛn sɛl dɛn ya we dɔn pwɛl, yu bɔdi kin bigin fɔ sheb di sɛl dɛn kwik kwik wan pas aw i kin bi. we di sεl dεm divayd dis kayn fast rεt, chans de fכ mek mistek pan di DNA kכpi fכ dεn sεl dεm de. Na dɛn mistek dɛn de kin bigin fɔ mek kansa sɛl dɛn.
3. Rɔm
If pɔsin drink rɔm, i kin pwɛl di sɛl dɛn na di trot. Na mɔ, rɔm kin mek di sɛl dɛn nɔ ebul fɔ mek dɛn DNA fayn we dɛn dɔn pwɛl. Pɔsin we de drink rɔm we i de smok kin rili gɛt dis kansa. Bikɔs we dɛn tu abit ya kam togɛda, di damej we di sɛl dɛn gɛt kin dubl ɔ tri tɛm.
Aw di dɔktɔ kin no dis sik klia wan?
We yu go to dɔktɔ wit di sayn dɛm wae yu bin dɔn tɔk bɔt, i go aks yu fɔs bɔt yu sik, mɛdikal histri, ɛn aw yu de liv yu layf (lɛk fɔ smok ɛn fɔ drink rɔm).
Dɔn, dɛn go tek tɛm chɛk yu mɔt, yu trot, ɛn yu nɛk. Dɛn go chɛk yu nɛk fɔ si if i gɛt ɛni lumps. Sɔntɛnde, dɛn kin put smɔl miro ɛn layt, ɔ wan tint, fleksibul tyub we gɛt kamɛra we dɛn tay (fayba ɔptik skɔp) insay yu mɔt fɔ chɛk insay yu trot.
Us tɛst dɛn dɛn kin du?
If dɛn tink se kansa gɛt kansa afta dɛn dɔn si di sik ɛn we dɛn dɔn du di fɔs ɛgzam, yu dɔktɔ go rifer yu fɔ mek dɛn du ɔda tɛst.
- Endoscopic Biopsy: Dis na di test we impɔtant pas ɔl fɔ kɔnfirm di sik. insay dis, dεn de pas wan tin tכb we gεt kεmεra we dεn tay pan am (εndoskop) dכn di trot εn dεn de pul wan rili sכm pat pan di tisu frכm di say we dεn sכspεkt. afta dat dεn kin egzamin di tisu כnda maykroskכp na labכtכri fכ no if kεnsar sεl dεm de כ di HPV vayrus.
- CT scan (Computed Tomography Scan): Dis skan kin no di sayz fɔ di kansa tɔŋ ɛn if i dɔn spre to di tisu dɛn we de rawnd am. Sɔntɛnde dɛn kin du dis togɛda wit PET skan.
- MRI Scan (Magnetic Resonance Imaging Scan): Dis kin mek yu si di sכft tisu dεm na di bכdi lεk di tכnsil dεm εn di bכs pat na di tכng we rili klia. MRI kin rili ɛp fɔ mek dɛn ɔndastand di sayz ɛn di we aw di tumbu de skata kɔrɛkt wan.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt fɔ dis kansa kin dipen pan bɔku tin dɛm, lɛk di stej we di kansa gɛt, di sayz fɔ di tumbu, di pɔsin in HPV stetɔs, ɛn in ɔl wɛlbɔdi. Di men gol fɔ tritmɛnt na fɔ pul di kansa sɛl dɛn kpatakpata, wit smɔl damej pan di ebul fɔ tɔk ɛn swɛla.
1. Ɔpreshɔn
If di kansa smɔl ɛn i nɔ skata, fɔ ɔpreshɔn fɔ pul di tumbu na di men tritmɛnt. Naw, dɛn de yuz wan ayli advans, minimal invasive ɔspitul tɛknik we dɛn kɔl Transoral Robotic Surgery (TORS) fɔ dis.
Wetin na Transoral Robotic Surgery (TORS) we dɛn kin du?
Insay dis, di dɔktɔ we de du di ɔpreshɔn kin kɔntrol wan rɔbɔt an ɛn go insay di pɔsin in mɔt fɔ pul di tumbu dɛn we de dip dip wan na in trot. Dis we ya de mek i nɔ nid fɔ mek big say na di nɛk ɔ kɔt di jawbon lɛk aw i bin de trade.
| Di bɛnifit ɛn sayd ifɛkt dɛn we TORS ɔpreshɔn gɛt | |
|---|---|
| Di bɛnifit dɛn we pɔsin kin gɛt | Posisibul Sayd Efεkt/Kכmplikεshכn dεm |
| - Smɔl tɛm we dɛn kin spɛn na ɔspitul. | - Blɔd we nɔmal (blɔd we de kɔmɔt na di bɔdi). |
| - Fɔ ebul fɔ wɛl kwik kwik wan. | - Fɔ it ɛn drink we de go insay di lכng (aspiration). |
| - Les damej to di hεlty tisu we de rawnd. | - I nɔ izi fɔ swɛla (dysphagia). |
| - Fɔs lɔng tɛm prɔblɛm wit fɔ tɔk ɛn swɛla. | - Fɔ lɔs yu vɔys ɔltɛm ɔ i nɔ kin izi fɔ tɔk. |
2. Radieshɔn Tɛrapi ɛn Kimotɛrapi
If di tumbu big, dɛn nɔ go ebul fɔ pul am wit ɔpreshɔn, ɔ if di kansa dɔn skata, dɛn kin yuz redyushɔn tɛrapi ɛn kemotɛrapi togɛda ɔ apat.
- Bifo dɛn du di ɔpreshɔn: Fɔ mek di tumbu smɔl ɛn mek i izi fɔ du di ɔpreshɔn.
- Afta dɛn dɔn du di ɔpreshɔn: Fɔ pwɛl ɛni kansa sɛl we lɛf.
- As di men tritmɛnt: insay kes dɛm we ɔpreshɔn nɔ pɔsibul.
Dɛn tritmɛnt ya kin pwɛl di wɛlbɔdi tisu dɛm na di trot bak, we kin mek i nɔ izi fɔ tɔk ɛn swɛla. Sɔntɛm yu go nid fɔ go to pɔsin we de ɛp yu fɔ tɔk.
3. Targeted Tɛrapi
Dis na nyu tritmɛnt. I min fɔ gi mɛrɛsin dɛn we de tɔch wan patikyula prɔtin we de ɛp di kansa sɛl dɛn fɔ gro, sheb, ɛn skata, ɛn blok di tin we i de du. fכ simpul tεm, i lεk fכ kכt di ‘כyl’ we de go na di ‘εnjin’ fכ di kεnsar sεl dεm.
4. Immunotɛrapi
Dis na tritmɛnt bak we rili advans. Wetin kin apin ya na dat yu bɔdi in yon imyun sistɛm de wok, ɛn tru am, dɛn kin mek am fɔ no ɛn pwɛl di kansa sɛl dɛn. Sɔntɛnde, di kansa sɛl dɛn kin ‘ayd’ frɔm wi imyun sistɛm. Wetin dis tritmɛnt de du na fɔ pul da ‘mask’ de ɛn alaw di imyun sɛl dɛn fɔ no di kansa.
Wetin kin apin afta dɛn dɔn trit am? Wetin na di chans fɔ mek i wɛl?
Oropharyngeal cancer na sik we dɛn kin mɛn. Bɔt, risk de fɔ mek i kam bak afta dɛn dɔn trit am. So , i impɔtant fɔ go fɛn pipul dɛn ɔltɛm.
Di prɔgnosis de dipen pan sɔm tin dɛm:
- Fɔ no am kwik: Jɔs lɛk ɛni kansa, di kwik we dɛn no dis ɛn bigin fɔ trit am, na di mɔ di chans fɔ mek i wɛl.
- HPV stetɔs: I sɔprayz fɔ no se di rit we pipul dɛn we gɛt dis kansa bikɔs ɔf HPV infɛkshɔn kin liv pas di wan dɛn we gɛt di kansa bikɔs ɔf ɔda tin dɛn pas HPV, lɛk fɔ smok.
- Nɔ smok: Di wan dɛn we nɔ de smok kpatakpata we dɛn de du tritmɛnt ɛn afta dɛn dɔn trit dɛn, kin gɛt bɛtɛ tin fɔ du.
Wetin wi fɔ du fɔ mek wi nɔ day pan dis kansa?
Pan ɔl we dɛn nɔ kin ebul fɔ avɔyd dis kansa 100%, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
1. Nɔ gɛt HPV infɛkshɔn: Naw wan vaysin de we rili wok fɔ di HPV vayrɔs, we na di HPV vaysin. Tɔk to yu dɔktɔ bɔt aw fɔ gɛt dis vaysin we yu yɔŋ.
2. Lɛf fɔ smok kpatakpata: If yu na pɔsin we de smok, tray fɔ lɛf fɔ smok tide. If yu nid ɛp, go to dɔktɔ.
3. Nɔ drink rɔm: If yu de drink rɔm, du am smɔl smɔl. Fɔ miks rɔm wit smok kin rili denja.
4. Fɔ liv fayn layf: If yu it tin dɛn we balans ɛn du ɛksɛsayz ɔltɛm, dat kin mek yu imyun sistɛm strɔng.
5. Yu fɔ chɛk yu mɔt ɛn yu tit ɔltɛm: Go to yu dɔktɔ ɛn dɛntist wan tɛm insay di ia fɔ chɛk yu mɔt ɛn yu trot. Dis kin ɛp yu fɔ no ɛni chenj kwik kwik wan.
Ustɛm a fɔ go to di dɔktɔ? A nid fɔ go na ETU?
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn ɛn fɔ fala di apɔntinmɛnt dɛn fayn fayn wan afta yu dɔn gɛt tritmɛnt.
If dɛn dɔn du ɔpreshɔn pan yu ɛn yu gɛt dɛn sik ya, go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Fiva.
- Rɛd, swel, ɔ pen pasmak na di say we dɛn du di ɔpreshɔn.
- Wan wata we tan lɛk pus de kɔmɔt na di wund we dɛn du di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ignore di sayn dɛm lɛk wae yu trot de at ɔltɛm, yu nɔr kin izi fɔ swɛla, yu vɔys kin chenj, ɔr yu nɛk kin gɛt 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. If dɛn sayn ya nɔ de fɔ pas tu wiks, mek shɔ se yu go to dɔktɔ.
- Naw, di men tin we kin mek pɔsin gɛt kansa na di ɔrofarin na HPV. Di HPV vaysin kin ridyus dis risk bad bad wan.
- Smok ɛn drink pasmak na tu pan di big ɛnimi dɛm fɔ dis kansa. Fɔ lɛf dɛn abit ya na wan pan di big big invɛstismɛnt dɛn we yu kin mek.
- Naw, tritmɛnt dɛn de we dɔn rili advans ɛn we dɔn wok fayn fɔ dis kansa, lɛk ɔpreshɔn, redyushɔn tɛrapi, kemotɛrapi, ɛn bak TORS, Targeted Therapy, ɛn Immunotherapy.
- If yu no di sik kwik kwik wan ɛn trit am fayn, dat kin ɛp fɔ mɛn dis sik kpatakpata. So, nɔ panik, ɛn if yu gɛt ɛni dawt, go to dɔktɔ wantɛm wantɛm.
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