Yu tink se chenj de na yu vɔys ɔ yu briz? Dis kin bi Rikɔrɛnt Rɛspiratɔri Papilomatosis (RRP)!

Sɔntɛnde, yu ɔ yu pikin kin fil se yu vɔys kin chenj, yu kin kray smɔl, ɔ yu kin gɛt smɔl sawnd we yu de blo we yu de blo? Ɔ yu de strɛs wit sɔntin lɛk we yu de kɔf ɔltɛm? Dɛn tin ya kin bi sayn dɛm bak fɔ kɔmɔn kol. Bɔt, tide wi go tɔk bɔt wan kɔndishɔn we nɔ kin apin so ɔltɛm bɔt we kin mek pɔsin wɔri. Dɛn kɔl am (Recurrent Respiratory Papillomatosis) ɔ (RRP) fɔ shɔt tɛm. Wan ɔda nem na `(Laryngeal Papilloma)`. Nɔ wɔri, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na dis (RRP)? Mek wi fain out di ekzakli?

Fɔ tɔk am simpul wan, (RRP) na wan sik we wan vayrɔs we dɛn kɔl `(Human Papillomavirus)` ɔ `(HPV)` kin mek. wetin de apin insay dis na we sכm sכm sכm sכm sכm lεk wכt dεm (wi kכl dεn `(Papillomas)`) de fכm na wi rεspiretכri trakt, dat na di rod frכm di mכt to di nos εn lכng dεm. fכ bi prεsis, dεn growth dεm ya kin fכm mכst na di pat pan di trot usay di vכkal kכd dεm (`(Vocal Cords)`) de usay wi vכys de mek, dat na di `(Larynx)`. כltu, sכmtεm dεn growth dεm ya kin spre mכr bak dכn di rεspiretכri sistεm. Dat na:

• Trakia we de na di bɔdi
• Bronchi, we dɛn kɔl Bronchi
• Lɔng

Ples dɛn de bak we tan lɛk dis.

Di impɔtant tin na dat dɛn (RRP) tɔŋ ya nɔto benign , we min se dɛn nɔ gɛt kansa. Bɔt dɛn kin gro kwik kwik wan ɛn kam bak, ɛn dis kin mek i nɔ izi fɔ trit dɛn. Sɔm pipul dɛn kin gɛt fɔ du bɔku ɔpreshɔn insay wan ia.

Udat dɛn kin afɛkt mɔ pan dis (RRP) sityueshɔn?

Dis kכndyushכn we dεn kכl (RRP) kin apin pan yכŋ pikin dεm εn big pipul dεm. Lɛ wi si aw i kin apin.

RRP we de bigin fɔ yɔŋ pipul dɛn

Dɛn kin no dis bifo di pikin ol 5 ia . We yu kɔmpia am wit big pipul dɛn, RRP pan yɔŋ pikin dɛn kin rili bad ɛn i kin kam bak afta dɛn dɔn trit am. So, wi nid fɔ wɔri mɔ bɔt dis sik we yɔŋ pikin dɛn kin gɛt.

RRP we bigin fɔ big pipul dɛn

Dis kin apin pan ɛni ej, bɔrku tɛm afta i dɔn ol 14. Bɔt di gud nyus na dat di rεt fɔ kam bak kin smɔl pan big pipul dɛm.

Aw kɔmɔn tin (RRP)?

RRP na rili wan sik we nɔ kin bɔku . Fɔ sho se i kin afɛkt lɛk wan pan ɛvri 4 pipul dɛn pan ɛvri ɔndrɛd tawzin.

Bɔt na sɔntin we wi fɔ notis. Di HPV vaysin de rili wok fayn agens dis (RRP) kɔndishɔn. Dɛn kin advays am fɔ yɔŋ pikin dɛn we bigin we dɛn ol 11. Di wan dɛn we sabi bɔt wɛlbɔdi biznɛs op se dis vaysin go ridyus di nɔmba fɔ di kansa dɛn we gɛt fɔ du wit HPV ɛn kɔndishɔn dɛn lɛk (RRP) tumara bambay.

Us kayn HPV vayrɔs kin kɔz (RRP)?

Human papillomavirus (HPV) na wan grup we gɛt pas 100 vayrɔs dɛn we gɛt fɔ du wit am. Sɔm pan dɛn tin ya kin mek wi gɛt wɔt na wi skin ɛn di wet wet (fɔ ɛgzampul, mɔt, trot, vagina, anus). Bikɔs HPV na tin we pɔsin kin gɛt we i du mami ɛn dadi biznɛs, i kin rili kɔmɔn.

Tu kayn HPV na di men wan dɛm we de mek RRP. dis na HPV 6 εn HPV 11. Dis na dεn wan dεm we de mek mכst jεnital wכt. HPV kin mek yu gɛt sɔm kayn kansa bak, lɛk kansa na di sɛvikal ɛn kansa na di laryngeal. Na smɔl tɛm nɔmɔ, i kin mek pɔsin gɛt kansa na in lɔng.

HPV infεkshכn na rili kɔmɔn tin. Bɔt bɔku tɛm, i kin go fɔ insɛf ɛn nɔ kin kɔz ɛni wɛlbɔdi prɔblɛm. Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek na sɔm pipul dɛn nɔmɔ kin gɛt sik dɛn we gɛt fɔ du wit HPV.

Aw dɛn kin pas HPV insay (RRP)?

Dɔktɔ dɛn stil nɔ ɔndastand gud gud wan aw HPV de transmit in (RRP). Bɔt na sɔm aidia dɛn ya:

Fɔ smɔl pikin dɛn

we dεn bכn di pikin, if di mama gεt aktv `(Genital Warts)` (genital warts), di `(HPV)` kin pas to di pikin tru am. כltu, i imכtant fכ mεmba se nכto כl di pikin dεm we dεn εkspos dis we go divεlכp (RRP). Dis min se i kin apin to wan rili smɔl pasɛnt.

sכmtεm, pikin kin gεt RRP ivin if dεn bכn am bay sizarian sεkshכn. dis sho se i kin bi se HPV bin pas to di pikin we i bin stil de na di bεlε.

Fɔ big pipul dɛn

Dɛn biliv se HPV kin pas to big pipul dɛn tru ɔral sɛks. Wan ɔda tiori na dat big pipul dɛn we gɛt RRP kin dɔn gɛt HPV we dɛn bɔn dɛn, ɛn di vayrɔs kin dɔn “ayd” insay wɛlbɔdi sɛl dɛn na di bɔdi, ɛn afta dat i kin wok bak fɔ sɔm rizin, we kin mek dɛn gɛt RRP.

Wetin na di sayn dɛm fɔ (RRP)?

we dεn growth dεm (`(Papillomas)`) we wi bin tכk bכt de divεlכp pan di vכkal kכd dεm εn di aywe dεm, i kin mek i at fכ tכk, brith, εn sכlow. De sayn dɛm wae kin kam pan pɔrsin na:

• Di vɔys we de ala lawd wan ɔ we yu vɔys lɔs ɔltogɛda.
• Stridor na lawd ɔ ay pitch sawnd we yu de blo. I de sawnd lɛk se na wisɛl.
• Fɔ blo kwik kwik wan ɔ we nɔ kin izi fɔ blo .
• Fɔ gɛt kɔf we nɔ de dɔn .
• I nɔ izi fɔ swɛla it .

Yu dɔktɔ go tek tɛm luk yu ɔ yu pikin fɔ no if dis na RRP ɔ ɔda tin, lɛk asma ɔ alɛji.

Aw dɛn kin no bɔt (RRP) sik?

Fɔs, yu dɔktɔ go aks yu ɔ yu pikin bɔt di sayn dɛn we yu gɛt ɛn du ɛgzam fɔ yu bɔdi. Dɛn kin yuz miro ɛn layt fɔ luk insay yu trot fɔ chɛk yu vɔkal kɔd. If yu simptom ɛn ɛgzam sho se yu kin gɛt RRP, yu dɔktɔ go rifer yu to yu yes, nos, ɛn trot spɛshal pɔsin (ENT spɛshal).

Us tɛst dɛn kin yuz fɔ no di sik (RRP)?

Yu ENT spɛshal dɔktɔ go mɔs du wan tɛst we dɛn kɔl laryngoscopy . Dis min se yu fɔ put wan tint tiub we kin chenj (we dɛn kɔl ɛndoskɔp) wit smɔl kamɛra ɛn layt we dɛn tay pan am, ɛn pas am tru yu nos ɛn dɔŋ yu trot fɔ chɛk yu larynx ɛn yu aywe. Nɔ fred, bifo yu du dis:

• Yu ɔ yu pikin in nos ɛn trot de tingling.
• Dɔn, dɛn kin pas di tiub tru di nos, dɔŋ di trot, ɛn go insay di vɔkal kɔd dɛn.
• Dɔn di dɔktɔ kin chɛk fɔ si if dɛn 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 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.

fכ kכnfכm di diagnosis fכ (RRP), di `(ENT)` spεshalist go nid fכ du wan `(Biopsy)` . dis min se fכ tek sכm sכm tisu sεmpl frכm di lump εn tεst am fכ si if di `(HPV)` vayrus de, εn if na so, us kayn i bi. dis `(Biopsy)` dεn kin du am na כspitul rum, כnda jεnarכl anεsthεsia. dis tisu sεmpl dεn de tek am bay we dεn de yuz spεshal ikwipεnt we dεn atak di `(Endoscope)`. Dɔn dɛn kin tɛst am na wan lɛb.

Na sכm tεm, pulmonologist kin nid bak fכ luk insay di trachea dis we εn tek sεmpl.

Yu tink se (RRP) kin wɛl ɔltogɛda?

I sɔri fɔ no se naw, no mɛrɛsin nɔ de fɔ RRP. Di men gol fɔ tritmɛnt na fɔ pul di tumbu dɛn ɛn stɔp dɛn fɔ gro bak. Yu ɔ yu pikin kin nid fɔ gɛt ɔpreshɔn ɛn mɛrɛsin dɛn we dɛn jɔyn togɛda.

Aw dɛn kin yuz ɔpreshɔn fɔ (RRP)?

Di men tritmɛnt fɔ RRP na ɔpreshɔn . Di dɔktɔ kin tray fɔ pul bɔku pan di tumbu as i ebul ɛn nɔ pwɛl di wɛlbɔdi tisu. Bɔku we dɛn de fɔ pul dɛn tumbu ya:

• Laser ɔpreshɔn: Dis kin yuz lɛsa bim fɔ shrink ɔ pwɛl di tumbu dɛn.
• Maykrodebrida: Dis na wan advans tin we de yuz wan slo sokshכn f כ pul di tכmכro to wan spεshal bled, we de pul am kwik εn efyushכn.
• Cryoablation: insay dis mεtכd, dεn de yuz tεmprachכ we kol pasmak fכ kil di tכmכro sεl dεm.

Bɔku pan di RRP ɔpreshɔn dɛn, mɔ di wan dɛn we dɛn kin du to pikin dɛn, dɛn kin du am na ɔpreshɔn rum ɔnda jenɛral anestezi. Dis min se yu de slip we dɛn de du di ɔpreshɔn.

Sɔm big pipul dɛn kin du ɔpreshɔn wit lɛsa bak na dɛn ɔfis. Dis kin apin kwik ɛn i nɔ nid fɔ gɛt jenɛral anestezi. Dɛn go gi yu lokal anestesia so dat yu nɔ go fil ɛni prɔblɛm, bɔt yu go wek.

Ɔmɔs ɔpreshɔn mi ɔ mi pikin go nid fɔ du fɔ RRP?

Afta di ɔpreshɔn, di RRP tɔŋ dɛn kin kam bak. Sɔm pipul dɛn nid fɔ gɛt tritmɛnt bak ɛvri sɔm wik. Ɔda wan dɛn kin go fɔ wan ia ɔ mɔ bitwin di tritmɛnt dɛn. Dis we aw i kin kam bak kin apin mɔ pan pikin dɛn.

Aw dɛn kin trit (RRP) wit mɛrɛsin?

Sɔm pipul dɛn nid fɔ gi dɛn mɛrɛsin apat frɔm ɔpreshɔn. Dɛn tin ya na:

• Di wan dɛn we gɛt pas 4 ɔpreshɔn pan ia (RRP).
• Di wan dɛn we dɛn rut kin gro bak kwik kwik wan.
• Pipul dεm wae gεt difrεnt fכ brith bikoz dεn blok na di aywe dεm bikoz dεn tכmכro.
• Di wan dɛn we dɔn skata to bɔku say dɛn na di bɔdi we de frut.

Dɛn kɔl dɛn kayn drɔgs ya ``adjuvant therapies'' bikɔs dɛn kin gi dɛn afta di men tritmɛnt (ɔpareshɔn) fɔ ɛp fɔ mek di tumbu nɔ kam bak. Na lɛk 20% (dat na 1 pan 5) pan pipul dɛm wae gɛt (RRP) nid dis kayn ɔda tritmɛnt.

Adjuvant mεdikeshכn dεm we dεn gi to (RRP) de ridyus di tכmכro growth in difrεn we dεm:

• Cidofovir na antivayral we de stɔp di HPV vayrɔs fɔ bɔku.
• Immunotherapy agents, lɛk Pembrolizumab , de yuz yu bɔdi in yon imyun sistɛm fɔ pwɛl di tumor sɛl dɛn.

Di (HPV) vaysin de ɛp wit (RRP) tritmɛnt?

Risach pipul dɛn dɔn si se di HPV vaysin kin bi bak wan fayn adjuvant tritmɛnt opshɔn. di fכs stכdi dεm sho se di HPV vaysin kin ridyus di tכmכro dεm we de gro εn ridyus di nכmba כf כpεrayshכn we dεn nid. Dɛn de du mɔ risach.

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ (RRP)?

If RRP tranga, yu aywe kin blok kpatakpata. If dis apin, yu kin nid fɔ du tracheostomy fɔ mek yu gɛt briz to yu lɔng. Dis min se yu fɔ mek wan ol na yu nɛk we dɛn kɔl di trachea. If yu du tracheostomy, dat kin afɛkt di we aw yu ebul fɔ tɔk. Yu mɛdikal tim go tich yu aw fɔ kia fɔ yu tracheostomy ɛn aw fɔ yuz yu vɔys.

Kansa na ɔda prɔblɛm we kin apin. Bɔt dis nɔ kin apin so ɔltɛm . di benign kכndishכn (RRP) kin tכn to malign kכndishכn. Dis kin apin sɔm ia afta dɛn dɔn no di sik. dis risk kin bכku if di tכmכro dכn spre to di lכw pat dεm na di rεspiretכri sistεm. Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek (RRP) kin tɔn to kansa.

Aw fɔ protɛkt yusɛf frɔm (RRP)?

Di bɛst we fɔ protɛkt yusɛf frɔm dis sik na di HPV vaysin.Get am. Di Sɛntral fɔ Kɔntrol ɛn Prɛvenshɔn fɔ Sik (CDC) se ɔl pikin dɛn fɔ gɛt di HPV vaysin we dɛn ol 11 ɔ 12 ia. Di wan dɛn we nɔ bin gɛt di vaysin as yɔŋ pipul dɛn kin gɛt di vaysin te dɛn ol 26 ia.

Dɔn bak, fɔ yuz kɔndɔm kin ridyus di risk fɔ gɛt HPV we pɔsin kin gɛt we i du mami ɛn dadi biznɛs, so RRP kin gi sɔm prɔtɛkshɔn. Bɔt if di wɔt we de na di bɔdi de na say dɛn we kɔndɔm nɔ kɔba, kɔndɔm nɔ de gi pɔsin kɔmplit protɛkshɔn.

If yu gɛt wɔt na yu bɔdi, yu gɛt bɛlɛ, ɔ yu de plan fɔ gɛt bɛlɛ, mek shɔ se yu tɔk to yu dɔktɔ. Jɛnɛral wan, di risk fɔ pas dɛn to yu pikin nɔ kin bɔku. If yu dɔktɔ disayd fɔ trit di bɔdi we gɛt bɛlɛ we yu gɛt bɛlɛ, sɔm tritmɛnt dɛn de we nɔ bad.

Wetin na di lukin-grɔn fɔ di wan dɛn we gɛt (RRP)?

Di luk fɔ bɔku pikin ɛn big pipul dɛn we gɛt RRP fayn . Ɔpreshɔn ɛn mɛrɛsin kin kɔntrol di tumbu dɛn ɛn mek dɛn nɔ ambɔg di tin dɛn we dɛn kin du ɛvride. Na smɔl tɛm nɔmɔ dɛn kin nid fɔ du tracheostomy ɔ dɛn kin tɔn to kansa.

Aw fɔ liv wit (RRP)?

If yu ɔ yu pikin gɛt RRP, yu dɔktɔ go wach yu gud gud wan ɛn mek wan tritmɛnt plan. Tek tɛm fala dɛn instrɔkshɔn dɛn de ɛn kip di apɔntinmɛnt dɛn we yu dɔn mek. If yu du dat, i go ɛp fɔ kɔntrol di sik ɛn mek yu nɔ gɛt di say we yu de blo we go mek yu day. If yu gɛt prɔblɛm fɔ blo, kɔl yu dɔktɔ wantɛm wantɛm ɔ kɔl 911.

(RRP) na sik we di human papillomavirus (HPV) kin kam wit. Dɔktɔ dɛn kin trit am wit ɔpreshɔn, ɛn if i tranga, dɛn kin trit am wit mɛrɛsin. If dɛn gɛt fɔ du ɔpreshɔn ɔltɛm, dat kin mek i nɔ izi fɔ pikin dɛn bɔdi ɛn in maynd, mɔ fɔ pikin dɛn. If yu nid sɔpɔt, tɔk to yu dɔktɔ. I kin rifer yu to risɔs wae de ɛp pipul dɛm wae de liv wit krɛse sik.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• (RRP) na wan kכndyushכn we di (HPV) vayrus de mek we de mek di rεspiretכri trakt gro lεk wכt, spεshal wan arawnd di vכkal kכd dεm. Dɛn tin ya nɔto kansa, bɔt dɛn kin kam bak.
• If yu gɛt sɔm sayn dɛn lɛk fɔ de ala lawd lawd wan, i nɔ izi fɔ blo, ɔ yu de kɔf ɔltɛm, go to dɔktɔ.
• Ɔpreshɔn na di men tritmɛnt. Sɔntɛnde, dɛn kin nid mɛrɛsin bak. Pan ɔl we dɛn nɔ go ebul fɔ mɛn di sik kɔmplit wan, dɛn kin ebul fɔ kɔntrol di sik fayn fayn wan.
• Di HPV vaysin rili impɔtant fɔ mek dɛn nɔ gɛt am (RRP). Gi dis vaysin to pikin dɛn di rayt tɛm.
• E fayn fɔ fala dɔktɔ advays ɛn fɔ de na yu maynd strɔng wae yu de liv wit dis sik. Nɔ fred fɔ aks fɔ ɛp if yu nid am.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, mek shɔ se yu tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!

`Respiratory papilloma, RRP, HPV, hoarseness, difεlεns fכ brith, trot tכmכro, laryngeal papilloma