"Dɔkta, a gɛt wan wayt ples na mi rayt chɛst we nɔ go wɛl. A nɔ de smok sigrɛt, dɔktɔ. A jɔs de hang ɔut wit mi padi dɛn ɛn gɛt smɔl Thul na mi mɔt. Dis nɔ bad lɛk fɔ smok, nɔto so, dɔktɔ?" Asela we ol 22 ia aks Dɔktɔ Priya, ɛn i pɔynt to in chɛst.
Dɔktɔ Priya ɛksplen wit sɔri-at se, "Asela, yu de pan big denja. Thule na adikshɔn we gɛt bɔku pɔyzin, we de kil pɔsin we dɛn kin mek bay we dɛn miks tabak, bɛtel nɛt, ɛn laym. Bikɔs Thule kin kam dairekt kɔntakt wit di myukɔs mɛmbran na di mɔt, di risk fɔ gɛt ɔral kansa kin ivin ay if yu nɔ smok. Dis wayt spat na yu mɔt kin bi prɛkansa kɔndishɔn we dɛn no na mɛrɛsin." sayɛns as Leukoplakia."
Wetin na Thul, we na wan smok we nɔ gɛt smok ɛn we de skata kwik kwik wan bitwin yɔŋ pipul dɛn na Sawt Eshia ɛn Sri Lanka? Insay dis atikul, wi go tɔk mɔ bɔt di kemikal dɛn we de insay de we kin mek pɔsin gɛt kansa, di bad tin dɛn we i kin du to di bɔdi, ɛn aw fɔ lɛf dis adikshɔn we kin kil pɔsin.
Wetin na Thul?
Thule na wan kayn tabak we nɔ gɛt smok we dɛn mek wit tabak, areka nat, slaked laym, ɛn difrɛn tin dɛn we de mek pɔsin gɛt flawa, ɛn dɛn kin ol am bitwin di chɛst ɛn di gam na di mɔt. Na adikshɔn we pipul dɛn lɛk ɛn we denja fɔ yɔŋ pipul dɛn na Sawt Eshia kɔntri dɛn lɛk Sri Lanka ɛn India.
#### Ingridiɛnt dɛn we de insay di Thule miksɔp:
- Tobacco: Di kemikal nikotin we de insay dis tin de pul di ɔmon we dɛn kɔl dopamine na di bren, we de mek di pɔsin gɛt mɔ pawa fɔ sɔm tɛm ɛn mek di pɔsin gɛt adikshɔn to am bad bad wan.
- Areca Nut: Alkaloid lɛk Arecoline de mek di at rit ɛn blɔd prɛshɔn go ɔp, ɛn as tɛm de go, i kin mek pɔsin gɛt wan sik we dɛn kɔl Oral Submucous Fibrosis.
- Laym (Calcium Hydroxide): I de alkalize di pH na di mכt, we de alaw di nikotin we de insay tabak fכ abzכp insay di bכdi bכku fast, we kin mek di כral mכkus iritashכn εn kansa go insay.
🏥 Deadly helt threat: Kansa na yu mɔt
Di Wol Ɛlth Ɔganayzeshɔn (WHO) se di men tin we kin mek pɔsin gɛt kansa na in mɔt na we pɔsin de it tabak wit chɛwing gam ɔ bɛtel lif.
#### 1. Di kayn kansa we yu kin gɛt na yu mɔt:
- Squamous Cell Carcinoma (SCC): Dis kayn we de mek pas 90% pan di kansa dεm we de na di mכt. i de kכmכt frכm di εpitel sεl dεm we de layn di mכt εn i de spre to di lip, tכng, insay di chεk, כ di ruf na di mכt.
- Verrucous Carcinoma: Na wan kayn kansa we de gro sloslo bɔt i kin go na di jawbon.
#### 2. Di kεmikכl prכsεs fכ mek kεnsar:
di naytrosamin dεm we spεsifi k tabak insay tabak εn arekolin insay bεtel nat na pawaful kansa we de chenj di DNA fכ di sεl dεm. dis kansa kin go insay di sεl dεm dεn wan dεm tru di mכt כlsa dεm we dεn kin kכz fכ chεw gכm εn bigin fכ mek di kεnsar sεl dεm gro.
#### 3. Lɛsin dɛn we kin apin bifo kansa:
Lukoplakia na tik wayt pat we de fכm insay di mכt we dεn nכ kin skrap, εn εrythroplakia na dak rεd pat. Dɛn tin ya nɔto kansa, bɔt if dɛn nɔ trit dɛn, dɛn kin tɔn to kansa kwik kwik wan.
🚨 Rɛd Flag dɛn we nid fɔ gɛt mɛdikal atɛnshɔn kwik kwik wan
If yu notis ɛni wan pan dɛn chenj ya na yu mɔt, go to dɛntist ɔ ɔral ɛn maksilofashial ɔpreshɔn wantɛm wantɛm ɛn mek dɛn du bayɔpsi bifo tu wiks pas:
- Mɔt ɔlsa we nɔ de mɛn we kin las fɔ pas tu wiks.
- Wait ɔ rɛd spat dɛn we nɔ gɛt pen we kin mek insay di mɔt.
- I nɔ izi fɔ opin di mɔt (Trismus) ɔ i nɔ izi fɔ muv di tɔŋ.
- I nɔ kin izi fɔ swɛla, fil lɛk se sɔntin dɔn stɔp na yu trot, ɛn yu vɔys kin chenj.
🛠️ Akshɔn Step fɔ Avɔyd ɛn Protɛkt Yusɛf frɔm Alcohol Addiction
- Step Wan (Strɔng Ditarminieshɔn): Disid fɔ stɔp fɔ yuz drɔgs kɔmplit wan wan tɛm (Cold Turkey method).
- Step Tu (Mɛdikal Sɔpɔt): If di adikshɔn rili bad, yuz Nikotin Riplesmɛnt Tɛrapi (NRT) lɛk Nikotin Gɔm ɔ Nikotin Patch lɛk aw dɔktɔ tɛl yu.
- Step Tri (Substitute Use): Ɛnitɛm we yu fil fɔ put tutpik na yu mɔt, yuz kadɛm, klɔb, wan pat pan rɛgyula bɛtel nɛt, ɔ wan chɛwing gam we nɔ gɛt shuga insted.
- Step Fo (Oral Examination): We yu de brus yu tit ɛvride, yuz miro fɔ chɛk insay yu mɔt, yu chɛst, ɛn ɔnda yu tɔng fɔ si if yu gɛt ɛni spat ɔ sos.
- Step Fayv (Kɔnsul): If yu want fɔ smok bikɔs ɔf strɛs, go to pɔsin we de gi advays ɛn gɛt kɔgnitiv bihayvya tɛrapi.
📊 Kɔmpia di ifɛkt dɛn we pɔsin kin gɛt we i yuz Thul (Effects of Thul)
| Stej | Patɔlɔji | Di Ki Simptom Dɛm |
|---|---|---|
| Di Fɔs Stej | Nikotin de pul dopamin, we de mek di at rit go ɔp. | Gladi at fɔ sɔm tɛm, gladi at, bad briz, di gam we de mɛlt. |
| Stej bifo kansa (Prekansa) . | Chalk εn tכxik kεmikכl dεm de pwεl di כral mכkus εn mek DNA mכtεshכn. | Leukoplakia (wayt spat) ɔ erythroplakia (rɛd spat) de apin insay di chɛst. |
| Kansa Stej (Malignant Stej) . | abnכmal growth fכ di εpitεlial sεl dεm εn fכmeshכn fכ wan kεnsar tכmכro (SCC). | wund dεm we nכ de hεl, bכku pen, we yu nכ ebul fכ opin in mכt, swεla limf no dεm na di nεk. |
❓ Sɔm ɔda kwɛstyɔn dɛn we yu kin gɛt (FAQ)
Bikɔs dɛn nɔ de smok tabak, yu tink se we pɔsin de yuz Thule, i nɔ go afɛkt kansa na in lɔng? ▼ we dɛn kɔl
Nɔ, bikɔs fɔ yuz twiza min fɔ swɛla kemikal dɛn wit saliva, i kin rili mek pɔsin gɛt kansa na in farinj, εsophageal, ɛn pankrias, pan ɔl we i gɛt kansa na in mɔt.
Aw lɔŋ i kin tek fɔ mek wan wayt spat na yu mɔt (Leukoplakia) tɔn to kansa? ▼ we dɛn kɔl
Dis kin difrɛn difrɛn wan bay di kayn bɔdi we di pɔsin gɛt ɛn aw i de yuz am. Sɔmtɛm, wan sik wae gɛt prɛkansa kin chenj to rial kansa (malignance) insay sɔm ia ɔr ivin shɔt lɛk sɔm mɔnt.
Aw fɔ yuz Thulu we yu gɛt bɛlɛ kin afɛkt di pikin? ▼ we dɛn kɔl
di nikotin εn di tכxik kεmikכl dεm we de insay sigrεt de pas tru di plasεnta to di pikin, we de mek siriכs kכmplikεshכn dεm lεk di pikin we dεn bכn bifo tεm, di pikin in wet we i nכ de bכn, εn we i bכn.
Di yus fɔ Thule kin mek yu gɛt at atak? ▼ we dɛn kɔl
Yɛs. We di nikotin we de insay sigrɛt go insay di blɔd, i kin mek di blɔd vesel dɛn kɔnstrikt ɛn smɔl. Dis kin mek di blɔd prɛshɔn ɛn at rit go ɔp, we kin rili mek di korona at blɔk ɛn at atak ɛn strok bɔku.
📖 Sɔs ɛn Sayntis Rifrɛns
- WHO Fakt Shit bɔt Tabako: WHO Tobacco Fact Sheet (Dɛn akses am insay 2026)
- NCBI Literature Review: Di wɛlbɔdi ifɛkt dɛn we di tabak we nɔ gɛt smok gɛt (PMC3188822)
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