Yu de wɔri bɔt kansa na yu tɔŋ? Lɛ wi tɔk bɔt am!

Sɔntɛnde, i kin mek yu fred smɔl fɔ si smɔl wund ɔ spat na yu tɔng, nɔto so? Ɔ yu kin fil se i nɔ izi fɔ yu smɔl we yu de swɛla it? Yu kin de wɔnda if dɛn tin ya kin bi sayn dɛm fɔ kansa na yu tɔŋ. So tide, lɛ wi tɔk bɔt wetin na kansa na yu tɔŋ, wetin kin mek yu gɛt am, in sayn dɛm, tritmɛnt, ɛn aw fɔ protɛkt yusɛf frɔm am.

Wetin na Tɔng Kansa?

Fɔ tɔk am simpul wan, kansa na yu tɔŋ na we di sɛl dɛn na yu tɔng bigin fɔ gro we yu nɔ ebul fɔ kɔntrol am ɛn kwik kwik wan. wi tכng de stat nia di sכmכl bon usay yu chin mit yu nεk (dεn kכl dis bak di hyoid bon, we na di bon we de כnda yu chin, usay yu nεk de bigin) εn i de go כlsay te to di bכtכm pat na yu mכt.

Naw luk, dɛn kin kɔl dis kansa tu nem dipen usay i de divɛlɔp.

• If yu gɛt kansa na di fɔs pat na yu tɔng, we yu kin si, dɔktɔ dɛn kin kɔl am kansa na yu mɔt ɔ kansa na yu mɔt .
• Bɔt if kansa kam insay di tɔŋ, nia di trot , usay yu nɔ ebul fɔ si am, dɛn kin kɔl am oropharyngeal cancer ɔ base of tongue cancer. Dis kin dip smɔl, so i nɔ kin izi fɔ si.

Us kayn kansa kin apin na di tɔŋ?

Pan ɔl we bɔku difrɛn kayn kansa dɛn de we kin kam na di tɔŋ, di kayn kansa we dɛn kin gɛt pas ɔl na squamous cell carcinoma (SCC). Skwam sεl dεm na wan kayn flat sεl we de na di כta pat na wi skin. Tink bɔt am lɛk di plasta we de ɔp wan wɔl. SCC kin de divεlכp na di εria dεm na di bכdi we de kכmכt na di san bכku tεm. כltu, i kin divεlכp bak na di εria dεm lεk di mכkus mεmbran dεm we de insay di mכt, we na di dilik, mכst skin we de insay di mכt.

Aw kɔmɔn dis tong kansa?

Infakt, bɔku tɛm, kansa na yu tɔŋ nɔ kin bɔku . I nɔr rich 1% pan di nyu kansa dɛm wae dɛn kin gɛt na kɔntri lɛk Amɛrika. Bɔt dɛn kin tek am se na wan kayn kansa we nɔ kin bɔku pan di wan dɛn we gɛt kansa na dɛn ed ɛn nɛk .

Wan ɔda tin na dat man dɛn kin gɛt dis kayn kansa na dɛn tɔŋ tu tɛm pas uman dɛn . Dɔn bak, i kin apin mɔ pan pipul dɛn we dɔn pas 40. So i fayn fɔ tek tɛm smɔl bɔt dis as yu de ol.

Wetin na di sayn dɛm wae de sho se yu gɛt kansa na yu tɔŋ?

Fɔs, di sayn dɛm fɔ kansa na yu tɔŋ nɔr kin klia ɔltɛm. If yu de si di kansa ɔ yu nɔ de si am, ɛn aw i tan, i go dipen pan usay di tumbu de ɛn aw fa di sik dɔn skata. Sɔntɛnde, nɔr kin gɛt ɛni sayn atɔl.

Bɔt sɔm sayn dɛn de we kin apin na do we pɔsin kin si:

• Rεd pat dεm (dכkta dεn kכl dis ``erythroplakia'') כ wayt pat dεm (``leukoplakia'') na yu tכng. Sɔntɛm dɛn tin ya nɔ go go fɔ dɛnsɛf.
• Wan lump ɔ tumor na di sayd na di tong we de blɔd izi wan .
• Rɛd ɔ grey wund na di tɔŋ we nɔ de wɛl . If dis wund nɔ wɛl afta tu to tri wik, yu fɔ sɔprayz.

Apat frɔm dis, ɔda sayn dɛn kin sho, so kip yu yay pan dɛn tin ya bak:

• Fɔ fil se di skin de tik insay di mɔt.
• Trot we de at we nɔ de go (chronic pharyngitis). I kin tan lɛk se yu trot kin at ɔltɛm .
• Pen na di nɛk .
• Iya pen (dis kin apin mɔ if di kansa na yu tɔŋ dɔn spre to di trot).
• Wan filin fɔ sɔntin we stɔp na di trot.
• Di tɔŋ ɔ ɔda pat dɛn na di mɔt we de swɛ.
• Wan tin we de bɔn na di tɔŋ.
• I nɔ kin izi ɔ i kin fil pen we yu de it ɔ swɛla it.
• Di vɔys we de ala , ɔ we yu vɔys chenj.
• Swel na di jaw.
• Tit dɛn we lɔs.
• Di chenj dɛn we de apin wantɛm wantɛm na di denchɔ dɛn we yu de yuz (lɛk se dɛn nɔ fit fayn igen).

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, duya go to dɔktɔ.

Wetin na di tin dɛn we kin mek pɔsin gɛt kansa na in tɔŋ?

Masta sabi bukman dɛn stil de tray fɔ no di rayt tin we kin mek dis apin. Bɔt wetin dɛn no na dat, kansa na di tɔŋ kin apin we di sɛl dɛn we nɔ de wok fayn bigin fɔ gro we dɛn nɔ ebul fɔ kɔntrol am. Dɛn stil de stɔdi wetin mek sɔm pipul dɛn kin gɛt am ɛn ɔda wan dɛn nɔ kin gɛt am, ɛn wetin mek dɛn sɛl ya kin gro we dɛn nɔ ebul fɔ kɔntrol am. Bɔku pipul dɛn we de stɔdi bɔt dis biliv se dɛn kansa ya kin kɔmɔt frɔm di chenj dɛn we de apin na di jin dɛn (DNA mutations) we kin afɛkt di tɔŋ . Dɛn jin ya tan lɛk buk dɛn we de sho wi sɛl dɛn, ɛn prɔblɛm kin apin we dɛn instrɔkshɔn dɛn de nɔ go fayn.

Wetin na di tin dɛn we kin mek pɔsin gɛt kansa na in tɔŋ?

Masta sabi bukman dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt kansa na in tɔŋ. Wi kin kɔl dɛn tin ya we kin mek pɔsin gɛt prɔblɛm. De tu impɔtant ɛn pawaful tin dɛm wae kin mek pɔrsin gɛt dis sik na fɔ smok pasmak ɛn fɔ drink pasmak (alcohol use disorder). If yu gɛt dɛn tu tin ya, yu risk go ivin bɔku. Tink bɔt dis, di bad bad kemikal dɛn we de insay sigrɛt de pwɛl di sɛl dɛn na yu tɔŋ, ɛn rɔm kin mek da damej de wɔs. I tan lɛk se yu de tɔn asid pan wund.

Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:

• HPV (Human Papillomavirus) infεkshכn: Dis na di men tin we de mek di bεs fכ tכng kεnsar. Na smɔl tɛm nɔmɔ, i kin mek bak gɛt kansa na yu mɔt. HPV na wan vayrɔs we rili kɔmɔn ɛn bɔku tɛm i nɔ kin mek pɔsin gɛt ɛni sayn.
• Fɔ chɛw tabak: Fɔ it tabak wit bɛtel nat na big prɔblɛm bak. Dis na tin we nɔ kin apin na wi kɔntri, so wi fɔ tek tɛm wit dis.
• We yu de it bɛtel nat: Ivin if yu it betel nat nɔmɔ, dat kin mek yu gɛt kansa na yu tɔŋ.
• Famili histri fɔ ɔral ɔ oropharyngeal kansa: Famili histri bak kin ple wan rol.
• Yu dɔn gɛt kansa bifo (espɛshali squamous cell carcinoma).

Aw dɔktɔ dɛn kin no se pɔsin gɛt kansa na in tɔŋ? (Diagnosis) .

Bɔku tɛm na dɛntist dɛn fɔs kin tink se dɛn gɛt kansa na dɛn tɔŋ . Dis kin bi we dɛn de du yu tit ɛgzam ɔltɛm, we dɛn de du ɔral kansa skrinin, ɔ we yu famili dɔktɔ (Primary Care Physician - PCP) de ɛgzamin yu fɔ ɔda kɔndishɔn.

Fɔ no mɔ, yu dɔktɔ kin du dɛn tin ya:

• Wan spɛshal layt (fluorescent light) go shayn insay yu mɔt fɔ luk fɔ ɛni tisu we nɔr nɔmal.
• wan tin, fleksibul tyub (endoscope) we gɛt kamɛra ɛn layt we dɛn tay pan am, dɛn kin yuz am fɔ luk insay di mɔt ɛn trot. Dis kin mek yu ebul fɔ si fayn fayn wan insay.
• di limf no dεm na di nεk dεn de chεk fכ si if dεn swel. Wi kin kɔl dɛn tin ya bak ‘swellings’. Dɛn tin ya kin swel we kansa de.

If dɔktɔ si sayn dɛn we de sho se pɔsin gɛt kansa na in tɔŋ, i go mɔs bi se dɛn go ɔda fɔ mek dɛn tek am bayɔpsi . Dis involv fɔ tek smɔl sampul pan di tisu we afɛkt ɛn sɛn am to lab. Na de, wan dɔktɔ we de stɔdi bɔt sik dɛn kin luk di tisu ɔnda maykroskɔp fɔ si if i gɛt kansa sɛl dɛn. I tan lɛk se ditektiv de luk fɔ pruf!

Apat frɔm dat, yu dɔktɔ kin ɔda fɔ mek dɛn du imej tɛst lɛk dɛn wan ya fɔ si aw fa di kansa dɔn skata ɛn aw i big:

• CT skan (CT - kɔmpyuta tomografi skan) .
• MRI (magnɛtik rɛsɔnans imej) skan dɛn
• PET skan (positron emission tomografi skan) .

Wetin na di tritmɛnt fɔ kansa na yu tɔŋ? (Tritmɛnt)

Di tritmɛnt fɔ kansa na yu tɔŋ kin dipen pan bɔku tin dɛn. Dɛn kin tink bɔt di sayz we di tumbu gɛt, usay i de, ɛn aw fa di kansa sɛl dɛn dɔn skata. Bɔku men tritmɛnt dɛn de we yu kin pik:

• Ɔpreshɔn fɔ kansa na yu tɔng:dis kin involv fכ pul pat כ כl di tכng (a ``glossectomy''). sכmtεm, dεn kin du ``nεk disεkshכn'' bak fכ ridyus di kεnsar we de spre to כda pat dεm na di bכdi (``mεtastas''). Tink bɔt am lɛk we yu kɔt branch pan tik we dɔn rɔtin so dat i nɔ go skata to ɔda pat dɛn na di bɔdi.
• Radiation therapy: Sɔntɛnde, dɔktɔ dɛn kin yuz redyushɔn tɛrapi fɔ mek di tumbu smɔl bifo dɛn du di ɔpreshɔn. Bɔt bɔku tɛm, dɛn kin gi am afta dɛn dɔn ɔpreshɔn fɔ kil ɛni kansa sɛl we lɛf. Sɔntɛnde dɛn kin yuz am bak as wan tritmɛnt if di kansa dɔn ɔlrɛdi skata to ɔda pat dɛn na di bɔdi.
• Drug therapy: Dɛn tin ya na kemotɛrapi , immunotherapy , ɛn targeted therapy . Ɔl dɛn tin ya de wok fɔ fɛt ɛn pwɛl di kansa sɛl dɛn.

Wetin na di chans fɔ wɛl if yu gɛt kansa na yu tɔŋ? (Autluk) .

Kansa na yu tɔng kin wɛl if dɛn no am ɛn trit am kwik kwik wan . Na dat mek i rili impɔtant fɔ tɛl dɔktɔ wantɛm wantɛm if yu notis nyu lump, spat, ɔ sore na yu tɔng we nɔ go wɛl. Di mɔ yu wet, na di mɔ i kin at fɔ trit.

Afta dɛn dɔn ɔpreshɔn yu fɔ kansa na yu tɔŋ, tɛrapi fɔ tɔk ɛn ɔpreshɔn fɔ mek yu ebul fɔ tɔk bak kin ɛp yu fɔ ebul fɔ tɔk ɛn swɛla bak. So nɔ wɔri, masta sabi pipul dɛn de we go ebul fɔ ɛp. I kin tek sɔm tɛm, bɔt we yu de praktis, yu kin kam bak to yu nɔmal.

Wetin na di rεt wae dεn de liv fכ tכng kεnsar?

Di rεt wae pɔrsin wae gɛt kansa na in tɔŋ kin liv kin dip pan if di kansa dɔn spre to ɔda say dɛm.

Dɛn ‘survival rates’ ya kin kɔmpia pipul dɛm wae gɛt sɔm kayn kansa ɛn in risk to di wan dɛm wae de na di jenɛral pɔpuleshɔn. Fɔ ɛgzampul, if di fayv ia we pɔsin kin liv fɔ wan patikyula kayn kansa na 93%, dat min se 93 pan 100 pipul dɛn we gɛt da kayn kansa de ɛn we gɛt da stej de stil de alayv fayv ia afta dɛn dɔn no se dɛn gɛt am.

Bɔt mɛmba se, dɛn rit ya we pipul dɛn kin liv na jɔs ɛstimat. Dɛn nɔr kin tɛl yu ustɛm yu go liv ɔr us tritmɛnt go woke fayn fɔ yu. Ɔlman in bɔdi ɛn di sik prɔses difrɛn. Tɔk to yu dɔktɔ fɔ no mɔ.

Aw fɔ mek yu nɔ gɛt kansa na yu tɔŋ? (Prɛvenshɔn) .

Dɛn nɔ go ebul fɔ avɔyd kansa na yu tɔŋ ɔltogɛda. Bɔt tin dɛn de we yu kin du fɔ ridyus yu risk bad bad wan :

• Nɔ tek tabak ɛn rɔm:Di bɛst we fɔ mek yu nɔ gɛt kansa na yu tɔŋ na fɔ de fa frɔm tabak (sigrɛt, bidi, siga, sigrɛt we yu de it) ɛn rɔm. Dis na di tu men tin wae kin mek pɔrsin gɛt dis sik. Ivin afta we yu dɔn lɛf fɔ smok fɔ lɔng tɛm, di risk fɔ gɛt ɔl kayn kansa na yu mɔt ɛn yu trot kin ridyus bad bad wan.
• Gɛt di HPV vaysin: HPV na wan men tin we kin mek yu gɛt kansa na yu trot. Na kɔmɔn tin ɛn nɔr kin gɛt sɔm kayn sik. di HPV vaysin kin protεkt frכm tכng kansa, εn bak kansa na di sεviks, penis, vagina, εn anus. Aks yu dɔktɔ bɔt dis.
• It bɔku frut, vɛjitebul, ɛn ɔl gren: Tray fɔ gɛt yu it frɔm fresh it dɛn we dɛn nɔ prosɛs. Nɔ it rɛd mit, drink dɛn we gɛt shuga, ɛn it dɛn we dɛn dɔn prosɛs bɔku. Aks yu dɔktɔ bɔt wan it plan we go fayn fɔ yu.
• Si yu dɛntist ɔltɛm: Insay dɛn apɔntinmɛnt ya, yu dɛntist kin du ɔltɛm chɛk fɔ si if yu gɛt kansa na yu mɔt. Apat frɔm dat, gud ɔral wɛlbɔdi de bɛnifit fɔ di wɛlbɔdi ɛn wɛlbɔdi fɔ yu wan ol bɔdi.

Ustɛm yu fɔ go to dɔktɔ?

If yu notis nyu lump, blista, spat, sore, ɔ kɔlɔ chenj na yu tɔng, mɔ if i dɔn de de fɔ pas tu wiks , mek shɔ se yu go to dɔktɔ. Nɔ jɔs ignore am. I nɔ go bi ɛnitin we siriɔs, bɔt i bɛtɛ fɔ mek dɛn chɛk am.

Apat frɔm dat, go to yu dɛntist ɔltɛm fɔ klin ɛn chɛk-ap. Fɔ bɔku pipul dɛn, dat min se ɛvri siks mɔnt. Bɔt yu dɛntist go tɛl yu aw ɔltɛm yu fɔ kam bay wetin yu nid. If ɛnitin de we dɛn kin sɔprayz, dɛn kin ebul fɔ si am we dɛn de chɛk am ɔltɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If dɛn no se yu gɛt kansa na yu tɔŋ, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Yu no wetin kin mek dis tumbu fɔm?
• Yu tink se di kansa dɔn skata? If na so i bi, aw fa?
• Wetin na di nɛks tin dɛn we a fɔ du? Wetin a fɔ du?
• Us kayn tritmɛnt a nid?
• Aw lɔng tritmɛnt kin tek?
• A fɔ plan fɔ tek tɛm fɔ lɛf wok ɔ skul?
• Ustɛm a go no if di tritmɛnt dɔn wok fayn?
• Wetin na di bad tin dɛn we kin apin we pɔsin gɛt tritmɛnt? Wetin dɛn kin du bɔt dɛn?

Nɔto dɛn kwɛstyɔn ya nɔmɔ, bɔt ɛnitin we yu gɛt na yu maynd, ivin if yu gɛt smɔl dawt, nɔ shem fɔ aks di dɔktɔ. Dɛn de de fɔ ɛp yu.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

I nɔmal fɔ mek yu fred, fil bad, ɛn sɔntɛm yu go ivin fil bad we yu yɛri se yu ɔ pɔsin we yu lɛk gɛt kansa na yu tɔŋ. Bɔt nɔ fred, nɔ panik.Yu dɔktɔ de de fɔ ɛp yu. Dɛn kin tɔk to yu bɔt di tritmɛnt opshɔn dɛm ɛn fɛn tin dɛm fɔ sɔpɔt yu ɛvri step na di rod.

Fɔ no am kwik kwik wan ɛn fɔ trit am na di men tin. So, if yu notis nyu spat, lump ɔ ɛni ɔda tin we yu de sɔprayz pan yu tɔŋ – tɛl yu dɔktɔ. Hurry up, sev wan layf! Nɔto yu wan, wi ɔl de ya fɔ ɛp yu pan dis waka.

` Tɔng Kansa, Tɔng Kansa, Ɔral Kansa, Kansa Simptom dɛm, Kansa Kɔz, Kansa Tritmɛnt, HPV