Oropharyngeal cancer chungchang hi i zir dawn teh ang. Heng thilte hi i hriat a pawimawh!

I rilru na, i aw a inthlak emaw, ei harsa emaw i nei thei bawk a ni lawm ni? Heng symptom tenau te hi kan ngaihthah fo thin. Khawsik emaw, kawr na emaw mai mai niin kan ngai. Mahse, a châng chuan heng natna lan chhuah dân pangngai anga langte hi thil pawi zâwk avânga lo awm thei a ni. Vawiin hian thupui pakhat, tlem tal ngaihtuah belh ngai kan sawi dawn a ni. Chu chu ``Oropharynegal Cancer,'' cancer a ni a, chu chu kan rilru chhungril, kan hmui hnung lama awm, kan rilru atanga lo chhuak a ni. Hlau suh, a pawimawh ber chu hei hi fimkhur hi a ni.

He cancer hi kan rilru chhungril lam (Oropharyngeal Cancer) hi eng nge ni?

A awlsam zawngin sawi ila, `Oropharyngeal Cancer` hi i kawr lairil, `Oropharynx` tia koh cell te chu a pangngai lo taka an lo thang lian a, cancer an nih chuan a lo awm thin a ni. `Oropharynx` hian i hmui hnunglam, i lei bul, tonsils, leh i rilru chunglam a soft palate te a huam a ni. He hmun hian hmui a siam a, i hmui leh i kawr a ti hnim a, i ei tur chu i digest thei bawk. Doctor ten he cancer hi enkawl dan hrang hrang an nei a. Mahse, a chang chuan enkawl hnuah `recur` thei a ni. He cancer hi pumpelh kim theih ni lo mah se, thil thenkhat ngaihtuah chuan i vei theihna tur i ti tlem thei a ni. Entirnan, `Human Papillomavirus (HPV)` hrik laka inven a pawimawh hle a, zu in loh leh zu in thunun a pawimawh hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan `Oropharyngeal Cancer` hi cancer chi khat a ni lo. Entirnan, American Cancer Society chhinchhiah dan chuan United States-ah hian kum tin mi 53,000 velin he cancer hi an vei tih hmuhchhuah a ni. Amaherawhchu, hnute cancer kan ei chuan kum tin mi 290,000 chuangin a vei a ni. Chuvangin, chutiang nena khaikhin chuan hei hi a hniam deuh a ni. Hetiang dinhmun hi Sri Lanka-ah pawh hmuhchhuah a ni a, mahse cancer chi dang nena khaikhin chuan chutiang chuan a awm lo.

`Oropharyngeal Cancer` chi hrang hrang a awm em?

Ni e, hei hi chi hrang hrang a awm ber.

• Tonsil cancer hi cancer chi hrang hrang zingah a tam ber a ni.
• Chu bakah, heng cancer te hi hmui, hmui hnuai leh oropharynx hmun dangah pawh a awm thei bawk.

`Ophoryngeal Cancer` natna lan chhuah dan chu engte nge ni?

Hei hi a pawimawh hle a, a chhan chu he cancer natna lan chhuah dan hi a chang chuan natna tenau dang chhinchhiahna nen a inang thei a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

• Persistent sore throat (` Pharyngitis` ) : Kawng na, a dam lo.
• Chaw ei harsa emaw, natna emaw (`Dysphagia : Chaw ei theih loh anga inhriatna.
• Kawng hawn harsa (`Trismus`) emaw, lei sawn harsat.
• Sawifiah loha taksa rihna tihtlem : I tum lova i taksa rihna tihtlem chuan.
• Voice changes : Aw ri bengchheng emaw, aw inthlak danglam emaw, a tha lo.
• Earache : Beng natna awm reng, reh thei lo (a bik takin a sir khatah).
• Kawng hnunglam emaw, ka chhunga emaw lump : I hriat theih emaw, i hmuh theih emaw lump.
• A lump in the neck : Kawr chhungah a hring emaw, a hring emaw a awm.
• Thisen chhuak chhuak .
• Leiah emaw, ka chhungah emaw hmun var : Hun engemaw chen hnuah a reh loh chuan.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan lungngai suh, cancer a ni ngei ang. Mahse, heng symptoms te hi kar hnih aia rei a awm chuan doctor hnenah thurawn dil ngei ngei tur a ni.

`Ophoryngeal Cancer` awm chhante chu engte nge ni?

He cancer hi a lo awm chhan lian tak tak engemaw zat a awm a.

• Human Papillomavirus ( HPV ) infection : Hei hi a chhan ber nia hriat a ni. HPV virus hian kan ka leh kan kawr chhunga cell thang chakna control tu genes te a nghawng a. Hei hian cell te chu a tipung chak hle a, cancer, a nih loh leh tumor a lo ni thei a ni.
• Zuk leh hmuam hman : Cigarette, cigar leh zuk leh hmuam ei hian i kawr chhunga cell awmte a tichhe thei a ni. Hetianga chhiatna hian cell te chu a tlangpui aia nasain a inthen darh thin. Hei hian DNA tihsual theihna a tipung a, chu chuan cancer cells a siam thei a ni.
• Zu : Zu in hian i kawr chhunga cell awmte a tichhe thei a, DNA siam that theihna a tichhe thei bawk. Meizial zu laiin zu in hian a hlauhawmna a tipung lehzual a ni.

`Oropharyngeal Cancer` vei theihna tur risk factors te chu engte nge ni?

He cancer vei theihna tipungtu thil engemaw zat a awm a:

• HPV infection , a bik takin HPV type 16.
• Cigarette leh zuk leh hmuam thil dang hman tawhna history nei.
• Zu in tam lutuk.
• Tun hmaa lu emaw, kawng emaw cancer i lo neih tawh chuan.
• Lu emaw i kawr emaw velah radiation therapy i ei tawh a nih chuan.

Engtin nge doctor te hian Oropharyngeal Cancer hi an hriat theih?

Doctor i hmuh chuan i natna lan chhuah dan te, i damdawi lam chanchin (hmanlai cancer i vei tawh em tih te, radiation therapy i lo neih tawh leh neih loh te), leh i nunphung (zu i in leh in loh ang chi) te a zawt hmasa ang che. Tichuan, i hmui, i kawr leh i kawr chu uluk takin an enfiah ang. I kawr chhunga lumps awm apiang an hre bawk ang. A châng chuan, i hmui leh i rilru chhungril lam enfiah nan darthlalang, light emaw, camera nei tube te tak te (`fiberoptic scope`) emaw an hmang thei bawk.

Hemi atan hian eng ang test nge tih thin?

Doctor-te chuan natna hriat chian nan test eng emaw zat an ti thei a:

• Endoscopic Biopsy : Hei hi ka chhungah tube te tak te, flexible tak (endoscope) dah a ni a, a tawpah camera te tak te hmangin rinhlelhna hmun atanga tissue te tak te lakchhuah a ni. Chumi hnuah chuan laboratory-ah microscope hmangin tissue chu an enfiah a, cancer cell emaw HPV infection emaw a awm leh awm loh an enfiah a ni.
• `Computed Tomography (CT) Scan` : He `CT` scan hian cancer lian leh te a teh thei a, hmun dangah a darh tawh em tih a en thei bawk. A chang chuan hei hi `Positron Emission Tomography (PET) Scan` nen pawha tih theih a ni.
• Magnetic Resonance Imaging (MRI) Scan : He MRI scan hian taksa peng nêm, a bik takin tonsils leh lei bul te chipchiar taka thlalak a siam thei a ni. Hei hian tumor lian leh te pawh a hriat theih nan a pui thei bawk.

`Oropharyngeal Cancer` stage hrang hrang a awm em?

Ni e, a dik tak zet. Doctor-te chuan enkawlna an ruahman a, cancer stage (Cancer Staging) a zirin prognosis an pe thin. Oropharyngeal Cancer hi stage lian pali a awm a (Stage I atanga IV). Heng stage te hi HPV infection i neih leh neih loh a zirin a danglam deuh thei. Chu bakah, tumor lian leh te, a bul hnaia lymph node-ah emaw, taksa hmun hla takah emaw a darh tawh emaw, a stage hriat theihna kawngah pawh a thawhhlawk hle bawk.

Engtin nge `Oropharyngeal Cancer` hi enkawl a nih?

Doctor-te chuan he cancer enkawlna atan hian surgery, radiation therapy, chemotherapy, targeted drug therapy, emaw immunotherapy ang chi hmanrua an hmang ber a ni. An thil tum ber chu cancer cells te chu a tlem thei ang bera i tawng leh ei theihna tichhe thei tur khawpa paih chhuah hi a ni.

Inzai

Cancer hi a te a, hmun dangah a darh lo a nih chuan surgery hmanga lakchhuah theih a ni.

• `Transoral Robotic Surgery (TORS) hmanga tih a ni` tih hi a ni: Hei hi surgical procedure thar, minimally invasive, hmui hmanga tih a ni. Thlarau chhung thuk takah, thlen harsa hmuna cancer awmte chu a paih chhuak thei a ni. Robot technology a hman avangin a kawngah incision lian tak siam emaw, uvula lakchhuah emaw a ngai lo. Tin, `tracheostomy` (thâwkna tube dah) a ngai lo bawk.
• `TORS` te thatna: 1.1.
• Operation hnua damdawi ina awm chhung hi a rei lo hle.
• I dam thuai thei.
• A chhehvel tissue leh taksa peng hrang hrang, ei leh in lama puitu te chu a chhiat tlem zawk.
• Thusawi leh ei leh in lama harsatna rei tak awm chu a tlem zawk.
• `TORS` avanga side effects/complication awm thei te:
• Thisen chhuah dan pangngai lo (`Hemorrhage`).
• Chaw emaw tui emaw lung chhunga lut (`Aspiration`).
• Lung chhunga oxygen tling lo (Respiratory Compromise).
• Chaw ei harsa (Dysphagia).
• Chaw ei harsa.
• Aw ri hloh reng reng emaw, tawng harsa emaw.
• Thâwk harsat avangin tracheostomy neih a ngai.
• Hmêl lan dan a inthlak danglam.

Mi thenkhat chuan TORS surgery hnuah enkawlna dang, reconstructive surgery, speech therapy, emaw nutritional therapy te chu a side effects enkawl nan an mamawh thei a ni.

Chemotherapy hmanga enkawl a ni

I doctor chuan chemotherapy chauh emaw, radiation therapy hmangin emaw a pe thei bawk. Surgery tih theih lohna hmunah te, entirnan cancer chu a lian lutuk a, surgery hmanga lakchhuah theih loh a nih chuan heng enkawlna pahnih hi pek dun theih a ni. Pawh:

• Cancer hi oropharynx atanga taksa hmun dangah a darh tawh a nih chuan.
• Surgery hmain tumor chu tihchhiat hmasa phawt ang che.
• He enkawlna hi operation hnua cancer cell awm thei zawng zawng tihchhiat nan pawh hman a ni.
• Chemotherapy leh radiation therapy-in a nghawng tha lo: Heng enkawlna pahnih hi pek dun a nih chuan i thusawi thiamna a nghawng thei a ni. Hei hi a chhan chu radiation therapy hmanga hrui hrisel a tihchhiat avangin tawng leh ei a harsat phah a ni. Hei hian special therapy a mamawh mai thei.

Targeted Therapy hmanga tih a ni

Hengte hi lab-a siam protein bik (monoclonal antibodies) an ni. Heng enkawlnate hian cancer cells te inthen darh, an lo thanglian leh an darh zel theihna tura puitu protein pakhat chu block-in hna an thawk a ni.

• Side effects: Hengte hi damdawi chi hrang hrang a zirin a inang lo. Entirnan, damdawi `Cetuximab` hian a side effect tlangpui chu:
• Infection chhinchhiahna, khawsik leh khawsik te.
• Vun natna, vun natna.
• Luak chhuak thei.
• Kawng a vawt.
• Indigestion (indigestion) a awm lo.
• Vun leh nail inthlak danglamna.

Immunotherapy hmanga enkawl a ni

Hei hi cancer a lo let leh emaw, a darh tawh emaw a nih chuan first-line treatment a ni. Immunotherapy hian nangmah ngeiin i immune system-in cancer cells a hmuh theih nan leh a tihchhiat theih nan a pui a ni. Pembrolizumab (Keytruda®) leh Nivolumab (Opdivo®) te hi chutiang damdawi pahnih an ni.

• Side effects awm thei te:A tam zawkah chuan a side effects te hi a tlem hle.
• Chau.
• Itchy rash a awm.
• Kawthalo.
• Nausea leh luak chhuak.

Oropharyngeal Cancer hi a veng thei ang em?

A ven kim theih loh nachungin, i hlauhawmna tihziaawmna tur thil i tih theih a awm a:

• Human Papillomavirus (HPV) kai loh tur a ni. Mipat hmeichhiatna hmanpui tam tak neih leh/ emaw, oral sex neih hian HPV vei theihna a tipung a ni. HPV vaccine chungchang hi doctor zawt rawh.
• Meizial zu tan suh. Meizial i zu a nih chuan bansan rawh. Meizial zu chhunzawm hian i hmui, i rilru, i hmui, a nih loh leh i lung cancer vawi hnihna i neih theihna a tipung nasa hle. I doctor hnenah tanpuina dil rawh.
• Zu in tam leh tam lutuk loh tur. Zu hian zuk leh hmuam hian cancer thlentu a tipung a ni. Chuvang chuan a pahnih hi hman dun loh a pawimawh hle.
• Ei leh in hrisel, inthlau tak ei rawh. Exercise neih fo thin ang che.
• I doctor leh dentist te chu schedule mumal takin hmu rawh. I hmui leh i kawr an enfiah thei a, a danglamna eng pawh an hmu hmasa thei bawk.

Hetiang dinhmun hi ka neih chuan eng nge thleng ang?

Oropharyngeal cancer i neih chuan cancer lo lang leh emaw, cancer thar emaw enfiah nan follow-up examination neih fo a ngai ang. Zu i in emaw, zu i in emaw a nih chuan i doctor nen in bânsan chungchang sawipui rawh. Meizial zu leh zu in hian cancer lo kir leh emaw, cancer thar neih emaw a tipung a ni.

`Oropharyngeal Cancer` hi tihdam theih a ni em?

Doctor ten he cancer hi an enkawl thei a ni. Mahse, hlawhtling taka enkawl hnuah pawh a lo let leh thei. American Cancer Society chhinchhiah danin, oropharyngeal cancer vei zinga 70% vel chu an hmuhchhuah atanga kum nga hnuah pawh an la dam a ni. Doctor-te chuan natna kal zel dan tur tichhe thei thil engemaw zat an hmuchhuak a:

• Cancer tam zawk ang bawkin, cancer hi a darh hmaa hmuhchhuah a, enkawl a nih chuan outcome a tha zawk.
• HPV infection avanga cancer vei te hian hri kai lo te aiin outcome tha zawk an nei thin.
• Zuk leh hmuam hmang lote chuan a hmangtute aiin result tha zawk an hmu thin.

Engtin nge ka in enkawl ang?

I in enkawl dan tha ber chu:

• Zuk leh hmuam ei loh tur. Meizial i zuk chuan bansan tum ang che.
• Zu in loh tur.
• HPV i vei chuan hri kai thar laka invenna tur vaccine lak chungchang doctor nen sawiho rawh.
• Ṭanpuina dil rawh. I enkawlna chuan thusawi emaw, ei emaw a ti harsa thei a. Mahse, heng side effects te hi enkawl dan tur bik therapies leh program hrang hrang a awm thung.
• Doctor hmu fo ang che.I hriselna zawng zawng leh cancer a lo lang leh tawh em tih enfiah thin ang che.

Engtikah nge Doctor ka hmuh ang? Engtikah nge emergency room-ah ka kal ang?

Inenkawl zawhah doctor pan fo a pawimawh hle. I dam chhung zawngin check-up neih fo a ngai mai thei. A tlangpuiin, enkawl zawh kum khatna atan kar 6-12 danah check-up neih tir i ni ang a, kum hnihna atan thla 3 danah, kum thumna atan thla 3-4 danah, chumi hnu thla 6 danah check-up neih tir i ni ang. Cancer natna hrik paih chhuah tura operation i neih tawh chuan, natna hrik i neih chuan emergency room-ah i kal nghal tur a ni . Heng chhinchhiahnate hi:

• Khawsik.
• Surgery hmun chu a sen a, a na a nih chuan.
• Surgery hmun atanga pus ang chi tui lo chhuak a awm chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i tlawh hunah heng zawhnate hi i zawt thei ang:

• Khawiah nge ka cancer hi a awm tak tak?
• Ka cancer hi a darh tawh em? Eng stage-ah nge a awm? Chu chu eng nge a awmzia?
• Eng test dang nge ka tih ngai?
• Ka treatment team-a doctor te hi tute nge ni?
• Ka cancer hi Human Papillomavirus (HPV) nen a inzawm em?
• Ka nunphungah eng inthlak danglamna nge ka neih?
• Ka enkawl dan tur chu eng nge ni? Ka duhthlan tur zawng zawng chu engte nge ni?
• Ka natna tihdam theihna chance engzat nge awm?
• Enkawlna hian eng side effect nge a neih?
• Cancer a lo let leh chuan eng nge thleng ang? Ka duhthlan turte chu engte nge ni?

``Oropharyngeal Cancer'' leh ``Oral Cancer'' hi a inang em?

No. Lu leh kawr cancer chi hnih ni mah se, an danglam hle.

• Oral cancer chu i hmuiah emaw, i hmuiah emaw cancer lo awm a ni. I lei hmalam, i hmui chhungah, i hmui chung hmalam leh i hmui hnuai lamah te a awm thei.
• Oropharyngeal Cancer hi i oropharynx-a cancer lo awm a ni a, chutah chuan tonsils, lei hnunglam, soft palate, sir leh hnunglam te a tel a ni. Chungte chu hmui leh kawr chunglam line-a awm squamous cells atanga siam a ni.

Oropharyngeal cancer hi lu leh kawng cancer chi khat a ni a, a tlem hle. Doctor ten enkawl thei mah se, enkawl hnuah a lo let leh thei a ni. A tam zawkah chuan he cancer hi Human Papillomavirus (HPV) nena inzawmna avanga lo awm a ni. Zuk leh hmuam hmang leh zu in thinte pawhin he cancer hi an vei theihna a sang zawk.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh atang khan point pawimawh thenkhat i hriat nawn tir leh ang u.

• Oropharyngeal cancer hi kan ril lai vel a awm a ni. HPV infection, meizuk leh zu in hi a hlauhawmna ber a ni.
• Thlalak na reng reng, ei harsa, aw inthlak danglam, kawr chhunga lumps awmSymptoms te hi fimkhur rawh: Hengte hi kar hnih aia rei a awm chuan doctor rawn la.
• Enkawlna kawng hrang hrang a awm. Hriat hmasak a pawimawh hle.
• HPV vaccine, zu in loh leh zu in tam lutuk ang chi thilte hian a hlauhawmna a tihziaawm thei a ni.
• Hetiang dinhmun i neih emaw, rinhlelhna i neih emaw chuan Doctor hmu a, biak pawh hlau suh. An pui ang che.

Awareness hi invenna tha ber a ni tih hre reng ang che. I hriselna enkawl a phu a ni.