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OHANCA

By Elise C

Ekubeni iColorado Access ingumbutho othanda ii-acronyms, nantsi enye entsha kuwe:

Ngu-OHANCA (ibizwe ngokuthi "oh-han-cah")1 inyanga!

Inyanga yoMlomo kunye neNgqomo yoLwazi ngoMhlaza (OHANCA) yenzeka rhoqo ngo-Epreli kwaye isebenza njengexesha lokwazisa iqela lee-cancer ezibalelwa kwi-4% yawo wonke umhlaza e-US. Kuqikelelwa ukuba i-60,000 yamadoda kunye nabasetyhini bafunyaniswa benomhlaza wentloko kunye nentamo ngonyaka.2

Umhlaza entloko nasentanyeni unokwenza kumqolo womlomo, umqala, ibhokisi yelizwi, izono ze-paranasal, umgodi weempumlo kunye namadlala amathe kwaye ukuxilongwa okuqhelekileyo kwenzeka emlonyeni, emqaleni nakwibhokisi yelizwi. Le mihlaza inokwenzeka ngokuphindwe kabini ukuba yenzeke emadodeni kwaye idla ngokufunyaniswa phakathi kwabantu abangaphezulu kweminyaka engama-50.

Ndandingazi nto ngolu hlobo lomhlaza de kwafunyaniswa ukuba utata wam unomhlaza womqala eneminyaka engama-51 ubudala. Ndandingumfundi ophezulu ekholejini kwaye ndandisandula ukugqiba isiqingatha sam sokugqibela sesemester yokuwa xa ndafumana umnxeba oqinisekisa ukuxilongwa kwakhe. Wayeye kugqirha wamazinyo kwiiveki ezimbalwa ezidlulileyo kwaye ugqirha wakhe wamazinyo wabona izinto ezingaqhelekanga kwisikrini sakhe somhlaza womlomo. Wamthumela kwingcali eyenza i-biopsy eqinisekisa ukuxilongwa kwe-squamous cell carcinoma. Olu hlobo lomhlaza lenza i-90% yazo zonke ii-cancer zentloko nentamo3 njengoko ezi ntlobo zomhlaza zihlala ziqala kwiiseli ze-squamous ezenza umphezulu we-mucosal wentloko kunye nentamo.2.

Njengoko umntu enokucinga, olu xilongo lwaluyonakalisa ngokwenene usapho lwam lonke. Unyango lukatata lwaqala ngotyando lokususa ithumba emqaleni wakhe. Kungekudala safumanisa ukuba umhlaza wawunwenwele kwiilymph nodes zakhe ngoko ke kwiinyanga eziliqela kamva waqalisa unyango oluyingozi lwechemotherapy neradiation. Olu nyango luneziphumo ebezingalindelekanga ezininzi – uninzi lwazo bezingemnandanga ngokugqithisileyo. Ukusasazeka komqala wakhe kwafuna ukufakwa ityhubhu yokutyisa njengoko uninzi lwezigulana ezifumana imitha kule ndawo ziphulukana namandla azo okuginya. Enye yeengongoma zakhe zokuzingca kukuba akazange ayenze-eyayitshoyo, ityhubhu yokutya yayiluncedo xa unyango lushiya ukutya kungathandeki ngokupheleleyo.

Utata wam uye wafumana unyango phantse unyaka phambi kokuba asweleke ngoJuni ka-2009.

Uxilongo lukatata lomhlaza ngoyena mqhubi ukhokelele ekubeni ndisebenze kukhathalelo lwempilo. Ngexesha le-semester yesibini yonyaka wam ophakamileyo wekholeji, ndala umsebenzi wokufumana umsebenzi kubasebenzi kwaye ndakhetha ukuya kwisikolo esiphumelele isidanga apho ndafunda unxibelelwano lombutho olugxile kwizicwangciso zokhathalelo lwempilo. Namhlanje, ndifumana injongo kunye novuyo lokusebenza kunye nabanikezeli bokhathalelo oluphambili kwaye ndibaxhasa ekuqinisekiseni ukuba amalungu ethu ayafikelela kukhathalelo olusemgangathweni lothintelo. Umhlaza katata wam ekuqaleni warhanelwa kucoceko lwesiqhelo lwamazinyo. Ukuba wayengazange aye kweso sithuba sokuqeshwa, isifo sakhe ngesasibi kakhulu, kwaye ngengazange abe nalo ithuba lokuthatha uhambo oluya kanye ebomini bakhe ukuya eSweden nomama nodade wabo okanye achithe phantse unyaka emva koko- Ukuxilongwa ukwenza izinto awayezithanda kakhulu - ukuba ngaphandle, ukusebenza njengomphathi wegadi, ukutyelela usapho kuNxweme oluseMpuma kunye nokubukela abantwana bakhe bebetha inqanaba elikhulu - ukuphumelela ekholejini, ukuphumelela kwisikolo samabanga aphakamileyo kunye nokuqala kweminyaka yeshumi elivisayo.

Ngelixa umhlaza wakhe ubundlongondlongo, kubalulekile ukuqaphela ukuba umhlaza wentloko nentamo unokuthinteleka kakhulu.

Izinto ezinobungozi ezinkulu ziquka4:

  • Ukusetyenziswa kotywala kunye necuba.
  • I-70% ye-cancer kwi-oropharynx (ebandakanya iitoni, inkalakahla ethambileyo, kunye nesiseko solwimi) idibene ne-human papillomavirus (HPV), intsholongwane eqhelekileyo yokwabelana ngesondo.
  • Ukuvezwa kokukhanya kweUltraviolet (UV), njengokuvezwa lilanga okanye imitha ye-UV eyenziweyo efana neebhedi zokutshisa, ngoyena nobangela uphambili womhlaza wemilebe.

Ukunciphisa le mingcipheko, iZiko loLawulo lweSifo kunye noThintelo (CDC) licebisa oku kulandelayo4:

  • Musa ukutshaya. Ukuba uyatshaya, yeka. Ukuyeka ukutshaya kwehlisa umngcipheko womhlaza. Ukuba ufuna inkxaso yokuyeka ukutshaya okanye ukusebenzisa iimveliso zecuba ezingenamsi, i IColorado QuitLine yinkqubo yokuphelisa icuba yasimahla esekwe kwizicwangciso eziqinisekisiweyo ezincede abantu abangaphezu kwezigidi eziyi-1.5 ukuba bayeke icuba. Fowunela u-800-QUIT-NOW (784-8669) ukuze uqalise namhlanje5.
  • Nciphisa ubungakanani botywala obuselayo.
  • Thetha nogqirha wakho malunga nogonyo lwe-HPV. Isitofu sokugonya se-HPV sinokuthintela usulelo olutsha ngeentlobo ze-HPV ezihlala zibanga i-oropharyngeal kunye neminye imihlaza. Ugonyo lucetyiswa kuphela kubantu abakwiminyaka ethile.
  • Sebenzisa iikhondom kunye namadama amazinyo ngokuthe rhoqo nangokuchanekileyo ngexesha lokwabelana ngesondo ngomlomo, nto leyo enokunceda ekwehliseni amathuba okunika okanye okufumana i-HPV.
  • Sebenzisa i-lip balm ene-sunscreen, nxiba umnqwazi onomphetho obanzi xa ungaphandle, kwaye uphephe ukutshisa ngaphakathi.
  • Tyelela ugqirha wamazinyo rhoqo. Ukuhlolwa kunokufumana umhlaza wentloko kunye nentamo kwangoko xa kulula ukunyanga.

Utata wayetshaya ethanda nebhiya emnandi. Ndiyazi ukuba olu khetho lwendlela yokuphila lube negalelo ekufunyanisweni kwakhe ngumhlaza. Ngenxa yoko, ndichithe ubuninzi bomsebenzi wam wobugcisa kwiindima ezijolise ekwandiseni ukufikelela kwinkathalo kunye nokuphucula umgangatho kwindawo yokukhusela. Utata uyandikhuthaza yonke imihla ukuba ndenze iminikelo emincinci ukuxhasa abona bantu basesichengeni baseColoradan ekufumaneni ukhathalelo abaludingayo ukuthintela ukugula okutshabalalisayo kunye nokufa okunokwenzeka ngenxa yento enokuthinteleka. Njengomama wabantwana ababini abancinci, ndihlala ndiphefumlelwe ukuba ndilawule oko ndinako ukunciphisa imingcipheko yentloko, intamo kunye nezinye ii-cancer. Ndiyakukhuthalela ukucocwa amazinyo kunye neemviwo zamaqula kwaye ndinombulelo ongazenzisiyo ngokufikelela kunye nokufunda nokujonga inkqubo yokhathalelo lwempilo ukuqinisekisa ukuba usapho lwam lunolwazi lwangoku kolu tyelelo.

Nangona ubomi bam buye bachaphazeleka kakhulu ngumhlaza wentloko kunye nentamo, isizathu sam sokubhala le post yeblogi kungekhona nje ukwabelana ngebali lam kodwa nokugqamisa ukhathalelo lokukhusela njengendlela yokukhusela yomlomo, intloko kunye nentamo. Okona kulungileyo, le mihlaza inokuthintelwa ngokupheleleyo kwaye xa ifunyenwe kwangoko, izinga lokusinda ngama-80%1.

Andisokuze ndiwulibale umzuzu wokuhamba kwiplaza kwikhampasi yaseColorado State University xa utata wam wafowuna endixelela ukuba unomhlaza. Ngexesha leNyanga yoKwazisa ngoMhlaza woMlomo, iNtloko kunye neNtamo, ithemba lam kukuba ibali lam linceda abanye ukuba bangaze balibale ukubaluleka kokuhlala usesikhathini kakuhle kunye neemviwo zamazinyo. Banokubusindisa ngokoqobo ubomi bakho.

1: headandneck.org/join-ohanca-2023/

2: cancer.gov/types/head-and-neck/head-neck-fact-sheet

3: pennmedicine.org/cancer/types-of-cancer/squamous-cell-carcinoma/types-of-squamous-cell-carcinoma/squamous-cell-carcinoma-of-the-head-and-neck

4: cdc.gov/cancer/headneck/index.htm#:~:text=To%20lower%20your%20risk%20for,your%20doctor%20about%20HPV%20vaccination.

5: coquitline.org/en-US/About-The-Program/Quitline-Programs