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OHANCA

By Elise C

Njengoba i-Colorado Access iyinhlangano ethanda ama-acronyms, nansi entsha kuwe:

I-OHANCA (ebizwa ngokuthi “oh-han-cah”)1 inyanga!

Inyanga yokuqwashisa ngomdlavuza we-Oral Head and Neck Cancer (OHANCA) yenzeka njalo ngo-Ephreli futhi isebenza njengesikhathi sokuqwashisa iqembu lomdlavuza elibalelwa ku-4% wawo wonke umdlavuza e-US. Balinganiselwa ku-60,000 abesilisa nabesifazane abatholakala benomdlavuza wekhanda nentamo minyaka yonke.2

Umdlavuza ekhanda nasentanyeni ungakheka endaweni yomlomo, emphinjeni, ebhokisini lezwi, ezonweni ze-paranasal, ikhala kanye nezindlala zamathe futhi ukuxilonga okuvame kakhulu kwenzeka emlonyeni, emphinjeni nasebhokisini lezwi. Le midlavuza inamathuba aphindwe kabili okuba khona kwabesilisa futhi ivame ukutholakala kubantu abaneminyaka engaphezu kwengama-50.

Ngangingazi lutho ngalolu hlobo lomdlavuza kwaze kwaba yilapho ubaba wami etholakala enomdlavuza womphimbo eneminyaka engu-51 ubudala. Ngangingumfundi ophakeme ekolishi futhi ngangisanda kuqeda ifayinali yami yokugcina yesemester yokuwa lapho ngithola ucingo oluqinisekisa ukuthi uxilongwe. Uke waya kudokotela wamazinyo emasontweni ambalwa edlule futhi udokotela wakhe wamazinyo wabona ukungahambi kahle esikrinini sakhe somdlavuza womlomo. Wamdlulisela kuchwepheshe owenze i-biopsy eqinisekisa ukutholakala kwe-squamous cell carcinoma. Lolu hlobo lomdlavuza lwakha u-90% wawo wonke umdlavuza wekhanda nowentamo3 njengoba lezi zinhlobo zomdlavuza ngokuvamile ziqala emangqamuzaneni e-squamous ahlanganisa ubuso bekhanda nentamo.2.

Njengoba umuntu engacabanga, lokhu kuxilongwa kwakulimaza kakhulu umndeni wami wonke. Ukwelashwa kukababa kwaqala ngokuhlinzwa ukuze kukhishwe isimila emphinjeni wakhe. Ngokushesha sathola ukuthi umdlavuza wawususakazekele kuma- lymph nodes ngakho ngemva kwezinyanga ezimbalwa waqala ukwelashwa ngamakhemikhali nokukhishwa kwemisebe. Lokhu kwelashwa kube nenqwaba yemiphumela engemihle - eminingi yayo ibingemnandi ngokwedlulele. Ukushiswa komphimbo wakhe kwakudinga ukuthi kufakwe ishubhu lokuncelisa njengoba iziguli eziningi ezithola imisebe kule ndawo zilahlekelwa amandla azo okugwinya. Enye yamaphuzu akhe wokuziqhenya ukuthi akakaze akwenze - lokho kusho, ishubhu lokuphakelayo laliwusizo lapho ukwelashwa kwakushiya ukudla kungakhangi nhlobo.

Ubaba wami welashwa cishe unyaka ngaphambi kokuba ashone ngoJuni ka-2009.

Ukuxilongwa kukababa umdlavuza yikona okungiholele ekutheni ngisebenze kwezokunakekelwa kwezempilo. Phakathi nesemester yesibili yonyaka wami omkhulu ekolishi, ngenqaba umsebenzi wokusebenzela abantu futhi ngakhetha ukuya esikoleni lapho ngafunda khona ukuxhumana kwenhlangano ngigxile ezindaweni zokunakekelwa kwezempilo. Namuhla, ngithola injongo nenjabulo yokusebenza nabahlinzeki bokunakekelwa okuyisisekelo futhi ngibasekela ekuqinisekiseni ukuthi amalungu ethu ayafinyelela ekunakekelweni okuseqophelweni eliphezulu. Umdlavuza kababa waqala ukusolwa lapho kuhlanzwa amazinyo. Ukube akayanga kulokho aqokiwe, ukubikezela kwakhe bekuyoba kubi kakhulu, futhi ubengeke abe nethuba lokuthatha uhambo oluya kanye empilweni yakhe lokuya eSweden nomama wakhe nodadewabo noma achithe cishe unyaka ngemuva- ukuxilonga ukwenza izinto ayezithanda kakhulu - ukuba ngaphandle, ukusebenza njengengcweti yengadi, ukuvakashela umndeni oGwini Olusempumalanga futhi ebuka izingane zakhe zishaya ingqopha-mlando - ukuphothula ekolishi, ukuphothula esikoleni esiphakeme kanye nokuqala kweminyaka yobusha.

Nakuba umdlavuza wakhe ubunamandla kakhulu, kubalulekile ukuqaphela ukuthi umdlavuza wekhanda nentamo ungagwemeka kakhulu.

Izinto eziyingozi ezinkulu zihlanganisa4:

  • Ukusetshenziswa kotshwala nogwayi.
  • Amaphesenti angama-70 omdlavuza ku-oropharynx (okuhlanganisa amathoni, ulwanga oluthambile, kanye nesisekelo solimi) axhumene ne-human papillomavirus (HPV), igciwane elivamile elithathelwana ngocansi.
  • Ukuchayeka ekukhanyeni kwe-Ultraviolet (UV), njengokuchayeka elangeni noma imisebe ye-UV yokwenziwa njengemibhede yokushuka, kuyimbangela enkulu yomdlavuza ezindebeni.

Ukunciphisa lezi zingozi, iCenters for Disease Control and Prevention (CDC) incoma okulandelayo4:

  • Ungabhemi. Uma ubhema, yeka. Ukuyeka ukubhema kwehlisa ingozi yomdlavuza. Uma udinga ukusekelwa ukuze uyeke ukubhema noma ukusebenzisa imikhiqizo kagwayi engenantuthu, the I-Colorado QuitLine wuhlelo lwamahhala lokuyeka ugwayi olusekelwe kumasu afakazelwe asize abantu abangaphezu kwezigidi ezingu-1.5 ukuba bayeke ugwayi. Shayela ku-800-QUIT-NOW (784-8669) ukuze uqalise namuhla5.
  • Nciphisa inani lotshwala obuphuzayo.
  • Khuluma nodokotela wakho mayelana nokugoma i-HPV. Umgomo we-HPV ungavimbela izifo ezintsha ngezinhlobo ze-HPV ezivame ukubangela i-oropharyngeal kanye neminye imidlavuza. Ukugoma kunconywa kuphela kubantu abaneminyaka ethile.
  • Sebenzisa amakhondomu namadamu amazinyo ngokungaguquki nangendlela efanele ngesikhathi socansi lomlomo, okungasiza ekwehliseni amathuba okunikeza noma okuthola i-HPV.
  • Sebenzisa amafutha okugcoba ezindebeni aqukethe okokuvikela ilanga, gqoka isigqoko esinomphetho obanzi lapho ungaphandle, futhi ugweme ukushuka ngaphakathi.
  • Vakashela udokotela wamazinyo njalo. Ukuhlolwa kungathola umdlavuza wekhanda nentamo kusenesikhathi lapho kulula ukuwelapha.

Ubaba wayebhema futhi ethanda ubhiya omnandi. Ngiyazi ukuthi lezi zindlela zokuphila zazinomthelela ekuxilongweni kwakhe umdlavuza. Ngenxa yalokhu, ngisebenzise ingxenye enkulu yomsebenzi wami wobungcweti ezindimeni ezihloselwe ukukhulisa ukufinyelela ekunakekelweni kanye nokwenza ngcono ikhwalithi endaweni yokunakekela yokuvikela. Ubaba uyangikhuthaza nsuku zonke ukuthi ngenze iminikelo emincane yokweseka abase-Coloradan abasengozini enkulu yokuthola ukunakekelwa abakudingayo ukuze kuvinjwe ukugula okulimazayo nokufa okungenzeka ngenxa yokuthile okungagwemeka. Njengomama wezingane ezimbili ezincane, ngihlala ngiphefumulelwe ukulawula engingakwenza ukuze nginciphise izici eziyingozi zekhanda, intamo kanye neminye imidlavuza. Ngikukhuthalele ukuhlanzwa kwamazinyo kanye nezivivinyo zemithombo futhi ngibonga kakhulu ngokufinyelela kanye nokufunda nokubhala ekuzuleni uhlelo lokunakekelwa kwezempilo ukuze ngiqinisekise ukuthi umndeni wami unolwazi lwakamuva ngalokhu kuvakasha.

Nakuba impilo yami iye yathinteka ngokujulile umdlavuza wekhanda nentamo, isizathu sami sokubhala lokhu okuthunyelwe kwebhulogi akukhona nje ukwabelana ngendaba yami kodwa futhi ukugqamisa ukunakekelwa kokuvimbela njengendlela yokuvimbela ephumelelayo yomdlavuza womlomo, wekhanda nentamo. Okungcono kakhulu, le midlavuza ingavinjelwa ngokuphelele futhi uma itholwa kusenesikhathi, izinga lokusinda lingama-80%.1.

Angisoze ngasikhohlwa isikhathi ngihamba eplaza ekhempasini yase-Colorado State University lapho ubaba engishayela ucingo engitshela ukuthi unomdlavuza. Ngenyanga Yokuqwashisa Ngomdlavuza Womlomo, Wekhanda Nentamo, ithemba lami ukuthi indaba yami isiza abanye ukuba bangalokothi bakhohlwe ukubaluleka kokuhlala benolwazi lwakamuva ngezivivinyo zezempilo kanye nezivivinyo zamazinyo. Bangasindisa ukuphila kwakho ngokoqobo.

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/zu-US/About-The-Program/Quitline-Programs