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मौखिक कैंसर के प्रति जागरूकता: रोकथाम के लिए रणनीतियाँ

वक्ता: डॉ. जीवी नागार्जुन रेड्डी

Head & Neck Oncosurgeon, MAA Hospitals, Hyderabad

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विवरण

Promoting oral cancer awareness through educational campaigns aimed at informing the public about risk factors, signs, and symptoms of oral cancer is crucial for early detection and prevention. Encouraging individuals to quit smoking and avoid excessive alcohol consumption significantly reduces the risk of developing oral cancer, as these are major contributing factors. Emphasizing a balanced diet rich in fruits and vegetables, which are high in antioxidants, can help reduce the risk of oral cancer and support overall oral health. Routine dental visits for oral examinations and screenings play a vital role in detecting precancerous lesions or early-stage oral cancers, enabling prompt intervention and treatment. Encouraging vaccination against human papillomavirus (HPV), a known risk factor for oral cancer, especially among adolescents and young adults, can reduce the risk of developing HPV-related oral cancers. Teaching individuals how to perform self-examinations of their oral cavity to identify any changes or abnormalities, such as persistent sores or lumps, encourages early detection and timely medical evaluation.

सारांश

  • Oral cancer awareness is crucial, especially in India, where the incidence is high. The goal is early detection to save lives, as cancer affects not just the individual but the entire family. The presentation covers oral cavity anatomy, risk factors, the Indian scenario, financial burdens, and preventive strategies.
  • Tobacco, both smoking and smokeless forms, is a major risk factor due to the presence of numerous carcinogenic chemicals. Nicotine addiction is driven by its stimulation of dopamine receptors in the brain, leading to a sustained high with chewable tobacco. These chemicals have carcinogenic and toxic effects on various organs.
  • India is facing a rising tide of non-communicable diseases, including cancers, due to lifestyle changes. Normal mucosa can transform into cancer over time through DNA repair mechanism loss, resulting in dysplasia and ultimately invasive carcinoma. These changes are reversible only in the early stages.
  • Statistics indicate a significant number of adults using tobacco in India, with concerning rates of secondhand smoking. Alcohol is another major risk factor, with a multiplicative effect when combined with tobacco. Future trends predict a substantial increase in cancer cases in India by 2045, particularly oral cavity cancer.
  • The financial burden of oral cancer treatment in India is substantial, with thousands of crores spent annually. Advanced-stage treatment is significantly more costly than early-stage intervention. The cost increases with the disease severity and stage.
  • Preventive strategies include educating about the harmful effects of tobacco and alcohol, law enforcement, and regular screening for high-risk populations. Smoking cessation guidelines involve assessing patients' willingness to quit, assisting them through counseling and pharmacotherapy, and arranging for follow-up.
  • Self-oral exams are vital for early detection. Awareness of governmental bodies like the National Tobacco Control Program is important, as is exercising rights related to smoking-free places. Chemo-prevention using natural resources like green tea and blackberries can help reverse the damage caused by chemicals.

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