Zvinokonzera njodzi uye kurapwa kwekenza yemuromo uye yerurimi
Kenza yemumuromo inoratidzira mutanho wemusoro uye wemutsipa unobata muromo. Inogona kuumbwa muchigadziko chematama, gum, denga remuromo, rurimi, nemiromo.
Risk Factors
Kenza yemuromo nemuromo inowanzokonzerwa nekubatanidzwa kwezvipingamupinyi.
Kusvuta fodya - Zvichida chinonyanya kukosha chinokonzerwa nekugadzira kenza yemuromo ndiko kushandiswa kwefodya. Kusvuta fodya, cigai, uye mapaipi zvose zvinowedzera ngozi yako yekenza yemuromo neyo rurimi.
Fodya isina tsvina, inowanzonzi "kuchera" kana "chew," inowedzerawo ngozi.
Doro kushandiswa imwe tsika inobatanidzwa nekubudirira kwekenza yemuromo.
Ipapillomavirus yevanhu (HPV) - Tsvakurudzo inonyatsoratidza kuti utachiona hwepillomavirus yevanhu (HPV) inowedzera dambudziko rekenza yemuromo, uye inofungidzirwa kuti HPV ikozvino inokonzera 72% muzana yekenza mushure mehuro. HPV chirwere chinoparidzirwa kuburikidza nehupombwe, sekubatana kweganda nemukati, kusangana pabonde / kurara, uye kurara pabonde.
Zviratidzo
Vanachiremba vanachiremba iye zvino vanogara vachinyatsoongorora varwere vanorwara nekenza mumuromo munguva yekuongororwa, asi kuziva kwezviratidzo zvekenza yemuromo kunokosha zvakare. Izvi zvinogona kusanganisira:
- Donda kana blister mumuromo mako kana pamuromo wako usingapore shure kwevhiki mbiri
- Chiremera pane rurimi kana toni
- Muchena uye mutsvuku mumuromo kana pamiromo isingaporese
- Kubvambura kubva pamuromo kusingapindirani nekukuvara
- Kushandurwa munzira iyo meno akaenzana pamwe chete, kusanganisira kuti mazino akakodzera sei, kana mazino akasununguka pamusana pokuputika kwejaya kana kurwadziwa
- Kupfuurira kunzwika nzeve
- Kuoma kunomedza, kudzora, kutaura, kana kutamisa rurimi
Kuziva
Kana ruzivo rwehutano hwako hunoona chero chinhu chinoshungurudza mumuromo mako kana parurimi rwako, zvino rumwe ruzivo rwunotarisirwa runofanirwa kusimbisa kusavapo kana kuvapo kwekenza.
Izvi zvinogona kuitwa kuburikidza nekuita bhidhiyo yezvisina kukwana nzvimbo (s) yomuromo. Bhiopsy inobvisa zviduku zviduku zvinotumirwa kubhidhiyo yekuongorora pakucherechedza microscope.
Kana kenza inowanikwa, danho rechirwere rinotarirwa. Kutarisa kunoreva kuti kurega kenza yemuromo yakapararira sei. Mamwe mimwe miedzo yakadai semayese x-rays, endoscopy , nemimwe miedzo yekufungidzira inogona kushandiswa kutarisa kuti kenza yakapararira kusvika papi.
Kurapa
Chirwere chekenza yemuromo chinonyanya kutarisana nechikamu chechirwere chacho. Kunopfuura rudzi rumwe rwemishonga inogona kushandiswa mukurapa kenza yemuromo. Zvakakosha kuwana chiremba anoziva mukurapa kenza yemuromo uye kubvunza mibvunzo yakawanda. Funga kuwana pfungwa yechipiri pane chikuru chekenza nzvimbo . Zvidzidzo zvinoratidza kuti kurapwa kwekenza yemuromo kunowanzosiyana, uye iwe unofarira kuona chiremba uyo akaita 200 mavhiria emitauro kupfuura uyo akaita 2. Kunyange kana kenza inogona kubviswa zvizere - mune mamwe mazwi, inogona kupora - muwandu we kuremara kwawakaita kunogona kusiyana zvichienderana nezvakaitika kune chiremba wako.
Ramba uchifunga kuti panguva iyo kenza inowanika inowanzowedzera zvishoma, uye nguva yakawanda iyo haifaniri kutarisirwa pakarepo.
Zvechokwadi, zvinonzwa zviri nani kuva nekenza yako yakabviswa nokukurumidza kupfuura gare gare, asi tora nguva isati yatanga kurapwa kuti uone kuti iwe uri mumiriri wako pachako mukuchengetedzwa kwekenza , uye kuwana kurapa kwakanakisisa kunogoneka. Nzira dzokurapa dzinosanganisira:
Kuvhiya - Kuvhiya kubvisa mishonga inokonzera kanzira inzira inowanzogadzirwa yekurapa kenza yemuromo. Kune vamwe vanhu, kuvhiyiwa ndiyo nzira bedzi yekurapa inodiwa; kune vamwe, chemotherapy uye radiation inogonawo kudiwa. Mune zvimwe zviitiko, lymph nodes mumutsipa inogona kubviswa zvakare.
Radiation Therapy - Radiation therapy inoshandisa mamwe marudzi ehupamhi hwemhepo yakasvibiswa nehutachiona kana kuti inopedza maitiro ekenza.
Radiation therapy inoshanda nekukuvadza DNA chekenza yesero, zvichiita kuti isakwanise kuwedzera. Kunyange zvazvo rheinheti yehutachiona inogona kukanganisa masero ane utano ari pedyo, masero emukenza anonyanya kunetseka uye anowanzofa paanoitwa. Masero anopa utano akaparara panguva yemazuva ano anononoka uye anowanzokwanisika kugadzirisa zvakakwana.
Mhando miviri yepamusoro yeradio inonzi therapy ndeyekunze kwema rayation thérapie uye mukati mumiriri wemhepo, inonziwo brachytherapy. Dhiyabhorosi dzomukati dzomukati dzinowanzowirirana kupfuura kupisa kwemukati kwemurairo mukurapa kenza yemuromo. Zvikamu zvinowanzovhiringidzika zvemazuva ano kuneta uye kuputika kwakafanana nekupisa kwezuva. Kupisa mumusoro nemutsipa kunogona kukonzera kusuruvara kwevhudzi, izvo zvakasiyana nekurasikirwa kwebvudzi kubva chemotherapy, zvinowanzogara.
Chemotherapy - Chemotherapy inogona kurairwa kuti kuderedze ukuru hwechirwere chisati chave kupiswa kwemaawa kana chirwere kana chinogona kupiwa pamwe chete nemishonga inopisa mahara. Apo chemotherapy inopiwa vasati vavhiyiwa kuitira kuti kuderedza ukuru hwekenza inonzi neoadadvant chemotherapy. Kana ichipiwa mushure mekuvhiyiwa kunobudirira kuitira kubvisa chero masero akasara pane izvo zvisingagoni kuonekwa pamifananidzo yekufungidzira, inonzi inonzi adjuvant therapy.
Sezvo chemotherapy inokurudzira kukurumidza kukura masero sekenza masero, inobatawo masero anowanzokura anokurumidza kufanana neaya ari mumasese emapfupa, chirwere chepachiviri, uye mvere dzemapfupa. Mishonga inofadza yemigumisiro yemakemikari yakagadziridzwa zvikuru, uye apo kurasikirwa kwevhudzi kuchiri kuwanzoitika, vanhu vazhinji havaoni kutyisa kunotyisa uye kushambidzika kwaimbova dambudziko nekurapa uku.
Mushure mekurapa
Zvakawanikwa kuti vanhu vakabudirira kurapwa nokuda kwekenza yemuromo vane dambudziko guru rekudzidzira kenza yechipiri pane imwe nzvimbo mumuromo mutsva kana pamatomu. Nokuda kwechikonzero ichi, ikozvino yakakurudzirwa kuti vanhu vanoitwa nemishonga vanofanira kurapwa negore remishonga inozivikanwa se isotretinoin kuedza kuderedza dambudziko iri.
Prognosis
Kufanirwa kwemakondombera emuromo kunowanzoita zvakanaka asi kunobva pachigarire. Kwechikwata chekutanga uye chechipiri chechirwere chechirwere, makore mashanu okupona ari makore 90 kusvika ku100 paanorapwa nekuvhiyiwa uye dzimwe nguva remishonga inonzi radiation. Kuwedzera kwehupenyu kunenge kwakaderera kune avo vane chirwere chechitatu III uye chirwere chechitanhatu IV, asi nekuvhiya uye kupiswa kwemaawa, kupfuura hafu yevanhu uye dzimwe nguva kusvikira 90% yevanhu (zvichienderana nezviverengera zvimwe zvinhu) vanoita zvakanaka nguva refu yekudzivirira chirwere.
Kudzivirira
Kudzivisa njodzi dzinozivikanwa dzekenza yemuromo ndiyo nzira yakanakisisa yekudzivirira chirwere. Zviitiko zvakawanda zvekenza yemuromo zvakabatana nefodya nekushandisa doro, saka kudzivisa maitiro maviri mairi chinhu chikuru chekudzivirira.
Kusuruvara kwezuva kunogona kuenderana nekenza yemiromo, saka kugara kunze kwezuva uye kupfeka balm yemuromo ine sunscreen inokoshawo.
Kuita zvepabonde rakachengeteka kunokosha mukudzivirira kenza yemuromo, uye inotarisira kuti chirwere cheHIVV chichaderedza nhamba yevanhu kuwana kenza yemuromo munguva yemberi. Ivhavha yeHIVV inokurudzirwa kuvana vari pakati pemakore gumi nemana ne12, asi inogona kupiwa sevezera rezera remakore gumi nemashanu, kana kuti inopera makore makumi maviri nemaviri.
Kushanyira mazino ako nguva dzose kunogona kubatsira pakuonekwa kwokutanga kwekenza yemuromo. Chiremba wako wemazino akadzidziswa kutarisa uye kunzwa kwezviratidzo zvechirwere. Kenza yemuviri yekuongorora kunosanganisira kuongorora kuonekwa kwemuromo uye mazino x-rays. Zvishandiso zvitsva zvekuongorora zvinyorwa seVELscope zvinobvumira vanachiremba kunyatsotarisa zviratidzo zvekenza yemuromo izvo zvingave zvisingaoneki kune ziso rakashama. Zvishandiso izvi zvitsva zvinokurudzirwa zvakanyanya kune avo vari pangozi yakanyanya yekugadzira kenza yemuromo, sevaya vanosvuta kana kudya doro.
Sources:
Nzvimbo dzeDaase Control uye Kudzivirira. The Link Between HPV and Cancer. Updated 09/30/15.
National Cancer Institute. Miromo neMuromo Mushonga Cancer Treatment - Health Professional Version (PDQ). Updated 09/25/15.