Vanhu vazhinji vanoita kuti kenza inopera isati iri nguva refu inoputa.
Pamberi pekuiswa kwemidzanga yakawanda-yakagadzirwa muzana remakore rechimakumi maviri, kenza yemarara, kana kenza yakashata, yakanga isingawanzoitiki. Vanhu veEurope, zvisinei, vakanga vachitsvuta fodya kutanga kwezana remakore rechigumi nematanhatu, kutanga apo rakatanga kuendeswa kuEurope kuburikidza nevatsvakurudzo vachidzoka kubva kuNew World.
Nokudaro, kana pane chimwe chinhu pamusoro pemidzanga yakakonzera kenza yakawanda yakawanda mushure me1900, kana kuti vanhu vakawanda vari kusvuta fodya mushure mekuwanda-kubudisa fodya.
(Kuisa kwemasasa kunoita kuti zvinhu zvive zvishoma uye zvinodhura kune munhu wose.) Zvichida, kumwe kusanganiswa kwezvinhu izvi zviviri kwakawedzera kuwandisa kwekenza yakawanda mukati memakore zana apfuura.
Chii Chinonzi Laryngeal Cancer?
Laryngeal chirwere chekenza chinokanganisa mazwi echokwadi ezwi . Izwi rechokwadi rinonyanya kudedera kuti ribudise inzwi uye kuti tigone kutaura. Kusiyana neizvi, nhema dzenhema dzenhema dziri pamusoro pemashoko echokwadi ezwi uye hazviiti zvinyorwa zvakawanda kunze kwekuttaral (funga kumborera kuimba). Pane kudaro, mapepa emanyepo ekunyengera ndiwo mapepa ekudzivirira anochengetedza matambo echokwadi ezwi.
Laryngeal kenza inogona kubuda zvakananga kubva pamatambo echokwadi ezwi (glottic), kana kuti kumusoro kwayo (kukudzwa) kana pasi pawo (subglottic region).
Ruzhinji rwemakondomu eryngeal are squamous cell cancers.
Ndezvipi Zviitiko Zvengozi yeLaryngeal Cancer?
Kusvuta ndicho chinonyanya kukosha chinokonzerwa nechirwere chemahara.
Mune mamwe mazwi, vanhu vakawanda vanoita kenza yakawanda inopedza nguva yakareba fodya.
Zvimwe zvinokonzerwa nehutachiona hwekenza yakawanda zvinosanganisira zvinotevera:
- kushandisa doro
- Utachiona hweHIVV (ine subtypes 16 uye 18 inonyanya kuipa)
- toxic inhalation ye asbestos
- chepfu inhalation yemasitadhi gasi
- previously neck neck irradiation
- kusakwana kwezvokudya
Kusvuta uye kunwa doro zvisina kushandiswa kusangana nekugadzirisa kuita sengozi huru. Nokudaro, vanhu vanonwa uye vanopfungaira zvakanyanya zvinowanzoita kuti vave nekenza yakawanda.
Kunyange zvazvo nyanzvi dzinofungidzira kuti gastroesophageal reflux chirwere (GERD) inogona kuvawo mungozi wekenza yakawanda, hapana tsvakurudzo yakajeka yekutsvakurudza asi inotsigira izvi. Zvisinei, vanhu avo vakatoreswa kurapwa nekenza uye vanotora mishonga yekurapa GERD, Iike PPIs, havana mikana yekuwana kenza yakawanda zvakare (chiitiko chinodzokorora).
Maererano neAmerica Cancer Society, muna 2016, pachava ne 13,543 mamiriro matsva ekurasirwa kwekenza yakawanikwa (varume 10 550 nevakadzi 2880).
Laryngeal Cancer Zviratidzo
Laryngeal kanha inowanzotanga sekutyisa. Kunyangwe kuchinja kuduku mumatambo ezwi kunogona kuchinja inzwi. Nyaya dzinofanirwa, hukuru uye humwe hutachiona hwemarariya-kana aya kanzura kumusoro uye pasi pemakumbo ezwi, zvichienderana-zvinowedzera sekumhanya kwekupedzisira nokuti zvinotora nguva kuti zvipembenene izvi zvikure zvakakura zvakakwana kuti zvivhare kutenderera kwemhepo kuburikidza nezwi rechokwadi rezwi. Nokudaro, vanhu vane mahara uye vane masimba anonyanyisa marariya vanowanzouya kunechiremba ane zvirwere zvakanyanya.
Heano zvimwe zviratidzo zvinokonzerwa nekenza yemarariya:
- dysphagia (dambudziko kudya)
- kurwadziwa kwehuro
- nzeve yekunzwa
- aspiration
- kuvhara kwepanyika uye kuisa pfungwa
- varumekadzi (inenge kazhinji varume vanowanzoita kenza yakakosha)
- vakwegura (vanhu vari mumakore avo makumi matanhatu nemakumi manomwe)
Kuongororwa kweLaryngeal Cancer
Kana imwe chiremba achifungira kenza yakaora, iye achaita musoro wakakwana uye mutsipa wekuongorora mumuviri. Laryngeal kenza inogona kuonekwa pahofisi iripo iko kushandisa laryngoscopy (funga girazi kana endoscope). Kufananidza zvidzidzo zvakadai seC CT uye x-ray zvinobatsira kana kuona kana kupararira kunogona kupararira kwekenza kune lymph nodes nemapapu kana kana kutsvaga tsime remasimasi.
Kurapa uye Kuparara kweLaryngeal Cancer
Kana vachirapa kenza yeaary, nyanzvi dzinoita zvakanakisisa kuti dzichengetedze huwandu hwemhino uye mazwi ehupamhi sezvinobvira, kuitira kuchengetedza inzwi uye kuderedza urema. Laryngeal kenza inorapwa nekuvhiyiwa uye kupiswa kwezuva. Tsvakurudzo inobva kuDuke University inoratidza kuti chemotherapy inobatsira pakuchengetedza chirwere chepachirwere chepamusoro.
Laryngeal kenza inoporesa-kunyanya kana yakaonekwa kare-uye makore mashanu ekupona mazinga akanaka. Mukutanga-tanga (danho rekutanga) kenza yemahara, vanopfuura 95 muzana yevanhu vapenyu makore mashanu mushure mekuongororwa. Pakupera kwemukana wekenza yearyngeal, 50 kusvika ku60 muzana yevanhu vari vapenyu makore mashanu mushure mekenza.
Zvinosuruvarisa, pasinei nekuvandudzirwa mune nzira yekuvhiya uye kuwedzerwa zvirongwa zvekurapa mukati memakore makumi matatu adarika, mararamiro ekurarama kwekenza yakawanda haana kuvandudzwa. Zvisinei, kuora muviri kwakagadziridzwa, nevanhu vanogamuchira kurapwa kwekenza yakawanda ine zviratidzo zvishoma uye zvirwere zvinosanganiswa.
Chinokosha chekubudirira kurapwa kwechirwere chemahara chinotanga kuonekwa nekurapa. Kana uri kutarisana nemararamiro chero ipi zvayo anoratidza kufanana nekenza-inonyanya kumira kana kuchinja inzwi-tapota ita nguva yekuona chiremba wako. Iwe unofanirwa kunyanya kunyunyuta kana iwe uri kwenguva refu usvuta (uye usashandisa zvinodhaka zvisina kufanira). Kunyange zvazvo mukana wekuti munhu wose akapiwa chirwere chekenza uye achadazve basa-up uye kurapwa nemumwe nyanzvi (sechiremba weO ENT kana kuti oncologist ) yakaderera, zvakanakisisa kutadza kune rumwe rutivi rwekuchenjerera.
Sarudzo Sources
Concus AP, Tran TN, Sanfilippo NJ, DeLacure MD. Chitsauko 31. Malignant Laryngeal Lesions. Muna: Lalwani AK. eds. KUCHENGA KUZIVA KUZIVA NOKUTAURA MUOtolaryngology-Musoro & Neck Surgery, 3e . New York, NY: McGraw-Hill; 2012. Yakasvika musi waFebruary 28, 2016.
Weinberger PM, Terris DJ. Otolaryngology: Musoro & Neck Surgery. Mu: Doherty GM. eds. KUBATSIRA KUTAURIRWA & KUKURWA: Kuvhiya, 14e . New York, NY: McGraw-Hill; 2015. Yakasvika paFebruary 28, 2016.
Chinyorwa chinonzi "Induction chemotherapy pamwe nemirairo kana ichienzaniswa nekuvhiya pamwe nemirairo kune varwere vane kenza yakakura yeganda" naGT Wolf uye vanyori vanyori vakabudiswa muna NEJM muna 1991.