Laryngeal chirwere chekenza yemarara, nhengo iri mberi kwemutsipa pakati peeophagus uye trachea (dzimwe nguva inonzi izwi izwi). Irorynx inobatsira mukufema, kutaura, uye kunyange kumedza. Apo masero ayo anoumba maronda elarynx anotanga kuwedzera nekuparadzanisa pamusana wevasina kujairika anonzi kanonzi laryngeal. Masero ayawo anokura zvakakura, achiwanzoita mashoma anonzi tumarara.
Dumbu racho rinogona kuparadzanisa uye kunopindira nedzimwe nhengo dzakapoteredza chironga uye dzinopararira kune dzimwe nhengo dzomuviri.
Iyo Inopararira
Kana kenza inopararira kune dzimwe nhengo dzomuviri inonzi metastasis. Makero emukenza anogona kupinda muropa kana lymphatic system uye anotorwa kune dzimwe nhengo mumuviri. Zvisinei, nzvimbo inonyanya kuwanika yekenza yakawanda inopararira ndeyekuita lymph nodes mumutsipa. Kubva ipapo inogona kupararira kumashure kwerimi, zvimwe zvikamu zvemuhuro uye mumapapu. Kana isina kusiyiwa iyo inogona kupararira mumuviri wose.
Risk Factors
Laryngeal kenza haigoni kudziviswa nguva dzose; zvisinei, zvimwe zvipingamupinyi zvinokonzera kuti iwe uwedzere kuwana kenza yakawanda yakasanganiswa kusanganisira:
- Makore makumi mashanu kana kupfuura
- varumekadzi
- kusvuta
- kunwa doro
- kuva nechirwere chekare chekenza mumusoro kana mumutsipa
- kutsvaga kune mamwe makemikari kusanganisira asbestos, sulfuric acid, kana nickel
- kutambura kubva kuGERD (asidi reflux)
- Utachiona hweHIVV
Kungoti iwe une zvimwe zvezvinhu izvi hazvireve kuti unenge uchinge uve nekenza yakawanda.
Zviratidzo
Zviratidzo zvinotevera zvekuparara kwechirwere zvinogonawo kuenzaniswa nezvimwe zvirwere zvakawanda. Zvakakosha kushanyira chiremba wako kuti aone chinokonzera zviratidzo zvako.
Zvimwe zviratidzo zvinogona kuitika ndeizvi:
- hoarseness
- huro inorwadza
- kuoma kunomedza
- kunetseka kufema
- mweya wakaipa
- earaches
- kuonda
Kuziva
Kune mimwe miedzo yakawanda inoshandiswa kuongororwa neraryal cancer. Kana iwe uine zviratidzo zvekuparara kwechirwere chiremba wako angangodaro achiita kuongorora mumuviri. Achanzwa mutsipa wako kune mimwe miviri uye otarisa kumashure kwehuro pako. Kana zvichidikanwa, mimwe miedzo icharairwa uye inogona kusanganisira:
- Laryngoscopy - Inoratidzika laryngoscopy inogona kufanirwa mberi muhofisi yechiremba. Chiremba wako achaisa girazi nemubati wakareba zvakadzika pasi pako nehuro yako kufungidzira zvidzitiro zvemashoko nemashu. Iwe unogona kugamuchira anesthetic spray iyo inoshambadza shure kwehuro wako uye inokuchengetedza kubva pakugumburwa. A laryngoscopy yakananga inoda kusungurudzwa kuti iwe uwedzere kunatswa saka zvinogona kuitika munzvimbo yekuvhiya kana chipatara. Chiremba achashandisa laryngoscope (tubhuti ine chiedza kumagumo iyo inowanikwa kuburikidza nemhino dzako kana muromo wako) kuti uone seanryx.
- CT Scan
- Biopsy
Kurapa
Kurapa kenza yakawanda inogona kusanganisira nyanzvi dzakawanda dzezvehutano dzinosanganisira otolaryngologists, vanachiremba, oncologists, uye rayation oncologists. Nzira chaiyo yekurapwa ichaenderana nemamiriro ako ezvinhu asi kazhinji inosanganisira kuvhiyiwa kubvisa kenza yakawanda sezvinogona.
Mazairo emunharaunda emunharaunda emukenza anogona kuitwa vasati vavhiyiwa mukuedza kuderedza ukuru hwechirwere kana mushure mekuvhiyiwa kuti vapedze kanomwe masero emukenza sezvinobvira. Chemotherapy inoshandiswa mune dzimwe mamiriro ekurwara kwekenza.
Nenguva Yakazoguma
Zvichienderana nezvese rekenza yako ungada chirwere chinonzi laarngectomy chakanaka kana kuti chirwere chema-laryngectomy, chinosanganisira tracheostomy. Dzimwe nguva tracheostomy ndeyechinguva asi dzimwe nguva inogara nokusingaperi. Zvichida chimwe chemigumisiro yakaipisisa yemararamiro echirwere ndiwo migumisiro yekutaura. Kana iwe uine tracheostomy nokusingaperi, iwe unofanira kudzidza kudzidza kutaura nenzira itsva.
Iwe uchange uine zvidzidzo kubva kune unyanzvi hwekutaura kuti akubatsire kudzidza kudzidza. Panguva ino, chengeta penzura uye padhi pepa iwe nguva dzose kuitira kuti ugone kutaura. Nezvinhu zvakawanda zvitsva zvinowanikwa kuti udzidze mutauro wemasaini izvi zvinogonawo kuva sarudzo yakakodzera iwe nemhuri yako.
Vamwe varwere vanosarudza kushandisa ma mechanical larynx kuti vataure. Kune marudzi akasiyana-siyana emagetsi ekugadzirira kusarudza kubva. Zvimwe zvinoshandiswa nemhepo uye zvimwe ne mabhatiri. Zvimwe zviyero zvinoda kuti iwe uzvidzivirire pamutsipa wako apo vamwe vanoiswa mumuromo mako. Iwe unofanirwa kuedza nerubatsiro rwekutaura kwako pathologist kuwana chimbo chakanaka kwauri.
Kunyange zvazvo kenza yemarara inogona kuparadza, uye nzira yekudzoka inogona kuva yakareba uye yakaoma, pane zvakawanda zvingakubatsira iwe munzira yako. Iwe unoda rubatsiro rwemhuri neshamwari pamwe nechechipatara chako.
> Sources:
> National Cancer Institute. Zvaunoda Kuziva Nekenza yeLarynx.