Laau hana laryngeal

nullka nui o ka pohō i ka larynx. ʻO ka mālamakani o ka leo kahi hōʻailona mua i ka wā e loaʻa ai ka carcinoma i nā lola leo, akā ʻike ʻia i nā hanana hope loa i ke kālele ʻia ma nā ʻāpana supraclad a me nā subclad. ʻO nā maʻi me ka maʻi haʻahaʻa sublingual e loaʻa i ke alapine ala a me ka hoarseness kahi hōʻailona maʻamau i nā hanana hope aʻe. ʻO nā maʻi me ka maʻi over-ligamentous pinepine i ka dysphagia; ʻo nā ʻōmaʻomaʻo ʻē aʻe o kēia maʻi ke ālai ʻia i nā ala o ke ala, otalgia, ka hoʻomohala ʻana o ka ʻāʻī i ka ʻāʻī, leo leo leo. ʻO nā mea maʻi me kēia mau ʻōlapa e pono koke e ʻohi no ka laryngoscopy kūhelu.Nā huapauLaryngoscopyHoʻokomo ʻia ka Endoscopy mau anullnullʻO ka ʻae a me ka maʻi radiation Endoscopic, me ke ʻano he kānāwai, e ʻae iā ʻoe e mālama i ka leo o nā mea maʻi. Hoʻohana ʻia no ka mālama ʻana i ke kano laryngeal i nā manawa mua o ka hōʻeha a me ka neʻe ʻana i ka radiation, e like me ke ʻano, e hilinaʻi ana i nā makemake o nā kauka o ke keʻena a me ka mea maʻi.I nā kaʻina hope o nā carcinoma lipoli, ua hoʻohālikelike ʻia a komo i loko o ke kaʻina o ka ʻōlelo; hōʻike ʻia nā maʻi maʻi chemotherapy a radiation therapy. Inā pālahalaha ke kīlea o ka mea maʻi ma waho o ka larynx a i komo i ka cartilage, hāʻawi ka laryngectomy i nā hopena oncological maikaʻi loa; ʻO ka laryngectomy ka laulā pinepine, akā i kekahi mau hiʻohiʻonaʻO ka wehe ʻana o ka laser endoskopika o ke kahe a wehe paha i kahi laryngectomy ʻāpana. Hoʻohana nui ʻia ka laryngectomy i nā kūlana paʻakikī e hoʻopakele i ka mea maʻi; Eia nō naʻe, i kekahi manawa i loko o ia mau kūlana, hiki ke hoʻohana ʻia ka endoskopika a wehe paha i ka laryngectomy i ʻāpana.I ka hoʻomaka mua o ka carcinoma o ka lacn supraclavicular, radiation therapy a i ʻole partial o larynx ma hope. ʻO ka hoʻohana ʻana i ka ʻenehana laser i nā manawa mua o nā pūkaha cellamous cell ua hōʻike i nā hopena maikaʻi loa. Inā hoʻomau ka carcinoma, akā ʻaʻole i hoʻopilikia i nā kaula leo maoli, a laila hiki ke hana ʻia kahi laryngectomy a partial e mālama ai i ka leo asphincter o glottis. Inā loaʻa i ka mea maʻi nā kaula kuhi, laryngectomy ma luna o ka cartilage cricoid a i ʻole laryngectomy holoʻokoʻa, inā hoʻoholo ia e hana i ka lāʻau lapaʻau. E like me ka laryngocarcinoma, ʻo ka hapa nui o nā neʻe o ka nui o ka pelace ligament superficial i mālama mua ʻia me ka chemotherapy a me radiation radiation. He wahi lūlū waiwai ka waiwai me ka ʻāina, no laila, pono e hāʻawi ʻia i ka ʻāʻī o ka ʻāʻī i loko o nā maʻi āpau me ke kanesa ligamentous.Me nā carcinoma o ka pharynx haʻahaʻa, ʻo ka hopena e like me ka maʻi maʻi o ka larynx. I ka wā mua, hana ʻia ka ʻeha me ka mālama waleradiation radiation, a i ka endoscopic resection ma ke koho hou aku. Eia naʻe, ma ka hapanui o nā maʻi me ka maʻi subaryngeal, pili ka holomua me ka ʻano asymptomatic o ka maʻi a me ka pālahalaha pinepine ʻana ma o ka lymphatic system; e hoʻomanawanui ʻia nā mea maʻi me ka chemotherapy a me radiation radiation, a hiki koke - e like me nā hōʻailona koʻikoʻi.HoʻālaHiki ke koi ʻia ke hoʻoponopono hou ʻia ma hope o kekahi ʻano hana. ʻO ka maʻamau, kū mai nā pilikia koʻikoʻi me ke kaʻina o ka ʻai ʻana i ka meaʻai ma hope o ka chemotherapy a i ʻole ka radiation radiation, ʻo ia e koi ai i ka hoʻokaʻawale ʻana o ka esophagus, i nā hihia koʻikoʻi, plastik o ka pharynx a i ʻole ka noi ʻana o kahi gastrostomy. I ka wā o ka hoʻokelehiki ke hōʻiliʻili paha ka hoʻolilo ʻia i ke kaʻina lawaiʻa, a pono ʻia paha ka lāʻau lapaʻau, me ka hoʻonui ʻana i nā ala neʻe.Ma ka ʻokoʻa, ma ka ʻaoʻao ʻē aʻe, e pili pono i ka ʻōlelo ʻōlelo. Ma hope o ka laryngectomy piha, pono i ka mea maʻi e hoʻokumu i kahi leo hou e:    Leo ka leo Esophageal    Puncture kaʻoxophageal tracheal    Eʻokiʻaka (electropharynx)Me nā ʻano ʻekolu ʻekolu, ua haku ʻia ka ʻōlelo me ka komo ʻana o ka pharynx, palate palapalā, ʻ tonguelelo, nā niho a me nā lehelehe.ʻO ke kumu no ke hoʻokumu ʻana i ka “esophageal leo” (pseudo-leo) ʻo ka hana ʻana o kahi puʻupuʻu pseudo-leo i ka esophagus a me kona hoʻomohala ʻanapani paʻa.Me ka fistula tracheoesophageal, ua kau ʻia kahi valve ma waena o ka trachea a me ka esophagus e hoʻomaikaʻi ai i ka phonation. Kōkua ka pahū i ka hamo i ka lewa i ka esophagus i ka wā o ka hana 'ōlelo. Hoʻomaʻamaʻa ka poʻe maʻi i ka hōʻola kino ʻana, nā papa aʻo i nā loina e ʻōlelo ai, ua aʻo ʻia lākou i nā lula no ka mālama ʻana i nā fistula, a ua hōʻike ʻia nā maʻi āpau e pili ana i ka paʻakikī o ka makemake o ka meaʻai a me ka wai.ʻO ka larynx uila ka mana uila i loaʻa ma luna o ka ʻāʻī. ʻOiai ʻo ka ʻoluʻolu a hoʻokumu ʻia e ka stigma i ka wā e hoʻohana ʻia ai no nā maʻi he nui, he maʻalahi ke kaomi a ʻaʻole pono i ke aʻo kūikawā.