Chithandizo cha khansa ya laryngeal

nullkuchuluka kwa kuwonongeka kwa larynx. Kukhazikika kwa mawu ndi chizindikiro choyambirira pamene carcinoma ili pamakutu amawu, koma imawoneka m'magawo apambuyo pomwe itapezekedwa mu zigawo za supraclad ndi subclad. Odwala omwe ali ndi khansa yocheperako nthawi zambiri amakhala ndi kutsekeka kwa mpweya ndipo chizindikirocho ndi chizindikiro chofutukuka pambuyo pake. Odwala omwe ali ndi khansa yodwala kwambiri amakhala ndi dysphagia; Zizindikiro zina za matendawa ndi kutsekeka kwa mpweya, otalgia, kukula kwa chotupa m'khosi, mawu osokonekera. Odwala omwe ali ndi zizindikirozi ayenera kutumizidwa mwachindunji kwa laryngoscopy.ZizindikiroLaryngoscopyOpaleshoni endoscopy ndinullnullEndoscopic laser resection ndi radiation chithandizo, monga lamulo, amakulolani kupulumutsa mawu a odwala. Kugwiritsira ntchito mankhwalawa khansa ya laryngeal koyambirira kwa maopaleshoni kapena chithandizo chamankhwala a radiation, monga lamulo, zimatengera zomwe madokotala akuchipatala akuchiritsa ndi wodwalayo.Mu magawo apambuyo a mawu apakhomo carcinoma, amasunthika kapena kugwira nawo ntchito ya lilime; odwala akuwonetsedwa chemotherapy kapena radiation chithandizo. Ngati chotupa cha wodwalayo chafalikira kupitilira larynx kapena chalowa mu cartilage, laryngectomy imapereka zotsatira zabwino kwambiri za oncological; laryngectomy nthawi zambiri imakhala yowonjezera, koma nthawi zinaendoscopic laser resection of the chotupa kapena laryngectomy lotseguka lingagwiritsidwe ntchito. Laryngectomy yowonjezera imagwiritsidwanso ntchito kwambiri m'malo ovuta kupulumutsa wodwala; komabe, nthawi zina pamachitika izi, endoscopic resection kapena laryngectomy lotseguka lingagwiritsidwe ntchito.Mu magawo oyambilira a carcinoma a supraclavicular larynx, radiation mankhwala kapena pang'ono mbali ya larynx ndi othandiza. Kugwiritsa ntchito kwa laser resection koyambirira kwa squamous cell carcinoma kwawonetsa zotsatira zabwino. Ngati carcinoma ikupitilirabe, koma osakhudza zingwe zolankhula zenizeni, ndiye kuti laryngectomy yam'kamwa imatha kuchitika kuti isunge mawu komansosphincter wa glottis. Ngati wodwalayo alinso ndi zingwe za mawu, laryngectomy pa cricoid cartilage kapena laryngectomy yonse yofunikira, ngati akuganiza kuti achite opareshoni. Monga momwe zilili ndi laryngocarcinoma, ambiri mwa magawo omwe amapita patsogolo pa khansa yayikulu amathandizidwa ndi chemotherapy ndi radiation therapy. Dera la ligamentous lili ndi olemera a lymphatic network, chifukwa chake, chisamaliro chapadera chiyenera kuperekedwa kwa madera a khosi odwala onse omwe ali ndi khansa ya ligamentous.Ndi carcinoma ya m'munsi pharynx, mankhwalawa ndi ofanana ndi khansa ya m'mimba. Mu magawo oyambilira, zowonongeka zimathandizidwa ndi kokhamankhwala a radiation, kapena endoscopic resection ngati njira ina. Komabe, mwa odwala ambiri omwe ali ndi khansa ya m'matumbo aang'ono, kupita patsogolo kumalumikizidwa ndi chikhalidwe cha asymptomatic matendawa komanso kufalikira pafupipafupi kudzera pamitsempha yam'mimba; odwala oterewa amathandizidwa makamaka ndi chemotherapy ndi radiation chithandizo, ndipo mwachangu - malinga ndi zofunikira zikuwonetsa.KukonzansoKukonzanso kungafunike pambuyo pa mtundu uliwonse wa chithandizo. Nthawi zambiri, mavuto akulu amakumana ndi njira yomeza chakudya pambuyo pa chemotherapy kapena poizoniyu mankhwala, omwe angafunike kuchepa kwa magazi, makamaka, pulasitiki ya pharynx kapena kugwiritsa ntchito gastrostomy. Pa opaleshonikulowererako kungasokonezenso njira yomeza, ndipo chithandizo chitha kuphatikizidwa, kuphatikiza kukulira kwa njira zokumeza.Komanso, opaleshoni imakhudza kulankhula kwambiri. Pambuyo pa laryngectomy yathunthu, wodwala ayenera kupanga mawu atsopano ndi:    Liwu la esophageal    Esophageal tracheal punations    Khosi (electropharynx)Ndi njira zonse zitatuzi, malankhulidwe amapangidwa limodzi ndi pharynx, kamkamwa kofewa, lilime, mano ndi milomo.Maziko omwe amapanga "esophageal Voice" (pseudo-Voice) ndi kulenga kwa pseudo-Voice gap mu esophagus ndi chitukukokutsekeka mwanjira.Ndi tracheoesophageal fistula, valavu imayikidwa pakati pa trachea ndi esophagus kuti athandizire phonation. Valavu imathandizira kuponya mpweya mu esophagus panthawi ya kudzoza. Odwala amapita kukonzanso thupi, maphunziro panjira yolankhulira, amaphunzitsidwa malamulo othandizira fistula, ndipo odwala onse amachenjezedwa za chiwopsezo cha kufunafuna chakudya ndi madzi.Larynx yamagetsi ndi chipangizo choyendetsera batire chomwe chili pamphumi pakhosi. Ngakhale chisangalalo chopangidwa ndi kusalidwa kwamtundu wa anthu chikavalidwa odwala ambiri, ndizosavuta kuthana nawo ndipo sifunikira maphunziro apadera.