Laryngeal kenza kurapa

nullvhoriyamu yekukuvara kweiyo larynx. Hoarseness yezwi chiratidzo chekutanga kana iyo carcinoma iri panzvimbo yemazwi emadziro, asi inoonekwa mumatanho anotevera kana achiwanikwa munzvimbo dze supraclad uye subclad zvikamu. Varwere vane sublingual cancer vanowanzove nemhepo kuvhiringidzika uye hoarseness chiratidzo chakajairika mumatanho anotevera. Varwere vane pamusoro-ligamentous cancer inowanzove ne dysphagia; zvimwe zviratidzo zvechirwere ichi kuvharika kwemhepo, otalgia, kukura kwechipundu mumutsipa, inzwi rakanzwika. Varwere vane zviratidzo izvi vanofanirwa kutumirwa nekukurumidza kune isina kunanga laryngoscopy.KuongororaLaryngoscopyKuvhiya endoscopy uyenullnullEndoscopic laser resection uye radiation kurapwa, sekutonga, tendera iwe kuti uchengetedze izwi revarwere. Iko kushandiswa kwekurapa kenza ye laryngeal cancer mumatanho ekutanga ekuvhiya kana radiation kurapwa, sekutonga, zvinoenderana nezvido zvevanachiremba vechipatara chekurapa uye murwere.Mune iwo matanho anotevera enzwi renzira carcinoma, iwo asina simba kana kubatanidzwa mukuita kwerimi; varwere vanoratidzwa chemotherapy kana radiation kurapwa. Kana bundu remurwere rakapararira kupfuura larynx kana kuti rakapinda mu cartilage, laryngectomy inopa yakanyanya kunaka oncological mhedzisiro; laryngectomy inowanzo kuwanda, asi mune zvimwe zviitikoendoscopic laser resection ye tumor kana yakavhurika chikamu laryngectomy inogona kushandiswa. Yakawandisa laryngectomy inoshandiswawo zvakanyanya mumamiriro akaoma kuponesa murwere; zvisinei, dzimwe nguva mumamiriro akadaro, endoscopic resection kana yakavhurika chikamu laryngectomy inogona kushandiswa.Mukutanga matanho e-carcinoma yeiyo supraclavicular larynx, radiation kurapwa kana chikamu chidimbu chehoroma chiri kushanda. Iko kushandiswa kwe laser resection mumatanho ekutanga e squamous cell carcinoma yakaratidza mhedzisiro yakanaka. Kana iyo carcinoma ikaramba ichikura, asi isingakanganisi tambo dzezwi chaidzo, ipapo chikamu chemumhino chakasarudzika chinogona kuitwa kuchengetedza izwi uyesphincter ye glottis. Kana murwere ainewo tambo dzinonzwika, laryngectomy pamusoro peiyo cricoid cartilage kana yakazara laryngectomy inodikanwa, kana zvichinge zvafungwa kuita kurapwa kwekuvhiya. Sezvineiwo nenyaya ye laryngocarcinoma, kazhinji nhanho dzinofambira mberi dzegomarara repamusoro rakatanga kurapwa chemotherapy uye neradiation kurapa. Iyo ligamentous mudunhu ine akapfuma lymphatic network, nekudaro, kutarisisa kwakakosha kunofanirwa kupihwa kunharaunda yemutsipa mune varwere vese vane ligamentous cancer.Iine carcinoma yeiyo yakadzika pharynx, kurapwa kwakangofanana nekenza yecarynx. Mumatanho ekutanga, kukuvara kunowanzo kurapwa cheteradiation kurapwa, kana endoscopic resection seimwe nzira. Nekudaro, mune vazhinji varwere vane submaryngeal cancer, kufambira mberi kunosanganisirwa ne asymptomatic chimiro chechirwere uye chinowanzoitika munharaunda kupararira kuburikidza nelimphhatic system; varwere vakadaro vanorapwa zvakanyanya ne chemotherapy uye radiation therapy, uye nekukurumidza - zvinoenderana nezvinokosha zviratidzo.KugadzirisaKugadzirisa kunogona kudikanwa mushure mekurapa kwese kurapwa. Kazhinji, zvinetso zvakakomba zvinomuka nehurongwa hwekumedza chikafu mushure mekemotherapy kana radiation kurapwa, izvo zvinogona kuda kudzikiswa kweesophagus, mune zvakanyanya kurwara - mapurasitiki e pharynx kana kuiswa kwegastrostomy. Munguva yekuvhiyakupindira kunogona zvakare kukanganisa nzira yekumedza, uye kurapwa kunogona kudikanwa, kusanganisira kuwedzera nzira yekumedza.Kuvhiya, kune rumwe rutivi, kunokanganisa kutaura kwakanyanya. Mushure mekuzara laryngectomy, murwere anofanira kugadzira izwi idzva na:    Esophageal izwi    Esophageal tracheal puncture    E-pahuro (electropharynx)Nese maitiro matatu, kutaura kunoumbwa nekudyidzana kwe pharynx, nyoro, rimi, meno nemiromo.Hwaro hwekuumbwa kwe "esophageal izwi" (pseudo-izwi) ndiko kugadzirwa kwepseudo-izwi pengo mune esophagus uye kukura kwayokuvharwa kwekupokana.Ne tracheoesophageal fistula, vharuvhu inoiswa pakati peiyo trachea uye esophagus kuitira kuti iwedzere kufonerwa. Iko vhezheni inobatsira kupomha mweya mukati meesophagus panguva yekurudziro chiito. Varwere vanozobatsirwa pakugadziriswa kwemuviri, makosi pakubata kwekutaura, vanodzidziswa mitemo yekurapa fistula, uye vese varwere vanonyeverwa nezve njodzi yekuishuvira kwechikafu nemvura.Iyo larynx yemagetsi chishandiso-chinoshandiswa nebhatiri chiri pamusoro pemutsipa. Pasinei nekusanzwisisika kunogadzirwa nekusabatana kwemagariro kana kuchinge kupfekedzwa varwere vazhinji, zviri nyore kubata uye hazvidi kudzidziswa kwakakosha.