Unyango lwelaryngeal cancer

nullumthamo womonakalo kwi-larynx. Ukutshatisa kwelizwi luphawu lwangaphambili xa iklcincinoma ikwimilo yegama, kodwa ivele kumanqanaba kamva xa ifunyenwe kumacandelo amakhulu e-supraclad kunye ne-subclad. Izigulana ezinomdlavuza ongalinganiyo zihlala zithintela umoya kwaye ukubetha kwawo kuyimpawu eqhelekileyo kumanqanaba alandelayo. Izigulana ezinomdlavuza ogqithisileyo we-ligamentous zihlala zine-dysphagia; Ezinye iimpawu ezibonakalayo zesi sifo kukuthintelwa kweendlela zomoya, i-otalgia, ukukhula kwesisu emqaleni, ilizwi eliqhunyisiweyo. Isigulana esinezi mpawu kufuneka sithunyelwe ngoko nangoko kwi-laryngoscopy.UxilongoI-LaryngoscopyUnyango lwe-endoscopy kunyenullnullI-Endoscopic laser resection kunye nonyango lwe-radiation, njengomthetho, ukuvumela ukuba ugcine izwi lezigulana. Ukusetyenziswa konyango lomhlaza womhlaza wokubeletha kwinqanaba lokuqala loqhaqho okanye unyango lweradiation, njengomthetho, kuxhomekeke kukhetho loogqirha beziko kunye nesigulana.Kwamanqanaba akudala e-vocal fold carcinoma, bayabanjiswa okanye babandakanyeke kwinkqubo yolwimi; Izigulana ziboniswa ichemotherapy okanye unyango lwe-radiation. Ukuba ithumba lesigulana liye lasasazeka ngaphaya kwe-larynx okanye langena kwi-cartilage, i-laryngectomy inikezela ngezona ziphumo ze-oncological; I-laryngectomy ihlala ibanzi, kodwa kwezinye iimekoI-endoscopic laser resection of the tumor okanye i-laryngectomy evulekileyo yenxalenye inokusetyenziswa. I-laryngectomy ebanzi isetyenziswa ngokubanzi kwiimeko ezinzima ukusindisa isiguli; Nangona kunjalo, ngamanye amaxesha kwiimeko ezinjalo, ukusetyenziswa kwakhona kwe-endoscopic okanye i-laryngectomy evulekileyo isenokusetyenziswa.Kumanqanaba okuqala e-carcinoma ye-supraclavicular larynx, unyango lwe-radiation okanye ukubekwa ngokutsha kwenxalenye ye-larynx kuyasebenza. Ukusetyenziswa kwe-laser resection kumanqanaba okuqala e-squamous cell carcinoma kubonise iziphumo ezilungileyo. Ukuba i-carcinoma iyaqhubeka ukukhula, kodwa ayichaphazeli ntambo yelizwi lokwenyani, emva koko inokwenza ilaryngectomy yempumlo yenzelwa ukugcina izwi kunyesphincter yeglottis. Ukuba isiguli sikwanayo neentambo zelizwi, i-laryngectomy ngaphezulu kwe-cricoid cartilage okanye i-laryngectomy iyadingeka, ukuba kugqitywe kwelokuba kwenziwe unyango. Njengakwimeko ye-laryngocarcinoma, uninzi lwamanqanaba aqhubekayo omhlaza onqabileyo we-ligament oqala ukunyangwa nge-chemotherapy kunye nonyango lwe-radiation. Ingingqi ye-ligamentous inethiwekhi ecebileyo ye-lymphatic, ke ngoko, ingqalelo ekhethekileyo kufuneka inikezwe kwingingqi yentamo kuzo zonke izigulana ezinomhlaza we-ligamentous.Nge-carcinoma ye-pharynx esezantsi, unyango luyafana nomhlaza we-larynx. Kwinqanaba lokuqala, umonakalo uhlala uphathwa kuphelaUnyango lwe-radiation, okanye i-endoscopic resection njengenye indlela. Nangona kunjalo, kwizigulana ezininzi ezinomhlaza wesibeleko, inkqubela phambili inxulunyaniswa nemeko yesi sifo njengesifo kunye nokusasazeka kwenkqubo yasekhaya ngenkqubo ye-lymphatic; Izigulana ezinjalo ziphathwa ikakhulu nge-chemotherapy kunye nonyango lwe-radiation, kwaye kwangoko-ngokweempawu ezibalulekileyo.Ukubuyisela kwimeko yesiqheloUkuhlaziywa kunokufuneka emva kolunye uhlobo lonyango. Ngokwesiqhelo, kuvela ubunzima obukhulu kunye nenkqubo yokuginya ukutya emva kwechemotherapy okanye iradiation radiation, enokufuna ukuncitshiswa kweesophagus, kwiimeko ezibuthathaka ngakumbi - iplasitiki yepharynx okanye ukumiselwa kwe-gastrostomy. Ngexesha lokuhlinzwaUngenelelo lungaphazamisa nenkqubo yokuginya, kwaye unyango luyafuneka, kubandakanya ukwandiswa komendo wokugwinya.Utyando, kwelinye icala, ichaphazela intetho ngakumbi. Emva kwe-laryngectomy iyonke, isiguli kufuneka senze ilizwi elitsha ngo:    Ilizwigealal izwi    I-Esophageal punctual punct    Umqala (electropharynx)Ngazo zontathu iindlela, intetho iyilwa ngokuthatha inxaxheba pharynx, palate ezithambileyo, ulwimi, amazinyo nemilebe.Isiseko sokusekwa kwelizwi "lesophageal izwi" (izwi lokulinganisa) kukudala isikhewu selizwi kwimbonakalo kunye nophuhliso lwayoukuvalwa okungenalusini.Nge-tracheoesophageal fistula, ivalve ibekwa phakathi kwe-trachea kunye ne-esophagus ukwenzela ukuphucula isandi. Isivalo sinceda ukupompa umoya ungene kwi-esophagus ngexesha lesenzo sokuphefumla. Izigulana ziyavuselelwa emzimbeni, kwizifundo zendlela yokuthetha, zifundiswa imigaqo yonyango lwefistula, kwaye zonke izigulana ziyalumkiswa ngomngcipheko wokufuna ukutya namanzi.I-larynx yombane sisixhobo esinebhetri ebekwe kumphezulu wentamo. Ngaphandle kokungonwabi okwenziwe kukubekwa esweni kwezoluntu xa kunxitywa abaguli abaninzi, kulula ukuphatha kwaye akufuneki uqeqesho olulodwa.