Ukwelashwa komdlavuza welaryngeal

nullumthamo womonakalo ku-larynx. I-Hoarseness yezwi iyisibonakaliso sokuqala lapho i-carcinoma isemafolda e-vocal, kodwa ivela ezigabeni zakamuva lapho zitholwa endaweni ngezigaba ze-supraclad kanye ne-subclad. Iziguli ezinomdlavuza ongaphansi kwesinye isikhathi zivame ukuba ne-airway barriers futhi i-hoarseness iwuphawu olujwayelekile ezigabeni zakamuva. Iziguli ezinomdlavuza ongaphezulu kwe-ligamentous zivame ukuba ne-dysphagia; Ezinye izinkomba zokuphila kwalesi sifo ukuthinteka komoya, i-otalgia, ukuthuthukiswa kwesimila entanyeni, izwi elixakile. Iziguli ezinalezi zimpawu kufanele zithunyelwe ngokushesha nge-laryngoscopy engaqondile.UkuxilongaI-LaryngoscopyI-Endoscopy yokuhlinza kanyenullnullI-Endoscopic laser resection kanye nokwelashwa ngemisebe, njengomthetho, kukuvumela ukuthi ulondoloze izwi leziguli. Ukusetshenziswa ekwelashweni komdlavuza we-laryngeal ezinyangeni zokuqala zokuhlinzwa noma ukwelashwa ngemisebe, njengomthetho, kuya ngokuthandwa ngabodokotela besikhungo eselaphekayo nesiguli.Ezigabeni zakamuva ze-vocal fold carcinoma, zifakwa emzimbeni noma zibambe iqhaza enqubweni yolimi; iziguli zikhonjiswa i-chemotherapy noma i-radiation therapy. Uma isimila sesiguli sisabalale ngaphezu kwe-larynx noma singene ku-cartilage, i-laryngectomy inikela ngemiphumela emihle kakhulu ye-oncological; I-laryngectomy imvamisa kakhulu, kepha kwezinye izimoi-endoscopic laser resection of the tumor noma i-laryngectomy evulekile engasetshenziswa. I-laryngectomy ebanzi nayo isetshenziswa kabanzi ezimweni ezinzima ukusindisa isiguli; kodwa-ke, kwesinye isikhathi ezimeni ezinjalo, i-endoscopic resection noma i-laryngectomy evulekile engasetshenziswa.Ezigabeni zokuqala ze-carcinoma ze-supraclavicular larynx, ukwelashwa ngemisebe noma ukuhlelwa kabusha kwengxenye ye-larynx kuyasebenza. Ukusetshenziswa kabusha kwe-laser ezigabeni zokuqala ze-squamous cell carcinoma kukhombisile imiphumela emihle impela. Uma i-carcinoma iqhubeka nokukhula, kepha ingathinti izintambo zangempela zezwi, khona-ke i-laryngectomy yokwahlulela kwempumulo ingenziwa ukugcina izwii-sphincter ye-glottis. Uma isiguli sinezintambo zezwi, i-laryngectomy ngaphezulu kwe-cricoid cartilage noma i-laryngectomy ephelele iyadingeka, uma kunqunywe ukwenza ukwelashwa okuhlinzwa. Njengasesimweni se-laryngocarcinoma, iningi lezigaba eziqhubekayo zomdlavuza wesupermucosal ekuqaleni ziphathwa nge-chemotherapy ne-radiation therapy. Isifunda se-ligamentous sinethiwekhi ecebile yama-lymphatic, ngakho-ke, ukunakwa okukhethekile kufanele kunikezwe esifundeni sentamo kuzo zonke iziguli ezinomdlavuza we-ligamentous.Nge-carcinoma ye-pharynx engezansi, ukwelashwa kuyafana nomdlavuza we-larynx. Esikhathini sokuqala, umonakalo uvame ukuphathwa kuphelaUkwelashwa ngemisebe, noma ukubuyiselwa emuva njengenye indlela. Kodwa-ke, ezigulini eziningi ezinomdlavuza we-submaryngeal, inqubekela phambili ihlotshaniswa nemvelo yesifo asymptomatic kanye nokusakazeka kwasendaweni kwasendaweni ngohlelo lwe-lymphatic; iziguli ezinjalo ziphathwa kakhulu nge-chemotherapy ne-radiation therapy, futhi ngokushesha - ngokwezinkomba ezibalulekile.Ukuvuselelwa kabushaUkuvuselelwa kungadingeka emuva kwanoma yiluphi uhlobo lokwelashwa. Imvamisa, kuphakama ubunzima obukhulu ngenqubo yokugwinya ukudla ngemuva kokuthola i-chemotherapy noma i-radiation therapy, okungadinga ukuncishiswa kwe-esophagus, ezimweni ezinzima kakhulu - ipulasitiki ye-pharynx noma ukufakwa kwe-gastrostomy. Ngesikhathi sokuhlinzwaukungenelela kungaphazamisa futhi inqubo yokugwinya, futhi ukwelashwa kungadingeka, kufaka phakathi ukwanda kwezindlela zokugwinya.Ukuhlinzwa, ngakolunye uhlangothi, kuthinta ukukhuluma kakhulu. Ngemuva kwe-laryngectomy ephelele, isiguli sidinga ukudala izwi elisha ngo:    Izwi le-Esophageal    I-Esophageal punchingal punching    Umphimbo (i-electropharynx)Ngazo zontathu izindlela, inkulumo yakhiwa ngokuhlanganyela kwe-pharynx, ulwanga oluthambile, ulimi, amazinyo nezindebe.Isisekelo sokwakheka kwegama elithi “esophageal izwi” (izwi le-pseudo-izwi) ukudala igebe lezwi le-pseudo-esophagus kanye nokukhula kwaloukuvalwa ngokungenangqondo.Nge-tracheoesophageal fistula, kufakwa i-valve phakathi kwe-trachea ne-esophagus ukuze kuthuthukiswe umsindo. I-valve isiza ukupompa umoya ungene esophagus ngesikhathi sesenzo sokuphefumlelwa. Iziguli zivuselelwa ngokomzimba, ngezifundo zamasu okukhuluma, zifundiswa imithetho yokuphatha i-fistula, futhi zonke iziguli zixwayiswa ngengozi yokufiswa ukudla namanzi.I-larynx kagesi iyithuluzi elinamandla ebhethri elitholakala ngaphezu kwentamo. Naphezu kobuhlungu obudalwa yisihlava senhlalo lapho sigqokwa iziguli eziningi, kulula ukusisingatha futhi asidingi ukuqeqeshwa okukhethekile.