Khansara ya Larynge ndi khansara ya larynx, chiwalo kutsogolo kwa khosi pakati pa mimba ndi trachea (nthawi zina amatchedwa bokosi la mawu). Mphuno imathandizira kupuma, kuyankhula, ngakhale kumeza. Pamene maselo omwe amapanga minofu amayamba kuchulukana ndikugawanitsa pamlingo wosazolowereka amatchedwa khansa ya larynge. Maselowo amakula kukula kwakukulu, kawirikawiri amapanga thupi lotchedwa chotupa.
Chotupacho chikhoza kusuntha ndi kusokoneza ndi ziwalo zina zozungulira lakiti ndi kufalikira kumalo ena a thupi.
Momwe Iwo Ukufalikira
Pamene khansa imafalikira kumbali zina za thupi imatchedwa metastasis. Maselo a khansa angathe kulowa m'magazi kapena ma lymphatic ndi kupita ku ziwalo zina m'thupi. Komabe, malo omwe amapezeka kuti khansa yowonongeka ndi yofiira m'khosi. Kuchokera kumeneko zingathe kufalikira kumbuyo kwa lilime, mbali zina za khosi ndi m'mapapo. Ngati simunatsatidwe akhoza kufalikira thupi lonse.
Zowopsa
Khansara ya Larynge sichitha kutetezedwa nthawizonse; Komabe, zifukwa zina zomwe zingakupangitseni kuti mupeze khansa yowonjezera yadziwika monga:
- Ali ndi zaka 55 kapena kuposa
- mwamuna wamwamuna
- Kusuta
- kumwa mowa
- atakhala ndi matenda oyamba a khansa pamutu kapena pamutu
- Kupeza mankhwala ena monga asibesito, sulfuric acid, kapena nickel
- kuvutika ndi GERD (acid reflux)
- Matenda a HPV
Chifukwa chakuti muli ndi zina mwazifukwa sizikutanthauza kuti mudzakhala ndi khansa yambiri.
Zizindikiro
Zizindikiro zotsatirazi za khansara yowonongeka ingagwirizanenso ndi matenda ena ambiri. Ndikofunika kukachezera dokotala wanu kuti mudziwe chomwe chimayambitsa zizindikiro zanu.
Zizindikiro zina zotheka ndi izi:
- zosasangalatsa
- chikhure
- zovuta kumeza
- kupuma kupuma
- mpweya woipa
- makutu
- kulemera
Kudziwa
Pali mayesero angapo omwe amagwiritsidwa ntchito kuti apeze khansa yowopsa. Ngati muli ndi zizindikiro za khansara ya khansa dokotala wanu angayambe kuyeza thupi. Adzamverera khosi lanu ndi zisolo zilizonse ndikuyang'ana kumbuyo kwa mmero. Ngati ndi kotheka, mayesero ena adzalamulidwa ndipo angaphatikizepo:
- Laryngoscopy - Njira yosamvetsetseka yolembera imatha kusinthidwa mu ofesi ya dokotala. Dokotala wanu amaika galasi ndi chogwirana chanchi pansi pa khosi lanu kuti muwone ngati zingwe zamagetsi ndi zida zozungulira. Mutha kulandira mankhwala otsekemera omwe amakoka kumbuyo kwa mmero mwako ndikukutetezani kuti musagwedezeke. Kachilombo kachitsulo kamene kamasowa kumafuna kukhala pansi kuti mupangitse kukhala omasuka kotero kuti kawirikawiri idzachitidwa kuchipatala kapena chipatala. Dokotala amagwiritsa ntchito laryngoscope (chubu yomwe ili ndi kuwala kumapeto komwe imayikidwa kupyolera mu mphuno kapena pakamwa panu) kuti muwone chithunzithunzi.
- CT Scan
- Chimake
Chithandizo
Kuthana ndi khansa yambiri ingaphatikize akatswiri ambiri azachipatala kuphatikizapo otolaryngologists, madokotala opaleshoni, oncologists, ndi ma radiation oncologists. Njira yeniyeni yothandizira imadalira mkhalidwe wanu koma nthawi zambiri idzachitanso opaleshoni kuchotsa khansa yambiri ngati n'kotheka.
Mazira a m'deralo a maselo a khansa akhoza kuchitidwa opaleshoni asanayambe kuchitidwa opaleshoni pofuna kuchepetsa kukula kwa chotupa kapena pambuyo pa opaleshoni kuthetsa ambiri maselo a kansa. Chemotherapy amagwiritsidwa ntchito nthawi zina khansa ya laryngeal.
Zotsatira Zakale
Malingana ndi siteji ya khansa yanu mungafunikire opaleshoni yotchedwa laryngectomy kapena mtundu wonse wa laryngectomy, womwe umakhala ndi tracheostomy. Nthawi zina tracheostomy ndi yaifupi koma nthawi zina imakhala yosatha. Mmodzi mwa zotsatira zovulaza kwambiri za khansa yowopsa ndi zotsatirapo pa kulankhula. Ngati muli ndi tracheostomy yosatha, muyenera kuphunzira momwe mungalankhulire mwanjira yatsopano.
Mudzakhala ndi maphunziro kuchokera kwa odwala olankhula kuti akuthandizeni kuphunzira kuyankhula. Pakalipano, sungani pensulo ndi papepala nthawi zonse kuti muthe kulankhulana. Ndizinthu zambiri zatsopano zomwe zilipo kuti muphunzire chinenero chamanja, izi zikhonza kukhala njira yoyenera kwa inu ndi banja lanu.
Odwala ena amasankha kugwiritsa ntchito kanyumba kamakono polankhula. Pali mitundu yambiri ya zipangizo zamakina zomwe mungasankhe. Zina zimayendetsedwa ndi mpweya ndi zina ndi mabatire. Zida zina zimakufunsani kuti muzisunge pammero pomwe zina zimalowetsamo mkamwa mwanu. Mungafunike kuyesa chithandizo cha kalankhulidwe kanu kuti mupeze chipangizo choyenera kwa inu.
Ngakhale khansara yowopsa ikhoza kukhala yowopsya, ndipo msewu wochira ukhoza kukhala wautali ndi wovuta, pali zinthu zambiri zomwe zingakuthandizeni pa njira yanu. Mufuna thandizo la banja ndi abwenzi kuwonjezera pa gulu lanu lachipatala.
> Zotsatira:
> National Cancer Institute. Zimene Mukuyenera Kudziwa Zokhudza Khansa ya Larynx.