Umdlavuza we-Laryngeal umdlavuza we-larynx, isitho esingaphambi kwentamo emkhatsini we-esophagus kanye ne-trachea (ngezinye izikhathi ebizwa ngokuthi ibhokisi lezwi). I-larynx isiza ngokuphefumula, ukukhuluma, ngisho nokugwinya. Lapho amangqamuzana akha izicubu ze-larynx aqala ukwanda futhi ahlukanise ngesilinganiso esingavamile ubizwa ngokuthi umdlavuza we-laryngeal. Amaseli abuye akhule ngendlela engavamile, ngokuvamile enza umthamo okuthiwa i-tumor.
Lesi sifo singasusa futhi siphazamise nezinye izitho ezizungeze i-larynx futhi zisakaze kwezinye izingxenye zomzimba.
Indlela Esakaba ngayo
Uma umdlavuza usakazeka kwezinye izingxenye zomzimba kuthiwa yi-metastasis. Amaseli omdlavuza angakwazi ukungena ohlelweni lwegazi noma lymphatic futhi athwale kwezinye izitho emzimbeni. Kodwa-ke, indawo engenzeka kakhulu yomdlavuza we-laryngeal ukusakazeka i- lymph nodes entanyeni. Ukusuka lapho kungasakazeka emuva kolimi, ezinye izingxenye zentanyeni nasemaphashini. Uma kushiywe kungalashwa kungasakazeka kuwo wonke umzimba.
Izingozi Zezingozi
Umdlavuza we-Laryngeal awukwazi ukuvinjelwa ngaso sonke isikhathi; Kodwa-ke, izici ezithile ezingozini ezenza ukuba uthole umdlavuza womdlavuza kutholakale kubandakanya:
- Uneminyaka engu-55 noma ngaphezulu
- ubulili besilisa
- ukubhema
- ukuphuza utshwala
- ephethe isifo esithile sangaphambili somdlavuza ekhanda noma entanyeni
- ukutholakala kwamakhemikhali athile kubandakanya i-asbestos, i-sulfuric acid, noma i-nickel
- ukuhlushwa yi-GERD (reflux acid)
- Ukutheleleka kwe-HPV
Ngenxa yokuthi unezinye zezici akusho ukuthi uzokwakha umdlavuza we-laryngeal.
Izimpawu
Izimpawu ezilandelayo zomdlavuza we-laryngeal nazo zingahlanganiswa nezinye izifo eziningi. Kubalulekile ukuvakashela udokotela wakho ukucacisa imbangela yezibonakaliso zakho.
Ezinye izimpawu ezikhona kungenzeka:
- ukukhathazeka
- Umphimbo obuhlungu
- ubunzima bokugwinya
- ubunzima bokuphefumula
- umoya omubi
- izindlebe
- ukulahlekelwa isisindo
Ukuxilongwa
Kukhona ukuhlolwa okuningi okusetshenziselwa ukuxilonga umdlavuza we-laryngeal. Uma unezibonakaliso zomdlavuza welaryngeal udokotela wakho uzoba nokuhlolwa ngokomzimba. Uzozwa intamo yakho nganoma yikuphi ukugquma bese ubheka emuva komphimbo wakho. Uma kunesidingo, ezinye izivivinyo ziyobekwa futhi zingabandakanya:
- I-Laryngoscopy - I-laryngoscopy engaqondakali ingahle ihlelwe ngaphambilini ehhovisi likadokotela wakho. Udokotela wakho uzobeka isibuko ngesibambo eside kakhulu phansi emqaleni wakho ukuze uzibone ngeso lengqondo izintambo zomlomo nezishukela ezizungezile. Ungase uthole i-spycletic spray eyenza ngemuva kwenqamu yakho bese ikugcina ungangeni. I-laryngoscopy eqondile idinga ukuguqulwa ukuze ukwenze ukhululeke kakhulu ngakho kungenzeka ukuthi kwenzeke esikhungweni sokuhlinzeka noma esibhedlela. Udokotela uzosebenzisa i-laryngoscope (ithubhu enokukhanya ekupheleni okufakwe ngekhaleni lakho noma emlonyeni wakho) ukuze ubone ngeso lengqondo i-larynx.
- I-CT Scan
- I-Biopsy
Ukwelapha
Ukwelapha umdlavuza wokudla ungabandakanya ochwepheshe bezokwelapha eziningi kuhlanganise nama-otolaryngologists, odokotela abahlinzayo, oncologists, kanye nama-oncologists emisebeni. Indlela efanele yokwelashwa iyoxhomeka esimweni sakho esithile kodwa ngokuvamile iyobandakanya ukuhlinzwa ukuze ususe umdlavuza okuningi ngangokunokwenzeka.
Imisebe yendawo yamangqamuzana omdlavuza ingenziwa ngaphambi kokuhlinza ngomzamo wokunciphisa ubukhulu besisu noma emva kokuhlinzwa ukuqeda amaningi amangqamuzana omdlavuza ngangokunokwenzeka. I-Chemotherapy isetshenziswa kwezinye izimo zomdlavuza we-laryngeal.
Impumelelo Yesikhathi Eside
Kuye ngesiteji somdlavuza wakho ungadinga ukuhlinzwa okubizwa ngokuthi i-laryngectomy noma ingxenye ye-laryngectomy, ehlanganisa i-tracheostomy. Ngezinye izikhathi i-tracheostomy yesikhashana kodwa ngezinye izikhathi ihlala njalo. Mhlawumbe omunye wemiphumela emibi kakhulu yomdlavuza we-laryngeal yimiphumela yawo ekukhulumeni. Uma une-tracheostomy engunaphakade, kuzodingeka ufunde ukuthi ungakhuluma kanjani ngendlela entsha.
Uzothola izifundo ezivela enkulumeni yezinkulumo ukusiza ukuthi ufunde ukukhuluma. Okwamanje, gcina ipensela kanye nephasi lephepha ngaso sonke isikhathi ukuze ukwazi ukuxhumana. Ngezinsiza eziningi ezintsha ezitholakalayo zokufunda ulimi lwezandla lokhu kungase kube yindlela enhle kakhulu wena nomndeni wakho.
Ezinye iziguli zikhethe ukusebenzisa i-larynx yamashini ukukhuluma. Kunezinhlobo eziningi zamadivaysi omshini ongakhetha kuwo. Ezinye ziphethwe umoya futhi ezinye ngamabhethri. Amanye amadivayisi adinga ukuthi ubambelele emqaleni wakho ngenkathi abanye befakwa emlonyeni wakho. Kungase kudingeke uzame ngosizo lwe-pathologist yakho yokukhuluma ukuze uthole idivayisi efanele kuwe.
Ngesikhathi umdlavuza we-laryngeal ungaba umonakalo, futhi umgwaqo wokubuyisela ungaba isikhathi eside futhi unzima, kunezinsiza eziningi zokukusiza endleleni yakho. Uzodinga ukusekelwa komndeni nabangane ngaphezu kwethimba lakho lezokwelapha.
> Imithombo:
> National Cancer Institute. Okudingeka Ukwazi Ngomdlavuza we-Larynx.