Kenza yemumuromo

Gomarara remumuromo igomarara rinotanga mumuromo.

Kenza yemumuromo inowanzo sanganisira miromo kana rurimi. Izvo zvinogona zvakare kuitika pane:

• Cheek lining
• Pasi pemuromo
• Matadza (gingiva)
• Denga remuromo (mukanwa)

Kazhinji kanzuru yemukanwa mhando inonzi squamous cell carcinoma. Aya makenza anowanzopararira nekukurumidza.

Kusvuta uye kumwe kushandiswa kwefodya kwakabatana nezviitiko zvakawanda zvegomarara remukanwa. Kunwa doro zvakanyanya kunowedzerawo njodzi yekenza yemukanwa.

Hutachiwana hwevanhu papillomaoma (HPV) hutachiona (hutachiona uhu hunokonzeresa kurwadza kwepabonde) inoverengera huwandu hwakawanda hwekenza yemumukanwa kupfuura kare. Imwe mhando yeHIVV, mhando 16 kana HPV-16, inonyanya kuwanzobatanidzwa neinenge ese maronda kenza.

Zvimwe zvinhu zvinogona kuwedzera njodzi yekenza yemukanwa zvinosanganisira:

• Yakareba-isingaperi (isingagumi) kukwiza, senge kubva kumazino ane hukasha, meno ekugezera, kana kuzadza
• Kutora mishonga (immunosuppressants) iyo inoshayisa simba immune system
• Kushaya hutano mazino uye nemuromo

Mimwe kanzira yemumuromo inotanga semuchena chena (leukoplakia) kana semuromo chironda.

Varume vanoita gomarara remukanwa zvakapetwa kaviri zvinoita vakadzi. Inowanzoitika kune varume vakuru kudarika makumi mana.

Kenza yemumuromo inogona kuoneka seguruva kana chironda mumuromo chingave:

• Kutsemuka kwakadzika, kwakasimba-kumativi munyama
• Pale, rakasviba tsvuku, kana rakatsvuka
• Parurimi, muromo, kana imwe nzvimbo yemuromo
• Kusarwadziwa pakutanga, ipapo kupisa kutsva kana kurwadziwa kana bundu ranyanya kuwedzera

Zvimwe zviratidzo zvinogona kusanganisira:

• Zvinetso zvekutsenga
• Maronda emuromo anogona kubuda ropa
• Marwadzo nekumedza
• Matambudziko ekutaura
• Kumedza kuoma
• Kuzvimba lymph node mumutsipa
• Matambudziko erurimi
• Kuonda
• Zvakaoma kuvhura muromo
• Chiveve uye kusununguka kwemeno
• Kufema kwakaipa

Chiremba wako kana chiremba wemazino anoongorora muromo wako nzvimbo. Bvunzo dzinogona kuratidza:

• Ronda pamuromo, rurimi, chingamu, matama, kana imwe nzvimbo yemuromo
• Chironda kana kubuda ropa

Bhiopsy yechironda kana ulcer ichaitwa. Iyi turu ichaongororwawo yeHIVV.

CT, MRI uye PET zviyero zvinogona kuitwa kuti uone kana gomarara rapararira.

Kuvhiya kubvisa bundu kunokurudzirwa kana bundu racho riri diki zvakakwana.

Kana bundu rapararira kune mamwe maturu kana ma lymph node ari padyo, kuvhiyiwa kukuru kunoitwa. Huwandu hweturu uye huwandu hwema lymph node ayo anobviswa anoenderana nekuti kenza yapararira zvakadii.

Kuvhiya kunogona kushandiswa pamwechete ne radiation radiation uye chemotherapy kune makuru mamota.

Zvichienderana nerudzi rwekurapa kwaunoda, marapiro anotsigira anogona kudikanwa anosanganisira:

• Kurapa kwekutaura.
• Therapy kubatsira kutsenga, kumedza.
• Kudzidza kudya mapuroteni akakwana uye macalorie kuti uchengetedze huremu hwako. Kumbira mupiki wako wezvehutano nezve zvinwiwa zvekudya zvinowedzera zvinogona kubatsira.
• Batsira nemuromo wakaoma.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Inenge hafu yevanhu vane gomarara remukanwa vachararama makore anopfuura mashanu mushure mekunge vaonekwa nekurapwa. Kana gomarara rikawanikwa kare, risati rapararira kune mamwe matishu, mwero wekuporesa unosvika 90%. Inopfuura hafu yekenza yemukanwa yakapararira kana gomarara rikaonekwa. Mazhinji akapararira kuhuro kana mutsipa.

Izvo zvinokwanisika, asi zvisina kunyatsoratidzwa, kuti kanzira dzinoongorora dzakanaka kune HPV inogona kuve nemaonero ari nani. Zvakare, avo vakaputa kwemakore asingasviki gumi vanogona kuita zvirinani.

Vanhu vanoda madosi makuru emwaranzi pamwe nekemotherapy vanowanzove nematambudziko akakura nekumedza.

Kenza dzemumuromo dzinogona kudzoka kana fodya kana doro risingamiswe.

Zvinetso zvekenza yemuromo zvinogona kusanganisira:

• Matambudziko e radiation radiation, kusanganisira mukanwa wakaoma uye kunetseka kumedza
• Kushatiswa kwechiso, musoro, uye mutsipa mushure mekuvhiyiwa
• Kumwe kupararira (metastasis) yekenza

Gomarara remumuromo rinogona kuwanikwa kana chiremba wemazino achichenesa uye kuongorora.

Fonera mupi wako kana iwe uine ronda mumuromo mako kana muromo kana bundu riri mumutsipa risingapere mukati memwedzi mumwe. Kutanga kuongororwa uye kurapwa kwekenza yemukanwa kunowedzera mukana wekupona.

Kenza yemumuromo inogona kudzivirirwa ne:

• Kudzivisa kuputa kana kumwe kushandisa fodya
• Kuva nezvinetso zvemazino zvakagadziriswa
• Kugumira kana kudzivirira kunwa doro
• Kushanyira chiremba wemazino nguva dzose uye uchidzidzira hutsanana hwemuromo

Mishonga yekudzivirira hutachiona yeHIVV inokurudzirwa kuvana nevakuru vechidiki inonongedza HP-sub-mhando dzinogona kukonzera kanzura dzemumuromo. Ivo vakaratidzirwa kudzivirira mazhinji emuromo ehutachiona hweHIV. Hazvina kujeka parizvino kana ivo vanokwanisawo kudzivirira kanzuru dzemumuromo.

Kenza - muromo; Gomarara remuromo; Kenza yemusoro nemutsipa - muromo; Squamous cell cancer - muromo; Malignant neoplasm - yemuromo; Kenza yeOropharyngeal - HPV; Carcinoma - muromo

• Muromo wakaoma panguva yekurapa kenza
• Muromo nemutsipa radiation - kubuda
• Kumedza matambudziko

• Huro anatomi
• Muromo anatomy

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Mudiki JW, Miller CS, Rhodus NL. Cancer uye mukanwa kutarisirwa kwevarwere vane cancer. Mune: Mudiki JW, Miller CS, Rhodus NL, eds. Diki uye Falace's Dental Management yeMedhi Akakwenenzverwa Murwere. 9th ed. St Louis, MO: Elsevier; 2018: chitsiko 26.

National Cancer Institute webhusaiti. Oropharyngeal cancer cancer (mukuru) (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/head-and-neck/hp/adult/oropharyngeal-treatment-pdq#link/_528. Yakagadziridzwa Ndira 27, 2020. Yakasvika paKurume 31, 2020.

Wein RO, Weber RS. Malignant neoplasms emumuromo. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 93.