Gomarara kana gomarara redundiro

Gomarara remuhuro igomarara renzwi, izwi (mubhokisi rezwi), kana dzimwe nzvimbo dzepahuro.

Vanhu vanosvuta kana kushandisa fodya vari panjodzi yekubatwa nekenza yehuro. Kunwa doro rakawandisa kwenguva yakareba kunowedzerawo njodzi. Kusvuta uye kunwa doro zvakabatana zvinotungamira kune yakanyanya njodzi yekenza yehuro.

Kanzera zhinji dzepahuro dzinokura muvakuru vakura kupfuura makore makumi mashanu. Varume vane mikana yakawanda kupfuura vakadzi yekuva nekenza yehuro.

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

Zviratidzo zvegomarara repamuromo zvinosanganisira chero cheanotevera:

• Asina kujairika (akakwira-akadzika) mafemo ekufema
• Kukosora
• Kukosora ropa
• Zvakaoma kumedza
• Hudzi husingaite zvirinani mumavhiki matatu kusvika mana
• Mutsipa kana kurwadziwa nzeve
• Huro huro isingarambe iri nani mumasvondo maviri kusvika matatu, kunyangwe nemishonga inorwisa mabhakitiriya
• Kuzvimba kana mapundu mumutsipa
• Kurera huremu kwete nekuda kwekudya

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinogona kuratidza bundu kunze kwemutsipa.

Iye mupi anogona kutarisa muhuro kana mumhino yako achishandisa chubhu inochinjika ine kamera diki kumagumo.

Mimwe bvunzo inogona kurairwa inosanganisira:

• Biopsy yekufungidzirwa bundu. Iyi turu ichaongororwawo yeHIVV.
• Chest x-ray.
• CT scan yechifuva.
• CT scan yemusoro nemutsipa.
• MRI yemusoro kana mutsipa.
• PET scan.

Chinangwa chekurapa ndechekubvisa zvachose kenza uye kuidzivirira kubva pakupararira kune dzimwe nhengo dzemuviri.

Kana bundu iri diki, kungave kuvhiyiwa kana kurapwa nemwaranzi chete kunogona kushandiswa kubvisa bundu.

Kana bundu rikakura kana rapararira kuma lymph node mumutsipa, mubatanidzwa wemwaranzi uye chemotherapy unowanzo shandiswa kuchengetedza izwi rezwi (tambo dzemazwi). Kana izvi zvisingaite, iro izwi bhokisi rinobviswa. Kuvhiya uku kunodaidzwa kunzi "laryngectomy".

Zvichienderana nerudzi rwekurapa kwaunoda, marapiro anotsigira anogona kudikanwa anosanganisira:

• Kurapa kwekutaura.
• Therapy yekubatsira kutsenga uye kumedza.
• Kudzidza kudya mapuroteni akakwana uye macalorie kuti uchengetedze huremu hwako. Kumbira mupiki wako nezve zvinwiwa zvekudya zvinowedzera izvo 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.

Kanzera yehuro inogona kurapwa kana ikaonekwa kare. Kana gomarara risina kupararira (metastasized) kumatukisi akapoterera kana lymph node mumutsipa, inenge hafu yevarwere inogona kurapwa. Kana gomarara rapararira kuma lymph nodes uye nemitezo yemuviri kunze kwemusoro nemutsipa, gomarara harirapike. Kurapa kunoitirwa kuwedzera uye kuvandudza hupenyu hwehupenyu.

Izvo zvinokwanisika asi hazviratidzwe zvizere kuti kanzira dzinoongorora kuti kune HPV dzinogona kuve nemaonero ari nani. Zvakare, vanhu vakasvuta kwemakore asingasviki gumi vanogona kuita zvirinani.

Mushure mekurapwa, kurapa kunodiwa kubatsira nekutaura uye kumedza. Kana munhu wacho asingakwanise kumedza, pombi yekudyisa inozodiwa.

Njodzi yekudzokerazve mukenza yehuro yakakwira kwazvo mukati memakore maviri kusvika matatu ekutanga ekuongororwa.

Kugara uchitevera mushure mekuongororwa uye kurapwa kwakakosha zvakanyanya kuti uwedzere mikana yekurarama.

Zvinetso zverudzi urwu rwekenza zvinogona kusanganisira:

• Kuvharika kwemumhepo
• Zvakaoma kumedza
• Kushatiswa kwemutsipa kana kumeso
• Kuomesa kweganda remutsipa
• Kurasika kwenzwi uye kugona kutaura
• Kupararira kwekenza kune dzimwe nzvimbo dzemuviri (metastasis)

Fonera mupiki wako kana:

• Iwe une zviratidzo zvegomarara repamhuro, kunyanya kugwinha kana shanduko yezwi pasina chikonzero chiri pachena chinogara kwenguva refu kupfuura mavhiki matatu
• Iwe unowana bundu mumutsipa wako risingapere mumavhiki matatu

Usapute kana kushandisa imwe fodya. Ganhurira kana kudzivirira kunwa doro.

Mishonga yekudzivirira hutachiona yeHIVV inokurudzirwa kuvana nevakuru vechidiki inonongedza HPV madiki angangoita kenza yemusoro neyemutsipa. Ivo vakaratidzirwa kudzivirira mazhinji emuromo ehutachiona hweHIV. Hazvina kujeka parizvino kana ivo zvakare vachikwanisa kudzivirira cancer kana larynx cancer.

Kanzera tambo kenza; Kenza yegoridhe; Gomarara reLaryngeal; Kenza yeglottis; Kenza ye oropharynx kana hypopharynx; Kenza yematoni; Gomarara repazasi rerurimi

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

• Huro anatomi
• Oropharynx

Armstrong WB, Vokes DE, Tjoa T, Verma SP. Zvironda zvakaipa zvemuhuro. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chits. 105.

Bindu AS, Morrison WH. Larynx uye gomarara rehypopharynx. Mune: Tepper JE, Foote RL, Michalski JM, eds. Gunderson & Tepper's Clinical Mhepo Oncology. 5 ed. Philadelphia, PA: Elsevier; 2021: chitsauko 41.

Lorenz RR, Couch ME, Burkey BB. Musoro nemutsipa. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 33.

National Cancer Institute webhusaiti. Nasopharyngeal cancer cancer (mukuru) (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/head-and-neck/hp/adult/nasopharyngeal-treatment-pdq. Yakagadziridzwa Nyamavhuvhu 30, 2019. Yakasvika muna Kukadzi 12, 2021.

Rettig E, Gourin CG, Fakhry C.Papillomavirus yemunhu uye chirwere chepfungwa checancer yemusoro neyemutsipa. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chits. 74.