dziviriro

Kurapwa

Mishonga inosiyana zvichienderana nehukuru uye nzvimbo yacho tumarara. Zvichienderana nedanho regomarara, timu yehutano inogona kuvhiyiwa, radiotherapy kana chemotherapy. Mishonga iyi inowanzobatanidzwa kuitira kuparadza kenza masero, kuderedza kuwedzera kwavo kune dzimwe nhengo dzomuviri uye kuderedza dambudziko rekudzokazve.

Kune munhu wega wega ane gomarara repahuro, sarudzo yekurapa inokurukurwa panguva yekubvunzurudzwa kwakasiyana-siyana kunosanganisira ENT surgeon, anesthesiologist, radiotherapist, oncologist, uye sarudzo inotorwa mushure meruzivo nekukurukurirana nemurwere.

Surgeries

• Kubviswa kwemasero egomarara kubudikidza endoscopic kuvhiyiwa. Kana gomarara richiri kutanga, chiremba anogona kuparadza maseru egomarara aine kana asina laser. Kupindira uku kunosiya zvishoma kana kusazovapo.
• La partial laryngectomy kunosanganisira kubvisa chikamu chedokoriro chakabatwa nebundu. Kupindira uku kunogona kukanganisa kutaura uye masimba ekufema, asi kune maitiro ekuvaka patsva kwegomarara izvo zvinoita kuti zvikwanise kudzikamisa sequelae.
• La cordectomie kunosanganisira kubvisa chete chikamu chezwi chabatwa.
• La pharyngectomie kunosanganisira kubvisa chikamu che pharynx. Nhengo yacho inogona kuvakwa patsva kuitira kudzikamisa sequelae uye kuve nechokwadi chekumedza kwakajairika.
• La laryngectomie totale. Kana gomarara racho rakura, ungada kubvisa dokoriro yose wogadzira muhuro unobatana netrachea kuti mweya upinde mumapapu (tracheostomy). Mushure mekupindira kwakadaro, munhu akavhiyiwa anofanira kudzidzira zvakare kutaura nerubatsiro rwemutauriri wekutaura.
• THEzviri pachena (kuchenesa) ganglionic. Kana iyo nodes ichikanganiswa kana mune mamwe marudzi ekenza, zvakakosha kubvisa node dzakakanganiswa mukushanda kwakafanana nekubviswa kwechirwere che pharyngolaryngeal. Radiation therapy kuparadza masero ekenza asara anowanzo kuratidzwa.

Radiotherapy

High intensity x-rays inowanzo shandiswa kuvheneka maseru egomarara. Isu tinoshandisa radiotherapy maererano ne kenza dzepahuro, nokuti ivo vanonyanya kufunga nezvemigumisiro yeradiation. Mamwe magomarara ekutanga anogona kurapwa chete neradiation therapy, asi dzimwe nguva kurapwa neradiation kunofanirwa kusanganiswa nekuvhiyiwa kubvisa chero maseru egomarara aisagona kuparadzwa panguva yekuvhiyiwa kana kudzora bundu risati ravhiyiwa. kubviswa kwekuvhiya.

Radiation therapy inogona kuva nechokwadi Zvikanganiso : kuoma kweganda kwakanyanya se "kupisa kwezuva", zvipembenene zvepharyngolaryngeal mucous membranes zvichiita kuti kumedza uye kutaura kuve kwakaoma, kurasikirwa kwekunaka, kurira kwezwi rinowanzopera mushure mekupera kweradiotherapy.

Pamberi peradiotherapy, kuongororwa kwemazino kwakakosha kuti udzivise matambudziko, nekuti radiotherapy iyi ine hutsinye kumazino nemazino. Kuongorora kwemazino kunogona kutungamira mukutarisira kwakanangana nekuchengetedza mazino kana zvichibvira, kana kubviswa kwemazino akakuvadzwa zvakanyanya, kana kunyange fluoride-based kurapwa.

Kurapwa

Mamwe magomarara anoda kusanganiswa kwekuvhiya, radiotherapy uye chemotherapy. Chemotherapy musanganiswa wemishonga inogona kupihwa netsinga kana nemuromo. Kurapwa uku kunoita kuti zvikwanisike kurapa ese masero egomarara rebundu rekutanga uye chero metastases mune yese yemuviri.

Inogona kukonzera mhedzisiro senge kurutsa, kurasikirwa kwechido, kurasikirwa kwebvudzi, maronda emukanwa, kuderera kwemasero matsvuku uye machena eropa, uye kuneta.

Targeted therapy

vamwe Pharmaceuticals tarisisa zvimwe zvemaseru egomarara kuti adzivise kukura. Cetuximab (Erbitux®) mumwe wemishonga inotenderwa kurapa gomarara repahuro. Mhando iyi yemushonga inogona kushandiswa kuwedzera kune radiation therapy uye chemotherapy.

Kudzidzisazve uye kutevera

Muchiitiko chekuvhiyiwa, nguva yekugadziriswa nea Mutauriri wekutaura zvinowanzodiwa kuti uwanezve mano akanakisisa okudya, kunwa uye kutaura.

Muzviitiko zvese, a chikafu kupfuma muhuwandu uye kunaka kwakakosha pakurapa nekupora

Inokurudzirwa zvakanyanya kutarisisa kune iyoutsanana hwemazino zuva nezuva uye bvunza a chiremba wemazino nguva dzose.

Nzira dzekuwedzera