Kev tiv thaiv

Kho mob

Kev kho mob txawv nyob ntawm qhov loj thiab qhov chaw ntawm lub qog. Nyob ntawm theem ntawm kev mob qog noj ntshav, pab neeg kho mob yuav muaj kev phais, xov tooj cua lossis tshuaj khomob. Cov kev kho mob no feem ntau yog ua ke txhawm rau txhawm rau rhuav tshem cov kabmob hlwb, txwv lawv qhov nthuav mus rau lwm qhov ntawm lub cev thiab txo qhov kev pheej hmoo ntawm kev rov tshwm sim.

Rau txhua tus neeg mob qog noj ntshav hauv caj pas, kev xaiv kev kho mob yog tham txog thaum muaj kev sib tham nrog ntau tus kws kho mob nrog ENT kws phais, anesthesiologist, radiotherapist, oncologist, thiab kev txiav txim siab tom qab cov ntaub ntawv thiab kev sib tham nrog tus neeg mob.

Kev phais

• Kev tshem tawm cov qog nqaij hlav cancer los ntawm Kev phais endoscopic. Yog tias mob qog noj ntshav tseem tab tom pib, tus kws kho mob tuaj yeem rhuav tshem cov qog nqaij hlav cancer nrog lossis tsis muaj laser. Qhov kev cuam tshuam no tawm me ntsis lossis tsis muaj txiaj ntsig tom qab.
• La ib nrab laryngectomy Kev tshem tawm ib feem ntawm lub larynx cuam tshuam los ntawm cov qog. Qhov kev cuam tshuam no tuaj yeem cuam tshuam rau kev hais lus thiab kev ua pa ntawm lub ntsws, tab sis muaj cov txheej txheem ntawm kev tsim kho ntawm lub caj pas uas ua rau nws muaj peev xwm txwv tsis pub cov sequelae.
• La cordectomie Tsuas yog tshem tawm tsuas yog ib feem ntawm lub suab uas cuam tshuam.
• La pharyngectomie Kev tshem tawm ib feem ntawm lub pharynx. Tom qab ntawd lub cev tuaj yeem tsim kho dua tshiab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau, lub cev tuaj yeem rov tsim kho lub cev.
• La tag nrho laryngectomy. Yog tias mob qog noj ntshav siab, koj yuav tsum tau tshem tawm tag nrho cov hlab ntsws thiab ua kom qhib lub caj dab uas txuas mus rau lub trachea kom tso cua nkag mus rau hauv lub ntsws (tracheostomy). Tom qab qhov kev cuam tshuam zoo li no, tus neeg ua haujlwm yuav tsum rov hais lus nrog kev pab los ntawm tus kws kho hais lus.
• LUBobviously (kev tu) ganglionic. Yog tias cov nodes raug cuam tshuam los yog qee hom mob qog noj ntshav, nws yog ib qho tsim nyog yuav tsum tshem tawm cov kab mob uas cuam tshuam rau hauv tib txoj haujlwm raws li kev tshem tawm cov qog pharyngolaryngeal. Kev kho hluav taws xob los rhuav tshem cov qog nqaij hlav uas tseem tshuav yog feem ntau qhia.

Radiotherapy

High siv x-rays feem ntau yog siv los irradiate cancer hlwb. Peb siv lub radiotherapy nyob rau hauv cov ntaub ntawv ntawm mob qog noj ntshav, vim hais tias lawv yog tshwj xeeb rhiab heev rau cov teebmeem ntawm irradiation. Qee cov qog nqaij hlav thaum ntxov tsuas yog kho tau nrog kev kho hluav taws xob xwb, tab sis qee zaum kev kho hluav taws xob yuav tsum tau ua ke nrog kev phais kom tshem tawm cov qog nqaij hlav cancer uas tsis tuaj yeem rhuav tshem thaum phais lossis txo cov qog ua ntej kev phais. phais tshem tawm.

Kev kho hluav taws xob tuaj yeem muaj tseeb Sab los : mob hnyav ntawm daim tawv nqaij qhuav xws li "sunburn", qhov txhab ntawm pharyngolaryngeal mucous daim nyias nyias ua rau nqos thiab hais lus nyuaj, tsis hnov ​​​​tsw, hoarseness ntawm lub suab uas feem ntau ploj tom qab qhov kawg ntawm radiotherapy.

Ua ntej siv xov tooj cua, kev kuaj hniav yog qhov tseem ceeb kom tsis txhob muaj teeb meem, vim tias qhov kev kho hluav taws xob no ua rau cov hniav thiab cov pos hniav. Kev kuaj hniav tuaj yeem ua rau muaj kev saib xyuas txhawm rau khaws cov hniav thaum ua tau, lossis tshem tawm cov hniav puas ntau dhau, lossis txawm tias kho cov tshuaj fluoride.

Kws khomob

Qee cov qog nqaij hlav xav tau ua ke ntawm kev phais, radiotherapy thiab chemotherapy. Chemotherapy yog ib qho kev sib xyaw ntawm cov tshuaj uas tuaj yeem muab tso rau hauv qhov ncauj lossis qhov ncauj. Qhov kev kho no ua rau nws muaj peev xwm kho tau cov qog nqaij hlav cancer ntawm cov qog nqaij hlav qub thiab txhua qhov metastases hauv lub cev.

Nws tuaj yeem ua rau muaj kev phiv xws li ntuav, tsis qab los noj mov, plaub hau poob, qhov ncauj qhov ntswg, qis ntshav liab thiab dawb suav, thiab qaug zog.

Targeted therapy

Ib txhia pharmaceuticals hom phiaj tshwj xeeb ntawm cov qog nqaij hlav cancer los tiv thaiv lawv los ntawm kev loj hlob. Cetuximab (Erbitux®) yog ib qho ntawm cov tshuaj pom zoo rau kev kho mob qog noj ntshav. Hom tshuaj no tuaj yeem siv ntxiv rau kev kho hluav taws xob thiab tshuaj khomob.

Rov kawm ntawv thiab ua raws

Nyob rau hauv qhov kev tshwm sim ntawm kev phais, lub sij hawm ntawm rehabilitation los ntawm a Speech Therapist feem ntau yuav tsum tau rov qab muaj peev xwm noj, haus thiab hais lus zoo tshaj plaws.

Nyob rau hauv txhua rooj plaub, a khoom noj khoom haus nplua nuj nyob rau hauv kom muaj nuj nqis thiab zoo yog qhov tseem ceeb rau kev kho kom zoo thiab rov zoo

Nws yog xav kom them tshwj xeeb mloog mus rau lubkev tu hniav txhua hnub thiab sab laj a kws kho hniav tsis tu ncua.

Cov kev qhia ntxiv