Kankere ea 'metso kapa ea larynx

Kankere ea 'metso ke mofetše oa methapo ea lentsoe, larynx (lentsoe la lebokose), kapa likarolo tse ling tsa' metso.

Batho ba tsubang kapa ba sebelisang koae ba kotsing ea ho tšoaroa ke mofetše oa 'metso. Ho noa joala haholo ka nako e telele le hona ho eketsa kotsi. Ho tsuba le ho noa joala ho kopantsoe ho lebisa kotsing e kholo ea mofetše oa 'metso.

Kankere e mengata ea 'metso e hlaha ho batho ba baholo ba fetang lilemo tse 50. Banna ba na le monyetla o moholo ho feta basali oa ho ba le mofetše oa' metso.

Tšoaetso ea motho ea papillomavirus (HPV) (vaerase e ts'oanang e bakang li-warts tsa genital) e baka palo e kholo ea mofetše oa molomo le oa 'metso ho feta nakong e fetileng. Mofuta o mong oa HPV, mofuta oa 16 kapa HPV-16, o amana haholo le likankere tsohle tsa 'metso.

Matšoao a kankere ea 'metso a kenyelletsa tse latelang:

• Melumo e sa tloaelehang (e phahameng) ea ho hema
• Khohlela
• Ho kgohlela madi
• Ho thata ho koenya
• Ho puruma ha ho fole libekeng tse 3 ho isa ho tse 4
• Bohloko ba molala kapa tsebe
• 'Metso o sa foleng ka mor'a libeke tse peli ho isa ho tse tharo, esita le ka lithibela-mafu
• Ho ruruha kapa makhopho molaleng
• Ho theola boima ba 'mele eseng ka lebaka la ho ja lijo

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Sena se kanna sa bontša hlama ka ntle ho molala.

Mofani oa thepa a ka sheba molaleng kapa nko ea hau a sebelisa tube e tenyetsehang e nang le kh'amera e nyane qetellong.

Liteko tse ling tse ka laeloang li kenyelletsa:

• Biopsy ea hlahala e belaelloang. Lisele tsena le tsona li tla hlahlojoa bakeng sa HPV.
• X-ray sefubeng.
• Tlhatlhobo ea sefuba ea CT.
• CT scan ea hlooho le molala.
• MRI ea hlooho kapa molala.
• Scan ea PET.

Morero oa kalafo ke ho tlosa mofets'e ka botlalo le ho o thibela ho hasana le likarolo tse ling tsa 'mele.

Ha hlahala e le nyane, ho ka sebelisoa hlahala kapa kalafo ea radiation ho tlosa hlahala eo.

Ha hlahala e le kholo kapa e hasane ho li-lymph node molaleng, motsoako oa radiation le chemotherapy hangata o sebelisoa ho boloka lebokose la lentsoe (lithapo tsa lentsoe). Haeba sena se sa khonehe, lebokose la lentsoe lea tlosoa. Ts'ebetso ena e bitsoa laryngectomy.

Ho ipapisitse le mofuta oa kalafo o o o hlokang, kalafo e ts'ehetsang e ka hlokahalang e kenyelletsa:

• Phekolo ea puo.
• Therapy ho thusa ka ho hlafuna le ho koenya.
• Ho ithuta ho ja liprotheine tse lekaneng le likhalori ho boloka boima ba hau bo le holimo. Botsa mofani oa hau ka litlatsetso tsa lijo tse metsi tse ka thusang.
• Thusa ka molomo o omileng.

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e.Ho arolelana le ba bang ba nang le liphihlelo tse tšoanang le mathata ho ka u thusa hore u se ke ua ikutloa u le mong.

Kankere ea 'metso e ka phekoloa ha e fumanoa kapele. Haeba mofetše o sa jala (metastasized) ho lisele tse haufi kapa li-lymph node molaleng, hoo e ka bang halofo ea bakuli e ka phekoloa. Haeba mofetše o nametse ho li-lymph node le likarolo tsa 'mele kantle ho hlooho le molala, mofetše ha o phekolehe. Kalafo e etselitsoe ho lelefatsa le ho ntlafatsa boleng ba bophelo.

Ho a khonahala empa ho sa netefatsoe ka botlalo hore mofets'e o nang le tšoaetso ea HPV o ka ba le pono e ntle. Hape, batho ba tsubang nako e ka tlase ho lilemo tse 10 ba ka etsa betere.

Kamora kalafo, kalafo ea hlokahala ho thusa ka puo le ho metsa. Haeba motho a sa khone ho koenya, ho tla hlokahala phala ea phepo.

Kotsi e iphetang ea mofetše oa 'metso e phahame ka ho fetesisa nakong ea lilemo tse peli ho isa ho tse tharo tsa tlhahlobo.

Ho latela khafetsa kamora ho hlahlojoa le kalafo ho bohlokoa haholo ho eketsa menyetla ea ho phela.

Mathata a mofuta ona oa mofetše a ka kenyelletsa:

• Tšitiso ea sefofane
• Ho thata ho koenya
• Ho senyeha hoa molala kapa sefahleho
• Ho thatafala ha letlalo la molala
• Ho lahleheloa ke lentsoe le bokhoni ba ho bua
• Ho hasana ha mofetše libakeng tse ling tsa 'mele (metastasis)

Bitsa mofani oa hau haeba:

• O na le matšoao a mofets'e oa 'metso, haholoholo ho hoata kapa ho fetoha ha lentsoe ntle le lebaka le hlakileng le tšoarellang nako e telele ho feta libeke tse 3
• U fumana lekhopho molaleng oa hau le sa foleng libekeng tse tharo

Se ke oa tsuba kapa ua tsuba koae e ngoe. Fokotsa kapa u qobe tšebeliso ea joala.

Meento ea HPV e khothalletsoang bana le batho ba baholo e lebisa tlhokomelo ho li-subtypes tsa HPV tse ka bakang mofetše oa hlooho le molala. Li bonts'itsoe hore li thibela tšoaetso e ngata ea molomo ea HPV. Ha ho so hlake hore na le bona ba khona ho thibela kankere ea 'metso kapa larynx.

Kankere ea molumo oa lentsoe; Kankere ea 'metso; Kankere ea Laryngeal; Kankere ea glottis; Kankere ea oropharynx kapa hypopharynx; Kankere ea lithane; Kankere ea setsi sa leleme

• Molomo o omileng nakong ea kalafo ea mofets'e
• Mahlaseli a molomo le molala - ho tsoa
• Ho metsa mathata

• Anatomy ea 'metso
• Oropharynx

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Serapa sa AS, Morrison WH. Kankere ea Larynx le hypopharynx. Ka: Tepper JE, Foote RL, Michalski JM, eds. Oncology ea mahlaseli a kotsi ea Gunderson & Tepper. La 5th. Philadelphia, PA: Elsevier; 2021: khaolo ea 41.

Lorenz RR, Mookoli ME, Burkey BB. Hlooho le molala. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 33.

Webosaete ea National Cancer Institute. Kalafo ea mofets'e ea Nasopharyngeal (motho e moholo) (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/head-and-neck/hp/adult/nasopharyngeal- kalafo-pdq. E ntlafalitsoe ka Phato 30, 2019. E fihlile ka la 12 Hlakola 2021.

Rettig E, Gourin CG, Fakhry C.Papillomavirus ea motho le lefu la seoa la mofetše oa hlooho le molala. Ka: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 74.