Kenza chingamu: tsananguro, zvinokonzera, zviratidzo, uye kunyanya pachikuva kurapwa

The mapundu kuti munguva nemumuromo mhango, izvozvo nyanyisa kwendangariro. Vanogona kuva kwete nyoro zvinyama chete, asiwo vanopfuura pashaya dzavo.

tsananguro

Kenza matadza - ndechimwe chezvinhu zvakafanana zvirwere nomumukanwa mhango. It kunoratidzwa ne chidzoke kuderedzwa yepamusoro pezvakaitwa, izvo dziri mune mucous membranes. Pangozi ingangowanikwa varume repakati uye vakura, uyewo vaya kare akatambura dzakasiyana-siyana mazino zvirwere.

Kana akasiya untreated, pernicious chirwere kwacho atanga kuparadzira uye hakuchinji nhengo uye munyama. Kana dambudziko iri kumhanya, ipapo munguva yemberi zvichaita metastases, pashure iyo mwero wokufa kwevanhu inowedzerawo.

zvikonzero

Chimiro namamota kwakadaro kunogona kukonzera:

• kuvapo carious zino;
• anogumbura pezvakaitwa;
• doro uye fodya kushandisa;
• murombo nomumukanwa utsanana
• zvokuimba kukuvara mazino.

Chinhu vaifurirwa chirwere ichi vari vanhu vane akabayiwa rurimi. Sezvo chikazozikamwa, kushongedzwa ichi kunowanzokonzera kukuvadzwa dzaiita zvokutaurwa mhango, pashure iyo chirwere anogona achishingaira vakasuma uye kuparadzirwa, uye kuti zvadaro chinokonzera kenza matadza.

siteji

Pane matanho mana chirwere:

1. Bundu rinosvika munhu pakukura 1 masendimita uye zvakachengetwa mucous rukoko.
2. Neoplasm anokura 2 cm mu dhayamita uye 1 masendimita yakadzika uye asingauyi kuenda mhiri munyama. On the lesion divi 1 chipo metastases.
3. Kuiswa chisimbiso ndiyo 3 cm. Roots kunogonawo kuva, kana vari kutotanga nokuunganidza node raiva pedyo nebundu uye nzvimbo kuparadzwa.
4. Metastases vari chiso mapfupa mhango muna dehenya uye carotid tsinga. Uyewo vanogona kusvika nhengo dzomuviri dzakadai chiropa nemapapu. Panguva iyi zvakaoma kurapa kenza yacho mazino.

The kutanga pavaipfuura chirwere chinoita pachayo akanzwa. Bundu, izvo anowedzera uye inokura munyama, anorumanya tsinga harinzwi anoparadza basa nhengo dzakawanda uye chinokonzera marwadzo, riri nyore chaizvo kuti kushivirira.

zviratidzo

Chirwere kungazviratidza nenzira dzakasiyana, saka zvakaoma zvikuru kuziva. Asi vachiri vakafungidzira kuvapo namamota dzakadaro uye murwere may, kana rakada vachiongorora utano hwavo. The chikuru chiratidzo pamberi kenza ari kuzvimba matadza, iyo nguva dzose kuwedzera. All anouya kuti njodzi yacho inova huru zvakakwana uye otanga dzvinya pedyo mazino, izvo chinoita rinotyisa kusanzwa, umo kazhinji kuenda kwachiremba.

Uyezve, chisimbiso iri mumuromo, izvo ichigadziriswa pigmentation. Kazhinji, nzvimbo iyi akapoteredzwa maronda zviduku kana makatsemuka. Unogonawo kuona ropa, kana chete zvishoma kubata kwacho. Matadza kuva kwairwadza. Pakutanga, veko manyawi, asi pashure imwe nguva murwere zvakaoma kuvhura muromo.

Nemaziso, bundu iri rinogona kurondedzerwa se mutsva inotungamirwa yakatsvuka pamwe nzvimbo chena, izvo iri nemumuromo munyama. chirwere ichi rinowanzoshandiswa kuvhiringidzwa leykoplaksiey, eritroplaksiey, maronda kana gingivitis, asi maererano mamwe maitiro (pamusoro-ulcerated nomumativi zvakawanda tsinga) anogona kusimbisa kuti raiva kenza matadza. Zviratidzo pamusoro apa, zviri dzakasiyana chaizvo uye zvinogona kuvhiringidza kunyange vatevedzere murwere, saka zvinokosha kuti iteerere pachake uye narwo dzose bvunzo vanachiremba.

Diagnostics

Kudzivirira chirwere, zvinokosha kushanyira wemazino mwedzi mitanhatu ose. Unofanirawo vakazvimiririra kuongorora mucosa, uye kana kuwana kufungira zviitiko hwodoonekereswa ari unyanzvi.

Kana vanachiremba vakafungidzira kuti bundu, izvozvo Anokurudzira:

• vanoshanyira oncologist;
• kumbotambudzika cytological kuongororwa, iro rinoitwa kutsvaka masero atypical;
• mumwe biopsy kuona mhando hosha;
• kuitisa maekisirei, izvo zvinoratidza kana kusaratidza kuvapo metastases vari mandible.

kenza chingamu zvakaoma kuziva, saka pamusoro zvidzidzo kuchabatsira izvi, uyewo chiriporipocho mberi kurapwa, izvo basa chete vanachiremba kunzvimbo dzakadaro.

Ndiani kazhinji achirwara?

dambudziko Izvi zvinokanganisa vaya nedoro uye ane chirwere nezvinetso matadza kana mazino. Uyewo isakarurama kukanganiswa ane kururama kana kwete Utsanana hanya, kushaya mazino kana taita akaita dentures, zvinorwadza mucosa. kenza chingamu zvinokonzerwa ndiripo vanosvuta, vanoda dzinodzeya betel mashizha uye vane maronda dzaiita zvokutaurwa mhango. dambudziko iri rinogona kuwana vanhu vane papillomavirus uye herpes, uyewo vanoda kudya inopisa uye Spicy zvokudya zvakare.

shepi

chirwere ichi chinogona kuonekwa mune mucous zvitatu siyana:

• Maronda kenza unovapo sezvo mavanga vane kuenzana micheto uye ropa kana mune kwaaita chikwesheso kana kana achingomutambudza.
• Papillary - zvisimbiso kuonekwa sezvo anorovera.
• Infiltrative - muitiro chinopinda, haina miganhu, pane kurwadziwa simba kunyange zororo.

Mumwe nemumwe siyana izvi kune ngozi, nokuti dambudziko iri vatovapo, uye zvakanakisisa kushandisa rubatsiro yezvokurapa pakutanga pachikuva.

mabatiro

Kenza matadza, mishonga izvo kwakaoma, panobviswa mumatanho matatu:

• kuvhiya;
• nemwaranzi kurapa;
• mishonga.

Pakuvhiya, vanachiremba akacheka murwere bundu uye akapfava munyama kuti vakombe (mucous, tsandanyama uye nemidziyo ropa). The akabvisa zvinhu rwunotumirwa murabhoritari nemiedzo. Vanogona sei zvikuru mberi uye sei kure maperembudzi aenda. Kana bundu apararira mhiri shaya, vanovhiya kubvisa submandibular Triangle.

Radiation mushonga zvinogona kuitwa pamberi oparesheni uye pashure pacho. Muzana rokutanga musimboti, vose achawira pasi irradiation dzakapoterera zvinyama uye bundu, uye yechipiri - nharaunda umo bundu rakanga. Kakawanda, pane nzira akadaro ushandiswe kuzvidzivirira achidzokorora zvirwere, nokuti anogona kupedzisa.

Mishonga iri kazhinji basa varwere vane chingamu nokubviswa kenza zvisingaiti, nekuti pane contraindications kunorapwa. Mune zvisingawanzoitiki zvinoitika, kushandiswa kuwedzera radiotherapy kuwedzera sei.

Panguva ino chiremba waakaudzwa kurapwa kugadzirira (majekiseni kana capsules) izvo zvakanaka tunodzivisa kukura masero kunaka uye kuvauraya chiduku chikamu. Idzi dzinosanganisira mishonga:
Platinum;

• anthracyclines;
• epipodophyllotoxins;
• vinca alkaloids.

Panguva kwemutemo kurapwa chiremba waakaudzwa varwere nemishonga, sezvo pasi pokudzora mapiritsi zvakadaro simba shoma kutapata, izvo kunoita kuwana nemavhairasi zhinji uye zvirwere. Rokutsigira mutumbi vakamuka, ushandiswe nzira anobatsira zvisaririra zvinhu uye mavhitaminzi. Panguva iyi, zvinonzi inokurudzirwa kunyanya dzakateerera dzavo kudya uye chete kudya zvokudya utano anogona kubatsira mukurwisa chirwere.

Classical nzira kurapwa inokurudzirwa chokubatanidza pamwe kurapa kungaitwa pane kwakajairika. Various kukwizwa, jekiseni, uye anorumanya uye rinsing kwakavakirwa yemakwati kuvandudza zvikuru nomumukanwa utano uye kusimbisa muviri wose.

Kufanana nevamwe nekenza, kenza chingamu aigona recur. Kuti usariitazve, murwere zvinofanira kuongororwa uye kuti vape ropa kuti bundu zvezvinangwa muna 5 months pashure kurapwa, uye mune zvimwe zviitiko kunyange akanga apfuura. It kunobva pakuti chirwere.

dziviriro

Kuti usanyanya dzingangoitika panowanikwa munhu chikamu bundu, zvinokosha kuita Maitiro nyore yakadai:

• kunyatsofunga uye kwazvo kunanzvana hanya;
• dzakateerera muitiro kudya zvokudya, uyewo kuti Kuronga zvigadzirwa zvavo zvivako;
• kubvisa tsika dzakaipa uye basa pamwe zvinokuvadza chiutsi;
• zvinoenderana zvokurapa vanorumbidza pakurapa matambudziko mazino;
• kushandisa yepamusoro mushonga wemazino uye mouthwash.

Unofanira kushanyira 2 pagore, chiremba uyo achakwanisa vaongorore mamiriro dzaiita zvokutaurwa uye anoratidza matanho anodiwa kuti tirambe utano ari kwose kwose.

mataridzikiro

Mukana kurapa chirwere kunotsamira pachikuva panguva iyo chirwere chacho. Kunyange kana zviratidzo kenza chingamu akawanikwa pakutanga, kwete zvose varwere vari kubatwa pakarepo rubatsiro pakurapwa, uye kukanganisa kwavo huru. The chirwere chinogona kuoma ndechokuti dzose kusagadzikana zvinowanzooneka kunyorwa kure sezvo zvinokonzerwa matambudziko mazino. Pashure Kubviswa ndima anoramba akazarurwa uye kunogona kuti utachiona, izvo Inowedzera kupararira kenza.

Pasinei neizvi zvose, mwero wokufa kwevanhu yakaderera chaizvo. Nhamba dzinoratidza kuti paavhareji yemakore 5-6 kurarama:

• 1-2 matanho 80%;
• 3 - 40%;
• 4 - 15%.

Kana nounyanzvi kuronga kurapwa, zvinokwanisika kuita kuregererwa inodarika 30% nyaya.