Ukuvimbela, ukwelashwa kanye nezindlela ezihambisanayo zomdlavuza womphimbo

Ukuvimbela, ukwelashwa kanye nezindlela ezihambisanayo zomdlavuza womphimbo

Prevention

Izinyathelo eziyisisekelo zokuvimbela umdlavuza womphimbo

  • Yekani ukubhema noma ungalokothi uqale. Bheka ishidi lethu Lokubhema.
  • Gwema ukusetshenziswa kabi kotshwala.

 

 

Imithi yokwelashwa

Ukwelashwa kuyehluka kuye ngobukhulu kanye nendawo isisu. Ngokuya ngesigaba somdlavuza, ithimba lezokunakekelwa kwezempilo lingase lihlinzwe, i-radiotherapy noma i-chemotherapy. Lezi zindlela zokwelapha ngokuvamile zihlanganiswa ukuze zibhubhise amangqamuzana omdlavuza, ukunciphisa ukwanda kwazo kwezinye izingxenye zomzimba futhi kunciphise ingozi yokuphindaphinda.

Ukuvimbela, ukwelashwa kanye nezindlela ezihambisanayo zomdlavuza womphimbo: qonda yonke into emizuzwini emi-2

Kumuntu ngamunye onomdlavuza womphimbo, ukukhetha ukwelashwa kuxoxwa ngakho ngesikhathi sokubonisana okuhlukahlukene okubandakanya udokotela ohlinzayo we-ENT, i-anesthesiologist, i-radiotherapist, i-oncologist, nesinqumo esithathwe ngemuva kolwazi nengxoxo nesiguli.

Ukuhlinzwa

  • Ukususwa kwamaseli omdlavuza by ukuhlinzwa kwe-endoscopic. Uma umdlavuza usaqala, udokotela angabhubhisa amangqamuzana omdlavuza ngelaser noma ngaphandle kwayo. Lokhu kungenelela kushiya imiphumela emincane noma ingabi nayo nhlobo.
  • La i-laryngectomy ingxenye kuhilela ukukhipha ingxenye ye-larynx ehlaselwe isimila. Lokhu kungenelela kungathinta inkulumo namandla okuphefumula, kodwa kukhona amasu okwakhiwa kabusha kwe-larynx okwenza kube nokwenzeka ukukhawulela i-sequelae.
  • La i-cordectomie kuhilela ukukhipha ingxenye kuphela yentambo yezwi ethintekile.
  • La i-pharyngectomi kuhilela ukukhipha ingxenye yepharynx. Isitho singase sakhiwe kabusha ukuze kukhawulwe i-sequelae futhi kuqinisekiswe ukugwinya okuvamile.
  • La I-laryngectomy ephelele. Uma umdlavuza usuqhubekele phambili, kungase kudingeke ukhiphe wonke amalaka futhi uvule imbobo entanyeni exhuma kuqhoqhoqho ukuze umoya ungene emaphashini (uqhoqhoqho). Ngemva kokungenelela okunjalo, umuntu ohlinziwe kufanele afunde kabusha ukukhuluma ngosizo lomelaphi wokukhuluma.
  • THEngokusobala (ukuhlanza) i-ganglionic. Uma ama-node ethintekile noma kwezinye izinhlobo zomdlavuza, kuyadingeka ukususa ama-node athintekile ekusebenzeni okufanayo nokususwa kwe-tumor pharyngolaryngeal. Ukwelashwa ngemisebe yokubhubhisa amangqamuzana omdlavuza asele ngokuvamile kuyaboniswa.

Radiotherapy

Amandla amakhulu ama-x-ray ngokuvamile asetshenziselwa ukukhanyisela amangqamuzana omdlavuza. Sisebenzisa i- i-radiotherapy uma kwenzeka kuba umdlavuza womphimbo, ngoba azwela kakhulu emiphumeleni yokukhishwa kwemisebe. Eminye imidlavuza esesigabeni sokuqala ingelashwa kuphela ngokwelashwa ngemisebe, kodwa kwesinye isikhathi ukwelashwa ngemisebe kufanele kuhlanganiswe nokuhlinzwa ukuze kukhishwe noma yimaphi amangqamuzana omdlavuza angeke abhujiswe ngesikhathi sokuhlinzwa noma ukunciphisa isimila ngaphambi kokuhlinzwa. ukususwa ngokuhlinzwa.

Ukwelashwa ngemisebe kungaba okuthile Okuqhamuka uma udla imishanguzo : Ukoma okukhulu kwesikhumba njengokuthi "ukushiswa yilanga", izilonda zolwelwesi lwamafinyila epharyngolaryngeal zenza ukugwinya nokukhuluma kube nzima, ukulahlekelwa ukunambitheka, ukuhosha kwezwi okuvame ukunyamalala ngemva kokuphela kokwelashwa nge-radiotherapy.

Ngaphambi kwe-radiotherapy, ukuhlolwa kwamazinyo kubalulekile ukuze kugwenywe izinkinga, ngoba le radiotherapy inonya emazinyweni nasezinsinini. Ukuhlolwa kwamazinyo kungaholela ekunakekelweni okuhloselwe ukulondoloza amazinyo uma kungenzeka, noma ukukhishwa kwamazinyo awonakele kakhulu, noma ngisho nokwelashwa okusekelwe ku-fluoride.

 

Ukwelashwa ngamakhemikhali

Eminye imidlavuza idinga inhlanganisela yokuhlinzwa, i-radiotherapy kanye ne-chemotherapy. I-Chemotherapy iyinhlanganisela yezidakamizwa ezinganikezwa ngomthambo noma ngomlomo. Lokhu kwelashwa kwenza kube nokwenzeka ukwelapha womabili amangqamuzana omdlavuza wesimila sokuqala kanye nanoma yimaphi ama-metastase kuwo wonke umzimba.

Kungabangela imiphumela engemihle njengokuhlanza, ukungakuthandi ukudla, ukuqothuka kwezinwele, izilonda emlonyeni, ukubala okuphansi kwamangqamuzana egazi abomvu namhlophe, nokukhathala.

Ukwelapha okuhlosiwe

Abanye izidakamizwa qondisa izici ezithile zamangqamuzana omdlavuza ukuze uwavimbele ekukhuleni. I-Cetuximab (Erbitux®) ingenye yezidakamizwa ezigunyazwe ukwelapha umdlavuza womphimbo. Lolu hlobo lomuthi lungasetshenziswa ngaphezu kokwelashwa ngemisebe kanye nokwelashwa ngamakhemikhali.

Ukufundiswa kabusha nokulandelela

Uma kwenzeka ukuhlinzwa, isikhathi sokuvuselelwa ngu-a I-Speech Therapist ngokuvamile kuyadingeka ukuze uphinde uthole ikhono elingcono kakhulu lokudla, ukuphuza nokukhuluma.

Kuzo zonke izimo, a ukudla okucebile ngobuningi kanye nekhwalithi kubalulekile ekwelapheni nasekululameni

Kunconywa kakhulu ukuthi unake ngokukhethekileinhlanzeko yamazinyo nsuku zonke futhi uthintane a Udokotela wamazinyo njalo.

Izindlela ezihambisanayo

Izibuyekezo. Bheka ifayela lethu Lomdlavuza ukuze ufunde ngazo zonke izindlela ezihambisanayo eziye zacwaningwa nabantu abanomdlavuza, njengokutshopa, ukubona ngeso lengqondo, ukubhucungwa kanye ne-yoga. Lezi zindlela zingase zifaneleke uma zisetshenziswa njengesengezo, hhayi esikhundleni sokwelashwa.

 

shiya impendulo