Nau'o'in / kai-da-wuya / haƙuri / babba / maganin makoshin-pdq

Laryngeal Cancer Treatment (Adult) Shafin

Janar Bayani Game da Ciwon daji na Laryngeal

MAGANAN MAGANA

• Cutar sankaran lary wata cuta ce wacce ƙwayoyin cuta masu saurin kamuwa da cuta a cikin ƙwayoyin larynx.

• Amfani da kayan taba da yawan shan giya na iya shafar haɗarin cutar kansa ta makoshi.

• Alamomi da alamomin cutar sankarar makoshi sun hada da ciwon makogwaro da ciwon kunne.

• Ana amfani da gwaje-gwajen da ke binciko maƙogwaro da wuya don taimakawa wajen bincikowa da kuma mataki kansar laryngeal.

• Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.

Cutar sankaran lary wata cuta ce wacce ƙwayoyin cuta masu saurin kamuwa da cuta a cikin ƙwayoyin larynx.

Maƙogwaro wani ɓangare ne na maƙogwaro, tsakanin tushen harshe da bututun iska. Maƙogwaro yana ƙunshe da igiyar murya, wanda ke girgiza kuma yake yin sauti yayin da iska ta kaɗa akansu. Sautin yana amsawa ta cikin pharynx, baki, da hanci don yin sautin mutum.

Akwai manyan sassa guda uku na maƙogwaro:

• Supraglottis: Babban ɓangaren maƙogwaro sama da igiyar murya, gami da epiglottis.

• Glottis: Matsakaiciyar ɓangaren maƙogwaro inda igiyoyin sautin suke.

• Subglottis: partananan ɓangaren maƙogwaro tsakanin igiyar murya da bututun iska (bututun iska).

Cutar sankarar laary a cikin kyallen makoshi (yankin maƙogwaro wanda ke ɗauke da ƙwayoyin murya). Maƙogwaro ya haɗa da supraglottis, glottis (muryoyin murya), da subglottis. Ciwon kansa na iya yaduwa zuwa kyallen da ke kusa ko zuwa tayoyin kumburin ciki, trachea, ko esophagus. Hakanan yana iya yaduwa zuwa ƙwayoyin lymph a cikin wuya, jijiyar carotid, ɓangaren sama na kashin baya, kirji, da zuwa wasu sassan jiki (ba a nuna ba).

Mafi yawan cututtukan daji na laryngeal suna samuwa ne a cikin ƙwayoyin sel, ƙwayoyin cuta, siraran, layin ciki a cikin larynx.

Ciwon daji na Laryngeal wani nau'in ciwon kansa ne da wuya.

Amfani da kayan taba da yawan shan giya na iya shafar haɗarin cutar kansa ta makoshi.

Duk wani abu da zai kara maka hadarin kamuwa da cuta to ana kiran sa mai hadari. Samun haɗari ba ya nufin cewa za ku kamu da cutar kansa; ba tare da haɗarin abubuwan haɗari ba yana nufin cewa ba zaku sami cutar kansa ba. Yi magana da likitanka idan kuna tsammanin kuna iya fuskantar haɗari.

Alamomi da alamomin cutar sankarar makoshi sun hada da ciwon makogwaro da ciwon kunne.

Wadannan da sauran alamu da alamu na iya haifar da cutar kansar makoshi ko ta wasu yanayi. Duba tare da likitanka idan kuna da ɗayan masu zuwa:

• Ciwan makogwaro ko tari wanda baya fita.

• Matsala ko zafi yayin haɗiyewa.

• Ciwon kunne.

• Wani dunkule a cikin wuya ko wuya.

• Canji ko rashi a cikin murya.

Ana amfani da gwaje-gwajen da ke binciko maƙogwaro da wuya don taimakawa wajen bincikowa da kuma mataki kansar laryngeal.

Za a iya amfani da waɗannan gwaje-gwajen da hanyoyin:

• Nazarin jiki na maƙogwaro da wuya: Nazari don bincika maƙogwaro da wuya don wuraren da ba na al'ada ba. Likitan zai ji cikin bakin tare da dan yatsan hannu kuma ya binciki bakin da maqogwaron ta karamin madubi mai daukar hannu da haske. Wannan zai hada da duba abubuwan dake cikin kunci da lebe; gumis; baya, rufi, da kasan bakin; saman, kasa, da kuma bangarorin harshen; da makogwaro. Za a ji wuya don kumburin lymph nodes. Za a kuma ɗauki tarihin al'adun lafiyar marasa lafiya da cututtukan da suka gabata da magunguna.

• Biopsy: Cirewar ƙwayoyin halitta ko kyallen takarda don a iya kallon su ta hanyar microscope ta hanyar masanin ilimin ɗan adam don bincika alamun kansar. Ana iya cire samfurin nama yayin ɗayan hanyoyin masu zuwa:

• Laryngoscopy: Hanya ce wacce likita ke duba maƙogwaro (akwatin murya) tare da madubi ko laryngoscope don bincika wuraren da ba na al'ada ba. A laryngoscope kayan aiki ne na bakin ciki, mai kama da bututu tare da haske da ruwan tabarau don kallon cikin maƙogwaro da akwatin murya. Hakanan yana iya samun kayan aiki don cire samfuran nama, waɗanda aka bincika a ƙarƙashin microscope don alamun cutar kansa.

• Endoscopy: Hanya ce don duba gabobi da kyallen takarda a cikin jiki, kamar maƙogwaro, ƙoshin ciki, da kuma kumburin ciki don bincika wuraren da ba na al'ada ba. An saka maganin kare kyandir (na bakin ciki, bututu mai haske tare da haske da ruwan tabarau don kallo) ta hanyar buɗewa a cikin jiki, kamar bakin. Za'a iya amfani da kayan aiki na musamman akan endoscope don cire samfuran nama.

• CT scan (CAT scan): Hanya ce da ke yin jerin hotuna dalla-dalla na wurare a cikin jiki, waɗanda aka ɗauka daga kusurwa daban-daban. Ana yin hotunan ne ta wata kwamfuta da aka haɗa ta da na'urar da ke ɗauke da x-ray. Ana iya yin allurar fenti a cikin jijiya ko haɗiye don taimakawa gabobin ko kyallen takarda su fito fili karara. Wannan hanya ana kiranta yanayin ƙididdigar lissafi, ƙirar kwamfuta, ko ƙirar ƙwaƙwalwar ajiyar kwamfuta.

Utedididdigar hoto (CT) na kai da wuya. Mai haƙuri yana kwance akan tebur wanda ke zamewa ta cikin na'urar daukar hotan takardu na CT, wanda ke ɗaukar hotunan x-ray na cikin kai da wuya.

• MRI (hoton maganadisu ): Hanya ce wacce ke amfani da maganadisu, raƙuman rediyo, da kuma kwamfuta don yin jerin hotuna dalla-dalla na wurare a cikin jiki. Wannan hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI).

• PET scan (positron emission tomography scan): Hanya ce don gano ƙwayoyin cuta masu illa a jiki. An sanya ƙwayar glucose mai ƙarancin rediyo (sukari) a cikin jijiya. Na'urar daukar hoton PET tana juyawa a jiki kuma tana yin hoto inda ake amfani da glucose a jiki. Kwayoyin cuta masu illa suna nuna haske a hoton saboda suna aiki kuma suna ɗaukar glucose fiye da ƙwayoyin al'ada.

• PET-CT scan: Hanya ce wacce ta haɗu da hotuna daga sifar fitar sinadarin positron (PET) da kuma hoton da aka ƙididdiga (CT) Ana yin sikanin PET da CT a lokaci guda tare da inji ɗaya. Scididdigar hotunan yana ba da cikakkun hotuna na wurare a cikin jiki fiye da kowane hoto da yake bayarwa da kansa. Ana iya amfani da hoton PET-CT don taimakawa wajen gano cutar, kamar su cutar kansa, shirya magani, ko gano yadda magani ke aiki.

• Binciken ƙashi: Hanya ce don bincika idan akwai ƙwayoyin halitta masu saurin rarrabawa, kamar ƙwayoyin kansa, a cikin ƙashi. Aramin abu kaɗan ne na rediyo ke shiga cikin jijiya kuma yana tafiya ta cikin jini. Kayan aikin radiyo yana tattarawa a cikin kasusuwa tare da cutar kansa kuma na'urar daukar hotan takardu ce ke gano shi.

• Barium haɗiye: Tsarin x-ray na esophagus da ciki. Mara lafiya yana shan wani ruwa wanda yake dauke da sinadarin barium. Ruwan yana saka suturar esophagus da ciki, kuma ana ɗaukar x-ray. Wannan hanyar ana kiranta jerin GI na sama.

Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.

Hangen nesa ya dogara da masu zuwa:

• Matakin cutar.

• Wuri da girman kumburin.

• A sa na ƙari.

• Mai haƙuri shekarun, jinsi, da kuma kiwon lafiya, ciki har da ko haƙuri ne rashin jini.

Zaɓuɓɓukan jiyya sun dogara da masu zuwa:

• Matakin cutar.

• Wuri da girman kumburin.

• Tsayawa ikon haƙuri game da magana, ci, da numfashi kamar yadda ya kamata.

• Ko ciwon daji ya dawo (sake dawowa).

Shan taba sigari da shan giya na rage tasirin maganin kansar makoshi. Marasa lafiya da ke fama da cutar daji ta laryngeal waɗanda ke ci gaba da shan sigari da abin sha ba su da sauƙi don warkewa kuma za su iya yin ƙari na biyu. Bayan jiyya ga cutar sankarar laryngeal, yawan bi da hankali yana da mahimmanci.

Matakan Ciwon Cancer na Laryngeal

MAGANAN MAGANA

• Bayan an binciko kansar makoshi, ana yin gwaji don gano ko kwayoyin cutar kansa sun bazu a cikin maƙogwaron ko zuwa wasu sassan jiki.

• Akwai hanyoyi uku da kansar ke yaduwa a jiki.

• Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.

• Ana amfani da matakai masu zuwa don cutar laryngeal:

• Mataki na 0 (Carcinoma a cikin Situ)

• Mataki Na

• Mataki na II

• Mataki na III

• Mataki na IV

• Bayan tiyata, matakin kansar na iya canzawa kuma ana iya buƙatar ƙarin magani.

• Maimaita kansar laryngeal ita ce kansar da ta dawo bayan jiyya.

Bayan an binciko kansar makoshi, ana yin gwaji don gano ko kwayoyin cutar kansa sun bazu a cikin maƙogwaron ko zuwa wasu sassan jiki.

Hanyar da ake amfani da ita don gano ko cutar kansa ta bazu cikin maƙogwaro ko zuwa wasu sassan jiki ana kiranta staging. Bayanin da aka tattara daga tsarin daukar matakan tantance matakin cutar. Yana da mahimmanci a san matakin cutar domin shirya magani. Sakamakon wasu gwaje-gwajen da aka yi amfani da su don gano cutar sankarar makogwaro galibi ana amfani da su don gabatar da cutar.

Akwai hanyoyi uku da kansar ke yaduwa a jiki.

Ciwon daji na iya yadawa ta hanyar nama, tsarin lymph, da jini:

• Nama. Ciwon daji yana yaduwa daga inda ya fara ta girma zuwa yankuna na kusa.

• Tsarin Lymph. Ciwon daji yana yaduwa daga inda ya faro ta hanyar shiga cikin ƙwayoyin cuta. Ciwon daji yana bi ta cikin jirgin ruwan lymph zuwa wasu sassan jiki.

• Jini. Ciwon daji yana yaduwa daga inda ya fara ta hanyar shiga cikin jini. Ciwon daji yana bi ta hanyoyin jini zuwa wasu sassan jiki.

Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.

Lokacin da cutar daji ta bazu zuwa wani sashin jiki, akan kira shi metastasis. Kwayoyin sankara suna ɓata daga inda suka fara (asalin ƙwayar cuta) kuma suna tafiya ta cikin tsarin lymph ko jini.

• Tsarin Lymph. Ciwon daji ya shiga cikin tsarin laminin, ya ratsa ta cikin jiragen ruwan lymph, kuma ya samar da ƙari (metastatic tumo) a wani ɓangaren jiki.

• Jini. Ciwon kansa ya shiga cikin jini, ya bi ta hanyoyin jini, ya samar da ƙari (ƙwayar metastatic) a wani ɓangaren jiki.

Ciwon ƙwayar ƙwayar ƙwayar cuta shine irin ciwon daji kamar asalin farko. Misali, idan kansar laryngeal ta bazu zuwa huhun, ƙwayoyin ƙwayoyin cutar da ke cikin huhun ainihin ƙwayoyin kansa ne. Cutar ita ce kansar laryngeal, ba ta huhun huhu ba.

Ana amfani da matakai masu zuwa don cutar laryngeal:

Mataki na 0 (Carcinoma a cikin Situ)

A mataki na 0, ana samun ƙwayoyin halitta marasa kyau a cikin layin makoshi. Waɗannan ƙwayoyin ƙwayoyin cuta na yau da kullun na iya zama cutar kansa kuma su bazu cikin nama na yau da kullun. Har ila yau ana kiran mataki na 0 carcinoma a cikin wuri.

Mataki Na

A mataki na 1, ciwon daji ya samo asali a cikin supraglottis, glottis, ko yankin subglottis na maƙogwaro:

• Supraglottis: Ciwon daji yana cikin wani yanki na supraglottis kuma muryoyin muryoyin suna aiki daidai.

• Glottis: Ciwon daji yana cikin ɗaya ko duka igiyoyin sautunan kuma muryoyin suna yin aiki daidai.

• Subglottis: Ciwon daji yana cikin subglottis kawai.

Mataki na II

A mataki na II, ciwon daji ya samo asali a cikin supraglottis, glottis, ko yankin subglottis na maƙogwaro:

• Supraglottis: Ciwon daji yana cikin sama da yanki na supraglottis ko kuma ya bazu zuwa yankin a gindin harshe ko kuma kayan da ke kusa da igiyar murya. Sarar muryoyin suna aiki daidai.

• Glottis: Ciwon daji ya bazu zuwa supraglottis, subglottis, ko duka biyun, kuma / ko igiyar muryar ba sa aiki daidai.

• Subglottis: Ciwon daji ya bazu zuwa ɗaya ko duka muryoyin murya kuma igiyoyin sautunan na iya yin aiki ba ƙa'ida.

Mataki na III

A mataki na III, cutar kansa ta samo asali a cikin supraglottis, glottis, ko yankin subglottis na maƙogwaro:

Ana auna girman girman tumo a santimita (cm) ko inci. Kayan abinci na yau da kullun waɗanda za'a iya amfani dasu don nuna girman ƙari a cm sun haɗa da: pea (cm 1), gyada (2 cm), innabi (3 cm), gyada (4 cm), lemun tsami (5 cm ko 2 inci), kwai (6 cm), peach (7 cm), da ɗan itacen inabi (inci 10 ko inci 4).

A cikin mataki na III ciwon daji na supraglottis:

• Ciwon daji yana cikin maƙogwaro kawai kuma igiyar muryar ba ta aiki, kuma / ko ciwon daji ya bazu kusa ko ta cikin ɓangaren ƙwayar glandar. Ciwon daji na iya yaduwa har zuwa kumburin lymf ɗaya a gefen wuyan a matsayin farkon ƙwayar cuta da kumburin lymph santimita 3 ko ƙarami; ko

• Ciwon daji yana cikin yanki ɗaya na supraglottis kuma layin murya yana aiki koyaushe. Ciwon daji ya bazu zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburi kuma kumburin lymph yana da santimita 3 ko ƙarami; ko

• ciwon daji yana cikin fiye da ɗaya yanki na supraglottis ko kuma ya bazu zuwa yankin a gindin harshe ko ga kayan da ke kusa da igiyar muryar. Sarar muryoyin suna aiki daidai. Ciwon daji ya kuma yada zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburi kuma kumburin lymph yana da santimita 3 ko ƙarami.

A cikin mataki na III ciwon daji na glottis:

• Ciwon daji yana cikin maƙogwaro kawai kuma igiyar muryar ba ta aiki, kuma / ko ciwon daji ya bazu kusa ko ta cikin ɓangaren ƙwayar glandar. Ciwon daji na iya yaduwa har zuwa kumburin lymf ɗaya a gefen wuyan a matsayin farkon ƙwayar cuta da kumburin lymph santimita 3 ko ƙarami; ko

• ciwon daji yana cikin ɗayan amo ko duka biyu kuma muryoyin suna yin aiki daidai. Ciwon daji ya bazu zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburi kuma kumburin lymph yana da santimita 3 ko ƙarami; ko

• ciwon daji ya bazu zuwa supraglottis, subglottis, ko duka biyun, kuma / ko igiyar muryar ba ta aiki daidai. Ciwon daji ya kuma yada zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburi kuma kumburin lymph yana da santimita 3 ko ƙarami.

A cikin mataki na III ciwon kansa na subglottis:

• Ciwon daji yana cikin maƙogwaro kawai kuma igiyar muryar ba ta aiki, kuma / ko ciwon daji ya bazu kusa ko ta cikin ɓangaren ƙwayar glandar. Ciwon daji na iya yaduwa har zuwa kumburin lymf ɗaya a gefen wuyan a matsayin farkon ƙwayar cuta da kumburin lymph santimita 3 ko ƙarami; ko

• ciwon daji yana cikin subglottis kawai. Ciwon daji ya bazu zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburi kuma kumburin lymph yana da santimita 3 ko ƙarami; ko

• ciwon daji ya bazu zuwa ɗaya ko duka muryar muryar kuma ƙararrawar na iya yin aiki ba yadda ya kamata. Ciwon daji ya kuma yada zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburi kuma kumburin lymph yana da santimita 3 ko ƙarami.

Mataki na IV

An rarraba mataki na IV zuwa mataki na IVA, mataki na IVB, da kuma mataki na IVC. Kowane yanki iri ɗaya ne don cutar kansa a cikin supraglottis, glottis, ko subglottis.

• A cikin mataki na IVA:

• Ciwon daji ya yadu ta cikin guringuntsi da / ko kuma ya bazu zuwa kyallen takarda bayan larynx, kamar wuya, trachea, thyroid, ko esophagus. Ciwon daji na iya yaduwa har zuwa kumburin lymf ɗaya a gefen wuyan a matsayin farkon ƙwayar cuta da kumburin lymph santimita 3 ko ƙarami; ko

• Ciwon daji na iya yaduwa daga supraglottis, glottis, ko subglottis zuwa kyallen takarda bayan larynx, kamar wuya, trachea, thyroid, ko esophagus. Sarfin muryar bazai yi aiki daidai ba. Ciwon daji ya yada:

• zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburin kuma ƙwayar lymph ɗin tana da centimita 3 ko ƙarami. Ciwon daji ya yadu ta cikin rufin kumburin lymph; ko

• zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburin kuma ƙwayar lymph ɗin ta fi santimita 3 amma bai fi santimita 6 girma ba. Ciwon daji bai yadu ta cikin rufin lymph ba; ko

• zuwa kumburin lymph fiye da ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburi da ƙwayoyin lymph ba su fi santimita 6 girma ba. Ciwon daji bai yadu ba ta cikin rufin lymph nodes; ko

• zuwa lymph nodes a bangarorin biyu na wuyan ko a gefen wuyan da ke gaban tumor na farko kuma ƙwayoyin lymph ba su fi santimita 6 ba. Ciwon daji bai yadu ba ta cikin rufin lymph.

• A cikin mataki na IVB:

• Ciwon daji na iya yaduwa daga supraglottis, glottis, ko subglottis zuwa sararin samaniya a gaban kashin baya, yankin da ke kusa da jijiyar jijiyoyin jiki, ko yankin tsakanin huhu. Sarfin muryar bazai yi aiki daidai ba. Ciwon daji ya yada:

• zuwa mahaɗan lymph ɗaya wanda ya fi girma fiye da santimita 6. Ciwon daji bai yadu ta cikin rufin lymph ba; ko

• zuwa kumburin lymf ɗaya a gefe ɗaya na wuyan kamar farkon ciwon kumburin kuma ƙwayar lymph ɗin ta fi santimita 3 girma. Ciwon daji ya yadu ta cikin rufin kumburin lymph; ko

• zuwa kumburin lymph fiye da ɗaya a ko'ina cikin wuya. Ciwon daji ya yadu ta cikin rufin lymph nodes; ko

• zuwa kumburi na lymph na kowane irin girma a gefen wuya a gaban tumor na farko. Ciwon daji ya yadu ta cikin rufin kumburin lymph;

ko

• Ciwon daji ya bazu daga supraglottis, glottis, ko subglottis zuwa sararin samaniya a gaban kashin baya, yankin da ke kusa da jijiyar jijiyoyin jiki, ko yankin tsakanin huhu. Ciwon daji na iya yaduwa zuwa ɗaya ko fiye da ƙwayoyin lymph ko'ina a cikin wuya kuma ƙwayar lymph ɗin na iya zama kowane girman.

• A matakin IVC, cutar kansa ta bazu zuwa sauran sassan jiki, kamar huhu, hanta, ko ƙashi.

Bayan tiyata, matakin kansar na iya canzawa kuma ana iya buƙatar ƙarin magani.

Idan an cire kansar ta hanyar tiyata, wani masanin ilimin ɗan adam zai bincika samfurin ƙwayoyin kansa a ƙarƙashin madubin likita. Wani lokaci, nazarin likitan zai haifar da canji zuwa matakin kansar kuma ƙarin magani bayan tiyata.

Maimaita kansar laryngeal ita ce kansar da ta dawo bayan jiyya.

Lokacin da cutar sankarar makogwaro ta dawo bayan jiyya, ana kiranta kansar laryngeal mai saurin faruwa. Ciwon daji zai iya dawowa cikin shekaru 2 zuwa 3 na farko. Yana iya dawowa cikin maƙogwaro ko cikin wasu sassan jiki, kamar huhu, hanta, ko ƙashi.

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani daban-daban ga marasa lafiya da ke fama da cutar laryngeal.

• Ana amfani da nau'i hudu na daidaitaccen magani:

• Radiation far

• Tiyata

• Chemotherapy

• Immunotherapy

• Ana gwada sababbin nau'ikan magani a gwajin asibiti.

• Ciwon da aka yi niyya

• Masu sanya rediyo

• Jiyya don kansar laryngeal na iya haifar da sakamako mai illa.

• Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.

• Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.

• Ana iya buƙatar gwaje-gwaje na gaba.

Akwai nau'ikan magani daban-daban ga marasa lafiya da ke fama da cutar laryngeal.

Akwai nau'ikan magani daban-daban ga marasa lafiya da ke fama da cutar laryngeal. Wasu jiyya suna daidaito (magani da ake amfani dashi yanzu), kuma wasu ana gwada su a gwajin asibiti. Gwajin gwajin magani shine binciken bincike wanda aka tsara don taimakawa inganta ingantattun jiyya na yanzu ko samun bayanai game da sababbin jiyya ga marasa lafiya da ciwon daji. Lokacin da gwaji na asibiti ya nuna cewa sabon magani ya fi magani na yau da kullun, sabon magani na iya zama daidaitaccen magani. Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti. Wasu gwaji na asibiti ana buɗe su ne kawai ga marasa lafiyar da basu fara magani ba.

Ana amfani da nau'i hudu na daidaitaccen magani:

Radiation far

Radiation therapy magani ne na cutar kansa wanda yake amfani da hasken rana mai ƙarfi ko wasu nau'ikan radiation don kashe ƙwayoyin kansa ko hana su girma. Magungunan radiation na waje yana amfani da wata na'ura a wajen jiki don aika jujjuyawar zuwa jikin jiki da cutar kansa.

Magungunan radiation na waje-katako na kai da wuya. Ana amfani da wata na'ura don amfani da iska mai karfi ga cutar kansa. Injin na iya juyawa a kusa da mai haƙuri, yana sadar da radiation daga kusurwa daban-daban don samar da jiyya mai daidaituwa. Abin rufe fuska yana taimaka wajan kiyayewa da wuyan mara lafiya daga motsi yayin jiyya. Ana sanya ƙananan alamun tawada a kan abin rufe fuska. Ana amfani da alamun tawada don yin amfani da injin fitila a wuri guda kafin kowane magani.

Radiation na iya aiki mafi kyau a cikin marasa lafiya waɗanda suka daina shan sigari kafin fara magani. Magungunan radiation na waje zuwa glandar thyroid ko gland shine zai iya canza hanyar aikin glandar. Gwajin jini don bincika matakin hormone na jikin ku a cikin jiki na iya zama kafin da bayan farwa don tabbatar glandon ɗinku na aiki da kyau.

Za'a iya amfani da maganin cutar ta hanyar iska don magance kansar makoshi. Hyperfractionated radiation therapy shine maganin radiation wanda ƙarancin adadin yau da kullun na radiation ya kasu kashi biyu kuma ana ba da magungunan sau biyu a rana. An ba da magungunan ƙwayar cuta a cikin lokaci ɗaya (kwanaki ko makonni) a matsayin daidaitaccen radiation radiation. Ana nazarin sababbin nau'ikan maganin raɗaɗɗen radiation a cikin maganin sankarar makoshi

Tiyata

Yin aikin tiyata (cire cutar kansa a cikin aiki) magani ne gama gari ga dukkan matakan cutar kansar laryngeal. Ana iya amfani da hanyoyin aikin tiyata masu zuwa:

• Cordectomy: Tiyata don cire ƙwayoyin muryar kawai.

• Supraglottic laryngectomy: Tiyata don cire supraglottis kawai.

• Hemilaryngectomy: Tiyata don cire rabin maƙogwaro (akwatin murya). A hemilaryngectomy yayi ajiyar murya.

• Sashin laryngectomy: Tiyata don cire ɓangaren maƙogwaro (akwatin murya). Hanyar laryngectomy na taimakawa kiyaye ikon haƙuri ga magana.

• Jimlar laryngectomy: Tiyata don cire duka maƙogwaron. A yayin wannan aikin, ana yin rami a gaban wuya don bawa mara lafiya damar numfashi. Wannan ana kiran sa tracheostomy.

• Thyroidectomy: Cire duka ko ɓangare na glandar thyroid.

• Yin tiyatar Laser: Hanyar tiyata ce da ke amfani da katako mai amfani da leza (ƙuntataccen katako na haske mai ƙarfi) a matsayin wuƙa don yankewar jini a cikin nama ko cire wani rauni na sama kamar ƙari a cikin maƙogwaro.

Bayan likita ya cire dukkan cutar daji da za a iya gani a lokacin tiyatar, wasu marasa lafiya za a iya ba su maganin ƙwaƙwalwar ko kuma maganin furewa bayan tiyata don kashe duk ƙwayoyin cutar kansa da suka rage. Maganin da ake bayarwa bayan tiyatar, don rage haɗarin kamuwa da cutar kansa zai dawo, ana kiran sa adjuvant therapy.

Chemotherapy

Chemotherapy magani ne na cutar kansa wanda ke amfani da kwayoyi don dakatar da haɓakar ƙwayoyin kansa, ko dai ta hanyar kashe ƙwayoyin ko ta hana ƙwayoyin rarraba. Lokacin da ake shan chemotherapy ta baki ko allura a cikin jijiya ko tsoka, magungunan suna shiga cikin jini kuma zasu iya kaiwa ga kwayoyin cutar kansa a cikin jiki duka (systemotherapy chemotherapy).

Duba Magungunan da aka Amince dasu don Ciwon kai da wuyansu don ƙarin bayani. (Ciwon daji na Laryngeal wani nau'in ciwon kansa ne da wuya.)

Immunotherapy

Immunotherapy magani ne wanda ke amfani da garkuwar jikin mara lafiya don yaƙar kansa. Abubuwan da jiki ya yi ko aka yi a dakin gwaje-gwaje ana amfani da su don haɓaka, kai tsaye, ko maido da kariya ta jiki daga cutar kansa. Wannan nau'in maganin cutar kansa ana kiransa biotherapy ko biologic therapy.

• Maganin hana mai hana shiga jiki: PD-1 furotin ne akan saman ƙwayoyin T wanda ke taimakawa kiyaye martani na garkuwar jiki a cikin bincike. Lokacin da PD-1 ke haɗuwa da wani furotin da ake kira PDL-1 akan kwayar sankara, yakan dakatar da kwayar T daga kashe kwayar cutar kansa. Masu hana PD-1 sun haɗa zuwa PDL-1 kuma suna ba da ƙwayoyin T damar kashe ƙwayoyin kansa. Nivolumab da pembrolizumab nau'ikan masu hana kariya ne wadanda ake amfani dasu don magance cutar daji ta makoshi.

Mai hana shigowar shinge Binciken sunadarai, kamar PD-L1 akan ƙwayoyin tumo da PD-1 akan ƙwayoyin T, suna taimakawa kiyaye maganganun rigakafi a cikin bincike. Ofaurin PD-L1 zuwa PD-1 yana kiyaye ƙwayoyin T daga kashe ƙwayoyin tumo a jiki (ɓangaren hagu). Katange ɗaurin PD-L1 zuwa PD-1 tare da mai hana kariya na kariya (anti-PD-L1 ko anti-PD-1) yana ba wa ƙwayoyin T damar kashe ƙwayoyin tumor (ɓangaren dama)

Ana gwada sababbin nau'ikan magani a gwajin asibiti.

Wannan ɓangaren taƙaitaccen bayani yana bayanin jiyya waɗanda ake nazarin su a gwajin asibiti. Yana iya ba ambaci kowane sabon magani ana nazarin. Ana samun bayani game da gwaji na asibiti daga gidan yanar gizon NCI.

Ciwon da aka yi niyya

Farfaɗɗen farfajiya wani nau'in magani ne wanda ke amfani da ƙwayoyi ko wasu abubuwa don afkawa takamaiman ƙwayoyin cutar kansa. Ieswararrun hanyoyin kwantar da hankali yawanci suna haifar da toarancin cutarwa ga kwayoyin al'ada fiye da chemotherapy ko maganin radiation.

• Kwayoyin cuta na Monoclonal: Wannan maganin yana amfani da kwayar cutar da aka sanya a dakin gwaje-gwaje daga nau'in kwayar halitta ta rigakafi. Wadannan kwayoyin cuta na jikin mutum na iya gano abubuwan da ke jikin kwayoyin cutar kansar ko abubuwa na yau da kullun a cikin jini ko kyallen takarda wanda ke iya taimaka wa kwayoyin cutar kansa girma. Kwayoyin rigakafin suna haɗuwa da abubuwan kuma suna kashe ƙwayoyin cutar kansa, toshe haɓakar su, ko kiyaye su daga yaɗuwa. Ana ba da ƙwayoyin cuta na Monoclonal ta hanyar jiko. Ana iya amfani da su su kaɗai ko ɗaukar ƙwayoyi, gubobi, ko kayan aikin rediyo kai tsaye zuwa ƙwayoyin kansa. Ana nazarin Cetuximab a cikin maganin kansar laryngeal.

Masu sanya rediyo

Radiosensitizers magunguna ne wanda ke sa ƙwayoyin ƙari su zama masu saurin kula da cutar radiation. Idan aka hada maganin ta hanyar amfani da radiyo na iya kashe karin kwayoyin cuta.

Jiyya don kansar laryngeal na iya haifar da sakamako mai illa.

Don bayani game da illolin da cutar ta kansar ta haifar, duba shafin mu na Side Side.

Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.

Ga wasu marasa lafiya, shiga cikin gwaji na asibiti na iya zama mafi kyawun zaɓin magani. Gwajin gwaji wani bangare ne na aikin binciken cutar kansa. Ana yin gwaje-gwajen asibiti don gano ko sabbin maganin cutar daji suna da lafiya da tasiri ko kuma sun fi magani na yau da kullun.

Yawancin yau da kullun na yau da kullun don cutar kansa sun dogara ne akan gwajin asibiti na farko. Marasa lafiya da ke cikin gwaji na asibiti na iya karɓar daidaitaccen magani ko kuma su kasance cikin farkon waɗanda za su karɓi sabon magani.

Marasa lafiya da ke shiga cikin gwaji na asibiti suma suna taimakawa inganta hanyar da za a bi da kansar a nan gaba. Koda lokacin gwajin asibiti bai haifar da sababbin magunguna ba, sau da yawa sukan amsa mahimman tambayoyi kuma suna taimakawa ci gaba da bincike gaba.

Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.

Wasu gwaji na asibiti kawai sun haɗa da marasa lafiya waɗanda ba su sami magani ba tukuna. Sauran gwaje-gwajen suna gwada jiyya ga marasa lafiya waɗanda cutar kansa ba ta samu sauki ba. Hakanan akwai gwaji na asibiti da ke gwada sabbin hanyoyin dakatar da cutar kansa daga sake dawowa (dawowa) ko rage tasirin maganin kansar.

Gwajin gwaji na gudana a sassa da yawa na ƙasar. Bayani game da gwajin asibiti wanda NCI ke tallafawa ana iya samun shi akan shafin binciken gwaji na NCI. Ana iya samun gwajin gwaji na asibiti wanda wasu kungiyoyi ke tallafawa akan gidan yanar gizon ClinicalTrials.gov.

Ana iya buƙatar gwaje-gwaje na gaba.

Za a iya maimaita wasu gwaje-gwajen da aka yi don gano cutar kansa ko don gano matakin cutar kansa. Za a maimaita wasu gwaje-gwaje don ganin yadda magani ke aiki. Shawarwari game da ci gaba, canji, ko dakatar da magani na iya dogara ne da sakamakon waɗannan gwaje-gwajen.

Wasu daga cikin gwaje-gwajen za a ci gaba da yi daga lokaci zuwa lokaci bayan an gama jiyya. Sakamakon waɗannan gwaje-gwajen na iya nuna idan yanayin ku ya canza ko kuma idan kansar ta sake dawowa (dawo). Wadannan gwaje-gwajen wasu lokuta ana kiran su gwaje-gwaje na gaba ko dubawa.

Jiyya na Mataki na I Laryngeal Cancer

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na sabon matakin da aka binciki kansa na laryngeal cancer ya dogara da inda ake samun kansa a cikin maƙogwaro.

Idan ciwon daji yana cikin supraglottis, magani na iya haɗawa da masu zuwa:

• Radiation far.

• Supraglottic laryngectomy.

Idan ciwon daji yana cikin glottis, magani na iya haɗa da masu zuwa:

• Radiation far.

• Yin aikin tiyata ta laser

• Gyaran jiki.

• Parry laryngectomy, hemilaryngectomy, ko jimlar laryngectomy.

Idan ciwon daji yana cikin subglottis, magani na iya haɗa da masu zuwa:

• Radiation far tare da ko ba tare da tiyata.

• Tiyata kadai.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Mataki na II Laryngeal Cancer

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Maganin sabon ciwon kansar makoshi na II ya dogara da inda ake samun kansa a cikin maƙogwaro.

Idan ciwon daji yana cikin supraglottis, magani na iya haɗawa da masu zuwa:

• Radiation far ga ƙari da kusa lymph nodes.

• Supraglottic laryngectomy wanda zai iya biyo baya ta hanyar maganin fuka-fuka.

Idan ciwon daji yana cikin glottis, magani na iya haɗa da masu zuwa:

• Radiation far.

• Yin aikin tiyata ta laser

• Parry laryngectomy, hemilaryngectomy, ko jimlar laryngectomy.

Idan ciwon daji yana cikin subglottis, magani na iya haɗa da masu zuwa:

• Radiation far tare da ko ba tare da tiyata.

• Tiyata kadai.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Mataki na III Laryngeal Cancer

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Maganin sabon ciwon daji na laryngeal na III wanda ya kamu da cutar ya dogara da inda ake samun kansa a cikin maƙogwaro.

Idan ciwon daji yana cikin supraglottis, magani na iya haɗawa da masu zuwa:

• Chemotherapy da radiation radiation da aka bayar tare

• Chemotherapy ya biyo baya ta chemotherapy da radiation radiation da aka bayar tare. Ana iya yin aikin gyaran ciki idan ciwon daji ya ci gaba.

• Radiation kawai ga marasa lafiya waɗanda ba za a iya bi da su tare da chemotherapy da tiyata.

• Yin aikin tiyata, wanda zai iya biyo baya ta hanyar amfani da hasken rana.

Idan ciwon daji yana cikin glottis, magani na iya haɗa da masu zuwa:

• Chemotherapy da radiation radiation da aka bayar tare.

• Chemotherapy ya biyo baya ta chemotherapy da radiation radiation da aka bayar tare. Ana iya yin aikin gyaran ciki idan ciwon daji ya ci gaba.

• Radiation kawai ga marasa lafiya waɗanda ba za a iya bi da su tare da chemotherapy da tiyata.

• Yin aikin tiyata, wanda zai iya biyo baya ta hanyar amfani da hasken rana.

• Gwajin gwaji na maganin radiation shi kaɗai idan aka kwatanta da radiation da kuma niyya far (cetuximab).

• Gwajin gwaji na maganin rigakafi, chemotherapy, radiosensitizers, ko radiation radiation.

Idan ciwon daji yana cikin subglottis, magani na iya haɗa da masu zuwa:

• Laryngectomy tare da jimlar thyroidectomy da kuma cire ƙwayoyin lymph a cikin maƙogwaro, yawanci ana bi da su ta hanyar radiation.

• Radiation na radiation da kuma aikin tiyata idan ciwon daji ya dawo cikin yanki ɗaya.

• Radiation kawai ga marasa lafiya waɗanda ba za a iya bi da su tare da chemotherapy da tiyata.

• Chemotherapy ya biyo baya ta chemotherapy da radiation radiation da aka bayar tare. Ana iya yin aikin gyaran ciki idan ciwon daji ya ci gaba.

• Gwajin gwaji na maganin radiation shi kaɗai idan aka kwatanta da radiation da kuma niyya far (cetuximab).

• Gwajin gwaji na maganin rigakafi, chemotherapy, radiosensitizers, ko radiation radiation.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Mataki na IV Laryngeal Cancer

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na sabon matakin da aka gano na IVA, IVB, da IVC ciwon daji na laryngeal ya dogara da inda ake samun kansar a cikin maƙogwaro.

Idan ciwon daji yana cikin supraglottis ko glottis, magani na iya haɗawa da masu zuwa:

• Chemotherapy da radiation radiation da aka bayar tare.

• Chemotherapy ya biyo baya ta chemotherapy da radiation radiation da aka bayar tare. Ana iya yin aikin gyaran ciki idan ciwon daji ya ci gaba.

• Radiation kawai ga marasa lafiya waɗanda ba za a iya bi da su tare da chemotherapy da tiyata.

• Yin aikin tiyata ya biyo baya ta hanyar maganin fuka-fuka. Ana iya ba da magani don magance cutar ta radiation.

• Gwajin gwaji na maganin radiation shi kaɗai idan aka kwatanta da radiation da kuma niyya far (cetuximab).

• Gwajin gwaji na maganin rigakafi, chemotherapy, radiosensitizers, ko radiation radiation.

Idan ciwon daji yana cikin subglottis, magani na iya haɗa da masu zuwa:

• Laryngectomy da jimlar thyroidectomy da kuma cire ƙwayoyin lymph a cikin maƙogwaro, yawanci ana bi da su ta hanyar radiation ko kuma ba tare da chemotherapy.

• Chemotherapy da radiation radiation da aka bayar tare.

• Gwajin gwaji na maganin radiation shi kaɗai idan aka kwatanta da radiation da kuma niyya far (cetuximab).

• Gwajin gwaji na maganin rigakafi, chemotherapy, radiosensitizers, ko radiation radiation.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Ciwon daji na Laryngeal da Maimaitawa

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na cututtukan daji na laryngeal na iya haɗawa da masu zuwa:

• Yin tiyata tare da ko ba tare da maganin radiation ba.

• Radiation far.

• Chemotherapy.

• Immunotherapy tare da pembrolizumab ko nivolumab.

• Gwajin gwaji na sabon magani.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Don Moreara Koyo Game da Ciwon Canjin Laryngeal

Don ƙarin bayani daga Cibiyar Ciwon aboutwayar Ciwon cancerasa game da cutar laryngeal, duba mai zuwa:

• Shafin Gida da Kai

• Maganin maganganun Chemotherapy da Radiation Kai / Neck

• Lasers a Ciwon daji

• An Amince da Magunguna don Ciwon kai da Ciwan wuya

• Magungunan Ciwon Cutar da Aka Yi niyya

• Immunotherapy don Kula da Ciwon daji

• Kai da wuya Cancer

• Taba (ya haɗa da taimako tare da barin)

Don cikakkun bayanai game da cutar kansa da sauran albarkatu daga Cibiyar Cancer ta Kasa, duba mai zuwa:

• Game da Ciwon daji

• Tsayawa

• Chemotherapy da ku: Tallafi ga Mutanen da ke Ciwon daji

• Radiation Far da Kai: Taimako ga Mutane Tare da Ciwon daji

• Yin fama da Ciwon daji

• Tambayoyi don Tambayar Doctor game da Ciwon daji

• Don Tsira da Kulawa