Types/head-and-neck/patient/adult/hypopharyngeal-treatment-pdq

Indwara ya Kanseri ya Hypopharyngeal (Abakuze)

Amakuru Rusange Yerekeye Kanseri ya Hypopharyngeal

INGINGO Z'INGENZI

• Kanseri ya Hypopharyngeal ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo za hypopharynx.

• Gukoresha ibikomoka ku itabi no kunywa cyane birashobora kugira ingaruka kuri kanseri ya hypopharyngeal.

• Ibimenyetso nibimenyetso bya kanseri ya hypopharyngeal harimo kubabara mu muhogo no kubabara ugutwi.

• Ibizamini bisuzuma umuhogo n'ijosi bikoreshwa mu gufasha gusuzuma kanseri ya hypopharyngeal no kumenya niba kanseri yarakwirakwiriye.

• Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kanseri ya Hypopharyngeal ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo za hypopharynx.

Hypopharynx nigice cyo hepfo yigituba (umuhogo). Indwara ya pharynx ni umuyoboro udafite uburebure bwa santimetero 5 utangirira inyuma yizuru, ukamanuka mu ijosi, ukarangirira hejuru ya trachea (umuyaga uhuha) na esofagusi (umuyoboro uva mu muhogo ujya mu gifu). Umwuka n'ibiribwa binyura mu muhogo munzira igana trachea cyangwa esofagus.

Kanseri ya Hypopharyngeal iba mu ngingo za hypopharynx (igice cyo hepfo y'umuhogo). Irashobora gukwirakwira mu ngingo zegeranye cyangwa kuri karitsiye hafi ya tiroyide cyangwa trachea, igufwa munsi y'ururimi (igufwa rya hyoid), tiroyide, trachea, umunwa, cyangwa esofagusi. Irashobora kandi gukwirakwira kuri lymph node mu ijosi, imiyoboro ya karoti, ingirangingo zikikije igice cyo hejuru cyinkingi yumugongo, umurongo wigituza cyigituza, no mubindi bice byumubiri (biterekanwa).

Kanseri nyinshi ya hypopharyngeal yibumbira mu ngirabuzimafatizo, uturemangingo duto, twinshi imbere imbere ya hypopharynx. Hypopharynx ifite ibice 3 bitandukanye. Kanseri irashobora kuboneka muri 1 cyangwa byinshi muribi bice.

Kanseri ya Hypopharyngeal ni ubwoko bwa kanseri yo mu mutwe no mu ijosi.

Gukoresha ibikomoka ku itabi no kunywa cyane birashobora kugira ingaruka kuri kanseri ya hypopharyngeal.

Ikintu cyose cyongera ibyago byo kwandura byitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wawe niba utekereza ko ushobora guhura n'akaga. Impamvu zishobora guteza ibibazo bikurikira:

• Kunywa itabi.

• Guhekenya itabi.

• Kunywa inzoga nyinshi.

• Kurya indyo idafite intungamubiri zihagije.

• Kugira syndrome ya Plummer-Vinson.

Ibimenyetso nibimenyetso bya kanseri ya hypopharyngeal harimo kubabara mu muhogo no kubabara ugutwi.

Ibi bimenyetso nibindi bimenyetso bishobora guterwa na kanseri ya hypopharyngeal cyangwa nibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:

• Kubabara mu muhogo bitagenda.

• Kubabara ugutwi.

• Ikibyimba mu ijosi.

• Kubabara cyangwa kumira.

• Guhindura ijwi.

Ibizamini bisuzuma umuhogo n'ijosi bikoreshwa mu gufasha gusuzuma kanseri ya hypopharyngeal no kumenya niba kanseri yarakwirakwiriye.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:

• Ikizamini cyumubiri namateka yubuzima: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.

• Ikizamini cyumubiri cyo mu muhogo: Ikizamini umuganga yumva yumubyimba wa lymph wabyimbye mu ijosi ukareba hasi mu muhogo hamwe nindorerwamo ntoya, ifashe igihe kirekire kugirango urebe niba bidasanzwe.

• Ikizamini cya Neurologiya: Urukurikirane rwibibazo n'ibizamini byo gusuzuma ubwonko, uruti rw'umugongo, n'imikorere y'imitsi. Ikizamini kigenzura imiterere yumuntu, guhuza, nubushobozi bwo kugenda bisanzwe, nuburyo imitsi, ibyumviro, na refleks ikora. Ibi birashobora kandi kwitwa ikizamini cya neuro cyangwa ikizamini cya neurologic.

• CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, nkumutwe, ijosi, igituza, na lymph node, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.

Kubara tomografiya (CT) gusikana umutwe nijosi. Umurwayi aryamye kumeza anyura muri CT scaneri, ifata amashusho ya x-yerekana imbere yumutwe nijosi.

• PET scan (positron emission tomografi scan): Uburyo bwo kubona selile mbi yibibyimba mumubiri. Umubare muto wa glucose ikora radio (isukari) yatewe mumitsi. PET scaneri izenguruka umubiri kandi ikora ishusho yerekana aho glucose ikoreshwa mumubiri. Utugingo ngengabuzima twibibyimba twerekana neza cyane ku ishusho kuko zikora cyane kandi zifata glucose nyinshi kuruta selile zisanzwe. PET scan na CT scan irashobora gukorwa mugihe kimwe. Ibi byitwa PET-CT.

• MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).

• Endoscopi: Uburyo bukoreshwa mukureba ahantu mu muhogo bidashobora kugaragara hamwe nindorerwamo mugihe cyo kwisuzumisha kumubiri. Endoscope (umuyoboro woroshye, urumuri) winjizwa mumazuru cyangwa umunwa kugirango urebe umuhogo kubintu byose bisa nkibidasanzwe. Ingero za tissue zirashobora gufatwa kugirango biopsy.

• Biopsy: Gukuraho ingirabuzimafatizo cyangwa ingirangingo kugirango zishobore kurebwa munsi ya microscope kugirango barebe ibimenyetso bya kanseri.

• Gusikana amagufwa: Uburyo bwo kugenzura niba mu magufwa hari selile zigabanya vuba, nka selile kanseri. Umubare muto cyane wibikoresho bya radio bitera mumitsi kandi bikanyura mumaraso. Ibikoresho bya radiyoyakusanyiriza mu magufa hamwe na kanseri kandi bigaragazwa na scaneri.

• Barium esophagogramu: X-ray ya esofagus. Umurwayi anywa amazi arimo barium (ifumbire yera ya silver-yera). Amazi yatwikiriye esofagusi na x-ray bifatwa.

• Esophagoscopy: Uburyo bwo kureba imbere muri esofagus kugirango urebe ahantu hadasanzwe. Esophagoscope (umuyoboro woroshye, urumuri) winjizwa mu kanwa cyangwa izuru no munsi y'umuhogo muri esofagusi. Ingero za tissue zirashobora gufatwa kugirango biopsy.

• Bronchoscopy: Uburyo bwo kureba imbere muri trachea n'inzira nini zo mu bihaha ahantu hadasanzwe. Bronchoscope (umuyoboro unanutse, urumuri) winjizwa mumazuru cyangwa umunwa muri trachea nibihaha. Ingero za tissue zirashobora gufatwa kugirango biopsy.

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kumenyekanisha (amahirwe yo gukira) biterwa nibi bikurikira:

• Icyiciro cya kanseri (cyaba gifata igice cya hypopharynx, kirimo hypopharynx yose, cyangwa cyakwirakwiriye ahandi mu mubiri). Kanseri ya Hypopharyngeal ikunze kugaragara mubyiciro byanyuma kuko ibimenyetso nibimenyetso byambere bidakunze kubaho.

• Imyaka yumurwayi, igitsina, nubuzima rusange.

• Aho kanseri iherereye.

• Niba umurwayi anywa itabi mugihe cyo kuvura imirasire.

Uburyo bwo kuvura buterwa nibi bikurikira:

• Intambwe ya kanseri.

• Kugumana ubushobozi bwumurwayi bwo kuvuga, kurya, no guhumeka bisanzwe bishoboka.

• Ubuzima rusange bwumurwayi.

Abarwayi barwaye kanseri ya hypopharyngeal bafite ibyago byinshi byo kwandura kanseri ya kabiri mu mutwe cyangwa mu ijosi. Gukurikirana kenshi kandi witonze ni ngombwa.

Icyiciro cya Kanseri ya Hypopharyngeal

INGINGO Z'INGENZI

• Nyuma yo gupimwa kanseri ya hypopharyngeal, hakorwa ibizamini kugirango hamenyekane niba selile ya kanseri yakwirakwiriye muri hypopharynx cyangwa mu bindi bice by'umubiri.

• Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

• Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

• Ibyiciro bikurikira bikoreshwa kuri kanseri ya hypopharyngeal:

• Icyiciro 0 (Carcinoma muri Situ)

• Icyiciro I.

• Icyiciro cya II

• Icyiciro cya III

• Icyiciro cya IV

• Nyuma yo kubagwa, icyiciro cya kanseri kirashobora guhinduka kandi hakenewe ubundi buvuzi.

Nyuma yo gupimwa kanseri ya hypopharyngeal, hakorwa ibizamini kugirango hamenyekane niba selile ya kanseri yakwirakwiriye muri hypopharynx cyangwa mu bindi bice by'umubiri.

Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye muri hypopharynx cyangwa mu bindi bice by'umubiri byitwa guterana. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Ni ngombwa kumenya icyiciro cyindwara kugirango utegure kuvura. Ibisubizo bya bimwe mubizamini hamwe nuburyo bukoreshwa mugupima kanseri ya hypopharyngeal nayo ikoreshwa muguteza indwara.

Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:

• Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.

• Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.

• Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.

Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.

• Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

• Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

Ikibyimba metastatike nubwoko bumwe bwa kanseri nkibibyimba byibanze. Kurugero, niba kanseri ya hypopharyngeal ikwirakwira mu bihaha, selile ya kanseri mu bihaha ni selile kanseri ya hypopharyngeal. Indwara ni kanseri ya hypopharyngeal metastatike, ntabwo ari kanseri y'ibihaha.

Ibyiciro bikurikira bikoreshwa kuri kanseri ya hypopharyngeal:

Icyiciro cyasobanuwe hano gikoreshwa gusa kubarwayi batigeze bakuramo lymph node mu ijosi bagasuzuma ibimenyetso bya kanseri.

Icyiciro 0 (Carcinoma muri Situ)

Mu cyiciro cya 0, selile zidasanzwe ziboneka mumurongo wa hypopharynx. Utugingo ngengabuzima tudasanzwe dushobora guhinduka kanseri tugakwirakwira mu ngingo zisanzwe. Icyiciro cya 0 nanone bita kanseri mu mwanya.

Ingano ya Tumor ikunze gupimwa muri santimetero (cm) cyangwa santimetero. Ibiribwa bisanzwe bishobora gukoreshwa mu kwerekana ubunini bwikibyimba muri cm harimo: amashaza (cm 1), ibishyimbo (cm 2), umuzabibu (cm 3), walnut (cm 4), lime (cm 5 cyangwa 2 santimetero), igi (cm 6), amashaza (cm 7), n'imbuto (cm 10 cyangwa santimetero 4).

Icyiciro I.

Mu cyiciro cya I, kanseri yibasiye agace kamwe gusa ka hypopharynx kandi / cyangwa ikibyimba gifite santimetero 2 cyangwa nto.

Icyiciro cya II

Mu cyiciro cya II, ikibyimba ni:

• dusanga mu gace karenze kamwe ka hypopharynx cyangwa mukarere kegereye; cyangwa

• binini birenze santimetero 2 ariko ntibirenza santimetero 4 kandi ntabwo byakwirakwiriye mu muhogo (agasanduku k'ijwi).

Icyiciro cya III

Mu cyiciro cya III, ikibyimba:

• ni binini kurenza santimetero 4 cyangwa yakwirakwiriye mu muhogo (agasanduku k'ijwi) cyangwa mucosa (umurongo w'imbere) wa esofagusi. Kanseri irashobora gukwirakwira kuri lymph node kuruhande rumwe rw'ijosi n'ikibyimba. Indwara ya lymph node yibasiwe na santimetero 3 cyangwa nto; cyangwa

• yakwirakwiriye kuri lymph node ku ruhande rumwe rw'ijosi n'ikibyimba. Indwara ya lymph node yibasiwe na santimetero 3 cyangwa nto. Kanseri nayo iboneka:

• mu gace kamwe gusa ka hypopharynx na / cyangwa ikibyimba ni santimetero 2 cyangwa nto; cyangwa

• mu gice kirenze kimwe cya hypopharynx cyangwa mukarere kegereye, cyangwa ikibyimba kirenze santimetero 2 ariko ntikirenza santimetero 4 kandi nticyakwirakwiriye mu muhogo.

Icyiciro cya IV

Icyiciro cya IV kigabanyijemo ibyiciro IVA, IVB, na IVC ku buryo bukurikira:

• Mu cyiciro cya IVA, ikibyimba:

• yakwirakwiriye muri tiroyide ya tiroyide, igufwa riri hejuru ya tiroyide ya tiroyide, glande ya tiroyide, karitsiye ikikije trachea, imitsi ya esophageal, cyangwa imitsi iri hafi hamwe nuduce twinshi two mu ijosi. Kanseri ishobora no gukwirakwira kuri lymph node kuruhande rumwe rw'ijosi n'ikibyimba. Indwara ya lymph node yibasiwe na santimetero 3 cyangwa nto; cyangwa

• iboneka muri hypopharynx kandi ishobora kuba yarakwirakwiriye kuri tiroyide ya tiroyide, igufwa riri hejuru ya tiroyide ya tiroyide, glande ya tiroyide, karitsiye ikikije trachea, esofagusi, cyangwa imitsi iri hafi hamwe nuduce twinshi two mu ijosi. Kanseri yakwirakwiriye muri kimwe muri ibi bikurikira:

• lymph node imwe kuruhande rumwe rw'ijosi n'ikibyimba. Indwara ya lymph node ifite ubunini burenze santimetero 3 ariko ntiburenza santimetero 6; cyangwa

• birenze lymph node aho ariho hose mu ijosi. Indwara ya lymph node yibasiwe na santimetero 6 cyangwa nto.

• Mu cyiciro cya IVB, ikibyimba:

• irashobora kuba ingano iyo ari yo yose na kanseri irashobora gukwirakwira kuri tiroyide ya tiroyide, igufwa riri hejuru ya tiroyide, glande ya tiroyide, karitsiye ikikije trachea, esofagusi, cyangwa imitsi iri hafi hamwe nuduce twinshi two mu ijosi. Kanseri yakwirakwiriye kuri lymph node irenze santimetero 6 cyangwa ikwirakwira mu gifuniko cyo hanze cya lymph node mu ngingo zegeranye; cyangwa

• yakwirakwiriye mubice bihuza bitwikiriye imitsi ishyigikira inkingi yumugongo, agace gakikije imiyoboro ya karoti, cyangwa agace kari hagati yibihaha. Kanseri irashobora no gukwirakwira mu mitsi yo mu ijosi.

• Mu cyiciro cya IVC, kanseri yakwirakwiriye mu bindi bice by'umubiri, nk'ibihaha, umwijima, cyangwa amagufwa.

Nyuma yo kubagwa, icyiciro cya kanseri kirashobora guhinduka kandi hakenewe ubundi buvuzi.

Niba kanseri ikuweho no kubagwa, umuhanga mu bumenyi bw'indwara azasuzuma icyitegererezo cy'umubiri wa kanseri munsi ya microscope. Rimwe na rimwe, isuzuma ry’indwara z’indwara zitera impinduka ku cyiciro cya kanseri kandi hakenewe ubundi buvuzi nyuma yo kubagwa.

Kanseri Yisubiramo

Kanseri ya hypopharyngeal isubirwamo ni kanseri yagarutse (garuka) imaze kuvurwa. Kanseri irashobora kugaruka muri hypopharynx cyangwa mu bindi bice byumubiri.

Incamake yo kuvura

INGINGO Z'INGENZI

• Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri ya hypopharyngeal.

• Ubwoko butatu bwo kuvura busanzwe bukoreshwa:

• Kubaga

• Imiti ivura imirasire

• Chimoterapi

• Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

• Umuti wa kanseri ya hypopharyngeal urashobora gutera ingaruka mbi.

• Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

• Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

• Ibizamini byo gukurikirana birashobora gukenerwa.

Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri ya hypopharyngeal.

Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye kanseri ya hypopharyngeal. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe. Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Ubwoko butatu bwo kuvura busanzwe bukoreshwa:

Kubaga

Kubaga (gukuraho kanseri mu gikorwa) ni ubuvuzi busanzwe ku byiciro byose bya kanseri ya hypopharyngeal. Uburyo bukurikira bwo kubaga bushobora gukoreshwa:

• Laryngopharyngectomy: Kubaga kugirango ukureho umunwa (agasanduku k'ijwi) n'igice cya farynx (umuhogo).

• Laryngopharyngectomy igice: Kubagwa kugirango ukure igice cyinzara nigice cyurwungano ngogozi. Laryngopharyngectomy igice irinda gutakaza ijwi.

• Gutandukanya amajosi: Kubaga kugirango ukureho lymph node hamwe nizindi ngingo zo mu ijosi.

Muganga amaze gukuraho kanseri zose zishobora kugaragara mugihe cyo kubagwa, abarwayi bamwe bashobora guhabwa chimiotherapie cyangwa imiti ivura imirasire nyuma yo kubagwa kugirango bice selile zose zisigaye. Umuti watanzwe nyuma yo kubagwa, kugirango ugabanye ibyago ko kanseri izagaruka, byitwa kuvura indwara.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Hariho ubwoko bubiri bwo kuvura imirasire:

• Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire kuri kanseri.

Imishwarara yo hanze-beam ivura umutwe nijosi. Imashini ikoreshwa mugushaka imirasire yingufu nyinshi kuri kanseri. Imashini irashobora kuzenguruka umurwayi, igatanga imirasire iturutse impande nyinshi zitandukanye kugirango itange imiti ihuye cyane. Mask ya mesh ifasha kurinda umutwe w ijosi umurwayi kugenda mugihe cyo kuvura. Ibimenyetso bito bya wino bishyirwa kuri mask. Ibimenyetso bya wino bikoreshwa mugutondekanya imashini imirasire mumwanya umwe mbere yubuvuzi.

• Imiti ivura imbere ikoresha ibintu bifata radiyo bifunze inshinge, imbuto, insinga, cyangwa catheteri bishyirwa muri kanseri cyangwa hafi yayo.

Uburyo imiti ivura imirasire itangwa biterwa n'ubwoko bwa kanseri ivurwa. Imiti ivura hanze ikoreshwa mu kuvura kanseri ya hypopharyngeal.

Imiti ivura imirasire irashobora gukora neza kubarwayi bahagaritse kunywa itabi mbere yo gutangira kwivuza. Imiti ivura hanze ya tiroyide cyangwa glande ya pituito irashobora guhindura uburyo glande ya tiroyide ikora. Ikizamini cyamaraso kugirango hamenyekane urugero rwa hormone ya tiroyide mumubiri irashobora gukorwa mbere na nyuma yubuvuzi kugirango umenye neza ko glande ya tiroyide ikora neza.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa guhagarika ingirabuzimafatizo. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi yubwonko, urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere). Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa.

Chimiotherapie irashobora gukoreshwa mukugabanya ikibyimba mbere yo kubagwa cyangwa kuvura imirasire. Ibi bita chimiotherapie neoadjuvant.

Reba Ibiyobyabwenge Byemewe Kanseri yo mu mutwe no mu ijosi kubindi bisobanuro. (Kanseri ya Hypopharyngeal ni ubwoko bwa kanseri yo mu mutwe no mu ijosi.)

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Umuti wa kanseri ya hypopharyngeal urashobora gutera ingaruka mbi.

Kumakuru yingaruka ziterwa no kuvura kanseri, reba urupapuro rwuruhande rwacu.

Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.

Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.

Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.

Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.

Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.

Ibizamini byo gukurikirana birashobora gukenerwa.

Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.

Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.

Kuri kanseri ya hypopharyngeal, gukurikirana kugirango isubiremo bigomba kuba bikubiyemo ibizamini byo mu mutwe no mu ijosi witonze rimwe mu kwezi mu mwaka wa mbere nyuma yo kuvurwa birangiye, buri mezi 2 mu mwaka wa kabiri, buri mezi 3 mu mwaka wa gatatu, na buri mezi 6 nyuma yaho. .

Amahitamo yo Kuvura Icyiciro

Muri iki gice

• Icyiciro cya I Kanseri ya Hypopharyngeal

• Icyiciro cya II Kanseri ya Hypopharyngeal

• Icyiciro cya III Kanseri ya Hypopharyngeal

• Icyiciro cya IV Kanseri ya Hypopharyngeal

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Icyiciro cya I Kanseri ya Hypopharyngeal

Kuvura kanseri yo mu cyiciro cya I hypopharyngeal irashobora kuba ikubiyemo ibi bikurikira:

• Laryngopharyngectomy no gutandukanya ijosi hamwe cyangwa idafite imiti myinshi ivura imirasire ya lymph node yijosi.

• Igice cya laryngopharyngectomy hamwe cyangwa idafite imiti myinshi ivura imishwarara ya lymph node kumpande zombi zijosi.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Icyiciro cya II Kanseri ya Hypopharyngeal

Kuvura kanseri yo mu cyiciro cya II hypopharyngeal irashobora kuba ikubiyemo ibi bikurikira:

• Laryngopharyngectomy no gutandukanya ijosi. Imiti myinshi ivura imirasire ya lymph node yijosi irashobora gutangwa mbere cyangwa nyuma yo kubagwa.

• Laryngopharyngectomy igice. Imiti myinshi ivura imirasire ya lymph node yijosi irashobora gutangwa mbere cyangwa nyuma yo kubagwa.

• Chimiotherapie yatanzwe mugihe cyangwa nyuma yo kuvura imirasire cyangwa nyuma yo kubagwa.

• Igeragezwa rya chimiotherapie ikurikirwa no kuvura imirasire cyangwa kubagwa.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Icyiciro cya III Kanseri ya Hypopharyngeal

Kuvura kanseri yo mu cyiciro cya III hypopharyngeal irashobora kuba ikubiyemo ibi bikurikira:

• Imiti ivura imirasire mbere cyangwa nyuma yo kubagwa.

• Chimiotherapie yatanzwe mugihe cyangwa nyuma yo kuvura imirasire cyangwa nyuma yo kubagwa.

• Igeragezwa rya chimiotherapie ikurikirwa no kubagwa no / cyangwa kuvura imirasire.

• Igeragezwa rya chimiotherapie ryatanzwe mugihe kimwe no kuvura imirasire.

• Igeragezwa rya clinique yo kubagwa rikurikirwa na chimiotherapie yatanzwe mugihe kimwe no kuvura imirasire.

Kuvura no gukurikirana kanseri yo mu cyiciro cya III hypopharyngeal iragoye kandi ikurikiranwa neza nitsinda ryinzobere zifite uburambe nubuhanga mu kuvura ubu bwoko bwa kanseri. Niba hypopharynx yose cyangwa igice cyayo kivanyweho, umurwayi ashobora gukenera kubagwa plastike nubundi bufasha budasanzwe bwo guhumeka, kurya, no kuvuga.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Icyiciro cya IV Kanseri ya Hypopharyngeal

Kuvura ibyiciro IVA, IVB, na IVC hypopharyngeal kanseri ishobora kuvurwa no kubagwa bishobora kuba bikubiyemo ibi bikurikira:

• Imiti ivura imirasire mbere cyangwa nyuma yo kubagwa.

• Igeragezwa rya chimiotherapie ikurikirwa no kubagwa no / cyangwa kuvura imirasire.

• Igeragezwa rya clinique yo kubagwa rikurikirwa na chimiotherapie yatanzwe mugihe kimwe no kuvura imirasire.

Kuvura no kubaga icyiciro cya IV hypopharyngeal kanseri iragoye kandi ikurikiranwa neza nitsinda ryinzobere zifite uburambe nubuhanga mu kuvura ubu bwoko bwa kanseri. Niba hypopharynx yose cyangwa igice cyayo kivanyweho, umurwayi ashobora gukenera kubagwa plastike nubundi bufasha budasanzwe bwo guhumeka, kurya, no kuvuga.

Kuvura ibyiciro IVA, IVB, na IVC kanseri ya hypopharyngeal idashobora kuvurwa no kubagwa irashobora kuba ikubiyemo ibi bikurikira:

• Imiti ivura imirasire.

• Chimiotherapie yatanzwe icyarimwe nubuvuzi bwimirasire.

• Igeragezwa rya clinique yo kuvura imirasire hamwe na chimiotherapie.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Amahitamo yo kuvura Kanseri Yisubiramo na Metastatike Hypopharyngeal Kanseri

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri ya hypopharyngeal yagarutse (garuka) cyangwa yakwirakwiriye mu bindi bice byumubiri bishobora kuba bikubiyemo ibi bikurikira:

• Kubaga.

• Imiti ivura imirasire.

• Chimoterapi.

• Igeragezwa rya chimiotherapie.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kumenya byinshi kuri Kanseri ya Hypopharyngeal

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye kanseri ya hypopharyngeal, reba ibi bikurikira:

• Kanseri yo mu mutwe no mu ijosi Urupapuro

• Ingorane zo mu kanwa za Chimiotherapie n'umutwe / Imirasire y'ijosi

• Ibiyobyabwenge Byemewe Kanseri yo mu mutwe no mu ijosi

• Kanseri yo mu mutwe no mu ijosi

• Itabi (rikubiyemo ubufasha mu kureka)

Kumakuru rusange ya kanseri nibindi bikoresho biva mu kigo cyigihugu cya kanseri, reba ibi bikurikira:

• Ibyerekeye Kanseri

• Gutegura

• Chimiotherapie nawe: Inkunga kubantu barwaye Kanseri

• Ubuvuzi bwimirasire nawe: Inkunga kubantu barwaye Kanseri

• Guhangana na Kanseri

• Ibibazo byo Kubaza Muganga wawe kuri Kanseri

• Abacitse ku icumu n'abarezi