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

Hypopharyngeal Cancer Kurapa (Vakuru) Shanduro

General Ruzivo nezve Hypopharyngeal Cancer

PFUNGWA DZINOKOSHA

• Kenza yehypopharyngeal chirwere umo maronda (gomarara) maseru anoumba mumatumbu eiyo hypopharynx.

• Kushandiswa kwezvigadzirwa zvefodya uye kunwisa zvakanyanya kunogona kukanganisa njodzi yekubatwa nekenza hypopharyngeal.

• Zviratidzo nezviratidzo zvegomarara rehypopharyngeal zvinosanganisira kurwadziwa pahuro nenzeve.

• Kuyedza kunoongorora huro nemutsipa kunoshandiswa kubatsira kuongorora chirwere chegomarara uye kuona kana gomarara rapararira here.

• Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Kenza yehypopharyngeal chirwere umo maronda (gomarara) maseru anoumba mumatumbu eiyo hypopharynx.

Iyo hypopharynx ndiyo yepazasi chikamu cheiyo pharynx (huro). Iyo pharynx ipombi isina kubhadharira ingangoita mashanu masendimita kureba iyo inotangira kuseri kwemhino, ichidzika nemutsipa, uye inoguma kumusoro kwetrachea (windpipe) uye esophagus (iyo chubhu inoenda kubva pahuro kuenda mudumbu). Mhepo uye chikafu zvinopfuura nepahosi munzira inoenda kune trachea kana yegurokuro.

Kenza yehypopharyngeal inogadzira munyama dzeiyo hypopharynx (chikamu chepasi chehuro). Inogona kupararira kumatishu ari padyo kana kutetarakisi yakakomberedza utachiona kana trachea, pfupa riri pasi perurimi (hyoid bone), utachiona, trachea, dokoriro, kana gurokuro. Iyo inogona zvakare kupararira kune iyo lymph node mumutsipa, iyo carotid arteri, iwo matukisi akakomberedza chikamu chepamusoro chechipenga chemuzongoza, mubato wechipfuva mhango, uye kune zvimwe zvikamu zvemuviri (zvisina kuratidzwa).

Makenza mazhinji e hypopharyngeal anoumba mumaseru anokatyamadza, iwo maseru matete, akapfava anonamira mukati meiyo hypopharynx Iyo hypopharynx ine nzvimbo nhatu dzakasiyana. Kenza inogona kuwanikwa mune imwe kana kupfuura yenzvimbo idzi.

Gomarara rehypopharyngeal rudzi rwemukenza wemusoro nemutsipa.

Kushandiswa kwezvigadzirwa zvefodya uye kunwisa zvakanyanya kunogona kukanganisa njodzi yekubatwa nekenza hypopharyngeal.

Chero chipi zvacho chinowedzera njodzi yako yekuwana chirwere chinonzi njodzi chinhu. Kuva nenjodzi hazvireve kuti uchawana gomarara; kusava nenjodzi hazvireve kuti hauzobatwe negomarara. Taura nachiremba wako kana iwe uchifunga kuti ungave uri panjodzi. Njodzi zvinhu zvinosanganisira zvinotevera:

• Kusvuta fodya.

• Kutsenga fodya.

• Kunwa doro zvakanyanya.

• Kudya chikafu chisina michero yakakwana.

• Kuve nePlummer-Vinson syndrome.

Zviratidzo nezviratidzo zvegomarara rehypopharyngeal zvinosanganisira kurwadziwa pahuro nenzeve.

Izvi nezvimwe zviratidzo uye zviratidzo zvinogona kukonzerwa nekenza hypopharyngeal kana nemamwe mamiriro. Tarisa nachiremba wako kana iwe uine chero chinotevera:

• Huro huro husingaendi.

• Nzeve kurwadziwa.

• Bundu muhuro.

• Zvinorwadza kana kunetsa kumedza.

• Shanduko yezwi.

Kuyedza kunoongorora huro nemutsipa kunoshandiswa kubatsira kuongorora chirwere chegomarara uye kuona kana gomarara rapararira here.

Iyi inotevera bvunzo uye maitiro anogona kushandiswa:

• Kuongorora kwemuviri uye nhoroondo yehutano: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.

• Kuongorora kwepanyama kwehuro: Kuongorora uko chiremba anonzwa nekuzvimba kwema-lymph node mumutsipa uye anotarisa pasi pahuro negirazi diki, rakareba-rakareba kutarisa nzvimbo dzisina kujairika.

• Neurological bvunzo: akateedzana emibvunzo uye bvunzo kutarisa huropi, musana, uye tsinga basa. Bvunzo dzinoongorora chimiro chemunhu chepfungwa, kubatana, uye kugona kufamba zvakajairika, uye mashandiro, pfungwa, uye pfungwa zvinoshanda zvakadii. Izvi zvinogona zvakare kunzi bvunzo yeurouro kana bvunzo yetsinga.

• CT scan (CAT scan): Maitiro anogadzira akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, senge musoro, mutsipa, chifuva, uye lymph node, inotorwa kubva kumakona akasiyana. Mifananidzo yacho inogadzirwa nekombuta yakabatana neiyo x-ray muchina. Dhayi inogona kuiswa jekiseni kana kumedzwa kubatsira nhengo kana zvinyama kuratidza zvakajeka. Iyi nzira inonziwo computed tomography, computerized tomography, kana komputa axial tomography.

Computed tomography (CT) scan yemusoro nemutsipa. Murwere akarara patafura inotsvedza kuburikidza neCT scanner, iyo inotora x-ray mifananidzo yemukati memusoro nemutsipa.

• PET scan (positron emission tomography scan): Iyo nzira yekuwana yakaipa malonda maseru mumuviri. Chishoma che radioactive glucose (shuga) inoiswa mutsinga. Iyo PET scanner inotenderera yakatenderedza muviri uye inogadzira mufananidzo wepo glucose iri kushandiswa mumuviri. Malignant tumarara maseru anoratidza kupenya mumufananidzo nekuti anoshanda uye anotora glucose yakawanda kupfuura zvinoita maseru akajairwa. PET scan uye CT scan inogona kuitwa panguva imwe chete. Iyi inonzi PET-CT.

• MRI (magnetic resonance imaging): Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira yakateedzana mifananidzo yakajeka yenzvimbo dziri mukati memuviri, senge musoro, mutsipa, chifuva, uye lymph node. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI).

• Endoscopy: Maitiro anoshandiswa kutarisa nzvimbo dziri pahuro dzisingaonekwe negirazi panguva yekuongorora kwehuro. Endoscope (chubhu yakatetepa, ine mwenje) inoiswa kuburikidza nemhuno kana muromo kuti utarise huro kune chero chinhu chinoratidzika kunge chisina kujairika. Tissue sampuli dzinogona kutorwa kuitira biopsy.

• Biopsy: Kubviswa kwemasero kana zvinyama kuitira kuti zvionekwe pasi pe microscope kutarisa zviratidzo zvegomarara.

• Bone scan: Maitiro ekutarisa kana paine nekukurumidza kupatsanura masero, senge kenza maseru, mupfupa. Chinhu chidiki kwazvo che radioactive chakabayiwa mutsinga uye chinofamba neropa. Iyo radioactive zvinhu inounganidza mumapfupa nekenza uye inoonekwa ne scanner.

• Barium esophagogram: X-ray yegurokuro. Murwere anonwa mvura ine barium (sirivheri-chena esimbi mukomboni). Iyo yemvura inofukidza iyo esophagus uye x-ray inotorwa.

• Esophagoscopy: Maitiro ekutarisa mukati meiyo esophagus kuti utarise nzvimbo dzisina kujairika. Esophagoscope (yakatetepa, yakabatidzwa chubhu) inoiswa kuburikidza nemumuromo kana mumhino uye ichidzika nehuro kupinda mudumbu. Tissue sampuli dzinogona kutorwa kuitira biopsy.

• Bronchoscopy: Maitiro ekutarisa mukati me trachea uye makuru emhepo mumapapu enzvimbo dzisina kujairika. Iyo bronchoscope (yakatetepa, yakavhenekerwa chubhu) inoiswa kuburikidza nemhino kana muromo mu trachea nemapapu. Tissue sampuli dzinogona kutorwa kuitira biopsy.

Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Kufungidzira (mukana wekupora) kunoenderana nezvinotevera:

• Iyo nhanho yekenza (ingave inobata chikamu cheiyo hypopharynx, inosanganisira iyo hypopharynx yose, kana yakapararira kune dzimwe nzvimbo mumuviri). Kenza yehypopharyngeal inowanzoonekwa mumatanho ekupedzisira nekuti zviratidzo zvekutanga nezviratidzo hazviwanzo kuitika.

• Zera remurwere, murume kana mukadzi, uye hutano hwese.

• Nzvimbo yekenza.

• Kunyangwe murwere achiputa panguva yekurapwa nemwaranzi.

Sarudzo dzekurapa dzinoenderana nezvinotevera:

• Chikamu checancer.

• Kuchengeta kugona kwemurwere kutaura, kudya, uye kufema zvakajairika sezvazvinogona.

• Hutano hwese hwemurwere.

Varwere vane kenza yehypopharyngeal vari panjodzi yekuwedzera kenza yechipiri mumusoro kana mutsipa. Kakawanda uye nekuchenjerera kuteedzera kwakakosha.

Matanho eHypopharyngeal Cancer

PFUNGWA DZINOKOSHA

• Mushure mekunge gomarara rehypopharyngeal raonekwa, kuongororwa kunoitwa kuti uone kana masero ekenza apararira mukati mehypopharynx kana kune zvimwe zvikamu zvemuviri.

• Pane nzira nhatu dzinopararira negomarara mumuviri.

• Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

• Aya anotevera matanho anoshandiswa kune hypopharyngeal cancer.

• Chikamu 0 (Carcinoma muSitu)

• Chikamu I

• Chikamu II

• Chikamu chechitatu

• Chikamu IV

• Mushure mekuvhiyiwa, nhanho yekenza inogona kuchinja uye kumwe kurapwa kunogona kudikanwa.

Mushure mekunge gomarara rehypopharyngeal raonekwa, kuongororwa kunoitwa kuti uone kana masero ekenza apararira mukati mehypopharynx kana kune zvimwe zvikamu zvemuviri.

Maitiro anoshandiswa kutsvaga kana kenza yapararira mukati meiyo hypopharynx kana kune dzimwe nhengo dzemuviri inonzi staging. Ruzivo rwakaunganidzwa kubva munzira yekugadzwa rinotara danho rechirwere. Izvo zvakakosha kuti uzive nhanho yechirwere kuitira kuronga kurapwa. Mhedzisiro yemimwe bvunzo nemaitiro anoshandiswa kuongorora chirwere che hypopharyngeal cancer anowanzo shandiswa kuisa chirwere.

Pane nzira nhatu dzinopararira negomarara mumuviri.

Kenza inogona kupararira kuburikidza nematinji, iyo lymph system, uye neropa:

• Tishu. Kenza inopararira kubva kwayakatanga nekukura ichipinda munzvimbo dziri pedyo.

• Lymph maitiro. Kenza inopararira kubva kwayakatanga nekupinda muiyo lymph system. Kenza inofamba nemumidziyo yema lymph ichienda kune dzimwe nhengo dzemuviri.

• Ropa. Kenza inopararira kubva payakatanga nekupinda muropa. Kenza inofamba nemidzi yeropa ichienda kune dzimwe nhengo dzemuviri.

Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

Kana kenza ikapararira kune chimwe chikamu chemuviri, inonzi metastasis. Cancer maseru anotsemuka kubva kwaakatanga (iro bundu rekutanga) uye achifamba kuburikidza neye lymph system kana ropa.

• Lymph maitiro. Gomarara rinopinda mu "lymph system", rinofamba nemumidziyo ye "lymph", uye rinogadzira bundu (metastatic tumor) mune chimwe chikamu chemuviri.

• Ropa. Kenza inopinda muropa, inofamba nemutsinga dzeropa, yoita bundu (metastatic tumor) mune chimwe chikamu chemuviri.

Iyo metastatic bundu irwo rudzi rwecancer seyakanyanya bundu. Semuenzaniso, kana hypopharyngeal kenza ikapararira kuenda kumapapu, maseru ekenza mumapapu ari chaiwo masero egomarara ehuropi. Hosha iyi metastatic hypopharyngeal cancer, kwete yemapapu cancer.

Aya anotevera matanho anoshandiswa kune hypopharyngeal cancer.

Iyo staging inotsanangurwa pazasi inongoshandiswa chete kuvarwere vasina lymph node mumutsipa kubviswa uye kutariswa zviratidzo zvegomarara.

Chikamu 0 (Carcinoma muSitu)

Muchikamu chechipiri, masero asina kujairika anowanikwa mune yekumusoro kweiyo hypopharynx. Aya maseru asina kujairika anogona kuva cancer uye achipararira mune zvinyama zviri pedyo. Chikamu 0 chinonziwo carcinoma in situ.

Saizi yemamota inowanzo kuyerwa mukati masendimita (cm) kana inches. Zvekudya zvakajairika zvinogona kushandiswa kuratidza kukura kwemarara mumasendimita zvinosanganisira: pizi (1 cm), nzungu (2 cm), mazambiringa (3 cm), walnuts (4 cm), lime (5 cm kana 2 masendimita), zai (6 cm), peach (7 cm), uye grapefruit (10 cm kana 4 inches).

Chikamu I

Muchikamu chekutanga, kenza yakaumbwa munzvimbo imwechete yeiyo hypopharynx uye / kana bundu iri 2 masendimita kana madiki.

Chikamu II

Muchikamu chechipiri, bundu iri:

• inowanikwa munzvimbo dzinopfuura imwechete yeiyo hypopharynx kana munzvimbo iri pedyo; kana

• yakakura kudarika maviri masendimita asi isina kukura kupfuura masendimita mana uye haina kupararira kune dokoriro (izwi bhokisi).

Chikamu chechitatu

Muchikamu chechitatu, bundu:

• yakakura kudarika masendimita mana kana yakapararira kumuromo (izwi bhokisi) kana mucosa (mukati memukati) yegurokuro. Kenza inogona kunge yakapararira kune imwe lymph node kudivi rimwe chete remutsipa sedumbu. Iyo lymph node yakakanganiswa ndeye 3 masendimita kana madiki; kana

• yakapararira kune imwe lymph node kune rumwe rutivi rwehuro sehutu. Iyo lymph node yakakanganiswa ndeye 3 masendimita kana madiki. Kenza inowanikwawo:

• mune imwechete nzvimbo yeiyo hypopharynx uye / kana bundu iri 2 masendimita kana madiki; kana

• munzvimbo dzinopfuura imwechete yehypopharynx kana munzvimbo iri padyo, kana bundu rakakura kupfuura masendimita maviri asi risingasviki masendimita mana uye harina kupararira kumarara.

Chikamu IV

Stage IV yakakamurwa muzvikamu IVA, IVB, uye IVC zvinotevera:

• Muchikamu cheIVA, bundu:

• yakapararira kuhutachiona, bhonzo riri pamusoro petikoroti, gland yeglandi, shwashwa yakakomberedza trachea, mhasuru yesophageal, kana mhasuru dziri padyo nemafuta emutsipa. Gomarara rinogona kunge rakapararira kune rimwe lymph node kudivi rimwe chete remutsipa kunge bundu. Iyo lymph node yakakanganiswa ndeye 3 masendimita kana madiki; kana

• inowanikwa mukati mehypopharynx uye inogona kunge yakapararira kuhutachiona, pfupa riri pamusoro petikoroti, chirwere chetachiona, shwashwa yakakomberedza trachea, esophagus, kana mhasuru dziri padyo nemafuta emutsipa. Kenza yapararira kune chimwe cheanotevera:

• imwe lymph node padivi rimwe remutsipa sedumbu. Iyo lymph node yakakanganiswa yakakura kupfuura masendimita matatu asi haina kukura kupfuura masendimita matanhatu; kana

• inopfuura imwechete lymph node chero kupi muhuro. Iwo anokanganisa lymph node ari matanhatu masendimita kana madiki.

• Muchikamu IVB, bundu:

• inogona kunge iri saizi uye gomarara rinogona kunge rapararira kune shwashwa, bone pamusoro peiyo shwashwa, chirwere chetachiona, shwashwa yakakomberedza trachea, esophagus, kana mhasuru dziri padyo nemafuta ane mutsipa. Gomarara rapararira kune lymph node yakakura kudarika masendimita matanhatu kana yakapararira kuburikidza nekuvharidzira kwekunze kweiyo node node mune rinobatanidza nyama; kana

• rapararira kune rinobatanidza nyama inovhara mhasuru dzinotsigira musana wechipfuva, nzvimbo yakatenderedza tsinga ye carotid, kana nzvimbo iri pakati pemapapu. Kenza inogona kunge yakapararira kune lymph node mumutsipa.

• Muchikamu IVC, gomarara rapararira kune dzimwe nhengo dzemuviri, senge mapapu, chiropa, kana pfupa.

Mushure mekuvhiyiwa, nhanho yekenza inogona kuchinja uye kumwe kurapwa kunogona kudikanwa.

Kana gomarara rikabviswa nekuvhiyiwa, chiremba wezvekurwara anoongorora muyenzaniso wecancer tishu pasi pe microscope Dzimwe nguva, kuongororwa kwehutachiona kunoguma neshanduko padanho rekenza uye kumwe kurapwa kunodiwa mushure mekuvhiyiwa.

Kakawanda Hypopharyngeal Cancer

Kazhinji kenza hypopharyngeal kenza kenza yakadzokazve (kudzoka) mushure mekurapwa. Gomarara rinogona kudzoka mu hypopharynx kana mune mamwe mativi emuviri.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune akasiyana marudzi ekurapa kwevarwere vane hypopharyngeal cancer.

• Mhando mitatu yekurapa kwakajairika inoshandiswa:

• Kuvhiya

• Radiation kurapa

• Chemotherapy

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Kurapa kwekenza hypopharyngeal kunogona kukonzera mhedzisiro.

• Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

• Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

• Yekutevera-bvunzo inogona kudikanwa.

Kune akasiyana marudzi ekurapa kwevarwere vane hypopharyngeal cancer.

Mhando dzakasiyana dzekurapa dzinowanikwa kuvarwere vane gomarara rehypopharyngeal. Mamwe marapirwo akajairwa (iko kurapwa kwazvino kwashandiswa), uye kumwe kuedzwa mumakiriniki ekuedzwa A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa. Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Mhando mitatu yekurapa kwakajairika inoshandiswa:

Kuvhiya

Kuvhiya (kubvisa kenza mukuvhiya) chirwere chinowanzoitika pamatanho ese ekenza hypopharyngeal. Maitiro anotevera ekuvhiya anogona kushandiswa:

• Laryngopharyngectomy: Kuvhiya kubvisa iyo larynx (izwi bhokisi) uye chikamu cheiyo pharynx (huro).

• Yakasarudzika laryngopharyngectomy: Kuvhiya kubvisa chikamu cheharynx uye chikamu cheiyo pharynx. Yakasarudzika laryngopharyngectomy inodzivirira kurasikirwa kwezwi.

• Neck dissection: Kuvhiya kubvisa lymph node uye mamwe matishu mumutsipa.

Mushure mekunge chiremba abvisa kenza yese inoonekwa panguva yekuvhiyiwa, vamwe varwere vanogona kupihwa chemotherapy kana radiation radiation mushure mekuvhiyiwa kuuraya chero gomarara maseru akasara. Mushonga wakapihwa mushure mekuvhiyiwa, kudzikisa njodzi yekuti gomarara richadzoka, inonzi adjuvant therapy.

Radiation kurapa

Radiation kurapa kurapwa kenza iyo inoshandisa yakakwira-simba x-rays kana mamwe marudzi e radiation kuuraya cancer maseru kana kuachengeta iwo kuti asakure. Kune mhando mbiri dze radiation radiation:

• External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune kenza.

Kunze-danda radiation kurapwa kwemusoro nemutsipa. Mushini unoshandiswa kunongedza mwenje wemagetsi ane simba pane kenza. Mushini unogona kutenderera uchitenderera murwere, uchiendesa mwaranzi kubva kumakona mazhinji akasiyana kuti upe kurapwa kwakaringana. Iyo mesh mask inobatsira kuchengetedza musoro nemutsipa wemurwere kubva pakufamba panguva yekurapwa. Madiki inki mamaki anoiswa pamask. Iwo inki mamaki anoshandiswa kumisikidza iyo radiation radiation mune imwecheteyo nzvimbo pamberi pega kurapwa.

• Yemukati radiation kurapwa kunoshandisa radioactive chinhu chakavharirwa mune tsono, mhodzi, waya, kana makateti anoiswa akananga mukati kana padyo nekenza.

Maitiro ekurapwa nemwaranzi anoenderana nerudzi uye nhanho yekenza iri kurapwa. External radiation therapy inoshandiswa kurapa kenza yehypopharyngeal.

Radiation kurapwa kunogona kushanda zvirinani kune varwere vakamira kuputa vasati vatanga kurapwa. Kurapa kwekunze kwemwaranzi kune iyo utachiona kana iyo pituitary gland inogona kuchinja mashandiro anoita gland yegland. Kuongororwa kweropa kuti uone hutachiona hwehutachiona mumuviri kunogona kuitwa usati uye mushure mekurapa kuti uone kuti gland yegland iri kushanda nemazvo.

Chemotherapy

Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekumisa maseru kubva pakupatsanuka. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy). Kana chemotherapy ikaiswa yakanangana necerebrospinal fluid, nhengo, kana dumbu remuviri senge dumbu, iwo madhiragi anonyanya kukanganisa cancer maseru munzvimbo idzodzo (remunharaunda chemotherapy). Nzira iyo chemotherapy inopihwa inoenderana nerudzi uye nhanho yekenza iri kurapwa.

Chemotherapy inogona kushandiswa kudzikisa bundu usati wavhiyiwa kana kurapwa nemwaranzi. Izvi zvinonzi neoadjuvant chemotherapy.

Ona Zvinodhaka Zvakagamuchirwa kuMusoro neNeck Cancer kuti uwane rumwe ruzivo. (Hypopharyngeal kenza rudzi rwemusoro wekenza nemutsipa.)

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Kurapa kwekenza hypopharyngeal kunogona kukonzera mhedzisiro.

Kuti uwane ruzivo nezve mhedzisiro inokonzerwa nekurapwa kwegomarara, ona yedu Side Mhedzisiro peji.

Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.

Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.

Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.

Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.

Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.

Yekutevera-bvunzo inogona kudikanwa.

Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.

Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro ako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Nezve gomarara rehypopharyngeal, kuteedzera kuti uongorore kudzokororwa kunofanira kusanganisira bvunzo dzemusoro nemutsipa kamwe chete pamwedzi mugore rekutanga mushure mekurapwa, mwedzi miviri miviri mugore rechipiri, mwedzi mitatu yega mugore rechitatu, uyezve nemwedzi mitanhatu inotevera. .

Kurapa Sarudzo nedanho

Muchikamu chino

• Chikamu I Hypopharyngeal Cancer

• Chikamu II Hypopharyngeal Cancer

• Chikamu chechitatu Hypopharyngeal Cancer

• Chikamu IV Hypopharyngeal Cancer

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Chikamu I Hypopharyngeal Cancer

Kurapa kwedanho I hypopharyngeal cancer inogona kusanganisira zvinotevera:

• Laryngopharyngectomy uye mutsipa kupatsanurwa pamwe kana kana pasina yakakwira-dhiza radiation kurapwa kune iyo lymph node yemutsipa.

• Yakasarudzika laryngopharyngectomy ine kana isina yakakwira-dose radiation kurapwa kune iyo lymph node kumativi ese maviri emutsipa.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Chikamu II Hypopharyngeal Cancer

Kurapa kwedanho II gomarara repamusoro kunogona kusanganisira zvinotevera:

• Laryngopharyngectomy uye mutsipa dissection. Yakakwira-dhiza radiation kurapwa kune iyo lymph node yemutsipa inogona kupihwa usati kana mushure mekuvhiyiwa.

• Yakasarudzika laryngopharyngectomy. Yakakwira-dhiza radiation kurapwa kune iyo lymph node yemutsipa inogona kupihwa usati kana mushure mekuvhiyiwa.

• Chemotherapy inopihwa panguva kana mushure mekurapwa nemwaranzi kana mushure mekuvhiyiwa.

• Kuongororwa kwekiriniki kwechemotherapy kuchiteverwa nera radiation kurapwa kana kuvhiyiwa.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Chikamu chechitatu Hypopharyngeal Cancer

Kurapa kwedanho III hypopharyngeal cancer inogona kusanganisira zvinotevera:

• Radiation kurapwa usati kana mushure mekuvhiyiwa.

• Chemotherapy inopihwa panguva kana mushure mekurapwa nemwaranzi kana mushure mekuvhiyiwa.

• Kuongororwa kwekiriniki kwechemotherapy kunoteverwa nekuvhiya uye / kana radiation radiation.

• Kuongororwa kwekiriniki kwechemotherapy yakapihwa panguva imwe chete neye radiation radiation.

• Kuongororwa kwekiriniki kwekuvhiyiwa kuchiteverwa nekemotherapy yakapihwa panguva imwecheteyo neye radiation radiation.

Kurapa uye kuteedzera kweiyo nhanho III kenza yehypopharyngeal yakaoma uye inotarisirwa neboka revanyanzvi vane ruzivo uye hunyanzvi hwekurapa rudzi urwu rwegomarara. Kana zvese kana chikamu cheiyo hypopharynx chabviswa, murwere angangoda kuvhiyiwa kwepurasitiki uye rumwe rubatsiro rwakakosha nekufema, kudya, uye kutaura.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Chikamu IV Hypopharyngeal Cancer

Kurapa kwematanho IVA, IVB, uye IVC kenza yehypopharyngeal inogona kurapwa nekuvhiya inogona kusanganisira zvinotevera:

• Radiation kurapwa usati kana mushure mekuvhiyiwa.

• Kuongororwa kwekiriniki kwechemotherapy kunoteverwa nekuvhiya uye / kana radiation radiation.

• Kuongororwa kwekiriniki kwekuvhiyiwa kuchiteverwa nekemotherapy yakapihwa panguva imwecheteyo neye radiation radiation.

Kurapa kwekuvhiya uye kuteedzera kweiyo nhanho IV kenza yehypopharyngeal yakaoma uye inotarisirwa neboka revanyanzvi vane ruzivo uye hunyanzvi hwekurapa kenza yerudzi urwu. Kana zvese kana chikamu cheiyo hypopharynx chabviswa, murwere angangoda kuvhiyiwa kwepurasitiki uye rumwe rubatsiro rwakakosha nekufema, kudya, uye kutaura.

Kurapa kwematanho IVA, IVB, uye IVC kenza yehypopharyngeal isingakwanise kurapwa nekuvhiya inogona kusanganisira zvinotevera

• Radiation kurapa.

• Chemotherapy yakapihwa panguva imwe chete neye radiation radiation.

• Kuongororwa kwekiriniki ye radiation radiation ne chemotherapy.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa Sarudzo dzeRecurrent uye Metastatic Hypopharyngeal Cancer

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kwekenza hypopharyngeal yakadzokazve (kudzoka) kana iyo yakapararira kune zvimwe zvikamu zvemuviri zvinogona kusanganisira zvinotevera:

• Kuvhiya.

• Radiation kurapa.

• Chemotherapy.

• Kuongororwa kwekiriniki kwechemotherapy.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kuti Udzidze Zvakawanda Nezve Hypopharyngeal Cancer

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve hypopharyngeal cancer, ona zvinotevera:

• Musoro uye Neck Cancer Kumba Peji

• Oral Matambudziko eKemotherapy uye Musoro / Neck Radiation

• Zvinodhaka Zvinotenderwa Kwemusoro uye Neck Cancer

• Musoro uye Neck Cancers

• Fodya (inosanganisira rubatsiro nekurega)

Kuti uwane ruzivo rwekenza uye zvimwe zviwanikwa kubva kuNational Cancer Institute, ona zvinotevera:

• Nezve Kenza

• Stage

• Chemotherapy uye Iwe: Tsigiro Yevanhu Vane Kenza

• Radiation Therapy uye Iwe: Rutsigiro rweVanhu Vane Kenza

• Kurarama neCancer

• Mibvunzo Yekubvunza Wako Chiremba nezveCancer

• Kune Vakapona uye Vanotarisira