Mhando / musoro-uye-mutsipa / murwere / mukuru / salivary-gland-kurapwa-pdq

Salivary Gland Cancer Kurapa (Vakuru) Shanduro

Ruzivo Ruzhinji Nezve Salivary Gland Cancer

PFUNGWA DZINOKOSHA

• Salivary gland gomarara chirwere chisingawanzo mune maseru (gomarara) maseru anoumba mumatumbu ezvinyoro.

• Kufumurwa kune mamwe marudzi emwaranzi kunogona kuwedzera njodzi yekenza yematevary.

• Zviratidzo zvegomarara gland gland zvinosanganisira bundu kana dambudziko kumedza.

• Kuyedzwa kunoongorora musoro, mutsipa, uye nemukati memuromo zvinoshandiswa kuona (kuwana) uye kuongorora gomarara rematehwe.

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

Salivary gland gomarara chirwere chisingawanzo mune maseru (gomarara) maseru anoumba mumatumbu ezvinyoro.

Iwo materu anokora anoita mate uye oasunungura mumuromo. Mate ane ma enzyme anobatsira kugaya chikafu uye ma antibodies anobatsira kudzivirira kubva kuzvirwere zvemukanwa nehuro. Kune matatu matatu maviri emazana makuru maseru.

• Parotid glands: Aya ndiwo mahombe matinji uye anowanikwa pamberi uye pazasi pega nzeve. Mazhinji makuru matema ematevhe anotanga mune ino gland.

• Sublingual gland: Aya ma gland anowanikwa pasi pe rurimi mune pasi pemuromo.

• Submandibular glands: Aya ma gland anowanikwa pazasi peshaya.

Anatomy yematehwe ematehwe. Iwo matatu makuru maviri ematevheti maseru ndiwo maparotiidhi, iwo madiki matauriro, uye submandibular glands.

Kune zvakare mazana emadiki (madiki) maseru anotsvedza anonamira mativi emuromo, mhuno, uye runyangaru izvo zvinogona kungoonekwa chete nemaikorosikopu. Mazhinji madiki ematevhe gland anotanga mukanwa (padenga remuromo).

Inopfuura hafu yezvose zvinokanganisa gland tumarara zvine hutachiona (kwete cancer) uye hazvipararire kune mamwe matishu.

Salivary gland gomarara rudzi rwemusoro nekenza yemutsipa.

Kufumurwa kune mamwe marudzi emwaranzi kunogona kuwedzera njodzi yekenza yematevary.

Chero chipi zvacho chinowedzera mukana wekutora 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. Kunyangwe hazvo chinokonzeresa chegomarara yegland isingazivikanwe, zvinhu zvine njodzi zvinosanganisira zvinotevera:

• Kukwegura.

• Kurapa ne radiation radiation kumusoro nemutsipa.

• Kufumurwa kune zvimwe zvinhu pabasa.

Zviratidzo zvegomarara gland gland zvinosanganisira bundu kana dambudziko kumedza.

Salivary gland gomarara inogona kusakonzera chero zviratidzo. Inogona kuwanika panguva yekuongorora mazino nguva dzose kana kuongorora kwepanyama. Zviratidzo nezviratidzo zvinogona kukonzereswa nekenza gland gland kana nemamwe mamiriro. Tarisa nachiremba wako kana iwe uine chero chinotevera:

• Bundu (kazhinji risingarwadze) munzvimbo ye nzeve, dama, shaya, muromo, kana mukati memuromo.

• Mvura inoyerera ichibva munzeve.

• Dambudziko kumedza kana kuvhura muromo zvakanyanya.

• Unhu kana kushaya simba kumeso.

• Marwadzo kumeso kusingaendi.

• Kuyedzwa kunoongorora musoro, mutsipa, uye nemukati memuromo zvinoshandiswa kuona (kuwana) uye kuongorora gomarara rematehwe.

Maitiro anotevera anogona kushandiswa:

• Kuongorora kwepanyama uye nhoroondo: Kuongorora kwemuviri kutarisa zviratidzo zvehutano zvakakwana. Musoro, mutsipa, muromo, uye huro zvinotariswa zviratidzo zvezvirwere, zvakaita semapundu kana chero chinhu chinoratidzika senge chisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.

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

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, 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.

• Endoscopy: Maitiro ekutarisa nhengo uye zvinyama mukati memuviri kutarisa nzvimbo dzisina kujairika. Kune kenza yematehwe ematehwe, endoscope inoiswa mumuromo kutarisa pamuromo, pahuro, uye pahuro. Endoscope chishoma, chubhu-senge chiridzwa chine mwenje uye lens yekuona.

• Biopsy: Kubviswa kwemasero kana zvinyama kuitira kuti vagone kutariswa pasi pe microscope nachiremba wekutarisa zviratidzo zvecancer.

• Fine sindano aspiration (FNA) biopsy: Kubviswa kwetissue kana fluid uchishandisa tsono yakatetepa. FNA ndiyo yakajairika mhando yebhiopsy inoshandiswa kune salivary gland gomarara.

• Incisional biopsy: Kubviswa kwechikamu chebundu kana sampuro yetishu isingaite kunge yakajairika.

• Kuvhiya: Kana gomarara risingakwanise kuongororwa kubva pamuenzaniso wetissue wakabviswa panguva yeFNA biopsy kana incisional biopsy, huwandu hunogona kubviswa uye kuongororwa zviratidzo zvekenza.

Nekuti kenza yematehwe ematevhe inogona kunetsa kuongorora, varwere vanofanirwa kukumbira kuti masampuli etishu aongororwe nachiremba ane ruzivo rwekuongorora gomarara rematehwe.

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

Iyo yekurapa sarudzo uye kufungidzira (mukana wekupora) zvinoenderana nezvinotevera:

• Chikamu checancer (kunyanya saizi yebundu).

• Rudzi rwematevhe gland iyo cancer iri mukati.

• Rudzi rwekenza maseru (maitiro avanotarisa pasi pe microscope).

• Zera remurwere uye hutano hwese.

Matanho eSalivary Gland Cancer

PFUNGWA DZINOKOSHA

• Mushure mekuonekwa gomarara rematehwe ematehwe, kuongororwa kunoitwa kuti uone kana maseru ekenza apararira mukati meganda remate kana kune mamwe mativi emuviri.

• Pane nzira nhatu dzinopararira negomarara mumuviri.

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

• Matanho anotevera anoshandiswa kune anokora gland gomarara inokanganisa iyo parotid, submandibular, uye sublingual gland.

• Chikamu 0 (carcinoma in situ)

• Chikamu I

• Chikamu II

• Chikamu chechitatu

• Chikamu IV

• Minor salivary gland akaiswa zvakasiyana kubva kune iyo parotid, submandibular, uye sublingual gland.

Mushure mekuonekwa gomarara rematehwe ematehwe, kuongororwa kunoitwa kuti uone kana maseru ekenza apararira mukati meganda remate kana kune mamwe mativi emuviri.

Maitiro anoshandiswa kutsvaga kana gomarara rapararira mukati mematehwe ematevhe kana kune mamwe mativi emuviri anonzi staging. Ruzivo rwakaunganidzwa kubva munzira yekugadzwa rinotara danho rechirwere. Izvo zvakakosha kuti uzive nhanho kuitira kuronga kurapwa. Maitiro anotevera anogona kushandiswa mukugadzirisa matanho:

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

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, 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.

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 salivary gland gland ikapararira kuenda kumapapu, maseru emukenza mumapapu ari chaiwo maseru gland gomarara maseru. Hosha iyi metastatic salivary gland kenza, kwete yemapapu cancer.

Matanho anotevera anoshandiswa kune anokora gland gomarara inokanganisa iyo parotid, submandibular, uye sublingual gland.

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 0 (carcinoma in situ)

Muchikamu che0, masero asina kujairika anowanikwa mune yekumonera ematevhi kana masaga madiki anogadzira gland yematehwe. Aya maseru asina kujairika anogona kuva cancer uye achipararira mune zvinyama zviri pedyo. Chikamu 0 chinonziwo carcinoma in situ.

Chikamu I

Muchikamu chekutanga, kenza yakaumbwa. Bundu iri mune rinosvipa gland chete uye rine 2 masentimita kana diki.

Chikamu II

Muchikamu chechipiri, bundu riri mumatevhe chete uye rakakura kupfuura masendimita maviri asi risingakure masendimita mana.

Chikamu chechitatu

Muchikamu chechitatu, chimwe cheanotevera ichokwadi:

• Bundu iri rakakura kupfuura masendimita mana uye / kana gomarara rapararira kune zvinyoro nyoro zvakapoteredza gland yematevary; kana

• Bundu iri chero saizi uye gomarara rinogona kunge rakapararira kumatishu akapfava kutenderedza salivary gland. Gomarara rakapararira kune imwe node node parutivi rumwe chete rwemusoro kana mutsipa sedumbu. Iyo lymph node ndeye 3 masendimita kana madiki uye gomarara harina kukura kunze kwenzvimbo yenode.

Chikamu IV

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

• Chikamu IVA:

• Kenza yapararira kune ganda, shaya, nzeve nzeve, uye / kana kumeso tsinga. Kenza inogona kunge yakapararira kune imwe lymph node kudivi rimwe chete remusoro kana mutsipa sedumbu. Iyo lymph node ndeye 3 masendimita kana madiki uye gomarara harina kukura kunze kwenzvimbo yenode; kana

• Bundu iri chero saizi uye gomarara rinogona kunge rakapararira kumatishu akapfava kutenderedza salivary gland kana kune ganda, shaya, gumbo renzeve, uye / kana kumeso kwetsinga. Kenza yapararira:

• kune imwe lymph node kune rimwe divi remusoro kana mutsipa sedumbu; iyo lymph node ndeye 3 masendimita kana madiki uye gomarara rakura kunze kwenzvimbo yenode; kana

• kune imwe lymph node kune rimwe divi remusoro kana mutsipa sedumbu; iyo lymph node yakakura kudarika masendimita matatu asi isina kukura kupfuura masendimita matanhatu uye gomarara harina kukura kunze kwenzara; kana

• kune inopfuura imwechete lymph node padivi rimwe chete remusoro kana mutsipa sedumbu; ma "lymph node" ari matanhatu masendimita kana madiki uye gomarara harina kukura kunze kwenzvimbo dzenzou; kana

• kune lymph node pamativi ese emusoro kana mutsipa kana kudivi rakatarisana netumarara rekutanga; ma "lymph node" ari masendimita matanhatu kana madiki uye gomarara harina kukura kunze kwenzwi.

• Chikamu IVB:

• Bundu iri chero saizi uye gomarara rinogona kunge rakapararira kumatishu akapfava kutenderedza salivary gland kana kune ganda, shaya, gumbo renzeve, uye / kana kumeso kwetsinga. Kenza yapararira:

• kune rimwe lymph node rakakura kupfuura masendimita matanhatu uye gomarara harina kukura kunze kwenzara; kana

• kune imwe lymph node kune rimwe divi remusoro kana mutsipa sedumbu; iyo lymph node yakakura kudarika masendimita matatu uye gomarara rakura kunze kwenzara; kana

• kune inopfuura imwechete lymph node kudivi rimwe chete remusoro kana mutsipa sedumbu, kune rimwe divi rakatarisana nebundu rekutanga, kana kumativi ese emusoro kana mutsipa; gomarara rakura kunze kwechero ipi yema lymph node; kana

• kune imwe lymph node yehukuru hwese padivi remusoro kana mutsipa wakatarisana nethumba rekutanga; kenza yakura kunze kweiyo lymph node;

kana

• Gomarara rapararira pasi pehenya uye / kana rakatenderedza arteri yeti carotid. Gomarara rinogona kunge rakapararira kune rimwe kana anopfuura mamwe mahure emhando ipi neipi pahukuru kana mativi ese emusoro kana mutsipa uye anogona kunge akakura kunze kwenzvimbo dzema lymph.

• Chikamu IVC:

• Gomarara rapararira kune dzimwe nhengo dzemuviri, semapapu.

Minor salivary gland akaiswa zvakasiyana kubva kune iyo parotid, submandibular, uye sublingual gland.

Minor salivary gland (madiki madiki maseru anonamira mativi emuromo, mhino, uye larynx) kanzira dzinoiswa zvinoenderana nekwavakatanga kuumbwa, senge muromo wemuromo kana zvitadzo.

Kakawanda Salivary Gland Cancer

Kazhinji kenza gland gland ikenza yakadzokazve (kudzoka) mushure mekurapwa. Kanzuru yematehwe ematehwe anowanzoitika anogona kudzoka mumaseru enhengo kana mune mamwe mativi emuviri.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune akasiyana marudzi ekurapa kwevarwere vane salivary gland gomarara.

• Varwere vane gomarara rematehwe ematevary vanofanirwa kurapwa kurapwa nechikwata chevanachiremba vanova nyanzvi pakurapa gomarara remusoro nemutsipa.

• Mhando mitatu yekurapa kwakajairika inoshandiswa:

• Kuvhiya

• Radiation kurapa

• Chemotherapy

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Radiosensitizers

• Kurapa kwekenza yematevhe gland 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 salivary gland gomarara.

Mhando dzakasiyana dzekurapa dziripo kune varwere vane salivary gland gomarara. 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.

Varwere vane gomarara rematehwe ematevary vanofanirwa kurapwa kurapwa nechikwata chevanachiremba vanova nyanzvi pakurapa gomarara remusoro nemutsipa.

Kurapa kwako kunozoongororwa nachiremba oncologist, chiremba uyo ane hunyanzvi hwekurapa vanhu vane gomarara. Nekuti maseru anobatsira mukudya nekugaya chikafu, varwere vangangoda rubatsiro rwakakosha kugadzirisa kune mhedzisiro yekenza uye kurapwa kwayo. Oncologist wezvekurapa anogona kukuendesa kune vamwe vanachiremba vane ruzivo uye hunyanzvi hwekurapa varwere vane gomarara remusoro nemutsipa uye vanoziva mune dzimwe nzvimbo dzemishonga. Izvi zvinosanganisira zvinotevera:

• Musoro uye mutsipa anovhiya.

• Radiation oncologist.

• Chiremba wemazino.

• Kutaura murapi.

• Dietitian.

• Nyanzvi yezvepfungwa.

• Rehabilitation nyanzvi.

• Chiremba wepurasitiki.

Mhando mitatu yekurapa kwakajairika inoshandiswa:

Kuvhiya

Kuvhiya (kubvisa kenza mukuvhiya) kurapwa kwakajairika kwegomarara rematehwe. Chiremba anogona kubvisa kenza uye zvimwe zvezvisikwa zvine hutano zvakakomberedza gomarara. Mune zvimwe zviitiko, lymphadenectomy (kuvhiya uko kubviswa kwema lymph node) kunozoitwawo.

Mushure mekunge chiremba abvisa kenza yese inogona kuoneka panguva yekuvhiyiwa, vamwe varwere vanogona kupihwa 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.

Mhando dzakasarudzika dzemwenje dzekunze dzinogona kushandiswa kurapa mamwe matumhu ematehwe. Izvi zvinosanganisira:

• Kurumidza neutron radiation kurapwa: Kurumidza neutron radiation kurapa mhando yeakakwira-simba rekunze radiation radiation. Mushini wekurapa nemwaranzi unovavarira neutron (zvidiki, zvisingaonekwe zvidimbu) kumasero ekenza kuvauraya. Kurumidza neutron radiation kurapwa kunoshandisa yakakwira-simba mwaranzi kupfuura iyo x-ray yerudzi rwe radiation kurapwa. Izvi zvinobvumidza iyo radiation kurapwa kuti ipiwe mune mashoma ekurapa.

• Photon-beam radiation Therapy: Photon-beam radiation Therapy rudzi rwekunze radiation kurapwa iyo inosvika yakadzika mamota ine yakakwira-simba x-rays inogadzirwa nemuchina unonzi linear accelerator. Izvi zvinogona kuendeswa senge hyperfractionated radiation kurapwa, mune iyo yakazara muyero we radiation wakakamurwa kuita madiki madiki uye marapirwo anopiwa kanopfuura kamwe pazuva.

• 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 salivary gland gomarara, uye inogona zvakare kushandiswa senge palliative kurapwa kubvisa zviratidzo uye nekuvandudza hupenyu hwehupenyu.

Chemotherapy

Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekuamisa iwo 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.

Ona Zvinodhaka Zvakagamuchirwa kuMusoro neNeck Cancer kuti uwane rumwe ruzivo. (Salivary gland gomarara rudzi rwemusoro nekenza yemutsipa.)

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ichi chidimbu chikamu chinotsanangura kurapwa kuri kuongororwa mumakiriniki ekuedzwa. Zvinogona kusataura nezveese marapirwo matsva ari kuongororwa. Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Radiosensitizers

Radiosensitizers mishonga inoita kuti maseru emota anyanye kujeka kune radiation radiation. Kubatanidza radiation therapy ne radiosensitizers kunogona kuuraya mamwe mamota maseru.

Kurapa kwekenza yematevhe gland 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.

Kurapa Sarudzo nedanho

Muchikamu chino

• Chikamu I Salivary Gland Kenza

• Chikamu chechipiri Salivary Gland Cancer

• Chikamu chechitatu Salivary Gland Cancer

• Matanho IVA, IVB, uye IVC Salivary Gland Cancer

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

Chikamu I Salivary Gland Kenza

Kurapa kwedanho I salivary gland gomarara zvinoenderana nekuti kenza iri pasi-giredhi (inononoka kukura) kana yepamusoro-giredhi (inokurumidza kukura).

Kana kenza iri pasi-giredhi, kurapwa kunogona kusanganisira zvinotevera:

• Kuvhiya pamwe kana pasina radiation kurapwa.

• Kurumidza neutron radiation kurapwa.

Kana kenza iri yepamusoro-giredhi, kurapwa kunogona kusanganisira zvinotevera:

• Kuvhiya pamwe kana pasina radiation kurapwa.

• Kuongororwa kwekiriniki kwechemotherapy.

• Kuongororwa kwekiriniki kwerapi nyowani kurapwa.

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 chechipiri Salivary Gland Cancer

Kurapa kwechikamu chechipiri gomarara rematehwe kunoenderana nekuti kenza iri pasi-giredhi (inononoka kukura) kana yepamusoro-giredhi (inokurumidza kukura).

Kana kenza iri pasi-giredhi, kurapwa kunogona kusanganisira zvinotevera:

• Kuvhiya pamwe kana pasina radiation kurapwa.

• Radiation kurapa.

• Chemotherapy.

Kana kenza iri yepamusoro-giredhi, kurapwa kunogona kusanganisira zvinotevera:

• Kuvhiya pamwe kana pasina radiation kurapwa.

• Fast neutron kana photon-beam radiation radiation.

• Kuongororwa kwekiriniki ye radiation radiation uye / kana maredhiyo.

• 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.

Chikamu chechitatu Salivary Gland Cancer

Kurapa kwechikamu chetatu salivary gland gomarara kunoenderana nekuti kenza iri pasi-giredhi (inononoka kukura) kana yepamusoro-giredhi (inokurumidza kukura).

Kana kenza iri pasi-giredhi, kurapwa kunogona kusanganisira zvinotevera:

• Kuvhiya pamwe kana pasina lymphadenectomy. Radiation therapy inogona zvakare kupihwa mushure mekuvhiyiwa.

• Radiation kurapa.

• Kurumidza neutron radiation kurapwa kune lymph node nekenza.

• Chemotherapy.

• Kuongororwa kwekiriniki kwekukurumidza neutron radiation kurapwa kune bundu.

• Kuongororwa kwekiriniki kwechemotherapy.

Kana kenza iri yepamusoro-giredhi, kurapwa kunogona kusanganisira zvinotevera:

• Kuvhiya pamwe kana pasina lymphadenectomy. Radiation therapy inogona zvakare kupihwa mushure mekuvhiyiwa.

• Kurumidza neutron radiation kurapwa.

• Radiation kurapa senge palliative kurapa kubvisa zviratidzo uye nekuvandudza hupenyu hwehupenyu.

• Kuongororwa kwekiriniki ye radiation radiation uye / kana maredhiyo.

• 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.

Matanho IVA, IVB, uye IVC Salivary Gland Cancer

Kurapa kwedanho IVA, nhanho IVB, uye nhanho IVC gomarara rematehwe egland inogona kusanganisira zvinotevera:

• Fast neutron kana photon-beam radiation radiation.

• Kuongororwa kwekiriniki kwechemotherapy ine kana isina radiation radiation.

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 dzeRezve Salivary Gland Cancer

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

Kurapa kwekenza kanowanzoitika gland gland kunogona kusanganisira zvinotevera:

• Radiation kurapa.

• Kuongororwa kwekiriniki kwekurapwa kutsva.

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 Salivary Gland Cancer

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve salivary gland gomarara, ona zvinotevera:

• Musoro uye Neck Cancer Kumba Peji

• Zvinodhaka Zvinotenderwa Kwemusoro uye Neck Cancer

• Oral Matambudziko eKemotherapy uye Musoro / Neck Radiation

• Musoro uye Neck Cancers

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