Kāohi

Nā lāʻau lapaʻau

ʻOkoʻa nā lāʻau lapaʻau ma muli o ka nui a me kahi o ka hikoko. Ma muli o ka pae o ka ma'i 'a'ai, hiki i ka hui mālama ola ke 'oki 'ia, radiotherapy a i 'ole ka chemotherapy. Hoʻohui pinepine ʻia kēia mau lāʻau lapaʻau i mea e luku ai i ka ka maʻi kanesa, e kaupalena i ko lākou hoʻonui ʻana i nā ʻāpana ʻē aʻe o ke kino a hoʻemi i ka pilikia o ka hoʻi hou ʻana.

No kēlā me kēia kanaka me ka ʻāʻī ʻāʻī, kūkākūkā ʻia ke koho ʻana o ka lāʻau i ka wā o kahi kūkākūkā multidisciplinary e pili ana i ke kauka ENT, anesthesiologist, radiotherapist, oncologist, a me ka hoʻoholo i lawe ʻia ma hope o ka ʻike a me ke kūkākūkā ʻana me ka mea maʻi.

Nā hui ʻeha

• Wehe ʻia o nā maʻi kanesa e ʻoki endoscopic. Inā ho'omaka ka ma'i 'a'ai, hiki i ke kauka ke ho'opau i nā ma'i 'a'ai me ka laser a 'ole. He liʻiliʻi a ʻaʻohe hopena ma hope o kēia hana.
• La ʻāpana laryngectomy pili i ka wehe ʻana i ka ʻāpana o ka larynx i hoʻopilikia ʻia e ka ʻōpū. Hiki i kēia hana ke hoʻopilikia i ka haʻi ʻōlelo a me nā kumu hanu, akā aia nā ʻano hana hana hou o ka larynx e hiki ai ke kaupalena i ka hopena.
• La cordectomie ʻo ia ka wehe ʻana i kahi ʻāpana o ke kaula leo i hoʻopilikia ʻia.
• La pharyngectomie pili i ka wehe ʻana i kahi hapa o ka pharynx. Hiki ke kūkulu hou ʻia ke kino i mea e kaupalena ʻia ai ka hopena a hōʻoia i ka ʻai maʻamau.
• La laryngectomy piha. Inā piʻi ka maʻi kanesa, pono ʻoe e wehe i ka larynx holoʻokoʻa a wehe i ka ʻāʻī e hoʻopili ai i ka trachea e hiki ai i ka ea ke komo i loko o ka māmā (kahi tracheostomy). Ma hope o ia hana ʻana, pono ka mea i hoʻopaʻa ʻia e aʻo hou i ka ʻōlelo me ke kōkua ʻana o ka lāʻau lapaʻau.
• THEmaopopo (hoʻomaʻemaʻe) ganglionic. Inā pili nā nodes a i ʻole kekahi ʻano o ka maʻi kanesa, pono e wehe i nā nodes i hoʻopili ʻia i ka hana like me ka wehe ʻana i ka maʻi pharyngolaryngeal. Hōʻike pinepine ʻia ka lāʻau lapaʻau e hoʻopau i ke koena o nā maʻi kanesa.

ʻO ke kelepona

Hoʻohana pinepine ʻia nā x-ray kiʻekiʻe no ka hoʻomālamalama ʻana i nā maʻi kanesa. Hoʻohana mākou i ka aila i ka hihia o maʻi ʻaʻai o ka puʻu, no ka mea, paʻakikī loa lākou i nā hopena o ka irradiation. Hiki ke mālama ʻia kekahi mau maʻi maʻi maʻi ʻaʻai mua me ka lāʻau lapaʻau, akā i kekahi manawa pono e hui pū ʻia ka lāʻau lapaʻau me ke ʻoki ʻana e wehe i nā pūnaeʻa maʻi ʻaʻole hiki ke hoʻopau ʻia i ka wā o ka ʻoki ʻana a i ʻole e hōʻemi i ke koko ma mua o ke ʻoki ʻana. wehe ʻokiʻoki.

Hiki i ka lā'au lapa'au ke loa'a kekahi Nā hopenaʻaoʻao : maloʻo nui o ka ʻili e like me ka "sunburn", nā ʻeha o ka pharyngolaryngeal mucous membrane e paʻakikī ai ka ʻai ʻana a me ka ʻōlelo, nalowale ka ʻono, haʻahaʻa o ka leo e nalo ma hope o ka pau ʻana o ka radiotherapy.

Ma mua o ka radiotherapy, pono ka nānā ʻana i nā niho i mea e pale aku ai i nā pilikia, no ka mea, ʻo kēia radiotherapy ka mea koʻikoʻi no nā niho a me nā ʻāʻī. Hiki i ka nānā ʻana i nā niho ke alakaʻi i ka mālama ʻana i ka mālama ʻana i nā niho inā hiki, a i ʻole ka unuhi ʻana i nā niho i poino loa, a i ʻole nā ​​lāʻau lapaʻau e pili ana i ka fluoride.

Chemotherapy

Pono kekahi mau ma'i ma'i ka hui pū ʻana o ka ʻoki, radiotherapy a me ka chemotherapy. ʻO ka Chemotherapy ka hui pū ʻana o nā lāʻau lapaʻau i hiki ke hāʻawi ʻia i loko a i ʻole ma ka waha. Hiki i kēia lāʻau lapaʻau ke mālama i nā keʻena maʻi maʻi ʻelua o ka ʻōpū kumu a me nā metastases i ke koena o ke kino.

Hiki iā ia ke hana i nā hopena ʻaoʻao e like me ka luaʻi ʻana, ka pau ʻana o ka ʻai, ka lauoho lauoho, ka ʻeha waha, ka helu haʻahaʻa o ke koko ʻulaʻula a keʻokeʻo, a me ka luhi.

Hoʻoponoponoʻia ka hopena

kekahi nā lāʻauʻona e hoʻopaʻa i nā ʻano kikoʻī o nā pūnaʻi maʻi maʻi e pale iā lākou mai ka ulu ʻana. ʻO Cetuximab (Erbitux®) kekahi o nā lāʻau i ʻae ʻia no ka mālama ʻana i ka maʻi maʻi ʻāʻī. Hiki ke hoʻohana ʻia kēia ʻano lāʻau lapaʻau ma kahi o ka radiation therapy a me ka chemotherapy.

Hoʻonohonoho hou a me ka hahai ana

I ka hanana o ka oki, he manawa o ka hooponopono ana e a Kōkua'Ōlelo pono pinepine no ka loaa hou o ka ike maikai e ai, inu a olelo.

Ma na hihia a pau, a ai waiwai i ka nui a me ka maikaʻi no ka ho'ōla a me ka ho'ōla

Ua ʻōlelo ikaika ʻia e nānā pono i kahoʻomaʻemaʻe niho i kēlā me kēia lā a kūkākūkā a Dentist i nā manawa a pau.

Nā hoʻokokoke ʻana