Kab mob qog nqaij hlav

Kab mob qog nqaij hlav cancer yog mob qog hais tias pib hauv qhov ncauj.

Kab mob qog nqaij hlav feem ntau cuam tshuam daim di ncauj lossis tus nplaig. Nws kuj tseem yuav tshwm sim nyob rau hauv:

• Hauv ob sab phlu hauv ob sab phlu
• Hauv pem teb ntawm lub qhov ncauj
• Cov pos hniav (gingiva)
• Ru tsev ntawm lub qhov ncauj (palate)

Feem ntau cov qog nqaij hlav hauv qhov ncauj yog ib hom hu ua squamous cell carcinoma. Cov mob khees xaws no yuav kis tau sai heev.

Kev haus luam yeeb thiab lwm yam kev haus luam yeeb tau txuas rau feem ntau ntawm kev mob qog nqaij hlav qhov ncauj. Kev haus cawv ntau kuj ua rau muaj mob qog noj ntshav.

Kab mob Human papillomavirus (HPV) (tib hom kab mob uas ua rau muaj pob ntawm chaw mos) ua rau muaj ntau ntawm cov qog nqaij hlav qhov ncauj ntau dua li yav dhau los. Ib hom mob HPV, hom 16 lossis HPV-16, feem ntau muaj feem cuam tshuam nrog yuav luag txhua cov qog nqaij hlav qhov ncauj.

Lwm yam uas yuav ua rau muaj feem mob qog nqaij hlav cancer ntau ntxiv yog:

• Kev txhuam ntev ntev (mob ntev), zoo li los ntawm cov hniav ntxhib, hniav cuav, lossis txhaws
• Noj tshuaj (tiv thaiv kab mob) uas ua rau lub cev tsis muaj zog tiv thaiv kab mob
• Kev ntxuav hniav tsis zoo thiab lub qhov ncauj

Qee qhov mob qog nqaij hlav hauv qhov ncauj pib ua cov quav hniav dawb (leukoplakia) los yog ua mob tawm ntawm qhov ncauj.

Tus txiv neej muaj mob qog nqaij hlav ob zaug ntau npaum li poj niam ua. Feem ntau ntawm cov txiv neej laus dua 40.

Kab mob qog hauv qhov ncauj tuaj yeem tshwm sim xws li mob qog lossis mob rau hauv lub qhov ncauj uas tej zaum yuav:

• Qhov tob tob, muab tawv tawv coj los tsoo ua cov ntaub so ntswg
• Tawv daj, tsaus xim liab, lossis ua kom pom xim
• Ntawm tus nplaig, di ncauj, lossis lwm qhov chaw ntawm lub qhov ncauj
• Ua tsis zoo thaum xub thawj, tom qab ntawd qhov hnov ​​mob lossis mob ntxiv thaum cov qog ntau dhau lawm

Lwm cov tsos mob tuaj yeem suav nrog:

• Quav teeb meem
• Qhov ncauj tawm uas yuav los ntshav
• Mob nrog nqos
• Hais lus nyuaj
• Nqos nyuaj
• O muaj qog ntshav hauv lub caj dab
• Teeb meem nplaig
• Lub cev yuag
• Nyuaj qhib lub qhov ncauj
• Taug ntswg thiab xoob ntawm cov hniav
• Ua pa tsw phem

Koj tus kws kho mob lossis kws kho hniav yuav tshuaj xyuas koj lub qhov ncauj. Qhov ntsuas yuav tuaj yeem qhia:

• Mob mob ntawm daim di ncauj, tus nplaig, pos hniav, lub puab tsaig, lossis lwm qhov chaw ntawm lub qhov ncauj
• Mob rwj los sis los ntshav

Yuav tshem ib qho nqaij ntawm qhov mob los yog qhov mob tawm. Daim ntaub no kuj tseem yuav kuaj rau HPV.

Kev ntsuas CT, MRI thiab PET tuaj yeem ua tiav los txiav txim siab seb tus kabmob puas tau kis mus.

Kev phais mob kom tshem tawm cov qog yog pom zoo yog tias lub qog me me txaus.

Yog tias cov qog tau kis mus rau ntau cov nqaij lossis cov qog ntshav nyob ze, yuav tsum tau ua kev phais loj dua. Qhov ntau npaum li cas ntawm cov nqaij mos thiab tus naj npawb ntawm cov qog ntshav uas tau muab tshem tawm yog nyob ntawm seb muaj ntau npaum li cas cancer tau kis.

Kev phais mob siv tau ua ke nrog kev siv hluav taws xob thiab kev kho tshuaj rau cov qog loj dua.

Nyob ntawm seb hom kev kho mob koj xav tau, kev txhawb nqa uas yuav tsum tau suav nrog:

• Kho kho hais lus.
• Kev kho los pab nrog zom, nqos.
• Kawm noj cov protein thiab calories kom txaus kom koj lub cev hnyav. Nug koj tus kws kho mob txog cov tshuaj noj uas pab tau koj.
• Pab nrog qhov ncauj qhuav.

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Li ib nrab ntawm cov neeg muaj mob qog noj qhov ncauj yuav nyob ntau dua 5 xyoos tom qab lawv kuaj thiab kho mob. Yog hais tias mob cancer pom ntxov, ua ntej nws kis mus rau lwm cov ntaub so ntswg, qhov kho mob yuav luag 90%. Ntau tshaj li ib nrab ntawm cov qog nqaij hlav qhov ncauj tau kis thaum pom tus mob. Feem ntau kis tau rau caj pas lossis caj dab.

Nws yog ib qho ua tau, tab sis tsis muaj pov thawj tag nrho, cov kab mob qog noj ntshav uas kuaj pom tus mob HPV tuaj yeem muaj kev xam pom zoo dua. Tsis tas li, cov neeg uas haus luam yeeb tsawg dua 10 xyoo tej zaum yuav ua tau zoo dua.

Cov neeg uas xav tau cov pa hluav taws xob ntau dua nrog rau kev siv tshuaj lom neeg yuav muaj teeb meem loj dua nrog kev nqos.

Kev mob qog nqaij hlav hauv qhov ncauj tuaj yeem rov tshwm sim yog tias haus luam yeeb lossis haus cawv tsis nres.

Cov teeb meem ntawm qhov ncauj mob qog yuav suav nrog:

• Teeb meem ntawm kev siv hluav taws xob, nrog rau qhov ncauj qhuav thiab nqos nyuaj
• Kev puas tsuaj ntawm lub ntsej muag, taub hau thiab caj dab tom qab kev phais mob
• Lwm yam kev kis (metastasis) ntawm tus kabmob

Yuav nrhiav tau tus kab mob qog nqaij hlav hauv qhov ncauj thaum tus kws kho hniav ntxuav tu thiab soj ntsuam ib txwm.

Hu rau koj tus kws kho mob yog tias koj muaj mob hauv koj lub qhov ncauj lossis daim di ncauj lossis pob hauv lub caj dab uas tsis ploj mus hauv 1 hlis. Kev paub thaum ntxov thiab kev kho mob qog noj ntshav hauv qhov ncauj yuav pab tau ntau yam ntau ntxiv.

Kab mob qog nqaij hlav hauv qhov ncauj tuaj yeem tiv thaiv los ntawm:

• Txav deb ntawm kev haus luam yeeb lossis lwm yam kev haus luam yeeb
• Muaj teebmeem kho hniav
• Txo lossis zam kev haus cawv
• Mus ntsib kws kho hniav tsis tu ncua thiab xyaum tu qhov ncauj zoo

Cov tshuaj tiv thaiv mob HPV pom zoo siv rau menyuam yaus thiab cov neeg hluas lub hom phiaj mob HPV ntau yam uas yuav ua rau mob qog nqaij hlav cancer hauv qhov ncauj. Lawv tau qhia tias tiv thaiv ntau yam mob HPV qhov ncauj. Nws tseem tsis tau meej meej tias lawv tseem muaj peev xwm tiv thaiv qog nqaij hlav cancer hauv qhov ncauj.

Cancer - qhov ncauj; Mob ncauj; Mob taub hau thiab caj dab - qhov ncauj; Squamous cell mob cancer - qhov ncauj; Malignant neoplasm - qhov ncauj; Oropharyngeal mob cancer - HPV; Carcinoma - qhov ncauj

• Lub qhov ncauj qhuav thaum kho mob cancer
• Lub qhov ncauj thiab caj dab tawg - tawm mus
• Nqos teeb meem

• Caj dab anatomy
• Qhov ncauj anatomy

Fakhry C, Gourin CG. Tib neeg mob papillomavirus thiab mob kis mob taub hau thiab caj dab. Hauv: Flint PW, Haughey BH, Lund V, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 75.

Me JW, Miller CS, Rhodus NL. Kev mob qog noj ntshav thiab qhov ncauj ntawm cov neeg mob uas mob qog noj ntshav. Hauv: Me JW, Miller CS, Rhodus NL, eds. Kev Kho Hniav Me thiab Falace li Kev Kho Hniav ntawm Tus Neeg Mob cov Neeg MobCov. 9le ed. St Louis, MO: Elsevier; 2018: chap 26.

Lub koom haum Cancer National website. Oropharyngeal kev kho mob cancer (neeg laus) (PDQ) - kev tshaj lij kho mob. www.cancer.gov/types/head-and-neck/hp/adult/oropharyngeal-tojsiab-pdq#link/_528. Hloov kho Lub Ib Hlis 27, 2020. Nkag mus rau Lub Peb Hlis 31, 2020.

Wein RO, Weber RS. Malignant neoplasms ntawm lub qhov ncauj kab noj hniav. Hauv: Flint PW, Haughey BH, Lund V, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 93.