Kev kho mob qog noj hlav

Zoo Siab

• 1. Kev phais mob li cas
• 2. Kev kho hom phiaj li cas
• 3. Thaum kws khomob xav tau kev khomob
• 4. Thaum twg yuav tsum muaj kev xoo hluav taws xob

Kev kho mob qog noj rau hauv lub qhov ncauj tuaj yeem ua los ntawm kev phais mob, kev siv tshuaj kho mob, kho hluav taws xob lossis kho hom phiaj, nyob ntawm qhov chaw nyob ntawm cov qog, mob hnyav thiab seb tus mob cancer tau kis mus rau lwm qhov ntawm lub cev.

Txoj hauv kev uas yuav los kho tus mob no ntau tshaj qhov yuav tsum tau kho sai sai. Yog li, nws tseem ceeb heev uas yuav tsum paub txog cov tsos mob uas yuav qhia tau tias mob qog nqaij hlav cancer hauv qhov ncauj, xws li:

• Mob mob los yog mob khaub thuas hauv lub qhov ncauj uas tsis kho;
• Dawb lossis liab me me hauv qhov ncauj;
• Kev rov tshwm sim ntawm cov nplaig hauv caj dab.

Thaum lawv tshwm sim, kws kho hniav lossis kws kho mob yuav tsum tau sab laj kom paub txog qhov teeb meem uas tuaj yeem ua rau mob tshwm sim thiab pib kho sai li sai tau. Cov kab mob qog nqaij hlav hauv qhov ncauj ntau dua rau cov neeg muaj keeb kwm tsev neeg ntawm tus kab mob, kev haus luam yeeb lossis kev xyaum ua qhov ncauj tsis tiv thaiv kev sib deev nrog ntau tus khub.

Kawm lwm yam tsos mob thiab paub yuav ua li cas mob qog noj ntshav.

1. Kev phais mob li cas

Kev phais mob rau qhov ncauj mob qog ua rau tshem cov qog kom nws tsis nce qhov loj me, lossis kis mus rau lwm yam kabmob. Feem ntau, cov qog ntawd me me thiab, yog li ntawd, nws tsuas yog yuav tsum tau tshem ib daig ntawm cov pos hniav, txawm li cas los xij, muaj ntau txoj kev phais mob kom tshem tawm cov qog, nyob ntawm qhov chaw ntawm lub qog:

• Glossectomy: muaj qhov kev tshem tawm ntawm qee feem lossis txhua tus nplaig, thaum mob qog noj ntshav hauv qhov khoom no;
• Mandibulectomy: nws ua tiav nrog kev tshem tag nrho los yog ib feem ntawm lub puab tsaig pob txha, ua thaum lub qog loj hlob hauv cov pob txha puab tsaig;
• Maxillectomy: thaum mob qog noj zuj zus hauv lub ru tsev ntawm lub qhov ncauj, nws yog qhov yuav tsum tau tshem pob txha ntawm lub puab tsaig;
• Laryngectomy: muaj qhov tshem tawm ntawm lub suab paj nruag thaum cov qog nqaij hlav nyob hauv qhov hloov khoom nruab nrog lossis kis tau rau ntawd.

Feem ntau, tom qab kev phais mob, nws yog ib qho tsim nyog los rov kho thaj chaw muaj qhov cuam tshuam kom tswj hwm nws txoj haujlwm thiab kev ua kom zoo nkauj, siv, rau qhov no, cov leeg lossis pob txha los ntawm lwm qhov ntawm lub cev. Rov qab los ntawm kev phais mob txawv ntawm ib tus neeg mus rau lwm tus, tab sis nws tuaj yeem siv sijhawm ntev txog 1 xyoos.

Txawm hais tias tsis tshua muaj, qee qhov kev mob tshwm sim ntawm kev phais mob qog noj ntshav rau qhov ncauj nrog rau cov hais lus nyuaj, nqos lossis ua pa thiab kho kom zoo nkauj rau lub ntsej muag, nyob ntawm qhov chaw tau kho.

2. Kev kho hom phiaj li cas

Cov hom phiaj kho siv cov tshuaj los pab lub cev tiv thaiv kab mob hauv nruab nrog tshwj xeeb qhia thiab tua cov qog noj ntshav, uas tsis muaj dab tsi tshwm sim rau cov kab mob hauv lub cev.

Cov kev kho mob uas siv hauv cov hom phiaj kho yog Cetuximab, uas tiv thaiv kev loj hlob ntawm cov qog nqaij hlav cancer thiab txwv tsis pub kis tawm ntawm lub cev. Cov tshuaj no tuaj yeem ua ke nrog kev kho mob radiotherapy lossis kev siv tshuaj kho mob, ua kom muaj sijhawm zoo rau kev kho mob.

Qee qhov kev tshwm sim los ntawm kev kho hom phiaj rau mob qog noj rau qhov ncauj tej zaum yuav ua xua, ua pa nyuaj, ua kom ntshav nce ntxiv, mob ntxau, ua npaws lossis raws plab.

3. Thaum kws khomob xav tau kev khomob

Kev siv tshuaj kho mob feem ntau yog siv ua ntej kev phais mob kom txo qhov mob qog, lossis tom qab ntawd, kom tshem tawm cov qog nqaij hlav kawg. Txawm li cas los xij, nws kuj tseem siv tau thaum muaj cov metastases, kom sim tshem tawm lawv thiab pab txhawb kev kho mob nrog lwm txoj hauv kev.

Hom kev kho mob no tuaj yeem ua nrog kev noj tshuaj, hauv tsev, lossis nrog cov tshuaj tso ncaj qha rau cov leeg ntshav, hauv tsev kho mob. Cov tshuaj no, xws li Cisplatin, 5-FU, Carboplatin lossis Docetaxel, muaj lub luag haujlwm ntawm kev tshem tawm txhua lub hlwb uas tau loj hlob sai heev, yog li, ntxiv rau kev mob qog lawv kuj tuaj yeem tua cov plaub hau thiab cov ntsia thawv hlwb.

Yog li, cov kev mob tshwm sim feem ntau los ntawm kev siv tshuaj kho mob suav nrog:

• Cov plaub hau poob;
• Cov mob ntawm lub qhov ncauj;
• Tsis qab los noj mov;
• Xeev siab los ntuav;
• Zawv plab;
• Muaj peev xwm kis tau ntau ntxiv;
• Mob lub siab thiab mob.

Qhov hnyav ntawm cov kev mob tshwm sim nyob ntawm cov tshuaj siv thiab qhov ntau npaum li cas, tab sis lawv feem ntau ploj li ntawm ob peb hnub tom qab kho.

4. Thaum twg yuav tsum muaj kev xoo hluav taws xob

Kev ntsuas hluav taws xob rau kev mob qog noj ntshav yog zoo li kev siv tshuaj kho mob, tab sis nws siv hluav taws xob txhawm rau rhuav tshem lossis qeeb qeeb ntawm kev loj hlob ntawm txhua lub hlwb hauv lub qhov ncauj, thiab tuaj yeem siv rau ib leeg lossis cuam tshuam nrog kev siv tshuaj kho mob lossis tshuaj lub hom phiaj.

Kev kho hluav taws xob hauv kev kho mob hauv qhov ncauj thiab oropharyngeal feem ntau yog siv sab nraud, siv lub tshuab ua pa tawm ntawm lub qhov ncauj, thiab yuav tsum ua 5 zaug hauv ib lub lis piam rau ob peb lub lis piam lossis ob hlis.

Los ntawm kev tawm tsam ntau lub hlwb nyob rau hauv lub qhov ncauj, kev kho mob no tuaj yeem ua rau hlawv ntawm daim tawv nqaij uas qhov hluav taws xob tau thov, txhaws qa, tsis hnov ​​tsw, liab thiab tawv nqaij ntawm lub caj pas lossis cov tsos ntawm cov tawv ncauj hauv qhov ncauj, piv txwv.