Kei a koe ētahi o ēnei raruraru korokoro? Me ako tātou mō te Matepukupuku o te Aho!

Kei te āhua huri haere tō reo? Kei te āhua rānei kei te mau tetahi mea i roto i tō korokoro, e uaua ai te horomi? I ētahi wā ka whakaaro tātou he makariri noa iho ēnei, he mate korokoro rānei, engari i ētahi wā he tohu pea ēnei mō tētahi mea kino ake. Koia mātou i whakaaro ai i tēnei rā kia kōrero mō tēnei mea e kiia nei ko te matepukupuku o te korokoro. Kaua e mataku, he mea nui rawa kia mōhio koe ki tēnei.

He aha te Matepukupuku o te Aho?

Ki te kī māmā noa, ko te mate pukupuku o te korokoro he mate pukupuku e puta mai ana i roto i tō korokoro . He wāhanga tino nui te korokoro o tō tātou korokoro. E kiia ana hoki e ētahi ko te "pouaka reo". Nā te mea ka kōrero tātou, ka manawa, ka horomia hoki e te āwhina o tēnei korokoro. Kei roto hoki i tēnei korokoro ō tātou taura reo .

He aha te mate pukupuku? Ka puta te mate pukupuku ina tīmata ngā pūtau o roto i tō tātou tinana ki te wehewehe me te whakanui tere, me te kore e taea te whakahaere. Ka taea e ngā pūtau rerekē e puta mai ana i tēnei ara te huihui tahi ka hanga he pukupuku. Koinei te mea e tupu ana i roto i te mate pukupuku o te korokoro. I te whakanui haere o ēnei pūtau mate pukupuku, ka whakaekea e rātou ngā kiko hauora e karapoti ana i a rātou, ka kino ai tō tātou tinana.

Whakaarohia, e toru ngā wāhanga o tō tātou korokoro:

1. Supraglottis (wāhanga o runga): Tata ki te 35% o ngā matepukupuku larynx, neke atu i te hautoru rānei, ka tīmata i tēnei wāhanga.

2. Glottis (wāhanga waenga): Kei konei ngā taura reo. Tata ki te 60%, neke atu rānei i te haurua, o ngā matepukupuku o te korokoro ka tīmata i tēnei wāhanga nui.

3. Te wāhanga o raro o te korokoro (te wāhanga o raro): Tata ki te 5% o ngā matepukupuku o te korokoro, tata ki te kotahi i roto i te 20, ka tīmata i tēnei wāhanga.

He pēhea te noa o te matepukupuku aho?

Ko te mate pukupuku o te korokoro he momo mate pukupuku e pā ana ki te kāwai o ngā Mate Pukupuku o te Upoko me te Kaki. E ai ki ngā tatauranga mai i ētahi whenua o te ao, hei tauira, i te Hononga o Amerika, e kiia ana e 12,500 ngā tāngata e kitea ana i tēnei mate i ia tau, ā, e 4,000 e mate ana i tēnei mate. E kitea ana hoki ēnei momo mate pukupuku i Sri Lanka, nō reira he mea nui kia mōhio ki tēnei.

He aha ngā tohu o te mate pukupuku laryngeal?

Ko te raruraru nui o tēnei, he ngāwari te whakapoauau i ngā tohu tōmua ki ērā o ētahi atu mate noa . Ko te tohu tino kitea ko te reo pāorooro . Ki te kore e pai ake i muri i ētahi wiki, me whakapae koe. He tokomaha e whakaaro ana he makariri noa iho. Heoi, ki te whai koe i tētahi o ngā tohu e whai ake nei, he pai ake te toro atu ki te tākuta kia tika ai te tātaritanga:

• Te korokoro mamae tonu, te maremare rānei.
• Ngā panonitanga o te reo (hei tauira, te pāorooro) e mau tonu ana mō ngā wiki neke atu i te rua.
• Te mamae, te kore rānei e pai te āhua ina horomia te kai, te inu rānei .
• He puku i te kaki, i te korokoro rāneiTe hopu i tētahi mea pērā.
• Te uaua ki te whakaputa i te reo `(Dysphonia)` .
• Te mamae o te taringa (ina koa i te taha kotahi).

He mea nui: Ki te pā mai ēnei tohu, me rapu tohutohu hauora tonu koe.

Waihoki, ki te pāngia koe e ngā tohu e whai ake nei, me rapu tonu koe i te awhina hauora :

• Te uaua ki te manawa (Dyspnea) .
• He oro teitei, he oro pakari (Stridor) i te wā e manawa ana .
• Te rongo pinepine i te mea e mau ana i te korokoro (Globus Sensation) .
• Te mare toto (Hemoptysis) .

He aha ngā pūtake o te mate pukupuku laryngeal?

He maha ngā tino take e whai wāhi ana ki te whanaketanga o tēnei mate pukupuku.

• Ka taea e ētahi momo HPV (Human Papillomavirus) , he mate urutā e tukuna ana i te taatai ​​(STI), te whakaputa i te mate pukupuku o te korokoro.
• Hei tāpiritanga, ko te whakamahi tupeka (tae atu ki te momi hikareti) me te inu nui i te waipiro ka nui ake te mōrearea ki te pāngia e tēnei mate pukupuku. Ki te mahi tahi koe i ngā mea e rua, ka nui ake te mōrearea.

He aha ngā āhuatanga mōrearea mō te mate pukupuku laryngeal?

He maha atu anō ngā āhuatanga mōrearea ka pā ki te whanaketanga o tēnei mate pukupuku. He mea nui kia mōhio ki ēnei, nā te mea ka taea e tātou te whakahaere i ētahi o aua āhuatanga.

• Te momi hikareti, te whakamahi rānei i ētahi atu hua tupeka: Koinei te tino take mōrearea . He nui ake te tūponotanga ka pāngia te hunga momi hikareti e tēnei mate pukupuku.
• Te inu waipiro: Ka piki ake te mōrearea, ina koa mēnā ka inu koe i te neke atu i te kotahi inu i te rā . Ka nui ake te mōrearea mō te tangata e momi hikareti ana, e inu waipiro ana hoki.
• Tau: Ko tēnei mate pukupuku te mea tino noa i roto i te hunga neke atu i te 55 tau te pakeke.
• Ira Tangata: E rima ngā wā ka nui ake te tūponotanga o ngā tāne ki te pāngia e tēnei mate pukupuku i ngā wāhine. Tērā pea nā te nui ake o te kai hikareti me te inu waipiro i waenga i ngā tāne.
• Kua pāngia e te mate pukupuku o te upoko, o te kaki rānei i mua: Tata ki te kotahi i roto i te whā o ngā tāngata (25%) kua pāngia e tēnei momo mate pukupuku i mua ka pāngia anō e te mate pukupuku i tēnei wāhi.
• Te Mahi: Ka piki ake te mōrearea o ētahi mahi nā te pānga ki ngā matū. Hei tauira:
• Kohu Waikawa Whāriki
• Puehu Rakau
• Nikara
• Āpihopa
• Te mahi i roto i ngā wheketere e whakaputa ana i te hau māti.
• He nui ake te mōrearea o te hunga e mahi ana me ngā mīhini ki te pāngia e te mate pukupuku larynx.

Me pēhea te tātaritanga o te mate pukupuku o te korokoro?

Mena kei a koe ngā tohumate, ka pātai tuatahi te tākuta ki a koe mō ō tohumate me tō hītori hauora. Kātahi ka tirotirohia e rātou tō tinana.Ka tirotirohia tō korokoro me tō kaki. Whai muri i tēnei whakamātautau tuatahi, tera pea ka tukuna atu ētahi atu whakamātautau hei whakaū i te mate.

He aha ngā whakamātautau e āwhina ana ki te tautuhi mate?

He maha ngā whakamātautau matua e mahia ana mō tēnei:

• Ngā Matawai Whakaahua:
• Matawai CT, matawai MRI rānei: Ka taea e ēnei te tango pikitia taipitopito o roto o te tinana. Ka taea e rātou te whakaatu i ngā mea pēnei i te rahi o te pukupuku matepukupuku me tōna wāhi.
• X-ray o te uma: Mā tēnei ka kitea mēnā kua horapa te mate pukupuku ki ngā pukahukahu.
• Whakamātautau i te ihu: I tēnei tikanga, ka whakaurua e te tākuta he ngongo angiangi, ngāwari e kiia nei ko te endoscope , he kāmera me te mārama kei roto, mā te waha, mā te ihu rānei, ka heke ki raro i te korokoro. Mā tēnei ka taea e te tākuta te kite tika i roto i te ihu.
• Matawai PET: I roto i tēnei, ka werohia he horopeta iti rawa, haumaru hoki o te matū irahiko ki roto i te uaua. Ka whakaatu mārama tēnei matū i te wāhi kei reira ngā pūtau matepukupuku.
• Biopsy: Koinei te whakamātautau tino nui hei whakaū i te mate pukupuku . Ka tangohia he wahi iti o te kiko rerekē mai i te larynx ka tirohia i raro i te karuārai. Ka tirohia ēnei pūtau e te tohunga mate pukupuku , he kaipūtaiao kiko. Ka mahi noa ētahi maimoatanga mate pukupuku mēnā he tohu pūmua kei roto i ngā pūtau mate pukupuku. Nō reira ka tirohia anō hoki e tēnei biopsy ēnei tohu.

He aha ngā wāhanga o te mate pukupuku laryngeal?

Hei wāhanga o te tātaritanga, ka whakatauhia te taumata o te mate pukupuku. Ko te tikanga o tēnei ko te whakatau i te kaha o te mate pukupuku, te whānui o te tipu o te pukupuku, me te horapa atu ki ētahi atu wāhanga o te tinana.

Ko ngā wāhanga o te mate pukupuku laryngeal e whai ake nei:

• Te Matepukupuku o te Ara i te Wā Tōmua: I ngā wāhanga 0, 1, me te 2, he iti te pukupuku. Kāore anō te matepukupuku kia horapa ki tua atu i te ara.
• Matepukupuku Aho o te Roro Matua: I ngā wāhanga 3 me te 4, kua nui haere te pukupuku. Tērā pea kua pā ki ngā taura reo, kua horapa rānei ki ngā kōpū waikura, ki ētahi atu wāhanga rānei o te tinana.

Kei hea te tīmatanga o te horapa o te mate pukupuku korokoro?

Ko te mate pukupuku e horapa ana ki tua atu i te arai ka horapa ki te repe tairoi, te trachea, te esophagus, te arero, ngā pukahukahu, te ate, me ngā wheua .

He aha ngā maimoatanga mō te mate pukupuku laryngeal?

Waimarie, he maha ngā maimoatanga mō te mate pukupuku o te korokoro. I runga i tō āhua, ka whiriwhiria e tō tīma hauora te maimoatanga e pai ana mōu.

• Whakaora Irahiko: Kei roto i tēnei ko ngā tākuta matepukupuku irahiko.Ka whakamahia ngā hihi irahiko kaha-teitei hei whakangaro i ngā pūtau matepukupuku. Nā te mea ka anga noa te irahiko ki te puku matepukupuku, ka whakaitihia te kino ki ngā kiko hauora e karapoti ana.
• Te rongoā matū: Ka whakamahia e ngā tākuta mate pukupuku ngā rongoā hei patu i ngā pūtau matepukupuku, hei whakaroa rānei i tō rātou tipu. He maha ngā wā ka tukuna te rongoā matū mā roto i tētahi uaua. Ka pā mai pea ngā pānga taha i tēnei maimoatanga, engari ka taea e ngā tākuta te āwhina ki te whakahaere i aua pānga.
• Te rongoā ārai mate: Kei roto i tēnei ko te whakaoho i te pūnaha ārai mate o tō tinana ake, arā, te pūnaha ārai mate, kia whawhai ki te mate pukupuku. Ka kiia hoki tēnei he rongoā koiora .
• Whakaora Whaiaro: Ka aro tēnei maimoatanga ki ngā pūmua motuhake i roto i ngā pūtau matepukupuku, ā, ka ārai i te whakarea o ngā pūtau.
• Pokanga:
• I te wā tōmua o te mate pukupuku , ka taea te mahi pokanga hei tango i te pukupuku mate pukupuku anake, me te tiaki tonu i te arai (arā, te tiaki i te kaha ki te kōrero me te horomi).
• Mēnā kua tino pāngia te mate pukupuku e te mate pukupuku , me tango pea e te taote te laryngectomy , he pokanga tēnei hei tango i te larynx katoa.

I ētahi wā, e hiahiatia ana kia neke atu i te kotahi te maimoatanga. Hei tauira, ka whakamahia pea te chemotherapy, te radiation therapy rānei hei patu i ngā pūtau matepukupuku e toe ana i muri i te pokanga.

He aha ngā momo pokanga larynx e wātea ana?

Ka whakamahia te pokanga hei tango i te mate pukupuku. Ko te whāinga matua o te pokanga mate pukupuku o te korokoro he tango i te pukupuku mate pukupuku me te pupuri tonu i te mahi a te korokoro. Heoi, i ētahi wā ka hiahiatia kia tangohia tetahi wāhanga o te korokoro, te korokoro katoa rānei. He maha ngā momo pokanga matua:

• Te tango i te taura reo: Te tango i tētahi wāhanga, i te katoa rānei o te taura reo. He maha ngā wā ka mahia tēnei mā te waha.
• Te tango i te larynx supraglottic: Te tango i te wāhanga o runga o te larynx (supraglottis). Ka taea tēnei mā te kaki, mā te waha rānei.
• Hemilaryngectomy: Te tango i te haurua o te larynx. Ka āwhina tēnei ki te tiaki i tō reo.
• Te tango i te wāhanga o te larynx: Te tango i tētahi wāhanga o te larynx. Ka taea hoki e tēnei te pupuri i te kaha ki te kōrero.
• Te tango katoa i te larynx mā te kaki.
• Te tango i te repe tairoiti: Te tango i te katoa, i tetahi wāhanga rānei o te repe tairoiti (mēnā kua horapa te matepukupuku).
• Pokanga Reera: Te whakamahi i te hihi reera hei tango i te puku me te kore e toto.

Me pēhea te whiriwhiri i te maimoatanga tino pai?

Mō te mate pukupuku laryngeal wāhanga tōmua, ka tūtohu pea te tīma hauora i te pokanga, i te rongoā irahiko rānei. Kua whakaatuhia e ngā rangahau he whai hua ngā mea e rua. I te wā e whakatau ana i te maimoatanga, ka whakaarohia e te tīma hauora ētahi āhuatanga, tae atu ki:

• He aha te maimoatanga pai hei pupuri i tō kaha ki te kōrero me te horomi ?
• Tō kaha ki te whai i ō hiahia, ō wawata, me tō mahere maimoatanga.
• tō tau.
• Ētahi atu mate kei a koe.
• Te hiahia mō tō reo (hei tauira, mō tō mahi).
• Te āhua o tō reo.
• Ahakoa kei te momi hikareti koe i tēnei wā, i mua rānei.
• Tō kaha ki te manawa.
• Tautoko mai i ō hoa aroha.

Ka taea e koe te tiaki i a koe mai i te mate pukupuku o te korokoro?

Ahakoa kāore e taea te tiaki katoa i ngā mate pukupuku katoa, tera ētahi mea ka taea e tātou te mahi hei whakaiti i te tūponotanga o te whakawhanake i ngā mate pukupuku maha, tae atu ki te mate pukupuku o te korokoro. Kei roto i tēnā ko te whai i tētahi momo noho hauora:

• Kati rawa te kai hikareti , me te karo i te whakamahi i ētahi atu hua tupeka. Koinei te mea tino nui.
• Whakaitihia tō inu waipiro. Ki te mea kei te waranga koe ki te waipiro, rapua he maimoatanga.
• Kai i tētahi kai hauora . Kai atu i ngā huawhenua me ngā hua.

"Kati te momi hikareti i tēnei rā. Ka taea e ia te tiaki i a koe mai i te mate pukupuku o te korokoro, tae atu ki ngā mate maha atu anō hoki."

He whakamātautau anō kei te wātea mō te tango i te larynx?

Kāore he whakamātautau tirotiro motuhake, auau mō te mate pukupuku o te korokoro i tēnei wā . Heoi, ki te mea kei a koe ngā tohu pēnei i te reo pāorooro, ētahi atu huringa, te maremare tonu rānei, me toro atu koe ki te tākuta. Mā te kitenga wawe ka taea te hopu i te mate pukupuku i te wā tōmua. Kātahi ka māmā ake te rongoā, ā, ka nui ake te tūponotanga o te ora.

He aha ngā mea ka tupu i muri i te maimoatanga o te mate pukupuku laryngeal?

I muri i te maimoatanga, me haere tonu koe ki te toro atu ki tō tākuta mō ngā wā tirotiro whai muri kia kite ai mēnā kei te pai haere koe. Ka aro te tākuta ki ēnei mea:

• Te rongoā mō tetahi mamae.
• He āwhina ki te whakahaere i ngā uauatanga horomi, i ngā mate pukupuku rānei i roto i te waha me te korokoro (mucositis) .
• Kōrerohia ō tikanga kai, kia tino mohio hoki ka taea e koe te kai me te horomi me te kore he raruraru.
• Tērā pea ka tohua he rongoā tinana mō te whara o te kaki, te uaua rānei ki te whakatuwhera i te waha.

He aha te tirohanga mō te hunga e pāngia ana e te mate pukupuku laryngeal?

He maha ngā āhuatanga e whakawhirinaki ana ki tō tirohanga. Hei tauira, te wāhanga o te mate pukupuku, tō tau, me tō hauora whānui. I te nuinga o te wā, he nui ake te tūponotanga o te ora o te mate pukupuku laryngeal wāhanga tōmua . Mō te mate pukupuku kua horapa ki ētahi atu wāhanga o te tinana, he iti ake te tūponotanga o te ora.

Engari,Ahakoa te mate pukupuku o te korokoro kua horapa haere, ka taea te whakaora. Mēnā ka hoki mai anō te mate pukupuku, ka puta i roto i ngā tau tuatahi e rua, e toru rānei i muri i te maimoatanga. He tino iti te mōrearea o te hokinga mai o te mate pukupuku i muri i ngā tau e rima. Heoi, ki te momi hikareti koe, ki te inu waipiro rānei, ā, kāore e mutu, he nui ake te mōrearea ki te whakawhanake i te mate pukupuku hou i tēnei wāhi.

Me whai stoma ahau?

Mena ka tangohia katoatia tō laryngectomy , ka hangaia e tō taote pokanga he ara manawa hou ki roto i tō kaki hei manawa māu. Ka kiia tēnei he stoma . Ka taea te noho pumau, te noho rangitahi rānei. Anei ētahi mea ka taea e koe te mahi hei tiaki i tō stoma:

• Tirohia i ia rā kia tino mā, kia kore hoki he hūpē.
• Tangohia te hūpē mai i te stoma mā te whakamahi i te rehu tote, i te kakahu rānei.
• Puritia kia makuku ki te rehu tote.
• Horoia te wāhi huri noa i te stoma mā te whakamahi i te hopi ngawari me te wai.
• Kaua e rumakina te stoma ki te wai.
• Puritia tō stoma kia taupokina (ki te hāri, ki tētahi taupoki stoma motuhake rānei) kia kore ai e uru te puehu. Puritia kia taupokina i a koe e heu ana, e kaukau ana rānei.

Me pēhea taku tiaki i ahau anō mēnā ka tangohia katoatia taku korokoro?

Ki te mea he kaipaipa koe, he mea tino nui kia mutu . Me noho tawhiti rawa atu i te kaipaipa i mua, i te wā e rongoatia ana, me muri hoki i te maimoatanga. He nui ake te tūponotanga o te hunga e kaipaipa ana i muri i te maimoatanga ki te pāngia e ētahi atu momo mate pukupuku. Heoi, he iti ake te tūponotanga o te hunga e mutu ana ki te kaipaipa ki te mate pukupuku. Ka taea e te kaipaipa te whakaroa i tō whakaoranga, ā, ka kino ake ngā pānga taha o te maimoatanga.

Ka taea e au te kōrero i muri i te maimoatanga o te mate pukupuku laryngeal?

He raruraru tēnei mō te tini o te tangata.

• Ki te tangohia katoatia te larynx i tō waha (arā, ka tangohia katoatia te larynx ), me ako koe i tētahi huarahi hou ki te kōrero. Mā te kaiwhakaora kōrero koe e āwhina ki tēnei.
• Mena i tangohia e te taote pokanga tētahi wāhanga anake o tō korokoro, tera pea ka pāorooro tō reo i te tīmatanga, engari tera pea ka hoki mai tō reo. Heoi anō, tera pea ka rerekē te āhua me te tangi i tōna āhua o mua.
• Ka taea e ētahi atu maimoatanga, pērā i te rongoā irahiko, te whakararu i tō reo mō te wā poto. Heoi, ka hoki mai tō reo ina ora tō korokoro.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kua tāpaetia koe he mate pukupuku korokoro, pātai atu ki tō tākuta i ēnei pātai:

• Kei tehea wāhanga te mate pukupuku?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha te pānga o te maimoatanga ki taku kōrero, ki taku manawa, me taku horomi?
• Me whai wā whakaora anō ahau i muri i te maimoatanga?
• Ka taea te hoki mai anō o te mate pukupuku?
• Kei te pēhea taku hauora?

Ko wai ka āwhina i te tātaritanga me te rongoā i te mate pukupuku o te korokoro?

Ko te tīma tiaki matepukupuku korokoro he maha ngā tohunga me ngā tohunga hauora nō ngā momo mara rerekē:

• Ngā Taote Tākuta o te Upoko me te Kaki: He Tākuta Rongoā ēnei kua whakangungua motuhake ki te tango i ngā mate pukupuku i te rohe o te upoko me te kaki.
• Ngā Tākuta Matepukupuku Irahiko: Whakaorahia te matepukupuku mā te rongoā irahiko.
• Ngā Tākuta Matepukupuku Hauora: Whakaorahia te matepukupuku mā te whakamahi i ngā rongoā pēnei i te chemotherapy.
• Ngā Tākuta Niho me ngā Tākuta Taote Waha: Ka whakarato ratonga pēnei i ngā hihi-X me te rongoā i ngā mate pukupuku waha.
• Ngā Kaiwhakaora Kōrero / Ngā Tohunga Mate Kōrero-Reo (SLP): Arotake me te rongoā i ngā mate kōrero, reo, reo, whakaaro, me te horomi.
• Ngā Kaitohutohu Kai Rēhita: Āwhina ki te kimi i tētahi kai totika e hangai ana ki te āhua hauora o te tūroro, tōna mate, tōna whara rānei.
• Ngā Kaimahi Hapori: Ka mahi rātou ki te whakaoti rapanga me te whakarato mōhiohio ki ngā tūroro me ngā whānau. Ka whakarato rātou i te tohutohu, te tuku ki ngā rauemi ā-rohe me te motu, ngā mōhiohio mō ngā rōpū tautoko, me ngā mōhiohio mō te āwhina pūtea.
• Ngā Kaiwhakarato Manaaki Tuatahi: Ka tirotirohia te tiaki hauora whānui i te wā e rongoatia ana te mate pukupuku.

Whakarāpopototanga me ngā mea hei maumahara

Mena kei a koe ngā tohu o te matepukupuku korokoro, pērā i te reo pāorooro, ngā huringa rānei o tō reo, te maremare tonu, te uaua rānei ki te horomi, tēnā tirohia he tākuta . He tino teitei te ora o ngā matepukupuku korokoro wāhanga 0 me te 1 mena ka rongoatia wawe. Waihoki, mā te rongoa wawe i te matepukupuku ka āwhina i a koe ki te kōrero me te kai. Pātai atu ki tō tākuta mō ngā kōwhiringa maimoatanga e wātea ana i runga i te wāhanga o tō matepukupuku.

Kia maumahara, ko te momi hikareti me te inu nui i te waipiro ngā tino take o te mate pukupuku o te korokoro. Ko te mea pai rawa atu ka taea e koe ko te karo i ēnei whanonga kino. Kia ora tonu!

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