Kodi pali kusintha kwa mawu anu kapena kupuma kwanu? Izi zitha kukhala Recurrent Respiratory Papillomatosis (RRP)!

Kodi inuyo kapena mwana wanu nthawi zina mumamva kusintha kwa mawu, kugwedezeka pang'ono, kapena phokoso lolira pang'ono mukapuma? Kapena mukuvutika ndi vuto ngati chifuwa chosatha? Izi zitha kukhalanso zizindikiro za chimfine. Komabe, lero tikambirana za vuto losowa koma lodetsa nkhawa. Limatchedwa (Recurrent Respiratory Papillomatosis) kapena (RRP) mwachidule. Dzina lina ndi `(Laryngeal Papilloma)`. Musadandaule, tikambirana izi mosavuta, mwanjira yomwe mungamvetse.

Kodi ichi (RRP) ndi chiyani? Tiyeni tidziwe bwino lomwe?

Mwachidule, (RRP) ndi matenda omwe amayamba chifukwa cha kachilombo kotchedwa `(Human Papillomavirus)` kapena `(HPV)` . Chomwe chimachitika pamenepa ndi chakuti tinthu tating'onoting'ono tofanana ndi ziphuphu (timati izi `(Papillomas)`) timapangika m'njira yathu yopumira, ndiko kuti, njira yochokera pakamwa kupita kumphuno ndi mapapo. Kunena zoona, tinthu tating'onoting'onoti timapangika makamaka m'mbali mwa mmero komwe mawu athu amamveka (`(Vocal Cords)`) ndi komwe mawu athu amapangidwa, ndiko kuti, `(Larynx)`. Komabe, nthawi zina tinthu tating'onoting'onoti timafalikiranso m'njira yopumira. Izi ndi izi:

• Matenda a trachea
• Bronchi
• Mapapu

Palinso malo ngati amenewa.

Chofunika kwambiri ndichakuti zotupa izi (RRP) si zabwino , zomwe zikutanthauza kuti si khansa. Komabe, zimatha kukula mofulumira kwambiri ndikubwereranso, zomwe zimapangitsa kuti chithandizo chikhale chovuta pang'ono. Anthu ena angafunike kuchitidwa opaleshoni zingapo pachaka.

Ndani amene akukhudzidwa kwambiri ndi vutoli (RRP)?

Matendawa otchedwa (RRP) amatha kuchitika mwa ana aang'ono komanso akuluakulu. Tiyeni tiwone momwe zimachitikira.

RRP ya achinyamata

Izi nthawi zambiri zimazindikirika mwana asanakwanitse zaka 5. Poyerekeza ndi akuluakulu, RRP mwa ana aang'ono imakhala yoopsa kwambiri ndipo imatha kubwereranso pambuyo pa chithandizo. Chifukwa chake, tiyenera kuda nkhawa kwambiri ndi vutoli mwa ana aang'ono.

RRP yoyambira kwa akuluakulu

Izi zitha kuchitika pa msinkhu uliwonse, nthawi zambiri pambuyo pa zaka 14. Komabe, nkhani yabwino ndi yakuti kuchuluka kwa matendawa kumabwereranso pang'ono mwa akuluakulu.

Kodi (RRP) ndi yofala bwanji?

RRP kwenikweni ndi matenda osowa kwambiri. Malinga ndi ziwerengero, imakhudza pafupifupi munthu m'modzi mwa anayi mwa anthu 100,000 aliwonse.

Koma pali chinthu choti muzindikire. Katemera wa HPV ndi wothandiza kwambiri pa vutoli (RRP). Nthawi zambiri amalimbikitsidwa kwa ana aang'ono kuyambira ali ndi zaka 11. Akatswiri azaumoyo akuyembekeza kuti katemerayu achepetsa kuchuluka kwa khansa zokhudzana ndi HPV ndi matenda ngati (RRP) mtsogolo.

Ndi mitundu iti ya mavairasi a HPV omwe amayambitsa (RRP)?

Kachilombo ka papilloma ka munthu (HPV) ndi gulu la mavairasi opitilira 100 okhudzana ndi kachilomboka. Ena mwa iwo amayambitsa ziphuphu pakhungu lathu ndi minofu yonyowa (monga pakamwa, pakhosi, kumaliseche, ndi kumatako). Chifukwa chakuti HPV imafalikira pogonana, ndi yofala kwambiri.

Mitundu iwiri ya HPV ndiyo imayambitsa RRP. Iyi ndi HPV 6 ndi HPV 11. Iyi ndi yomwe imayambitsa ziphuphu zambiri zoberekera. HPV ingayambitsenso mitundu ingapo ya khansa, monga khansa ya pachibelekero ndi khansa ya m'phuno. Nthawi zambiri, ingayambitsenso khansa ya m'mapapo.

Matenda a HPV ndi ofala kwambiri. Koma nthawi zambiri, amatha okha popanda kuyambitsa mavuto aliwonse azaumoyo. Madokotala sakudziwabe chifukwa chake anthu ena okha ndi omwe amadwala matenda okhudzana ndi HPV.

Kodi HPV imafalikira bwanji mu (RRP)?

Madokotala sakumvetsabe bwino momwe HPV imafalikira mu (RRP). Koma nayi malingaliro ena:

Kwa ana aang'ono

Mwana akabadwa, ngati mayi ali ndi `(Genital Warts)` yogwira ntchito (genital warts), `(HPV)` imatha kufalikira kwa mwana kudzera mu izi. Komabe, ndikofunikira kukumbukira kuti si mwana aliyense amene wapezeka motere amene adzakula (RRP). Izi zikutanthauza kuti zimachitika ndi anthu ochepa kwambiri.

Nthawi zina, mwana akhoza kukhala ndi RRP ngakhale atabadwa kudzera mu opaleshoni. Izi zikusonyeza kuti HPV mwina inafalikira kwa mwanayo ali m'mimba.

Kwa akuluakulu

Amakhulupirira kuti HPV imatha kufalikira kwa akuluakulu kudzera mu kugonana mkamwa. Lingaliro lina ndilakuti akuluakulu omwe ali ndi RRP mwina adakumana ndi HPV atabadwa, ndipo kachilomboka kakhoza kukhala "kobisika" m'maselo athanzi m'thupi, kenako nkuyambiranso kugwira ntchito pazifukwa zina, zomwe zimayambitsa RRP.

Kodi zizindikiro za (RRP) ndi ziti?

Pamene zotupa (`(Papillomas)`) zomwe tatchula kale zikukula pa mitsempha ya mawu ndi njira zopumira, zimatha kuyambitsa mavuto polankhula, kupuma, ndi kumeza. Zizindikiro zodziwika bwino ndi izi:

• Mawu omveka bwino kapena kutayika kwathunthu kwa mawu.
• Stridor ndi phokoso lalikulu kapena lapamwamba kwambiri likamapuma. Limamveka ngati mluzu.
• Kupuma mofulumira kapena kovuta .
• Kukhala ndi chifuwa chosatha .
• Kuvuta kumeza chakudya .

Dokotala wanu adzakuyang'anani inu kapena mwana wanu mosamala kuti adziwe ngati izi ndi RRP kapena vuto lina, monga mphumu kapena ziwengo.

Kodi matenda (RRP) amapezeka bwanji?

Choyamba, dokotala wanu adzakufunsani inu kapena mwana wanu za zizindikiro zanu ndikukuyesani thupi. Angagwiritse ntchito galasi ndi nyali kuti ayang'ane mkati mwa pakhosi panu kuti awone mawu anu. Ngati zizindikiro zanu ndi mayeso anu zikusonyeza kuti mwina muli ndi RRP, dokotala wanu adzakutumizani kwa katswiri wa khutu, mphuno, ndi pakhosi (ENT specialist).

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira matenda (RRP)?

Katswiri wanu wa matenda a ENT mwina adzachita mayeso otchedwa laryngoscopy . Izi zimaphatikizapo kuyika chubu chopyapyala komanso chosinthasintha (chotchedwa endoscope) chokhala ndi kamera kakang'ono ndi kuwala komwe kali, ndikuchidutsa m'mphuno mwanu ndi pakhosi panu kuti muwone kholingo lanu ndi njira yopumira. Musachite mantha, musanachite izi:

• Mphuno ndi pakhosi panu kapena pa mwana wanu zikupweteka.
• Kenako, chubucho chimadutsa m'mphuno, pansi pa mmero, ndi m'zingwe za mawu.
• Kenako dokotalayo angayang'ane tinthu tating'onoting'ono, monga magulu a mphesa, otchedwa papillomas.

Kuti atsimikizire kupezeka kwa (RRP), katswiri wa `(ENT)` ayenera kuchita `(Biopsy)` . Izi zikutanthauza kutenga chitsanzo cha minofu yaying'ono kuchokera pa chotupacho ndikuchiyesa kuti aone ngati kachilombo ka `(HPV)` kalikonse, ndipo ngati ndi choncho, ndi mtundu wanji. `(Biopsy)` iyi nthawi zambiri imachitikira mchipinda chochitira opaleshoni, pansi pa mankhwala oletsa ululu. Chitsanzo cha minofu iyi chimatengedwa pogwiritsa ntchito zida zapadera zomwe zimamangiriridwa ku `(Endoscope)`. Kenako chimayesedwa mu labu.

Kawirikawiri, katswiri wa matenda a m'mapapo angafunikenso kuyang'ana mkati mwa trachea mwanjira imeneyi ndikutenga chitsanzo.

Kodi (RRP) ingachiritsidwe kwathunthu?

Tsoka ilo, pakadali pano palibe mankhwala a RRP. Cholinga chachikulu cha chithandizo ndikuchotsa zotupa ndikuziletsa kuti zisakulenso. Inu kapena mwana wanu mungafunike opaleshoni ndi mankhwala osiyanasiyana.

Kodi opaleshoni imagwiritsidwa ntchito bwanji pa (RRP)?

Chithandizo chachikulu cha RRP ndi opaleshoni . Dokotala amayesa kuchotsa chotupa chochuluka momwe angathere popanda kuwononga minofu yathanzi. Pali njira zingapo zomwe zimagwiritsidwa ntchito pochotsa zotupa izi:

• Opaleshoni ya laser: Izi zimagwiritsa ntchito kuwala kwa laser kuti zichepetse kapena kuwononga zotupa.
• Microdebrider: Ichi ndi chipangizo chapamwamba chomwe chimagwiritsa ntchito njira yochepetsera pang'onopang'ono kuti chikokere chotupacho ku tsamba lapadera, ndikuchichotsa mwachangu komanso moyenera.
• Kuchotsa maselo a khansa: Mu njira iyi, kutentha kozizira kwambiri kumagwiritsidwa ntchito kupha maselo a chotupa.

Ma opaleshoni ambiri a RRP, makamaka omwe amachitidwa ndi ana, amachitikira m'chipinda chochitira opaleshoni pansi pa mankhwala oletsa ululu. Izi zikutanthauza kuti mukugona panthawi ya opaleshoni.

Akuluakulu ena amathanso kuchitidwa opaleshoni ya laser ku ofesi. Izi zimachitika mwachangu ndipo sizimafuna mankhwala oletsa ululu. Mudzapatsidwa mankhwala oletsa ululu kuti musamve kupweteka kulikonse, koma mukhale maso.

Kodi ine kapena mwana wanga tifunika kuchitidwa opaleshoni ingati kuti tipeze RRP?

Pambuyo pa opaleshoni, zotupa za RRP zimatha kubwereranso. Anthu ena amafunika kulandira chithandizo kachiwiri milungu ingapo iliyonse. Ena amatha chaka chimodzi kapena kuposerapo pakati pa chithandizo. Kubwereranso kumeneku kumachitika kawirikawiri mwa ana.

Kodi (RRP) imachiritsidwa bwanji ndi mankhwala?

Anthu ena amafunika kupatsidwa mankhwala kuwonjezera pa opaleshoni. Izi zikuphatikizapo:

• Amene amachita opaleshoni yoposa kanayi pachaka (RRP).
• Amene mizu yawo imameranso mofulumira kwambiri.
• Anthu omwe amavutika kupuma chifukwa cha kutsekeka kwa njira zopumira chifukwa cha zotupa.
• Amene afalikira m'malo angapo m'thupi la zipatso.

Mankhwala amtunduwu amatchedwa "adjuvant therapies" chifukwa amaperekedwa pambuyo pa chithandizo chachikulu (opaleshoni) kuti athandize kupewa chotupacho kuti chisabwererenso. Pafupifupi 20% (ndiko kuti, munthu m'modzi mwa asanu) wa anthu omwe ali ndi (RRP) amafunikira chithandizo chowonjezera chamtunduwu.

Mankhwala othandizira omwe amaperekedwa ku (RRP) amachepetsa kukula kwa chotupa m'njira zosiyanasiyana:

• Cidofovir ndi mankhwala oletsa kachilombo ka HPV kuti kasachuluke.
• Mankhwala ochizira matenda a immunotherapy, monga Pembrolizumab , amagwiritsa ntchito chitetezo cha mthupi lanu kuwononga maselo a chotupa.

Kodi katemera wa (HPV) amathandiza ndi chithandizo cha (RRP)?

Ofufuza apeza kuti katemera wa HPV angakhalenso njira yothandiza yothandizira. Kafukufuku woyamba akusonyeza kuti katemera wa HPV angachepetse kukula kwa zotupa ndikuchepetsa kuchuluka kwa opaleshoni yomwe ikufunika. Kafukufuku wina akuchitika.

Kodi mavuto omwe angakhalepo chifukwa cha (RRP) ndi ati?

Ngati RRP ndi yoopsa, mpweya wanu ungatsekeke kwathunthu. Ngati izi zitachitika, mungafunike kuchitidwa tracheostomy kuti mupereke mpweya m'mapapu anu. Izi zimaphatikizapo kupanga dzenje m'khosi mwanu lotchedwa trachea. Kukhala ndi tracheostomy kungakhudze luso lanu lolankhula. Gulu lanu lachipatala lidzakuphunzitsani momwe mungasamalire tracheostomy yanu komanso momwe mungagwiritsire ntchito mawu anu.

Khansa ndi vuto lina. Koma izi sizichitika kawirikawiri . Matenda osapweteka (RRP) amatha kukhala matenda oopsa. Izi zitha kuchitika patatha zaka zambiri matendawa atapezeka. Chiwopsezochi chimakhala chachikulu makamaka ngati chotupacho chafalikira m'munsi mwa dongosolo la kupuma. Madokotala sakudziwabe chifukwa chake (RRP) imasanduka khansa.

Kodi mungadziteteze bwanji ku (RRP)?

Njira yabwino kwambiri yodzitetezera ku vutoli ndi katemera wa HPV.Dziwani izi. Centers for Disease Control and Prevention (CDC) imalimbikitsa kuti ana onse alandire katemera wa HPV ali ndi zaka 11 kapena 12. Anthu omwe sanalandire katemera ali achinyamata akhoza kulandira katemerayu mpaka zaka 26.

Komanso, kugwiritsa ntchito makondomu kungachepetse chiopsezo cha HPV yopatsirana pogonana, kotero RRP imapereka chitetezo china. Komabe, ngati ziphuphu za m'mimba zili m'malo omwe kondomu siili ndi kondomu, makondomu sapereka chitetezo chokwanira.

Ngati muli ndi ziphuphu zoberekera, muli ndi pakati, kapena mukukonzekera kutenga pakati, onetsetsani kuti mwalankhula ndi dokotala wanu. Kawirikawiri, chiopsezo chopatsira mwana wanu matendawa n'chochepa. Ngati dokotala wanu asankha kuchiza ziphuphu zoberekera panthawi ya mimba, pali njira zingapo zotetezeka zomwe zilipo.

Kodi chiyembekezo cha anthu omwe ali ndi (RRP) ndi chotani?

Chiyembekezo cha ana ambiri ndi akuluakulu omwe ali ndi RRP ndi chabwino . Opaleshoni ndi mankhwala zimatha kuletsa zotupa ndikuziletsa kuti zisasokoneze zochita za tsiku ndi tsiku. Nthawi zambiri, tracheostomy imafunika kapena imayamba kukhala khansa.

Kodi mungakhale bwanji ndi (RRP)?

Ngati inu kapena mwana wanu muli ndi RRP, dokotala wanu adzakuyang'anirani mosamala ndikupanga dongosolo la chithandizo. Tsatirani malangizowo mosamala ndikutsatira nthawi yanu yokumana. Kuchita izi kungathandize kuwongolera vutoli ndikupewa kutsekeka kwa mpweya komwe kungawononge moyo. Ngati mukuvutika kupuma, imbani dokotala wanu nthawi yomweyo kapena imbani 911.

(RRP) ndi matenda omwe amayamba chifukwa cha kachilombo ka human papillomavirus (HPV). Madokotala amachichiza ndi opaleshoni, ndipo nthawi zina amachichiza ndi mankhwala. Kuchita opaleshoni pafupipafupi kungakhale kovuta mwakuthupi komanso m'maganizo, makamaka kwa ana. Ngati mukufuna thandizo, lankhulani ndi dokotala wanu. Iye angakutumizireni kuzinthu zomwe zimathandiza anthu omwe ali ndi matenda osatha.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tifotokoze mwachidule zina mwa zinthu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• (RRP) ndi matenda omwe amayamba chifukwa cha kachilombo ka (HPV) komwe kamayambitsa ziphuphu m'njira yopumira, makamaka mozungulira mawu. Izi si khansa, koma zimatha kubwereranso.
• Ngati mukumva zizindikiro monga kutopa, kupuma movutikira, kapena chifuwa chosatha, funsani upangiri kwa dokotala.
• Opaleshoni ndiyo njira yaikulu yothandizira. Nthawi zina mankhwala angafunikenso. Ngakhale kuti palibe mankhwala okwanira, matendawa amatha kuthetsedwa bwino.
• Katemera wa HPV ndi wofunika kwambiri kupewa (RRP). Perekani katemerayu kwa ana pa nthawi yake.
• Ndikofunikira kutsatira malangizo a dokotala ndikukhala olimba m'maganizo mukakhala ndi vutoli. Musaope kupempha thandizo ngati mukufunikira.

Ngati muli ndi mafunso ena okhudza izi, onetsetsani kuti mwalankhula ndi dokotala wanu. Khalani ndi thanzi labwino!

'Papilloma ya kupuma, RRP, HPV, kutopa, kupuma movutikira, zotupa za pakhosi, papilloma ya laryngeal