Yawancin mutanen da suke ci gaba da ciwo na laryngeal ne masu shan taba.
Kafin gabatarwar cigaba a cikin karni na ashirin, ciwon daji na larynx, ko ciwon daji na laryngeal, ya kasance da wuya. Amma mutanen Turai suna shan shan taba tun farkon karni na sha shida, farawa lokacin da aka fara gabatarwa zuwa Turai ta hanyar masu binciken da suka dawo daga New World.
Saboda haka, ko dai akwai wani abu game da taba sigari wanda ya haifar da ciwon daji na laryngeal fiye da 1900, ko fiye da mutane suna taba shan taba bayan da aka samar da cigaba.
(Samfurin samar da kayan abu mai rahusa kuma mafi araha ga kowa da kowa.) Wataƙila wasu haɗuwa da waɗannan abubuwa guda biyu sun kara yawan ciwon daji na laryngeal a cikin shekaru 100 da suka gabata.
Mene ne Ciwon Cutar Laryngeal?
Ciwon daji na Laryngeal shine ciwon daji wanda ke rinjayar gaskiyar murya . Kyakkyawan murya suna raira waƙa don samar da sauti kuma ya ba mu damar magana. Ya bambanta, kuskuren ɓarya yana ɓarna a sama da gaskiyar murya kuma ba sa samar da sauti mai yawa banda guttaral (tunani mai laushi). Maimakon haka, kuskuren ɓoye suna ƙaura ne don kare ƙananan igiyoyi.
Ciwon daji na Laryngeal zai iya fitowa daga tsaye daga maɗaukakin murya (glottic), ko kuma a sama da su (supraglottic) ko a kasa su (yankin subglottic).
Yawancin cututtukan laryngeal su ne cututtukan kwayoyin cutar.
Menene Dalili Na Kwayoyin Dama Ga Ciwon Cutar Laryngeal?
Shan taba shine mafi girman haɗari mai haɗari da ciwon laryngeal.
A wasu kalmomi, mafi yawan mutanen da suke ci gaba da ciwon laryngeal masu shan taba ne na dindindin.
Sauran abubuwan haɗari ga ciwon laryngeal sun hada da wadannan:
- amfani da barasa
- Kamuwa na HPV (tare da subtypes 16 da 18 mafi haɗari)
- yin guba na asbestos
- mai guba guba na gas mustard
- baya wuyan yaduwar cutar
- abincin jiki mai gina jiki
Shan taba da shan barasa synergize don samar da wata hanyar haɗari. Saboda haka, mutanen da suke sha da kuma shan taba mai yawa suna iya samun ciwon daji na laryngeal.
Kodayake masana suna tsammanin cutar cututtukan gastroesophageal (GERD) na iya kasancewa mai hadari ga ciwon daji na laryngeal, babu binciken binciken kai tsaye amma yana goyon bayan wannan haɗin. Duk da haka, mutanen da suka rigaya aka bi da su don ciwon laryngeal kuma suna shan magunguna don magance GERD, Iike PPIs, sun kasa samun ciwon sikila (kwarewa).
A cewar Hukumar Ciwon Kankara ta Amirka, a 2016, za a sami karin mutane 13,543 na ciwon daji na laryngeal (10,550 maza da mata 2880).
Laryngeal Cancer cututtuka
Magungunan da ke cikin kwayar cutar da aka fi sani da farko. Koda karamin canji a cikin sautin murya zai iya rinjayar murya. Bayanan lura, ciwon daji da magunguna na laryngeal-ko wadanda ke da ciwon daji a sama da kuma kasa da murya, a halin yanzu kamar yadda ake yiwa marigayi saboda yana da lokaci don waɗannan ciwace-ciwacen su girma sosai don hana karfin iska ta hanyar muryar murya. Saboda haka, mutanen da ke fama da ciwon sikila da kuma magungunan ƙwayoyin cuta na laryngeal suna nuna wa likitan da ke ci gaba da cutar.
Ga wasu yiwuwar bayyanar cututtuka na ciwon laryngeal:
- dysphagia (matsala cin abinci)
- ciwon bakin ciki
- jin zafi
- fata
- jiragen iska da kuma sulhuntawa
- nau'in jinsi (kimanin sau biyar maza da yawa suka inganta ciwon daji na laryngeal)
- tsufa (mutane a cikin 60s da 70s)
Bincike na Laryngeal Cancer
Da zarar likitan da ake zargi da cutar laryngeal, za ta yi cikakken jarrabawar jiki da wuyansa. Za a iya ganin ciwon daji na Laryngeal a cikin ofishin da ke amfani da laryngoscopy (tunanin madubi ko endoscope). Nazarin ilimin tunanin kamar CT da radiyo mai amfani yana da amfani a yayin da ake gano yiwuwar yaduwar cutar ciwon daji zuwa ƙwayoyin lymph da huhu ko kuma lokacin neman matakan metastases.
Jiyya da Fassarar Nuna Laryngeal Cancer
A lokacin da ake maganin ciwon daji na laryngeal, likitoci sunyi mafi kyau don kare yawancin larynx kuma suna murmushi kamar yadda zai yiwu, don kiyaye muryar da rage yawan nakasa. An shawo kan ciwon daji na Laryngeal tare da tiyata da radiation. Binciken daga jami'ar Duke ya nuna cewa cutar shan magani yana da amfani a lokacin da ake kula da ciwon daji na laryngeal.
Labaran na yau da kullum yana da kyau-musamman idan an gano shekarun-rai da shekaru biyar suna da kyau. A mataki na farko (ci gaba na) ciwon laryngeal, fiye da kashi 95 cikin dari na mutane suna da rai shekaru biyar bayan ganewar asali. A cikin ciwon daji na laryngeal, kashi 50 zuwa 60 cikin dari na rayuwa shekaru biyar bayan ciwon daji.
Abin takaici, duk da ingantaccen aikin fasaha da kuma sauyawar maganin zazzage a cikin shekaru 30 da suka gabata, ragowar yawan ciwon daji na laryngeal ba su inganta ba. Duk da haka, ciwon ƙwayar cuta ya inganta, tare da mutanen da ke samun magani ga ciwon daji na laryngeal da ke fama da rashin lafiya da rashin lafiya.
Babban mahimmanci don maganin ciwon daji na laryngeal shine ganowa da magani. Idan kana fuskantar duk wani bayyanar cututtuka da ke nuna alamun cutar ciwon laryngeal-mafi yawan ƙaddamarwa ko canje-canje a murya-don Allah yi alƙawari don ganin likitan ku. Ya kamata ka zama mai mahimmanci idan kun kasance fataucin lokaci mai tsawo (da kuma shan barasa). Koda yake damar da kowane mutum da aka ba shi yana da ciwo na laryngeal kuma zai buƙaci karin aikin gyare-gyare da magani daga likita (kamar likitan jinya na ENT ko mai ilimin likitancin ) ya ragu, yana da kyau ya kuskure a gefen taka tsantsan.
Sakamakon Zaɓuɓɓuka
Gidan AP, Tran TN, Sanfilippo NJ, DeLacure MD. Babi na 31. Tashin Lionsngeal M. A: Lalwani AK. eds. CURRENT Diagnostic & Treatment a Otolaryngology-Head & Neck Abun kamara, 3e . New York, NY: McGraw-Hill; 2012. Samun shiga Fabrairu 28, 2016.
Weinberger PM, Terris DJ. Otolaryngology: Hoto & Cikin Abun Hoto. A: Doherty GM. eds. CURRENT Diagnostic & Treatment: Tiyata, 14th . New York, NY: McGraw-Hill; 2015. Samun shiga Fabrairu 28, 2016.
Mataki mai taken "Cigaban chemotherapy da radiation idan aka kwatanta da aikin tiyata da radiation a marasa lafiya tare da ciwon daji na laryngeal" da GT Wolf da masu marubuta suka buga a NEJM a 1991.