Kenza yeTonsil? Zviratidzo, Zvinokonzera, & Kurapa

Kenza yeTonsil rudzi rwekenza inokura munyama dzematonsil ako, idzo dziri nhengo dze lymph dzine chimiro che oval dzakagara kumashure kwemhino yako. Iyi nyaya inowira muchikamu chikuru chekenza dzemusoro nemutsipa, kunyanya kenza yeoropharyngeal.

Kunzwa nezvekenza chero ipi zvayo kunogona kunzwa kusingafadzi, zvakakosha kuziva kuti kenza ye tonsil kazhinji inorapika zvikuru, kunyanya kana yakawanikwa nekukurumidza. Vanhu vazhinji vanorarama hupenyu hwese, hune hutano mushure mekurapa. Kunzwisisa zviratidzo uye kuziva nguva yekutsvaka rubatsiro kunogona kuita musiyano mukuru mubudiriro yako.

Ndezvipi zviratidzo zvekenza yeTonsil?

Zviratidzo zvepakutanga zvekenza ye tonsil zvinogona kuva zvishoma uye zvinganzwa zvakafanana nezvinetso zvegungu zvawakamboita kare. Zvisinei, musiyano mukuru ndewokuti zviratidzo izvi zvinowanzoenderera mberi uye zvinowedzera zvishoma nezvishoma nekufamba kwenguva.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Kurwadziwa kwenguva refu kwemhino kunorasikirwa nekurapa kwakajairika
• Kunetseka kana kurwadziwa pakumeza chikafu kana zvinwiwa
• Bumbiro rinonzwika kana guruva mumutsipa raunonzwa
• Kushanduka kwezwi rako, sekushoma kana kunzwika kwakadzika
• Kurwadziwa kwemhino kunoratidzika kusina hukama nehutachiona hwemhino
• Mweya wakaipa usingaite zvakanaka nekugadzirisa miromo
• Chidimbu chena kana tsvuku pamatonsil ako chisingaende

Zviratidzo zvisingawanzoitika asi zvichiripo zvinosanganisira kurasikirwa uremu kusina tsananguro, kukosora kwenguva refu, kana kunzwa kuti chimwe chinhu chakamira mumhino mako. Vamwe vanhu vanonzwawo ropa kubva mumuromo kana mhino, kunyange zvazvo izvi zvisingawanzoitiki mumamiriro ekutanga.

Chinhu chinoita kuti kenza ye tonsil ive yakaoma ndechekuti zviratidzo zvizhinji izvi zvinogona kutevedzera mamwe mamiriro akajairika senge strep throat kana tonsillitis. Chinhu chakakosha chekuyeuka ndechekuenderera mberi - kana zviratidzo izvi zvichitora nguva yakareba kupfuura mavhiki maviri pasina kugadziriswa, zvakakosha kuti uzviongorore nemunyanzvi wehutano.

Ndezvipi mhando dzekenza yeTonsil?

Kenza yeTonsil inonyanya kugoverwa zvichienderana nerudzi rwesero umo kenza inotanga. Rudzi rwakajairika ndiro squamous cell carcinoma, iyo inoumba anenge 90% yezvose kenza dze tonsil.

Squamous cell carcinoma inokura muma cell akapfava, akati sandara anogara pamusoro pematonsil ako. Rudzi urwu rwekenza runogona kugoverwa muzvikamu zviviri zvakakosha zvichienderana nezvinoikonzeresa. Kenza ye tonsil ine HPV inobatanidzwa nehuman papillomavirus uye inowanzoita zvakanaka pakurapa. Kenza isina HPV inowanzoenderana nekushandisa fodya nedoro.

Mhando dzisingawanzoitiki dzinosanganisira lymphoma, iyo inokura muma cell e immune mukati memukati memusoro. Izvi zvinomiririra chikamu chidiki chekenza dze tonsil asi zvinoda nzira dzakasiyana dzekurapa. Zvisingawanzoitiki, mamwe marudzi ekenza akadai se sarcomas kana maduku salivary gland cancers anogona kuitika munzvimbo ye tonsil.

Chii chinokonzera kenza yeTonsil?

Kenza yeTonsil inokura kana ma cell akajairika munyama dzematonsil ako achichinja muDNA yavo inoita kuti ikure zvisina kudzora. Kunyange zvazvo tisingagoni nguva dzose kuona kuti nei izvi zvichiitika kune mumwe munhu uye kwete kune mumwe, vatsvagiri vakawana zvinhu zvakati wandei zvinokosha zvinoita kuti njodzi iwedzere.

Chikonzero chakakosha mumakore achangopfuura chave kuve hutachiona nemamwe marudzi ehuman papillomavirus (HPV), kunyanya HPV-16. Uyu utachiona hunotapuriranwa pabonde hwave kuva chikonzero chikuru chekenza ye tonsil, kunyanya muvakuru vaduku. Mashoko akanaka ndeawo kuti kenza ye tonsil ine hukama neHPV kazhinji ine mibairo iri nani yekurapa.

Zvinhu zvinokonzera njodzi zvinoramba zvakakosha zvinosanganisira:

• Kushandisa fodya kwenguva refu chero rudzi rwakapiwa (mafuta, masigari, fodya yekukwiza)
• Kunwa doro zvakanyanya, kunyanya kana zvakasanganiswa nefodya
• Zera, nemazhinji acho achitika kune vanhu vane makore anopfuura 50
• Kuva murume (varume vane mukana wekuwana kenza ye tonsil katatu kusvika kana mana kupfuura vakadzi)
• Kusachengeta miromo zvakanaka uye hutano hwemeno

Mamwe maitiro asingawanzoitiki anosanganisira kuiswa kune zvimwe zvinhu zvakasvibisa kana mwaranzi, immune system yakasimba, uye zvichida genetic predisposition. Zvisinei, zvakakosha kunzwisisa kuti kuva nezvinhu zvinokonzera njodzi hazvirevi kuti iwe uchava nekenza zvirokwazvo - vanhu vazhinji vane zvinhu zvinokonzera njodzi havambofi vakawana chirwere ichi.

Rini unofanira kuona chiremba nezviratidzo zvekenza yeTonsil?

Unofanira kubata nemunyanzvi wehutano hwako kana uine zviratidzo zvemhino zvinogara kwenguva yakareba kupfuura mavhiki maviri pasina kugadziriswa. Nguva iyi yakakosha nekuti zvirwere zvakawanda zvemhino uye kukwenya zvinogadziriswa mukati menguva iyi.

Rongedza musangano nekukurumidza kana ukaona kurwadziwa kwenguva refu kwemhino pamwe nekunetseka kumeza, kunyanya kana uinewo kurwadziwa kwemhino kana bumbiro mumutsipa. Aya masanganiswa ezviratidzo anoda kuongororwa nemunyanzvi kunyange zvazvo zvichinzwa zvishoma.

Tsvaka rubatsiro rwekurapa nekukurumidza kana uine kunetseka kukuru kumeza kunokuvadza kudya kana kunwa, kunetseka kufema, kana ropa kubva mumuromo kana mhino. Kunyange zvazvo zviratidzo izvi zvisingawanzoitiki, zvinoda kuongororwa nekukurumidza.

Usanetseka kuona chiremba wako kunyange kana usingazivi kana zviratidzo zvako zvakakomba zvakakwana. Vanyanzvi vehutano vanoda kuongorora zviratidzo zvinoratidzika kuva zvisina njodzi kupfuura kupotsa mukana wekuona nekukurumidza uye kurapa.

Ndezvipi zvinhu zvinokonzera njodzi ye kenza yeTonsil?

Kunzwisisa zvinhu zvinokonzera njodzi kunogona kukubatsira kuita sarudzo dzakachenjera nezvehutano hwako uye kuziva nguva yekuve wakangwarira nezviratidzo. Zvisinei, yeuka kuti kuva nezvinhu zvinokonzera njodzi hazvivimbiswi kuti uchava nekensa, uye vamwe vanhu vasina chero chinhu chinozivikanwa chinokonzera njodzi vachiri kuwana chirwere ichi.

Zvinhu zvinokonzera njodzi zvakakosha zvinosanganisira:

• Hutachiona hweHPV, kunyanya HPV-16 neHPV-18 strains
• Kushandisa fodya chero rudzi, kusanganisira kusvuta uye fodya isina kusvuta
• Kunwa doro zvakanyanya (kupfuura 3-4 zvinwiwa pazuva)
• Kuva murume uye ane makore anopfuura 50
• Kuva nevakaroorana vakawanda (kuwedzera njodzi yekuiswa kweHPV)
• Kusachengeta miromo zvakanaka uye chirwere chegumbo
• Immune system yakasimba kubva pakurwara kana mishonga

Mamwe maitiro anogona kuwedzera njodzi zvishoma anosanganisira kudya kusina michero nemiriwo, kuiswa kwemwaranzi kare kumusoro nemutsipa, uye mamwe mamiriro e genetic. Nzvimbo ye geographical inogona zvakare kutamba basa, nehuwandu hwakakwirira huchiwanikwa munzvimbo dzakati nekuda kwemaitiro ehupenyu.

Zvakakosha kucherechedza kuti profile yenjodzi ye kenza ye tonsil yakanga ichichinja. Kunyange zvazvo zvinhu zvakajairika senge fodya nedoro zvichiri kukosha, zviitiko zvine hukama neHPV zviri kuwedzera, kunyanya pakati pevaduku, vanhu vasina kusvuta.

Ndezvipi zvinogona kuitika zvinetso zvekenza yeTonsil?

Kana kenza ye tonsil yakawanikwa nekukurumidza uye yakarapwa zvakakodzera, vanhu vazhinji vanowana mibairo yakanaka ine zvishoma zvinokonzerwa nehupenyu hurefu. Zvisinei, senge chero mamiriro ezvokurapa akakomba, kunogona kuva nezvinetso kubva pakenza pachayo kana kubva pakurapa.

Zvinetso kubva pakenza isina kurapwa kana yakakomba ye tonsil zvinogona kusanganisira:

• Kupararira kune lymph nodes iri pedyo mumutsipa
• Kuwedzera kune dzimwe nzvimbo dzemhino, rurimi, kana jaw
• Kunetseka kudya, kumeza, kana kutaura
• Kurwadziwa kwenguva refu kwemhino, mutsipa, kana mhino
• Kunetseka kufema kana tumor ikakura
• Matambudziko ekudya nekuda kwekunetseka kudya

Zvinetso zvine hukama ne kurapa zvinogona kusanganisira kuchinja kwenguva pfupi kana kwenguva refu kutaura, kunetseka kumeza, muromo wakaoma, matambudziko emazino, uye mutsipa wakaoma kubva pakuvhiya kana mwaranzi. Vamwe vanhu vanogona kunzwa kuneta, kuchinja kwe ganda, kana matambudziko epfungwa panguva yekurapa.

Mashoko akanaka ndeawo ekuti zvakawanda zvinokonzerwa ne kurapa zvinowedzera nekufamba kwenguva, uye mabasa ekugadzirisa anogona kukubatsira kugadzirisa chero kuchinja kwenguva refu. Timu yako yekurapa ichaita newe kuderedza zvinetso uye kutsigira kupora kwako mukati mebasa rese.

Kenza yeTonsil inogona kudzivirirwa sei?

Kunyangwe usingagone kubvisa zvachose njodzi yako yekuwana kenza ye tonsil, kune matanho akakosha aunogona kutora kuderedza zvikuru mikana yako. Mazano mazhinji aya anobatsirawo hutano hwako hwese nenzira dzakawanda.

Mazano ekudzivirira anoshanda zvikuru anosanganisira kuwana jekiseni reHPV kana uri kukodzera. Jekiseni iri rinoshanda zvikuru kana rapihwa usati wawana utachiona, kazhinji rinokurudzirwa kune vechidiki, asi rinogona kuva rakakosha kune vakuru kusvika kumakore makumi mana nemashanu mune dzimwe nguva.

Kuchinja kwemararamiro kunogona kubatsira kuderedza njodzi yako kunosanganisira:

• Kudzivisa fodya mune zvimiro zvese, kana kusiya kana iwe uchishandisa ikozvino
• Kuderedza kunwa doro kusvika pamwero wakakodzera
• Kuita bonde rakakodzera kuderedza njodzi yekutapurirana kweHPV
• Kuchengeta miromo zvakanaka nekugara uchiburitsa uye uchichenesa
• Kudya kudya kwakapfuma mumichero nemiriwo
• Kuita bvunzo dzemazino dzakajairika uye kuchenesa

Kana uri munhu anorara nevamwe, kuva nehurukuro dzakavhurika nemudiwa wako nezvehutano hwepamoyo uye kuwana bvunzo dzakajairika dzehutachiona hunotapuriranwa pabonde kunogona zvakare kuva kunobatsira. Yeuka kuti HPV yakajairika kwazvo, uye vanhu vazhinji vanoiwana havambofi vakawana kenza.

Kenza yeTonsil inoziviswa sei?

Kuziva kenza ye tonsil kazhinji kunotanga nekuti chiremba wako anotora nhoroondo yakakwana yezvokurapa uye anoita bvunzo yakakwana yemuromo wako, mhino, nemutsipa. Vachakubvunza nezvezviratidzo zvako, kuti wakazviwana kwenguva yakareba sei, uye chero zvinhu zvinokonzera njodzi zvaunogona kuva nazvo.

Panguva yebvunzo yemuviri, chiremba wako acharatidza mukati memuromo mako nemhino, zvichida achishandisa girazi diki kana scope inogona kubatsira kuona zvakanaka matonsil ako nenzvimbo dziri pedyo. Vachazunzawo mutsipa wako kune chero lymph nodes yakakura inogona kuratidza kuti kenza yakapararira.

Kana chiremba wako akawana chimwe chinhu chinotyisa, vangave vachida bvunzo dzakawedzerwa:

• Biopsy kubvisa sampuli diki yenyaya yekuongorora pasi pe microscope
• CT scan kana MRI kuona saizi uye huwandu hwe tumor
• PET scan kuona kana kenza yakapararira kune dzimwe nzvimbo dzemuviri wako
• HPV bvunzo kuona kana kenza ine hukama neHPV
• Bvunzo dzeropa kuona hutano hwako hwese

Biopsy ndiyo bvunzo inoratidza kuti kenza iripo uye rudzi rwayo. Iyi nzira inogona kazhinji kuitwa muhofisi yechiremba ne local anesthesia, kunyange zvazvo dzimwe nguva inoda nzira pfupi yekunze.

Kurapa kwekenza yeTonsil ndechii?

Kurapa kenza ye tonsil kunoenderana nezvinhu zvakati wandei kusanganisira nhanho yekenza, nzvimbo yayo, hutano hwako hwese, uye zvaunoda. Mashoko akanaka ndeawo ekuti kenza ye tonsil kazhinji inopindura zvakanaka pakurapa, kunyanya kana yakawanikwa nekukurumidza.

Sarudzo huru dzekurapa dzinosanganisira kuvhiya, radiation therapy, uye chemotherapy, kazhinji inoshandiswa pamwe chete. Kuvhiya kunogona kusanganisira kubvisa tonsil yakabatwa uye zvichida lymph nodes dziri pedyo. Kune kenza yepakutanga, izvi zvingave chete kurapa kunodiwa.

Chirongwa chako chekurapa chingasanganisira:

• Kuvhiya kubvisa tumor uye lymph nodes dzakabatwa
• Radiation therapy kuratidza ma cell ekensa nema beams ane simba rakakura
• Chemotherapy kuparadza ma cell ekensa mumuviri wako wese
• Mishonga inoratidza ma cell ekensa chaiwo
• Immunotherapy kubatsira immune system yako kurwisa kenza

Kune kenza yakakomba, nzira yakasanganiswa kazhinji inoshanda zvikuru. Semuenzaniso, unogona kuve nekuvhiya kunoteverwa ne radiation therapy, kana kuwana chemotherapy ne radiation pamwe chete. Kenza ye tonsil ine HPV kazhinji inopindura zvakanaka pakurapa.

Timu yako yekurapa ichaita newe kugadzira chirongwa chekurapa chakagadzirirwa iwe chinoenzanisa kushanda nekuona zvinhu zvakanaka. Vachakuudza nezve sarudzo imwe neimwe zvakakwana uye kukubatsira kunzwisisa zvaunofanira kutarisira panguva yekurapa.

Nzira yekugadzirisa sei zviratidzo panguva yekurapa kenza yeTonsil?

Kubata nezviratidzo nezvinokonzerwa ne kurapa chikamu chakakosha chechirongwa chako chekurapa. Timu yako yekurapa ichapa mazano chaiwo, asi kune mazano akati wandei anogona kukubatsira kunzwa zviri nani panguva yekurapa.

Kune kurwadziwa kwemhino uye kunetseka kumeza, chikafu chinyoro, zvinwiwa zvemukati, uye kudzivisa chikafu chinopisa kana chisina kunaka zvinogona kubatsira. Mishonga yekurwadziwa yakanyorwa nachiremba wako inofanira kunwiwa sezvakarayirwa kuti urambe uri kure nekusagadzikana.

Mazano ekugadzirisa anoshanda anosanganisira:

• Kudya zvishoma, zvokudya zvakawanda pane zvikuru
• Kushandisa humidifier kuchengetedza mweya wakanyorova
• Kuita kuchenesa kwemhino zvinyoro-nyoro nezvinhu zvisina doro
• Kuchengetedza mvura yakakwana nemvura, broths, nezvinwiwa zvine zvinovaka muviri
• Kuwanisa zororo rakakwana uye hope
• Kuita maekisesaizi akapfava sezvakakurudzirwa netimu yako

Usanetseka kusvika kune timu yako yekurapa nezve chero zviratidzo kana zvinetso. Vanogona kazhinji kupa mishonga yakawedzerwa kana mazano ekubatsira kubata nematambudziko chaiwo. Nzvimbo dzakawanda dzekurapa dzinewo vanachiremba vezvokudya, vashandi vemagariro, uye vamwe nyanzvi vanogona kupa rutsigiro rwakawedzerwa.

Unofanira kugadzirira sei musangano wako nachiremba?

Kugadzirira musangano wako kunogona kukubatsira kuita zvakanyanya panguva yako nemunyanzvi wehutano hwako uye kuve nechokwadi chekuti zvinetso zvako zvese zvakagadziriswa. Tanga nekugadzira zviratidzo zvako zvese, pavakatanga, uye kuti vakachinja sei nekufamba kwenguva.

Gadzira runyorwa rwemishonga yese yaunotora ikozvino, kusanganisira mishonga yekutengesa, mavhitamini, uye zvinowedzerwa. Uyewo,unganidza ruzivo nezvenhoroondo yako yezvokurapa, kusanganisira chero kenza yapfuura, kuvhiya, kana zvirwere zvakakomba.

Zvinhu zvakakosha zvekuunza kana kugadzirira:

• Runyorwa rwezviratidzo zvako uye pavakatanga
• Mishonga yese iripo uye dosages
• Makadhi einishuwarenzi uye zvinhu zvinozivikanwa
• Runyorwa rwemibvunzo yaunoda kubvunza
• Ruzivo rwekutaurirana kune vamwe vanachiremba vaunoona
• Shamwari yakavimbika kana nhengo yemhuri yekutsigira

Funga kuunza mumwe munhu newe kumusangano wekutsigira mwoyo uye kubatsira yeuka ruzivo rwakakosha. Kuva nemunhu mumwe chete ipapo kunogona kubatsira zvikuru kana wakagamuchira nhau dzinoshamisa kana ruzivo rwakaoma rwekurapa.

Usatya kubvunza mibvunzo kana kukumbira kujeka nezve chero chinhu chisinganzwisisiki. Munyanzvi wehutano hwako anoda kuve nechokwadi chekuti une ruzivo rwese rwaunoda kuita sarudzo dzakachenjera nezve kurapa kwako.

Chii chinonyanya kukosha nezvekenza yeTonsil?

Chinhu chakakosha chekuyeuka nezvekenza ye tonsil ndechekuti kuona nekukurumidza uye kurapa kunogona kutungamira kumibairo yakanaka kune vanhu vazhinji. Kunyange zvazvo kugamuchira chirwere chekenza zvichitya, kenza ye tonsil kazhinji inorapika zvikuru, kunyanya kana yakawanikwa mumamiriro ekutanga.

Cherechedza zviratidzo zvinogara zvisingakurire mushure memavhiki maviri, kunyanya kurwadziwa kwenguva refu kwemhino, kunetseka kumeza, kana mabumbiro mumutsipa. Aya zviratidzo hazvirevi kuti une kenza, asi anoda kuongororwa nemunyanzvi.

Mazano ekudzivirira senge kudzivisa fodya, kuderedza doro, kuita bonde rakakodzera, uye kuwana jekiseni reHPV kana zvakakodzera zvinogona kuderedza njodzi yako zvikuru. Kuchenesa kwemhino zvakanaka uye kuchenesa kwemazino kwakajairika zvinokoshawo mukuchengetedza hutano hwako hwese hwemhino.

Kana wakaziva kenza ye tonsil, yeuka kuti hausi wega mune rwendo urwu. Kurapa kwazvino kwakanyanya kushanda uye kusina kuoma kupfuura kare, uye mabasa ekutsigira akakwana aripo kukubatsira mukati mekurapa nekupora.

Mibvunzo inobvunzwa kazhinji nezvekenza yeTonsil

Kenza yeTonsil inokonzerwa nguva dzose neHPV here?

Kwete, kenza ye tonsil haisi nguva dzose inokonzerwa neHPV, kunyange zvazvo HPV yave chikonzero chikuru mumakore achangopfuura. Zvikonzero zvakajairika senge fodya nekushandisa doro zvichiri kuita chikamu chakakosha chezviitiko. Kenza ye tonsil ine HPV inowanzoita zvakanaka pakurapa uye inowanzoitika muvaduku, vanhu vasina kusvuta.

Unogona kurarama hupenyu hwakajairika mushure mekurapa kenza yeTonsil here?

Vanhu vazhinji vanorarama hupenyu hwese, hwakajairika mushure mekurapa kenza ye tonsil. Kunyange zvazvo vamwe vanogona kuva nezvinokonzerwa nehupenyu hurefu senge kuchinja kutaura kana kumeza, mabasa ekugadzirisa anogona kukubatsira kugadzirisa. Huwandu hwemhedzisiro yenguva refu kunoenderana nezvinhu senge nhanho yekenza, rudzi rwekurapa rwakagamuchirwa, uye mhinduro yekupora yega yega.

Kenza yeTonsil inopararira nekukurumidza sei?

Kenza yeTonsil inogona kusiyana pakukurumidza kwainokura uye inopararira. Kenza ine HPV inowanzo kukura zvishoma nezvishoma kupfuura dzisina HPV. Dzidzo dzimwe dzinogona kuramba dziri munzvimbo kwemwedzi, nepo dzimwe dzinogona kupararira ku lymph nodes iri pedyo nekukurumidza. Ndokusaka zviratidzo zvinogara kwenguva yakareba kupfuura mavhiki maviri zvinofanira kuongororwa nekukurumidza.

Chii chiyero chekupona chekenza yeTonsil?

Mwero wekupona wekenza ye tonsil kazhinji unokurudzira, kunyanya kune kenza yepakutanga uye kenza ine HPV. Mwero wekupona kwemakore mashanu unogona kuva 80-90% kana kupfuura kune kenza yepakutanga. Zvisinei, mhedzisiro yega yega inoenderana nezvinhu zvakawanda kusanganisira nhanho pakuziva, hutano hwese, uye mhinduro yekurapa. Chiremba wako anogona kupa ruzivo rwakakosha zvichienderana nemamiriro ako chaiwo.

Ndinofanira kunetseka here kana tonsil imwe chete yakazvimba?

Tonsil imwe yakazvimba hairevi kuti kenza, sezvo izvi zvinogona kuitika nezvirwere kana mamwe mamiriro asina njodzi. Zvisinei, kana kuzvimba kuchigara kwenguva yakareba kupfuura mavhiki maviri, kuchisanganiswa nezvimwe zviratidzo senge kurwadziwa kwenguva refu kwemhino kana kunetseka kumeza, kana ukaona chero mabumbiro asingawanzoitika kana zvidimbu, zvakakosha kuti uzviongorore nemunyanzvi wehutano kuti uve nechokwadi.