Nyob rau hauv tsab xov xwm no, peb yuav saib thawj cov tsos mob ntawm caj pas.
Qhov no yog ib yam kab mob ntau heev, txawm li cas los xij, nws tsis tuaj yeem hais tias nws yog cov thawj coj ntawm lwm cov qog nqaij hlav. Qhov tshwm sim ntawm hom mob qog noj ntshav no yog kwv yees li 8%, thiab feem ntau cov qog no pom muaj nyob rau hauv cov txiv neej laus, cov neeg haus luam yeeb thiab cov neeg uas muaj mob heev ntawm lub ntsws. Hauv cov poj niam, qhov mob qog noj ntshav ntawm caj pas tsis tshua muaj tshwm sim.
Dab tsi yog thawj cov tsos mob thiab cov tsos mob ntawm caj pas? Hauv daim duab hauv kab lus koj tuaj yeem pom qhov twg cov qog tsim.
Qhov kev pheej hmoo ntawm pathology nce ntau hauv cov neeg haus luam yeeb, tsis hais poj niam txiv neej thiab hnub nyoog. Tsis tas li ntawd, nws tau sau tseg tias cov neeg nyob hauv nroog loj raug mob qog nqaij hlav ntawm lub ntsws ntau dua li cov neeg nyob hauv cov zos.
Cov tsos mob ntawm caj pas yog dab tsi?
Ib tus kab mob nyob rau theem pib ntawm txoj kev loj hlob tsis txawv los ntawm qhov tshwm sim ntawm cov tsos mob tshwj xeeb, yog li ntawd, lub sijhawm ntev nws tuaj yeem nkaum hauv qhov kev qhia ntawm ntau yam txheej txheem inflammatory, uas ua rau ncua kev kuaj mob thiab teeb meem hauv kev kho mob.
Factorspheej hmoo thiab mob precancerous
Malignant neoplasms feem ntau tsim tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem pathological uas twb muaj lawm lossis nyob rau hauv kev cuam tshuam ntawm lwm yam tsis zoo.
Ntawm cov kev pheej hmoo, cov tseem ceeb yog:
- Kev haus luam yeeb, uas lub sijhawm ua rau muaj kev pheej hmoo mob qog noj ntshav.
- Ua haujlwm hauv kev lag luam phom sij - nyob rau hauv cov xwm txheej ntawm plua plav, roj paug, kub lossis qis.
- Kev siv dej cawv, cov vapors uas ua rau lub plab mucous ntawm lub larynx.
- Ntau lub suab nrov heev ntawm cov neeg hu nkauj thiab cov kws qhia.
Hloov pauv uas yuav ua ntej cov tsos mob thiab cov tsos mob ntawm caj pas:
- Cov ntawv mob ntev ntawm laryngitis, tshwj xeeb tshaj yog nyob rau hauv cov mob ntawm mucosal hyperplasia.
- papilloma ntawm larynx.
- Leukoplakia - tsim ntawm thaj chaw ntawm keratinization ntawm mucosa, nrog rau lwm yam kev hloov dystrophic tiv thaiv keeb kwm yav dhau ntawm cov txheej txheem mob ntev.
- Pachydermia.
Papilloma ntawm lub larynx thiab epithelial dysplasia, nrog rau lwm yam kev hloov hauv cov mucous daim nyias nyias, yog ib qho mob precancerous uas feem ntau hloov mus ua qog nqaij hlav malignant.
Cov tsos mob ntawm mob qog noj ntshav ntawm caj pas thiab lub caj pas yog qhov tseem ceeb kom paub txog lub sijhawm.
Txoj kev tsim thiab qauv ntawm caj pas qog
Tus yam ntxwv tseem ceeb ntawm cov qog qog nqaij hlav hauv caj pas yog nws cov qauv histological. Txij li feem ntau ntawm cov hlab ntaws yog them nrog stratified epithelium, uas dhau los ua qhov chaw ntawm neoplasia, feem ntau hom mob qog noj ntshav. Hauv qhov no, squamous, keratinized lossis non-keratinized.
Daim duab ntawm cov tsos mob ntawm mob qog noj ntshav ntawm caj pas thiab lub ntsws yog nthuav tawm hauv qab no.
Thaum cov hlwb ntawm cov qog nqaij hlav qog nqaij hlav tau tsim mus rau theem uas nrog los ntawm kev tsim cov tshuaj horny, keratinizing cancer tshwm sim. Nws yog suav hais tias yog qhov sib txawv ntawm qhov sib txawv, uas tshwm sim los ntawm kev loj hlob qeeb thiab tom qab metastasis. Qhov kev cia siab rau tus neeg mob hauv qhov xwm txheej no kuj yog qhov zoo.
Thaum cov hlwb tsis zoo tsis tsim cov tshuaj horny, peb tab tom tham txog kev mob qog noj ntshav tsis zoo uas tsis yog keratinized. Qhov kev sib txawv no yog tus cwj pwm los ntawm kev loj hlob sai thiab metastasis thiab, vim li ntawd, qhov kev tshwm sim tsis zoo.
Cov tsos mob thiab cov tsos mob ntawm lub caj pas tuaj yeem txhim kho ob qho tib si exophytically thiab infiltratively, tob rau hauv cov ntaub so ntswg thiab tsis cuam tshuam cov mucosal nto ntawm qhov pib ntawm kev loj hlob.
Thaj chaw vestibular feem ntau cuam tshuam. Qhov no localization ntawm cov qog ntawm lub larynx yog suav hais tias yog qhov tsis zoo tshaj plaws nyob rau hauv cov nqe lus ntawm metastasis thiab cov chav kawm tom ntej. Tsawg me ntsis, cov qog loj hlob nyob rau hauv nruab nrab thiab tsis tshua muaj - nyob rau hauv qis qis.
Lub vestibular localization ntawm neoplasm yog tus cwj pwm los ntawm metastasis sai, txij li lub tuam tsev no muaj ntau cov fiber ntau thiab tsim kev sib txuas ntawm cov hlab ntsha lymphatic. Los ntawm lawv, cov kab mob pathological ncav cuag cov qog ntshav hauv cheeb tsam. Tsis tas li ntawd, feem ntau cov qog no pom nyob rau hauv cov theem siab, uas yog ncaj qha ntsig txog cov tsos mob uas tsis yog tshwj xeeb uas zais tus kab mob nyob rau hauv lub guise ntawm pharyngitis.
Hauv ntu nruab nrab, mob qog noj ntshav tau pom tsawg dua, thiab qhov chaw no tuaj yeem suav tias yog qhov zoo. Cov qog nyob rau hauv cov ntaub ntawv no yog unilateral thiab cuam tshuam rau lub suab cords. Nws loj hlob nyob rau hauv daim ntawv ntawm ib tug bumpy tsim, uas nws thiaj li ulcerates thiab ua o nrog overlays ntawm fibrin, uas muab cov qog ib tug dawb tint. Raws li qhov mob hnyav zuj zus, kev txav mus los ntawm lub suab folds raug txwv mus rau lawv qhov kev tsis tuaj yeem kiag li.
Raws li cov metastasis ntawm oncology ntawm lub larynx, nws qhov kev siv zog nyob ntawm lub hnub nyoog ntawm tus neeg mob - tus hluas nws yog, nws tshwm sim sai dua.
Cov tsos mob ntawm caj pas mob qog noj ntshav txawv raws theem.
Stages
txhawm rau txiav txim siab txog theem ntawm cov qog qog nqaij hlav hauv lub caj pas, tus kws kho mob oncologist siv cov kev faib tawm TNM ib txwm, uas feem ntau qhia qhov tseeb ntawm cov txheej txheem malignant. Lub cim T qhia qhov chaw ntawm cov qog thiab nws qhov loj me, N - hloov pauv hauv cov qog ntshav qog, M - qhov muaj lossis tsis muaj metastases. Raws li qhov no, nws tuaj yeem txiav txim siab txog theem ntawm cov txheej txheem mob qog noj ntshav, uas suav nrog:
- Thawj theem. Cov tsos mob ntawm caj pas yog mob me los yog tsis muaj nyob. Nws yog tus cwj pwm los ntawm qhov me me ntawm cov qog, uas tsis ncav cuag ciam teb ntawm qhov chaw anatomical ntawm lub larynx thaum tsis muaj metastases.
- Nyob rau theem thib ob, qhov tsim tau nyob hauv tag nrho lub tuam tsev thiab mus txog nws cov ciam teb, txawm li cas los xij, metastasis tseem tsis tau pom.
- Thaum lub sijhawm thib peb, kev tsim muaj peev xwm mus dhau lub caj pas thiab loj hlob mus rau hauvcov ntaub so ntswg nyob sib ze. Tib lub sijhawm, muaj qhov nce hauv cov qog ntshav hauv cheeb tsam thiab qee zaum nyob deb ntawm metastases.
- Nyob rau theem plaub ntawm cov txheej txheem oncological, pom muaj nyob deb ntawm metastasis, tsis hais qhov loj ntawm cov qog thiab qhov xwm txheej ntawm kev puas tsuaj rau cov qog nqaij hlav. Cov tsos mob ntawm caj pas mob cancer tau hais.
Cov tsos mob ntawm caj pas caj pas
Cov cim tseem ceeb ntawm kev mob qog noj ntshav hauv cheeb tsam no tsis txawv ntawm qhov tshwj xeeb thiab qhov hnyav ntawm cov tsos mob, tshwj xeeb tshaj yog nyob rau theem pib ntawm kev loj hlob, yog li cov neeg mob feem ntau tsis maj mus ntsib kws kho mob.
Kev hloov pauv uas kho tsis tau thiab txawm mob hnyav ua rau tib neeg tseem nrhiav kev pab kho mob.
Cov tsos mob feem ntau ntawm caj pas caj pas thaum ntxov yog:
- dryness hauv nasopharynx, tsis yooj yim thaum nqos, hnov mob caj pas;
- suab hloov.
Cov cim no feem ntau pom nyob rau hauv cov neeg mob uas muaj mob pharyngitis lossis laryngitis, nrog rau cov neeg haus luam yeeb ntev thiab cov neeg laus. Cov kev tshwm sim no tuaj yeem zais qhov muaj cov txheej txheem tsis zoo rau lub sijhawm ntev.
Tom qab, cov tsos mob zoo sib xws ntawm mob qog noj ntshav hauv caj pas thiab lub caj pas tau koom nrog cov mob uas nyob mus ib txhis thiab tuaj yeem tawg mus rau pob ntseg, thiab hauv cov xwm txheej siab, muaj qhov tshwm sim ntawm mob qog noj ntshav thiab cachexia.
mob qog noj ntshav thaum ntxov hauv caj pas yog qhov tshwm sim ntawm cov tsos mob no, nrog rau muaj cov qog zoo li neoplasm hauv lub larynx, uas tau txiav txim siab siv laryngoscopy.
Cov tsos mob ntawm caj pas mob qog noj ntshav hauv cov poj niam thiab txiv neej yog txiav txim los ntawm qhov chaw ntawm neoplasia hauv ib qholos ntawm nws qhov chaw. Yog li, thaum lub sij hawm tsim ntawm ib tug malignant neoplasm nyob rau hauv lub Upper ib feem, cov tsos mob zoo li pharyngitis tshwm sim: dryness, nyuaj rau nqos, ib tug xav tias muaj ib tug txawv teb chaws lub cev, thiab hws. Tom qab ntawd, cov kab mob tuaj yeem tshwm sim thiab cov ntaub so ntswg ntawm qhov tsim yuav tawg, uas yog vim li cas cov ntxhiab tsw ntawm lub qhov ncauj thiab cov ntshav hauv cov hnoos qeev sib cais los ntawm hnoos feem ntau pom.
Tab sis txij li feem ntau tsis muaj cov tsos mob ntawm caj pas thaum ntxov, cov kab mob tau kuaj pom raws nraim thaum qhov tshwm sim twb tau hais.
Neoplasia, uas tshwm sim nyob rau hauv nruab nrab ntu, feem ntau cuam tshuam rau lub suab qaum, thiab thawj cov cim qhia ntawm tus kab mob yog kev ua txhaum ntawm kev hais lus: kev hloov ntawm lub suab ntawm lub suab, hoarseness, thiab qee zaum ua tsis tiav. ntawm lub suab. Nyob rau hauv cov ntaub ntawv ntawm exophytic kev loj hlob ntawm ib tug malignant qog, ua pa tsis ua hauj lwm tej zaum yuav raug soj ntsuam, thiab yog hais tias lub qog loj hlob mus rau hauv lub caj dab, nyuaj rau nqos.
Thaum cov qog loj zuj zus nyob rau hauv ib feem ntawm lub larynx, tshwj xeeb tshaj yog nrog kev loj hlob ntawm metastases, muaj cov tsos mob ntawm intoxication, tsis qab los noj mov, neeg poob phaus thiab ua tsis taus pa. Kev mob ntxiv rau cov tsos mob no, tus cwj pwm los ntawm cov qog loj hlob mus rau cov ntaub so ntswg nyob sib ze, nrog rau kev puas tsuaj rau cov hlab ntsha, paj hlwb thiab pob txha mos.
Nrog ntxiv kev loj hlob ntawm neoplasm, nws tuaj yeem loj hlob mus rau hauv txoj hlab pas, uas feem ntau nrog dysphagia thiab plab zom mov.
Cov tsos mob ntawm caj pas qog nqaij hlav hauv poj niam
Kev sab laj nrog kws kho hniav lossis tus kws kho mob otolaryngologist yog qhov yuav tsum tau ua yog tias tsawg kawg peb ntawm cov tsos mob tau piav qhia hauv qab no tshwm sim (muab tiastias lawv tsis mus tom qab 10-14 hnub): hoarseness ntawm lub suab (qee zaum - ua tiav poob); hnoos hnoos tsis muaj expectoration; kev xav ntawm "pob" hauv caj pas; nyuaj nqos qaub ncaug los yog zaub mov (txawm tias cov kua dej sib xws); muaj cov ntshav streaks hauv cov qaub ncaug, hnoos qeev lossis qhov ntswg qhov ntswg; hnov mob caj pas yam tsis muaj tsos mob khaub thuas; mob hnyav nyob rau hauv cov ntaub so ntswg ntawm caj dab; nce lymph nodes nyob rau hauv lub ncauj tsev menyuam cheeb tsam; ua txhaum ntawm kev ua hauj lwm ntawm saj buds; iab saj hauv qhov ncauj; mob caj pas (reminiscent ntawm qhov mob nyob rau hauv ib tug mob caj pas); mob pob ntseg (tejzaum nws tsis hnov lus thiab ua tiav lag ntseg); ua tsis taus pa; Ua tsis taus pa (luv, nres, ua pa nyuaj).
Kev kuaj kab mob
Zoo li cov qog nqaij hlav qog nqaij hlav hauv caj pas yuav tsum tau kuaj kom sai li sai tau, vim tias qhov no tsuas yog ua tau kom ua tiav cov txiaj ntsig zoo los ntawm kev kho mob.
Yog tias cov tsos mob ntawm caj pas mob qog noj ntshav tshwm sim thaum ntxov, koj yuav tsum mus ntsib tus kws kho mob ENT uas yuav sau tag nrho cov kev kuaj mob tsim nyog. Kev kuaj mob ntawm pharynx tso cai rau koj los tsim qhov tseeb ntawm qhov tshwm sim ntawm ib qho neoplasm. Tus kws kho mob them nyiaj tshwj xeeb rau cov mob ntawm cov qog nqaij hlav hauv tsev menyuam, ib qho kev nce ntxiv uas yog thawj lub cim ntawm kev mob qog noj ntshav. Nrog kev pab ntawm palpation, lawv qhov sib xws, qhov loj thiab txav tau raug txiav txim siab. Raws li cov qog loj hlob tuaj, cov qog ntshav qog ua kom tuab, nce ntxiv, thiab lawv qhov kev hloov pauv tsis zoo tau pom zoo kom ua tiav kev kho hauv cov ntaub so ntswg.
Txoj hauv kev tseem ceeb rau kev kuaj mob cov tsos mob thiab cov cim qhia ntxov ntawm mob qog noj ntshav yog losIb theem pib yog laryngoscopy, uas tso cai rau koj pom cov qog hauv thaj tsam vestibular, nrog rau ntawm lub suab folds. Rau kev kuaj mob kom ntxaws ntxiv, laryngoscopy yog ntxiv los ntawm kev siv lub tshuab kuaj kab mob (microlaryngoscopy).
Ntau zaus, txhawm rau kuaj xyuas cov tsos mob ntawm caj pas thaum ntxov, kev tshawb fawb X-ray, CT thiab MRI tau siv, uas tso cai rau kev ntsuam xyuas tus mob ntawm caj pas hauv ntau qhov projections.
Histology yog ib qho yuav tsum tau ua ntawm kev ntsuas ntsuas. Thaum lub xub ntiag ntawm ib tug malignant neoplasm yog txiav txim thaum lub sij hawm laryngoscopy, tab sis histological kev ntsuam xyuas tsis paub meej tias nws, ib tug thib ob biopsy yuav ua tau. Cov xwm txheej zoo li no tuaj yeem cuam tshuam nrog kev kuaj pom ntawm cov khoom siv lom neeg, nrog rau muaj qhov mob hauv cov qog thiab nws cov kev sib txuas nrog cov kab mob sib kis, piv txwv li, tuberculosis.
Thawj cov tsos mob ntawm caj pas mob qog noj ntshav hauv daim duab uas tau nthuav tawm hauv kab lus qhia txog thaj tsam ntawm qhov chaw ntawm tus kab mob.
Yog tias tom qab kuaj ntshav kuaj peb zaug nws tsis tuaj yeem tsim kev kuaj mob, tus neeg mob raug tshem tawm ntawm cov qog (ib nrab lossis tag nrho) thiab xa mus rau kev kuaj mob sai. Yog tias qhov kev kuaj mob tau txiav txim siab, kev ntsuas kev phais txuas ntxiv nrog kev tshem tawm ntawm lub larynx raws li cov cuab yeej siv los kho cov kab mob no.
Txawm hais tias muaj ntau yam kev kuaj mob me me rau kev txiav txim siab mob qog noj ntshav, nws qhov kev tshawb pom ntxov yog qhov ua tau.
Yuav ua li cas yog tias cov tsos mob ntawm caj pas kuaj pom thaum ntxov thiab qib siab?
Muaj peev xwm thiab hom kev kho mob qog noj ntshav laryngeal
Kev kho tus kab mob no yog ib txoj haujlwm nyuaj heev, tshwj xeeb tshaj yog thaum nws los txog rau cov mob hnyav heev. Lub caj pas yog ib qho nyuaj heev uas tsis muaj kev sib koom ua ke, yog li nws qhov kev tshem tawm yuav ua rau muaj kev tsis taus loj ntawm tus neeg. Nyob rau hauv cov xwm txheej zoo li no, nws yog ib qho tseem ceeb heev rau kev kuaj mob qog noj ntshav hauv nws daim ntawv thaum ntxov, uas tso cai rau koj kom tswj tau qhov ua tsis taus pa, nqos thiab muaj peev xwm hais lus.
Kev xaiv ntawm txoj kev kho phais, nrog rau kev xav tau hluav taws xob thiab tshuaj khomob, nyob ntawm theem, thaj chaw thiab cov qauv ntawm cov kab mob malignant neoplasm.
Txoj kev tseem ceeb thiab zoo tshaj plaws ntawm kev kho tus kab mob no yog kev phais kom tshem cov qog. Qhov kev kho no feem ntau nrog kev kho hluav taws xob.
theem ntawm tus kab mob kuj txiav txim siab qhov kev phais. Piv txwv li, ntawm thawj cov tsos mob ntawm mob qog noj ntshav ntawm lub caj pas thiab lub caj pas, qee zaum nws yog txaus kom tshem tawm cov qog nws tus kheej, rau qhov thib ob - cov kab mob qog noj ntshav. Nrog rau qib thib peb thiab qib plaub ntawm cov txheej txheem oncological nyob rau hauv lub larynx, radical txoj kev tshem tawm tag nrho cov larynx feem ntau yog siv rau.
Tam sim no ntawm kev txhim kho cov tshuaj, hom kev ua haujlwm tseem ceeb yog:
- Laryngectomy - tshem tawm ntawm lub larynx - ib qho kev raug mob thiab nyuaj heev.
- Resection - tshem tawm ib feem ntawm caj pas.
- Kev kho dua tshiab thiab phais yas uas lub hom phiaj txhawm rau rov ua pa thiab nqos ua haujlwm tom qab laryngectomy.
Yog tias muaj qog me me ntawm lub suab folds, ib qho ntawm cov quav no tuaj yeem raug tshem tawm. Qhov kev ua haujlwm no hu ua chordectomy. Nws yog qhov zoo heev, tshwj xeeb tshaj yog hauv kev kho hluav taws xob tom ntej. Tshem tawm ib nrab ntawm lub caj pas yog hu ua hemilarngectomy. Cov duab ntawm cov tsos mob qog noj ntshav tau nthuav tawm hauv kab lus.
Nyob rau hauv cov ntaub ntawv ntawm cov qog nqaij hlav neoplasms ntawm lub thib peb theem, thiab nyob rau hauv cov ntaub ntawv ntawm impossibility ntawm resection, tag nrho cov laryngectomy yog ua, raws li txoj cai, nrog tshem tawm ntawm cov pob txha hyoid, raws li zoo raws li lub hauv paus ntawm tus nplaig.. Xws li kev phais mob hnyav heev, tom qab ntawd tus neeg mob tsis muaj lub sijhawm ua pa ywj siab thiab noj zaub mov zoo, uas yog qhov qhia txog kev ua haujlwm tracheostomy - kev teeb tsa tshwj xeeb ntawm lub caj dab rau kev ua pa thiab nasoesophageal sojntsuam.
Yog cov qog nqaij hlav hauv cov txheej txheem, lawv kuj raug tshem tawm nrog rau cov ntaub so ntswg caj dab thiab lwm cov ntaub so ntswg.
Radiotherapy kuj yog ib txoj hauv kev tseem ceeb hauv kev sib ntaus tawm tsam cov qog nqaij hlav ntawm lub larynx, thiab nyob rau theem pib ntawm kev mob qog noj ntshav, nws tuaj yeem siv los ua kev kho mob ywj pheej. Nyob rau hauv rooj plaub no, sab nraud thiab sab hauv irradiation yog ua los ntawm kev siv cov sib txawv uas tau txhaj ncaj qha rau hauv cov ntaub so ntswg.
Nrog kev pab los ntawm cov hluav taws xob zoo li no, cov qog tuaj yeem txo qhov loj me, uas pab tiv thaiv kev loj hlob ntawm kev rov tshwm sim hauv lub sijhawm tom qab phais.
Radiation thiab chemotherapy
Tshuaj kho mob hauv kev kho mob qog nqaij hlav ntawm lub larynxtsuas yog ua lub luag haujlwm pabcuam thiab siv los ua kev phais thiab kev kho hluav taws xob. Lub hom phiaj ntawm kev siv tshuaj khomob yog txhawm rau tiv thaiv kev kis kabmob qog noj ntshav los ntawm cov ntshav thiab cov hlab ntsha lymphatic, uas yog metastases.
Txhua qhov xwm txheej ntawm kev loj hlob ntawm malignant neoplasms ntawm lub larynx, nws yuav tsum tau sau cov tshuaj tua kab mob, cov vitamins thiab antioxidants, thiab nyob rau lub sijhawm tom qab phais, kev kho tshuaj tua kab mob yuav tsum tau ua kom muaj kev tiv thaiv ntau yam kab mob sib kis.
Cov tshuaj kho neeg pej xeem rau cov kab mob no tsis muaj qhov tseem ceeb ntawm kev ywj pheej thiab tsuas yog siv tau los ua cov khoom siv kho mob nyuaj. Rau gargling, koj tuaj yeem siv ntau yam infusions thiab decoctions ntawm tshuaj ntsuab - chamomile, nplooj nplooj, St.
Kev noj zaub mov rau cov kab mob oncological ntawm lub caj pas tsis txawv ntawm qhov ib txwm muaj, txawm li cas los xij, nws yuav tsum ua raws li kev noj zaub mov ntau dua, uas muab kev txwv tsis pub noj cov khoom noj ntxhib, kub thiab txias. Tsis tas li ntawd, koj yuav tsum tsis txhob haus luam yeeb thiab haus cawv tag.
kab mob prognosis
Kev mob qog nqaij hlav malignant ntawm lub larynx yog txiav txim los ntawm yuav ua li caslawv cov kev kho mob tau pib raws sijhawm, thiab tseem nyob ntawm qhov kev loj hlob thiab thaj chaw ntawm neoplasm. Yog tias pom cov qog oncological nyob rau hauv thawj lossis thib ob theem, qhov kev vam meej tuaj yeem ua tiav, nyob rau hauv thib peb - ntau tshaj li ib nrab ntawm cov neeg mob, qhov kev kuaj mob kuj zoo, tsuas yog kev kho mob oncology ntawm lub larynx ntawm theem plaub tuaj yeem. tsuas yog me ntsis ncua lub neej ntawm tus neeg mob.
Thaum thawj cov tsos mob thiab cov tsos mob ntawm mob qog noj ntshav (daim duab kuj tuaj yeem pom hauv online), koj yuav tsum mus ntsib kws kho mob tam sim ntawd.
Raws li kev tiv thaiv kev tiv thaiv ntawm oncology, lawv yog txoj hauv kev yooj yim, xws li kev tswj lub neej noj qab haus huv, tawm tsam tus cwj pwm phem, khoom noj khoom haus zoo thiab kev kho mob raws sijhawm. Nws tsis tsim nyog tos kom txog thaum tus kab mob no ploj mus ntawm nws tus kheej, vim qhov no yog qhov yuam kev tseem ceeb ntawm txhua tus neeg mob qog noj ntshav uas, thawj cov tsos mob ntawm mob qog noj ntshav, tsis tau pib kho raws sijhawm.
