[Overview]
Larynx is located in before the neck in the center of, pharynx ministry is accepted on, connect below tracheal, have inside glottal, it is main breathing thoroughfare not only (glottal the) of the narrowest point that is respiratory tract, and it is main acoustic generator official, once laryngeal produces cancer, will naturally cause voice change and respiratory tract symptom. Laryngocarcinoma compares southern incidence of a disease in our country north tall, the city is faster than rural incidence of a disease, the male over female. Come on the age is in more 40-70 year old between.
What laryngocarcinoma basis produces position is different, cent is glottal on model, glottal model below harmonic door model 3 kinds. Among them glottal model most common, it is glottal next go up model, glottal below model relatively scarce. Pathology cent with scale cancer most, base cell cancer, lymphatic epithelioma relatively scarce.
[The pathogeny learns]
The pathogeny of laryngocarcinoma is current still very not clear, think commonly, infection of radiation of as may harmful as long-term and excessive smoking, long-term contact chemical gas and dust, contact, virus and throat use sanitation of undeserved, oral cavity for a long time horn of bad, larynx changes chronic of blaze of disease, laryngeal, laryngeal to change etc about
[Interpretation of the cause of doctor of traditional Chinese medicine]
Larynx is angry passageway, can breathe, advocate pronunciation, belong to lung. Abide of main and collateral channels of liver, kidney goes so far, if wind makes inside hot evil, lobar gas loses a surname, the knot inside phlegmy heat, or because of affection annals not easy, liver gloomy enrages a knot, obstruction of the circulation of vital energy turns internal heat, yu blood is born gradually, long bad news enrages shade and be gas private parts two Xu Zhizheng. Or because of internal injury of the seven emotional factors, liver kidney is insufficient, in relief excessive of deficiency of yin with irritability, heat and phlegmy knot, or because be addicted to feeds thick flavour of fat meat and fine grain, taste Shi Yun, accumulate and turn heat, suffocating of damp and hot. Phlegmy, wet, hot, Yu, poison gets together at laryngeal, become unripe to agglomerate, hair for this disease.
[Clinical expression]
Because cancerous tumor, growth position is different, the symptom that begins to appear is different also, be in glottal on area, inchoate can appear laryngeal eyewinker feeling and deglutition are unwell, then neighs with discontinuity sound change is a characteristic for durative sound hoarse; In glottal area, begin to often appear pronunciation is fatigue, tone coarsens, or cracked, hand-in-hand travel sex is aggravating, with durative sound hoarse is a characteristic finally; Be in glottal next areas, inchoate symptom hides more, can appear sometimes inspiratory sex is difficult. Except above expression, the patient often can appear excitant dry cough, or cough up phlegm carries blood, or laryngeal eyewinker feeling, sense of urgency, in terminal can accompany have local ache and but drawing comes ministry of the head, ear. When the lymph node before the neck is transferred, can touch intumescent lymph node, without painful, qualitative hard, drive not easily, increase gradually, what use antibiotic cure cannot make is contractible. After cancerous tumor increases, can touch at larynx part upper part bump, laryngoscope examination can discover local tuberculous apophysis, ulcer, debaucjed.
Previous12 Next