The diagnosis and treatment of mouth cavity and throat cancer

How does the doctor make to visit patients at home to break?


Usually go first to see a family doctor(general practitioner), he arranges you again to do necessary examination and X to only project light upon after check for you.He will also introduce you to other hospitals and hear the specialty doctor's opinion with accept a treatment.After arriving a hospital, the doctor will inquire you first of medical history, then check you of mouth cavity, larynx and neck.In the process of check, the doctor will shine on to see you with the mirror of mouth cavity, the doctor's top of the forehead will also put on one noodles mirror.When a noodles strong light shines on in the mirror noodles, the ray will reflect you of inside mouth cavity, for the purpose of doctor see pure mouth cavity and the ulcer or lump in the throat.Sometimes, the doctor will put on gloves and by hand point or one noodles small mirror light check ulcer or lump, this may result in light degree of unwell.The doctor will suck up an anaesthesia sugar tablet for you, or to you of the larynx spray to note an anaesthetic.If you of the throat be anaesthetize, don't eat any thing in an hour after check, until the throat back to normal of felling.Otherwise may there is food into elsewhere danger while swallow.Sometimes, doctor would also from you of the nostril lightly inserts a coda to take a small and soft tube of have a small light, in order to clearly check you of mouth cavity and throat inner part.This may make you feel unwell, fortunately only have short several minuteses.


You probably still need to do the examination of a blood and the chest X light to look into your body condition.The doctor only checked to ulcerate under the microscope or the cell of the lump cut into slices, be also after doing to live an organization check, then can do a diagnosis of end.The cell slice is usually again after the local anesthesia affected part from ulcerate or lump up sliced a bit of to check.Sometimes, because of ulcerate or lump of part dissimilarity, doctor probably requests that you do general anaesthesia, you need to be keep at the hospital for a night, in order to do to live an organization check.


Further check


If slice shows that you get cancer, the doctor will request that you have a further check to confirm the degree that the cancer change.Check's result can the in aid of doctor chooses the best treatment method for you.


The X only examines


The doctor probably needs for you of mouth cavity and throat shine on X light, with check whether still has other lumps, or checks you of face whether the bone of the department, neck is subjected to an infection or not.If discover cancer cell in the mouth cavity bottom, need to do a kind of positive the X light of the Suo picture(OPG) a check with check top and bottom jaw and tooth.


The calculator scan(the CT or CAT scan)


CT's scan is another X light.The scanner after take many cross section photographs of your head, neck inputs a calculator again, can show the picture of detail inside the body.Display the detail of picture for the sake of assurance, usually in your arm of the intravenous injection be a kind of dye and this will make you have the felling that the whole body have fever in the in a short time.In the process of scan, doctor would you lie quietly, and put the head into a scanner.The whole check process about needs half an hour or so, will not have any ache of felling.The majority immediately can go home after ising scan be over.Throat and mouth cavity cancer in addition to the meeting is toward the lymphatic gland of neck transfer, generally will not transfer the body other parts.Therefore usually don't have the check of head and the neck Bo following part.If you need to have a further check, the doctor will discuss with you.


Adopt which treatment method?


Surgical operation, project treatment and chemistry to cure can use alone, can also merge to use to cure throat cancer and mouth cavity cancer.Doctor at choice which treatment method, will consider several sow the cause vegetable, include you of age, generally healthy the category, size of circumstance, cancer, at under the microscope of shape, and whether have already spread to the lymphatic gland of neck to wait various factor to decide the most suitable treatment method for matching you.


You probably discover the sufferer of other mouth cavities and throat cancer who meets at the hospital, the treatment method accept, and you of dissimilarity.This kind of circumstance usually takes place, because condition dissimilarity, so have a different demand.The sometime be an also likely to be doctor to have different standpoint to the treatment method.If you have any question to the therapy, can to you of the doctor or nurse inquire.You can list a series of problem, and invite friends and relatives to go toward to inquire toward the doctor together, usually have a help.Some people think the opinion which asks one more doctor, can in aid of oneself decide to adopt that kind of therapy;As long as you feel this would helpful to you, need not hesitant, most of the doctors all will like to recommend a specialty doctor for you to ask for the second opinion.


Surgical operation


It isn't the sufferers of all mouth cavities or throat cancer to all need to do surgical operation.Many people needs to adopt to project a treatment then.If you really need to be perform operation, doctor will according to the size, position of your cancer tumor and the circumstance for spread, quantity with your company the most in keeping with surgical operation.You perhaps the surgical operation which need to cut off all cancer cells at a time then.Sometimes, the doctor needs to cut off a neck one side swollen lymphatic gland while do surgical operation.At perform operation before, must discuss process and detail of surgical operation in detail with doctor, please tightly record, at have never got you to agree before, the doctor can't carry on any surgical operation for you.Be decided by the cancer cell existent position, doctor probably one part of throat or mouth cavity that need to be cut off you.Because cancer cell the place that take place probably in the mouth cavity and the larynx be a lot of, this manual can't go into detail all surgical operation details one by one, but you need to be do with doctor detailed discussion how of surgical operation, and understanding after operation of influence and effect.


Sometimes, the doctor needs to cut off the skin on the tumor, such, need to obtain 1 F skin from the part of your body other, transplant is perform operation of place.Used for the skin of transplantation, its thickness is decided by the depth of need to overlay the district.If the cancer cell influences you of jaw bone, the part which is infect needs to cut off with cancer cell together.Have to transplant the jaw bone that the bone of one part drops to the excision part from other parts of your body thus.Occasionally, for thoroughly cutting off cancer cell, the doctor will request to cut off parts of cheek bones.This kind of circumstance seldom sees, even take place, have already filled up a technique now, can pass imitation for genuine article.If you of the surgical operation need to be in the after the event carry on fill up and the doctor will carry on a talks with you before surgical operation.


After operation


In spite of you did what surgical operation, you hospitalized the length in time will be decided by the size of your surgical operation scope, and whether you needs to do skin transplantation or not.The surgical operation most of the throat and mouth cavity will influence take a meal of a period of time.Therefore may need to do an intravenous injection for two day, importation liquid and nourishment.Once your reply food, no longer need to be inject.While being you to still be placed in anaesthesia appearance in the surgical operation process, the doctor may cut through a thin tube which is called nose stomach a tube nasal cavity and send to go into you of stomach in.The nurse of the hospital will on time from the tube inside input the special kind high egg white, Gao the liquid food of the calories.So in aid of you keep physical strength and make body very quickly the reply comes over from the surgical operation.The nose stomach tube may put for more than two weeks, until your ability normal food.After operation, you may have several days slight ache or unwell, but also haven't a few the persons think to after operation cause of ache smallest.If you feel ache, can relieve pain with the pain reliever.Have various pain relievers to availably relieve pain or prevent°from ache now.While start, doctor possibility at you of hip or thigh dozen relieve pain needle, can also use an intravenous injection pain reliever, or pass the nose stomach tube importation.When you back to normal food after, then with take pain reliever slice or medicine water.If there is ache, perhaps the pain reliever can't relieve ache, you must tell doctor or nurse, in order to increase amount of medicine as soon as possible, or replace a pain reliever.


Usually after operation, the doctor will encourage you to as early as possible descend a bed to take a stroll in the sickroom.Even after doing very complicated surgical operation, the majority in a few weeks inside can get out of the hospital.Before get out of the hospital, the doctor will agree on time that the Fu diagnose with you.It is the inning which discusses with doctor after operation various problem at this time.After get out of the hospital, if meet any problem, you can at any time and doctor or nurse's contact.


Project a treatment


Project the therapy makes use of high energy to shoot line to cure cancer and as far as possible turn down the injury toward the normal cell at the time of curing cancer cell.Project the treatment may use alone, may also cure with surgical operation or chemistry to use together to cure throat cancer and mouth cavity cancer.Project the treatment can adopt two kinds of method:A)the body outside projects a treatment and namely let out X to shoot line from a big machine.Two)project a treatment inside body, for the small cancer cell inside the throat or the mouth cavity, can use to transplant a method of project the material to cure.Have to see a dentist first before cure, because of pulling out a tooth of be subjected to the infection first before projecting a treatment.


The body outside projects a treatment


Body's outside projecting a treatment is usually an emanation treatment in hospital department, carry on with a NTU machine.Each treat a distance for five days, from Monday to Friday, the weekend take a rest.As for time need by treatment, see category and size of cancer disease, whether performed the surgical operation and the medicine therapy, or deny to intend to use these rapies but settle.


The plan treats a distance


In order to insure to project a treatment to acquire the biggest performance, it ising whole has to plan with quiet attention to treating a distance.The first time when you projected a treatment department, the hospital will arrange you to see an emanation treatment technician and he will make to order a headrest for you.Have to accurately aim at same position of mouth cavity or throat while projecting a treatment each time.So, to keep head immobility while lie down.For making you can be placed in same position while projecting a treatment every time, the hospital specially makes to order a plastics headrest for you and be named "outer shell"."Outer shell" is the face department that the plaster of Paris which uses quick already set first obtains you to print a mold.While taking a mold use one noodles a thin net protection first like you of skin, make sure that eyes, mouth and nostril are part of to all stay bore, for the purpose of breath.If you have a beard to then need to be shave before take mold.Print mold needs several minutes can already set, however

The empress can immediately take away.The plastics outer shell is from here to print a mold create.Will mark out to need to do the part which projects a treatment on the outer shell, be also say, need not at you of skin up do any mark.Then, the medical personnel will request you lie under a huge machine which is called to imitate a true machine and shine on X light for the place which accepts to cure.Some time also carry on this step with the CT scanner.The detailed and complete treatment plan is to project a count for much wreath of the under medical treatment, you may need and should diagnose several times, until the establishment treat a project of distance a treatment a doctor satisfaction.After ready to can immediately carry on projecting a treatment, projecting treatment technician will carefully let you lie the position which in advance designs in the sickbed up, make you feel comfortable.In only the treatment process for several minutes, you will stay alone in the building, but you can through converse machine with observe project of your circumstance treatment a technician a conversation in the next-door neighbor room.Project the treatment will not make your ache, it is only similar to X, but time slightly grow 1:00.Carry on a period in the treatment, you have to calm down to lie for several minutes.


Side effect


Cure 23 week after, you of mouth cavity and throat meeting inflammation combine creation ulcerate, make you hard to swallow food.So, the doctor will advise you to eat light food, with don't smoke cigarette, drink and eat mordacious food.The mouth cavity drunk liquid, canned make such as the tea, milk and water you is smooth wet.After projecting treatment completion, you of the mouth cavity will reply a dollar very quickly.If the reaction of side effect is very strong, the doctor will give you the mouthwash and medicine to smooth pain and sufferings.Many people will lose sense of taste and perhaps feel all foods being a flavors.(usually is a metals flavor)After curing to end for a few months, the sense of taste would back to normal gradually.You perhaps will notice saliva after cure rather many before cure, and usually feel thirsty, this kind of phenomenon would after cure of back to normal after a few months.The person of thirsty needs to notice a protection tooth, usually brush teeth with the soft toothbrush and periodically see the dentist being also very important.If the phenomenon of the thirsty maintains for a long time, the usage artificial saliva sprays very valid, the doctor can open a medicine square to you.Though have thirsty and swallow difficult side effect during the period of cure, take a meal possibly count for much, because of nourishment the good person be usually more easily completely recovered.But if because the mouth cavity ache doesn't want to take a meal, can change to the beverage which drinks some Gao calories, even can eat the light baby food of some high egg whites, Gaos calories.The doctor can also introduce the nutritionist of hospital to your specialized instruction.


From the third week start of the treatment, cure part of skins will redden gradually, become dry, and present scale form or inflammation.Under the more rare condition, the skin will break and flowing water.In this kind of case, the doctor will suggest that you don't clean affected part during the period of cure or shave beard in that part;Don't use talcum powder, perfume and lotion in the affected part, either.Under the circumstance of the necessity, project the treatment teacher will open a kind of lotion of specially made for you to smooth you skin of unwell.


Usually, the usage projects line treatment mouth cavity cancer and throat cancer to seldom cause to take off hair, even take place and shed off of the hair be also very limited.The part taken off to send out now is usually the place which projects line into and withdraws a human body, only very hair near the tumor part would permanently shed off, all of shed off of other hairses are a palliation of, several with in the week re- grow out for the meeting after treating a distance.Cure the emanation therapy of throat cancer and mouth cavity cancer usually will result in the hair of beard surroundings shed off.The weariness is mouth cavity or throat to accept to project to cure familiar side effect, but usually not very serious.During the period of cure, you need as far as possible time of fight for the rest, have to make a long and difficult journey a person who go back and forth the hospital to say to those everydays, is more such.The disgusted phenomenon also seldom sees, if have this kind of circumstance occurrence, can invite a doctor to open place Ou medicine.These side effects make the person unwell with discouragement, luckily all of them are a palliation of, along with treatment of the be over will disappear gradually and understanding this probably will a little bit help to you.


Emanation inside the body cure


Will imply needle or line of project the material to transplant cancer cell under the circumstance of general anaesthesia.BE transplant of in several days, these needle or line will directly send out a great deal of emanation material toward the cancer tumor from the inner part and carry on a treatment.And treatment comparison inside the body, the body outside cures because of accepting a little amount emanation line just everyday, so accept time of treatment longer.


Side effect


While accepting to project a treatment inside body, you have to stay in the isolation ward of hospital for several days, until doctor radioactive of needle and line move in addition to.You of the family and friend can do to briefly find out, but don't let the child and pregnant woman find out you when you accept to project treatment inside body, in order to prevent they are projected material of influence.Doctor and nurse looked after you each time also can stop over for a time shorter time in you of the sickroom, they still need to look after an other to accept to project a treatment inside body of patient, so have to as far as possible reduce is projected linear influence.Because these prevention measure with visit the sick restriction, you may feel solitary and lonesome.But in fact and only is in the radio material to stay to need to live alone a room just in that several dayses inside the body.Thought of this perhaps you to will feel a little bit pleasurable.Radio needle and line may make mouth cavity and more delicate skin of the throat seamy side be subjected to an infection.In order to projecting an of treatment quantity dissimilarity, at move in addition to project needle and line after of around ten days, may appear ache and ulcerate, this situation will keep on for a few weeks.Period here, you will feel that eating light food will easily have another;Avoid smoking and drink and eat a mordacious food in the meantime.Drink the liquids, such as tea, milk and water...etc. can keep smooth wet inside.The doctor can open some special mouthwashes for you to soothe ache.


Chemotherapy(chemotherapy call "chemotherapy")


The chemotherapy makes use of anti-cancer medicine to kill cancer cell and its method for produce result is to disturb breed of cancer cell.Chemistry medicine through blood vessel inflow whole body, can deal with to spread to the cancer cell of body other parts.The chemistry medicine treatment sometimes uses drugs taken orally to carry on, but more widespread is to pass an intravenous injection.Every time treats a distance to only have for several days, immediately after is the rest for several weeks, in order to let you the instauration comes over from the treatment of the side effect.


The number of times which treats a distance is decided by you to respond medicine but settle the cancered category and you.The chemistry medicine therapy can carry on in the out-patient department, but generally speaking need to be keep at the hospital for several days.


Side effect


In the chemistry treat the distance, when the anti-cancer medicine rises a function to the cancer cell in the body, will also temporarily lower the number of normal cell in the blood.Cell in the blood is little, you would more easy inflammation, easily feel tired.In the chemotherapy process, the doctor will periodically conduct blood test for you.There are the words of demand, will give you blood transfusion to cure anemic;If fever, immediately notify a doctor, for the purpose of usage antibiotic resist an infection.Very sorry BE, take off hair is also one of the familiar side effect of the chemistry medicine.However usually cure once end, the hair is very quick of and then the president of association come back.Taking off the person of hair usually can wear to wear false hair, hat perhaps scarf with cover part of take off the hair.The chemotherapy has the influence of different degree to the different person.Accept the process of treatment in, some people can lead right living, but the majority feel very tired, have to put the footstep of slow life.Proper quantity dint but is, run its course, don't be excessive weariness from overwork.


Treat the heel enter(follow-up)


After completion treats a distance, the doctor will ask you to periodically return to hospital check with shine on X light.This usually needs to keep on several yearses.If in this period, your detection oneself has a problem to perhaps notice new symptom, have to as early as possible notify a doctor.