Title Zdravstvena skrb bolesnika s karcinomom larinksa
Title (english) Health care of patients with cancer of the larynx
Author Dorijan Horvat
Mentor Ivana Herak (mentor)
Committee member Marijana Neuberg (predsjednik povjerenstva)
Committee member Ivana Herak (član povjerenstva)
Committee member Domagoj Butigan (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2023-10-11, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Tumor larinksa još uvijek je prognostički ozbiljna bolest, drugi po učestalosti tumor gornjeg aerodigestivnog trakta, povezan s visokom smrtnošću. Stope preživljavanja ovih tumora variraju i ovise o prisutnosti ranih simptoma, anatomskoj dostupnosti i opskrbi limfom. Unatoč napretku u terapiji i novim kirurškim i nekirurškim pristupima, rana dijagnoza ostaje najbolji pokazatelj preživljenja. Najčešći tip je karcinom skvamoznih stanica, koji čini 85-95% neoplazmi. Većina tumora koji nastaju u larinksu počinju na površini sluznice i nazivaju se tumorima pločastih stanica (SCC). Mnogo rjeđi oblici tumora larinksa su tumori žlijezda slinovnica koji nastaju iz sitnih žlijezda slinovnica ispod sluznice ili tumori koji nastaju iz mišića, hrskavice ili drugih strukturnih tkiva (sarkomi). SCC larinksa povezan je s pušenjem, iako su doprinos pasivnog pušenja i učinak pušenja u prošlosti manje sigurni. Neki slučajevi tumora larinksa nastaju bez poznatih čimbenika rizika. Zdravstveni radnici ne mogu vidjeti larinks bez posebne opreme. Larinks se može vidjeti pomoću laringealnog zrcala ili fiberoptičkog teleskopa s video kamerom. Tumor obično uzrokuje promjene u izgledu sluznice ili simetričnih struktura larinksa koje se mogu vidjeti ovim uređajima. Također se može otkriti pomoću radiografskog snimanja uključujući MRI, CT ili ultrazvuk. Kada se otkrije sumnjiva lezija larinksa, dodatno testiranje za potvrdu dijagnoze provodi se uzimanjem biopsije, uzimanjem malog uzorka tkiva. Zbog osjetljivosti larinksa to se u većini slučajeva mora učiniti u općoj anesteziji u operacijskoj dvorani. Određivanje stadija bolesnika ključno je za ispravan pristup liječenju. U radu su obrađene i najčešće sestrinske dijagnoze u poslijeoperacijskoj njezi i specifični pristupi u poslijeoperacijskoj skrbi bolesnika nakon laringektomije, uključujući toaletu traheostome, endotrahealni tubus, toalet glasovnih proteza, hranjenje putem nazogastrične sonde, postoperacijske komplikacije nakon laringektomije i dr.
Abstract (english) Tumor of the larynx is still a prognostically serious disease, the second most frequent tumor of the upper aerodigestive tract, associated with high mortality. Survival rates for these tumors vary and depend on the presence of early symptoms, anatomic accessibility, and lymphoma supply. Despite advances in therapy and new surgical and non-surgical approaches, early diagnosis remains the best predictor of survival. The most common type is squamous cell carcinoma, which accounts for 85-95% of neoplasms. Most tumors that arise in the larynx begin on the surface of the mucosa and are called squamous cell tumors (SCC). Much rarer forms of laryngeal tumors are salivary gland tumors that arise from tiny salivary glands under the mucosa or tumors that arise from muscle, cartilage, or other structural tissues (sarcomas). SCC of the larynx is associated with smoking, although the contribution of passive smoking and the effect of past smoking are less certain. Some cases of laryngeal tumors occur without known risk factors. Health professionals cannot see the larynx without special equipment. The larynx can be visualized using a laryngeal mirror or a fiberoptic telescope with a video camera. The tumor usually causes changes in the appearance of the mucosa or symmetrical structures of the larynx that can be seen with these devices. It can also be detected using radiographic imaging including MRI, CT or ultrasound. When a suspicious lesion of the larynx is detected, additional testing to confirm the diagnosis is performed by taking a biopsy, taking a small tissue sample. Due to the sensitivity of the larynx, this must be done in most cases under general anesthesia in the operating room. Determining the patient's stage is crucial for the correct approach to treatment. The paper deals with the most common nursing diagnoses in postoperative care and specific approaches in the postoperative care of patients after laryngectomy, including tracheostomy toilet, endotracheal tube, voice prosthesis toilet, nasogastric tube feeding, postoperative complications after laryngectomy, etc.
Keywords
tumor larinska
medicinska sestra/tehničar
zdravstvena njega
bolesnik
Keywords (english)
tumor of the larynx
nurse
health care
patient
Language croatian
URN:NBN urn:nbn:hr:122:462655
Study programme Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2024-01-09 15:16:04