{"id":3568,"date":"2024-06-13T10:26:10","date_gmt":"2024-06-13T08:26:10","guid":{"rendered":"https:\/\/www.ptc.cz\/?p=3568"},"modified":"2024-06-13T10:26:10","modified_gmt":"2024-06-13T08:26:10","slug":"rakovina-vedlajsich-nosnych-dutin","status":"publish","type":"post","link":"https:\/\/www.ptc.cz\/sk\/blog\/rakovina-vedlajsich-nosnych-dutin\/","title":{"rendered":"Rakovina ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn"},"content":{"rendered":"<p>Karcin\u00f3m ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn je pomerne vz\u00e1cny: predstavuje menej ne\u017e 1&nbsp;% v\u0161etk\u00fdch mal\u00edgnych n\u00e1dorov a\u202f3&nbsp;% zo skupiny zhubn\u00fdch n\u00e1dorov v\u202foblasti hlavy a\u202fkrku.<\/p>\n<div class=\"row\">\n<div class=\"col\">\n<p>Na&nbsp;Slovensku ochorie rakovinou nosn\u00fdch dut\u00edn pribli\u017ene 1 z\u202f200\u202f000 obyvate\u013eov.<\/p>\n<p>Zhubn\u00e9 n\u00e1dory ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn postihuj\u00fa dvakr\u00e1t \u010dastej\u0161ie mu\u017eov ne\u017e \u017eeny a\u202fpravdepodobnos\u0165 vzniku ochorenia rastie s\u202fprib\u00fadaj\u00facim vekom, s\u202fnaj\u010dastej\u0161\u00edm v\u00fdskytom u\u202fpacientov medzi 60.&nbsp;a\u202f70.&nbsp;rokmi. Nebezpe\u010die tohto typu n\u00e1doru spo\u010d\u00edva v\u202fjeho dlhodobej bezpr\u00edznakovosti.<\/p>\n<p>N\u00e1dory ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn m\u00f4\u017eu by\u0165 z\u202fhistologick\u00e9ho h\u013eadiska rozdelen\u00e9 do nieko\u013ek\u00fdch typov. Naj\u010dastej\u0161\u00edm je dla\u017edicobunkov\u00fd karcin\u00f3m, ktor\u00fd tvor\u00ed asi 70&nbsp;% v\u0161etk\u00fdch n\u00e1dorov nosn\u00fdch dut\u00edn. \u010ealej sa objavuje i\u202fagres\u00edvnej\u0161\u00ed karcin\u00f3m zo \u017e\u013eazov\u00e9ho epitelu a\u202fvz\u00e1cna, ale najagres\u00edvnej\u0161ia skupina mukoepidermoidn\u00fdch n\u00e1dorov.<\/p>\n<p>Naj\u010dastej\u0161ie sa n\u00e1dory VDN vyskytuj\u00fa v\u202fmaxil\u00e1rnej dutine, postihnutie front\u00e1lnej a\u202fklinovej dutiny je pomerne vz\u00e1cne. Tumory, lokalizovan\u00e9 do ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn m\u00f4\u017eu postupom \u010dasu invaz\u00edvne r\u00e1s\u0165 do orbity i\u202fdo dutiny lebe\u010dnej, pri\u010dom rozrasten\u00e9 n\u00e1dory v\u202fpokro\u010dilom \u0161t\u00e1diu m\u00f4\u017eu dokonca deformova\u0165 tv\u00e1r.<\/p>\n<h2>Pr\u00edznaky rakoviny ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn<\/h2>\n<p>Ako u\u017e bolo uveden\u00e9 vy\u0161\u0161ie, n\u00e1dory ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn sa spo\u010diatku \u010dasto v\u00f4bec neprejavuj\u00fa a\u202fprv\u00e9 pr\u00edznaky s\u00fa potom \u013eahko zamenite\u013en\u00e9 s\u202fbe\u017en\u00fdm z\u00e1palov\u00fdm ochoren\u00edm tejto oblasti. Od n\u00e1stupu prv\u00fdch pr\u00edznakov uplynie k\u202fur\u010deniu spr\u00e1vnej diagn\u00f3zy v\u202fpriemere 8 mesiacov. Typick\u00e9 je, \u017ee sa pr\u00edznaky <a href=\"https:\/\/www.ptc.cz\/sk\/liecba-rakoviny\/hlava-a-krk\/\">karcin\u00f3mu ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn<\/a> prejavuj\u00fa \u010dasto len jednostranne. M\u00f4\u017ee to by\u0165:<\/p>\n<ul>\n<li>Zhor\u0161en\u00e1 priechodnos\u0165 nosu,<\/li>\n<li>Zdurenie alebo boles\u0165 tv\u00e1re \u010di podnebia,<\/li>\n<li>V\u00fdtok z\u202fnosu, pr\u00edpadne krv\u00e1canie.<\/li>\n<\/ul>\n<p>\u010ealej sa m\u00f4\u017eu objavi\u0165 pr\u00edznaky orbit\u00e1lne (asi u\u202f\u00bc v\u0161etk\u00fdch n\u00e1dorov VDN), ako je zdvojen\u00e9 videnie, opuch vie\u010dok, vysunutie o\u010dnej bu\u013evy smerom dopredu (exoftalmus) a\u202fzhor\u0161en\u00e9 videnie.<\/p>\n<p>Posledn\u00fa skupinu tvoria pr\u00edznaky, prejavuj\u00face sa v\u202fdutine \u00fastnej, ako zmena tvaru podnebia, boles\u0165 zubov a\u202fu\u202fpacientov so zubnou n\u00e1hradou, novo vzniknut\u00e9 nepohodlie a\u017e nemo\u017enos\u0165 prot\u00e9zu spr\u00e1vne nasadi\u0165.<\/p>\n<h2>Rizikov\u00e9 faktory<\/h2>\n<p>Okrem akt\u00edvneho faj\u010denia, spojen\u00e9ho s\u202fkonzum\u00e1ciou tvrd\u00e9ho alkoholu a\u202fdedi\u010dnos\u0165ou s\u00fa rizikov\u00e9 faktory n\u00e1dorov ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn spojen\u00e9 hlavne s\u202fdlhodobou expoz\u00edciou ur\u010dit\u00fdm l\u00e1tkam v\u202fr\u00e1mci zamestnania. Ako rizikov\u00e9 profesie sa uv\u00e1dzaj\u00fa:<\/p>\n<ul>\n<li>Pr\u00e1ce, kde zamestnanec vdychuje prach z\u202ftvrd\u00fdch driev,<\/li>\n<li>Zamestnanci ko\u017eiarskeho a\u202ftextiln\u00e9ho priemyslu,<\/li>\n<li>Pracovn\u00edci v\u202fpodnikoch spracov\u00e1vaj\u00facich ropu a\u202fnikel,<\/li>\n<li>Pracovn\u00edci vo v\u00fdrobe chr\u00f3mov\u00fdch pigmentov.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Karcin\u00f3m ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn je pomerne vz\u00e1cny: predstavuje menej ne\u017e 1&nbsp;% v\u0161etk\u00fdch mal\u00edgnych n\u00e1dorov a\u202f3&nbsp;% zo skupiny zhubn\u00fdch n\u00e1dorov v\u202foblasti hlavy a\u202fkrku. Na&nbsp;Slovensku ochorie rakovinou nosn\u00fdch dut\u00edn pribli\u017ene 1 z\u202f200\u202f000 obyvate\u013eov. Zhubn\u00e9 n\u00e1dory ved\u013eaj\u0161\u00edch nosn\u00fdch dut\u00edn postihuj\u00fa dvakr\u00e1t \u010dastej\u0161ie mu\u017eov ne\u017e \u017eeny a\u202fpravdepodobnos\u0165 vzniku ochorenia rastie s\u202fprib\u00fadaj\u00facim vekom, s\u202fnaj\u010dastej\u0161\u00edm v\u00fdskytom u\u202fpacientov medzi 60.&nbsp;a\u202f70.&nbsp;rokmi. Nebezpe\u010die tohto&#8230;<\/p>\n","protected":false},"author":9,"featured_media":2931,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-3568","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/comments?post=3568"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3568\/revisions"}],"predecessor-version":[{"id":3569,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3568\/revisions\/3569"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media\/2931"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media?parent=3568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/categories?post=3568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/tags?post=3568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}