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痰上頸口水帶血或患鼻咽癌
 

痰上頸口水帶血或患鼻咽癌

痰上頸,通常是傷風感冒或天氣轉變所致,但如果痰中帶血、聲音變得沙啞或不停清喉嚨也無效,隨時是喉癌及鼻咽癌等嚴重疾病的徵兆。有耳鼻喉科醫生警告,曾有病人數月來喉嚨有痰且口水有血,檢查才發現已是第二期鼻咽癌,故呼籲市民不要掉以輕心。

痰液源頭多在鼻部

耳鼻喉科專科醫生黃雅信表示,曾有一名42歲中年女士雖然沒有傷風感冒,但三個月來喉嚨不停有黏液,經常清喉嚨也無用,加上又常鼻塞及口水間歇性帶血,接受內窺鏡檢查才發現已患上鼻咽癌,鼻咽位置長了一個如大拇指第一截般大小的腫瘤,並有潰爛迹象,她接受電療後現已康復。

痰液雖然積聚在喉嚨,但源頭很多時在鼻部,黃雅信表示美國一項研究顯示超過六成半喉嚨有痰都是由鼻竇炎、鼻敏感、鼻炎等鼻病引起。患者常清喉嚨,容易弄傷喉嚨或聲帶引致發炎;喉嚨有痰也是鼻或喉癌的先兆,若發現口水或痰中長期帶血,必須盡快求診。

黃雅信又提醒家長,切勿讓嬰兒躺卧飲奶,以及在睡前飲奶後一定要「掃風」,以免出現奶倒流,黏着鼻腔分泌物,造成黏液在喉嚨堆積,更會增加鼻炎、中耳炎、氣管炎、胃酸倒流及窒息等危機。

多痰也可能是由瘜肉引致,黃雅信指,曾有一名任職地盤、經常要大聲說話的病人,誤以為自己經常聲沙、咳嗽及多痰是正常現象,直至連發音都有困難時才求診,向專科醫生求診,檢查發現聲帶有一粒0.8毫米瘜肉,須接受手術割除瘜肉。

 

黃雅信醫生 DR. WONG NGAR SHUN VICTOR

資料來源: 蘋果日報 12-03-2009

選文來自: 香港E大夫 / 醫大夫

 

 

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