Nulende wam'mapapo okha

Mphuno yam'mapapo payokha ndi malo ozungulira kapena owulungika (chotupa) m'mapapu omwe amawoneka ndi chifuwa cha x-ray kapena CT scan.

Zoposa theka la mitsempha yonse yam'mapapo yam'mimba yopanda khansa (siabwino). Mitundu ya Benign ili ndi zifukwa zambiri, kuphatikizapo zipsera ndi matenda am'mbuyomu.

Matenda opatsirana opatsirana (omwe amapangidwa ndi maselo ngati momwe amachitira ndi matenda am'mbuyomu) amayambitsa zilonda zoyipa kwambiri. Matenda omwe amabwera chifukwa cha ma granulomas kapena zipsera zina zochiritsidwa ndi awa:

• TB (TB) kapena kukhudzana ndi TB
• Mafangayi, monga aspergillosis, coccidioidomycosis, cryptococcosis, kapena histoplasmosis

Khansa yam'mapapu yoyamba ndiyo yomwe imayambitsa khansa (yoyipa) yamagulu am'mapapo mwanga. Awa ndi khansa yomwe imayamba m'mapapo.

Mphuno yam'mapapo payokha siyimayambitsa zizindikiro.

Mphuno yam'mimba yokhayokha imapezeka kwambiri pachifuwa cha x-ray kapena chifuwa cha CT scan. Mayeso ojambula awa nthawi zambiri amachitidwa pazizindikiro zina kapena zifukwa zina.

Wothandizira zaumoyo wanu ayenera kusankha ngati mutu wa m'mapapu anu ndiwowopsa kapena wodetsa nkhawa. Mankhwala ena ambiri amakhala abwino ngati:

• Nleluyu ndi yaying'ono, imakhala ndi malire osalala, ndipo imakhala yolimba komanso yowoneka pa x-ray kapena CT scan.
• Ndinu wachinyamata ndipo simusuta.

Wothandizira anu amatha kusankha kuyang'anira noduleyo pakapita nthawi pobwereza ma x-ray kapena ma scans a CT.

• Bwerezani ma x-ray pachifuwa kapena chifuwa cha CT ndiyo njira yofala kwambiri yowunikira nodule. Nthawi zina, kusanthula m'mapapo kwa PET kumatha kuchitika.
• Ngati ma x-ray obwerezabwereza akuwonetsa kuti kukula kwa nodule sikunasinthe mzaka ziwiri, mwina ndikwabwino ndipo biopsy siyofunikira.

Wothandizira anu atha kusankha kusanthula mutu kuti athetse khansa ngati:

• Ndiwe wosuta.
• Muli ndi zizindikiro zina za khansa yamapapu.
• Nodule yakula kukula kapena yasintha poyerekeza ndi zithunzi zoyambirira.

Chigoba cha singano cham'mapapo chitha kuchitika poyika singano kudzera pakhoma la chifuwa chanu, kapena munthawi yotchedwa bronchoscopy kapena mediastinoscopy.

Kuyesa kutsimikizira kuti TB ndi matenda ena atha kuchitidwanso.

Funsani omwe akukuthandizani za kuopsa kokhala ndi biopsy poyerekeza kukula kwa nodule ndi ma x-ray wamba kapena ma CT scan. Chithandizo chitha kutengera zotsatira za biopsy kapena mayeso ena.

Malingaliro nthawi zambiri amakhala abwino ngati noduleyo ndi yabwino. Ngati nodule sakukula pakatha zaka ziwiri, nthawi zambiri palibe chomwe chimafunika kuchitidwa.

Khansa ya m`mapapo - payekha nodule; Matenda a granuloma - mapapu; SPN

• Adenocarcinoma - x-ray pachifuwa
• Pulmonary nodule - kutsogolo kwa chifuwa x-ray
• Pulmonary nodule, payekha - CT scan
• Dongosolo kupuma

Bueno J, Landeras L, Chung JH. Ndasintha malangizo a Fleischner Society owongolera mayendedwe am'mapapo mwanga: mafunso wamba komanso zochitika zovuta. Zojambulajambula. 2018; 38 (5): 1337-1350. PMID: 30207935 www.ncbi.nlm.nih.gov/pubmed/30207935.

Gotway MB, Panse PM, Gruden JF, Elicker BM. Thoracic radiology: kujambula kosazindikira. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: mutu 18.

Bango JC. Nulende wam'mapapo okha. Mu: Reed JC, mkonzi. Radiology pachifuwa: Zitsanzo ndi Kusiyanitsa. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 20.