M'mapapo metastases

Matenda a m'mimba ndi zotupa za khansa zomwe zimayambira kwinakwake mthupi ndikufalikira m'mapapu.

Zotupa zamagulu m'mapapu ndi khansa yomwe imapezeka m'malo ena m'thupi (kapena mbali zina zamapapu). Kenako amafalikira kudzera m'magazi kapena ma lymphatic system mpaka m'mapapu. Ndizosiyana ndi khansa ya m'mapapo yomwe imayamba m'mapapu.

Pafupifupi khansa iliyonse imafalikira m'mapapu. Khansa yodziwika ndi iyi:

• Khansara ya chikhodzodzo
• Khansa ya m'mawere
• Khansa yoyipa
• Khansa ya impso
• Khansa ya pakhungu
• Khansara yamchiberekero
• Sarcoma
• Khansa ya chithokomiro
• Khansara ya pancreatic
• Khansa ya testicular

Zizindikiro zimatha kuphatikizira izi:

• Sputum yamagazi
• Kupweteka pachifuwa
• Tsokomola
• Kupuma pang'ono
• Kufooka
• Kuchepetsa thupi

Wothandizira zaumoyo adzakufunsani ndikufunsani za mbiri yanu yamankhwala ndi zomwe mukudziwa. Mayeso omwe angachitike ndi awa:

• Bronchoscopy kuti muwone momwe ndege ikuyendera
• Chifuwa cha CT
• X-ray pachifuwa
• Kafukufuku wa Cytologic wa pleural fluid kapena sputum
• Lung singano biopsy
• Kuchita opaleshoni kuti mutenge minofu kuchokera m'mapapu (opaleshoni yamapapu)

Chemotherapy imagwiritsidwa ntchito pochiza khansa yam'mapapo m'mapapu. Kuchita opaleshoni kuti achotse zotupazo kumatha kuchitika izi:

• Khansara yafalikira kumadera ochepa m'mapapu
• Zotupa zam'mapapo zimatha kuchotsedwa kwathunthu ndi opareshoni

Komabe, chotupacho chimayenera kuchiritsidwa, ndipo munthuyo ayenera kukhala wamphamvu mokwanira kuti achite opaleshoni ndikuchira.

Mankhwala ena ndi awa:

• Thandizo la radiation
• Kukhazikitsidwa kwa stents mkati mwa njira zapaulendo
• Mankhwala a Laser
• Kugwiritsa ntchito ma prosesa am'deralo kuwononga malowa
• Kugwiritsa ntchito kutentha kozizira kwambiri kuwononga malowa

Mutha kuchepetsa nkhawa zakudwala polowa nawo gulu lothandizira pomwe mamembala amagawana zomwe akumana nazo pamavuto.

Chithandizo sichimachitika nthawi zambiri khansa yomwe yafalikira m'mapapu. Koma mawonekedwe amatengera khansa yayikulu. Nthawi zambiri, munthu amatha kukhala ndi khansa ya m'mapapo zaka 5.

Inu ndi banja lanu mungafune kuyamba kuganizira zokonzekera kumapeto kwa moyo, monga:

• Kusamalira
• Kusamalira odwala
• Malangizo othandizira pasadakhale
• Othandizira azaumoyo

Zovuta zamatenda am'mapapo m'mapapo atha kukhala:

• Madzi pakati pa mapapo ndi chifuwa (pleural effusion), zomwe zingayambitse kupuma pang'ono kapena kupweteka mukamapuma kwambiri
• Kufalikira kwina kwa khansa
• Zotsatira zoyipa za chemotherapy kapena radiation radiation

Itanani omwe akukuthandizani ngati muli ndi mbiri ya khansa ndipo mukukula:

• Kutsokomola magazi
• Chifuwa chosalekeza
• Kupuma pang'ono
• Kuchepetsa thupi kosadziwika

Si mitundu yonse ya khansa yomwe ingapewe. Komabe, ambiri atha kupewedwa ndi:

• Kudya zakudya zabwino
• Kuchita masewera olimbitsa thupi pafupipafupi
• Kuchepetsa kumwa mowa
• Osasuta

Metastases m'mapapo; Khansa ya m'mapapo; Khansa ya m'mapapo - metastases; Mapapo mets

• Bronchoscopy
• Khansa ya m'mapapo - chifuwa chotsatira x-ray
• Khansa ya m'mapapo - x-ray yapachifuwa chakutsogolo
• Pulmonary nodule - kutsogolo kwa chifuwa x-ray
• Pulmonary nodule, payekha - CT scan
• Mapapo ndi khansa ya squamous cell - CT scan
• Dongosolo kupuma

Arenberg DA, Pickens A. Metastatic zilonda zotupa. 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: chap 55.

Hayman J, Naidoo J, Ettinger DS. Mapapo Metastases. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 57.

Putnam JB. Mapapu, khoma pachifuwa, pleura, ndi mediastinum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 57.