Zotsatira za Khansa ya m'mapapo m'thupi

Zamkati

• Dongosolo kupuma
• Mayendedwe ozungulira ndi mtima
• Chitetezo cha mthupi komanso chodetsa nkhawa
• Mitsempha yapakati
• Mafupa ndi minyewa
• Machitidwe ena

Khansa ya m'mapapo ndi khansa yomwe imayamba m'maselo am'mapapo. Sizofanana ndi khansa yomwe imayambira kwina ndikufalikira kumapapu. Poyamba, zizindikiro zazikulu zimakhudza kupuma. M'magawo am'mbuyomu a khansa yamapapu, makamaka ngati ifalikira kumadera akutali, imatha kukhudza machitidwe ambiri mthupi lanu.

Khansa yamapapo imatha kukhudza zambiri kuposa mapapu anu. Mukakhala ndi chotupa m'mapapu anu, maselo a khansa amatha kutuluka ndikupanga zotupa zatsopano pafupi kapena ngati maselo a khansa olowerera alowa mumitsempha kapena m'magazi, amatha kupita mbali zina za thupi. Izi zimatchedwa metastasis. Khansa yamapapo imafalikira ku:

• ma lymph node
• mafupa
• ubongo
• chiwindi
• adrenal zopangitsa

Poyamba, zimakhudza mapapu ndi makina opumira okha. Zizindikiro zina zimasiyana kutengera komwe khansa imasamukira.

Dongosolo kupuma

Maselo a kansa m'mapapu amagawikana ndikuchulukana, amapanga chotupa. Popita nthawi, zotupa zatsopano zimatha kumera pafupi m'mapapo kapena m'mimbamo kuzungulira mapapo. Nembanemba kuzungulira mapapo amatchedwa pleura. Ikhozanso kufalikira mumayendedwe apandege komanso pachifuwa.

Si zachilendo kukhala opanda zizindikilo kumayambiliro a khansa yamapapo. Kumayambiliro, khansa yamapapo samawoneka mosavuta pachifuwa cha X-ray.

Poyamba, mutha kuwona zochepa zakupuma. Kukumana pafupipafupi kwa bronchitis kapena chibayo kungakhale chizindikiro cha khansa yamapapo. Mutha kumveka mokweza kapena kuwona kusintha kwina m'mawu anu.

Mutha kuyamba kutsokomola kosalekeza kapena kosalekeza. Kutsokomola kwambiri kumatha kutulutsa ntchofu. Matendawa akamakula, ntchofu zimatha kusintha mtundu kapena kukhala ndi magazi. Chifuwa chachikulu, chodumphira chimatha kupweteka kummero komanso pachifuwa. Kupweteka pachifuwa kumatha kukulirakulira mukamapuma kapena kutsokomola.

Chizindikiro chofala cha khansa yam'mapapo yakutsogolo ndi kupuma pang'ono. Mutha kupindika kapena kumva phokoso linalake mukamapuma. Pamene zotupa za khansa zimayamba kutsekereza mpweya wanu, kupuma kumakhala kovuta.

Madzi amatha kudziunjikira m'mapapu. Izi zikachitika, mapapu anu sangakule bwino mukamapumira. Ngakhale kuchita masewera olimbitsa thupi pang'ono kumatha kupuma.

Mayendedwe ozungulira ndi mtima

Maselo a khansa ochokera m'mapapu amatha kulowa m'magazi. Njira yozungulira magazi ndiyo njira imodzi yomwe khansa imafalikira kuchokera m'mapapu kupita ku ziwalo zina.

Ngati mukutsokomola magazi, mwina zotupa zomwe zili panjira yanu zikutuluka magazi. Ngati magazi akutuluka kwambiri, mankhwala oti muchepetse magazi amapezeka. Mankhwalawa atha kuphatikizira ma radiation kapena ma bronchial artery embolization. Pogwiritsa ntchito mitsempha ya bronchial, dokotala wanu amagwiritsa ntchito catheter kuti apeze ndikuletsa mtsempha wamagazi.

Ngati muli ndi khansa ya m'mapapo, muli pachiwopsezo chowonjezeka chamagazi. Magazi oundana omwe amapita kumapapu amatchedwa pulmonary embolism. Ndi chochitika chowopseza moyo.

Dziwani zambiri: Kuphatikiza m'mapapo mwanga »

Sizimachitika kawirikawiri, koma khansa yamapapo imatha kufalikira pamtima kapena thumba la pericardial. Thumba la pericardial ndi minofu yomwe imazungulira mtima. Chithandizo cha khansa, monga chithandizo chama radiation chingakhale poizoni m'maselo amtima. Kuwonongeka kwa mtima kumatha kuwonekera nthawi yomweyo, koma nthawi zina kumatenga zaka kuti muzindikire.

Chitetezo cha mthupi komanso chodetsa nkhawa

Khansa imatha kufalikira m'mapapo polowa m'mitsempha yapafupi. Kamodzi mumachitidwe amitsempha yama cell amatha kufikira ziwalo zina ndikupanga zotupa zatsopano.

Ziphuphu ndi zotumphukira mozungulira khosi lanu, khosi, kapena m'khwapa zitha kukhala chifukwa cha khansa m'matenda am'mimba. Muthanso kuwona kutupa kwa khosi kapena nkhope.

Mitundu ina ya khansa ya m'mapapo imapangitsa zinthu zofananira ndi mahomoni kulowa m'magazi. Izi zingayambitsenso mavuto ndi ziwalo zina. Izi zimatchedwa "paraneoplastic syndromes."

Malo amodzi omwe khansa yamapapu imafalikira ndi chiwindi, chomwe chimatha kuyambitsa matenda a jaundice. Zizindikiro za jaundice zimaphatikizapo chikasu cha khungu komanso azungu amaso anu. Chizindikiro china cha khansa pachiwindi ndi kupweteka kumanja kwanu. Kumva kudwala mutadya chakudya chochuluka ndi chizindikiro china. Dokotala wanu amatha kugwiritsa ntchito kuyesa magazi kuti adziwe zambiri za thanzi lanu la chiwindi.

Mitsempha yapakati

Mutha kukhala ndi mutu komanso zisonyezo zina zamaubongo ngati khansa imafalikira kuubongo. Chotupa chaubongo chimatha kuyambitsa:

• mavuto okumbukira
• kusintha kwa mawonekedwe
• chizungulire
• kugwidwa
• dzanzi la miyendo
• kufooka kwa miyendo
• mayendedwe osakhazikika
• mavuto moyenera

Pamene zotupa zimapanga kumtunda kwamapapu anu, zimatchedwa zotupa za Pancoast. Zitha kubweretsa matenda a Horner. Matenda a Horner amakhudza mitsempha kumaso ndi m'maso. Zizindikiro za Horner's syndrome zimaphatikizira kugwa kwa chikope chimodzi, mwana m'modzi yemwe ndi wocheperako kuposa winayo, komanso kusowa thukuta mbali inayo ya nkhope. Zitha kupanganso kupweteka paphewa.

Mafupa ndi minyewa

Khansa yomwe imafalikira m'mafupa imatha kubweretsa kupweteka kwa mafupa ndi minofu, kufooketsa mafupa, komanso chiopsezo chowonongeka. Kujambula mayesero monga X-ray kapena mafupa angathandize dokotala wanu kuzindikira khansa m'mafupa.

Mitundu ina ya khansa yam'mapapo imalumikizidwa ndikukula kwa matenda a Lambert-Eaton, omwe ndi matenda amthupi okha. Matenda a Lambert-Eaton amasokoneza zizindikilo kuchokera ku mitsempha kupita kuminyewa ndipo imatha kuyambitsa kufooka kwa minofu, yomwe imatha kukhudza:

• kuyenda
• kumeza
• kutafuna
• kuyankhula

Machitidwe ena

Zizindikiro zina zofala za khansa ndi monga:

• kuonda kosadziwika
• kusowa njala
• kufooka wamba
• kutopa

Khansa ya m'mapapo nthawi zambiri imafalikira kumatenda a adrenal, koma sikuti nthawi zonse imayambitsa matenda. Kusintha kwa mahomoni kumatha kukupangitsani kukhala ofooka komanso kuzunguliridwa ndipo kumathandizanso kuti muchepetse thupi. Dokotala wanu amatha kugwiritsa ntchito mayeso ojambula kuti ayang'ane khansa m'matenda a adrenal.