Kodi Kupweteka Pamapewa Ndi Chizindikiro cha Khansa Yam'mapapo?

Zamkati

• Zizindikiro zina za khansa yamapapu
• Ndi chiyani china chomwe chimayambitsa kupweteka kwamapewa?
• Kodi dokotala wanu angadziwe bwanji ululu wamapewa?
• Kodi khansa ya m'mapapo imapezeka bwanji?
• Kodi ndi mankhwala ati omwe amapezeka kwa khansa ya m'mapapo?
• Kodi mungatani kuti muchepetse kupweteka kwamapewa?
• Chiwonetsero

Chidule

Mutha kuphatikiza kupweteka kwamapewa ndi kuvulala kwakuthupi. Kupweteka kwamapewa kumathanso kukhala chizindikiro cha khansa yamapapu, ndipo mwina ndi chizindikiro chake choyamba.

Khansa yamapapo imatha kupweteketsa m'mapewa m'njira zosiyanasiyana. Kukula kwa khansa kumapeto kwa mapapo otchedwa chotupa cha Pancoast kumatha kutsina mitsempha ina yomwe imapereka:

• mapewa
• mikono
• msana
• mutu

Izi zitha kuyambitsa gulu limodzi la zizindikilo zotchedwa Horner's syndrome. Zizindikiro za matenda a Horner ndi awa:

• kupweteka kwambiri paphewa, chomwe ndi chimodzi mwazizindikiro zofala kwambiri
• kufooka mu chikope chimodzi
• kuchepetsa kukula kwa wophunzira m'diso limodzi
• amachepetsa thukuta mbali yomwe yakhudzidwa ndi nkhope

Kupweteka kwamapewa kumatha kuchitika chifukwa cha chotupa m'mapapo chomwe chimafalikira m'mafupa mkati ndi mozungulira paphewa kapena msana. Ngati chotupa m'mapapo ndi chachikulu, chimatha kusunthira pazinthu zina zapafupi ndikuthandizira kupweteka kwamapewa. Izi zimatchedwa mphamvu.

Zowawa zina za m'mapewa zimachitika pamene chotupacho chimakakamiza mitsempha yam'mapapo. Ubongo umamasulira izi kuti zimachokera paphewa ngakhale kuti minyewa ili m'mapapu. Izi zimadziwika kuti "zowawa zotchulidwa."

Kupweteka pamapewa kuchokera ku khansa yamapapo ndikofanana ndi mitundu ina ya ululu wamapewa. Kungakhale kovuta kudziwa chomwe chimayambitsa kupweteka kwanu. Ngati mwagwa posachedwa kapena kuvulaza phewa mwanjira ina, khansa yamapapo sichingakhale chifukwa chakumva kupweteka kwanu. Khansa ya m'mapapo itha kukhala yoyambitsa zowawa zanu, makamaka ngati mumasuta komanso kupweteka kwanu:

• zimachitika panthawi yopuma
• sagwirizanitsidwa ndi ntchito iliyonse yovuta yokhudzana ndi phewa
• zimachitika usiku
• sichidzikonza pakatha milungu ingapo

Khansa yamapapo imayambitsanso kupweteka pachifuwa. Nthawi zina, kupweteka pachifuwa kumachitika chifukwa chakukhosomola kwamphamvu komanso kwakanthawi. Nthawi zina, kupweteka kwa khansa yam'mapapo kumachitika chifukwa cha chotupa chachikulu chomwe chimakanikiza pazinthu zina kapena kukulira kukhoma pachifuwa ndi nthiti. Zotupa m'mapapu amathanso kusindikiza pamitsempha yamagazi ndi ma lymph node. Izi zimapangitsa kuti madzi azikhala ochulukirapo m'mphuno, ndipo zimatha kupweteketsa kapena kupuma pang'ono.

Zizindikiro zina za khansa yamapapu

Zizindikiro za khansa yamapapu ndizovuta kudziwa. Nthawi zina zimatha kutenga miyezi kapena zaka kuti zizindikiritso zikule.

Zizindikiro zambiri za khansa yamapapu zimachitika pachifuwa. Zikuphatikizapo:

• kupuma pang'ono, kapena dyspnea
• phokoso laphokoso, laphokoso ndi mpweya uliwonse, kapena chingwe
• kulimbikira, kutsokomola kwambiri
• Mavuto am'mapapo kuphatikiza chibayo ndi bronchitis
• kutsokomola magazi, ntchofu, kapena ntchofu
• chifuwa kapena kupweteka kwa msana
• kusintha kwa mawu, monga kukodola
• kusintha kwa mtundu kapena kuchuluka kwa sputum, komwe kumakhala kusakaniza kwa malovu ndi mamina

Kusokonezeka m'mapapu ndi pachifuwa kumatha kuchitika chifukwa cha kupuma monga bronchitis ndi emphysema.

M'magawo otsogola kwambiri a khansa ya m'mapapo, khansa yapachiyambi imatha kufalikira mbali zina za thupi. Izi zikuphatikiza:

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

Zizindikiro zina za khansa yamapapu ndi monga:

• kutopa
• kutopa
• kuonda
• kuwonongeka kwa minofu, kapena cachexia
• kuundana kwamagazi
• Kutaya magazi kwambiri
• kutupa kwa nkhope ndi khosi
• kuphwanya mafupa
• kupweteka mutu
• kupweteka kwa mafupa ndi mafupa
• zovuta zamitsempha, monga kukumbukira kukumbukira komanso kusayenda bwino

Ndi chiyani china chomwe chimayambitsa kupweteka kwamapewa?

Ngati muli ndi ululu wamapewa, ndiye kuti mulibe khansa yamapapo. Matenda osiyanasiyana amabweretsa ululu wamapewa kuphatikiza:

• kuvulala pang'ono
• kukhazikika koyipa mukakhala pansi kapena kuyimirira
• phewa lachisanu
• dzanja lophwanyika la kolala losweka
• kusokonezeka kwa makina oyendetsa
• tendonitis
• nyamakazi
• phewa losunthika
• mavuto olumikizana ndi acromioclavicular
• bursiti
• chithokomiro chopitilira muyeso, kapena hyperthyroidism

Kodi dokotala wanu angadziwe bwanji ululu wamapewa?

Ngati mukumva kupweteka m'mapewa, dokotala wanu amatha kuyesa mayeso. Izi zidzakuthandizani kudziwa komwe kumabweretsa ululu. Kuphatikiza apo, dokotala wanu adzawunikanso zina mwazizindikiro zanu kuti aziyika zotsatira za mayeso ndikumvetsetsa chithunzi chonse.

Kodi khansa ya m'mapapo imapezeka bwanji?

Dokotala wanu ayamba aunikanso zizindikiro zanu. Chotsatira, ngati akuganiza kuti khansa yamapapo itha kukhala yotheka, adzagwiritsa ntchito njira zowunikira monga CT kapena positron emission tomography scan kuti mupeze chithunzi chamkati cha mapapu anu. Izi zimapereka chithunzi chomveka bwino cha kukula kulikonse komwe kungakhale khansa.

Ngati akukayikirabe khansa yam'mapapo kutsatira kuwunika kwanu, atha kufunsa kuti atenge kachidutswa kakang'ono m'mapapu kuti kachiyese bwinobwino ma cell a khansa. Izi zimatchedwa biopsy.

Madokotala amatha kupanga ma biopsies am'mapapo m'njira ziwiri. Amatha kudutsa singano kudzera pakhungu kupita m'mapapu anu ndikuchotsa pang'ono. Izi zimatchedwa biopsy ya singano. Kapenanso, madokotala anu atha kugwiritsa ntchito bronchoscopy kuti apange biopsy. Poterepa, adotolo amalowetsa chubu chaching'ono chophatikizira kuwala pamphuno kapena mkamwa komanso m'mapapu kuti muchotse kanyama kena.

Akapeza ma cell a khansa, adotolo angayezetse majini. Izi zitha kuthandiza dokotala kuti adziwe khansa yamapapu yamtundu wanji yomwe mungakhale nayo ndikuzindikira zomwe zimayambitsa, monga kusintha kwa majini. Imatsogoleranso mankhwala omwe ndi othandiza kwambiri.

Kodi ndi mankhwala ati omwe amapezeka kwa khansa ya m'mapapo?

Ngati muli ndi khansa ya m'mapapo, dokotala akhoza kugwiritsa ntchito mankhwala osiyanasiyana, kuphatikizapo:

• opaleshoni
• chemotherapy
• cheza
• mankhwala osokoneza bongo
• chithandizo chamankhwala

Madokotala nthawi zambiri amagwiritsa ntchito njira zingapo pochizira khansa yamapapo.Mwachitsanzo, akhoza kukupatsani mankhwala ochepetsa mphamvu ya mankhwala kapena ma radiation kuti muchepetse chotupa asanamupange opaleshoni. Angayesenso njira ina ngati ina sigwira ntchito. Ena mwa mankhwalawa amakhala ndi zovuta zina. Mutha kuthana ndi zovuta mukamakonzekera bwino komanso maphunziro.

Kodi mungatani kuti muchepetse kupweteka kwamapewa?

Mutha kuthana ndi ululu wamapewa moyenera ngati mukulimbana ndi zomwe zimayambitsa. Ngati dokotala akupezani kuti muli ndi khansa ya m'mapapo, ndikofunikira kuti mupeze chithandizo chabwino kwambiri.

Ngati kupweteka kwanu sikukubwera chifukwa cha khansa ya m'mapapo, ndikofunikira kudziwa chomwe chimayambitsa. Izi zidzathandiza dokotala wanu kupeza njira yothandizira. Mwachitsanzo, atha kulimbikitsa odwala ngati muli ndi ululu wamapewa chifukwa cha tendonitis. Ngati mukumva kupweteka paphewa chifukwa cha matenda ashuga, adokotala angakulimbikitseni kuphatikiza mankhwala ochepetsa shuga komanso zakudya zochepa zama carbohydrate.

Mutha kuyesa chithandizo chanyumba podikirira kukaonana ndi dokotala:

• Pewani kugwiritsa ntchito phewa lanu lovulala.
• Yesani kuyika mapewa anu kwa mphindi 15 mpaka 20 nthawi imodzi. Izi zitha kuthandiza kuchepetsa ululu ndi kutupa.
• Yesani kukulunga phewa lanu ndi bandeji yotanuka. Kugwiritsa ntchito psinjika kumatha kukuthandizani kuti musagwiritse ntchito mosamala phewa lanu.
• Kwezani phewa lanu pamwamba pamtima mwanu momwe mungathere. Mutha kugwiritsa ntchito mapilo kukuthandizani ndi izi.

Chiwonetsero

Mitundu yambiri ya ululu wamapewa sizizindikiro za khansa yamapapu. Zina mwazomwe zimayambitsa ndi monga tendonitis, matenda ashuga, komanso mawonekedwe oyipa. Kupweteka pamapewa ndichizindikiro chodziwika bwino cha khansa yamapapu, komabe. Ngati mukumva kupweteka paphewa ndipo muli ndi zizindikiro zina za khansa yamapapu kapena muli pachiwopsezo chachikulu, musachedwe kukaonana ndi dokotala. Kuzindikira koyambirira ndiko chinsinsi chothandizira khansa ya m'mapapo.