Kodi dokotala wanu amatanthauza chiyani makamaka ndi khansara ya mapapu yoyamba? Mwinamwake mwamva mawu awa akugwiritsidwa ntchito mukuwerenga kwanu, kapena dokotala wanu angayankhe kuti khansara yamapapu ikuwoneka kuti ndi khansara ya mapapu yoyamba. Kodi tanthawuzo ndi chiyani ndipo izi zikutanthauza chiyani kwa inu?
Tanthauzo
Kansa yapakhungu yamapapo ndi khansara yomwe ikuyamba m'mapapu. Kawirikawiri, khansara yamaphunziro oyambirira imatchedwa kansalu yamapapu, popanda kuwonjezera mawu oyambirira.
Kumvetsa kusiyana pakati pa khansara yamaphunziro oyambirira ndi yachiwiri kungathandize kufotokozera chifukwa chake malongosoledwewa angagwiritsidwe ntchito.
Primary vs Secondary
Ngati khansara ya mapapu yoyamba ikufalikira kumadera ena a thupi (wotchedwa metastasis) imatchulidwa ku masewera a kansa yamaphunziro oyambirira kumalo kumene kufalikira. Mwachitsanzo, khansara yomwe imayambira m'mapapu ndikufalikira ku ubongo ingatchedwe "khansara ya mapapu yoyambirira ku ubongo."
Khansa yomwe imayambira kumadera ena a thupi ndikufalikira m'mapapu si ma khansara oyambirira . Nthawi zina iwo amafotokozedwa kuti ndi " khansa yachiwiri " koma nthawi zambiri amatchulidwa poyamba ndi malo a khansa yotsatira ndi "metastatic mapapu." Mwachitsanzo, khansara ya m'mawere yomwe imafalikira m'mapapu ikhoza kutchedwa "masewera a kansa ya m'mawere mpaka mapapu, "" khansa ya m'mapapo ya m'magazi kuchokera pachifuwa, "kapena" khansa yapachifuwa yoyambirira yomwe imagwira ntchito yamapapo. " Izi ndi zofunika chifukwa pali khansa zambiri zomwe siziyamba, koma zimafalikira m'mapapu .
Koma, ngati wina ali ndi khansara ya m'mawere atenga khansara ina yosagwirizana yomwe inayamba m'mapapo, chotupacho chikanakhala ngati khansara yamaphunziro oyambirira.
Kuchokera Pachiwiri Kufikira Kukulu
Mawu akuti "khansa yapakhungu yamapisozi" amagwiritsidwa ntchito kwambiri ngati munthu amene ali ndi kansa ya m'mapapo amayamba khansa yachiwiri yamapapu.
Izi zikachitika, khansa yachiwiri yamapapo ingakhale imodzi mwa zinthu ziwiri.
Kawirikawiri, gawo lachiwiri la khansa m'mapapu omwe amapezeka kwa munthu amene ali ndi kansa ya m'mapapo ndi mitsempha - kutanthauza kuti kufalikira kwa khansara yamapapo kale (ngakhale atachotsedwa kale ndi opaleshoni) kumalo ena m'mapapu . Izi zikanatchedwa mastasis wamapapu ochokera ku khansara ya mapapu yoyamba, koma khansa yachiwiri yachikondi imagwiritsidwanso ntchito pofotokoza izi. Malingaliro omwe mungawerenge pa lipoti anganene chinachake monga: "Matenda a khansa yapakhungu yamapiri kumadera ena m'mapapu."
Mosiyanitsa, ndipo mwachilendo, anthu akhoza kukhala ndi khansa yachiwiri yamapapu yoyamba . Izi zikutanthauza khansara yatsopano ya mapapu yosagwirizana ndi khansa yoyamba yamapapo. Zitha kukhala khansa yamapapu yofanana koma zikhoza kusiyana ndi zoyamba za maselo. Khansara yachiwiri ya mapapo a mapapu ingayambe ndi gulu losiyana la maselo a kansa kuposa chifuwa choyamba.
Khansara yachiwiri ya m'mapapo ya m'mapapo ingapezeke posachedwa atangoyamba kupeza matenda, kapena patapita zaka zambiri.
Zolemba ziwiri
Zingamveke zodabwitsa kuti anthu angakhale ndi khansa yamapapu yosiyana yomwe sagwirizana, koma monga taonera pamwamba, izi si zachilendo.
Ikhoza kuthandiza kulingalira za zifukwa zomwe zimayambitsa kansa ya m'mapapo komanso zimayambitsa. Chilichonse chimene chinayambitsa kansa ya m'mapapo ya m'mapapo ingawononge maselo ena m'mapapo mwa njira yomwe ingayambitse khansa. Mwachitsanzo, anthu omwe ali ndi chiopsezo cha chibadwa cha khansa ya m'mawere nthawi zina amakhala ndi khansa yapakati yosiyana komanso yosagwirizanitsa chifukwa cha kusintha kwa majini omwe amanyamula. Mofananamo, anthu omwe ali ndi chiopsezo cha chifuwa cha khansara yamapapo kapena amapezeka ku zinthu zomwe zimachititsa khansa ya m'mapapo monga fodya kapena radon m'nyumba , nthawi zina amatha kupanga khansa ya m'mapapo yosagwirizana.
Kodi Iwo Amasiyanitsa?
Nthawi zina mitundu iwiri ya khansa imakula m'mapapo nthawi yomweyo.
Pa zochitikazi, ziwalo zonsezi zikhoza kuonedwa ngati khansa yapakhungu yamapiritsi. Zingakhale zovuta poyang'ana kuti mudziwe ngati khansa ziwiri ngati izi sizigwirizana, kapena ngati imodzi mwa khansa ndi metastases chifukwa cha khansa yapachiyambi komanso yoyamba. Ndi kuyesa kwakukulu, monga kufotokoza kwa maselo a khansa ya m'mapapo , ndizotheka nthawi yochuluka kudziwa ngati khansa ndi yosagwirizana.
Ziphuphu Zambiri Zopanda Phindu
Nthawi zambiri, chotupa chimapezeka m'mapapu ndipo madokotala sangadziwe kumene chinachokera-malo oyambirira a khansa sadziwika. Ma khansa ena amapezeka pokhapokha atafalikira kumadera ambiri a thupi, kuphatikizapo mapapo. Pankhaniyi, khansara ikhoza kutchedwa "kansa ya metastatic m'mapapu a chiyambi chosadziwika," osati khansara ya m'mapapo.
Zotsatira:
American Cancer Society. Kodi khansara yapadera yosadziwika ndi iti? Kusinthidwa 01/7/16. http://www.cancer.org/cancer/cancerofunknownprimary/detailedguide/cancer-unknown-primary-cancer-of-unknown-primary