Mitsempha yamapiritsi yambiri ingakhale yonyozeka kapena yoipa
Ngati mwakhala ndi chifuwa cha X-ray ndipo mwalangizidwa kuti radiologist inawona "mitsempha yambiri yamapapu" kapena "mitsempha yambiri yamapuloni," chinthu choyamba chimene chikhoza kukumbukira ndi khansara. Ndipo ngakhale, inde, khansa ikhoza kukhala chifukwa chake, pakhoza kukhala zifukwa zina, komanso. Tiyeni tiyang'ane mosamala tanthauzo la chifuwa cha mapapu, momwe izi zimasiyanasiyana ndi misa, ndi zina mwa zizindikiro za nodule zomwe zingati zikhoza kukhala khansa kapena osakhala ndi khansa.
Kumvetsetsa Maodule Ambiri Amadzimadzi
Mitsempha ya mapuloteni (omwe amadziwikanso kuti mapulaneti a pulmonary) amapezeka ngati "mawanga" kapena "zilonda" pa X-ray ndipo amatha kulemera masentimita atatu kapena osachepera m'mimba mwake. amatanthauza kuti zilonda ziwiri kapena zingapo zinayang'aniridwa mosiyana ndi ndondomeko yokha ya pulmonary (SPN) .
Mitsempha yamimba imakhala yowonongeka, yomwe imapezeka mumodzi mwa zipolopolo 500 za X-rays. Mu kafukufuku wina, 51 peresenti ya osuta fodya ali ndi zaka 50 kapena kuposerapo anali ndi MPN pamapulogalamu a mapapu.
Zizindikiro za Mankhwala a Khansa ndi Opanda Khansa
Pamene mitsempha yambiri ya pulmonary (MPN) imawoneka pang'onopang'ono, lingaliro loyambirira ndi khansara. Khansa ndi imene imayambitsa makamaka MPN ndipo nthawi zambiri imakhala chifukwa cha metastasis (pamene khansa imafalikira kuchokera ku chotupa chachikulu kupita kumbali zina za thupi).
Koma "zofala" sizikutanthauza "zokha." Pali mitundu yambiri yowononga (osati ya khansa) yomwe imayambitsa MPN monga momwe zilili zoopsa (khansa).
Kuwonjezera apo, momwe ma thovu amatha kuyang'ana pang'onoting'ono angasonyeze kuti ndiwotani.
Mankhwala ambiri amapezeka kuti ali ndi khansa ngati amphindi imodzi (pafupifupi 1/4 inchi) kapena kuposa. Mankhwala osachepera asanu ndi awiri (1/4 inchi), makamaka akagawanika pakati pa mapulogalamu a m'mapapo kapena m'mimba yomwe imayika m'mapapo, amakhala osowa.
Komanso, ngati mitsempha yanu imayikidwa ngati "kuwerengedwa," zimakhala zosavuta. Mosiyana ndi zimenezi, mawonekedwe otchulidwa kuti ali ndi "galasi la pansi" amawoneka ngati ovulaza.
Zimayambitsa Mitundu Yambiri Yamadzimadzi
Mitsempha yamapiritsi yambiri imayambitsidwa ndi matenda oopsa kapena oopsa. Zina mwazimene zimawoneka bwino ndi izi:
- Khansara ndilo vuto lalikulu la MPN, makamaka kwa anthu omwe ali ndi mbiri ya banja la khansa. Amagwirizanitsidwa kwambiri ndi metastasis ya kansa ya m'mawere, kansa yamtundu, khansara ya prostate, ndi kansa ya chikhodzodzo.
- Mafupa amphongo ali pambali pa mapaipi (otchedwa pleura ) ndipo, monga mitsempha yonse, amatha kukulitsa pamene akudwala. Izi nthawi zina zikhoza kuwerengedwa ngati malo pa X-ray.
- Matenda a Benign amatha kukhalanso m'mapapu, omwe amapezeka kwambiri m'magazi amtundu wotchedwa hamartomas . Mitundu ina ya zotupa zowopsa zimaphatikizapo fibromas, bronchial adenomas, hemangiomas, ndi blastomas.
- Matenda osokoneza bongo ndi omwe ma chitetezo cha mthupi sachulukira maselo a thupi. Nthawi zina amatha kupanga mafinya ndi kukula komwe kumawonekera ngati ma X X. Zimayambitsa matenda a nyamakazi, sarcoidosis , ndi eosinophilia.
- Matenda a m'mapapo nthawi zina amatha kuwonekera ngati mafunde ambirimbiri omwe amawoneka. Izi zikuphatikizapo matenda a bakiteriya monga chifuwa chachikulu, matenda a fungal monga histoplasmosis ndi cryptococcosis, ndi matenda a parasitic monga echinococcosis.
- Matenda a pneumoconiosis , omwe amadziwikanso kuti matenda a mpweya wakuda, amapezekabe pafupifupi 2 peresenti ya oyendetsa makala amakala ndipo amagwirizanitsidwa ndi mapangidwe ammadzimita awiri mpaka awiri.
- Mipira ya matenda omwe amatha kale amatha kuwonekera pachifuwa cha X-rays, nthawi zambiri anthu omwe sanazindikire kuti ali ndi kachilombo ka HIV.
Kusanthula Manodoma Amadzimadzi a Mulitple
Chifukwa chofala kwambiri cha MPN ndi khansa ya metastatic, madokotala amayamba kafukufuku wawo poyang'ana chotupa chachikulu (choyambirira) . Malingana ndi zomwe matenda oyambirira amanena, dokotala akhoza kulamula mammogram kuti ayang'ane chotupa cha m'mawere kapena colonoscopy kuti ayang'ane chotupa cha colon.
Zowonjezera mayesero angagwiritsidwe ntchito, kuphatikizapo:
- Computed tomography (CT scan) yomwe imagwiritsira ntchito X-ray kuti ikhale yojambulidwa
- Maganizo opanga maginito (MRI), omwe amagwiritsa ntchito maginito maulendo ojambula
- Position emission tomography (PET scan), yomwe imatha kuzindikira kuti maselo amatha kukhala ndi khansa
Kafukufuku wasonyeza kuti kuphatikiza kwa CT ndi PET kuunika kungakhale kofunika kwambiri pozindikira chifukwa cha MPN kusiyana ndi mayesero pawokha. Ngati chifukwa cha mitsempha yanu sichidziwikiratu pambuyo pa kujambula, phokoso la mapapu lingathe kuchitidwa kuti mupeze zitsanzo za minofu.
Kuchiza kwa Mankhwala Amitundu Yambiri
Chithandizo cha MPN chidzadalira chifukwa. Mankhwala a Benign nthawi zambiri amasiyidwa okha. Mankhwala okhudzana ndi matenda amatha kuchiritsidwa ndi mankhwala oyenera, antitifungal, kapena antiparasitic.
Ngati kansa ya metastatic imapezeka, mankhwalawa adzaperekedwa makamaka pamalo a chotupa chachikulu. Njira zamakono zatsopano zomwe zimakhala ngati stereotactic body radiotherapy (SBRT) zingagwiritsidwe ntchito pochitira limodzi, komanso nthawi zambiri, metastases. Njira zatsopano zogwiritsira ntchito mankhwalawa zimapereka nthawi yaitali zowonjezera ndi zotsatira zochepa za mankhwala kuposa kale lonse.
Mfundo Yofunika Ngati Mwapatsidwa Kuti Mukhale ndi Mankhwala Amitundu Yambiri
Ziribe kanthu mbiri yanu yachipatala, kuuzidwa kuti muli ndi mitsempha yambiri yamapapu yoopsya. Sitikupatsani chiyembekezo chenicheni, ndipo mumavomereza kuti ambiri mwa mitsempha imeneyi ndi khansa. Koma kumbukirani kuti pali zovuta zambiri. Kuchokera ku zochitika zapakati pazimayi mpaka matenda opatsirana, anthu ambiri amawopa kuti ali ndi khansara ndikudziŵa kuti mitsempha yawo ili ndi chifukwa chochiritsira.
Komabe, ngakhale ngati mitsempha yanu ili ndi khansa, nthawi zambiri pali mankhwala omwe angapezeke. Mwinamwake osati mankhwala omwe ali ochizira, koma mankhwala omwe angachepetse zizindikiro ndipo nthawi zambiri amatambasula moyo.
Chinthu chabwino kwambiri chimene mungachite, kupatula kusonkhanitsa chithandizo chanu palimodzi ndikuphunzira kulandira chikondi ndi chithandizo, ndiko kukhala mtsogoleri wanu wanu mu chisamaliro chanu. Monga tanenera, ngakhale khansara yamatenda m'mapapo nthawi zambiri imatha kuchiritsidwa, ndipo njira zomwe zimasinthidwazi zikusintha mofulumira. Taphunzira kuti kukhala gawo lolimbika la gulu lanu la thanzi labwino sikungowonjezerani mphamvu, koma kutenga malo anu pa dalaivala la chisamaliro chanu kungakhudzire zotsatira zanu.
> Zotsatira:
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> Callist, M. ndi Baldwin, D. "Kodi Mankhwala Ovomerezeka Ayenera Kuyenera Kufufuzidwa ndi Kuyang'aniridwa Motani?" Khansa Yam'mimba . 2016; 91: 48-55.
> de Hoop, B ;; van Ginneken, B .; Gietema, H ;; ndi Prokop, M. "Pulmonary perifissural nodules pa CT scan s: Kukula mofulumira sikumangotengera zoipa." Zamankhwala. 2012; 265 (2): 611-6.
> Detterbeck, F .; Marom, E .; Arenberg, D .; et al. "Khansa Yopereka Monga Mavitamini Ambiri ndi Ground Glass kapena Lepidic Features kapena Pneumonic Type Involvement mu Gawo Lachisanu ndi Lina la Kusindikiza kwa TNM." Journal of Thoracic Oncology . 2016; 11 (5): 666-80.
> Sato, Y .; Fujimoto, D .; Morimoto, T .; et al. Mbiri Yachilengedwe ndi Zachikhalidwe Zamagulu Amadzimadzi Amadzimadzi Amadzimadzi a Ground Glass Opacity. " Respirology. 2017; DOI: 10.1111 / ap.13089 (Epub patsogolo pa kusindikiza).