Pofika mwezi wa July 2016, BAC (Bronchioloalveolar carcinoma) ndi mawu omwe sagwiritsanso ntchito koma anagwiritsidwa ntchito pakati pa 2004 ndi 2011 kuti afotokoze mtundu wina wa mapapu adenocarcinoma. Izi zinati, akatswiri ena ochita zamagetsi amagwiritsabe ntchito mawuwa, kotero mbiri ndi zikhalidwe za zomwe kale zidatchulidwa monga BAC zifotokozedwa pano.
BAC, pamene inagawidwa pansi pa mutu uno, nthawi zina imatchedwa khansara ya "mapiko".
Kuwerengera kwa 2 mpaka 14 peresenti ya khansa yonse yamapapu, yocheperako inali yodziwika za mtundu uwu wa khansara kuposa zina zomwe sizing'ono zapang'onopang'ono za khansa zamapapo .
Mwachidule
Monga taonera pamwambapa, BAC tsopano yayambanso kulembedwa pansi pa mutu wa mapapu adenocarcinomas , koma kuyambira nthawiyi nthawi zina amagwiritsidwa ntchito ndi madokotala, izo zifotokozedwera mmalo mwake. Muchigawo chatsopano, BAC ikhoza kutchulidwa kuti "adenocarcinoma yodalirika" yomwe imakhala yofanana ndi kukula kwa chotupacho. BAC imayambira m'maselo pafupi ndi timagalimoto tating'ono ( alveoli ) m'madera akutali m'mapapo. Chimafalikira pambali pa minofu yomwe imalekanitsa alveoli kapena kudzera mu ndege. Mosiyana ndi mitundu ina ya khansa ya m'mapapo imene imafala kufalikira m'mapapu ( pleura ) ndi madera ena a thupi, BAC imafalitsa makamaka m'mapapo. Zitha kuoneka ngati malo amodzi m'mapapo, kapena ngati malo obalalika m'mapapo.
Pali mitundu iwiri yambiri ya BAC: BAC yopanda mucinous imakhala yowonjezeka ndipo imapezeka nthawi zambiri anthu osuta fodya, komanso mucinous BAC, yomwe imakhala yosazolowereka komanso imapezeka mwa osuta fodya.
Kodi Zimasiyanasiyana Bwanji ndi Khansa Zambiri za M'mimba?
BAC imakhudza kwambiri anthu osuta fodya, amayi, ndi Asiya (makamaka kum'mawa kwa Asiya) kusiyana ndi mitundu ina ya khansa ya m'mapapo.
Zomwe zikuchitika zikuwoneka kuti zikukula, makamaka pakati pa akazi omwe sali osuta.
Zizindikiro
Zizindikiro za BAC zimakhala zofanana ndi zizindikiro zomwe zimapezeka ndi khansa zina zamapapu , ndipo zimaphatikizapo chifuwa chosatha , kukopa magazi (hemoptysis), ndi kupweteka pachifuwa. Koma adatchedwanso "masquerader." Si zachilendo kuti BAC ilakwitsedwe chifukwa cha chibayo kapena matenda ena ammapapo musanafike.
Kudziwa
Kufufuza kwa BAC kumayambanso kufanana ndi matenda a khansa zina zamapapu , ndi zochepa zochepa. Kuzindikira kwa BAC kumafuna chinyama cha minofu, ndipo chidziwitso chabwino cha singano chimapangitsa kuti matendawa afike pafupi theka la nthawi. Mosiyana ndi mapiritsi ena ammapapu, kumene PET amawunika ndiwothandiza pambali pa zofufuza za CT pofuna kudziwa komwe kansalu ilipo, PET sangazidali zodalirika. Kukhazikika (magawo 1 mpaka 4 kapena magulu a TNM) ndi ofanana ndi kukhazikitsa mitundu ina ya khansa ya m'mapapo .
Kuchiza
Kuchita opaleshoni ndi njira yopangira BAC, ndipo ngati chotupa chimodzi chingachotsedwe, nthawi zambiri amakhala ndi mwayi woti adzachiritsidwa. Zikuwoneka kuti sizikugwirizana kwenikweni ndi mankhwala a chemotherapy , ndipo pali kutsutsana pa mankhwala kapena mankhwala oyenera omwe amaperekedwa pamodzi ndi opaleshoni) ayenera kugwiritsidwa ntchito ndi opaleshoni.
BAC imaoneka ngati yowona bwino njira zatsopano zothandizira , mankhwala omwe amayenera kutengera kusintha kwasinthane kwa jini. Anthu omwe ali ndi khansa yamapapu imeneyi ayenera kukhala ndi mayeza a mavitamini (mapulogalamu a maselo) omwe amachitidwa pamimba . Pali mankhwala omwe amavomerezedwa ndi khansa yamapapu yomwe imakhala ndi kusintha kwa EGFR , ALK rearrangements , ndi rearrangements za ROS1 , ndi mankhwala omwe amagwiritsidwa ntchito m'mayesero a kachipatala kwa omwe ali ndi zobadwa zina zomwe zimasintha m'mimba mwawo.
Kuwongolera kwa mapuloteni kukuyang'aniranso ngati mankhwala ena, ndipo ngati khansara sichibwererenso m'mapapu opangidwa, imapereka mwayi wina wamoyo wamuyaya.
Kuthamangitsani
Kawirikawiri, kupitirira kwabwino kuli bwino kwambiri kwa BAC kusiyana ndi mitundu ina ya khansa ya m'mapapo yopanda makapu, makamaka ikagwidwa msanga komanso khungu limodzi lokha. Mu kafukufuku wina, omwe anapezeka ndi BAC ndipo anali ndi matumbo osachepera masentimita atatu m'mimba mwake, anali ndi zaka 5 kupitirira kwa 100 peresenti ndi opaleshoni. Pambuyo pazigawo za matendawa zimasiyana mosiyanasiyana, malinga ndi zinthu monga zosiyana ndi zotupa mumtundu womwewo, kugawanika kwa mitsempha, komanso kufalikira kwa chifuwacho.
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