M'mbuyomu, chifuwa cha x-rays chinkalamulidwa nthawi zonse ngati gawo la ndondomeko, koma izi zikusintha, ndipo chifuwa cha x-ray chikhoza kukhala chimodzi mwa mayesero omwe mumalandira. Ngakhale chifuwa chimakhala ndi zokolola zochepa zowononga mamastases ammapapu (pamene zatha kuti muwone ngati khansa yanu yafalikira m'mapapu anu), palinso zifukwa zina zambiri zomwe zikhoza kupangidwira chifuwa cha X-ray.
Tiyeni tiyang'ane zomwe tikudziwa panopa pa chifuwa x-ray ndi khansa ya m'mawere komanso zizindikiro za chifuwa nthawi yamachiritso.
Chifuwa cha TB ndi Khansa ya m'mimba
Mukapeza kuti muli ndi kansa ya m'mawere ndipo musanayambe kumwa mankhwala, dokotala wanu adziŵe malo a khansa yanu. Ndipotu, simungadziwe masewerawo mpaka mutatha opaleshoni, ndondomeko yowonjezera, komanso mayesero ena a PET.
Chifuwa x-rays sichikulangizidwa ngati gawo la magawo malinga ndi malangizo a National Comprehensive Cancer Network. Kufufuza kwa chaka cha 2015 kuyang'ana pachifuwa x-rays anachita ngati gawo la masewera kuti mayesowa sanapangitse kufufuza kwa metastases zamatsenga koma adawonjezera ndalama. Kuonjezera apo, chifuwa cha-x-ray mu anthu omwe ali ndi khansa ya m'mawere oyambirira amakhala ndi ubwino wambiri wachinyengo, zomwe zingachititsenso kukhumudwa. Izi zinati, malo ambiri a khansa amapitirizabe kupanga chifuwa chachikulu ngati gawo la kafukufuku wa khansa ya m'mawere.
Zifukwa Zogwiritsira Ntchito Chifuwa Chapakati Pa Chithandizo cha Khansa ya M'thupi
Pali zifukwa zingapo zomwe sizinapangidwe chifukwa chake ovocologist akhoza kulamulira chifuwa cha x-ray. Ena mwa awa ndi awa:
- Kufufuza mavuto alionse omwe amapuma, monga chifuwa kapena mpweya wochepa, womwe umakhalapo musanafike kapena pakapita mankhwala
- Kuti muyang'ane mtima wanu ndi mapapo anu musanachitidwe opaleshoni (ndi mankhwala osokoneza bongo) kapena chemotherapy
- Kuti mupeze umboni wa chibayo ngati mukudwala malungo mukamagwiritsa ntchito chemotherapy. Nthenda yochepa ya magazi ( neutropenia ) ingapangitse ngozi yanu.
- Kuti mupeze umboni wa ma radiation pneumonitis (kutupa kwa mapapo) pamene mukulandira kapena mutalandira chithandizo chamagetsi . Mankhwala enaake omwe amagwiritsidwa ntchito pa khansa ya m'mawere angapangitsenso kutupa m'mapapo.
- Monga gawo la mayesero a zachipatala . Chifuwa cha X-ray chingakhale chimodzi mwa zifukwa zoyenera kutenga nawo mbali m'kuyezetsa magazi.
- Kufufuza umboni wa mapapu a m'mapapo (kufalikira kwa khansa ya m'mawere m'mapapu) ngati mukulitsa zizindikiro zilizonse zomwe zikuwonetsa izi
Matenda a khansa ya m'mawere ndi zifuwa zamkati
Mapapu ndi malo wamba a masewera a kansa ya m'mawere kwa anthu omwe ali ndi khansa ya m'mawere, ndipo nthawi zambiri mumasokonezeka pamene izi zimachitika. Khansara yomwe imafalikira m'mapapu kuchokera pachifuwa (ngakhale chifuwa cha m'mawere chichotsedwa zaka zapitazo) akadali khansa ya m'mawere. Ngati mutatulutsa zotupa m'mapapu ndikuyang'ana pansi pa microscope, mungayang'ane maselo a khansa, osati maselo wamapapu. Pamene khansa ya m'mawere imafalikira kumapapo imatchulidwa ngati khansa ya m'mawere ndi masastases a mapapo, osati khansa ya m'mapapo. Izi ndizofunika chifukwa njira zabwino kwambiri zothandizira ndizo zomwe zimayambitsa kansa ya m'mawere, osati khansa ya m'mapapo.
Pamene khansa ya m'mawere imafalikira kumapapo, sipangakhale zizindikiro zonse poyamba. Pamene zizindikiro zimachitika nthawi zambiri zimakhala ndi chifuwa chouma, kupuma pang'ono, kapena matenda opatsirana opuma.
Pafupifupi 4 peresenti ya anthu ali ndi metastases (omwe amafala kwambiri ndi mafupa, chiwindi, mapapo, ndi ubongo) panthawi yomwe amadziwa.
Zoperewera za Zifupa Zachifuwa Pofufuza Khansa
Ngati dokotala akudandaula kuti mutha kukhala ndi chotupa kapena metastases m'mapapu anu, mayeso abwino ndi chifuwa cha CT (kapena PET scan). Chifuwa x-ray sizingatheke kuzindikira malo ang'onoang'ono a khansa (kaya zizindikiro zamtenda kapena chifuwa chachikulu cha mapapo).
Ndipotu, kuyang'ana chifuwa x-ray sikuvomerezeka kwa anthu akusuta chifukwa amalephera kutenga khansara mofulumira kuti apange kusiyana kulikonse.
Kwa iwo amene ali ndi magawo apamwamba a kansa ya m'mawere (mwachitsanzo, siteji 2A ndi apamwamba), PET / CT imatengedwa ngati mayeso othandiza kwambiri pofunafuna umboni wa matenda oopsa.
Funsani Mafunso ndipo Muyembekezere Mayankho
Si zachilendo kuti wina yemwe ali ndi khansara ya m'mawere akuuzidwe kuti amafunika chifuwa cha x-ray, koma ngati tidziwa chifukwa chake chikuchitika, ubongo wathu ukhoza kudzaza mayankho. "Mwinamwake akuda nkhawa kuti khansara yanga ili m'mapapu anga!" Zingakhale zogwirizana ndi kuti chiwerengero chanu cha oncologist chikutsatira chifuwa ndi chisanu chaposachedwa mumamuuza. Njira yabwino yopewera kusamvetsetsana ndi zotsatira zachisokonezo m'malingaliro pakuganiza ndikufunsa mafunso ambiri za mayesero omwe mukufunsidwa. Kukhala wothandizira nokha kuti chisamaliro chanu cha khansa sichidzangowonjezera nkhawa koma chingakhale ndi zotsatira zabwino.
Mawu Ochokera
M'mbuyomu, malangizo okhudzana ndi khansa ya m'mawere analimbikitsidwa kuti ayang'ane chifuwa cha x ray kuti ayang'ane umboni uliwonse wa masitimu m'mapapo. Zapezeka kuti zokolola za maphunzirowa ndizochepa kwambiri, ndipo izi sizitonthozedwa. Komabe, pali zifukwa zambiri zomwe dokotala angapangire chifuwa cha x-ray pa chithandizo chanu. Ndi kusintha komwe kumachitika mofulumizitsa pa oncology, ndi kofunika kwambiri kuposa kale kufunsa mafunso ndikukhala wothandizira anu pa chisamaliro chanu.
> Zotsatira:
> Garg, P., Deo, S., Kumar, R. et al. Kupanga PET-CT Kufufuza Kumapangitsa Kudziwa Kwambiri kwa Lymph Nodes ndi Metastases Zambiri kusiyana ndi Zithunzi Zachikhalidwe Zomwe Zili M'kati mwa Khansa Yambiri ya M'thupi. World Journal of Surgery . 2016. 40 (8): 2036-42.
> Louie, R., Tonneson, J., Gowarty, M. et al. Kupha Magazi Okwanira, Ntchito ya Chiwindi Kuyesera, ndi Mafupa a Chifuwa Monga Zowonongeka Mwakuya Kumayambiriro Omwe Amayambitsa Khansa Yam'mawere: Kuwonjezeka kwa Mtengo Kapena Kulipira Kokha? . Kafukufuku ndi Chithandizo cha khansa ya m'mawere . 2015. 154 (1): 99-103.