Zizindikiro za khansa ya m'mapapo yazing'ono zingakhale zofanana ndi zizindikiro za khansa ya m'mapapo, koma zingakhalenso zosiyana m'njira zosiyanasiyana. Kawirikawiri, mosiyana ndi zazing'ono zapang'onopang'ono zamapangidwe ta khansa , zizindikiro zimakhalapo kwa kanthawi kochepa kuti asanatuluke.
Zizindikiro Zogwirizana ndi Malo Amimba
Maselo ang'onoang'ono a mapapu a mapapu amakhala akukula pafupi ndi pakatikati pa mpweya wa m'mapapo, ndipo motere, amachititsa zizindikiro kumayambiriro ndi kukwiyitsa kayendetsedwe ka ndege kapena kutsegula mpweya.
Amayambanso kufalitsa ( metastasize ) molawirira, ndipo si zachilendo kuti zizindikiro zoyambirira za khansa ya m'mapapo ya m'mapapo zikhale zogwirizana ndi zotsatira zake ku ziwalo zina, monga ubongo. Zizindikiro zina zomwe zimapezeka ndi izi:
- Chifuwa chosatha
- Kudula magazi
- Kupuma pang'ono
- Kupuma
- Kusokonezeka
- Matenda obwerezabwereza monga chibayo kapena bronchitis, kapena kugwa kwa mapapu ( atelectasis ) chifukwa cha kuchepa kwa ndege
Zizindikiro Chifukwa Chofalitsa ku Mediastinum
Mankhwala a khansa ya m'magazi ang'onoang'ono amatha kufalikira kudera la pakati pa mapapo ( mediastinum ) mofulumira kwambiri pa nthawi ya matendawa. Pamene khansara imafalikira ku mediastinum, ikhoza kuyambitsa zowonjezera m'dera lino, monga:
- Mphuno : kumayambitsa kumeza
- The trachea (windpipe): kuchititsa kupuma pang'ono ndi kulira mluzi pamene akupuma
- Mtima: Nthawi zina zimayambitsa madzi kumadzimadzi omwe amamatira mtima (kuwonetsa)
Zizindikiro zogwirizana ndi Superior Vena Cava Syndrome
Khansara ya m'mapapo ya m'mapapo angapangitse zizindikiro zotchedwa vena cava syndrome (SVC syndrome). Pamene chotupa chiripo mu mediastinum, chimatha kukaniza vena cava (chotengera cha magazi chachikulu chomwe chimabweretsanso magazi kumtima), kuchititsa zizindikiro monga kutupa kwa nkhope, khosi, ndi chapamwamba.
Matenda a SVC amavomereza kwambiri ndi khansa yaing'ono yamapiritsi ya khansa kusiyana ndi mitundu ina ya khansa ya m'mapapo ndipo ikhoza kukhala chizindikiro choyamba cha matendawa.
Paraneoplastic Syndromes
Kansera yaing'ono ya m'mapapo ya m'mapapo ingayambitsenso zizindikiro zosiyanasiyana chifukwa cha syndromes . Nthaŵi zina, zizindikiro zapachirombola zimakhala chizindikiro choyamba cha khansara yamapapo. Ena mwa awa ndi awa:
- Kufooka kwa minofu kumapazi apamwamba, masomphenya amasintha, ndi kuvutika kukumeza (Matenda a Lambert-Eaton myasthenic)
- Kufooka, kutopa, ndi mlingo wochepa wa sodium m'magazi (matenda osayenera a antidiuretic hormone secretion (SIADH))
- Kutaya kugwirizanitsa ndi kuvutika kulankhula (kuperewera kwa cerebellar degeneration)
- Kulemera kwa msinkhu, kuthamanga kwa magazi, kusintha kwa maganizo, ndi khungu kumasintha monga kutambasula pamimba ndi khungu la khungu ( Cushing Syndrome )
- Kuphimba (kuzungulira) za zikhomo
Zizindikiro Pamene Khansa Yam'mimba Imafalikira
Popeza khansara yaing'ono yamapapo ya m'mapapo imafalitsa (metastasizes) kumayambiriro kwa matendawa, zizindikiro zoyamba zikhoza kukhala zokhudzana ndi zotsatira za khansa yomwe ili ndi ziwalo zakutali. Zina mwa zizindikirozi zingakhalepo:
- Zisonyezo za ubongo metastases: Ubongo wa metastases ukhoza kuyambitsa zizindikiro monga mutu, chizungulire, kufooka kwa mbali imodzi ya thupi, kapena zovuta za kulankhula (phunzirani zambiri za momwe khansa ya m'mapapo imafalikira ku ubongo )
- Zizindikiro chifukwa cha mitsempha ya mafupa: Matenda a mitsempha amatha kuchititsa zizindikiro monga kupweteka kwa msana komanso / kapena kupweteka kwa msana kumayambitsa ululu kapena kupweteka kwa mimba (phunzirani zambiri za momwe khansa ya m'mapapo imafalikira pfupa )
- Zizindikiro zowonjezera chiwindi: Matenda a chiwindi amatha kupweteka m'mimba, kuyabwa, ndi chikasu (kambiranani zambiri za momwe khansa ya m'mapapo imafalikira pachiwindi )
Zizindikiro Zambiri
Maselo ang'onoang'ono a mapapu a mapapu angayambitsenso zizindikiro za khansara , monga kutopa, kusowa kwa kudya, ndi kutayika kosadziwika. Matenda a khansa ya khansa, yokhala ndi kulemera kosafuna mwadzidzidzi pamodzi ndi kuwonongeka kwa minofu, imakhalanso yowonjezereka ndipo ingachepetse umoyo wa moyo komanso kupulumuka.
Pansi
Zizindikiro za khansa yaing'ono yamapapu ya m'mapapo imasiyana ndi khansa yaing'ono ya m'mapapo ya m'mapapo, chifukwa anthu samawonekeranso mmbuyo ndikuzindikira kuti akhala ndi zizindikiro kwa nthawi yayitali. Kupezeka kwa selo yaing'ono kumapangidwa kawirikawiri chidziwitso chikayamba. Komanso mosiyana ndi kansa yaing'ono ya m'mapapo ya m'mapapo, zizindikiro zoyamba zikhoza kukhala zamaganizo, monga mutu, kupweteka, kapena zofooka zokhudzana ndi metastases ya ubongo.
Matenda a paraneoplastic amakhalanso ofanana ndi khansa yaing'ono ya m'mapapo ya m'mapapo (ngakhale angakhale ndi mtundu wa khansa yaing'ono ya m'mapapo yamtundu wotchedwa squamous cell carcinoma). Zizindikirozi zimasiyana mosiyana kwambiri ndipo sizikutanthauza mapapu ngati gwero la vutoli.
> Zotsatira:
> American Society of Clinical Oncology. Kachilombo Kakang'ono ka Khansa: Zizindikiro ndi Zizindikiro. Kusinthidwa 10/16.