Nhamba dzakawanda dzemapurumununu dzinogona kuva dzakanaka kana dzakaipa
Kana iwe wakanga uine chifukidzo che X-ray uye wakakurudzirwa kuti radiologist yakaona "mazamu akawanda emapapu" kana "mazamu akawanda emapummona," chinhu chokutanga chinogona kuuya mupfungwa ndikenza. Uye kunyange, hongu, kenza ingangove iyo iyo inokonzera, pangave pane dzimwe tsanangudzo, zvakare. Ngatinyatsocherechedza tsanangudzo yemapapule emapapu, kuti izvi zvakasiyana sei nehuwandu, uye zvimwe zvehutano hwehutachiona hunogona kuratidza kuti ingangodaro kana kuti isingave nekenza.
Kunzwisisa Mafudzi Akasiyana-siyana Emakungu
Nhengo dzemuviri dzinowanikwa (dzinowanzonziwo mapurules) dzinowanzoonekwa se "mavara" kana "zvipembenene" pa-X-ray uye ichayera mamita masendimita (zvakapoteredza inenge imwe nehafu) kana zvishoma paupamhi. zvinoreva kuti zvipembenene zviviri kana kupfuura zvakaonekwa kunze kwepachiga chepulmonary nodule (SPN) .
Mhotukari yakakomba yakafanana, inowanikwa mune imwe yemapfupa mashanu e-X-ray. Mune rumwe ruzivo, 51 muzana yevasvuta vane makore makumi mashanu nekure vakanga vane MPN pamapapu scan.
Zviratidzo zveCancerous and Non-Cancerous Nodules
Apo mishonga yakawanda yemapummonic (MPN) inowanikwa pakutsvaga, kuonekwa kwekutanga ndiko kenza. Kanzera ndicho chikonzero chinowanzokonzerwa nePMN uye kazhinji chikonzero chemasastasis (kana kenza inopararira kubva pachirwere chekutanga kune dzimwe nhengo dzomuviri).
Asi "zvinowanzoonekwa" hazvirevi "chete." Kune inenge inenge yakawanda yakaipa (isina-kenza) zvinokonzera MPN sezvo pane yakaipa (kanzira).
Uyezve, nzira iyo majekesheni anotarisa kuongorora anogona kuratidza kuti ndivanaani.
Multiple nodules zvinowanzove nekenza kana iri imwe centimita (inenge 1/4 inch) kana kupfuura kupfuura. Nodules pasi pemamiriyoni mashanu (1/4 inch), kunyanya kana yakaparadzirwa mumapukisi pakati pelobes emapapu kana pamwe nematumbu anokonzera mapapu, anowanzove akaipa.
Uyezve, kana zviputi zvako zvichirondedzerwa se "calcified," zvinowanzove zvakashata. Kusiyana neizvi, mitsvuku inotsanangurwa seine "girasi yevhu" inowanzove yakaipa.
Zvinokonzera Multiple Lung Nodules
Nhamba dzakawanda dzemapurumununu dzinogona kukonzerwa nezvirwere zvakaipa kana zvinorwara. Zvimwe zvezvikonzero zvakanyanya zvinosanganisira:
- Kanzira ndicho chinonyanya kukonzera MPN, kunyanya kune vanhu vane mhuri inhoroondo yekenza. iyo inowanzobatanidzwa ne metastasis yekenza yemazamu, kenza yekoloni, kenza yeprostate, uye kanza yekubata.
- Lymph nodes dziri pedyo nechemberi yemapapu (inonzi pleura ) uye, kufanana nemaronda ose emakirini, inogona kuwedzerwa pahutachiona. Izvi zvinogona dzimwe nguva kuverengerwa sechinhu pane X-ray.
- Uturu hwemhondi hunogonawo kukura mumapapu, iyo yakawanda kwazvo iyo inonzi mafizimusi anonzi hamartomas . Mimwe mhando yezvipembenene zvinotapira zvinosanganisira fibromas, bronchial adenomas, hemangiomas, uye blastomas.
- Zvinokonzerwa nokudzivirira zvirwere ndezviya izvo maitiro ezvirwere zvemuviri zvisingarambi achirova masero emutumbi. Vanokwanisa dzimwe nguva kugadzira granulations uye kukura kunowanzoonekwa sematanda pane X-ray. Zvinokonzera zvinosanganisira rheumatoid arthritis, sarcoidosis , uye eosinophilia.
- Utachiona hwemapapu dzimwe nguva hunoonekwa sehuwandu hwakawanda kana hunopararira hutachiona. Izvi zvinosanganisira zvirwere zvebhakitiriya zvakadai sechirwere chetachiona, zvirwere zvefungal zvakadai sa histoplasmosis uye cryptococcosis, uye zvirwere zvakashata zvakadai seychinococcosis.
- Pneumoconiosis , inozivikanwawo sehosha yakapapu yemapapu, ichiri kuitika munharaunda inenge 2 muzana yevashandi vemagetsi uye inobatanidza nekuumbwa kwema-nodemic imwe-kusvika maviri-millimeter.
- Zvitsva zvepachirwere chakapfuura zvinogona kuratidzira pabhokisi X-rays, kazhinji mune vanhu vasina kumboziva kuti vane chirwere.
Kuongororwa kweMulitple Pulmonary Nodules
Sezvo chikonzero chinowanzovhiringidza chePMN chirwere chemasastatic, vanachiremba vanowanzotanga kutsvakurudza kuburikidza nekutsvaga chekutanga (chepakutanga) tumarara . Zvichienderana nezvakataurwa kare kare, chiremba anogona kurayira mammogram kuti aongorore bundu remazamu kana kuti colonoscopy kuti atarise tumarara yekoloni.
Zvimwe zviyero zvekufungidzira zvinogona kushandiswawo, kusanganisira:
- Computed tomography (CT scan) inoshandisa X-ray kuti igadzire kuongorora
- Magnetic resonance imaging (MRI), iyo inoshandisa magnetic mafungu ekufungidzira
- Position emission tomography (PET scan), iyo inogona kutarisa kusagadzikana kwemasero metabolism yakafanana neinoitika nekenza
Dzidzo dzakaratidza kuti kusanganiswa kweC CT uye PET kuongorora kungave kwakakosha pakusarudza chikonzero cheMPNs kupfuura huongorori hwega pachavo. Kana chikonzero chemuviri wako chisati chajeka mushure mokufungidzira, chirwere chemapapu chinogona kuitwa kuitira kuwana shanduko yemaviri.
Kurapa kweMapple Lung Nodules
Kurapa kwePMN kunotarisana nechikonzero. Benign nodules inowanzosiyiwa yoga. Nodules yakakonzerwa nehutachiona inogona kurapwa nemishonga inorwisa maantibiotic, antifungal, kana antiparasitic.
Kana kenza yemasitini inowanikwa, chirwere chacho chaizotarisirwa zvakanyanya kunyanya pane nzvimbo yekutanga tumarara. Maitiro matsva emarudzi akadai sa stereotactic body radiotherapy (SBRT) inogona kushandiswa kurapa imwe chete, uye dzimwe nguva yakawanda, metastases. Zvitsva, zvinongororwa nenzira yekurapa zviri kupa nguva yakareba yekupona nehuwandu hwehutano hwehutano kupfuura kare.
Pasi Rezasi kana Wakaudzwa Kuti Wakave Nenguva Dzakakomba Nodules
Hazvina mhosva nhoroondo yako yezvokurapa, uchiudzwa kuti une mazamu emapapu akawanda anotyisa. Hatisi kukupa tariro yemanyepo, uye tinobvuma kuti dzakawanda zvezvipembenene izvi zvine kenza. Asi ramba uchifunga kuti kune zvakawanda zvinokonzera zvinokonzera. Kubva mumamiriro ega ega kusvika kuhutachiona hwehutachiona, vanhu vazhinji vanovhunduka vane kenza uye vanodzidza kuti mishonga yavo ine chikonzero chinoporesa.
Asi, kunyange kana mishonga yako ine kenza, kune nguva dzose nguva dzose maitiro ekurapa anowanikwa. Zvichida kwete marapirwo ari ekurapa, asi kurapwa kunogona kuderedza zviratidzo uye kazhinji kunowedzera hupenyu.
Chinhu chakanakisisa chaunogona kuita, kunze kwekuunganidza sangano rako pamwe chete uye kudzidza kudzidza rudo nekubatsirwa, ndekuve iwe mupepeti wako mukutarisira kwako. Sezvatakambotaura, kunyange kenza yematenda kumapapu inowanzorapwa, uye iyo nzira yekurapa inoshanduka nokukurumidza. Takadzidza kuti kuva nhengo inoshingaira yeboka rako rekuchengetedza utano rinokupa simba, asi kutora nzvimbo yako pachigaro chekufambisa kwehutano hwako kunogona kukanganisa zvaunosangana nazvo zvakare.
> Sources:
> Baldwin, D .; Mumiririri, M .; uye Guideline Development Group. "British Thoracic Society mirayiridzo pamusoro pekutsvakurudza uye kutungamirirwa kwezviputi zvemapulmoni." Thorax . 2015; 70 (8): 794-8.
> Mumiririri, M. naBaldwin, D. "Nzira dzeMapulmonary Nodules dzinofanira kuongororwa sei uye dzinotungamirirwa?" Lung Cancer . 2016; 91: 48-55.
> de Hoop, B .; van Ginneken, B ;; Gietema, H .; uye Prokop, M. "Pulmonary perifissural nodules paT CT scan s: kukura nokukurumidza hakusi kutarisa kwemaitiro." Radiology. 2012; 265 (2): 611-6.
> Detterbeck, F .; Marom, E ;; Arenberg, D .; et al. "Kanzera Inoparidza seMount Multi Nodules neGround Glass kana Lepidic Features kana Pneumonic Type of Participation muChirangaridzo yeChishanu yeChirongwa cheTMM." Nyaya yeTraracic Oncology . 2016; 11 (5): 666-80.
> Sato, Y .; Fujimoto, D .; Morimoto, T .; et al. "Nhoroondo Yemazuva Ano uye Zviratidzo Zvimwe Zvinyorwa zveMapulmonary Nodules neGround Glass Opacity." Respirology. 2017; DOI: 10.1111 / resp.13089 (Epub mberi kwekudhinda).