CT Lung Cancer Screening

by Lynne Eldridge, MD

Matambudziko Okufungisisa Asati Aine CT Scan ku Screen yeLung Cancer

Kuongorora kenza yemapapu inzvimbo inogona kuita kusiyana kukuru mune ramangwana remupenza wemapapu. Sezvo Pap smears yakaderedza mungozi yekenza yemukomana, uye colonoscopies yakaguma nekuderera kwevakafa kubva pamukenza wekoloni , zvingava zvakanaka kuva nechigadziro chekucherechedza kuona chirwere chemapapu mumatambo epakutanga, anonyatsoporesa. Panguva ino, makondomu akawanda emapapu haafaniri kuonekwa kusvikira ari pane imwe nzvimbo yakakwirira.

Nokuda kwekuonekwa kwenguva pfupi, kuwedzera kwehuwandu hwevanhu vanenge vachangobva kuongororwa nemukenza wemapapu inosuruvarisa 17 muzana.

Munguva yakapfuura, mapfupa maviri e-rays uye sputum cytology akaongororwa senzira dzekuona kenza yemapapu pane imwe nguva yapfuura, asi hapana imwe yenzira iyi yakawanikwa yekuvandudza kupora kwenguva refu. Nokudaro, nguva dzose chifukidzo x-rays hachisisiri kushandiswa nevasvuta kuti vatarise mutanha wemapapu.

Kurapa Kwemakumbo Okuongorora Mazano

Iyo chete nzira inowanikwa ikozvino nokuda kwekucheneswa kwekenza yemapapu zvisati zvaitika zviratidzo zviripo (spiral (inonziwo helical) CT scan. Mhepo inonzi CT scan yakafanana neyechirwere cheC CT (rudzi rwe CT scan vakawanda vedu vanoziva) asi runowanikwa nekukurumidza uye rinoguma nekusanyanya kusvibiswa nemirasidzo. Chimwe chiitiko chikuru chekupedzisira chakawana kuti vanhu vane ngozi yakawanda avo vaipinda gore rekuongorora CT kwemakore matatu vaiva ne20 muzana vakaderedza ngozi yekufa nekenza yemapapu .

Izvi zvinogona kushandura kune vakawanda vanofa zviuru makumi maviri vari kuponeswa gore negore! Dambudziko guru mukudzidza uku rakarondedzerwa sevanhu vari pakati pemakore makumi mashanu nemakumi mana nemakumi mashanu avo vaiva nemakore makumi matatu emakore emakore ekutsvaga kusvuta. Pasinei nemashoko anofadza pamusoro pehuwandu hwevanhu vanofa, dzimwe nyaya dzinofanira kuongororwa kuitira kuti iwe ugone kuita chisarudzo chaunonzwisisa iwe uchiongorora zvikwereti uye ngozi kune imwe nzvimbo yako.

Nyaya dzekufunga dzinosanganisira:

Zvikanganiso

Kuti nzira yekuongorora inogamuchirwe, iyo inofanira kunge iine mbiri, iyo yakarurama pakucherechedza zvirwere mumavambo ekutanga, asiwo zvakare, zvichireva kuti haitore zvinhu zvizhinji zvisingakoshi. Chimwe chinetso neT CT scans ndechokuti vanogona kutora mavara mumapapu asina kenza. Izvi zvinogona kutungamirira kune zvisingabatsiri nzira dzekubatsira kutsvaga zvitsva uye kuvhiyiwa pasina. Mune imwe yedzidzo yakwegura , katatu ma kanceramente emapapu akawanika sezvakafanotaurwa, asi kazhinji kuvhiyiwa kwakaitwa, uye kuongorora hakuwanikwi kuderedza kufa kwevanhu. Imwe yemazuva ano National Lung Cancer Screening muedzo yakaratidza dambudziko rishoma rekufa kubva mumukenza wemapapu muvanhu vane ngozi yakawanda sezvakataurwa pamusoro apa. Asi makumi mana kubva muzana yeavo vakaongororwa vakawanikwa vasina kukanganisa pakuongorora izvo zvakazopedzisira zvava kushaya simba. Muchiitiko ichi, mungozi yenhema-positi (zvakadai sokuwedzerwa kwezvidzidzo zvemasayenzi uye zvinogona kuitwa biopsies) inofanira kuyerwa pamusoro pekubatsirwa kwekuona kenza yemapapu mukati mekutanga. Mune mamwe mazwi, kana ukasarudza kuva nekenza yemapapu emapapu, zvinokosha kuti ugadzirire "kutyisa" -kuwana kwechimwe chinhu chinoshungurudza icho chinozopedzisira chisisina chaipo.

Nyaya inotevera inokurukura nyaya iyi inowedzera:

Zvichida Ndiro Kansa - Kana Kuongorora Kwako Kenza Kurapa Kunoratidza Nodule

Kufunganya

Kuongororwa kwechangobva kuwanikwa kwakawana kuti avo vakange vawana zvisinganzwisisiki pamusana pemapapu emapapu havana kuona kushayiwa kunetseka. Asi zvechokwadi izvi ndezviverengero, uye vanhu vari voga vanogona kunzwa vaine hanya zvikuru pavanotarisana nekuongorora mhinduro isina kukodzera Nyaya inotevera inotaura izvi zvakare:

Chirwere cheKenza Kuongorora Kuzvidya Mwoyo - Kuita Nezvisinganzwisisi Zvawanikwa

Kujekesa kune Radiation

Kunyange zvazvo kuonekwa kweC CT kurongedza menza yemapapu kunobatsira kuderera kwemazivi mashoma kudarika maitiro anowanzoitwa CT (rudzi rweC CT Scans vakawanda vedu vanoziva), njodzi yekuva nechirwere chemapapu kubva pamhepo inogona kuve yakakosha, kunyanya kana kuongorora kunoitwa gore negore.

Mune rumwe ruzivo, kuwedzera kwe5,5 muzana muhutano wemapapu emapapu kwakakonzerwa nekuongorora gore negore. Izvi zvinoreva kuti kururamisa kuongorora, zvinoda kuwedzera kupona nepamusoro pe55%. Ikoko kunogonawo kuwedzera kuwanda kwekenza yepamuviri kuvakadzi kubvira apo miviri inotungamirirwa pachifuva.

The Cost

Chimwe chinogadziriswa pakuongorora kuongorora kuongorora ndechokuti ingabhadhara mari. Izvi zvinosanganisira kutarisa kudiwa kwekuongororwa maererano nemigumisiro yekuongororwa (nhamba yemakore ehupenyu yakachengetedzwa,) uye inzvimbo yezvino yongopokana. Iko Inogadziriswa Kuchengetedza Mutemo inoda kuti vatsigiri vega vega vanovhara maitiro nenzira yeB yepamusoro kana yepamusoro sekusarudzwa neUnited States Preventive Services Task Force (USPSTF.) Bhii re "B" rinoreva kuti USPSTF inorumbidza nzira uye kuti kune chokwadi chakasimba kuti mambure anobatsirwe akaenzana. Medicare ikozvino inosanganisira kuongorora kuyananisira kune avo vanosangana nemirairo.

Kusvuta Kupedza

Imwe rubatsiro rwekuongororwa kwakawanikwa munguva pfupi yapfuura inowedzera kuwedzera kwekusvuta kusvuta pakati pevamwe vanhu vakave vachiona kuongorora. Vanhu vanoita sokuti vanokwanisa kukanganisa tsika iyo kana vane zvipingamupinyi zvakanyanya pakuongorora kana kana izvi zvisingafungi nezvekenza yemapapu.

Zvakakodzera Here?

Kuongorora kwekenza yemaperembudzi inoramba iri sarudzo imwe chete inofanira kuongororwa nemutarisiri wako wehutano, uyo anogona kukubatsira pakuyera njodzi uye zvinobatsira zvemuitiro. Kungofanana nekuongororwa kunogona kuratidzwa kune vamwe vanhu vasingakwanisi kugadziriswa (nekuda kwekudzivirirwa kwebasa, kusvibiswa kweAsbestos, radon exposure, nezvimwewo,) kwete vose vanoita zvinotarisirwa ndivo vanofanirwa kuongorora.

_Sources

_{American College of Radiology.} _{MEDCAC Kusakwanisa Kutsigira Medicare Coverage yeC CT Lung Cancer Screening Inogona Kuisa Vakawanda Vakuru Vari Pangozi.} _04/30/14. _{http://www.acr.org/About-Us/Media-Center/Press-Releases/2014-Press-Releases/MEDCAC-Failure-to-Support-Medicare-Coverage-for-CT-Lung-Cancer-Screening- May-Nzvimbo-Vakwegura-pa-Nengozi}

_{Bach, P. Computed tomography kuongorora uye mitezo yemukenza yemapapu.} _{Nyaya yeAmerican Medical Association .} _{2007. 297 (9): 953-61.}

_{Bach, P. Lung Cancer Screening.} _{Zvinyorwa zveNational Comprehensive Cancer Network .} _{2008. 6 (3): 271-5.}

_{Bach, P. et al.} _{Kuongorora Kurapa Kwemapfudze.} _{ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition).} _{Chest .} _{2007. 132: 69S-77.}

_{Mutsvuku, W. Computed tomography kuongorora mutsara wemapapu: kudzokorora kuongorora mazano uye kuvandudza pane zvinoitika.} _{Cancer .} _{2007. 110 (11): 2370-84.}

_{Brenner, D. Kupisa mazai emhepo kunogona kuwirirana neA-low-dose CT kuongororwa kwevanhu vakuru vanoputa nekenza yemapapu.} _{Radiology .} _{2004. 231 (2): 440-5.}

_{Henschke, C. et al.} _{Kuponeswa kwevarwere vane danho 1 mukenza wemapapu unoonekwa neC CT kuongorora.} _{New England Journal of Medicine .} _{2006. 355 (17): 1763-71.}

_{McMahon, P. et al.} _{Kufungidzira Kubudirira Kwenguva Yakareba kweLung Cancer Screening muMayo CT Screening Study.} _{Radiology .} _{2008, May 5 (Epub mberi kwenguva).}

_{Midthun, D. uye J. Jett.} _{Kuvandudzwa kwekuongorora Kurapa Kwemapfupa.} _{Seminari muKufuridza uye Inonyanya Kurapa Mushonga .} _{2008. 29 (3): 233-40.}

_{Dare reNational Lung Cancer Screening Trial Research Team.} _{Yakagadziriswa Muchenga-Kanzira Kufa neKuderera-Dose Kunonzi Tomographic Screening.} _{The New England Journal of Medicine .} _{2011. 365: 395-409.}

_{Oken, M. et al.} _{Kuongorora mafupa nehupfupa remapapu emapapu uye mapapu: Prostate, Lung, Colorectal, uye Ovarian (PLC).} _{Nyaya yeAmerican Medical Association .} _{2011. 306 (17): 1865-73.}

_{Tammemagi, M. et al.} _{Migumisiro yeMukondombera Kurapa Kuongorora Kuwanikwa paSuta Kusvuta.} _{Zvinyorwa zveNational Cancer Institute .} _{Yakabudiswa paIndaneti May 28, 2014.}