Kukanganiswa Kwemakumbo Makumbo

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Matambudziko eKunguru yeLung Munhu wese anofanira Kuziva

Kanza yemaperembudzi inopesana zvakakwana pasina kuwedzera zvinetso. Asi kuva neruzivo ruduku kunogona kufamba nenzira yakareba pakuita kuti uve nechokwadi chekutarisira kunakwanisika kana uchida. Kubva pamagazi kusvika kune zvinonyangadza zvinokuvadza, izvi zvinetso zvingangodaro zvisingagoni kuderedza hupenyu hwako asi zvinogona kutyisidzira upenyu kana zvisina kusiyiwa.

Unoziva here kuti zviratidzo ndezvipi zvinoitika nekenza yemapapu ? Tora nguva kuti uongorore zvimwe zvezviratidzo nezviratidzo uye uronga hurongwa nemhuri yako inofanira kuitika munjodzi. Zvadaro zvizivikanise muchidimbu nezvinetso zvinotevera gumi zvinowanzoitika kune vanhu vanorarama nemukenza wemapapu.

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Malignant Pleural Effusion

Chirwere chisina kunaka chekunyengedzera chinoreva kuvapo kwekunyengedzera kwezvinyorwa (kukohwa kwemvura mumhepo inowedzera) umo masero emukenza aripo. Izvi zvinowanikwa munenge makumi mapfumbamwe kubva muzana yevanhu vane mutsa wemapapu uye vanotsanangura kenza semutsara wechina (metastatic) yemukenza yemapapu .

Vanachiremba vangafungidzira kupesana kwekunyengedzera kunobva pane zviratidzo zvako kana kuongorora kufungidzira kwakafanana nebhokisi x-ray, CT scan yechifuva chako, kana MRI.

Chiratidzo chinowanzoonekwa ndechokufema kwekufema , asi zvimwe zviratidzo zvinogona kuvapo zvakare. Izvi zvinosanganisira chifukidziro chinowanzovapo (chifukidzi chinowedzera zviri nani kana chakaipa zvichienderana nechinzvimbo chauri kugara kana kuti chichirara) uye kurwadziwa kwepfupa.

Kana chiremba achifungidzira kudengenyeka kwechiremba, zvichibva pane zviratidzo uye zvidzidzo zvekufungidzira, angaratidza thoracentesis. Nenzira iyi, nheyo refu inowanikwa kuburikidza nemadziro echifukidzo uye mukati mechipfuva nzvimbo (iyo iri pakati pezvinyorwa zvinosungirirwa zvinoputira mapapu.) Zvirwere zvinobva zvabviswa kuti zvibatsire zviratidzo pamwe nekuongorora patsva microscope.

Kuvapo kwekenza masero muzvinyorwa zvinonzwisisika zvinogadzirisa zvinonyadzisa zvinopesana, asi kwete zvose zvinoratidzira muvanhu vane chirwere chemapapu zvinonyangadza. Kusiyana neizvi, zvinopfuura hafu yevhiringidzi, kunyange kune vanhu vane cancer yemapapu yakakura, vanorwara.

Kune vanhu vazhinji vane maitiro anonyangadza anonyengedzera, kubviswa kwakakurumidza kudzoka shure kwekurapa. Kana izvi zvichikanganisa hupenyu hwehupenyu chiremba wako anogona kukurudzira nzira inonzi pleurodesis . Mune nzira iyi, kemikemikari (talc) inosungirirwa kuburikidza ne thoracotomy tube mumunyengetero wechipfuva. Tarc ndiyo inokonzera kupisa, pakupedzisira zvichiita kuti zvikamu zviviri zvepuremu zvipere pamwechete pamwechete kuitira kuti mvura inenge ichinge isisagoni kuunganidza munzvimbo.

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Ropa Rinopfeka (Deep Venous Thrombosis) uye Pulmonary Emboli

Ropa rinovhara mumakumbo kana mapafu rinoitika mumapfumbamwe kusvika ku15 muzana yevanhu vane kenza yemapapu uye zvinogona kukonzera matambudziko makuru. Zvivharo zviripo mumakumbo zvinogona kukonzera marwadzo uye kuvhara, izvo zvinogona kuisa upenyu pangozi kana chipfeko chacho chichibva ndokuenda kumapapu ( mapapu emboli .)

Zvinhu zvinotyisa zvinosanganisira kuvhiyiwa, chemotherapy, kusagadzikana, uye kufamba kana nemotokari kana ne ndege.

Zviratidzo zvinogona kusanganisira kubwinya kana kupfugama mumhuru kana makumbo, asi mune chetatu chevanhu vane kenza yemapapu, pane kusavapo kwezviratidzo. Apo mapurmonary arikudzika, vanhu vanogona kukura kurwadziwa kwepfupa uye kupera kwekufema kwakanyanya.

Ramba uchifunga kuti ropa rakagadziriswa haisati rakachengeterwa vanhu vane nguva yakareba uye yakagadzirwa nekenza. Kutaura zvazviri, chiitiko chemafuti eropa chakakwirira kunyange kune avo vachangobva kuongororwa nekenza yemapapu.

Tarisa mazano aya pakuziva nekudzivirira ropa mazamu panguva yekurapa kwekenza .

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Mutsara Cord Kufuridzirwa

Mutsara wenyonganyonga unogona kuitika kuvanhu vane kenza yemapapu kana kenza inopararira kune pfupa ( bone metastases ) zvichikonzera kuora uye kuputsika kwemapfupa emumusana.

Zviratidzo zvinowanzotanga nekurwadziwa mumutsipa kana kuderedza shure uye zvinogona kufambira mberi kusimba nekurasikirwa kwekunzwa mumagumo. Kana chirwere chepaupa chakakanganiswa mumucheto wepasi, chirwere chinodaro chinonzi cauda equina syndrome chinogona kuitika. Kana izvi zvikaitika, vanhu vanogona kukurasikirwa nekusuruvara uye maronda basa kunze kwekutambudzika kukuru. Emergency treatment inodiwa kuchengetedza zvakanyanya basa sezvinobvira.

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Superior Vena Cava Syndrome (SVC Syndrome)

Chimwe chirevo chinonzi vena cava syndrome (SVC syndrome) chinowanikwa munharaunda inenge 2 muzana kusvika 4 muzana yevanhu vane kenza yemapapu, kunyanya nemakumbo anobuda mumativi epamusoro emapapu. Izvi zvipfeko zvinogona kupfurikidza pamusoro pepamusoro vena cava - mhangura huru inodzorera ropa kubva mumuviri wepamusoro kusvika pamwoyo - kudzivisa ropa kufamba uye zvichiita kuti zviratidzo zviratidzo.

Zviratidzo izvi zvinogona kusanganisira kuvhara kwechiso, maoko, uye muviri wepamusoro, kuwedzera kwemitsipa mumutsipa uye pachipfuva, kuperevedza kwefema, kuoma kukumedza, uye kutyisa.

Mishonga inotarirwa kuderedza kusvibiswa kubva mumarara, kazhinji kuburikidza nekushandiswa kwemakemikirini kana mahara, nekushandisa ropa vanochera kuti vadzivirire.

Emergency treatment inodiwa kana zvakanyanya vena cava syndrome inokura. Usamirira. Dana 911.

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Pulmonary Hemorrhage

Masumbu ane maronda anogona kubuda mukati memapapu, asiwo mubronchi. Chiratidzo chekukanganisa ropa nemukenza wemapapu kunogona kuva chirwere chekukurumidzira, uye kunyangwe ropa shoma rinofanira kuongororwa zvakakwana. Sezvishoma sepasipuni yeropa inonzi inofanirwa mune zvehutano.

Massive hemoptysis (kukwezva ropa) inotorwa chero chinhu chinopfuura 100 cc yeropa, kana kuti 1/3 yemukombe. Kana izvi zvikaitika kuwedzera kwehutano kunogona kunge kwakakwirira se30 muzana.

Nokutarisira kwekurumidza, vanachiremba vanowanzogona kuwana nzvimbo uye vanomisa kubuda ropa, asi nguva inokosha. Usamirira. Dana 911.

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Hypercalcemia

Hypercalcemia muvarwere vanorwara nekenza (imwe yakakwirira ye calcium muropa) inowanzowana kuwana, inowanikwa mumapfumbamwe kusvika kune 15 muzana yevanhu vane kenza yakanyanya.

Zviratidzo zvehutachiona muhutano vanorwara zvinogona kusanganisira kurwadziwa kwemaviri uye mararamiro uye mararamiro, kushungurudza, kushaya simba, nekuvhiringidzika. Asingafungi, izvi zvinogona kukonzera coma, uye pakupedzisira kufa.

Kune nzira shomanana dzakasiyana umo vanhu vane kenza vanogona kukura hypercalcemia. Imwe ndeyekubudiswa kwe calcium kubva kumasitosita emapfupa. Izvi zvinogona kuwedzera kukura nekusvibiswa kwetsvo kana itsvo dzisingagoni kubvisa calcium kubva muropa zvakanaka. Mamwe matumbo anogonawo kusunungura zvinhu zvinoita kuti kusunungurwa kwekasiki kubva pamapfupa. Kunyange zvazvo zviratidzo zvisiri izvo uye zvinogona kuvhiringidzwa nedzimwe mamiriro ezvinhu, kuongororwa kwakajeka kuri nyore nyore nekuita ropa risiri nyore.

Zvirwere zvinoshandiswa zvinoenderana nehuwandu hwe calcium muropa uye zvinogona kusanganisira IV mvura, steroidhi, zvinodhaka zvinonzi bisphosphonates, uye dzimwe nguva dialysis apo zviratidzo zvakanyanya.

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Funga Neutropenia

Vanhu vakawanda vakanzwa kuti chemotherapi inogona kuderedza dhena reyero yezvikamu zveropa zvinokonzera njodzi yehutachiona, asi haisi nguva dzose inozivikanwa kuti izvi zvinogona kuve zvakakomba sei. Isu tine mishonga inorwisa mabhakitiriya inowanika iye zvino kurwisa neutropenia (rudzi rwechechi yakachena yeropa rekuyera rinokonzerwa nekemotherapy) inokonzera zvirwere, asi vanhu vakawanda kwazvo havatariswi kusvikira yava kunonoka .

Kurapa zvirwere izvi zvinowanzoda kusanganiswa kwemishonga inorwisa mabhakitiriya, uye zvakakosha kuti chiremba anoziva iwe uri chemotherapy kana iwe uchipa nehutachiona.

Dzidza nezve neutropenia panguva yemakemikrasi , zvingwarira zvaunogona kutora, uye paunofanira kudana chiremba wako. Munhu wose ane chirwere chemapapu akasiyana, saka iva nechokwadi kuti ubvunze wako oncologist nezvemashoko akajeka pamusoro pezviratidzo zvekutarisa, uye nguva yekudana.

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Chirwere chemoyo

Dhiyabhorosi inonzi therapy inoputika muchipfuva uye mamwe chemotherapy mishonga inogona kukonzera zvirwere zvepfungwa, uye mwoyo wepfungwa (concern) ndeimwe yezvinonyanya kukosha zvinokonzerwa nemakemikari .

Kusiyana kwemishonga kunogona kukonzera kumhando dzakasiyana dzemamiriro emwoyo, zvisinei nehutachiona hutachiona hwehutano, hutano hwevhuvha, kana kuti kusagadzikana kwemoyo.

Taura nachiremba wako uye bvunza nezvehutano hwehutano hwemwoyo hunoenderana nemishonga yako. Pane pane zviratidzo zvakasiyana zvaunofanira kutarisa here? Pane kuedza kupi zvako kwaunofanira kuva nako kuti uone moyo wako? Munda wekushaya kwehutachiona uri kukura, asi vanhu vakawanda vanoramba vasina zivo pamusoro pezvinogona kuita izvi zvinetso. Iva mumiririri wedu, bvunza mibvunzo, uye usarega chero zviratidzo zvinokutambudza.

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Kushungurudzika uye Kuzviuraya muChancer Varwere

Kuora mwoyo kunogona kunge kusinganzwisisiki kunetseka kwepfungwa maererano nedzimwe mimwe dambudziko rinokurukurwa pano, asi ndizvo. Hazvirevi chete kuti kuora mwoyo kwekenza varwere kunoderedza hupenyu hwehupenyu, asi zvidzidzo zvinoratidza kuti kuora mwoyo kunobatanidza nekupona kwepasi zvakanyanya kubva pachirwere.

Zvinogona kuva zvakaoma kuparadzanisa kemikirini yekuora mwoyo kubva pakurwadziwa. Ndiani asinganzwi pasi paanodzidza vane kenza? Asi kuora mwoyo kunoenda kune imwe danho mberi. Zviratidzo zvekunetseka zvinosanganisira pfungwa yekusava netariro, kusabatsirwa, simba risina simba, uye kusagadzikana.

Kwose 15 muzana kusvika 25 kubva muzana yevanhu vane kenza yekuora mwoyo kuora mwoyo. Nhamba iyi inoratidzika yakakwirira kune vanhu vane mutsa wemapapu, sezvo kushorwa kwechirwere kunogona kutungamirira kuora mwoyo.

Mukuwedzera kune kuora mwoyo, kuzviuraya kunokosha kune vanhu vane kenza. Ngozi yekuzviuraya yakawanda zvikuru kune varume, kunyanya varume vakuru. Chingakushamisa iwe ndechokuti kuora mwoyo uye kuzviuraya hachisi chimwe chinhu chinotaridzirwa chete apo kurapwa kwakakundikana. Zvechokwadi, njodzi huru yekuzviuraya inoita kunge iri mugore rokutanga, kunyanya vhiki yekutanga shure kwekuongororwa. Mukuona kweizvi, chii chaunofanira kuziva nezvekenza nekuzviuraya ?

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