Nhamba Dzakawanda Sei Nodules Dzawanikwa paKuchenesa CT yeCancerous?
Kana mutsara wepamapapu wepamupa inoratidzira hutundu, ndeipi mikana iyo kenza?
Kuuya kwemapapu emapapu ekuongorora kunogona kuponesa hupenyu huzhinji. Asi sekune miedzo yakawanda, pane kazhinji kacho "mafungiro enhema" chimwe chinhu chinoshungurudza chinowanikwa kuti gare gare unozove pasina. Ndeipi mikana yokuti gumbo rinowanika pakuongorora nderepachirwere ( rakaipa ) uye kakawanda sei majekesi ari muchero (kwete kenza?)
Kutanga, zvakakosha kutaura pamusoro pezvinorehwa nekenza yemapapu ekuongorora, pamwe chete nehamba shomanana.
Chirwere cheKenza Kuongorora uye Nhamba
Kwenguva yakareba, takatarisira kuongorora kuongorora kwekenza yemapapu. Pashure pezvose, tine mammograms kutarisa kenza yemazamu, pap smears kutarisa kenza yemukomana, uye colonoscopies kutsvaga kenza yekoloni. Chikonzero chacho chiri nyore. Kazhinji (asi kwete nguva dzose) kanzira inonyanya kurapwa muzvikamu zvekutanga zvechirwere.
Izvozvo zvechokwadi ndezvemapapu emapapu. Kupararira kwevanhu vane chirwere chemukati wekenza yemapapu inenge 60 kusvika ku80 muzana. Izvi zvinodonhera kusvika pasi pe10 muzana kune avo vanoonekwa kuti vane chirwere chetatu chechirwere. Zvinosuruvarisa, 40% yevanhu vakatova nechitsauko chechina (metastatic) kenza yemapapu munguva yekuongorora. Nhanho 4 inoreva kuti kenza yakapararira kune nzvimbo dziri kure kana mamwe mapapu, uye naizvozvo haigoni kushanda . Tichifunga nezvekuti mutsa wemapapu ndicho chinokonzera rufu rwevarume nevakadzi muUnited States iyo dambudziko guru.
Inobatsira sei CT Scans?
Asi kune vamwe vanhu, isu iye zvino tine kuongorora kuongorora. IU.S. National Lung Screening Trial yakawana kuti kuongorora CT kuongorora (chirwere chakanyanya CT) kwakadzikisa chirwere chekufa kubva mumukenza wemapapu ne20 muzana apo vamwe vanhu vanoongorora gore rega reta CT . Izvi zvinosanganisira vanhu vanoti:
- Ari pakati pemakore makumi mashanu nemakumi mana nemana
- Iva nemakore makumi matatu emakore emakore ekutsvaga kusvuta, uye
- Ramba uchisvuta, kana wakasiya mumakore gumi apfuura.
Pakuverenga nhamba, chete 6 kubva muzana yevanhu vanoona mazano ekuongorora, asi kutanga. Uye nekutanga iyo inouya matambudziko mashoma. Apo dendere rinowanikwa pakuongorora-uye izvo zvakajairika - ndeipi mukana wekuti kenza?
Chokutanga, zvinobatsira kunzwisisa kuti zvinowanzosangana sei kuwana mishonga mumapapu CT ekuongorora kuongorora. Kuwana kusakanganiswa kwei-x-ray kana CT yechifuva hakureve kuti zvinoreva chirwere. Ichokwadi, zvinowanzova chimwe chinhu-chimwe chinhu chausingazivi nezvazvo uye hachizombokutambudzire kana iwe usina kunge uine scan.
Inowirirana Sei Nhengo Dzakasvibiswa Nodules muvanhu Vakarongerwa Kurapa Kwemapfudze?
Sezvo CT kuongorora kwakafanana zvitsva, isu hatina kuziva chaizvo kuti mavhunu anowanikwa sei. Anofungidzira akawana kuti vanenge 20 kubva muzana yevanhu (vanhu avo vakaongororwa maererano nemitemo iri pamusoro) vaiva nechero rimwe chete raida kuti zviongorore zvakare. Pano zvakakosha kuita musiyano pakati pezvinonzi radiologist inogona kudana mashoma uye zvaanotaura sehunye. Chiyero chinoreva kusakoshesa kudarika 3 cm (anenge 1 1/2 inches) muupamhi.
Izwi rokuti nodule rinoshandiswa kurondedzera kusakanganiswa pasi pe3 cm muhukuru.
Ndeipi Kazhinji Mhembera Inonzi Maodules Muchidimbu Inowanikwa pa Kuongorora Cancerous?
Saka kana iwe ukatora kudanwa kunotyisa, iyo iyo chiremba wako anoti " takawana chigunun'una pakuongorora kwako CT ," iwe unofanira kuva nehanya sei?
Mumutambo weNational Lung Cancer Screening, pakati pe1 ne4 muzana yevanhu vaida kuongororwa kusinganzwisisi kutevera matanho avo eC CT. Pakati peavo vakavhiyiwa, 25 muzana yemavhututi yakave yakashata.
Tichitarisa izvi nenzira yakasiyana, mune imwe tsvakurudzo yekuongorora vatsvakurudzo vakatarisa vanhu mune zvidzidzo zviviri zvakasiyana.
Mune imwe yeiyi (Pan-American Detection Early Pregnancy Cancer Study (PanCan,) 7008 mutsvuku yakawanikwa pakati pevanhu 1871. Kune avo 102 vaiva nekenza mune imwe (British Columbia Cancer Agency (BCCA) kudzidza,) vakawanikwa muna 1090 vanhu, vane 42 vari kuipa.
Kubvongodza nhamba, izvi zvinowira kusvika ku5,5 muzana yevanhu mune imwe yedzidzo uye 3.7 muzana mune imwe iyo yakanga ine mishonga yakave yakave ine kenza.
Panguva ino, zvakakosha kuziva kuti nhamba idzi - mukana wekuti chirwere chinokonzera kenza - ndeyevanhu vane utano vasina zviratidzo ivo vari kuongororwa. Mikana yehutachiona iri yakaipa ingave yakasiyana kune avo vane zviratidzo. Zvinogonawo kunge zvakasiyana kune avo vane chironga chemapurmoni pane kuongorora asi havakwanisi kuita zvinotaurwa pamusoro apa.
Nodule Ndeipi Zvichida Kuve Kanzerwo?
Tichitarisa zvidzidzo kusvika musi, mapfupa emapulmoni akawanikwa paCCT kuongorora zvakanyanya kuve nekenza kana:
- Vakanga vari kuruboshwe kana kurudyi kumusoro lobes, uye zvishoma kuti vangave zvakaipa kana vakanga vari kurudyi kana kuruboshwe rwechebes rakadzika, kana kuti mukati mekunaka kwepakati.
- Ikoko kwaiva nekufungidzira kweiyo mushure (kureva kuti pane nzvimbo isingawanzove yakakomberedza, yakanga ine nyoka sematunhu akavhara kubva mumarara,) kana kana mitsara yacho yakanga isiri yega kana kuti yakarongedzwa.
- Dai vaive vakuru.
- Kana zvikaitika kune vakwegura vakawanda kudarika vanhu vaduku.
- Kana mumwe munhu ane mhuri yekenza yemapapu.
- Kana zvikaitika kune vakadzi kakawanda kupfuura varume.
- Nekukura kwehuwandu hwehutundu.
- Muvanhu vane nhoroondo ye emphysema.
- Muvanhu vane zvinyorwa zvishoma.
Pamusoro pe:
- Chikamu chakasimba mishonga yakawanda yakanyanya kuve nekenza kupfuura mazamu akasimba.
- Mitsvuku yakakura yaive yakanyanya kuva nekenza kune majekiseni asina simba kana majeeti ane "girasi yevhu" maitiro.
Chii Chinonzi Nodule Kana Isingaiti Kanzira?
Pane zvikonzero zvakawanda zvehutachiona zvichibva kune hutachiona hwehutachiona , kusvika kune maronda anokonzerwa ne rheumatoid arthritis, nezvimwewo. Nyaya inotevera inokurukura nezvimwe zvinokonzera zvinokonzera uye zvinokonzera zvipembenene zvepulmonary .
Kuverenga Njodzi
Chirwere chekenza yemapapu chinowanika kune vanachiremba (uye vanhu vose) kuenzanisa mikana yokuti mazamu anoonekwa pakuongorora screen CT ane ngozi. Iyi Nodule Prediction Calculator yakagadzirwa kuburikidza nekutsvakurudza kwesayenzi, asi vanhu vanorayirwa kuti haisi kutsiva mazano echiremba kana kurapwa. Vanhu vasinganzwisisi vanokurudzirwa kuti vaverenge vanosimbisa pfungwa inokosha zvikuru: Haisi yose inonyanyisa iyo inokonzera njodzi ine kenza, uye haisi yose inoputika iyo iri pangozi yekutengesa.
Uripi Kubva Pano?
Kana chiremba wako achifunga kuti une chironga chemapurmoni kana kuti mishonga, pane nzira dzakawanda dzaanokwanisa kukurudzira. Izvi zvichatsigira pane zvinhu zvakasiyana-siyana kusanganisira mungozi yako yekenza yemapapu, kuonekwa kwechigunun'una, nzvimbo yehutundu, uye zvaunoda iwe pachako. Zvimwe zvingasarudza zvinogona kusanganisira:
- PET Scan
- Bronchoscopy
- Kurinda kumirira
- Bhiopsy (Kune nzira dzakasiyana-siyana dzinogadziriswa nenyonganyonga zvichienderana nenzvimbo yayo.)
Sources:
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Grannis, F. Kuderedza Kupfuura-Kuongororwa MuLung Cancer Screening. Nhamba yeOncology Yokuvhiya . 2013 Aug 26. (Epub mberi kwekudhinda).
Greenberg, A. et al. CT Scan Screening yeLung Cancer: Zvinokonzerwa Nengozi yeNodules uye Malignancy mune High-Risk Urban Cohort. PLoS One . 2012. 7 (7): e39403.
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Naidich, D. et al. Zvinyorwa zveKutungamirirwa kweSubsolid Pulmonary Nodules Zvakatarirwa paT: A Statement kubva kuFleisher Society. Radiology . 2013. 266 (1): 304-17.
McWilliams, A. et al. Zvinokonzerwa neKenza muPulmonary Nodules Kutanga Kuonekwa Nokuongorora. The New England Journal of Medicine . 2013. 369: 910-191.
Dare reNational Lung Cancer Screening Trial Research Team. Yakagadziriswa Chirwere Chepachirwere Chetachiona neKuderera-Dose Yakanyorwa Tomography Kuchengeta. The New England Journal of Medicine . 2011. 365: 395-409
Wahidi, M. et al. Uchapupu Hwekurapa Kwevarwere vane Pulmonary Nodules: Ndeipi Iri Kanzira ?: ACCP Evidence-Based Clinical Practice Guidelines (2 edition). Chest . 2007. 132 (3 Suppl): 94S-107S.