Tsanangudzo, Zviratidzo, Kurapa, nekudzivirira kweMesothelioma
Overview
Mesothelioma inongova nekenza isingawanzoitiki, ine zvingangova 2 000 zvitsva zvinowanikwa muUnited States gore roga roga - asi mamiriro ayo ari kuwedzera pasi rese. Zvinosuruvarisa kuti zviitiko zvakawanda zvechirwere ichi zvakabatanidzwa ne-nezve-basa rinosangana neAsbestos uye rinogona kudziviswa kuburikidza nekuziva nekudzivirira maitiro ekushanda. Izvozvo zvakati, muzviitiko zvakawanda, mesothelioma haina kutanga kusvikira makumi emakumi mashure mushure mekubuda kweAsbestos, uye vanhu vazhinji avo vanoonekwa nhasi vane pachena kune makore asbestos apfuura.
Mesothelioma chirwere chinouraya (chinotyisa) chinotanga mu mesothelium . Izvo zvinonzi mesothelium inobata mitsetse iyo uye inodzivirira mapapu, mwoyo, uye mudumbu. Pane mitatu mikuru ye mesothelioma:
- Pleural mesothelioma inotanga mu pleura (kubatana kwemapapu). Ichi ndicho chinonyanyozivikanwa chemesothelioma.
- Peritoneal mesothelioma inotanga mu peritoneum (chidzitiro chemuviri wemimba).
- Pericardial mesothelioma inotanga mu pericardium (chidimbu chemoyo).
Zvinokonzera
Zviitiko zvakawanda zvemesothelioma ndezvekutsvaga asbestos pamabasa. Zvimwe zvinokonzera zvinosanganisira:
- Kugadziriswa kweGenetic - Vamwe vanhu vanowanzogadzira mesothelioma kupfuura vamwe
- Kuratidzira kune rimwe hutachiona - A virus inonzi simian virus 40 (SV 40) yakabatanidzwa nedzimwe mamiriro ezvemheteliyooma
- Kuchengetedzwa kwemazuva
Zviratidzo
Vanhu vazhinji vane mhedziso yemheyotiyooma inononoka kufema uye kuputika kwepfuva (kunyanya pasi pemibvu), asi zvimwe zviratidzo zvinogona kusanganisira:
- Maviri emimba uye bloating (ne peritoneal mesothelioma)
- Chirwere chinopfuurira
- Dambudziko rokuedza (dysphagia)
- Unexplained kuora kurasikirwa
- Anemia
- Kuipa kweropa kuvhara
- Kutambura kwepamuviri - Mukumwe kuongorora, kurwadziwa kwepamuviri kwaiva chiratidzo chokutanga chekuchema kwemaestilioma mune 14 muzana yevarwere.
Kuziva
Kuongorora maestotheoma kunogona kuva kwakaoma sezvo kune mamiriro ezvinhu mazhinji anokonzera zviratidzo zvakafanana.
Chiremba wako anotanga kutora nhoroondo yakanyatsocherechedza, kunyanya kukubvunzurudza iwe nezvemabasa ako emabasa, uye ozoedza kuongorora muviri. Kufungidzira kufanirwa kunowanzoitwa uye kunogona kusanganisira x-maziso emapfupa ako uye mimba, CT scan, MRI inoongorora, kana PET inoongorora .
Kana chiremba wako achifungidzira mhetelioma, achada kurongedza bhaopsy. Zvichienderana nechinzvimbo chemuviri wako, anogona kukurudzira thoracoscopy kana kuti thoracoscopy inobatsira mavhidhiyo (VAT), iyo nzira inoshandiswa nenyama yechinyorwa kubva mu pleura, kana kuti peritoneoscopy, nzira yakadaro yekuwana mishonga kubva mudumbu. Kana bhiopsy ichiratidza mesothelioma, zvimwe zvidzidzo zvinozoitwa kuti zvigadzire danho rekenza (zvakakwira sei).
Nhanho
Mesothelioma yakakamurwa kuva zvikamu zviviri zvekutanga:
- Localized (Stage 1) - Ne mesothelioma yakatarwa, kenza yacho inongowanikwa mumesothelium - mherero nemashoko echiremo mesothelioma, kana kuti peritoneum ine peritoneal mesothelioma
- Zvakafambira mberi (Chikamu 2, 3, uye 4) - Mesothelioma inofungidzirwa yakakura kana yakapararira kune lymph nodes kana dzimwe nhengo dzinosanganisira mapapu
Kurapa
Zvichienderana nehukuru uye nzvimbo yechipfuva chako, uye kana chakapararira, zvisarudzo zvekurapa zvinogona kusanganisira:
- Kuvhiya - Kuvhiya kunogona kuongororwa, kunyanya kana bundu racho rakabatwa pakutanga. Mhando dzekuvhiya dzinosanganisira:
- Pleurectomy - Nechipurectomy, chikamu chemuviri wacho chakabviswa
- Extrapleural pneumonectomy - Chikamu chepuremu chinobviswa, uyewo chikamu che pericardium (ganda remwoyo), diaphragm (musuru inoparadzanisa chifu uye mimba) uye mapapu
- Chemotherapy - Kusanganiswa kwemishonga yemakemikari uye chirwere chinotarisirwa chingasimudzira kupona.
- Radiation Therapy - Radiation therapy nguva nenguva inoshandiswa sehutano hwema-mesothelioma, kurapwa kusingarapiki kenza, asi kunogona kukuita kuti uwedzere kufara. Inogona kushandiswa zvakare mushure mekuvhiyiwa kuuraya chero sarudzo dzese dzinosara.
- Clinical Trials - Makirini emakiriniki anotambudzwa ari kuenderera mberi, kuongorora nzira itsva dzekurapa mesothelioma.
Kutsungirira
Pamusoro pemwoyo, chirwere chekenza chinounza, vanhu vazhinji vane mesothelioma havakwanisi kutsigira mupfungwa uye mupfungwa mupfungwa avo avo vane mamwe maitiro ekenza vanowanika nyore nyore.
Mukuwedzera, medico-mitemo yepamutemo inobatanidza nekusvibiswa kwe asbestos pa-in-basa kunogona kubudisa mupfungwa. Kushanda muchikwata chekutsigira , zvichibva kuburikidza nekenza yako, nzvimbo, kana paIndaneti, zvinogona kukubatsira kuti uwedzere kuburikidza ne-maze yekurapa kusarudzwa, uye uwane kushamwaridzana kune vamwe vari kurarama nemesothelioma.
Kudzivirira
Chinhu chinonyanya kukosha chaunogona kuita kudzivirira mesothelioma ndechokushandisa nzira dzakakodzera yekudzivirira kana iwe uchitarirwa neAsbestos kumushandi. OSHA ine asbestos kuchengetedza mitemo yevanhu vanogona kubudiswa pabasa. Kana iwe ukashanda neAsbestos, zvakakosha kutevera mazano aya kuti kuderedza mhuri yako kusununguka zvakare. Kutapurika kweAbesbestos mudzimba kazhinji hakusi dambudziko kunze kwokunge kwakanganisa kana kuvhunduswa nemishonga yekugadzirisa. Kana iwe uchinge uine kushandiswa kwe-asbestos (dzimba dzakagadzirwa kare muna 1950) iva nechokwadi chekubhadhara kontrakiti yakagadziriswa muutungamiri hweAsbestos usati watanga chero mapurogiramu ekuvandudza pamba.
Vamwe vanhu vakambosangana neAbesbestos vangada kuongorora CT kuongorora kanzera yemapapu. Panguva ino, mazano ekuongororwa anoisa chete avo vanhu vane makore 55 kusvika ku74 vane makore makumi matatu emakore ekutamba kusvuta. Kunyange zvakadaro zvidzidzo zvinoratidza kuti vamwe vanhu vakambosangana neAbesbestos vangave vari pangozi yakanyanya kukura yekuve nemukenza wemapapu pane vanoputa zvikuru. Kana iwe wakambosangana neAbesbestos iva nechokwadi chekutaura nachiremba wako nezvekenza yemapapu yekuongorora .
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