Kunogona Kuve Nzvimbo Yakagadziriswa Yakagadziriswa Yakagadzikana Inogona Kurwara Kanzera Here?
Chii chaicho chaipo chemapurmonary mushure, uye ndeipi mikana iyo kenza?
Gore roga roga muUnited States, vanhu vanopfuura 150 000 vachaudzwa kuti vane chirwere chega chega chemapulmonary, uye izvi zvinotarisirwa kuwedzerwa sevanhu vakawanda vanoongorora maitiro emukenza wemapapu . Zvinorevei kana iwe uine chirwere chega chepulmonary nodule?
Chete Pulmonary Nodule: Tsanangudzo
Imwe mishonga yemapurmon yega inorondedzerwa semusana unoita sechinhu chisina kuonekwa (chinowanzoonekwa) pane x-ray kana CT scan, iyo isingapfuuri kana yakaenzana nemamita masendimita masere pakureba.
Kana "chivara" pamapapu chakakura kudarika 3 cm inonzi inguva yemapapu . Icho chivharo chakakomberedzwa nemhando dzemazuva ose, uye hapana zvimwe zviratidzo zvinogona kuratidza kuti kenza (yakadai semakondomu akawedzerwa kana kuwedzerwa kwemuviri) iripo. Mishonga yemapurumumu ega ega inowanzoitika pangozi kana x-ray yakaitwa kune imwe chikonzero. Izvo zvakajairika, zvichitowanikwa pane zvinenge 1 mumagetsi ose e-x-rays akaitwa.
Kana huwandu hunopfuura humwe huripo, zvinokonzera zvinokonzera uye kukurudzirwa miedzo zvingave zvakasiyana. Dzidza zvakawanda pamusoro pezvinokonzera uye kuongororwa kwezvipembenene zvakasiyana-siyana zvepermonary .
Ndezvipi Zvingaita Zvinokonzerwa neSolitary Pulmonary Nodule?
Kune zvikonzero zvakawanda zvekutora mishonga yega yepummonary (SPN), imwe inowanzova yakajairika zvichienderana nezera uye nzvimbo. Zvimwe zvezvi zvinosanganisira:
- Kenza yemaperembudzi: Kanzera yemapapu epakutanga inogona kupa seSSPN. Kana mutanho wemapapu unowanikwa pane ino, mukana wekuporesa wakareba zvakanyanya pane zvaanenge uri pazvikamu zvekare.
- Mamwe makondombera: Mastarine yemetastatic kubva kune dzimwe mitezo yomuviri, kana kuti lymphomas inogona kuratidza semarara ari oga emapurmonary nodule, asi kazhinji kacho mamastases emapapu anowanzobatanidza mazamu akawanda emapupa.
- Zvirwere (zvitsva uye zvekare): Utachiona hwebhakitiriya hwakafanana nehutachiona, hutachiona hwehutachiona hwakadai seBlastomycosis, histoplasmosis, coccidiomycosis, uye cryptococcosis, uye zvirwere zvakadai se dirofilariasis uye ascariasis zvinogona kukonzera SPN.
- Rheumatoid conditions: Zvirwere zvakadai sedheumatoid arthritis , sarcoidosis , uye Wegener granulomatosis inogona kukonzera SPN.
- Congenital mamiriro: Nyeredzi, uye kukura kusina kuchena kwemakemikari uye mitsipa mumapapu (AV kusagadzikana) kunogona kukonzera mishonga yega yemapummonary.
Izvi ndezvikamu zvishomanana zvemamiriro ezvinhu zvinogona kukonzera chirwere chepulmonary chega. Dzidza zvakawanda pamusoro pezvinoita zvinokonzera mapundu emapapu .
Ndeipi Mukana Wekuti Kuzvimirira Pulmonary Nodule ndiCancer?
Pasi pose, mukana wekuti chirwere chemapurmon chega chinokonzera makumi mana, asi izvi zvinowanzosiyana kune vanhu mumwe nomumwe zvichienderana nezvimwe zvinhu. Izvi zvinosanganisira:
- Zera: Muvanhu vaduku, SPN inowanzove yakashata , asi, kune vanhu vanopfuura makore makumi mashanu, vanowanzove vakaipa (kanzira).
- Kusvuta fodya: Nhoroondo yekusvuta inomutsa mukana wekuti SPN yakaipa.
- Nhoroondo yekenza: Kuva nenhoroondo yemhando ipi zvayo yekenza inoita kuti zvive nyore kuti SPN ishanje.
- Geographical location / travel abroad: Munharaunda dzenyika umo zvirwere zviri pamusoro apa zvinowanzoitika, SNP inowanzove yakakonzerwa nehutachiona.
- Kukura: Kukura kwehukuru hweSPN, zvinowanzova nekenza.
- Kuonekwa kweSpN pane x-ray: Mishonga yepulmonary iyo inotarisa kumativi ose uye inotapira pa x-ray inowanzove yakaipa, asi iyo inenge isingaoneki inowanzova yakaipa. Pane humwe humwe hutano hwehudhiroyo hunoti ma radiologist anotarisa kufanotaura kutadza kwokuti SPN yakaipa kana kwete.
Chii Chinoitika Pashure Pokunge Chiremba Wangu Achiwana Chete Pulmonary Nodule?
Mushure mokunge muwana SPN, chinhu chekutanga chiremba wenyu achange achida kuita ndechekuti muone kana mune imwe chekare chekare-rays kana CT scan iyo inogona kuenzanisa nemuedzo wenyu wezvino. SPN dzisina kushanduka muhukuru hwemakore maviri dzinofungidzirwa dzakanaka uye hazviwanzodi kutsvaga kutevera.
Kana iwe usina cheputi chekare-ra-ray, kana kana chigamba chichiita sechichikura, pane zvimwe zvingasarudzwa zvingafungidzirwa. Zvimwe zvezvi zvinosanganisira:
- Kucherechedza: Kana SNP inonyanya kuipa, kuitevera nekudzokorora x-rays / CT kuongorora kunogona kukurudzirwa.
- Dzokorora kuongororwa: Pose pese kuongororwa kwechiremba kuchiitwa, pane mukana wekuti zviwanikwa zviri mukukanganisa. Dzimwe nguva mumvuri, kana kuti iwe wakamira sei kana x-ray yaitwa, inoita kuti itaridzike sepo pane chimwe chinhu apo apo pasina. Kudzokorora muedzo kuti kuve nechokwadi kuti hutundu huripo hunogona kukurudzirwa.
- Mamwe mimwe miedzo: Kubatanidza migumisiro yebhokisi x-ray kana CT scan nechimwe chiedzo, chakadai sePET scan , inogona kubatsira chiremba wako kunzwisisa kana chigamba chiri chinhu chekufunganya. Zvakakosha kuziva kuti chifu x-ray chinogona kurasikirwa nekenza , uye kana paine chero mukana wePSN uri uipi, chiremba wako anorayira CT scan (kana iwe unogona kukumbira imwe kana isina kurayirwa.)
- Nyuchi: Nzira chete yekuziva zvakajeka kana SNP inobwinya kana yakaipa ndeyokuwana sampu yezvisikwa zvinogona kuongororwa pasi microscope. Zvichienderana nechinzvimbo cheSNP, zvisarudzo zvingave zvakarongeka zvinosanganisira bronchoscopy , yakanaka yekutsvaga chido chinopisa (FNA) , chirwere chinobatsira mavhidhiyo chinonzi thoracoscopic (VATS,) kana chirwere chakasununguka chepopi kuburikidza ne thoracotomy. Dzidza zvakawanda nezvekunzwisisa mapapu ako .
Chete Pulmonary Nodules paLung Cancer Screening
Nekugamuchirwa uye kuwedzera kwekuwanika kweCCT yemapapu kuongororwa kwekenza, zvinenge zvichiitika kuti mishonga yega yemapummone inenge ichiwedzera kuongororwa. Izvi zvinokonzera dambudziko rekuongororwa pane dzimwe nguva, uye zvidzidzo zvenguva pfupi zvinoratidza kuti miitiro shoma shoma yekuongororwa, yakadai seyakanaka yenzano biopsies, inogona kuva inobatsira zvikuru iyo iyo yose PET inoongorora (iyo isingagoni kupa mutsara kuongororwa) uye yakawanda inoparadza zvirongwa.
Kana SPN yako yakawanika pamukenza wemapapu ekuongorora, dzidza zvakawanda pamusoro pekufanotaura kana chirwere chinowanikwa pakuongorora chirwere chekenza kana kwete.
> Sources:
> Bai, C., Choi, C., Chu, C. et al. Kuongororwa kweMapurisa Manodhu: Clinical Practice Consensus Guidelines yeAsia. Chest . 2016. 150 (4): 877-893.
> National Institute of Health. Medline Plus. Chete Pulmonary Nodule. Updated 08/1/17. https://medlineplus.gov/ency/article/000071.htm
> Yang, W., Jiang, H., Khan, A. uye al. Transthoracic Needle Aspiration muIndaneti Pulmonary Nodule. Kushandura Kwemafungiro Emaronda Ongororo . 2017. 6 (1): 76-85.