A matenda a khansa, m'mapapo metastases

Pakali pano, khansa ya m'mapapo ndi mtsogoleri chiwerengero cha anthu omwalira chifukwa khansa. Tikumbukenso kuti matenda ndi ambiri amuna pa zaka makumi asanu. Cancer Pankhaniyi akuimira gulu la zotupa amene anayambika ku maselo bronchial kapena m'mapapo anthu. Disease amapezeka milandu pafupipafupi, chifukwa metastases wakafika thirakiti kupuma kwa ziwalo kapena zimakhala ena a m'thupi. Choncho, m'mapapo metastases kuimira zoopsa kwambiri moyo anthu opezeka zambiri mu magawo mochedwa matenda.

Mu mankhwala, kusiyanitsa pakati pa mitundu iwiri ya khansa kupuma: mediastinal ndi mwiniwakeyo. Pamene matenda kupanga mediastinal lymph mfundo metastasis lomenyera phapo, iwo akuwonekera ndi ingress wa maselo a khansa kupyolera lymph, ndi chotupa chachikulu si wapezeka. Pamene mwiniwakeyo mawonekedwe matenda a m'mapapo anthu foci angapo a zotupa khansa. Mlingo wa maonekedwe wa metastasis angakhale osiyana, malingana ndi kapangidwe ka zotupa.

Nthawi pafupipafupi, ndi m'mapapo metastases n'zambiri, kuti chifukwa cha kufala awo ziwalo zina. Sami metastases angathe kuonedwa pambuyo pa nthawi yaitali.

Pali mitundu itatu ya metastases:

1. Lymphogenous. Yodziwika ndi kuchuluka kwa maselo a khansa mu mwanabele, yomwe ili pafupi ndi dongosolo kupuma. Choncho pang'onopang'ono kufalitsa metastases m'mapapo, ndipo, malingana siteji ya matenda, bwanji ziwiya ndi bronchi.

2. Implantation. maselo a khansa anali mwangozi kunditumiza ku thupi wathanzi, ndi zambiri anthu amakhala chaka kukachitika, pamene matenda anali atazindikira pa siteji oyambirira chitukuko.

3. Hematogenous. Mu nkhani iyi, metastases m'mapapo pang'onopang'ono kufalikira ku ubongo, impso, chiwindi, ndi mafupa a munthu. Komanso, mtundu uwu akusonyeza pamaso pa wodwala mlingo lotsiriza la chitukuko cha matenda.

Nthawi zambiri, anthu omwe amafuna chithandizo pa isanayambike zizindikiro, wosawoneka mu magawo lotsiriza la chitukuko. Mwachitsanzo, m'mapapo metastases zizindikiro si pokha, pali munthu chifuwa ndi magazi, kupweteka chifuwa, kufupika kwa mpweya, kuchuluka limfauzlov khosi, aakulu kuwonda, ambiri kufooka kwa thupi. Iwo anafotokoza kuti magawo oyambirira a matenda si kuonekera, kotero muyenera kafukufuku kukhazikitsa matenda zolondola.

Matenda a khansa ya m'mapapo ndi zovuta zimaphatikizapo kugwiritsa ntchito njira zovuta kupeza matenda mu magawo oyambirira a chitukuko, amene kumawonjezera mwayi wa chithandizo bwino. The njira yaikulu mu nkhani iyi ndi X-ray ndi tomography. Amagwiritsidwanso chimagwiritsidwa ntchito bronchoscopy, thoracoscopy, ndi thoracotomy. Zotsatira analandira odalirika ndi kupereka kuona metastasis mmene ambiri, komanso awulule siteji ya chitukuko cha matenda a khansa. Pamene amusankha lolingana chithandizo opaleshoni.

Tikhoza kunena kuti mankhwalawa metastases m'mapapo amati njira zingapo: opaleshoni, mankhwala amphamvu ndi dzuwa, malingana ndi chikhalidwe cha munthu, mlingo wa matenda, malo a khansa ndi mtundu wake.

Pamene opaleshoni khansa chikutha pamodzi ndi gawo la m'mapapo ndi ozungulira lymph mfundo. Poizoni mankhwala poizoni ntchito nthawi zambiri ndipo ndi mankhwala a matenda. Pamene mankhwala amphamvu anthu kutumikiridwa mankhwala kuletsa kukula kwa zotupa khansa.

Komabe, tisaiwale kuti ndi matenda zotere khansa ya m'mapapo, munthu sakhala zaka zoposa zisanu, ngati osati wopereka mankhwalawa.