I-CT Lung Cancer Screening

by Lynne Eldridge, MD

Imiba Yokucingisisa Ngaphambi kokuba ube ne-CT Scan Screen kwi-Lung Cancer

Ukuhlolwa kwesifo somhlaza ngummandla ongasenza umehluko omkhulu kwikamva lomhlaza wemiphunga. Njengama-pap smears baye banciphisa umngcipheko wesibeleko somlomo wesibeleko, kwaye i- colonoscopies ibangele ukuhla kokufa kwabantu abavela kumdlavuza wekoloni , kuya kuba mnandi ukuba nethuluzi lokuhlola ukujonga umhlaza wamaphaphu ekuqaleni, amanqanaba angaphiliyo. Ngeli xesha, amaninzi amanomdla emiphunga emiphunga afunyanwanga aze afumane kwisigaba esiphambili.

Ngenxa yokufumanisa ngokukhawuleza, izinga lokusinda kwabantu abasandul 'ukufumana umhlaza wamaphaphu yi-17 ephazamisayo.

Kwixesha elidlulileyo, zombini i-x-rays kunye ne- sputum cytology zavavanywa njengeendlela zokufumanisa umdlavuza wamaphaphu kwinqanaba eliphambili, kodwa akukho nanye yale nkqubo yafunyanwa ukuphucula ixesha elide lokuphila. Ngako oko, isifuba se-x-rays ayisasetyenziselwa abantu ababhema ukukhangela umhlaza wemiphunga.

Izikhokelo zokuHlola iClay Cancer Screening

Inye kuphela inkqubo ekhoyo yokuhlolwa komdlavuza wamaphaphu phambi kokuba iimpawu zikhoyo zihamba (ebizwa ngokuba yi-helical) CT scan. I-scan ye-CT ebonakalayo ifana ne-CT ecwangcisiweyo (uhlobo lwe-CT oluninzi lwethu luyaziyo) kodwa lwenziwa ngokukhawuleza kwaye lubangela ukungabikho kancinci kwimitha. Uphando olutshanje olutshanje lufumene ukuba abantu abasengozini enkulu abaye bahlola ukuhlolwa kwe-CT yonyaka iminyaka engama- 20 banciphisa umngcipheko wokufa ngumdlavuza wamaphaphu .

Oku kunokuguqulela kubomi abaninzi abayi-20 000 abasindiswa minyaka yonke! Umngcipheko ophezulu kulolu cwaningo luchazwe njengabantu abaphakathi kweminyaka yobudala engama-55 no-74 abaneminyaka engama-30 yeminyaka yokupaka. Nangona ezi ndaba ezithandekayo malunga nesantya sokufa sezantsi, ezinye iimeko kufuneka ziqwalaselwe ukuze wenze isigqibo esinolwazi njengoko uhlola ubuncedo kunye nobungozi kwimeko ethile.

Imiba yokuqwalasela ibandakanya:

I mpazamo

Ukuze isetyenziselwa ukucwangciswa, kufuneka ukuba zivelele zombini, ezichanekileyo ekufumaneni izifo kumanqanaba okuqala, kodwa kunye neenkcukacha ezithile , oko kuthetha ukuba akafumani iziphumo ezininzi ezingabalulekanga. Enye ingxaki nge-CT scans kukuba bayakwazi ukuthabatha amabala emiphakeni engenayo umdlavuza. Oku kungakhokelela kwiinkqubo ezingadingekile zokuncedisa ukufumana iziphumo kunye nokuhlinzwa okungadingekile. Kwisifundo esithile esidala , amaxesha amaninzi ama-cancer angaphazamiseka afunyaniswe, kodwa amaxesha angaphezu kwezihlandlo ezili-10 zenziwa ngokugqithisa, kwaye ukuhlolwa kwafunyanwa kungathobeli ukufa kwabantu. Uvavanyo lwangoku nje lweNational Lung Cancer Screening luchaze umngcipheko omncinci wokufa ngumdlavuza wamaphaphu kubantu abanobungozi obuphezulu njengoko kuboniswe ngasentla. Kodwa iipesenti ezingama-40 zalabo abaye bahlolwa bafunyaniswa ukuba banokungaqhelekanga ekuhlolweni kweso sithuba emva koko kwabakho ukuba banesifo. Kule meko, umngcipheko wobuxoki (ezinjengeengxelo ezongezelelweyo ze-radiological kunye ne-biopsies) kufuneka zilinganiswe ngenzuzo yokufumanisa umdlavuza wamaphaphu kumanyathelo angaphambili. Ngamanye amagama, ukuba unquma ukuba nomdlavuza womhlaza wamaphaphu, kubalulekile ukuba ulungele "ukwethusa" - ukufumana into enokukrokra ukuba emva koko iya kuba yinto.

Inqaku elilandelayo lixubusha le ngxaki:

Iingxaki Zomdlavuza - Xa Ukuhlolwa Kwingqungquthela Yengqungquthela Yomdlavuza Iveza I-Nodule

Ukuxhalabisa

Uphononongo olutshanje lufumanise ukuba abo babenokungaqhelekanga kwiziphumo zemvavanyo yomdlavuza wamaphaphu abazange babone ukuxhalaba okuxabisekileyo. Kodwa ke ezi zibalo, kwaye abantu ngabanye banokuziva bexhalabele xa bejongene nokuvavanya umphumo ongaqhelekanga Eli nqaku lilandelayo libhekisa oku:

I-Cancer Screening Ukukhathazeka - Ukuhlangabezana neziphumo ezingabonakaliyo

Ukuboniswa kwiMida

Nangona i-CT yokuhlola i-CT yomdlavuza wamaphaphu ibangela ukukhanya kwe-radiation engaphantsi kuneendlela eziqhelekileyo ze-CT (uhlobo lwe-CT Scans ininzi lwethu nolwazi), umngcipheko wokuba nomdlavuza wamaphaphu kwi-radiation exposure ingaba yinto ephawulekayo, ingakumbi ukuba i-scans iyenziwa ngonyaka.

Kwisifundo esinye, ukwanda kweepesenti ezingama-5.5 kumngcipheko womhlaza wamaphaphu kubangelwa ukuhlolwa kwonyaka. Oku kuthetha ukuba ukulungelelanisa ukuphonononga, kuya kufuneka kukhulise ukusinda ngama-5,5%. Kukho kunokunyuka kwinqanaba lomhlaza wesifuba kubasetyhini ekubeni i-radiation ijoliswe kwisifuba.

Iindleko

Omnye umlinganiselo wokuvavanya uvavanyo lokuhlola ukujonga nokuba ngaba libiza imali. Oku kubandakanya ukujongana neendleko zokuhlola ngokumalunga nomphumo wokuhlola (inani leminyaka yokuphila elondoloziweyo,) kwaye yindawo ekhoyo yokuphikisana. Umthetho woNonophelo ongenakunqwenelekayo ufuna ukuba abafaki banshorensi bazimelele iinkqubo ngeBakala okanye ngaphezulu njengoko zimiselwe yi-United States I-USPSTF. Ibakala elithi "B" lithetha ukuba i-USPSTF icebisa inkqubo kwaye kukho ukuqinisekiswa okuphezulu ukuba inzuzo yomnatha iyimodareyitha. I-Medicare ngoku idibanisa ukuhlolisisa abo bahlangabezana neempendulo.

Ukuyeka ukutshaya

Enye inzuzo yokuhlola ifunyanwe kutshanje kwinqanaba elongezelelweyo lokuyeka ukutshaya phakathi kwabantu abathile abaye bahlolwa. Abantu babonakala banakho ukukhaba loo mkhwaba ukuba banokwenza okungaqhelekanga ekuhloliseni ukuba ngaba abo bangabakrokreli ngomhlaza wemiphunga.

Ngaba Ndikulungele?

Ukuhlolwa kwesifo somhlaza kuyisigqibo ngasinye esimele sixoxwe kunye nomboneleli wakho wezempilo, ngubani onokukunceda ekunakekeleni ingozi kunye neenzuzo zenkqubo. Njengoko ukuhlolisiswa kungabonakaliswa kwabanye abantu abangahlangabezananga nemigqaliselo (ngenxa yokungabikho komsebenzi, ukunyuka kwe-asbestos, ukunyuka kwe-radon, njl.), Akubona wonke umntu ohlangabezana neendlela eziyimfuneko ngumcebisi ofanelekileyo wokujonga.

_Imithombo

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