Ngaba i-Pulmonary Nodule i-Cancer Can Be Lung Cancer?
Yiyiphi impela i-nodule yamasulmari yodwa, kwaye yintoni amathuba okuba ngumhlaza?
Unyaka ngamnye e-US, abantu abangaphezu kwe-150,000 baya kuxelwa ukuba bane-nodule yodwa, kwaye kulindeleke ukuba kwandiswe njengoko abantu abaninzi banokuhlola iimvavanyo zomhlaza wemiphunga . Kuthetha ntoni ukuba ufumanisa ukuba unesigxina sepulmonary solitary?
I-Solitary Pulmonary Nodule: Inkcazo
I-nodule yedwa yodwa ichazwa njenge-nodule enye (engaqhelekanga) ebonwa kwi x-ray okanye CT scan, engaphantsi okanye elingana no-3 cm (1 ½ intshi) ububanzi.
Ukuba "ibala" empompeni likhulu kunama-3 cm libhekwa njengomlinganiselo wemiphunga . I-nodule ijikelezwe zizicubu eziqhelekileyo, kwaye akukho zinye iimpawu ezingabonisa ukuba umdlavuza (ezifana ne- lymph nodes or expandusion effusion). Izigulane ze-pulmonary solitary zifumaneka rhoqo xa kwenzeka i-x-ray esinye isizathu. Ziqhelekile, zifunyenwe kwi-1 nganye kwii-x-rays zama-500.
Ukuba kukho ngaphezulu kweengqungquthela enye, izizathu ezikhoyo kunye nezicetyiswa iimvavanyo zingahluka. Funda kabanzi malunga nezizathu kunye nokuvavanya kwamaconsi amaninzi .
Ziziphi Iinto Zingenzeka Zizathu ZesiXhosa sePolmonary Nodule?
Kukho izimbangela ezininzi zeengqungquthela ze-pulmonary pulmonary (SPN), ezinye zixhaphake ngokuxhomekeke kwiminyaka yobudala kunye neendawo. Ezinye zezi ziquka:
- Umdlavuza womlenze: Umhlaza wamaphaphu omdala ungabonisa njenge-SPN. Xa umhlaza wemiphunga ufunyanwe ngeli nqanaba , amathuba okunyanga aphezulu kakhulu kunokuba asemagqabini amva.
- Ezinye i-cancer: Umdlavuza weMetastatic kumagciwane angamanye amacandelo omzimba, okanye i- lymphomas ingabonakalisa njengengqungquthela yodwa yamapulmonary, nangona ininzi i-metastase yamaphaphu iquka i-nodules ezininzi.
- Izifo (ezintsha kunye nabadala): Izifo ezibangelwa yi-bacterium ezifana nesifo sofuba, izifo ezifana ne-blastomycosis, i-histoplasmosis, i-coccidiomycosis, kunye ne-cryptococcosis, kunye nezifo ezinjenge-dirofilariasis kunye ne-ascariasis zingabangela i-SPN.
- Izimo ze-rumatoid: Izifo ezifana ne- rheumatoid arthritis , i- sarcoidosis , ne-Wegener granulomatosis zingabangela i-SPN.
- Izimo zocingo : Iziqulatho, kunye nophuhliso olungavumelekanga lwemithambo kunye nemithanjeni emiphakeni (i-AV malformation) ingabangela iigulane zamapululini zodwa.
Ezi zimbalwa zeemeko ezinokubangela i-nodule yangasese. Funda kabanzi malunga nezizathu ezinokwenzeka zezigulane zamaphaphu .
Ziziphi Iingxaki Ukuba I-Pulmonary Nodule YesiPhumo iCarcer?
Ngokubanzi, ithuba lokuba i-nodule yodwa yomsongo ngumhlaza ongama-40 ekhulwini, kodwa oku kuhluka ngokubanzi kubantu ngabanye kuxhomekeke kwizinto ezininzi. Ezi ziquka:
- Ubudala: Kubantu abancinci, i-SPN inokuba yinto enobungcipheko , kanti, kubantu abangaphezu kweminyaka engama-50, banokuthi bangabhubhili (umdlavuza).
- Ukusetyenziswa kotywala: Imbali yokubhema iphakamisa amathuba okuba i-SPN iyingozi.
- Imbali yomhlaza: Ukuba nomlando phantse nawuphi na uhlobo lomhlaza kwenza ukuba kube lula ukuba i-SPN ngumhlaza.
- Indawo yeendawo / ukuhamba kwamanye amazwe: Kwiindawo zehlabathi apho izifo ezingaphezulu ziqhelekileyo, i-SNP iyakwazi ukuba ngenxa yentsholongwane.
- Ubungakanani: Okukhulu ubukhulu be-SPN, mhlawumbi kunomdlavuza.
- Ukubonakala kwe-SPN kwi-ray-ray: Iigulane zepulmonary ezijongene nokujikeleza kwi-ray-ray zinokuthi zibe zizintlu, kanti ezo zibonakala zingenangqiqo zinokuthi zibe zibi. Kukho ezinye iziphumo ezifunyenwe yi-radiologists ezijonge i-radiologists ukuba zibikezele ukuba inokwenzeka ukuba i-SPN iyingozi okanye ayikho.
Yintoni eyenzekayo emva kokuba uMgqirha wam Ufumana i-Pulmonary Nodule?
Emva kokufumana i-SPN, into yokuqala oza kugqirha ugqirha ukuba ukhangele ukuba unayo nayiphi na ibhokisi elidala le-X-rays okanye ii-CT zokujonga ukuba unokuzifanisa neemvavanyo zakho zangoku. Ii-SPN ezingatshintshi ngobukhulu beeminyaka emibini zibhekwa njengezingenangqondo kwaye azifane zifuna ukulandelwa okuqhubekayo.
Ukuba awunaso isifuba sokuqala se-x-rays, okanye ukuba i-nodule ibonakala iyanda, kukho iindlela ezinokuthi ziqwalaselwe. Ezinye zezi ziquka:
- Ukuqwalaselwa: Ukuba i-SNP ibonakala iyingozi, ilandelayo ngokuphinda i-x-ray / CT scan inganconywa.
- Phinda uphendule: Naliphi na uvavanyo lwezonyango lwenziwa, kukho ithuba lokuba iziphumo ziphutha. Ngamanye amaxesha isithunzi, okanye indlela oyibeke ngayo xa i-x-ray eyenziwe, yenza ukuba kubonakale ngathi kukho into apho kungekho. Ukuphinda uphinde uvivinye ukuqinisekisa ukuba i-nodule ekhona ngokwenene inokucetyiswa.
- Uvavanyo oluqhubekayo: Ukudibanisa iziphumo zesifo se-x-ray okanye i-CT yokuhlola kunye nolunye uvavanyo, olunjenge- PET scan , lunokunceda ugqirha wakho ukuba aqonde ukuba i-nodule yinto enokukhathazeka. Kubalulekile ukuba uqaphele ukuba i- x-rays esifubeni ingaphuthelwa ngomsana , kwaye ukuba kukho nawaphi na amathuba okuba i-SPN iyingozi, ugqirha wakho uya kuyala i-CT scan (okanye unokucela omnye ukuba ayilwanga.)
- I-Biopsy: Indlela eyona kuphela yokukwazi ngokucacileyo ukuba i-SNP ibenobungozi okanye iyingozi ukuba ifumane isampula yeesisisi ezinokuhlolwa kwi-microscope. Ngokuxhomekeke kwindawo yendawo ye-SNP, ukhetho olunokuthi lukhuthazwe luquka i- bronchoscopy , i-biopsy efuna ukunyanga kwe-alex (FNA) , uvavanyo oluthile lwe-thoracoscopic (VATS,) okanye i-biopsy evulekile nge-thoracotomy. Funda kabanzi malunga nokuqonda umphunga wakho wemiphunga .
IiNodules zePolmonic Solitary kwi-Lung Cancer Screening
Ngokuvunywa kunye nokwandisa ukutholakala kwe-TB yomhlaza wesifo somhlaza, mhlawumbi ukuba iigununu zepululini zodwa ziza kuxilongwa. Oku kubangela ukuxilongwa ngezihlandlo ngamanye amaxesha, kwaye uphando lwangoku lubonisa ukuba iindlela ezincinci zokungaxilongwa, ezifana ne-alesal bele biopsies, zinokuba yinzuzo eninzi yokuba i-PET ihlola (engenakho ukunika i-diagnostic tissue) kunye neenkqubo ezingenayo.
Ukuba i-SPN yakho ifunyenwe kwisifo somhlaza wesifo samaphaphu, funda ngokubanzi malunga nokuqikelela ukuba i-nodule efunyenwe ekuhlolisweni ngumhlaza okanye ayikho.
> Imithombo:
> Bai, C., Choi, C., Chu, C. et al. Ukuphononongwa kweNodules yePulmonary: Izikhokelo zeNkcazo zokuBambisana kwiAsia. Esifubeni . 2016. 150 (4): 877-893.
> ISiko leSizwe lezeMpilo. Medline Plus. I-Solitary Pulmonary Nodule. Ukuhlaziywa 08/1/17. https://medlineplus.gov/ency/article/000071.htm
> Yang, W., Jiang, H., Khan, A. et al. I-Transthoracic Needle Impumulo kwi-Solitary Pulmonary Nodule. Uphando lweLung Cancer Research . 2017. 6 (1): 76-85.