Isidumbu semiphunga esizimeleyo

I-pulmonary nodule yodwa yindawo ejikelezileyo okanye embhoxo (lesion) emphungeni ebonwa nge-x-ray yesifuba okanye nge-CT scan.

Ingaphezulu kwesiqingatha sazo zonke iiqhuqhuva zamaphaphu zodwa azinabungozi (zinobungozi). Amaqhuqhuva eBenign anezizathu ezininzi, kubandakanya amanxeba kunye nosulelo oludlulileyo.

Ii-granulomas ezosulelayo (ezenziwa ziiseli njengempendulo kusulelo oludlulileyo) zibangela izilonda ezinobungozi. Izifo eziqhelekileyo ezidla ngokubangela i-granulomas okanye ezinye izikhumba eziphilisiweyo ziquka:

• Isifo sephepha (TB) okanye ukubhencwa kwi-TB
• Iifungus, ezinje nge-aspergillosis, coccidioidomycosis, cryptococcosis, okanye histoplasmosis

Umhlaza wemiphunga wamaphaphu ngoyena nobangela uqhelekileyo wesifo somhlaza (esibi) samathambo emiphunga. Lo ngumhlaza oqala emphungeni.

I-pulmonary nodule yodwa ayibangeli zimpawu.

I-pulmonary nodule yodwa ihlala ifumaneka kwi-x-ray yesifuba okanye kwisifuba se-CT scan. Olu vavanyo lokucinga luhlala lusenziwa kwezinye iimpawu okanye izizathu.

Umboneleli wakho wokhathalelo lwempilo kufuneka athathe isigqibo sokuba ingaba i-nodule emiphungeni yakho inobungozi okanye inomdla. I-nodule ngaphezulu inokuba yinto enobungozi ukuba:

• I-nodule incinci, inomda ogudileyo, kwaye ine-solid kunye nokubonakala kwi-x-ray okanye kwi-CT scan.
• Umncinci kwaye awutshayi.

Umboneleli wakho unokukhetha ukubeka iliso kwi-nodule ekuhambeni kwexesha ngokuphinda uthotho lwe-x-ray okanye i-CT scans.

• Ukuphindaphinda isifuba x-reyi okanye isifuba i-CT scans zezona ndlela zixhaphakileyo zokujonga i-nodule. Ngamanye amaxesha, ukuskena kwemiphunga ye-PET kunokwenziwa.
• Ukuba i-x-reyi ephindaphindwayo ibonisa ukuba ubungakanani be-nodule abukatshintshi kwiminyaka emi-2, kunokwenzeka ukuba bubungozi kwaye i-biopsy ayifuneki.

Umboneleli wakho unokukhetha ukwenza i-biopsy i-nodule yokulawula umhlaza ukuba:

• Uyatshaya.
• Unazo ezinye iimpawu zomhlaza wemiphunga.
• I-nodule ikhule ngobukhulu okanye itshintshile xa ithelekiswa nemifanekiso yangaphambili.

I-needle biopsy ingenziwa ngokubeka inaliti ngokuthe ngqo kudonga lwesifuba sakho, okanye ngexesha leenkqubo ezibizwa ngokuba yi-bronchoscopy okanye i-mediastinoscopy.

Iimvavanyo zokuthintela i-TB kunye nezinye izifo zingenziwa.

Buza umboneleli wakho malunga nemingcipheko yokuba ne-biopsy xa kuthelekiswa nokujonga ubungakanani be-nodule rhoqo nge-ray-ray okanye i-CT scans. Unyango lunokusekwa kwiziphumo ze-biopsy okanye olunye uvavanyo.

Imbonakalo ihlala ilungile ukuba i-nodule ilungile. Ukuba i-nodule ayikhuli ibe mkhulu kwisithuba seminyaka emi-2, kaninzi akukho nto ifuna ukwenziwa.

Umhlaza wemiphunga - isisu esisodwa; I-granuloma echaphazelayo - i-nodule ye-pulmonary; I-SPN

• I-Adenocarcinoma - i-x-ray yesifuba
• I-pululemon nodule - umbono wangaphambili wesifuba x-ray
• I-pululemon nodule, yedwa-i-CT scan
• Inkqubo yokuphefumla

Bueno J, uLanderas L, uChung JH. Ukuhlaziywa kwezikhokelo zoMbutho weFleischner wokulawula amaqhuqhuva e-pulmonary ahambelanayo: imibuzo eqhelekileyo kunye nemiceli mngeni. Radiographics. 2018; 38 (5): 1337-1350. IINKCUKACHA: 30207935 www.ncbi.nlm.nih.gov/pubmed/30207935.

IGotway MB, iPanse PM, iGruden JF, iElicker BM. I-radiology ye-Thoracic: ukucinga okungafunekiyo. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 18.

Ingcongolo JC. Isidumbu semiphunga esizimeleyo. Ku: Ingcongolo JC, ed. I-Radiology yesifuba: Iipateni kunye nokuchongwa okwahlukileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 20.