Amaphaphu metastases

Iimpawu zemiphunga ngamathumba anomhlaza aqala kwenye indawo emzimbeni kwaye asasaze kwimiphunga.

Amathumba e-Metastatic emiphungeni ngumhlaza ophuhliswa kwezinye iindawo emzimbeni (okanye kwezinye iindawo zemiphunga). Emva koko basasazeka ngokuhamba kwegazi okanye inkqubo ye-lymphatic kwimiphunga. Kwahlukile kunomhlaza wemiphunga oqala emiphungeni.

Phantse nawuphi na umhlaza unokusasazeka uye emiphungeni. Iicancer eziqhelekileyo zibandakanya:

• Umhlaza wesinyi
• Umhlaza webele
• Umhlaza womzimba
• Umhlaza wezintso
• Melanoma
• Umhlaza we-Ovarian
• ISarcoma
• Umhlaza wedlala lengqula
• Umhlaza wepancreatic
• Umhlaza wamatyhalarha

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Isikhohlela esinegazi
• Iintlungu zesifuba
• Khohlela
• Ukuqhawukelwa ngumphefumlo
• Ubuthathaka
• Ukuhla ukusinda

Umboneleli wezempilo uya kukuvavanya kwaye akubuze ngembali yakho yezonyango kunye neempawu. Uvavanyo olunokwenziwa lunokubandakanya:

• I-Bronchoscopy ukujonga iindlela zomoya
• Isifuba se-CT scan
• I-x-ray yesifuba
• Izifundo zeCytologic ze-pleural fluid okanye isikhohlela
• I-biopsy yenaliti yemiphunga
• Ugqirha ukuthatha isampulu yethishu emiphungeni (utyando lwemiphunga yokuphamba)

I-Chemotherapy isetyenziselwa ukunyanga umhlaza we-metastatic emiphungeni. Ugqirha lokususa amathumba lunokwenziwa xa kukho oku kulandelayo:

• Umhlaza usasazeke kwiindawo ezinomda kuphela zemiphunga
• Amathumba emiphunga angasuswa ngokupheleleyo ngotyando

Nangona kunjalo, ithumba eliphambili kufuneka liyanyangeka, kwaye umntu lowo kufuneka omelele ngokwaneleyo ukuba enze utyando kunye nokuchacha.

Olunye unyango lubandakanya:

• Unyango ngemitha
• Ukubekwa kweentente ngaphakathi kwomoya
• Unyango lweLaser
• Sebenzisa ubushushu bendawo yokutshabalalisa indawo
• Sebenzisa ubushushu obubanda kakhulu ukutshabalalisa indawo

Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lenkxaso apho amalungu abelana ngamava aqhelekileyo kunye neengxaki.

Unyango alunakwenzeka kwiimeko ezininzi zomhlaza osasazeke emiphungeni. Kodwa imbonakalo ixhomekeke kumhlaza ophambili. Kwiimeko ezinqabileyo, umntu unokuhlala ngaphezulu kweminyaka emi-5 ngomhlaza we-metastatic ukuya kwimiphunga.

Wena kunye nosapho lwakho nifuna ukuqala ukucinga malunga nokucwangciswa kokuphela kobomi, njenge:

• Unonophelo lonyango
• Ukunyamekela
• Imiyalelo yokhathalelo kwangaphambili
• Iiarhente zononophelo lwempilo

Iingxaki zamathumba e-metastatic kwimiphunga inokubandakanya:

• Umbane phakathi komphunga kunye nodonga lwesifuba (ukungxola), okunokubangela ukuphefumla kancinci okanye iintlungu xa uthatha umoya
• Ukuqhubeka nokusasazeka komhlaza
• Iziphumo zechemotherapy okanye unyango ngemitha

Tsalela umnikezeli wakho ukuba unembali yomhlaza kwaye uphuhlisa:

• Ukukhohlela igazi
• Ukukhohlela okungapheliyo
• Ukuqhawukelwa ngumphefumlo
• Ukuphulukana nobunzima obungachazwanga

Ayizizo zonke iintlobo zomhlaza ezinokuthintelwa. Nangona kunjalo, uninzi lunokuthintelwa ngu:

• Ukutya ukutya okusempilweni
• Ukuzilolonga rhoqo
• Ukunciphisa ukusela utywala
• Akatshayi

Metastases emiphungeni; Umhlaza wemetastatic emphungeni; Umhlaza wemiphunga - metastases; Imiphunga yemiphunga

• Bronchoscopy
• Umhlaza wemiphunga - x-ray yesifuba esecaleni
• Umhlaza wemiphunga - umphambili wesifuba x-reyi
• I-pululemon nodule - umbono wangaphambili wesifuba x-ray
• I-pululemon nodule, yedwa-i-CT scan
• Imiphunga enesifo somhlaza wesisele esine-squamous-CT scan
• Inkqubo yokuphefumla

I-Arenberg DA, iPickens A.Imastastatic amathumba amabi. 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: isahluko 55.

IHayman J, uNaidoo J, i-Ettinger DS. Amaphaphu metastases. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 57.

U-Putnam JB. Umlenze, udonga lwesifuba, i-pleura, kunye ne-mediastinum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 57.