Ithumba le-metastatic pleural

I-metastatic pleural tumor luhlobo lomhlaza osasazeke kwelinye ilungu ukuya kwi-membrane encinci (pleura) ejikeleze imiphunga.

Inkqubo yegazi kunye ne-lymph inokuhambisa iiseli zomhlaza kwamanye amalungu omzimba. Apho, banokuvelisa ukukhula okutsha okanye amathumba.

Phantse naluphi na uhlobo lomhlaza lunokusasazeka kwimiphunga kwaye lubandakanye iplaura.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Intlungu yesifuba, ngakumbi xa uthatha umoya
• Khohlela
• Ukukhawuleza
• Ukukhohlela igazi (hemoptysis)
• Ukungakhululeki ngokubanzi, ukungonwabi, okanye ukuziva ungonwabanga (malaise)
• Ukuqhawukelwa ngumphefumlo
• Ukuhla ukusinda
• Ukuphelelwa ngumdla wokutya

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

• I-x-ray yesifuba
• Ukuxilongwa kwe-CT okanye iMRI kwesifuba
• Inkqubo yokususa kunye nokuphonononga i-pleura (i-open pleural biopsy)
• Uvavanyo oluvavanya isampulu yolwelo oluqokelelwe kwindawo yokubhengeza (uhlalutyo lwamanzi olwelo)
• Inkqubo esebenzisa inaliti ukususa isampulu ye-pleura (pleural needle biopsy)
• Ukususwa kolwelo olujikeleze imiphunga (thoracentesis)

Izidumbu ezithandekayo zihlala zingenakususwa ngotyando. Umhlaza wokuqala (wokuqala) kufuneka unyangwe. I-Chemotherapy kunye nonyango lwemitha inokusetyenziswa, kuxhomekeke kuhlobo lomhlaza oyintloko.

Umboneleli wakho unokuncoma i-thoracentesis ukuba unamanzi amaninzi aqokelela imiphunga yakho kwaye unomoya ophefumlayo okanye amanqanaba eoksijini egazi asezantsi. Emva kokuba ulwelo lususiwe, umphunga wakho uya kuba nakho ukwandisa ngakumbi. Oku kukuvumela ukuba uphefumle lula.

Ukuthintela ulwelo ekuqokeleleni kwakhona, amayeza angabekwa ngqo esifubeni sakho ngombhobho, obizwa ngokuba yicatheter. Okanye, ugqirha wakho ugqirha unokutshiza iyeza okanye i-talc kumphunga ngexesha lenkqubo. Oku kunceda ukutywina indawo ejikeleze imiphunga yakho ukunqanda ukuba ulwelo lungabuyi.

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

Inqanaba lokusinda kweminyaka emi-5 (inani labantu abaphila ngaphezulu kweminyaka emi-5 emva kokuxilongwa) lingaphantsi kwama-25% kubantu abanezilonda ezivakalayo ezisasazeke kwamanye amalungu omzimba.

Iingxaki zempilo ezinokubangela zibandakanya:

• Iziphumo zechemotherapy okanye unyango ngemitha
• Ukuqhubeka nokusasazeka komhlaza

Ukufunyanwa kwangoko kunye nokunyangwa komhlaza oyintloko kunokuthintela ukuvuvukala kwemetastatic kubantu abathile.

Ithumba - imethastatic pleural

• Indawo entle

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.

I-Broaddus VC, iRobinson BWS. Amathumba omzimba. 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 82.

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.