Izimpawu zamangqamuzana omdlavuza wamaphaphu amancane zingafana nezimpawu zenye uhlobo lomdlavuza wamaphaphu, kodwa zingase zihluke ngezindlela eziningana. Ngokuvamile, ngokungafani namanqamu wamaphaphu wamaphaphu angewona amancane , izimpawu zikhona okwesikhashana nje ngaphambi kokuthola ukuxilongwa.
Izimpawu ezihlobene nokwendawo ye-Tumor
Amakhansela amancane amaphaphu amaphaphu athambekele ekukhuleni eduze kwemimoya emaphakathi yamaphaphu, futhi ngaleyo ndlela, adala izimpawu ekuqaleni kokucasula umoya ohamba emoyeni noma ukuvimbela ukugeleza komoya.
Babuye bathambekele ekusakazeni ( metastasize ) ekuqaleni, futhi kuyinto engavamile ukuthi izimpawu zokuqala zomdlavuza omncane wamaphaphu zihlobene nomphumela wayo kwezinye izitho, ezifana nobuchopho. Ezinye izimpawu ezivamile zihlanganisa:
- Ukukhwehlela okuqhubekayo
- Ukushaya igazi
- Ukuphelelwa umoya
- Ukushisa
- Ukuthuthumela
- Izifo eziphindaphindiwe ezifana ne-pneumonia noma i-bronchitis, noma ukuwa kwephunga ( atelectasis ) ngenxa yokunciphisa imimoya yomoya
Izimpawu Ngenxa Yokusabalalisa KuMidiastinum
Amagciwane amancane amaphaphu amaphaphu athambekele ekusakazeni endaweni emkhatsini wamaphaphu (i- mediastinum ) ngokushesha ekuqaleni kwesikhathi. Uma umdlavuza usakazeka kumphakathi we-mediastinum, ungafaka ingcindezi ezakhiweni kule ndawo, njenge:
- Isisu : kubangela ubunzima ukugwinya
- I- trachea (i-windpipe): kubangela ukuphefumula nokukhala komsindo ngenkathi kuphefumula
- Inhliziyo: ngezinye izikhathi kubangela uketshezi ukwakhiwa kwezicubu eziqondisa inhliziyo (i- pericardial effusion )
Izimpawu ezihlobene ne-Superior Vena Cava Syndrome
Umdlavuza wamaphaphu omncane ungabangela nezimpawu ezibhekwa njenge- vena cava syndrome ephakeme (i-SVC syndrome). Uma i-tumor ikhona ku-mediastinum, ingakwazi ukucindezela i- vena cava ephakeme (isitsha esikhulu segazi esifubeni esibuyisela igazi enhliziyweni), okwenza izimpawu ezifana nokuvuvukala kobuso, intamo, nesifuba esiphezulu.
I-SVC syndrome ivame kakhulu ngamanqamuzana amancane amaphaphu wamaphaphu kunamanye amahlobo omdlavuza wamaphaphu futhi ingaba uphawu lokuqala lwesifo.
Ama-Syndromes eParanoplastic
Umdlavuza wesifo samaphaphu omncane ungabangela futhi izimpawu eziningi ezihlukahlukene ngenxa ye- paraneoplastic syndromes . Kwezinye izimo, izimpawu ze-paraneoplastic zingase zibe uphawu lokuqala lomdlavuza wamaphaphu. Ezinye zazo zihlanganisa:
- Ubuthakathaka bemisipha emilenzeni engenhla, izinguquko zombono, nobunzima bokugwinya (i-Lambert-Eaton myasthenic syndrome)
- Ubuthakathaka, ukukhathala, nezinga eliphansi le-sodium egazini (i-syndrome ye-antidiuretic hormone secretion (SIADH) engalungile)
- Ukulahlekelwa kokuxhumana nokuhlupheka ukukhuluma (ukuguqulwa kwe-cerebellar ye-paraneoplastic)
- Inzuzo yesisindo, umfutho wegazi ophakeme, izinguquko ezingokwengqondo, nokuguquka kwesikhumba njengamanothi esondlo esiswini kanye nokunyamala kwesikhumba ( Cushing Syndrome )
- I-Clubbing (ukujikeleza) kweminwe
Izimpawu Lapho I-Cancer Lung Isakazeka
Njengoba umdlavuza wamaphaphu omncane usakazeka (isifo se-metastasizes) ekuqaleni kwesikhathi sesifo, izimpawu zokuqala zingase zihlobene nemiphumela umdlavuza unayo ezithombeni ezikude. Ezinye zalezi zimpawu zingafaka:
- Izimpawu ngenxa ye-metastases yobuchopho: Izibalo ze-Brain zingabangela izimpawu ezifana nekhanda, isizungu, ubuthakathaka ohlangothini olulodwa lomzimba, noma ubunzima bezinkulumo (funda kabanzi mayelana nokuthi umdlavuza wamaphaphu usakazeka kanjani ebuchosheni )
- Izimpawu ngenxa ye-metastasis yethambo: I-metastases ye-Bone ingabangela izimpawu ezifana nobuhlungu emuva futhi / noma ukucindezela komgogodla obangela ubuhlungu noma ingalo yomlenze (funda kabanzi mayelana nokuthi umdlavuza wamaphaphu usakazeka kanjani emathangeni )
- Izimpawu ngenxa yokusabalalisa isibindi: Izidakamizwa zesibindi zingabangela ubuhlungu besisu, ukuhlambalaza nokukhwabanisa isikhumba (funda kabanzi mayelana nokuthi umdlavuza wamaphaphu usakazeka kanjani esibindi )
Izimpawu Ezivamile
Amakhansela amancane amaphaphu amaphaphu angabangela futhi izimpawu ezijwayelekile zomdlavuza , njengokukhathala, ukulahlekelwa ukudla, nokulahleka kwesisindo esingachaziwe. I-syndrome yomdlavuza womdlavuza, ehlanganisa ukulahlekelwa kwesisindo esingenhloso ngaphandle kwemisipha yokuchitha, nayo ijwayelekile futhi inganciphisa ikhwalithi yokuphila kanye nokusinda.
Ngaphansi
Izimpawu zesifo somdlavuza omncane wamangqamuzana wamaphaphu ahlukile kumdlavuza ongasona omncane wesifo samaphaphu ngoba abantu abavame ukubuka emuva futhi bayaqaphela ukuthi baye baba nezimpawu isikhathi eside. Ukuxilongwa kweselula encane kuvamise kwenziwa ngemuva nje kokuvela kwezimpawu. Futhi ngokungafani nomdlavuza wamaphaphu omncane ongewona omncane, izimpawu zokuqala kungenzeka zibe neurological, njengezinsizwa, ukugunjwa, noma ubuthakathaka obuhlobene nama-metastases obuchopho.
Izimpawu ze-paraneoplastic nazo zivame kakhulu nomdlavuza omncane we-cell lung (nakuba kungenzeka ngehlobo lomdlavuza ongasona omncane wamaphaphu owaziwa ngokuthi i-squamous cell carcinoma). Lezi zimpawu zingashintsha ngokuphawulekayo futhi azibhekiseli emaphashini njengomthombo wenkinga.
> Imithombo:
> Society of American of Clinical Oncology. I-Lung Cancer-Small Cell: Izimpawu Nezimpawu. Kubuyekezwe i-10/16.