Izinkinga ze-Cancer Lung

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Izinkinga Zomdlavuza We-Lung Wonke Umuntu Kufanele Akwazi

Umdlavuza we-Lung uyinselele ngokwanele ngaphandle kokwengeza izinkinga. Noma kunjalo ukwazi ulwazi oluthile kungahamba ngendlela ende ukuqinisekisa ukuthi uthola ukunakekelwa okungcono kakhulu uma udinga. Kusukela kuma-blood clots kuya ekusebenziseni okungalungile kwamaphutha, lezi zinkinga kungenzeka zinganciphisi nje kuphela izinga lakho lokuphila kodwa zingabe zisongela impilo uma zishiywa zingahlosiwe.

Uyazi ukuthi iziphi izimpawu eziphuthumayo ngomdlavuza wamaphaphu ? Thatha isikhashana ukubukeza ezinye zalezi zimpawu nezimpawu bese uhlela amasu nomndeni wakho kufanele kwenzeke isimo esiphuthumayo. Bese uzijwayeze ngezinkinga ezilandelayo ezi-10 ezenzeka kakhulu kubantu abaphila nomdlavuza wamaphaphu.

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I-Malignant Pleural Effusion

Ukukhwabanisa okumbi kabi kubhekisela ebukhosini obuqhamukayo (ukuqoqa uketshezi endaweni yokukhala) lapho amangqamuzana omdlavuza akhona khona. Lokhu kunenkinga kwenzeka emaphesenti angu-30 abantu abanomdlavuza wamaphaphu futhi bachaza umdlavuza njengesigaba sesine (umetastatic) umdlavuza wamaphaphu .

Odokotela bangase basolise ukuxoshwa kwamacala okusekelwe ezinkomba zakho noma isifundo se-imaging njenge-x-ray, i-CT scan yesifuba sakho, noma i-MRI.

Uphawu oluvame kakhulu ukuphefumula , kepha ezinye izimpawu zingase zikhona. Lokhu kufaka phakathi ukukhwehlela okuvame ukuba khona (ukukhwehlela kuya ngcono noma kubi kakhulu kuye ngokuthi uhlezi noma ulele) futhi ubuhlungu besifuba.

Uma udokotela esolwa ngokuxoshwa kwamagama, ngokusekelwe ezimpawu kanye nezifundo ze-imaging, angase asiphakamise i-thoracentesis. Kule nqubo, inaliti ende idluliswa ngodonga lwesifuba futhi ibe sesikhala esivumelwaneni (indawo emkhatsini wezingxube ezinamanzi ezihlanganisa amaphaphu.) Umoya uhoxiswa ukuze usize izimpawu kanye nokuhlaziya ngaphansi kwe-microscope.

Ukutholakala kwamangqamuzana omdlavuza emzimbeni we-pleural uhlolisisa ukulimaza okumbi kabi, kepha akuwona wonke ama-pleural effusions kubantu abanomdlavuza wamaphaphu ababi kakhulu. Ngokuphambene nalokho, ngaphezu kwengxenye yezingcingo, ngisho nabantu abanomdlavuza wamaphaphu ophakeme, banesifo esihle.

Kubantu abaningi abanezidakamizwa ezimbi ezimbi, i-effusion ibuyele ngokushesha ngemuva kokwelashwa. Uma lokhu kuthinta izinga lakho lokuphila udokotela wakho angancoma inqubo ebizwa nge-pleurodesis . Kule nqubo, ikhemikhali (talc) ifakwa nge-tube thoracotomy ibe isikhala sokukhala. I-talc ibangela ukuvuvukala, ekugcineni kubangele ukuthi izingqimba ezimbili ze-pleura zihlangane ndawonye ukuze amanzi angasakwazi ukuqoqa endaweni.

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Izindwangu zegazi (i-Deep Venous Thrombosis) ne-Pulmonary Emboli

Ama-blood clots emilenzeni noma ekhanda ayenzeka ngamaphesenti amathathu kuya kumaphesenti angu-15 abantu abanekhanda lomaphaphu futhi angabangela izinkinga ezinkulu. Izindwangu ezikhona emlenzeni zingabangela ubuhlungu nokuvuvukala, okungaba ukuphila okusongela uma i-clot iphumula futhi ihambela emapapheni ( emaphasini we-pulmonary emboli .)

Izinto ezifaka ingozi zihlanganisa ukuhlinzeka, ukwelashwa ngamakhemikhali, ukungasebenzi, nokuhamba noma ngemoto noma ngezindiza.

Izimpawu zingabandakanya ukubomvu noma ukuvuvukala emathole noma emilenzeni, kodwa okungenani okwesithathu kwabantu abanomdlavuza wamaphaphu, kukhona ukungabi khona kwezimpawu. Lapho ukukhula kwamapulmoni kukhula, abantu bangase bahlakulele ubuhlungu obuhlungu besifuba nokuphefumula okukhulu.

Gcina engqondweni ukuthi ama-clots wegazi awagcini abantu abanomdlavuza omude nomphambili. Eqinisweni, izigameko zezindwangu zegazi ziphakeme nakakhulu kulabo abasanda kutholakala benomdlavuza wamaphaphu.

Hlola lawa macebiso ekuqaphele nasekuvimbeleni ama-clots egazi ngesikhathi ukwelashwa komdlavuza .

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Ukunciphisa Cord Ukucindezela

Ukucindezeleka kwentambo yomgogodla kungase kwenzeke kubantu abanomdlavuza wamaphaphu lapho umdlavuza usakazeka emathanjeni ( amathambo asetsheni ) obangela ukwehlisa nokuwa kwamathambo omgogodla.

Izimpawu ngokuvamile ziqala ngobuhlungu entanyeni noma phansi futhi zingase zithuthuke ebuthakathakeni nasekulahlekelweni kwemizwa emikhawulweni. Uma intambo yomgogodla ibonakale emgodleni ophansi, ukuphuthumayo kwezokwelapha okuthiwa i- cauda equina syndrome kungase kuthuthuke. Uma lokhu kwenzeka, abantu bangase bahlakulele ukulahlekelwa kwesigqila kanye nesibilini ngaphandle kokubuhlungu obukhulu. Ukwelashwa okuphuthumayo kuyadingeka ukuze ugcine umsebenzi omkhulu ngangokunokwenzeka.

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I-Superior Vena Cava Syndrome (i-SVC Syndrome)

I-complication ebizwa ngokuthi i- vena cava syndrome ephakeme (i-SVC syndrome) ivela kumaphesenti angaba ngu-2 kuya ku-4 amaphesenti abantu abane-cancer yomaphaphu, ikakhulukazi ngamathumba avela ezingxenyeni ezingaphezulu zamaphaphu. Lezi zicubu zingakwazi ukucindezela i-vena cava ephakeme - umvuthwandaba omkhulu obuyisela igazi emzimbeni ophezulu kuze kube enhliziyweni - ukuvimbela ukugeleza kwegazi futhi kubangele izimpawu zesici.

Lezi zimpawu zingabandakanya ukuvuvukala kobuso, izingalo, nomzimba ophezulu, ukwandisa imithanjeni entanyeni nasesifuba, ukuphefumula, ukugwinya ukugwinya nokukhathazeka.

Ukwelashwa kuhloswe ukunciphisa ingcindezi yesisu, ngokuvamile ngokusebenzisa i-chemotherapy noma imisebe, futhi besebenzisa igazi elincane ukuze kuvinjelwe ukuvala.

Ukwelashwa okuphuthumayo kuyadingeka uma i-vena cava syndrome ephakeme ikhula. Ungalindi. Shayela u-911.

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Ukulimaza kwamapulmonary

Izicubu ezinamafutha zingangena ngaphakathi emaphashini, kodwa futhi zibe ne-bronchi. Isibonakaliso sokukhwehlela igazi nge-cancer yomaphaphu kungaba yisimo esiphuthumayo sezokwelapha, futhi ngisho negazi elincane kufanele liphenywe kahle. Njengoba nje i-isipuni segazi kuthathwa njengesimo esiphuthumayo sezokwelapha.

I-hemoptysis enkulu (ukukhwehlela igazi) ithathwa njengento engaphezu kuka-100 cc yegazi, noma 1/3 yendebe. Uma lokhu kwenzeka inani lokufa lingase libe ngaphezulu kwamaphesenti angu-30.

Ngokunakekelwa okusheshayo, odokotela bavame ukuthola umthombo futhi bayeke ukuphuma, kodwa isikhathi sibalulekile. Ungalindi. Shayela u-911.

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I-Hypercalcemia

I-hypercalcemia ezigulini zomdlavuza (izinga eliphakeme eliphezulu le-calcium egazini) iyinto ejwayelekile yokuthola, eyenzeka ngamaphesenti angu-10 kuya kumaphesenti angu-15 abantu abanomdlavuza ophakeme.

Izimpawu ze- hypercalcemia ezigulini zomdlavuza zingase zihlanganise ubuhlungu obunzima bomzimba kanye nezinambuzane, ukuhlukumeza, ubuthakathaka nokudideka. Ukungabonakali, lesi simo singabangela i-coma, futhi ekugcineni kufile.

Kunezindlela ezimbalwa ezahlukahlukene lapho abantu abanomdlavuza abangase bahlakulele i-hypercalcemia. Enye iwukukhipha i-calcium kusuka emathisini we-bone. Lokhu kungabhebhetheka kakhulu uma izinso zingasebenzi uma izinso zingakwazi ukususa i-calcium egazini kahle. Ezinye izicubu zingase futhi zikhulule izinto ezenza ukuvuselela i-calcium emathanjeni. Ngisho noma lezi zimpawu zingezona eziqondile futhi zingadideka nezinye izimo, ukuxilongwa kulula ukukwenza ngokuhlolwa kwegazi okulula.

Izinketho zokwelashwa zixhomeke ezingeni le-calcium egazini futhi zingabandakanya i-IV fluids, i-steroids, izidakamizwa ezibizwa ngokuthi i-bisphosphonates, futhi ngezinye izikhathi i-dialysis uma izimpawu zinzima.

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I-Febrile Neutropenia

Iningi labantu lizwile ukuthi i-chemotherapy inganciphisa ukubala kwegazi elimhlophe elifaka ingozi yokutheleleka, kepha akusiyo njalo ukuthi lokhu kungathí sina kangakanani. Sinezidakamizwa ezitholakalayo manje ezitholakalayo manje ukulwa ne-neutropenia (uhlobo lwe-white white cell count count caused by chemotherapy) ukutheleleka okubangelwe, kodwa abantu abaningi kakhulu abaphulukiswa kuze kube sekwephuzile .

Ukwelapha lezi zifo ngokuvamile kudinga inhlanganisela yama-antibiotics, futhi kubalulekile ukuthi udokotela uyazi ukuthi uphethwe ngamakhemikhali uma ukhipha ngesifo.

Funda nge-neutropenia ngesikhathi se-chemotherapy , izinyathelo ongayithatha, futhi uma kufanele ushayele udokotela wakho. Wonke umuntu onomdlavuza wamaphaphu uhlukile, ngakho qiniseka ukuthi ubuze i-oncologist yakho ngezinkomba ezithile mayelana nezimpawu zokubukela, nokuthi nini ukubiza.

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Isifo senhliziyo

Kokubili ukwelashwa kwama-radiation emithini yesifuba kanye neminye imithi yokwelashwa kungadla izifo zenhliziyo, futhi ukukhathazeka kwenhliziyo (inhliziyo) okunye kubaluleke kakhulu emiphumeleni yesikhathi eside ye-chemotherapy .

Imithi ehlukene ingahle ilandelwe ezinhlobonhlobo zezimo zenhliziyo, kungakhathaliseki ukuthi isifo se-artery coronary, izifo ze-valve, noma ukuhluleka kwenhliziyo.

Khuluma nodokotela wakho bese ubuza mayelana nengozi yakho yesifo senhliziyo ehlobene nezindlela zakho zokwelapha. Zikhona yini izimpawu ezithile okufanele uzibuke? Ingabe kukhona ukuhlolwa okufanele ube nakho ukuze kuqaphele inhliziyo yakho? Insimu ye-oncology yenhliziyo ikhula, kodwa abantu abaningi bahlala bengaboniwe mayelana nalezi zinkinga. Yiba ummeli wethu siqu, ubuze imibuzo, futhi ungaxoshi izimpawu ezikukhathazayo.

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Ukucindezeleka nokuzibulala kuma-Cancer Patients

Ukucindezeleka kungase kungabonakali njengenkinga yokuphuthumayo ngokuphathelene nezinye zezinkinga ezixoxwa lapha, kodwa kunjalo. Akukhona nje ukucindezeleka komdlavuza wezilonda ukunciphisa izinga lokuphila, kodwa ucwaningo lubonisa ukuthi ukucindezeleka kuxhumene nokuphila okuphansi okuvela kulesi sifo.

Kungaba nzima ukuhlukanisa ukucindezeleka komtholampilo kusuka usizi. Ubani ongakhathazekile lapho efunda ukuthi unomdlavuza? Kodwa ukucindezeleka kuyahamba phambili. Izimpawu zokukhathazeka zihlanganisa umuzwa wokuphelelwa ithemba, ukungabi namandla, amandla ampofu, nokuhlushwa okuncane.

Amaphesenti angu-15 kuya kuma-25 amaphesenti abantu abane-depression experience depression. Leli nani libonakala liphakeme nakakhulu kubantu abanomdlavuza wamaphaphu, njengoba inhlamba yesifo ingaholela ekuphelelwe ithemba.

Ngaphezu kokucindezeleka, ukuzibulala kubaluleke kakhulu kubantu abanomdlavuza. Ingozi yokuzibulala inkulu kakhulu kumadoda, ikakhulukazi amadoda amadala. Okungamangaza ukuthi ukucindezeleka nokuzibulala ngokuvamile akuyona into ebhekwa nje lapho ukwelashwa kwehlulekile. Eqinisweni, kubonakala sengathi ingozi enkulu yokuzibulala inyakeni wokuqala, ikakhulukazi ngesonto lokuqala ngemuva kokuxilongwa. Ngenxa yalokhu, yini okufanele uyazi ngomdlavuza nokuzibulala ?

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> _{Johns Hopkins Medicine. Ukunciphisa Cord Ukucindezela.}

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> _{National Cancer Institute. I-Cardiopulmonary Syndromes (PDQ). I-Superior Vena Cava Syndrome. Kubuyekezwe 09/02/15.}

> _{National Cancer Institute. Ukucindezeleka (PDQ). Ingozi Yokuzibulala Emagceni E-Cancer. I-Health Professional Version. Kubuyekezwe 06/30/11.}

> _{Reagan, P., Rani, A., noMnu Rosner. Indlela Yokuthola Ukuxilongwa Nokunakekelwa Kwe-Hypercalcemia Esigulini Nge-Malignancy. Umagazini waseMelika wezifo zezinso . 2013 Sep 7. (Epub ngaphambi kokuphrinta).}

> _{Spencer, R. et al. I-Coral Correlates yezinsolo zokuzibulala ezigulini ezine-Cancer Advanced. I-American Journal ye-Geriatric Psychiatry . 2012. 20 (4): 327-36.}

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