Ama-nodules amaningi wepulmonary angaba yinhlonipho noma ayingozi
Uma usuphethe i-X-ray yesifuba futhi uye watshelwa ukuthi i-radiologist ibone "amaphaphu amaningi amaphaphu" noma "ama-nodules amaningi e-pulmonary," into yokuqala engase ifike engqondweni ngumdlavuza. Futhi ngenkathi, yebo, umdlavuza kungenzeka ngokuyinhloko imbangela, kungase kube nezinye izincazelo, futhi. Ake sibheke ngokucophelela incazelo yenqamuzana yamaphaphu, ukuthi lokhu kuhluke kanjani kwesisindo, futhi ezinye zezici ze-nodule ezingase ziphakamise ukuthi zingumdlavuza noma awunomdlavuza.
Ukuqonda ama-Nodules amaningi we-Lung
Ama-nodules ama-lung (awaziwa nangokuthi ama-nodules we-pulmonary) abonakala njengama-"amabala" noma "izilonda" ku-X-ray futhi azokala amamentimitha amathathu (azungeze amasentimitha owodwa nengxenye) noma amancane ububanzi. kusho ukuthi izilonda ezimbili noma ngaphezulu zazibheke ngokumelene noduleli we-pulmonary alone (SPN) .
Ama-nodules e-Lung ajwayelekile, okwenzeka kwenye ye-X-rays yesifuba ngayinye. Kwesinye isifundo, amaphesenti angu-51 abantu ababhemayo abaneminyaka engama-50 ubudala nangaphezulu babe ne-MPN ekuphenyweni kwamaphaphu.
Izimpawu zeNodules Zengculaza Nezingenayo I-Cancerous
Lapho ama-nodules amaningi e-pulmonary (MPN) abonakala ngokuskena, ukucabanga kokuqala ngumdlavuza. I-Cancer yiyona imbangela evamile kakhulu ye-MPN futhi ngokuvamile iwumphumela we- metastasis (uma umdlavuza usakazeka kusuka kwesisu esikhulu kuya kwezinye izingxenye zomzimba).
Kodwa "okuvamile" akusho "kuphela." Kukhona izimbangela eziningi ze-MPN ezincane (okungezona umdlavuza) njengoba kunezinambuzane ezibulalayo (ezinomdlavuza).
Ngaphezu kwalokho, indlela ama-nodules abheka ngayo ukuskena angasikisela ukuthi yiliphi uhlobo.
Ama-nodules amaningi angase abe nomdlavuza uma ayesentimitha esisodwa (cishe 1/4 amasentimitha) noma ngaphezulu ububanzi. Amakhodi angaphansi kwamamitha amahlanu (1/4 amasentimitha), ikakhulukazi uma esatshalaliswa emaphoyiseni phakathi kwe-lobes yamaphaphu noma eduze kwezicubu ezibeka amaphaphu, cishe amathuba okuba angenangqondo.
Ngaphezu kwalokho, uma izingqungquthela zakho zichazwa ngokuthi "zibalwe," cishe kungenzeka ukuthi zibheke kahle. Ngokuphambene, ama-nodules ahlongozwa ngokuthi abe "ukukhanya kweglasi" ukubukeka kungase kube yingozi.
Izimbangela Zama-Nodules Amapulangwe Amaningi
Ama-nodules amaningi amaphaphu angabangwa izifo ezinonya noma ezinobungozi. Ezinye zezimbangela ezivamile zihlanganisa:
- I-Cancer iyimbangela eyinhloko ye-MPN, ikakhulukazi kubantu abanomlando womndeni womdlavuza. ihlotshaniswa kakhulu nemetastasis yomdlavuza webele, umdlavuza we-colon, umdlavuza wesifo sofuba, nomdlavuza wesisu.
- Ama-lymph nodes atholakala eceleni kwendwangu yamaphaphu (ebizwa ngokuthi i- pleura ) futhi, njengama-lymph nodes, angakhula ngesikhathi sokutheleleka. Lokhu kungase kufundwe ngezinye izikhathi njengendawo kwi-X-ray.
- Izicubu ze-Benign nazo zingakhula emaphashini, okuyinto evame kakhulu kuzo zonke izicubu ezinama- hamartomas . Ezinye izinhlobo zezicubu ezinobuthi zihlanganisa i-fibromas, i-adenomas enonya, i-hemangiomas, ne-blastomas.
- Ukuphazamiseka okuzenzakalelayo yilawo amasosha omzimba ahlaselela ngamangqamuzana amangqamuzana omzimba. Ngezinye izikhathi bangakha ama-granulations nokukhula okubonakala njengamabala kwi-X ray. Izimbangela zihlanganisa i-arthritis ye-rheumatoid, i- sarcoidosis , ne-eosinophilia.
- Izifo zamaphaphu ngezinye izikhathi zingabonakala njengama-nodules amaningi noma ahlukeneyo ngokuskena. Lezi zifaka ukutheleleka kwebhaktheriya njengesifo sofuba, izifo ezithathelwanayo ezifana ne-histoplasmosis kanye ne-cryptococcosis, kanye nezifo ezinama-parasitic ezifana ne-echinococcosis.
- I-Pneumoconiosis , eyaziwa nangokuthi isifo se-black lung, isaba khona cishe ngamaphesenti angu-2 wabasebenzi bamayini wamalahle futhi ihlotshaniswa nokwakheka kwama-nodules amabili kuya kwezigidi zamamitha.
- Izibazi ezivela ekuthelelekeni kwangaphambilini zingabonakalisa esifubeni se-X ray, ngokuvamile kubantu abangakaze bazi ukuthi banesifo.
Ukuxilongwa kweziNodules ze-Mulitple Pulmonary
Njengoba imbangela evame kakhulu ye-MPN ingumdlavuza we-metastatic, odokotela bazovame ukuqala uphenyo ngokufuna isifo sokuqala (sokuqala) . Kuye ngokuthi yini okutholakala ngayo ukuhlolwa kokuqala, udokotela angase alawule umthambo ukuze afune isisu sebele noma i-colonoscopy ukuze afune isifo se-colon.
Ukuhlola okungeziweko nakho kungasetshenziswa, kubandakanya:
- I-tomography ehlanganisiwe (i-CT scan) esebenzisa i-X-ray ukudala ukuskena kwesisindo
- I-imagery ye-resonance magnetic (MRI), esebenzisa ama-magnetic for imaging
- Isikhundla sokuphuma kwe-tomography (i-PET scan), engabona ukuthi isisetshenziswa samangqamuzana esingasetshenzisiwe esifana nesifo somdlavuza
Ucwaningo luye lwasikisela ukuthi ukuhlanganiswa kwe-CT kanye ne-PET ukuhlola kungasiza kakhulu ekunqumeni imbangela yama-MPN kunokuba kuhlolwe ngabanye. Uma imbangela yamagundane akho ayikacaci emva kokucabanga, kungenzeka ukuthi i- lung biopsy ingenziwa ukuze isithole isampula.
Ukwelashwa kwama-Multi-Lung Nodules
Ukwelashwa kwe-MPN kuzoxhomeka ekubambeni. Ama-nodule ama-Benign angase ashiywe yedwa. Ama-neodules ahlobene nokutheleleka angaphathwa nge-antibiotic efanele, i-antifungal, noma i-antiparasitic.
Uma umdlavuza we-metastatic utholakala, ukwelashwa kuzobekwa ngokusekelwe ikakhulukazi endaweni yesikhumba esikhulu. Izindlela zokuzalwa ezintsha ezifana ne- stereotactic body radiotherapy (SBRT) zingasetshenziselwa ukwelapha izidakamizwa ezilodwa, futhi ngezikhathi ezithile. Izindlela ezintsha zokwelashwa ezihlosiwe zinikeza isikhathi eside sokusinda ngemiphumela embalwa yokwelapha kunanini ngaphambili.
Ngezansi Uma Utshelwe ukuthi Unezinhlobo Eziningi Zama-Lung Nodules
Kungakhathaliseki ukuthi umlando wakho wezokwelapha, utshelwe ukuthi unamapulules amaningi amaphaphu uvalo. Ngeke sikunike ithemba lamanga, futhi uvume ukuthi eziningi zalezi zinhlayiya zinomdlavuza. Kodwa khumbula ukuthi kunezimbangela eziningi ezinobungozi. Kusuka ezimweni ezizenzakalelayo kuya ezifweni ezifayilini, abantu abaningi bayesaba ukuthi banomdlavuza bese befunda ukuthi ama-nodules abo anesizathu esibangela ukwelashwa.
Kodwa-ke, ngisho noma izinwele zakho zingumdlavuza, zikhona cishe zonke izindlela zokwelashwa ezitholakalayo. Mhlawumbe hhayi ukwelapha okwelashwa, kodwa ukwelapha okunganciphisa izimpawu futhi ngokuvamile kwandisa impilo.
Into engcono kakhulu ongayenza, ngaphandle kokubutha uhlelo lwakho lokusekela ndawonye futhi ufunde ukwamukela uthando nosizo, kufanele ube ngummeli wakho ekunakekeleni kwakho. Njengoba sishilo, ngisho nomdlavuza we-metastatic emaphashini uvame ukwelashwa, kanti lezo zindlela zokwelapha ziyashintsha ngokushesha. Sifunde ukuthi ukuba yingxenye esebenzayo yethimba lakho lokunakekela impilo akugcini nje kuphela amandla, kepha ukuthatha indawo yakho esihlalweni somshayeli wokunakekelwa kwezempilo kungathinta umphumela wakho.
> Imithombo:
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> Detterbeck, F .; I-Marom, E .; Arenberg, D .; et al. "I-Cancer Ebonisa Njengama-Nodules Amaningi ngeGround Glass noma Izici zeLepidic noma uhlobo lokubamba iqhaza lwe-Pneumonic ku-I-Edition Eyisishiyagalombili Yokuqokwa kwe-TNM." I-Journal ye-Thoracic Oncology . 2016; 11 (5): 666-80.
> Sato, Y .; I-Fujimoto, i-D .; I-Morimoto, T .; et al. "Umlando Wemvelo kanye Nezici Zomtholampilo Zama-Nodules Amapulmonary amaningi ane-Ground Glass Opacity." I-Respirology. 2017; I-DOI: 10.1111 / i-resp.13089 (i-Epub ngaphambi kokuphrinta).