Solitary pulmonary nodule

Iyo yega pulmonary nodule inzvimbo yakatenderera kana denderedzwa (lesion) mumapapu inoonekwa ine chest x-ray kana CT scan.

Inopfuura hafu yezvose zvoga mapapu emapapu haana kukanganisa (benign). Benign nodules ane zvikonzero zvakawanda, kusanganisira mavanga uye zvakapfuura hutachiona.

Zvirwere zvinotapukira (izvo zvinoumbwa nemasero sechiitiko kune hutachiona hwapfuura) zvinokonzeresa maronda mazhinji. Zvirwere zvakajairika zvinowanzo kukonzera granulomas kana mamwe maronda akapora anosanganisira:

• Tuberculosis (TB) kana kusangana neTB
• Fungus, senge aspergillosis, coccidioidomycosis, cryptococcosis, kana histoplasmosis

Kenza yemapapu yepuraimari ndiyo inonyanya kukonzeresa cancer (yakaipa) pulmonary nodules. Ichi kenza inotangira mumapapu.

Iyo yega pulmonary nodule pachayo haiwanzo kukonzera zviratidzo.

Iyo yega pulmonary nodule inowanzo kuwanikwa pachifuva x-ray kana chipfuva CT scan. Iyi bvunzo yekufungidzira inowanzoitwa kune zvimwe zviratidzo kana zvikonzero.

Mutapi wako wezvehutano anofanirwa kusarudza kuti nodule iri mumapapu ako ingangove yakanaka here kana yekunetseka. Mutsipa wakawanda ungangoita wakanaka kana:

• Iyo nodule idiki, ine muganho wakatsetseka, uye ine yakasimba uye kunyange kutaridzika pane x-ray kana CT scan.
• Iwe uri mudiki uye hausvuti.

Wako mupi anogona kusarudza kusarudza kuongorora nodule nekufamba kwenguva nekudzokorora akateedzana eX-ray kana CT scans.

• Dzokorora chipfuva x-rays kana chipfuva CT scans ndiyo nzira yakajairika yekutarisa nodule. Dzimwe nguva, mapapu PET scan anogona kuitwa.
• Kana ikadzokororwa x-rays inoratidza kuti saizi yemudumbu haina kuchinja mune makore maviri, inogona kunge iri benign uye biopsy haidiwe.

Wako mupi anogona kusarudza biopsy iyo nodule kutonga kunze cancer kana:

• Uri muputi.
• Iwe une zvimwe zviratidzo zvekenza yemapapu.
• Iyo nodule yakura muhukuru kana yachinja kana ichienzaniswa nemifananidzo yekutanga.

Mapapu etsono biopsy anogona kuitwa nekuisa tsono zvakananga kuburikidza nemadziro echipfuva chako, kana panguva yemaitiro anonzi bronchoscopy kana mediastinoscopy.

Kuyedza kubvisa TB nezvimwewo hutachiona zvinogona kuitwa.

Kumbira mupiki wako nezve njodzi dzekuita biopsy maringe nekuona saizi yediki ine yakajairwa x-rays kana CT scans. Kurapa kunogona kuve kwakavakirwa pamhedzisiro yeiyo biopsy kana imwe bvunzo.

Iko kutaridzika kunowanzo kuve kwakanaka kana iyo nodule iri benign. Kana iyo nodule ikasakura kukura pamusoro pemakore maviri-gore, kazhinji hapana zvimwe zvinoda kuitwa.

Kenza yemapapu - wega nodule; Inotapukira granuloma - pulmonary nodule; SPN

• Adenocarcinoma - chifuva x-ray
• Pulmonary nodule - pamberi pechifuva x-ray
• Pulmonary nodule, yega - CT scan
• Kufuridzira system

Bueno J, Landeras L, Chung JH. Yakagadziridzwa Fleischner Society mirayiridzo yekugadzirisa zvinoitika pulmonary nodules: mibvunzo yakajairika uye zviitiko zvakaoma. Radiographics. 2018; 38 (5): 1337-1350. PMID: 30207935 www.ncbi.nlm.nih.gov/pubmed/30207935.

Gotway MB, Panse PM, Gruden JF, Elicker BM. Thoracic radiology: noninvasive yekufungidzira imaging. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Tsanga JC. Solitary pulmonary nodule. Muna: Reed JC, ed. Chest Radiology: Mapatani uye Akasiyana Kuongororwa. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 20.