Metastatic pleural bundu

Metastatic pleural tumor rudzi rwekenza yakapararira kubva kune imwe nhengo kusvika kune yakatetepa membrane (pleura) yakakomberedza mapapu.

Ropa uye lymph masystem anogona kutakura cancer maseru kune dzimwe nhengo mumuviri. Ikoko, ivo vanogona kuburitsa nyowani nyowani kana mamota.

Anenge chero mhando yekenza inogona kupararira kumapapu uye inosanganisira iyo pleura.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kurwadziwa pachifuva, kunyanya kana uchifema zvakanyanya
• Kukosora
• Kushungurudza
• Kukosora ropa (hemoptysis)
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara (malaise)
• Kufema kwekufema
• Kuonda
• Kupererwa nechido

Anokuchengetedza hutano achakuongorora obvunza nezve nhoroondo yako yezvokurapa nezviratidzo. Miedzo inogona kuitwa inosanganisira:

• Chest x-ray
• CT kana MRI scan yechifuva
• Maitiro ekubvisa uye kuongorora iyo pleura (yakavhurika pleural biopsy)
• Kwayedza inoongorora muyero wemvura yakaunganidzwa munzvimbo yekuteterera (pleural fluid analysis)
• Maitiro anoshandisa tsono kubvisa muenzaniso weiyo pleura (pleural sindano biopsy)
• Kubviswa kwemvura kubva kumativi emapapu (thoracentesis)

Mapundu emapundu kazhinji haakwanise kubviswa nekuvhiya. Iyo yekutanga (yekutanga) kenza inofanirwa kurapwa. Chemotherapy uye radiation radiation inogona kushandiswa, zvinoenderana nerudzi rwecancer cancer.

Wako mupi anogona kukurudzira thoracentesis kana iwe uine yakawanda yemvura inounganidza yakatenderedza mapapu ako uye iwe une kupfupika kwekufema kana yakaderera ropa okisijeni mazinga. Mushure mekubviswa kwemvura, mapapu ako anozokwanisa kuwedzera zvimwe. Izvi zvinokutendera iwe kufema nyore.

Kuchengetedza iyo fluid kubva kuunganidzazve, mushonga unogona kuiswa wakananga muchipfuva chako nzvimbo nepombi, inonzi catheter. Kana, chiremba wako anovhiya anogona kumwaya mushonga kana talc pamapapu pamusoro panguva yekuita. Izvi zvinobatsira kuvhara nzvimbo yakakomberedza mapapu ako kudzivirira kuti mvura dzirege kudzoka.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira uko nhengo dzinogovana zvakajairika matambudziko nematambudziko.

Iyo makore mashanu-ekupona mwero (huwandu hwevanhu vanorarama kweanopfuura makore mashanu mushure mekuongororwa) iri pasi pe25% kune vanhu vane mapundu ekuteterera akapararira kubva kune mamwe mativi emuviri.

Matambudziko ehutano anogona kuzoguma anosanganisira:

• Zvimwe zvinokanganisa chemotherapy kana radiation radiation
• Kuenderera mberi kwekupararira kwegomarara

Kuonekwa kwekutanga uye kurapwa kwekenza yekutanga kunogona kudzivirira mamastatic pleural tumors mune vamwe vanhu.

Bundu - metastatic pleural

• Pleural nzvimbo

Arenberg DA, Pickens A. Metastatic malignant tumors. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 55.

Broaddus VC, Robinson BWS. Mapundu emapundu. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 82.

Putnam JB. Mapapu, madziro echipfuva, pleura, uye mediastinum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 57.