Chirwere chepakati

Mamota epakati epamuviri kukura kunoita mu mediastinum. Iyi inzvimbo iri pakati pechipfuva iyo inoparadzanisa mapapu.

Mediastinum chikamu chechipfuva chiri pakati pe sternum uye musana wechipfuva, uye pakati pemapapu. Iyi nharaunda ine moyo, huru tsinga dzeropa, pepa remhepo (trachea), thymus gland, esophagus, uye inobatanidza matishu. Mediastinum yakakamurwa kuita zvikamu zvitatu:

• Anterior (kumberi)
• Pakati
• Posterior (Kumashure)

Matumbu epakati haana kujairika.

Nzvimbo yakajairika yemamota mune iyo mediastinum zvinoenderana nezera remunhu. Muvana, mamota anowanzoitika mumashure meastastinum. Aya mamota anowanzo tanga mutsinga uye haana cancer (benign).

Mazhinji mapundu epakati pevanhu vakuru anowanikwa mune yepamberi mediastinum. Ivo vanowanzo kuve nekenza (yakaipa) lymphomas, germ cell tumors, kana thymomas. Aya mamota anowanzoitika pakati pevakuru vane zera uye vakuru vakuru.

Inenge hafu yemamota emukati anokonzera pasina zviratidzo uye anowanikwa pachifuva x-ray yakaitwa kune chimwe chikonzero. Zviratidzo zvinoitika zvinokonzerwa nekumanikidza (kudzvinyirira) zvimiro zvemuno uye zvinogona kusanganisira:

• Kurwadziwa pachifuva
• Fivha uye kutonhora
• Kukosora
• Kukosora ropa (hemoptysis)
• Kuchema
• Night sweats
• Kufema kwekufema

Nhoroondo yezvokurapa uye kuongororwa kwemuviri kunogona kuratidza:

• Kupindwa nechando
• Yakakwira-yakadzika kufema kurira (stridor)
• Kuzvimba kana nyoro lymph node (lymphadenopathy)
• Kurasikirwa kwekurema kwemaune
• Kushungurudza

Mimwe miedzo inogona kuitwa inosanganisira:

• Chest x-ray
• CT-inotungamirwa tsono biopsy
• CT scan yechifuva
• Mediastinoscopy ine biopsy
• MRI yechipfuva

Kurapa kwemamota epamuviri kunoenderana nerudzi rwechirwere uye zviratidzo:

• Kenza dzakaomarara dzinorapwa nekuvhiyiwa. Inogona kuteverwa nemwaranzi kana chemotherapy, zvinoenderana nedanho rebundu uye kubudirira kwekuvhiya.
• Germ cell tumarara dzinowanzo kurapwa ne chemotherapy.
• Kune lymphomas, chemotherapy kurapwa kwekusarudza, uye pamwe kunoteverwa nemwaranzi.
• Kune neurogenic tumors yeashure mediastinum, kuvhiya ndiko kurapwa kukuru.

Mhedzisiro yacho inoenderana nerudzi rwebundu. Mamota akasiyana anopindura zvakasiyana nekemotherapy uye radiation.

Matambudziko emapundu epakati anosanganisira:

• Spinal tambo kudzvinyirira
• Pararira kune zvivakwa zviri padyo senge moyo, kumhara wakakomberedza moyo (pericardium), nemidziyo mikuru (aorta uye vena cava)

Radiation, kuvhiyiwa, uye chemotherapy zvese zvinogona kuve nematambudziko akakomba.

Bata wako mupi wezvehutano kana iwe ukaona zviratidzo zvemuviri wepamuviri.

Thymoma - mediastinal; Lymphoma - mediastinal

• Mapapu

Cheng GS, Varghese TK, Paki DR. Mediastinal tumors uye cysts. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheRefiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 83.

McCool FD. Zvirwere zve diaphragm, chipfuva rusvingo, pleura, uye mediastinum. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 92.