Peripheral kenza yemapapu: pachikuva, kurapwa, nhoroondo zvokurapa. Peripheral bapu kenza mugove

The kuitika kukura kenza. Zvinonzi kufurirwa zvinhu zvakawanda. Chimwe chirwere wakajairika peripheral kenza yemapapu. kuitika kwayo mumakore mashoma apfuura yawedzera zvinoshamisa, uye munyika dzose. Most vanowanzokanganiswawo ake varume, asi vakadzi havana kuzeza kubva dambudziko.

Chii kenza yacho yemapapu?

Munyika dzakawanda, oncology anoonekwa nhamba imwe zvinokonzera mangwanani kufa. Pakati hosha dzose kenza anomera mumapapu kuonekwa kakawanda. Apo masero kurega kushanda sakare uye kutanga zvisingadzorwi kugoverana. Saka pane bundu kenza.

Zvinogona kuva histological zvakasiyana chimiro, uye kukura mune nechimwe akasiyana mwero kukura. Kana paine kusiyaniswa squamous muchitokisi carcinoma, zvinoita zvishoma nezvishoma, undifferentiated nekusiyana, dzinoratidzwa nokukurumidza uye kukwanisa kupa zvakawanda metastases.

Kazhinji, bundu ikabuda rimwe mumapapu, kazhinji anooneka peripheral kenza akafukidza. Makavigwa kazhinji bundu iri mupasi chokumusoro lobes. Pane zvakawanda breathability uye yamunenge nemamiriro bronchus. Zvinonzi kusvika achirurama mutsetse kusvika trachea, saka zvose zvinokuvadza pinda dzisina kudzivirirwa nekugara.

Zvinokonzera kenza yemapapu

Kazhinji, kushanda nedanho kukura masero kenza ndiyo mhosva murume pachake. Kuzvidza utano hwavo zvichitungamirira akadaro nengozi. Kakawanda kenza peripheral yemapapu kachitanga nokuda kwezvikonzero zvinotevera:

1. Kusvuta. Ichi chimwe chezvinhu zvinokosha uye dzinokosha zvinokonzera chirwere. Fodya utsi hune yakawanda inokuvadza uye zvine chepfu, zvinova zvakare carcinogenic. Chinenge 75-90% vose nyaya kenza dzinoitwa kusvuta. Izvi zvinogona kusanganisira pusa kusvuta. Vamwe vanachiremba vanodavira kuti kunyange zvine ngozi zvikuru kupfuura zvakananga kusvuta fodya.

2. Occupational zvinhu, ramakagadzwa kanoda inogarwa zvinotevera ngozi zvinhu :

• Nickel aro yeimwe;
• Arsenic;
• radon aro kuvora zvinogadzirwa;
• marasha tara.

3. kusviba Air. Fani iyi inogona kuchengetwa kwete chete kukuvadza kambani, asi pamwe mikuru, uye kunyange kure nemaguta. Zvikurukuru zvakakanganisa vanhu mumatunhu avo uye maguta pane rinorema indasitiri, zvemakemikari uye petrochemical.

4. mhepo Dirty mune chokugara nzvimbo. Izvi zvinosanganisira kwete chete smoky furati, asi kusvibiswa chokuita radon nezvinogadzirwa nomukaka, izvo kazhinji yakawanikwa:

• mukuvaka zambara kuvaka uye kushongedzwa;
• mumvura yokunwa.

5. Kuonana vamwe mavhairasi sero DNA.

6. A kuvabereki kubatwa, asi chirwere ndicho basa rayo zvakakwana diki.

Zvinokosha kucherechedza kuti zvose izvi ndizvo synergists noruremekedzo mumwe kuti vari kupfuura peripheral kunogona kukonzera kenza yemapapu.

mhando

In mushonga, pane classifications wandei anomera zvemapapu. Kana tikafunga nzvimbo mumuviri, vasunungurwe:

1. nechepakati kenza, inokudziridza pacharo mukati Árbol sepombi, rakakamurwa:

• endobronchial;
• peribronchial;
• mapazi.

2. kenza yemapapu Peripheral kunoratidzwa bundu iri mupasi mune zvemapapu. Zvinonzi zvakare akakamurwa:

• tenderera kuzvimba;
  
• pnevmoniepodobnuyu;
• kenza chakaderedzwa mutengo.

Central kenza ruviri kazhinji, uye pakati peripheral mhando iri vakawanda zviitiko akaonekwa peripheral kenza rwerudyi zvemapapu.

Mhando dzakasiyana zvirwere zvakasiyana pachavo kwete chete kuripo asiwo kuyerera, uye, naizvozvovo, pamusoro kurapa.

Characterization pamusoro peripheral kenza

Bundu, izvo anovandudza zvakananga kupinda zvemapapu rinenge ine hunomusiyanisa nevamwe zvinhu:

1. Round bundu zvinokonzerwa ari muchimiro idenderedzwa inotungamirwa, muna zvisingawanzoitiki zviitiko, afanane kunama irregularly shaped. Namamota zvinogona chokuita kana kwete Árbol lumen.
2. kenza Pnevmoniepodobny anowana zita raro kuti kufanana nemabayo pamusoro X-ray kuzviongorora.
3. Cancer chakaderedzwa mutengo Kazhinji ikabuda iri apical mugove uye anogona kukura 1st uye 2nd peya yembabvu, uyewo pezvakaitwa ari remuromo vertebrae. Kana paine yakadaro siyana nemarwadzo kunogona kuitika munyika ruoko uye honokono.

Sezvo kenza inogona diki-sero uye sero asiri duku, inofanira kuva nechokwadi kuti kuwana pamwe achibatsirwa biopsy nokuti kurapa muzviitiko izvi zvakasiyana.

Zviratidzo peripheral kenza

mhando iyi zvirwere pakutanga mumatanho waro pakukura hakuiti unooneka. Izvi imhaka yokuti mumapapu havasi kurwadziwa receptors. Sezvo bundu inokura, muitiro achitoita muzvirongwa principales, pleura uye pedyo zvomukati.

Panguva ino vanotanga kuratidza zviratidzo zvakawanda zvakajeka:

• A chikosoro pamwe sputum kungava blotches ropa.
• Inzwi anova husky.
• Rinooneka chirwere kudzvinya pevane vena cava.
• Sezvo peripheral kenza yemapapu mberi, pane kupfupika mweya.
• General simba.
• Kudhaka.
• Uremu.
• Anogona kuwedzera muviri tembiricha.
• Kana chirwere peripheral kenza rokumusoro akafukidza akasiya zvemapapu, pangava marwadzo ari bandauko, mutsipa, ruoko kusimba tsandanyama, madzerere.

In akazotevera matanho vanotanga kuratidza yematambudziko ari kwakakanganisa nhengo metastases. kazhinji rufu kunoitika nenzira dzakawanda metastases, nekenza nemabayo uye zvikuru kuneta.

Paunoona Zviratidzo izvi vanofanira kuona chiremba pakarepo. Chokwadi, havasi munhu 100% vimbiso kenza yemapapu, asi zviri nani kuti vatadze. Kunyanya nokuti zviratidzo kuonekwa zvikuru paya pane pakati pamwe peripheral kenza.

chirwere kuongorora chirwere

On chiratidzo chimwe chete zvisingaiti kuti kuongororwa zvakarurama, kunyanya sezvo yakadaro chakakomba, pasina zvimwe bvunzo. Kana kugunun'una kwenyu chiremba anotanga vazondifungira kuvapo bundu, zvichava kupiwa zvizere kuongororwa, izvo zvinosanganisira mhando yakadai:

• Radiography.
• Kujekesa nechirwere - kombiyuta tomography.
• Bronchoscopy.
• Biopsy - kujekesa mhando bundu.

Izvi chete inokosha tsvakurudzo, pasina pazviri pasingabviri kuti zvakarurama kuongorora chirwere. Tisingatauri zvinhu chokwadi kupa ropa, weti, ECG uye nemimwe miedzo zvinoitiswa.

Pashure pokugamuchira migumisiro yacho muongororo achapiwa pakutsvaga kupinda chiremba pamwe nzira yokurapa.

Stage peripheral kenza

Chero kenza kunoitika kakawanda zvokukura kukura. Ivo zvakagadzirirwa zvakananga kuti kukwanisa kuziva kana bundu apararira mumuviri, uyewo vakasarudzwa nzira kurapwa.

Kana kuva peripheral kenza yemapapu, nzendo ndedzinotevera:

1. Kana non-duku Sero muchimiro kenza kuti kusiyanisa 4 nzendo:

• 1-I kunoratidzwa namamota vashoma saizi, icho vemunyika imwe zvemapapu.
• Stage 2 kunoratidzwa chakawedzerwa bundu, node nodes kuti rinoburitsa kumapapu murwere.
• In danho rechitatu bundu yakakura uye iri uyewo node raiva pedyo nebundu rinenge pakati mumapapu.
• The 4th pavaipfuura zvakakura - kenza anopararira kusvika utano zvemapapu, pane metastases mune dzimwe nhengo.

2. Sero kenza yemapapu ane muzvikamu zviviri chete:

• Bundu iri mupasi kurutivi rumwe rutivi pachipfuva.
• A zvakafanana muitiro rinoburitsa zvose sezvikamu pechipfuva, metastases zvinowanikwa zhinji nhengo dzomukati.

peripheral bapu kenza kurapwa

Kuparadzana danho zvivepo, chiremba akakwanisa zvakananga kuona kurapa. Padanho rimwe nerimwe kurapa chirwere nzira zvingasiyana uye vane maitiro avo.

Uyewo, pakusarudza marapirwo nzira huchachinja murwere zera, kana nechirwere - peripheral kenza yemapapu, nhoroondo wezvokurapa anonzi kufungwa tisati varwere mishonga. Vamwe kuonekwa kenza pakarepo kutanga kushandisa nzira mushonga tsika, asi kubudirira kwavo haina akaratidza, chete yakaonekwa kuti ndeyechokwadi nzira kwakajairika mushonga kunogona kubatsira kurwisa zvirwere uye achawedzera upenyu murwere.

Batanidzwa kurapwa anofanira oncologist. Zvichienderana nzira Mabatirwo siyana kenza, kazhinji kutaura, rinoshandiswa:

1. Mishonga.
2. Beam nemwaranzi.
3. Surgery.

non-duku kenza sero kurapwa

Kana chirwere non-duku kenza Sero yemapapu ari kuruboshwe peripheral, semuenzaniso, rokutanga uye rechipiri nzendo dzakaratidza kuvhiyiwa. Chiremba kunobvisa chikamu sei zvemapapu kana yose, kana bundu iri guru.

Kana oparesheni rinoitwa mu padariro wechipiri chirwere, asi basa mamwe kurapwa, izvozvo unotora:

• Radiation mushonga - nemwaranzi ichi, inouraya masero kenza.
• Mishonga zvinodhaka, tigume bundu.

Kana hosha kwatova danho rechitatu, kazhinji wokutanga kubviswa zvomusejari zvichiteverwa mishonga uye irradiation.

Mushure kurapwa, unofanira kugara kushanyira chiremba-oncologist, panguva kufungidzira kuitazve uye kutanga kurapwa. Yakati kana murwere asina kuparadzaniswa kwake anoparadza muropa fodya, ivo zvazvo vari kure kakawanda.

Kana chirwere kunosvika pachikuva 4, mushonga murwere angangotadza abudirire, anogona chete achawedzera hwake zvishoma, uchishandisa mishonga zvakafanana mune zvinhanho zvitatu chirwere wokutanga.

Small kenza Sero yemapapu uye ayo kurapwa

chimiro ichi kunoratidzwa zvayo Kuwedzera uye mangwanani metastasis. Saka, kunyange Pandakangowana nzendo chirwere kunoratidza fanira mishonga.

Kuvhiya kubviswa kakawanda anogadzirwa chiitiko kuti vachiri Danho uye vari metastases. Asi vanachiremba vakaona kuti kunyange kusukwa, uye ipapo nokufumura haasi 100% runovimbisa mushonga zvakakwana.

Wedzerai urefu upenyu wevarwere uye kuvandudza unhu hwavo zvinogoneka chete nokushandiswa mishonga pashure kuvhiyiwa. Munofanira kuva zvinenge 4 mapoka.

It Vakawana kuti kana isu sangana vose mishonga, rinopa kukuru kushanda pane kuvashandisa voga. Somuenzaniso, pashure mishonga, kusvutazve mu pamusoro 80% nyaya, pashure irradiation - 33%, uye kana imi nokubatanidza navo, 28 chete% wevarwere.

Mishonga - nguva dzose hombe mutoro pamusoro muviri, kwete varwere vose kushivirira nzira zvinoitika, saka zviri here kuiita mira. Muchiitiko chimwe nechimwe, chiremba prescribes zvinodhaka uye mubatanidzwa dzayo, nokushandisa redunhu uye ya kurapwa.

mataridzikiro

Kana nechirwere peripheral kenza yemapapu, kazhinji munhu murombo fungidziro. Zvose zvinoenderana nenguva vasabatwa chirwere: kwokutanga kwakanyorwa dzakaonekwa, kuti tibudirire kurapwa.

Sezvo peripheral kenza dzakaonekwa mukutanga mumatanho asi kashoma nokuda kwokushaya marwadzo manyawi, kunyange mubatanidzwa akasiyana kurapwa kupona varwere mukati 5 makore ndiyo 40 chete%.

Kana kurapwa haina kuitwa, 90% wevarwere vanofa mukati makore maviri pashure inoshandiswa pakutsigira vakadai chirwere sezvo peripheral kenza rokumusoro akafukidza rworudyi zvemapapu.

Rokuongorora chirwere achiri Danho, unogona kushandisa maekisirei, saka usaregeredza wegore prophylactic bvunzo, kunyanya nemhaka iyi, upenyu hwedu zvinoenderana. Kenza - chirwere achinyengera kwazvo, riri tanga haadi kutaura pachavo, uye nokufamba kwenguva nguva yapera kuita chinhu.

dziviriro

Matanho zvino chaizvo kushanda, vakapiwa mukuru kufa nekenza yemapapu uye kakawanda panowanikwa chirwere. The zvikuru matanho anosanganisira:

1. Treatment uye kudzivirira zvirwere anogumbura zvemapapu.
2. Complete kumira kusvuta.
3. Mabatirwo benign zvemapapu.
4. Neutralization anokuvadza zvinhu pamusoro gadzira.
5. Kunzvenga yokuwana carcinogenic zvinhu muupenyu hwezuva nezuva.
6. Kufamba x-mwaranzi dzinenge 1 nguva pagore.

All zviyero izvi hazvigoni nechokwadi 100% kuti hosha ringakukundai, asi ngozi kenza zvichabviswa yekudyidzana ipfupi. A kunyatsomuteerera ivo uye utano hwavo kuchaita kuziva zvirwere kare mumatanho ayo, kana kunokwanisa kupa mugumisiro wakanaka.