Squamous kenza Sero yemapapu: tsananguro, zvinokonzera, chirwere uye kurapwa mamiriro

Chakaipisisa chirwere, akadai kenza, achangobva kuva zvakajairika mazuva. mushonga Modern anoedza kuwana mishonga inogona kudzivirira chirwere. Asi zvinosuwisa saka kure, hapana dzakabudirira nzira asingadi kupa zvinovimbisa mhedziso kunaya zvakakwana. Kazhinji zvemapapu squamous. Maererano nenhamba, kenza kubatwa varume.

zvokurwara Description

kenza yemapapu - nevakawanda, akaipa neoplasm. The chirwere rinounza pamwechete akawanda siyana chirwere.

Govera kutevera marudzi zvokurwara:

• Sero diki;
• large-;
• squamous Sero carcinoma of bapu;
• adenocarcinoma.

Zvirwere izvi zvakasiyana ari mamiriro, ukuru kuwanda, mwero kunoita. Pakati apa mhando kenza zvirwere vazhinji kacho zvinoitika squamous kenza sero yemapapu. Saka vanachiremba vanoti. Zvokurwara kunobva squamous masero ose epithelial munyama.

Chikonzero vanoonekwa carcinogens. Izvi zvinhu zvezvakatipoteredza uye mamwe makemikari zvinopfuura muviri kuburikidza kufema hurongwa. Naizvozvo, inorema vanosvuta, vagari mumaguta pamwe yakasviba ezvinhu, vanhu vanoshanda mune ngozi maindasitiri, pangozi chirwere zvakakwirira.

Sei kuva malignancy? The pemvura rukoko principales mhango masero dzine yakafukidzwa cilia. Vanobatsira kuunza phlegm apo kufamba. Rokuparadza zvinhu kupinda kufema hurongwa, inobatsira kuti kuparadzwa cilia. Panzvimbo yavo, kukura sandara masero epithelial tishu. Yavaive haagoni kuratidzwa. Somugumisiro kurega kunotanga nokuda sputum kunotangira. Uyezve, nebhitumini uyewo richibatanidza pamwe zvinokuvadza makemikari. Izvi zvinoitawo kuti tio- zvakatipoteredza paumbwe anomera.

Zvinokukonzera uye zvinoita kuti chirwise chirwere

Ngatitarisei muudzame nei paine squamous kenza sero yemapapu.

Huru zvikonzero zvinenge nyanyisa anomera munzvimbo kufema zvomukati zvinosanganisira:

1. Persistent non-zvimwe zvirwere. Anogumbura pezvakaitwa ari principales - bronchitis. Zvirwere zvinokonzerwa mycobacteria tibhii. At moyo kukura kenza anogona nhema kakawanda nemabayo.
2. Genetic chikonzero. The chirwere anoonekwa kuva nhaka vanhu kana vachirwara zvitatu mumhuri.
3. Age zvinhu. Kazhinji zvokurwara ikabuda vanhu pashure pemakore 60.
4. Hosha yacho kwemakemikari anobudiswa hurongwa.
5. Kuramba basa zvinokuvadza zvirimwa.
6. Kusvuta. Muitiro uyu vanhu vazhinji, ndizvo anenge chikuru chinokonzera kenza yemapapu. Akaratidza ndechokuti vanosvuta ka30 kazhinji kurwara kupfuura munhu anoramba mudzanga. Inhalation fodya utsi pamusoro mucous rinopedza vanenge 4,000 zvinokuvadza. Vanokwanisa kuuraya masero utano. Uyewo kunokuvadza uye pusa kusvuta.
7. Accommodation pasi kusvibiswa radioactive zvinhu.

kupatsanura zvirwere

Nhasi, kune zvakawanda zvakasiyana siyana nyanyisa squamous muchitokisi ment anomera.

Common iri kupatsanura yakadai:

1. Squamous keratinizing (kusiyaniswa) kenza yemapapu. Dzinoratidzwa paumbwe masero puroteni. Zvinoita paumbwe vanonzi kenza namaparera. Kana maperembudzi akaonekwa mune tanga, izvozvo anopindura zvakanaka kurapwa. Panguva iyoyowo, ziva kuti izvi zvine ngozi zvikuru Chirwere.
2. Neorogovevayuschy squamous kenza sero yemapapu (undifferentiated). chimiro ichi kunoratidzwa pamberi masero mitotic uye polymorphism. Vamwe vavo ingasanganisira puroteni. mhando iyi zvirwere ndiyo akaipa chimiro. Unowanikwa munenge 65% nyaya. Vanotambura kubva chimiro makore kunyanya varume 40 okuberekwa. Nokuti zvokurwara kunoratidzwa nokukurumidza kukura. nokukurumidza pane metastases. Ivo kupinda mukati node nodes ari zvemapapu mudzi, rinobaya pfupa rinenge chiropa uye uropi. Nezvokumutswa kukurumidza kukura kwazvo kakawanda nechirwere zvirwere ari murwere kare ave metastasized.
3. dzidzo Low-mugiredhi. Nyanyisa masero zvakasiyana vemunyika yoga. Izvi zvakakanganisa chaizvo zvinoomesa kuongorora. High mukana sizvo nechirwere. Kakawanda kunosanganisira kukura adenocarcinoma. Metastases zvazvinoita chiropa, uropi uye adrenal mumasero. Kudyidzana chirwere vanopa mwoyo kushurudzira. Pamusoro kuonekwa chirwere chichiri kutanga, kurapwa ichapa yakanaka mugumisiro.

Zvichienderana anatomical zvinhu kusiyanisa:

1. Central squamous Sero carcinoma yacho yemapapu. zvokurwara iri kuchengetwa kusvika 2/3 wevarwere. It kunoratidzwa kurasikirwa guru principales. Dzimwe nguva kungatokanganisa yacho trachea.
2. Peripheral. Inogona kuva squamous sero carcinoma kuti zvemapapu kuruboshwe kana kurudyi. Inosangana ichi mhando muna 3% nyaya. Kazhinji, chirwere chakadai haana zviratidzo. In zvemapapu rinenge hapana marwadzo harinzwi. Somugumisiro, bundu anogona kukura, haritauri kupa kushanda. Zvadaro zvinokanganisawo principales uye pedyo zvomukati. Pane ropa. Zvinofanira kucherechedzwa kuti zvakarurama zvemapapu ndiyo tichikurumidza chirwere, nokuda vasiri unhu.

Zvisinganyanyi kuitika atypical siyana kenza:

• neakangwara;
• mediastinal.

zviratidzo

Squamous Sero kenza yemapapu kunogona kuitika refu nguva pasina kuratidza chero zviratidzo. Zvakaoma chaizvo kuti nenguva kuongorora chirwere.

Nokuti chirwere ichi kunoratidzwa zviratidzo zvakadai:

1. Dry, kazhinji ichichinja nyoro, chikosoro kwenguva refu. Naizvozvo kusvibisa anogona kuitika. Zvinopupura kuti kweiyi bundu Árbol terminations. Sputum achabatsirwa risingafadzi kwakanaka uye netsvina pus.
2. The kwaita kakawanda nemabayo uye pleurisy.
3. Kukurirwa pamusoro dokeriro chirwere sokuti shoshoma uye husky. Dzimwe inzwi akarasika zvachose. chiratidzo ichi Ndiwo keratinizing squamous anomera.
4. Kunzwa kushaya mhepo. Atelectasis. Pane kupfupika mweya somugumisiro vasingadzoreki zvemapapu kufefetedza.
5. Kuneta, ungaderedza unongotaura.
6. Minwe kuva pamutemo.
7. Weight rutapudzo.
8. Kakawanda uye kwazvo, smack mumwoyo, maoko, musana, marwadzo. Chiratidzo maitiro ari akazotevera nzendo chirwere.

pathological Danho

Weboka chirwere yakakamurwa mwero kunoita.

Govera zvokurwara akadai squamous Sero carcinoma pamusoro zvemapapu, Step 4:

1. Bundu saizi haana kupfuura 3 cm. Metastases hatisi.
2. inotungamirwa vanopfuura 3 cm. The bundu anogona kukura kupinda pleura. Pane mumwe chikamu atelectasis.
3. Neoplasm anofukidza yakapoteredza tishu. Atelectasis rinoshanda chiedza zvose. Metastases sei node nodes.
4. Bundu inopinda pedyo zvikuru zvomukati (mwoyo, nemidziyo ropa).

chirwere chirwere

Kuziva squamous kenza yemapapu hwakaoma zvakakwana. Pashure pezvose, zvokurwara iyi zvakafanana zviratidzo vakawanda zvirwere zvokufema zvakadai nemabayo, tibhii, abscesses. Ichi ndicho chikonzero chikuru nei maperembudzi dzakaonekwa chete okupedzisira matanho.

In ichi murwere vanofungidzirwa chirwere akatuma miedzo yakadaro:

• bhokisi X-ray;
• Maekisirei;
• lamellar X-ray kuri;
• CT;
• bronchoscopy;
• onkomarkery kutaipa CYFRA, SSC;
• thoracoscopy (nenguva iyo biopsy chinobviswa).

Chirwere chirwere kunoda hurongwa nzira. Nekuti kenza inokwanisa yokunyengera akubvumira pasi dzimwe ezvinhu.

kurapwa chirwere

Treatment nyaya iyo chirwere squamous Sero carcinoma pamusoro zvemapapu, anoitwa nzira dzakawanda:

• mushonga;
• radiotherapy;
• zvomusejari.

Chokwadi, chete chiremba anogona nemazvo wasarudza zvakakodzera zvidobi okutambura nekenza. Nokuti mumwe nyaya basa nomumwe kurapa zano.

Tinonyanya yaunganidzwa kurapwa, umo pamusoro nzira ikashandiswa.

kuvhiya nzira

Instrumental kana kuvhiya kupindira - kupfuura akavimbika uye nzira chikuru kurapwa. Migumisiro Excellent inopa kuvhiya nzira, kana kutora danho 1 kunoita.

Zvisinei, kuvhiyiwa ane nhamba contraindications kuti:

• dzidzo kunokuvadza huro,
• mune renal uye chiropa kukundikana,
• pashure myocardial infarction.

mishonga

Mabatirwo squamous sero kenza yemapapu kushandisa zvinodhaka ano somushonga kunowedzera mikana nokupora muna 4 nguva.

Asi zvinosuwisa kwete kenza masero ose vanoziva kuti anticancer zvinodhaka.

nemwaranzi kurapa

Nzira kurapwa uchishandisa ionizing radiations. Radiation kurapa inoratidzwa varwere vari zvisingaiti kuita oparesheni.

nzira iyi yokurapa inowanzopiwa kuitwa pa 3-4 rwakazara chirwere. Kudzivirira ndiwo pakuzadzisa namamota zvinogoneka chete muna 40% wevarwere. Nokuti yakanakisisa zvazviri ranzi nzira iri ikashandiswa pamwe mishonga.

mataridzikiro

Zvaungatarisira murwere ane chirwere squamous sero carcinoma of bapu?

Fungidziro anoenderana zvinhu zvizhinji, pakati zviri:

• kunoita siteji;
• munhu zvechadenga muviri;
• professionalism vanachiremba;
• Software zvokurapa.

Kana bundu iri dzakaonekwa Panguva 1 kana 2, hapana metastasis, kana pane Kashoma ari node nodes uye bundu pacharo haritauri kupfuudza 3-5 masendimita kukura, Zvaifungidzirwa zvakasiyana nokure. Wokurarama wevarwere akadaro - 80%.

Sezvineiwo kuipa fungidziro varwere vane Danho 3 dzakaonekwa. Wokurarama anodonhedza 25%.

Pana 4 pavaipfuura kunoita ramangwana zvikuru mwoyo. Zvisinei, achibatsirwa palliative hanya yekudyidzana kunogona kuvandudza unhu murwere woupenyu.