A kenza chirwere, bapu metastases

To musi, kenza yemapapu ndiye mutungamiri iri nhamba yevanofa nekenza. Zvinofanira kucherechedzwa kuti hosha iri Inonyanya kubata varume pamusoro makore matanhatu. Kenza muchiitiko ichi chinomirira boka namamota izvo vavapo kubva mumasero Árbol kana zvemapapu kwevanhu. Chirwere rinowanikwa muna kakawanda kacho, nokuti metastases vakapararira kune kufema chomunda zvomukati kana zvimwe nyama dzomuviri. Saka, bapu metastases vanomiririra ngozi huru muupenyu hwevanhu, sezvo vakawana kazhinji mukupera nzendo chirwere.

Mukurapa, kusiyanisa pakati kaviri kufema kenza: mediastinal uye neakangwara. Kana chirwere kuumba mediastinal node raiva pedyo nebundu metastasis inotungamirwa ari zvemapapu, vanoonekwa nokuda ingress kuti kenza masero kuburikidza node, bundu chikuru haina dzakaonekwa. Kana neakangwara chimiro zvirwere zvemapapu vanhu vane akawanda foci anomera kenza. Mwero pakuonekwa metastasis angava akasiyana, zvichienderana nemamiriro anomera.

In kakawanda kacho, mashoko zvemapapu metastases vari kakawanda, kuti ndicho chikonzero zvavo rwakapararira dzimwe nhengo. Sami metastases anogona kuonekwa pashure yakareba nguva.

Kune mhando nhatu metastases:

1. Lymphogenous. Dzinoratidzwa kuwandisa masero kenza ari node nodes, izvo dziri pedyo kufema hurongwa. Saka kupararira zvishoma nezvishoma metastases kuti mapapu, uye, zvichienderana pavaipfuura chirwere, sei midziyo uye principales.

2. muchibereko. Masero kenza vakanga netsaona kune muviri utano, uye kakawanda vanhu vanorarama isingasviki gore iri chiitiko, apo chirwere yakanga dzakaonekwa vachiri padanho kukura.

3. Hematogenous. Panyaya iyi, iyo zvemapapu metastases zvishoma nezvishoma kupararira kuuropi, itsvo, chitaka, uye mapfupa murume. Uyezve, ichi mhando zvinoratidza kuvapo murwere wokupedzisira mwero pakukura chirwere.

Kakawanda, vanhu vakatsvaka kurapwa panguva kutanga zviratidzo, anoonekwa okupedzisira mumatanho vayo kukura. Somuenzaniso, zvemapapu metastases zviratidzo zviri non-zvakananga, pane munhu chikosoro neropa, kurwadziwa muchipfuva, kupfupika mweya, yakawedzera limfauzlov mutsipa, zvikuru uremu, mukuru utera muviri. Zvinonzi kuzivikanwa kuti mukutanga nzendo chirwere hakuiti unooneka, saka unofanira kuongorora kuti ndisimbise zvakarurama zvawanikwa.

Chirwere kenza yemapapu yakaoma uye kunosanganisira kushandisa nzira dzakaoma nokuti Detective chirwere pakutanga mumatanho okukura, iyo inowedzera mikana akabudirira kurapwa. The nzira chikuru iyi ndiyo X-ray uye tomography. Zvinonzi zvakare zvinowanzoshandiswa bronchoscopy, thoracoscopy, uye thoracotomy. Migumisiro vakawana chokwadi uye anopa kunzwisisa sei kwakapararira metastasis, uyewo anoratidza padariro kukura ane kenza chirwere. Kana ichi anosarudzwa tsamba kuvhiya kurapwa.

Tinogona kutaura kuti kurapa zvemapapu metastases vanoti dzakawanda nzira: vavhiyiwa, mishonga uye mwaranzi, zvichienderana ezvinhu munhu, ukuru hosha, nzvimbo kenza uye ayo mhando.

Kana Kuvhiya kenza bundu chinobviswa pamwe chikamu yemapapu uye dzakapoteredza node nodes. Radiation, kana mwaranzi kurapa, rinoshandiswa kazhinji, uye inzira inobudirira pakurapa chirwere. Kana mishonga muvanhu raitongwa mishonga kuti vamise kukura anomera kenza.

Zvisinei, zvinofanira kucherechedzwa kuti yakadaro chirwere chakafanana kenza yemapapu, munhu haararami kwemakore anopfuura mashanu, kana Musakukurwa kunze kurapwa.