Ua hōʻike anei kāu X-ray i kahi 'nodule' i loko o kou mau māmā? (Pulmonary Nodule) - Mai hopohopo, e kamaʻilio kākou e pili ana i kēia!

Ua loaʻa paha iā ʻoe kahi X-ray umauma a i ʻole CT scan no kahi maʻi ʻē aʻe, malia paha no kahi mea e like me ka ʻū mau. He mea maʻamau ke manaʻo nui i ka makaʻu a me ka hopohopo ke ʻike ʻoe i kahi "nodule pulmonary" ma ka hōʻike. Manaʻo koke paha ʻoe, "Auē kuʻu Akua, he maʻi kanesa anei kēia?" Akā ʻo ka mea nui e haʻi aku iā ʻoe, ʻo ka hapa nui o kēia mau puʻupuʻu ʻaʻole ia he maʻi kanesa . No laila, mai hopohopo kākou, akā e hele pololei kākou i ke kiko.

He aha ka nodule pulmonary?

I ka ʻōlelo maʻalahi, he 'kiko' liʻiliʻi kēia a i ʻole 'puʻupuʻu' i loko o kou mau māmā. Ke nānā ʻia ma kahi X-ray a i ʻole CT scan, ʻike maopopo ʻia kēia puʻupuʻu mai nā ʻiʻo māmā olakino a puni. Ua like ia me kahi ʻōpala liʻiliʻi ma kahi pālule keʻokeʻo. He mea maʻamau ka hopohopo ke ʻōlelo ʻia kahi hōʻike i kahi puʻupuʻu, akā e hoʻomanaʻo, ʻo ka hapa nui o kēia mau mea he benign, ʻo ia hoʻi nā kūlana ʻaʻole cancerous.

I kekahi manawa, inā ʻike ʻoe i nā huaʻōlelo "ground glass opacity" ma kāu hōʻike, mai hopohopo. Pili kēia i ke ʻano o ka puʻupuʻu. ʻO ia hoʻi, ua like ka puʻupuʻu me ke aniani uahi, a ʻaneʻane hiki ʻole iā ʻoe ke ʻike ma o ia mea. He paʻa kekahi mau puʻupuʻu, a ʻaʻohe mea hiki ke ʻike ʻia ma o lākou. Hiki i kēia ʻano ke hāʻawi i ke kauka i kahi manaʻo no ke ʻano o ka puʻupuʻu.

Pehea ka maʻamau o kēia mau puʻupuʻu?

ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. ʻO ka ʻoiaʻiʻo, ma kahi o hoʻokahi o ʻekolu mau kānaka i loaʻa i ka CT scan umauma e loaʻa kahi puʻupuʻu liʻiliʻi e like me kēia ma kā lākou hōʻike. Pēlā ka maʻamau o kēia ʻano. No laila, ʻaʻole ʻoe wale nō, he nui nā poʻe ʻē aʻe e loaʻa kēia ma kā lākou hōʻike.

Ke hoʻoulu nei kēia i kekahi mau hōʻailona?

ʻAʻole pinepine nā puʻupuʻu māmā liʻiliʻi e hōʻike i kekahi mau hōʻailona. ʻIke pinepine ʻia lākou i ka wā o ka hoʻāʻo ʻana no kekahi kumu ʻē aʻe. Eia nō naʻe, inā nui ka puʻupuʻu a ke kaomi nei i kahi e like me ka windpipe, a inā he maʻi kanesa, hiki ke ʻike ʻia kekahi mau hōʻailona.

No ke aha i hana ʻia ai kēia mau puʻupuʻu i loko o nā māmā?

Aia kekahi mau kumu e hiki ai ke hana ʻia nā puʻupuʻu māmā. Hiki ke hana ʻia e nā kumu like ʻole, me nā maʻi, nā ʻāpana liʻiliʻi e komo ana i ke kino, nā maʻi ʻōnaehana pale, nā ʻōpala (scarring) i loko o nā māmā, a me ke kanesa.

Eia kekahi o nā kumu nui:

• Nā Granulomas Hoʻopili: ʻO kēia ke ʻano maʻamau o nā puʻupuʻu ʻaʻole maʻi kanesa. Hiki i kēia mau puʻupuʻu ke hana i loko o nā māmā ma muli o nā maʻi bacteria e like me ka maʻi puʻupuʻu, kahi mea maʻamau i ko mākou ʻāina, a i ʻole kekahi mau maʻi fungal. Hoʻokumu ʻia kēia mau puʻupuʻu (Granulomas) i ka wā e hui pū ai nā ʻōnaehana pale o ke kino e hakakā i ka maʻi.
• Nā Granulomas ʻAʻole i Hoʻopili ʻia: Hiki ke ulu aʻe kēia ʻano puʻupuʻu ma muli o nā maʻi autoimmune, e like me ka rheumatoid arthritis a me ka sarcoidosis.
• Nā Tumors Benign: Hiki ke hana ʻia kēia mau puʻupuʻu e nā tumors benign (e.g., Hamartomas, Lipomas).
• Nā Puʻupuʻu Kanesa: I kekahi mau hihia, hiki i kēia puʻupuʻu ke lilo i hoʻomaka o ka maʻi kanesa o ka māmā. Akā e hoʻomanaʻo, ʻoi aku ka liʻiliʻi o kēia ma mua o nā kumu ʻē aʻe.
• Ka ʻeha/Fibrosis:ʻO ka puhipaka, ka hanu ʻana i nā kemika like ʻole, a i ʻole ka lepo e hōʻino i nā māmā a hana i nā ʻōpala (nā kiko) e hana ʻia ma kēlā mau wahi. Hiki ke ʻike ʻia kēia mau mea ma nā kukuna X ma ke ʻano he nodules.

E ke kauka, pehea ʻoe e ʻike ai inā he maʻi kanesa kēia a ʻaʻole paha?

ʻAʻole e hoʻoholo koke ke kauka ma hope o ka ʻike ʻana i kāu hōʻike. ʻAʻole hiki i kahi scan CT wale nō ke haʻi iā ʻoe 100% inā he maʻi kanesa a ʻaʻole paha. Eia nō naʻe, hiki iā ia ke hāʻawi iā ʻoe i kekahi mau hōʻailona koʻikoʻi.

Hoʻomaopopo ke kauka i kēia mau mea:

• Ka nui o ka puʻupuʻu: Ma keʻano laulā, ʻo nā puʻupuʻu liʻiliʻi ma mua o 0.6 kenimika (6 millimeters) he haʻahaʻa loa ka pilikia o ka lilo ʻana i maʻi kanesa.
• ʻAno o ka puʻupuʻu: ʻO nā puʻupuʻu me nā lihi laumania a poepoe, ʻaʻole ia he mea ʻino. Eia nō naʻe, pono e noiʻi hou ʻia nā puʻupuʻu me nā lihi ʻoi ʻole a ʻāwili.
• Ka ulu ʻana o ka puʻupuʻu: E hoʻohālikelike iā ia me kahi kiʻi X-ray a i ʻole CT scan ma mua e ʻike ai inā ua ulu ka puʻupuʻu.

Ma muli o kēia mau hōʻailona, ​​​​e hoʻoholo ke kauka i ka mea e hana ai ma hope. Hiki iā ia ke paipai i kekahi mau hoʻokolohua hou aku.

• Nā hoʻokolohua kūikawā ʻē aʻe e like me ka CT scan a i ʻole PET scan.
• Nā hoʻāʻo koko a i ʻole nā ​​​​hoʻāʻo sputum e nānā ai no ka maʻi.
• Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ka puʻupuʻu no ka hoʻokolokolo ʻana (Biopsy) .

I nā hihia hea e pono ai ka biopsy?

ʻAʻole pono nā puʻupuʻu āpau i kahi biopsy. E paipai wale kāu kauka i kahi biopsy inā manaʻo lākou he maʻi kanesa ka puʻupuʻu. ʻO nā mea pilikia e komo pū ana:

• Inā he mea puhi paka ʻoe a i ʻole ua puhi paka ma mua.
• Inā ʻoe ma luna o 65 mau makahiki.
• Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi kanesa ma mua.
• Inā ua loaʻa iā ʻoe ka radiation therapy ma ka ʻāpana umauma.
• Inā ua hōʻike ʻia ʻoe i nā mea e like me ka asbestos a me ka radon.
• Inā ʻoi aku ka nui o ka puʻupuʻu ma mua o 9 millimeters.

Aia kekahi mau ala e hana ai i kahi biopsy. ʻO ka Bronchoscopy e pili ana i ka hoʻokomo ʻana i kahi ʻōmole liʻiliʻi i lako me ke kāmela ma o ka waha a i ʻole ka ihu e nānā i loko o nā māmā a lawe i kahi hāpana. I kekahi manawa, hana ʻia kahi biopsy nila ma ka hana ʻana i kahi ʻoki liʻiliʻi ma ka umauma.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, ʻo ka hapa nui o nā puʻupuʻu liʻiliʻi ʻaʻole maʻi kanesa, ʻaʻole pono lākou i kekahi lāʻau lapaʻau.

Paipai pinepine ke kauka i ka "Active Surveillance"ʻO ia hoʻi, ke nānā ʻana i ka puʻupuʻu me ka ʻole o kekahi lāʻau lapaʻau.

• Inā he maʻi ka kumu o ka puʻupuʻu, e hāʻawi ʻia nā lāʻau antibiotic a i ʻole nā ​​​​lāʻau antifungal.
• Inā ulu ka puʻupuʻu i ka wā nānā ʻana, hoʻoulu i nā hōʻailona, ​​a i ʻole ua hōʻoia ʻia he maʻi kanesa e kahi biopsy, pono paha ke ʻoki ʻana e wehe i ka puʻupuʻu.

I nā kūlana hea e pono ai iaʻu e hopohopo?

Inā ʻōlelo kāu hōʻike i kahi puʻupuʻu, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea a hahai i kā lākou ʻōlelo aʻo. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau.

Mai hoʻokaʻulua no ka mea he mau hōʻailona paha kēia o kahi maʻi koʻikoʻi.

He aha nā nīnau āu e nīnau ai i ke kauka?

ʻO ke ala maikaʻi loa e lanakila ai i kou mau makaʻu a me nā kānalua, ʻo ia ke nīnau i kāu kauka a loaʻa kahi ʻike maopopo. Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• "E ke kauka, he aha paha ke kumu o kēia puʻupuʻu?"
• "No kona nui a me kona helehelena, pehea ka nui o kona pilikia?"
• "Pono anei au e hoʻāʻo i kekahi mea ʻē aʻe?"
• "He aha kā kākou e hana ai ma hope? Pono anei kākou e hana hou i kahi scan? Āhea ia?"
• "He aha nā hōʻailona kikoʻī e pono iaʻu e makaʻala?"