Koj puas tau hnoos tau ob peb hnub lawm? Tej zaum nrog me ntsis txham? Feem ntau peb xav tias cov no yog cov tsos mob ntawm tus mob khaub thuas. Tab sis qee zaum tom qab cov tsos mob me me no tej zaum yuav muaj lwm yam uas peb yuav tsum tau them sai sai rau. Hnub no peb yuav tham txog tus mob ntsws uas ntau tus neeg tsis tau hnov txog, tab sis nws tseem ceeb heev uas yuav tsum paub txog. Ntawd yog Lung Carcinoid Tumors. Tsis txhob ntshai thaum koj hnov lub npe no thiab lo lus "qog". Cia peb nkag siab qhov no kom meej.
Cov qog nqaij hlav carcinoid hauv lub ntsws yog dab tsi?
Hais yooj yim xwb, qhov no yog ib hom qog nqaij hlav uas tsim nyob rau hauv lub ntsws. Tab sis nws tsis yog qhov hnyav lossis kis mus sai li peb xav thaum peb hnov lo lus "qog nqaij hlav." Cov qog nqaij hlav no tsim los ntawm ib hom cell tshwj xeeb hauv peb lub ntsws hu ua "Neuroendocrine cells."
Xav txog cov hlwb "Neuroendocrine" no ua cov tub txib me me hauv peb lub cev. Lawv tuaj yeem txais cov lus zoo li cov hlwb hlab ntsha, thiab, zoo li cov hlwb endocrine, tsim cov tshuaj hormones raws li cov lus ntawd los tswj ntau yam haujlwm hauv lub cev. Hauv lub ntsws, cov hlwb no pab tswj cov khoom xws li qhov ntau ntawm huab cua peb ua pa thiab cov ntshav ntws.
Yog li ntawd, vim qee qhov laj thawj, thaum cov hlwb no pib faib tsis tuaj yeem tswj tau, ib qho qog tsim nyob ntawd. Qhov no yog qhov peb hu ua '(Carcinoid Tumor)'. Cov qog no kuj tseem tuaj yeem tsim nyob rau hauv qhov chaw hauv lub cev, xws li txoj hnyuv thiab lub raum. Tab sis kwv yees li ib feem peb ntawm lawv tsim nyob rau hauv lub ntsws.
Muaj ob hom txiv ntoo no tseem ceeb.
Qhov no tseem ceeb heev uas yuav tsum paub, vim tias kev kho mob thiab qhov xwm txheej ntawm tus kab mob sib txawv nyob ntawm hom kab mob.
1. Cov qog nqaij hlav carcinoid ib txwm muaj
Qhov no yog hom mob uas feem ntau pom . Nws yog 90% ntawm cov qog nqaij hlav ntsws uas kuaj pom. Qhov zoo tshaj plaws yog tias cov qog no loj hlob qeeb heev thiab tsis tshua kis mus rau lwm qhov ntawm lub cev. Yog li ntawd, lawv feem ntau tuaj yeem kho tau zoo.
2. Cov Qog Mob Carcinoid Uas Tsis Zoo Li Qub
Hom kab mob no tsis tshua muaj. Nws tuaj yeem loj hlob sai dua li hom kab mob ib txwm muaj. Nws kuj tseem yuav kis mus rau lwm qhov ntawm lub cev ntau dua. Kuj tau pom tias qhov kev pheej hmoo ntawm kev mob hom "(Atypical)" no siab dua ntawm cov neeg haus luam yeeb.
Qhov tseem ceeb yog tias, txawm yog hom twg los xij, cov no txawv ntawm cov mob qog nqaij hlav ntsws ib txwm muaj thiab teb tau zoo rau kev kho mob.
Cov tsos mob ntawm qhov no yog dab tsi?
Feem ntau, tshwj xeeb tshaj yog cov neeg uas muaj cov cysts "Typical" , ntau tus neeg tsis muaj tsos mob dab tsi.Feem ntau pom cov no thaum lub sijhawm thaij duab X-ray hauv siab vim lwm yam. Txawm li cas los xij, qee tus neeg yuav muaj cov tsos mob hauv qab no:
Kuv yuav nthuav tawm cov yam ntxwv no hauv ib lub rooj kom yooj yim to taub.
| Hom cwj pwm | Kev piav qhia |
|---|---|
| Cov tsos mob feem ntau cuam tshuam nrog lub ntsws | |
| Hnoos | Hnoos ntau zaus, qee zaum muaj me ntsis hnoos qeev lossis ntshav. |
| Mob hauv siab | Mob, tshwj xeeb tshaj yog thaum ua pa tob tob. |
| Ua pa nyuaj (ua tsis taus pa) | Qhov mob tseem hnov txawm tias thaum ua haujlwm ib txwm. |
| Lub suab nrov thaum ua pa | Lub suab nrov nrov yog lub suab hnov thaum ua pa tawm, zoo ib yam li cov neeg mob hawb pob. |
| Cov tsos mob cuam tshuam nrog Carcinoid Syndrome | |
| Mob plab loj heev | Ib yam mob uas tshwm sim los ntawm cov tshuaj hormones xws li serotonin uas lub qog tsim tawm. |
| Liab ntawm lub ntsej muag thiab caj dab | Tam sim ntawd liab thiab yaug ntawm thaj chaw ntsej muag thiab caj dab. |
| Qhov hnyav nce tsis muaj laj thawj | Qhov no yuav yog vim muaj cov teebmeem ntawm cov tshuaj hormones. |
Cov tsos mob no, hu ua 'Carcinoid Syndrome', tshwm sim vim tias qhov mob qog tsim cov tshuaj hormones ntau dua li lub cev xav tau thiab ntxiv rau hauv cov ntshav. Txawm li cas los xij, qhov no kuj tsis tshua pom.
Vim li cas cov qog no thiaj tsim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas cov hlwb "neuroendocrine" no mam li pib faib tsis tau tswj, tab sis lawv tau pom tias qee tus neeg muaj feem yuav mob hnyav dua.
- Cov ua rau muaj mob caj ces: Muaj ib qho mob caj ces uas tsis tshua muaj, uas tau txais los ntawm noob caj ces hu ua "Multiple Endocrine Neoplasia type 1 (MEN1)." Cov neeg uas muaj mob no muaj feem yuav mob qog nqaij hlav ntau dua.
- Haus luam yeeb: Haus luam yeeb tuaj yeem pab txhawb rau kev loj hlob ntawm cov qog nqaij hlav, tshwj xeeb tshaj yog cov qog nqaij hlav "atypical".
- Txiv neej thiab poj niam: Cov poj niam muaj feem yuav mob no ntau dua me ntsis.
- Hnub Nyoog: Txawm hais tias nws yog feem ntau ntawm cov neeg hnub nyoog ntawm 45 thiab 55, qhov mob no tuaj yeem tshwm sim rau txhua tus neeg txhua lub hnub nyoog, txawm tias cov menyuam yaus.
Yuav kuaj mob li cas?
Zoo, cia peb hais tias koj muaj cov tsos mob no. Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob, tom qab ntawd kuaj koj lub ntsws nrog lub stethoscope. Tom qab ntawd nws yuav xaj ntau qhov kev kuaj mob kom paub meej tias koj mob.
1. Kev Thaij Duab: Kauj ruam thawj zaug yog kev thaij duab X-ray hauv siab . Qhov no tuaj yeem pab txiav txim seb puas muaj dab tsi txawv txav hauv lub ntsws. Kev thaij duab CT (Computed Tomography scan) yuav raug ua kom pom tseeb dua qhov loj thiab qhov chaw ntawm lub qog.
2. Kev kuaj ntshav thiab zis: Cov kev kuaj no pab kom pom tias qee cov tshuaj hormones uas cov qog no tsim tawm puas muaj nyob hauv cov ntshav lossis zis.
3. Kev kuaj mob: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws los paub meej tias tus kab mob yog dab tsi 100%. Qhov ua ntawm no yog coj ib daim nqaij me me los ntawm lub qog thiab kuaj nws hauv qab lub tshuab kuaj mob. Qhov no kuj tuaj yeem qhia meej tias lub qog yog "Ib txwm" lossis "Atypical". Txoj kev siv ntau tshaj plaws los tau txais daim nqaij no yog bronchoscopy . Ntawm no, ib lub raj nyias nyias, yoog tau nrog lub koob yees duab txuas nrog los ntawm lub qhov ncauj lossis lub qhov ntswg mus rau hauv cov hlab ntsha ntawm lub ntsws thiab ib feem ntawm lub qog tau txais.
Yuav kho li cas?
Koj txoj kev npaj kho mob yuav nyob ntawm seb hom qog, qhov loj, qhov chaw ntawm qog, thiab koj txoj kev noj qab haus huv tag nrho. Feem ntau, cov qog no tuaj yeem kho tau tag nrho .
Kev phais mob
Txoj kev kho mob tseem ceeb thiab ua tau zoo tshaj plaws rau qhov no yog phais tshem tawm cov qog.
- Kev Tshem Tawm Wedge: Tshem tawm tsuas yog qhov mob qog thiab ib feem me me ntawm lub ntsws nyob ib puag ncig nws.
- Kev Tshem Tawm Ib Lub Plab: Tshem tawm ib lub ntsws, lossis ib feem loj ntawm lub ntsws.
- Kev phais mob ntsws: Tsis tshua muaj, yog tias tsim nyog, kev tshem tawm tag nrho lub ntsws.
Thaum lub sijhawm phais, ntau lub qog ntshav ze ntawm qhov mob kuj raug tshem tawm thiab kuaj xyuas seb cov qog ntshav puas tau kis mus rau lawv.
Lwm yam kev kho mob
Yog tias qhov mob qog no tsis tuaj yeem raug tshem tawm tag, lossis yog tias nws tau kis mus rau lwm qhov chaw, tej zaum yuav xav tau lwm yam kev kho mob.
- Kev Kho Mob Hluav Taws Xob: Tua cov hlwb qog noj ntshav siv cov hluav taws xob muaj zog heev.
- Kev Kho Mob Tshuaj: Cov tshuaj xws li '(Octreotide)' yog siv los tswj cov tsos mob ntawm 'Carcinoid Syndrome', thiab cov tshuaj xws li '(mTOR inhibitors)' yog siv los tswj kev loj hlob ntawm cov qog.
- Kev Kho Mob Siv Tshuaj Kho Mob: Vim tias cov qog no feem ntau loj hlob qeeb, kev kho mob siv tshuaj kho mob, uas tua cov hlwb uas faib sai sai, feem ntau tsis siv. Txawm li cas los xij, qee zaum nws yuav tsim nyog rau cov qog uas loj hlob sai ntawm hom "atypical".
Kab mob no puas kho tau tag nrho?
Qhov no yog ib lo lus nug uas ntau tus neeg muaj. Cov kws kho mob me ntsis tsis xav siv lo lus "kho tau zoo tag nrho" thaum tham txog mob qog noj ntshav, vim tias yeej ib txwm muaj feem me me uas nws yuav rov qab los.
Txawm li cas los xij, cov qog nqaij hlav carcinoid feem ntau kho tau thiab kho tau zoo heev . Qhov kev pheej hmoo ntawm kev rov qab los tom qab kev kho mob yog tsawg dua 4%. Qhov ntawd txhais tau tias 96 ntawm 100 tus neeg yuav tsis rov qab los.
Kev kho cov qog nqaij hlav uas tsis zoo li qub yog qhov nyuaj me ntsis. Tej zaum lawv yuav xav tau kev kho mob ua ke. Zuag qhia tag nrho, 89% ntawm cov neeg uas kuaj pom tias muaj tus kab mob no (suav nrog ob hom) tseem noj qab nyob zoo tom qab 5 xyoos. Qhov no yog qhov tshwm sim zoo heev rau ib hom qog nqaij hlav.
Thaum twg koj yuav tsum nrhiav kev pab kho mob? Thaum twg koj yuav tsum mus rau ETU?
Qhov tseem ceeb tshaj plaws yog yuav tsum tau ua tib zoo saib xyuas koj lub cev. Nws yog ib qho tseem ceeb uas yuav tsum ua sai sai rau cov xwm txheej hauv qab no.
| Lub cib fim | Yuav ua li cas |
|---|---|
| Mus ntsib koj tus kws kho mob. | |
Yog koj muaj cov tsos mob tshiab lossis cov tsos mob hnyav zuj zus:
| |
| Mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd. | |
Yog koj muaj cov tsos mob hnyav no:
| |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov qog nqaij hlav ntawm lub ntsws yog ib hom qog nqaij hlav tsis tshua muaj uas tshwm sim hauv lub ntsws. Tab sis lawv txawv ntawm cov qog nqaij hlav ntawm lub ntsws ib txwm muaj.
- Hom kab mob feem ntau (feem ntau) loj hlob qeeb heev thiab yuav luag kho tau tag nrho nrog kev kho mob .
- Muaj coob tus neeg tsis muaj tsos mob dab tsi li , yog li ntawd tsis txhob tsis quav ntsej tej yam xws li hnoos tas li lossis ua pa nrov nrov.
- Txoj kev kho mob tseem ceeb yog phais tshem tawm lub qog .
- Yog koj muaj kev ntshai lossis kev tsis ntseeg txog tus kab mob no, qhov zoo tshaj plaws uas yuav tsum ua yog tham nrog koj tus kws kho mob . Nws yuav muab tag nrho cov ntaub ntawv thiab kev taw qhia uas koj xav tau rau koj.
- Yog koj haus luam yeeb, kev tso tseg yog txoj hauv kev zoo tshaj plaws los tiv thaiv koj tus kheej ntawm ntau yam kab mob ntsig txog lub ntsws.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus