Koj puas paub txog tus mob qog noj ntshav hu ua Mesothelioma? Cia peb tham txog nws!

Qee zaum peb hnov ​​txog cov mob qog noj ntshav uas tsis tshua muaj tab sis loj heev. Mesothelioma yog ib qho ntawm lawv. Tej zaum koj tau muaj teeb meem ua pa lossis mob hauv siab ntev heev, nws yog qhov zoo uas xav txog cov no. Cia peb saib seb qhov no yog dab tsi?

Mesothelioma yog dab tsi?

Hais yooj yim xwb, mesothelioma yog ib hom mob qog noj ntshav. Tab sis qhov no tshwj xeeb me ntsis. Muaj ib daim nyias nyias tiv thaiv ib puag ncig qee cov kab mob tseem ceeb hauv peb lub cev, zoo li ib daim nyias nyias. Qhov no hu ua mesothelium . Mob qog noj ntshav no pib hauv cov hlwb ntawm mesothelium.

Xav txog nws, peb lub ntsws raug ib puag ncig los ntawm ib daim nyias nyias hu ua pleura , thiab peb lub plab hnyuv raug ib puag ncig los ntawm ib daim nyias nyias hu ua peritoneum . Cov no yog cov chaw uas nws feem ntau tshwm sim. Tsis tshua muaj, nws tuaj yeem tshwm sim hauv pericardium , daim nyias nyias zoo li lub hnab nyob ib puag ncig lub plawv, lossis hauv tunica vaginalis, daim nyias nyias nyob ib puag ncig cov noob qes hauv cov txiv neej.

Ib qho tshwj xeeb ntxiv txog qhov no yog tias muaj ntau tshaj ib hom mob qog noj ntshav. Qee zaum cov qog no tuaj yeem sib koom ua ke thiab nthuav dav zoo li daim ntaub ncig lub cev. Thaum qhov ntawd tshwm sim, kev kho mob yuav nyuaj me ntsis.

Puas muaj hom mob mesothelioma?

Yog, muaj ntau hom tseem ceeb nyob ntawm seb nws loj hlob qhov twg.

• Mob ntsws mesothelioma hauv lub ntsws: Qhov no yog hom mob uas feem ntau tshwm sim . Nws tshwm sim hauv daim ntaub uas nyob ib puag ncig peb lub ntsws, hu ua pleura.
• Peritoneal mesothelioma: Qhov no yog hom thib ob uas pom ntau tshaj plaws. Nws tshwm sim hauv peritoneum, uas yog daim ntaub nyob ib puag ncig cov kabmob hauv plab thiab lub plab mog.
• Pericardial mesothelioma: Qhov no yog ib hom mob qog noj ntshav uas tsis tshua muaj . Nws tshwm sim hauv pericardium, lub hnab uas zoo li lub hnab uas nyob ib puag ncig peb lub plawv.
• Mesothelioma ntawm lub noob qes tunica vaginalis (tseem hu ua paratesticular mesothelioma): Qhov no kuj tsis tshua muaj . Nws tshwm sim hauv daim ntaub ncig lub noob qes ntawm cov txiv neej.

Qee zaum koj hnov ​​txog "Solitary fibrous tumors", uas kuj hu ua "benign mesothelioma". Tab sis nws tsis yog hais txog "malignant" mesothelioma.

Tsis tas li ntawd xwb, tej zaum koj yuav hnov ​​​​​​cov lus piav qhia txog mesothelioma ua epithelioid , sarcomatoid , lossis kev sib xyaw ua ke ntawm ob qho tib si , lossis biphasic, nyob ntawm seb cov duab thiab lwm yam ntxwv ntawm cov hlwb qog noj ntshav. Cov kev xaiv kho mob thiab kev kwv yees yuav txawv nyob ntawm hom mesothelioma uas koj muaj.

Cov tsos mob ntawm qhov no yog dab tsi?

Cov tsos mob ntawm mesothelioma sib txawv nyob ntawm seb nws nyob qhov twg hauv lub cev. Cov tsos mob feem ntau muaj xws li:

• Ua npaws
• Tawm hws thaum hmo ntuj
• qaug zog tas li
• Kev poob phaus yam tsis xav txog
• Mob hauv siab los yog mob plab
• Ua pa nyuaj, xws li ua pa luv luv (dyspnea) , hnoos, thiab nqos nyuaj (dysphagia)
• Cov tsos mob ntawm lub cev zom zaub mov, piv txwv li raws plab, tsis xav noj mov, xeev siab, thiab ntuav
• Cov tsos mob ntsig txog lub plawv thiab cov hlab ntsha, xws li ntshav siab qis thiab lub plawv dhia tsis zoo
• O, mob, lossis mob hauv cov noob qes lossis thaj chaw puab tais

Muaj ib lossis ob qho ntawm cov tsos mob no tsis yog ib qho cim qhia tias muaj mob mesothelioma. Txawm li cas los xij, yog tias cov tsos mob no tseem muaj, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov ua rau qhov no yog vim raug asbestos . Asbestos yog ib yam khoom uas muaj nyob hauv ntuj. Yav dhau los, nws tau siv rau hauv ntau yam lag luam, xws li cov khoom siv hauv tsev, kev tsim nkoj, thiab kev lag luam tsheb. Koj puas paub tias asbestos muaj cov fibers uas zoo li koob? Cov no tuaj yeem ua rau peb cov nqaij puas tsuaj yog tias peb nqus lawv lossis nqos lawv.

Tiam sis qhov tshwj xeeb ntawm no yog tias tus mob qog noj ntshav no tsis loj hlob tam sim ntawd tom qab raug cov asbestos. Nws tuaj yeem siv sijhawm ntau xyoo rau tus mob qog noj ntshav kom loj hlob.

Tiamsis qhov no tsis tshwm sim rau txhua tus. Tsis yog txhua tus neeg uas raug asbestos yuav mob mesothelioma. Thiab tsis yog txhua tus neeg uas mob mesothelioma tau raug asbestos. Qhov ntawd txhais tau tias muaj lwm yam uas ua rau mob no.

Cov yam ua rau muaj kev pheej hmoo yog dab tsi?

Ua haujlwm uas ua rau koj raug asbestos yog ib qho tseem ceeb uas ua rau koj muaj kev pheej hmoo. Piv txwv li:

• Cov neeg ua haujlwm hauv kev tsim kho vaj tse thiab kev rhuav tshem
• Cov neeg koom nrog hauv kev lag luam tsim nkoj
• Cov neeg ua haujlwm hauv kev lag luam mining
• Cov neeg uas tau ua tub rog (qee cov khoom siv qub tej zaum yuav muaj asbestos)
• Cov neeg koom nrog hauv kev lag luam milling
• Hauv cov chaw uas kho cov tsheb (tshwj xeeb tshaj yog cov khoom xws li cov ntaub thaiv nres hauv cov tsheb qub)

Muaj lwm yam ua rau muaj kev pheej hmoo:

• Kev raug hluav taws xob: Yog tias koj tau txais kev kho mob hluav taws xob rau mob qog noj ntshav (tshwj xeeb tshaj yog rau thaj tsam hauv siab), lossis yog tias koj ua haujlwm hauv txoj haujlwm uas ua rau koj raug hluav taws xob.
• Kev raug rau Erionite: Erionite yog ib yam khoom siv zoo ib yam li asbestos. Nws tau siv los ua kev.
• Cov noob caj noob ces: Kev hloov pauv ntawm cov noob caj noob ces BAP1 tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav, suav nrog mesothelioma.
• Kev sib deev ntawm tib neeg: Cov txiv neej muaj feem yuav mob mesothelioma ntau dua li cov poj niam.

Cov Teeb Meem ntawm Mesothelioma

Mesothelioma tuaj yeem kis mus rau lwm qhov ntawm lub cev. Nws kuj tseem tuaj yeem ua rau cov kua dej sib sau ua ke nyob ib puag ncig lub ntsws (pleural effusion) , nyob ib puag ncig lub plawv (pericardial effusion) , lossis hauv plab (ascites) . Cov no tuaj yeem ua rau muaj teeb meem ntxiv rau tus neeg mob.

Cov kws kho mob nrhiav tau qhov no li cas?

Nyob ntawm koj cov tsos mob thiab keeb kwm kev noj qab haus huv, koj tus kws kho mob yuav ua cov kev kuaj mob hauv qab no los txiav txim siab seb koj puas muaj mesothelioma:

• Kev kuaj ntshav
• Kev ntsuam xyuas kev ua haujlwm ntawm lub ntsws
• Kev kuaj duab, xws li kev thaij duab X-ray hauv siab thiab CT scans
• PET scans (positron emission tomography - scans) los kuaj xyuas cov qog nqaij hlav hauv lwm qhov chaw hauv lub cev
• Tshem cov kua dej ntawm lub qhov pleural lossis lub plab (thoracentesis lossis paracentesis) thiab kuaj nws rau cov hlwb qog noj ntshav (cytology)
• Kev kuaj mob qog nqaij hlav (Biopsy) - Qhov no suav nrog kev muab ib daim nqaij me me thiab kuaj nws hauv qab lub tshuab microscope kom pom tias puas muaj cov qog nqaij hlav qog nqaij hlav.

Cov kev kho mob yog dab tsi?

Feem ntau nws nyuaj rau kho kom tag nrho mesothelioma nrog ib qho kev kho mob xwb. Cov kev xaiv kho mob yuav txawv nyob ntawm hom mesothelioma uas koj muaj. Cov kev xaiv kho mob muaj xws li:

• Kev Phais Mob: Qhov no yuav suav nrog kev phais mob xws li extrapleural pneumonectomy (EPP) (tshem tawm ntawm lub ntsws, pleura, thiab mob qog noj ntshav), pleurectomy nrog decortication ( tshem tawm ntawm pleura thiab mob qog noj ntshav), cytoreduction (phais mob kom txo qhov loj ntawm cov hlwb qog noj ntshav), lossis pericardiectomy (tshem tawm ntawm lub hnab nyob ib puag ncig lub plawv).
• Kev Kho Mob Tiv Thaiv Kab Mob: Cov kev kho mob no cob qhia koj lub cev tiv thaiv kab mob kom paub thiab rhuav tshem cov hlwb qog noj ntshav.
• Kev Kho Mob Chemotherapy: Cov kws kho mob feem ntau muab cov tshuaj chemotherapy los ntawm cov leeg ntshav (IV). Cov tshuaj no mus ncig los ntawm cov ntshav thiab tua cov hlwb qog nqaij hlav. Qee cov kev kho mob chemotherapy, xws li hyperthermic intraperitoneal chemotherapy (HIPEC) , kuj raug muab ncaj qha rau cov qog nqaij hlav.
• Kev kho mob uas tsom mus rau:Yog tias koj cov qog nqaij hlav muaj qee qhov kev hloov pauv caj ces, tej zaum yuav muaj kev kho mob uas tsom mus rau qhov mob uas tuaj yeem kho lawv.
• Kev Kho Mob Hluav Taws Xob: Kev kho mob hluav taws xob siv cov duab X-rays muaj zog heev los tua cov hlwb qog noj ntshav.
• Kev sim tshuaj: Koj tus kws kho mob kuj tseem yuav pom zoo kom sim tshuaj uas cov kws tshawb fawb tseem tab tom sim seb puas ua haujlwm tau zoo.
• Kev kho mob palliative: Koj tus kws kho mob yuav pom zoo kom koj kho mob palliative los pab koj tswj cov tsos mob ntawm mob qog noj ntshav thiab cov kev mob tshwm sim ntawm kev kho mob. Qhov no yuav suav nrog cov khoom xws li kev tswj qhov mob thiab cov hau kev los tshem tawm cov kua dej uas sib sau ua ke nyob ib puag ncig cov kabmob.

Qhov tseem ceeb tshaj plaws yog nrog koj tus kws kho mob tham kom xaiv txoj kev kho mob uas zoo tshaj plaws rau koj.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj cov tsos mob xws li ua tsis taus pa, hnoos tas li, lossis hloov pauv koj txoj kev quav, nco ntsoov mus ntsib kws kho mob. Txawm hais tias nws yuav zoo li txaus ntshai los tshuaj xyuas koj cov tsos mob, nws yeej ib txwm zoo dua kom tau txais kev kho mob ntxov dua li lig. Tsis txhob txhawj, kev tham nrog kws kho mob tuaj yeem ua rau koj muaj kev thaj yeeb nyab xeeb ntau.

Qhov no puas zam tau tag nrho? Los yog puas kho tau?

Kab mob qog noj ntshav yeej tsis tshua muaj peev xwm tiv thaiv tau tag nrho. Txawm li cas los xij, qhov kev pheej hmoo ntawm kev mob mesothelioma tuaj yeem txo qis los ntawm kev nyob deb ntawm asbestos. Yog tias koj yuav tsum ua haujlwm nrog asbestos lossis nyob rau hauv ib puag ncig uas muaj nws, koj yuav tsum ua tib zoo saib xyuas kom tuav thiab pov tseg nws kom raug.

Yog tias koj tau ua haujlwm uas ua rau koj raug asbestos yav dhau los, nrog koj tus kws kho mob tham seb puas muaj lus qhia rau kev saib xyuas koj txoj kev noj qab haus huv lossis rau kev kuaj mob.

Tus nqi ciaj sia rau mesothelioma sib txawv nyob ntawm hom koj muaj. Piv txwv li, tus nqi ciaj sia tsib xyoos rau hom feem ntau, pleural mesothelioma, yog ntawm 7% thiab 24%. Feem ntau, peritoneal mesothelioma muaj tus nqi ciaj sia siab dua li lwm hom.

Tiam sis nco ntsoov tias, cov lej no yog raws li cov neeg uas tau kuaj pom tias muaj tus kab mob tsawg kawg yog tsib xyoos dhau los. Tej zaum lawv yuav tsis yog qhov sawv cev tag nrho ntawm yam koj tuaj yeem xav tau nrog kev kho mob tshiab lossis lwm yam hauv koj qhov xwm txheej tshwj xeeb. Nws yog qhov zoo tshaj plaws los nug koj tus kws kho mob txog koj qhov xwm txheej tshwj xeeb.

Puas yog Mesothelioma ua rau txhua tus neeg tuag taus?

Tsis yog, mesothelioma tsis yog mob hnyav rau txhua tus neeg. Tab sis nws yog ib qho mob qog nqaij hlav loj heev, kis tau sai. Tsis tas li ntawd, nws tsis tshua pom thaum nws tseem hluas, thaum nws kho tau zoo tshaj plaws.

Thaum koj kuaj pom tias muaj mob mesothelioma, koj yuav ntxhov siab thiab tsis paub tseeb tias yuav ua li cas. Kev nrhiav cov pab pawg txhawb nqa thiab lwm yam kev pab uas yuav pab tau koj nkag siab txog koj cov kev xaiv yuav pab tau koj. Tham nrog koj tus kws kho mob txog koj qhov teeb meem, koj tej kev txhawj xeeb, thiab yam uas yuav tshwm sim.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Zoo, yog li, kuv vam tias koj tau nkag siab txog mesothelioma los ntawm qhov peb tau tham txog.

• Nco ntsoov, qhov no yog ib hom mob qog noj ntshav uas tsis tshua muaj. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob yog tias koj muaj cov tsos mob (tshwj xeeb tshaj yog tias koj tau raug asbestos).
• Asbestos yog qhov tseem ceeb tshaj plaws uas ua rau muaj kev pheej hmoo, yog li nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov txheej txheem kev nyab xeeb yog tias ua haujlwm hauv thaj chaw uas muaj asbestos.
• Yog koj muaj cov tsos mob, tsis txhob ntshai thiab mus ntsib kws kho mob tam sim ntawd. Kev kuaj mob thaum ntxov thiab kev kho mob tuaj yeem ua rau muaj txiaj ntsig zoo dua.
• Muaj ntau txoj kev xaiv kho mob. Koj pab neeg kho mob yuav pab koj txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj.
• Koj tsis nyob ib leeg xwb. Kev txhawb nqa los ntawm tsev neeg, cov phooj ywg, thiab cov kws kho mob yog qhov tseem ceeb heev thaum lub sijhawm nyuaj no. Yog tias tsim nyog, koom nrog cov pab pawg txhawb nqa.

Peb vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig. Nyob kom noj qab nyob zoo!

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