Zvaunofanira kuziva nezve bundu remumapapu recarcinoid

Wakambokosora kwenguva yakati here? Pamwe zvinoperekedzwa nefivha here? Kana kuti unonzwa kufema zvishoma here? Tinowanzo kanganwa nezvezvinhu izvi, tichifunga kuti ingori dzihwa. Asi kashoma, panogona kunge paine chimwe chinhu chiri shure kwechiratidzo chidiki chatinoda kutarisisa. Nhasi tichataura nezvechirwere chegomarara chisingawanzoitiki asi chakakosha kwazvo mumapapu. Ndiwo matumbu eLung Carcinoid.

Zvichitaurwa zviri nyore, chii chinonzi mapundu aya ekenza yemapapu?

Izvi zvinoda tsananguro diki. Kune rudzi rwakakosha rwesero mumuviri wedu rwuri rwetsinga dzemuviri uye system yemahormone. Tinodaidza aya masero e neuroendocrine. Funga nezvemasero aya seanobatanidza muviri wedu. Kana shoko richibva kusystem yemaneuron, basa rawo nderekugadzira mahormone achipindura uye kudzora mabasa akasiyana-siyana mumuviri. Semuenzaniso, masero aya anobatsira kudzora nzira iyo mweya wedu unopinda nayo mumapapu uye nzira iyo chikafu chinofamba nayo mudumbu.

Saka, nekuda kwechimwe chikonzero, apo masero aya e-neuroendocrine anotanga kupatsanurana nekuwanda zvisingadzoreki, mabundu anoumba munzvimbo idzodzo. Tinodaidza mabundu e-lung carcinoid kuti mabundu ekenza anotangira mumasero aya e-neuroendocrine mumapapu.

Asi usatya kana ukanzwa izwi rekuti "kenza." Nekuti kune mhando mbiri dzematumbu aya ecarcinoid. Maitiro maviri aya akasiyana zvikuru.

Mhando mbiri huru dze cassinoid cysts

Dzakakamurwa kuita mhando mbiri huru zvichienderana nekukura kwadzo uye kugona kwadzo kupararira.

Ndezvipi zviratidzo zvechirwere ichi?

Kazhinji, kunyanya kuvanhu vane ma cysts akajairika, hapana zviratidzo . Zvinowanikwa netsaona, sekunge paX-ray yechipfuva nekuda kwechimwe chikonzero. Zvisinei, vamwe vanhu vanogona kuona zviratidzo zvinotevera:

• Kukosora kusingaperi (dzimwe nguva neropa kana madzihwa)
• Kurwadziwa kwechipfuva
• Kuoma kufema (dyspnea)
• Kunzwa ruzha rushoma rwe 'kuridza muridzo' paunenge uchifema (kufemera)

Chirwere chakakosha chinonzi Carcinoid Syndrome

Kashoma, bundu iri rinotanga kuburitsa hormone inonzi serotonin yakawandisa. Izvi zvinogona kukonzera kusawirirana kwemahormone mumuviri, zvichikonzera zviratidzo zvakasiyana-siyana. Izvi zvinonzi carcinoid syndrome . Zviratidzo zvaro zvinosanganisira:

• Manyoka akanyanya
• Kutsvuka kana kunzwa kudziya pachiso nepamutsipa (kukwesha)
• Kuwedzera uremu pasina chikonzero
• Kuoma kufema kana zviratidzo zvakaita seasthma

Kana zviratidzo izvi zvikaonekwa, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.

Sei bundu rakadai richikura? Pane zvinhu zvinogona kukonzera njodzi here?

Kutaura zvazviri, chikonzero chaicho chinoita kuti masero aya e-neuroendocrine atange kupatsanuka zvisingadzoreki hachisati chawanikwa .

Zvisinei, vamwe vanhu vakaonekwa kuti vari panjodzi huru yekubatwa nechirwere ichi. Zvinhu izvi zvinosanganisira:

• Kuva nechirwere chemajini chisingawanzoitiki, chinogara nhaka chinonzi Multiple Endocrine Neoplasia type 1 (MEN1) .
• Kusvuta (kunyanya kune vanhu vasina kujairika)
• Kuva mukadzi (vakadzi vane mukana wekuva nechirwere ichi)
• Kuva nemakore ari pakati pe45 ne55. Kunyangwe chirwere ichi chichinyanya kuonekwa muvanhu vari muboka iri rezera, chirwere ichi chinogona kuitika chero pazera ripi zvaro, kunyangwe kuvana vadiki kwazvo.

Ungaziva sei chirwere ichi?

Kana uine chimwe chezviratidzo zvataurwa pamusoro apa, unofanira kutanga waona chiremba wako. Iye achakubvunza nezvezviratidzo zvako, oteerera chipfuva chako ne stethoscope, uye, kana usina chokwadi, kurudzira mimwe miedzo yekusimbisa chirwere chacho.

1. Kutora Mifananidzo: Danho rekutanga nderekutora X-ray yechipfuva . Kana paine zvisina kunaka, CT scan (Computed Tomography scan) inogona kurairwa. CT scan inogona kuburitsa mifananidzo yakajeka yemapapu, zvichiita kuti saizi nenzvimbo yebundu zvionekwe.

2. Kuongororwa kweropa neweti: Kuongororwa uku kunoitwa kuti kuonekwe kana mamwe mahormone anogadzirwa nemabundu aya aripo muropa kana weti.

3. Biopsy: Iyi ndiyo bvunzo inonyanya kukosha yekusimbisa chirwere 100%. Pano, chidimbu chidiki chenyama chinotorwa kubva mubundu roongororwa pasi pemaikorosikopu. Izvi zvinogona kuona kana bundu iri riri bundu recarcinoid, rakajairika kana risingawanzoitiki. Nzira inonyanya kushandiswa kuwana iyi sampuro yenyama ndeye bronchoscopy . Pano, chubhu diki ine kamera diki inopfuudzwa nemunzira dzemhepo kuti iongorore bundu uye chidimbu chidiki chinotorwa.

Ndezvipi zvingasarudzwa pakurapa?

Kurapwa kwakanakisa kwako kunoenderana nerudzi, saizi, nzvimbo yebundu, uye hutano hwako hwese. Mashoko akanaka ndeekuti bundu remumapapu recarcinoid rinogona kurapwa zvizere nekuvhiyiwa chete.

Kune nzira dzakawanda dzekurapa:

• Kuvhiyiwa:
• Kubviswa kweLobectomy: Kubviswa kwechikamu chemapapu chakakwana pane bundu.
• Kubviswa kweWedge Resection: Kubviswa kwebundu chete nenyama shoma yakaripoteredza.
• Kubviswa kwemapapu: Kashoma, mapapu ese angangoda kubviswa.
• Kubviswa kwema lymph node: Chiremba anogona kusarudza kubvisa ma lymph node ari pedyo kuti aone kana kenza yapararira uye kudzivirira kupararira kwayo.

• Kurapa nemwaranzi: Kurapa uku kunoitwa kana kuvhiyiwa kusingakwanise kubvisa bundu zvachose kana murwere ari mudambudziko rehutano rinoita kuti kuvhiyiwa kusashande. Kunosanganisira mwaranzi yekunze kana kuiswa kwezvinhu zvidiki zvine mwaranzi pedyo nebundu (brachytherapy).

• Kurapa nemakemikari:Nekuda kwekuti mabundu aya anokura zvishoma nezvishoma, chemotherapy yakajairika, iyo inorwisa masero anokura nekukurumidza, haishande zvakanyanya. Nokudaro, kurapwa uku hakuwanzo kupihwa kumarudzi akajairika. Zvisinei, kurapwa uku kunogona kudiwa kumarudzi akajairika anokura nekukurumidza kana kana apararira kune dzimwe nhengo dzemuviri.

• Mimwe mishonga:
• Octreotide: Mushonga uyu wehomoni unopihwa kudzora zviratidzo zvinokonzerwa necarcinoid syndrome.
• MTOR inhibitors (semuenzaniso Everolimus): Rudzi rwemushonga unodzivisa kukura kwebundu.

Mwero wekupora uye tarisiro yekupora ndeyei?

Iri idambudziko revanhu vazhinji.

Matumbu emukenza asingawanzoonekwi akaoma kurapa. Njodzi yekudzokera kwechirwere ichi yakakwira zvishoma. Zvisinei, chirwere ichi chinogonawo kudzorwa zvinobudirira nekushandisa musanganiswa wemishonga yakasiyana-siyana.

Kazhinji, mwero wekurarama kwemakore mashanu emhando dzese dzekenza yemapapu uri pamusoro pe89% . Izvi zvinoreva kuti pavanhu zana vakaonekwa vaine chirwere ichi, 89 vachiri vakasimba mushure memakore mashanu.

Unofanira kuona chiremba rini?

Kana ukaona zviratidzo zvitsva kana kuti zvichiwedzera kuipa, kunyanya kufema zvisina tsarukano, manyoka, kana kudzikira kwehuremu zvisina tsarukano, zivisa chiremba wako. Usazeza kutaura nezvemibvunzo kana zvinokunetsa.

Nguva yekuenda kuETU (Emergency Treatment Unit) nekukasika

Kana uine zviratidzo zvinotevera zvakakomba, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika:

• Kunzwa kufema kushoma (kunyangwe kana wakazorora).
• Kukosora ropa.
• Marwadzo matsva kana kuti ari kuwedzera pachipfuva.
• Kuvhiringidzika kana kuchinja pfungwa.
• Kuchinja ruvara rwebhuruu rweganda, miromo, kana nzara (cyanosis).

Mibvunzo yekubvunza chiremba wako

Zvakajairika kuva nemibvunzo kana wabatwa nechirwere chakadai. Zvingabatsira kubvunza chiremba wako mibvunzo yakaita seiyi:

• Izvi zvakajairika here kana kuti hazviwanzoitiki?
• Izvi zvapararira kune dzimwe nzvimbo here?
• Munokurudzira kurapwa kupi?
• Ndeipi tarisiro yerudzi urwu rwegomarara?
• Nzira yekurapa zviratidzo kumba?

Kuongororwa kwegomarara chero ripi zvaro kwakaoma. Asi yeuka kuti, maronda mazhinji emumapapu anogona kurapwa uye ane mukana mudiki wekudzoka. Taura pachena nechikwata chako chekurapa nezvezvaunotarisira padambudziko rako. Vachakutsanangurira nzira dzakanakisisa dzekurapa uye vachapindura mibvunzo yaungave nayo.