Metastatic pleural akpụ

Metastatic pleural tumo bụ ụdị cancer nke gbasatara site na akụkụ ọzọ na obere akpụkpọ ahụ (pleura) gbara ngụgụ ume.

Usoro ọbara na nke lymph nwere ike iburu sel kansa rue akụkụ ndị ọzọ n’ahụ. N'ebe ahụ, ha nwere ike ịmepụta ma ọ bụ etuto ọhụrụ.

Ihe fọrọ nke nta ka ọ bụrụ ụdị ọrịa cancer ọ bụla nwere ike gbasaa na ngụgụ ma gụnyere pleura.

Mgbaàmà nwere ike ịgụnye nke ọ bụla n'ime ihe ndị a:

• Obi mgbu, karịsịa mgbe ị na-eku ume miri emi
• .Kwara
• Na-efegharị efegharị
• Ughkwara ume ọbara (hemoptysis)
• Ahụ erughị ala, ahụ erughị ala, ma ọ bụ ọrịa (malaise)
• Iku ume ọkụ ọkụ
• Iwetulata ibu
• Loss nke agụụ

Onye nlekọta ahụike ga-enyocha gị wee jụọ maka akụkọ gbasara ahụike gị na mgbaàmà ya. Ule nke enwere ike ime gunyere:

• Igbe x-ray
• Nyocha CT ma ọ bụ MRI nke obi
• Usoro iji wepu ma nyochaa pleura (open pleural biopsy)
• Ule nke na-enyocha ihe ọmụmụ nke mmiri anakọtara na oghere pleural (nyocha mmiri pleural)
• Usoro nke na-eji agịga iji wepu ihe atụ nke pleura (pleural injection biopsy)
• Mwepụ nke mmiri si gburugburu ngụgụ (thoracentesis)

A gaghị enwe ike iwepụ etuto ahụ na-atọ ụtọ site n'ịwa ahụ. E kwesịrị ịgwọ ọrịa mbụ (nke mbụ). Enwere ike iji ọgwụgwọ na ọgwụgwọ radieshon mee ihe, dabere na ụdị ọrịa cancer mbụ.

Onye na-eweta gị nwere ike ịkwado thoracentesis ma ọ bụrụ na ịnwee ọtụtụ mmiri na-achịkọta gburugburu ngụgụ gị ma ị nwere iku ume ma ọ bụ obere ikuku oxygen. Mgbe emechara mmiri ahụ, ngụgụ gị ga-enwe ike ịgbasawanye. Nke a ga - enyere gị aka iku ume.

Iji gbochie mmiri mmiri ịchịkọta ọzọ, enwere ike itinye ọgwụ ozugbo n'ime oghere obi gị site na ọkpọkọ, akpọrọ catheter. Ma ọ bụ, dọkịta na-awa gị nwere ike ịgba ọgwụ ma ọ bụ talc na elu akpa ume n'oge usoro ahụ. Nke a na - enyere aka imechi oghere gburugburu akpa ume gị iji gbochie mmiri mmiri ịlaghachi.

Nwere ike belata nchekasị nke ọrịa site na isonyere otu nkwado ebe ndị otu na-ekerịta ahụmịhe na nsogbu.

Afọ ndụ nke afọ 5 (ọnụọgụ ndị mmadụ na-ebi ihe karịrị afọ 5 mgbe nyochachara) erughị 25% maka ndị nwere akpụ akpụ na-agbasasị n'akụkụ ndị ọzọ nke ahụ.

Nsogbu ahụike nke nwere ike ibute:

• Mmetụta dị n'akụkụ nke chemotherapy ma ọ bụ ọgwụgwọ radieshon
• Na-aga n'ihu na-agbasa nke cancer

Nchoputa mbu na ogwugwo nke oria ojoo mbu nwere ike igbochi etuto ime ihe ojoo nke ndi mmadu.

Tumor - metastatic pleural

• Oghere dị ụtọ

Arenberg DA, Pickens A. etuto ahụ na-emerụ ahụ. Na: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Akwụkwọ ọgụgụ Murray na Nadel nke Medicine Respiratory. Nke isii. Philadelphia, PA: Elsevier Saunders; 2016: isi 55.

Broaddus VC, Robinson BWS. Pleral etuto ahụ. Na: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Akwụkwọ ọgụgụ Murray na Nadel nke Medicine Respiratory. Nke isii. Philadelphia, PA: Elsevier Saunders; 2016: isi 82.

Putnam JB. Lung, mgbidi obi, arịrịọ, na mediastinum. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 57.