Amaphaphu metastases

Ama-metastases emaphaphu yizicubu zomdlavuza eziqala kwenye indawo emzimbeni futhi zisabalale ziye emaphashini.

Izicubu zemetastatic emaphashini ngumdlavuza othuthukiswa kwezinye izindawo emzimbeni (noma ezinye izingxenye zamaphaphu). Bese basakazeka ngokuhamba kwegazi noma uhlelo lwe-lymphatic emaphashini. Ihlukile kunomdlavuza wamaphaphu oqala emaphashini.

Cishe noma imuphi umdlavuza ungasabalala uye emaphashini. Amakhansela avamile afaka:

• Umdlavuza wesinye
• Umdlavuza webele
• Umdlavuza we-Colorectal
• Umdlavuza wezinso
• I-Melanoma
• Umdlavuza we-Ovarian
• I-Sarcoma
• Umdlavuza wegilo
• Umdlavuza wepancreatic
• Umdlavuza wamasende

Izimpawu zingafaka noma yikuphi okulandelayo:

• Isikhwehlela esinegazi
• Ubuhlungu besifuba
• Khwehlela
• Ukuphelelwa umoya
• Ubuthakathaka
• Ukwehla kwesisindo

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngomlando nezimpawu zakho zezokwelapha. Ukuhlolwa okungenziwa kufaka phakathi:

• I-Bronchoscopy ukubuka izindlela zomoya
• Isikena se-CT esifubeni
• I-x-ray yesifuba
• Izifundo zeCytologic ze-pleural fluid noma isikhwehlela
• I-needle biopsy yamaphaphu
• Ukuhlinzwa ukuthatha isampula lezicubu emaphashini (i-lung lung biopsy)

I-Chemotherapy isetshenziselwa ukwelapha umdlavuza we-metastatic emaphashini. Ukuhlinzwa ukususa izicubu kungenziwa uma kwenzeka okunye kwalokhu okulandelayo:

• Umdlavuza usabalalele ezindaweni ezinomkhawulo kuphela zamaphaphu
• Izicubu zamaphaphu zingasuswa ngokuphelele ngokuhlinzwa

Kodwa-ke, isimila esikhulu kufanele silapheke, futhi umuntu kufanele abe namandla ngokwanele ukuthi angahlinzwa futhi alulame.

Ezinye izindlela zokwelapha zifaka:

• Ukwelashwa ngemisebe
• Ukubekwa kwama-stents ngaphakathi kwe-airways
• Ukwelashwa nge-Laser
• Kusetshenziswa ama-probe okushisa asendaweni ukubhubhisa indawo
• Kusetshenziswa izinga lokushisa elibanda kakhulu ukubhubhisa indawo

Unganciphisa ukucindezela kokugula ngokujoyina iqembu lokwesekwa lapho amalungu abelana ngokuhlangenwe nakho okuvamile nezinkinga.

Ukwelapha akunakwenzeka ezimweni eziningi zomdlavuza osulekele emaphashini. Kepha umbono uncike kumdlavuza omkhulu. Ezimweni ezingavamile, umuntu angaphila iminyaka engaphezu kwengu-5 ngomdlavuza we-metastatic emaphashini.

Wena nomndeni wakho ningafuna ukuqala ukucabanga ngokuhlela kokuphela kokuphila, okufana nalokhu:

• Ukunakekelwa kwe-Palliative
• Ukunakekelwa kwabahlengikazi
• Imiyalo yokunakekelwa kwangaphambili
• Abasebenzi bezempilo

Izinkinga zezicubu zemetastatic emaphashini zingafaka:

• Uketshezi phakathi kwamaphaphu nodonga lwesifuba (i-pleural effusion), engadala ukuphefumula okuncane noma ubuhlungu lapho uthatha umoya ojulile
• Ukuqhubeka nokusabalala komdlavuza
• Imiphumela emibi ye-chemotherapy noma i-radiation therapy

Shayela umhlinzeki wakho uma unomlando womdlavuza futhi uthuthuka:

• Akhwehlele igazi
• Ukukhwehlela okungapheli
• Ukuphelelwa umoya
• Ukwehla kwesisindo okungachazeki

Akuwona wonke umdlavuza ongavinjelwa. Noma kunjalo, eziningi zingavinjelwa ngu:

• Ukudla ukudla okunempilo
• Ukuzivocavoca umzimba njalo
• Ukunciphisa ukusetshenziswa kotshwala
• Ukungabhemi

Ama-metastases ephashini; Umdlavuza we-Metastatic uye emaphashini; Umdlavuza wamaphaphu - ama-metastases; Amaphaphu amanzi

• I-Bronchoscopy
• Umdlavuza wamaphaphu - i-x-ray yesifuba eseceleni
• Umdlavuza wamaphaphu - i-x-ray yesifuba esingaphambili
• I-Pululemon nodule - ukubukwa kwangaphambili kwesifuba x-ray
• Isigaxa sepulmonary, sisodwa - i-CT scan
• Amaphaphu ngomdlavuza weseli squamous - CT scan
• Uhlelo lokuphefumula

I-Arenberg DA, iPickens A. Izicubu ezinobungozi zeMetastatic. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 55.

UHayman J, uNaidoo J, u-Ettinger DS. Amaphaphu Metastases. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 57.

UPutnam JB. Amaphaphu, udonga lwesifuba, i-pleura, ne-mediastinum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 57.