Isimila se-metastatic pleural

I-metastatic pleural tumor uhlobo lomdlavuza osakazeke usuka kwesinye isitho uye kolwelwesi oluncane (pleura) oluzungeze amaphaphu.

Izinhlelo zegazi nezama-lymph zingathwala amangqamuzana omdlavuza ziye kwezinye izitho emzimbeni. Lapho, zingaveza ukukhula okusha noma izicubu.

Cishe noma yiluphi uhlobo lomdlavuza lungasakazeka emaphashini futhi lubandakanye ne-pleura.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besifuba, ikakhulukazi lapho udonsa umoya
• Khwehlela
• Ukuqhuma
• Ukukhwehlela igazi (hemoptysis)
• Ukungakhululeki okuvamile, ukungakhululeki, noma ukugula (malaise)
• Ukuphelelwa umoya
• Ukwehla kwesisindo
• Ukuphelelwa isifiso sokudla

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

• I-x-ray yesifuba
• I-CT noma i-MRI scan yesifuba
• Inqubo yokususa nokuhlola i-pleura (open pleural biopsy)
• Isivivinyo esihlola isampula loketshezi oluqoqwe esikhaleni sobuningi (ukuhlaziywa kwe-pleural fluid)
• Inqubo esebenzisa inaliti ukususa isampula ye-pleura (pleural needle biopsy)
• Ukususwa koketshezi oluzungeze amaphaphu (thoracentesis)

Izicubu zomzimba ngokuvamile azikwazi ukususwa ngokuhlinzwa. Umdlavuza wokuqala (oyinhloko) kufanele welashwe. I-Chemotherapy kanye ne-radiation therapy kungasetshenziswa, kuya ngohlobo lomdlavuza oyinhloko.

Umhlinzeki wakho angancoma i-thoracentesis uma unoketshezi oluningi oluqoqeka emaphashini akho futhi uphefumula kancane noma amazinga e-oxygen ephansi egazi. Ngemuva kokuthi kukhishwe uketshezi, amaphaphu akho azokwazi ukunweba kakhulu. Lokhu kukuvumela ukuba uphefumule kalula.

Ukuvimbela uketshezi ekuqoqeni futhi, umuthi ungafakwa ngqo esikhaleni sesifuba sakho ngepayipi, elibizwa ngokuthi i-catheter. Noma, udokotela wakho ohlinzayo angahle afafaze umuthi noma i-talc ebusweni bamaphaphu ngesikhathi senqubo. Lokhu kusiza ukuvala isikhala esizungeze amaphaphu akho ukuvimbela ukuthi uketshezi lungabuyi.

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

Izinga lokusinda leminyaka emihlanu (inani labantu abaphila iminyaka engaphezu kwengu-5 ngemuva kokuxilongwa) lingaphansi kwama-25% kubantu abanezicubu zomlomo ezisabalele ezivela kwezinye izingxenye zomzimba.

Izinkinga zempilo ezingaba nomphumela zifaka:

• Imiphumela emibi ye-chemotherapy noma i-radiation therapy
• Ukuqhubeka nokusabalala komdlavuza

Ukutholakala kokuqala nokwelashwa komdlavuza oyinhloko kungavimbela izicubu zomzimba ezi-metastatic pleural kwabanye abantu.

I-tumor - isisindo se-metastatic

• Isikhala se-Pleural

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.

I-Broaddus VC, iRobinson BWS. Izicubu zomzimba. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 82.

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.