Nodule pulmonary mehameha

ʻO kahi nodule pulmonary solitary kahi kiko a puni o ka oval (lesion) i ka māmā i ʻike ʻia me ka x-ray umauma a CT scan paha.

Ma mua o ka hapalua o nā nodule pulmonary mehameha āpau he noncancerous (benign). ʻO nā nodule Benign he mau kumu he nui, e like me nā scars a me nā maʻi i hala.

ʻO nā granulomas maʻi (i hoʻokumu ʻia e nā hunaola ma ke ʻano he hopena i kahi maʻi i hala) e hoʻoulu ai i nā liona benign. ʻO nā maʻi maʻamau i hopena pinepine i nā granulomas a i ʻole nā ​​ʻino i hōʻola ʻia e like me:

• Tuberculosis (TB) a i ʻole loaʻa i ka TB
• Fungus, e like me aspergillosis, coccidioidomycosis, cryptococcosis, a i ʻole histoplasmosis

ʻO ke kanesa maʻi ʻōmaka ka kumu maʻamau o nā nodule pulmonary cancerous (malignant). ʻO kēia ka maʻi ʻaʻai e hoʻomaka i ka akemāmā.

ʻO kahi nodule pulmonary mehameha ponoʻī ke hana i nā ʻōuli.

ʻO kahi nodule pulmonary mehameha e ʻike pinepine ʻia ma ka pahu x-ray a i ʻole ka CT scan. Hana pinepine ʻia kēia mau hoʻokolohua kiʻi no nā ʻōuli a i ʻole nā ​​kumu ʻē aʻe.

Pono kāu kauka olakino e hoʻoholo inā he maikaʻi paha ka nodule i loko o kou māmā a hopohopo paha. ʻOi aku paha ka maikaʻi o kahi nodule inā:

• Liʻiliʻi ka nodule, he palena ʻoluʻolu kona, a he paʻa a ʻano like hoʻi ma ka x-ray a i ʻole ka CT scan.
• He ʻōpio ʻoe a ʻaʻole puhipaka.

Koho paha kāu mea lawelawe e nānā i ka nodule i ka manawa ma o ka hana hou ʻana i kahi ʻāpana o nā kukuna x a i ʻole CT scans.

• E hana hou i nā kukuna x a i ʻole ka CT scans ke ala maʻamau e nānā ai i ka nodule. I kekahi manawa, hana ʻia paha nā scan PET PET.
• Inā hōʻike nā x-ray hou ʻaʻole i loli ka nui o ka nodule i 2 mau makahiki, maikaʻi paha ia a ʻaʻole pono kahi biopsy.

Koho paha kāu mea hāʻawi i biopsy i ka nodule e kāpae i ka maʻi ʻaʻai inā:

• He puhipaka ʻoe.
• Loaʻa iā ʻoe nā ʻōuli ʻē aʻe o ka maʻi ʻaʻai māmā.
• Ua ulu ka nodule i ka nui a i ʻole ua loli ke hoʻohālikelike ʻia i nā kiʻi ma mua.

Hana ʻia kahi biopsy nila kuʻemele e ke kau pololei ʻana i ka nila i loko o ka paia o kou umauma, a i ʻole i nā kaʻina hana i kapa ʻia ʻo bronchoscopy a i ʻole mediastinoscopy.

ʻO nā hoʻāʻo ʻana e kāpae aku i ka TB a me nā maʻi ʻē aʻe paha i hana ʻia.

E noi i kāu mea hāʻawi e pili ana i ka makaʻu o ka loaʻa ʻana o kahi biopsy me ka nānā ʻana i ka nui o ka nodule me nā x-ray maʻamau a me nā scans CT. Hoʻokumu ʻia ka mālama ʻana ma nā hopena o ka biopsy a i ʻole nā ​​hoʻokolohua ʻē aʻe.

Maikaʻi ke kuanaʻike inā maikaʻi ka nodule. Inā ulu ʻole ka nodule ma kahi o 2 mau makahiki, ʻaʻohe mea hou aʻe e pono ai.

Kanesa maʻi ʻaʻai - nodule mehameha; Infectious granuloma - pulmonary nodule; SPN

• Adenocarcinoma - umauma x-ray
• Pulmonary nodule - nānā mua umauma x-ray
• Pulmonary nodule, mehameha - CT scan
• ʻŌnaehana hanu

Bueno J, Landeras L, Chung JH. Hoʻohou i nā alakaʻi ʻo Fleischner Society no ka mālama ʻana i nā nodule pulmonary hanana: nā nīnau maʻamau a me nā hanana paʻakikī. Radiographics. 2018; 38 (5): 1337-1350. PMID: 30207935 www.ncbi.nlm.nih.gov/pubmed/30207935.

ʻO Gotway MB, Panse PM, Gruden JF, Elicker BM. Thoracic radiology: kiʻi noninvasive diagnostics. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 18.

ʻO Reed JC. Nodule pulmonary solitary. I: Reed JC, ed. ʻO Radiology Chest: Nā Pana a me nā Diagnosis ʻokoʻa. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 20.