Nā metastases lepa

ʻO nā metastases o ka lepa he mau maʻi ʻaʻai ʻo ia i hoʻomaka i kahi ʻē aʻe o ke kino a hohola i nā ake māmā.

ʻO nā tumors metastatic i loko o nā akemāmā nā maʻi ʻaʻai i hoʻomohala ʻia ma nā wahi ʻē aʻe i ke kino (a i ʻole nā ​​ʻāpana ʻē aʻe o nā akemāmā). Hoʻolahalaha lākou ma o ke kahe o ke kahena a i ʻole ka lymphatic ʻōnaehana i nā ake māmā. He ʻokoʻa ia ma mua o ka maʻi ʻaʻaiā e hoʻomaka i nā akemāmā.

Ma kahi kokoke i nā maʻi ʻaʻai e hiki ke laha i nā akemāmā. ʻO nā maʻi ʻino maʻamau e komo pū me:

• Kanesa maʻi ʻaʻai
• Maʻi ʻaʻai umauma
• Maʻi ʻaʻai kala
• Ka maʻi ʻaʻai ʻōpū
• Melanoma
• Maʻi ʻaʻai Ovarian
• ʻO Sarcoma
• Maʻi ʻaʻai thyroid
• Maʻi ʻaʻai Pancreatic
• Ka maʻi ʻaʻai testicular

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Kaha koko
• ʻEha ʻeha
• Cough
• Pokole o ka hanu
• Nawaliwali
• Kaumaha emi

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli. ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO Bronchoscopy e ʻike i nā alaloa
• Scanner CT pahu
• Pākuʻi x-ray
• Nā aʻo Cytologic o ka pleural fluid a sputum paha
• ʻO ka biopsy nila kele
• Lapaʻau e lawe i kahi laʻana o nāʻaʻaʻa mai nā akemāmā (ʻoki lāʻau lapaʻau lung biopsy)

Hoʻohana ʻia ʻo Chemotherapy e mālama i ka maʻi ʻaʻai metastatic i ka akemāmā. Hiki ke hana i kahi ʻoki e wehe i nā tumors ke hana ʻia kekahi o kēia mau mea:

• Ua pālahalaha ka maʻi ʻaʻai i nā wahi kau palena wale o ka akemāmā
• Hiki ke hemo loa i nā puʻupuʻu puʻupuʻu me ke ʻoki

Eia nō naʻe, pono ke curable ka tumo nui, a pono ikaika ke kanaka e hele i loko o ke kaha a me ka hoʻōla ʻana.

ʻO nā ʻano lāʻau ʻē aʻe kekahi:

• Lapaʻau hoʻomākala
• ʻO ke kau ʻana i nā stent i loko o nā alaloa
• Hoʻomaʻo laser
• Ke hoʻohana nei i nā probe wela kūloko e luku ai i ka wahi
• Ke hoʻohana nei i ke anuanu anuanu e luku i ka wahi

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo kahi e puʻunaue ai nā lālā i nā ʻike a me nā pilikia maʻamau.

ʻAʻole hiki ke hoʻōla ʻia i ka hapanui o nā hihia o nā maʻi ʻaʻai i pāhola aʻe i nā ake māmā. Akā pili ka nānā i ka maʻi ʻaʻai nui. I nā hihia kakaikahi, hiki i ke kanaka ke ola ma mua o 5 mau makahiki me ka maʻi ʻaʻai metastatic i nā akemāmā.

E makemake paha ʻoe a me kou ʻohana e hoʻomaka e noʻonoʻo e pili ana i ka hoʻolālā hopena o ke ola, e like me:

• Mālama pale
• Mālama ʻo Hospice
• Nā kauoha mālama mua
• Nā luna mālama ola

Hiki i nā komplications o nā tumors metastatic i loko o nā māmā ke komo pū:

• ʻO ka wai ma waena o ka paia māmā a me ka umauma (pleural effusion), hiki ke hōʻemi i ka hanu a i ʻole ʻeha ke lawe i kahi hanu hohonu.
• Hoʻolahalaha hou aʻe o ka maʻi ʻaʻai
• Nā hopena o ka chemotherapy a i ʻole radiation radiation

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka mōʻaukala o ke kanesa a hoʻomohala ʻoe:

• ʻApu ʻana i ke koko
• Mū kūmau
• Pokole o ka hanu
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia

ʻAʻole hiki ke pale ʻia i nā maʻi kō. Eia nō naʻe, hiki ke pale ʻia nā mea he nui e:

• ʻAi i nā meaʻai olakino
• Hoʻomaʻamaʻa pinepine
• Ka palena ʻana i ka inu lama
• ʻAʻole puhipaka

Nā metastases i ka akemāmā; Ka maʻi ʻaʻai Metastatic i ka akemāmā; Ka maʻi ʻaʻai puʻu - metastases; Hui ʻo Lung

• ʻO Bronchoscopy
• Ka maʻi ʻaʻai o ka maʻi - x-ray umauma
• Ka maʻi ʻaʻai puʻu - frontal chest x-ray
• Pulmonary nodule - nānā mua umauma x-ray
• Pulmonary nodule, mehameha - CT scan
• Lū me ka maʻi ʻaʻai squamous cell - CT scan
• ʻŌnaehana hanu

ʻO Arenberg DA, ʻo Pickens A. nā tumors malignant Metastatic. 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 55.

Hayman J, Naidoo J, Ettinger DS. Nā Metastases Lung. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 57.

Putnam JB. Lū, pā umauma, pleura, a me mediastinum. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 57.