Tumor pleura metastatic

ʻO ka tumura pleura metastatic kahi ʻano o ka maʻi ʻaʻai i pālahalaha ʻia mai kahi mea ʻē aʻe i ka membrane lahilahi (pleura) e hoʻopuni ana i nā akemāmā.

Hiki i ke koko a me nā ʻōnaehana lymph ke lawe i nā hunaola maʻi ʻaʻai i nā mea ʻē aʻe i loko o ke kino. Ma laila, hiki iā lākou ke hana i nā ulu hou a i ʻole nā ​​tumors.

ʻAneʻane hiki i kēlā me kēia ʻano maʻi ʻaʻai ke laha i nā akemāmā a hoʻopili i ka pleura.

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

• ʻO ka ʻeha o ka umauma, keu hoʻi i ka hanu ʻana
• Cough
• ʻUhihi
• ʻApu ʻana i ke koko (hemoptysis)
• General discomfort, uneasiness, a maʻi maʻi paha (malaise)
• Pokole o ka hanu
• Kaumaha emi
• Loaʻa ka ʻai ʻole

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:

• Pākuʻi x-ray
• CT a MRI scan o ka umauma
• Ke kaʻina hana e wehe a nānā i ka pleura (open pleural biopsy)
• Hōʻike e nānā i kahi laʻana o ka wai i hōʻiliʻili ʻia i kahi ākea (pleural fluid analysis)
• Ke kaʻina hana e hoʻohana ai i kahi nila e hemo i kahi laʻana o ka pleura (pleural need biopsy)
• Ka hemo ʻana o ka wai mai a puni nā akemāmā (thoracentesis)

ʻAʻole hiki ke hoʻoneʻe pinepine ʻia nā pūnana Pleural me ke ʻoki kino. Pono e mālama ʻia ka maʻi ʻaʻai kumu (mua). Hiki ke hoʻohana ʻia ʻo Chemotherapy a me radiation radiation, kaukaʻi ʻia i ke ʻano o ka maʻi ʻaʻai nui.

Hiki i kāu mea hāʻawi ke koi aku i ka thoracentesis inā he nui kāu wai e hōʻiliʻili ana a puni kou mau māmā a he hanu kou a i ʻole nā ​​pae oxygen haʻahaʻa. Ma hope o ka hemo ʻana o ka wai, e hoʻonui ana kāu māmā. ʻAe kēia iā ʻoe e hanu maʻalahi.

I mea e pale ʻole ai i ka wai mai ka hōʻiliʻili hou ʻana, hoʻonoho pololei ʻia ka lāʻau i loko o kou wahi umauma ma o kahi paipu, i kapa ʻia he catheter. A i ʻole, e kāpīpī paha kāu kauka lāʻau i ka lāʻau lapaʻau a i ʻole talc ma ka ʻūhū māmā i ke kaʻina hana. Kōkua kēia i ka hakahaka i kou ākea e pale i ka hoʻi mai o ka wai.

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.

ʻO ka helu ola 5 mau makahiki (ka helu o ka poʻe e noho ma mua o 5 mau makahiki ma hope o ka hōʻoia ʻana) ʻoi aku ma mua o 25% no ka poʻe me nā tumors pleural i hoʻolaha ʻia mai nā ʻāpana ʻē aʻe o ke kino.

ʻO nā pilikia olakino e hopena ʻia paha:

• Nā hopena o ka chemotherapy a i ʻole radiation radiation
• Hoʻonui mau ʻia ka maʻi ʻaʻai

ʻO ka ʻike mua ʻana a me ka mālama ʻana i nā maʻi ʻaʻai mua e pale aku i nā tumora pleura metastatic i kekahi poʻe.

Tumor - pleura metastatic

• Kahi ākea

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.

Broaddus VC, Robinson BWS. Nā kūpale Pleural. 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 82.

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.