Tumo waena

ʻO nā tumors Mediastinal nā ulu e ulu i ka mediastinum. ʻO kēia kahi ma waenakonu o ka pahu e hoʻokaʻawale i nā māmā.

ʻO ka mediastinum ka ʻāpana o ka umauma e moe ana ma waena o ka sternum a me ka iwi kolamu, a ma waena o nā akemāmā. Aia i loko o kēia wahi ka puʻuwai, nā kīʻaha koko nui, windpipe (trachea), gland thymus, esophagus, a me nā mea hoʻopili. Māhele ʻia ka mediastinum i ʻekolu mau ʻāpana.

• Mamua (ma mua)
• Waena
• Posterior (kua)

ʻAʻohe laha nā tumors Mediastinal.

ʻO ka wahi maʻamau no nā tumors i ka mediastinum i ka makahiki o ke kanaka. I nā keiki, ʻoi aku ka maʻamau o nā tumors ma ka hope posterastinum. Hoʻomaka pinepine kēia mau tumors i nā aʻalolo a noncancerous (benign).

ʻO ka hapa nui o nā tumors mediastinal i nā mākua e hana i ka mediastinum mua. ʻO lākou maʻamau lymphomas maʻi maʻi (malignant), tumor cell tumors, a i ʻole thymomas. Kūleʻa pinepine kēia mau tumors i ka wā waena a me nā mākua ʻelemakule.

ʻAneʻane hapalua o nā tumors mediastinal e hana ʻole i mau hōʻailona a loaʻa ma kahi umauma x-ray i hana ʻia no kekahi kumu ʻē aʻe. ʻO nā ʻōuli e hana ʻia ma muli o ke kaomi ma (kaomi ʻana o) nā hanana kūloko a hiki ke hoʻopili ʻia:

• ʻEha ʻeha
• Fiva a me nā anuanu
• Cough
• ʻApu ʻana i ke koko (hemoptysis)
• Hoarseness
• Hoʻoulu ka pō
• Pokole o ka hanu

Hōʻike kahi mōʻaukala olakino a me ka hoʻokolokolo kino:

• Fiva
• Kani hanu kiʻekiʻe (stridor)
• Pehu a palupalu paha nā lymph nodes (lymphadenopathy)
• Ka hoʻohaʻahaʻa kaumaha ʻole
• ʻUhihi

ʻO nā hoʻokolohua hou aʻe e hiki ke hana ʻia e:

• Pākuʻi x-ray
• ʻO ka biopsy Needle alakaʻi ʻia e CT
• CT scan o ka umauma
• Mediastinoscopy me ka biopsy
• MRI o ka umauma

ʻO ka mālama ʻana no nā tumors mediastinal kaukaʻi ʻia i ka ʻano tumo a me nā ʻōuli.

• Mālama ʻia nā maʻi ʻaʻai thymic me ke ʻoki kino. E ukali ʻia paha e radiation a chemotherapy paha, kaukaʻi ʻia i ka pae o ka tumo a me ka kūleʻa o ke ʻoki.
• Hoʻomaʻamaʻa pinepine ʻia nā tumele kelepa germ me ka chemotherapy.
• No nā lymphomas, ʻo ka chemotherapy ka mālama ʻana i nā koho, a e ukali ʻia paha e radiation.
• No nā tumors neurogenic o ka mediastinum hope, ʻo ke kīpē ka lapaʻau nui.

Pili ka hopena i ke ʻano o ka tumo. ʻ respondlelo ʻokoʻa nā ʻōpala ʻokoʻa i ka chemotherapy a me ka radiation.

ʻO nā pilikia o nā tumors mediastinal me:

• Pāʻina kaula iwi kuamoʻo
• Hoʻolahalaha i nā hale kokoke e like me ka puʻuwai, ka uhi ʻana a puni ka puʻuwai (pericardium), a me nā moku nui (aorta a me vena cava)

Hiki i ka radiation, ke ʻoki ʻana, a me ka chemotherapy ke loaʻa nā pilikia koʻikoʻi.

Kāhea aku i kāu mea mālama ola inā ʻike ʻoe i nā ʻōuli o kahi tumo mediastinal.

Thymoma - mediastinal; Lymphoma - mediastinal

• Lungs

ʻO Cheng GS, ʻo Varghese TK, ʻo Park DR. Nā Tumors Mediastinal a me nā Cist. 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 83.

ʻO McCool FD. Nā maʻi o ka diaphragm, ka umauma umauma, ka pleura, a me ka mediastinum. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 92.