Ib lub ntsws qog tuaj yeem muaj ntau yam sib txawv. Cov yam ntxwv ntawm benign neoplasm yog tias thaum lub sij hawm nws txoj kev loj hlob, cov ntaub so ntswg ntawm lub cev tsis raug puas tsuaj tag nrho, thiab metastases tsis tsim.
Tus mob qog nqaij hlav yog qhov tshwm sim los ntawm qhov tseeb tias thaum nws loj hlob, nws nkag mus tob rau hauv cov ntaub so ntswg ntawm lub cev thiab metastases tsim. Ib qho tshwj xeeb ntawm hom metastatic ntawm neoplasm yog tias nws tuaj yeem nyob hauv ib qho ntawm lub cev, tab sis metastases mus rau lub ntsws. Txhawm rau kom qhov kev cia siab rau tus neeg mob lub neej zoo, nws yog ib qho tsim nyog yuav tsum paub txog qhov muaj cov qog nyob rau lub sijhawm thiab ua haujlwm nyuaj.
Nyob zoo ib tsoom niam txiv kwv tij phooj ywg sawv daws
Nrog rau lub ntsws qog nqaij hlav, cov tsos mob thiab cov tsos mob tsis yog ib txwm lees paub raws sijhawm, vim nws feem ntau tshwm sim tsis muaj dab tsi. Xws li neoplasms tuaj yeem sib txawv hauv lawv cov qauv, thaj chaw thiab chaw kho mob.
Ntau zaus, ntau yam mob ntsws ntsws pib muajnyiam loj hlob. Txawm li cas los xij, tom qab qee lub sij hawm, neoplasms me ntsis qeeb lawv txoj kev loj hlob, thiab tseem muaj cov yam ntxwv ntawm qhov tseeb tias tsis muaj kev kho mob tshwm sim ua ntej muaj teeb meem tshwm sim. Tsis tas li ntawd xwb, lawv tsis tshua muaj neeg phem.
Kev faib tawm tseem ceeb
Raws li tus qauv anatomical, tag nrho cov benign neoplasms tau muab faib ua hauv nruab nrab thiab peripheral. Cov hom hauv nruab nrab muaj xws li cov qog nyob rau ntawm lobar, lub ntsiab thiab segmental bronchi. Lub ntsiab lus ntawm kev loj hlob nyob rau hauv kev sib raug zoo rau lub bronchi yuav txawv.
Cov qog nqaij hlav peripheral tsim los ntawm cov ntaub so ntswg ntsws. Lawv tuaj yeem nyob ntawm qhov sib txawv ntawm qhov chaw ntawm lub cev. Tsis tas li ntawd, muaj cov neoplasms nyob sab nraud thiab tob. Ntawm cov qog nqaij hlav ntau tshaj plaws, nws yog ib qho tsim nyog yuav tsum tau hais txog cov hauv qab no:
- adenoma;
- hamartoma;
- fibroma;
- papilloma;
- vascular;
- oncocytoma;
- teratoma;
- neurogenic;
- lipoma.
Adenoma yog hais txog cov qog nqaij hlav epithelial uas tsim los ntawm cov qog ntawm bronchial mucosa. Feem ntau lawv nyob hauv nruab nrab. Xws li cov qog pib tsim nyob rau hauv phab ntsa ntawm lub bronchus thiab maj mam hlob mus rau hauv nws lumen, thawb lub mucosa, tab sis tsis loj hlob los ntawm nws. Raws li cov neoplasm loj hlob, nyem lub mucosa ua rau nws atrophy, thiab qee zaum mus rau qhov tsim ntawm rwj. Lub adenoma loj hlob sai heev, ua rau cov tsos mob ntawm cov qog nyob rau hauv lub ntsws, uas yog qhia raws li ib tug tshwm sim.bronchial obstruction.
Hamartoma yog ib qho qog ntawm ib qho kev xeeb tub, thiab cov kab mob ntawm cov kab mob tuaj yeem muaj nyob hauv nws. Cov muaj pes tsawg leeg ntawm xws li ib tug neoplasm yuav muaj xws li cov leeg nqaij fibers, hlab ntsha, tsub zuj zuj ntawm lymphoid hlwb. Hamartoma feem ntau yog ib qho kev tsim ntom ntom nrog cov pob zeb zoo nkauj lossis du nto. Lub neoplasm muaj thaj tsam meej, thiab tseem nyob ib puag ncig los ntawm cov ntaub so ntswg rov qab. Thaum nws loj tuaj, nws tuaj yeem nyem lub bronchi thiab cov hlab ntsha ntawm lub ntsws, tab sis tsis txhob loj hlob mus rau hauv nws. Qee zaum, cov qog yuav ua rau mob.
Fibromas hauv lub ntsws tsis zoo ib yam li lwm hom qog. Tus kab mob no tshwm sim hauv cov txiv neej thiab tuaj yeem cuam tshuam rau sab xis thiab sab laug. Fibroids feem ntau me me, tab sis tuaj yeem loj heev. Qhov no yog ib tug tuab knot ntawm dawb xim nrog ib tug du thiab txawm nto. Cov kab mob qee zaum tshwm sim ntawm cov mucosa uas npog lub neoplasm.
Cov qog nqaij hlav hauv lub ntsws muaj ntau heev. Lawv muaj ntau qhov sib txawv thiab cov duab. Ntawm cov tsos mob tseem ceeb ntawm lub ntsws qog nqaij hlav, ntshav pulmonary yuav tsum paub qhov txawv. Cov neoplasms zoo li no tuaj yeem ua tsis zoo.
Teratoma yog ib qho tsim muaj ntau hom ntaub so ntswg. Nws tuaj yeem yog nyob rau hauv daim ntawv ntawm ib tug ntom neoplasm los yog cyst. Nws feem ntau tshwm sim hauv cov tub ntxhais hluas, txawm li cas los xij, nws tuaj yeem nyob hauv cov neeg laus lossis txawm tias muaj hnub nyoog laus. Cov qog loj hlob qeeb qeeb, txawm li cas los xij, nrog rau qhov sib ntxiv ntawm tus kab mob, tej zaum yuav muaj suppuration. Nws tseem tuaj yeem hloov mus raumalignant form.
Yog vim li cas thiaj pom
Ntawm cov laj thawj tseem ceeb uas ua rau muaj qhov tsis zoo ntawm neoplasm, nws yuav tsum tau hais txog ntau yam sib txawv, tshwj xeeb, xws li:
- noob caj noob ces;
- caj ces ntawm lub cev;
- haus luam yeeb;
- ntau yam tshuaj.
Nws tsim nyog sau cia tias qhov kev pheej hmoo ntawm neoplasm nce ntxiv thaum muaj kab mob ntev nrog kev txo qis hauv lub cev, tshwj xeeb:
- bronchial hawb pob;
- chronic bronchitis;
- pneumonia, tuberculosis.
txhawm rau kuaj xyuas kom raug, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus account tsis yog tsuas yog cov tsos mob ntawm cov qog nqaij hlav hauv lub ntsws, tab sis kuj yuav tsum tau kuaj xyuas ntxiv, vim nws yog ib qho tseem ceeb kom kuaj tau cov qog kom raws sij hawm thiab ua kev kho mob txhawm rau tiv thaiv nws txoj kev hloov mus rau theem tsis zoo.
Cov tsos mob tseem ceeb
Ntau tus neeg mob xav paub yog tias muaj qog nqaij hlav hauv lub ntsws, cov tsos mob tshwm sim li cas thiab nws tuaj yeem lees paub raws sijhawm rau kev kho mob raws sijhawm. Muaj ntau txoj kev xav rau kev loj hlob ntawm neoplasms hauv lub ntsws. Qhov cuam tshuam ntawm nicotine pab txhawb rau kev tso tawm ntawm cov khoom tsis zoo hauv cov hlwb, uas ua rau muaj ntau yam tsis zoo. Raws li qhov tshwm sim ntawm qhov no, kev loj hlob ntawm neoplasm pib, uas yuav luag tsis tuaj yeem tswj tau, txij li cov tsos mob ntawm lub ntsws qog tsis tshwm sim tam sim ntawd. Qhov no txhais tau hais tias kev puas tsuaj ntawm DNA pib, yog li txhawb nqaqog nqaij hlav loj hlob sai.
Thaum pib, cov neoplasm pib tsim hauv bronchi, thiab tom qab ntawd cov txheej txheem pathological dhau mus rau qhov chaw nyob ib sab ntawm lub ntsws. Tom qab qee lub sijhawm, nws cuam tshuam rau lwm yam kabmob, thiab kuj metastasizes rau lawv.
Thaum ntxov ntawm nws txoj kev loj hlob, cov tsos mob ntawm cov qog nqaij hlav hauv lub ntsws zoo ib yam li lwm yam kab mob, yog li lawv tuaj yeem nrhiav tau nyuaj heev. Cov tsos mob muaj xws li hnoos lossis hnoos qeev. Lub sijhawm thaum ntxov yuav kav ntev li ob peb xyoos. Feem ntau, cov kws kho mob pib xav tias muaj qog nqaij hlav hauv cov neeg muaj hnub nyoog tshaj 40 xyoo. Lawv saib xyuas tshwj xeeb rau cov neeg haus luam yeeb hnyav, nrog rau cov neeg ua haujlwm nrog cov tshuaj phem, tshwj xeeb tshaj yog tias lawv pom cov tsos mob thiab cov tsos mob ntawm lub ntsws qog.
Nyob rau hauv lub xub ntiag ntawm neoplasm, qhov kev tsis txaus siab tseem ceeb ntawm cov neeg mob yog hnoos, uas feem ntau tshwm sim nrog hnoos qeev. Cov hnoos qeev yuav muaj cov ntshav impurities. Qhov hnoos yog feem ntau tas li, hacking, nrog hnoos qeev. Cov neeg mob qog nqaij hlav ib txwm ua tsis taus pa, nrog rau qhov mob ntawm lub sternum. Qhov no yuav txhais tau hais tias cov neoplasm tau dhau mus rau hauv lub pleura, thiab nws loj tuaj. Thaum muaj qhov hnyav hnyav ntawm cov hlab ntsha xaus, cov yam ntxwv hawb pob tshwm hauv lub suab.
Tom qab cov neoplasm germinates thiab nyem cov qog nqaij hlav, muaj cov cim xws li:
- tes tsis muaj zog;
- ua tsis taus pa;
- poob ceeb thawj;
- khaus tawv nqaij;
- kev loj hlob sai ntawm daim tawv nqaij.
Lub neej zoo tib lub sijhawm tsis zoo zuj zus thiab kev ua haujlwm yuav poob. Yog tias thawj cov tsos mob ntawm lub ntsws qog tshwm sim, koj yuav tsum sab laj nrog kws kho mob thiab kuaj xyuas kom meej.
Diagnostics
Thaum thawj cov tsos mob ntawm lub ntsws qog tshwm sim hauv cov neeg laus, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas. Ntxiv nrog rau x-rays, nws yog ib qho tsim nyog los tswj qhov kev loj hlob ntawm neoplasm kev loj hlob rau ob peb lub hlis. Feem ntau, qhov kev xyaum no yog siv yog tias qhov loj ntawm cov qog tsis ntau tshaj 6 hli.
Yog cov nodule tsis loj hlob thaum lub sijhawm soj ntsuam, tab sis tseem zoo li qub rau 2 xyoos, ces nws yog qhov zoo. Xws li neoplasms loj hlob qeeb heev los yog nyob twj ywm raws nraim qhov loj me. Cov qog nqaij hlav cancer loj tuaj txhua 4 lub hlis. Kev ua raws li 5 xyoos yuav pab kom paub tseeb tias nws zoo.
Cov neoplasms no feem ntau muaj cov npoo du, ib qho zoo li qub dua cov qog nqaij hlav cancer. Feem ntau, lub hauv siab x-ray lossis CT scan yog txaus los xyuas cov nodules.
Yog tias tsim nyog, tus kws kho mob yuav sau lwm hom kev tshawb fawb. Qhov no yog qhov tsim nyog kom tsis suav nrog cov qog nqaij hlav malignant los txiav txim qhov ua rau tseem ceeb ntawm cov nodules. Kev kuaj mob yuav xav tau:
- kuaj ntshav;
- tuberculin tests;
- ib daim duab-emission;
- biopsy.
Biopsy suav nrog kev kuaj cov ntaub so ntswg rau kev kuaj ntxiv nyob rau hauv lub tshuab ntsuas kab mob txhawm rau txiav txim siab seb cov qog puas yogbenign los yog malignant. Kev kuaj ntshav biopsy tuaj yeem ua tau siv ntau hom kev kawm.
Txoj kev kho mob
Yog tias pom cov tsos mob thiab cov tsos mob ntawm lub ntsws qog, ces kev kho tshuaj yuav tsis ua rau muaj txiaj ntsig. Ib qho benign tsim yuav raug tshem tawm los ntawm kev phais. Tsuas yog kev kuaj mob raws sij hawm thiab kev khiav hauj lwm tuaj yeem zam qhov cuam tshuam tsis zoo rau tus neeg mob txoj kev noj qab haus huv.
Kev kuaj pom ntxov ntawm neoplasm yog qhov tseem ceeb tshwj xeeb, vim qhov no yuav txuag tau cov ntaub so ntswg ntau tshaj plaws thaum lub sijhawm ua haujlwm, vim qhov no yuav zam ntau yam teeb meem. Lub sijhawm rov zoo yuav tshwm sim hauv lub tuam tsev pulmonology. Feem ntau cov haujlwm tau ua tiav zoo heev, thiab rov ua dua ntawm neoplasms yuav luag tsis suav nrog.
Txhawm rau tshem tawm cov qog hauv nruab nrab, cov txheej txheem ntawm resection ntawm lub bronchus yog siv. Thaum siv cov txheej txheem no, lub ntsws cov ntaub so ntswg tsis cuam tshuam, tab sis tsuas yog ib qho kev phais me me xwb, uas ua rau nws tuaj yeem txuag tau feem ntau ntawm lub cev. Fenestrated resection yog siv los excise lub bronchus ntawm lub hauv paus nqaim, uas nws thiaj li sutured thiab bronchotomy yog ua nyob rau ntawm qhov chaw no.
Nrog lub neoplasm loj, ib lossis ob lub lobes ntawm lub ntsws raug tshem tawm. Hauv cov xwm txheej hnyav tshwj xeeb, pneumonectomy yog siv rau, uas yog, tshem tawm ntawm lub cev tag nrho. Kev ua haujlwm zoo sib xws yog qhia rau txhua tus neeg mob uas tau txais kev mob ntsws hnyav.
Yog tau tuavkev kho mob ntawm lub ntsws qog nyob rau hauv cov theem thaum ntxov, ces nws cov txiaj ntsig tau zoo heev. Kev ua tau zoo nrog me me ntawm kev puas tsuaj yog rov qab ua tiav.
Yog tias cov tsos mob thiab cov tsos mob ntawm lub ntsws qog tau pom nyob rau theem pib thiab kev kho mob tau ua raws sijhawm, ces qhov kev mob tshwm sim zoo heev, txij li tus neeg tuaj yeem rov ua haujlwm tau zoo thiab ua haujlwm zoo. nyob hauv lub sijhawm luv tshaj plaws. Txwv tsis pub, ib qho benign neoplasm tuaj yeem nkag mus rau theem malignant nrog qhov tshwm sim ntawm metastases.
Nws yog ib qho tseem ceeb heev rau kev tiv thaiv, uas suav nrog kev kho kom raug thiab raws sij hawm ntawm ntau yam txheej txheem inflammatory tshwm sim hauv lub ntsws thiab bronchi txhawm rau tiv thaiv lawv txoj kev hloov mus rau qhov mob ntev. Nws tseem ceeb heev kom txiav luam yeeb. Cov neeg ua haujlwm hauv kev lag luam phom sij uas muaj plua plav siab yuav tsum siv cov cuab yeej tiv thaiv tus kheej hauv daim ntawv ua pa thiab lub qhov ncauj qhov ntswg.
malignant qog
Ib lub ntsws mob qog nqaij hlav feem ntau pib tsim los ntawm cov hlwb ntawm lub cev, tab sis nws kuj tshwm sim tias cov qog nqaij hlav cancer nkag mus rau hauv lub cev los ntawm metastasizing los ntawm lwm yam kabmob uas yog lub hauv paus ntawm kev mob qog noj ntshav. Kev swb ntawm lub ntsws los ntawm cov qog nqaij hlav cancer yog suav tias yog feem ntau ntawm cov kab mob oncological paub. Nws nyob qib thib ib ntawm kev tuag ntawm txhua yam mob qog noj ntshav.
Ntau zaus, cov qog hauv lub ntsws kuj tsim nyob rau hauv lub bronchi, thiab lawv hu uabronchogenic carcinomas. Hauv oncology, lawv muab faib ua hom xws li:
- squamous;
- multicellular;
- mob qog noj ntshav loj;
- adenocarcinoma.
Lwm yam yog alveolar carcinoma, uas tsim nyob rau hauv alveoli. Tsis tshua muaj ntau yog mob qog noj ntshav xws li:
- chondromatous hamartoma;
- Ybronchial adenoma;
- sarcoma.
Lub ntsws yog cov kabmob uas feem ntau ua rau cov txheej txheem metastasis. Cancer Metastatic tuaj yeem tsim tawm tsam keeb kwm yav dhau los ntawm kev mob qog noj ntshav ntawm prostate, lub mis, thyroid caj pas, hnyuv, ob lub raum thiab ntau lwm yam kabmob.
Kev tshwm sim
Qhov laj thawj tseem ceeb ntawm lub ntsws qog nqaij hlav yog suav tias yog kev hloov pauv ntawm cov hlwb ib txwm ntawm lub cev. Kev haus luam yeeb yog qhov tseem ceeb heev hauv cov txheej txheem no. Raws li kev txheeb cais, kwv yees li 80% ntawm tag nrho cov mob ntsws cancer yog tshwm sim los ntawm kev haus luam yeeb, thiab feem ntau cov neeg haus luam yeeb yog cov neeg haus luam yeeb ntev. Ib tus neeg haus luam yeeb ntau dua ib hnub, nws txoj hauv kev muaj peev xwm tsim tau qog nqaij hlav ntau dua.
Ntau yam tsis tshua muaj mob qog noj ntshav raws li kev ua haujlwm ntawm kev ua haujlwm, uas cuam tshuam nrog kev ua haujlwm nrog cov tshuaj phem. Tshwj xeeb yog txaus ntshai yog ua hauj lwm nyob rau hauv roj hmab, asbestos ntau lawm, tiv tauj nrog hnyav hlau, hluav taws xob, ethers.
Qhov ua rau neoplasms yuav tsum suav nrog cov teebmeem ntawm ib puag ncig. Qee zaum cov hlwb tuaj yeem ua tsis zoo vim muaj qhov mob thiab mob ntevkab mob.
Cov tsos mob tseem ceeb
Puas muaj mob ntsws thiab yuav ua li cas paub txog nws qhov tshwm sim los ntawm cov tsos mob yog ib lo lus nug uas txaus siab rau ntau tus neeg uas tau pom zoo rau qhov tshwm sim ntawm neoplasm no. Lub xub ntiag ntawm qee yam tsos mob hauv tus neeg mob feem ntau nyob ntawm hom mob qog noj ntshav, qhov chaw thiab theem ntawm chav kawm.
Lub cim tseem ceeb ntawm qhov muaj neoplasm hauv lub ntsws yog hnoos tas li, tab sis nws tsis yog qhov tshwj xeeb, vim nws yog tus yam ntxwv ntawm ntau yam kab mob ua pa. Ib tug neeg yuav tsum tau hnov ntxhiab hnoos, uas dhau sij hawm dhau los ua ntau zaus thiab raug nyiag, thiab cov hnoos qeev nrog cov ntshav tawm kuj raug tso tawm. Yog hais tias cov neoplasm provoked puas rau cov hlab ntsha, ces muaj kev pheej hmoo ntawm los ntshav.
Nrog rau kev txhim kho mob qog noj ntshav tom qab, cov tsos mob ntawm lub ntsws qog ua rau pom lawv tus kheej nyob rau hauv daim ntawv ntawm hoarseness, vim muaj qhov nqaim ntawm txoj hlab pa lumen. Tsis muaj tsawg dua qhov tshwm sim ntawm kev mob qog noj ntshav yog qhov tshwm sim ntawm mob ntsws.
mob ntsws ib txwm nrog hws hnyav, mob hauv siab thiab hnoos. Yog hais tias lub pleura puas los ntawm neoplasm, tus neeg mob yuav hnov mob hauv siab txhua lub sijhawm. Tom qab ib pliag, cov tsos mob pib tshwm sim, uas txhais tau tias:
- poob qab los;
- faus;
- tsis muaj zog;
- poob phaus.
Qee zaum,Cov kua dej pib nkag mus rau hauv lub ntsws, ua rau ua pa luv, tsis muaj oxygen thiab teeb meem nrog kev ua haujlwm ntawm lub plawv. Yog tias kev mob qog noj ntshav tau ua rau muaj kev puas tsuaj rau cov hlab ntsha hauv lub caj dab, ces qhov no tuaj yeem ua rau cov tsos mob ntawm cov hlab ntsha. Lawv tshwm sim raws li qhov muag sunken, constriction ntawm cov menyuam kawm ntawv, kev hloov nyob rau hauv lub rhiab heev ntawm ib feem ntawm lub ntsej muag.
Cov tsos mob ntawm lub ntsws qog nyob rau hauv cov poj niam muaj xws li cov qog nqaij hlav hauv siab, kev hloov ntawm daim tawv nqaij, thiab mob hauv lub sternum. Ib qho neoplasm nyob ib sab ntawm txoj hlab pas, tom qab ib ntus, tuaj yeem tawg rau hauv nws lossis tsuas yog loj hlob mus txog thaum nws ua rau cov ntaub so ntswg hnyav. Xws li ib tug teeb meem yuav provoke spasms, thiab kuj ua rau lub fact tias nws yog heev nyuaj rau tus neeg nqos, uas ua rau nws nyuaj rau noj zaub mov. Nrog rau chav kawm ntawm tus kab mob no, tom qab noj mov, tus neeg mob maj mam tsim cov cim qhia hauv daim ntawv ntawm hnoos hnyav, raws li dej thiab zaub mov nkag mus rau hauv lub ntsws.
Tshwj xeeb yog qhov tshwm sim hnyav tuaj yeem tshwm sim thaum cov qog loj hlob mus rau hauv lub plawv, uas ua rau cov tsos mob ntawm arrhythmia, kua dej ntau ntxiv lossis cardiomegaly. Feem ntau, cov qog ua rau cov hlab ntsha. Cov tsos mob ntawm lub cev qhuav dej ntawm lub ntsws yog pneumothorax thiab los ntshav hnyav. Cov hlab ntsha hauv siab o thiab ua cyanotic. Tsis tas li, tus neeg mob tuaj yeem mob taub hau hnyav, qhov muag tsis pom kev, tsis muaj zog thiab qaug zog.
Thaum mob qog noj ntshav mus txog theem 3-4, cov kab mob metastasis tshwm sim hauv qee yam kabmob. Feem ntau dhaucov hlab ntsha los yog cov qog nqaij hlav, cov hlwb tsis zoo kis thoob plaws lub cev, cuam tshuam rau cov kabmob uas nyob ze. Symptomatically, qhov no pib tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm dysfunction ntawm lub cev mus rau hauv uas metastases tau nkag mus.
Diagnostics
Qee qhov xwm txheej, txawm tias tsis muaj cov cim qhia pom tseeb, nws muaj peev xwm lees paub tias muaj mob qog noj ntshav los ntawm kev ua fluorography, uas yuav tsum tau ua txhua xyoo. Tsis tas li ntawd, radiography tej zaum yuav raug sau tseg, txawm li cas los xij, nws nyuaj heev kom pom cov pob me me hauv daim duab.
Txhawm rau kuaj xyuas kom raug, koj tus kws kho mob tuaj yeem xaj lwm cov txheej txheem, xws li kev kuaj ntshav biopsy, uas tuaj yeem ua nrog bronchoscopy. Yog hais tias cov qog tau tsim tob heev hauv lub ntsws, ces tus kws kho mob yuav ua ib tug puncture nrog ib rab koob nyob rau hauv kev tswj ntawm tomography. Hauv cov xwm txheej hnyav tshwj xeeb, cov khoom siv tau siv thaum lub sijhawm ua haujlwm thoracotomy.
Khoos phis tawj thiab sib nqus resonance imaging yog suav tias yog ntau txoj kev tshawb fawb niaj hnub no, vim lawv tso cai rau cov neoplasms me me los kuaj.
Txoj kev kho mob
Nyob ntawm qhov loj, nta thiab cov tsos mob ntawm lub ntsws qog, kev kho mob raug xaiv nruj me ntsis rau tus kheej. Cov hau kev tseem ceeb ntawm kev kho mob suav nrog xws li:
- kev ua haujlwm;
- chemotherapy;
- xov tooj cua;
kev kho mob nyuaj feem ntau yog siv, txij li kev tshem tawm cov qog nqaij hlav thiab hluav taws xob tuaj yeem ua tiav kev kho tiav. Nyob rau theem pib ntawm kev loj hlob ntawm malignant neoplasm, nws tsuas yog txaustswj kev kho hluav taws xob.
Tshuaj kho mob ua ke nrog hluav taws xob pab ua kom tau txais txiaj ntsig zoo heev. Kev ua haujlwm yuav tsum tau ua kom sai li sai tau, vim qhov no tsis txhob muaj qhov tshwm sim tragic. Yog tias cov qog tau kuaj pom tom qab theem, thiab cov txheej txheem tsis tuaj yeem nyob hauv lub ntsws twb tau pib, ces kev phais feem ntau tsuas yog palliative xwb. Cov neeg mob qog noj ntshav theem 3-4 muaj mob hnyav heev, uas tuaj yeem txo tau los ntawm kev noj tshuaj.
Lub sijhawm rov qab los
Rehab tseem ceeb heev. Thaum kawg ntawm txoj kev kho, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas kom raws sij hawm kom pom tias rov tshwm sim dua lossis metastases. Kev kho mob yuav tsum tsom mus rau kev kho mob comorbidities.
kho mob, ua pa ua pa, thiab noj zaub mov tshwj xeeb. Nws kuj yuav tsum tau kho qhov mob thiab ua haujlwm tshwj xeeb los ua kom lub hlwb ua haujlwm.
Huab cua
Tsis muaj tus kws kho mob oncologist tuaj yeem lav qhov tseeb ntawm lub sijhawm lub neej rau tus neeg mob qog nqaij hlav, tab sis nws tuaj yeem hais qhia txog qhov muaj sia nyob. Thaum txheeb xyuas tus neeg mob tus mob, lub luag haujlwm tseem ceeb yog ua los ntawm tus neeg mob lub hnub nyoog, theem ntawm tus kab mob, muaj cov kab mob sib kis thiab pathologies. Kev kwv yees muaj sia nyob tsib xyoos, raug kuaj xyuas raws sijhawm thiab kev kho kom zoo, ncav cuag 40-50%. Tab sis thaum tsis muaj kev kho mob txaus, 80% ntawm cov neeg mob tuag hauv 2xyoo, thiab tsuas yog 10% tuaj yeem nyob tau 5 xyoos lossis ntau dua.
Nws tsim nyog sau cia tias kev kho raws sijhawm tsis yog kev lees paub tag nrho ntawm kev rov qab los, txij li thaum muaj xwm txheej ua rau tuag taus kuj tseem ua tau.
