Hlahala ea metastatic pleural

Lefu la metastatic pleural ke mofuta oa mofets'e o namileng ho tloha setho se seng ho ea lera le lesesaane (pleura) le potileng matšoafo.

Mekhoa ea mali le ea lymph e ka tsamaisa lisele tsa mofetše ho litho tse ling 'meleng. Ha ba le moo, ba ka hlahisa kholo kapa lihlahala tse ncha.

Hoo e batlang e le mofuta ofe kapa ofe oa mofetše o ka namela matšoafong mme oa kenyelletsa mokokotlo.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Bohloko ba sefuba, haholo ha o hema haholo
• Khohlela
• Ho honotha
• Ho khohlela mali (hemoptysis)
• Ho se utloise bohloko ka kakaretso, ho se ts'oenyehe kapa ho kula (malaise)
• Phefumoloho e khutšoanyane
• Ho fokotsa boima ba 'mele
• Ho felloa ke takatso ea lijo

Mofani oa tlhokomelo ea bophelo o tla u hlahloba ebe o botsa nalane ea hau ea bongaka le matšoao a hau. Liteko tse ka etsoang li kenyelletsa:

• X-ray sefubeng
• Tlhatlhobo ea sefuba ea CT kapa MRI
• Tsamaiso ea ho tlosa le ho hlahloba pleura (open pleural biopsy)
• Teko e lekolang sampole ea mokelikeli o bokelletsoeng sebakeng sa boipiletso (tlhahlobo ea mokokotlo oa mokelikeli)
• Tsamaiso e sebelisang nale ho tlosa mohlala oa pleura (pleural needle biopsy)
• Ho tlosa mokelikeli ho tsoa matšoafong (thoracentesis)

Hangata lihlahala tsa 'mele li ke ke tsa tlosoa ka ho buuoa. Mofetše oa pele (oa mantlha) o lokela ho phekoloa. Chemotherapy le kalafo ea radiation e ka sebelisoa, ho latela mofuta oa mofetše oa mantlha.

Mofani oa hau a ka khothaletsa thoracentesis haeba o na le mokelikeli o mongata o bokellang matšoafo a hau mme o na le phefumoloho e khuts'oane kapa maemo a tlase a oksijene ea mali. Ka mor'a hore mokelikeli o tlosoe, matšoafo a hao a tla khona ho atoloha ho feta. Sena se o nolofalletsa ho hema habonolo.

Ho thibela mokelikeli hore o se ke oa bokella hape, moriana o ka beoa ka kotloloho ka sefubeng sa hao ka phaephe, e bitsoang catheter. Kapa, ​​ngaka ea hao e buoang e ka fafatsa moriana kapa talc ka holim'a matšoafo nakong ea ts'ebetso. Sena se thusa ho tiisa sebaka se potileng matšoafo a hao ho thibela mokelikeli hore o se ke oa khutla.

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenella sehlopheng sa ts'ehetso moo litho li arolelanang liphihlelo tse tšoanang le mathata.

Sekhahla sa pholoho ea lilemo tse 5 (palo ea batho ba phelang lilemo tse fetang 5 kamora ho hlahlojoa) e ka tlase ho 25% bakeng sa batho ba nang le lihlahala tsa boipelaetso tse hasaneng ho tsoa likarolong tse ling tsa 'mele.

Mathata a bophelo bo botle a ka hlahang a kenyelletsa:

• Litla-morao tsa chemotherapy kapa therapy ea radiation
• Ho tsoela pele ho ata ha mofetše

Ho lemoha kapele le kalafo ea mofetše oa mantlha ho ka thibela lihlahala tsa boipelaetso ho batho ba bang.

Hlahala - metastatic pleural

• Sebaka sa ponahalo

Arenberg DA, Pickens A. Metastatic lihlahala tse kotsi. Ka: Broaddus VC, Mason RJ, Ernst JD, et al, li-eds. Buka ea Bongaka ea Phefumoloho ea Murray le Nadel. La 6th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 55.

Broaddus VC, Robinson BWS. Lihlahala tsa 'mele. Ka: Broaddus VC, Mason RJ, Ernst JD, et al, li-eds. Buka ea Bongaka ea Phefumoloho ea Murray le Nadel. La 6th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 82.

Putnam JB. Lung, lebota la sefuba, pleura le mediastinum. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 57.