Metastatic pleural hlav

Metastatic pleural hlav yog hom mob cancer uas kis los ntawm lwm qhov hloov mus rau nyias daim nyias nyias (pleura) puag ncig lub ntsws.

Cov ntshav thiab cov lymph tuaj yeem nqa cov qog ntshav mus rau lwm qhov hauv lub cev. Nyob ntawd, lawv tuaj yeem tsim cov hlav tshiab lossis hlav hlav.

Yuav luag txhua hom mob cancer tuaj yeem kis mus rau lub ntsws thiab koom nrog pleura.

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Kev mob hauv siab, tshwj xeeb tshaj yog thaum sib sib zog nqus pa
• Hnoos
• Hawb pob
• Kev hnoos ntshav (hemoptysis)
• Qhov tsis xis nyob, tsis xis nyob, los yog mob siab (mob siab)
• Ua tsis taus pa
• Lub cev yuag
• Tsis qab los noj mov

Tus kws kho mob yuav tshuaj xyuas koj thiab nug koj li keeb kwm kho mob thiab cov tsos mob. Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Kev ntsuas hluav taws xob xoo
• CT lossis MRI scan ntawm lub hauv siab
• Cov txheej txheem tshem tawm thiab kuaj xyuas lub pleura (qhib pleural me me)
• Ntsuas uas ua piv txwv cov kua dej uas tau sau hauv qhov chaw pleural (kuaj lub kua dej pleural)
• Cov txheej txheem uas siv koob rab koob tshem tawm cov hnoos qeev (pleural rab koob me me)
• Kev tshem tawm cov kua dej ntawm ib ncig lub ntsws (thoracentesis)

Cov qog pleural feem ntau tsis tuaj yeem raug tshem tawm nrog kev phais mob. Tus thawj (thawj) mob qog nqaij hlav yuav tsum raug kho. Siv tshuaj tua hluav taws xob thiab tshuaj tua hluav taws xob, siv raws li hom mob qog nqaij hlav cancer.

Koj tus kws kho mob yuav qhia kom thoracentesis yog tias koj muaj kua dej ntau los ncig koj lub ntsws thiab koj muaj ua pa siav lossis ntshav oxygen tsawg. Tom qab cov kua dej tau tshem tawm, koj lub ntsws yuav nthuav dav ntxiv. Qhov no tso cai rau koj ua pa tau yooj yim.

Txhawm rau tiv thaiv cov kua dej los ntawm kev rov sau dua, cov tshuaj tuaj yeem tso ncaj qha rau hauv koj lub hauv siab los ntawm lub raj, hu ua catheter. Lossis, koj tus kws phais yuav tuaj yeem hno tshuaj lossis talc rau ntawm lub ntsws qhov chaw nyob thaum ua haujlwm. Qhov no pab rau qhov chaw nyob ib ncig ntawm koj lub ntsws kom tiv thaiv cov kua rov qab los.

Koj tuaj yeem daws kev ntxhov siab los ntawm kev mob nkeeg los ntawm kev koom nrog pawg pab txhawb uas cov tswvcuab sib koom ua ke thiab teeb meem.

Tus nqi 5 xyoo muaj sia nyob (cov neeg nyob rau ntau dua 5 xyoos tom qab kuaj pom) tsawg dua 25% rau cov neeg muaj cov qog pleural uas tau kis los ntawm lwm qhov ntawm lub cev.

Cov teeb meem kev noj qab haus huv uas tuaj yeem tshwm sim suav nrog:

• Kev phiv los ntawm kev kho mob lossis kev siv hluav taws xob
• Txuas mus ntxiv mob cancer

Kev paub ntxov thiab kho tus mob qog nqaij hlav thaum ntxov yuav tiv thaiv kom tsis txhob muaj cov nqaij hlav metastatic pleural hlav hauv qee cov neeg.

Lub qog - metastatic pleural

• Pleural chaw

Arenberg DA, Pickens A. Cov kab mob hlav npuag loj. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 55.

Broaddus VC, Robinson BWS. Pleural hlav. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 82.

Putnam JB. Lub ntsws, hauv siab ntsa, pleura, thiab mediastinum. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 57.