Mob ntsws cancer

Mob ntsws yog mob cancer uas pib mob ntsws.

Lub ntsws lub ntsws nyob rau hauv lub hauv siab. Thaum koj ua pa, cua nkag hauv koj lub qhov ntswg, hauv koj txoj hlab pa (pa tawm), thiab mus rau hauv lub ntsws, qhov uas nws ntws los ntawm txoj hlab hu ua bronchi. Feem ntau mob ntsws pib nyob rau hauv cov cell uas ua cov kab no.

Nws muaj ob hom kev mob ntsws loj:

• Cov kab mob ntsws uas tsis yog hom kab mob ntsws me me (NSCLC) yog hom feem ntau ntawm cov ntsws mob ntsws.
• Cov kab mob ntsws me me (SCLC) muaj txog 20% ​​ntawm tag nrho cov mob qog mob ntsws.

Yog tias lub ntsws mob cancer yog tsim los ntawm ob hom, nws yog hu ua cov kab mob me me / mob hlwb loj.

Yog hais tias mob qog pib ntawm lwm qhov ntawm lub cev thiab kis mus rau hauv lub ntsws, nws hu ua mob metastatic cancer mus rau lub ntsws.

Mob ntsws yog hom tuag taus tshaj plaws rau tus txiv neej thiab poj niam. Txhua xyoo, muaj coob tus neeg tuag vim mob ntsws dua li ntawm lub mis, mob hnyuv thiab prostate qog nqaij hlav ua ke.

Mob ntsws yog feem ntau rau cov neeg laus. Nws yog tsawg rau cov neeg tsis tau muaj hnub nyoog 45 xyoos.

Kev haus luam yeeb yog qhov ua rau mob ntsws. Ze li 90% ntawm mob ntsws yog cuam tshuam rau kev haus luam yeeb. Koj haus luam yeeb ntau npaum li cas ib hnub thiab ua ntej koj pib haus luam yeeb, koj yuav muaj feem ntau mob ntsws cancer. Txoj kev pheej hmoo yuav tsawg zuj zus nrog rau lub sijhawm tom qab koj txiav luam yeeb. Tsis muaj pov thawj dab tsi qhia tias haus luam yeeb qis-qis qis qis me ntsis yuav muaj feem.

Qee hom mob ntsws yuav tuaj yeem cuam tshuam cov neeg uas tsis tau haus luam yeeb.

Kev nqus tau pa luam yeeb (ua pa tawm ntawm lwm tus) ua rau koj muaj feem mob qog nqaij hlav cancer.

Cov hauv qab no tej zaum tseem yuav ua rau koj muaj feem mob ntsws ntsws:

• Raug rau asbestos
• Kev cuam tshuam los ntawm cov tshuaj ua rau mob cancer xws li uranium, beryllium, vinyl chloride, nickel chromates, cov khoom lag luam thee, roj av, chloromethyl ethers, roj av, thiab cov pa roj av.
• Raug rau cov roj radon
• Tsev neeg muaj keeb kwm mob ntsws
• Theem siab ntawm cov pa phem
• Theem siab ntawm arsenic hauv kev haus cov dej
• Kev ntsuas hluav taws xob rau lub ntsws

Kev mob ntsws thaum ntxov yuav tsis ua mob dabtsi.

Cov tsos mob nyob ntawm hom mob cancer uas koj muaj, tab sis yuav suav nrog:

• Kev mob hauv siab
• Hnoos tsis ploj mus
• Kev hnoos ntshav
• Nkees
• Los poob phaus yam tsis tau sim
• Tsis qab los noj mov
• Ua tsis taus pa
• Hawb pob

Lwm cov tsos mob uas tej zaum kuj tuaj yeem tshwm sim nrog mob qog nqaij hlav ntsws, ntau zaus thaum ntxov:

• Mob leeg los yog rhiab
• Tawv muag muag daj
• Lub ntsej muag tuag tes tuag taw
• Hoarseness lossis hloov lub suab
• Mob tej pob txha
• Ntsia teeb meem
• Mob lub xub pwg
• Nqos nyuaj
• O rau lub ntsej muag lossis npab
• Neeg tsis muaj zog

Cov tsos mob no tuaj yeem yog vim lwm tus, tsis tshua muaj mob hnyav, yog li nws tseem ceeb rau koj tham nrog koj tus kws kho mob.

Mob ntsws ntsws feem ntau pom thaum xoo hluav taws xob lossis CT scan ua rau lwm qhov laj thawj.

Yog tias xav tias muaj mob ntsws, tus kws kho mob yuav kuaj xyuas lub cev thiab nug txog koj li keeb kwm kho mob. Yuav nug kom koj haus luam yeeb. Yog li, koj yuav nug kom koj haus luam yeeb ntau npaum li cas thiab ntev li cas koj tau haus luam yeeb. Lawv tseem yuav nug koj txog lwm yam uas yuav ua rau koj muaj kev pheej hmoo rau mob ntsws, xws li raug qee yam tshuaj lom neeg.

Thaum mloog ntawm lub hauv siab nrog lub taub stethoscope, tus kws kho mob yuav hnov ​​cov kua qog nyob ib ncig ntawm lub ntsws. Qhov no yuav qhia txog mob qog noj ntshav.

Kev ntsuam xyuas uas yuav ua los ntsuas mob ntsws los yog pom tias nws kis tau:

• Cov pob txha scan
• Kev ntsuas hluav taws xob xoo
• Ua kom tiav cov ntshav suav (CBC)
• CT scan ntawm lub hauv siab
• MRI ntawm lub hauv siab
• Positron emission tomography (PET) scan
• Cov hnoos qeev txhawm rau kuaj cov qog nqaij hlav cancer
• Thoracentesis (piv txwv ntawm cov kua buildup ncig lub ntsws)

Feem ntau, ib daim ntawv voos raug tshem tawm ntawm koj lub ntsws mus kuaj hauv lub tshuab tsom. Qhov no yog hu ua biopsy. Muaj ob peb txoj hauv kev los ua qhov no:

• Bronchoscopy ua ke nrog biopsy
• Siv rab koob CT-scan-qhia koob
• Txoj hlab pas txoj hlab (Endoscopic esophageal ultrasound (EUS)) nrog kev kuaj me
• Mediastinoscopy nrog kev kuaj me
• Siv lub tshuab kuaj kab mob tawm
• Tso me me

Yog tias kuaj me me qhia qog noj ntshav, yuav sim ntau qhov kev sim ntsuas qhov ntsuas qog mob qog nqaij hlav. Theem txhais tau hais tias lub pob loj npaum li cas thiab nws kis tau deb npaum li cas. Cov ntawv sau cia pab qhia kev kho mob thiab taug qab thiab qhia koj ib lub tswv yim dab tsi ntawm kev cia siab.

Kev kho mob ntsws ntsws yog nyob ntawm seb hom mob cancer, nce npaum li cas, thiab koj noj qab haus huv npaum li cas:

• Kev phais mob kom tshem tawm cov qog yuav ua tau thaum nws tsis kis kom dhau cov qog ntshav nyob ze.
• Kev siv tshuaj kho mob siv cov tshuaj tua cov mob qog noj ntshav thiab txwv tsis pub cov hlav tshiab tuaj.
• Kev siv hluav taws xob los siv duab xoo hluav taws xob zoo lossis lwm yam hluav taws xob txhawm rau tua cov qog nqaij hlav cancer.

Cov kev kho mob saum toj no tuaj yeem ua ib leeg los yog sib xyaw. Koj tus kws kho mob tuaj yeem qhia koj ntau ntxiv txog cov kev khomob tshwj xeeb uas koj yuav tau txais, nyob ntawm qee hom mob ntsws thiab qhov theem twg nws yog.

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Zoo npaum li cas koj ua yog feem ntau nyob ntawm ntau npaum li cas mob ntsws kis tau nthuav dav.

Hu rau koj tus kws kho mob yog tias koj muaj tsos mob ntsws mob ntsws, tshwj xeeb yog koj haus luam yeeb.

Yog tias koj haus luam yeeb, tam sim no yog lub sijhawm txiav luam yeeb. Yog tias koj muaj teeb meem txiav luam yeeb, tham nrog koj tus kws kho mob. Nws muaj ntau txoj hauv kev los pab koj txiav luam yeeb, los ntawm pab pawg txhawb nqa tshuaj mus rau cov tshuaj noj. Tsis tas li, yuav tsum sim ua kom tsis txhob muaj cov pa luam yeeb.

Cancer - mob ntsws

• Mob ntsws phais - kev tshem tawm

Araujo LH, Horn L, Merritt RE, li al. Mob kheesxaws hauv lub ntsws: tsis mob qog nqaij hlav hauv hlwb tsawg thiab mob ntsws me me. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 69.

Gillaspie EA, Lewis J, Leora Horn L. Mob ntsws cancer. Hauv: Kellerman RD, Rakel DP, eds. Conn's Kev Kho Mob 2020. Philadelphia, PA: Elsevier 2020: 862-871.

Lub koom haum Cancer National website. Kev kho mob ntsws cancer uas tsis yog mob me me (PDQ) - cov kws muaj txuj ci kho mob. www.cancer.gov/types/lung/hp/non-small-cell-lung-nyuj-pdq. Hloov kho Tsib Hlis 7, 2020. Nkag mus Lub Xya Hli 14, 2020.

Lub koom haum Cancer National website. Kev kho mob ntsws me me ntawm tes (PDQ) - kev paub txog kev noj qab haus huv. www.cancer.gov/types/lung/hp/small-cell-lung-txuj-pdq. Hloov kho thaum Lub Peb Hlis 24, 2020. Nkag mus Lub Xya Hli 14, 2020.

Silvestri GA, Pastis NJ, Tanner NT, Jett JR. Cov chaw soj ntsuam kab mob ntsws. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov Pa. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 53.