He aha te mate pukupuku o te pukorokoro? Tohu, maimoatanga o te mate pukupuku o te pukorokoro

puku Cancer i roto i te pukorokoro kore e puta maha rawa. Fele, kua pāngia ratou i roto i nga tangata 40-60 tau o tau. I roto i nga wahine, puta iti pinepine te mate pukupuku pukorokoro. I roto i te tamariki, he mārire pukupuku i roto i te pukorokoro i 90% o te wā.

Pukorokoro. Hanganga me te whakaahuatanga

Tuatahi o te katoa, ki te matau he aha te mea i tĭtĭ, he mea e tika ana ki te matau ki ta te mea te pukorokoro ano. Tenei ngongo, nei roa ko e pā ana ki 11 cm, me te diameter -. Tīmata 3 cm o te pukorokoro raro te paeoro ko tuku iho tinana atu i roto i te whaturei te. Raro iho i te pukorokoro e wehea ki 2 korere ki te ingoa o te bronchi.

Na roto i te hanganga o te pukorokoro - ko te 18-22 mowhiti cartilaginous matotoru. hipoki te wahi muri o ia mowhiti e uaua, me te kiko tūhonohono. Matā i roto i te mucosa pukorokoro. E faarahi te pukorokoro Inspiratory me riro roa expiratory - e te taumira mua.

Ko nui iti te rahi tracheal tamaiti. E haamata te reira ki wha henimita, a rite tupu pakeke ratou Kei te piki haere.

momo o te pukupuku

Ka taea e Neoplasms kia mārire. Ko te noa tino te whai ake:

1. Chondroma. Tenei nodules mārō i roto i te mowhiti cartilaginous o te pukorokoro. Ko te pae tino noa o te localization - te paeoro.
2. Hemangioma. Tenei hanga-ake rawa whakawhanakehia kiko capillary.
3. Papilloma. Neoplasms, whakapataritari e te huaketo papilloma tangata. E ai ki te rite te kareparāoa. Ko te raruraru tino noa e puta i roto i te tamarikitanga.

A paraparau o nga raruraru pūnaha romahā, te nuinga maha whakaaro o te mate pukupuku pūkahukahu. pānga iti pukorokoro matepukupuku. Nuinga o ngā wā i reira te pāngia e whai ake nei ngā momo o te pukupuku:

1. Tsilindroma. tini mārere o ngā pūtau epithelial o te repe mucous. Ko te uaua matua - te hehema ki te matahoki me te metastasis. whakawhanake ana tēnei mate pukupuku tracheal āhua āta. Ka taea e te manawanui ora ki te puku hoki e pā ana ki te 5 tau. i tuhia take me te akoranga roa o te mate.
2. mate pukupuku pūtau Squamous. whakawhanake te puku i te taiepa tracheal lateral posterior ranei. mate pukupuku Tracheal pāngia i roto i te 50% o ngā take e pā ana ki tenei momo. He he he predisposition fakasekisualé. Ko te tino auau te tūroro - tangata pakeke atu i te 40 tau. Life tümanako kahore maimoatanga - 1-2 tau.
3. Sarcoma. Nuinga o ngā wā e faatupu te reira i te pae o te bifurcation o te pukorokoro. He uaua ki te kia pāngia, tino maha whakaritea i roto i te wāhanga i muri mai.

Mai i malignancies waenganui noa, me te onge puta carcinoid, reticulosarcoma, neurofibromas, limfogranulimatoz me etahi atu.

āhuatanga whakahōhā

He he maha o ngā āhuatanga e taea tīmata mate pukupuku o te pukorokoro. Tohu o enei mate e kore e titiro whakawehi, engari e rapu aro motuhake i te tikanga hauora. Hei tauira, kia tika ki te mumura noa puta scarring, meinga whāiti (stenosis) o te pukorokoro. Ki te kore e wa kawe i te endoscopy, kia whakawhanake pukupuku.

I roto i te tahi mau tūroro, te awa tūhono te pukorokoro me pū kai, whakawhanake ohoreretia. Ka rite ki te hua, i reira te mea he fistula, e ai raruraru o nga pūkahukahu, me te pukorokoro. Ko reira ano hoki te take mōrearea he tinana ke hinga ki te pukorokoro.

kia whakawhanake mate pukupuku tracheal tika ki te mārū o te kiko. huaina ana tēnei ko te tracheomalacia. Ko te māuiuitanga tino maha e pā ana ki te momo congenital, a titau aroturuki tamau. Ngā pakeke e mate ana i te kiko ngohengohe o te pukorokoro tika ki kai paipa auroa.

Ko te tautokohia ki te tau'a ore i te topenga pukorokoro. hanga tenei uaua reira ki manawa, a ka whakaihiihi ana te whanaketanga o te mate pukupuku. kawea ki te whakakore i te take mōrearea kei te roto i stenting.

Tohu o te tukanga mate pukupuku

Cancer o te pukorokoro, nga tohu, me tohu e kia tino uaua i roto i te tīmatanga o nga wāhanga, ka kua he ahua noa, me te ahurei. tohu Common mō te mate pukupuku ngā te āhuatanga e whai ake:

• hūpeke pāmahana;
• mate taimaha ohorere;
• disorders hiahia;
• rohirohi;
• mate o te moni i roto i te ora.

tohu rohe

Tüturu, te mau faaiteraa rohe pera-ka karanga, e homai te mate pukupuku pukorokoro - tohu, tohu e whakawhanake te mate atu i te 8 marama:

1. Ko te ahua o te mamae o te manawa. Tenei tohu tohu e reira he mātauranga, whāiti te lumen o te pukorokoro.
2. State o whakahēmanawatanga. Puta te reira i roto i te tūranga te maungārongo, i noho moe ranei. arata'i te reira i ki te meka e taea te manawanui ite whakamarie e noho tika.
3. Kaha mare maroke. kia mohio a te tohu kia rite te faaiteraa o te Bronchitis huangō ranei, engari e kore e urupare ki te maimoatanga. Mare kino ka huri tūranga tinana.
4. Sputum ki te kakara. Tohumate muri atamira, kïia e te parariraa o te puku.
5. Uauatanga horomia. Signals e pā ana ki te ahua o te puku i runga i te taiepa hoki o te pukorokoro. Neoplasm tomo te pū kai, roa kai.
6. huringa reo. Whango me whango tohu e pā ki te io recurrent.
7. Noise ka kupukupu. puta te reira i runga i te hī exhale ranei.
8. manawa uaua. I te timatanga o te tukanga, taea ki te whakawhānui i ki folo te pukorokoro ko, engari ki etahi uaua. Ki te whanaketanga o te mate pukupuku - tahi te uaua e te manawa e kore anake, engari manawa.

Ka taea e kia tohu o te tākuta i ia o enei tohu, kia kia kia whakaahuatia ratou i roto i te tātaritanga.

ngā wāhanga o te mate pukupuku

Hipanga tracheal mate pukupuku, me te tahi atu tukanga oncological kua oti te whakarite i runga i te rahi o te pukupuku, te aroaro o metastasis, te āhua o te kino kiko. Tapeke wehewehe 4 wāhanga:

1. rahi puku ki 3 cm. No metastasis.
2. tupu ake puku ki te 6 cm. Ko metastasis taea ki taikiri tata.
3. Neoplasm o nui ake i te 6 cm. Ko te puku ai huringa i roto i te kopa e karapoti ana. He metastases.
4. tupu uncontrollably te puku i waho te tinana. He kia pāngia ai maha metastases whekau tawhiti i te wāhi tuatahi.

I roto i te mate pukupuku tracheal atamira tuatahi (whakaahua) e kore e titiro fakalotosi'i rawa. Tenei mātauranga iti ranei nodule, e taea te pāngia i roto i ngā huarahi rerekē. Ko te wāhanga teitei o te whanaketanga, te uaua ko reira ki te hamani i te puku. Ko Ko te aha te tohu o te pukupuku, kia rapu tonu i te tohutohu, me te te āwhina. I roto i te wha o nga taahiraa ki te whakaora i te manawanui he tata e taea.

maimoatanga

kōwhiringa maimoatanga mō te mate pukupuku o te pukorokoro whakawhirinaki i runga i ngā āhuatanga maha. Te rata e whakatau i te ahua o te puku, ki te tāutu i tona rahi, ki te kia whakaritea e te wāhanga o te whanaketanga. tango ano ki te pūkete tau o te manawanui, me te tūnga tona hauora ki te tāutu i matepukupuku. I roto i te tāutu pukupuku, e rua kōwhiringa maimoatanga tino pai mārere me Koló whakaaro tango hāparapara. Ngā hāngai tenei tauākī ko ki te pukupuku, te rahi o te mea iti iho i te hawhe te rahi o te pukorokoro. Ki te taea, e whai ake nei pokanga, ka heke te wahi ngaro o te pukorokoro.

Maimoatanga mō te mate pukupuku o te pukorokoro a hauora kore e hoatu e hua whai hua. I roto i te wā mahi tika, he hahau i ngā ki carboplatin tāpiritanga vvide ranei nedaplatin ki te rongo tukutahi ki te radiation. take katea tukua anake brachytherapy.

Ki te kore koe e taea e te tango i te puku, Airways whakawhānui ngongo horihori whakaurua ki te pukorokoro. huaina ana tēnei ko trahiobronhialny stent te Airways.

Me pēhea te ki te tātari

Nuinga o ngā wā, whakapono tūroro e haere ki te tākuta ki te roa makariri, Bronchitis huangō ranei. Ki te he take ki te ruarua huru o te manawanui te tākuta, e whakarite te reira inspections atu. Ko te tikanga ko reira te tikanga e whai ake nei:

1. Laryngoscopy, te taea te reira ki te kitea he puranga i roto i te pukorokoro runga.
2. Tracheotomy, ka taea i roto i te kokoti iti ki te titiro i te āhua ā-o te pukorokoro.
3. X-hihi ki te rerekē, ki te whakatau i te wāhi o te puku.
4. Unuhanga, e ngā i roto i te whiwhi i te tauira o te puku kikokiko mo histology me te cytology.

Hoki te tātaritanga tika atu whakahaere MRI CT ranei.

Prevention o mate pukupuku o te pukorokoro

Ārai he māmā atu i tona he rongoa ki tetahi mate. Te tikanga o tēnei e kia mōhio o te aroaro ngaro ranei o HPV i roto i te tinana i te tangata, korero e pā ana ki te huaketo papilloma tangata, e kua te ati o e hōloa i roto i te tukanga oncologic. I tua atu, he reira e minaminatia ki te mutu aau paowa, rawa i muri i wha tekau nga tau, ina tauhohe te tinana ki te mana waho. Kei te tino contraindicated Smoking mō te iwi nei kua i te tahi atu momo o te mate pukupuku. ārai pai o te pukupuku mārere ko te mahi tinana, e haere ana, kawenga auau kahore puhake, kai tōtika tika me te whakaute mō te tetahi aratau o te ora.

Tika Me ki kia konatunatua me ki te ārai Bronchitis me te huangō. Wā kitea a hamani mate romahā. Kia te tau, kia tango tangata ia he tere ārai ki te tākuta, e i roto i te wā o te mate whakapae, tika ki te mātanga e tika ana.

matapae hauora

Ki te hanga te matapae mō te whakaora, me tango te tākuta ki ngā āhuatanga maha pūkete. Aromatawaitia te hanganga histological o te hanganga, te tohu o te occlusion o te lumen o te pukorokoro, ki te hehema te matahoki, rere tukanga. Ahakoa te meka e mate pukupuku o te pukorokoro he tino kino, ki te maimoatanga wā ora taea.

Ki te whai koe i tetahi māharahara o te mate pukupuku o te pukorokoro, tohu a te manawanui, me te uiui tohu. kia te manawanui e hipoki, i muri nei e taea te hanga i te tākuta he tātaritanga tika, me te ki te hanga i te maimoatanga tika. Kaua e wareware e te maimoatanga wawe o te mate atu tōtika.