I-Metastases zibizwa ngokuba yi-tumors zesibini. Ziyi-screening yeeseli zomhlaza ezisuka kwiqumrhu elichaphazelekayo ngumdlavuza kwezinye iindawo zomzimba.
I-Metastases kwimiphunga - iimpawu
Ngamanye amaxesha isifo sisenzeka ngaphandle kwempawu ezibalulekileyo, ngokuqhelekileyo i-metastases kwimiphaphu ibangela ukukhwehlela okunokufutshane kwaye kufana nemiphumo ebandayo. Izibonakaliso ezicacileyo zeemastastases kumaphaphu zivela ngaphandle kwama-20% amacala:
- Ukukhwehlela okukhulu.
- Ukuxilongwa kwegazi.
- Ukunyuka kwesisindo.
- Ukunyuka kancinci ekubuseni komzimba.
- Ukuphefumula okufutshane.
- Ubuhlungu kwisifuba kunye neembambo.
- Ubuthakathaka jikelele.
I-Metastases kwimiphunga-izizathu
Njengoko kukhankanywe ngaphambili, i-metastases kwimiphaphu ibangelwa ukusasazeka kweeseli zomzimba emzimbeni kwi-lymphatic fluid ejikelezayo. Ukunciphisa isisu sephepha lesisu kunye ne-urrogenital system. Ukongezelela, amaxesha amaninzi afumaneka kwi-tumor okanye kwindawo yesifo esikude (ukuphindaphinda umhlaza).
Indawo yezidumbu zetekisi
Iimitha zesithintelo ezikhulayo zivela ekuphuhlisweni komhlaza:
- umdlavuza webele;
- ikholoni;
- i rectum;
- izintso;
- maqanda;
- ubele;
- esiswini;
- i pancreas.
Ukongezelela, umhlaza wempompo ngqo ungabangela i-metastase elandelayo kwisiza se-tumor endaweni.
I-Metastases kwimiphophu - ukuhlaziya
Iziphumo zonyango lwe-metastases zixhomekeke kwezi zinto zilandelayo:
- iqondo kunye nendawo ye-primary primary ecology;
- inani leemetastases;
- ubukhulu beemastastases;
- unyango olufike ngexesha.
Njengoko utyando lwezonyango lubonisa, imitha yesifo semiphunga inexilongo edidisayo - ithuba lokuphila emva kotyando olusenziwa ngumhlaza, olulinganiselwe kwiminyaka emi-5. Ngokukodwa, izinga lokusinda kwama-5-10 kwiminyaka emva kokususwa kweemvumi zendlela yokugaya i-50%. Ukukhuthaza ukuqikelela kwexesha lobomi ukususela kwiminyaka emi-3 ukuya kwe-20 kunye nezifo ze-oncological zesistim sokuzala - ngaphezulu kwama-90%.
Umdlavuza womlenze kunye nemitha yesifo semiphunga - unyango
Ukuchonga indlela yokuphilisa i-metastases kwimiphunga, kuyimfuneko ukuchonga umthombo wesifo se-metastatic kunye nesimo sendawo yaso. Ukongeza, kufuneka uhlolisise ubuninzi beemastastases, inani labo. Ibakala lokuxilonga kubaluleke kakhulu, ngenxa yokuba ukuzimisela okuchanekileyo kweerameter ye-tumor kunye nesimo sayo ngqo kuya kwenza kube lula ukwenza inkqubo yezobugcisa.
Izindlela ezisetyenziswayo zonyango:
- I-hormone yokwelapha - unyango lomdlavuza oyintloko we-genitourinary system.
- I-Chemotherapy kunye ne-metastase kwimiphaphu ilawula ukusabalala nokukhula kweemastastases.
- Ulwaphulo lwe-radiation lisetyenziselwa ukunciphisa nokunciphisa iimpawu, ukuphucula imeko yonke yesigulane.
- Radiosurgery. Le ndlela isekelwe ekugqibeleni kwama-oncogenes ngoncedo lwe-cyber knife.
- Ugqirha - ukususwa kweemvumi ngokukhawuleza.
- Ukuthengiswa kwe-laser kusetyenziswa ukuvimba umqala, ukuphefumula ubunzima.
- I-endobronchial brachytherapy - iifomsile ezinezinto ezifakwe kwi-radioactive zihanjiswa kwi-bronchi nge-bronchoscope.
I-Metastases emipompheni kwizigaba ezi-4 zesi sifo ziyakwazi ukunceda unyango olubi kakhulu. Kungekudala, iindlela ezintsha zokulwa nesi sifo ziye zaphuhliswa:
- gamma;
- i-neutron radiation.
Kuzo zombini iimeko, i-boram egxininiswe ngokuchanekileyo idalwe ngokuthe ngqo kwi-oncological formation ngaphandle kokuchaphazela izicubu eziphilileyo.