Mate pukupuku pūkahukahu pūtau Squamous: āhuatanga whakaahuatanga, take, tātaritanga, me te maimoatanga

mate e wehingia ana, pērā i te mate pukupuku, kua tata riro rawa noa. tamata rongoā Modern ki te kitea taero e taea te ārai i te mate. Ko, kāore, kia tae noa, kahore o te tikanga whakawhanakehia e kore e hoatu i te taurangi tūturu o te ora tonu. E kore e nohinohi te pūkahukahu squamous. E ai ki ngā tatauranga, he mate pukupuku i haria ki atu tangata.

Whakaahuatanga māuiuitanga

mate pukupuku Lung - he tino noa, neoplasm mārere. hopoi mai huihui te mate e rave rahi mau huru o te mate.

Tohatoha whai momo o māuiuitanga:

• pūtau iti;
• large-;
• mate pukupuku pūtau squamous o te pūkahukahu;
• adenocarcinoma.

He rerekē i roto i te hanganga enei mate, te tohu o te tini, te tere o te haereraa. O nga momo i runga o te mate pukupuku i te nuinga o te wā puta reira squamous mate pukupuku pūkahukahu pūtau. Na mea kaiwhakaako. mai māuiuitanga i ngā pūtau squamous o te kopa epithelial.

E whakaaro take carcinogens. Tenei āhuatanga taiao, me te tahi atu matū e ô i te tinana tangata i roto i te pūnaha romahā. Na reira, kaipaipa taimaha, noho o nga pa, me huru poke, iwi e mahi ana i roto i ngā ahumahi mōrearea, he tiketike te mōrea o te mate.

Me pēhea te ki te whakawhanake i te repara? hipoki Tuitui te apa mata pūtau kōhao bronchi ki ngä makawe iti. te āwhina ratou kawea maremare i roto i te nekehanga. matū kino tomo i te pūnaha romahā, whai wāhi ki te whakangaromanga o te makawe iti. I roto i to ratou wahi, tupu pūtau papatahi o te kiko epithelial. e kore e taea te whakaatu te tohanga. Ka rite ki te hua o te stagnation o tīmata sputum. I tua atu, hono hoki uku ki matū kino. hanga tenei tētahi taiao pai mo te hanganga o te pukupuku.

Take me ngā āhuatanga e tīmata te mate

Kia titiro a i roto i te taipitopito atu aha reira he squamous mate pukupuku pūkahukahu pūtau.

Ko te take matua mō te ahua o te pukupuku mārere i roto i te whekau romahā ngā:

1. Tamau mate kore-motuhake. tukanga inflammatory i roto i te bronchi - Bronchitis. Mate meinga e mycobacteria kohi. I te ngakau o te whanaketanga o te mate pukupuku e taea takoto kakā auau.
2. tauwehe ira. whakaaro te mate te ki kia tuku ki te kino i te iti rawa e toru iwi i roto i te utuafare.
3. āhuatanga Age. Ko te tikanga whakawhanake māuiuitanga i roto i te iwi i muri i te 60 tau.
4. Diseases o te pūnaha endocrine.
5. mahi haere tonu i runga i te tipu kino.
6. Smoking. Tenei peu o te iwi maha, ko reira tata te take pakiaka matua o te whakawhanake pukupuku pūkahukahu. Mohiotia e te meka e kaipaipa 30 ngā wā pea atu ki te tiki mate atu i te tangata e whakakahore ana hikareti. Inhalation o paowa tupeka i runga i te mucous e mutu ai āhua 4,000 matū kino. E taea e ki te whakamate i ngā pūtau hauora ratou. Ano kino, me te hāngū paowa.
7. Accommodation i runga i te whenua poke e matū iraruke.

whakarōpū o mate

I teie mahana, i reira e rave rahi momo rerekē o mārere pukupuku pūkahukahu pūtau squamous.

Common Ko te whakarōpū taua:

1. keratinizing Squamous (rerekëtanga) tana pukapuka mate pukupuku. Āhuatanga e te hanganga o ngā pūtau keratin. Ko tēnei āhuatanga o te hanganga o te peara pukupuku pera-ka karanga. Ki te pāngia te mate i roto i te tīmatanga o te wāhanga, urupare pai reira ki te maimoatanga. I te wa ano, kia mōhio e he momo rawa kino o te mate tenei.
2. Neorogovevayuschy mate pukupuku pūkahukahu pūtau squamous (undifferentiated). āhuatanga tēnei puka e te aroaro o ngā pūtau mitotic me polymorphism. pea kei etahi o ratou keratin. Tenei ahua o te mate ko te puka mārere tino. Kei te kitea te reira i roto i pā ana ki 65% take. Tukua mai te ahua o te nuinga tangata i runga i 40 tau. Hoki māuiuitanga āhuatanga e whanaketanga tere. Tino hohoro reira he metastases. tomo ratou ki roto ki nga taikiri o te pakiaka pūkahukahu, e pa ana te wheua kikokiko, ate me te roro. I roto i te hononga ki te whanaketanga tere o rawa maha i roto i te tātaritanga o te mate i roto i te manawanui, kua metastasized kē.
3. mātauranga iti-kōeke. pūtau mārere i roto i te whānuitanga o paetata wehe. Tenei tino fakafaingata'a'ia'i te whakamātautau. mōrea tiketike o te tātaritanga hē. Tino maha uru mai te reira i te whanaketanga o te adenocarcinoma. pā Metastases te ate, te roro, me te repe adrenal. tātaritanga mau meti'a homai matapae matekiri. Ki runga ki te rapunga o te mate i roto i ona tīmatanga, ka whakarato maimoatanga he hua pai.

Tei runga i te āhuatanga kikokiko wehewehe:

1. Central mate pukupuku pūtau squamous o te pukapuka. kitea ana tēnei māuiuitanga e i roto i te tata 2/3 o tūroro. Kei te āhuatanga i te reira na roto i te mate o te bronchi nui. I te tahi taime noa e taea te pā reira te pukorokoro.
2. Piringa. E nehenehe te reira i te mate pukupuku pūtau squamous o te pūkahukahu i mahue tika ranei. Ua farerei tenei momo i roto i te 3% o te wā. Tikanga, e kore tohu he mate taua. I roto i te pūkahukahu kikokiko kahore hopearaa mamae. Ka rite ki te hua, te puku e taea tupu, e kore e hoatu e te pānga. Na ka pānga ki te okana bronchi me pātata. He toto. Me kï reira e ko atu e pängia ana ki te mate te pukapuka tika, e tika ana ki te āhuatanga whaiaroaro.

puka mohiotia Tino onge o te mate pukupuku:

• tohatohaina;
• mediastinal.

tohu

Ka taea e Squamous mate pukupuku pūkahukahu pūtau puta te wa roa, kahore e whakaatu ana i tetahi tohu. Ko reira tino uaua ki te tātaritanga wā.

Hoki tenei mate āhuatanga e taua tohu:

1. Maroke, maha tahuri ki te mākū, mare auroa. Muri poke iho taea puta. whakaatu ratou ki te whakaongaonga o kounuhia puku arahau. tahi sputum e te kakara kino me poke o pirau.
2. Ko te putanga o te kakā auau, me te kiripūkahu.
3. Ki te hinga o te mate paeoro puta whango me Husky. I te tahi taime ngaro te reo kei te tino. He angamaheni o keratinizing pukupuku squamous tenei tohu.
4. Ko te mana'o o te kore o te rangi. Atelectasis. He he hāhā o te manawa rite ki te hua o te ventilation pūkahukahu waimaero.
5. Ngenge, heke mahi.
6. riro kōhikohiko maihao.
7. whakaiti Taumaha.
8. Auau, me te kaha, pākitanga i te ngakau, ringa, hoki, te mamae. āhuatanga tohumate i roto i te wāhanga i muri mai o te mate.

atamira pathological

wehea te akoranga o te mate e te tohu o te haereraa.

Tohatoha māuiuitanga pērā i mate pukupuku pūtau squamous o te pūkahukahu, Hipanga 4:

1. kihai i rahi puku neke atu i te 3 cm. he mea motu Metastases.
2. hanganga o neke atu i te 3 cm. kia tupu te puku ki te kiripūkahu. He he he tetahi ōrau o atelectasis.
3. hipokina Neoplasm te kikokiko e karapoti ana. E pā ana Atelectasis ki te marama katoa. pā Metastases taikiri.
4. Puku tomo nga whekau nui tata (ngakau, oko toto).

tātaritanga o te mate

Ki te tāutu i mate pukupuku pūkahukahu squamous he pakeke nui. I muri i te katoa, he rite tohu ki maha mate romahā pērā i kakā, kohi, abscesses tenei māuiuitanga. Ko te take matua kitea he aha te te mate anake i roto i te wāhanga whakamutunga tenei.

I roto i tenei manawanui whakapae mate tono tangata hoki taua whakamātautau:

• pouaka X-ray;
• X-hihi;
• lamellar atahanga X-ray;
• CT;
• bronchoscopy;
• onkomarkery pato i CYFRA, SSC;
• thoracoscopy (i ai tangohia te unuhanga te).

titau tātaritanga o te mate i te huarahi pūnahanaha. No te mea te mate pukupuku, ko te ahua ahei kita i raro i te tahi atu tikanga.

maimoatanga mate

Maimoatanga o ngā take i pāngia mate pukupuku pūtau squamous o te pūkahukahu, i mahi i te maha ngā tikanga:

• matū;
• iraruke;
• hāparapara.

O te akoranga, ka taea e te tākuta anake tika tīpako i te tātai tika o te pakanga ki te mate pukupuku. Hoki ia kaupapa therapy takitahi take whakaritea.

Kua whiwhi nga hua pai i te maimoatanga, i roto i nei e ngā nga tikanga i runga ake.

tikanga hāparapara

wawaotanga Instrumental hāparapara ranei - te pono tino me te tikanga matua o te maimoatanga. hua pai whakarato te tikanga hāparapara, ki te te riro te reira i roto i te taahiraa 1 haereraa.

Heoi, ko te mahi he maha o contraindications ki kua:

• mātauranga mamae korokoro te,
• i roto i te tākihi me te ate kore,
• i muri i infarction myocardial.

hahau

Maimoatanga o te mate pukupuku pūkahukahu pūtau squamous te whakamahi i hou taero rongoa faarahi te tūponotanga o te ora i roto i te 4 wa.

Ko, kāore, e kore e tairongo ki anticancer taero pūtau mate pukupuku katoa.

therapy radiation

Tikanga o te maimoatanga te whakamahi i radiations ionizing. Radiation therapy te tohua hoki tūroro e kore e taea ki te kawe i te mahi.

Tenei tikanga o te maimoatanga te nuinga o kawea atu i 3-4 mate atamira. Ārai Ko taea te whanaketanga atu o te pukupuku anake i roto i te 40% o tūroro. Hoki pai tikanga pānga ray whakamahia i roto i ngā ki te hahau.

outlook

He aha ki Titau i te manawanui pāngia ki te mate pukupuku pūtau squamous o te pūkahukahu?

Tei waitohunga i runga i ngā āhuatanga maha, i roto i nei ko:

• atamira haereraa;
• nga āhuatanga takitahi o te kaiao;
• ngaiotanga o kaiwhakaako;
• pūmanawa hauora.

Ki te kitea te puku i atamira 1 ranei 2, kahore he metastasis, ranei i reira he he take torutoru i roto i te taikiri, me te kore e te puku ano nui 3-5 cm i roto i te rahi, e tino rerekē matapae. Ko te tere oranga o taua tūroro ko - 80%.

Tino kino waitohunga mō tūroro ki te atamira 3 kitea. makaka te auau ora ki te 25%.

I 4 wā o te haereraa whakaaroa rawa matekiri. Heoi, ki te awhina o ngà whànau, e taea tino whakapai ake te kounga o te manawanui o te ora.