Khansa bronchus

Pakali pano, bronchus khansa (zambiri amatchedwa khansa ya m'mapapo) ndi 95% wa onse matenda odziwika chotupa a dongosolo kupuma. Iwo kwambiri ambiri amene anthu anafika zaka makumi asanu zakubadwa, kaya makhalidwe awo kugonana. Ayamba matenda a khansa ndi siudzalandilidwa ngathi lamulo la kapangidwe ka maselo bronchi ndiye kukhala mu chiwalo chilichonse, kutseka lumen, kapena umakhala mpanda wake, kapena Chimakula mu bronchi ndi minofu ozungulira.

Theka la anthu ndi matenda a khansa bronchi, pali metastases mu mfundo za lymph ndi zopangitsa adrenal, 40% - mu chiwindi, ndi 20% - mu ubongo ndi mafupa. Nthawi zambiri matendawa amakhudza m'mapapo lamanja, pamwamba pa cholowa.

Pali zotumphukira bronchus khansa kuti akufotokozera mu machubu bronchial, ndi pakati, kupanda bronchi lalikulu (waukulu, segmental ndi kuyanjana). Last m'zimene 60% ya milandu.

Taganizirani siteji ya chitukuko cha matenda a khansa.

1. Kukula ka chotupa ndi lalikulu bronchi kapena bronchial machubu popanda chitukuko cha metastases.

2. kutupa kwa kukula mofanana gawo loyamba la chitukuko, koma pali metastases yayekha ku limfauzlah pafupi.

3. chotupa ali kunja kwa malire a kuwala ndi kukula limba metastasis ake loyandikana chulukanani ndi bwanji lymph mfundo.

4. chotupa imafika ku chifuwa, pleura, metastases zakulera anayamba kufalitsa mu thupi la munthu.

Chithunzi kwambiri za matenda zimadalira kukula kwa zinkakhala m'dera, siteji ya matenda, chotupa dongosolo. Zizindikiro Bronchus khansa kuyambira kusonyeza awo chifuwa, kenako amakhala kwambiri ndi limodzi mwa kupuma movutikira. Chifuwa pa nthawi si yafupika, koma limakula yekha. Iwo kwambiri kutchulidwa pa kukula kwa zotupa khansa, pamene n'zosasangalatsa thupi mucous monga thupi lachilendo ndipo potero kudzetsa bronchospasm.

Pamene chotupa chimayamba apasuke, pali hemoptysis. Chizindikiro chimenechi ndi chibadidwe 40% odwala. The chizindikiro chachitatu ndi kuwawa pachifuwa chifukwa cha kugonjetsedwa kwa pleura lapansi. Ndi chibadidwe 70% bolnymh. chizindikiro china imatengedwa kuwonjezeka kutentha zikuchitika pa kutupa kwa m'mapapo gawo (pa chitukuko pneumonitis).

kufooka amatha kusiyanitsa pakati zizindikiro ambiri, kuwonda, thukuta, kutopa.

Chitukuko cha matenda monga khansa bronchial, bwanji aakulu njira yotupa kunachitika mundawo kupuma. Zikuphatikizapo chifuwa ndi chibayo, komanso zipsera mu m'mapapo chifukwa cha kuvutika TB. Komanso amathandiza kuti chitukuko cha lake kusuta, mpweya, komanso chibadwa.

Iwo ayenera kuti mankhwala amakono angapereke ena kwenikweni. Motero, matenda amenewa nthawi zambiri ntchito opaleshoni ndi cheza ndi mankhwala amphamvu. Pankhani ya chibayo akapatsidwa moyo mankhwala. zonsezi kupereka kusintha afika alili ndi kutalikitsa moyo wake. Kusankha miyeso achire zimadalira mawonekedwe a matenda a khansa, mlingo wa ukulu wake, komanso pamaso pa metastases.

Pakuti Njirazi ndi monga mankhwala a kutupa kapepala kakuti kupuma, kuteteza chitukuko cha mitundu aakulu. Ngati iwo salabadira chithandizo, kuchotsa opaleshoni, ndiyo kuchotsa zinkakhala m'dera la phapo.

ndizofunika kwambiri apa ndi kusiya kusuta, ndi kugwiritsa ntchito zipangizo kuteteza ndi zinthu zoipa kuntchito.

Motero, khansara bronchus ndi malo otsogolera pakati pa matenda onse chotupa a dongosolo kupuma. Chibadwa, zotsatira zoipa za chilengedwe, ndi kusuta ndi instigators kutsogolera matenda a khansa.