Khansa impso: zizindikiro za metastases

khansa impso ndi amodzi mwa matenda Urological, amene makamaka atengeke amuna zaka 40 mpaka 60. Akazi ndi khansa kuli wamba impso. Zizindikiro amakhala mu magawo oyambirira a wodwalayo musavutike, zimachitika kawirikawiri kale metastases.

Zinthu zokhudza chitukuko cha matenda zambiri, koma akuluakulu ndi kunenepa, kudalira fodya, yaitali wambiri mwamuna timadzi esitirojeni, mwachindunji ndi zonse pokhudzana ndi asibesitosi, ntchito zokhudzana ndi kuvala zikopa ndi kupanga malonda ake, komanso yaitali dialysis.

Zizindikiro za khansa Impso

Aimpso ndi extrarenal - izi ndi zizindikiro matenda anati mu mtima ndi matenda a "khansa impso". Zizindikiro aimpso: zikuphatikizapo hematuria, kutupa, sipangakhalenso palpated, ndi ululu. Tikumbukenso kuti zizindikiro zambiri wodwala akumva, zinthu poipa ali.

Kawirikawiri, wodwala akudwala hematuria, lomwe limapezeka mwadzidzidzi popanda ululu (pamene matenda ena ululu impso amapezeka loyamba), ndi maziko a moyo wabwino. Iwo ali likukulira panopa ndi zonse kucheperachepera intervals nthawi pakati pa magazi. Pa nthawi yomweyo pa profusion wa hematuria pa matenda a "khansa impso" siteji ya matenda ndiponso kukula kwa chotupa si anakhudzidwa ngakhale chotupa ang'ono ndi matenda silinakwaniritsidwe anadutsa pa siteji yotsiriza, voliyumu ya magazi mu mkodzo akhoza kukhala wamkulu.

Wina chizindikiro zofala khansa aimpso ndi ululu m'dera lumbar. Ululu akhoza kukhala zachilengedwe zosiyanasiyana ndiponso mwamphamvu, koma zoopsa kwambiri ndi ululu kuzimiririka, imene zotsatira zabwino ndi chodziwikiratu.

Ndi zizindikiro extrarenal monga malungo (kutentha thupi zimasiyanasiyana 37 ° C ndi 39 ° C, wodwala kwambiri malungo), ambiri kuwonongeka thanzi wodwalayo (anataya kudya, kufooka ambiri, wodwala wotaya kulemera). Ichi ndi chifukwa chakuti pali chiphe chamoyo poizoni (okwana kuledzera). Koma musaiwale kuti zizindikiro khansa impso tatchulazi akhoza kusonyeza. Zikamera wa magazi chifukwa zimakhudzira chotupa mapangidwe poizoni mu m'mafupa limasonyeza kuti chitukuko chotupa wapita patali kuposa kukonza.

Malinga ndi malo metastases mu zizindikiro thupi impso khansa awapatse osiyana. M'mapapo metastases kaŵirikaŵiri kungachititse hemoptysis mu zimakhala fupa kuti ululu ndi wolimbikira, limene nkomwe kuchepa atalandira analgesics kapena mankhwala chomwa mankhwalawa, msana kutsogolera ziwalo za miyendo m'munsi ndi chisokonezo ziwalo m'chiuno.

Kubereka metastasis

Cell zilonda impso chotupa ali kuunika bulauni mtundu. Thupi ndi kapangidwe ndi granular, fusiform, alveolar, solidnotubulyarnaya, maselo polygonal. Ake "mphukira", "chiombankhanga" kapena metastasis kufalitsa m'nyanjazi amadzimadzi thupi ndi mwazi (hematogenic) kapena lymph (lymphogenous) ndipo waikamo mu m'mapapo, mu ubongo, fupa ndi chiwindi maselo. Nthawi zambiri yachangu kukomoka zimapezeka ndendende metastases. Koma ngakhale poganiza kuti khansayo chachotsedwa, palibe chitsimikizo kuti 10 - zaka 20 sati kachiwiri impso khansa amene metastases kusankha maganizo awo.

Pa nthawi yomweyo, pambuyo kuchotsa cholinga chachikulu metastases m'mapapo mwanga nthaŵi zina amayambiranso. Bone metastases zimachitika makamaka mafupa a mafupa a chiuno, ntchafu, msana, mafupa a lamba phewa, nthiti ndipo mutu m'chipinda chotetezeka. zotupa metastatic amakhala ndi lonse - lymph mfundo, subcutaneous ndi perirenal adipose minofu, minofu m'mimba, ndipo ngakhale zipsera pambuyo pa opaleshoni.