Types/lung/patient/child-tracheobronchial-treatment-pdq

Ubwana bwa Tracheobronchial Tumors Version

Amakuru Rusange Yerekeye Ubwana Tracheobronchial Tumors

INGINGO Z'INGENZI

• Ikibyimba cya Tracheobronchial ni indwara ingirabuzimafatizo zidasanzwe ziba mu murongo wa trachea na bronchi.

• Ibimenyetso nibimenyetso byikibyimba cya tracheobronchial harimo kubabara umutwe no kuziba cyangwa izuru ryuzuye.

• Ibizamini bisuzuma trachea na bronchi bikoreshwa mugufasha gusuzuma ikibyimba cya tracheobronchial.

• Ibintu bimwe bigira ingaruka kumahitamo no kuvura (amahirwe yo gukira).

Ikibyimba cya Tracheobronchial ni indwara ingirabuzimafatizo zidasanzwe ziba mu murongo wa trachea na bronchi.

Ibibyimba bya tracheobronchial bitangirira imbere imbere ya trachea cyangwa bronchi. Ibibyimba byinshi bya tracheobronchial mubana ni byiza kandi bibaho muri trachea (umuyaga) cyangwa bronchi nini (inzira nini yo mu bihaha). Rimwe na rimwe, ikibyimba cya tracheobronchial gikura buhoro buhoro, nk'ikibyimba cya myofibroblastique, gihinduka kanseri ishobora gukwirakwira mu bindi bice by'umubiri.

Hariho ubwoko bwinshi bwibibyimba cyangwa kanseri zishobora kwibera muri trachea cyangwa bronchi. Ibi bishobora kubamo ibi bikurikira:

• Ikibyimba cya Carcinoide (gikunze kugaragara mu bana).

• Mucoepidermoid kanseri.

• Ikibyimba cya myofibroblastique.

• Rhabdomyosarcoma.

• Ikibyimba cya selile.

Ibimenyetso nibimenyetso byikibyimba cya tracheobronchial harimo kubabara umutwe no kuziba cyangwa izuru ryuzuye.

Ibibyimba bya Tracheobronchial birashobora gutera kimwe mubimenyetso bikurikira. Menyesha umuganga wumwana wawe niba umwana wawe afite kimwe muri ibi bikurikira:

• Inkorora yumye.

• Kuzunguruka.

• Guhumeka.

• Gucira amaraso mumyuka cyangwa ibihaha.

• Indwara zikunze kubaho mu bihaha, nk'umusonga.

• Kumva unaniwe cyane.

• Gutakaza ubushake bwo kurya cyangwa gutakaza ibiro nta mpamvu izwi.

Ibindi bintu bitari ibibyimba bya tracheobronchial bishobora gutera ibimenyetso nibimenyetso bimwe. Kurugero, ibimenyetso byibibyimba bya tracheobronchial ni byinshi nkibimenyetso bya asima, bishobora kugorana gusuzuma ikibyimba.

Ibizamini bisuzuma trachea na bronchi bikoreshwa mugufasha gusuzuma ikibyimba cya tracheobronchial.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:

• Ikizamini cyumubiri namateka yubuzima: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.

• Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.

• CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, nkijosi nigituza, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.

Kubara tomografiya (CT) gusikana umutwe nijosi. Umwana aryamye kumeza anyerera muri CT scaneri, ifata amashusho ya x-imbere imbere yumutwe nijosi.

• Bronchography: Uburyo bwo gushakisha ahantu hadasanzwe mu muhogo , trachea, na bronchi no kugenzura niba inzira zo mu kirere zagutse munsi y'urwego rw'ikibyimba . Irangi ritandukanye ryatewe inshinge cyangwa rishyirwa muri bronchoscope kugirango ryambare inzira zumuyaga kandi ritume bigaragara neza kuri firime ya x-ray.

• Gusikana kwa Octreotide: Ubwoko bwa scan ya radionuclide ikoreshwa mugushakisha ibibyimba bya tracheobronchial cyangwa kanseri yakwirakwiriye mumitsi. Umubare muto cyane wa octreotide ya radio (imisemburo ifata ibibyimba bya kanseri) yatewe mumitsi kandi ikanyura mumaraso. Octreotide ya radio ifata ikibyimba kandi kamera idasanzwe yerekana radioactivite ikoreshwa kugirango yerekane aho ibibyimba biri mumubiri.

Ibintu bimwe bigira ingaruka kumahitamo no kuvura (amahirwe yo gukira).

Uburyo bwo kuvura no guhanura biterwa nibi bikurikira:

• Ubwoko bwikibyimba cya tracheobronchial.

• Niba ikibyimba cyarabaye kanseri kandi kigakwira mu bindi bice by'umubiri.

• Ni kangahe byangiritse ku ngingo y'ibihaha.

• Niba ikibyimba cyakuweho burundu no kubagwa.

• Niba ikibyimba kimaze gusuzumwa cyangwa cyongeye kugaruka (garuka).

Kumenyekanisha kubana barwaye kanseri ya tracheobronchial nibyiza cyane, keretse niba umwana afite rhabdomyosarcoma.

Ibyiciro bya Tracheobronchial Tumors

INGINGO Z'INGENZI

• Niba kanseri yarabaye muri trachea cyangwa bronchi, hakorwa ibizamini kugirango hamenyekane niba selile kanseri yakwirakwiriye mu turere twegereye cyangwa mu bindi bice by'umubiri.

• Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

• Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Niba kanseri yarabaye muri trachea cyangwa bronchi, hakorwa ibizamini kugirango hamenyekane niba selile kanseri yakwirakwiriye mu turere twegereye cyangwa mu bindi bice by'umubiri.

Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye muri trachea cyangwa bronchi kugera mu turere twegereye cyangwa mu bindi bice by'umubiri byitwa guterana. Nta sisitemu isanzwe yo gutera kanseri ya tracheobronchial yo mu bwana. Ibisubizo by'ibizamini n'inzira zakozwe mu gusuzuma kanseri bikoreshwa mu gufasha gufata ibyemezo bijyanye no kuvura.

Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:

• Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.

• Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.

• Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.

Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.

• Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

• Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

Ikibyimba metastatike nubwoko bumwe bwa kanseri nkibibyimba byibanze. Kurugero, niba ikibyimba muri trachea cyangwa bronchi gikwirakwira mu mwijima, kanseri yo mu mwijima iba ikomoka muri trachea cyangwa bronchi. Indwara ni kanseri ya tracheobronchial metastatike, ntabwo ari kanseri y'umwijima.

Incamake yo kuvura

INGINGO Z'INGENZI

• Hariho uburyo butandukanye bwo kuvura abana bafite ikibyimba cya tracheobronchial.

• Abana bafite ikibyimba cya tracheobronchial bagomba gutegurwa nubuvuzi bwitsinda ryabaganga ninzobere mu kuvura indwara zabana.

• Ubwoko bune bwo kuvura busanzwe bukoreshwa:

• Kubaga

• Chimoterapi

• Imiti ivura imirasire

• Ubuvuzi bugamije

• Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

• Kuvura ikibyimba cya tracheobronchial yo mu bwana gishobora gutera ingaruka.

• Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

• Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

• Ibizamini byo gukurikirana birashobora gukenerwa.

Hariho uburyo butandukanye bwo kuvura abana bafite ikibyimba cya tracheobronchial.

Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe.

Kubera ko kanseri mu bana idasanzwe, kugira uruhare mu igeragezwa ry’amavuriro bigomba kwitabwaho. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Abana bafite ikibyimba cya tracheobronchial bagomba gutegurwa nubuvuzi bwitsinda ryabaganga ninzobere mu kuvura indwara zabana.

Umuti uzakurikiranwa n’umuganga w’abana oncologue, umuganga winzobere mu kuvura abana barwaye kanseri. Inzobere mu kuvura indwara z'abana ikorana n'abandi bahanga mu by'ubuzima bw'abana b'inzobere mu kuvura abana barwaye kanseri kandi bazobereye mu bice bimwe na bimwe by'ubuvuzi. Ibi birashobora kubamo inzobere zikurikira nabandi:

• Umuganga w'abana.

• Umuganga ubaga abana.

• Imirasire ya oncologue.

• Inzobere mu by'indwara.

• Inzobere mu baforomo b'abana.

• Ushinzwe imibereho myiza.

• Inzobere mu gusubiza mu buzima busanzwe.

• Umuhanga mu by'imitekerereze ya muntu.

• Inzobere mu buzima bw'umwana.

Ubwoko bune bwo kuvura busanzwe bukoreshwa:

Kubaga

Kubaga gukuraho ikibyimba bikoreshwa mu kuvura ubwoko bwose bwikibyimba cya tracheobronchial usibye rhabdomyosarcoma. Rimwe na rimwe, ubwoko bwo kubaga bwitwa sleeve resection bukoreshwa. Ikibyimba na lymph node hamwe nimiyoboro kanseri yakwirakwijwe.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu).

Chimoterapi ikoreshwa mu kuvura rhabdomyosarcoma.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire yerekeza kumubiri hamwe na kanseri.

Imiti ivura imishwarara ikoreshwa mu kuvura rhabdomyosarcoma.

Ubuvuzi bugamije

Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu byibasira kanseri. Ubuvuzi bugamije ubusanzwe butera kwangirika kwingirabuzimafatizo zisanzwe kuruta chimiotherapie cyangwa imiti ivura imirasire.

• Tyrosine kinase inhibitor: Iyi miti igamije kuvura ibuza ibimenyetso bikenewe kugirango ibibyimba bikure. Crizotinib ikoreshwa mu kuvura ibibyimba myofibroblastique yibibyimba muri trachea cyangwa bronchi bifite impinduka runaka muri gen ALK.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Kuvura ikibyimba cya tracheobronchial yo mu bwana gishobora gutera ingaruka.

Kumakuru yingaruka zitangira mugihe cyo kuvura kanseri, reba urupapuro rwuruhande rwacu.

Ingaruka ziterwa no kuvura kanseri zitangira nyuma yo kuvurwa zikomeza amezi cyangwa imyaka byitwa ingaruka zitinze. Ingaruka zo kuvura kanseri zishobora kubamo:

• Ibibazo byumubiri.

• Impinduka mumyumvire, ibyiyumvo, gutekereza, kwiga, cyangwa kwibuka.

• Kanseri ya kabiri (ubwoko bushya bwa kanseri) cyangwa ibindi bihe.

Ingaruka zimwe zitinze zishobora kuvurwa cyangwa kugenzurwa. Ni ngombwa kuganira n'abaganga b'umwana wawe ku ngaruka zishobora gutinda ziterwa no kuvurwa.

Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.

Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.

Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.

Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.

Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.

Ibizamini byo gukurikirana birashobora gukenerwa.

Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.

Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba imiterere y'umwana wawe yarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.

Kuvura Ibibyimba bya Tracheobronchial

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura ibibyimba bya tracheobronchial biterwa n'ubwoko bwa selile kanseri ikomoka. Kuvura ibibyimba bishya bya tracheobronchial byabana bishobora kubamo ibi bikurikira:

• Kubaga kugirango ukureho ikibyimba, kubwoko bwose bwibibyimba bya tracheobronchial usibye rhabdomyosarcoma.

• Chimiotherapie hamwe nimiti ivura imirasire, kuri rhabdomyosarcoma ikora muri trachea cyangwa bronchi. (Reba incamake ya kubuvuzi bwabana Rhabdomyosarcoma kugirango umenye amakuru yerekeye rhabdomyosarcoma nubuvuzi bwayo).

• Ubuvuzi bugamije (crizotinib), kubibyimba bya myofibroblastique bitera muri trachea cyangwa bronchi.

Reba incamake ya kubyerekeye ibibyimba bya Gastrointestinal Carcinoid Tumors kugirango umenye amakuru yerekeye kuvura ibibyimba bya kanseri ya tracheobronchial.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kuvura Ibibyimba Byakunze Kubana Tracheobronchial Tumors

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Ibibyimba bya tracheobronchial bigenda byiyongera nibibyimba byagarutse nyuma yo kuvurwa. Kuvura ibibyimba bya tracheobronchial bigenda byiyongera kubana bishobora kubamo ibi bikurikira:

• Igeragezwa rya clinique risuzuma icyitegererezo cyibibyimba byumurwayi kugirango hahindurwe gene. Ubwoko bwo kuvura bugenewe umurwayi biterwa n'ubwoko bw'imihindagurikire ya gene.

Kumenya Byinshi Kubyimba bya Tracheobronchial

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye ibibyimba bya tracheobronchial, reba ibi bikurikira:

• Kanseri y'ibihaha Urupapuro

• Kubara Tomografiya (CT) Gusikana na Kanseri

• Immunotherapy yo kuvura Kanseri

Kubindi bisobanuro bya kanseri yo mu bwana hamwe nubundi buryo rusange bwa kanseri, reba ibi bikurikira:

• Ibyerekeye Kanseri

• Kanseri yo mu bwana

• Umuti wo Gushakisha Kanseri Yabana Kureka

• Ingaruka Zitinze Kuvura Kanseri Yabana

• Ingimbi n'abangavu bafite kanseri

• Abana barwaye Kanseri: Imfashanyigisho ku babyeyi

• Kanseri mu bana n'ingimbi

• Gutegura

• Guhangana na Kanseri

• Ibibazo byo Kubaza Muganga wawe kuri Kanseri

• Abacitse ku icumu n'abarezi