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

Yevacheche Tracheobronchial Tumors Kurapa Shanduro

Zveruzhinji Ruzivo Nezve Wechidiki Tracheobronchial Tumors

PFUNGWA DZINOKOSHA

• Tracheobronchial bundu chirwere umo masero asina kujairika anoumbika mumutsara wetrachea uye bronchi.

• Zviratidzo uye zviratidzo zveiyo tracheobronchial bundu zvinosanganisira kutemwa nemusoro uye yakavharika kana yakazara mhino.

• Miedzo inoongorora iyo trachea uye bronchi inoshandiswa kubatsira kuongorora tracheobronchial bundu.

• Zvimwe zvinhu zvinokanganisa sarudzo dzekurapa uye kufungidzira (mukana wekupora).

Tracheobronchial bundu chirwere umo masero asina kujairika anoumbika mumutsara wetrachea uye bronchi.

Zvironda zveTracheobronchial zvinotanga mukati memukati meiyo trachea kana bronchi. Mazhinji mapundu etracheobronchial muvana ane hutachiona uye anowanikwa mune trachea (windpipe) kana bronchi hombe (nzira huru dzemhepo dzemapapu). Dzimwe nguva, inononoka kukura tracheobronchial bundu, senge yekuzvimba myofibroblastic bundu, inova kenza inogona kupararira kune mamwe mativi emuviri.

Kune mhando dzinoverengeka dzemamota kana gomarara dzinogona kuumba mune trachea kana bronchi. Izvi zvinogona kusanganisira zvinotevera:

• Carcinoid bundu (rakajairika muvana).

• Mucoepidermoid carcinoma.

• Inopisa myofibroblastic bundu.

• Rhabdomyosarcoma.

• Granular sero bundu.

Zviratidzo uye zviratidzo zveiyo tracheobronchial bundu zvinosanganisira kutemwa nemusoro uye yakavharika kana yakazara mhino.

Mamota eTracheobronchial anogona kukonzera chero eanotevera zviratidzo nezviratidzo. Tarisa nechiremba wemwana wako kana mwana wako ane chero chinotevera:

• Kuoma kukosora.

• Kushungurudza.

• Kunetseka kufema.

• Kusvipa ropa kubva mumhepo kana mapapu.

• Kakawanda kutapukira mumapapu, senge pneumonia.

• Kunzwa kuneta chaizvo.

• Kurasikirwa nechido kana kurasikirwa uremu pasina chikonzero chinozivikanwa.

Mimwe mamiriro ayo asiri tracheobronchial tumors anogona kukonzera iwo aya zvimwe zviratidzo nezviratidzo. Semuenzaniso, zviratidzo zvematumbo etracheobronchial akafanana nezviratidzo zveasima, izvo zvinogona kuita kuti zvive zvakaoma kuongorora bundu.

Miedzo inoongorora iyo trachea uye bronchi inoshandiswa kubatsira kuongorora tracheobronchial bundu.

Iyi inotevera bvunzo uye maitiro anogona kushandiswa:

• Kuongorora kwemuviri uye nhoroondo yehutano: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.

• Chest x-ray: X-ray yenhengo nemapfupa mukati mechipfuva. X-ray imhando yesimba remagetsi rinogona kupfuura nemuviri uye kupinda mufirimu, richiita mufananidzo wenzvimbo dziri mukati memuviri.

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, senge mutsipa uye chipfuva, zvakatorwa kubva kumakona akasiyana. Mifananidzo yacho inogadzirwa nekombuta yakabatana neiyo x-ray muchina. Dhayi inogona kuiswa jekiseni kana kumedzwa kubatsira nhengo kana zvinyama kuratidza zvakajeka. Iyi nzira inonziwo computed tomography, computerized tomography, kana komputa axial tomography.

Computed tomography (CT) scan yemusoro nemutsipa. Mwana akarara patafura inotsvedza kuburikidza neCT scanner, iyo inotora x-ray mifananidzo yemukati memusoro nemutsipa.

• Bronchography: Maitiro ekutsvaga nzvimbo dzisina kujairika mumarara, trachea, uye bronchi uye kutarisa kana mafafitera emhepo akapamhama pazasi pechikamu chebundu . Dhayi rakasiyana rinojowa kana kuiswa kuburikidza nebronchoscope kupfeka iyo yemhepo uye kuita kuti vazviratidze zvakajeka pane x-ray firimu.

• Octreotide scan: Rudzi rweRadionuclide scan inoshandiswa kutsvaga matumbo etracheobronchial kana kenza yakapararira kuma lymph node. Chishoma kwazvo che radioactive octreotide (iyo hormone inosungira kune carcinoid tumors) inopinzwa mutsinga uye inofamba nemuropa. Iyo radioactive octreotide inonamira kune iro bundu uye yakakosha kamera iyo inoona radioactivity inoshandiswa kuratidza kuti pane mamota ari mumuviri.

Zvimwe zvinhu zvinokanganisa sarudzo dzekurapa uye kufungidzira (mukana wekupora).

Kurapa sarudzo uye kufungidzira kunoenderana nezvinotevera:

• Mhando yetracheobronchial bundu.

• Kunyangwe bundu rave kenza uye rapararira kune dzimwe nhengo dzemuviri.

• Yakawanda sei kukuvara kwakaitwa kumatumbu emapapu.

• Kunyangwe bundu racho rakabviswa zvachose nekuvhiyiwa.

• Kunyangwe bundu iri richangobva kuongororwa kana kuti radzokazve (dzoka).

Kufungidzira kwevana vane kenza yetracheobronchial kwakanaka kwazvo, kunze kwekunge mwana ane rhabdomyosarcoma.

Nhanho dzeTracheobronchial Tumors

PFUNGWA DZINOKOSHA

• Kana gomarara raumbika mune trachea kana bronchi, kuongororwa kunoitwa kuti uone kana gomarara maseru rapararira kunzvimbo dziri padyo kana kune dzimwe nhengo dzemuviri.

• Pane nzira nhatu dzinopararira negomarara mumuviri.

• Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

Kana gomarara raumbika mune trachea kana bronchi, kuongororwa kunoitwa kuti uone kana gomarara maseru rapararira kunzvimbo dziri padyo kana kune dzimwe nhengo dzemuviri.

Maitiro anoshandiswa kutsvaga kana gomarara rapararira kubva patrachea kana bronchi kuenda kunzvimbo dziri padyo kana kune dzimwe nhengo dzemuviri inonzi staging. Iko hakuna yakajairwa system yekumisikidza hudiki tracheobronchial cancer. Mhedzisiro yemaedzo nemaitiro akaitwa ekuongorora kenza anoshandiswa kubatsira kuita sarudzo nezvekurapa.

Pane nzira nhatu dzinopararira negomarara mumuviri.

Kenza inogona kupararira kuburikidza nematinji, iyo lymph system, uye neropa:

• Tishu. Kenza inopararira kubva kwayakatanga nekukura ichipinda munzvimbo dziri pedyo.

• Lymph maitiro. Kenza inopararira kubva kwayakatanga nekupinda muiyo lymph system. Kenza inofamba nemumidziyo yema lymph ichienda kune dzimwe nhengo dzemuviri.

• Ropa. Kenza inopararira kubva payakatanga nekupinda muropa. Kenza inofamba nemidzi yeropa ichienda kune dzimwe nhengo dzemuviri.

Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

Kana kenza ikapararira kune chimwe chikamu chemuviri, inonzi metastasis. Cancer maseru anotsemuka kubva kwaakatanga (iro bundu rekutanga) uye achifamba kuburikidza neye lymph system kana ropa.

• Lymph maitiro. Gomarara rinopinda mu "lymph system", rinofamba nemumidziyo ye "lymph", uye rinogadzira bundu (metastatic tumor) mune chimwe chikamu chemuviri.

• Ropa. Kenza inopinda muropa, inofamba nemutsinga dzeropa, yoita bundu (metastatic tumor) mune chimwe chikamu chemuviri.

Iyo metastatic bundu irwo rudzi rwecancer seyakanyanya bundu. Semuenzaniso, kana bundu riri mutrachea kana bronchi richipararira kuchiropa, maseru ekenza ari muchiropa ari kubva mutrachea kana bronchi. Hosha iyi metastatic tracheobronchial cancer, kwete chiropa cancer.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune mhando dzakasiyana dzekurapa kwevana vane tracheobronchial tumor.

• Vana vane tracheobronchial bundu vanofanirwa kurapwa kwavo kuchirongwa nechikwata chevanachiremba vanova nyanzvi pakurapa zvirwere zvevacheche.

• Mhando ina dzekurapa kwakajairika dzinoshandiswa:

• Kuvhiya

• Chemotherapy

• Radiation kurapa

• Targeted kurapwa

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Kurapa kwehudiki tracheobronchial bundu kunogona kukonzera mhedzisiro.

• Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

• Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

• Yekutevera-bvunzo inogona kudikanwa.

Kune mhando dzakasiyana dzekurapa kwevana vane tracheobronchial tumor.

Mamwe marapirwo akajairwa (iko kurapwa kwazvino kwashandiswa), uye kumwe kuedzwa mumakiriniki ekuedzwa A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa.

Nekuti kenza muvana isingawanzo, kutora chikamu mukutongwa kwekiriniki kunofanirwa kutariswa. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Vana vane tracheobronchial bundu vanofanirwa kurapwa kwavo kuchirongwa nechikwata chevanachiremba vanova nyanzvi pakurapa zvirwere zvevacheche.

Kurapa kunozoonekwa nachiremba wevana oncologist, chiremba ane hunyanzvi hwekurapa vana vane gomarara. Vanachiremba oncologist vanoshanda nevamwe vana vezvehutano vana vanove nyanzvi dzekurapa vana vane gomarara uye vane hunyanzvi mune dzimwe nzvimbo dzemishonga. Izvi zvinogona kusanganisira vanachiremba vanotevera nevamwe:

• Chiremba wevana.

• Chiremba wechiremba wechiremba.

• Radiation oncologist.

• Nyanzvi yezvirwere.

• Mukoti wechiremba nyanzvi.

• Wezvemagariro.

• Rehabilitation nyanzvi.

• Nyanzvi yezvepfungwa.

• Mwana-hupenyu nyanzvi.

Mhando ina dzekurapa kwakajairika dzinoshandiswa:

Kuvhiya

Kuvhiya kubvisa bundu kunoshandiswa kurapa ese marudzi etracheobronchial tumor kunze kwerhabdomyosarcoma. Dzimwe nguva mhando yekuvhiya inonzi sleeve resection inoshandiswa. Bundu uye lymph node nemidziyo uko kenza yapararira inobviswa.

Chemotherapy

Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekuamisa iwo kubva pakupatsanuka. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy).

Chemotherapy inoshandiswa kurapa rhabdomyosarcoma.

Radiation kurapa

Radiation kurapa kurapwa kenza iyo inoshandisa yakakwira-simba x-rays kana mamwe marudzi e radiation kuuraya cancer maseru kana kuachengeta iwo kuti asakure. External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune iyo nzvimbo yemuviri nekenza.

Radiation therapy inoshandiswa kurapa rhabdomyosarcoma.

Targeted kurapwa

Targeted therapy mhando yekurapa inoshandisa zvinodhaka kana zvimwe zvinhu kurwisa cancer maseru. Marapirwo akanangwa anowanzo kukonzera kukuvara kushoma kune masero akajairwa kupfuura chemotherapy kana radiation radiation inoita.

• Tyrosine kinase inhibitors: Aya akanangwa kurapa zvinodhaka anovharira zviratidzo zvinodiwa kuti mamota akure. Crizotinib inoshandiswa kurapa inoputira myofibroblastic tumors mune trachea kana bronchi ine imwe shanduko muALK gene.

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Kurapa kwehudiki tracheobronchial bundu kunogona kukonzera mhedzisiro.

Kuti uwane ruzivo nezve mhedzisiro inotanga panguva yekurapa kenza, ona yedu Side Mhedzisiro peji.

Zvimwe zvinokonzeresa kubva pakurapwa nekenza zvinotanga mushure mekurapwa uye kuenderera kwemwedzi kana makore zvinonzi kunonoka kuitika Kwapera nguva mhedzisiro yekurapwa nekenza inogona kusanganisira:

• Zvinetso zvepanyama.

• Shanduko mumanzwiro, manzwiro, kufunga, kudzidza, kana ndangariro.

• Yechipiri kanzura (mhando nyowani dzekenza) kana mamwe mamiriro.

Mimwe mhedzisiro mhedzisiro inogona kurapwa kana kudzorwa. Izvo zvakakosha kuti utaure navanachiremba vemwana wako nezve zvingangoitika zvinononoka mhedzisiro zvinokonzerwa nekumwe kurapwa.

Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.

Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.

Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.

Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.

Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.

Yekutevera-bvunzo inogona kudikanwa.

Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.

Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro emwana wako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Kurapa kweUcheche Tracheobronchial Tumors

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kwetumachechi yebronchial kunoenderana nerudzi rwechitokisi kenza yakaumbwa kubva. Kurapa kweanenge achangobva kuongororwa maronda etracheobronchial muvana anogona kusanganisira zvinotevera:

• Kuvhiya kubvisa bundu, kune ese marudzi etracheobronchial tumors kunze kwerhabdomyosarcoma.

• Chemotherapy uye radiation radiation, ye rhabdomyosarcoma iyo inoumba mune trachea kana bronchi. (Ona pfupiso yePDPQ paChidiki Rhabdomyosarcoma Kurapa kune rumwe ruzivo nezve rhabdomyosarcoma uye kurapwa kwayo).

• Targeted Therapy (crizotinib), yekuzvimba myofibroblastic tumors iyo inoumba mune trachea kana bronchi.

Ona pfupiso yePDPQ paUdiki Gastrointestinal Carcinoid Tumors kuti uwane rumwe ruzivo nezve kurapwa kwe tracheobronchial carcinoid tumors.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa kweRecurrent Yevacheche Tracheobronchial Tumors

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Anowanzoitika tracheobronchial tumors ndiwo mamota adzoka mushure mekurapwa. Kurapa kweanowanzoitika tracheobronchial tumors muvana kunogona kusanganisira zvinotevera:

• Kuongororwa kwekiriniki kunoongorora muyenzaniso wemota yemurwere kune mamwe magene ekuchinja. Rudzi rwekurapa kwakanangwa kuchapihwa kumurwere kunoenderana nerudzi rwechinjo yemajini.

Kuti Udzidze Zvakawanda Nezve Tracheobronchial Tumors

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve tumarara tetracheobronchial, ona zvinotevera:

• Lung Cancer Kumba Peji

• Computed Tomography (CT) Scans uye Cancer

• Immunotherapy Kurapa Cancer

Kuti uwane rumwe ruzivo rwegomarara rehucheche uye zvimwe zvecancer zviwanikwa, ona zvinotevera:

• Nezve Kenza

• Cancers Yevacheche

• Kurapa Kutsvaga Kwevana Cancer Buda Disclaimer

• Mahedhi Ekupedzisira Ekurapwa kweKenza Yevacheche

• Vechidiki uye Vechidiki Vakuru vane Cancer

• Vana vane Cancer: Nhungamiro Yevabereki

• Kenza muVana neVachiri kuyaruka

• Stage

• Kurarama neCancer

• Mibvunzo Yekubvunza Wako Chiremba nezveCancer

• Kune Vakapona uye Vanotarisira