Metastases kule umnqonqo: iimpawu. Metastases kwi umnqonqo: ukubonakalisa

Cancer - sisifo angena kubethwa ngoyaba. Ngaphezu koko, kubalulekile ukuba nje i modem ayisebenzi ukwenzeka somhlaza, kodwa ukwenze oko kamsinya kangangoko kunokwenzeka. Kwakhona kubalulekile ukwazi ukuba ngokufuthi features ezinye iintlobo zomhlaza kwenzeka emva, ebangela iimpawu buqapheleke. Metastases kwi emqolo, ngaloo ndlela, bafanelwe ingqalelo ekhethekileyo.

Ukungxamiseka ngxaki

Imbonakalo metastases ngasemva inokuba ngenxa ukubunjwa yamathumba amabi webele nowedlala lobudoda, adrenal, zezintso nakwezinye iindawo. Enyanisweni, kummandla yomqolo kuyenzeka naluphi na uhlobo lomhlaza.

Ngamanye amaxesha ezi khemikhali zinokwenzeka nasemva kokuphela konyango iminyaka embalwa. Kwezinye iimeko, ezi mpawu - metastases kwi umnqonqo - ungenza ngokwayo ngayo emva kweminyaka engamashumi amabini ubomi obusempilweni. Kulapho kwezo zihlandlo, ukuba ithumba ekuphindeni kufuneka siphathwe nzulu kakhulu, kungenjalo kunokwenzeka japan buhlungu gqitha.

Njengoko le Enyanisweni, yintoni umqolo zomhlaza eziziisekondari zibonakale, oko ikakhulu ixhomekeke indawo nethumba zaseprayimari. Umzekelo, Ukudlulela ukuya wesibeleko kwalapho iimpawu ukubonisa kwisiqalo lymphosarcoma okanye nee- nasopharynx. Kwakhona kubalulekile ukwazi ukuba iimpawu zasesekondari ibuyele iyanditya phambi kujoliswe eziphambili. Ngenxa yale nto ke, kwezinye iimeko, uxilongo lokuqala kuphosakele, kodwa into yokuba isigulane ivavanywa isifo sele HIV.

Kutheni le nto isenzeka

Ngokubanzi, yonke nangezilonda bene-13% ezi neoplasms kuwenza ibekwe kwi lomsele spinal. Ngaphezu koko, ezi nangezilonda kufuneka ibekwe ngaphakathi umnqonqo nangaphezulu. Kwimeko kuwujonga, indawo kunokwenzeka phantsi mater Dura, kwaye phezu kwayo.

Amaxesha amaninzi, kodwa ke umonakalo yesibini isithuba ebulewe ikhokelela izigulane umhlaza nomqolo intambo ucinezelo. Le nkqubo kungenxa kunyebeleziso ithumba paravertebral ngokusebenzisa foramen intervertebral.

Xa enjalo ingxaki njengoko metastases apha emqolo, iimpawu ngokuchanileyo ukuhlola ifuthe nethumba ngo-90% yamatyala. Faka iiseli umhlaza kule ndawo umzimba ngegazi, kwaye kwezinye iimeko, inkqubo emithanjeni kunye nkovu ngokwayo.

iimpawu eziphambili

Nokuba uhlobo ingxaki yempilo kwenzeka ntoni, ukuba usoloko iimpawu abakhoyo. Metastases kwi umnqonqo Kuthiwa umzimba iphuhlisa somhlaza. Ngelo xesha kukho eziliqela iimpawu ezahlula kuzo kwezinye izifo esakhulayo ngasemva:

- Uphuhliso mhlawumbi olukhawulezileyo waba nesiphene ngokupheleleyo okanye ngokungaphelelanga;

- iintlungu kubonakala ngokukhawuleza, kwaye njengokungathi ezifanayo emqolo ochaphazelekayo okunene musa ukutshintsha nasemva kokuba isicelo amayeza buhlungu;

- xa ukutshintsha indawo umzimba kwandisa kakhulu kumlinganiselo iintlungu, nto leyo ekhokelela ukuba umda wokuthi ukuhamba;

- kunye nezinye iimpawu zesi sifo ngokukhawuleza iimpawu ezifana luvo ziyinkxwaleko koluvo, imilenze esibuhlungu.

Kuyaqondakala ukuba utshintsho kwi imeko yomguli hlobo kwakhona sikhatshwe ukonakala ebalulekileyo yempilo ngokubanzi. Ngenxa yoko, isigulana okukhawulezayo ukwehla kobunzima, ulale nkene onombilini. Konke oku kukhomba metastases kwi kwalapho. Iimpawu olu hlobo kunzima ngoyaba, kodwa ngamanye amaxesha abantu zikwimeko eqatha ukuhluba utyelelo kugqirha. Ukwenza oku akuyomfuneko kuba unesifo ngexesha kunye nonyango lwe oqeqeshwe kunokuchaphazela ixesha lokuphila kwimeko zomhlaza.

Yini sase-

Kuqala kufuneka siyiqonde into yokuba uphuhliso olukhawulezayo kwizigulo ezinxulumene ngokukhawuleza progression of metastases. Primary ithumba Ukwakheka ukukhula ngakumbi kancinci (a unyaka okanye ngaphezulu), kodwa imeko zamabanga iphambene esahlukileyo.

Kungenxa yesi sizathu, xa uphethwe enjalo ibhaliwe njengoko metastases apha emqolo, i-ALS idla nezinzima. Noko ke, ubukhulu becala kuxhomekeke nenqanaba esi sifo. Kule nkalo, luthwala ephindaphinda ingcamango yokuba kungekudala uza kubonwa njenge ngxaki zomhlaza lwesibini, ngcono amathuba ukuba umphumo ube mhle.

Kwakhona, indima ebalulekileyo eyadlalwa into, nto leyo Iqinisekile metastases kwi kwalapho. Iimpawu kunye neempawu ezibonisa imfundo ithumba eziziisekondari isuswe ngaphambili, zifuna unyango olukhethekileyo.

picture clinical

kunye iimpawu zisenokwahluka ngokuxhomekeke kubungakanani kunye nothotho lwamaqumrhu. Metastases kwi umnqonqo kwakhona bakwazi ukuba negalelo ezahlukeneyo imeko yomguli, asakhulayo kwiindawo ezithile yomqolo. Akumangalisi oku, kuba yonke vertebra na kufutshane kwemithambo kunye iingcambu luvo enxulumene kunye amasebe awohlukeneyo kunye namalungu omzimba.

Xa kukho metastases apha emqolo wesibeleko, ezi mpawu azezi intlungu xa uzama ukutyhila intloko yakho okanye zithambekele ngayo. Kwakhona, ngenxa yokuba kukho ucinezelo ye kwemithambo vertebral, izigulane ezininzi uqalisa ukubandezeleka yintloko ebuhlungu kunye nesiyezi athile.

metastases noko ngokwahlukileyo wabonakalaliswa umnqonqo empontshwa. Iimpawu kunye notshintsho karhulumente kufuna baphethwe, kuba ziyafana kakhulu iingxaki ezihamba iindidi isifo sezintso.

Maxa wambi metastases ezinjalo kunokwenzeka ingcinezelo onamandla emile, nto leyo inokukhokelela ukwaphuka uhlobo ucinezelo vertebral, enomva kakhulu ukuma. Kodwa loo nto zonke, le yamophula ngamanye amaxesha unobangela umonakalo umnqonqo, nto leyo kwenzeka ngenxa ukushwabana buso okanye epheleleyo nemilenze.

Xa kwafunyaniswa metastases apha emqolo thoracic, iimpawu athathe ngokubanzi ngohlobo kabi okanye intlungu kwindawo phakathi ngamaphiko emagxeni. Kubalulekile ukwazi, yaye olu hlobo ukubonakalalisa nethumba uba namandla kamva kunabanye, ngenxa iimpawu yokwakheka kule ndawo.

izifo radicular

Kulo mzekelo kuthetha kukuvela ekuthiwa intlungu radicular. Ukuze babonakale kwi emqolo wesibeleko, yaye maxa wambi bazenze uyaziwa sciatica. Konke kuxhomekeke kanye apho sisilonda. Kwezinye iimeko, uhlobo intlungu zoster kunokwenzeka.

kwesimo ezincumisayo iimpawu nazo saphawula iintlungu Ngokucofa lweenkqubo spinous. Ngokufuthi iimpawu ezinjalo sikhatshwe ukuyilwa yekhasi uvakalelo ephantsi ophezulu lohlobo radicular ngayo. Sithetha ntoni ngokoyiswa yomqolo thoracic kunye wesibeleko. Kwakhona, kukho ezinye iimpawu kunokwenzeka - metastases kwi emqolo amaxesha kungakhokelela yokubhuqwa Achilles kunye ingqondo idolo.

Maxa wambi intlungu uya kude ngokupheleleyo okomzuzwana, kodwa ke kwiimeko ezininzi akuthethi isenzo kunye ukutshatyalaliswa ngokupheleleyo ingcambu-luvo ochaphazelekayo ekuqaleni. Kamva, xa ithumba kwafikela kwezinye luvo, iintlungu iqalise.

Mielitichesky syndrome

Loo urhulumente ziziphumo ucinezelo ye intambo ithumba umnqonqo. Kwiimeko ezinjalo akholisa ukubakho umhlaza yesinye, umhlaza lengqula, kunye ngokoyiswa yobubi of wemiphunga webele umhlaza.

Ucinezelo yolu hlobo unako itshixwe nayiphi na inxalenye yomqolo, kodwa inkoliso ifuthe umnqonqo kwenzeka kummandla thoracic. Amaxesha amaninzi iqondo wengcinezelo liphuma yanda ngokukhawuleza, kodwa utshintsho mhlawumbi kade kwi imeko yesigulane.

Xa le ntlungu kubonakala ngaphambili kakhulu kunokuba nezinye iimpawu. Metastases kwi umnqonqo kungakhokelela kuphuhliso zobulima iyathamba ibangelwa ilahleko ngokupheleleyo uvakalelo lohlobo umqhubi. Kodwa kwenzeka kuphela xa ikhala ngequbuliso.

Intlungu efanayo kakhulu localized kwaye yeva indawo ithumba sisilonda esidumbileyoesingaphakathi yomqolo.

Polinevropatichesky syndrome

Kuba syndrome enjalo luphawulwa kuphuhliso paresthesias, ukubila ngokugqithisileyo iinyawo nezandla, kwakunye inhibition ehamba ukuhlisa kunye Achilles, idolo-jerk reaction kunye nokungondleki. Ukongeza, iya esisigxina ubuntununtunu yehlise uhlobo lelonani neeglavu izandla neenyawo.

Ngowe-4% amatyala izitshanguba ithumba spinal ngoku ukunika ukwazi metastases intramedullary kwi umnqonqo.

Kubalulekile ukwazi yokuba uxilongo ichanekileyo ubekwa kwizigulane kunye ubuhlungu ezindaweni okanye radicular, ngokunjalo kunye ukwandiswa umnqonqo kunye paresis progressive abambiseneyo.

Metastases kwi umnqonqo: iimpawu ngaphambi kokufa

Xa imo ye nomhlaza ukungahoywa kukhokelela ukuphazamiseka iinkqubo pathways, kwaye wonke umzimba. Iimpawu Local nabo ngcono kakhulu.

Oku kuthetha ukuba ukutshatyalaliswa umnqonqo kummandla sesichengeni ithumba lifikelela kwinqanaba kakhulu. Kwakhona, kukho nokugabha kakhulu kwaye isicaphucaphu, intloko ebuhlungu, igazi.

Ngokufa iimpawu ziquka utshintsho isingqisho yokuphefumla: oko fast, kwaba ime. Kwiimeko kakhulu kukho ukuhla okanye ukunyuka lobushushu kakuhle ngezantsi nemigangatho eyamkelekileyo. Le symptomatology hlobo ziquka silale, ukungakhathali kunye nelahleko umdla yonke into eyenzekayo.

Kwakhona umntu ogama ukufa usondele, sasinda nisidla nisela encinane kakhulu. Konke oku kukhatshwe ukudinwa ngokugqithiseleyo kunye esozela. Kukho ngamaphupho, bahlwise.

ngenxa

Cancer - isifo ogama isiphumo ubukhulu becala kuxhomekeke isigulo kwangethuba. Ngoko ke, ukuba uthe ndimbona imiqondiso efana metastases apha emqolo, kwaoko kufuneka uye esibhedlele. Ukuba izirhano iqinisekiswa, unyango sokuqeqeshelwa kakhulu ixesha elide kubomi isigulane.